Shloka 9

Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids

अन्तर्मुखानि पाण्डूनि दारुणोपद्रवाणि च / योज्यानि च पृथोग्दोषसंसर्गनिचयात्स्वतः

antarmukhāni pāṇḍūni dāruṇopadravāṇi ca / yojyāni ca pṛthogdoṣasaṃsarganicayātsvataḥ

ภาวะที่หันกลับสู่ภายใน ความซีดเหลือง (ปาณฑุ) และอุปัทวะอันรุนแรงทั้งหลาย พึงเข้าใจว่าเกิดขึ้นเองจากการสั่งสมและปะปนของโทษะต่าง ๆ ภายในกาย.

अन्तर्मुखानिinward-facing/internal
अन्तर्मुखानि:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootअन्तर्मुख (प्रातिपदिक; अन्तर् + मुख)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया, बहुवचन; तत्पुरुष (अन्तः मुखं यस्य/यत्) ‘inward-facing’
पाण्डूनिpale
पाण्डूनि:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootपाण्डु (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया, बहुवचन; विशेषण
दारुणोपद्रवाणिhaving severe complications
दारुणोपद्रवाणि:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootदारुण + उपद्रव (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया, बहुवचन; कर्मधारय (दारुणानि उपद्रवाणि)
and
:
Sambandha-bodhaka (Connector/समुच्चय)
TypeIndeclinable
Rootच (अव्यय)
Formअव्यय; समुच्चयार्थक अव्यय (conjunction)
योज्यानिare to be ascribed/connected
योज्यानि:
Kriya (Predicate/क्रिया)
TypeAdjective
Rootयुज् (धातु) + अनीयर् (कृदन्त)
Formअनीयर्-कृदन्त (gerundive: ‘to be connected/attributed’); नपुंसकलिङ्ग, प्रथमा/द्वितीया, बहुवचन
and
:
Sambandha-bodhaka (Connector/समुच्चय)
TypeIndeclinable
Rootच (अव्यय)
Formअव्यय; समुच्चयार्थक (conjunction)
पृथक्separately
पृथक्:
Kriya-visheshaṇa (Adverbial/क्रियाविशेषण)
TypeIndeclinable
Rootपृथक् (अव्यय)
Formअव्यय; क्रियाविशेषण (adverb: ‘separately’)
दोषसंसर्गनिचयात्from the accumulation of doṣa-combinations
दोषसंसर्गनिचयात्:
Apadana (Source/Cause/अपादान)
TypeNoun
Rootदोष + संसर्ग + निचय (प्रातिपदिक)
Formपुंलिङ्ग, पञ्चमी (5th), एकवचन; बहु-तत्पुरुष (दोषाणां संसर्गस्य निचयः) ‘accumulation due to association of doṣas’; अपादानार्थक (from/because of)
स्वतःby itself/naturally
स्वतः:
Kriya-visheshaṇa (Adverbial/क्रियाविशेषण)
TypeIndeclinable
Rootस्वतः (अव्यय)
Formअव्यय; हेत्वर्थ/स्वभावार्थ (adverb: ‘of itself/by itself’)

Lord Vishnu (in dialogue with Garuda)

Concept: Symptoms are to be understood through discerning the intermixture and accumulation of distinct doṣas; correct knowledge precedes correct treatment.

Vedantic Theme: Viveka (discriminative understanding) applied to embodied experience; naming and knowing conditions reduces confusion and fear.

Application: Track symptom patterns (pallor, inward-turning conditions, severity) and evaluate combined doṣa involvement rather than single-cause assumptions; seek systematic diagnosis.

Primary Rasa: shanta

Secondary Rasa: karuna

Related Themes: Garuda Purana 1.156.10-11 (doṣa-specific qualities and aggravating causes)

V
Vishnu
G
Garuda
D
Doṣas

FAQs

This verse states that serious symptoms—like pallor and intense afflictions—arise naturally when distinct doṣas accumulate and mix, highlighting doṣa-balance as a key diagnostic and corrective principle.

Indirectly: it frames suffering in embodied life as arising from natural causes (doṣa disturbance). In Garuda Purana’s broader ethic, caring for the body through dharmic living supports clarity of mind and preparedness for spiritual duties.

Treat persistent pallor, inward withdrawal, and severe distress as signs of systemic imbalance; pursue disciplined diet, conduct, and timely medical/Āyurvedic consultation to restore equilibrium rather than ignoring early warnings.