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.
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)
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.