Nidāna of Mūtraghāta and Aśmarī: Doṣa-based Types, Signs, and Named Urinary Syndromes
पीडिते ज्वरकासे ऽस्मिन्नश्मर्येव च शर्करा / असौ वा वायुना भिन्ना सा त्वस्मिन्नमुलोमगे
pīḍite jvarakāse 'sminnaśmaryeva ca śarkarā / asau vā vāyunā bhinnā sā tvasminnamulomage
เมื่อถูกเบียดเบียนด้วยไข้และไอเช่นนี้ จะเกิดศรกรา (กรวดนิ่ว) ดุจอัศมรี หรือก้อนนิ่วนั้นถูกวายุทำให้แตกเป็นศรกรา; เหตุนี้เกิดเมื่อวายุเคลื่อนตามทางอนุโลมะ คือไหลลงตามปกติ
Lord Viṣṇu (in dialogue with Garuḍa)
Dosha: Vata
Concept: Systemic disturbance can manifest as related pathologies; vāyu can fragment a stone into gravel, and proper downward vāyu flow (anuloma) is physiologically significant.
Vedantic Theme: Interdependence within the embodied system; restoring order (ṛta-like regularity) reduces suffering.
Application: Address systemic illness (fever/cough) and vāta regulation; support normal downward movement (bowel/urine regularity) to reduce gravel/stone complications.
Primary Rasa: shanta
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.158.15-18 (aśmarī types, śukrāśmarī cause and symptoms)
This verse distinguishes between a solid urinary stone (aśmarī) and gravel-like deposits (śarkarā), explaining their formation through vāyu/vāta and the direction of its movement.
It does not describe the soul’s journey; it belongs to the Garuda Purana’s practical, dharmic-Āyurvedic instruction section on bodily disorders and their causes.
It highlights observing symptoms and causation (vital-air imbalance and obstruction) and encourages timely care for urinary discomfort rather than neglecting it.