Shloka 24

Nidāna of Mūtraghāta and Aśmarī: Doṣa-based Types, Signs, and Named Urinary Syndromes

Devanagari script

शकृप्मार्गस्य बस्तेश्च वायुरन्तरमाश्रितः / अष्ठीलाभं घनं ग्रन्थिं करोत्यच (ब) लमुन्नतम्

Transliteration

śakṛpmārgasya basteśca vāyurantaramāśritaḥ / aṣṭhīlābhaṃ ghanaṃ granthiṃ karotyaca (ba) lamunnatam

Translation

เมื่อวายุไปอาศัยอยู่ในช่องว่างระหว่างทางอุจจาระกับกระเพาะปัสสาวะ ก็จะก่อให้เกิดก้อนแข็ง หนาแน่น เป็นปมคล้ายเงื่อนนูนสูง—เรียกว่า ‘อัษฐีลา’.

Word by Word

• शकृप्मार्गस्य: of the fecal passage (rectum)
• शकृप्मार्गस्य: Sambandha (Genitive relation/सम्बन्ध)
• Type: Noun
• Root: शकृत् (प्रातिपदिक) + मार्ग (प्रातिपदिक)
• Form: पुंलिङ्ग (masculine), षष्ठी विभक्ति (Genitive/6th), एकवचन (singular); षष्ठी-तत्पुरुष: ‘शकृतः मार्गः’ (rectal passage)

• बस्तेः: of the bladder
• बस्तेः: Sambandha (Genitive relation/सम्बन्ध)
• Type: Noun
• Root: बस्ति (प्रातिपदिक)
• Form: पुंलिङ्ग (masculine), षष्ठी विभक्ति (Genitive/6th), एकवचन (singular)

• च: and
• च: Samuccaya (Coordination/समुच्चय)
• Type: Indeclinable
• Root: च (अव्यय)
• Form: अव्यय; समुच्चय (conjunction)

• वायुः: wind (vāta)
• वायुः: Karta (Subject/कर्ता)
• Type: Noun
• Root: वायु (प्रातिपदिक)
• Form: पुंलिङ्ग (masculine), प्रथमा विभक्ति (Nominative/1st), एकवचन (singular)

• अन्तरम्: the space/interval
• अन्तरम्: Karma (Object/कर्म)
• Type: Noun
• Root: अन्तर (प्रातिपदिक)
• Form: नपुंसकलिङ्ग (neuter), द्वितीया विभक्ति (Accusative/2nd), एकवचन (singular)

• आश्रितः: having occupied/resorted to
• आश्रितः: Karta (Subject/कर्ता)
• Type: Adjective
• Root: आ-श्रि (धातु √श्रि ‘to resort, take refuge’) → आश्रित (कृदन्त; क्त)
• Form: पुंलिङ्ग (masculine), प्रथमा विभक्ति (Nominative/1st), एकवचन (singular); क्त-प्रत्ययान्त; ‘having resorted to/occupying’

• अष्ठीलाभम्: a stone-like mass (aṣṭhīlā-like)
• अष्ठीलाभम्: Karma (Object/कर्म)
• Type: Noun
• Root: अष्ठीला (प्रातिपदिक) + आभ (प्रातिपदिक; ‘appearance/semblance’)
• Form: पुंलिङ्ग (masculine), द्वितीया विभक्ति (Accusative/2nd), एकवचन (singular); तत्पुरुष: ‘अष्ठीलाया आभः’ (stone-like mass)

• घनम्: dense/hard
• घनम्: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: घन (प्रातिपदिक)
• Form: पुंलिङ्ग (masculine), द्वितीया विभक्ति (Accusative/2nd), एकवचन (singular)

• ग्रन्थिम्: a knot/swelling (glandular lump)
• ग्रन्थिम्: Karma (Object/कर्म)
• Type: Noun
• Root: ग्रन्थि (प्रातिपदिक)
• Form: पुंलिङ्ग (masculine), द्वितीया विभक्ति (Accusative/2nd), एकवचन (singular)

• करोति: makes/produces
• करोति: Kriya (Action/क्रिया)
• Type: Verb
• Root: कृ (धातु √कृ ‘to do, make’)
• Form: लट् (Present), परस्मैपद, प्रथमपुरुष (3rd person), एकवचन (singular)

• अचलम्: immobile/firm
• अचलम्: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: अचल (प्रातिपदिक)
• Form: नपुंसकलिङ्ग (neuter), द्वितीया विभक्ति (Accusative/2nd), एकवचन (singular); ‘immovable/firm’

• उन्नतम्: raised/elevated
• उन्नतम्: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: उन्नत (कृदन्त; उद्-√नम् ‘to raise/bend up’)
• Form: नपुंसकलिङ्ग (neuter), द्वितीया विभक्ति (Accusative/2nd), एकवचन (singular); क्त-प्रत्ययान्त

Speaker

Lord Vishnu (speaking to Garuda/Vinata-putra)

Medical Ayurveda

Dosha: Vata

Philosophical Teaching

Concept: Pathogenesis: vāyu occupying the interspace between rectal passage and bladder generates a dense, elevated granthi-like mass called aṣṭhīlā.

Vedantic Theme: Interconnectedness of bodily systems (srotas) and how misplacement of vāyu produces tangible formations; embodied causality as a field of knowledge.

Application: Consider pelvic masses/obstructive symptoms as potentially serious; avoid strain/constipation and urinary suppression; seek evaluation for combined bowel-urinary symptoms.

Verse Rasa

Primary Rasa: bhayanaka

Secondary Rasa: bibhatsa

Cross References

Related Themes: Garuda Purana 1.158.23 (vāta-basti; intractability); Garuda Purana 1.158.20-22 (retention, burning, dribbling)

Characters & Entities

• Vayu (Anila)
• Aṣṭhīlā

FAQs

What is 'aṣṭhīlā' as described in the Garuda Purana?

This verse defines aṣṭhīlā as a hard, dense, raised, knot-like swelling produced when vāyu lodges between the rectal passage and the bladder.

How does this verse connect vāyu with physical disease formation?

It explains disease mechanism as vāyu occupying a specific anatomical interval and generating a compact granthi (lump), showing vāyu’s role in obstruction and mass-formation.

Practical application of this wisdom today?

Do not ignore hard pelvic/urinary-rectal symptoms; seek clinical assessment early and maintain stabilizing routines that reduce vata aggravation.