Shloka 23

Vidradhi–Gulma Nidāna

Causes and Signs of Abscess and Abdominal Mass

Devanagari script

आपीड्य धमनीवृद्धिं करोति फलकोषयोः / दोषो मेदःसु तत्रास्ते सवृद्धिः सप्तधा गदः

Transliteration

āpīḍya dhamanīvṛddhiṃ karoti phalakoṣayoḥ / doṣo medaḥsu tatrāste savṛddhiḥ saptadhā gadaḥ

Translation

เมื่อกดรัดทางนาฑี ย่อมทำให้หลอดเลือดในถุงอัณฑะโตขึ้น ที่นั่นโทษะไปสถิตในธาตุไขมัน; ครั้นโทษะเพิ่มพูน โรคย่อมปรากฏเป็นเจ็ดประการ

Word by Word

• आपीड्य: having compressed
• आपीड्य: Kriya (Prior action/पूर्वक्रिया)
• Type: Indeclinable
• Root: आ-पीड् (धातु) + ल्यप्
• Form: क्त्वान्त अव्यय (gerund), पूर्वकालिक क्रिया

• धमनी: artery/duct
• धमनी: Sambandha (In compound/समाससम्बन्ध)
• Type: Noun
• Root: धमनी (प्रातिपदिक)
• Form: स्त्रीलिङ्ग; समासपूर्वपद

• वृद्धिम्: swelling/enlargement
• वृद्धिम्: Karma (Object/कर्म)
• Type: Noun
• Root: वृद्धि (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, द्वितीया, एकवचन; षष्ठी-तत्पुरुषः (धमनी-वृद्धिः)

• करोति: causes/does
• करोति: Kriya (Action/क्रिया)
• Type: Verb
• Root: कृ (धातु)
• Form: लट् (Present), प्रथमपुरुष, एकवचन; परस्मैपद

• फल: testicle
• फल: Sambandha (In compound/समाससम्बन्ध)
• Type: Noun
• Root: फल (प्रातिपदिक)
• Form: नपुंसकलिङ्ग; समासपूर्वपद

• कोषयोः: in/of the testicle and its sac
• कोषयोः: Adhikarana (Location/अधिकरण)
• Type: Noun
• Root: कोष (प्रातिपदिक)
• Form: पुंलिङ्ग, षष्ठी/सप्तमी (6th/7th), द्विवचन; द्वन्द्वसमासः (फल-कोष) + द्विवचन; अधिकरण/सम्बन्ध

• दोषः: the morbid factor/defect
• दोषः: Karta (Subject/कर्ता)
• Type: Noun
• Root: दोष (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, एकवचन

• मेदःसु: in the fat tissues
• मेदःसु: Adhikarana (Locative/अधिकरण)
• Type: Noun
• Root: मेदस् (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, सप्तमी, बहुवचन

• तत्र: there
• तत्र: Adhikarana (Locative sense/अधिकरण)
• Type: Indeclinable
• Root: तत्र (अव्यय)
• Form: देशवाचक अव्यय (adverb of place)

• आस्ते: remains/is situated
• आस्ते: Kriya (State/क्रिया)
• Type: Verb
• Root: आस् (धातु)
• Form: लट् (Present), प्रथमपुरुष, एकवचन; आत्मनेपद

• स: with
• स: Sambandha (Modifier/सम्बन्ध)
• Type: Indeclinable
• Root: स (उपसर्ग/अव्यय)
• Form: सह/सम्-अर्थक उपसर्गवत् अव्यय (with/together)

• वृद्धिः: swelling
• वृद्धिः: Visheshya (Apposition/विशेष्य)
• Type: Noun
• Root: वृद्धि (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, प्रथमा, एकवचन; स-उपपदसमासभावः (सवृद्धिः = वृद्धिसहितः)

• सप्तधा: sevenfold
• सप्तधा: Sambandha (Manner/प्रकार)
• Type: Indeclinable
• Root: सप्तधा (अव्यय)
• Form: प्रकारवाचक अव्यय (adverb of manner: sevenfold)

• गदः: disease
• गदः: Karta/Predicative (Subject complement)
• Type: Noun
• Root: गद (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, एकवचन

Speaker

Lord Vishnu

Philosophical Teaching

Concept: Srotas-saṅkocha (channel compression) causing dhamanī-vṛddhi (vessel enlargement) and doṣa-sthāna (lodging) in medas (fat), yielding classified manifestations.

Vedantic Theme: Nāma-rūpa differentiation: one underlying disturbance appears as multiple forms when conditioned by loci (dhātu) and pathways (srotas).

Application: Diagnose by palpation/observation of scrotal enlargement and vessel distension; consider meda-dhātu involvement; tailor therapy to reduce doṣa and meda, relieve obstruction, and address the specific subtype among the seven.

Verse Rasa

Primary Rasa: bibhatsa

Secondary Rasa: adbhuta

Cross References

Related Themes: Garuda Purana 1.160: continuation of genital/urinary pathology and doṣa dynamics; Ayurveda parallels: Suśruta on vṛddhi/ślipada-like swellings and dhātu involvement; Aṣṭāṅga Hṛdaya on meda-doṣa and granthi/vṛddhi classifications

Characters & Entities

• Doshas
• Meda (fat tissue)

FAQs

What is the importance of doṣa and meda in this Garuda Purana verse?

It states that when a doṣa becomes lodged in meda (fat tissue) and increases, it produces a defined pathological condition—showing a tissue-based (dhātu) understanding of disease.

How does this verse explain the mechanism behind swelling in phalakoṣa (scrotal sac)?

It attributes the condition to compression leading to enlargement of the dhamanīs (vessels/ducts), with the morbid factor settling in local fatty tissue and then worsening.

Practical application of this wisdom today?

It highlights early attention to bodily imbalances—avoiding habits that cause obstruction/compression and addressing doṣa aggravation before it becomes chronic.