Yama-mārga (Adhvan) and the Courts of Yama: Vaivasvatī and Chitragupta
मध्यपीठोत्तरे ज्ञेयो तथा चान्या विषचिका / ऐशन्यां वै शिरो ऽर्तिश्च आग्नेय्याञ्चैव मृकता
madhyapīṭhottare jñeyo tathā cānyā viṣacikā / aiśanyāṃ vai śiro 'rtiśca āgneyyāñcaiva mṛkatā
หากปวดบริเวณส่วนบนของกลางหลัง พึงรู้ว่าเป็นโรคชื่อวิษจิกา; หากปวดทิศตะวันออกเฉียงเหนือเป็นทุกข์ที่ศีรษะ และทิศตะวันออกเฉียงใต้เป็นมฤกตา (ซูบผอม/เสื่อมสลาย)
Lord Vishnu (in instruction to Garuda/Vinata-putra)
Afterlife Stage: Naraka
Dosha: Pitta
Concept: Specific pains/signs correspond to specific afflictions; suffering is classified and knowable, implying ordered karmic fruition.
Vedantic Theme: The phenomenal body as a field where karma ripens in determinate patterns; knowledge of patterns fosters detachment and ethical vigilance.
Application: Observe causes and effects carefully; treat early signs (physical or moral) as prompts for correction and restraint.
Primary Rasa: adbhuta
Secondary Rasa: bhayanaka
Type: dik-mandala and body-map (deha-lakṣaṇa)
Related Themes: Garuda Purana 2.33.29–32: the surrounding afflictions of Citragupta’s station; this verse continues the catalog with directional specificity
This verse treats bodily pain and its directional/locational occurrence as a diagnostic omen, linking specific regions (north-east, south-east, upper middle-back) to particular ailments.
In the Preta Kanda, illness-signs are often presented as warnings that prompt timely dharmic preparation—medical care, purification, and rites—before a person enters the post-death journey.
Use it as a traditional indicator to take symptoms seriously: seek treatment early, reduce harmful habits, and maintain spiritual preparedness through prayer, charity, and appropriate family rites.