Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
वाताभिभूतकोष्ठानां तैर्विनापि विजायते / सहजानि तु दोषाणि यानि चाभ्यन्तरे वलौ
vātābhibhūtakoṣṭhānāṃ tairvināpi vijāyate / sahajāni tu doṣāṇi yāni cābhyantare valau
جن کا کوشٹھ (ہاضمہ) واتیہ دَوش سے مغلوب ہو، اُن میں اُن بیرونی اسباب کے بغیر بھی عوارض پیدا ہو جاتے ہیں۔ جو دَوش اندرونی ‘ولا’ (آنتوں کے باطن) سے اٹھیں وہ سہج، یعنی پیدائشی عیوب ہیں۔
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Vata
Concept: Internal (sahaja) causation of disease: vāta-dominance in the koṣṭha can generate disorders even without external triggers.
Vedantic Theme: Deha as prakṛti-vikāra; discerning the body’s guṇa/doṣa movements as objects of knowledge (viveka between Self and bodily processes).
Application: Assess vāta aggravation and digestive tract vulnerability; prioritize vāta-pacifying diet/lifestyle and agni-support before blaming external causes.
Primary Rasa: shanta
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.156 (Ayurveda/roga-nidāna context: doṣa, koṣṭha, agni, valā)
This verse highlights vāta as a primary internal driver of disease, especially in the digestive tract, showing that some ailments arise from constitutional imbalance even without obvious external triggers.
By describing inborn and internal disorders, it frames bodily suffering as arising from subtle constitutional conditions (doṣas), complementing the text’s wider emphasis on disciplined living and responsibility for one’s state.
Monitor and balance vāta through stable routines, appropriate diet for digestion, and calming practices—treating recurring gut issues as potentially constitutional rather than only situational.