Shloka 24

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

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

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

جب پاخانے کی راہ اور مثانے کے درمیان کے خلا میں ہوا (وایو) ٹھہر جائے تو وہ سخت، گھنی، گرہ جیسی ابھری ہوئی سوجن پیدا کرتی ہے—اسی کو ‘اَشٹھیلا’ کہا جاتا ہے۔

शकृप्मार्गस्यof the fecal passage (rectum)
शकृप्मार्गस्य:
Sambandha (Genitive relation/सम्बन्ध)
TypeNoun
Rootशकृत् (प्रातिपदिक) + मार्ग (प्रातिपदिक)
Formपुंलिङ्ग (masculine), षष्ठी विभक्ति (Genitive/6th), एकवचन (singular); षष्ठी-तत्पुरुष: ‘शकृतः मार्गः’ (rectal passage)
बस्तेःof the bladder
बस्तेः:
Sambandha (Genitive relation/सम्बन्ध)
TypeNoun
Rootबस्ति (प्रातिपदिक)
Formपुंलिङ्ग (masculine), षष्ठी विभक्ति (Genitive/6th), एकवचन (singular)
and
:
Samuccaya (Coordination/समुच्चय)
TypeIndeclinable
Rootच (अव्यय)
Formअव्यय; समुच्चय (conjunction)
वायुःwind (vāta)
वायुः:
Karta (Subject/कर्ता)
TypeNoun
Rootवायु (प्रातिपदिक)
Formपुंलिङ्ग (masculine), प्रथमा विभक्ति (Nominative/1st), एकवचन (singular)
अन्तरम्the space/interval
अन्तरम्:
Karma (Object/कर्म)
TypeNoun
Rootअन्तर (प्रातिपदिक)
Formनपुंसकलिङ्ग (neuter), द्वितीया विभक्ति (Accusative/2nd), एकवचन (singular)
आश्रितःhaving occupied/resorted to
आश्रितः:
Karta (Subject/कर्ता)
TypeAdjective
Rootआ-श्रि (धातु √श्रि ‘to resort, take refuge’) → आश्रित (कृदन्त; क्त)
Formपुंलिङ्ग (masculine), प्रथमा विभक्ति (Nominative/1st), एकवचन (singular); क्त-प्रत्ययान्त; ‘having resorted to/occupying’
अष्ठीलाभम्a stone-like mass (aṣṭhīlā-like)
अष्ठीलाभम्:
Karma (Object/कर्म)
TypeNoun
Rootअष्ठीला (प्रातिपदिक) + आभ (प्रातिपदिक; ‘appearance/semblance’)
Formपुंलिङ्ग (masculine), द्वितीया विभक्ति (Accusative/2nd), एकवचन (singular); तत्पुरुष: ‘अष्ठीलाया आभः’ (stone-like mass)
घनम्dense/hard
घनम्:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootघन (प्रातिपदिक)
Formपुंलिङ्ग (masculine), द्वितीया विभक्ति (Accusative/2nd), एकवचन (singular)
ग्रन्थिम्a knot/swelling (glandular lump)
ग्रन्थिम्:
Karma (Object/कर्म)
TypeNoun
Rootग्रन्थि (प्रातिपदिक)
Formपुंलिङ्ग (masculine), द्वितीया विभक्ति (Accusative/2nd), एकवचन (singular)
करोतिmakes/produces
करोति:
Kriya (Action/क्रिया)
TypeVerb
Rootकृ (धातु √कृ ‘to do, make’)
Formलट् (Present), परस्मैपद, प्रथमपुरुष (3rd person), एकवचन (singular)
अचलम्immobile/firm
अचलम्:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootअचल (प्रातिपदिक)
Formनपुंसकलिङ्ग (neuter), द्वितीया विभक्ति (Accusative/2nd), एकवचन (singular); ‘immovable/firm’
उन्नतम्raised/elevated
उन्नतम्:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootउन्नत (कृदन्त; उद्-√नम् ‘to raise/bend up’)
Formनपुंसकलिङ्ग (neuter), द्वितीया विभक्ति (Accusative/2nd), एकवचन (singular); क्त-प्रत्ययान्त

Lord Vishnu (speaking to Garuda/Vinata-putra)

Dosha: Vata

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.

Primary Rasa: bhayanaka

Secondary Rasa: bibhatsa

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

V
Vayu (Anila)
A
Aṣṭhīlā

FAQs

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

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.

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