Nidāna of Mūtraghāta and Aśmarī: Doṣa-based Types, Signs, and Named Urinary Syndromes
सपिच्छं सनिरुद्धं च सर्वैः सर्वात्मकं मलैः / यदा वायुर्मुखं बस्तेर्व्यावर्त्य पारिशोषयन्
sapicchaṃ saniruddhaṃ ca sarvaiḥ sarvātmakaṃ malaiḥ / yadā vāyurmukhaṃ bastervyāvartya pāriśoṣayan
جب طرح طرح کے مَلوں کے باعث پیشاب ہر طرح کی آلائش سے بھر کر لیس دار اور بند ہو جائے، تب وायु مثانے کے دہانے کو پلٹا کر اسے خشک کرتی ہوئی پیشاب کی بندش اور دشواریِ پیشاب پیدا کرتی ہے۔
Lord Vishnu (speaking to Garuda/Vainateya)
Dosha: Vata/Kapha
Concept: Pathogenesis (samprāpti): malas thicken/obstruct urine; vāyu deranges flow by reversing/drying the bladder outlet.
Vedantic Theme: Causality in prakṛti: guṇa/doṣa imbalance yields predictable effects; knowledge reduces fear through intelligibility.
Application: Address both obstruction (malas/kapha) and vāta derangement (drying/reversal) in management—hydration, unctuous measures, and clearing channels as appropriate.
Primary Rasa: karuna
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.158: explanation of basti-mukha dysfunction and mala-saṅga as causes of mūtra-nirodha; Ayurvedic samprāpti pattern shared with classical nidāna descriptions of mūtrakṛcchra/āśmarī
It describes vāyu as the force that can constrict/deflect the bladder outlet, leading to drying and obstruction—an Āyurvedic explanation for urinary retention.
It does not address the after-death journey; it is a technical passage on bodily processes, framed as instruction from Vishnu to Garuda.
Symptoms like obstructed flow and mucous-like urine suggest blockage or inflammation—treat as medically urgent rather than waiting for self-resolution.