Vidradhi–Gulma Nidāna
Causes and Signs of Abscess and Abdominal Mass
संक्लेशशीतकस्तम्भजृम्भारोचकगौरवाः / चिरोत्थानो ऽविपाकश्च संकीर्णः सन्निपातजः
saṃkleśaśītakastambhajṛmbhārocakagauravāḥ / cirotthāno 'vipākaśca saṃkīrṇaḥ sannipātajaḥ
سَنّیپاتج (مخلوط) حالت میں تکلیف، سردی، اکڑن، جمائی، بھوک کی کمی اور بوجھل پن ہوتا ہے؛ یہ دیر سے ابھرتا ہے، ٹھیک طرح نہیں پکتا، اور علامات کا گڈمڈ مجموعہ دکھاتا ہے۔
Lord Vishnu (speaking to Garuda/Vinata-putra)
Dosha: Mixed
Concept: When causes are mixed, signs become blended and treatment/prognosis is difficult; discernment must be nuanced.
Vedantic Theme: Complexity of prakṛti; necessity of viveka and equanimity (śama) amid uncertainty.
Application: Do not oversimplify diagnosis; track clusters (chills, stiffness, yawning, anorexia, heaviness), note slow onset and poor suppuration; seek comprehensive evaluation.
Primary Rasa: shanta
Secondary Rasa: karuna
Type: systemic (sannipāta)
Related Themes: Garuda Purana 1.160 (sannipāta description and contrasts with single-doṣa states)
Sannipāta is a combined doṣic disturbance where signs are mixed and complicated, often with slow onset and atypical or incomplete suppuration.
It emphasizes a cluster of systemic symptoms—chills, stiffness, heaviness, anorexia—along with delayed manifestation and unclear progression, indicating a mixed pathology.
When symptoms are mixed, persistent, and unclear, the verse suggests taking the condition seriously and seeking comprehensive evaluation rather than relying on a single-symptom approach.