Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids
तैरार्तो ग्रथितं स्तोकं सशब्दं सप्रवाहिकम् / रुक्फेनपिच्छानुगतं विबद्धमुपवेश्यते
tairārto grathitaṃ stokaṃ saśabdaṃ sapravāhikam / rukphenapicchānugataṃ vibaddhamupaveśyate
Bị hành hạ bởi những đau đớn đó, người ấy chỉ đi ngoài một chút phân, vón cục và ít ỏi, kèm theo âm thanh và dòng chảy, lẫn với máu, bọt và chất nhầy; và người ấy buộc phải ngồi đó, bị trói buộc bởi tình trạng bệnh tật của mình.
Lord Vishnu (narrating to Garuda/Vinata-putra)
Afterlife Stage: Naraka
Dosha: Vata
Concept: Karmic retribution manifests as embodied suffering and loss of bodily autonomy.
Vedantic Theme: Adhyasa on the body and the inevitability of karma-phala within samsara; disgust as a spur to vairagya.
Application: Cultivate restraint and purity of conduct; use contemplation of bodily fragility to reduce attachment and harmful actions.
Primary Rasa: bibhatsa
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana Pretakalpa: descriptions of naraka torments and disease-birth consequences (adjacent adhyayas around 1.150–1.160)
This verse functions as a karmic warning: vivid bodily affliction is used to show that harmful actions and negligence of dharma lead to painful consequences in the post-death (preta/Yama) narrative.
It portrays the preta experience as one of constraint and torment, where the being undergoes punitive, embodied suffering as a result of karma while passing through Yama’s jurisdiction before relief through merit and rites.
Live with restraint and cleanliness in conduct (dharma), avoid injuring others, and support death-rites and charity with sincerity—using the text’s warnings as motivation for ethical living and compassionate action.