Shloka 45

Udara-roga Nidāna: Causes, Doṣa-Types, Spleen/Liver Enlargement, and Udakodara

Devanagari script

पक्षाच्च जातसलिलं विष्टम्भोपद्रवान्वितम् / जन्मनैवोदरं सर्वं प्रायः कृच्छ्रतमं मतम्

Transliteration

pakṣācca jātasalilaṃ viṣṭambhopadravānvitam / janmanaivodaraṃ sarvaṃ prāyaḥ kṛcchratamaṃ matam

Translation

Trong vòng nửa tháng, nếu dịch lỏng hình thành trong bụng, kèm theo bế tắc (táo bón, chướng trướng) và các biến chứng, thì chứng bệnh ở bụng—như phát sinh ngay từ căn nguyên—thường được xem là khó chữa nhất.

Word by Word

• पक्षात्: from the side/wing; from a fortnight (context-dependent)
• पक्षात्: Apadana (Source/अपादान)
• Type: Noun
• Root: पक्ष (प्रातिपदिक)
• Form: पुंलिङ्ग, पञ्चमी-विभक्ति (अपादान/ablative), एकवचन

• च: and
• च: Sambandha (Connector)
• Type: Indeclinable
• Root: च (अव्यय)
• Form: समुच्चय-अव्यय (conjunction)

• जातसलिलम्: having produced fluid; fluid-born/with fluid formed
• जातसलिलम्: Visheshana (Qualifier)
• Type: Adjective
• Root: जात (√जन् धातु, क्त-प्रत्यय; कृदन्त) + सलिल (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया-विभक्ति, एकवचन; समासः—षष्ठी/कर्मधारय-प्रायः (जातं सलिलं यस्मिन्/जातं सलिलम्)

• विष्टम्भोपद्रवान्वितम्: accompanied by obstruction and complications
• विष्टम्भोपद्रवान्वितम्: Visheshana (Qualifier)
• Type: Adjective
• Root: विष्टम्भ (प्रातिपदिक) + उपद्रव (प्रातिपदिक) + अन्वित (√अन्वि/अनु+इ, क्त; कृदन्त)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया-विभक्ति, एकवचन; समासः—विष्टम्भ-उपद्रव-सम्बद्धम् (विष्टम्भेन उपद्रवैश्च अन्वितम्)

• जन्मना: by birth; from birth
• जन्मना: Karana (Instrument/Means)
• Type: Noun
• Root: जन्मन् (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, तृतीया-विभक्ति (करण/instrumental), एकवचन

• एव: indeed; just
• एव: Sambandha (Emphasis)
• Type: Indeclinable
• Root: एव (अव्यय)
• Form: निश्चय/अवधारण-अव्यय (emphatic particle)

• उदरम्: abdominal disorder/dropsy; belly condition
• उदरम्: Karta (Subject/कर्ता)
• Type: Noun
• Root: उदर (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा-विभक्ति, एकवचन

• सर्वम्: entire; all
• सर्वम्: Visheshana (Qualifier)
• Type: Adjective
• Root: सर्व (सर्वनाम-प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा-विभक्ति, एकवचन; विशेषण

• प्रायः: generally; mostly
• प्रायः: Sambandha (Adverbial)
• Type: Indeclinable
• Root: प्रायः (अव्यय)
• Form: अव्यय (adverb)

• कृच्छ्रतमम्: most difficult; extremely severe
• कृच्छ्रतमम्: Visheshana (Qualifier)
• Type: Adjective
• Root: कृच्छ्र (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया-विभक्ति, एकवचन; तमप्-प्रत्यय (superlative)

• मतम्: considered; regarded
• मतम्: Kriya-visheshana (Predicative complement)
• Type: Adjective
• Root: √मन् (धातु) + क्त (कृदन्त)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया-विभक्ति, एकवचन; क्त-प्रत्यय; भावे/कर्मणि प्रयोगः—‘considered/held’

Speaker

Lord Vishnu (in discourse to Garuda/Vinata-putra)

Philosophical Teaching

Concept: Early-stage pathology with complications indicates a severe, difficult-to-cure abdominal disorder; prognosis depends on origin and associated upadravas.

Vedantic Theme: Sharira as kshetra (field) governed by causality; discernment (viveka) through accurate diagnosis.

Application: Treat early; watch for fluid accumulation with obstruction/complications; prioritize timely medical attention and preventive regimen.

Verse Rasa

Primary Rasa: karuna

Secondary Rasa: bhayanaka

Cross References

Related Themes: Garuda Purana 1.162 (continuation of medical nidana/roga-vijnana)

Characters & Entities

• Vishnu
• Garuda

FAQs

What is the importance of rapid fluid accumulation in this Garuda Purana verse?

Rapid onset (within a fortnight) plus obstruction and complications is treated as a grave prognostic sign, marking the condition as especially hard to manage.

How does this verse explain the path of the soul?

It does not describe the afterlife directly; it reinforces the Garuda Purana’s wider message that suffering and decline are inherent to embodiment, motivating dharma and preparedness.

Practical application of this wisdom today?

Sudden abdominal fluid build-up with systemic complications should be treated as urgent; seek immediate professional medical assessment.