Shloka 20

Rajayakshma Nidana: Causes, Pathogenesis, Symptoms, and Prognosis

Devanagari script

स्रोतोमुखेषु रुद्धेषु धातुषु स्वल्पकेषु च / विदाहो मनसः स्थाने भवन्त्यन्ये ह्युपद्रवाः

Transliteration

srotomukheṣu ruddheṣu dhātuṣu svalpakeṣu ca / vidāho manasaḥ sthāne bhavantyanye hyupadravāḥ

Translation

当身中诸脉道之口（srotas）被阻塞，诸持身之要素（dhātu）渐趋亏耗时，心意之域（心—意）便生灼热之苦，其他种种扰患亦随之显现。

Word by Word

• srotaḥ-mukheṣu: in the openings of the channels
• srotaḥ-mukheṣu: Adhikarana (Locative/अधिकरण)
• Type: Noun
• Root: srotaḥ (प्रातिपदिक) + mukha (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, सप्तमी (7th/सप्तमी), बहुवचन; षष्ठी-तत्पुरुष (srotaḥ = of channels + mukha = openings)

• ruddheṣu: blocked
• ruddheṣu: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: rudh (धातु) → ruddha (कृदन्त/प्रातिपदिक)
• Form: भूतकृदन्त (क्त), नपुंसकलिङ्ग, सप्तमी (7th), बहुवचन; विशेषण (qualifying srotaḥ-mukheṣu)

• dhātuṣu: in the bodily constituents (dhātus)
• dhātuṣu: Adhikarana (Locative/अधिकरण)
• Type: Noun
• Root: dhātu (प्रातिपदिक)
• Form: पुंलिङ्ग, सप्तमी (7th), बहुवचन

• svalpakeṣu: small / scanty
• svalpakeṣu: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: svalpaka (प्रातिपदिक)
• Form: पुंलिङ्ग, सप्तमी (7th), बहुवचन; विशेषण (qualifying dhātuṣu)

• ca: and
• ca: Sambandha (Connector/सम्बन्ध)
• Type: Indeclinable
• Root: ca (अव्यय)
• Form: समुच्चयबोधक अव्यय (conjunction)

• vidāhaḥ: burning sensation / inflammation
• vidāhaḥ: Karta (Subject/कर्ता)
• Type: Noun
• Root: vidāha (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा (1st/प्रथमा), एकवचन

• manasaḥ: of the mind
• manasaḥ: Shashthi-sambandha (Genitive relation/षष्ठी-सम्बन्ध)
• Type: Noun
• Root: manas (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, षष्ठी (6th/षष्ठी), एकवचन

• sthāne: in the place/seat
• sthāne: Adhikarana (Locative/अधिकरण)
• Type: Noun
• Root: sthāna (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, सप्तमी (7th), एकवचन

• bhavanti: arise / occur
• bhavanti: Kriya (Action/क्रिया)
• Type: Verb
• Root: bhū (धातु)
• Form: लट् (Present), प्रथमपुरुष (3rd person), बहुवचन

• anye: other
• anye: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: anya (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा (1st), बहुवचन; विशेषण (qualifying upadravāḥ)

• hi: indeed
• hi: Sambandha (Particle/निपात)
• Type: Indeclinable
• Root: hi (अव्यय)
• Form: निपात (particle; emphasis/causal nuance)

• upadravāḥ: complications / afflictions
• upadravāḥ: Karta (Subject/कर्ता)
• Type: Noun
• Root: upadrava (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा (1st), बहुवचन

Speaker

Lord Vishnu (narrating to Garuda/Vinata-putra)

Medical Ayurveda

Dosha: Mixed

Philosophical Teaching

Concept: Suffering arises from bodily imbalance and obstruction; recognize early signs to prevent cascading afflictions.

Vedantic Theme: Deha-asatva and duḥkha as prompts for vairāgya; mind-body linkage within prakṛti.

Application: Attend to early symptoms (srotorodha, dhātu-kṣaya, internal burning); seek timely care and reduce aggravating habits (overexertion, irregular diet, stress).

Verse Rasa

Primary Rasa: karuna

Secondary Rasa: bhayanaka

Cross References

Related Themes: Garuda Purana 1.152 (medical/āyurveda section on kṣaya and doṣa pathology)

Characters & Entities

• Garuda
• Vishnu

FAQs

What is the importance of srotas (bodily channels) in the Garuda Purana?

This verse links obstruction of srotas with systemic distress—showing that blocked flow in the body’s channels leads to depletion of dhātus and triggers mental-region burning and other complications.

How does this verse explain the connection between body and mind?

It states that physical obstruction and tissue depletion can produce vidāha (burning) specifically in the manasaḥ-sthāna (seat of mind), indicating a direct psychosomatic relationship in the Purāṇic-Ayurvedic worldview.

Practical application of this wisdom today?

Treat health as whole-body: support circulation/flow, nourishment of tissues, and mental calm—since physical imbalance can manifest as mental burning and cascading complications.