Shloka 18

Arśa-nidāna: Causes, Prodrome, Doṣa-types, and Complications of Hemorrhoids

Devanagari script

सरक्तः परिकृन्तंश्च कृच्छ्रादाकुञ्चति श्वसन् / अन्त्रकूजनमाटोपः क्षारितोद्गारभूरिता

Transliteration

saraktaḥ parikṛntaṃśca kṛcchrādākuñcati śvasan / antrakūjanamāṭopaḥ kṣāritodgārabhūritā

Translation

呼吸困难，身体抽搐蜷缩；浑身血迹斑斑，仿佛被割裂撕扯一般。肠内发出巨大的轰鸣声和咕噜声，频繁打嗝并呕吐出酸臭腐蚀性的液体，痛苦不堪。

Word by Word

• सरक्तः: blood-stained / with blood
• सरक्तः: Viśeṣaṇa (Qualifier)
• Type: Adjective
• Root: स-रक्त (प्रातिपदिक; रक्त + उपसर्ग/सह-अर्थक ‘स’ = ‘with blood’)
• Form: पुंलिङ्ग, प्रथमा (1st), एकवचन; विशेषण (qualifier)

• परिकृन्तम्: cutting / tearing (one)
• परिकृन्तम्: Karma (Object) / Viśeṣaṇa (Qualifier)
• Type: Adjective
• Root: परि + कृन्त् (धातु) → परिकृन्त (कृदन्त, वर्तमानकृदन्त/शतृ-प्रत्यय)
• Form: नपुंसकलिङ्ग, द्वितीया (2nd), एकवचन; वर्तमानकृदन्त (present participle) used adjectivally

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

• कृच्छ्रात्: with difficulty / painfully
• कृच्छ्रात्: Karaṇa/Hetu (Instrumental-cause sense)
• Type: Indeclinable
• Root: कृच्छ्र (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, पञ्चमी (5th/अपादान), एकवचन; अव्ययीभावे प्रयोगः—‘कृच्छ्रात्’ = ‘कष्टेन’ (with difficulty)

• आकुञ्चति: contracts / draws in
• आकुञ्चति: Kriyā (Action)
• Type: Verb
• Root: आ + कुञ्च् (धातु)
• Form: लट्-लकार (Present), प्रथमपुरुष (3rd), एकवचन; परस्मैपद

• श्वसन्: breathing / panting
• श्वसन्: Karta (Agent) / Viśeṣaṇa (Qualifier)
• Type: Adjective
• Root: श्वस् (धातु) → श्वसत् (कृदन्त, शतृ)
• Form: पुंलिङ्ग, प्रथमा (1st), एकवचन; वर्तमानकृदन्त (present participle)

• अन्त्र: intestine
• अन्त्र: Sambandha (Genitive-relation in compound)
• Type: Noun
• Root: अन्त्र (प्रातिपदिक)
• Form: नपुंसकलिङ्ग; समासपूर्वपद (compound member)

• कूजन: gurgling / rumbling sound
• कूजन: Sambandha (in compound)
• Type: Noun
• Root: कूजन (प्रातिपदिक; √कूज् ‘to coo/sound’ से भाव/कर्मणि-नाम)
• Form: नपुंसकलिङ्ग; समासपूर्वपद (compound member)

• माटोपः: loud noise / clamor
• माटोपः: Karta/Viṣaya (Subject/topic)
• Type: Noun
• Root: माटोप (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा (1st), एकवचन

• अन्त्रकूजनमाटोपः: clamor of intestinal gurgling
• अन्त्रकूजनमाटोपः: Karta/Viṣaya (Subject/topic)
• Type: Noun
• Root: अन्त्र + कूजन + माटोप (प्रातिपदिक; समास)
• Form: पुंलिङ्ग, प्रथमा (1st), एकवचन; षष्ठी-तत्पुरुष (genitive determinative): ‘अन्त्रकूजनस्य माटोपः’

• क्षारित: erupted / discharged
• क्षारित: Viśeṣaṇa (in compound)
• Type: Adjective
• Root: क्षारय्/क्षर् (धातु) → क्षारित (कृदन्त, क्त)
• Form: भूतकृदन्त (past participle), समासपूर्वपद

• उद्गार: belching / eructation
• उद्गार: Sambandha (in compound)
• Type: Noun
• Root: उद्गार (प्रातिपदिक)
• Form: पुंलिङ्ग; समासमध्यपद

• भूरिता: abundant / excessive
• भूरिता: Viśeṣaṇa (Qualifier)
• Type: Adjective
• Root: भूरि (प्रातिपदिक; ‘much, abundant’)
• Form: स्त्रीलिङ्ग, प्रथमा (1st), एकवचन; विशेषण

• क्षारितोद्गारभूरिता: having excessive belching/discharge
• क्षारितोद्गारभूरिता: Viśeṣaṇa (Qualifier)
• Type: Adjective
• Root: क्षारित + उद्गार + भूरिता (प्रातिपदिक; समास)
• Form: स्त्रीलिङ्ग, प्रथमा (1st), एकवचन; तत्पुरुष (determinative): ‘क्षारितोद्गारैः भूरिता’ = ‘having abundant belching/discharge’

Speaker

Lord Vishnu (in dialogue, instructing Garuda/Vinata-putra)

Medical Ayurveda

Dosha: Vata

Philosophical Teaching

Concept: Embodied suffering as a consequence of prior causes; the body becomes a field where karmic afflictions ripen.

Vedantic Theme: duhkha-darshana (seeing the inherent misery of embodied existence) prompting vairagya

Application: Cultivate restraint and sattvic living; use illness as a reminder to reduce attachment and intensify japa/charity/service.

Verse Rasa

Primary Rasa: bibhatsa

Secondary Rasa: bhayanaka

Cross References

Related Themes: Garuda Purana (Preta/karma sections): descriptions of bodily torments and disease as papa-phala (general thematic parallel)

Characters & Entities

• Garuda
• Vishnu
• Prana (life-breath)

FAQs

What is the importance of describing death symptoms in the Garuda Purana?

This verse portrays specific bodily distress at the end of life to emphasize the gravity of embodied existence and the urgency of dharma, repentance, and proper rites before death.

How does this verse explain the path of the soul after death?

By detailing the painful breakdown of bodily functions as prana struggles, it sets the narrative context for the soul’s separation from the gross body and the subsequent preta journey described in the Preta Kanda.

Practical application of this wisdom today?

Live with ethical restraint and spiritual preparation (japa, charity, truthfulness), and support end-of-life care and rites so the transition is faced with clarity rather than panic and regret.