Shloka 41

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

Devanagari script

महकृच्छ्रशिरोजाड्यशिशिरक्षारकारिणः / क्लैब्याग्निमार्दवच्छर्द्यतीसारादिविकारदाः

Transliteration

mahakṛcchraśirojāḍyaśiśirakṣārakāriṇaḥ / klaibyāgnimārdavacchardyatīsārādivikāradāḥ

Translation

其致极重苦恼，头部沉重昏钝，寒冷，并有如碱火般的腐蚀灼烈之效；又令阳痿，消化之火（阿耆尼 agni）衰弱，身软无力，呕吐、泄泻等诸般病变。

Word by Word

• mahā-kṛcchra-śiraḥ-jāḍya-śiśira-kṣāra-kāriṇaḥ: causing great distress, head-stiffness, chills, and alkaline/burning effects
• mahā-kṛcchra-śiraḥ-jāḍya-śiśira-kṣāra-kāriṇaḥ: Viśeṣaṇa
• Type: Adjective
• Root: mahā (प्रातिपदिक) + kṛcchra (प्रातिपदिक) + śiras (प्रातिपदिक) + jāḍya (प्रातिपदिक) + śiśira (प्रातिपदिक) + kṣāra (प्रातिपदिक) + kārin (प्रातिपदिक; कृ (धातु) णिनि-प्रत्यय)
• Form: पुंलिङ्ग, प्रथमा, बहुवचन; बहुपद-तत्पुरुषः (महाकृच्छ्रं, शिरोजाड्यं, शिशिरं, क्षारं च करोति/जनयति इति)

• klaibya-agni-mārdava-chardi-atīsāra-ādi-vikāra-dāḥ: producing impotence, digestive-fire disorder, softness/weakness, vomiting, diarrhea, and other ailments
• klaibya-agni-mārdava-chardi-atīsāra-ādi-vikāra-dāḥ: Viśeṣaṇa
• Type: Adjective
• Root: klaibya (प्रातिपदिक) + agni (प्रातिपदिक) + mārdava (प्रातिपदिक) + chardi (प्रातिपदिक) + atīsāra (प्रातिपदिक) + ādi (अव्यय/प्रातिपदिक) + vikāra (प्रातिपदिक) + da (प्रातिपदिक; √दा (धातु) क्विप्/णिनि-आधारित)
• Form: पुंलिङ्ग, प्रथमा, बहुवचन; बहुपद-तत्पुरुषः (…विकारान् ददाति/जनयति इति)

Speaker

Lord Vishnu (speaking to Garuda/Vinatā-putra)

Medical Ayurveda

Dosha: Kapha

Philosophical Teaching

Concept: Upadrava (complications) and agni-mandya: systemic decline follows chronic doshic imbalance; symptoms span neurological, digestive, and reproductive domains.

Vedantic Theme: Duhkha as a signal of imbalance in the embodied instrument; discernment prompts corrective action.

Application: Prioritize restoring agni and addressing complications early; recognize that chronic kapha conditions may coexist with kshara-like irritation and multi-system dysfunction.

Verse Rasa

Primary Rasa: karuna

Secondary Rasa: bibhatsa

Cross References

Related Themes: Garuda Purana 1.156.40-42: systemic symptom chain and tissue/skin signs

Characters & Entities

• Garuda
• Vishnu

FAQs

What is the importance of karmic disease-description in the Garuda Purana?

This verse links specific bodily afflictions—like digestive weakness, vomiting, and diarrhoea—to the results of harmful actions, reinforcing the Purana’s teaching that karma can manifest as tangible suffering.

How does this verse explain the consequences of wrongdoing?

It presents consequences as concrete disorders (coldness, caustic burning, head-dullness, impotence, and gastrointestinal disease), indicating that pāpa can ripen into physical and functional debility, not only after-death punishment.

Practical application of this wisdom today?

Use it as a reminder to avoid harmful conduct and cultivate dharmic habits—self-restraint, purity, and responsible living—since actions are taught to have real consequences for wellbeing.