Shloka 54

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

Devanagari script

स्थितानि तान्यसाध्यानि याप्यन्ते ऽग्निबलादिभिः / द्वन्द्वजानि द्वितीयायां वला यान्याश्रितानि च

Transliteration

sthitāni tānyasādhyāni yāpyante 'gnibalādibhiḥ / dvandvajāni dvitīyāyāṃ valā yānyāśritāni ca

Translation

凡已成定势之疾，实为不治；唯可凭增益阿耆尼（agni，消化之火）与生命之力等法而姑息。又如由身中二对（相对之性）所生之病，依止于伐罗（valā）第二层者，以及潜伏于诸脉道/组织（valā）者，亦皆同类。

Word by Word

• स्थितानि: established / settled
• स्थितानि: Visheshana (Adjectival qualifier/विशेषण)
• Type: Adjective
• Root: स्था (धातु) → स्थित (कृदन्त, क्त)
• Form: नपुंसकलिङ्ग, प्रथमा (1st/प्रथमा), बहुवचन; क्त-प्रत्ययान्त कृदन्त; विशेषणम् (तानि)

• तानि: those (conditions)
• तानि: Karta (Subject/कर्ता)
• Type: Noun
• Root: तद् (सर्वनाम-प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा (1st/प्रथमा), बहुवचन; सर्वनाम

• असाध्यानि: incurable
• असाध्यानि: Visheshana (Adjectival qualifier/विशेषण)
• Type: Adjective
• Root: अ + साध्य (प्रातिपदिक; साध् धातु से)
• Form: नपुंसकलिङ्ग, प्रथमा (1st/प्रथमा), बहुवचन; नञ्-समास/नकार-प्रत्ययार्थ (negation); विशेषणम् (तानि)

• याप्यन्ते: are managed/palliated
• याप्यन्ते: Kriya (Verb/क्रिया)
• Type: Verb
• Root: याप् (धातु, causative sense)
• Form: लट् (Present/लट्), प्रथमपुरुष (3rd), बहुवचन; आत्मनेपद; कर्मणि-प्रयोग (passive sense): ‘are palliated/managed’

• अग्निबलादिभिः: by digestive power etc.
• अग्निबलादिभिः: Karana (Instrument/करण)
• Type: Noun
• Root: अग्निबल (प्रातिपदिक; अग्नि + बल) + आदि (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, तृतीया (3rd/तृतीया), बहुवचन; समासः—अग्नेः बलम् (अग्निबल) तत्पुरुषः; ‘आदि’ सहित बहुवचन तृतीया

• द्वन्द्वजानि: arising from dual factors (dvandva)
• द्वन्द्वजानि: Visheshana (Adjectival qualifier/विशेषण)
• Type: Adjective
• Root: द्वन्द्व (प्रातिपदिक) + ज (प्रातिपदिक; √जन् अर्थे ‘born’)
• Form: नपुंसकलिङ्ग, प्रथमा (1st/प्रथमा), बहुवचन; समासः—द्वन्द्वात् जातानि (ablative-tatpurusha sense)

• द्वितीयायाम्: in the second (stage/region)
• द्वितीयायाम्: Adhikarana (Location/अधिकरण)
• Type: Noun
• Root: द्वितीया (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, सप्तमी (7th/सप्तमी), एकवचन; अधिकरणम् (in the second)

• वलायाम्: in the valā (fold)
• वलायाम्: Adhikarana (Location/अधिकरण)
• Type: Noun
• Root: वला (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, सप्तमी (7th/सप्तमी), एकवचन

• यानि: which
• यानि: Anvaya (Relative connector)
• Type: Noun
• Root: यद् (सर्वनाम-प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा (1st/प्रथमा), बहुवचन; सम्बन्धक-यत्

• आश्रितानि: located in / dependent on
• आश्रितानि: Visheshana (Adjectival qualifier/विशेषण)
• Type: Adjective
• Root: आ + श्रि (धातु) → आश्रित (कृदन्त, क्त)
• Form: नपुंसकलिङ्ग, प्रथमा (1st/प्रथमा), बहुवचन; क्त-प्रत्ययान्त कृदन्त; विशेषणम् (यानि/तानि)

• च: and
• च: Sambandha (Conjunction)
• Type: Indeclinable
• Root: च (अव्यय)
• Form: अव्यय; समुच्चयार्थ-निपातः

Speaker

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

Philosophical Teaching

Concept: Chronic/fixed diseases become asādhya (incurable) and are only yāpya (palliable) via agni-bala enhancement; disorders from dualities (dvandva) and those lodged in deeper functional layers/channels are similarly difficult.

Vedantic Theme: Acceptance of limitation within embodied existence; skillful means (upāya) applied to prakṛti without mistaking it for ultimate freedom.

Application: Differentiate curable vs palliable conditions; strengthen agni and bala (digestive fire and vitality) as core supportive strategy; identify deeper-seated pathology before promising cure.

Verse Rasa

Primary Rasa: shanta

Secondary Rasa: karuna

Cross References

Related Themes: Garuda Purana 1.156: discussion of asādhya/yāpya, agni-bala, dvandva-janya roga, valā/āśraya (lodgement)

Characters & Entities

• Agni

FAQs

What is the importance of agni and bala in Garuda Purana?

This verse treats agni (digestive/metabolic fire) and bala (vital strength) as primary supports for managing entrenched conditions—helping sustain life and reduce suffering even when cure is not possible.

How does this verse explain the nature of chronic or “incurable” conditions?

It distinguishes “fixed” ailments as asādhya (not curable) and frames treatment as yāpya—palliation through strengthening inner vitality and balancing factors that generate disease.

Practical application of this wisdom today?

Focus on sustainable supportive care—diet and routines that protect digestion and strength—while accepting limits of cure, emphasizing disciplined living (dharma) and compassionate management of chronic illness.