Shloka 44

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

Devanagari script

शिरान्तर्धानमुदरे सर्वलक्षणमुच्यते / वातपित्तकफप्लीहसन्निपातोदकोदरम्

Transliteration

śirāntardhānamudare sarvalakṣaṇamucyate / vātapittakaphaplīhasannipātodakodaram

Translation

于腹病之中，“诸脉隐没”被说为通相。其腹病之类有：风（vāta）型、火（pitta）型、痰（kapha）型、脾（plīha，脾脏）相关型、三多沙并发（sannipāta）型，以及水腹（udakodara，水肿腹水）。

Word by Word

• शिरान्तर्धानम्: disappearance of veins
• शिरान्तर्धानम्: Karta (Subject/कर्ता)
• Type: Noun
• Root: शिरा (प्रातिपदिक) + अन्तर्धान (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा-विभक्ति (1st/Nominative), एकवचन; समासः तत्पुरुषः (शिराणाम् अन्तर्धानम्)

• उदरे: in the abdomen
• उदरे: Adhikarana (Location/अधिकरण)
• Type: Noun
• Root: उदर (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, सप्तमी-विभक्ति (7th/Locative), एकवचन

• सर्वलक्षणम्: the complete set of symptoms
• सर्वलक्षणम्: Karta (Subject/कर्ता)
• Type: Noun
• Root: सर्व (प्रातिपदिक) + लक्षण (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा-विभक्ति (1st/Nominative), एकवचन; समासः कर्मधारयः (सर्वं लक्षणम्)

• उच्यते: is said/declared
• उच्यते: Kriya (Action/क्रिया)
• Type: Verb
• Root: √वच् (धातु)
• Form: लट्-लकार (Present), प्रथमपुरुष (3rd person), एकवचन; कर्मणि-प्रयोग (Passive), आत्मनेपद

• वातपित्तकफप्लीहसन्निपातोदकोदरम्: (called) vāta-, pitta-, kapha-, spleen-, sannipāta-, and water-type abdominal disorder
• वातपित्तकफप्लीहसन्निपातोदकोदरम्: Karta (Predicate/नाम)
• Type: Noun
• Root: वात (प्रातिपदिक) + पित्त (प्रातिपदिक) + कफ (प्रातिपदिक) + प्लीह (प्रातिपदिक) + सन्निपात (प्रातिपदिक) + उदक (प्रातिपदिक) + उदर (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया-विभक्ति (1st/2nd), एकवचन; समासः समाहार-द्वन्द्वः (वात-पित्त-कफ-प्लीह-सन्निपात-उदक-उदरम्)

Speaker

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

Medical Ayurveda

Dosha: Mixed

Philosophical Teaching

Concept: Systematic differentiation of disease types by dosha and specific pathology (plīha, sannipāta, udakodara).

Vedantic Theme: Viveka (discriminative knowledge) as a tool for right action in embodied existence.

Application: Identify the dominant pattern (vata/pitta/kapha etc.) rather than treating all abdominal distension the same; recognize ‘vein disappearance’ as a serious sign.

Verse Rasa

Primary Rasa: shanta

Secondary Rasa: adbhuta

Cross References

Related Themes: Garuda Purana 1.161 (udara-bheda: vata/pitta/kapha/plīha/sannipāta/udakodara)

Characters & Entities

• Vishnu
• Garuda

FAQs

What is the importance of ‘śirāntardhāna’ (disappearing veins) in the Garuda Purana?

It is presented as a general diagnostic sign of serious abdominal pathology, indicating systemic disturbance where normal venous appearance is altered.

How does this verse explain the path of the soul?

By cataloging bodily disorders, the text underscores impermanence and encourages a dharmic life that prepares one for death and the afterlife teachings elsewhere in the Garuda Purana.

Practical application of this wisdom today?

Use it as a traditional indicator that significant abdominal swelling may be serious; combine such observations with modern clinical evaluation rather than self-diagnosis.