Shloka 5

Treatment of Nāḍī-vraṇa, Bhagandara, Upadaṃśa, Fractures, Kuṣṭha/Śvitra, Āmlapitta, ENT–Eye Disorders, and Bleeding Conditions

Devanagari script

ध्वजमध्ये शिरावेधे विशुद्धिरुपदंशके / पाको रक्ष्यः प्रयत्नेन शिश्रक्षयकरो हि सः

Transliteration

dhvajamadhye śirāvedhe viśuddhirupadaṃśake / pāko rakṣyaḥ prayatnena śiśrakṣayakaro hi saḥ

Translation

若在“dhvaja”（男根）中央刺破血脉，于“upadaṃśa”（生殖部溃疡/性病样疾患）之时，必须行净治与清洁。尤当竭力防止化脓，因为此感染确会使生殖器衰耗、败坏。

Word by Word

• ध्वजमध्ये: in the middle of the penis (dhvaja)
• ध्वजमध्ये: Adhikarana (Location/अधिकरण)
• Type: Noun
• Root: ध्वज + मध्य (प्रातिपदिक; समास)
• Form: पुंलिङ्ग, सप्तमी, एकवचन; ‘ध्वजस्य मध्ये’ (locative)

• शिरावेधे: in puncturing a vein
• शिरावेधे: Adhikarana (Location/अधिकरण)
• Type: Noun
• Root: शिरा + वेध (प्रातिपदिक; समास)
• Form: पुंलिङ्ग, सप्तमी, एकवचन; ‘शिरायाः वेधे’ (in venesection/puncture of a vein)

• विशुद्धिः: purification/cleansing
• विशुद्धिः: Karta (Subject/कर्ता)
• Type: Noun
• Root: विशुद्धि (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, प्रथमा, एकवचन

• उपदंशके: in upadaṃśa (a venereal ulcer/disease)
• उपदंशके: Adhikarana (Location/अधिकरण)
• Type: Noun
• Root: उपदंशक (प्रातिपदिक)
• Form: पुंलिङ्ग, सप्तमी, एकवचन; रोगविशेषः

• पाकः: suppuration/inflammation
• पाकः: Karta (Subject/कर्ता)
• Type: Noun
• Root: पाक (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, एकवचन

• रक्ष्यः: to be guarded/controlled
• रक्ष्यः: Predicate adjective (विधेय-विशेषण)
• Type: Adjective
• Root: रक्ष् (धातु) + यत् (कृदन्त)
• Form: कर्तव्यतार्थक कृदन्त (यत्), पुंलिङ्ग, प्रथमा, एकवचन; ‘रक्षितव्यः’

• प्रयत्नेन: with effort/carefully
• प्रयत्नेन: Karana (Instrument/करण)
• Type: Noun
• Root: प्रयत्न (प्रातिपदिक)
• Form: पुंलिङ्ग, तृतीया, एकवचन; साधन/रीतिवाचक

• शिश्रक्षयकरः: causing wasting of the penis
• शिश्रक्षयकरः: Predicate adjective (विधेय-विशेषण)
• Type: Adjective
• Root: शिश्र + क्षय + कर (प्रातिपदिक; समास)
• Form: पुंलिङ्ग, प्रथमा, एकवचन; ‘शिश्रस्य क्षयं करोति’ (causing wasting of the penis)

• हि: indeed
• हि: Discourse particle (निपात)
• Type: Indeclinable
• Root: हि (अव्यय)
• Form: निपात (particle; emphasis/indeed)

• सः: that/it
• सः: Karta (Subject/कर्ता)
• Type: Noun
• Root: तद् (सर्वनाम-प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, एकवचन; सर्वनाम

Speaker

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

Medical Ayurveda

Dosha: Pitta

Philosophical Teaching

Concept: Pramāda-varjana (avoid negligence) in treatment; purity and careful procedure prevent harm.

Vedantic Theme: Ahimsa and responsibility toward the body as a vehicle for duty; restraint and cleanliness.

Application: If a vein is punctured in the mid-region of the dhvaja and in upadaṃśa, perform cleansing/purification and diligently prevent suppuration to avoid tissue wasting.

Verse Rasa

Primary Rasa: bhayanaka

Secondary Rasa: shanta

Cross References

Related Themes: Garuda Purana 1.171 (upadaṃśa management; emphasis on śodhana and preventing pāka)

Characters & Entities

• Upadaṃśa

FAQs

What is upadaṃśa in the Garuda Purana context?

In this medical context, upadaṃśa refers to a genital/venereal ulcerative disorder requiring cleansing measures, especially if invasive procedures like venesection are involved.

What key warning does this verse give?

It warns that suppuration (pāka) must be prevented with great care, because infection can lead to wasting or degeneration of the genital organ (śiśra-kṣaya).

Practical application of this wisdom today?

It emphasizes infection control and cautious intervention: invasive procedures and genital ulcers require qualified medical care and vigilant prevention of secondary infection.