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Sri Venkateswara Ashtotthram 

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Varagunamangai Vijayasanar
 The 4th Naamam of SrI VenkatEsa AshtOttharam:
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 "ANAAMAYAYA NAMA:" = SALUTATIONS TO  THE LORD , WHO IS THE BESTOWER OF HEALTH FROM  THE DEGENERATIVE DISEASE OF SAMSAARAM !

 This Naamam is the same as the 694th Sri VishNu Sahasra Naamam . The 585th and the 586th SrI VishNu Sahasra Naamams , " BhEshajAam Bhishak" also declares that He is the effective medicine for the incurable disease of SamsAram and the expert in the diagnosis of that disease and its treatment ( asAdhya Bhava-rOgasya BhEshajam ; samyak-vidhitha nidhAna chikithsO Bhishak).

  Additional comments
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 One who bestows health is a Doctor , who prescribes the right kind of medicine.He is a Vaidhyan or Doctor. The disease is SamsAric illness , which is very cruel and debilitating . One needs therefore a very special Doctor to cure this disease. That Doctor , who treats this terrible disease is Vaidhya NaarAyaNan standing on top of the seven hills , the SapthagirIsan.

 Lord VenkatEsa is not only a super specialist for the crippling malady of SamsAra but He is also the only One capable of curing the same. Others too have opened shops  and tried to cure common garden variety of diseases , but they do not have the treatment for this chronic disease of SamsAraa:

 "Yeruthtu kodi udayAnum Bhiramanum indiranum maRRum
   oruttharum ip-piRavi enum nOikku marundarivArum illai
   MarutthuvanAi ninRa MaamaNivaNNA ! maRu piRavi tavira
   tirutthi unn kOil kadai pugappEi  ThirumAlirumchOlai YenthAi !"

 (Meaning): Neither Siva PirAn with the flag of a bull or Brahma dEvan  or Indhran or other gods can prescribe an effective medicine for this disease known as repeated births in SamsAric world . Oh Lord of ThirumAlirum ChOlai with the hue of a giant gem and standing as the effective Physician to cure the disease of repeated births ! Please cure me from this degenerative disease and place me at the proximity of Your Sannidhi !

 The diseases of the body and mind are curable by ordinary doctors. The disease of SamsAric afflictions that leads to repeated births and deaths can only be treated by a Super-Specialist . In this context Adhi SankarA says:

 " Punarapi Jananam punarapi MaraNam , punarapi jananI jaDarE
   sayanam , iha samsArE bahu dusthArE krupayA paalaya paahi MurArE "

  ( We are born again, we die again and then come back to rest in   the wombs of mothers again. Oh MurArE , please save me from   this misery of repeated cycles of births and deaths and bless me  with "na punarAvrutthi" (non-return to this samsAram).

  KulasEkhara AzhwAr in His Mukundha Maalai refers to  the disease of SamsAram  and points out that Lord KrishNa  is the alchemy (rasAyanam ) to cure the disease of SamsAram ( Bhava RhOgam):

  idham sarIram pariNAma pEsalam
  padhathyavasyam slathasanthi jarjaram
  kimaoushadhai: klisyasi MooDa-dhurmathE !
  nirAmayam KrishNa rasAyanam pibha

  (This body over time will become feeble and is   going to die. Oh MooDa mathi! why are You chasing all  kinds of medicine for cure of this samsAric disease ?  Please drink the special medicine  known as KrishNa  to overcome this disease of samsAram).

  In the very first slOkam of SrI Mukundha Maalai ,  KulasEkharar identifies Sarva Swamy , Sri Mukundhan  as " Bhaktha Priyan and Bhava-lundana gOvithan ":

  SrI VallabhEthi VaradhEthi DayAparEthi
  Bhaktha-priyEthi Bhava-luNDana gOvithEthi
  NaaTEthi Naaga-sayanEthi JagannivAsEthi
  aalApinam prathipadham kuru maam Mukundha

  KulasEkharar identifies the Ubhaya VibhUthi NaaTan,  Mukndhan as Sriya: Pathi, the Daya-SvarUpi, who can not  bear the sufferings of His adiyArs ; He  is devoted to  His bhakthAs and  is the Master resting on AdhIsEshan ;  He is THE DOCTOR , WHO CURES THE DISEASE OF  SAMSAARAM . AzhwAr  begs this Super-specialist to make him  repeat often the names of SeshasAyee and JagannivAsan to be  cured of  the disease of SamsAram.

  Swamy NammazhwAr prays for the same boon of  the destruction of SamsAric disease :

  piRappinmai peRRu adik-keezh kuRRavElanRu,
  maRappinmai yaan vENDum maadu"--Periya ThiruvandhAthi

 ( Oh Sriman NaarAyaNA! I seek  the boon (medicine )  that will free me from repeated births in different yOnis  (wombs) and to remember always to perform nithya kainkaryam  for You at Your Parama Padham ).

 In another slOkam of Mukundha Maalai , KulasEkharar refers to samsAram as a parched desert land full of suffering and states that he gets relief from that sorrow by dipping deep into the cool and rejuvenating pond of EmperumAn ( sramamushi agAtha maargE  HARI SARASI VIGAHYA --Bhava maru parikinna: khEdham adhya thyajAmi).

 In a subsequent slOkam , KulasEkharar identifies this Master- Doctor , who cures all sorrows as " vyasana apanOdhanakara: na: Swamy Sridhara: ".

 KulasEkhara identifies this disease of samsAram as " Prasoothi MaraNa VyAdhi" ( repeated birth and death disease). The treatment (chikithsai) for it is the magnificent medicine (marunthu/oushadham) of the indwelling Krishnan , who produces the permanent cure:

 hE lOkA: sruNutha PRASUTHI-MARANA VYAATHE: CHIKITHSAAM
 AntharjyOthi: amEyam KrishNAkhyam aapeeyathaam
 Tath peetham PARAMOUSHADHAM vithanuthE
 NIRVAANAM-AADHYANTHIKAM

 KulasEkharar goes on to extoll this Parama Oushadham and the Super-specialist that administers this medicine as "Sri KrishNa Dhivya Oushadham " and " Bhava bhaya  pradhvamsana yEka Oushadham ".

 The FOURTH Naamam of Sri VenkatEsa AshtOttharam thus refers to this Venkata KrishNa oushadham standing on top of Thirumalai that surely cures the disease of SamsAram as we prostrate before Him and seek Him as our "Bhishak".

 Let us offfer our salutations to this great Doctor with one more of the Mukundha Maalai sLOkams:

 NamAmi NaarAyaNa Paadha Pankajam
 KarOmi NaarAyaNa Poojanam sadhaa
 VadhAmi NaarAyaNa Naama nirmalam
 smarAmi NaarAyaNa Tatthvam avyayam




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