Kuṣṭha-bheda-lakṣaṇa-nidāna and Śvitra (Kilāsa) Prognosis
व्रणानामधिकं शूलं शीघ्रोत्पत्तिश्चिरस्थितिः / रूढानामपि रूक्षत्वं निमित्ते ऽल्पे ऽतिकोपनम्
vraṇānāmadhikaṃ śūlaṃ śīghrotpattiścirasthitiḥ / rūḍhānāmapi rūkṣatvaṃ nimitte 'lpe 'tikopanam
An den Wunden besteht übermäßiger Schmerz, rasches Auftreten und langes Verweilen; selbst nach dem Heilen bleibt Trockenheit und Rauheit; und schon bei geringem Anlass flammt es übermäßig auf (oder es entsteht starke Reizbarkeit).
Lord Vishnu (teaching Garuda/Vinata-putra)
Concept: Unchecked aggravating causes lead to rapid manifestation and long persistence of suffering; small triggers can produce disproportionate effects when imbalance is established.
Vedantic Theme: Kārya-kāraṇa-bhāva (cause-effect) and the need for saṃyama (restraint) in embodied life.
Application: Treat wounds early; after apparent healing continue care to prevent dryness and relapse; identify and avoid minor triggers that provoke major exacerbations.
Primary Rasa: karuna
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.164.11 (preceding symptom list); Garuda Purana 1.164.13-15 (kuṣṭha classifications/signs)
It emphasizes intense pain, fast onset, long persistence, residual dryness even after healing, and easy aggravation/irritability from small triggers.
It portrays prolonged suffering in the body as part of karmic experience, aligning with the Garuda Purana’s broader instruction to pursue purification, charity, and dharma to lessen future suffering.
Take chronic or rapidly worsening symptoms seriously—seek timely treatment, reduce harmful habits, and cultivate patience and self-control (kṣamā, dama) to avoid escalating distress.