Shloka 30

Kuṣṭha-bheda-lakṣaṇa-nidāna and Śvitra (Kilāsa) Prognosis

Devanagari script

दोषभेदाय विहितैरादिशेल्लिङ्गकर्मभिः / कुष्ठस्वदोषानुगतं सर्वदोषगतं त्यजेत्

Transliteration

doṣabhedāya vihitairādiśelliṅgakarmabhiḥ / kuṣṭhasvadoṣānugataṃ sarvadoṣagataṃ tyajet

Translation

Um die Doṣas zu unterscheiden, soll man die vorgesehenen Zeichen und therapeutischen Maßnahmen darlegen. Bei Kuṣṭha (Hautleiden) behandle man, was der jeweiligen eigenen Doṣa folgt, und meide (oder lasse beiseite), was dem Typus mit allen Doṣas angehört.

Word by Word

• दोषभेदाय: for differentiating the doṣas
• दोषभेदाय: Sampradana (Purpose/सम्प्रदान)
• Type: Noun
• Root: दोष + भेद (प्रातिपदिक)
• Form: पुंलिङ्ग, चतुर्थी (4th/सम्प्रदान), एकवचन; समासः—तत्पुरुषः (दोषाणां भेदः)

• विहितैः: prescribed
• विहितैः: Karana (Instrument/करण)
• Type: Adjective
• Root: वि-धा (धातु) → विहित (कृदन्त)
• Form: भूतकृदन्त (क्त), नपुंसकलिङ्ग/पुंलिङ्ग, तृतीया, बहुवचन; विशेषणम्

• आदिशेत्: should prescribe/indicate
• आदिशेत्: Kriya (Action/क्रिया)
• Type: Verb
• Root: आ-दिś् (धातु)
• Form: विधिलिङ्, प्रथमपुरुष, एकवचन; परस्मैपद

• लिङ्गकर्मभिः: by signs and actions/therapies
• लिङ्गकर्मभिः: Karana (Instrument/करण)
• Type: Noun
• Root: लिङ्ग + कर्म (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, तृतीया, बहुवचन; समासः—द्वन्द्वः (लिङ्गैः च कर्मभिः च)

• कुष्ठस्वदोषानुगतम्: leprosy aligned with its own doṣa
• कुष्ठस्वदोषानुगतम्: Karma (Object/कर्म)
• Type: Adjective
• Root: कुष्ठ + स्व + दोष + अनुगत (कृदन्त)
• Form: नपुंसकलिङ्ग, द्वितीया, एकवचन; समासः—तत्पुरुषः (कुष्ठस्य स्वदोषानुगतम् = कुष्ठे स्वदोषानुसारि)

• सर्वदोषगतम्: involving all doṣas
• सर्वदोषगतम्: Karma (Object/कर्म)
• Type: Adjective
• Root: सर्व + दोष + गत (कृदन्त)
• Form: नपुंसकलिङ्ग, द्वितीया, एकवचन; समासः—तत्पुरुषः (सर्वदोषेषु गतम्/व्याप्तम्)

• त्यजेत्: should abandon/avoid
• त्यजेत्: Kriya (Action/क्रिया)
• Type: Verb
• Root: त्यज् (धातु)
• Form: विधिलिङ्, प्रथमपुरुष, एकवचन; परस्मैपद

Speaker

Lord Vishnu (in dialogue with Garuda/Vinata-putra)

Medical Ayurveda

Dosha: Vata/Pitta/Kapha

Philosophical Teaching

Concept: Yukti (rational discrimination) in treatment: align therapy with the patient’s doṣa-specific presentation; avoid blanket measures for sarva-doṣa involvement.

Vedantic Theme: Viveka and niyama in action: right means (upāya) matched to conditions; avoidance of adharmic excess in intervention.

Application: Perform doṣa differentiation via signs and then choose targeted therapies; if a condition is sarva-doṣaja (involving all doṣas), avoid simplistic single-doṣa regimens and proceed with caution/tri-doṣa strategy or referral.

Verse Rasa

Primary Rasa: shanta

Secondary Rasa: vira

Cross References

Related Themes: Garuda Purana 1.164.26-29 (symptom-based classification feeding into doṣa-bheda)

Characters & Entities

• Vishnu
• Garuda

FAQs

What is the core medical principle taught in this verse?

It teaches doṣa-bheda—first differentiate the underlying doṣa using signs, then apply treatments appropriate to that doṣa.

What does “sarva-doṣa-gata” mean in context?

It refers to a condition involving all doṣas (a mixed/tridoṣic presentation), which the verse advises to avoid as a treatment target or to set aside due to complexity/unsuitability.

Practical application of this wisdom today?

It supports individualized assessment before intervention: identify the pattern (cause/signs) first, then choose targeted remedies rather than one-size-fits-all approaches.