Kuṣṭha-bheda-lakṣaṇa-nidāna and Śvitra (Kilāsa) Prognosis
अकृच्छ्रं कफवातोत्थं त्वग्गतं त्वमलञ्च यत् / तत्र त्वचि स्थिते कष्ठे काये वैवर्ण्यरूक्षाता
akṛcchraṃ kaphavātotthaṃ tvaggataṃ tvamalañca yat / tatra tvaci sthite kaṣṭhe kāye vaivarṇyarūkṣātā
Was nicht schwer ist (akṛcchra), aus kapha und vāta entspringt und auf die Haut beschränkt bleibt—zusammen mit bloßer Unreinheit der Haut: Wenn kuṣṭha in der Haut verweilt, bewirkt es Verfärbung und Trockenheit des Körpers.
Lord Vishnu (teaching Garuda/Vinata-putra)
Dosha: Vata/Kapha
Concept: Dosha-origin (kapha-vata) and localization (tvag-gata) determine mildness and symptom profile.
Vedantic Theme: Seeing the body’s changes as prakriti-modifications; cultivating non-identification while acting wisely.
Application: Identify early, skin-confined kustha by dryness and discoloration; address kapha-vata imbalance promptly to prevent deeper spread.
Primary Rasa: shanta
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.164.31 (severity by dhatu depth); Garuda Purana 1.164.33-34 (progression to blood/flesh/fat and systemic decline)
The verse ties a milder form of kuṣṭha to kapha-vāta imbalance and skin-level involvement, showing that cause (doṣa) and depth (tissue level) determine severity.
It does not describe the afterlife directly; it focuses on embodied conditions. In Garuda Purana’s wider framework, caring for the body supports dharma and reduces suffering that distracts from spiritual practice.
Notice early signs like dryness and discoloration and address lifestyle imbalance (diet, routine, hygiene) before a condition deepens into harder-to-manage stages.