Prameha-Nidāna-Lakṣaṇa-Bheda: Etiology, Signs, Varieties, and Complications of Meha
विदारीकन्दवद्वृत्ता कठिना च विदारिका / विद्रधेर्लक्षणैर्युक्ता ज्ञेया विद्रधिका तु सा
vidārīkandavadvṛttā kaṭhinā ca vidārikā / vidradherlakṣaṇairyuktā jñeyā vidradhikā tu sā
Vidārikā is round like the vidārī tuber and is hard; when it bears the signs of vidradhi (an abscess), it should be known as vidradhikā.
Lord Vishnu (in instruction to Garuda)
Concept: Upamāna and lakṣaṇa-sāmānya: identifying lesions by resemblance (tuber-like roundness, hardness) and by shared signs with vidradhi (abscess).
Vedantic Theme: Sāmānya–viśeṣa discernment: recognizing commonality and difference to guide right action.
Application: Diagnose vidārikā by tuber-like round, hard swelling; diagnose vidradhikā when pīḍikā bears the characteristic signs of vidradhi (abscess).
Primary Rasa: shanta
Related Themes: Garuda Purana 1.159: vidradhi/vidārikā/pīḍikā terminology and doṣa-medhas correlations in adjacent verses
The verse links disease-type and severity to constitution: fat-dominant bodies (medas) tend toward certain painful lesions, while pitta-excess produces rapid-onset types.
This section is medical rather than eschatological; it explains bodily pathology through doṣa and tissue (medas), not the soul’s journey.
As a traditional takeaway: rapid, inflamed lesions suggest pitta aggravation, while chronic, hard-to-bear lesions may correlate with metabolic/adipose factors—seek timely care and balance diet/heat factors.