Kuṣṭha-bheda-lakṣaṇa-nidāna and Śvitra (Kilāsa) Prognosis
सर्वेभ्यः काकणं पूर्वत्रिकं दद्रु सकाकणम् / पुण्डरीकर्यजिह्वे च महाकुष्ठानि सप्त तु
sarvebhyaḥ kākaṇaṃ pūrvatrikaṃ dadru sakākaṇam / puṇḍarīkaryajihve ca mahākuṣṭhāni sapta tu
Among them, the first three are Kākaṇa, Dadrū, and Sakākaṇa. Also counted among the great forms are Puṇḍarīka and Ṛjijihvā. Thus, in all, there are seven kinds of mahā-kuṣṭha (great kuṣṭhas).
Lord Vishnu (teaching Garuda/Vinata-putra)
Dosha: Vata/Pitta/Kapha
Concept: Certain named forms are identified as major (mahā-kuṣṭha) and totalled as seven.
Vedantic Theme: Saṃkhyāna (enumerative knowledge) as a tool of clarity; ordering phenomena reduces confusion and supports right action.
Application: Use the ‘major’ category to prioritize seriousness, vigilance, and timely treatment.
Primary Rasa: shanta
Related Themes: Garuda Purana 1.164.6-9 (preceding subtype lists that feed into the mahā-kuṣṭha grouping)
This verse preserves a traditional classification of severe skin disorders (mahā-kuṣṭha), used in dharma-ethical and karmic discussions about suffering and its causes.
Indirectly: by cataloging forms of suffering experienced in embodied life, it supports the Purana’s broader teaching that actions (karma) can manifest as specific afflictions, encouraging purification and right conduct.
Use it as a prompt for ethical self-audit and compassionate care—avoid harming others, practice cleanliness and restraint, and seek timely medical help while cultivating prayer/charity as corrective disciplines.