Kuṣṭha-bheda-lakṣaṇa-nidāna and Śvitra (Kilāsa) Prognosis
अन्योन्यसक्तपुच्छूनबहुकण्डूस्नुतिकृमि / श्लक्ष्णपीताभासंयुक्तं मण्डलं परिकीर्तितम्
anyonyasaktapucchūnabahukaṇḍūsnutikṛmi / ślakṣṇapītābhāsaṃyuktaṃ maṇḍalaṃ parikīrtitam
That in which worms cling to one another, with fierce itching and oozing, and which is smooth with a yellowish sheen—this is declared to be the condition called Maṇḍala.
Lord Vishnu (in dialogue with Garuda/Vinata-putra)
Concept: Mindfulness of bodily afflictions encourages discipline and non-attachment.
Vedantic Theme: Asakti/vairagya through contemplation of duhkha and asuchi.
Application: Seek treatment for contagious/infestive conditions, maintain cleanliness, and avoid harming others through neglect.
Primary Rasa: bibhatsa
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.164 (kushta-bheda descriptions: maṇḍala and related lesions)
Maṇḍala is defined here by intense itching, oozing, smooth texture, a yellowish hue, and the presence of worm-like organisms described as clinging together.
This verse is primarily diagnostic, listing observable signs (itching, discharge, color/texture) rather than giving an explicit karmic or ritual cause.
It encourages close observation of symptoms and timely care; for practice-oriented readers, it also supports responsible cleanliness and early intervention when oozing/itching appears.