Shloka 33

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

स्वेदतापश्वयथवः शोणिते पिशिते पुनः / पाणिपादाश्रिताः स्फोटाः क्लेशात्सन्धिषु चाधिकम्

svedatāpaśvayathavaḥ śoṇite piśite punaḥ / pāṇipādāśritāḥ sphoṭāḥ kleśātsandhiṣu cādhikam

When it reaches the blood and then the flesh, there arise sweating, burning heat, and swelling; blisters appear especially upon the hands and feet, and the distress is greater in the joints.

स्वेदतापश्वयथवःsweating, burning and swelling
स्वेदतापश्वयथवः:
Karta (Subject/कर्ता)
TypeNoun
Rootस्वेद (प्रातिपदिक) + ताप (प्रातिपदिक) + श्वयथु (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा, बहुवचन; द्वन्द्वसमासः (स्वेदः तापः श्वयथुः)
शोणितेin the blood
शोणिते:
Adhikarana (Locus/अधिकरण)
TypeNoun
Rootशोणित (प्रातिपदिक)
Formनपुंसकलिङ्ग, सप्तमी, एकवचन
पिशितेin the flesh
पिशिते:
Adhikarana (Locus/अधिकरण)
TypeNoun
Rootपिशित (प्रातिपदिक)
Formनपुंसकलिङ्ग, सप्तमी, एकवचन
पुनःagain/further
पुनः:
Kriya-visheshana (Adverbial/क्रियाविशेषण)
TypeIndeclinable
Rootपुनः (अव्यय)
Formपुनरुक्ति/क्रमवाचक-अव्यय (adverb: again/further)
पाणिपादाश्रिताःaffecting the hands and feet
पाणिपादाश्रिताः:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootपाणि (प्रातिपदिक) + पाद (प्रातिपदिक) + आश्रित (कृदन्त, √श्रि)
Formपुंलिङ्ग, प्रथमा, बहुवचन; क्त-प्रत्ययान्त ‘आश्रित’; तत्पुरुषः (पाणि-पादयोः आश्रिताः)
स्फोटाःblisters/eruptions
स्फोटाः:
Karta (Subject/कर्ता)
TypeNoun
Rootस्फोट (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा, बहुवचन
क्लेशात्due to distress/pain
क्लेशात्:
Hetu (Cause/हेतु)
TypeNoun
Rootक्लेश (प्रातिपदिक)
Formपुंलिङ्ग, पञ्चमी (5th/पञ्चमी), एकवचन; हेत्वर्थ (ablative of cause)
सन्धिषुin the joints
सन्धिषु:
Adhikarana (Locus/अधिकरण)
TypeNoun
Rootसन्धि (प्रातिपदिक)
Formपुंलिङ्ग, सप्तमी, बहुवचन
and
:
Samuccaya (Connector/समुच्चय)
TypeIndeclinable
Rootच (अव्यय)
Formसमुच्चयबोधक-अव्यय (conjunction)
अधिकम्more/excessive
अधिकम्:
Visheshana (Qualifier/विशेषण)
TypeAdjective
Rootअधिक (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया, एकवचन; तुलनार्थ ‘more/excess’

Lord Vishnu (teaching Garuda/Vinata-putra)

Concept: Progression of kustha into rakta and mamsa produces systemic inflammatory signs and localized eruptions.

Vedantic Theme: Duhkha as a signal within prakriti; discernment prompts right action rather than despair.

Application: Recognize deeper involvement by burning, swelling, sweating, blisters on extremities, and joint pain; seek stronger interventions and prevent disability.

Primary Rasa: karuna

Secondary Rasa: bibhatsa

Related Themes: Garuda Purana 1.164.31-32 (depth and mild stage); Garuda Purana 1.164.34 (fat breakdown and systemic weakness)

G
Garuda
V
Vishnu

FAQs

It indicates worsening depth of disease: involvement of blood and flesh is marked by systemic signs like burning, swelling, and painful eruptions, signaling a more serious stage.

The verse is medical-descriptive rather than eschatological; however, Garuda Purana’s teaching context uses embodied suffering to urge discipline, purification, and dharmic living.

If symptoms escalate to burning, swelling, blisters, and joint pain, treat it as a serious condition—seek proper care and adopt corrective routines rather than ignoring early signs.