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.
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)
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.