Kuṣṭha-bheda-lakṣaṇa-nidāna and Śvitra (Kilāsa) Prognosis
अशुक्लरोमबहुलमसंश्लिष्टं मिथो नवम् / अनग्निदग्धजं साध्यं श्वित्रं वर्ज्यमतो ऽन्यथा
aśuklaromabahulamasaṃśliṣṭaṃ mitho navam / anagnidagdhajaṃ sādhyaṃ śvitraṃ varjyamato 'nyathā
That śvitra is curable which is new, has abundant hair that is not white, whose patches are not fused together, and which is not produced by burns from fire. Otherwise, it should be avoided as difficult or incurable.
Lord Vishnu (in dialogue with Garuda/Vinata-putra)
Concept: Prognostic markers: new onset, non-white abundant hair, non-coalescent patches, not burn-induced—these are sādhya; otherwise avoid.
Vedantic Theme: Right discernment (viveka) and non-attachment to outcomes; act within what is treatable.
Application: Use these signs to decide treatability and counsel patients; avoid futile or harmful interventions in poor-prognosis cases.
Primary Rasa: shanta
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.164.38 (progressive difficulty); Garuda Purana 1.164.40 (site-based avoidance even if new)
Recent onset, non-confluent patches, presence of abundant non-white hair, and cases not caused by fire-burns are described as treatable.
It indicates that cases lacking these favorable signs are traditionally considered unsuitable for treatment or very difficult to cure.
It encourages early attention (new cases) and careful classification of cause and features before planning treatment, alongside modern clinical guidance.