Kuṣṭha-bheda-lakṣaṇa-nidāna and Śvitra (Kilāsa) Prognosis
सस्वेदक्लेदसङ्कोचान्कृमीन् सूक्ष्मांश्चदारुणान् / लोमत्वक्स्नायुधमनीराक्रामति यथाक्रमम्
sasvedakledasaṅkocānkṛmīn sūkṣmāṃścadāruṇān / lomatvaksnāyudhamanīrākrāmati yathākramam
Along with sweat, dampness, and contraction, dreadful minute worms arise; and in due order they invade the hair, skin, sinews, and the body’s vessels and channels.
Lord Vishnu (in dialogue with Garuda/Vinata-putra)
Dosha: Kapha
Concept: When corruption matures, it generates destructive agents (kṛmi) that invade progressively; consequences intensify stepwise when causes persist.
Vedantic Theme: Gradual thickening of bondage through repeated negligence and harmful action; small causes accumulating into severe effects.
Application: Control dampness/unclean conditions and address early symptoms; maintain cleanliness and disciplined habits to prevent escalation.
Primary Rasa: bibhatsa
Secondary Rasa: bhayanaka
Type: microcosmic
Related Themes: Garuda Purana: medical descriptions of kṛmi and tissue invasion; progression motifs in roga narratives
The verse uses “kṛmi” to depict the gruesome progression of decay/disease—minute organisms that spread through bodily structures, emphasizing the body’s vulnerability.
It lists a sequence: hair (loma), skin (tvak), sinews (snāyu), and vessels/channels (dhamanī), indicating increasing depth of invasion.
Maintain hygiene and disciplined living, and cultivate detachment: the text highlights that the body is subject to contamination and breakdown.