Shloka 6

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

Devanagari script

भस्माच्छादितवत्कुर्याद्बाह्यं कुष्ठमुदाहृतम् / कुष्ठानि सप्तधा दोषैः पृथग्द्वन्द्वैः समागतैः

Transliteration

bhasmācchāditavatkuryādbāhyaṃ kuṣṭhamudāhṛtam / kuṣṭhāni saptadhā doṣaiḥ pṛthagdvandvaiḥ samāgataiḥ

Translation

Penyakit yang membuat permukaan kulit luar tampak seakan tertutup abu disebut ‘kuṣṭha luar’. Kuṣṭha ada tujuh macam, timbul dari doṣa yang berdiri sendiri atau berpasangan.

Word by Word

• भस्मात्: from ash
• भस्मात्: Apadana (Source/अपादान)
• Type: Noun
• Root: भस्मन् (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, पञ्चमी-विभक्ति (5th/Ablative), एकवचन

• छादितवत्: as if covered
• छादितवत्: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: छादित (कृदन्त, √छद् छादन) + वत् (तद्धित)
• Form: अव्ययवत्-प्रयोगः; वत्-प्रत्ययान्त विशेषण, उपमानार्थे (like/covered as)

• कुर्यात्: should do/make
• कुर्यात्: Kriya (Action/क्रिया)
• Type: Verb
• Root: √कृ (धातु)
• Form: विधिलिङ् (Optative), प्रथमपुरुष (3rd), एकवचन; परस्मैपद

• बाह्यम्: external
• बाह्यम्: Karma (Object/कर्म)
• Type: Adjective
• Root: बाह्य (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, द्वितीया-विभक्ति (2nd/Accusative), एकवचन

• कुष्ठम्: leprosy/skin disease
• कुष्ठम्: Karma (Object/कर्म)
• Type: Noun
• Root: कुष्ठ (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, द्वितीया-विभक्ति (2nd/Accusative), एकवचन

• उदाहृतम्: is called/declared
• उदाहृतम्: Kriya (Predicative/विधेय)
• Type: Verb
• Root: उदाहृत (कृदन्त, √हृ + उद्, कर्मणि)
• Form: भूतकर्मणि कृदन्त (Past Passive Participle), नपुंसकलिङ्ग, प्रथमा/द्वितीया एकवचन; विधेयभावे (is said/called)

• कुष्ठानि: (the) leprosies/skin diseases
• कुष्ठानि: Karta (Subject/कर्ता)
• Type: Noun
• Root: कुष्ठ (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा-विभक्ति (1st/Nominative), बहुवचन

• सप्तधा: sevenfold
• सप्तधा: Kriya-visheshana (Adverbial/क्रियाविशेषण)
• Type: Indeclinable
• Root: सप्तधा (अव्यय)
• Form: अव्यय, प्रकारवाचक (adverb of manner: sevenfold)

• दोषैः: by the doṣas (humors)
• दोषैः: Karana (Instrument/करण)
• Type: Noun
• Root: दोष (प्रातिपदिक)
• Form: पुंलिङ्ग, तृतीया-विभक्ति (3rd/Instrumental), बहुवचन

• पृथक्: separately
• पृथक्: Kriya-visheshana (Adverbial/क्रियाविशेषण)
• Type: Indeclinable
• Root: पृथक् (अव्यय)
• Form: अव्यय, क्रियाविशेषण (separately/distinctly)

• द्वन्द्वैः: by pairs/combinations
• द्वन्द्वैः: Karana (Instrument/करण)
• Type: Noun
• Root: द्वन्द्व (प्रातिपदिक)
• Form: पुंलिङ्ग, तृतीया-विभक्ति (3rd/Instrumental), बहुवचन

• समागतैः: combined/associated
• समागतैः: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: समागत (कृदन्त, √गम् + सम्, भूतकर्मणि/कर्तरि)
• Form: भूतकृदन्त (Past Participle), पुंलिङ्ग, तृतीया-विभक्ति (3rd/Instrumental), बहुवचन; दोषैः/द्वन्द्वैः सह विशेषण (having come together)

Speaker

Lord Vishnu (in dialogue with Garuda/Vinata-putra)

Medical Ayurveda

Dosha: Vata/Pitta/Kapha

Philosophical Teaching

Concept: Disease classification arises from doṣa imbalance (single or dual doṣa combinations).

Vedantic Theme: Deha as prakṛti-vikāra; the embodied condition is mutable and governed by guṇas/doṣas, encouraging vairāgya and disciplined living.

Application: Observe symptoms and consider doṣa causation; seek appropriate regimen rather than fatalism.

Verse Rasa

Primary Rasa: bibhatsa

Secondary Rasa: karuna

Cross References

Related Themes: Garuda Purana 1.164 (Ayurveda/roga-nidāna section): tri-doṣa framework and kuṣṭha taxonomy continues in subsequent verses

Characters & Entities

• Vishnu
• Garuda

FAQs

What is “external kuṣṭha” according to this verse?

It is a condition where the outer skin looks ash-covered, and the text explicitly labels this appearance as bāhya (external) kuṣṭha.

How does this verse classify kuṣṭha diseases?

It states a sevenfold classification, caused by the doṣas either individually or through paired combinations, reflecting a tridoṣa-based diagnostic model.

Practical application of this wisdom today?

Use the teaching as a reminder to correct imbalances early (diet, habits, cleanliness) and to keep spiritual focus, since bodily conditions are changeable and time-bound.