Kuṣṭha-bheda-lakṣaṇa-nidāna and Śvitra (Kilāsa) Prognosis
अस्वेदञ्चमत्स्यशल्कसन्निभं किटिमं पुनः / रूक्षाग्निवर्णं दुः स्पर्शं कण्डूमत्परुषासितम्
asvedañcamatsyaśalkasannibhaṃ kiṭimaṃ punaḥ / rūkṣāgnivarṇaṃ duḥ sparśaṃ kaṇḍūmatparuṣāsitam
別の病相は「キティマ(Kiṭima)」である。汗を生ぜず、魚の鱗に似る。乾き、火の色(灼ける赤)を帯び、触れれば痛み、痒みを伴い、粗く、黒ずんでいる。
Lord Vishnu (speaking to Garuda/Vinatā-putra)
Concept: Care for the body responsibly; suffering intensifies when neglected—discipline and right regimen are dharmic.
Vedantic Theme: Body as field of karma and suffering; cultivate equanimity while taking proper action.
Application: Address dryness, scaling, and painful itching with appropriate regimen; avoid irritants and seek qualified care.
Primary Rasa: bibhatsa
Secondary Rasa: raudra
Related Themes: Garuda Purana 1.164 (kiṭima kushta description)
Kiṭima is described as a kuṣṭha-type marked by lack of sweating and a fish-scale-like appearance, with dryness, discoloration, itch, and painful touch.
By presenting concrete forms of suffering in the body, the text reinforces the broader Purāṇic view that life’s conditions can reflect prior karmic patterns and invite corrective living.
Let it encourage empathy and responsible care for chronic illness; for practice, combine prayer/ethical discipline with proper medical consultation rather than relying only on textual labels.