Shloka 27

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

Devanagari script

विस्फोटपिटिका पामा कण्डूक्लेदरुजान्विताः / सूक्ष्मा श्यामारुणा रूक्षा प्रायः स्फिक्पाणिकूर्परे

Transliteration

visphoṭapiṭikā pāmā kaṇḍūkledarujānvitāḥ / sūkṣmā śyāmāruṇā rūkṣā prāyaḥ sphikpāṇikūrpare

Translation

പൊട്ടലുകളും പിറ്റികകളും കൂടെ, ചൊറിച്ചിൽ, ചോർച്ച, വേദന എന്നിവയോടുകൂടിയ രോഗം ‘പാമാ’ ആകുന്നു. അതി സൂക്ഷ്മം, കറുപ്പ്-ചുവപ്പ് നിറം, വരണ്ട സ്വഭാവം; സാധാരണയായി നിതംബം, കൈ, മുട്ടുകൈ എന്നിവിടങ്ങളിൽ കാണപ്പെടുന്നു.

Word by Word

• विस्फोटपिटिका: blister-like pustule
• विस्फोटपिटिका: Karta (Subject/कर्ता)
• Type: Noun
• Root: विस्फोट + पिटिका (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, प्रथमा, एकवचन; समासः—तत्पुरुषः (विस्फोटरूपा पिटिका)

• पामा: scabies/eczema
• पामा: Karta (Subject/कर्ता)
• Type: Noun
• Root: पामा (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, प्रथमा, एकवचन

• कण्डू: itching
• कण्डू: Karta (Subject/कर्ता)
• Type: Noun
• Root: कण्डू (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, प्रथमा, एकवचन (समुच्चयेन लक्षण-निर्देशः)

• क्लेद: oozing/moistness
• क्लेद: Karta (Subject/कर्ता)
• Type: Noun
• Root: क्लेद (प्रातिपदिक)
• Form: पुंलिङ्ग, प्रथमा, एकवचन

• रुजा: pain
• रुजा: Karta (Subject/कर्ता)
• Type: Noun
• Root: रुजा (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, प्रथमा, एकवचन

• अन्विताः: accompanied by
• अन्विताः: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: अन्वि (धातु) → अन्वित (कृदन्त)
• Form: भूतकृदन्त (क्त), पुंलिङ्ग, प्रथमा, बहुवचन; विशेषणम् (युक्ताः)

• सूक्ष्मा: minute/fine
• सूक्ष्मा: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: सूक्ष्म (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, प्रथमा, एकवचन; विशेषणम्

• श्यामारुणा: dark and reddish
• श्यामारुणा: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: श्याम + अरुण (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, प्रथमा, एकवचन; समासः—द्वन्द्वः (श्यामा च अरुणा च)

• रूक्षा: dry/rough
• रूक्षा: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: रूक्ष (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, प्रथमा, एकवचन; विशेषणम्

• प्रायः: generally/mostly
• प्रायः: Sambandha (Relation/सम्बन्ध)
• Type: Indeclinable
• Root: प्रायः (अव्यय)
• Form: अव्यय (adverb)

• स्फिक्: buttock/hip
• स्फिक्: Adhikarana (Location/अधिकरण)
• Type: Noun
• Root: स्फिक् (प्रातिपदिक)
• Form: स्त्रीलिङ्ग, सप्तमी (7th/अधिकरण), एकवचन (स्थान-निर्देशः)

• पाणि: hand
• पाणि: Adhikarana (Location/अधिकरण)
• Type: Noun
• Root: पाणि (प्रातिपदिक)
• Form: पुंलिङ्ग, सप्तमी, एकवचन (स्थान-निर्देशः)

• कूर्परे: elbow
• कूर्परे: Adhikarana (Location/अधिकरण)
• Type: Noun
• Root: कूर्पर (प्रातिपदिक)
• Form: पुंलिङ्ग, सप्तमी, एकवचन (स्थान-निर्देशः)

Speaker

Lord Vishnu (in instruction to Garuda/Vinata-putra)

Philosophical Teaching

Concept: Roga-parīkṣā through symptom clusters (kandu, kleda, ruja) and deśa (body-site) specificity.

Vedantic Theme: Pramāṇa-based knowing in the empirical domain; disciplined observation as a form of sattvic knowledge.

Application: When eruptions are minute, dark-reddish, dry, with itching/oozing/pain, and occur on buttocks/hands/elbows, classify as pāmā to guide management and hygiene.

Verse Rasa

Primary Rasa: bibhatsa

Secondary Rasa: karuna

Cross References

Related Themes: Garuda Purana 1.164.26 (preceding lesion type); Garuda Purana 1.164.28-30 (subsequent kuṣṭha variants and doṣa-based approach)

Characters & Entities

• Vishnu
• Garuda

FAQs

What is described as ‘Pāmā’ in the Garuda Purana?

This verse defines pāmā by small blister-like pimples with intense itching, moisture/oozing, and pain, typically appearing on the buttocks, hands, and elbows.

How does this verse explain the path of the soul?

It does not directly discuss Yama’s realm or the afterlife; it highlights embodied suffering through disease-signs, reinforcing the Purāṇic emphasis on disciplined living and mindful action.

Practical application of this wisdom today?

Use the location-and-symptom profile (itching + oozing + tiny dry eruptions) as a prompt for early diagnosis and hygiene-focused prevention, along with restraint from harmful habits.