Shloka 36

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

कष्ठैकसम्भवं श्वित्रं किलासं दारुणं भवेत् / निर्दिष्टमपरिस्त्रावि त्रिधातूद्भवसंश्रयम्

kaṣṭhaikasambhavaṃ śvitraṃ kilāsaṃ dāruṇaṃ bhavet / nirdiṣṭamaparistrāvi tridhātūdbhavasaṃśrayam

ഒരു കഠിനമായ ഏകകാരണം മൂലം ഉദ്ഭവിക്കുന്ന ശ്വിത്രം—കിലാസം എന്നും വിളിക്കപ്പെടുന്നത്—അത്യന്തം ദാരുണമാകുന്നു. ഇത് അപരിസ്ത്രാവി (സ്രാവമില്ലാത്തത്) എന്നു നിർദ്ദേശിക്കപ്പെട്ടതും, ത്രിദോഷവിക്ഷോഭത്തിൽ നിന്നു വേരുറപ്പുന്നതുമാണ്.

कष्ठैकसम्भवम्arising solely from wood (contact)
कष्ठैकसम्भवम्:
Visheshana (Adjectival qualifier)
TypeAdjective
Rootकष्ठ (प्रातिपदिक) + एक (प्रातिपदिक) + सम्भव (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया (1/2), एकवचन; विशेषण—‘कष्ठ-एक-सम्भव’ (काष्ठादेव एकतः सम्भवः)
श्वित्रम्leucoderma; white skin disease
श्वित्रम्:
Karma/Pratipadyam (Object/that being described)
TypeNoun
Rootश्वित्र (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया (1/2), एकवचन
किलासम्kilāsa (a type of skin disorder)
किलासम्:
Karma/Pratipadyam (Appositional object)
TypeNoun
Rootकिलास (प्रातिपदिक)
Formपुंलिङ्ग, प्रथमा/द्वितीया (1/2), एकवचन
दारुणम्severe; dreadful
दारुणम्:
Visheshana (Predicate adjective)
TypeAdjective
Rootदारुण (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया (1/2), एकवचन; विशेषण
भवेत्may be; would become
भवेत्:
Kriya (Verbal action)
TypeVerb
Rootभू (धातु)
Formविधिलिङ् (Optative), प्रथमपुरुष, एकवचन; परस्मैपद
निर्दिष्टम्defined; stated
निर्दिष्टम्:
Visheshana (Adjectival qualifier)
TypeAdjective
Rootनि + दिश् (धातु) → निर्दिष्ट (कृदन्त, क्त)
Formक्त-प्रत्ययान्त कृदन्त; नपुंसकलिङ्ग, प्रथमा/द्वितीया (1/2), एकवचन; विशेषण—‘निर्दिष्ट’ (indicated/defined)
अपरिस्त्राविnon-oozing; without discharge
अपरिस्त्रावि:
Visheshana (Adjectival qualifier)
TypeAdjective
Rootअ + परि + स्त्रु (धातु) → परिस्त्राविन् (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया (1/2), एकवचन; विशेषण—‘अपरिस्त्राविन्’ (न परिस्त्रवति इति)
त्रिधातूद्भवसंश्रयम्based on origin from the three doṣas
त्रिधातूद्भवसंश्रयम्:
Visheshana (Adjectival qualifier)
TypeAdjective
Rootत्रि (प्रातिपदिक) + धातु (प्रातिपदिक) + उद्भव (प्रातिपदिक) + संश्रय (प्रातिपदिक)
Formनपुंसकलिङ्ग, प्रथमा/द्वितीया (1/2), एकवचन; षष्ठी-तत्पुरुषः—‘त्रिधातू-उद्भवस्य संश्रयः’ (having its basis in origin from the three doṣas)

Lord Vishnu (narrating to Garuda/Vinata-putra)

Dosha: Vata/Pitta/Kapha

Concept: Disease classification by cause and doṣic root; śvitra/kilāsa as tridoṣaja with specific lakṣaṇa (non-oozing).

Vedantic Theme: Deha as prakṛti-vikāra; discernment (viveka) of bodily conditions without confusing them with the Self.

Application: Use doṣa-based reasoning for diagnosis; note non-oozing nature and tridoṣa involvement when assessing prognosis and therapy.

Primary Rasa: bibhatsa

Secondary Rasa: bhayanaka

Related Themes: Garuda Purana 1.164.37-40 (doṣa-wise coloration, dhātu progression, prognosis, site-based incurability)

G
Garuda

FAQs

The verse preserves a traditional medical classification: śvitra (kilāsa) is marked as severe, non-oozing, and rooted in tridoṣa disturbance—useful for identifying disease type in classical terms.

By stressing the fragility of the body and the reality of suffering tied to embodiment, it supports the Purāṇic theme of using human life for dharma and liberation rather than mere bodily identity.

Treat chronic skin conditions holistically—address systemic imbalance, diet, and stress—while seeking qualified medical care; the verse frames the condition as deep-rooted rather than superficial.