Visarpa Nidāna-Lakṣaṇa
Causes, Types, and Prognosis of Rapidly Spreading Eruptive Disorders
नाम द्विषष्ट्यधिकशततमो ऽध्यायः धन्वन्तीररुवाच / विसर्पादिनिदानन्ते वक्ष्ये सुश्रुत तच्छृणु / स्याद्विसर्पो विघातात्तु दोषैर्दुष्टैश्च शोथवत्
nāma dviṣaṣṭyadhikaśatatamo 'dhyāyaḥ dhanvantīraruvāca / visarpādinidānante vakṣye suśruta tacchṛṇu / syādvisarpo vighātāttu doṣairduṣṭaiśca śothavat
Dhanvantari bersabda: “Sekarang, wahai Suśruta, dengarlah ketika aku menerangkan sebab dan tanda-tanda visarpa serta gangguan yang berkaitan. Visarpa timbul daripada kecederaan atau gangguan; apabila doṣa menjadi rosak, ia menimbulkan keadaan seperti bengkak.”
Dhanvantari
Concept: Nidāna (causation) of visarpa: injury/disturbance plus doṣa vitiation producing swelling-like pathology.
Vedantic Theme: Causality (kārya-kāraṇa-bhāva) within the body; knowledge as a means to reduce suffering.
Application: Identify precipitating injury/disturbance and assess doṣa aggravation early; treat by removing causes and correcting doṣas before rapid spread.
Primary Rasa: adbhuta
Secondary Rasa: shanta
Related Themes: Garuda Purana 1.163.2-4 (seat, prognosis, spread mechanisms); Garuda Purana 1.162 (śotha framework referenced by comparison)
This verse frames a diagnostic (nidāna) teaching: understanding how doṣa-vitiation and injury lead to disease is presented as the basis for proper treatment.
It does not discuss the soul’s journey; it belongs to the Purana’s Ayurvedic/medical instruction section, focusing on bodily pathology and causation.
Treat spreading inflammatory skin conditions as doṣa-aggravated disorders: seek timely care, reduce known aggravating factors, and avoid further trauma/irritants.