Kuṣṭha-bheda-lakṣaṇa-nidāna and Śvitra (Kilāsa) Prognosis
रोमहर्षो ऽसृजः कार्ष्ण्यं कुष्ठलक्षणमग्रजम् / कृष्णारुणकपालाभं यद्रूक्षं परुषं तनु
romaharṣo 'sṛjaḥ kārṣṇyaṃ kuṣṭhalakṣaṇamagrajam / kṛṣṇāruṇakapālābhaṃ yadrūkṣaṃ paruṣaṃ tanu
Meremang bulu roma, ketiadaan darah (atau seri wajah yang sihat), dan penghitaman dikatakan sebagai tanda utama kusta. Tubuh yang tampak seperti tengkorak hitam kemerahan, kering dan kasar, itulah yang ditandai oleh penyakit ini.
Lord Vishnu (in discourse to Garuda/Vinata-putra)
Concept: Clear recognition (lakṣaṇa-jñāna) of disease signs dispels denial and prompts right response; the body’s decay-like appearance underscores impermanence.
Vedantic Theme: Asat-kāyābhimāna-nivṛtti (loosening identification with the body) through confronting decay and suffering.
Application: Use hallmark signs (romaharṣa, pallor/absence of healthy blood tone, blackening, extreme dryness/roughness) for early identification and prompt care.
Primary Rasa: bhayanaka
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.164.11-12 (general symptomatology); Garuda Purana 1.164.14-15 (types: viṣama, audumbara)
This verse frames kuṣṭha as identifiable through specific bodily signs (dryness, roughness, dark discoloration), supporting the Purana’s broader teaching that actions (karma) manifest as visible consequences.
While not describing the after-death journey directly, it links embodied suffering to moral causality—an idea used throughout the Garuda Purana to explain why souls experience particular pains and conditions.
Use it as an ethical reminder: cultivate non-harm and disciplined living, and seek timely care for illness—seeing health as a responsibility shaped by conduct and compassion.