Kuṣṭha-bheda-lakṣaṇa-nidāna and Śvitra (Kilāsa) Prognosis
सोत्सेधमाचितं रक्तैः कञ्जपर्णमिवाम्बुभिः / पुण्डरीकं भवेत्तद्धि चितं स्फोटैः सितारुणैः
sotsedhamācitaṃ raktaiḥ kañjaparṇamivāmbubhiḥ / puṇḍarīkaṃ bhavettaddhi citaṃ sphoṭaiḥ sitāruṇaiḥ
Keadaan ini timbul meninggi dan padat diselaputi kemerahan—bagaikan daun teratai yang bertompok titisan air—disebut Puṇḍarīka, kerana ia dipenuhi lepuh-lepuh berwarna putih dan kemerah-merahan.
Lord Vishnu (in instruction to Garuda/Vinata-putra)
Concept: Roga-lakṣaṇa-jñāna (knowledge of signs) enables correct identification of disease states.
Vedantic Theme: Deha as kṣetra (field) with observable vikāras; discernment (viveka) begins with accurate perception.
Application: Use visual/tactile signs (raised redness, white-reddish blisters) to differentiate puṇḍarīka from similar eruptions before choosing treatment.
Primary Rasa: bibhatsa
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.164.27-30 (continuation of kuṣṭha/skin-disease taxonomy and doṣa-based differentiation)
Puṇḍarīka is used as a technical disease-name characterized by a raised surface and a pattern of red spotting with white-reddish blisters, conveyed through the lotus-leaf simile.
The verse does not narrate the soul’s post-death journey; it teaches recognition of bodily affliction, a reminder of embodied consequences that Purāṇas often connect with discipline and right conduct.
If a rash is raised and blistered with mixed pale and red tones, seek qualified medical evaluation early; the text’s emphasis is careful observation and prompt response.