Kuṣṭha-bheda-lakṣaṇa-nidāna and Śvitra (Kilāsa) Prognosis
सस्फोटसंस्पर्शसहं कण्डूरक्तातिदाहवत् / रक्तदलं चर्मदलं काकणं तीव्रदाहरुक्
sasphoṭasaṃsparśasahaṃ kaṇḍūraktātidāhavat / raktadalaṃ carmadalaṃ kākaṇaṃ tīvradāharuk
Penyakit kulit itu disertai lepuh yang meletus, sakit apabila disentuh, serta ditandai gatal, kemerahan, dan rasa terbakar yang amat kuat—hingga kulit terbelah menjadi tompok merah dan mengelupas berlapis-lapis. Ia disebut Kākaṇa, yang membawa sakit terbakar yang dahsyat.
Lord Vishnu (in dialogue with Garuda/Vinata-putra)
Concept: Differential diagnosis by tactile sensitivity (sparśa-asahatva), color change (rakta), and sensation (atidāha).
Vedantic Theme: Duḥkha as a marker of embodied limitation; knowledge aims at alleviation within vyavahāra.
Application: If lesions have blisters, are painful on touch, with itching, redness, intense burning and peeling/splitting patches, identify as kākaṇa and prioritize cooling/soothing strategies (per later doṣa guidance).
Primary Rasa: bibhatsa
Secondary Rasa: raudra
Related Themes: Garuda Purana 1.164.29 (progression of kākaṇa coloration and signs); Garuda Purana 1.164.30 (doṣa-based therapeutic discrimination)
This verse defines Kākaṇa as a kuṣṭha-type skin disorder marked by blisters, severe burning, itching, redness, and painful sensitivity to touch.
Within Adhyaya 164, Vishnu instructs Garuda by listing diagnostic signs (lakṣaṇas) of specific kuṣṭha varieties, of which Kākaṇa is one.
Use it as a traditional symptom-profile for reflection and early attention to severe burning, blistering, and peeling skin—while seeking qualified medical care rather than self-diagnosis.