Shloka 30

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

Devanagari script

दोषभेदाय विहितैरादिशेल्लिङ्गकर्मभिः / कुष्ठस्वदोषानुगतं सर्वदोषगतं त्यजेत्

Transliteration

doṣabhedāya vihitairādiśelliṅgakarmabhiḥ / kuṣṭhasvadoṣānugataṃ sarvadoṣagataṃ tyajet

Translation

Untuk membezakan doṣa, hendaklah ditetapkan tanda-tanda dan tindakan rawatan sebagaimana diajarkan. Dalam kuṣṭha (penyakit kulit), rawatlah menurut doṣa yang mengikutinya, dan jauhilah jenis yang melibatkan semua doṣa.

Word by Word

• दोषभेदाय: for differentiating the doṣas
• दोषभेदाय: Sampradana (Purpose/सम्प्रदान)
• Type: Noun
• Root: दोष + भेद (प्रातिपदिक)
• Form: पुंलिङ्ग, चतुर्थी (4th/सम्प्रदान), एकवचन; समासः—तत्पुरुषः (दोषाणां भेदः)

• विहितैः: prescribed
• विहितैः: Karana (Instrument/करण)
• Type: Adjective
• Root: वि-धा (धातु) → विहित (कृदन्त)
• Form: भूतकृदन्त (क्त), नपुंसकलिङ्ग/पुंलिङ्ग, तृतीया, बहुवचन; विशेषणम्

• आदिशेत्: should prescribe/indicate
• आदिशेत्: Kriya (Action/क्रिया)
• Type: Verb
• Root: आ-दिś् (धातु)
• Form: विधिलिङ्, प्रथमपुरुष, एकवचन; परस्मैपद

• लिङ्गकर्मभिः: by signs and actions/therapies
• लिङ्गकर्मभिः: Karana (Instrument/करण)
• Type: Noun
• Root: लिङ्ग + कर्म (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, तृतीया, बहुवचन; समासः—द्वन्द्वः (लिङ्गैः च कर्मभिः च)

• कुष्ठस्वदोषानुगतम्: leprosy aligned with its own doṣa
• कुष्ठस्वदोषानुगतम्: Karma (Object/कर्म)
• Type: Adjective
• Root: कुष्ठ + स्व + दोष + अनुगत (कृदन्त)
• Form: नपुंसकलिङ्ग, द्वितीया, एकवचन; समासः—तत्पुरुषः (कुष्ठस्य स्वदोषानुगतम् = कुष्ठे स्वदोषानुसारि)

• सर्वदोषगतम्: involving all doṣas
• सर्वदोषगतम्: Karma (Object/कर्म)
• Type: Adjective
• Root: सर्व + दोष + गत (कृदन्त)
• Form: नपुंसकलिङ्ग, द्वितीया, एकवचन; समासः—तत्पुरुषः (सर्वदोषेषु गतम्/व्याप्तम्)

• त्यजेत्: should abandon/avoid
• त्यजेत्: Kriya (Action/क्रिया)
• Type: Verb
• Root: त्यज् (धातु)
• Form: विधिलिङ्, प्रथमपुरुष, एकवचन; परस्मैपद

Speaker

Lord Vishnu (in dialogue with Garuda/Vinata-putra)

Medical Ayurveda

Dosha: Vata/Pitta/Kapha

Philosophical Teaching

Concept: Yukti (rational discrimination) in treatment: align therapy with the patient’s doṣa-specific presentation; avoid blanket measures for sarva-doṣa involvement.

Vedantic Theme: Viveka and niyama in action: right means (upāya) matched to conditions; avoidance of adharmic excess in intervention.

Application: Perform doṣa differentiation via signs and then choose targeted therapies; if a condition is sarva-doṣaja (involving all doṣas), avoid simplistic single-doṣa regimens and proceed with caution/tri-doṣa strategy or referral.

Verse Rasa

Primary Rasa: shanta

Secondary Rasa: vira

Cross References

Related Themes: Garuda Purana 1.164.26-29 (symptom-based classification feeding into doṣa-bheda)

Characters & Entities

• Vishnu
• Garuda

FAQs

What is the core medical principle taught in this verse?

It teaches doṣa-bheda—first differentiate the underlying doṣa using signs, then apply treatments appropriate to that doṣa.

What does “sarva-doṣa-gata” mean in context?

It refers to a condition involving all doṣas (a mixed/tridoṣic presentation), which the verse advises to avoid as a treatment target or to set aside due to complexity/unsuitability.

Practical application of this wisdom today?

It supports individualized assessment before intervention: identify the pattern (cause/signs) first, then choose targeted remedies rather than one-size-fits-all approaches.