Shloka 29

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

Devanagari script

पूर्वरक्तञ्च कृष्णञ्च काकणं त्रिफलोपमम् / कृष्णलिङ्गैर्युतैः सर्वैः स्वस्वकारणतो भवेत्

Transliteration

pūrvaraktañca kṛṣṇañca kākaṇaṃ triphalopamam / kṛṣṇaliṅgairyutaiḥ sarvaiḥ svasvakāraṇato bhavet

Translation

‘కాకణ’ మొదట ఎర్రగా కనిపించి, తరువాత నల్లగా మారుతుంది; వర్ణంలో త్రిఫల వలె ఉంటుంది. నల్ల లక్షణాలన్నిటితో కూడి, అది తన తన కారణానుసారం ఉద్భవిస్తుంది.

Word by Word

• पूर्वरक्तम्: initially red
• पूर्वरक्तम्: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: पूर्व + रक्त (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया, एकवचन; समासः—कर्मधारयः (पूर्वं रक्तम्)

• च: and
• च: Sambandha (Relation/सम्बन्ध)
• Type: Indeclinable
• Root: च (अव्यय)
• Form: समुच्चय-अव्यय (conjunction)

• कृष्णम्: black/dark
• कृष्णम्: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: कृष्ण (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया, एकवचन; विशेषणम्

• च: and
• च: Sambandha (Relation/सम्बन्ध)
• Type: Indeclinable
• Root: च (अव्यय)
• Form: समुच्चय-अव्यय (conjunction)

• काकणम्: kākaṇa (lesion/disease)
• काकणम्: Karta (Subject/कर्ता)
• Type: Noun
• Root: काकण (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा, एकवचन

• त्रिफलोपमम्: resembling triphalā
• त्रिफलोपमम्: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: त्रिफला + उपम (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, प्रथमा/द्वितीया, एकवचन; समासः—तत्पुरुषः (त्रिफलायाः उपमम् = त्रिफलासदृशम्)

• कृष्णलिङ्गैः: with black marks/signs
• कृष्णलिङ्गैः: Karana (Instrument/करण)
• Type: Noun
• Root: कृष्ण + लिङ्ग (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, तृतीया, बहुवचन; समासः—तत्पुरुषः (कृष्णानि लिङ्गानि)

• युतैः: joined/associated
• युतैः: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: युज् (धातु) → युत (कृदन्त)
• Form: भूतकृदन्त (क्त), नपुंसकलिङ्ग, तृतीया, बहुवचन; विशेषणम्

• सर्वैः: with all
• सर्वैः: Visheshana (Qualifier/विशेषण)
• Type: Adjective
• Root: सर्व (प्रातिपदिक)
• Form: नपुंसकलिङ्ग, तृतीया, बहुवचन; विशेषणम्

• स्वस्वकारणतः: from its respective cause
• स्वस्वकारणतः: Hetu (Cause/हेतु)
• Type: Indeclinable
• Root: स्व + स्व + कारण + तस् (अव्यय-प्रत्यय)
• Form: अव्यय (तसिल्-प्रत्ययान्त), अर्थः—‘स्वस्य स्वस्य कारणात्’ (from its own cause)

• भवेत्: would occur/become
• भवेत्: Kriya (Action/क्रिया)
• Type: Verb
• Root: भू (धातु)
• Form: विधिलिङ्, प्रथमपुरुष, एकवचन; परस्मैपद

Speaker

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

Philosophical Teaching

Concept: Specific causes yield specific manifestations (svakāraṇa → sva-lakṣaṇa); effects follow conditions in an orderly way.

Vedantic Theme: Kārya-kāraṇa-bhāva (cause-effect relation) within prakṛti; discernment of nidāna (etiology) through observable change.

Application: Monitor stage-wise color change (red then black) and associated black-mark signs to assess severity/progression and infer underlying causative factors before selecting therapy.

Verse Rasa

Primary Rasa: bibhatsa

Secondary Rasa: bhayanaka

Cross References

Related Themes: Garuda Purana 1.164.28 (definition of kākaṇa); Garuda Purana 1.164.30 (doṣa-bheda and treatment principle)

Characters & Entities

• Vishnu
• Garuda
• Triphala

FAQs

Why is Triphalā mentioned in this verse?

Triphalā is used as a familiar comparison for the disease’s darkened appearance, helping identify Kākaṇa when it shifts from red to black.

What does “according to its own cause” imply here?

It indicates that the observable signs manifest based on differing underlying causes (often understood in traditional frameworks as doṣa and etiological factors).

Practical application of this wisdom today?

It highlights the importance of tracking progression (redness changing to dark discoloration) and considering causation, encouraging timely consultation and careful clinical evaluation.