Kuṣṭha-bheda-lakṣaṇa-nidāna and Śvitra (Kilāsa) Prognosis
भस्माच्छादितवत्कुर्याद्बाह्यं कुष्ठमुदाहृतम् / कुष्ठानि सप्तधा दोषैः पृथग्द्वन्द्वैः समागतैः
bhasmācchāditavatkuryādbāhyaṃ kuṣṭhamudāhṛtam / kuṣṭhāni saptadhā doṣaiḥ pṛthagdvandvaiḥ samāgataiḥ
బాహ్య చర్మాన్ని భస్మంతో కప్పబడినట్లుగా చూపించేది ‘బాహ్య కుష్ఠం’ అని చెప్పబడింది. దోషాలు వేర్వేరుగా గాని, జంటగా కలిసిగాని ఏర్పడితే కుష్ఠం ఏడు విధాలుగా ఉంటుంది.
Lord Vishnu (in dialogue with Garuda/Vinata-putra)
Dosha: Vata/Pitta/Kapha
Concept: Disease classification arises from doṣa imbalance (single or dual doṣa combinations).
Vedantic Theme: Deha as prakṛti-vikāra; the embodied condition is mutable and governed by guṇas/doṣas, encouraging vairāgya and disciplined living.
Application: Observe symptoms and consider doṣa causation; seek appropriate regimen rather than fatalism.
Primary Rasa: bibhatsa
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.164 (Ayurveda/roga-nidāna section): tri-doṣa framework and kuṣṭha taxonomy continues in subsequent verses
It is a condition where the outer skin looks ash-covered, and the text explicitly labels this appearance as bāhya (external) kuṣṭha.
It states a sevenfold classification, caused by the doṣas either individually or through paired combinations, reflecting a tridoṣa-based diagnostic model.
Use the teaching as a reminder to correct imbalances early (diet, habits, cleanliness) and to keep spiritual focus, since bodily conditions are changeable and time-bound.