Pāṇḍu-Śotha Nidāna: Doṣa-wise Signs, Complications, and Prognosis
त्वगसृक्छ्लेष्ममांसानि प्रदूष्यन्रसमाश्रितम् / त्वङ्मांसयोस्तु कुरुते त्वचि वर्णान् पृथग्विधान्
tvagasṛkchleṣmamāṃsāni pradūṣyanrasamāśritam / tvaṅmāṃsayostu kurute tvaci varṇān pṛthagvidhān
อาศัยอยู่ในรสะ มันย่อมทำให้ผิว หนัง เลือด เสลษมะ และเนื้อแปดเปื้อน; ครั้นตั้งอยู่ในผิวและเนื้อ ก็ทำให้เกิดความแปรเปลี่ยนแห่งสีผิวหลากหลายประการบนผิวหนัง।
Lord Vishnu (in dialogue with Garuda/Vinata-putra)
Concept: Doṣic disturbance seated in rasa vitiates skin, blood, kapha, and flesh, producing varied discolorations on the skin and underlying tissue.
Vedantic Theme: Name-form changes (nāma-rūpa) in the body reflect underlying causal disturbances; observation as a means to knowledge.
Application: Use varṇa-bheda (color changes) as diagnostic markers; assess rasa/rakta involvement and kapha-māṃsa derangement.
Primary Rasa: karuna
Secondary Rasa: bibhatsa
Type: body tissues (tvak, asṛk, śleṣman, māṃsa)
Related Themes: Garuda Purana 1.162.4 (haridrā/hāridra and pāṇḍutva)
The verse treats rasa as a foundational bodily medium: when an affliction resides in and vitiates rasa, its effects spread to tissues like skin, blood, phlegm, and flesh, manifesting visibly as skin discolorations.
It frames disease in technical, bodily terms—showing how corruption of internal constituents (rasa and related tissues) leads to outward signs, implying that inner imbalance produces observable physical outcomes.
Use the principle “inner imbalance shows outwardly” as a reminder to care for foundational health—diet, cleanliness, moderation, and timely treatment—rather than only masking external symptoms.