Kuṣṭha-bheda-lakṣaṇa-nidāna and Śvitra (Kilāsa) Prognosis
विस्तृताकृतिपर्यस्तन्दूषितैर्लोमभिश्चितम् / कापालं तोदबहुलं तत्कुष्ठं विषमं स्मृतम्
vistṛtākṛtiparyastandūṣitairlomabhiścitam / kāpālaṃ todabahulaṃ tatkuṣṭhaṃ viṣamaṃ smṛtam
โรคเรื้อนที่รูปทรงแผ่กว้างบิดเบี้ยว ถูกปกคลุมด้วยขนที่เศร้าหมอง ดูคล้ายกะโหลก และมีอาการปวดแปลบมากมาย—จดจำว่าเป็นชนิด ‘วิษมะ’ (ผิดปกติ)
Lord Vishnu (in discourse to Garuda/Vinata-putra)
Concept: Naming and classifying (saṃjñā) disease patterns enables appropriate response; ‘viṣama’ indicates instability and unpredictability requiring heightened care.
Vedantic Theme: Viveka through precise observation; recognition of guṇa-vaicitrya (variegated manifestations) in prakṛti.
Application: When lesions spread, distort form, alter hair, and cause intense pricking pain, treat as severe/irregular type and escalate care and avoidance of aggravating factors.
Primary Rasa: bibhatsa
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.164.13 (foremost signs); Garuda Purana 1.164.15 (audumbara type)
In this verse, viṣama kuṣṭha is characterized by uneven, distorted spreading of the disease with tainted hair growth and intense pricking pain.
It supports the Purana’s moral framework: the soul’s prior deeds can shape the quality of embodied experience, which later informs teachings on judgment and consequences.
Treat suffering—one’s own and others’—as a call to compassion and responsibility; avoid stigma and respond with care, charity, and ethical self-correction.