Kuṣṭha-bheda-lakṣaṇa-nidāna and Śvitra (Kilāsa) Prognosis
उदुम्बरफलाभासं कुष्ठमौदुम्बरं वदेत् / वर्तुलं बहुलकेत्युक्तं दाहरुजाधिकम्
udumbaraphalābhāsaṃ kuṣṭhamaudumbaraṃ vadet / vartulaṃ bahulaketyuktaṃ dāharujādhikam
โรคเรื้อนที่มีลักษณะคล้ายผลอุทุมพร (มะเดื่อพวง) เรียกว่า ‘เอาทุมพะระ’. กล่าวว่ามีรูปกลมและหนา และมีอาการแสบร้อนกับความปวดมากเป็นพิเศษ
Lord Vishnu (in discourse to Garuda/Vinata-putra)
Concept: Upamāna (analogy) as a tool for knowledge: natural forms help recognize disease types and respond appropriately.
Vedantic Theme: Pramāṇa-vicāra (means of knowledge): perception aided by comparison; prakṛti as pedagogical mirror.
Application: Identify audumbara-type lesions by udumbara-like appearance (round, thick) and prioritize measures to address burning and pain; avoid heat/aggravating factors.
Primary Rasa: bibhatsa
Secondary Rasa: karuna
Related Themes: Garuda Purana 1.164.13-14 (other kuṣṭha signs/types)
The comparison provides a concrete visual marker—fruit-like appearance—so the ‘audumbara’ type of kuṣṭha can be recognized by its rounded, thick lesions with strong burning pain.
By cataloging bodily afflictions precisely, the text reinforces its wider doctrine that embodied conditions can be consequences of prior actions, encouraging moral restraint and purification.
Use the teaching to deepen empathy and ethical living; if such symptoms occur, seek medical help promptly while maintaining prayer, charity, and disciplined conduct.