Kuṣṭha-bheda-lakṣaṇa-nidāna and Śvitra (Kilāsa) Prognosis
ऋष्यजिह्वाकृतिप्रोक्तं ऋष्यजिह्वं बहुक्रिमि / हस्तिचर्मखरस्पर्शं चर्माख्यं कुष्ठमुच्यते
ṛṣyajihvākṛtiproktaṃ ṛṣyajihvaṃ bahukrimi / hasticarmakharasparśaṃ carmākhyaṃ kuṣṭhamucyate
กุษฐะที่กล่าวว่ามีรูปคล้ายลิ้นของฤๅษี เรียกว่า ‘ฤษยชิหวา’ (Ṛṣyajihvā) และมีหนอนมาก ส่วนกุษฐะที่สัมผัสหยาบกร้านดุจหนังช้าง เรียกว่า ‘จรมาขยะ’ (Carmākhya)
Lord Vishnu (speaking to Garuda/Vinatā-putra)
Concept: Right knowledge (lakshana-jnana) distinguishes conditions; accurate naming is part of wise action.
Vedantic Theme: Viveka (discernment) applied at the empirical level; knowledge guides right conduct.
Application: Use careful observation and precise terminology; consult skilled practitioners rather than superstition.
Primary Rasa: bibhatsa
Secondary Rasa: adbhuta
Related Themes: Garuda Purana 1.164 (kushta-bheda: ṛṣyajihvā, carmākhya)
This verse classifies specific kuṣṭha-types by appearance and touch, reflecting the Purana’s diagnostic style and its moral-cosmological framing of suffering as a result of prior causes.
Indirectly: by detailing bodily afflictions, it supports the text’s broader teaching that embodied experience—including disease—can arise from past actions and serves as a field for dharma and purification.
Use it as a reminder to cultivate ethical conduct and compassion toward the sick; medically, treat such descriptions as traditional symptom-categories, not as a substitute for diagnosis.