Kuṣṭha-bheda-lakṣaṇa-nidāna and Śvitra (Kilāsa) Prognosis
मण्डलाख्यं विचर्चो च ऋष्याख्यं वातपित्तजम् / चर्मैककुष्ठं किटिमं सिध्मालसविपादिकाः
maṇḍalākhyaṃ vicarco ca ṛṣyākhyaṃ vātapittajam / carmaikakuṣṭhaṃ kiṭimaṃ sidhmālasavipādikāḥ
Ang mga uring tinatawag na maṇḍala at vicarcā, at ang tinatawag na ṛṣya, ay isinilang mula sa pagsasanib ng vāta at pitta. Ang iba pang anyo ay carma-kuṣṭha, eka-kuṣṭha, kiṭima, sidhmā, alasā, at vipādikā.
Lord Vishnu (speaking to Garuda)
Dosha: Vata/Pitta
Concept: Certain kuṣṭha varieties arise from vāta-pitta combination; additional named forms are enumerated.
Vedantic Theme: Multiplicity of effects from combined causes (kārya-kāraṇa-bhāva) within prakṛti; encourages causal reasoning.
Application: When symptoms are mixed, consider dual-doṣa pathology; refine diet/behavior accordingly.
Primary Rasa: shanta
Related Themes: Garuda Purana 1.164.6-7 (doṣa basis and single-doṣa types); Garuda Purana 1.164.9-10 (other dual-doṣa types and mahā-kuṣṭha list)
They preserve a traditional nosology: specific skin conditions are identified by name and linked to doṣic causation, especially vāta-pitta combinations.
It does not address the after-death path; it is a catalog of disease-types, showing the Purana’s inclusion of practical Ayurvedic knowledge.
Treat the verse as a conceptual map: different presentations of skin disease may imply different underlying imbalances, encouraging individualized (doṣa-aware) care.