Kuṣṭha-bheda-lakṣaṇa-nidāna and Śvitra (Kilāsa) Prognosis
रोमहर्षो ऽसृजः कार्ष्ण्यं कुष्ठलक्षणमग्रजम् / कृष्णारुणकपालाभं यद्रूक्षं परुषं तनु
romaharṣo 'sṛjaḥ kārṣṇyaṃ kuṣṭhalakṣaṇamagrajam / kṛṣṇāruṇakapālābhaṃ yadrūkṣaṃ paruṣaṃ tanu
毛发竖立、血色缺失(或失去健康红润)与发黑,被说为麻风之最先要相。凡其身形如黑中带赤之骷髅,干枯粗涩者,即为此疾所印记。
Lord Vishnu (in discourse to Garuda/Vinata-putra)
Concept: Clear recognition (lakṣaṇa-jñāna) of disease signs dispels denial and prompts right response; the body’s decay-like appearance underscores impermanence.
Vedantic Theme: Asat-kāyābhimāna-nivṛtti (loosening identification with the body) through confronting decay and suffering.
Application: Use hallmark signs (romaharṣa, pallor/absence of healthy blood tone, blackening, extreme dryness/roughness) for early identification and prompt care.
Primary Rasa: bhayanaka
Secondary Rasa: bibhatsa
Related Themes: Garuda Purana 1.164.11-12 (general symptomatology); Garuda Purana 1.164.14-15 (types: viṣama, audumbara)
This verse frames kuṣṭha as identifiable through specific bodily signs (dryness, roughness, dark discoloration), supporting the Purana’s broader teaching that actions (karma) manifest as visible consequences.
While not describing the after-death journey directly, it links embodied suffering to moral causality—an idea used throughout the Garuda Purana to explain why souls experience particular pains and conditions.
Use it as an ethical reminder: cultivate non-harm and disciplined living, and seek timely care for illness—seeing health as a responsibility shaped by conduct and compassion.