Charak Samhita

Kushtha Chikitsa: Difference between revisions

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It is caused by ''kapha'' dominated condition. ''Kapha'' by its ''snigdha, guru, mridu'' and ''sheeta guna'' when increased above normal condition it leads to obstructive changes at the integumentary system. Reduced blood supply causes blackish brown discoloration. Further obstructive changes reduce the local immunity and give a chance for dermatophytes to penetrate the skin barrier. It results in eruptions and thereby causing excessive exudation. Secondary infection and reduced blood supply is cause for pruritus. It can be compared with wet eczema.
It is caused by ''kapha'' dominated condition. ''Kapha'' by its ''snigdha, guru, mridu'' and ''sheeta guna'' when increased above normal condition it leads to obstructive changes at the integumentary system. Reduced blood supply causes blackish brown discoloration. Further obstructive changes reduce the local immunity and give a chance for dermatophytes to penetrate the skin barrier. It results in eruptions and thereby causing excessive exudation. Secondary infection and reduced blood supply is cause for pruritus. It can be compared with wet eczema.


Table 2. Comparison of Ksudhra kustha with its Modern resemblance:


Table 2. Comparison of Ksudhra kustha with its Modern resembelance
{| class="wikitable" style="text-align: center;
Sr.No. Type of Kustha Co-relation with Modern
|-
1. Eka kuṣṭha
! scope="col"| S.No
Ichthyosis vulgaris, psoriasis
! scope="col"| Type of ''Kushtha''
2. Carmākhya Kuṣṭha scleroderma, onchocerciasis, harlequin ichthyosis
! scope="col"| Modern Medicine equivalent
3. Kitibha Kuṣṭha psoriasis, lichen planus, lichen sclerosis.
|-
 
| 1
4. Vaipādika kuṣṭha Anhidrosis, Dermatitis, Diabetic neuropathy, Eczema, Hypothyroidism, Psoriasis, cold weather, excessive exposure to hot water, detergent chemicals and low humidity can cause skin fissure, palm and sole psoriasis
| ''Eka Kushtha''
5. Alasaka Kuṣṭha Nodular prurigo, Dermatosis neglecta
| Ichthyosis vulgaris, psoriasis
6. Dadru kuṣṭha Tinea corpora or ringworm of the body, Tinea faciei or Facial Ringworm, Tinea Capitis Or Blackdot Ringworm, Tinea Capitis or Scalp Ringworm, Tinea Manuum or Ringworm of the Hands, Onychomycosis, Tines Unguium or Ringworm of the nail, Impetigo, Moccasin type of Tinea Pedis
|-
 
| 2
7. Carmadala Kuṣṭha
| ''Kitibha Kushtha''
Pre ulcerative phase of Ecthyma, Interdigital type of tinea pedis (athlete’s foot)
| scleroderma, onchocerciasis, harlequin ichthyosis
8. Visphōṭa kuṣṭha Bullous Impetigo, Vesicular type of tinea pedis (athlete’s foot), Folliculitis, Malassezia folliculitis, Eosinophilic folliculitis
|-
9. Pāmā kuṣṭha
| 3
Scabies
| ''Charmakhya Kushtha''
10. Śatāru kuṣṭha
| psoriasis, lichen planus, lichen sclerosis
Furuncle
|-
11. Vicārcikā kuṣṭha
| 4
Wet Eczema
| ''Vaipadika Kushtha''
| Anhidrosis, Dermatitis, Diabetic neuropathy, Eczema, Hypothyroidism, Psoriasis, cold weather, excessive exposure to hot water, detergent chemicals and low humidity can cause skin fissure, palm and sole psoriasis
|-
| 5
| ''Alasaka Kushtha''
| Nodular prurigo, Dermatosis neglecta
|-
| 6
| ''Dadru Kushtha''
| Tinea corpora or ringworm of the body, Tinea faciei or Facial Ringworm, Tinea Capitis Or Blackdot Ringworm, Tinea Capitis or Scalp Ringworm, Tinea Manuum or Ringworm of the Hands, Onychomycosis, Tines Unguium or Ringworm of the nail, Impetigo, Moccasin type of Tinea Pedis
|-
| 7
| ''Charmadala Kushtha''
| Pre ulcerative phase of Ecthyma, Interdigital type of tinea pedis (athlete’s foot)
|-
| 8
| ''Visphota Kushtha''
| Bullous Impetigo, Vesicular type of tinea pedis (athlete’s foot), Folliculitis, Malassezia folliculitis, Eosinophilic folliculitis
|-
| 9
| ''Pama Kushtha''
| Scabies
|-
| 10
| ''Sataru Kushtha''
| Furuncle
|-
| 11
| ''Vicharchika Kushtha''
| Wet eczema
|}


Current clinical management of skin diseases:
Current clinical management of skin diseases:
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