Kushtha Nidana: Difference between revisions

Line 393:

Various Vedic texts on the subject have tried to classify all signs and symptoms on the basis of ''tridosha'' thus this serves a good tool to diagnose the lesions as per three ''doshas'' seen in the following table:

Sr Parikshyabhava ( assessment parameter) vata pitta kapha

{| class="wikitable"

1 Observation (darshanparikshya)

! rowspan="1"| Sr

Color

! rowspan="1"| Parikshyabhava( assessment parameter)

Black, Dusky or Downy red, Blackness Red, Yellowish-ness White

! rowspan="1"| vata

Texture Dry, constriction Smooth Oily or soft

! rowspan="1"| pitta

Presence of hairs

! rowspan="1"| kapha

Covered with bristling hair

|-

i. Coppery-rough hairs White hairlines in

! rowspan="1"| 1

Margins of lesion Unevenly spread, rough margins Thin Elevated with smooth and fixed margins

! colspan="4" style="text-align: left;"| Observation (darshanparikshya)

Secretions

|-

Less serous & pus discharge, absence of sweating Plenty of thick discharge of pus, blood and lymph, profuse sweating onlesions Copious, thick, white and slimy discharge

| || Color || Black, Dusky or Downy red, Blackness || Red, Yellowish-ness || White

Presence of maggots (Krimi, jantu) Jantu Krimi Krimi

|-

2 Palpation(sparshanaparikshyabhava)

| || Texture || Dry, constriction || Smooth || Oily or soft

Type of lesion Macular Macular, blisters Macular, Papular lesion

|-

Consistency of lesions Rough, Hard, emaciation Smooth, Soft, thickness, oedema,

| || Presence of hairs || Covered with bristling hair || Coppery-rough hairs || White hairlines in

Sensitivity – numbness, hypersensitivity - -

|-

Temperature- cold to touch, hot to touch cold to touch,

| || Margins of lesion || Unevenly spread, rough margins || Thin || Elevated with smooth and fixed margins

3 Interrogation (~~prashna parikshya~~)

|-

vedana (pain), Pain, Breaking pain, pricking pain, horripilation, loss of sensation or excessive sensitivity Itching, burning sensation, feeling of burning, foul smell Itching, heaviness,

| || Secretions || Less serous & pus discharge, absence of sweating || Plenty of thick discharge of pus, blood and lymph, profuse sweating onlesions || Copious, thick, white and slimy discharge

Onset Acute Acute Chronic

|-

Progression Quick Quick Slow

| || Presence of maggots (Krimi, jantu) || Jantu || Krimi || Krimi

|-

! rowspan="1"| 2

! colspan="4" style="text-align: left;" | Palpation(sparshanaparikshyabhava)

|-

| || Type of lesion || Macular || Macular, blisters || Macular, Papular lesion

|-

| || Consistency of lesions || Rough, Hard, emaciation || Smooth, || Soft, thickness, oedema,

|-

| || Sensitivity – || numbness, hypersensitivity || - || -

|-

| || Temperature- || cold to touch, || hot to touch || cold to touch,

|-

! rowspan="1"| 3

! colspan="4" style="text-align: left;"| Interrogation (prashnaparikshya)

|-

| || vedana (pain), || Pain, Breaking pain, pricking pain, horripilation, loss of sensation or excessive sensitivity || Itching, burning sensation, feeling of burning, foul smell || Itching, heaviness,

|-

| || Onset || Acute || Acute || Chronic

|-

| || Progression || Quick || Quick || Slow

|-

|}

Thus on the basis of symptomatology of it can be inferred that maha-kushtha is a group of skin diseases that includes Leprosy. However, there is ample scope to include, diagnose and treat any other syndromes available today or occurring in future on the basis of this description of kushtha.(shloka 8 -1 to 6)

@@ Line 393: / Line 393: @@
 Various Vedic texts on the subject have tried to classify all signs and symptoms on the basis of ''tridosha'' thus this serves a good tool to diagnose the lesions as per three ''doshas'' seen in the following table:
-Sr	Parikshyabhava ( assessment parameter)	vata	pitta 	kapha
+{| class="wikitable"
-	Observation (darshanparikshya)
+! rowspan="1"| Sr
-	Color
+! rowspan="1"| Parikshyabhava( assessment parameter)
-	Black, Dusky or Downy red, Blackness	Red, Yellowish-ness	White
+! rowspan="1"| vata
-	Texture	Dry, constriction	Smooth	Oily or soft
+! rowspan="1"| pitta
-	Presence of hairs
+! rowspan="1"| kapha
-	Covered with bristling hair
+|-
-i.		Coppery-rough hairs	White hairlines in
+! rowspan="1"| 1
-	Margins of lesion	Unevenly spread, rough margins	Thin 	Elevated with smooth and fixed  margins
+! colspan="4" style="text-align: left;"| Observation (darshanparikshya)
-	Secretions
+|-
-	Less serous & pus discharge, absence of sweating  	Plenty of thick discharge of pus, blood and lymph, profuse sweating onlesions	Copious, thick, white  and slimy discharge
+|  || Color || Black, Dusky or Downy red, Blackness || Red, Yellowish-ness || White
-	Presence of maggots (Krimi, jantu) 	Jantu	Krimi	Krimi
+|-
-	Palpation(sparshanaparikshyabhava)
+|  || Texture || Dry, constriction || Smooth || Oily or soft
-	Type of lesion	Macular 	Macular, blisters	Macular, Papular lesion
+|-
-	Consistency of lesions	Rough, Hard, emaciation	Smooth,	Soft, thickness, oedema,
+|  || Presence of hairs || Covered with bristling hair  || Coppery-rough hairs || White hairlines in
-	Sensitivity –	numbness, hypersensitivity	-	-
+|-
-	Temperature- 	cold to touch,	hot to touch	cold to touch,
+|  || Margins of lesion || Unevenly spread, rough margins || Thin  || Elevated with smooth and fixed  margins
-	Interrogation (prashna parikshya)
+|-
-	vedana (pain), 	Pain, Breaking pain, pricking pain, horripilation, loss of sensation or excessive sensitivity	Itching, burning sensation, feeling of burning, foul smell	Itching, heaviness,
+|  || Secretions || Less serous & pus discharge, absence of sweating   || Plenty of thick discharge of pus, blood and lymph, profuse sweating onlesions  || Copious, thick, white  and slimy discharge
-	Onset	Acute	Acute	Chronic
+|-
-	Progression	Quick	Quick	Slow
+|  || Presence of maggots (Krimi, jantu)  || Jantu || Krimi || Krimi
+|-
+! rowspan="1"| 2
+! colspan="4" style="text-align: left;" | Palpation(sparshanaparikshyabhava)
+|-
+|  || Type of lesion || Macular  || Macular, blisters || Macular, Papular lesion
+|-
+|  || Consistency of lesions || Rough, Hard, emaciation || Smooth, || Soft, thickness, oedema,
+|-
+|  || Sensitivity – || numbness, hypersensitivity || - || -
+|-
+|  || Temperature-  || cold to touch, || hot to touch || cold to touch,
+|-
+! rowspan="1"| 3
+! colspan="4" style="text-align: left;"| Interrogation (prashnaparikshya)
+|-
+|  || vedana (pain),  || Pain, Breaking pain, pricking pain, horripilation, loss of sensation or excessive sensitivity || Itching, burning sensation, feeling of burning, foul smell || Itching, heaviness,
+|-
+|  || Onset || Acute || Acute || Chronic
+|-
+|  || Progression || Quick || Quick || Slow
+|-
+|}
 Thus on the basis of symptomatology of it can be inferred that maha-kushtha is a group of skin diseases that includes Leprosy. However, there is ample scope to include, diagnose and treat any other syndromes available today or occurring in future on the basis of this description of kushtha.(shloka 8 -1 to 6)