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All the types of ''kushtha'' are caused due to vitiation of ''tridosha'' with involvement of skin, blood, lymph and muscular issue.  ''Kushtha'' is often translated in English as leprosy, which is not correct because of absence of Mycobacterium leprae, though the appearance of skin lesions of ''mahakushtha'' resemble leprosy. Etiological factors of ''kushtha'' are antagonistic food, toxins released from suppressed natural urges, and practices harmful to the blood and skin. It is ''tridoshaja'' disease, but because of variable proportion of one specific ''dosha'', causes variation in features and prognosis. Variable doshic impact on skin, gives different color, complexion, pain sensitivity, texture, deformities, discharge, and tactile perception. Generalized symptoms appear only in prodromal stage.  
 
All the types of ''kushtha'' are caused due to vitiation of ''tridosha'' with involvement of skin, blood, lymph and muscular issue.  ''Kushtha'' is often translated in English as leprosy, which is not correct because of absence of Mycobacterium leprae, though the appearance of skin lesions of ''mahakushtha'' resemble leprosy. Etiological factors of ''kushtha'' are antagonistic food, toxins released from suppressed natural urges, and practices harmful to the blood and skin. It is ''tridoshaja'' disease, but because of variable proportion of one specific ''dosha'', causes variation in features and prognosis. Variable doshic impact on skin, gives different color, complexion, pain sensitivity, texture, deformities, discharge, and tactile perception. Generalized symptoms appear only in prodromal stage.  
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In the context of ''kushtha'', four aspects of skin are important. First is that it consists of six layers (as described in [[Sharira Sthana]] chapter 4), and each layer is seat of specific type of gradually progressing ''kushtha''.
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In the context of ''kushtha'', four aspects of skin are important. First is that it consists of six layers as described in [Cha. Sa.[[Sharira Sthana]] chapter 4], and each layer is seat of specific type of gradually progressing ''kushtha''.
    
Second aspect is that it is a sensory organ too, and is seat of ''vata dosha''. In case of ''kushtha'' vitiated ''vata'' in skin manifests as, horripilations, numbness, and loss of tactile perceptions.  
 
Second aspect is that it is a sensory organ too, and is seat of ''vata dosha''. In case of ''kushtha'' vitiated ''vata'' in skin manifests as, horripilations, numbness, and loss of tactile perceptions.  
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