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|title=Kushtha Chikitsa

|title=Kushtha Chikitsa

Prurigo nodularis, Hyde’s diseases, picker nodules, lichen corneus obtusus, nodular lichen simplex chronicus, nodular neurodematitis circumscripta are various synonyms. The constant scratching leads to development of discrete, excoriated nodular hyperpigmented / purpuric lesion with crusted or scaly surfaces.

Prurigo nodularis, Hyde’s diseases, picker nodules, lichen corneus obtusus, nodular lichen simplex chronicus, nodular neurodematitis circumscripta are various synonyms. The constant scratching leads to development of discrete, excoriated nodular hyperpigmented / purpuric lesion with crusted or scaly surfaces.

The wart like plaque may be observed in dermatosis neglecta; an skin condition in which accumulation of sebum, keratin, sweat, dirt and debris lead to localized patch of skin. Dryness is the main cause for the above pathogenesis and role of [[vata]] and [[kapha]]qq in causing dryness is already been discussed.

The wart like plaque may be observed in dermatosis neglecta; an skin condition in which accumulation of sebum, keratin, sweat, dirt and debris lead to localized patch of skin. Dryness is the main cause for the above pathogenesis and role of [[vata]] and [[kapha]] in causing dryness is already been discussed.

==== 6.''Vichārchikā''====  

==== 6.''Vichārchikā''====  

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 resemblance:

#Internal and external application of sneha (medicated ghee or oil)  

#Internal and external application of sneha (medicated ghee or oil)  

#Shodhana (purification therapies)  

#[[Shodhana]] (purification therapies)  

#Raktamokshana (blood letting)  

#[[Raktamokshana]] (blood letting)

====Principal drugs====  

====Principal drugs====  

! scope="col"| Anupama

! scope="col"| Anupama

|-

|-

| ''Vata'' dominant (''Kapala'')

| ''[[Vata]]'' dominant (''Kapala'')

| ''Swatambhu guggulu''

| ''Swatambhu guggulu''

| 500-1000 mg

| 500-1000 mg

| Ghee + Sugar

| Ghee + Sugar

|-

|-

| ''Pitta'' dominant(''Audumbara'')

| ''[[Pitta]]'' dominant(''Audumbara'')

| ''Tala bhasma'' mixture

| ''Tala bhasma'' mixture

| 120-250 mg

| 120-250 mg

| Ghee + Honey

| Ghee + Honey

|-

|-

| ''Vata- Pitta'' dominant(''Rishyajivha'')

| ''[[Vata]]- [[Pitta]]'' dominant(''Rishyajivha'')

| ''Sarvangasundari vati''

| ''Sarvangasundari vati''

| 500-1000 mg

| 500-1000 mg

|-

|-

| ''Kapha-pittaja'' (''pundarika'')  

| ''Kapha-pittaja'' (''pundarika'')  

| As per ''dosha'' dominance  

| As per ''[[dosha]]'' dominance  

|  

|  

|  

|  

|  

|  

|-

|-

| ''Vata Kaphaja'' (''Sidhma'')  

| ''[[Vata]] [[Kapha]]ja'' (''Sidhma'')  

| As per ''dosha'' dominance  

| As per ''[[dosha]]'' dominance  

|  

|  

|  

|  

|-

|-

| ''Tridoshaja'' (''Kakanaka'')

| ''Tridoshaja'' (''Kakanaka'')

| As per ''dosha'' dominance  

| As per ''[[dosha]]'' dominance  

|  

|  

|  

|  

=== Related Chapter ===

=== Related Chapter ===

* [[Kushtha Nidana]]

[[Kushtha Nidana]], [[Skin diseases in Integrative Medicine]]

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