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{{#seo:

|title=Kushtha Chikitsa

|title=Kushtha Chikitsa

|type=article

|type=article

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'''<big>[[Chikitsa Sthana]] Chapter 7. Management of Kushtha (Skin Diseases)</big>'''

'''<big>[[Chikitsa Sthana]] Chapter 7. Management of Kushtha (Skin Diseases)</big>'''

{{Infobox

{{Infobox

|data7  = Chandola H.M.

|data7  = Chandola H.M.

|label8 = Editors

|label8 = Editors

|data8  = Baghel M.S., Deole Y.S., Basisht G.

|data8  = Baghel M.S., [[Yogesh Deole|Deole Y.S.]], [[Gopal Basisht|Basisht G.]]

|label9 = Year of publication  

|label9 = Year of publication  

|data9 =  2020

|data9 =  2020

|data11 = [https://doi.org/10.47468/CSNE.2020.e01.s06.008 10.47468/CSNE.2020.e01.s06.008]

|data11 = [https://doi.org/10.47468/CSNE.2020.e01.s06.008 10.47468/CSNE.2020.e01.s06.008]

}}

}}

<big>'''Abstract'''</big>

<big>'''Abstract'''</big>

<div style="text-align:justify;">

<p style="text-align:justify;">[[Kushtha Chikitsa]] is a compendium of various skin diseases, divided into two groups i.e. major (''maha kushtha'') and ii. minor (''kshudra kushtha''). Seven types of major and eleven types of minor skin disorders or dermatosis are described here as guidelines to understand diagnosis and treatment principles of various skin disorders. Etiological factors including antagonistic food, suppression of natural urges especially vomiting, quick change in temperature, exposure to excess heat, and sudden biological changes in fluid volume and muscle mass cause ''kushtha''. Clinical features of skin disorders, their diagnosis according to dominance of ''[[dosha]]'' as well as their prognosis and treatment is described in detail. [[Panchakarma]] (five body purification procedures) are emphasized for management of skin diseases and prevention of recurrence. Local scrapping method for bloodletting in smaller lesions and venesection for large lesions, therapeutic purgation are important treatment measures in ''kushtha''. Medicinal preparations including ghee, formulations for internal administration and external application on skin lesions are described.  

[[Kushtha Chikitsa]] is a compendium of various skin diseases, divided into two groups i.e. major (''maha kushtha'') and ii. minor (''kshudra kushtha''). Seven types of major and eleven types of minor skin disorders or dermatosis are described here as guidelines to understand diagnosis and treatment principles of various skin disorders. Etiological factors including antagonistic food, suppression of natural urges especially vomiting, quick change in temperature, exposure to excess heat, and sudden biological changes in fluid volume and muscle mass cause ''kushtha''. Clinical features of skin disorders, their diagnosis according to dominance of ''[[dosha]]'' as well as their prognosis and treatment is described in detail. [[Panchakarma]] (five body purification procedures) are emphasized for management of skin diseases and prevention of recurrence. Local scrapping method for bloodletting in smaller lesions and venesection for large lesions, therapeutic purgation are important treatment measures in ''kushtha''. Medicinal preparations including ghee, formulations for internal administration and external application on skin lesions are described.  

 

'''Keywords''': Skin diseases,dermatology, discoloration, itching, saptaka dravya, kotha, Kandu, kapala, udumbara, maṇḍala, rishyajihva, puṇḍarika, sidhma, kakaṇaka, ekakushtha, charmakhya, kitibha, vipadika, alasaka, dadru, charmadala, pama, visphotaka, shataru, vicharchika, kshudrakushtha, mahakushtha, matsyashakalopamam, hasticharmavat, kinakharasparsham, lelitaka, madhvasava, shvetakaraviradya tailam, tiktekshvakvadi taila, kanakakshiritaila, tiktaṣaṭpalakam ghrita, mahatiktakam ghritam, mahakhadiram ghrita, shvitra, daruna,  charunam, kilasa, psoriasis, scabies, ringworms, eczema </p>

'''Keywords''': Skin diseases,dermatology, discoloration, itching, saptaka dravya, kotha, Kandu, kapala, udumbara, maṇḍala, rishyajihva, puṇḍarika, sidhma, kakaṇaka, ekakushtha, charmakhya, kitibha, vipadika, alasaka, dadru, charmadala, pama, visphotaka, shataru, vicharchika, kshudrakushtha, mahakushtha, matsyashakalopamam, hasticharmavat, kinakharasparsham, lelitaka, madhvasava, shvetakaraviradya tailam, tiktekshvakvadi taila, kanakakshiritaila, tiktaṣaṭpalakam ghrita, mahatiktakam ghritam, mahakhadiram ghrita, shvitra, daruna,  charunam, kilasa, psoriasis, scabies, ringworms, eczema </div>

 

==Introduction==

==Introduction==

==== 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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