Changes

==== Patho-physiology of kushtha ====

==== Patho-physiology of kushtha ====

===== 1. Kapāla Kuṣṭha =====

===== 1. ''Kapāla Kuṣṭha'' =====

It is rūkṣa, paruṣa, khara in nature which signifies the increase of rūkṣa, khara guna at the level of skin. Roughness, dryness increases when there is destruction of sweat glands (dusti of ambu dhatu), decrease in essential fatty acids (reduce snigdhata of meda inturn kapha), proliferation of keratinocytes. Primary lesion manifest in the form of dry, rough and blackish brownish colour. Secondary lesion includes loss of sensation (due to degeneration of nerve endings or less nutrition to the nerve tissue due to atherosclerosis or reduce blood supply) severe pricking pain (nistōda) itching, burning sensation and pustular presentation. Thus conditions of non erythematous eczema, keratosis, atrophic actinic keratosis, non hypertrophic keratosis, seborrhic conditions can be understood in Kapāla Kuṣṭha.

It is ''rūkṣa, paruṣa, khara'' in nature which signifies the increase of ''rūkṣa, khara guna'' at the level of skin. Roughness, dryness increases when there is destruction of sweat glands (''dusti'' of ''ambu dhatu''), decrease in essential fatty acids (reduce ''snigdhata'' of ''meda'', in turn, of ''kapha''), proliferation of keratinocytes. Primary lesion manifest in the form of dry, rough and blackish brownish color. Secondary lesion includes loss of sensation (due to degeneration of nerve endings or less nutrition to the nerve tissue due to atherosclerosis or reduce blood supply) severe pricking pain (''nistōda'') itching, burning sensation and pustular presentation. Thus conditions of non erythematous eczema, keratosis, atrophic actinic keratosis, non hypertrophic keratosis, seborrhic conditions can be understood in ''kapāla kushtha''.

===== 2. Udumbara kuṣṭha =====

===== 2. Udumbara kuṣṭha =====