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Line 2,292: − Sr. No. Dosha Predominant sign Treatment principle + − + − + − + − + + + + + + + + + + + + + + + + + +
→Tattva Vimarsha
*Different degree of doshic involvement determines the color, shape, size, symptoms and discharge from the lesions. The treatment differs as per dominance of dosha.
*Different degree of doshic involvement determines the color, shape, size, symptoms and discharge from the lesions. The treatment differs as per dominance of dosha.
{| class="wikitable" style="text-align: center;
1. Vata dosha Dryness, atrophy, pricking pain / paraesthesia, pain, constriction or loss of elasticity, hardness, roughness, horripilation, blackish, brownish, slight reddish in colour Ghee
|-
2. Pitta dosha Burning sensation, redness, exudation, suppuration, offensive smell, stickiness / moist and sloughing of body parts Virechana (therapeutic purgation) raktamokshana (bloodletting)
! scope="col"| S.No
3. Kapha dosha Whitish discolouration, cold in touch, pruritus, non-progressive/ slow progression of disease, elevated; heaviness and oiliness, stickiness, maggot infestation Vamana (therapeutic emesis)
! scope="col"| ''Dosha''
! scope="col"| Predominant Sign
! scope="col"| Treatment Principle
|-
| 1
| ''Vata''
| Dryness, atrophy, pricking pain / paraesthesia, pain, constriction or loss of elasticity, hardness, roughness, horripilation, blackish, brownish, slight reddish in color
|Ghee
|-
| 2
| ''Pitta''
| Burning sensation, redness, exudation, suppuration, offensive smell, stickiness / moist and sloughing of body parts
| Virechana (therapeutic purgation) raktamokshana (bloodletting)
|-
| 3
| ''Kapha''
| Whitish discolouration, cold in touch, pruritus, non-progressive/ slow progression of disease, elevated; heaviness and oiliness, stickiness, maggot infestation
| Vamana (therapeutic emesis)
|}
*If all symptoms appear simultaneously, then the kushtha is untreatable. Similarly, immune-compromised patients and those suffering from morbid thirst, burning sensation, loss of digestive power and lesions have maggots then the prognosis is bad. Vata kapha dominant and single dosha predominated kushtha are easily curable. Whereas kapha pitta and vata pitta dominated kushtha are kricchra sadhya i.e. curable with difficulty.
*If all symptoms appear simultaneously, then the kushtha is untreatable. Similarly, immune-compromised patients and those suffering from morbid thirst, burning sensation, loss of digestive power and lesions have maggots then the prognosis is bad. Vata kapha dominant and single dosha predominated kushtha are easily curable. Whereas kapha pitta and vata pitta dominated kushtha are kricchra sadhya i.e. curable with difficulty.
*If the skin lesion is small, then prachchanna [bloodletting by rubbing with coarse device] should be done. If the skin lesions are large and spread all over body, siravyadha [ venesection] should be done for bloodletting.
*If the skin lesion is small, then prachchanna [bloodletting by rubbing with coarse device] should be done. If the skin lesions are large and spread all over body, siravyadha [ venesection] should be done for bloodletting.