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→5.Alasaka kushtha
====== 5.''Alasaka kushtha'' ======
====== 5.''Alasaka kushtha'' ======
Ganda here means nodular growth. Chronic and repetitive scratching, picking or rubbing may result in permanent changes to the skin, including nodular lichenification (ganda), hyperkeratosis, hyperpigmentation (rāga) and skin thickening.
''Ganda'' here means nodular growth. Chronic and repetitive scratching, picking or rubbing may result in permanent changes to the skin, including nodular lichenification (''ganda''), hyperkeratosis, hyperpigmentation (''rāga'') and skin thickening.
Nodular prurigo cause is unknown. It is uncertain whether scratching leads to lumps, or if the lumps appear before they are scratched. The reason for the lumps, the inflamation and the increased activity and size of nerves in the skin is under investigation but remains unknown
Nodular prurigo cause is unknown. It is uncertain whether scratching leads to lumps, or if the lumps appear before they are scratched. The reason for the lumps, the inflamation and the increased activity and size of nerves in the skin is under investigation but remains unknown.
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 vāta and kapha 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 vāta and kapha in causing dryness is already been discussed.
Vichārchikā:
'''Vichārchikā:'''
It is caused by kapha dominated condition. Kapha by its snigdha, guru, mridu and sita guna when increased above normal condition it leads to obstructive changes at the integumentary system. Reduced blood supply causes blackish brown discolouration. 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 sita guna when increased above normal condition it leads to obstructive changes at the integumentary system. Reduced blood supply causes blackish brown discolouration. 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 resembelance
Table 2. Comparison of Ksudhra kustha with its Modern resembelance