E-ISSN:2456-3110

Review Article

Prameha Pidika

Journal of Ayurveda and Integrated Medical Sciences

2024 Volume 9 Number 8 AUGUST
Publisherwww.maharshicharaka.in

Role of Dashanga Lepa in Prameha Pidika

Kahi A1*
DOI:10.21760/jaims.9.8.24

1* Ashima Kahi, Undergraduate Student Scholar, Jammu Institute of Ayurveda and Research, Jammu, India.

Diabetes is a sickness recognized for its multifaceted headaches. Diabetic ulcer is one of the primary complications of diabetes. Diabetes impacts more than 8% of Indian person population. Up to 25% of diabetic sufferers develop foot ulcers. greater than 1/2 of foot ulcers come to be inflamed and require hospitalization and 20% of infections outcomes in amputation. Early powerful control can reduce the severity of complications along with preventable amputations and viable mortality and can also enhance universal pleasant of lifestyles. thousands of researches are being executed in this in which Ayurveda has a main role. distinctive numbers of Prameha Pidakas are cited in Ayurvedic Classics, according to Acharya Sushruta there are 10 distinctive styles of Prameha Pidakas. Dashanga Lepa is a poly herbal practice of Ayurveda, used to treat many skin ailments and Prameha Pidaka. In this article details description regarding Prameha Pidaka and Dashanga Lepa is explained.

Keywords: Prameha Pidaka, Dashanga Lepa, Diabetes, Diabetic ulcer

Corresponding Author How to Cite this Article To Browse
Ashima Kahi, Undergraduate Student Scholar, , Jammu Institute of Ayurveda and Research, , Jammu, India.
Email: 		Kahi A, Role of Dashanga Lepa in Prameha Pidika. J Ayu Int Med Sci. 2024;9(8):163-166.
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https://jaims.in/jaims/article/view/3738

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2024-07-14 2024-07-24 2024-08-05 2024-08-14 2024-08-21
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
None Nil Yes 13.36

© 2024by Kahi Aand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

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Ashima K et al. Role of Dashanga Lepa in Prameha Pidika

Introduction

The word Prameha can be defined as a condition where there is excess urine flow.[1] The word Pidaka means 'Yat Peedayanti Tat Pidak' that which causes Peeda or Vyatha or Vedana. 'Spota Visheshaha Pidak'.[2]

The suppurative lesion is also called as Pidaka. The aetiopathogenesis of Prameha Pidaka also follows the same path as that of the Prameha. When the Vasa and Meda Vyapta Pramehi consumes the Nidaanarthakara Bhavaas, Kapha Dosha vitiates and further vitiate Pitta and Vata. These vitiated Doshas settles in the Meda Dhatu and Vasa i.e., Sneha of Mamsa and manifests the Prameha Pidakas in the Pramehi.[3],[4]

Prameha Pidakas are explained in Ayurvedic texts as one of the complications of Prameha. There are much less study on comparing of Prameha Pidakas to allopathic science. Prevalence of Diabetes is 8.3% (95% CI 7.3-9.4%) where as prevalence of pre- diabetes is 6.3% (5.4 7.3%) in India. Out of all persons with Diabetes, only 18% were known case of Diabetes and are on treatment, among whom only about one- third had controlled blood glucose status. Various references regarding Prameha Pidakas are found right from Vedic period. Review of literature.[5,6]

Prameha Pidakas are ten in number as explained by Acharya Sushruta. They are,

  • Sharavika
  • Kachchapika
  • Jalini
  • Vinata
  • Alaji
  • Masurika
  • Sarshapika
  • Putrini
  • Savidarika
  • Vidradhi

Brihatatryis have described Prameha Pidaka as a major complication of Prameha. These Pidakas are mainly found in muscular region, joints and vital points (Marmas). Prameha Pidakas can also manifest in the persons without Prameha.

Sharavika

Pidaka which is raised at the margin and dipped in its center, so as to resemble as Saucer in its shape and is called as Sharavika. It can be compared with the stage of the venous ulcer associated with the diabetic foot. It is also having the sloping edges, looks like the saucer, this lesion can be compared with Sharavika.

Sarshapika

Pimples or pustules resembling white mustard seeds are called Sarshapika. Pyoderma affecting the hair follicles, classified according to depth of invasion. Superficial folliculitis also known as Bockhart's impetigo. A small fragile dome shaped pustule occurs at the infundibulum of the hair follicle. This superficial folliculitis looks like the Shweta Sharshapa.

Kacchapika

A skin lesion, resembling the back of a tortoise in shape with burning sensation is called Kacchapika. Acanthosis nigricans is a non-specific reaction pattern involving major body folds and mucocutaneous regions characterised by hyper-pigmented, velvety, soft, verrucous lesions in a symmetric fashion. Acanthosis nigricans is usually associated with the Diabetes mellitus. So it looks like back of tortoise if associated with infection

Jaalini

A lesion studded with slender vegetations of flesh and with intolerable burning sensation is called Jaalini. Diabetic dermopathy superimposed with infections or Carbuncles, a cluster of furuncles, more extensive, deeper communicating, infiltrating lesions that develops when suppuration occurs in elastic skin. This can be compared with Jaalini.

Vinata

A large blue colour lesions appearing on the back or the wall of the abdomen and exuding as slimy secretion and with deep-seated pain is called Vinata.

Necrobiosis lipoidica diabeticorum, a dull red raised area on the skin that evolves into a shiny scar with a violet border, most often on the shin. There is telangiectasia with blood vessels easily visible under the skin. The area will be itchy and painful and crack open. This looks like Vinata.


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Ashima K et al. Role of Dashanga Lepa in Prameha Pidika

Putrini

A thin and extensive, studded with serous fluid/pus packets is called Putrini. Bullosis diabeticorum, also known as Bullous disease of diabetes and diabetic bullae, is rare, distinct, spontaneous, non-inflammatory, blistering condition of unknown etiology occurring in the setting of diabetes mellitus. Although bullous disease of diabetes lesions often heal without significant scarring, they may be recurrent and also may lead to ulceration. There have also been reports of osteomyelitis arising at a site of bullous disease of diabetes and reports of amputation due to infection. This can be compared with Putrini.

Masurika

Pimples to the size of lentil seeds are called Masurika. Eruptive xanthomas appear as firm, yellow, waxy pea-like bumps on the skin. The bumps which are surrounded by red halos and are itchy, usually are found on the face and buttocks. This looks like Masurika.

Alaji

A dreadful abscess which is of a red and white colour studded over with blisters or exuding vesicles is called Alaji. Bacterial infections commonly affecting the skin spreads quickly in diabetic individuals. Bacteria viz., Staphylococcus are more common and more serious in people with uncontrolled diabetes. This can be compared with Alaji.

Vidarika

A hard and round abscess as large as a (full-grown) gourd is called Vidarika. Scleroderma diabeticorum, while rare, this skin problem affects people with type 2 diabetes, causing a thickening of the skin on the back of the neck and upper back. This skin lesion looks like the Vidaarikanda.

Vidradhi

An abscess of the Vidradhi type is called Vidradhika. Abscess is a localized collection of pus in the cavity lined by granulation tissue, covered by pyogenic membrane.

Discussion

Dashanga Lepa[7] is a polyherbal formulation consisting of 10 different herbs,

such as, Shirisha (Albizzia lebbeck), Yashtimadhu (Glycyrrhiza glabra), Tagara (Valeriana wallichi), Rakta Chandana (Pterocarpus santalinus), Ela (Elettaria cardomum), Jatamanshi (Nardostachys jatamansi), Haridra (Curcuma longa), Daruharidra (Berberis aristata), Kushta (Saussurea lappa), and Sugandha Bala (Coleus vettiveroides).[8] It is used as a topical treatment in conditions like Visarpa (herpes), Visha Visphota (skin eruptions due to poison) and Dushta Vrana (non-healing wound). This formulation is found to be safe and dermatological manifestations are extremely rare. This article discusses a case of skin rash in a patient with rheumatoid arthritis, on the site of application of Dashanga Lepa. There is a strong association between the event and formulation. This kind of reaction with Dashanga Lepa is rare and unexpected. Recurrence of such a type of reaction is avoidable by properly detecting, evaluating, understanding and reporting such an event. The technique of preparation of the Lepa, which the physician has followed is bit a different from the standard reference. As per classics, all the 10 ingredients need to be powdered and made into a Kalka (semisolid paste) form and during application it is to be mixed with Ghritha (Ghee). Here Ghritha may help in preventing the toxic effects of the formulation and moreover, Ghritha has an antidotal effect in Pitta Prakriti.[9] Many of ingredients of Dashanga Lepa have not been reported for their toxicity. However, Veleriane alkaloid, which is an active chemical constituent of Tagara (Valeriana wallichi) and Jatamansi (Nardostachys jatamansi) has been reported to produce allergic reactions and contact dermatitis.[10] Furthermore, Costus oil (Kushta) has been seen to result in allergic contact dermatitis when used externally.[11] Hence, in this case, we believe that the event may have occurred because of improper selection of the treatment vehicle or sensitivity of some ingredients of the Dashanga Lepa.

Conclusion

Dashanga Lepa is an Ayurvedic Lepa (Semi-strong paste) containing ten substances and carried out topically to treat numerous skin infections along with Visarpa (Herpes), Visha Visphota (pores and skin eruptions due to poison) and Dushta Vrana (non-recovery wound), swellings, boils, migraine, headache, ulcer, pores and skin poisons erysipelas, and many others.


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Dashanga Lepa is cited in several Ayurvedic literatures and clinically used as an agent in diverse sicknesses. it's miles used by making a paste with lukewarm cow's pure butter (Gau Ghrita) as an outside software. All Acharya cited using Dashanga Lepa inside the situation of Visarpa (Erysipelas or Cellulitis) and in Shotha (Inflammatory edema).

References

1. Acharya YT, Caraka Samhita, Ayurveda Dipika Commentary of Chakrapanidatta, Sutrasthana, Chapter 17", 82 Shloka, Reprint., Varanasi, Chaukhambha orientalia: 2011.p.103.
2. Bahaddhur Syar Raja Radhakantadeva, Shabdakalpadruma, 1" edition, 3 reprint., Delhi, Naag publications, 2006, p.140/141
3. Shastri Ambikadutta K, Sushrutha Samhitha of Maharshi Sushruta, Edited with Ayurveda Tatwal Sandipika, Nidana Sthana, Chapter 6, 16 Shloka, 1" Edition, Reprint., Varanasi, Chaukhamba Sanskrit Sansthan, 2014;p.329.
4. Acharya YT, Caraka Samhita, Ayurveda Dipika Commentary of Chakrapanidatta, Sutrasthana, Chapter. 17 82 Shloka, Reprint., Varanasi, Chaukhambha orientalia: 2011.p.103.
5. Shastri Ambikadutta K, Sushrutha Samhitha of Maharshi Sushruta, Edited with Ayurveda Tatwal Sandipika, Nidana Sthana, Chapter 6, 16 Shloka, 1" Edition, Reprint., Varanasi, Chaukhamba Sanskrit Sansthan, 2014;p.329.
6. Acharya YT, Caraka Samhita, Ayurveda Dipika Commentary of Chakrapanidatta, Sutrasthana, Chapter 17 82 Shloka, Reprint., Varanasi, Chaukhambha orientalia: 2011.p.103.
7. Sharma SP, editor. Hindi translation. 7th ed. Varanasi: Chaukhambha Amara BharataPrakashana; 1977. “11th Adhyaya. Uttarasthana” Sharangadhara Samhita; p. 415. [Google Scholar]
8. Vaidhya BG, editor. Hindi translation. 2. Varanasi: Chaukhambha Bharati Academy; 2005. “547th Drug” Nighantu Adarsha; p. 733
9. Trikramji AJ, editor. Charaka Samhita. 5th ed. Varanasi: Chaukhambha Sanskrit Sansthan; 2006. “13th Adhyaya” Sutra sthana; p. 399. [Google Scholar]
10. Kemper KJ. Valerian. Longwood Herbal Task Force (Internet) 1999. [Last accessed on 2011 Jul 13]. Available from: http://www.longwoodherbal.org/valerian/valerian.pdf.

11. Gupta KA, Neeraj T, Madhu S, editors. Vol. 4. New Delhi: Indian Council of Medical Research; 2006. Quality standards of Indian medicinal plants; p. 212.


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