E-ISSN:2456-3110

Review Article

Kushta Roga

Journal of Ayurveda and Integrated Medical Sciences

2024 Volume 9 Number 9 September
Publisherwww.maharshicharaka.in

Need of Rasayana Karma in Kushta Roga

Belavi JA1*, Mohan GV2, Dhanya PR3
DOI:10.21760/jaims.9.9.17

1* Jyoti Ashok Belavi, Post Graduate scholar, Dept of PG studies in Kayachikitsa, Shri Shivayogeeshwara Rural Ayurvedic Medical College and Hospital, Inchal, Karnataka, India.

2 G Vinay Mohan, HOD and Guide, Dept of PG studies in Kayachikitsa, Shri Shivayogeeshwara Rural Ayurvedic Medical College and Hospital, Inchal, Karnataka, India.

3 Dhanya PR, Assistant Professor and CoGuide, Dept of PG studies in Kayachikitsa, Shri Shivayogeeshwara Rural Ayurvedic Medical College and Hospital, Inchal, Karnataka, India.

Skin is the largest organ of the body. The primary function of the skin is protection. It protects the body from external factors such as bacteria, chemicals, and temperature. In Ayurveda, the word Twak is the synonym for the skin. The term Twak is derived from the word ‘Twacha Samvarane’, which means covering.[1] According to Acharya Charaka, Twacha is the Mula of Mamsavaha Srotas[2] and is the Upadhatu of Mamsadhatu.[3] The treatment of Kushta involves Shodhana and Shamana revolving around the concept of Vyadhihara Rasayana. Rasayana Chikitsa is indicated for Swastha as well as Atura just similar to Panchakarma therapy. The effectiveness of the Vyadhihara Rasayana is accelerated if done following the Shodhana Karma.

Keywords: Twacha, Shodhana, Shamana, Vyadhihara Rasayana, Kushta

Corresponding Author How to Cite this Article To Browse
Jyoti Ashok Belavi, Post Graduate scholar, Dept of PG studies in Kayachikitsa, Shri Shivayogeeshwara Rural Ayurvedic Medical College and Hospital, Inchal, Karnataka, India.
Email: 		Belavi JA, Mohan GV, Dhanya PR, Need of Rasayana Karma in Kushta Roga. J Ayu Int Med Sci. 2024;9(9):111-113.
Available From
https://jaims.in/jaims/article/view/3829

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2024-08-14 2024-08-24 2024-09-04 2024-09-14 2024-09-25
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
None Nil Yes 11.13

© 2024by Belavi JA, Mohan GV, Dhanya PRand 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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Jyoti Ashok B et al. Need of Rasayana Karma in Kushta Roga

Introduction

The word Kushtha is derived from “Kushnati Vapuh” meaning that which alters complexion of Body by extracting. It is a chronic disease which presents with ugly texture and altered tactile Perceptions of the skin.[4]

It is combined product of ectoderm as well as of mesoderm. According to Acharya Charaka, All the types of Kushtha are caused due to vitiation of Tridosha with involvement of skin, blood, lymph and muscular issue. Kushta Roga is included under the Ashtamahagadas by Acharyas due to its difficulty in management.[5]

For the cure of Kushta Roga a judicious blend of Shodhana (elimination therapy) Shamana (alleviation therapies) and Bahiparimarjana Kriyas (treatments on the skin surface) are needed with proper Pathya Aharaviharas.[6]

Rasayana Sevana need to be applied to prevent its relapse. This helps to relieve the remaining doshas and make the body tissues healthy. This can act as a permanent cure for the disease.

Aim and Objectives

To establish an effective Medicare Kushta Roga with the help of Rasayana Karma

Materials and Methods

Literary study of Rasayana in Kushta Roga is done by various compiled textbooks, different articles etc.

Literary Review

Kushtha is often translated in English as leprosy, which is not correct because of absence of Mycobacterium leprae, though the appearance of skin lesions of Mahakushtha resemble Leprosy.

Nidana

Aharaja Nidana[7]


  • Viruddha Annapana, excessive intake of Guru, Snigdha, Drava, new grains, curds, fish, salty and sour food items, black grams, radish, food prepared from flour paste, sesame, milk and Jaggery

Viharaja Nidana[8]

  • Excessive exercise and exposure to heat after taking the heavy, Restraining natural urges like vomitingEntering into cold water immediately after one is afflicted with Bhaya, Shrama and
  • Indulging in food and other habits which have been restricted during the phase of Panchakarma.
  • Sexual intercourse immediately after taking food, sleeping during day time, insulting peers like brahmin / Guru.

Sampraapti[9]

The vitiated three Doshas- Vata, Pitta, Kapha along with impaired Tvak, Rakta, Mamsa and Ambu (Lasika) together constitute seven essential entities which play role in pathogenesis of Kushtha.

Kushtha can be classified into seven Mahakushtha (major skin disorders) and Eleven Kshudrakushtha (eleven minor skin disorders). Single Dosha cannot cause Kushtha on its own i.e., Kushtha is not an Nanatmaja (disease caused by single specific Dosha) Disease.

Chikitsa[10]

1. Nidanparivarjana
2. Bahyaparimarjana Chikitsa
3. Antahparimarjana Chikitsa

Apart from these Ayurveda also has given special seat to Rasayana Chikitsa in treatment of Kushta Roga. Rasayana, Vajikarana, Pathya-Apathya Aahara-Vihara, Ritucharya, and Sadvritta are all significant figures in Ayurveda. Many diseases in today’s modern world lack a precise treatment according to current scientific understanding.

It is said that Ayurveda slows down the ageing process and boosts the body’s resistance to illness. Rasayanas can help the body fend off the effects of ageing by strengthening its defences against infections through non-specific activation of immunity, according to scientific studies on plants and Ayurvedic remedies. Antioxidants found in several Rasayana plants shield the body from harm caused by free radicals.

They are also the best at promoting the growth and correct sustenance of all seven tissues (Dhatus). Rasayana Chikitsa is also utilised for the disease’s prophylactic, curative, and promotional elements.


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As the Kushta Roga is relapsing in nature, it requires Shodhana therapy along with the Vyadhihara Rasayana. Skin being the nearest route for drug administration, topical application of the medication may also be adopted along with the combination of Shodhana, Rasayana and Bahirparimarjana modalities of treatment.[11]

It can be implied that addition of oral medication and continuation of topical medication may further add to the regression of the illness bringing about complete remission Along with repetition of Rasayana and Shodhana therapies

Discussion and Conclusion

All the skin diseases in Ayurveda have been discussed under the broad headings of Kustha. Acharya Vagbhata has defined the Kushta Roga as that which causes Vaivarnya and Dushti to the Twacha.[12] For proper diagnostic approach of the disease, lesions are classified into various groups and named in a scientific way.

Since the disease manifestation starts from the Nidana, first line of treatment should be Nidana Parivarjana. It stops in the further progression of the diseases by restricting the vitiation of the Doshas. Kushtha is Tridoshajanya Vyadhi, therefore first predominant Doshas should be treated and then Anubandha Doshas. The treatment of Kushta involves Shodhana and Shamana along with Vyadhihara Rasayana. Rasayana Chikitsa is indicated for healthy as well as diseased. The effectiveness of the Vyadhihara Rasayana is increased when followed along with Shodhana Karma.

References

1. Raja Radha Kanta Deva, Shabda Kalpadruma, Part 2nd, Third Edition, 1967, The Chaukhamba Sanskrit series office, Varanasi, p
2. Acharya Charaka Samhita, Ayurveda Deepika Commentary of Chakrapani datta, Vimana Sthana, 5th Chapter, Edited by Vaidya Yadavaji Trikamji Acharya, Edition: Reprint 2008, Chaukhamba Surbharati Prakashan, p 250.
3. Acharya Charaka Samhita, Ayurveda Deepika Commentary of Chakrapani datta, Chikitsa Sthana, 15th Chapter, Edited by Vaidya Yadavaji Trikamji Acharya, Edition: Reprint 2008, Chaukhamba Surbharati Prakashan, p514.

4. Deshmukh Kushthant. A Complete Textbook on Kustha (Skin Disorders). First Edition, Dhanwantari books and stationeries. Nagpur, 2019, P 8.
5. Raja Radha Kanta Deva, Shabda Kalpadruma, Part 2nd, Third Edition, 1967, The Chaukhamba Sanskrit series office, Varanasi, p
6. Vagbhata, Ashtanga Hridaya with commentary Sarvanga Sundara of Arunadatta and Ayurveda Rasayana of Hemadri, Nidana sthana, Chapter 14, edited by Harisadashiv Shastri Paradkar vaidya, Reprint: 2010, Varanasi: Chaukhamba Surbharthi Prakashana, p 524.
7. Acharya Charaka Samhita, Ayurveda Deepika Commentary of Chakrapani datta, Sutra Sthana, 11th Chapter, Edited by Vaidya Yadavaji Trikamji Acharya, Edition: Reprint 2008 Chaukhamba Surbharati Prakashan, p 78.
8. Agnivesha, Charaka, Dridhbala, Charak Samhita, Chikitsasthana, Hindi Vidyotini Commentary by Kashinath Shastri and Dr. Gorakhnath Chaturvedi, Part 1 & 2, Reprint.: Chaukhamba Bharti Academy, Varanasi; 221 001. Pg.564.
9. Vagbhata, Astanga Hrdayam Nidansthana, edited with Vidyotini’ Hindi Commentary by Kaviraja Atrideva Gupta, edited by Vaidya Yadunandana Upadhyaya Chaukhamba Sanskrit Sansthan, Varanasi; pg237.
10. Agnivesha, Charaka, Dridhbala, Carakasamhita, chikitsa Sthana, Kushtha Part 1 & 2, Reprint.: Chaukhamba Bharti Academy, Varanasi; 221 001. Pg.867.
11. Agnivesha, Charaka Samhita, revised by Charaka & Dridabala, with Ayurveda Dipika commentary by Chakrapanidatta, foreword by Acharya Yadavji 5th edition. Varanasi; Choukhamba Sanskrit Sansthan, 2001; 738: 451.
12. Vagbhata, Ashtangahrdayam, Sarvanga Sundari commentary of Arunadatta and Ayurveda Rasayana commentary of Hemadri, Edited by Bhishagacharya Harishastri Paradakara Vaidya, 9th Varanasi; Choukhambha Orientalia, 2005; 956: 524.


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