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Vamana And Virechana In The Therapy Of Kushta


By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Kushta is a time period which incorporates many pores and skin issues. Based on Ayurveda there are 18 sorts of kushta. All sorts of kushtas are precipitated resulting from aggravation of all three doshas. Regardless of all three doshas being concerned within the causation of kushtas one or the opposite doshas might be predominant. On account of extreme aggravation of doshas within the pathogenesis of kushta, cleaning therapies must be administered steadily since there might be probabilities of recurrences. That is achieved by skillful administration of Panchakarma therapies relying on the predominance of doshas within the causation of the illness. Vamana is one among the many 5 therapies of Panchakarma and is most well-liked in ailments brought on by predominant aggravation of kapha. Vamana can be a most well-liked remedy in Kushtas brought on by predominant vitiation of kapha.
Learn – Maha Kushta: Main Pores and skin Ailments, Signs, Prognosis

Vamana In The Therapy of Kushta

Vamana in Kapha predominant Kushta
Vamana i.e. therapeutic emesis has been stated to be the remedy of selection within the pores and skin issues brought on by vitiated kapha. Broadly two situations are defined pertaining to administration of vamana in Kushta by Grasp Charaka.

1. In kapha predominant kushta
As a rule vamana – therapeutic emesis shall be administered as the primary line of remedy in kapha predominant kushtas. It’s the greatest remedy for kapha predominant kushtas. Repeated emesis remedy will even forestall the recurrence of kapha predominant kushta and supply immunity towards the illness. Due to this fact, exact analysis of kapha predominant kushtas by recognizing the signs manifested therein is essential from doctor’s perspective.

The place to get the formulations for emesis from?
Grasp Charaka tells that the formulations for emesis as talked about and defined in Kalpa Sthana part (of Charaka Samhita) shall be chosen for emesis remedy. Although there are 6 chapters devoted for emesis therapies and formulations in Kalpa Sthana part there are solely finger depend formulations during which ‘kushta’ has been talked about as a sign. They’re as beneath talked about.

a. Use of Ikshvaku – Lagenaria siceraria
The pulp of Iksvaku is blended with whey and brought by the affected person affected by obstinate pores and skin ailments together with leprosy. The identical formulation can be suggested for sufferers of anemia and toxicities.
Learn – Leprosy Consciousness: Early Detection Is Necessary

b. Use of Krtavedhana – Luffa acutangula
Krtavedhana is exceedingly pungent, sharp and scorching in nature. It’s helpful in deep seated ailments, primarily kushta vis-à-vis obstinate pores and skin ailments together with leprosy. Krtavedhana can be successfully used within the remedy of ailments together with anemia, splenic issues, edema, phantom tumors and toxicosis.

Can different herbs talked about in Kalpa Sthana even be utilized in remedy of Kushta?
Different herbs will also be used although kushta has solely been talked about within the context of Ikshvaku and Krtavedhana. Since emesis is run in kapha predominant kushta all emetics talked about in Kalpa Sthana part might be helpful and the doctor shall use them as per the necessity and in absence of availability of ikshvaku or krtavedhana.
Learn – Vamanopaga Gana: Emesis Aiding Herbs: Overview, Advantages, Formulations

2. In Kushtas manifesting in higher elements of the physique
In case of Kushtas manifesting within the higher elements of the physique, when there’s aggravation of doshas primarily kapha within the chest, emesis must be administered utilizing shitarasa (chilly decoction / juice) or pakvarasa (processed / scorching decoction) of the beneath talked about herbs blended with the juice of neem –

  • Kutajaphala / Indrayava – fruit or seeds of Holarrhena antidysenterica
  • Madanaphala – fruits of Randia dumetorum
  • Madhuka – Glycyrrhiza glabra
  • Patola – Trichosanthes dioica

Honey and Licorice are additionally used as efficient emetics on this situation.
Learn – Guidelines For Vamana and Virechana Therapy- Charak Samhita Sutrasthan 15

Kapha predominant Kushtas

1. Kushtas brought on by solely kapha vitiation
Kapha is predominantly vitiated within the beneath talked about Kushtas –

  • Mandala Kushta – Maha Kushta (main pores and skin illness)
  • Vicharchika – Kshudra Kushta (minor pores and skin illness)

2. Kushtas brought on by affiliation of kapha with different doshas –
In these situations emesis is given provided that kapha is extra dominant compared to the opposite related dosha and if the situation displays the necessity of emesis and if the affected person is eligible to endure the identical. Although this has not been talked about within the classics, right here we have now talked about this to provide an expanded imaginative and prescient and discipline of utilization of emesis within the remedy of kapha predominant kushtas. The selection to manage emesis or not is completely disregarded to the skillful determination of the doctor treating these situations.

Kapha-Pittaja Kushtas – Kapha related to pitta in –

Sl No Identify of Kushta Kind of Kushta
1 Pundarika Maha Kushta
2 Pama Kshudra Kushta
3 Shataru Kshudra Kushta
4 Visphota Kshudra Kushta
5 Dadru Kshudra Kushta
6 Charmadala Kshudra Kushta

Vata-Kaphaja Kushtas – Kapha vitiated with vata in –

Sl No Identify of Kushta Kind of Kushta
1 Sidhma Maha Kushta
2 Charma Kushta Kshudra Kushta
3 Eka Kushta Kshudra Kushta
4 Kitibha Kshudra Kushta
5 Vipadika Kshudra Kushta
6 Alasaka Kshudra Kushta

Sanskrit Verses

Virechana In The Therapy Of Kushta

Vamana or virechana – therapeutic purgation or a combo of each are administered to get rid of the morbid doshas and deal with the kushtas comprehensively. Virechana is most well-liked within the ailments brought on by predominant aggravation of pitta. Purgation can be a most well-liked remedy in pores and skin ailments brought on by predominant vitiation of pitta.
Learn – Virechana Remedy – Proper Technique, Facet Results, Administration

Virechana in Pitta predominant Kushta

As a rule virechana – therapeutic purgation shall be administered as the primary line of remedy in pitta predominant kushtas. Purgation is one of the best remedy for morbid pitta in addition to healing of pitta predominant kushtas. Recurrence of pitta predominant kushta might be prevented by repeated administration of purgation remedy. It additionally would supply immunity towards the illness. Due to this fact, exact analysis of pitta predominant kushtas by recognizing the signs manifested therein is essential from the doctor’s perspective. Aside from virechana, raktamokshana can be talked about as one of many remedy decisions within the remedy of pitta predominant kushtas. Due to this fact purgation and bloodletting are one of the best remedies for pitta predominant kushtas and shall be selectively administered.

The place to get the formulations for purgation from?
Grasp Charaka tells that the formulations for purgation (and likewise emesis) as talked about and defined in Kalpa Sthana part (of Charaka Samhita) shall be chosen for purgation remedy. There are 6 chapters devoted for purgation therapies and associated formulations in Kalpa Sthana part, there are solely few formulations during which ‘kushta’ has been talked about as a sign. They’re as beneath talked about.

Trivrt – Operculina turpethum
Trivrt is without doubt one of the elements of Kalyanaka Guda, a formulation defined in chapter 7 of Kalpa Sthana of Charaka Samhita. This formulation has been indicated as a purgative in lots of issues. Among the many indications Kushta – pores and skin issues has additionally been talked about.

Maha-Vrksha / Sudha – Euphorbia neriifolia
Sudha is without doubt one of the greatest purgative cures and has been indicated in lots of ailments. It’s stated that if correctly administered Sudha rapidly eliminates the doshas even when they’re excessively gathered. Among the many indications for the utilization of Sudha, kushta – obstinate pores and skin issues together with leprosy has been talked about.

Saptala and Shankini – Euphorbia pilosa and Euphorbia dracanculoides
Kushta – pores and skin issues has been talked about amongst the indications for administration of saptala and shankini as purgative.

Can different herbs talked about in Kalpa Sthana (purgative herbs and formulations ready from the identical) even be utilized in remedy of Kushta?
The opposite herbs talked about in Kalpa Sthana will also be used for administering purgation although kushta has solely been talked about within the context of Kalyanaka Gudam (Trivrt), Mahavrksha, Saptala and Shankini. Since purgation is run in pitta predominant kushta all purgatives talked about in Kalpa Sthana part is beneficial and the doctor shall use them as per the necessity and in absence of availability of the talked about herbs.

Pitta predominant Kushtas

1. Kushtas brought on by solely pitta vitiation
Pitta is predominantly vitiated in Audumbara / Udumbara Kushta – Maha Kushta (main pores and skin illness)

2. Kushtas brought on by affiliation of pitta with different doshas
In these situations virechana is given if pitta is predominant compared to the opposite related dosha and if the situation displays the necessity of purgation and if the affected person is eligible to endure the identical. This has not been talked about within the classics, right here it’s talked about to provide an expanded imaginative and prescient of utilization of purgation within the remedy of pitta predominant kushtas.

Kapha-Pittaja Kushtas – Kapha related to pitta in –

Sl No Identify of Kushta Kind of Kushta
1 Pundarika Maha Kushta
2 Pama Kshudra Kushta
3 Shataru Kshudra Kushta
4 Visphota Kshudra Kushta
5 Dadru Kshudra Kushta
6 Charmadala Kshudra Kushta

Vata-Pittaja Kushtas – Pitta vitiated with vata in –

Sl No Identify of Kushta Kind of Kushta
1 Rshyajihva Maha Kushta

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