Bullous Disorder - An Ayurvedic review study

Abstract

Vesicles and bullae are accumulation of fluid within or under the epidermis. Blisters, whether large bullae or small vesicles, can arise in a variety of conditions. Blisters may result from destruction of epidermal cells (a burn or a herpes virus infection). Loss of adhesion between the cells may occur within the epidermis (pemphigus) or at the basement membrane (pemphigoid). Sometimes, there are associated inflammatory changes in the dermis (erythema multiforme/vasculitis) or a metabolic defect (as in porphyria). In Ayurveda all skin disease have been described under the umbrella of Kustha. Kushtha is divided into two types Maha Kushtha and Kshudra Kushtha. Mahakushtha again divided in to seven types and Kshudra Kushtha into eleven types. Out of eleven types Vishphot is one of them. Vesiculobullous disorder resemble to Vishphot. The objective of this article is to analyze Vishphot and Charmadal its etiology, etiopathogenesis, management from different Ayurvedic literature. Though Vishphot and Charmadal is included under Kushta, hence etiology, etiopathogenesis, and management are same. Sapta Dravya i.e., Three Dosha and Tvak, Rakta, Mamsa, Lasika plays an important role in etiopathogenesis of Kushtha as well as Vishphot having predominance Pitta Kapha Dosha.