Concept of Sakuni Bala Graha with special reference to impetigo -A Review

Abstract

Background: Graha Chikitsa is one among Astanga Ayurveda which deals with the management of Graha roga. Sakuni is a type of graha which affects skin. By nature Graha are not visible by naked eye due to which they can be understood as microorganisms causing various diseases. According to the contemporary system, Shakuni graham can be compared to Impetigo. Prevalence of Impetigo in childhood is 40.2 % in 2015. It is affected more in children than adults.Aim & Objectives: To review sakuni graha and its similarities and differences with Impetigo in children.Methodology: Review of classical Ayurveda literature along with contemporary text books, journals and internet sources were reviewed.Discussion: Sakuni graha roga is described by Acharya Vagbhata and Sushruta. Clinical features of Sakuni graha are flaccidity on extremities, loose stools, ulcers on tongue, palate and throat along with papules/pustules on joints, excoriations on anal region and buccal cavity, frightened look, fever, smell of birds.Impetigo is the commonest bacterial infections in children. It is caused by bita-hemolytic streptococci or staph ,aureus, typically begin exposed part of the body after a breach in skin continuity. Initial lesions appear as a tiny vesicle or pustule, which rapidly develops in to a honey colored crusted plaque without much pain/ erythema. Conclusion: Sakuni is a graha roga which is manifested as skin disease. It can be correlated with Impetigo due to same features like pustules on skin seen in infant. But it can different other features like diarrhea, arthritis.