Abstract
Skin diseases are commonly observed day by day due to altered life style, improper hygiene, mental stress, over eating and nutrition deficiency. All the skin diseases in Ayurveda have been discussed under the broad heading of Kushtha, which are further divided into Mahakushtha and Kshudra Kushtha. Kapala kushtha is a type of Mahakushtha with symptoms like blackish red skin patches, which resembles pot sherds, dry, rough, thin, wide, of uneven edges with severe pain and less itching. It can be compared to scleroderma; the first specific clinical symptoms to suggest a diagnosis of scleroderma is skin thickening. Later the skin becomes hard, shiny, leathery and hardens like a stone. This article highlights a case study of Kapala Kushtha treated with the Ayurvedic principles in particular Shodhana Chikitsa; the therapy which expels out the morbid Doshas from the body. Kushtha is difficult to cure, so it is called ‘Dushchikitsya’ but by the application of Shodhana therapy, cure of the diseases becomes easier due to removal of the root cause. Here is a case study of 67yrs/female having signs and symptoms of Kapala kushtha. The patient was admitted and managed with Shodhana Chikitsa (purification) which included Raktashodhak Ksheer Basti (medicated enema) and Virechan (purgation) followed by Shaman Chikitsa (pacification) and the results with rationality have been depicted in this article.
Highlights
Skin is the largest protective organ of the body for both internal and external environment
All the skin diseases in Ayurveda have been discussed under the broad heading of Kushtha, which are further divided into Mahakushtha and Kshudra Kushtha
This article highlights a case study of Kapala Kushtha treated with the Ayurvedic principles in particular Shodhana Chikitsa; the therapy which expels out the morbid Doshas from the body
Summary
Skin is the largest protective organ of the body for both internal and external environment. It reflects pathological, physiological, metabolic conditions of the body and it helps in diagnosis of disease. According to Ayurveda, twacha is considered as the first line of defence of the body. Disease which manifests in the seven layers of twacha are considered as twakaroga which involve 7 factors like 3 Doshas and 4 Dushyas i.e twaka, rakta, mamsa, lasika (1). Acharyas have described that all Kushtha have tridosha involvement but the type of Kushtha depends on the predominance of particular Doshas (2). The nature of Kushtha roga is described by Acharya Charaka by the term Dirgharoga and its importance lies in the fact that, it is considered as one among the eight Mahagadas by Acharya Vagbhata and Sushruta (3). Changing lifestyle like eating ice cream at night, consumption of undigested & heavy food, unhealthy diet, stress enhance
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