By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Ajagallika is likely one of the illnesses talked about below the context of Kshudra Rogas i.e., minor illnesses. The illness is claimed to be manifested primarily in kids. Due to this fact, it may be thought-about as a particular pediatric situation i.e., bala roga. Grasp Srikantadatta opines that this illness can also manifest within the adults however has been seen to predominantly happen within the kids and therefore Grasp Sushruta has careworn and specified the phrase ‘balanam’ i.e., that which happens within the kids, whereas explaining the ajagallika illness.
Learn – Kshudra Roga: Minor Diseases: Symptoms, Ayurvedic Treatment
Dosha predominance – Kapha and Vata are predominantly vitiated in ajagallika.
Tissues concerned – Rasa tissue is principally contaminated by the doshas and therefore the pores and skin is concerned within the illness. Pores and skin is the positioning of manifestation of the illness.
Dimension and form of the lesion – the lesion appears to be like like mudga i.e., a grain of inexperienced gram. Prognosis – this illness is curable.
Treatises wherein ajagallika has been defined –
Signs of Ajagallika
Ajagallika is a lesion occurring as a result of vitiation of kapha and vata. This illness manifests primarily within the kids. The character and options of the blister is as described under –
- Snigdhah – oily look
- Savarnaa – colour just like that of the encircling pores and skin
- Grathita – nodular
- Niruja – painless
- Mudga sannibha – dimension and form of grain of inexperienced gram
Moreover, Nyaya Chandrika commentary tells that the blister may also have dimension and form of masha i.e. black gram aside from resembling a inexperienced gram grain. Due to this fact, ajagallika blister might seem in 2 types both like a inexperienced gram or black gram. The commentary additionally clarifies that the lesions are restricted to the pores and skin and muscle groups and don’t encroach to the deeper tissues.
Pathogenesis
- Publicity to the etiological elements which collectively vitiate kapha and vata
- Simultaneous aggravation of kapha and vata (aggravated vata takes the affiliation of kapha or pulls it into the pores and skin and muscle groups – Nyaya Chandrika commentary)
- The aggravated doshas get lodged within the pores and skin and muscle groups
- Blisters / boils / lesions resembling inexperienced gram or black gram seem that are oily, painless, and nodular and have related colour of the encircling pores and skin
- This situation is named as Ajagallika (manifests primarily in kids)
Sanskrit Verses
Remedy of Ajagallika
The therapy ideas of ajagallika are based mostly on whether or not the lesions are suppurated or non-suppurated. In each these situations the precept of therapy will differ. Due to this fact, the doctor ought to have the ability to differentiate each these situations from the therapy perspective. This additionally displays that the prognosis of the levels of ajagallika is essential for correct and complete therapy to be applied.
This additionally makes us perceive that Ajagallika is of two varieties –
- Apakva – immature / non-suppurated – acute
- Pakva – mature / suppurated – continual
Ajagallika is of two varieties –
- That manifesting in kids
- Grownup kind
Ayurveda has specified that ajagallika is manifested primarily in kids, the dialogue of ajagallika and associated therapy right here is restricted to the illness manifested in kids. The identical ideas of therapy shall be applied in ajagallika manifested in grownup.
Remedy by levels (A.Hr)
- Immature blisters – bloodletting shall be finished. For this jalauka avacharana i.e. leech utility shall be finished.
- Mature blisters – when the lesions get matured and break open, it’s handled on strains of vrana chikitsa i.e. on the strains of treating ulcers / wounds.
The therapy precept of ajagallika has been defined in the same approach in Ashtanga Sangraha.
Bloodletting is finished utilizing leech utility in case of immature illness. Following this the paste of the under talked about herbs shall be utilized on the lesion –
- Yavakshara – alkali of complete plant of barley
- Shukti – pearl oyster
- Saurashtrika – alum
Simply by pricking the blisters of ajagallika with contemporary and sharp thorns of Kantakari (Solanum xanthocarpum) plant they get matured shortly, break open and get healed.
Vrshamuladi Lepa – paste of vrshamula, roots of Adhatoda vasica and vishala – Citrullus colocynthis shall be utilized over the ajagallika lesion. If the blister is difficult, preparations of alkalies shall be utilized or poured on them and break them open.
Trendy correlation
Ajagallika is correlated to a illness of the fashionable time named Molluscum Contagiosum. The form and dimension of the lesion resembling that of inexperienced gram shall be correlated to the pearly papules of molluscum contagiosum with attribute central umbilication.
Molluscum Contagiosum
Molluscum contagiosum is a kind of viral pores and skin an infection. The causative agent (virus) additionally carries the identical title as that of the illness. It is not uncommon in kids however can have an effect on adults additionally, primarily in those that have weakened immune programs. This illness is taken into account as a sexually transmitted illness when genitals are concerned in adults having regular immune system.
Attribute options
The illness is characterised by raised bumps presenting on the higher layers of the pores and skin. Often it’s painless. Most frequently they go away with out being handled. In addition they don’t depart scars once they get resolved. The virus might final for various lengths of time (totally different in numerous people). The lesions can also stay for various intervals of time starting from 2 months to 4 years. In these having weak or compromised immune system, this situation might change into tough to deal with or might trigger extreme results or problems.
How does the illness transmit?
- Direct pores and skin contact with an individual having this virus (person-to-person)
- Touching any object contaminated by the virus
The an infection of molluscum contagiosum would unfold to surrounding pores and skin if the lesions are scratched or injured.
Causes
This illness is brought about when one acquires M. contagiosum virus, a kind of poxvirus. Lively lesions of the sufferers can transmit the virus. The transmission may also occur from the pores and skin of 1 a part of the physique to the pores and skin of different elements of the physique of the identical individual.
Transmission of Molluscum Contagiosum
M. contagiosum virus might cross from one individual to the opposite in some ways. Pores and skin contact with contaminated individual might happen by
- touching the lesions of an contaminated individual,
- amongst kids whereas taking part in,
- attributable to sexual contact in adults
- throughout contact sports activities
Floor contact – one can contact the virus by touching the surfaces which the contaminated individual had touched, like contaminated clothes, toys and so forth.
Sharing – sharing the sports activities tools utilized by the contaminated individual. Instance, soccer helmets, wrestling mats, baseball gloves and so forth
Inner unfold – after getting contacted the virus the an infection would possibly unfold all through the physique. Equally the an infection / virus might unfold from one a part of the physique to a different. This occurs by touching different a part of the physique after touching, scratching, rubbing or shaving (over a bump).
Different factors of curiosity –
- Transmission is discovered to happen extra in moist environments.
- The virus wouldn’t unfold to different individual if the lesions should not lively / not seen.
In accordance with specialists it’s possible that swimmers transmit this virus by many issues like shared towels, equipments, or pores and skin contact. So it could be widespread situation in swimmers.
Signs
The signs could also be seen generally between 2-7 weeks after one acquires the molluscum contagiosum virus. A small group of painless bumps might seem at first. The looks of bumps might differ. They could happen as a single bump or a patch comprising of as many as 20 or extra bumps.
The attribute look of bumps in molluscum contagiosum –
- Dimension – small, 2-5 millimeters in diameter/ dimension varies from that of the top of a pin to that of an eraser on the pencil high
- Texture – Shiny / clean
- Shade – white, pink or flesh coloured
- Form – agency, raised, dome or spherical formed with a pit / dimple / indentation within the center (elevated on the perimeters and depressed on the heart)
- Content material – waxy materials filling the central core
- Location – wherever, besides on palms or soles, particularly discovered on the face, neck, stomach, arms, armpits, fingers, legs or torso in kids and over inside thigh, genitals (if the an infection is sexually transmitted) and stomach in adults
- Modifications – bumps might change into crimson, infected or itchy
Issues
- Disseminated secondary eczema
- Impetigo
- Conjunctivitis
- Widespread and bigger than normal molluscum contagious most frequently manifested on the face (primarily in these with compromised immunity)
- Sudden scarring with pitted look (could also be attributable to surgical procedure additionally)
- Immune response to an infection – the bumps and pores and skin across the lesions might change into crimson and infected.
- An infection of bumps happen if they’re scratched
- If the lesions happen on the eyelids, conjunctivitis can develop.
Threat elements
Anybody can contact the an infection of this virus and might endure from the illness. However the under talked about usually tend to purchase the virus greater than the others and therefore are the danger elements of the illness –
- Youngsters between 1-10 years age group
- These dwelling in tropical climates
- These having atopic dermatitis
- Having weak immune programs
- These collaborating involved sports activities
Prognosis
Bodily examination – the physician will diagnose molluscum contagiosum after analyzing distinct traits and look as defined above.
For affirmation, pores and skin biopsy could also be suggested. It is because molluscum contagiosum must be differentially recognized with pores and skin most cancers, warts and chickenpox.
Prevention
One ought to keep away from touching the pores and skin of one other one who has been contaminated with molluscum contagiosum. That is the easiest way to forestall getting contaminated.
Easy methods to stop spreading the an infection?
If you’re contaminated with molluscum contagiosum chances are you’ll comply with the under talked about measures to forestall spreading the an infection to others –
- Make a daily observe of washing hand with heat water and cleaning soap. Additionally instruct the kids at hand wash recurrently and practice them with correct hand washing strategies.
- Don’t share private gadgets like towels, clothes, soaps, hair brushes and so forth with others.
- Keep away from sharing different’s sport tools or yours with others.
- One ought to keep away from touching the lesions / bumps on his / her personal physique or these of contaminated individual. Shaving over the contaminated areas may also unfold the virus.
- Frequently clear the bumps and hold them coated.
- One ought to alert the others to not contact him or his supplies if he / she are contaminated with M. contagiosum.
- These having lesions within the genital space ought to keep away from sexual contact till they’re fully handled and the lesions have completely disappeared.
- Whereas swimming one shall cowl the lesions with a water-tight bandage.
Remedy
Most instances the lesions of molluscum contagiosum will go away with out therapy. Remedy may not be required in any respect if the individual has a wholesome immune system. Because the lesions are too contagious the medical doctors would advise them to be eliminated earlier than they disappear on their very own. Combos of remedies often work which embody a methodical combination of scraping, cryotherapy and utility of medicines that causes blisters which carry off the bumps.
Proper time to see the physician
- Lesions are bigger than regular, situated on face and neck
- Having atopic dermatitis
- Acquired therapy that reduces immunity
- Acquired a well being downside that reduces immunity
- Having low immunity
- Having considerations about spreading the virus to others
Medicinal remedies
A number of of the under talked about therapies could be efficient for these affected by molluscum contagiosum –
- Cryotherapy – freezing the lesions / bumps with liquid nitrogen
- Curettage – piercing and scraping off the lesions / bump
- Laser remedy
- Topical remedy – utility of lotions or chemical substances
Medicines
- Lotions containing iodine and salicylic acid / potassium hydroxide
- Trichloroacetic acid
- Cantharidin utility
- Imiquimod (T cell modifier)
Pregnant ladies, ladies planning being pregnant and people breastfeeding shall take warning earlier than taking these medicines. They need to let their physician to know their standing. For HIV sufferers contracting molluscum contagiosum, ART (Antiretroviral Remedy) is the best therapy.
Prognosis
The illness resolves all by itself in these having good immunity. It typically takes about 6-12 months for the decision to happen with out scarring. In many individuals it could take few months or years earlier than the bumps of molluscum contagiosum disappears. In these with compromised immunity or having issues associated to immune system the an infection might change into extra persistent and may also last more.
The an infection or virus now not stays within the physique as soon as the lesions fade out. Throughout this era one won’t unfold the virus to others or to at least one’s personal elements. The bumps will reappear if one will get contaminated as soon as once more. One can get contaminated as soon as once more despite having bought contaminated as soon as, extra so if the immunity tapers within the coming days.
