Vamana And Virechana In The Treatment 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 problems. In line with Ayurveda there are 18 kinds of kushta. All kinds of kushtas are induced as a consequence of aggravation of all three doshas. Regardless of all three doshas being concerned within the causation of kushtas one or the opposite doshas shall be predominant. As a consequence of extreme aggravation of doshas within the pathogenesis of kushta, cleaning therapies needs to be administered incessantly since there shall 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 attributable to predominant aggravation of kapha. Vamana can be a most well-liked therapy in Kushtas attributable to predominant vitiation of kapha.
Learn – Maha Kushta: Major Skin Diseases, Symptoms, Prognosis

Vamana In The Remedy of Kushta

Vamana in Kapha predominant Kushta
Vamana i.e. therapeutic emesis has been mentioned to be the therapy of selection within the pores and skin problems attributable to vitiated kapha. Broadly two circumstances 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 therapy in kapha predominant kushtas. It’s the finest remedy for kapha predominant kushtas. Repeated emesis remedy may even forestall the recurrence of kapha predominant kushta and supply immunity in opposition to 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 rely formulations by which ‘kushta’ has been talked about as a sign. They’re as under 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 Awareness: Early Detection Is Important

b. Use of Krtavedhana – Luffa acutangula
Krtavedhana is exceedingly pungent, sharp and sizzling 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 therapy of ailments together with anemia, splenic problems, edema, phantom tumors and toxicosis.

Can different herbs talked about in Kalpa Sthana even be utilized in therapy of Kushta?
Different herbs may 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 shall 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: Review, Benefits, 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 needs to be administered utilizing shitarasa (chilly decoction / juice) or pakvarasa (processed / sizzling decoction) of the under 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 – Rules For Vamana and Virechana Treatment- Charak Samhita Sutrasthan 15

Kapha predominant Kushtas

1. Kushtas attributable to solely kapha vitiation
Kapha is predominantly vitiated within the under talked about Kushtas –

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

2. Kushtas attributable to affiliation of kapha with different doshas –
In these circumstances 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 bear the identical. Although this has not been talked about within the classics, right here we’ve got talked about this to present an expanded imaginative and prescient and area of utilization of emesis within the therapy of kapha predominant kushtas. The selection to manage emesis or not is completely not noted to the skillful determination of the doctor treating these circumstances.

Kapha-Pittaja Kushtas – Kapha related to pitta in –

Vata-Kaphaja Kushtas – Kapha vitiated with vata in –

Sanskrit Verses

Virechana In The Remedy Of Kushta

Vamana or virechana – therapeutic purgation or a combo of each are administered to eradicate the morbid doshas and deal with the kushtas comprehensively. Virechana is most well-liked within the ailments attributable to predominant aggravation of pitta. Purgation can be a most well-liked therapy in pores and skin ailments attributable to predominant vitiation of pitta.
Learn – Virechana Therapy – Right Method, Side Effects, Management

Virechana in Pitta predominant Kushta

As a rule virechana – therapeutic purgation shall be administered as the primary line of therapy in pitta predominant kushtas. Purgation is the very 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 offer immunity in opposition to 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. Other than virechana, raktamokshana can be talked about as one of many therapy decisions within the therapy of pitta predominant kushtas. Due to this fact purgation and bloodletting are the very best therapies 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 by which ‘kushta’ has been talked about as a sign. They’re as under talked about.

Trivrt – Operculina turpethum
Trivrt is likely one of the components 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 problems. Among the many indications Kushta – pores and skin problems has additionally been talked about.

Maha-Vrksha / Sudha – Euphorbia neriifolia
Sudha is likely one of the finest purgative cures and has been indicated in lots of ailments. It’s mentioned that if correctly administered Sudha shortly eliminates the doshas even when they’re excessively gathered. Among the many indications for the utilization of Sudha, kushta – obstinate pores and skin problems together with leprosy has been talked about.

Saptala and Shankini – Euphorbia pilosa and Euphorbia dracanculoides
Kushta – pores and skin problems 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 therapy of Kushta?
The opposite herbs talked about in Kalpa Sthana may 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 attributable to solely pitta vitiation
Pitta is predominantly vitiated in Audumbara / Udumbara Kushta – Maha Kushta (main pores and skin illness)

2. Kushtas attributable to affiliation of pitta with different doshas
In these circumstances 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 bear the identical. This has not been talked about within the classics, right here it’s talked about to present an expanded imaginative and prescient of utilization of purgation within the therapy of pitta predominant kushtas.

Kapha-Pittaja Kushtas – Kapha related to pitta in –

Vata-Pittaja Kushtas – Pitta vitiated with vata in –

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