By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Kushta and Visarpa are the illnesses regularly encountered in scientific apply. Each are completely different illnesses. Kushta is a gaggle of pores and skin problems and 18 differing kinds have been defined. They manifest in 11 minor and seven main varieties. Kushta is in comparison with pores and skin illnesses typically and leprosy to be particular. However going by means of its sorts we will see that completely different sorts of pores and skin problems have been enumerated below this matter.
Learn – Charak Samhita Kushta Chikitsa – 7th Chapter
Visarpa is manifested in 7 alternative ways, which varieties 7 sorts of visarpa. It has an exterior and inside manifestation. The categories attributable to mixture of two doshas and all three doshas have been highlighted within the treatises. These are tough to deal with clinically as per Ayurveda. Visarpa is in comparison with herpes. However despite each these illnesses being completely different entities why are we discussing the variations between them on this article? It’s because they’ve a similarity in the best way they manifest. The weather involving within the pathogenesis of each these illnesses are the identical. Despite having the identical pathological components resulting in their causation why one illness is known as as Kushta and the opposite known as as Visarpa? It is a level of debate right here. We have to know this to grasp the character of illnesses which manifest in several methods despite having the identical causative components in widespread. It will assist in diagnosing these circumstances correctly and treating them comprehensively.
Learn – Visarpa: Causes, Types, Treatment, Medicines
Kushta and Visarpa from parts of pathogenesis factors of view
1. Pathological parts of Kushta
The Sapta Dravya Samgraha 7 parts essentially take part within the manifestation of kushta –
- Vata
- Pitta
- Kapha
- Twak – pores and skin
- Rakta – blood
- Mamsa – muscle
- Ambu / Lasika – serum / lymph / fluid part of the physique
These 7 parts are thought of as sapta dravyas of the pathogenesis of kushta. It’s obligatory that each one these parts are concerned in causation of the illness. As a consequence of permutation and mixture of those parts 7 (maha kushta – major skin diseases) or 11 (kshudra kushta – minor skin diseases) kushtas are shaped. No pores and skin illness is manifested from single dosha. This implies to inform that each one sorts of kushtas are shaped by the involvement of all three morbid doshas.
Grasp Charaka has quoted the identical within the 5th chapter of Nidana Sthana coping with etio-pathogenesis of Kushta. The under talked about 7 parts are the causes of kushta when they’re in a state of vitiation. They’re –
- the three doshas – vata, pita and kapha
- the 4 tissues – pores and skin, blood, muscular tissues and lymph / fluid part of the physique – that are vitiated by the aggravated doshas
These parts get aggravated collectively and trigger many sorts of kushta. The pores and skin illnesses produced by these components would unfold all around the physique and bother the affected person.
You will need to observe that Grasp Charaka has used the time period ‘lasika’ in Nidana Sthana and ‘ambu’ in Chikitsa Sthana. Therefore each must be taken as the identical part – synonymous of one another.
Learn – Dhatu – 7 Body Tissues As Explained In Ayurveda
2. Pathological parts of Visarpa
The pathological parts which ends up in the causation of visarpa are –
- Rakta – blood
- Lasika – lymph / plasma
- Twak – pores and skin
- Mamsa – muscular tissues
- Vata
- Pitta
- Kapha
The primary 4 are dushyas i.e. tissues that are contaminated. The final three are doshas. The aggravated doshas vitiate these tissues. All these 7 parts collectively, result in the manifestation of visarpa.
Sanskrit verses
Comparability between the pathological parts of Kushta and Visarpa
If we evaluate the parts talked about in Kusta and Visarpa, it’s the similar 7 parts which trigger each kushta and visarpa. Grasp Charaka has simply modified the chronology of mentioning these parts. In case of Visarpa he has talked about the tissues concerned within the pathogenesis of visarpa first and later the doshas. Then again he has first talked about the doshas and later the tissues. However this doesn’t make any distinction. The parts are the identical.
Grasp Chakrapani provides the clarification for a similar in his commentary (Cha.Chi.21/15) taken from the chapter coping with remedy of Visarpa.
Although the blood and so on parts are additionally concerned within the causation of Kushta illness (identical to visarpa), the distinction is that in visarpa the doshas are continually in circulation. In kushta the illness is attributable to the identical parts however they accumulate within the physique for a protracted time frame earlier than inflicting the illness. Placing it in different means –
- Kushta is attributable to 7 parts after they get collected within the physique for an extended time frame (stagnant doshas) i.e. the doshas afflict the tissues, get lodged in them and this vicious mixture would trigger kushta in the end of time as and when the pathogenesis completes. On this case, the doshas / parts will not be in circulation.
- Visarpa is attributable to the identical 7 parts which trigger kushta however right here the doshas will not be stagnant. They afflict the doshas and type vicious combos, they afflict the identical tissues, all three doshas are concerned however the distinction is that the doshas are in a state of circulation. Seeing it the opposite means, the severely aggravated doshas that are in circulation mix with the talked about tissues and trigger visarpa.
Learn – Rasa Dhatu: Definition, Formation, Circulation, Imbalance Diseases, Treatment
Simply after briefing these, Chakrapani provides a cross reference of an earlier context of the identical part (kushta chikitsa – chapter coping with remedy of kushta) and tells that pathogenesis and parts concerned and the formation of the illness shall be understood as defined in Kushta chapter.
In Kushta Grasp Chakrapani provides the cross reference of Visarpa and the reason given therein. This justifies the point out of pathogenic parts of kushta in visarpa and vice versa in order to make clear the similarity of the parts concerned in causation of each these illnesses but the variety of their manifestation and therefore each being named with completely different phrases. Right here, within the context of Kushta, Grasp Chakrapani tells – ‘The identical seven parts concerned within the causation of kushta are additionally concerned within the causation of visarpa. However kushta is attributable to sthira doshas i.e. localized doshas and develops step by step in lengthy time frame. Then again, visarpa is attributable to visarpanashila doshas i.e. the doshas in circulation’.
Allow us to return to the reference in Visarpa. Grasp Charaka tells that blood, serum, pores and skin and muscular tissues are the tissues concerned within the causation of visarpa. Other than these, the three doshas concerned within the causation of the illness are the malas. Doshas and malas are completely different parts. However Charaka has talked about the phrase ‘mala’ to explain the doshas concerned within the causation of visarpa. We will not often discover these two phrases i.e. dosha and mala getting used collectively.
Learn – Tri Malas – The Three Major Waste Matters Of Body
Then why did Charaka use the time period mala on this context?
Chakrapani feedback on this and tells – ‘The time period mala used to explain the doshas on this context is to point extreme aggravation of doshas which in flip contaminate your entire physique in a extreme means’. Even within the context of kushta it’s mentioned that Kushta contaminates the physique however in visarpa the contamination is extra extreme and aggressive compared to that which occurs in kushta. This occurs as a result of the aggravation of doshas is extreme and these severely aggravated doshas are in a state of circulation.
Why ought to one know this?
It will be important for the doctor to know these variants. The parts collaborating within the pathogenesis would be the similar, however the vicious mixture, the best way by which these parts combine up and behave thereafter, the route which they take and the completely different sorts they manifest provides these illnesses completely different nomenclature. The data of this helps the doctor to diagnose a given illness as kushta or visarpa. This additionally will allow the doctor to differentially diagnose these two circumstances and likewise present complete treatment for each these circumstances. Many therapies, medicines and restrictions for each these illnesses are comparable. Even in scientific apply we will see that sure medicines and formulations talked about in kushta are helpful in treatment of visarpa and vice versa. Figuring out it will assist the doctor in short-listing the widespread therapies and medicines which can be utilized in each circumstances. The doctor can even know the place to make use of comparable and the place to make use of illness particular therapies in order to deal with these circumstances successfully.
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