Kustha Dr. Pravin Kumar Rai - PowerPoint Presentation

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Kustha

Dr.

Pravin

Kumar Rai

Associate Professor

Department of

Kayachikitsa

Himalayiya

ayurvedic

Medical college and Hospital,

Dehradun

Classification of Kustha

Basis of classification includes

Dosha

Arambhata

Uttarottar

Dhatu

Anupraveshata

Lakshanas

(Clinical features)

Sadhyata

(Prognosis)

On the basis of Dosha

predominanace

:

On

the basis of

Dosha

predominance

Kushtha

can be grouped into three categories

Vataja

Pittaja

and

Kaphaja

Tridosaja

On the basis of Dhatugatatva

Kushtha

can be classified into seven categories on the basis of penetration in the particular

Dhatu

, which is as

follows:

1

.

Rasagata

2

.

Raktagata

3

.

Mansagata

4

.

Medagata

5

.

Asthigata

6

.

Majjagata

7

.

Shukragata

CLASSIFICATION OF KUSTHA

Mahakushtha

Kshudrakushtha

Bahu

Dosha

Arambhata

Alpa

Dosha

Arambhata

Bahu

Lakshana

Alpa

Lakshana

Excessive discomfort

Less discomfort

Penetrates into deeper

Dhatus

Less tendency to penetrate in deeper

Dhatus

Mahat

Chikitsa

Alpa

Chikitsa

Maha Kustha and

dosa

predominance

Charak

Sushruta

Vagbhata

Kapal

-

Vata

Arun

-

Vata

Kapal

-

Vata

Udumbara

-

Pitta

Audumber

-

Pitta

Udumber

-

Pitta

Mandal

-

Kapha

Rishyajihva

-

Pitta

Mandal

–

Kapha

Rishyajihva

–

Vata

- Pitta

Kapal

–

Pitta

Dadru

–

Kapha

-Pitta

Pundrika

–

Pitta-

Kapha

Kakanaka

–

Pitta

Kakanak

–

Vata

-Pitta-

Kapha

Sidhma

–

Vata

-

Kapha

Pundrika

–

Kapha

Pundrik

–

Kapha

-Pitta

Kakanak

–

Vata

-Pitta-

Kapha

Dadru

–

Kapha

Rishyajihva

–

Vata

-Pitta

Kshudra Kustha

Charak

Sushruta

Vagbhata

Ek Kustha - V K

Arushk - K

Ek

Kustha

- V K

Charmakustha

– V K

Sidhma – K

Charma Kustha – V K

Kitibha – V K

Raksa – K

Kitibha – V K

Vipadika – V K

Mahakustha – K

Vipadika – V K

Alasak – V K

Ek Kustha – K

Alasa – V K

Dadru – P K

Parisarp – V

Sidhma – V K

Charmadala – P K

Visarp – P

Charmadala – K P

Pama – P K

Kitibha - P

Pama – K P

Visphota – P K

Vicharchika - P

Shataru – K P

Shataru – P K

Pama – P

Vicharchika – K

Vicharchika – K

Charmadala

– P

Visphota

– K P

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Roopa

Maha

Kustha

:

Kapala

:

That which is black and reddish piece of earthen jar with rough course, thin and excessively painful is known as

kapala

Kustha

. It is hardly

curable.

Audumbara

: The type of

Kustha

which is associated with burning sensation, itching, pain and redness, brown skin hairs and similar to (ripe) fruit of

udumbara

is known as

Audambara

Kustha

.

Mandala

:

– White stable unctuous with raised patches and joined together is mandala

Kustha

. It is difficult to cure.

Rishyajihba

:

That which is rough, with red margins, internally blackish, painful and similar to the tongue of

rishya

(a type of antelope).

5.

Pundarika

: That which is whitish, with red margins, raised resembling lotus petals and with burning sensation is known as

Pundarika

Kustha

.

6.

Sidhma

:

That which is white, coppery and thin, leaves out dust like powder on rubbing and stimulates flowers of bottle

groud

is known as

sidhma

Kustha

. It appears mostly on chest.

7.

Kakanaka

:

That which stimulates

gunja

seeds in colour does not suppurate and is excessively painful is

kakana

Kustha

.

Kshudra Kustha

Eka

Kustha

:

Eka

Kustha

is characterized by absence of perspiration, extensive localization and resembles the scales of fish.

Charma

Kustha

:

Charma

Kustha

, the skin becoming thick like that of an elephant skin is seen.

Kitibha

Kustha

:

Kitibha

type of

Kustha

is characterized by blackish brown in colour. It is rough in touch like a scar tissue and it is hard to touch. It produces itching sensation also.

Vipadika

Kustha

:

Vipadika

type of

Kustha

is associated with cracks in palms & soles of feet as well as excruciating pain.

Alasaka Kustha

:

Alasaka

type of

Kustha

is characterized by nodular growth associated with excessive itching sensation and redness.

Dadru

Kustha

:

Dadru

is characterized by itching sensation, redness, pimples and circular patches with elevated edges.

Charmadala

Kustha

:

Is red associated with itching, eruptions and has tenderness.

Pama

Kustha

:

Pama

is characterized by excessive itching eruptions which are white, reddish or blackish brown in colour.

Visphota Kustha

:

This is characterized by pustules which are either white or reddish in appearance; these pustules have a thin skin

.

Shataru

Kustha

:

It is red or blackish, associated with

burnibng

sensation and pain and consisting of multiple boils.

Vicharchika

Kustha

:

It is itchy consists of pimples, is blackish with excessive discharge.

Clinical features of Kushtha according to the Dosha

predominance

Vataja

Kushtha

:

Skin

lesions are rough, dry, reddish black and associated with pain.

Vataja

Kushtha

is also characterizes by stretching of skin,

numbness

,

anhydrosis

, swelling and hoarseness of voice

.

Pittaja

Kushtha

:

It

is associated with burning, erythema, secretions and blister

formation

. Also characterizes by

pustulisation

, removal of dead

tissues

from fingers, nose, ears etc. and super infections.

Kaphaja

Kushtha

:

Skin

lesions are cold and dense and associated with itching,

secretions

, discolouration and heaviness of the body.

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The clinical presentation of Kushtha

according to the penetration in the particular

Dhatu

Tvakagata

or

Rasagata

Kushtha

:

Characterizes by loss of sensation, excess sweating, mild itching, discolouration and dryness

.

Raktagata

Kushtha

:

It is characterizes by numbness, goose flesh, excess sweating, itching and pus

formation.

Mansagata

Kushtha

:

Characterizes

by general body swelling, appearance of stable nodules, pricking pain and cracking of skin.

Medagata

Kushtha

:

Medogata

Kushtha

is associated with

Durgandha

,

Malavraddhi

, pus formation, super infection and general

bodyache

.

Asthi

and

Majja

Gata

Kushtha

:

Such

type of

Kushtha

is characterizes by redness of eyes, super infected ulcers and hoarseness of voice

.

Shukragata

Kushtha

:

It

is characterizes by deformities in fingers, reduced movement of body parts, general

bodyache

and appearance of fast spreading ulcers. It is also characterizes by inheritance of

Kushtha

Roga

to the next generation.

SADHYATA / ASADHYATA (PROGNOSIS)

Sadhya

:

involvement of single

Dosha

,

Vata-Kapha

predominant

Kushtha

and

Rasagata

,

Raktagata

and

Mansagata

Kushtha

is easily curable

.

Krichasadhya

:

Vata

-Pitta

Pitta-

Kapha

,

predominant

Kushtha

and

Medagata

Kushtha

have some bad prognosis and are difficult to cure.

Asadhya

:

The

Kushtha

Roga

with involvement of all three

Doshas

,

the

patient is weak and having thirst & burning

,

associated with

Krimi

and

Asthi

,

Majja

and

Shukragata

Kushtha

have very bad prognosis and are incurable