This presentation deals with Nidan,Samprapti,Bhedha,Lakshana and Sadhyasadhyata of Kushta.

1. KUSTHA
Dr Akshay Shetty
Asst.Professor
SSRAMCH Inchal

2. Contents
• Objectives
• Nirukti of kustha
• Nidana of Kustha
• Samprapti of Kustha
• Poorvarupa of Kushta
• Classification of Kustha
• Lakshana of Mahakustha
• Lakshana of Kshudra Kushta
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3. Contd…
• Sadhyasadyata of Kushta
• Summary
• References
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4. Objectives
At the end of the presentation the students must be able to---
1. Quote Nirukti of Kushta
2. State Nidana of Kushta
3. Describe Samprapti of Kushta
4. List Poorvarupa of Kushta
5. Classify Kushta
6. Enumerate Lakshana of Mahakusta
7. Enumerate Lakshana of Kshudra kushta
8. Quote Sadhyasadhyata of Kushta
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5. Nirukti of Kustha
क
ु ष्णाति तनिःशेषेण ् विलेखनम ् करोति अंग ् प्रत्यगांतन इति क
ु ष््म ् ।
(Siddanta koumudi )
त्िचिः क
ु िवन्ति िैिर्ण्यं दुष्टा: क
ु ष््मुशन्ति िि ् ।
कालेनोपेक्षििं यस्म्तत्सिं क
ु ष्णाति िद्िपु: ॥ A.Hu Ni 14/3
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6. Nidana of Kustha
विरोधीतयतनपानातन द्रिन्स्म्नग्धगुरूणण च|
भजिामागिां छर्दं िेगांश्चातयातप्रतिघ्निाम्||४||
व्यायाममतिसतिापमतिभुक्तत्िोपसेविनाम ्|
शीिोष्णलङ्घनाहारान् क्रमं मुक्तत्िा तनषेविणाम्||५||
घमवश्रमभयािावनां द्रुिं शीिातबुसेविनाम्|
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7. अजीणावध्यशशनां चैि पञ्चकमावपचाररणाम्||६||
निातनदधधमत्स्म्यातिलिणातलतनषेविणाम ्|
माषमूलकवपष्टातनतिलिीरगुडाशशनाम ्||७||
व्यिायं चाप्यजीणेऽतने तनद्रां च भजिां र्दिा|
विप्रान ् गुरून ् धषवयिां पापं कमव च क
ु िविाम्||८|| Ca. Ch 7
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8. • Viruddha annapana, excessive intake of drava, snigdha and guru
dravyas; restraining natural urges like vomiting etc; exercising or
coming in contact of excessive heat after eating excessive quantity of
food.
• Indulging in habits such as, taking shita quality food etc. followed
by ushna quality or either fasting followed by heavy meals.
• Having cold water immediately after exposure to scorching sun,
exertion and fear, eating uncooked or raw foods or having meals
although previously taken meals have not been digested.
• Indulging in food and other habits which have been restricted during
the phase of Panchakarma.
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9. • Consuming new grains, curds, fish, excessive salty and sour food
items.
• Black grams, radish, food prepared from flour paste, sesame, milk and
jaggery products.
• Indulging in sexual activity even if the food is not well digested (sexual
intercourse immediately after taking food), sleeping during day time,
• Insulting peers like brahmin / guru and other respected personal and
doing sinful acts are the etiological and risk factors of kushta
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10. Samprapti of Kushta
िािादयस्म्रयो दुष्टास्म्त्िग्रक्तिं मांसमतबु च|
दूषयन्ति स क
ु ष्ठानां सप्िको द्रव्यसङ्ग्रहिः||९||
अििः क
ु ष्ठातन जायतिे सप्ि चैकादशैि च|
न चैकदोषजं ककन्ञ्चि् क
ु ष्ठं समुपलभ्यिे||१०|| Ca. Ch 7
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11. • The vitiated three doshas- vata, pitta, kapha along with
impaired tvak, rakta, mamsa and ambu together constitute seven
essential entities which play role in pathogenesis of kushtha.
• Kushtha can be classified into seven mahakushtha (major skin
disorders) and eleven kshudrakushtha (eleven minor skin disorders).
• Single dosha cannot cause kushtha on its own i.e. kushtha is not
an nanatmaja
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12. Nidana
sevana
Vitiation of
Tridosa
Impairment
in Twak
,Rakta
Mamsa and
Ambu
Leading to
Sapta
mahakusta
&Ekadasha
Kshudra
kushta
Kushta
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13. Poorvarupa of Kushta
स्म्पशावज्ञत्िमतिस्म्िेदो न िा िैिर्ण्यवमुतनतििः|
कोठानां लोमहषवश्च कर्ण्डूस्म्िोदिः श्रमिः क्तलमिः||११||
व्रणानामधधक
ं शूलं शीघ्रोत्पविन्श्चरन्स्म्ितििः|
दाहिः सुप्िाङ्गिा चेति क
ु ष्ठलिणमग्रजम्||१२|| Ca.Ch 7
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14. • Decreased touch sensation, excessive sweating or absence of
sweating (which may be localized or generalized), change in color
(discoloration), papules on skin, horripilation, pruritus, pricking pain,
physical exhaustion, mental fatigue, severe pain in ulcerated area,
sudden appearance and chronic the ulcers, burning sensation,
numbness are the premonitory symptoms of skin disease
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15. Classification of Kustha
अि ऊध्िवमष्टादशानां क
ु ष्ठानां कपालोदुतबरमर्ण्डलष्यवन्जह्िपुर्ण्डरीकशसध्म
काकणक
ै कक
ु ष्ठचमावख्यककर्टमविपार्दकालसकदद्रुचमवदलपामाविस्म्फोटकशिा
रुविवचधचवकानां लिणातयुपदेक्ष्यामिः||१३|| Ca.Ch 7
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16. Kustha
Mahakushta
(7)
Kshudra
kushta (11)
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17. Mahakushta
Kapala
Udumbara
Mandala
Rushyajivha
Pundarika
Sidhma
kakanaka
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18. Kshudra kushta
Pama Vishpota
Shataru
Vaipadika Alasaka Dadru
Ekakusthta Charmakhya
Charmadala
kitibha
Vicharchika
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19. Lakshana of Mahakusta
कृ ष्णारुणकपालाभं यद्रूिं परुषं िनु|
कापालं िोदबहुलं ित्क
ु ष्ठं विषमं स्म्मृिम ्||१४||
• The clinical presentation of kapala kushtha is as follows:
• Color –- kr̥ṣṇa (blackish), aruṇa (reddish)
• Nature – kapāla (similar to broken piece of earthen pot)
• Touch – rūkṣa (dry), paruṣa (rough), tanu (thin)
• Associated symptoms – severe pain
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20. Udumbara kushtha
दाहकर्ण्डूरुजारागपरीिं लोमवपञ्जरम ्|
उदुतबरफलाभासं क
ु ष्ठमौदुतबरं विदुिः||१५||
• The clinical presentation of udumbara kushtha is as follows:
• Color – Similar to udumbara fruit
• Nature – rāgaparīta (redness), lōmapiñjara (hair on the patch
become brown)
• Associated symptoms – burning sensation, pruritus and pain
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21. Mandala Kushtha
श्िेिं रक्तिं न्स्म्िरं स्म्त्यानं न्स्म्नग्धमुत्सतनमर्ण्डलम ्|
कृ च्छ्रमतयोतयसंसक्तिं क
ु ष्ठं मर्ण्डलमुच्छ्यिे||१६||
• The clinical features of mandala kushtha are as follows:
• Color – white and red
• Nature – sthira (slow
progress), styāna/ghana (compact), snigdha, elevated round patches
• Associated symptoms – patches are matted
• Sadhyasadhyata – Difficult to cure
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22. Rishyajivha Kushtha
कक
व शं रक्तिपयवतिमतििः श्यािं सिेदनम ्|
यदृष्यन्जह्िासंस्म्िानमृष्यन्जह्िं िदुच्छ्यिे||१७||
• The clinical features of rishyajivha kushtha are as follows:
• Color – Rakta paryanta anta śyāvaṁ (red in edges and brown inside)
• Nature – karkaśa (rough), it resembles the tongue of rṣya (a type of
deer ,Chakrapani)
• Associated symptoms – pain
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23. Pundarika Kushtha
सश्िेिं रक्तिपयवतिं पुर्ण्डरीकदलोपमम ्|
सोत्सेधं च सदाहं च पुर्ण्डरीक
ं िदुच्छ्यिे||१८||
• The clinical features of pundarika kushtha are as follows:
• Color – White with red edges
• Nature – resembles lotus petals, elevated patches
• Associated symptoms – burning sensation
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24. Sidhma Kushtha
श्िेिं िाम्रं िनु च यद्रजो [१] घृष्टं विमुञ्चति|
अलाबूपुष्पिणं िि ् शसध्मं प्रायेण चोरशस||१९||
• The clinical features of sidhma kushtha are as follows:
• Color – white coppery, color resembles flower of alabu (lagenaria
siceraria)
• Nature – thin
• Associated symptom – particles resembling dust are observed, it is
located mostly on chest [due to dominance of kapha on ura
pradesh Ca.Ci.7/19 Chakrapani].
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25. Kakanaka Kushtha
यि ् काकणन्तिकािणवमपाक
ं िीव्रिेदनम ्|
त्ररदोषशलङ्गं िि ् क
ु ष्ठं काकणं नैि शसध्यति||२०||
• The clinical features of Kākaṇaka kuṣṭha are as follows:
• Color – resemble gunjā (abrus precatorious) i.e. red in color
• Nature – does not get suppurated
• Associated symptoms – Pain and incurable, all the three doshas are
present
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26. Kshudra kushta
• अस्म्िेदनं महािास्म्िु यतमत्स्म्यशकलोपमम्|
िदेकक
ु ष्टं, चमावख्यं बहलं हन्स्म्िचमविि्||२१||
श्यािं ककणखरस्म्पशं परुषं ककर्टमं स्म्मृिम्|
िैपार्दक
ं पाणणपादस्म्फ
ु टनं िीव्रिेदनम्||२२||
कर्ण्डूमद्शभिः सरागैश्च गर्ण्डैरलसक
ं धचिम्|
सकर्ण्डूरागवपडक
ं दद्रुमर्ण्डलमुद्गिम्||२३||
रक्तिं सकर्ण्डु सस्म्फोटं सरुग्दलति चावप यि्|
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27. िच्छ्चमवदलमाख्यािं संस्म्पशावसहमुच्छ्यिे||२४||
पामाश्िेिारुणश्यािािः कर्ण्डूलािः वपडका भृशम्|
स्म्फोटािः श्िेिारुणाभासो विस्म्फोटािः स्म्युस्म्िनुत्िचिः||२५||
रक्तिं श्यािं सदाहातिव शिारुिः स्म्याद्बहुव्रणम्|
सकर्ण्डूिः वपडका श्यािा बहुस्रािा विचधचवका||२६||
इत्येकादश िुद्रक
ु ष्ठातन
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29. Sadhyasadhya of Kushta
सिैशलवङ्गैयुवक्तिं मतिमान ् वििजवयेदबलम ्|
िृष्णादाहपरीिं शातिान्ग्नं जतिुशभजवग्धम ्||३७||
िािकफप्रबलं यद्यदेकदोषोल्बणं न िि् कृ च्छ्रम्|
कफवपि-िािवपिप्रबलातन िु कृ च्छ्रसाध्यातन||३८||
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30. • If all the symptoms are simultaneously observed, in weak patient,
suffering from morbid thirst, burning sensation, loss of digestive
power and presence of maggots then the intelligent person should
avoid treatment (as it is incurable).
• Further vata kapha predominated kushtha and
single dosha predominated kushtha are not so difficult to treat.
• Whereas kapha pitta and vata pitta dominated kushtha are krichchra
sadhya.
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31. Summary
• Sadhyasadhyat
a
• Lakshana of
Mahakushta
• Poorvarupa
• Nidhana
Nirukti Samprapti
Lakshana of
Kshudra
Kushta
Classification
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32. References
• Charaka Samhita
• Ashtanga Hridaya
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33. THANK YOU
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