Vamana And Virechana In The Therapy 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 issues. In line with Ayurveda there are 18 varieties of kushta. All varieties of kushtas are precipitated attributable to aggravation of all three doshas. Despite all three doshas being concerned within the causation of kushtas one or the opposite doshas will probably be predominant. Attributable to extreme aggravation of doshas within the pathogenesis of kushta, cleaning therapies needs to be administered incessantly since there will probably be possibilities 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 popular in ailments attributable to predominant aggravation of kapha. Vamana can be a most popular therapy in Kushtas attributable to predominant vitiation of kapha.
Learn – Maha Kushta: Main Pores and skin Illnesses, Signs, Prognosis

Vamana In The Therapy of Kushta

Vamana in Kapha predominant Kushta
Vamana i.e. therapeutic emesis has been mentioned to be the therapy of alternative within the pores and skin issues attributable to vitiated kapha. Broadly two situations 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 can even forestall the recurrence of kapha predominant kushta and supply immunity in opposition to the illness. Subsequently, exact prognosis 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 during 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 Consciousness: Early Detection Is Necessary

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 issues, edema, phantom tumors and toxicosis.

Can different herbs talked about in Kalpa Sthana even be utilized in therapy of Kushta?
Different herbs will 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 will probably 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: Assessment, Advantages, Formulations

2. In Kushtas manifesting in higher components of the physique
In case of Kushtas manifesting within the higher components of the physique, when there may be 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 – Guidelines For Vamana and Virechana Therapy- 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 situations 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 talked about this to provide an expanded imaginative and prescient and discipline 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 situations.

Kapha-Pittaja Kushtas – Kapha related to pitta in –

Vata-Kaphaja Kushtas – Kapha vitiated with vata in –

Sanskrit Verses

Virechana In The Therapy 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 popular within the ailments attributable to predominant aggravation of pitta. Purgation can be a most popular therapy in pores and skin ailments attributable to predominant vitiation of pitta.
Learn – Virechana Remedy – Proper Technique, Facet Results, Administration

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 perfect remedy for morbid pitta in addition to healing of pitta predominant kushtas. Recurrence of pitta predominant kushta will be prevented by repeated administration of purgation remedy. It additionally would supply immunity in opposition to the illness. Subsequently, exact prognosis of pitta predominant kushtas by recognizing the signs manifested therein is essential from the doctor’s perspective. Aside from virechana, raktamokshana can be talked about as one of many therapy decisions within the therapy of pitta predominant kushtas. Subsequently purgation and bloodletting are the perfect 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 in addition 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 during which ‘kushta’ has been talked about as a sign. They’re as under talked about.

Trivrt – Operculina turpethum
Trivrt is without doubt one of the substances 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 issues. Among the many indications Kushta – pores and skin issues has additionally been talked about.

Maha-Vrksha / Sudha – Euphorbia neriifolia
Sudha is without doubt one of the finest purgative treatments 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 issues together with leprosy has been talked about.

Saptala and Shankini – Euphorbia pilosa and Euphorbia dracanculoides
Kushta – pores and skin issues 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 will 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 helpful 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 situations 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 provide 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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