By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Kushta and Visarpa are the illnesses ceaselessly encountered in medical apply. Each are totally 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 basically and leprosy to be particular. However going by its sorts we will see that totally different sorts of pores and skin problems have been enumerated beneath this subject.
Learn – Charak Samhita Kushta Chikitsa – seventh Chapter
Visarpa is manifested in 7 alternative ways, which varieties 7 forms of visarpa. It has an exterior and inner manifestation. The categories brought on by 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 totally different entities why are we discussing the variations between them on this article? It is because they’ve a similarity in the way in which they manifest. The weather involving within the pathogenesis of each these illnesses are the identical. Regardless of 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 dialogue right here. We have to know this to grasp the character of illnesses which manifest in numerous methods despite having the identical causative components in widespread. This can assist in diagnosing these situations correctly and treating them comprehensively.
Learn – Visarpa: Causes, Sorts, Therapy, 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 –
- Twak – pores and skin
- Rakta – blood
- Mamsa – muscle
- Ambu / Lasika – serum / lymph / fluid element of the physique
These 7 parts are thought-about as sapta dravyas of the pathogenesis of kushta. It’s obligatory that each one these parts are concerned in causation of the illness. Resulting from permutation and mixture of those parts 7 (maha kushta – main pores and skin illnesses) or 11 (kshudra kushta – minor pores and skin illnesses) kushtas are shaped. No pores and skin illness is manifested from single dosha. This implies to inform that each one forms 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, muscle tissues and lymph / fluid element of the physique – that are vitiated by the aggravated doshas
These parts get aggravated collectively and trigger many forms of kushta. The pores and skin illnesses produced by these elements would unfold all around the physique and hassle the affected person.
You will need to be aware 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 element – synonymous of one another.
Learn – Dhatu – 7 Physique Tissues As Defined 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 – muscle tissues
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.
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. However 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 offers 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 forth parts are additionally concerned within the causation of Kushta illness (similar to visarpa), the distinction is that in visarpa the doshas are continuously in circulation. In kushta the illness is brought on by the identical parts however they accumulate within the physique for a protracted time period earlier than inflicting the illness. Placing it in different approach –
- Kushta is brought on by 7 parts after they get gathered within the physique for an extended time period (stagnant doshas) i.e. the doshas afflict the tissues, get lodged in them and this vicious mixture would trigger kushta sooner or later of time as and when the pathogenesis completes. On this case, the doshas / parts are usually not in circulation.
- Visarpa is brought on by the identical 7 parts which trigger kushta however right here the doshas are usually not 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 approach, the severely aggravated doshas that are in circulation mix with the talked about tissues and trigger visarpa.
Learn – Rasa Dhatu: Definition, Formation, Circulation, Imbalance Illnesses, Therapy
Simply after briefing these, Chakrapani offers 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 offers 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 totally 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 brought on by sthira doshas i.e. localized doshas and develops regularly in lengthy time period. However, visarpa is brought on by 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 muscle tissues are the tissues concerned within the causation of visarpa. Aside from these, the three doshas concerned within the causation of the illness are the malas. Doshas and malas are totally different parts. However Charaka has talked about the phrase ‘mala’ to explain the doshas concerned within the causation of visarpa. We are able to hardly ever discover these two phrases i.e. dosha and mala getting used collectively.
Learn – Tri Malas – The Three Main Waste Issues Of Physique
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 the whole physique in a extreme approach’. 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 is vital for the doctor to know these variants. The parts taking part within the pathogenesis will be the similar, however the vicious mixture, the way in which wherein these parts combine up and behave thereafter, the route which they take and the totally different varieties they manifest offers these illnesses totally 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 situations and in addition present complete remedy for each these situations. Many remedies, medicines and restrictions for each these illnesses are comparable. Even in medical apply we will see that sure medicines and formulations talked about in kushta are useful in remedy of visarpa and vice versa. Figuring out it will assist the doctor in short-listing the widespread remedies and medicines which can be utilized in each situations. The doctor will even know the place to make use of comparable and the place to make use of illness particular remedies in order to deal with these situations successfully.
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