Vamana And Virechana In The Treatment Of Kushta

By Dr Raghuram Y.S. MD (Ay) & & Dr Manasa, B.A.M.S
Kushta is a term that includes lots of skin conditions. According to Ayurveda there are 18 kinds of kushta. All kinds of kushtas are triggered due to stress of all 3 doshas. In spite of all 3 doshas being associated with the causation of kushtas one or the other doshas will be primary. Due to extreme stress of doshas in the pathogenesis of kushta, cleaning treatments need to be administered regularly given that there will be opportunities of reoccurrences. This is accomplished by proficient administration of Panchakarma treatments depending upon the predominance of doshas in the causation of the illness. Vamana is one amongst the 5 treatments of Panchakarma and is chosen in illness triggered by primary stress of kapha. Vamana is likewise a favored treatment in Kushtas triggered by primary vitiation of kapha.
Check Out– Maha Kushta: Major Skin Diseases, Manifestations, Diagnosis

Vamana In The Treatment of Kushta

Vamana in Kapha primary Kushta
Vamana i.e. healing emesis has actually been stated to be the treatment of option in the skin conditions triggered by vitiated kapha. Broadly 2 conditions are described relating to administration of vamana in Kushta by Master Charaka.

1. In kapha primary kushta
As a guideline vamana– healing emesis will be administered as the very first line of treatment in kapha primary kushtas. It is the very best treatment for kapha primary kushtas. Repetitive emesis treatment will likewise avoid the reoccurrence of kapha primary kushta and offer resistance versus the illness. For that reason, exact medical diagnosis of kapha primary kushtas by acknowledging the signs manifested therein is extremely crucial from doctor’s viewpoint.

Where to get the formulas for emesis from?
Master Charaka informs that the formulas for emesis as discussed and described in Kalpa Sthana area (of Charaka Samhita) will be selected for emesis treatment. Though there are 6 chapters devoted for emesis treatments and formulas in Kalpa Sthana area there are just finger count formulas in which ‘kushta’ has actually been discussed as a sign. They are as listed below discussed.

a. Usage of Ikshvaku– Lagenaria siceraria
The pulp of Iksvaku is combined with whey and taken by the client struggling with obstinate skin illness consisting of leprosy. The very same formula is likewise recommended for clients of anemia and toxicities.
Check Out– Leprosy Awareness: Early Detection Is Very Important

b. Usage of Krtavedhana– Luffa acutangula
Krtavedhana is exceptionally pungent, sharp and hot in nature. It works in deep seated illness, primarily kushta vis-à-vis obstinate skin illness consisting of leprosy. Krtavedhana is likewise successfully utilized in the treatment of illness consisting of anemia, splenic conditions, edema, phantom growths and toxicosis.

Can other herbs discussed in Kalpa Sthana likewise be utilized in treatment of Kushta?
Other herbs can likewise be utilized though kushta has actually just been discussed in the context of Ikshvaku and Krtavedhana. Because emesis is administered in kapha primary kushta all emetics discussed in Kalpa Sthana area will work and the doctor will utilize them according to the requirement and in lack of schedule of ikshvaku or krtavedhana.
Check Out– Vamanopaga Gana: Emesis Aiding Herbs: Evaluation, Advantage, Formulas

2. In Kushtas manifesting in upper parts of the body
In case of Kushtas manifesting in the upper parts of the body, when there is stress of doshas primarily kapha in the chest, emesis ought to be administered utilizing shitarasa (cold preparation/ juice) or pakvarasa (processed/ hot preparation) of the listed below discussed 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 likewise utilized as reliable emetics in this condition.
Check Out– Guidelines For Vamana and Virechana Treatment- Charak Samhita Sutrasthan 15

Kapha primary Kushtas

1. Kushtas triggered by just kapha vitiation
Kapha is primarily vitiated in the listed below discussed Kushtas–

• Mandala Kushta– Maha Kushta (significant skin illness)
• Vicharchika– Kshudra Kushta (small skin illness)

2. Kushtas triggered by association of kapha with other doshas–
In these conditions emesis is offered just if kapha is more dominant in contrast to the other associated dosha and if the condition shows the requirement of emesis and if the client is qualified to go through the very same. Though this has actually not been discussed in the classics, here we have actually discussed this to offer a broadened vision and field of use of emesis in the treatment of kapha primary kushtas. The option to administer emesis or not is absolutely overlooked to the proficient choice of the doctor dealing with these conditions.

Kapha-Pittaja Kushtas– Kapha related to pitta in–

Vata-Kaphaja Kushtas– Kapha vitiated with vata in–

Sanskrit Verses

Virechana In The Treatment Of Kushta

Vamana or virechana– healing purgation or a combination of both are administered to get rid of the morbid doshas and deal with the kushtas adequately. Virechana is chosen in the illness triggered by primary stress of pitta. Purgation is likewise a favored treatment in skin illness triggered by primary vitiation of pitta.
Check Out– Virechana Treatment– Right Technique, Side Impacts, Management

Virechana in Pitta primary Kushta

As a guideline virechana– healing purgation will be administered as the very first line of treatment in pitta primary kushtas. Purgation is the very best treatment for morbid pitta in addition to alleviative of pitta primary kushtas. Reoccurrence of pitta primary kushta can be avoided by duplicated administration of purgation treatment. It likewise would offer resistance versus the illness. For that reason, exact medical diagnosis of pitta primary kushtas by acknowledging the signs manifested therein is extremely crucial from the doctor’s viewpoint. Apart from virechana, raktamokshana is likewise discussed as one of the treatment options in the treatment of pitta primary kushtas. For that reason purgation and bloodletting are the very best treatments for pitta primary kushtas and will be selectively administered.

Where to get the formulas for purgation from?
Master Charaka informs that the formulas for purgation (and likewise emesis) as discussed and described in Kalpa Sthana area (of Charaka Samhita) will be selected for purgation treatment. There are 6 chapters devoted for purgation treatments and associated formulas in Kalpa Sthana area, there are just couple of formulas in which ‘kushta’ has actually been discussed as a sign. They are as listed below discussed.

Trivrt– Operculina turpethum
Trivrt is among the active ingredients of Kalyanaka Guda, a formula described in chapter 7 of Kalpa Sthana of Charaka Samhita. This formula has actually been suggested as a purgative in lots of conditions. Amongst the signs Kushta– skin conditions has actually likewise been discussed.

Maha-Vrksha/ Sudha– Euphorbia neriifolia
Sudha is among the very best purgative solutions and has actually been suggested in lots of illness. It is stated that if effectively administered Sudha rapidly removes the doshas even if they are exceedingly built up. Amongst the signs for the use of Sudha, kushta– obstinate skin conditions consisting of leprosy has actually been discussed.

Saptala and Shankini– Euphorbia pilosa and Euphorbia dracanculoides
Kushta– skin conditions has actually been discussed among the signs for administration of saptala and shankini as purgative.

Can other herbs discussed in Kalpa Sthana (purgative herbs and formulas prepared from the very same) likewise be utilized in treatment of Kushta?
The other herbs discussed in Kalpa Sthana can likewise be utilized for administering purgation though kushta has actually just been discussed in the context of Kalyanaka Gudam (Trivrt), Mahavrksha, Saptala and Shankini. Because purgation is administered in pitta primary kushta all purgatives discussed in Kalpa Sthana area works and the doctor will utilize them according to the requirement and in lack of schedule of the discussed herbs.

Pitta primary Kushtas

1. Kushtas triggered by just pitta vitiation
Pitta is primarily vitiated in Audumbara/ Udumbara Kushta– Maha Kushta (significant skin illness)

2. Kushtas triggered by association of pitta with other doshas
In these conditions virechana is offered if pitta is primary in contrast to the other associated dosha and if the condition shows the requirement of purgation and if the client is qualified to go through the very same. This has actually not been discussed in the classics, here it is discussed to offer a broadened vision of use of purgation in the treatment of pitta primary kushtas.

Kapha-Pittaja Kushtas– Kapha related to pitta in–

Vata-Pittaja Kushtas– Pitta vitiated with vata in–

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