KUSTHA (A GROUP OF SKIN DISORDERS)
When the vitiated doshas causes abnormal colour or complexion of the skin and produces the degeneration of tissue. This disease is known as kustha (mahakusta). Although all the disorders of skin are included in the word ‘kustha’
There are two main type of kustha depending on the dhatugatavastha (involvement of the tissues) are explained in ayurvedic classical texts.
The seven dhatus (tissues) are rasa (plasma, extracellular fluids), rakta (blood), mansa (flesh), meda(fats), asthi (bones), majja (bone marrow) & shukra (sperm or ovum).
The skin disease which shows more sympioms, more difficulty in treatment & (dhatugatava (involvement of tissues) & hence severe are labeled as mahakustha) and the other skin disorders are called as kshudrakustha. Even shwitra (leucoderma) which actually not a contagious disease can be included in these. Kustha is a chronic, contagious & severs disease.
Improper combinations of food, excessive intake of liquid, unctous, heavy food, heavy exercise.
Exposed to heat for a long time.
Eating before the digestion of the earlier food.
Controlling natural urges like vomiting, defaecation etc.
Exercise just after taking the food.
Exertion & fear.
Improper panchakarma (vaman & virechan)
Sexual intercourse during the indigestion
Indulged in sinful activities.
The excessive intake of the etiolgical factors leads to the there dosha vitiation. then it spread to whole body brings laxity & vitiation of skin, blood flesh & cellular fluids, plasma. This leads to the kledotpatti . Due to the kledopatti, it leads to the skin discolouration, scratching in different pasts of body leads to kustha.
No sweat or excessive sweating.
Very soft or very dry skin.
Burning sensation on the skin.
Itching/scratching sensation on the skin.
Pain in the wound with there quick
Origin and delayed healing.
Symptoms: – skin discolouration, blister formation, burning sensation on the skin, itching, secretions, numbness.
1.kapala kustha :- blackish on reddish colour
The skin is dry, rough, and extensive
Get ulcer fast and worm formation is also fast.
The edges are dry, rough, and raised
Secretions are less.
Spread is fast.
Dosha involvement – vata dominent .
2.Audumbar: – reddish colour
Thick, secretions of pus & blood.
Pain, burning sensations, itching is more
Burst open fast, & worm infestation is fast
Spread is fast
Dosha involvement- Pitta dominant
3.Mandala: – circular patches – white or reddish
Stable, unctuous, doesn’t spread easily & doesn’t get freat easily
Patches join with each other & are raised
Dosha involvement – kapha dominant
4.Hrishyajivha: – red margin with blackish
Small blisters on the skin raised at the centre & small at the edges.
Pain, burning sensation,
Less itching, less secretions
Spread is faster
Dosha involvement: – vata pitta dominent
5.Pundarik: – red at margins and white at centre
Middle part is raised
Itching, burning sensation, warm infestation painful
Secretions: – pf pus, blood, watery discharge
Spead is faster
Dosha involvent: – kapha – pitta dominant
6.Sidhma: – whitish or reddish
Looks externally by, but internally unctuous
No pain, no buining sensction, no formation, no secretions
Dosha involvent – vata – kapha dominant.
7.Kakanak: – reddish & blackish as with different severs pain, severe buring sensation
Dosha involvent – 3 doshas
Eshudrakustha: – 11 in number
1.Ekakustha: – no sweating, reddish colour
Scales like fish on skin
Modern science correlation- erythrodermias
Dosha dominance- vata-kapha
Modern science correlation – xerodermia pigmentosa it is extensie, dry and rough skin
Dosha dominances – vata – kapha
3.Kitibh :- Modern science correlation – psoriasis
Dry & rough skin,
Scale on the skin,itching.
Dosha dominences – vata – kapha.
4.Vipadika Modern science correlation – rhageades
Eruptions on palm & soles
5.Vichaschika :Modern science correlation – eczema
Itching, many blisters, more secretions colour is whitish.
Dosha dominence- kaphaja
6.Alasak:- Modern science correlation – lichen
Dosha dominence – vata-kaphaja
7.Dadru:- Modern science correlation – ringworm or tinea reddish blisters, raised vasaular patches itching is more.
Dosha dominence- pitta-kapha
8.Charmadala:- Modern science correlation -excoriation
Tenderness with itching & burning sense
This blisters with burst fast & produces eruptions on skin
Dosha dominances – pitta – kaphaja
9.Pama:- Modern science correlation – scabies
Small sized blisters
Pus formation faster & more secretions
Itching, burning sensation
Dosha dominences- pitta kaphaja
10.Visphotak:- Modern science correlation -bullae
Whitish a reddish colour
Dosha dominance- pitta kaphaja
11.Shataru:- multiple boils
Pain,sticky secretions from the ulcos,
Present especially or joints
Doshe domince- pitta- kaphaja
Symptom of kustha according to the dosha dominances:
Vataja kustha :- skin dryness
Pain is present
Skin colour blackish,
Hallucinations are pusent
Nummbess, tremors, stiffness is also pusent
Pittaja kustha:- burning sensation, pain, reddish colour & secretions are present pus formation, bad odour, loss of body parts.
Kaphaja kustha:- skin itching, cool touch, heaviness of body, colour whitish, swelling is present worm infestation, secretions
Dhatugatavastha (symptom according to the dosha invo/vement) :- dhatugatauastha is found only in the mahakustha & not in kshudrakustha.
Twakgata kustha :- skin discolousation, dryness, numbers excessive or no sweating.
Raktagata kustha :- itching, pus formation, bad odour
Mansagata kustha :- extensive, hatd, esuptions.
Medogata kustha :- extensive, hard, eruption, deformity, difficulty in movement scars.
Asthi-majjagata kustha:- loss of nasal bone, redness of eye, worm form in the wouned
Shukragata kustha:- it leads to vitiation of sperm & ovum. It lead to skin problem in child also it may also lead to sterility.
Generally dhatugatauastha means the severity of disease. Based on the pathogeness & vitiation of different tissues (dhatues), dhatugatauastha is determined.
As the disease progresses to the next dhatus, disease also become difficult to treat.
Dhatugatauastha is possible in all diseases when adequate treatment is not done patient continues unwholesome diet & lifestyle
As stated in the pathogenesis, kustha is tridoshaja, so depending on the dominance of doshas, dofferent type are there and so treatment also doffers
Amongst the 3 doshas, the treatment of most dominant dosha is dive & then the associated dosha is treated.
In vatapradhan kutha :- ghritapan
Pitta pradhan kustha :- purgation & blood letting.
kapha pradhan kustha:- medicated nemetics are the treatment of choice.
The general line of treatment of kustha can be arranged like this:-
Snehapan (internal oleation)
Medicated emetis, purgation
Medicines Internal ;
Since kustha is a chronic disease repeatation of panchakarmq are required panchakarma depends on the dosha involvement & involovement of the deeper tissues.
Vaman can be done after every 15 days
Virechan can be done after every 1 months
Shirovirechan nasya can be done after every 3 days
Raktamokshan can be done after every 6 months.
Strong lepa can be done after every 3 days
For internal oleation;- khadis ghrita, neem ghrita, darwi ghrita, patola ghrita, tiktak ghrita mahatiktak ghita, panchatiktak ghrita, etc.
In the internal medicines :-
Single herbs like :-
Tuvasak, khaddar neem
Karanja patola bakuchi
Chakramarda manjista sariva
Arogyavasdhini, gandhak rasayan, swayambha guggula nimba gandhak choorn,
Sarvang sundar vati,sukshmatriphala sarivadhyasav, manjisthadi kwath, khadisarista, etc
Lepat:- karanja beejadi lepa, karaveeradi lepa, eldi lepa, manashiladi leepa etc.
Creams/oils:- sudarsham malam, shatadhouta ghritam, neem oil, karanja oil, brihat masichyadi oil, bakuchi oil.