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Acne And Pimple Remedy

Causes of Acne and Pimples:

A large numbers of oil producing glands called “sebaceous glands” are present under the skin ( see figure – skin cross section) on face, back, chest and shoulders. During puberty or menopause due to the influence of the sex hormones, which are produced in male and female, these glands become more active and produce an oily secretion called “sebum”. The sebum makes the skin more oily .The excessive sebum clogs the skin pore or the pit of the hair follicle. The blocked pore acts as good habitat for bacteria. The bacterial infection causes inflammation (red, painful swelling of the infected area) of the clogged pore or hair follicle.

Vata and Kapha are two main doshas, which are involved in eruption of acne and pimples

The oil produced by oil glands is called as meda (body fat). Kapha (one of the tridoshas) is dominant in meda. The presence of Kapha in oil makes it sticky. Vata is dominant in skin. When vata gets aggravated due to unhealthy diet and life styles, it activates the oil glands of skin  to secrete more sticky oil or sebum. Thus the  sticky oil or sebum oozes out to clog skin pores.

The factors, which vitiate VATA:

1. Controlling natural urges like urination, defecation, sleep, hunger, thirst etc.
2. Consuming food irregularly.
3. Late nights.
4. Talking in high pitch.
5. Consuming dry, oily, spicy foods.
6. Psychological disturbances.

The formation of black heads, white heads and scars

Black heads : The clogged pores get a dark color due to dust and excess skin pigment to cause black heads.

White heads:  The hair follicle when blocked with sebum causes white head.

Scars or Marks: When the infection spreads to sebaceous glands through infected acne a cyst develops below the skin surface. This cyst may rupture to spread the infection  to neighboring skin tissues. This causes scars or marks

Ayurveda tips to prevent acne and Pimples

1.       Avoid opposite foods.

(Opposite foods

A.      Curds ,  salt, mushrooms , bamboo shoots , sour fruits , meat , prawn , pork,  should not be consumed with  milk . The above mentioned foods should not be consumed by mixing one item with another.

B.      Sprouts, honey and milk should not be consumed with meat and fish.

C.      Fish  & milk : fish &sugarcane juice; jaggery & pork ;honey & pork;  milk & mango;  banana & milk ;   are opposite foods.)

2.       Do not exert physically after heavy meals.

3.       Do not consume foods, which lead to indigestion.

4.       Avoid exposure to extreme climates.

5.       Avoid excess usage of curds, fish , sour and salty foods, Bengal gram (urad), radish, sesame, horse gram and jaggery.

6.       Control your emotions through YOGA and MEDITATION

Dos and Don’ts  to avoid acne and pimples

Dos

1.   Consume more water and keep your body well hydrated.

2.   Wash your face thoroughly with a soap that suits your skin, 4 to 5 times a day. Avoid excessive removal of oil, as skin needs certain amount of oil to maintain its natural healthy condition.

3.   Wash your face thoroughly after using a make up as some beauty products block the pores.

4.   Consume green leafy vegetables and fresh fruits.

5.    Sleep sufficiently for long hours

Avoid

1.       Spicy, dry foods

2.       Consuming constipating foods.

3.       Squeezing of acne.

4.       Too much consumption of soft drinks, tea, coffee.

Body Skin Care

Fair , healthy and glowing skin attracts everybody’s attention. Ayurveda has many solutions to have a fair , healthy and glowing skin.

According to ayurveda skin has seven layers . When imbalanced doshas  affect these layers different type of skin diseases arise.  Doshas may get imbalanced in body and locally on skin.

Vata dosha is dominant in skin . The qualities of vata dosha are Cold, Light, Dry, Rough, Hard and Mobililty.

When vata dosha gets aggravated the skin becomes dry, cracked, rough, dark, dull, lifeless, fissured and scaly.

As vata dosha is only one dosha which has a capacity to move in nuke and corner of body and also has a deeper penetrating power. Vata when get imbalanced vitiates other to doshas i.e pitta and kapha.

When vata vitiates pitta the skin will get rashes, burning sensation, eruptions and other allergic manifestations. The sweat will have a bad odor .

When kapha gets vitiated due to imbalanced vata  oil secretion increases, acne  and  pimples erupt.  The skin  becomes dull  and luster less.

For a healthier skin the vata should be always in normal balanced condition. The balanced vata keeps all other tissues and remaining two doshas in healthy condition. The imbalanced vata vitiates the tissues of skin and leads numerous skin problems.

There are two ways to balance vata and maintain a healthy body skin.

1. Massaging body with medicated oil.
2. Expelling toxins regularly which get accumulated in body .

Benefits of Oil massage .

Massaging body daily with ayurvedic herbal oil has innumerable benefits. This process is called as “Abhyanga”. In great ayurvedic classic  Ashtanga Hridaya it the benefits of herbal oil massage has been mentioned  as follows.

” Abhyanga aachare nityam sa jara- shrama – vataha | Drushtihi prasada pushtyaahu swapna sutwak daadarya krit ||”  

This means

1. The aging symptoms appear very late in life.
2. Balances Vata.
3. Skin becomes soft and glowing. h
4. Skin looks fresh.
5. Skin becomes resistant to diseases.
6. Skin looks healthy.
7. Sharp eyesight and attractive eyes.
8. Body becomes stronger and well nourished.
9. The body and mind gets relaxed.
10. Undisturbed sleep.
11. Increases Libido.
12. Rejuvenates the body. the

Accumulation of toxins in body which affect the skin:

The inner physiological processes like digestion, metabolism, elimination of waste products etc directly affect the beauty of skin.

The process of digestion is carried out by agni or fire which is present in our digestive system.

(Agni is the body fire, which is responsible for transformation of one substance to another. It breaks down the food substances, eliminates toxins and wastes, maintains body temperature, and resists the invasion of microbes by maintaining strong body immunity.

The body fire, which is assisted by balanced doshas, digests the food completely to form Pakwa Anna rasa (the liquid form of food which is completely digested by digestive enzymes), which is ready to get absorbed by body tissues. According to ayurveda Pakwa Anna Rasa nourishes the body and its components to keep the body devoid of diseases. But when body fire is impaired there will be an incomplete digestion of food forming Apakwa Rasa (indigested food). The indigested food fails to nourish the body components leading to lowered body resistance. Due to indigestion toxins start accumulating in body.)

An unhealthy diet and life style imbalance doshas and the imbalanced doshas impair agni. Due to impaired agni toxins accumulate in body. These accumulated toxins affect the health of skin and the skin loses its luster and glow, acne and pimples start appearing, wrinkling of skin starts in an early age. Hence a well nourished diet, a healthy life style and regular detoxification is very important to keep our skin healthy.

Detoxification at home

The herbs amalki , haritaki, and vibhitaki  can be used for detoxification. They act as body cleansers.These herbs when used in proper proportions expel toxins , which have accumulated in body.This herbal combination also act as a best rejuvenator. They give the skin young looks, glow and resistance to diseases. Along with skin the whole body tissues get rejuvenated.

Herbal oil and  Herbal body cleanser

Herbal Body Massage Oil

Benefits

1. Slows aging process
2. Makes skin healthy, fresh, smooth and soft.
3. Sesame oil based.
4. Rejuvenates body and mind.

Herbal Body Cleanser

Benefits

1. Expels accumulated body toxins
2. Rejuvenates  body and skin.
3. Regularizes bowel movements (avoids constipation) .
4. Increases resistance of skin and body. (Increases body immunity)

Ayurvedic Hair Care

Diet and lifestyle are two major factors that influence the health of the hair. Poor diet, illness and deficiencies of any particular vitamin and mineral affects the quality of hair and problems like dandruff, thinning hair, balding, premature greying etc. spoil the hair.

In an individual the condition of the hair is a reflection of the complete constitution of him. If the person is not healthy then the health of the hair will be deplorable.

Example: If a person has vata constitution, the hairs are dark, dry, coarse, wiry or frizzy and tend to tangle easily, are prone to dullness, split ends and dandruff. The constitution comprising of Pitta has hair that is light brown, blonde or red and tend to grow gray or thin prematurely and are fine and silky with a tendency to become oily. Hairs are thick, wavy and shiny if the composition is of kapha.

Regularly cleaning and brushing the hair is very important. When the hairs are brushed, oil-producing glands in the scalp get stimulated. This natural oil makes the hair glossy and healthy. To give extra shine to the hair, after washing rinse the hair with some lemon juice mixed in a cup of warm water.

For keeping the hairs in healthy condition , Ayurveda recommends therapies like Murdhatarpan which means use of various medicated herbal oils for nourishment of the hairs and combating various hair related problems like hair fall , premature greying of hair ,alopecia, dandruff, dry, dull hair etc,

It consists of four sub types

1. Shiroabhyanga (head massage)

Massaging the hairs with lukewarm medicated herbals oils for a

specific period is called Shiroabhyanga.

Uses: For hair fall, dandruff, dry hair, promotes hair growth, useful in

insomnia, stress, improves complexion of face etc.

1. Shir –seka (Shirodhara)

Pouring of medicated lukewarm oil, decoction, medicated ghee, in a

continuous stream on the forehead for a certain time period.

Uses: Insomnia, stress, mental disorders etc.

1. Shiropichu

In shiropichu, cotton piece is dipped in lukewarm medicated oil and is

kept on the head for a certain time.

Uses: Hair fall, premature graying of hair etc.

1. Shirobasti

Pouring medicated herbal oils in a cap made of leather etc

Uses: Hair fall, vision defects, conjunctivitis

1. Shiro- lep

Application of various medicated herbal paste like henna, amla,

shikakai, retha, gasti etc and for promoting hair growth is used.

1. Nasya – Medicated nasal drops.

Nasya is one of the important panchakarma procedures in which medicated nasal drops are instilled into the nostrils.

Uses: Alopecia, promotion of hair growth, premature greying of hairs etc.

Ginger has a long tradition of being very effective in alleviating symptoms of gastrointestinal distress and reducing intestinal gas. Modern research has revealed that ginger possesses numerous therapeutic properties including immune boosting, antioxidant effects, an ability to inhibit the formation of inflammatory compounds, and direct anti-inflammatory effects.
Gingerols, the main active components in ginger and the ones responsible for its distinctive flavor, may also inhibit the growth of human colorectal cancer cells The medical part of the plant is the underground stem, which is called the rhizome. Zesty flavor notwithstanding, ginger is often taken for its calming effects on a churning stomach. It is also taken to treat morning sickness, seasickness, and motion sickness. In some people it also can help reduce a fever or lessen the symptoms of a cold. Ginger contains an essential oil and other compounds (including gingerol and shogaol) that apparently prevent nausea through effects on the stomach and gastrointestinal system rather than through the nervous system. Doctors recently have tested ginger’s ability to prevent nausea and vomiting after surgery and during chemotherapy treatment. One recent study found that ginger was better than a placebo and as effective as the conventional anti-emetic drug metoclopramide for preventing nausea after gynecological surgery. ginger extract significantly reduced the development of atherosclerotic lesions and lowered LDL-cholesterol levels in mice. Components of ginger, called flavonoids also have antioxidant potential. Research published in 2001 suggests that highly purified ginger extracts may be useful for alleviating the pain caused by osteoarthritis (OA) of the knee.

PRANAYAMA

The Power of Breathing
The lungs are to the body what the bellows are to the fires of the forge. The more regularly and vigorously that the air is forced through the bellows and through the lungs, the livelier burns the flame in the furnace and the fire of life in the body.
A vital scientific and therapeutic aspect of yoga is Pranayama. Pranayama is the breathing process or the control of the motion of inhalation, exhalation and the retention of vital energy.
During Pranayama, inhalation (puraka) stimulates the system and fills the lungs with fresh air. Retention (kumbhaka) raises the internal temperature and plays an important part in increasing the absorption of oxygen. Exhalation (rechak) causes the diaphragm to return to the original position and air full of toxins and impurities is forced out by the contraction of inter-costal muscles
Patanjali defines pranayama as “the regulation of the incoming and outgoing flow of breath with retention.”
The word pranayama consists of two parts: prana and ayama. Ayama means stretch, extension, expansion, length, breadth, regulation, prolongation, restraint and control and describes the action of pranayama. Prana is energy, when the self-energizing force embraces the body. When this self-energizing force embraces the body with extension, expansion and control, it is pranayama.
Pranayama is the measuring, control, and directing of the breath, and thus of energy within the organism, in order to restore and maintain health and to promote evolution.
Our state of mind is closely linked to the quality of prana within. The more content a person is and the better he or she feels, the more prana is inside. The more disturbed a person is, the more prana is dissipated and lost. Because we can influence the flow of prana through the flow of our breath, the quality of our breath influences our state of mind.
Prana is power. It gives control of breathing processes and control of vital force. In breathing, fresh air from outside the body enters the body and foul air leaves
Whatever happens in the mind influences the breath; the breath becomes quicker when we are excited and deeper and quieter when we relax. In order to influence our prana we must be able to influence the mind. Our actions often disturb the mind, causing prana to exude from the body. Through daily pranayama practice we reverse this process, as a change in the breathing pattern influences the mind
Our actions often disturb the mind, causing prana to exude from the body. Through daily pranayama practice we reverse this process, as a change in the breathing pattern influences the mind.
The idea of prana existing within or beyond the body can be understood as a symbol for our state of mind. When the mind is as clear as transparent glass there is nothing that could disturb the body; there is no rubbish lying about. On the other hand, if we notice hesitancy, discontent, fear of doing something because it might be inappropriate, and so forth, we can assume that there are blockages in the system
These blockages do not just occur in the physical body; they exist even more in the mind, in consciousness.
The link between mind and breath is most significant. The Yoga Sutra says that when we practice pranayama the veil is gradually drawn away from the mind and there is growing clarity. The mind becomes ready for deep meditations. Thus, pranayama is first and foremost awareness of the breath.
Out breath is a very important part of the body’s elimination processes. We can use out breath as a mechanism to free the mind from blocks and thereby lead us to greater clarity.
In pranayama we focus our attention on the breath. In the practice of pranayama it is therefore very important to keep an alert mind, for the processes that are being observed are very subtle. There is no visible movement of the body as in asana practice; we must acutely sense and feel the movement of the breath within.

What’s Wrong With The Way We Breathe?
Our breathing is too shallow and too quick. We are not taking in sufficient oxygen and we are not eliminating sufficient carbon dioxide. As a result, our bodies are oxygen starved, and a toxic build-up occurs. Every cell in the body requires oxygen and our level of vitality is just a product of the health of all the cells.
Shallow breathing does not exercise the lungs enough, so they lose some of their function, causing a further reduction in vitality.
We need to breathe more slowly and deeply. Quick shallow breathing results in oxygen starvation which leads to reduced vitality, premature ageing, poor immune system and a myriad of other factors.

Effective Breathing
Breathing problems can be corrected by yoga through the practice of Pranayama. Pranayama has various techniques that are designed for the maximum capacity utilization of the lungs – something tat most of us do not do. Yoga and pranayama also help in regulating the temperature of the breath flow thereby solving a lot of problems related to breathing.
Reduces vitality, since oxygen is essential for the production of energy in the body. Increases disease. Our resistance to disease is reduced, since oxygen is essential for healthy cells. This means we catch more colds and develop other ailments more easily. Lack of sufficient oxygen to the cells is a major contributing factor in cancer, heart disease and strokes.

The Medical Viewpoint on Fast, Shallow Breathing
That fast, shallow breathing can cause fatigue, sleep disorders, anxiety, stomach upsets, heart bum, gas, muscle cramps, dizziness, visual problems, chest pain and heart palpitations.
Scientists have also found that a lot of people who believe they have heart disease are really suffering from improper breathing.

Importance of Breathing through the Nose
The first rule for correct breathing is that we should breathe through the nose. This may seem obvious, but many people breathe principally through the mouth. Mouth breathing can adversely affect the development of the thyroid gland. It can retard the mental development of children.
The nose has various defense mechanisms to prevent impurities and excessively cold air entering the body. At the entrance to the nose, a screen of hairs traps dust, tiny insects and other particles that may injure the lungs if you breathe through the mouth.

In the inner nose are glands which fight off any bacilli which have slipped through the other defenses. The inner nose also contains the olfactory organ-our sense of smell. This detects any poisonous gases around that may injure our health.

Breathing or Pranayama –pregnancy: – These powerful techniques ensure the abundant supply of oxygen and a better life force for you and your child. These methods work on your fitness during pregnancy.

PRANAYAMA:

NadiShodhan (Alternate nostril breath)
Sit erect. Close the right nostril with the right thumb and keep the small finger and the one next to it, on the left side of the nose. Close the left nostril with both those fingers and exhale fully through the right nostril. Now starts the first round of this pranayama. Keeping the left nostril closed, inhale. After inhaling deeply close the right nostril with the thumb and open the left nostril and then exhale slowly through the left nostril till the lungs are absolutely empty. Now without a pause, from that very left nostril inhale deeply and slowly. Thereafter without a pause, close the left nostril with the small and next finger and open the right nostril and exhale slowly and steadily through the right nostril. This completes one cycle. For the second cycle, inhale through that very right nostril.
You can complete eight or ten cycles in this way. No sound should develop while practicing this pranayama. It should be noiseless. Time taken in inhaling should be the same as taken for exhaling.
With this pranayama there is cleansing of the nadis (internal tubular ducts) from within. No obstacles remain in those ducts. Even the smallest obstacle could be a hindrance in the way of proper breathing.
By this pranayama not only are the nadis cleaned but simultaneously blood starts getting more oxygen and you feel refreshed. The mind is at peace with itself and becomes clear. This pranayama can be practiced at any time of the day. Perhaps you may like to do ten cycles each in the morning and at bed time and do five cycles once more during the day.

What good can this do?
1. Cleanses and tones up entire nervous system.
2. People suffering from cough and cold benefit greatly.
3. Heart is strengthened.
4. Blocked nostrils are cleared.
5. Removes mental tension and worries.
6. Induces feeling of peace.
If you don’t do anything else, this is a simple yoga breathing exercise that can be done virtually anywhere, anyplace. The name alternate nostril breathing is due to the fact that we alternate between the two nostrils when we do the breathing.
With this exercise, we breathe through only one nostril at a time.
According to the yogis, when the breath continues to flow in one nostril for more than two hours, it will have an adverse effect on our health. If the right nostril is involved, the result is mental and nervous disturbance. If the left nostril is involved, the result is chronic fatigue and reduced brain function. The longer the flow of breath in one nostril, the more serious the illness will be.

Benefits
The exercise produces optimum function to both sides of the brain: that is optimum creativity and optimum logical verbal activity. This also creates a more balanced person, since both halves of the brain are functioning property.
The yogis consider this to be the best technique to calm the mind and the nervous system.

Ujjayi Pranayama:
Besides the pranayama mentioned above, Ujjayi pranayama is the only other pranayama for the learning of which you do not need direct supervision of any guru. This can be practiced at all times of the day while sitting, standing, walking or lying.
For this pranayama also keep the back straight and upright. If possible, close your eyes and draw the senses in.
Then exhale completely and inhale deeply, steadily and slowly through both the nostrils and feel the incoming air against your palate and listen to the ‘Sa’ like sound that air makes. Fill your lungs completely. The abdomen will definitely go up but do not bloat it too much. The abdomen under control. Again feel that the outgoing air is touching the palate. It will make a “ha” like sound. Listen to that. This completes one cycle.
Practice this pranayama for about 5 to 10 minutes. In this practice so much of oxygen will go in and so much carbon will come out that the whole body will feel invigorated especially the thyroid glands.

Kapalabhati (Cleaning Breath)
In this practice we deliberately breathe faster, and at the same time use only abdominal (that is, diaphragmatic) breathing, not chest breathing. In kapalabhati the breath is short, rapid, and strong. We use the lungs as a pump, creating so much pressure as they expel the air that all the rubbish is cleared from the air passages, from the lungs up through the nostrils.

How to do this
Sit comfortably in any meditative posture. Sit erect. Exhale through both nostrils, contracting the middle and lower abdomen portions. Release the contractions quickly and immediately follow with another forceful exhalation. Inhale passively and effortlessly. Gradually increase the frequency to about 100 strokes/minute. After the round take a deep breath and gradually exhale.

What good can this do
1. Cleans capillaries of the remotest part of the body.
2. Purifies the frontal portion of the brain.
3. Aid in combating asthma, diabetes, and chronic bronchitis besides other nervous disorders.
4. Cleans the nasal passages.

Anaemia (panduroga):-
The disese in which skin, nails, eyes apper pale is known as panda(anaemia). In panda, the complexion of skin is lost, loses the luster of skin & there is paleness of body.
Etiological factors :-
There are various of pandudescribed in different ayuvedic texts the commin causes can be classified into four groups such as selated with diet, lifestyle, mental causes, & other diseases.
Diet :- intake of excessive alkaline food, sour, salty, hot, dry food excessive intake of alcohol, impropu food combinations, over-eating,eating of mud.
Lifestyle:- daysleep, heavy exercise, excessive sexual interxause, holding of natural urges,climatic variations,improper panchakalm.
Mental causes:- tension, fear, anger, serrow, grief, etc.
Orther diseases:- diseases which cause blood loss eg.dys functional uterive bleeding, haemorhage, etc.
All disease which create dhatukshaya as well as ojateshage e.g. tuberculosis, HIV,AIDS besides the above causes the out her veghbet stated in sutrasthama- santarpan & apaterpan are the important causes of panurog.
Hogenesis :- from the various refernces in samhita general pathofenesis of panduraga is stated is follows. Due to the intake of etiological factors, 3 doshas especially pitta gets vitiated. Then 3 doshas enters the heart. From the heart, it is propelled out to whole body so producing sysptom like palpitation, fear, etc.
This bring laxity in all tissues. So the formation of tissues is affected, leading to the discoloration of skin, paleness of skin.the strength, color & ajalessence of all tissues is lest.it also leads to rakta kshaya (in blood) & meda sdhatukshaya( in fats) leading to pandu.
Types there are five type of panduraga :-
(1) Vataja (2) pittaja (3) kaphaja (4) snanipatik (5) mrudbakshan pandu
Prodormal symptoms :-
Dryness of skin, debility, earting of mud, swelling of eyes, yellowish discolosation of urire & stoods, palpitations & No sweating
Sysptoms :- paleness of skin, nails, eyes
Skin become dull, noise in the ears, apetite become less, debility, debility, giddiness, fever, breating difficulty, bodyaches, cramps in the muscles, tired easily,
Swelling of the eyes , palpitation.
Complications:-
Anorexic, thirst, variting, fever, headache, oedema, heart problems, tinnitus, jaundice.
Treatment :- in pondu, there is dryness & debility in body, so to reduces it ghee is given internally.
Snehan
Vaman, virechan
For snahapan:- dadimadi ghee, katukadi ghee, pathyadi ghee, draksha ghee, tiktak ghee, mahatiktak ghee.
For virechan:- mild purgatives are best like araguadha, raisins, gandhasva haritaki, gomutiaharitaki
Loha kalpa:-
In pandu, the is blood & fat decrease & kading to laxity in tissues & so to prevent it loha kalpa (iroa preparations) & manus kalpa are used. Tapyadi loha, navages loha, suvasna makshik bhasma can be used. Tapyadi loha,
Navaya loha, suvaena makshik bhasma can be used.tapyadi loha,navayas loha, suvasna makshik bhasma can be used,
Liver is the main place of rahtavaha srotes. So to improve the functioning of live,
Drugs acting on live:- arogyavardhivi, sutasekhas, Phalatrikadi kashag, kushmanda avaleha can be give
Krimighng:- warmiade action sometime anaemia may be there become of worms, so worms should be expelled out medicines for this are vidang a mokshak, palasha beeja choosna, kampillak, errand kaskat beega, Krimikuthar.
Sometime, depending on the principle,direct blood is given to patient.
Also the secription about enema with blood (rukta basti) is there. In this 50-100ml frush blood mixed with auticoagulant is used at least 7 basti has to be given.
Sometime blood transfusion may be required.

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.
1. Mahakustha
2. Kuhudrakustha.

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.

Etiological factors
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)
Day sleep
Sexual intercourse during the indigestion
Indulged in sinful activities.

PATHOGENESIS :-
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.

Prodormal symptoms:-
No sweat or excessive sweating.
Very soft or very dry skin.
Burning sensation on the skin.
Numbness
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.

mahakutha
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
Fever
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
Ihtensive itching
Dosha involvement – kapha dominant

4.Hrishyajivha: – red margin with blackish
Hard touch
Small blisters on the skin raised at the centre & small at the edges.
Pain, burning sensation,
Warm infestation
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
Touch- rough
No itching
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
Extensive
Modern science correlation- erythrodermias
Dosha dominance- vata-kapha

2.Charmakustha:-
Modern science correlation – xerodermia pigmentosa it is extensie, dry and rough skin
Itching present
Dosha dominances – vata – kapha

3.Kitibh :- Modern science correlation – psoriasis
Blackish discolouration,
Dry & rough skin,
Scale on the skin,itching.
Dosha dominences – vata – kapha.

4.Vipadika Modern science correlation – rhageades
Eruptions on palm & soles
Little itching
Reddish blisters

5.Vichaschika :Modern science correlation – eczema
Itching, many blisters, more secretions colour is whitish.
Dosha dominence- kaphaja

6.Alasak:- Modern science correlation – lichen
itching.
Reddish blisters
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
Reddish colour
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
Thin,blisters,skin
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
Skin atrophy
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

Treatment:-
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
Blood letting.

Medicines Internal ;
Externally
Oils
Pastes

Dietary considerations
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
Haridra, etc
Medicinal preparations:-
Arogyavasdhini, gandhak rasayan, swayambha guggula nimba gandhak choorn,
Sarvang sundar vati,sukshmatriphala sarivadhyasav, manjisthadi kwath, khadisarista, etc
Externally :-
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.

AMAVATA:- Modern science correlation Rheumatoid Arthritis

The disease in which there is vitiation of Ama (indigested particles) and vata dosha independently producing the disease is called as Amavata
? In take of unctuous and fermented food items together with exercises is one of the most important causes for Rheumatoid arthritis
? Rheumatoid arthritis is a chronic and painful disease.

Etiological factors:-
The person having slow digestion, if takes heavy unctuous food and do exercises immediately, can produce this disease.

Pathogenesis:- Due to the above etiological factors , it leads to the aam formation (indigested particulars) and vata aggravation .Due to the vitiated vata, aam gets movementum and it moves all over the body. This aam moves to the sites of kapha and produces abnormality in that places. Here kapha sites means stomach, joints, head region, throat and chest regions . This aam is very sticky and it produces weakness and heaviness in the chest. Both vitiated vata and indigested particals together produces abnormality in the gastro intestinal tract, joints and lower back. It produces stiffness in whole body and it is labelled as Amavata (Rheumatoid Arthritis)

Prodormal symptoms:-

Fever, heaviness in the body, stiffness in the joints.

Symptoms:-

Body ache, Anorexia, thirst, fatigue, heaviness in the body, fever, indigestion, joint pain and swelling are the general symptoms of Rheumatoid Arthritis.
? There is pain and swelling in the joints of hands, legs, ankle, sacrum, knee joint etc. There is also tenderness, warm temperature and redness in the joints.
? Symptoms like loss of movements or difficulty in movements or painful movements are also seen.
? There is radiating pain in the joints.
? Symptoms like loss of appetite, excessive salivation, anorexia, heaviness, lack of enthusiasm, burning sensation in the body excessive urination, constipation, excessive sleep are also present.

Types:-

1)Vataja
2)Vata – Pittaja
3)Vata – Kaphaja

In Vataja:- excessive pain

Vatapittaja:- burning sensation and redness
Vata Kaphaja:- heaviness , itching

COMPLICATIONS:-
Thirst, vomiting, giddiness, unconsciousness, constipation, gas trouble, cardiac arrest, increased peristalsis movements are the main complication of rheumatoid arthritis heart problem.

Udarka:- bending of hands and legs, heart problems.

Treatment:-

? In Rheumatoid arthritis, the main treatment should be done on aam –  indigested food particular. For this purpose fasting, dry fomentation, sand kizhi, bitter spicy and appetizer drugs are used.
? Application of warm paste is beneficial eg. Dashang lepa, hirava lepa, lepa guti, etc.
? For digestion of aam and for purgation castor oil is good.
? Castor oil is a good appetizer digestive and laxative and so it acts on aam and also vata and hence helps to cure rheumatoid arthritis.
? Preparation of castor like Eranda sunthi yoga, gandharva haritaki can be also used.
? Basti can be also be used.
? To prevent the complication like heart problem in the chronic stage, use gold preparations. Gold gives strength to the heart.
? Herbs like rasna, guduchi, sahachar, ginger, castor, punarnava goteshur, dashamula, etc. are also used.
? Medicines like simhanod guggulu, rasna guggula, sahachar guggulu, triphala gruggulu, Maharasnadi kadha, Rasnasaptak kadha, vatavidhwansak, bhallatak parpati can be used.

Pathyapathya:-

Food should be dry light, warm, apetiser, digestive Garlic can be used bajari bhakari kulatha yusha drumstick, bittergourd, snake gourd, ginger, and garlic, warm water buttermilk is beneficial.
Rest is beneficial

Food items having bitter and pungent taste are beneficial

Apathya

Avoid curd, fish, jaggery, fried items, urad, fermented food items, waking late at night day sleep, holding the natural urges exposure to wind.

Vatarakta ( Grouty Arthritis)

The disease in which there is independent vitiation of vata dosha and Rakta shatu producing disease is called vatarakta.

In vatarakta there is deformity in the small joints

Etiological factors;-

? Excessive intake of salty sour and spicy taste food items eating during indigestion, eating dried meat intake of kulitha ( ), urid ( ),sugarcane curd, alcohol, anger, day sleeping waking at night . and other improper diet and lifestyle .This causes leads to vata and rakta vitiation in delicate obese people.

? Causes like trauma, excessive walking, intake of astringent, bitter, spicy taste food items dry food, fasting, traveling on animals like elephant camel, horse, swimming, jumping excessive coiters holding the natural urges etc. leads to vatarakta

Pathogenesis :- Due to hetusevan (intake of causitive factors), it leads to vata vitiations rakta vitiation vitiated vata makes more vitiated then vitiated vaju and rakta spreads all the body. Then it gets accumulated in the phalanges of hands and legs producing inflammation, pain warm touch, redness like symptoms. Afterwards it produces these symptoms in the other joints.

The pain starts from the phalanges of hand to wrist joint and then elbow it and then scapular joint the pain is less starts from phalanges to ankle joint, and then to knee joint and later on the hip joint.

Prodormal symptoms:-

Excessive sweating or no sweating, blackish discoloration of the skin, loss of touch sensation, lot of pain in the wound, laxity of joints, laziness disability, of body deformity in the joints, joints pain heaviness of body.

Symptoms:-

? Join pain joint swelling
? deformity spreading from phalanges to the other joints
? redness in the joint, warm temperature and lot of tenderness in the joint, fever

There are 2 types of vatarakta:-

1) vttan vatarakta
2)gambhus vatarakta

Vttan vatarakta: – It takes shelter in skin and flesh .It produces symptoms like itching, burning sensation pain blackish discolour skin.

Gambhi vatakta:- It takes shelter in fats, bones, and bone marrow. It produces symptoms like swelling, hardness, tenderness, burning sensation, pain. Sometimes number ness is also present. It also produces deformities in fingers like bending of fingers,

Complications:-

Insomnia, Anorexia, breathing difficulties, severe headache unconsciousness, body ache, thirst, fever, tumors, hiccough, herpes, giddiness, deformities in fingers burning sensation skin problems, heart disease etc.

Treatment:-

A)Shodhan (panchakarma) is very necessary
1)Snehan (oleation)
2)Swedan (fomentation)
3)Snehayukta virechan (purgation)
4)Basti
5)Raktamokshan

B)Shaman Chikitsa Extract:-
a)Lepa (paste application) eg. Dasharg lepa, Abhyang oil massage eg. Parishek (Pidichil) vatashamak oil or decogtion upanaha (poultia)
b) Internal herbs like guduchi, manjistha, sariva, kumari, Neem, Nirgundi, shatavari, dayhomoola, Erand, triphala, rasna.

Tiktak ghee or mahatiktak ghee after the treatment of disease, in order to prevent the reoccurrence of the disease guduchi siddha ghrita can be used as a rasayan

Pathyapathya:-

Good old rice, yawa wheat, moong grapes, gooseberry, milk of cow or buffalo or goat milk.

Apathya:- bakery products, fermented food items, meat curd (yoghurt) alcohol, pungent, salty hot food items day sleep, exercises, exposure to heat or fire as it leads to blood vitiation and vata vitiation .

Sandhigatavata (osteo arthritis0
The disease in which there is pain and swelling in the joints is called sandhigatavata.

Etiological factors :- (osteo arthritis)

The causes which leads to vatapiakopalik intake of dry cold bitter spicy and astringent taste food items taking less food excessive intercourse less sleep improper panchakarma heavy work stress trauma etc. vata dosha pralcopa naturally occur in rainy season and after the digestion of food

Pathogenisis

There are 2 types of pathogensis
1) srotorodhajanya (due to obstruction)
2) dhaturkshayjanya ( due to less nourishment)

1) Srotogodhajanya sampupti :-
Due to biological factors it leads to kaphaprokopa (due to ama and intake of more cold items or cold atmosphere) it leads to obstruction in the srotons Due to this vata moves in opposite direction and producing the joint pain and swelling producing sandhisatavata

2)Dhatakshanjanja Samp

Due to etiological factors it leads to vataprakopa .It leads to dryness and roughness in the srotes and produces weakness of the particular part of causing pain and swelling of joint.

Purvarupa

The symptoms aof sandhigatavata are slightly visible.

Symptons

Sandhishoola , Sandhishatha
? Pain while doing movements
? Crepitation sounds from the joints
? Difficulty in doing movements
? Sometimes loss of movements is also seen

In srotorodhajanga sandhigatavata :- There is tenderness in the joints redness and warm sometimes fever is also present.

Treatment
General line of treatment

Dhatukshaja sandhigetanl

1) In External and internal oleation Narayan oil and bala oil
2) Fomentation
3) Lepa paste of herbal medicines like lepa gutika hirva lepa etc,
4) Anulomak use of mild laxatives like castor oil and gandharva haritaki
5) Raktamokshan blood letting
6) Dahan karma or Agnikarma
7) Internal medicines like Yogaraj guggle mahayogaraj guggle, Bhwagandharista shatavari etc.

B) Srotorodhajanya sandhigetavata:-

1) Internal oleation is contra indicated
2) External oleation is contra indicated but external oleation can be done visagarbha oil
3) Fomentation
4) Lepa paste of lepa gutika trinva lepa
5) Anulomak Use of mild laxatives like castor oil gandharva haritaki
6) Raktunokshan blood letting
7) Dahan karma oil agnikarma
8) Internal medicines Bhallatakasav bhallatak parpatin maharashadi kdha trifala grygulu amrita guggla Rasna gugli etc.

Pathyapathya

? Diet should be unctuous nourishing
? Sweet sour, salty taste items milk flesh are beneficial

Avoid ,stress ,tension