Seven Mahakushtha-
1) Kapala Kushtha:
कृष्णारुणकपालाभं यद्रूक्षं परुषं तनु|
कापालं तोदबहुलं तत्कुष्ठं विषमं स्मृतम्||१४||
kr̥ṣṇāruṇakapālābhaṁ yadrūkṣaṁ paruṣaṁ tanu|
kāpālaṁ tōdabahulaṁ tatkuṣṭhaṁ viṣamaṁ smr̥tam||14||
कापालं तोदबहुलं तत्कुष्ठं विषमं स्मृतम्||१४||
kr̥ṣṇāruṇakapālābhaṁ yadrūkṣaṁ paruṣaṁ tanu|
kāpālaṁ tōdabahulaṁ tatkuṣṭhaṁ viṣamaṁ smr̥tam||14||
Colour – kr̥ṣṇa (blackish), aruṇa
(reddish)
Nature – Kapāla (similar to
broken piece of earthen pot)
Touch – Rūkṣa
(dry), paruṣa (rough), tanu (thin)
Associated symptoms – severe
pain
Sadhya / sadyata – Difficult
to cure
Fig.1
Kapāla / actinic keratosis non
hypertrohic
Fig1a Kapāla / tuberculoid leprosy
2) Udumbara Kushtha:
दाहकण्डूरुजारागपरीतं लोमपिञ्जरम्|
उदुम्बरफलाभासं कुष्ठमौदुम्बरं विदुः||१५||
dāhakaṇḍūrujārāgaparītaṁ lōmapiñjaram|
udumbaraphalābhāsaṁ kuṣṭhamaudumbaraṁ viduḥ||15||
उदुम्बरफलाभासं कुष्ठमौदुम्बरं विदुः||१५||
dāhakaṇḍūrujārāgaparītaṁ lōmapiñjaram|
udumbaraphalābhāsaṁ kuṣṭhamaudumbaraṁ viduḥ||15||
Colour – Similar
to udumbara fruit
Nature – rāgaparīta
(redness), lōmapiñjara
(hair on the patch become brown)
Associated symptoms – burning
sensation, pruritus and pain.
Fig. 2 udumbara
/ nodular leprosy of childhood
Fig. 2a udumbara/dermatitis herpetiformis
Fig. 2b udumbara
/ venous eczema
Fig. 2c udumbara
/ dyshidrosis
3)Mandala Kushtha:
श्वेतं रक्तं स्थिरं स्त्यानं स्निग्धमुत्सन्नमण्डलम्|
कृच्छ्रमन्योन्यसंसक्तं कुष्ठं मण्डलमुच्यते||१६||
śvētaṁ raktaṁ sthiraṁ styānaṁ snigdhamutsannamaṇḍalam|
kr̥cchramanyōnyasaṁsaktaṁ kuṣṭhaṁ maṇḍalamucyatē||16||
कृच्छ्रमन्योन्यसंसक्तं कुष्ठं मण्डलमुच्यते||१६||
śvētaṁ raktaṁ sthiraṁ styānaṁ snigdhamutsannamaṇḍalam|
kr̥cchramanyōnyasaṁsaktaṁ kuṣṭhaṁ maṇḍalamucyatē||16||
Colour – white
and red
Nature – sthira
(slow progress), styāna
(ghana) (compact), snigdha, elevated round patches
Associated symptoms – patches
are matted
Sadhyasadhyata – Difficult
to cure
Fig.3
Maṇḍala / lepromatous leprosy
Fig.
3a Maṇḍala / lepromatous leprosy
4)Rsyajihva Kushtha:
कर्कशं रक्तपर्यन्तमन्तः श्यावं सवेदनम्|
यदृष्यजिह्वासंस्थानमृष्यजिह्वं तदुच्यते||१७||
karkaśaṁ raktaparyantamantaḥ śyāvaṁ savēdanam|
yadr̥ṣyajihvāsaṁsthānamr̥ṣyajihvaṁ taducyatē||17||
karkaśaṁ raktaparyantamantaḥ śyāvaṁ savēdanam|
yadr̥ṣyajihvāsaṁsthānamr̥ṣyajihvaṁ taducyatē||17||
Colour – Rakta paryanta anta śyāvaṁ (red in edges
and brown inside)
Nature
–
karkaśa (rough), it
resembles the tongue of R̥ṣya (a type of deer with blue testicles
Ca.Ci.7 / 17 Chakrapani)
Associated symptoms – pain
Fig.
4 R̥ṣyajihvā/borderline lepromatous leprosy
Fig.
4a R̥ṣyajihvā
/ Erythema migrans /erythematous rash in Lyme disease
5)Pundarika Kushtha:
सश्वेतं रक्तपर्यन्तं पुण्डरीकदलोपमम्|
सोत्सेधं च सदाहं च पुण्डरीकं तदुच्यते||१८||
saśvētaṁ raktaparyantaṁ puṇḍarīkadalōpāmām|
sōtsēdhaṁ ca sadāhaṁ ca puṇḍarīkaṁ taducyatē||18||
saśvētaṁ raktaparyantaṁ puṇḍarīkadalōpāmām|
sōtsēdhaṁ ca sadāhaṁ ca puṇḍarīkaṁ taducyatē||18||
Colour – White
with red edges
Nature – resembles
lotus petals, elevated patches
Associated symptoms – burning
sensation
Fig.
5 Puṇḍarīka
/ erythema multiforme
6) Sidhma Kuṣṭha:
श्वेतं ताम्रं तनु च यद्रजो [१] घृष्टं विमुञ्चति|
अलाबूपुष्पवर्णं तत् सिध्मं प्रायेण चोरसि||१९||
śvētaṁ tāmraṁ tanu ca yadrajō [1] ghr̥ṣṭaṁ vimuñcati|
alābūpuṣpavarṇaṁ tat sidhmaṁ prāyēṇa cōrasi||19|| Colour – white coppery, colour resembles flower of alābū (lagenaria siceraria)
śvētaṁ tāmraṁ tanu ca yadrajō [1] ghr̥ṣṭaṁ vimuñcati|
alābūpuṣpavarṇaṁ tat sidhmaṁ prāyēṇa cōrasi||19|| Colour – white coppery, colour resembles flower of alābū (lagenaria siceraria)
Nature –
thin
Associated symptom – particles
resembling dust are observed, it is located mostly on chest [due to dominancy
of kapha on ura pradesh Ca.Ci.7/19 Cakrapani].
Fig. 6 sidhma / pityrasis alba
Fig. 6c sidhma / pityrasis alba
7)Kākaṇaka Kuṣṭha
यत् काकणन्तिकावर्णमपाकं तीव्रवेदनम्|
त्रिदोषलिङ्गं तत् कुष्ठं काकणं नैव सिध्यति||२०||
yat kākaṇantikāvarṇamapākaṁ tīvravēdanam|
tridōṣaliṅgaṁ tat kuṣṭhaṁ kākaṇaṁ naiva sidhyati||20||
त्रिदोषलिङ्गं तत् कुष्ठं काकणं नैव सिध्यति||२०||
yat kākaṇantikāvarṇamapākaṁ tīvravēdanam|
tridōṣaliṅgaṁ tat kuṣṭhaṁ kākaṇaṁ naiva sidhyati||20||
Colour –
resemble gunjā
(abrus
precatorious) i.e. red in colour
Nature – does
not get suppurated
Associated symptoms – Pain
and incurable, all the 3 dōṣa are present
Fig
7 Kākaṇaka / squamous cell carcinoma
Fig
8 Kākaṇaka / squamous cell carcinoma
इति सप्तमहाकुष्ठानि
iti saptamahākuṣṭhāni
This
ends the explanation of seven mahakuṣṭha.
Eleven ksudra kuṣṭha
1)Eka kuṣṭha –
अस्वेदनं महावास्तु यन्मत्स्यशकलोपमम्|
तदेककुष्टं
तदेककुष्टं
asvēdanaṁ mahāvāstu yanmatsyaśakalōpāmām|
tadēkakuṣṭaṁ,
tadēkakuṣṭaṁ,
Nature – resembles
scales of fish
Location – Extensive
Fig
9 Eka kuṣṭha / ichthyosisVulgaris
Fig9a Eka kuṣṭha/ichthyosis vulgaris
2)Carmākhya Kuṣṭha –
चर्माख्यं बहलं हस्तिचर्मवत्||२१||
carmākhyaṁ bahalaṁ hasticarmavat||21||
Nature – skin
is thick resembling elephant skin
Fig
10 carmākhya
/ scleroderma
Fig 10a carmākhya / elephant like skin
3)Kiṭibha Kuṣṭha-
श्यावं किणखरस्पर्शं परुषं किटिमं स्मृतम्|
śyāvaṁ kiṇakharasparśaṁ paruṣaṁ kiṭimaṁ smr̥tam|
kiṇakharasparśa - ikNaKrspSa- - touch similar to the granulation process in wound.
kiṇakharasparśa - ikNaKrspSa- - touch similar to the granulation process in wound.
Colour – It
is blackish brown
Nature – Rough
similar to scar tissue and hard to touch
Fig
11 Kiṭibha / psoriasis
Fig
11a Kiṭibha / lichen sclerosus
4)Vaipādika kuṣṭha –
वैपादिकं पाणिपादस्फुटनं तीव्रवेदनम्||२२||
vaipādikaṁ pāṇipādasphuṭanaṁ tīvravēdanam||22||
Location – Hand
and legs
Nature – cracks
in palms and sole
Associated symptoms – severe
/ excruciating pain
Fig 12 Vaipādika / anhidrosis
Fig 12a Vaipādika / dermatitis
Fig 12b Vaipādika / eczema
5)Alasaka Kuṣṭha –
कण्डूमद्भिः सरागैश्च गण्डैरलसकं चितम्|
kaṇḍūmadbhiḥ sarāgaiśca gaṇḍairalasakaṁ citam|
kaṇḍūmadbhiḥ sarāgaiśca gaṇḍairalasakaṁ citam|
Nature – Nodules
Associated symptoms – Pruritus
Colour – redness
Fig
13 alasaka / dermatosis neglecta
Fig
13a alasaka / prurigo nodularis
6)Dadru kuṣṭha
सकण्डूरागपिडकं दद्रुमण्डलमुद्गतम्||२३||
sakaṇḍūrāgapiḍakaṁ dadrumaṇḍalamudgatam||23||
sakaṇḍūrāgapiḍakaṁ dadrumaṇḍalamudgatam||23||
Colour – redness
Nature – Elevated
circular patch with pidaka
Associated symptoms –
Itching
Fig 14 dadru
/ ringworm
Fig 14a dadru/ringworm
7)Carmadala Kuṣṭha
raktaṁ [1] sakaṇḍu sasphōṭaṁ sarugdalati cāpi yat|
taccarmadalamākhyātaṁ saṁsparśāsahamucyatē||24||
taccarmadalamākhyātaṁ saṁsparśāsahamucyatē||24||
Colour – Redness
Nature –
pustules, cracks in skin which are
crusted
Associated symptoms – Itching
Fig. 15. Carmadala / atheletics foot
8)Pāmā kuṣṭha
पामाश्वेतारुणश्यावाः कण्डूलाः पिडका भृशम्|
pāmāśvētāruṇaśyāvāḥ kaṇḍūlāḥ piḍakā bhr̥śam|
pāmāśvētāruṇaśyāvāḥ kaṇḍūlāḥ piḍakā bhr̥śam|
Colour – white,
reddish, brownish blackish
Nature – Itching
Associated symptoms –piḍakā
(erruptions)
Fig.
16. Pāmā / scabies
9)Visphōṭa kuṣṭha
स्फोटाः श्वेतारुणाभासो विस्फोटाः स्युस्तनुत्वचः||२५||
sphōṭāḥ śvētāruṇābhāsō visphōṭāḥ syustanutvacāḥ||25||
Colour – white
greenish in appearance
Nature – erruptions
and pustules with thin skin
Fig17 Visphōṭa / herpetic folliculitis
10)Śatāru kuṣṭha
रक्तं श्यावं सदाहार्ति शतारुः स्याद्बहुव्रणम्|
raktaṁ śyāvaṁ sadāhārti śatāruḥ syādbahuvraṇam| Colour – reddish, blackish
raktaṁ śyāvaṁ sadāhārti śatāruḥ syādbahuvraṇam| Colour – reddish, blackish
Nature – ulcerated
Associated symptoms – burning
sensation and pain
Fig. 18 Śatāru / furuncle
Fig. 18a Śatāru / furuncle
11)Vicārcikā kuṣṭha
सकण्डूः पिडका श्यावा बहुस्रावा विचर्चिका||२६||
sakaṇḍūḥ piḍakā śyāvā bahusrāvā vicārcikā||26||
sakaṇḍūḥ piḍakā śyāvā bahusrāvā vicārcikā||26||
Colour – blackish
brown
Nature – excessive
exudation, erruptions
Associated symptoms – pruritus
Fig. 19 Vicārcikā / wet eczema
इत्येकादश क्षुद्रकुष्ठानि
ityēkādaśa kṣudrakuṣṭhāni
This
ends the explanation of 11 ksudrakuṣṭha.
***********************************************************************************************************
Prof. Satyendra Narayan Ojha
MD PhD (Kayachikitsa)
Director
Annasaheb Dange Ayurveda Medical College, Ashta, Sangali, Maharashtra, India.
Annasaheb Dange Ayurveda Medical College, Ashta, Sangali, Maharashtra, India.
Mobile No.- +91 9822177155
email: drsnojha@rediffmail.com
Good demonstration and comparision
ReplyDeleteThanks to all viewers and special thanks to Prof. Surendra soni for sharing it here . The knowlege must be transferred to young generation .
ReplyDeleteAccording to me, many fotographs are not as per classical reference. Please re-correct it.
ReplyDeleteGood information, thanks for sharing Sir. Psoriasis can also compared to Ek kushtha.Thank you Ojha Sir and Soniji for sharing.
ReplyDeleteGood job.... thanx soni sir and ojha sir for this kind of collection but my one suggestion is regarding risyajihva having pain but lapromatous leprosy not having any pain ... its correlations with mandal kust is correct which you did....
ReplyDelete