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Various types of Kushtha and modern co-relation by Prof. Satyendra Narayan Ojha

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|| 

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|| 

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|| 
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|| 
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  सदाहं  पुण्डरीकं तदुच्यते||१८|| 

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  यद्रजो [] 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)
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|| 
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


asvēdanaṁ mahāvāstu yanmatsyaśakalōpāmām| 
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.
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| 
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|| 
Colour – redness
Nature – Elevated circular patch with pidaka
Associated symptoms – Itching


Fig 14 dadru / ringworm

















Fig 14a dadru/ringworm


7)Carmadala Kuṣṭha

रक्तं [] सकण्डु सस्फोटं सरुग्दलति चापि यत्| 
तच्चर्मदलमाख्यातं संस्पर्शासहमुच्यते||२४|| 


raktaṁ [1] sakaṇḍu sasphōṭaṁ sarugdalati cāpi yat| 
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| 
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
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|| 

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.
Mobile No.- +91 9822177155     
email: drsnojha@rediffmail.com

Comments

  1. Thanks to all viewers and special thanks to Prof. Surendra soni for sharing it here . The knowlege must be transferred to young generation .

    ReplyDelete
  2. According to me, many fotographs are not as per classical reference. Please re-correct it.

    ReplyDelete
  3. Good information, thanks for sharing Sir. Psoriasis can also compared to Ek kushtha.Thank you Ojha Sir and Soniji for sharing.

    ReplyDelete
  4. Good 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

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This is a c/o SELF MEDICATION INDUCED 'Urdhwaga Raktapitta'.  Patient had hyperlipidemia and he started to take the Ayurvedic herbs Ginger (Aardrak), Garlic (Rason) & Turmeric (Haridra) without expertise Ayurveda consultation. Patient got rid of hyperlipidemia but hemoptysis (Rakta-shtheevan) started that didn't respond to any modern drug. No abnormality has been detected in various laboratorical-investigations. Video recording on First visit in Govt. Ayu. Hospital, Pani-gate, Vadodara.   He was given treatment on line of  'Urdhwaga-rakta-pitta'.  On 5th day of treatment he was almost symptom free but consumed certain fast food and symptoms reoccurred but again in next five days he gets cured from hemoptysis (Rakta-shtheevan). Treatment given as per availability in OPD Dispensary at Govt. Ayurveda College hospital... 1.Sitopaladi Choorna-   6 gms SwarnmakshikBhasma-  125mg MuktashuktiBhasma-500mg   Giloy-sattva-                500 mg.  

Case-presentation: 'रेवती ग्रहबाधा चिकित्सा' (Ayu. Paediatric Management with ancient rarely used 'Grah-badha' Diagnostic Methodology) by Vd. Rajanikant Patel

[2/25, 6:47 PM] Vd Rajnikant Patel, Surat:  रेवती ग्रह पीड़ित बालक की आयुर्वेदिक चिकित्सा:- यह बच्चा 1 साल की आयु वाला और 3 किलोग्राम वजन वाला आयुर्वेदिक सारवार लेने हेतु आया जब आया तब उसका हीमोग्लोबिन सिर्फ 3 था और परिवार गरीब होने के कारण कोई चिकित्सा कराने में असमर्थ था तो किसीने कहा कि आयुर्वेद सारवार चालू करो और हमारे पास आया । मेने रेवती ग्रह का निदान किया और ग्रह चिकित्सा शुरू की।(सुश्रुत संहिता) चिकित्सा :- अग्निमंथ, वरुण, परिभद्र, हरिद्रा, करंज इनका सम भाग चूर्ण(कश्यप संहिता) लेके रोज क्वाथ बनाके पूरे शरीर पर 30 मिनिट तक सुबह शाम सिंचन ओर सिंचन करने के पश्चात Ulundhu tailam (यह SDM सिद्धा कंपनी का तेल है जिसमे प्रमुख द्रव्य उडद का तेल है)से सर्व शरीर अभ्यंग कराया ओर अभ्यंग के पश्चात वचा,निम्ब पत्र, सरसो,बिल्ली की विष्टा ओर घोड़े के विष्टा(भैषज्य रत्नावली) से सर्व शरीर मे धूप 10-15मिनिट सुबज शाम। माता को स्तन्य शुद्धि करने की लिए त्रिफला, त्रिकटु, पिप्पली, पाठा, यस्टिमधु, वचा, जम्बू फल, देवदारु ओर सरसो इनका समभाग चूर्ण मधु के साथ सुबह शाम (कश्यप संहिता) 15 दिन की चिकित्सा के वाद