Bangiya Ayurved Abhiyan, AYURVED PRACHAR PATRIKA

Vol.1:Issue-4, Sep’19

Editor’s Column
The Aug’19 issue was a Clinical Special and we are overwhelmed by the enthusiasm
and the open mindedness with which it has been welcomed.
This September issue is a Twaka Roga – Skin Disease Special.
We continue to try our best to publish, as much as we can under the given
circumstances, as free service, where each one of us in the Editorial Team is busy with
their private or government work to serve Ayurveda and family respectively early in
their career and life.
Hope this effort of ours – practical Ayurveda publication inspires zeal and creates
enthusiasm among all Ayurvedists to practice and share their experiences and expertise
for the upgradation of our system.
We sincerely hope you will like this skin issue of APP. Your feedbacks are always most
welcome. Our next issue is Panchakarma Therapy special. You can email your articles
on Panchakarma Therapy, theory as well as cases treated and discussions by the 20th
of September at the latest.
Always remember this is our magazine: so please, everyone join-in. BAA is a
movement to revolutionise and reinstate the practice of Ayurveda in Bengal and
beyond. Waiting earnestly to hear your opinions and reactions at our
facebook/whatsapp pages and email bangiyaayurvedabhiyan@[Link]
Sincerely,
Editorial Doctors’ Team BAA
(Vd Jayesh Thakkar, Arka Prava Jana ,Biswajeet Ghosh, Sujata Guha, Sumita Jaiswal)

Mission of BAA “Bangiya Ayurved Abhiyan’’ is an apolitical organization of practicing

Ayurvedic doctors from across West Bengal whose singular goal is to advance and
spread the practice of Ayurveda, which necessitates encouragement of new and young
doctors in taking up the practice of Ayurveda. Thus, Bangiya Ayurved Abhiyan, on a
regular basis, organizes educational seminars conducted by Ayurvedic experts of
national repute. This monthly e-publication furthers BAA’s commitment in creating a
resurgence of Ayurveda in West Bengal.

BANGIYA AYURVED ABHIYAN Core Team:

Dr B.C. Sarkar (President), Dr Sasanka Chowdhury (Secretary), Dr Ravi Kr Yadav,
Dr Sudipta Paul, Dr Sourish Das, Dr Jayesh Thakkar, Dr Arka Prava Jana,
Dr Sujata Guha, Dr Sumita Jaiswal, Dr Biswajeet Ghosh, Dr Md Amirul Islam (Treasurer)
Volunteer: Arghya Ray, Saurabh Parashar, Sudipta Giri, Sonam Jaiswal and others.
Patrons: Dr P C Tripathi, Dr B C Jana, Dr C M Pradyumna, Dr Debdas Dutta,
Dr Suman Sarkar, Dr Arnab Roy and others. Supporting: ALL of U.

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 Bangiya Ayurved Abhiyan, AYURVED PRACHAR PATRIKA

INDEX Topic Author [Link].

I. Theme: Skin-Twaka Roga (Editor Column) [Link] Thakkar 03
II. Twacha Ek Parichay (Hindi) Dr. Umesh Sehgal 09
III. An Update to Kushta ..(Literary Review) Dr. Sangeetha, Dr [Link] 11
IV. Efficacy of Rasayana,Lepa..Vitiligo (Study) Dr. Padma Priya + 17
V. Twak Rogas Management (Brief) Dr. Shivani Gupta 20
VI. Acne…Yuvan Pidaka (Clinical Aspect) Dr. Samarjit Ghatak 21
VII. Treatment of Shwitra: Experience with… Dr. [Link] 23
VIII. Effect of Vamana & [Link]….Ekakustha Dr. Dubey, [Link] 25
IX. A Case Discussion – Psoriasis Dr. Sasanka Chowdhury 28
X. Dadru Management (Expert View) Dr. Anuj Jain 29
XI. Ayurvedic Tx Pilonidal Sinus (Expert Col.) Dr. Arnab Roy 31
XII. Sneha Kalpana – Taila (Discussion) Dr. Sumita Jaiswal 32
XIII. Aranyajeerak (A plant study) Dr. Sujata Guha 33
XIV. [Link] (Brief on Bengal Kabiraj) Dr. [Link] – Dr. ArghaM.35
XV. Brief-Quiz–Light Zone–Titbits–News–Featured Vaidya… 36
---------------------------------------------------------------------------------------------
Ayurved Prachar Patrika Editorial (Mail bangiyaayurvedabhiyan@[Link])
(Contact)
Dr Sujata Guha - For Expert Column, Research Study Paper (English write up)
Dr Sumita Jaiswal – For Discussion, Medicine, Quiz, ‘My column’ (Hindi write up)
Dr Jayesh Thakkar – For Case Presentation, Clinical Zone (Views, letter, release)
Dr Arka Prava Jana – For News & Info, Student Column (and Sanskrit write up)
Dr Biswajeet Ghosh – For Interview, Traditions of Kabiraj (and Bengali write up)
Download E-Magazine from [Link]
(SAVE PAPER, SAVE TREES, READ ONLINE)
*For BAA Activities contact Dr [Link] and other core members.

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 Bangiya Ayurved Abhiyan, AYURVED PRACHAR PATRIKA

APP September’19 Theme:

SKIN–TWAKA ROGA SPECIAL

It is really a nice experience to co-ordinate this issue. Like the

skin, this was a big task! Yes, it has not been that easy, sometime
of dry–oily-rough texture like, sending reminders, regular
messages, call to many requesting to send their write-ups.
Drafting – Peeling off and Rejuvenating! Sansudhi! – Friends, we
know, all of us have a busy schedule being practitioners, teachers
and students, but still, with a bit of extra effort we can always
make this….Su-varna! - Co-ordinating Editor.
The word “Twacha” has been derived from Sanskrit, meaning ‘that which covers body
from all sides’. We all know, Skin is vital and the largest organ of our body. It is the
site of Sparshan–endriya or Touch sense. And there are many salient facts about skin
we need to know of before treating skin diseases.
Everyone craves for a beautiful skin. Well, a beautiful soul and mind definitely
engenders a beautiful, glowing skin. It’s not the colour, our liveliness decides the quality
and glow. That’s why it is said complexion and glow in skin depends chiefly on ‘Prana’.
Indian traditions – written and in practice have, since time immemorial, discussed
Lavanya, -shringar and its types like lepa, anjana, ornamentation - all for beauty.
Today the world of cosmetic and beauty products is filled with Ayurveda compositions,
but we need Ayurveda in not just medicines, it’s a way of living, to be swastha
(swa-awastha), be in a state of equilibrium and prasanna mana-atma. So, above all
you decorate your skin with preparations, only a true smile – internal happiness gives
the final touch. And today this finishing touch is missing with our modernization.
Something went wrong along the way, it can be our ‘new’ diet (wrong diet is a primary
cause of skin diseases), lifestyle (our extra-busy-ness), selection of medicine
(unnecessary popping of anti-emetics, antacids, etc. results new skin problem),
pollution and many factors which we need to think of, act on and revert to our roots,
for true saundarya.
Ayurveda texts in general denotes all skin diseases as ‘kushtha’. (A point to note for
common people kushtha means only leprosy, but it’s not only - such myth; awareness
about true Ayurveda is essential).
Many descriptions related to Twak-Sharir and roga are here and they are in our texts -
knowledge bank (– a real treasure). Susruthacharya, Charakacharya, Vagbhatacharya,
Madhavacharya and later editions have given good descriptions. These are so useful,
saswat-‘always true’, that applying one can be a good skin specialist – beautician, and
even has scope to run a beauty course (which is also a new trend in Ayurveda career).
We need to know Rachana Sarir, Anatomy of Skin beside Kriya in our studies. To start
practice directly with learning ausadhi is never our way nor apt. For nidaan, we need
to know basic principles of our science properly and their applications, as treating
nidaan or cause treats most diseases. One should know the varied types of diseases or
rogas, though it is practically not possible to see all the types in our college hospitals

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 Bangiya Ayurved Abhiyan, AYURVED PRACHAR PATRIKA

or even in a lifetime of practice. A good colour atlas is the first thing to go through.
We also do need to be equipped: - one should at least use a torch and magnifying glass
for self-clarification other than naked eye ‘darshan’. Things may
differ and get clear with resolution. Today people are using
advanced microscopes and many a device in their skin practice.
Note, these are the gifts of modern science, and technology is not
any ‘pathy’. We should also rely on laboratory testing method
modern and advanced ways of diagnosis, but all ultimate it is to
attain proper Ayurveda Nidaan and Cikitsa. Many argue why one
needs new-age methods of diagnosis. Well, our ancestor Rishis had Jnyan chaksu, divya
drishti, which we today lack, so we need some form of ‘chaksu’ or advancement
with time to improve our practice!

There are many salient features to know about skin, there are deep relations we need
to know of, for example skin is sparsendriya, thus it has relation with vayu and in turn,
taila is best for vayu, so oleation or snehana/abhyanga plays an important role in most
of the skin disease. In knowing dosa, not just it’s Bhrajak Pitta sthana, we need to
know beyond as every entity has three dosas; we only learn the prominent ones in our
academic training, in practice we need to relate further, to say, varna of skin is related
to udan vayu and so on. Conditions, like Pitta vriddhi is cause for yellowish
discolouration of skin and burning sensation. Pitta-kshaya give dullness in complexion
and pitta prakopa results in excess sweat, oozing and necrosis. Kapha vriddhi may
result in hypopigmentation, and a cold to touch sensation. And Kapha-prakopa gives
glossy heavy appearance or itching; Rakta-vridhi brings visarpa, redness, etc. And
Sweda-vridhi increases body odour and itching simultaneously. Oja-kshaya shows up
as discolouration and dryness. Since Oja is reflected on the face. So, in treatment of
mukhadooshika, vyanga, etc, oja-vardhak Aswagandha, Shatavari brings results. Then
there is role of kaal, for skin pigmentation disorders the oral medications should be
given in Udaan kaal, i.e. after dinner to increase the efficiency. Even applications before
sleep gives maximum effect in rest time-rejuvenating. We need to know Prakruti also,
not just vikruti, a Meda-sara person has more hair-skin lustre, and a Rakta-sara-purush
is more prone for skin diseases!

Further it is, interesting to note Madhur ras (milk, milk products, wheat products, sugar
chocolates, sweets) cause increase of kapha and meda in skin and excess of Amla ras
(curd, fermented foods, sauce, bakery items) can cause increase in oozing, burning,
pus formation in skin by increasing inflammation. The Kasaya ras due to its sankoch
property helps in healing. Similarly, katu and other rasa have their roles. Lavana rasa
increases itching. Check this out yourself practically - Fast food, chaat, papad, snack,
bhelpuri, etc. partaking of these are on the increase, and are children’s favourite, and
isn’t today’s child suffering from newer types of skin diseases and at times more
challenging than adult diseases! Yes, diet definitely has a role, so our Rishi-scientists
focussed on Pathya and Apathya. They were so advanced that they discussed vrana of
child yet to be born, through diet and activities of the to-be mother – Garbhasanskar –
a way to protect and prevent diseases.

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 Bangiya Ayurved Abhiyan, AYURVED PRACHAR PATRIKA

Similiarly, as with diet, vihara/lifestlyle also plays a big role in hetu. The fact that ‘Sleep’
is today considered an important aspect in beauty therapy proves how right our
ancestors were. The next and most important factor is mana/mind. It’s such a big point
that today most skin diseases have psycho-somatic relation. Here, we get our first rule
in practice, just prescribing medicine to body will not help, a good Vaidya has to listen,
counsel - treat all the entities of body…Sareer-Mana...Apply holistic ways!
With time, new diseases of growing pollution, new
chemicals, etc has come, and should be understood
by our Ayurveda principles before treating.
Whatever be the new changes, this can always be
corelated with hetu mentioned earlier, like it is said
exposure to extreme temperature is cause for skin
disorders. Burns due to new machinery, doesn’t mean earlier Ayurvedic texts have not
mentioned such hetus, here the hetu -extreme heat should be used understanding roga
samprapti and treatment. Ayurveda has a good scope of understanding and treating
diseases. Not just chronic, but many a Dermatology related emergency like
allergy, acute urticaria, rashes of Herpes, etc. can be treated well and fast through
Ayurveda.
Treating skin diseases is at times, almost like fighting a war, one needs to access,
accurately diagnose, understand the avastha and treat accordingly. Visual impressions
and case histories are highly useful.
There are many more salient features to note, like from embryoblast both the skin and
GIT has common origin. Then the role of Karma (–doings/deeds) is in nidaan of many
skin diseases paap-karma is mentioned. Many things in Ayurveda text can be beyond
our understanding, which we maybe called philosophical or excessive, but these
teachings should not be termed ‘grapes are sour’, because of our lack of
understanding.
The proverb, ‘Old is gold’ is meaningful. Even, name or terminology in Ayurveda too
has value. In brief, Audumbara kustha, like audumbar – a herb, correlates to Allergic
Vasculitis; Rsya-jhiva Kustha looks similar to its name and can be correlated to
melanoma skin cancer, Pundarika kustha (lotus like) is similar to Discoid Lupus
Erythematosis; Ajaglika resembles mudga and can be precisely correlated to Molloscum
contagiosum; Valmika (or anthill) to Actinomycosis. Padminikantaka, Tilakalaka (like
til-sesame) as to freckles; Masaka resembles Masa (Moong) – mole, and so on. So, who
says, ‘What’s in a name?’ - There is much in the Sanskrit name!
Beside Ahaar, Vihaar, Mana (Satwa factor of patient – counselling+) other factors to
note are Krumi factor (worms), Vanshaj (genetic), Upasarga (contact), etc. Further we
should in prescription also include yoga-pranayama, yoganidra, aromatherapy, suggest
diary writing, etc. as required. Know, there cannot be a thumb rule always in skin
treatment. Not just experts experiences, but self-experiences also matter, if you have
ever suffered from an acute attack of allergy with severe itching, or closely seen a near
one, you can only understand the pain of skin aggravated case, better at least you feel,
the ‘dilemma’ of concern on seeing even a pimple in the mirror on waking up! Try to

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 Bangiya Ayurved Abhiyan, AYURVED PRACHAR PATRIKA

understand patient-mentality, but do not rush too early to balance! Remember,

prescribing a malhara or ointment is not the only role we have as physicians,
we have to keep in mind malasuddhi, the kostha condition, if it is not proper, just
applying ointment will only increase, and many a times this breaks the faith of patients
and even us doctors (in our science). Introspection is needed! A patient may ask “Dr,
please suggest only external medicine.” But what you prescribe is through - yukti learnt
from shastra and the situation accessed. It is always far better to refuse such
patients than half-treat and get a bad name.

The Skin topic is very minute and vast at the same time. There are not complex, but
simple things to know about, like being prone to dermatitis and various allergies can
be because of daily use of soap which results in loss of stratum corneum in skin and
making it prone to sensitivity-disease! Similiarly, there is excess water intake which
results in mand-agni and accumulation of kapha or kostha heaviness and so on.
In Ayurveda for Treatment of Skin, we have many external
and internal options. Varied forms as per situation are
offered, Churna, Vati, Kashaya, Tail/Oil, Ghee, Ras ausadhis,
Lepa, Malhara, etc. And then there are also therapies -
Panchakarma Sodhana processes and simple wash -
Dhoopana (fumigation), dusting (sprinkling). We see
Ayurvedists have better scope and options than any other
pathy. Nowadays the options are increased, we have creams,
lotions, serums, sprays, shampoos, soaps and many an
option. If we look properly the cosmetic, beauty care
world is zero without Ayurveda. Feel the pride!
To enlist few Ayurveda medicine, Triphala has broadspectrum uses for skin disorders,
both internal and external. Prakshalana with triphala kwath is indicated in srava, kleda.
Triphala powder can be directly applied on skin as lep when ruksha guna of skin
increases, and it work wonders. Similiarly as broad spectrum Shatadhouta ghrit has
uses in burns, pigmentation, etc. The Siddhartak Choorna is used as mutlipurpose as
lepa, snana choorna. The common herbs neem, karanj, kalmegh, kutaja, haridra; the
common medicines used are Arogyawardhini Vati(Ras), Manjishtadi Kasayam, Gandhak
Rasayan, Nimbadi choorna/Guggul, Amrutadi G., Panchatiktaghrut G., Swayambhu G.,
Haridra Khanda, Saribadiasava, Khadirarista, etc. Some medicines roles as sooksma
like Rasmanikya, Bhallataka, Gomutra;
Some should be used with common
formula Vanga Bhasma, Yasada
Bhasma, Chopchini, Vidanga, Manikya
Ras, etc. for better result. Some extra
medicines we should also use to see
the big changes, like Vilwadi Gutika,
Dooshivishari Vati, Patolakaturohinadi,
Aragwadhadi kasayam, Gandhak-
dhruti, Madhusnuhi Rasayan, Tikta
ghritam, Maha tikta ghritam. Here too

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 Bangiya Ayurved Abhiyan, AYURVED PRACHAR PATRIKA

salient features Maha as Rasayana property (as per phalsrooti), so better to use plain
tikta ghrita pre sodhana and maha tikta ghrita after to prevent recurrence of disease.
Even, Swarna medicines like [Link] Cintamani Ras can give good result in spreading
or vata related condition of Psoriasis and other skin condition, temporarily use of yukti.
Similiarly Laghu Sutsekhar, Kamdudha, etc medicines of other roga adhikar to be used
knowing upadrava, etc. Externally Dasanga lepa, Nimbadi Churna, Eladi, Jatyadi
Tail/Ghritam, etc are common. In proprietary medicines many good products like
Allerin, Cutis, G7, Psorolin, Talekt, Shodhak, 777 oil etc has come with time. We should
regard the research studies of these companies. Premium range products marking
international organic standards are in market, as ‘always a student’ of Ayurveda just
check difference, use their Kumkumadi Tail, Nalapamaradi and see. It really works, or
can’t be ‘hot cake’ products to many foreigners - you can know this only if you use or
explore world around. Preparing medicines is best assurance, but practically not
possible as list is endless and ingredients not available everywhere. On the other hand
whenever we prescribe packed products we have to note the brands quality, as not all
these preparations are upto the mark, and unknowingly this further delays treatment
and brings dis-credit to Ayurveda. So, medicine selection (and beyond) is important,
similarly knowledge of - Dravya and Yukti is very much needed to be skin specialist.
After all this discussion ‘wow’ and ‘sigh’ feeling we need not always think things are
complex, actually they need to be ordered and synchronised; even simple thing
matters in treating complex issues. As like - in a kustha (skin disease) with thick
crust formation first this needs to be removed by lekhana (with or without shastra)
then followed by lepa or malhara applications, if pre-step not done the whole effort is
in vain.
Truly, learning never has an end. A practitioner always keeps learning. See the scope
of Panchakarma, an experienced teacher says in complicated skin diseases if you
perform rakta-mokshan once month…then that too can be treated by Ayurveda
…References are in text, we just have to open and apply boldly, see one such sastra
code in pic:

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 Bangiya Ayurved Abhiyan, AYURVED PRACHAR PATRIKA

Concept of Leena dosha in twaka vikara is very important. Leen term means
undifferentiable in English. Leenadosha is a state where the doshas are concealed or
attached or merged in dhatus. Due to this in treatment process there is manifestation
of symptoms, relapse and difficulty. To manage, a proper Performa needed, repeated
cycles of sodhana with samana cikitsa, hetu-viprit kriyas.
On other hand, at times simple therapies can bring cure, or lessen internal
medicines, as example; Role of Shirodhara in psoriasis and other stress related skin
diseases is research proved. Takra processed with jatamansi is quite effective…
Expanding beyond in skin treatment, there are infinite dimensions - Recently learnt
from a Vaidya about treating white hair like shwitra of hair!
To add in continuation, I am indeed grateful and thankful to all the teachers from my
college life to ‘explore world beyond’, to books, magazines, Google, to diary records,
analysis, to colleagues and patients of all to Shastras, to bring confidence in treating
skin cases, the little I knew and am learning had jotted down to share. Well, even, little
matters into big, just like in Vyaspeeth Twak-diary this year read a polished line, -
Kustha is multifactorial multidimensional manifestation, therefore multifactorial
multidimensional management is needed!
From my clinical experience I would say, skin disease management should be done
through caring for psychological, physiological, sociological, pathological and
economical aspect of patient. And always treat the patient, not the disease! The
condition analysis is more important than naming disease, and the cure - healing is
far more important than everything else, everything else.
I read–I forget, I see–I remember, I do–I understand, I write–Future generations will know..

Let’s give something back to our science. It’s our duty to explain the concept of
‘raktasuddhi’ to the world. It’s our duty to talk of Ayurveda principles and heralded
concepts, and bring the world out of clutches of ugly diseases. Let’s keep cleaning the
mirror, and the image will surely be finer.
With this motive a request message to many is sent on behalf of APP and, Bangiya
Ayurved Abhiyan: - We are grateful to everyone for their contributions in this issue.
From simple skin diseases to complicated ones, related and beyond, easy to difficult,
therapy to surgery is presented in this volume as a garland. Hope you like it and spread
the fragrance, you can send your feedbacks and join in this self- beautifying course.
Thanks once again to all and this sparsha opportunity to co-ordinate Skin–Twaka roga
issue of APP. Let’s keep learning and growing!
In Compilation, Vaidya Dr Jayesh Thakkar,
Ayurvedacharya (BAMS), GP cum
Panchakarma practitioner at Kolkata.
Also serving as Beauty Consultant (Skin-Hair)
at Kama Ayurveda International stores in
Eastern India.

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 Bangiya Ayurved Abhiyan, AYURVED PRACHAR PATRIKA

A brief introduction on Twak (in hindi)

Dr Umesh Sehgal (M.S. Ayu, IPGT & RA, Jamnagar)

Ayurvedic Medical officer
Sirsa, Haryana.

त्वचा एक परिचय -

हमें अपने अवयवों के अस्तित्व का बोध िब िक नही होिा जब िक उनमें कोई ववकृति नही आ जािी ।
अपनी इंद्रियााँ जब अपनी उपस्तिति दर्ााये बबना अपना काया यिावि ् रखिे हैं िो वे प्राकृि अवतिा में है
ऐसा समझना चाद्रहये

त्वचा- सम्पूिण शिीि का आविण

र्रीर के भार का 16% द्रहतसा त्वचा का
1.8 वर्ा मीटर का क्षेत्र व्यास
प्राकृि ph5.5 ऐससडिक

*त्वचा का प्राकृि ph5.5- मुलायम त्वचा

*Ph5.5 से ज्यादा- रुखी और अति संवेदन र्ील alkaline क्षारीय उदा.-ववचर्चाका
*Ph5.5 से कम-िैलीय, र्चपर्चपी त्वचा acidic उदा.-मुख दष
ु ीका
रचनात्मक एवं क्रियात्मक दृस्टट से त्वचा के सभन्न-सभन्न तिर होिे है। त्वचा ववकार भी इन तिरों के
अनस
ु ार अपने लक्षणो मे वैववध्य दर्ाािे है और त्वचा के हर‌ अवयव की मोटाई भी अलर् है इससलये
र्चक्रकत्सा भी तिान अनुसार अलर् अलर् होिी है।

त्वचा- िचनात्मक दृष्टि से

मोटाई(बिही) सश्र
ु ि ु व्यार्ध चरक
1/18 अव्भाससनी ससध्म,पदम कंटक 1)उदकधरा
1/16 लोद्रहिा तिल्कालक,न्यच्छ,व्यंर् 2)असग्ृ धरा
1/12 श्वेिा चमाकील,अज्र्स्ल्लका,मषक 3)ससध्म,क्रकलास
1/8 िाम्रा क्रकलास,कुटठ 4)दि,ु कुटठ
1/5 वेद्रदनी ववसपा ,कुटठ 5)अलजी,वविर्ध
1 रोद्रहणी ग्रंर्ि अपची,अबुाद,र्लर्ंि 6)िमप्रवेर्,अरुं वषका
2 मांस धरा भर्ंदर,वविर्ध,अर्ा 7)तिल
ू मल
ू त्वकववकृति

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 Bangiya Ayurved Abhiyan, AYURVED PRACHAR PATRIKA

कायय- कािण भाव-

ढूध मलाई
सभी धािओ
ु ं का सार त्वचा
रस धािु अवभाससनी
रक्ि धािु लोद्रहिा
मांस धािु त्वक मांस का उपधािु
मेद धािु त्वचा का तनेह
अस्ति धािु रोम,केर्
मज्जा धािु वेद्रदनी
त्वक्सार रस सार

त्वचा यह सम्पूणा र्रीर के तवात्य का प्रतिववम्ब/दपाण हैं । धािु सारत्व बिाने वाले अवयव स्जस धािु
का प्रतितनर्धत्व करिे है,उन अवयवों के ऊपर त्वचा भी उन धािुओ का प्रतितनर्धत्व करिी है। इससे धािओ
ु
की सारिा ,असारिा का पिा लर्ा सकिे है।
त्वचा का पान्चभौतिक संघटन-
प्
ृ वी त्वचा,रोम,केर्
आप त्वचार्ि तवेद,क्लेद
िेज त्वचार्ि उटमा
वायु तपर्ा
आकार् रोम कूप

दोष प्राब्ल्य वय अनुसाि-

• बाल्यावतिा- कफ
• यौवनवतिा – वपत्त
• वद्
ृ ध अवतिा – वाि

र्रीर मे दोष ििा पंचभौतिक ित्वो की स्तिति दे खकर इनकी र्चक्रकत्सा मे अच्छी िरह प्रयोर् कर सकिे
हैं ।

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Study Paper
AN UPDATE TO KUSHTA W.S.R. TO SKIN DISEASE: A LITERARY REVIEW
*Dr. Sangeetha, **Dr. Pundareekaksha rao
* Final year BAMS, Ayurveda College, Coimbatore, Tamilnadu, India – 641402
**Assistant Professor, Ayurveda College, Coimbatore, Tamilnadu, India – 641402
ABSTRACT:
The emergence of cosmetic and anti-ageing treatments has changed the face of the
skin care industry. According to Ayurveda, a disease that tears or pulls out and destroy
the beauty of the body is called Kushta. Ayurveda has discussed certain skin diseases
under the name of Kushta. Kushta can be correlated with skin diseases like psoriasis,
eczema, etc. and it represents a type of Adhyatmika pain of the shareera. It is a broad
term used for certain skin diseases which is having some peculiar features like
discolouration, scaly lesions, itching, burning sensation, etc. The prevalence of skin
disease in India is 10-12% of the total population with Eczema and Psoriasis being the
major contributors. The population affected across India from skin disease is estimated
at nearly 15.1 crore in 2013 which increased to about 18.8 crore people by 2015 at a
CAGR (Compound Annual Growth Rate). The severity of growing skin diseases in India
is further emphasized by the fact that the WHO has included it under the most common
non-communicable diseases in India. Gone are the days when skin care was limited to
the treatment of common skin diseases. The classical treatment protocol can be
followed in kushta patients which include nidanaparivarjana, sodhana, rasayana,
pathya, etc. The shodana aims at removing accumulated toxins from the shareera
followed by rasayana which helps to reduce symptoms and provide better quality of life
in kushta patients.
Key Words: Kushta, Psoriasis, Adhyatmika, Sodhana, Rasayana
INTRODUCTION:
Skin is an outermost cover of the body which plays a chief role in maintaining barrier
between internal and external environment. In addition, the healthy skin is the primary
requirement for the beauty as well as having an attractive personality, which are the
basic instincts of the human being. Any weakness in the skin becomes a great handicap
for a person in the society, because it has a visible pathology. Ayurveda has discussed
the skin diseases under the name of kushta and in other words it can be listed as
Ayurveda Dermatology. It is not a correlation with skin diseases mentioned in allopathic
medicine but can cover all dermatological manifestations under eighteen subtypes of
kushta1. According to Ayurveda, a disease that tears or pulls out and destroys the
beauty of the body is called kushta. It is a condition in which skin produce discolouration
and if not treated properly then ultimately results in disfigurement known as kushta.
Thus it is necessary to conduct a critical study on skin diseases because most of the
time patient presents with common clinical features with very little differentiation in the
characteristics. This article shows review of the skin diseases with detailed description
and their management according to three main texts called Bruhatrayees, i.e Caraka
Samhita, Susruta Samhita, Ashtangahridaya. To complete the knowledge gap, Madhava
Nidana and Basavarajeeyam were also considered; which may help for proper
diagnosis.

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DISCUSION:
Kustha is a skin disease which equally effect the mind that require timely therapy to
improve long-term outcomes. The different signs and symptoms are due to percentage
of involvement of tridosa along with rakta can be observed in kustha. The main causes
which attribute to this disease are viruddha-aahara, vega dharana, pollution, ultraviolet
light, global warming, improper regimen, etc. According to texts, all Aacharyas have
described eighteen types of kushta and among them seven are considered as Maha
kushta and eleven as Kshudra kushta but the nomenclature is different.

Table 1 - TYPES OF KUSTHA AS PER DIFFERENT ACHARYAS

CARAKA SUSRUTA ASHTANGA MADHAVA BASAVA

SAMHITA2 SAMHITA3 HRIDAYA4 NIDANAM5 RAJEEYAM6
MAHA KUSHTA
Kapala Kapala Kapala Kapala Kapala
Audumbara Udumbara Udumbara Udumbara Udumbara
Mandala Aruna Mandala Mandala Mandala
Rsyajihva Rsyajihva Rsyajihva Rsyajihva Rishyajihwaka
Pundarika Pundarika Pundarika Pundarika Pundareeka
Sidhma Dadru Sidhma Sidhma Sidhma
Kakana Kakanaka Kakana Kakana Kakanaka
KSHUDRA KUSHTA
Eka kushta Eka kushta Eka kushta Eka kushta Gajacharma
kushta
Charmakhya Maha Carma Carmakhya Maha kushta
kushta kushta kushta
Kitiba Kitibha Kitibha Kitibha kushta Kittibha kushta
kushta
Vipadika Sidhma Vipadika Vaipadika Vaipadika
kushta kushta kushta
Alasaka Visarpa Alasa Alasaka Kacchaka
kushta kushta kushta
Dadru Parisarpa Dadru Dadru- Galita kushta
kushta kushta mandala
kushta
Charmadala Carmadala Carmadala Carmadala Charmadadhru
kushta kushta kushta kushta kushta
Pama kushta Pama Pama kushta Pama/Kacchu Pama kushta
kushta
Visphota Sthularuska Visphota Visphota Visphota
kushta kushta kushta
Shataru Rakasa Sataru Sataru kushta Shatarushya
kushta kushta kushta kushta
Vicharchika Vicarcika Vicarchi Vicarchika Vicharchika

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CLINICAL FEATURES OF MAHA KUSHTA 6:

• KAPALA : Vata predominant, severe pain, black or red coloured, flat, dry, rough,
thin surfaced skin lesions.
• UDUMBARA : Pitta predominant, severe pain, burning sensation, oozing, itching,
reddish brown discolouration of the hair/skin, lesions appearing like udumbara
fruit.
• MADALA : White or red coloured, stable, thick and unctuous skin lesions often
found overlapped between one another.
• RISHYAJIHWAKA : Roughened skin surface, reddish eruptions/lining around
the lesion, bluish black discolouration in the middle, severe pain, lesions similar
to the tongue of the frog.
• PUNDARIKA : Circular skin lesions like the leaves of lotus, white or red coloured,
thicker, heavy, with moisture, itching, reddish discolouration.
• SIDHMA : Vata-kapha predominant, white and red coloured patches which are
thin and on rubbing gives dust/powder looks like the flower of alabu pushpa.
• KAKANA : Aggravation of all three doshas, crow’s beak coloured eruptions, will
undergo ulceration with much pain, not curable completely.

CLINICAL FEATURES OF KSHUDRA KUSHTA2:

• EKA KUSHTA : Absence of perspiration and extensive localisation. It resembles

the scales of fish.
• CARMA KUSHTA : The skin over the patch becomes thick like the skin of the
elephant.
• KITIMA KUSHTA : Blackish brown in colour, rough in touch like a scar tissue
and hard to touch.
• VIPADIKA : Associated with cracks in palms and soles of feet as well as
excruciating pain.
• ALASAKA : Characterized by nodular growth associated with excessive itching
sensation and redness.
• DADRU : Characterized by itching sensation, redness, pimples and circular
patches with elevated edges.
• CARMADALA : Characterized by redness, itching, pustules, pain, cracks in the
skin and tenderness.
• PAMA : Characterized by excessive itching, eruptions which are either white,
reddish or blackish brown in colour.
• SPHOTA : Characterized by pustules which are either white or reddish in
appearance. Pustules have a thin skin.
• SATARU : Characterized by several ulcerated patches which are red or blackish
brown in colour and which are associated with burning sensation as well as pain.
• VICARCIKA : Characterized by blackish brown eruptions associated with itching
sensation and excessive exudation.

Aacharya Basavaraja has not mentioned Charmadala, Ekakhya kushta, Alasaka, Sataru
and he added some more new types to the existing varieties which is tabulated below:

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7
Table 2- EXTRA VARIETIES OF KUSHTA FROM BASAVARAJEEYA

VARIETIES CLINICAL FEATURES

Gajacharma Skin lesions without perspiration, severe
kushta itching, eruptions like scaling of the fish,
thickened skin like the skin of elephant,
dark black discoloration.
Kacchaka kushta Caused due to kapha dosha, reddish and
often bluish black skin lesions, unctuous,
dense, severe itching, found in thigh, arm,
waist, etc.
Galita kushta Caused due to vitiation of all three doshas,
blackish discoloration of the tongue,
increased temperature in the foot, wrinkles
of the breadth of 3angulas, bleeding from
the nostrils, and hoarseness of the voice.
Patient dies within 3months of suffering.
Shatarushya Caused due to pitta and kapha doshas, skin
kushta patches with red or bluish black in colour,
dense/thick, oozing/moisturized, unctuous,
itching, pain, burning sensation, observed
in multiple regions, if not treated in time
causes multiple ulcers.

MANAGEMENT:
The patients suffering from kushta dominated by vayu should first be administered
ghee internally. The patients suffering from kushta dominated by kapha should first be
administered emetic therapy. The patients suffering from kushta dominated by pitta
should first be administered blood-letting and purgation therapies. Blood-letting should
be performed in the less acute stage of kushta by pracchana and in more acute stage
of kushta by venesection. The patient of kushta with more of vitiated doshas should be
given eliminative therapies for several times. After the elimination of doshas from body
by emesis and purgation therapies and from the blood by blood-letting therapy, the
patient should be given sneha (oil, ghee, etc) to drink8.

Acharyas of Bruhatrayee mentioned the common treatment of kushta as

raktamokshana(blood-letting), lepana(external application), vamana(emesis),
virechana(purgation), asthapana(decoction enema), nasya(purificatory errhines). Once
in fifteen days emesis, once in a month purgation, once in six months blood-letting and
nasya (errhines) once in seven days are recommended. Once in three days, medicinal
anointing is followed during these times. Such a kind of treatment schedule will relieve
from all kinds of skin diseases. If the patients, who are suffering from skin diseases,
are having enough body strength, after proper oleation and sudation, blood-letting is
carried. In this condition, a small incision is made and shringa, alabu or jalouka are
placed over it repeatedly and blood-letting is carried out. Emesis and purgation are
carried out very often in all kinds of chronic skin diseases9.

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Table 3 - SOME COMMON YOGAS FROM BASAVARAJEEYAM10

[Link]. KUSHTA SPECIFIC RASAYOGA
1. Pundareeka kushta Sarvanga sundara rasa
2. Udumbara kushta Kanaka sankocha rasa
3. Kakana kushta Sooryakanta rasa
4. Kakana kushta Karanja tailadi lepana
5. Gajacharma kushta Lankeshwara rasa
6. Vicharchika Kushtantaka rasa
7. Rishyajihwaka kushta Shailendra rasa
8. Shatarushya kushta Lankadhipeshwara rasa
9. Kacchaka kushta Kutara rasa
10. Mandala kushta Sarveshwara rasa
11. Vaipadika kushta Mahakala rasa
12. Visphotaka kushta Badavanala rasa
13. Pama kushta Bakuchi taila
14. Kapala kushta Someshwara rasa
15. Mandala kushta Vidyadhara rasa
16. Kittibha kushta Vajrapani rasa
17. Dadru kushta Paribhadra rasa
Sidhma kushta Betala rasa and Paradadi
18.
lepa
19. Vicharchika kushta Kushtanikrintana rasa
20. Sarva kushta rogas Gandhaka kalpas
Table 4 - PROBABLE MODERN CORRELATION 11,12
KUSHTA VARIETIES MODERN CORRELATION
Mahakusta Kapala Scleroderma
Audumbara Boil/Furuncle
Mandala Psoriasis
Rsyajihva Lichen Plannus
Pundarika Urticaria
Sidhma Pityriasis Versicolor
Kakana Squamous cell carcinoma
Kshudra Eka kushta Icthyosis Vulgaris
kustha Charmakhya Lichen simplex chronicus
Kitiba Psoriasis
Vipadika Cracked feet
Alasaka Prurigo nodularis
Dadru Tinea infection
Charmadala Impetigo
Pama Scabies
Visphota Superficial folliculitis
Shataru Pyoderma gangrenosum
Vicharchika Eczema

Psoriasis is a chronic, multisystem inflammatory disease with predominantly skin and joint
involvement that is underdiagnosed and undertreated despite its prevalence and considerable
effect on quality of life13. It has a bimodal age of onset (16 to 22 and 57 to 60 years) 14 and
affects both sexes equally15. Psoriasis is clinically classified in 2 groups: pustular and non-
pustular lesions. Non-pustular psoriasis includes Psoriasis vulgaris (early and late onset),

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Guttate psoriasis, Palmoplantar psoriasis, Psoriatic arthritis (PsA), Inverse psoriasis and
Pustular psoriasis includes Generalized pustular psoriasis (von Zumbusch type), Impetigo
herpetiformis, Localized pustular psoriasis, Erythrodermic psoriasis 16. The most common of
which is chronic plaque psoriasis (affecting 80% to 90% of patients). Although there is no cure
for psoriasis in allopathy medicines, topical therapy is the standard of care for treatment of
mild to moderate disease. Which includes Corticosteroid, Calcipotriol, Calcipotriol-steroid
combination13.
PATHYA-APATHYA IN SKIN DISEASES17:Patya ahara advised to the kustha patients are
Purana shali, Yava, Godhuma, Mudga, Masura, Tuvari, Tikta shaka, Jangala mamsa, Triphala,
Patola, Khadira, Nimba, Brihatiphala, Kasturi, Gandhasara, Kumkuma, Hingu and Apatya are
Sour food, Salty food, Pungent food, Curd, Milk, Jaggery, Soup added with sesame and black
gram.
CONCLUSION: Kustha is a skin disease which equally effect on mind that require timely
therapy to improve long-term outcomes. The different sign and symptoms are due to
percentage of involvement of tridosa along with rakta dosa can be observed in kustha.
Rakthamokshana and sodana are planned as per dosa predominance, strength of the patients.
Rasaousadhi’s also playing important role in the management of kustha.
REFERENCES:
1. Hewageegana H.G.S.P, Arawwawala L.D.A.M, Ariyawansa H.A.S, Tissera M.H.A, Dammaratana I, A
review of skin diseases depicted in Sanskrit original texts with special reference to ksudra kushtha,
Journal of Critical Reviews Vol.3, [Link].68.
2. Acharya Caraka Cikitsa Sthana Vol.3, Caraka Samhita, translated by Agnivesa, Reprint edition,
Varanasi: Chaukhambha Orientalia;[Link].322-327.
3. Acharya Susruta, Susrutha Samhita, edited by Vaidya Jadavaji Trikanji Acharya, Reprint edition
vol.1, Varanasi: Chaukhambha Orientalia;[Link].272-279.
4. Acharya Vagbhata Nidana Sthana Vol.2, Astanga Hrdaya, translated and edited by Kanjiv Lochan,
1st edition, New Delhi: Chaukhambha Publications;[Link].124.
5. Acharya Madhava, Madhava Nidanam, translated by [Link] Murthy, Reprint edition,
Varanasi: Chaukhambha Orientalia;[Link].160.
6. Vaidya Shree Basavaraja, Basavarajeeyam, translated by [Link], 1 st edition,
Varanasi: Chaukhambha Orientalia;[Link].330-332.
7. Vaidya Shree Basavaraja, Basavarajeeyam, translated by [Link], 1st edition,
Varanasi: Chaukhambha Orientalia;[Link].330-332.
8. Acharya Caraka Cikitsa Sthana Vol.3, Caraka Samhita, translated by Agnivesa, Reprint edition,
Varanasi: Chaukhambha Orientalia;[Link].329.
9. Vaidya Shree Basavaraja, Basavarajeeyam, translated by [Link], 1 st edition,
Varanasi: Chaukhambha Orientalia;[Link].333-334.
10. Vaidya Shree Basavaraja, Basavarajeeyam, translated by [Link] 1st edition,
Varanasi: Chaukhambha Orientalia;[Link].336-343.
11. [Link], Critical evaluation of kshudra kustas of Charaka Samhitha: An Ayurvedic treatise
in light of modern medicine, International Journal of Research in
Ayurveda and Pharmacy 2016:16
12. [Link] Das, A comparative study of mahakustha with modern medicine, International Ayurvedic
Medical Journal 2017: 3917
13. Whan B. Kim, Dana Jerome, Jensen Yeung, Diagnosis and management of psoriasis, Can Fam
Physician 2017;63:278-85
14. Griffiths CE, Barker JN. Pathogenesis and clinical features of psoriasis. Lancet 2007;
370(9583):263-71
15. Levine D, Gottlieb A. Evaluation and management of psoriasis: an internist’s guide. Med Clin North
Am 2009;93(6):1291-303
16. Gulbahar Sarac, Tuba Tulay Koca,Tolga Baglan, A brief summary of clinical types of psoriasis,
North Clin Istanbul 2016;3(1):79–82
17. Vaidya Shree Basavaraja, Basavarajeeyam, translated by [Link], 1 st edition,
Varanasi: Chaukhambha Orientalia;[Link].35

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“A CONCEPTUAL STUDY ON
EFFICACY OF RASAYANA THERAPY AND LEPAS IN THE
MANAGEMENT OF SWITRA W.S.R TO VITILIGO”

*Dr. [Link] Priya **[Link] Kumar, MD (Ayu) ***Dr. B. Johar, MD

(Ayu)
*II Year PG. Scholar, **Associate Professor, ***Reader & HOD,
Dept. of Panchakarma, Dr. [Link]. Ayurvedic Medical College, Hyderabad.

INTRODUCTION:

• Switra is relatively a common dermatological finding which has been observed

since ancient times. Swetha kushta, Kilasa and Phalitha were the terms used to
refer to Switra in Vedic literature. In subsequent times, the term kushta was
commonly used to denote all skin diseases
• According to clinical manifestations, Switra is more similar to vitiligo. Vitiligo is a
multi-factorial polygenic disorder with complex pathogenesis. It is a long-term
progressive disorder which causes physical and mental trauma to the patient. It
is characterised by circumscribed depigmented macules and patches due to
selective destruction of melanocytes.
NEED OF STUDY

• Worldwide incidence of vitiligo is observed in 0.5% to 2% of total population. This

incidence is little more eminent in India at 3% to 4% and may be more obvious
in patients with darker skin.
• In modern science, several theories have been proposed about pathogenesis of
vitiligo. One of them is an auto-immune phenomenon, but the precise cause
remains unknown.
• As per modern science, its treatment includes topical cortico steroid applications,
phototherapy and other surgical interventions. All these modalities have many
side effects, expensive and not easily accessible to everyone. Further, the
response rate is very low with present remedies.
• This gives a big scope to other systems of medicines to find a better and
satisfactory treatment for one of the most blemishing skin diseases.

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ROLE OF RASAYANA IN SWITRA

• A majority of present day diseases are reported due to the shift in the balance of
pro- oxidant and anti-oxidant homeostatic phenomenon in the body. This
oxidative stress leads to increased generation of free radicals and depletion of
anti-oxidants in the body thereby resulting in various auto immune disorders.
• In Ayurveda, the ultimate tonic preparations are known as Rasayanas which help
in controlling auto immune diseases due to their capacity to impart superior
rasadi dathus to all the tissues. Rasayanas are dietary, therapeutic and
behavioural regimen which act internally by modulating neuro, endocrine,
immune system and found to be rich source of anti-oxidants.
• Rasayana therapy affords a comprehensive physiological and metabolic
restoration, which means the dathus instead of degrading and drying due to
disease and aging will be nourished, supplemented and replenished. Thus, the
rasayana drugs help in preventing as well as curing many ailments. They are
prescribed as recovery medicines in the treatment protocol for quick recovery of
disease

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External applications for Switra

They are divided into three categories according to their action
1) Lekhaniya lepas: They cause blisters on the skin
Following drugs are mentioned in our classics to prepare lekhaniya lepas. e.g.
Bakuchi, chitramoola, tuvaraka, ballataka, haritala, manashila, gomutra, kshara,
lavana etc.

2) Ropaniya lepas: They help heal the blisters

Nyagrodadi gana and salasaradi gana are mentioned to prepare ropaniya lepas
3) Varnakara lepas: They enhance the melano genesis and gives normal colour to
the skin
Varnakara drugs like yashti, manjista, shariva etc. are mentioned to prepare
varnakara lepas.
DISCUSSION

• As latest researches reflect that vitiligo cases are mostly associated with
hypothyroidism, increased levels in homocysteine, triglycerides and decreased
levels in vitamin B12 and folic acid. These metabolic disorders are mainly due to
auto immune phenomenon which is predisposed by sedentary lifestyles. To deal
with such conditions chitramoola and gomutra are useful in view of their
properties. Gomutra is ideal in reducing triglycerides, homocysteine and
maintaining normal levels of thyroxine. The swarna ksharas which are present in
gomutra act as antioxidant, anti-cancer, immune-stimulant and germicidal
• Similarly, Chitramoola by its properties of deepana and pachana help in improving
the digestion and proper absorption of vitamin B12 and folic acid.
• As such, the above mentioned drugs are effective in correcting metabolism and
improving immunity which help in curing vitiligo
• Further, gomutra and chitramoola were referred in samhitas vide Su chi 28/3 &
AH UT 39/ 54-55 to treat Switra
CONCLUSION

• Thus, ayurvedic management gives a blissful life by improving the general health
of individuals doing repeated shodana and shamana chikitsa and thereafter
administration of Rasayana drugs and lepas.

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Clinical Ayurveda
TWAK ROGAS (SKIN DISORDERS) & ITS MANAGEMENT
[Link] Gupta, 2nd Year P.G.T. (Kaya Chikitsa), I.P.G.A.E & R. at S.V.S.P. Kolkata

INTRODUCTION –
Skin is the largest organ of the body, having a surface area of 1.8m2 and measuring
approximately 18% of the body weight. It reveals both the normal and pathological
state of an individual. The word Kustha is a broad term used for almost all skin
disorders. The disease which has a spreading nature and which leads to deformity of
skin in the form of discolouration is known as Kustha. It is bahudoshaj vyadhi where
there is vitiation of dosha to a greater extent. Kustha is best known for its
Doshakaramaja and Janmantaraanubandhaj vikar. It is enlisted under ‘Rakta pradosaj
vikar’ and ‘astamahagada’. It is also the sthana of sparshanendriya. Kustha is a Daruna
vyadhi which facilitate even the growth of a krimi (microbes).
NIDAN (CAUSATIVE FACTOR) –
Virodhi ahara (Incompatible diet), Intake of excessive amount of guru(heavy) &
snigdha(unctuous) food, Vegadharana specially chardi vega(suppression of natural
urges specially vomiting) etc.
SAMPRAPTI (PATHOGENESIS) –
Excessive intake of nidan leads to the vitiation of the agni and all the three doshas
(vayu, pitta & kapha). Then it spreads to the whole body and brings vitiation of Twak,
Rakta, Mamsa, Ambu. It leads to the kledotpatti and skin discolouration, Kandu, Daha,
Raga etc in different part of the body.
CHIKITSA (TREATMENT) –
Kustha even though a santarpanottha vikar and also produced due to sin, so it can even
affect a person in the next janma. Since it is a kleda pradhan vyadhi, the first line of
treatment is apatarpan chikitsa in the form of Sodhana karma followed by snehana,
then Shaman & Rasayan chikitsa should be followed. The treatment principles of any
kustha depend mainly upon its Dosha predominance. Always keep in mind the sadhyata
(curability) and asadhyta (incurability) of the specific condition before planning the
treatment of any kustha. Acharya Charak has mentioned ghritapana in vata pradhan,
Rakta mokshana & Virechan in pitta pradhan and Vaman in kapha pradhan kustha.
Pracchana karma in alpa doshaj kustha & Sira vedhana in bahu doshaj kustha.
ROLE OF VIRECHANA KARMA IN KUSTHA –
Elimination of doshas through the adhobhaga (Guda marga) is known as virechan.
Kustha is a disease described under the Rakta pradosaja vyadhi. Since pitta is the mala
of Rakta and have Ashraya-Ashrayibhava , there is an inseperable relation between
them. When excessive amount of pitta is eliminated from the body through Virechana
karma, it helps to purify the rakta and cure the disease. It also has an effect on
saptakodravyasamgraha i.e. vayu , pitta, kapha , twak , rakta, mamsa & ambu which
are the prime factor in the causation of skin disease. Hence Virechana is the best
shodhana karma in pitta pradhana kustha.

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MODE OF ACTION OF VIRECHANA DRAVYA –

Virechana dravya have Ushna, Tikshna, Sukshma, Vyavayi & Vikasi guna . Due to its
virya, it reaches upto hridaya, then dhamanis, thereafter reaches the sthula and anu
shrotas of the body.
1. By virtue of ushna guna, dosha-dusya gets melted & easily moves towards
alimentary canal .
2. Tikshna guna have strong potency to open various channels to flush out toxins(dosha
vilayana) by enhancing the opening of various shrotas .
3. Due to vyavayi guna, drugs are responsible for quick absorbtion.
4. By the virtue of sukshma guna, virechana drug can pass through minute channels of
body and reach at cellular level to act at the site of pathogenesis. Due to Vikasi guna,
drugs are dispersed in the whole body without their digestion and helps in loosening of
Dosha-Dushya sanghata.
Virechana dravyas have Prithvi and Apa mahabhuta and adhobhagahara prabhava, so
expel out the doshas through guda marga.
-------------------------------------------------------

Acne & Acneform Dermatoses (Mukhadusika/Yuvan Pidaka)

Dr Samarjit Ghatak, BAMS, M.O., Govt of W.B.

It is a follicular disorder affecting susceptible Pilosebaceous glands of face, neck and

upper trunk. Lesions may be non inflammatory or Inflammatory.

“Snehe asthi twagvishmoja dhatunam kramoso mala” – A.H. SA 3/63

Mala of Majja Dhatu is twakgata sneha, i.e. sebum. Function of sebum is to maintain
natural moisture.

“ Salmali kantakakara pitika saruja Ghana

Medogarbha mukheyunam tabhyan cha mukhadusika” – A.H. U 31/5

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Mukhadusika(acne) is a common disorder of the hair follicles. These follicles are

attached with the sebaceous glands(Medogarbha). During puberty elevated male
hormones causes increased production of sebum which clogs the follicular opening. The
follicles gradually enlarged and produce a bump (-Pitika) resembles “Salmali Kantak.”
When the follicles ruptures it allows the normal skin bacteria to enter deep causing
inflammation(Saruja).
# Deeper involvement produces cysts.
# If oil breaks through the surface, the result is whiteheads (tender red bump/pimples).
# If the oil accumulates melanin pigment or oxidised and blocked (Ghana)- it changes
from white to black known as blackheads.
# Logically on prescription we can write both adulthood and pubertal facial acne as
‘Mukhadusika’ but only teenagers acne as ‘Yuvanpidaka’(face, neck, trunk any site).

Scraped Salmali Bark showing the kantak

Management :
Mukhadusika is vata-kapha dusti in medo dhatu. Rakta dusti may also be present.
Inflammation denotes pittanubandha.
# baseline treatment is Vata pratiloman #Repeated Bahirparimarjan(cleansing) clears
the blockage of pores. Nimbadi kashaya, Sphutik bhasma solutions can be used. #
Panchatiktak kashayam, Sariva extract, Trivrit preparations are useful in inflammation.
# Nishakathakadi kashayam, Triphala reduce the twakgata kleda. # Vrana or Vidradhi
chikitsa can be done as per condition and with suitable medicine. # Pracchan karma in
selective cases. Guggulupanchapala churna kashaya is sufficient for ASD during
Pracchan. No need of Betadine like solutions.

After control of Acne the patient generally revisit for treatment of post acne hyper
pigmentation. Here Mukha lep with Yasthi churna + cucumber juice or Raktachandanadi
churna (A.H. Khsudraroga) + Rose water are useful. Many patent medicines are also
very effective.

Diet modification is important. Avoid Abhisandhi and intake of Pramathi prevent the
recurrence.

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Treatment of Shwitra:
Experience with two formulations of Jamnagar school
Dr Prasanta Kr Sarkar
Professor & HOD, Department of Rasashastra, [Link] State Ayurvedic Medical
College & Hospital, 170-172, Raja Dinendra Street, Kolkata – 700004,
E-mail: prasantaksarkar@[Link]. [Link] 9836662816

Skin diseases affect the patients socially more than physically. Psychological impacts
of these diseases are more than the physical impacts. One of such diseases is Shwitra
(vitiligo). The disease, Shwitra is described in Charaka Samhita. The disease Shwitra is
Tridoshaja; it is of three types, Daruna, Aruna and Kilasa. Daruna Shwitra occurs when
vitiated Dosa affect Rakta Dhatu; it is deep red in colour (Rakta Varna). Aruna Shwitra
occurs when vitiated Dosha affect Mamsa Dhatu, it is red in colour (Tamra Varna).
Kilasa Shwitra occurs when vitiated Dosha affect Meda Dhatu, it is white in colour
(Shweta Varna). The disease is progressive in nature. The Shwitra with reddish hairs
and of more than one year is considered difficult to treat. Many formulations are
mentioned in Charaka Samhita for local application containing Rasaushadhi like
Manahshila, Haritala, Kasisa and others for treatment of Shwitra1.
Vitiligo is a condition that causes colour loss. It most commonly affects the skin,
resulting in light coloured or white patches, but it may also develop in the hair, in the
eyes, or inside the mouth. The amount of colour loss varies from patient to patient.
Millions of people around the world have vitiligo. Commonly corticosteroid skin ointment
is prescribed to apply locally. Combination of psoralen ointment with ultraviolet light
therapy is also found to be effective.
One research work was carried out by Zankhana Tank et al. on patient of Shwitra by
incorporating two modified formulations in Department of Rasashastra & Bhaishajya
Kalpana at Institute for Post Graduate Teaching & Research in Ayurveda, Gujarat
Ayurved University, Jamnagar2. The formulations were designed by slight modification
of a Siddha medicine namely Karpanpatru oil. The name of the formulations was given
Vit- 8 because those contain eight ingredients. Both of the formulations were found
significantly effective on patients of Shwitra. These formulations are prepared in the
Practical Laboratory of Department of Rasashastra at J. B. Roy State Ayurvedic Medical
College & Hospital; and are prescribed to the patients of Shwitra. These two
formulations are again found very effective.

Preparation of Vit-8 Oil:

It includes Tuvaraka, Vakuchi, Sweta Jiraka, Krishna Jiraka, Poppy seed, dry coconut,
almond in equal amounts, raw Haritala in 1/8th parts; mustard oil is taken four times
than the amount of the ingredients; and cow urine is taken four times that the amount
of mustard oil.
At first Tuvaraka, Vakuchi, Sweta Jiraka, Krishna Jiraka are made into fine powder
form; and dry coconut, Poppy seeds and almond are made into paste. The paste and
powders are taken in mortar, little amount of cow urine is added, and a paste is
prepared by trituration.

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Small balls are prepared from the paste. Mustard oil is taken in a vessel and is heated
to make it moisture free. Then the balls are added to the hot oil, and after that urine is
added. Again boiling is done until the oil becomes moisture free. After that the oil is
strained.

Preparation of Vit-8 Lepa:

It contains Tuvaraka, Vakuchi, Sweta Jiraka, Krishna Jiraka, Poppy seeds, dry coconut,
almond in equal amounts, raw Haritala in 1/8th parts; cow urine or lemon juice is taken
quantity sufficient in amount.
At first Tuvaraka, Vakuchi, Sweta Jiraka, Krishna Jiraka are made into fine powder
form; and dry coconut, Posta and almond are made into paste. The paste and powders
are taken in a mortar, cow urine or lemon juice is added little by little, and continuous
trituration is done until it becomes a homogenous paste. Then small oval shaped
masses are prepared from the paste. Those are taken in a tray and are allowed to dry
completely.

Application of Vit- 8 oil and Lepa:

The patients are advised to rub Vit- 8 oil over the affected sites. Then the area is
exposed to the sunlight in early morning. The Vit- 8 Lepa is advised to rub over a stone
plate with little amount of lemon juice or cow urine; the prepared thick liquid is
prescribed to apply over the affected area. Then the area is advised to expose to direct
sunlight in early morning. After complete drying of the Lepa, it is advised to wash. The
application of oil or Lepa is to be continued until complete recovery, i.e. complete
pigmentation of the affected area. The patients are also advised to avoid interactive
foodstuffs like milk and fish, and others.
The response of the treatment starts from first week of treatment, and complete
recovery depends on course of the disease and size of affected areas. The prognosis of
this disease is assessed by the change in colour. White to red and red to black indicates
good response to the treatment. A prior Virechan Karma to the patients leads to quicker
response to the treatment with Vit- 8 oil and Lepa.
It is found in practice that Vit-8 oil is more effective in the Vataja Prakriti Shwitra
patients; and Vit-8 Lepa is more effective in patients of Pittaja and Kaphaja Prakriti
Shwitra patients.
Reference:
1. Charaka Samhita, Chikitsa Sthana chapter 7.
2. Tank ZG et al. A comparative pharmaceutico-clinical study of Vit-8 Lepa and Vit-8
oil (as herbo-mineral compound) in the management of vitiligo (Shwitra). PhD Thesis.
IPGT&RA, Gujarat Ayurved Univerisity, Jamnagar. 2006.

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Effect of Vamana KarmaAnd Manjisthadi Kasaya in Ekakustha: A Case Study

*[Link] Dubey1 **Dr. Shailendra Kumar Singh2 ***Dr. Sukumar Ghosh3
Email : drdubey90@[Link]

1. Asst Professor, Dept. of Kaumarbhritiya, Dr Vijay Ayurvedic Medical College Hospital & Research
Centre, Kaithi, Varanasi – 221116.

2. Medical Officer AYUSH (Ayurveda), AIIMS, Bhubaneswar – 751019.

3. Professor & H.O.D, Department of Kayachikitsa, Institute of Post Graduate Ayurvedic Education &
Research, Shyamadas Vaidya Shastra Pith, 294/3/1 A.P.C Road, Kolkata – 700009.
_______________________________________________________________________________________

ABSTRACT
Skin is the largest visible organ of the body which determines the personality of an individual thereby reflecting
our emotions and is a link between the external and internal environment. Ekakustha is a skin disease described
in Ayurveda having maximum resemblance with Psoriasis, an autoimmune genetically determined disorder
affecting about 1 – 2% of general population. It is one of the most common skin disorders of unknown etiology
and is psychosomatic in nature. Ayurveda, the science of life takes the whole individual physically and
mentally and describes the treatment modalities.

Treatment of skin disorders as Sodhana and Shamana. Among sodhana chikitsa Vamana karma is the supreme
measure for mitigating Ekakustha because of its capacity to eliminate the toxins from the body.

Keywords : Ekakustha, Psoriasis, Vamana, Sodhana, Shamana.

INTRODUCTION

Skin is the one of the five gyanendriyas adhisthana described in Ayurvedic texts which is responsible for touch
sensation and prevents the entry of diseases. It plays a great role in the physical and mental wellbeing of an
individual. In Ayurveda, the skin diseases are dealt under the broad umbrella of Kustha roga. Ekakustha, a
type of Kshudra kustha having the predominance of Vata and Kapha dosa and is characterized by Aswedana
(absence of perspiration in the affected site), Mahavastu (extensive lesions all over the body), Matsyashakal
(well defined silvery scale lesions ust like fish), Twak Parushya (dryness of skin). It occurs due to the vitiation
of Rasa, Rakta, Mansa dhatu.
The clinical features of Ekakustha resembles with Psoriasis, a chronic inflammatory hyperproliferative
dermatological disorder of unknown etiology characterized by well-defined erythematous plaques of varying
sizes and configuration distributed all over the body with silvery scales covering the loops of superficial
capillaries which are presented as tiny bleeding points on removal of scales (Auspitz sign). In India, Psoriasis
affects about 1–2% population irrespective of age, sex, races, occupation etc. Psoriasis is a challenge to
medical science. In modern medicine there is no definitive treatment for this disease. The available drugs have
various adverse effects in their long-term use. Today people look for safer drugs which have less side effects.
Ayurveda propounds a distinct principle of Panchakarma which has the preventive, promotive and curative
aspects. Vamana Karma, a therapeutic procedure which helps in the elimination of vitiated dosas and removal
of toxins from the body is very effective in dermatological disorders.

CASE REPORT
A 21 year old patient came to the O.P.D of Kayachikitsa of Institute of Post Graduate Ayurvedic Education &
Research,Shyamadas Vaidya Shastra Pith, 294/3/1 A.P.C Road, Kolkata – 700009 with the complaints of

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multiple excoriated popular skin lesions in the face, hands, legs and back associated with itching sensation
since last two years. The patient was clinically examined. After detailed history, it was observed that he was

previously treated with other systems of medicines but the improvement was below par.
ON EXAMINATION

▪ The general condition of the patient was moderate,

▪ His mental status was depressed.
▪ Pulse Rate – 86 / minute, B.P – 120/70 mm of Hg, Height – 160 cm, Weight – 54 Kg, BMI – 21.09 Kg/m2.
▪ On Examination, the lesions were having silvery scales with well-defined patches, Candle grease Sign and
Auspitz Sign were positive. On palpation, abdomen was soft, non-tender, liver and spleen were not palpable.

Before Treatment (In Lateral aspect of leg) Before Treatment (In the Knees)
After careful examination the patient was diagnosed as a case of Ekakustha and advised for admission. His
treatment was planned as Vamana Karma and after that oral administration of Manjisthadi Kashaya. Prior to
Vamana karma, Deepana Pachana was given with Panchakola churna in the dose of 1tsf twice daily before
meal for three days. After Deepana Pachana, Abhyantara Snehana (internal oleation) was done with Mahatikta
Ghrita for five days in empty stomach. The dose of abhyantara sneha was fixed after assessing the agnibala of
the patient.
Day 1 – 30 ml.
Day 2 – 60 ml.
Day 3 – 90 ml.
Day 4 – 120 ml.
Day 5 – 150 ml.
After Abhyantara Snehana, Bahya Snehana (Abhyanga) was done with neem taila followed by Sarvanga
Swedana (Gurupravarana sweda) till the occurrence of proper symptoms of swedana (fomentation). On the
penultimate day of Vamana karma the patient was advised to take Kaphotklesha ahara (diet) at night such as
banana, sweets, sweet curd etc. On the day of Vamana karma, bahya snehana and swedana was done in early
morning.

Ingredients of Vamana Karma :

Vamanopaga Dravyas : Milk – 2 litres, Ikshurasa (Sugarcane Juice) – 2 litres, Yastimadhu Kwatha – 2 litres,
Water mixed with Saindhava lavana – 2 litres.
Ingredients of Manjisthadi Kashaya :
Manjistha, Triphala, Katukarohini, Vacha, Haridra, Daruharidra, Nimba.

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Procedure of Vamana Karma :

Madanaphala avalehya was prepared by adding Madanaphala churna, Vachha churna, Saindhava lavana and
Madhu. First of all, the patient was given the avaleha to eat. After its absoption, Vamanopaga dravyas were
aministered. The Vamana vegas were counted and after the appearance of proper symptoms of vamana
Prayogika dhumapana was administered. After Vamana karma, Samsarjana Krama was done in the following
sequence –:

Peya Vilepi Akrita Mansa Rasa Krita Mansa Rasa and then normal vegetarian diet was given.
After samsarjana krama the patient was advised for oral administration of Manjisthadi Kashaya in the dose
of 20ml twice daily before meal for a period of three months. He was followed at an interval of fifteen days.
After three months the skin lesions were reduced.

Preparation of Manjisthadi Kashaya :

The above ingredients were taken and mixed with sixteen times water an heated. When one fourth solution
remained the kwatha was taken out and soaked. It was then stored in a bottle.
Pic after Completion of Treatment

DISCUSSION :
Vamana karma was done as it stimulates the defence mechanisms
of the body and prevents further damage. It is the first line of treatment
of Kapha dosa and twakgata, raktagata and mansagata
[Link] Pachana reduces the formation of amadosa by
increasing the agni by improving the digestive system and helps to
digest and excrete the waste products accumulated in the tissues.
Snehapana reduces the burning sensation, lubricates the body and
reduces the dryness over the scales. It also reduces scaling and the
vitiated vata dosas. Sarvanga swedana reduces the obstruction in the
srotas by srotosodhaka process. Manjisthadi Kashaya was selected as
all the ingredients belongs to Krimighna, Kandughna and Varnya
Mahakashaya and possess tikta and kashaya rasa which have
srotavisodhana and soshana property.
REFERENCES :
1. Tripathy, B.N., Charaka Samhita of Agnivesha elaborated by Charaka redacted by Dridhbala edited with
Charaka Chandrika Hindi commentary, Chaukhambha Surabharati Prakashana, Varanasi, Vol – II, 2014, pg – 305.
2. Shastri, A.D., Sushruta Samhita of Maharshi Sushruta edited with Ayurveda Tattva Sandipika Hindi commentary,
Chaukhambha Sanskrit Sansthan, Varanasi, Part – I, 2014, pg – 321.
3. Murthy, K.R.S., Madhava Nidanam of Madhavakara, Chaukhambha Orientalia, Varanasi, 2009, pg – 161.
4. Murthy, K.R.S., Vagbhata’s Astanga Hridaya, Chaukhambha Krishnadas Academy, Varanasi, Vol– II,2014, pg –
136.
5. Dash, Vd.B, Agnivesha’s Charaka Samhita Text with English translation and Critical Exposition on Chakrapani Dutta
Ayurveda Dipika, Chaukhambha Sanskrit Series Office, Varanasi, Vol – III, 2012, pg – 325.
6. Khuswaha, Vd. H.C.S., Charaka Samhita Ayurveda Dipika’s Ayushi Hindi Commentary,Chaukhambha Orientalia,
Varanasi, Part – I, pg – 199.
7. Khuswaha, Vd. H.C.S., Charaka Samhita Ayurveda Dipika’s Ayushi Hindi Commentary,Chaukhambha Orientalia,
Varanasi, Part – I, pg – 558.
8. Murthy, K.R.S., Sushruta Samhita, Chaukhambha Orientalia, Varanasi, Part – I, 2016, pg – 496.
9. Sitaram, Dr. B., Bhava Prakasha of Bhava Mishra,Chaukhambha Orientalia, Varanasi, Part – II, 2014, pg – 539.

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Psoriasis
by Dr Sasanka Chowdhury, Private Practitioner, Kolkata
A Male patient of 34yrs old visited my clinic on May 2018 with complain of itchy patches
all over the body with falling of skin flakes since twelve years. Considering chronicity
and severity, planned Shodhana Kriya. Firstly Deepan, Pachan then Snehapana,
thereafter have done Virechan karma as per shastra. After the therapy, patient was
prescribed conservative treatment with internal and external medicines and finally on
full improvement the medication was stopped on January 2019.
On date Patient is fully alright with no further skin flakes, itching or any complains. Post
course, his reply was fully confident on being asked to show his body, patient was
happy that for the first time ever in years he can wear half sleeved t-shirts and be
casual socially which due to skin issues, he earlier avoided.
The impromptu picture pose he gave on recovery, itself shows his excitement &
confidence!

Medicines used & Treatment Protocol in this case for recovery (Note: A
knowledgeable practitioner should use own yukti as per case, and take this success
story list as a hint only.)
Deepan Pachana with Chitrakadi vati 2 tab thrice before food for 3 days and Avipattikar
churna 2 tsf tds after food for 3 days
Snehapana with Mahatikta Ghrita. In this case started with 50ml dose then increased
50 ml per day for 7 days.
Then 2 days of rest allowed with only Abhyangam/External snehana & swedana.
Virechana Karma done at 9 a.m. with Ichhabhedi ras 3 tab along with 1 glass of normal
temperature milk. Patient had in total 16 Vegas.
Thereafter, Samsarjana karma done with boiled food for 3 days and allowing little spice
for 3 more days, then slowly returned to normal with certain restrictions.
Conservative Treatment prescribed for few months:
1. Mahatikta kasaya 3tsf twice with warm water.
2. Haridra khanda(100gm) + Rasa manikya(5gm) + Kasis bhasma(10gm) + Praval
panchamrita(5gm) + Swarna makshik bhasma (10gm) mix to make 60 pouches and
have 1 pouch bdac along with honey.
3. 777 oil & Mahamarichyadi oil apply locally before bath.
4. Psorolin & lippu oint apply locally after bath.

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Expert Speak
DADRU (RINGWORM SKIN INFECTION)
Dr Anuj Jain, BAMS, CARD,
Ayurved – Panchakarma Specialist, Critical Care
Consultant, Gwalior, MP
As it is the starting of varsha ritu, lets discuss the most
common health issue related to skin occurring in this
season. Dadru, popularly known as ringworm skin infection
is one of the skin diseases mentioned in ayurvedic texts which is spreading like an
epidemic in our country. Even modern medications are getting resistant or fail to control
its outgrowth. There are numerous reasons behind it.
NIDAN - The main reason behind its rapid growth and spread is kleda or moisture in
the body parts where excessive perspiration occurs and if this moisture is not wiped or
dried off frequently the fungal growth occurs. Take bread as an example. If somehow
there is moisture in the bread, fungus grows.
COMMONLY AFFECTED AREAS -
• Waist where generally women tie their saris or men wear their belts
• Inguinal region
• Below the breasts
• Axillary region
• Below lower abdomen etc

REASON FOR ITS RAPID SPREAD – One and only reason is poor hygiene. It is seen
that if a body part of a person got affected, it starts spreading to other body parts too.
Also other family members also develop the infection. This occurs due to contamination
with the secretion oozing out from the affected part. If the person itches the wound
with his hands then his fingers and nails become contaminated. When he touches the
other body parts or any other subject, the infection spreads. Same happens when
anyone reuses the towel, handkerchief or bedsheets etc belonging to the affected
person.
CHIKITSA SIDDHANTA –
❖ NIDAN PARIMARJAN –
• Stop using steroid based ointments on affected area (as when the affected
area got covered by it, the fungus can’t spread in upper direction. So, it
finds its way to inner direction and the disease which was confined to
outermost layer of skin till now, spreads to deep root of the skin, with poor
prognosis.
• Always dry up your whole body with towel after bath. Wipe dry the affected
regions properly.
• Use loose fitted cotton undergarments.
• Say no to jeans as less ventilation to skin causes moisture.
• Use loose fitting cotton outfits.
• Avoid using under garments during sleeping hours. Even night wear should
be loose fitting.

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• Avoid using others’ clothes, towels or bedsheets.

• Clothes used by the affected person should be washed daily in boiling water
and sun dried.

❖ EXTERNAL APPLICATION –
• In case of acute early cases, where there is itching and secretion present,
use fitkari (sphatika) as a soap to rub the affected area as a soap while
taking bath on daily basis. Then wash it off with water. Fresh lime can also
be used.
• Never use any oil or cream in early condition. In recovery phase when
affected area fully dries up, one can apply medicated oils like karanja taila,
777 oil or coconut oil mixed with camphor etc.

❖ INTERNAL APPLICATION –
• Vata-kaphaja dosa involvement
o Rasa manikya 60 mg + Nimbadi churna 1 gm = 1 dose twice daily
after food with luke warm water.
o Gandhak rasayan 250 mg twice daily after food with luke warm
water.
o Khadirarista 20 ml + Sarivadyasava 20 ml = 1 dose twice daily with
equal quantity of water.
o Swadista virechan churna 5 gm at night with luke warm water.
• Pitta dosa involvement (where amlapitta is a symptom or excessive
sweating occurs. One need to reduce sweating for good prognosis of the
disease.)
o Add Praval pisti 250 mg twice daily, Mahatikta Ghrita as per condition
with the above-mentioned yoga.
o All above mentioned treatment would be same.

PROGNOSIS – Treatment schedule for dadru is for minimum of 3 months and

maximum 6 months depending upon the severity. To avoid the relapse, treatment
should be continued for atleast 2 more months after subsiding of the symptoms. It is
not a dreadful disease but in chronic condition it seems like a undefeated demon. If
vaidyas follow the above regimen, this can be treated successfully.

Types of Tinea infection, simple common to mix, severe (Photo taken from internet)

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Ayurvedic Treatment of Pilonidal Sinus

Dr. Arnab Ray
MS(Ayurveda) PhD
Consultant-Proctology (Ayurveda)
Pilonidal sinus is a very common clinical condition in obese,
hairy male of young age. As the name suggests, pilus or hair
is the causative factor. It develops very commonly in natal
cleft. It may also be seen in finger web and axilla. The subject
was a 20-year old male of 90kg body weight. He was suffering
from discharging sinus at natal cleft for more than two years. In early days it was
asymptomatic. One day there was a swelling in and around the area with mild pain.
The parents noticed a hole with redness and ulceration in natal cleft. He was
immediately taken to a general physician who treated with antibiotic and anti-
inflammatory medicines. The symptoms subsided for then. He was diagnosed with
fistula. After some days, again it started oozing. This time also it was treated
conservatively and referred to surgeon for opinion. Patient opted for Ayurvedic
treatment and attended an Ayurvedic clinic. This time he was prescribed few Ayurvedic
and Unani medicines and advised to practice a few Asanas. The patient took the
medicines but did not practice the asanas. Not getting satisfactory result in four months
of treatment, he consulted an Ayurvedic surgeon and was advised local application of
unknown oil and irrigation of the cavity which yielded no result.
The anxious patient attended my clinic with chronic discharging sinus in natal cleft. My
clinical diagnosis was pilonidal sinus and I planned for “Pilonidal Sinus treatment with
Ksharasutra.” A tuft of hair removed from the tract, the cavity was thoroughly irrigated
with hydrogen per-oxide and NS. A ksharasutra was placed. It is a five-minute surgery
with excellent result. I just removed the causative factor (tuft of hair) and drained the
sinus with ksharasutra. The chronic inflammatory granulation tissues were all curetted.
The ksharasutra prevented them to form again. After three changes the cavity was laid
open. There might be a small non-healing ulcer which I will correct with z-plasty in later
days, if necessary.
The hair is the causative factor for this sinus. Until and unless this tuft of hair is
removed, the sinus does not heal as the hair gives foreign body sensation.
In the long run, the inner lining of the sinus is covered with chronic inflammatory
granulation tissue and fails to heal spontaneously. Had he removed the tuft of hair in
the earlier days, the wound would have healed even without any treatment.

Pg. 31, APP, Sep’19 Love Ayurved, Live Ayurved

 Bangiya Ayurved Abhiyan, AYURVED PRACHAR PATRIKA

Discussions
SNEHA KALPANA - TAILA (Contd. from Aug’19) by Dr Sumita Jaiswal
After discussing ghrita in our last edition, lets talk about taila. Taila is one of the 4
snehas mentioned in ayurvedic texts. Its heavier than ghrita but lightier than vasa and
majja. It is the most popular sneha in ayurvedic practice.
• RASA – Madhur
• ANURASA – Kasaya (point to be noted by PG aspirants)
• VIRYA - Usna
• DOSA KARMA – vata kapha nasak and pitta vardhak
• GUNA KARMA – usna,snigdha,guru,suksma,vyavayi
• KARMA –
o Marutghna (being snigdha,usna,guru, pacifies vata)
o Na cha slesmavardhana (being usna, it does not allow kapha to aggravate)
o Balya
o Snigdhakara
o Twachya (provide lusturous skin)
o Sthirakara( brings stability to body and body organs)
o Yoni visodhana (causes purification of yoni marga as pichudharan of different
medicated oils are beneficial in diseases like rajarodha,kastartava etc)
• INDICATION – Sthulata,krisata,vataja prakruti purush, vataja vikar,kaphaja
vikar,vatakaphaja vikar,krimi roga, krura kostha, medoja vikar etc.
NOTE : As mentioned above, taila is indicated in both sthulata and krisata.
Answer to this contrary effect is being vyavayi,taila can enter into the contricted
minute channels (srotas) of krisa vyakti and causes brihana and provides
nourishment. As well as it causes kshaya of vata and kapha dosa, so beneficial in
sthula vyakti too.
• CONTRA INDICATION – Amaja vikar, usna kala, pittaja vikar, pittaja prakruti
purush
• TIME OF ADMINISTRATION – Sita kala preferably at night as taila is naturally
usna in potency.
• DIFFERENT MEDICATED TAILA AVAILABLE – Jatyadi taila, maha narayan taila,
irimedadi taila, mahamarichadi taila, mahamasa taila, visagarbha taila etc
• DIFFERENT WAYS TO USE TAILA –
o Gandusa
o Kavala
o Karnapuran
o Abhyanga
o Nasya
o Sirodhara
o Sarvangadhara
o Oral administration
o Vasti

A brief List of some common Oils used in Skin diseases (common reference)
Adityapaka Taila(BR-Kustha cikitsa), Chalmogra Taila(SYS), Chandanabalalakshadi
Tel(BBR), Durvadi Taila(SY), Dinishvalyadi Taila(SY), Eladi Taila(SY), Gandhaka
Taila(Y), Jatyadi Taila(S.S.), Maha marichadi tail(BR), Nalapamaradi taila(SY),
Nimbadi Tail(AH), Panchavalkaladi Tail(SY), Vajraka Tail(AH), Vranaropana Tail(SY)
(Ref: AH-Ashtanga Hriday, BBR-Bharat Bhaisajya Ratnakar, BR-Bhaisajya Ratnavali, SS
Sarangdhar Samhita, SY-Sahasrayoga, SYS-Siddha Yoga Sangraha, Y-Yogratnakar)

Pg. 32, APP, Sep’19 Love Ayurved, Live Ayurved

 Bangiya Ayurved Abhiyan, AYURVED PRACHAR PATRIKA

Plant Study
ARANYAJEERAKA
Centratherum anthelminiticum

Guna: Laghu, Teekshna Rasa: Katu, Tikta

Vipaka: Katu Virya: Ushna

Kapha-vata shamak because of its Ushna Virya

Synonyms: Vanajeeraka, Somraaji
Parts Used: Seed (1-3 gms)
*** Below, indicates uses in Twacha Rogas
Classified as a kandughna by P. V. Sharma, this annual plant grows as a bush 2 to 6 feet high all over India,
particularly in the Himalayan region upto 5,500 feet. Its leaves are 6-8 inches long, oval or lanceolate in shape
with the edges having teeth while the terminal leaves grow increasingly smaller. The flowers are purple and
button shaped about ½ - 3/4 inches in diameter with approximately 40 florets in each cluster. The fruits are ¼
inches long, dusty black in colour with 10 stripes on it. The fruits have a strong aroma. These plants flower in
the monsoons and fruit at spring time.
Chemical Composition: 120 bioactive compounds have been isolated from this plant. Primarily all of the
biological activities have been found to be located in the seeds of this plant. The kinds of compounds isolated
range from fatty acids, sterols, sesquiterpene lactones, carbohydrates to flavonoids
External Uses: Applying pastes
• reduces swellings—shothahara and stabilizes pain--vedana sthapan: reduces painful swellings
including suppurating boils ***
• anti-helmintic: for external krimija conditions use 4 parts aranyajeeraka, 1 part hartaal, make a paste
with gomutra to use as pralepa***
• anti-itching—kandughna and reduces skin conditions—kushtaghna***
Internal Uses:
• Dipaniya and vamanakarak,
• krimighna, particularly good for gandupada--round worms and tantukrimi—tape worms
• raktashodhaka
• diuretic because of its Teekshna and Ushna properties, therefore useful in mutraghaata
• garbhashaya shodhaka and stanyajanan,
• kandughna and kushtaghna: 1 gm aranyajeeraka + 1 gm black til churna taken with hot water can cure
all kushtaroga***
• jwaraghna: along with its katupoushtik properties it helps in jeernajwara
• vishaghna: particularly in jangama visa
• katupoushtik: can be used in samanya dourbalya

Pg. 33, APP, Sep’19 Love Ayurved, Live Ayurved

 Bangiya Ayurved Abhiyan, AYURVED PRACHAR PATRIKA

Modern Research: shows the following activities of aranyajeeraka extracts. Most researchers agree that this
herb with its multiple properties should be studied further for it to be brought into further usage in modern
medicine, for example to supplement chemotherapy and as antibiotic.
• anti-helmintic – has been shown to reduce fecal egg count when used on animals
• anti-filarial – elephantiasis/shleepada by reducing motility of filarial worms of different species by
effecting nerve-muscle stimulation of acetylcholine and by leading to worm
death
• anti-bacterial activity against
(a) Bacillus species which cause allergic reactions, nausea, vomiting and diarrhea,
(b) Enterobacteria like Salmonella, E. coli, P. vulgaris, and K. pneumonia
(c) Staphylococcus aureus which can opportunistically cause skin and tissue infections, pneumonia
and septicaemia
(d) Pseudomonas aeruginosa which is the most common cause of nosocomial infections
• anti-fungal activity
• anti-oxidant – scavenges free radicals or reactive oxygen species
• reduces inflammation after 3 hours so that it acts by inhibiting prostaglandin release activity or by
inhibiting myeloperoxidase activity which would lower the accumulation of polymorphonuclear cells
like neutrophils, monocytes and macrophages
• anti-pyretic activity is similar to paracetomol which reduces fever by varying prostaglandin activity in
the central nervous system
• analgesic
• may be used to avoid the gastric irritation caused by modern drugs
• vitiligo or shwitra by inducing melanogenesis
• type II diabetes by reducing blood glucose levels by inhibiting disaccharide breakdown by various
enzymes and interfering in glucose uptake and insulin secretion pathways
• complications of diabetes like dyslipidemia, oxidative stress and inflammation
• wound-healing
• anti-tumor activity
• cancers related to oxidative stress
• growth inhibition on breast cancer cells through apoptosis through cell shrinkage and nuclear
condensation
• diuretic which maintains Na-K balance unlike chemical drugs used so that blood pressure does not
rise nor induce type II diabetes
• regulates peripheral estrogen biosynthesis so that pathological processes of breast, endometrial and
ovarian cancers are regulated
To be noted is that nearly all of the uses enumerated by modern science had already been suggested in
Ayurvedic and traditional use.
REFERENCES
1. Centratherum anthelminticum (L.) Kuntze a Potential Medicinal Plant with Pleiotropic Pharmacological and
Biological Activities
Mohammadjavad Paydar, Bushra Abdulkarim Moharam, Yi Li Wong, Chung Yeng Looi, Won Fen Wong, Shaik
Nyamathulla, Vijayapandi Pandy, Behnam Kamalidehghan and Aditya Arya
International Journal of Pharmacology. Volume 9 (3): 211-226, 2013 DOI: 10.3923/ijp.2013.211.226
2. International Journal of PharmTech Research CODEN (USA): IJPRIF ISSN : 0974-4304 Vol.3, No.3,pp 1772-1779, July-Sept
2011 The Chemical Constituents and Pharmacology of Centratherum anthelminticum Faheem Amir* , Koay Yen Chin School of
Chemical Sciences, Universiti Sains Malaysia, Penang 11800, Malaysia
3. DravyaGuna-Vigyan. Acharya Priyavrata Sharma
Description by

Pg. 34, APP, Sep’19 Love Ayurved, Live Ayurved

 Bangiya Ayurved Abhiyan, AYURVED PRACHAR PATRIKA

We have brief memorandum on Kj [Link] whom we lost few months back. Ayurveda Traditions
(-By Dr [Link]) My father Kaviraj Budh Kumar
Mishra, born at a remote village of Dist Bhagalpur,
Bihar in the 40’s had studied at Ayurvedic college in
Nath Nagar, Bhagalpur. He was also M.A. in English
from Bhagalpur University. He had come to Bengal
for practice, courtesy of Vaidya Shri Narayan Sharma,
the founder of Shree Dhanvantari Lab., Calcutta. This
journey was the start of his brilliant career in 1962. A
great scholar and believer of Ayurveda he got successful appreciations. With a strong
will to do something he established a charitable Ayurvedic Hospital named Anant
Ayurveda Trust at Na-para, Kanaipur, Konnagar, Hooghly in 1993. By the grace, it is
still running successfully today. He left for his heavenly abode in Jan ’2019 at a prime
age. Everything about him, reminds me that some are born great, somewhere
greatness is thrust upon one and rare are those who achieve greatness. For all the
achievements he had in his lifetime, he was awarded with a life-time award from the
Re Union committee of [Link] State Ayurvedic Medical College, Kolkata.
(A brief on his Guru by - Dr Argha Mukherjee)
A genius in Bengal Ayurveda, Kabiraj Budh Kumar Mishra
although is no more with us in physical existence. But his
real existence is being felt in our lives forever. He showed
three ways for the advancement of Ayurveda. 1."The
Gangetic way" which means the way of taking all
technological advancements from West(i.e. Europe) go
in the direction of East (we and knowledge of East is our heritage). 2. The "Kaberi way"
of research means conversation of Eastern knowledge in terms of western science.
(Example-Reserpine extracted from Sarpagandha). Kaberi river is flowing in western
direction. 3. "The Quill way" means Quill river (questionable, costal river Europe)
without any flow, lost to existence. That means without any research and innovative
thinking, Ayurveda can't retain its existence. In ‘Kaberi way’ of research our existence
will be no more. The multinationals will extract main active principles of medicine and
call Ayurveda "unscientific". Only in "Gangetic way” of research we can prosper by
proving our science. Taking western knowledge, we can enrich our Ayurveda. Kabiraj
Budh Kumar Mishra was a path finder of the "Gangetic way” of research. Although
being a Sanskrit learned person, he engulfed the knowledge of biochemistry and
biotechnology by studying dictionary meaning. All 3 major Samhitas were at his
fingertips. He could recite Madhav Nidan and Bhavprakakash Nighantu very easily. He
was unparalleled in Ayurvedic practice mainly in chronic renal diseases. Truly he was a
scientist. He organised an Ayurvedic hospital in Konnagar, Hooghly. He worked
extensively to spread Ayurveda to the masses by motivating- a group of volunteers to
spread Ayurvedic home remedies to common people.
He started "Guru-Sishya parampara" of learning systems in his Hospital. We got
immense benefit in this process. He taught us how to be crusaders for Ayurveda and
how to love Ayurveda. We can still hear his last days voice that - "I am proud to be a
Ayurvedic practitioner and I shall take rebirth only for Ayurveda"

Pg. 35, APP, Sep’19 Love Ayurved, Live Ayurved

 Bangiya Ayurved Abhiyan, AYURVED PRACHAR PATRIKA

There have been many great Kabirajs or Traditional Ayurveda practitioners in Bengal till date.
Through this column and e-magazine, we try to explore our great history. As a respect to
this heritage our November issue will be on Kabiraj Parampara (Traditions of Bengal). Friends,
if you have known of any such greats in any corner of Bengal, please share your story with
BAA or Dr Biswajeet Ghosh.

আয়ুর্বদর্ে
ে যুর্ে যুর্ে সাফর্যের সার্ে জনমানর্স তু র্য ধরর্ত ও দদর্ের চিচেৎসাবাবস্থা দে চবশ্ববোপী

সমাদৃত েরর্ত বাাংযার েচবরাজর্দর অবদান অচবস্মরণীয়।

তার্দর জীবনেো, েীচতেেযাপ, ওষুধ চনমাণ,দরাে

ে চনণয়,
ে পেে চনবািন
ে ও চবচিন্ন ধরর্নর দরার্ের
মুষ্টির্যাে চিচিে চিচেৎসা চদর্ন চদর্ন আধুচনেতার আর্যায় যার্ত চফর্ে না হর্য় যায় তা চনর্য় বঙ্গীয়

আয়ুর্বদে অচিযার্নর নতু ন চবিাে "েচবরাজ পরম্পরা" আোমী নর্িম্বর সাংখ্ো দের্ে শুরু হর্ে।

আপনার্দর শুর্িো, সহর্যাচেতা ও আেীবাদ

ে এোন্ত োমে।

এই চবিার্ের সম্পূণ ে দাচয়ত্বিার বহর্নর জনে বঙ্গীয় আয়ুর্বদে অচিযান ডাাঃ চবশ্বজজৎ দ াষ ও ডাাঃ
অেেপ্রি জানা দে মর্নানীত ের্রর্েন, তাই সেযর্ে অনুর্রাধ েচবরাজ চনর্য় োর্রা দোনও প্রোর

তেে আর্যািনা বা তেে পচরর্বের্নর প্রর্য়াজন অনুিব েরর্য চনচবধায়

ে আমার্দর প্রচতচনচধর্দর সার্ে

দযাোর্যাে েরুন।

ধনেবাদর্ন্ত
(বঙ্গীয় আয়ুর্বদে অচিযান েতৃপ
ে ক্ষ)

Clinical Quiz:
ANSWER to Aug'19 (Congratulations and thanks to all those who sent correct replies)
(Question was to Complete Guggul Kalpa rogadhikar (by self) Eg. Panchamruta Loha Guggul is
Mastikska Roga. What are Lakshadi Guggul, Swayambhu Guggul, Saptavimshati Guggul,
Amrutadi Guggul of…)
QUESTION of Sep'19
Skin diseases with characteristics…Identify the dosa avastha
i. Skin lesions are rough, dry, reddish black and associated with pain.
ii. Skin lesions associated with burning, erythema, secretion and blister.
iii. Skin lesions are cold, dense, associated with itching secretions,
discolourations and heaviness of the body.
Answer : [Link] [Link] [Link] predominant Kustha.

Clinical Alert:

Pg. 36, APP, Sep’19 Love Ayurved, Live Ayurved

 Bangiya Ayurved Abhiyan, AYURVED PRACHAR PATRIKA

Lighter Zone 1. Q: What goes up and never comes down? A: Age!

2. A meme in ciruculation- Well, it holds true for skin disease!! Agree?

Information
Thank You so much all for contribution of skin issue. The topic is really vast, and so we
keep ‘hair care – treatment’ as further theme topic in later months
October’19 issue is on Panchakarma Therapy co-ordinating Editor is [Link] Prava Jana.
And, November’19 issue is “Kabiraj Parampara (Traditions of Bengal)” Dr Biswajit
Ghosh is co-ordinating Editor.
So, everybody send articles on Panchakarma therapies keeping in mind. Try to submit
by 20th of month respectively. Editorial have lots of work and we are indeed grateful
for their selfless service. Please co-operate.

APPEAL
We welcome names and list of doctors practicing full-fledged authentic Panchakarma with a
standard set up in West Bengal as directory
Please send in your Name with Therapy Clinic Address to us by email at
bangiyaayurvedabhiyan@[Link] or sending phone message to any of the Editors.
This listing will be a wonderful way to know who and where we have good practice and explore
the best in state.
Name of Clinic & Dr.: ……………………………………
Contact Address: ………………………………………….
Service provided: ………………………………………….
(We will use the record sent by you for publication, so that referrals and details can
be known to all. Please try to submit as soon as possible.)
------
To join our WhatsApp Ayurveda doctor/student group message Dr Ravi Kr Yadav @
8981161666. At present two groups are at full capacity with around 300+ members.
You too can be part of these groups by sending him a request.
------
All are welcome to join us. We don’t have membership system, its open movement.
You can share your ideas, views and all you want!

Pg. 37, APP, Sep’19 Love Ayurved, Live Ayurved

 Bangiya Ayurved Abhiyan, AYURVED PRACHAR PATRIKA

Titbits
News & Updates
# A set of 12 commemorative stamps released by PM of India on 30 th August’19.

# BAA is planning to organise a Talk show on Dengue and Ayurveda soon, details will
be updated in our WhatsApp group. Also, we are planning to organise workshop on
Orthopaedics and Ayurveda and a session on Entrepreneurship in Ayurveda. Keep
following for further details.

# At World Ayurved Expo 2019, recently Ministry of AYUSH, conferred Lifetime

Achievement Award to Vaidya Sameer Jamadagni, Narendra Gujarathi, Anil Gujar,
Eknath Kulkarni, Sadanand Sardeshmukh; and International Excellence Award to Vd.
Ramdas Ahvad who practices Ayurveda in small village of Maharastra with high
standards. Many of these Vaidya Doctors are Guru and are giving training to young
generation of Vaidyas in their own clinics, set ups.
-----------------------------------------------------------------------------------------
For publishing News-brief, any info-update in BAA website & e-Magazine, please
contact or forward same to our email id or Dr Arka Prava Jana (Ph 6290249866)
--------------------------------------------------------------------------------------------------------------------------
# Regular medical camps, awareness activities, plantation drives we organise.
Interested Doctors or Association/School/Club/Public general who want our help can
contact us for same!
Featured Vaidya:
Dr. Sudipta Paul
BAMS (WBUHS) from RGMACH
Has done Certified Panchakarma course from Vaidyaratnam
Ayurveda Foundation, Kerala
She was previously posted as RBSK MO and practiced
Ayurveda in Dakshin Dinajpur (North Bengal). Presently,
she is posted at Nadia. She is also a founding member of
Bangiya Ayurved Abhiyan.

(One Ayurveda doctor will be introduced in each issue in this collumn. Send in your
details if you want to feature here. Share your good work for applause and to inspire
others. Please mail us your name, details, achievement with a pp photo. Thanks!)

Pg. 38, APP, Sep’19 Love Ayurved, Live Ayurved

 Bangiya Ayurved Abhiyan, AYURVED PRACHAR PATRIKA

Other # Book released

Quote:
“Health is not mere absence of disease. It is the dynamic expression of life”.
- Sri Sri Ravi Shankar (Spiritual Guru AOL and head of an Ayurveda College, two
Ayurveda Hospitals and many Nadi Cikitsa kendras; Sri Sri Tatwa company uses its
profit share in child welfare. These is an inspiration in itself. Beside Spiritual, Social,
Common, Experts, Government and all on hand in hand can bring the needed change.)

---------------------------------------------------------------------------------------------
Ayurved Prachar Patrika of Bangiya Ayurved Abhiyan - September 2019 Issue

APP has no copyright; it is free for circulation in social world with

only aim to highlight & promote goodness of authentic practice of
Ayurved. Disclaimer: BAA takes great care in compiling and
checking information, even if any error, typographical omissions
or inaccuracy creeps in BAA is not responsible for it. Article
published are writers view sent to us, and approved by Editorial
core team. Beside any feedbacks any suggestions please write to
us.

APP can be downloaded from [Link]

FOR REGULAR ISSUES PLEASE REGISTER YOUR EMAIL ID BY MAILING US

bangiyaayurvedabhiyan@[Link] OR BY SENDING MSG TO ANY OF THE CORE MEMBERS OF
BANGIYA AYURVED ABHIYAN movement.
Jai Ayurved! Jai Dhanvantari!

Pg. 39, APP, Sep’19 Love Ayurved, Live Ayurved