Management of Vicharchika Kushta through Ayurveda
Journal name: Ayushdhara
Original article title: Management of Vicharchika Kushta through Ayurveda
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Chetana S Mugali
PG Scholar, Department of PG studies in Panchakarma, KVG Ayurveda Medical College and Hospital, Sullia.
Sanath Kumar D G
Professor and HOD, Department of PG studies in Panchakarma, KVG Ayurveda Medical College and Hospital, Sullia.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Management of Vicharchika Kushta through Ayurveda
Year: 2024 | Doi: 10.47070/ayushdhara.v11i3.1608
Copyright (license): CC BY-NC-SA 4.0
Summary of article contents:
Introduction
Skin disorders in Ayurveda are categorized under the term Kushta, which encompasses 18 distinct types. Among these, Vicharchika Kushta, often linked to eczema, falls under the category of Kshudra Kushta. Characterized by symptoms such as itching (Kandu), oozing (Srava), papules (Pidaka), and discoloration (Shyava varna), Vicharchika is noted for its chronic nature and tendency for exacerbations. Modern medicine offers limited treatment avenues for eczema, primarily symptomatic management through topical steroids that can cause significant side effects. In contrast, Ayurveda presents holistic approaches, such as Shodhana (purification) and Shamana (palliative therapy), which aim to manage the condition without adverse effects.
The Concept of Shodhana in Ayurveda
Shodhana is a principal treatment strategy in Ayurveda aimed at eliminating vitiated Doshas (physiological energies) responsible for the disease. In treating Vicharchika, which is considered a Rakta Pradoshaja Vikara (blood-related disorder), various therapies are employed, including Vamana (emesis) and Virechana (purgation). A case study presented shows a 54-year-old woman suffering from blackish discoloration, intense itching, and oozing for two years. Through a comprehensive Shodhana protocol that included herbal preparations, Snehapana (oil infusion therapy), and targeted Vamana and Virechana, notable improvements were observed in her condition, showcasing the efficacy of Ayurvedic detoxification methods.
The Role of Shamana Therapy
In conjunction with Shodhana, Shamana therapy serves to restore balance within the body's Dhatus (tissues) post-detoxification. For the patient under treatment for Vicharchika, specific herbal formulations such as Aragvadhadhi Kashaya and Arogyavardhini Vati were prescribed to alleviate the remaining symptoms and promote healing. These herbal medicines possess properties that help harmonize the three Doshas and enhance digestive functions while addressing inflammation and skin health. The integration of these two therapeutic approaches—the purifying and the restorative—demonstrates Ayurveda's comprehensive strategy in managing chronic skin disorders.
Conclusion
The case study emphasizes the effective management of Vicharchika Kushta through Ayurvedic methodologies, particularly using Shodhana and Shamana therapies. The patient's marked improvement underscores the relevance of traditional Ayurvedic concepts in treating chronic skin conditions that are otherwise challenging for modern medicine. By addressing both the root causes of vitiated Doshas and facilitating healing, this holistic approach may serve as an alternative for patients suffering from persistent dermatological issues. The results indicate that Ayurvedic treatments can provide significant benefits without the adverse effects commonly associated with conventional therapies.
FAQ section (important questions/answers):
What is Vicharchika kushta in Ayurveda?
Vicharchika kushta is categorized as a Kshudra Kushta, characterized by symptoms like itching, discharge, and discoloration of the skin. It’s considered a chronic skin disorder and is often correlated with eczema in modern medicine.
How are Vicharchika kushta and eczema related?
Vicharchika kushta is often correlated with eczema due to similar clinical presentations, including itching, redness, and inflammation. While modern medicine primarily offers symptomatic treatments, Ayurveda provides comprehensive management through methods like Shodhana and Shamana therapies.
What Ayurvedic treatments are effective for Vicharchika kushta?
Ayurvedic treatments for Vicharchika include Shodhana (purification therapies like Vamana and Virechana) and Shamana (palliative medications). These therapies aim to eliminate vitiated doshas and provide long-term relief without serious side effects.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Management of Vicharchika Kushta through Ayurveda�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Vamana:
Vamana is a therapeutic procedure in Ayurveda that involves induced vomiting to eliminate the vitiated doshas from the body, primarily Kapha and Pitta, thereby alleviating symptoms and purifying the body. This procedure includes the use of various Vamana-dravyas to help expel the toxins upwards and out of the system.
2) Dosha (Dosa):
In Ayurveda, Dosha refers to the three fundamental bodily bio-elements called Vata, Pitta, and Kapha. These elements govern physiological and psychological functions of the body, mind, and emotions. Vitiation of any Dosha can lead to disease states that are managed through balancing therapies.
3) Shodhana (Sodhana):
Shodhana is a purificatory treatment in Ayurveda aimed at eliminating toxins and vitiated doshas from the body. Techniques such as Vamana and Virechana are part of Shodhana therapy, intended to cleanse and detoxify the body, thus restoring balance and health.
4) Pitta:
Pitta is one of the three doshas in Ayurveda, representing the elements of fire and water. It governs metabolism, digestion, and body temperature. Imbalance in Pitta can cause inflammatory conditions and digestive troubles, which are managed through specific Ayurvedic treatments.
5) Pidaka:
Pidaka refers to papules or small raised lesions on the skin typically seen in conditions like Vicharchika (eczema) and other dermatological disorders. The presence and grading of Pidaka are important parameters in assessing the severity of skin diseases in Ayurveda.
6) Shrava (Srava):
Srava refers to discharge, particularly from lesions or affected skin areas. In conditions like Vicharchika, Srava is a significant symptom that can include oozing or fluid release from the skin. Proper management aims to reduce and ultimately eliminate this symptom.
7) Vati:
Vati in Ayurveda are herbal pills or tablets used for therapeutic purposes. They are formulated using a combination of medicinal ingredients and are used for various treatments including deepana-pachana to enhance digestive fire and clear amas or toxins.
8) Ayurveda (Ayus-veda):
Ayurveda is an ancient holistic healthcare system from India that focuses on balancing the body's doshas through natural and individualized treatments. It includes various therapies like Shodhana and Shamana, emphasizing diet, lifestyle, herbal medicines, and procedures to maintain health and treat diseases.
9) Ghrita (Ghrta):
Ghrita refers to medicated ghee (clarified butter) used in Ayurveda for internal and external treatments. Medications like Guggulutiktaka-Ghrita blend ghee with beneficial herbs to enhance their therapeutic properties, aiding in dosha balance and treatment of chronic conditions.
10) Kapha:
Kapha is one of the three doshas representing the elements of earth and water. It governs the structure, lubrication, and stability of the body. Imbalances in Kapha can lead to issues like congestion, swelling, and lethargy, which are managed through specific Ayurvedic interventions.
11) Karma (Karman):
In Ayurveda, Karma refers to the specific actions or therapies administered to balance the doshas and treat disease. This includes procedures and interventions such as Vamana Karma, which is employed to expel vitiated doshas from the body.
12) Medicine:
Ayurvedic medicine encompasses a range of herbal formulations, dietary guidelines, and treatment procedures aimed at restoring balance and health. Treatments may include oral medications, topical applications, and Panchakarma therapies like Vamana and Virechana.
13) Guggulu:
Guggulu is a key Ayurvedic resin obtained from the Commiphora mukul tree. It possesses anti-inflammatory and lipid-lowering properties, making it an important ingredient in various formulations like Guggulutiktaka-Ghrita used for detoxification and balancing doshas.
14) Kashaya (Kasaya):
Kashaya in Ayurveda refers to a type of herbal decoction used for therapeutic purposes. For example, Aragvadhadhi Kashaya is a preparation used for its Pitta-Kaphahara properties, helping in conditions like Kushta and skin disorders.
15) Dravya:
Dravya in Ayurveda denotes a substance or material used for therapeutic purposes, mainly herbs and medicinal plants. For instance, Chitraka (Plumbago zeylanica) is a Dravya used in Deepana-Pachana processes.
16) Taila (Thaila):
Taila refers to medicated oil used in Ayurveda for therapeutic massages and internal consumption. Oils like Marichyadi Taila are used in Snehana and Abhyanga processes to balance doshas, promote relaxation, and treat various conditions.
17) Kandu (Kamdu):
Kandu translates to itching, a common symptom in skin disorders such as Vicharchika (eczema). The intensity of Kandu is graded to assess the severity of the condition and guide the treatment plan.
18) Plumbago zeylanica:
Plumbago zeylanica, also known as Chitraka, is a plant used in Ayurveda for its strong digestive and carminative properties. It's incorporated in Deepana-Pachana therapies to stimulate digestion and clear ama (toxins).
19) Abhyanga (Abhyamga):
Abhyanga is an Ayurvedic massage therapy using medicated oils. It is part of Purvakarma preparations before procedures like Vamana and Virechana, helping to loosen and mobilize the doshas from the tissues.
20) Shuddha (Suddha):
Shuddha means 'purified' in Ayurveda and signifies the process of purification of certain substances, making them suitable for therapeutic use. For instance, Shuddha Gandhaka is purified sulfur used in formulations like Arogyavardhini Vati.
21) Samana (Shamana):
Shamana refers to the palliative treatments in Ayurveda aimed at balancing the vitiated doshas without expelling them from the body. This includes the use of specific herbal medications, dietetics, and lifestyle modifications to restore normalcy.
22) Bhasma (Bhasman):
Bhasma refers to a type of medicinal preparation in Ayurveda involving the calcination of metals or minerals. For example, Loha Bhasma and Abhraka Bhasma are used in specific formulations like Arogyavardhini Vati for their therapeutic properties.
23) Nidana:
Nidana refers to the causative factors or the etiology of a disease in Ayurveda. It involves identifying the root causes of dosha vitiation and provides insights into appropriate treatment approaches.
24) Rakta:
Rakta, or blood, is a vital dhatu (tissue) in Ayurveda associated with life and health. Disorders like Rakta Pradoshaja Vikara involve the vitiation of this tissue, demanding specific cleansing (Shodhana) and soothing (Shamana) treatments.
25) Dhatu:
Dhatu refers to the fundamental tissues of the body in Ayurveda. There are seven primary dhatus, such as Rakta (blood) and Mamsa (muscle), which support the body's structure and function.
26) Nimba:
Nimba, also known as Azadirachta indica or Neem, is a plant with potent anti-inflammatory, antimicrobial, and skin-healing properties. It's commonly used in treating conditions like Kushta and Vicharchika.
27) Roga:
Roga in Ayurveda translates to disease or ailment. It refers to any imbalance in the doshas, dhatus, and malas (wastes), leading to various health conditions requiring specific therapeutic interventions.
28) Piper chaba:
Piper chaba is an herb used in various Ayurvedic formulations for its digestive and anti-inflammatory properties. It's included in preparations like Chitrakadi Vati to balance Vata and Kapha doshas.
29) Hordeum vulgare:
Hordeum vulgare, or barley, is recognized in Ayurveda for its nutritional value and therapeutic properties, including its use as Yavakshara in formulations like Chitrakadi Vati.
30) Tridoshahara (Tridosahara, Tridosha-hara):
Tridoshahara refers to an Ayurveda concept where a substance or treatment balances all three doshas (Vata, Pitta, Kapha). Preparations like Arogyavardhini Vati are considered Tridoshahara for their broad-spectrum efficacy.
31) Madanaphala:
Madanaphala is an Ayurvedic herb used primarily for its emetic properties in Vamana procedures. It is prized for its ability to induce therapeutic vomiting and cleanse the upper digestive tract.
32) Panduroga (Pandu-roga, Pamduroga):
Pandu-roga is a condition in Ayurveda equated to modern anemia, characterized by pallor and weakness. Treatments involve herbs like Amalakyavaleha to improve iron absorption and red blood cell production.
33) Purvakarma (Purvakarman, Purva-karman):
Purvakarma refers to preparatory procedures in Panchakarma, such as Snehapana (internal oleation) and Swedana (fomentation), designed to mobilize doshas before the main detoxifying therapies like Vamana and Virechana.
34) Kshudra (Ksudra):
Kshudra refers to minor or less severe diseases in Ayurveda, as opposed to Maha-kushta. Vicharchika, or eczema, is categorized under Kshudra-kushta diseases.
35) Bashpa (Baspa):
Bashpa refers to steam in Ayurveda. Bashpa Swedana is a steam therapy used in preparatory stages to loosen doshas and facilitate their elimination during Panchakarma.
36) Lavana:
Lavana means salt in Ayurveda. Different types like Saindhava-lavana (rock salt) are used in various therapeutic preparations to enhance digestive fire and support detoxification processes.
37) Sharman (Sarma, Sharma, Sarman):
Sharma refers to one of the authors, Rakesh Sharma, who contributed to the article referenced.
38) Ushna (Usna):
Ushna means 'hot' in Ayurveda. It is a quality that helps in balancing Kapha and Vata doshas. Herbs with Ushna properties, such as Maricha, are often included in therapeutic formulations.
39) Pandu (Pamdu, Pamde):
Pandu refers to a specific type of anemia in Ayurveda characterized by pallor and weakness. Treatments for Pandu-roga focus on improving blood quality and iron levels using herbs and dietary adjustments.
40) Vaca:
Vacha, also known as Acorus calamus, is a medicinal herb used for its cognitive-enhancing and anti-inflammatory properties. It is included in various formulations for treating neurological and digestive disorders.
41) Rasa (Rasha):
Rasa refers to the concept of taste and essence in Ayurveda, influencing the therapeutic properties of herbs and foods. It is crucial in determining the suitability and effects of different treatments.
42) Yoga:
Yoga in Ayurveda can refer to a formulation or a combination of medicines and procedures. Vamana yoga involves the specific combination of herbs and techniques used to induce therapeutic vomiting.
43) Vata:
Vata is one of the three doshas, representing the elements of air and space. It governs movement and nerve impulses in the body. An imbalance in Vata can cause dryness, anxiety, and digestive issues.
44) Sah:
Shah refers to one of the authors, Bimal Shah, who contributed to the article referenced.
45) Solanum xanthocarpum:
Solanum xanthocarpum, also known as Vyaghri, is an herb used for its respiratory and anti-inflammatory benefits. It is included in various Ayurvedic preparations to treat conditions like asthma and bronchitis.
46) Emblica officinalis:
Emblica officinalis, also known as Amalaki, is rich in vitamin C and used in Ayurveda for its rejuvenative and antioxidant properties. It's a key ingredient in formulations like Arogyavardhini Vati to support overall health.
47) Terminalia chebula:
Terminalia chebula, known as Haritaki, is an important Ayurvedic herb used for its digestive and detoxifying properties, often included in formulations like Arogyavardhini Vati.
48) Butea monosperma:
Butea monosperma, also called Sruvavriksha, is used in Ayurveda for its potent anti-inflammatory and healing properties, particularly in skin conditions and wound care.
49) Saussurea lappa:
Saussurea lappa, also known as Kushta, is a medicinal plant used in Ayurveda for its digestive and carminative properties. It balances doshas and is included in formulations like Guggulutiktaka Ghrita.
50) Curcuma longa:
Curcuma longa, or Turmeric, is an essential herb in Ayurveda known for its anti-inflammatory and antioxidant properties, commonly used in various formulations to balance doshas and treat inflammatory conditions.
51) Piper longum:
Piper longum, also known as Pippali, is used in Ayurveda to enhance digestion and metabolism. It is a key ingredient in several formulations aimed at treating respiratory and digestive disorders.
52) Stereospermum suaveolens:
Stereospermum suaveolens, or Patala, is an Ayurvedic herb used for its anti-inflammatory and immunomodulatory properties. It is included in various herbal formulations to support respiratory and digestive health.
53) Guggulutiktakaghrita (Guggulutiktakaghrta, Guggulutiktaka-ghrita):
Guggulutiktaka-ghrita is a medicated ghee preparation in Ayurveda used for purificatory therapies like Snehapana before Shodhana procedures. It helps balance Tridosha and detoxify the body.
54) Terminalia bellirica:
Terminalia bellirica, known as Vibhitaki, is an Ayurvedic herb used for its detoxifying and digestive properties, often included in formulations like Arogyavardhini Vati.
55) Trichosanthes dioica:
Trichosanthes dioica, also called Patola, is used in Ayurveda for its digestive and detoxifying properties. It is included in formulations like Guggulutiktaka Ghrita to support the treatment of skin and digestive disorders.
56) Momordica charantia:
Momordica charantia, known as Karavella or Bitter Melon, is used in Ayurveda for its blood sugar-lowering and digestive benefits, commonly included in herbal formulations for diabetes management.
57) Shuddhagandhaka (Suddhagandhaka, Shuddha-gandhaka):
Shuddha-gandhaka refers to purified sulfur used in Ayurvedic medicine for its antiviral, antibacterial, and anti-inflammatory properties. It is an ingredient in formulations like Arogyavardhini Vati.
58) Saindhavalavana (Saindhava-lavana, Saimdhavalavana):
Saindhava-lavana, or rock salt, is valued in Ayurveda for its digestive and detoxifying properties. It is used in various therapeutic preparations to enhance effectiveness and palatability.
59) Commiphora mukul:
Commiphora mukul, known as Guggulu, is a resin used in Ayurveda for its anti-inflammatory and lipid-lowering properties. It is a key ingredient in detoxifying preparations like Guggulutiktaka Ghrita.
60) Ricinus communis:
Ricinus communis, or Eranda, is used in Ayurveda for its purgative and anti-inflammatory properties. It is included in formulations like Arogyavardhini Vati to support detoxification and balance doshas.
61) Bhrajakapitta (Bhrajaka-pitta):
Bhrajaka-pitta is a subdosha of Pitta responsible for skin health and glow. Imbalances in Bhrajaka-pitta can lead to skin disorders, which Ayurveda addresses through specific treatments and formulations.
62) Abhrakabhasma (Abhraka-bhasma):
Abhraka-bhasma is a calcined mica preparation used in Ayurveda for its rejuvenative and tonic properties, included in formulations like Arogyavardhini Vati to balance doshas and support overall health.
63) Tiktakaghrita (Tiktakaghrta, Tiktaka-ghrita):
Tiktaka-ghrita is a type of medicated ghee in Ayurveda formulated with bitter herbs to support detoxification and balance Tridosha. It is used in therapies like Snehapana before Panchakarma.
64) Acorus calamus:
Acorus calamus, known as Vacha, is used in Ayurveda for its cognitive-enhancing and digestive properties, making it a valuable ingredient in formulations targeting neurological and gastrointestinal disorders.
[Note: The above list is limited to 75. Total glossary definitions available: 162]
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