The Classification of Kustha in Ayurveda

 
Kustha
 
Dr. Pravin Kumar Rai
Associate Professor
Department of Kayachikitsa
Himalayiya ayurvedic Medical college and Hospital,
Dehradun
 
Classification of Kustha
 
Basis of classification includes
 
 Dosha Arambhata
Uttarottar Dhatu Anupraveshata
Lakshanas (Clinical features)
Sadhyata (Prognosis)
 
On the basis of Dosha predominanace:
 
On the basis of Dosha predominance Kushtha
can be grouped into three categories
Vataja
Pittaja and
Kaphaja
Tridosaja
 
On the basis of Dhatugatatva
 
Kushtha can be classified into seven categories on the
basis of penetration in the particular Dhatu, which is as
follows:
 
1. Rasagata
2. Raktagata
3. Mansagata
4. Medagata
5. Asthigata
6. Majjagata
7. Shukragata
 
CLASSIFICATION OF KUSTHA
 
Maha Kustha and dosa predominance
 
Kshudra Kustha
 
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Roopa
 
Maha Kustha:
 
1.
Kapala: 
That which is black and reddish piece of earthen jar with rough
course, thin and excessively painful is known as kapala Kustha. It is
hardly curable.
 
2.
Audumbara
: The type of Kustha which is associated with burning
sensation, itching, pain and redness, brown skin hairs and similar to
(ripe) fruit of udumbara is known as Audambara Kustha.
 
3.
Mandala: 
– White stable unctuous with raised patches and joined
together is mandala Kustha. It is difficult to cure.
 
4.
Rishyajihba: 
That which is rough, with red margins, internally blackish,
painful and similar to the tongue of rishya (a type of antelope).
 
5
. Pundarika
: That which is whitish, with red margins, raised
resembling lotus petals and with burning sensation is known as
Pundarika Kustha.
 
6. Sidhma: 
That which is white, coppery and thin, leaves out dust
like powder on rubbing and stimulates flowers of bottle groud is
known as sidhma Kustha. It appears mostly on chest.
 
7. Kakanaka: 
That which stimulates gunja seeds in colour does
not suppurate and is excessively painful is kakana Kustha.
 
Kshudra Kustha
 
 
Eka Kustha
: Eka Kustha is characterized by absence of
perspiration, extensive localization and resembles the
scales of fish.
 
Charma Kustha
: Charma Kustha, the skin becoming thick
like that of an elephant skin is seen.
 
Kitibha Kustha: 
Kitibha type of Kustha is characterized by
blackish brown in colour. It is rough in touch like a scar
tissue and it is hard to touch. It produces itching sensation
also.
 
Vipadika Kustha: 
Vipadika type of Kustha is associated with
cracks in palms & soles of feet as well as excruciating pain.
 
Alasaka Kustha:
 Alasaka type of Kustha is characterized
by nodular growth associated with excessive itching
sensation and redness.
 
Dadru Kustha: 
Dadru is characterized by itching
sensation, redness, pimples and circular patches with
elevated edges.
 
Charmadala Kustha:
 Is red associated with itching,
eruptions and has tenderness.
 
Pama Kustha: 
Pama is characterized by excessive
itching eruptions which are white, reddish or blackish
brown in colour.
 
Visphota Kustha:
 This is characterized by
pustules which are either white or reddish in
appearance; these pustules have a thin skin.
Shataru Kustha: 
It is red or blackish,
associated with burnibng sensation and pain
and consisting of multiple boils.
 
Vicharchika Kustha:
 It is itchy consists of
pimples, is blackish with excessive discharge.
 
Clinical features of Kushtha according to
the Dosha predominance
 
Vataja Kushtha:
      Skin lesions are rough, dry, reddish black and associated with pain.
      Vataja Kushtha is also characterizes by stretching of skin,
      numbness, anhydrosis, swelling and hoarseness of voice.
 
Pittaja Kushtha :
      It is associated with burning, erythema, secretions and blister
      formation. Also characterizes by pustulisation, removal of dead
      tissues from fingers, nose, ears etc. and super infections.
 
Kaphaja Kushtha :
     Skin lesions are cold and dense and associated with itching,
     secretions, discolouration and heaviness of the body.
 
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The clinical presentation of Kushtha according to the
penetration in the particular Dhatu
 
Tvakagata or Rasagata Kushtha:
 
 Characterizes by loss of sensation, excess sweating, mild itching,
discolouration and dryness.
 
Raktagata Kushtha:
 
 
It is characterizes by numbness, goose flesh, excess sweating, itching
and pus formation.
 
Mansagata Kushtha
 :
 
Characterizes by general body swelling, appearance of stable nodules,
pricking pain and cracking of skin.
 
Medagata Kushtha :
 
Medogata Kushtha is associated with Durgandha, Malavraddhi, pus
formation, super infection and general bodyache.
 
Asthi and Majja Gata Kushtha:
 
Such type of Kushtha is characterizes by redness of eyes, super
infected ulcers and hoarseness of voice.
Shukragata Kushtha :
 
It is characterizes by deformities in fingers, reduced movement of body
parts, general bodyache and appearance of fast spreading ulcers. It is
also characterizes by inheritance of Kushtha Roga to the next
generation.
 
SADHYATA / ASADHYATA (PROGNOSIS)
 
Sadhya :
 involvement of single Dosha,
Vata-Kapha predominant Kushtha and
Rasagata, Raktagata and Mansagata Kushtha is easily curable.
Krichasadhya:
Vata-Pitta
Pitta-Kapha, predominant Kushtha and
Medagata Kushtha have some bad prognosis and are difficult to cure.
 
Asadhya:
The Kushtha Roga with involvement of all three Doshas,
the patient is weak and having thirst & burning,
 associated with Krimi and
Asthi, Majja and Shukragata Kushtha have very bad prognosis and are
incurable
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The classification of Kustha, a term used in Ayurveda for skin diseases, is based on various factors such as Dosha predominance, Dhatu involvement, and clinical features. Kustha can be categorized into different types like Vataja, Pittaja, Kaphaja, and based on its penetration into specific Dhatus. This classification helps in understanding the nature of the skin disorder and guides treatment approaches.

  • Ayurveda
  • Kustha classification
  • Dosha
  • Dhatu
  • Clinical features

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  1. Kustha Dr. Pravin Kumar Rai Associate Professor Department of Kayachikitsa Himalayiya ayurvedic Medical college and Hospital, Dehradun

  2. Classification of Kustha Basis of classification includes Dosha Arambhata Uttarottar Dhatu Anupraveshata Lakshanas (Clinical features) Sadhyata (Prognosis)

  3. On the basis of Dosha predominanace: On the basis of Dosha predominance Kushtha can be grouped into three categories Vataja Pittaja and Kaphaja Tridosaja

  4. On the basis of Dhatugatatva Kushtha can be classified into seven categories on the basis of penetration in the particular Dhatu, which is as follows: 1. Rasagata 2. Raktagata 3. Mansagata 4. Medagata 5. Asthigata 6. Majjagata 7. Shukragata

  5. CLASSIFICATION OF KUSTHA Mahakushtha Kshudrakushtha Bahu Dosha Arambhata Alpa Dosha Arambhata Bahu Lakshana Alpa Lakshana Excessive discomfort Less discomfort Penetrates into deeper Dhatus Less tendency to penetrate in deeper Dhatus Mahat Chikitsa Alpa Chikitsa

  6. Maha Kustha and dosa predominance Charak Sushruta Vagbhata Kapal - Vata Arun - Vata Kapal - Vata Udumbara - Pitta Audumber - Pitta Udumber - Pitta Mandal - Kapha Rishyajihva - Pitta Mandal Kapha Rishyajihva Vata- Pitta Kapal Pitta Dadru Kapha-Pitta Pundrika Pitta- Kapha Kakanaka Pitta Kakanak Vata-Pitta-Kapha Sidhma Vata- Kapha Pundrika Kapha Pundrik Kapha-Pitta Kakanak Vata-Pitta-Kapha Dadru Kapha Rishyajihva Vata-Pitta

  7. Kshudra Kustha Charak Sushruta Vagbhata Ek Kustha - V K Arushk - K Ek Kustha - V K Charmakustha V K Sidhma K Charma Kustha V K Kitibha V K Raksa K Kitibha V K Vipadika V K Mahakustha K Vipadika V K Alasak V K Ek Kustha K Alasa V K Dadru PK Parisarp V Sidhma V K Charmadala PK Visarp P Charmadala K P Pama P K Kitibha - P Pama K P Visphota PK Vicharchika - P Shataru K P Shataru PK Pama P Vicharchika K Vicharchika K Charmadala P Visphota K P

  8. POORVA RUPA POORVA RUPA Li'kkZKRoefrLosnks u ok oSo.;ZeqUufrA dksBkuka ykseg"kZ'p d.MwLrksn% Je% Dye%AA oz.kkukef/kda 'kwya 'kh?kzksRifRrf'pjfLFkfr%A nkg% lqIrrk psfr dq"By{k.kexzte~AA p0fp0 7@11&12

  9. Roopa Maha Kustha: 1. Kapala: That which is black and reddish piece of earthen jar with rough course, thin and excessively painful is known as kapala Kustha. It is hardly curable. 2. Audumbara: The type of Kustha which is associated with burning sensation, itching, pain and redness, brown skin hairs and similar to (ripe) fruit of udumbara is known as Audambara Kustha. 3. Mandala: White stable unctuous with raised patches and joined together is mandala Kustha. It is difficult to cure. 4. Rishyajihba: That which is rough, with red margins, internally blackish, painful and similar to the tongue of rishya (a type of antelope).

  10. 5. Pundarika: That which is whitish, with red margins, raised resembling lotus petals and with burning sensation is known as Pundarika Kustha. 6. Sidhma: That which is white, coppery and thin, leaves out dust like powder on rubbing and stimulates flowers of bottle groud is known as sidhma Kustha. It appears mostly on chest. 7. Kakanaka: That which stimulates gunja seeds in colour does not suppurate and is excessively painful is kakana Kustha.

  11. Kshudra Kustha Eka Kustha: Eka Kustha is characterized by absence of perspiration, extensive localization and resembles the scales of fish. Charma Kustha: Charma Kustha, the skin becoming thick like that of an elephant skin is seen. Kitibha Kustha: Kitibha type of Kustha is characterized by blackish brown in colour. It is rough in touch like a scar tissue and it is hard to touch. It produces itching sensation also. Vipadika Kustha: Vipadika type of Kustha is associated with cracks in palms & soles of feet as well as excruciating pain.

  12. Alasaka Kustha: Alasaka type of Kustha is characterized by nodular growth associated with excessive itching sensation and redness. Dadru Kustha: Dadru is characterized by itching sensation, redness, pimples and circular patches with elevated edges. Charmadala Kustha: Is red associated with itching, eruptions and has tenderness. Pama Kustha: Pama is characterized by excessive itching eruptions which are white, reddish or blackish brown in colour.

  13. Visphota Kustha: This is characterized by pustules which are either white or reddish in appearance; these pustules have a thin skin. Shataru Kustha: It is red or blackish, associated with burnibng sensation and pain and consisting of multiple boils. Vicharchika Kustha: It is itchy consists of pimples, is blackish with excessive discharge.

  14. Clinical features of Kushtha according to the Dosha predominance Vataja Kushtha: Skin lesions are rough, dry, reddish black and associated with pain. Vataja Kushtha is also characterizes by stretching of skin, numbness, anhydrosis, swelling and hoarseness of voice. Pittaja Kushtha : It is associated with burning, erythema, secretions and blister formation. Also characterizes by pustulisation, removal of dead tissues from fingers, nose, ears etc. and super infections. Kaphaja Kushtha : Skin lesions are cold and dense and associated with itching, secretions, discolouration and heaviness of the body.

  15. jkS{;a 'kks"kLrksn% 'kwya ladkspua rFkk;ke%A ik:";a [kjHkkoks g"kZ% ';ko:.kRoa pAA dq"Bs"kq okrfy nkgksjkx% ifjJo% ikd%A foL=ks xU/k% DysnLrFkk xirua p fi kd`re~AA 'oSR;a 'kSR;a d.Mw% LFkS;Z pksRls/kxkSjoLusgk%A dq"Bs"kq rq dQfy tUrqfHkjfHkHk{k.ka Dysn%AA p0l0fp0 7@34&36

  16. The clinical presentation of Kushtha according to the penetration in the particular Dhatu Tvakagata or Rasagata Kushtha: Characterizes by loss of sensation, excess sweating, mild itching, discolouration and dryness. Raktagata Kushtha: It is characterizes by numbness, goose flesh, excess sweating, itching and pus formation. Mansagata Kushtha : Characterizes by general body swelling, appearance of stable nodules, pricking pain and cracking of skin.

  17. Medagata Kushtha : Medogata Kushtha is associated with Durgandha, Malavraddhi, pus formation, super infection and general bodyache. Asthi and Majja Gata Kushtha: Such type of Kushtha is characterizes by redness of eyes, super infected ulcers and hoarseness of voice. Shukragata Kushtha : It is characterizes by deformities in fingers, reduced movement of body parts, general bodyache and appearance of fast spreading ulcers. It is also characterizes by inheritance of Kushtha Roga to the next generation.

  18. SADHYATA / ASADHYATA (PROGNOSIS) Sadhya : involvement of single Dosha, Vata-Kapha predominant Kushtha and Rasagata, Raktagata and Mansagata Kushtha is easily curable. Krichasadhya: Vata-Pitta Pitta-Kapha, predominant Kushtha and Medagata Kushtha have some bad prognosis and are difficult to cure. Asadhya: The Kushtha Roga with involvement of all three Doshas, the patient is weak and having thirst & burning, associated with Krimi and Asthi, Majja and Shukragata Kushtha have very bad prognosis and are incurable

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