Understanding Kustha in Ayurveda: Skin Disorders Explored
Kustha, a chronic disorder in Ayurveda, encompasses various skin conditions. Derived from the root "Kush," Kustha despises and disfigures body tissues. This article delves into the layers of skin affected by Kustha, its origins, and references in classical Ayurvedic texts. Explore the nuances of Kustha roga with insights from Dr. Pravin Kumar Rai, an Associate Professor at the Himalayiya Ayurvedic Medical College and Hospital in Dehradun.
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Kustha Dr. Pravin Kumar Rai Associate Professor Department of Kayachikitsa Himalayiya ayurvedic Medical college and Hospital, Dehradun
Introduction All skin disorders comes under a common heading- Kustha roga in Ayurveda Kustha is considered as a Chronic disorder Generally Kastashadhya
VYUTPATTI OF THE WORD KUSTHA The word kustha is derived from the root Kush Nishkarshe i.e. to tear or to expel with suffic k-than (Unadi Kosh). It means that which definitely despises and disfigures the body and body tissues called kustha.
NIRUKTI dq".kkfr dqfRlra djksfrA VksMjkuan - Which despises the skin of the body. dq".kkfr vaxe~A vej dks"k - That is which tears the skin dq".kkfr jksxe~A vej dks"k - Through which something expels from the skin that is the tissues are oozed out. dq".kkfr fujUrja d"kZfr bfr dq"Be~A vej dks"k - Which decays the tissues continuously from the body.
Kustha in different layers of Skin S.No. Layer Thickness Diseases of the layer 1. Avabhasini 1/18 of Vrihi Sidhma, Padmakantaka 2. Lohita 1/16 of Vrihi Tilkalaka, Nyacchh, Vyang 3. Shveta 1/12 of Vrihi Charmdal, Azgalli, Mashaka 4. Tamra 1/8 of Vrihi Kilasa, Kusthas 5. Vedini 1/5 of Vrihi Kustha, Visarpa Granthi, Apachi, Arbuda, Shlipada, Galaganda 6. Rohini One Vrihi 7. Mamsadhara Two Vrihi Vidradhi, Arsha
References of Kustha Text Reference Charak Samhita Nidan Sthan - Kustha Nidan - 5 Chikitsa Sthan - Kustha Chikitsa 7 Nidan Sthan -5 Chikitsa Sthan - 9, 10 - Kustha Chikitsa, Mahakustha Chikitsa Sushrut Samhita Navnitak (Bower s manuscript) Astang Hridaya Mishrak Adhyaya 2-4 Nidan Sthan -14 - Kusthasvitra Krimi Nidan Chikitsa Sthan -19 Kustha Nidan - 5, Kustha Chikitsa 6 Kustha Chikitsa Adhyaya - Chikitsa Sthan Bhel Samhita Kashyap Samhita Harit Samhita Madhav Nidan Sharangdhar Samhita Bhav Prakash Kustha Vataraktadhikar 3 Kustha Nidan - 49 II Khand 2 Madhyam Khand - Kustha Rogadhikar 33 Yoga Ratnakar Vangsen (Chikitsa Sar Samgrah) Gada Nigrah by Vaidya Sodhal Chikitsa Kalika of Trisatacharya Kustha Nidan Kustha Rogadhikar Part II Kusthadhikar 36 Kustha Chikitsa 15
Kustha Nidan fojks/khU;kUuikukfu ofLuX/kxq:f.k pA Hktrkekxrka NfnZ osxkaJUizfr/urke~AA O;k;keefrlarkiHkfrHkqDRoksilsfoue~A 'khrks".kya?kukgkjku~ e eqDRok fu"ksfo.kke~AA /keZJeHk;krhZuka nqra 'khrkEcqlsfouke~A vth.kkZ/;f kuka pSo i pdekZipkfj.kke~AA uokUunf/keRL;kfryo.kkEyfu"ksfo.kke~A ek"kewydfi"VkUufry{khjxqMkf kuke~AA O;ok;a pkI;th.ksZUusfu ka p Hktrka fnokA foizku~ xq:u~ /k"kZ;rka ikiadeZ p dqoZrke~AA p0fp0 7@6
fo:)k/;'kuklkRE;osxfo?kkrS% Lusgknhuka pk; kjEHkS%A ikif ;;k iqjkd`rdeZ;ksxk p Roxnks"kk HkofUrAA lq0l0fp0 9@3 cz L=hlTtuo/kijLogj.kkfnfHk%A deZfHk% ikijksxL; izk q% dq"BL; lEHkoe~AA lq0l0fu0 5@26
Kustha as Contagious Disease izl xkn~ xk=laLi'kkZfUu%'oklkr~ lgHkkstukr~A lg'k ;k lukPpkfi oL=ekY;kuqysiukr~AA dq"Ba Toj'p 'kks"k'p us=kfHk";Un ,o p vkSilfxZdjksxk'p l ~ kefUr ujkUuje~AA lq-la-fu 5@32&33
Cont. Hereditary: Sushruta described the kustha as a kulaj vyadhi. (S.S.Ni. 5/27) Poorvajanmkrit- (S.S.Ni. 5/30) Kustha as an infectious Disease Vagbhata raktaj krimi is one of the principal causes of kustha (A.H.Ni. 14/52) Sushruta also said that krimi is one of the causative factor for kustha along with vata, pitta and kapha (S.S.Ni. 5/6)
Samprapti okrkn;L=;ks nq"VkLRoxzDra ekaleEcq pA nw"k;fUr l dq"Bkuka lIrdks nzO;laxzg%AA vr% dq"Bkfu tk;Urs lIr pSdkn'kSo pA u pSdnks"kta fdfpar~ dq"Ba leqiyH;rsA p-la-fp- 7@9&10-
Nidan Vitiated doshas (Vata, Pitta and Kapha) Vitiated vata takes hold of pitta and kapha. Throws them into tiryak siras and affected them Covers the bahyamarga (rakta, mansa, lasika, twacha (skin) vitiated doshas circulate in the body. Shrotovarodha Doshas localized in skin Produce lesion (kustha)
SAMPRAPTI GHATAKA Dosha involved Vata Pitta Kapha Dushya Twak Rakta Mamsa Ambu (Tissue fluid, Lymph, Serum etc). Adhisthana Whole body Roga marga Vahya Rogmarg- specially skin
