kshudra rogas

KSHUDRA ROGA CRITICAL UNDERSTANDIN

GDR. GAURAV DESAI

Wednesday, April 12, 2023 KSHUDRA ROGAS - CRITICAL REVIEW 2

OBJECTIVES• To shed light on the often neglected topic.

• To critically examine the reasons for this

classification.

• To discuss a few of the commonly seen

diseases.

• To enlist the treatment principles to be

followed.


REFERENCES

• Charaka Samhita

– Su. 18. Trishothiya Adhyaya

– Chi. 12 Shwayathu Chikitsa

• No direct reference of the term.

• Described the diseases later grouped as

kshudra rogas.


Cont…

• Sushruta Samhita

– Ni. 15. Kshudra Roganam Nidana.

– Chi. 20. Kshudra Roga Chikitsa.

– Chi. 25. Mishraka Chikitsa.

• Grouped the diseases as kshudra rogas.


Cont…

• Ashtang Hridaya

– U.T. 31. Kshudra roga Vigyaneeya.

– U.T. 32. Kshudra roga Pratishedhaneeya.

• In typical Vagbhata style, arranged logically.

• Updated the list, adding and deleting some

diseases.


Cont…

• Ashtang Sangraha

– U.T 36. Kshudra roga Vigyaneeya.

– U.T. 37. Kshudra roga Pratishedhaneeya.

• Similar description as that found in A.H


KSHUDRA ROGA???

• ¤ÉÑSìzÉoSÈ xuÉsmÉÉkÉqÉ

¢ÔüUmÉrÉÉïrÉuÉcÉÏ II

• ¤ÉÑSìÈ xuÉsmÉåÅkÉqÉå¢ÔüUå CÌiÉ II

• Swalpa

• Adhama

• Krura


Cont…

• E£ükÉqÉï rÉÑ£üÉ UÉåaÉÉÈ ¤ÉÑSìUÉåaÉÉÈ II

• Diseases with the above qualities are classified as Kshudra Rogas.


INDU QUOTES

• qÉlSuÉåaÉÉqÉWûuÉåaÉÉ urÉÉkÉrÉÉåÅsmÉÂeÉÉåÅÂeÉÈ I

• rÉå qÉWûÉliÉÉåÅsmÉMüÉ¶ÉæuÉ ¤ÉÑSìUÉåaÉÉxiÉÑ iÉå xqÉëÑiÉÉÈ II

• Diseases having:

• Manda vega / Maha vega

• Alpa ruja / A ruja

• Mahan / Alpa


CLASSIFICATION

• INDU, further clarifies that:

Swalpa : Vyanga, Tila etc.

Adhama : Kunakha, Ruddhaguda,

Sharkararbuda.

Krura : Agnirohini, Masurika, Vispota, Valmika.


NUMBERS

• Charaka : no specific mention.

• Sushruta : 44

• Vagbhata : 36

• Madhavakara : 43


A LOOK AT A FEW OF THE KSHUDRA ROGAS

*THE COMPARISONS ARE THE PRESENTERS VIEWS AND MAY NOT BE ABSOLUTELY ACCURATE.


VALMIKA / ACTINOMYCOSIS

• Generally affects urdhva jatru.

• Slow growing.• Vedana, Daha, Kandu,

Kleda.• Tridoshaja.

• Painful abscesses in the mouth, lungs, GIT.

• abscesses grow larger often over months.

• leak large amounts of pus


TREATMENT• Pratyakhyeya.

• Vamana.

• Rakta mokshana.

• Lepa.

• Shastra karma.

• Kshara karma.

• Appears to fall in the Krura category.


VISPOTAKA/ B.PHEMPHIGOID

• Involves pitta, rakta and vata.

• In Twacha • Agni dagdha Spota.

• Chronic, autoimmune, sub epidermal, blistering skin disease that rarely involves mucous membranes.


TREATMENT

• For treatment of: Vivruta, Masurika, Vispota,

Viddha, Gardhabi, Kaksha, Gandha pitika,

Rajika, Jala gardhabha, Irivellika.

• Similar to Pittaja Visapra.

• Agni rohini : Asadhya.

• Start Visarpa Treatment.


CHIPPA/ ONYCHIA

• Pitta and Vata involved.• Paka in nail matrix• With Vedana and Jwara.

• Inflammation of the matrix of the nail.

• formation of pus.


TREATMENT

• Shodhana.

• Reduce the ushma (Pitta?).

• Shastra karma.

• Kartana of Dushita mamsa.

• Rakta mokshana.


KUNAKHA / SUBUNGAL HAEMATOMA

• Due to abhighata.• Krishna varna, ruksha.

• Results from a traumatic injury.

• It can be extremely painful.


TREATMENT

• Shodhana.

• Reduce the ushma (Pitta?).

• Shastra karma.

• Kartana of Dushita mamsa.

• Rakta mokshana.


PADADARI / CRACKED HEELS

• Vata involved.• Atyanta Ruksha.• Saruja.

• Caused by dry skin.• They are painful to

stand on if deep.• Skin can bleed.• Can become infected.


TREATMENT

• Sira vedha.

• Swedana.

• Snigdha Lepa


KADARA / CORN

• Due to repeated trauma.

• Sa keela, Kathina granthi.

• Madhya unnata.• Saruja.

• Skin thickens in response to pressure.

• Natural body defense.• eventually becomes

painful.


TREATMENT

• Shastra karma.

• Utkartana.

• Followed by Agni karma.

• Avoid cause.


MUKHADUSHIKA / ACNE VULGARIS

• Kapha, Vata, Rakta involved.

• Shalmali Kantaka.• Affects Young.

• Multiple non inflammatory follicular papules

• Occurs most commonly during adolescence.


TREATMENT

• Vamana.• Lepa.


DARUNAKA / DANDRUFF

• Kapha, vata involved.• Sakandu, ruksha.• Kesha bhoomi

Prapatana.

• Shedding of dead skin cells from the scalp.

• frequent exposure to extreme heat and cold.

• redness and irritation.


TREATMENT• Snehana.

• Swedana.

• Murdha sira vedha.

• Avapeedana.

• Siro basti.

• Siro abhyanga.


PARIVARTIKA / PARAPHIMOSIS

• Vyaan vayu.• Improper movements.• Granthi rupa charma.

• Foreskin becomes trapped behind the glans penis.

• And cannot be reduced.


TREATMENT• Application of ghrita.

• Swedana.

• Upanaha.

• Abhyanga.

• Reduction by gentle Manipulation.

• Upanaha.(for 3-5 days).

• Vatanashaka basti.


GUDA BHRAMSHA / RECTAL PROLAPSE

• Ruksha, durbala.• Pravahana.• Atisara.

• Walls of the rectum protrude through the anus.

• Weakening of the ligaments and muscles.

• Straining during defecation.


TREATMENT

• Snehana.

• Swedana

• Reduction by gentle manipulation.

• Gophana bandha.

• Swedana.


REASONS FOR NOMENCLATURE???• Localized.

• Spot diagnosis.

• No involvement of gambhira dhatus.

• Treatment mostly localized.

• Relatively simple treatment.

• Treatment similar to that described else where.


HOW TO APPROACH KSHUDRA ROGAS???

• Do we get confused trying to classify the diseases?

• Struggle in deciding the line of treatment?

• Blame the science for not describing certain

conditions observed clinically?

• Comment that Ayurveda is not up to date?

OR


CHARAKA’S OPINION

In Sutra 18.

iÉ LuÉÉmÉËUxÉÇZrÉårÉÉ ÍpÉSrÉqÉÉlÉÉ pÉuÉÎliÉ ÌW Iû

ÂeÉÉuÉhÉïxÉqÉÑijÉÉlÉxÉÇxjÉÉlÉlÉÉqÉÍpÉ: IIurÉuÉxjÉÉMüÉUhÉiÉåwÉÉÇ

rÉjÉÉzjÉÔsÉåwÉÑ xÉÇaÉëWûÈ IiÉjÉÉ mÉë¢ÑüÌiÉxÉÉqÉÉlrÉÇ ÌuÉMüÉUåwÉÔmÉÌSzrÉiÉå II


KEY TO KSHUDRA ROGAS

ÌuÉMüÉUlÉÉqÉÉMÑüzÉsÉÉå lÉ ÎeÉ¾ûÏrÉÉiÉç MüSÉcÉlÉ I

lÉ ÌWû xÉuÉïÌuÉMüÉUhÉÉÇ lÉÉqÉiÉÉåÅÎxiÉkÉëÑuÉÉÎxjÉÌiÉÈ II

xÉ LuÉ MÑüÌmÉiÉÉå SÉåwÉÈ xÉqÉÑijÉÉlÉÌuÉzÉåwÉiÉÈ I

xjÉÉlÉÉliÉUaÉiÉ¶ÉæuÉ eÉlÉrÉirÉÉqÉrÉÉlÉç oÉWÕûlÉç II

iÉxqÉÉÌ²MüÉUmÉë¢ÑüiÉÏUÍkÉ¸ÉlÉÉliÉUÉÍhÉ cÉ IxÉqÉÑijÉÉlÉÌuÉzÉåwÉÉÇ¶É oÉÑSèkuÉÉ MüqÉï

xÉqÉcÉUåiÉç II


BHAISHAJYA RATNAVALI

Chapter 60

¤ÉÑSìUÉåaÉåwÉÑ xÉuÉåïwÉÑ lÉÉlÉÉUÉåaÉÉlÉÑMüÉËUwÉÑ I

SÉåwÉÉlÉç SÒwrÉÉlÉuÉxjÉÉÇ cÉ ÌlÉUÏ¤rÉ qÉÌiÉqÉÉlÉç ÍpÉwÉMçü II

iÉxrÉ iÉxrÉ cÉ UÉåaÉxrÉmÉjrÉÉmÉjrÉÉÌlÉxÉuÉïzÉÈ I

rÉjÉÉSÉåwÉÇ rÉjÉÉSÕwrÉÇ rÉjÉÉuÉxjÉÇ cÉ MüsmÉrÉåiÉç II


CONCLUSION• Commonly occurring diseases included under

this heading.• Changed with time.• Ready reckoner.• Understand basics.• Modify and formulate new treatment

modalities.• Without compromising core philosophy.


THANK YOU

kshudra rogas

Documents

kshudra roga chikitsa

kshudra roga vigyaneeya

kshudra roga pratishedhaneeya

kshudra roganam nidana

treatment shastra karma

treatment shodhana

treatment vamana

treatment pratyakhyeya