Shotha Chikitsa/Edema Treatment in Ayurveda

 

Introduction –

S`hotha is swelling / edema / protuberance / raising (morbid intumescences M/W) on the skin, which is elevated compared to the normal level of skin.

Types of S`hotha

According to – Charaka	Sus`hruta	Vaagbhat`a
1. Vaataja S`hotha	1. Vaataja S`hotha	Vaataja S`hotha
2. Pittaja S`hotha	2. Pittaja S`hotha	Pittaja S`hotha
3. Kaphaja S`hotha	3. Kaphaja S`hotha	Kaphaja S`hotha
4. DvandvajaS`hotha	4. DvandvajaS`hotha	DvandvajaS`hotha
5. SaanipaatajaS`hotha	5. SaanipaatajaS`hotha	SaanipaatajaS`hotha
6. Nija	6. Vishaja S`hotha	Nija
7. Aagantuja	7. Aamas`hayaSamutthaS`hotha	Aagantuja
8. Ekaangaja	8. Pakvaas`haya Samuttha S`hotha	Ekaangaja
9. Sarvaangaja	9. Varchasthaana Samuttha S`hotha	Sarvaangaja
10. Aagantuja S`hotha		Prithu,
		Unnata,
Charaka has namedS`hotha as per theS`thaana (place) like- S`hirah S`hotha S`haalooka Bid`aalikaa Taalu Vidradhi Upajihvikaa Adhijihvikaa Upakus`ha Danta Vidradhi Galagan`d`a Gan`d`amaalaa Granthi Alajee Charma Nakhaantara Roga Vidaarikaa Visphot`aka Kakshaa Romaantikaa Masoorikaa Bradhna Mootra Vriddhi Medoja Vriddhi Bhagandara S`hleepada Jaalaka Gardabha		Grathita.

 

 

Saamaanya Chikitsaa –

Aabhyantara Upakrama

o Siddha Yoga, Aahaara

Baahya Upakrama

o Doshaanusaara S`hodhana

o Vamana, Virechana

o Aasthaapana Basti

o Sthaanika Upanaaha

o Raktamokshan`a

Treatment guidelines

Aamaja S`hotha Chikitsaa –

Langhana à Paachana Upakrama

Doshaja S`hotha S`hodhana Chikitsaa

S`hiorogata S`hotha – S`hirovirechana

Adhah S`hareeragata S`hotha – Virechana

Urdhva S`hareeragata S`hotha – Vamana

Snehanajanya S`hotha – Rookshan`a Chikitsaa

Rooksha Aahara Vihaarajanya S`hotha – Snehana Chikitsaa

Vaataja S`hotha –

Snehana, Svedana

Pradeha, Parisheka

Vaataja S`hotha Avasthaa Vibandha – Nirooha Basti

Aamas`haya Samuttha S`hotha – Vamana Chikitsaa

Pakvaas`haya Samuttha S`hotha – Virechana Chikitsaa

Varchasthaana Samuttha S`hotha – Basti Chikitsaa

Vis`hesha Chikitsaa:

Kaphaja S`hotha Chikitsaa

o Aabhyantara Upakrama

Kaphaghna Yoga

o Baahya Upakrama

Lepa, Pradeha

Parisheka

Vaataja S`hotha Chikitsaa

o Aabhyantara Upakrama

Vaataghna Yoga- Siddha Sneha, Aahaara

o Baahya Upakrama

Lepa

Pittaja S`hotha Chikitsaa

o Aabhyantara Upakrama

Siddha Ghrita

o Baahya Upakrama

Taila Mardana

Siddha Jala Snaana

Lepa, Pradeha

Kshataja S`hotha Chikitsaa

o Raktamokshan`a

o S`heeta Upakrama

o Lepa, Parisheka

o Ghrita Sevana

Saanipaataja S`hotha Chikitsaa

o Aabhyantara Upakrama

o Siddha Ghrita

Vishajanya S`hotha Chikitsaa-

Vishanaashaka Upakrama – Refer to Visha Roga.

 

S`hira S`hotha Chikitsaa-

o S`hira S`hotha Aabhyantara

Langhana

Pragharshan`a

Kavala

o S`hira S`hotha Baahya

Snehana, Svedana

Virechana

S`hirovirechana

Dhoomapaana

Gan`d`amaala S`hotha Chikitsaa –

o Gan`d`maala S`hotha(Aabhyantara)

Langhana

Pragharshan`a

Kavala

o Gan`d`maala S`hotha(Baahya)

Snehana, Svedana

Virechana

S`hirovirechana

Dhoomapaana

S`haalooka S`hotha Chikitsaa- Refer to Mukha Roga Chikitsaa.

Upajihvikaa S`hotha Chikitsaa- Refer to Mukha Roga Chikitsaa.

Adhijihvikaa S`hotha Chikitsaa- Refer to Mukha Roga Chikitsaa.

Upakus`ha S`hotha Chikitsaa- Refer to Mukha Roga Chikitsaa.

Danta Vidradhi S`hotha Chikitsaa- Refer to Mukha Roga Chikitsaa.

Galagan`d`a S`hotha Chikitsaa- Refer to Galagan`d`a Chikitsaa

Granthi S`hotha Chikitsaa- Refer to Granthi Chikitsaa.

Alajee S`hotha Chikitsaa- Refer to Kshudra Roga Chikitsaa.

Vidaarikaa S`hotha Chikitsaa- Refer to Kshudra Roga Chikitsaa.

Visphot`aka S`hotha Chikitsaa- Refer to Kshudra Roga Chikitsaa.

Kakshaa S`hotha Chikitsaa- Refer to Kshudra Roga Chikitsaa.

Romaantikaa S`hotha Chikitsaa- Similar Chikitsaa like Visarpa and Kushtha should be followed.

Masoorikaa S`hotha Chikitsaa- Similar Chikitsaa like Visarpa and Kushtha should be followed.

Mootra Vriddhi S`hotha Chikitsaa- Refer to Vriddhi Chikitsaa.

Medoja Vriddhi S`hotha Chikitsaa- Refer to Vriddhi Chikitsaa.

Bhagandara S`hotha Chikitsaa- Refer to Bhagandara Chikitsaa

S`hleepada S`hotha Chikitsaa- Refer to S`leepada Chikitsaa

Jaalaka Gardabha S`hotha Chikitsaa- Refer to Kshudra Roga Chikitsaa.

Bradhna Chikitsaa-

o Abhyanga

o Virechana

o Nirooha Basti

o Lepa à Pakva Avasthaa

o Vran`akarma

Special Precautions

Pariharet (Parihaaran`eeya /Varjaneeya)

Following should be avoided by the person suffering with S`hotha

1. Divaasvaapa
2. Maithuna

Pathyaapathya

Pathya-

• Rasa – Kat`u, Tikta

• Gun`a Karma Deepana
• Dhaanya – Jeern`a Shasht`eeka S`haalee, Yava
• S`haaka – Nishpaava, Kat`hillaka,Rakta S`higru,Las`hoona, Kaaravellaka, Moolaka, Pat`ola, Aamalakee, Vetaagra, Sauvarchala, Chitraka, Nimba, Naravela, Vrintaaka, Kut`akee, Haridraa, Hareetakee, Bhallataka, Guggula, Grinjana, Vaayasee, Vetra
• S`himbee – Mudga, Kulattha
• Maamsa – Godhaa Maamsarasa, S`hallaka Maamsarasa, Kukkut`a Maamsarasa, S`hringee Maamsarasa, Maamsarasaand Pippalee
• Dugdha – Godugdha, Usht`ra Dugdha, Takra, Jeern`a Ghrita,
• Drava – Arisht`a, Madya, Aasava, Eran`d`a Taila, Go Mootra, Ajaa Mootra, Maahisha Mootra, Ushn`odaka, S`hunt`hee Siddha Jala
• Kritaanna – Kulattha Yoosha, Mudga Yoosha, Tan`d`ulodaka, Yava and Godhooma Janita Padaartha
• Other – Pippalee, Panchakola, Jeeraka, Trikat`u, Maanakanda, Madhu, Kastooree, S`hilaajatu, virechana, Vamana, Langhana, Svedana, Lepa, Parisheka

Apathya-

• Rasa – Amla, Lavan`a

• Gun`a/Karma – Guru, Vidaahee, Vijjala
• S`haaka – S`hushka S`haaka
• S`himbee – Tila
• Maamsa – Graamya Maamsa, Aanoopa Maamsa, S`hushka Maamsa
• Dugdha – Dugdha, Dadhi,
• Sneha – Ghrita, Taila, Vasaa
• Kritaanna – Kris`haraa, Bharjita Saktu, Paisht`ika Padaartha, Tilakrita Anna
• Other – Lavan`a, Madhu, Gud`a Padaartha, Adhyas`hana, Maithuna, Divaasvaapa, Vasaa, Asaatmya,Samas`hana, Navadhaanya, Mrid Bhakshan`a, Madya