In pathogenesis of Kusht`ha, all three Dosha are involved which in turn vitiate Tvak (skin), Rakta (blood), Maamsa (muscle tissue) and Ambu. Considering dominance ofDosha, treatment should be planned. This disease requires It is Nitya S`hodhanaarha Vyaadhi.
All the types of Kusht`ha are Tridoshaja. The treatment is depends upon the symptom and condition of the Dosha which is more predominant and the Anubandhita Dosha is treated consequently.
S`hodhana is indicated in Bahudosha Avasthaa.
Physician should be vigilant about the life of the patient, as excessive elimination makes the patient weak, hence the aggravated Vaata can be dangerous.
In this condition Vamana procedure should be done once in 15 days, Virechana procedure once in a month, S`hirovirechana once in 3 days and Rakta mokshan`a once in 6 months.
S`hamana is indicated in Alpa Doshaavasthaa.
o Vaatakaphaja Kusht`ha: Kaphaghna + Vaataghna + Rakta Dusht`ighna
o Pittaja Kusht`ha: Kaphaghna + Pittaghna + Rakta Dusht`ighna
After Blood letting, when the patient regains strength should be oleated and carefully subjected to Vamana with drastic formulations, followed by purgation and bloodletting.
In case where in the indicated S`hodhana is not done, the aggravated Dosha permeate the whole body and the disease becomes incurable; hence Dosha should be eliminated completely. Every morning suitable purgatives should be used for 5, 6, 7 or 8 days so that the Dosha do not raise their heads again.
Similar Chikitsaa: Visarpa
Alpa Dosha Avasthaa: – Prachchanna
After only the Dosha are eliminated from the Kosht`a and Rakta, the patient should be administered oleation therapy as Vaayu gets aggravated after the elimination therapies.
Rakta Visraavan`a in Lalat`a (forehead), Hasta (hand) and Paada (legs). By administering proper blood letting, internal and external alleviation therapies and oleation at appropriate time Kusht`ha which are curable finally get cured.
Kusht`ha is very difficult to cure. To get rid of this disease it is necessary to have faith in the dietary and behavioral regimen as told by Ayurveda. It is also necessary to consume specific treatment, to get in to religious austerity. Then only, person become free from the disease and also attains the perpetual happiness (peace or calmness of mind, absence of passion)
Dhaatugata Kusht`ha Chikitsaa:
o Tvakgata(Rasagata)Kusht`ha: S`hodhana and Lepana
o Raktagata Kusht`ha: S`hodhana, Lepana, Kashaaya Paana, S`hon`itaavasechana
o Maamsagata Kusht`ha: S`hodhana, Lepana, Kashaaya Paana, S`hon`itaavasechana, Arisht`a, Mantha, Praasha.
o Medagata Kusht`ha: The disease becomes manageable if the patient has self -control and has all adequate means of treatment. In such case use ofBhallataka, S`hilaajatu, Maaks`hika etc. should be adopted.
If the disease proceeds to Asthi Dhaatu it is considered as incurable, hence should not be treated.
Rasa – Tikta
Gun`a – Laghu
Dhaanya – Yava, Jeern`a Shasht`ika S`haalee, Godhuma
S`haaka – Vetraagra, Pat`ola, Vaartaaka, Nimba, Krishn`a Saarivaa, Rasona, Vaastuka, Punarnavaa, Meshas`hringee, Khaira, Chitraka, Haritakee, Bibhitakee, Aamalakee, Jaatiphala, Naagakes`hara, Karanja, Sarala, Devadaaru, Aguru, Kasturee, Chandana, Kut`akee, Chakramarda, Bhallaataka, Dhaamaargava, Sarshapa, S`hinshapaa
S`himbee – Mudga, Masoora, Kulattha
Maamsa – Jaangala Maamsarasa
Dugdha – Takra + Baakuchee, Ghrita
Drava – Sneha, Gomootra, Gardabha Mootra, Usht`ra Mootra, Ashva Mootra, Maahisha Mootra, Khadira/Vid`anga Siddha Jala
Phala – Taad`aphala, Aamalakee, Aashaadha Phala
Kritaanna – Siddha Takra, Nimba, Khadira Siddha Yavaagoo, Kulattha Siddha Bhakta, Yava Vikriti, Kulmaasha, Apoopa, Utkaarikaa, S`hashkulee, Mantha, Ladduka
Other Vamana after every 15 days, Virechana after every one month, Nasya after every three months and Raktamokshan`a after every six months, Kshaarakarma, Madhu, Gandhaka
Rasa – Amla, Lavan`a
Gun`a/ Karma – Ushn`a, Drava, Visht`hambhee, Snigdha, Guru
S`hooka – Tila, Maasha, Navaanna
S`haaka – Moolaka
Maamsa – Aanoopa Maamsa, Matsya
Dugdha – Dadhi, Dugdha
Drava – Madya
Kritaanna – Pisht`aanna