The ninth chapter of Chikitsasthana of Sushruta Samhita is known as as Kuştha Cikitsitam Adhyaya. This chapter offers with Therapy of Pores and skin Illnesses.
अथातःकुष्ठचिकित्सितंव्याख्यास्यामः।।१।।
यथोवाचभगवान्धन्वन्तरिः।।२।।
Now we are going to expound Kuștha Cikisita – therapy of Pores and skin Illnesses; as revealed by the venerable Dhañvañtari.
Nidāna – causes
विरुद्धाध्यशनासात्म्यवेगविघातैःस्नेहादीनांचायथारम्भैःपापक्रिययापुराकृतकर्म-योगाच्चत्वग्दोषाभवन्ति।।३।।
Tvakdoșās i.e. the illnesses of the pores and skin come up as a result of beneath talked about causative components –
– viruddha, adhyashana asatmya bhojana – consumption of improper meals – like taking incompatible meals, extreme consuming and consumption of unaccustomed meals and so forth.
– vega vighata – routine suppression of pure urges of the physique
– snehadinam cha ayatha arambhah – improper administration of therapies like oleation and so forth.
– papa kriyaya – committing sinful acts and
– pura krta karma yogat cha – results of actions finished in earlier lives
Varjya āhara – vihāra – meals and actions to be averted
तत्रत्वग्दोषीमांसवसादुग्धदधितैलकुलत्थमाषनिष्यावेक्षुपिष्टविकाराम्लविरुद्धाध्यशनाजीर्णविदाह्यभिष्यन्दीनिदिवास्वप्नंव्यवायंचपरिहरेत्।।४।।
Sufferers of pores and skin illnesses ought to keep away from the beneath mentioned –
– use of mamsa – meat, vasa – fats (muscle fats), dugdha – milk, dadhi – curd, taila – oil, kulattha – horse gram, masa – black gram, nispava – flat bean, iksu – sugarcane, pistavikāra – eatables ready from corn flour, amla – sours substances ,
– viruddhasana – incompatible meals,
– adhyasana – overeating,
– ajīrņaśana – raw meals or that which trigger indigestion,
– vidāhī – meals which trigger burning sensation throughout digestion,
– abhișyandi – meals which enhance moisture contained in the tissues;
– divaswapna – sleeping throughout day and
– vyavaya – copulation
Pathya āhāra vihāra – appropriate meals and actions
ततःशालिषष्टिकयवगोधूमकोरदूषश्यामाकोहालकादीननवान्भुञ्जीतमुद्गाढक्यो-रन्यतरस्ययूषेणसूपेनवानिम्बपत्रारुष्करव्यामिश्रेण,मण्डूकपर्ण्यवल्गुजाटरूषकरूपिकापुष्पैःसर्पि :सिद्धैःसर्षपतैलसिद्धेर्वा,तिक्तवर्गेणवाऽभिहितेन; मांससात्म्यायवाजाङ्गलमांसममेदस्कंवितरेत्;तैलंवज्रकमभ्यङ्गार्थे;आरग्वधादिकषायमुत्सादनार्थे;पानपरिषेकावगाहादिषुचखदिरकषायम्इत्येषआहाराचारविभागः।।५।।
Under talked about sorts of meals needs to be consumed by the affected person affected by Kustha –
– Meals ready from outdated sali – outdated rice, șastika – paddy grown in sixty days, yava – barley, godhüma – wheat, koradüşa, śyāmaka,uddälaka and so forth. They need to be consumed together with yüşa (soup) of mudga – inexperienced gram, ädhaki and comparable pulses or süpa – meat soup added with nimbapatra or āruşkarapatra;
– Meals needs to be consumed together with ghee or sarsapa taila – mustard oil boiled with mandükaparni, avalgujä, ätarüşaka and rüpikapuspa (flower of arka plant) or with herbs belonging to tikta varga – bitter tasting group of herbs
– Meat of animals of jäñgala desha i.e. desert like area, devoid of fats shall be consumed by individuals who’re habituated to meat consuming.
Additionally, beneath talked about are particular indications –
– Vajraka Taila – the outline of medicated oil which might be given additional on, needs to be used for anointing and massaging the physique
– Kashaya – decoction and even powder or paste of the herbs belonging to Aragvadhadi Gana group of herbs is used for massaging the physique
– Khadira Kashaya – decoction of Khadira – Acacia catechu needs to be used for the aim of consuming, pouring on the physique and likewise for tub tub
All of the above talked about regimens of meals and actions shall be adopted by the affected person affected by Kustha.
Cikitsā – therapy
तत्रपूर्वरूपेषूभयतःसंशोधनमासेवेत।तत्रत्वक्संप्राप्तेशोधनालेपनानि,शोणितप्राप्तेसंशोधनालेपनकषायपानशोणितावसेचनानि,मांसप्राप्तेशोधनालेपनकषायपानशोणितावसेचनारिष्टमन्थप्राशाः,चतुर्थकर्मगुणप्राप्तंयाप्यमात्मवतःसंविधानवतश्च,तत्रसंशोधनाच्छोणितावसेचनाच्चोर्ध्वंभल्लातशिलाजतुधातुमाक्षीकगुग्गुल्वगुरुतुवरकखदिरासनायस्कृति-विधानमासेवेत;पञ्चमंनैवोपक्रमेत्।।६।।
Therapy throughout purvarupa stage – In the course of the premonitory stage of kustha, purificatory therapies finished in each instructions i.e. upwards – emesis and downwards – purgation needs to be administered.
Therapy for tvak prapta kustha – When the illness i.e. kustha is localized in pores and skin (rasa dhatu), the beneath talked about therapies needs to be finished –
– Shodhana i.e. purificatory therapies and
– Alepana – utility of medicinal pastes on the physique
Therapy of rakta prapta kustha – When the illness i.e. kustha has unfold to and localized in rakta dhatu i.e. blood, the beneath talked about therapies needs to be finished –
– Samshodhana i.e. purificatory therapies,
– Lepana – exterior utility of medicinal pastes,
– Kashaya Pana – consuming of medicated decoctions and
– Shonitavasechana / Raktamoksana – bloodletting needs to be administered.
Therapy of mamsa prapta kustha – When the illness i.e. kustha has unfold to and localized in mamsa i.e. muscle tissue, beneath talked about therapies needs to be finished –
– Shodhana – purificatory therapies
– Lepana – exterior utility of medicinal pastes
– Kashaya Pana – consuming natural decoctions
– Shonita Avasecana – bloodletting
– Arishta, Mantha, Prasha
Therapy of chaturtha karma guna praptam kustha – When the illness i.e. kustha has invaded and localized in medas i.e. fats and different tissues it’s thought of that it has attained the fourth high quality. On this situation and likewise when it has develop into yapya i.e. controllable however persistent and if the affected person is self-controlled and trustworthy in following all restrictions and adhering to the prescribed therapies, the beneath talked about therapies needs to be finished –
– Samshodhana – purificatory therapies,
– Shonitavasecana – Bloodletting and following this,
– Consumption of recipes ready from both Bhallataka, Silajatu, Dhatu Maksika, Guggulu, Aguru, Tuvaraka, Khadira, Asana or Ayaskriti
Therapy of pancama karma guna praptam kustha – When the illness i.e. kustha has develop into incurable, it’s mentioned to have attained the fifth high quality. In such situations, no therapy needs to be administered.
Rüpaavastha Cikitsa – Therapy of Kustha when signs have manifested
तत्रप्रथममेवकुष्ठिनंस्नेहपानविधानेनोपपादयेत्।मेषशृङ्गीश्वदंष्ट्राशाङ्गेष्टागुडूचीद्विपञ्चमूलीसिद्धंतैलंघृतंवावातकुष्ठिनांपानाभ्यङ्गयोर्विदध्यात्,धवाश्वकर्णककुभपलाशपिचुमर्दपर्यटकमधुकरोधसमङ्गासिद्धंसर्पिःपित्तकुष्ठिनां,प्रियालशालारग्वधनिम्बसप्तपर्णचित्रकमरिचवचाकुष्ठसिद्धंश्लेष्मकुष्ठिनांभल्लातकाभयाविडङ्गसिद्धंवा,सर्वेषांतुवरकतैलंभल्लातकतैलंवेति।।७।।।
When the illness – kustha has clearly manifested, the therapy of the affected person needs to be commenced with oleation remedy itself.
Vataja Kustha i.e. the illness brought on by predominant aggravation of vata needs to be handled with ghee or oil ready with the beneath talked about herbs, used for each consuming and anointing functions –
– meșaśrñgī,
– śvadamștrā,
– śārañgestā,
– guļuci and the
– two pañcamüla
Pittaja Kustha i.e. kustha brought on by predominant aggravation of pitta needs to be handled with ghee boiled with the beneath talked about herbs used for each consuming and anointing functions –
– dhava,
– asvakarma,
– kakubha,
– palasa,
– picumarda,
– parpataka,
– madhuka,
– rodhra and
– samanga
Kaphaja Kustha i.e. illness brought on by predominant aggravation of kapha needs to be handled with oil ready with the beneath talked about herbs used for each consuming and anointing functions –
– priyāla,
– sala,
– aragvadha,
– nimba,
– saptaparana,
– citraka,
– marica,
– vaca and
– kustha or
– with bhallataka, abhayā and vidañga
Use of both Tuvaraka Taila or Bhallataka Taila is beneficial for sufferers of all forms of Kustha.
Mahātiktaka Ghrta
सप्तपर्णारग्वधातिविषेक्षुरपाठाकटुरोहिण्यमृतात्रिफलापटोलपिचुमर्दपर्पटकदुरालभात्राथमाणामुस्ताचन्दनपद्मकहरिद्रोपकुल्याविशालामूर्वाशतावरीसारिवेन्द्रयवाटरूषकषड्ग्रन्थामधुकभूनिम्बगृष्टिकाइतिसमभागाःकल्कःस्यात्,कल्काच्चतुर्गुणंसर्पिःप्रक्षिप्यतद्विगुणोधात्रीफलरसस्तच्चतुर्गुणाआपस्तदैकध्यंसमालोड्यविपचेत्,एतन्महातिक्तकंनामसर्पिःकुष्ठविषमज्वररक्तपित्तहृद्रोगोन्मादापस्मारगुल्मपिडकासृग्दरगलगण्डगण्डमालाश्लीपदपाण्डुरोगविसर्पार्श :षाढ्यकण्डूपामादीञ्छमयेदिति।।८।।
Equal elements of every of the beneath talked about herbs are taken and made into paste –
– Saptaparna,
– Aragvadha,
– Ativisa,
– Iksura,
– Patha,
– Katurohini,
– Amrtā,
– Triphala,
– Patola,
– Picumarda,
– Parpataka,
– Durālabhā,
– Trāyamāṇā,
– Mustā,
– Cañdana,
– Padmaka,
– Haridrā,
– Upakulyā (Pippali),
– Viśālā,
– Mūrvā,
– Satāvarī,
– Sārivā,
– Iñdrayava,
– Ațarūşaka,
– Sadgrañthā,
– Madhuka,
– Bhūnimba and
– Gristika
Now ghee is added to this paste in 4 occasions the amount of the paste.
Dhatri Phala – Amalaka is added two occasions the amount of the paste.
Water is added 4 occasions the amount of the paste.
All are cooked properly in order to arrange the medicated ghee. The resultant ghee is understood by the identify ‘Mahatiktaka Ghrta’.
Advantages – Mahatiktaka Ghrta mitigates the beneath talked about situations –
– leprosy,
– irregular fevers,
– bleeding illnesses,
– coronary heart illnesses,
– madness,
– epilepsy,
– belly tumour,
– eruptions,
– menorrhagia,
– cervical lymphadenitis,
– scrofula,
– filariasis,
– anaemia,
– erysipelas,
– piles,
– impotence,
– itching and
– scabies,
Tiktaka Ghrta
त्रिफलापटोलपिचुमन्दाटरूषककटुरोहिणीदुरालभात्रायमाणा:पर्पटकश्चैतेषांद्विपलिकान्भागाञ्जलद्रोणेप्रक्षिप्यपादावशेषकषायमादायनल्कपेष्याणीमानिभेषजान्यर्धपलिकानित्रायमाणामुस्तेन्द्रयवचन्दनकिराततिक्तानिपिप्पल्यश्चैतानिघृतप्रस्थेसमावाप्यविपचेत्,एतत्तिक्तकंनामसर्पिःकुष्ठविषमज्वरगुल्मार्शोग्रहणीदोषशोफपाण्डुरोगविसर्पषाढ्यशमनमूर्ध्वजत्रुगतरोगनंचेति।।९।।
Every of the beneath talked about elements are taken in two pala – 80 grams amount –
– Triphala,
– Patola,
– Picumarda,
– Atarusaka,
– Katurohini,
– Durālabhā,
– Trayamana and
– Parpata
These elements are boiled in a single drona – 10.24 kg of water and diminished to at least one fourth amount in order to arrange the decoction.
Every of the beneath talked about herbs are taken in half pala – 20 grams amount and made into paste –
– Trāyamņā,
– Musta,
– Indrayaya,
– Candana,
– Kirātarikta and
– Pippali
This paste is added to the above ready decoction. To this, one prastha – 640 grams of ghee is added and processed in order to arrange the medicated ghee. This ghee is understood by the identify Tiktaka Ghrtam.
Advantages – Tiktakam Ghrtam mitigates the beneath talked about situations –
– leprosy / pores and skin problems,
– irregular fevers,
– belly tumour,
– piles,
– duodenal illness,
– dropsy,
– anaemia,
– erysipelas,
– impotence and
– cures the illnesses of organs above the shoulders
अतोऽन्यतमेनघृतेनस्निग्धस्विन्नस्यैकांद्वेतिस्रश्चतस्रःपञ्चवासिराविध्येत्;मण्डलानिचोत्सन्नान्यवलिखेदभीक्षणं,प्रच्छयेद्वा,समुद्रफेनशाकगोजीकाकोदुम्बरिकापत्रैर्वाऽवघृष्यालेपयेल्लाक्षासर्जरसरसाञ्जनप्रपुन्नाडावल्गुजतेजोवत्यश्वमारकार्ककुटजारेवतमूलकल्कैमूत्रपिष्टैःपित्तपिष्टैर्वा,स्वर्जिकातुत्थकासीसविडङ्गगारधूमचित्रककटुकसुधाहरिद्रासैन्धवकल्कैर्वा,एतान्येवावाप्यक्षारकल्पेननिःनुतेपालाशेक्षारेततोविपाच्यफाणीतमिवसंजातमवतार्यलेपयेत्,ज्योतिष्कफललाक्षामरिचपिप्पलीसुमनःपत्रैर्वा,हरितालमनःशिलार्कक्षीरतिलशिग्रुमरिचकल्कैर्वा,स्वर्जिकाकुष्ठतुत्थकुटजचित्रकविडङ्गमरिचरोधमनःशिलाकल्कैर्वा,हरीतकीकरञ्जिकाविडङ्गसिद्धार्थकलवणरोचनावल्गुजहरिद्राकल्कैर्वा।।१०।।
सर्वेकुष्ठापहा :सिद्धालेपाःसप्तप्रकीर्तिताः।।
Subsequent, oleation and fomentation needs to be given to the affected person. Following this, blood needs to be let loose by puncturing one, two, three, 4 or 5 veins.
If the patches of Kustha are elevated, they need to be scraped or incised properly. Alternatively they have to be rubbed with powders of samudraphena, leaves of śāka, gojihvā or kākodumbarikā.
Then the paste of the beneath talked about elements macerated properly with urine of cow or ox bile and utilized –
– käkodumbarikā,
– lākṣā,
– sarjaråsa,
– rasāñjana,
– roots of prapunnāda,
– avalguja,
– tejovati,
– asvamāraka,
– arka,
– kutaja and
– arevata or
– gopitta (ox bile)
Alternatively, the paste of the beneath talked about needs to be utilized –
– svarjikakşāra,
– tutha,
– kāsīsa,
– vidañga,
– agäradhüma,
– citraka,
– kațuka,
– sudhā,
– haridrā and
– saindhava
The above-mentioned herbs needs to be burnt to ashes and alkali is ready from them within the typical methodology. This alkali is blended with Palasa Ksara and cooked till it attains the type of phanita – molasses. As soon as it attains this kind, it’s faraway from the oven. This drugs is then utilized on the patches of kustha.
Different recipe – The paste of the beneath talked about herbs shall be utilized on the patches of kustha –
– jyotiska phala (fruit of kasamarda),
– läksa,
– marica,
– pippali and
– leaves of sumani (jati)
Paste of the beneath talked about elements can be helpful for utility –
– haritala,
– manassila,
– arka ksira,
– tila,
– sigru and
– marica
Paste of the beneath talked about elements additionally types an efficient exterior utility –
– svarjika,
– kustha,
– tuttha,
– kutaja,
– citraka,
– vidanga,
– marica,
– rodhra and
– manassila
The paste of the beneath talked about elements may be utilized in kustha –
– haritaki,
– karanjika,
– vidanga,
– siddharthaka,
– lavana (saindhava),
– gorocana,
– avalguja and
– haridra
Thus, the seven pastes for exterior utility which may treatment kustha successfully have been described.
Therapy of types of kuştha
वैशेषिकानतस्तूज़दश्चित्रेषुमेशृणु।।११।।
Additional, the therapy of Dadru – kind of Kustha and Svitra – leucoderma shall be defined, please hearken to the identical.
Dadru Cikitsa – therapy of Ringworm
लाक्षाकुष्ठंसर्षपाःश्रीनिकेतंरात्रियॊषंचक्रमर्दस्यबीजम्।।
कृत्वैकस्थंतक्रपिष्टःप्रलेपोदद्रूष्क्तोमूलकाद्वीजयुक्तः।।१२।।
Under talked about elements are macerated with buttermilk and the resultant paste is utilized on Dadru Kustha to treatment it –
– Laksa,
– Kustha,
– Sarsapa,
– Sriniketa (sarala niryasa),
– Ratri (haridrā),
– Vyosa,
– Seeds of Cakramarda and
– Seeds of Mulaka
सिन्धूद्भूतंचक्रमर्दस्यबीजमिशूद्भूतंकेशरंतार्यशैलम्।।
पिष्टोलेपोऽयंकपित्थाद्रसेनदद्रूस्तूर्णंनाशयत्येषयोगः।।१३।।
Under talked about elements are macerated with juice of Kapittaha and the resultant paste is utilized on Dadru –
– Sindhudbhava (saindhava),
– Seeds of Cakramarda,
– Iksudbhuta (guda),
– Kesara (nägakesara) and
– Tärkşyasaila
This formulation is claimed to treatment Dadru rapidly.
हेमक्षीरीव्याधिघातःशिरीषोनिम्बःसोंवत्सकःसाजकर्णः।।
शीघ्रंतीव्रानाशयन्तीहदद्भूःस्नानालेपोद्धर्षणेषूपयुक्ताः।।१४।।
The beneath talked about herbs are used for the aim of bathing, exterior utility and rubbing on the lesion of Dadru –
– Hemaksiri,
– Vyadhighati,
– Sirisa,
– Nimba,
– Sarja,
– Vatsaka and
– Ajakarna
This recipe rapidly cures even essentially the most extreme types of dadru.
Śvitra Cikitsa – therapy of leucoderma
भद्रासंज्ञोदुम्बरीमूलतुल्यंदत्त्वामूलंक्षोदयित्वामलप्वाः।।
सिद्धंतोयंपीतमुष्णेसुखोष्णंस्फोटाञ्छ्वित्रेपुण्डरीकेचकुर्यात्।।१५।।
Under talked about elements are taken in equal amount, boiled and theri decoction is ready –
– Root of udumbari often known as bhadrā (kasthaudumbarikā) and
– Root of Malapú
This recipe needs to be consumed when it’s comfortably heat by sufferers affected by Svitra and Pundarika – quite a lot of Kustha.
द्वैपंदग्धंचर्ममातङ्गजंवाभिन्नेस्फोटेतैलयुक्तंप्रलेपः।।
पूति :कीटोराजवृक्षोद्भवेनक्षारेणाक्तःश्वित्रमेकोनिहन्ति।।१६।।
Pores and skin of dvipi i.e. leopard or matanga i.e. elephant needs to be burnt and their ash is ready. This ash is blended with oil and needs to be utilized on the eruptions which have burst open.
Putikita is an insect which emits a foul scent. It’s blended along with the ash of Rajavrksa and made into paste. This paste when utilized is claimed to be one of the best drugs to treatment Svitra – leucoderma.
कृष्णस्यसर्पस्यमसीसुदग्धाबैभीतकंतैलमथद्वितीयम्।।
एतत्समस्तंमृदितंप्रलेपाच्छ्वित्राणिसर्वाण्यपहन्तिशीघ्रम्।।१७।।
The beneath talked about elements are blended properly and utilized on the pores and skin of the affected person affected by Svitra – leucoderma –
– properly burnt ash of Krsna sarpa – black serpent and
– oil obtained from Vibhitaki
This oil rapidly cures all forms of Svitra.
अध्यर्धतोयेसुमतिनुतस्यक्षारस्यकल्पेनतुसप्तकृत्वः।।
तैलंशृतंतेनचतुर्गुणेनश्वित्रापहंम्रक्षणमेतदग्रयम्।।१८।।
The ash talked about above is made into ksara – alkali by boiling it in water for seven occasions and later filtered within the methodology defined for preparation of alkali.
The alkali thus ready is boiled in oil taken in 4 occasions its amount. This oil is utilized on the patches of Svitra – leucoderma. It’s the finest recipe to treatment svitra.
घृतेनयुक्तंप्रपुनाडबीजंकुष्ठंचयष्टीमधुकंचपिष्ट्वा।।
श्वेतायदद्याद्गृहकुक्कुटायचतुर्थभक्तायबुभुक्षिताय।।१९।।
तस्योपसंगृह्यचतत्पुरीषमुत्पाचितंसर्वतएवलिम्पेत्।।
अभ्यन्तरंमासमिमंप्रयोगंप्रयोजयेच्छ्वित्रमथोनिहन्ति।।२०।।
A white coloured home cock is made to starve till it is vitally hungry. Seeds of the beneath talked about elements are macerated along with ghee and fed to the hungry cock as meals –
– Prapunnāda,
– Kustha and
– Yastimadhu
The excreta of this cock is then collected. That is made into paste with ghee and utilized all around the physique which has been made ripe. This recipe cures svitra inside a month of its use.
Jalagaņdaja kşāra
क्षारेसुदग्धेजलगण्डजेतुगजस्यमूत्रेणबहुस्नुतेच।।
द्रोणप्रमाणेदशभागयुक्तंदत्त्वापचेद्वीजमवल्गुजस्य।।२१।।
एतद्यदाचिक्कणतामुपैतितदासमस्तंगुटिकाविदध्यात्।।
श्चित्रंप्रलिम्पेदथसंप्रघृष्यतयाव्रजेदाशुसवर्णभावम्।।२२।।
Jalaganda (jalagandiraka) is burnt properly and its ksara (ash) is obtained. This ksara is completely blended in elephant’s urine and boiled in a single drona (10.24 kg) of water after including to it one tenth a part of powder of Avalguja. The mass is made into tablets as soon as it attains stickiness. The patches of Svitra are rubbed completely and paste of those tablets is utilized on it. The pores and skin rapidly obtains regular color by doing so.
कषायकल्पेनसुभावितांतुजलंत्वचाचूतहरीतकीनाम्।।
तांतामदीपेप्रणिधायधीमान्वर्तिबटक्षीरसुभावितांतु।।२३।।
आदीप्यतज्जातमीगृहीत्वातांचापिपथ्याम्भसिभावयित्वा।।
संप्रच्छितंतद्वहुश :किलासंतैलेनसिक्तंकटुनाप्रयाति।।२४।।
Within the prescribed process, the bark of Cuta (amra) and Haritaki are made into decoction. The decoction is saved in a copper vessel. A cotton wick is saved soaked on this decoction, and is eliminated later and dried.
Later, this wick is soaked in milky sap of Vata and dried.
Following this, the wick is soaked in oil and lighted. The black soot shaped from the flame of this wick is collected.
This lampblack is now blended with katu taila (sarsapa taila – mustard oil). This portion of the pores and skin having svitra is incised (scraped) and this oil is utilized over it. After many such functions, this oil cures Svitra – leucoderma.
Avalgujadi Lepa
आवल्गुजंबीजमग्र्यंनदीजंकाकाह्वानोदुम्बरीयाचलाक्षा।।
लौहंचूर्णमागधीतायशैलंतुल्या :कार्याःकृष्णवर्णास्तिलाश्च।।२५।।
वर्तिकृत्वातांगवांपित्तपिष्टांलेपःकार्यःश्वित्रिणांश्वित्रहारी।।
लेपात्पित्तंशैखिनंश्वित्रहारिह्रीबेरंवादग्धमेतेनयुक्तम्।।२६।।
The beneath talked about elements are taken in equal amount –
– Good seeds of Avalguja,
– Nadija (Māksika dhātu),
– Kakodumburika,
– Laksa,
– Powder of loha (iron),
– Māgadhi,
– Tarksyasaila (rasanjana)
The combination is blended with equal portions of Krsna Taila. All these are macerated and made right into a wick. This wick is now rubbed with ox bile. When utilized on the physique, it cures Svitra.
Equally, Svitra is cured by utility of peacock bile or ash of Hribera.
Tutthadi Lepa
तुत्थालकटुकाव्योषसिंहाहयमारकाः।।
कुष्ठावल्गुजभल्लातक्षीरिणीसर्षपाःस्तुही।।२७।।
तिल्वकारिष्टपीलूनांपत्राण्यारग्वधस्यच।।
बीजंविडङ्गाश्वहन्त्रोर्हरिद्रेबृहतीद्वयम्।।२८।।
आभ्यांश्वित्राणियोगाभ्यांलेपानश्यन्त्यशेषतः।।
Paste 1 – Paste of the beneath talked about elements is ready –
– Tuttha,
– Alä,
– Katuka,
– Vyoșa,
– Simha (Rakta Sobhanjana),
– Arka,
– Hayamāraka,
– Kustha,
– Avalguja,
– Bhallata,
– Ksirini (Arkapuspi),
– Sarsapa and
– Snuhi
Paste 2 – Paste of the beneath talked about elements is ready –
– Leaves of Tilvaka,
– Arista,
– Pilu,
– Aragvadha,
– Vidanga bija,
– Asvahantri (Asvamāra),
– Haridra and
– Two forms of Brhati
The above mentioned two pastes when utilized on the pores and skin would treatment svitra – leucoderma with out leaving any remnants of the illness.
Nila taila
वायसीफल्गुतिक्तानांशतंदत्त्वापृथक्पृथक्।।२९।।
द्वेलोहरजसःप्रस्थेत्रिफलात्र्याढकंतथा।।
त्रिद्रोणेऽपांपचेद्यावद्भागौद्वावसनादपि।।३०।।
शिष्टौचविपचेद्भूयएतैःश्लक्ष्णप्रपेषितैः।।
कल्कैरिन्द्रयवव्योषत्वग्दारुचतुरङ्गुलैः।।३१।।
पारावतपदीदन्तीबाकुचीकेशराह्वयैः।।
कण्टकार्याचतत्पक्वंघृतंकुष्ठिषुयोजयेत्।।३२।।
दोषधात्वाश्रितंपानादभ्यङ्गात्त्वग्गतंतथा।।
अप्यसाध्यंनृणांकुष्ठंनाम्नानीलंनियच्छति।।३३।।
Elements –
100 pala (4000 grams) every of –
– Vāyasī,
– Phalgu, and
– Tiktā (kațuka)
Two Prastha of – powder of Loha (iron),
Three adhaka (2.56 kg) – Triphala (Haritaki, Bibhitaki and Amalaki)
Technique of preparation – All of the above mentioned elements are boiled in three drona (30.72 kg) of water till solely two elements (half the amount) stays.
To this, high-quality paste of the beneath talked about elements is added in 4 occasions amount –
– indrayava,
– vyoșa,
– tvak,
– dāru,
– caturangula,
– pārāvatapadī,
– danti,
– bākucī,
– nāgakesara and
– kantakārī and
All these are cooked and medicated ghee ready. That is recognized by the identify Nila Ghrta.
Advantages – This Ghrta is used for consuming and likewise for utility on the physique (affected elements). When finished, it cures kustha – leprosy which is tough to treatment.
Mehanila Ghrta
त्रिफलात्वक् त्रिकटुकं सुरसा मदयन्तिका |
वायस्यारग्वधश्चैषां तुलां कुर्यात् पृथक् पृथक् ||३४||
काकमाच्यर्कवरुणदन्तीकुटजचित्रकात् |
दार्वीनिदिग्धिकाभ्यां तु पृथग्दशपलं तथा ||३५||
त्रिद्रोणेऽपां पचेद्यावत् षट्प्रस्थं परिशेषितम् |
शकृद्रसदधिक्षीरमूत्राणां पृथगाढकम् ||३६||
तद्वद्धृतस्य तत्साध्यं भूनिम्बव्योषचित्रकैः |
करञ्जफलनीलिकाश्यामावल्गुजपीलुभिः ||३७||
नीलिनीनिम्बकुसुमैः सिद्धं कुष्ठापहं घृतम् |
म्रक्षणादङ्गसावर्ण्यं श्वित्रिणां जनयेन्नृणाम् |
भगन्दरं कृमीनर्शो महानीलं नियच्छति ||३८||
Elements –
One tula (4 kg) every of the beneath talked about herbs are taken –
– Bark of Triphalā,
– Trikatu,
– Surasi,
– Madayantika,
– Vāyasi, and
– Dragvadha
Ten Pala (400 grmas) every of the beneath talked about herbs are additionally taken –
– Kākamāci,
– Arka,
– Varuņa,
– Danti,
– Kutaja,
– Citraka,
– Därvi and
– Nidigdhika
All of the above mentioned elements taken in talked about proportions are boiled in three drona (30.72 kg) of water till solely six prastha (3480 grams) stay.
To this, one adhaka (20.56 kg) every of the beneath talked about are added –
– juice of recent cow dung
– curds
– milk
– cow urine and
– cow ghee
The paste of the beneath talked about can be added –
– Bhunimba,
– Vyosa,
– Citraka,
– Karañja phala,
– Nilika,
– Syāmă,
– Avalgujā,
– Pilu,
– Flowers of Nīlini and
– Nimbi
All of the above mentioned elements are boiled and medicated ghee is ready. This ghrta is understood by the identify Mahānila Ghrta.
Makes use of – This Ghrta bestows regular shade to the pores and skin in sufferers of Svitra when it’s utilized on the physique. It additionally cures the beneath talked about situations –
– fistula in ano
– worms
– piles
मूत्रंगव्यंचित्रकव्योषयुक्तंसर्पिःकुम्भेक्षौद्रयुक्तंस्थितंहि।।
पक्षादूर्ध्ववित्रिभिःपेयमेतत्कुर्याच्चास्मिन्कुष्ठदिष्टंविधानम्।।३९।।
A pot is taken, the within of which is smeared with ghee. Into this pot, gomutra, citraka and vyosha are put and later honey is added to it. The pot with the talked about elements is saved undisturbed for a fortnight.
After the talked about interval, the pot is taken out and the drugs in it’s consumed in appropriate doses by sufferers affected by Svitra.
On the similar time, the opposite therapies prescribed for kustha are additionally finished.
पूतीकार्कङ्गरेन्द्रद्रुमाणांमूत्रैःपिष्टाःपल्लवाःसौमनाश्च॥
लेपःचित्रंहन्तिदव्रणांश्चदुष्टान्यास्येषनाडीव्रणांश्च।।४।।
Under talked about (elements) are macerated with cow’s urine and used for exterior utility –
– Tender leaves of Pūtīka,
– Arka,
– Snuk,
– Narendradruma (āragvadha) and
– Sumanā (jāti)
Advantages – This utility cures the beneath talked about situations –
– Svitra – leucoderma
– Dadru – ringworm / tinea
– Dusta Vrana – dangerous and contaminated ulcers,
– Arshas – piles and
– Nadi Vrana – sinus ulcers
अस्मादूर्ध्वनिःस्न्नुतेदुष्टरक्तेजातप्राणंसर्पिषास्नेहयित्वा।
तीक्ष्णैर्योगैश्छदयित्वाप्रगाढंपश्चाहोघंनिहरेच्चाप्रमत्तः॥४१॥
Afterwards, the beneath talked about measures needs to be finished –
– the vitiated blood needs to be taken out and
– oleation remedy needs to be given i.e. the affected person is made to ingest ghee and his energy is restored following which,
– sturdy emetics are administered with none lethargy in order to provide extra vomiting which helps in eradicating the doshas
दुर्वान्तोवादुर्विरिक्तोऽपिवास्यात्कुष्ठीदोषैरुद्धतैाप्तदेहः।।
निःसन्दिग्धंयात्यसाध्यत्वमाशुतस्मात्कृत्स्नान्निहरेत्तस्यदोषान्।।४२॥
पक्षात्पक्षाच्छर्दनान्यभ्युपेयान्मासान्मासात्स्रसनंचापिदेयम्।।
स्राव्यंरक्तंवत्सरेहिद्विरल्पंनस्यंदद्याच्चत्रिरात्रात्रिरात्रात्॥४३॥
If vomiting or purgation happens inadequately within the sufferers, the doshas would get aggravated. These aggravated doshas accumulate within the physique. With this, the illness turns into incurable. Therefore, all efforts needs to be put to take away the morbid doshas from the physique.
Spacing of therapies needs to be finished as beneath talked about –
– Chardana / Vamana (emesis remedy) needs to be administered as soon as in each fortnight,
– Sramsana (purgation) needs to be administered as soon as each month,
– Raktasravana / Raktamoksana (bloodletting) needs to be finished mildly, twice in a 12 months and
– Nasya (nasal remedy) needs to be finished as soon as in each three days
Añya kuștha hara yoga – different recipes for leprosy
पथ्याव्योषंसेक्षुजातंसतैलंलीट्वाशीघ्रंमुच्यतेकुष्ठरोगात्।।
धात्रीपथ्याक्षोपकुल्याविडङ्गान्क्षौद्राज्याभ्यामेकतोवाऽवलिह्यात्।।४४।।
Under talked about elements blended and licked would treatment kustha –
– Pathyā,
– Vyoșa,
– Guda and
– Taila (sesame oil)
Equally, the beneath talked about herbs needs to be powdered, blended with honey and ghee and licked –
– Dhatri,
– Pathyā,
– Aksa,
– Upakulya,
– Vidanga (made into powder)
पीत्वामासंवापलांशांहरिद्रांमूत्रेणान्तंपापरोगस्यगच्छेत्।।
एवंपेयश्चित्रकःश्लक्ष्णपिष्टःपिप्पल्योवापूर्ववन्मूत्रयुक्ताः।।४५।।
तद्वत्तायंमासमात्रंचपेयं,तेनाजस्रंदेहमालेपयेच्च।।
One pala (40 gm) of haridrā added with the cow’s urine needs to be consumed for one month to do away with the sinful illness. In the identical method, citraka or pippali is made into high-quality paste and consumed with cow’s urine. Likewise, tārkşya needs to be consumed for a month and the physique smeared with it.
आरिष्टीत्वक्साप्तपर्णीचतुल्यालाक्षामुस्तंपञ्चमूल्यौहरिद्रे।।४६।।
मञ्जिष्ठाक्षौवासकोदेवदारुपथ्यावह्नीव्योषधात्रीविडङ्गाः।।
सामान्यांशंयोजयित्वाविडङ्गैश्चूर्णंकृत्वातत्पलोन्मानमश्नन्।।४७।।
Bark of Arista (nimba) and Saptaparni are taken equal in amount.
Under talked about herbs are additionally taken equal in amount –
– Laksā,
– Musta,
– Two pañcamūlas (Brihat and Laghu Pancamula constituting Dasamula),
– Two Haridrā (Haridra and Daruharidra),
– Mañjisthā,
– Akșa,
– Vāsaka,
– Devadāru,
– Pathyā,
– Vahni,
– Vyoșa,
– Dhātrī,
– Vidañga
All of the above-mentioned herbs are pounded and their good powder is ready. This powder is consumed in a single pala (40 grams) dosage each day. This is able to treatment Kustha.
कुष्ठाज्जन्तुर्मुच्यतेत्रैफलंवासर्पिोणंव्योषयुक्तंचयुञ्जन्।।
गोमूत्राम्बुद्रोणसिद्धेऽक्षपीडेसिद्धंसर्पिर्नाशयेच्चापिकुष्ठम्।।४।।
One drona (10.24 kg) of Triphala Ghrta needs to be consumed in appropriate doses by including powder of Vyosa (Trikatu – Pippali, Marica and Shunti).
Gomutra – cow’s urine and water collectively needs to be taken in a single drona (10.24 kg) amount and on this, Aksapida (yavatikta) needs to be boiled and medicated ghee is ready. This ghee cures kustha when frequently consumed.
आरग्वधेसप्तपर्णेपटोलेसवृक्षकेनक्तमालेसनिम्बे
जीर्णंपक्वंतद्धरिद्राद्वयेनहन्यात्कुष्ठंमुष्ककेचापिसर्पिः।।४९।।
Previous medicated ghee needs to be processed and ready with the beneath talked about herbs and consumed –
– āragvadha,
– saptaparņa,
– patola,
– vrksaka,
– naktamālā,
– nimba,
– the 2 haridrā or
– muşkaka
This recipe cures kustha.
रोधारिष्टंपद्मकंरक्तसारःसप्ताह्वाक्षौवृक्षकोबीजकश्च।।
योज्याःस्नानेदह्यमानस्यजन्तोःपेयावास्यात्क्षौद्रयुक्तात्रिभण्डी।।५।।
Under talked about herbs needs to be boiled in water and needs to be used for taking tub –
– Rodhra,
– Arista,
– Padmaka,
– Raktasāra,
– Saptāhva,
– Aksa,
– Vrksaka and
– Bijaka
Peya i.e. skinny gruel ready with Tribhandi (Trivrt) and added with honey needs to be consumed by a affected person having a extreme burning sensation.
खादेत्कुष्ठीमांसशातेपुराणान्मुद्गान्सिद्धान्निम्बतोयेसतैलान्।।
निम्बक्वाथंजातसत्त्वःपिवेद्वाक्वार्थवाऽर्कालर्कसप्तच्छदानाम्।।५१।।
Sufferers of Kustha whose muscle tissues are falling off, ought to eat outdated Mudga (inexperienced gram) boiled in decoction of Nimba after including oil to it.
Decoction of both Nimba, Arka, Alarka or Saptachada needs to be consumed by the sufferers in whom worms have developed within the wounds.
जग्धेष्वङ्गेष्वश्वमारस्यमूलंलेपोयुक्तःस्याद्विडङ्गेसमूत्रैः।।
मूत्रैश्चैनंसेचयेद्भोजयेच्चसर्वाहारान्संप्रयुक्तान्विडङ्गैः।।५२।।
The paste of roots of Asvamara and Vidanga blended with urine of cow needs to be utilized on the physique of the affected person in whom the physique elements have been eaten away by worms.
The affected person needs to be bathed with cow’s urine. All of the meals needs to be processed with Vidanga – Embelia ribes and given to the sufferers for consumption.
कारखंवासार्षपंवाक्षतेषुक्षेप्यंतैलंशिग्रुकोशाम्रयोर्वा।।
पक्वंसर्वैर्वाकटूष्णैःसतिक्तैःशेषंचस्यादृष्टवत्संविधानम्।।५३।।
Oil of both of the beneath talked about herbs or all collectively is boiled and processed with herbs having predominantly pungent and bitter style and sizzling efficiency. This oil needs to be poured on the ulcer or wound. Following this, the ulcer needs to be handled on the strains of treating dushtavrana – septic wounds.
Vajraka Taila
सप्तपर्णकरञ्जार्कमालतीकरवीरजम्।।
स्नुहीशिरीषयोर्मूलंचित्रकास्फोतयोरपि।।५४।।
विषलाङ्गलवज्राख्यकासीसालमनःशिलाः।।
करञ्जबीजंत्रिकुटत्रिफलांरजनीद्वयम्।।५५।।
सिद्धार्थकान्विडङ्गानिप्रपुन्नाडंचसंहरेत्।।
मूत्रपिष्टैःपचेदेतैस्तैलंकुष्ठविनाशनम्।।५६।।
एतद्वज्रकमभ्यङ्गानाडीदुष्टव्रणापहम्।।
Decoction is ready with the beneath talked about herbs –
– Saptaparņa,
– Karañja,
– Arka,
– Mālatī,
– Karavīra,
– Roots of Snuhī,
– Sirīşa,
– Citraka,
– Asphoța (Sārivā),
– Vișa,
– Lāñgala,
– Vajraka (Sehunda),
– Kāsīsa,
– Ala,
– Manaśśilā,
– Seeds of Karañja,
– Trikațu,
– Triphalā,
– Two Rajanī,
– Siddhārtha,
– Vidanga and
– Prapunnāda
The paste of the above talked about herbs are additionally made utilizing gomutra – urine of cows.
Medicated oil is cooked with the above mentioned decoction and paste.
This oil is understood by the identify ‘Vajraka Taila’.
Advantages – When this oil is used for anointing, it cures sinus ulcers and dangerous / septic wounds.
Mahāvajraka Taila
सिद्धार्थकःकरञ्जीद्वौद्वेहरिद्रेरसाञ्जनम्।।५७।।
कुटजश्चप्रपुन्नाडसप्तपर्णीमृगादनी।।
लाक्षासर्जरसोऽर्कश्चसास्फोतारग्वधौस्तुही।।५८।।
शिरीषस्तुवराख्यस्तुकुटजारुष्करौवचा।।
कुष्ठंकृमिघ्नंमञ्जिष्ठालाङ्गलीचित्रकंतथा।।५९।।
मालतीकटुतुम्बीचगन्धाह्वामूलकंतथा।।
सैन्धवंकरवीरश्चगृहधूमंविषंतथा।।६।।
कम्पिल्लकंससिन्दूरंतेजोह्वातुत्थकाह्वये।।
समभागानिसर्वाणिकल्कपेष्याणिकारयेत्।।६१।।
गोमूत्रंद्विगुणंदद्यात्तिलतैलाच्चतुर्गुणम्।।
कारनंयामहावीर्यंसार्षपंवामहागुणम्।।६२।।
अभ्यङ्गात्सर्वकुष्ठानिगण्डमालाभगन्दरान्।।
नाडीदुष्टव्रणान्धोरान्नाशयेन्नात्रसंशयः।।६३।।
महावज्रकमित्येतन्नामातैलंमहागुणम्।।
Equal elements of the beneath talked about herbs are macerated in order to arrange their paste –
– Siddhārthaka,
– Two karañja,
– Two Haridrā,
– Rasāñjana,
– Kutaja,
– Prapunnāda,
– Saptaparna,
– Mrgadani,
– Laksa,
– Sarjarasa,
– Arka,
– Asphota,
– Aragvadha,
– Snuhi,
– Sirisa,
– Tuvaraka,
– Kutaja,
– Aruskara,
– Vaca,
– Kustha,
– Krimighna,
– Manjistha,
– Langali,
– Citraka,
– Mālati,
– Katutumbi,
– Gandhāhva,
– Nālaka,
– Saindhava,
– Karavira,
– Grhadhuma,
– Visa,
– Kampiliaka,
– Siñdūra,
– Tejohvā and
– Tuttha
That is now blended with the beneath talked about and cooked to arrange medicated oil –
– gomutra – cow urine,
– double the amount of tila taila, karanja taila or sarsapa taila,
– 4 occasions the amount of the paste
The oil thus ready is understood by the identify Mahavajraka Taila.
Advantages – Anointing the physique with this oil cures the beneath talked about situations undoubtedly –
– all forms of kustha
– scrofula
– fistula-in-ano
– sinus ulcers
– septic ulcers and so forth
This oil additionally possesses nice deserves.
पित्तावापैमूत्रपिष्टैस्तैलंलाक्षादिकैःकृतम्।।६४।।
सप्ताहंकटुकालाब्वांनिदधीतचिकित्सकः।।
पीतवन्तंततोमात्रांतेनाभ्यक्तंचमानवम्।।६५।।
शाययेदातपेतस्यदोषागच्छन्तिसर्वशः।।
त्रुतदोषंसमुत्थाप्यस्नातंखदिरवारिणा।।६६।।
यवागूपाययेदेनंसाधितांखदिराम्बुना।।
Herbs belonging to Lākṣādi gaña are collected, macerated with gomutra – urine of cow and made right into a paste. This paste is added with go pitta – ox bile and oil. They’re boiled and processed collectively in order to arrange their medicated oil. The ready oil is now put contained in the hole of Katukalabu gourd and saved for seven days. After the stipulated time, it’s taken out. The oil needs to be used internally in applicable doses and for exterior anointing of the physique additionally. The affected person needs to be requested to lie in daylight following remedy with this oil. The doshas (illness kustha) would get utterly mitigated by following this methodology.
The affected person is requested to get out of daylight publicity after the doshas are mitigated. Later he needs to be given a shower with water boiled and processed with Khadira – Acacia catechu. Then he’s administered with Yavagu – thick gruel ready from decoction of Khadira.
एवंसंशोधनेवर्गेकुष्ठघ्नेष्वौषधेषुच।।६७।।
कुर्यात्तैलानिसीषिप्रदेहोद्धर्षणानिच।।
Under talked about teams of herbs are used for making ready medicated oil and ghee –
– Sodhana Varga – emetic and purgative herbs and
– Kustaghna Varga – herbs which treatment pores and skin illnesses / leprosy
These needs to be used for pradeha – poultice and udgharshana – therapeutic massage.
प्रातःप्रातश्चसेवेतयोगान्वैरेचनान्शुभान्।।
पञ्चषट्सप्तचाष्टौवायैरुत्थानंनगच्छति।।६८।।
Greatest purgative recipes (as suited to the affected person) needs to be administered to the affected person within the morning time for a interval of 5, six, seven or eight days. The illness won’t recur once more by doing this.
कारभंवापिबेन्मूत्रंजीर्णेतत्क्षीरभोजनम्।।
जातसत्त्वानिकुष्ठानिमासैःषड्भिरपोहति।।६९।।
The affected person of Kustha needs to be inspired to drink camel urine. After it will get digested he ought to eat meals together with camel’s milk. Kustha through which worms have developed additionally would get cured in six months when the affected person follows this routine.
दिदृक्षुरन्तंकुष्ठस्यखदिरंकुष्ठपीडितः।।
सर्वथैवप्रयुञ्जीतस्नानपानाशनादिषु।।७०।।
यथाहन्तिप्रवृद्धत्वात्कुष्ठमातुरमोजसा।।
तथाहन्त्युपयुक्तस्तुखदिरःकुष्ठमोजसा।।७१।।
If the affected person affected by Kustha needs to do away with it i.e. wishes to get cured of Kustha, ought to at all times resort to common use of Khadira – Acacia katechu for various functions like bathing, consuming and to arrange or use together with meals and so forth.
When significantly elevated, Kustha kills the affected person by its energy. Equally, Khadira, when used within the above mentioned types, would kill kustha (treatment kustha) with its energy.
नीचरोमनखःश्रान्तोहिताश्यौषधतत्यरः।।
योषिन्यांससुरावर्जीकुष्ठीकुष्ठमपोहति।।७२।।
The affected person would do away with Kustha when he follows the beneath talked about directions frequently –
– ought to discard undesirable hairs and nails and therefore preserve private hygiene and cleanliness,
– ought to get indulged in bodily actions till he will get drained,
– ought to eat useful meals and medicines,
– ought to keep away from lady i.e. ought to abstain from copulation,
– ought to keep away from consuming meat and
– ought to keep away from consuming wine
इतिसुश्रुतसंहितायांचिकित्सास्थानेकुष्ठचिकित्सितंनामनवमोऽध्यायः।।९।।
Thus ends the ninth chapter by identify Kustha Cikitsita in Cikitsā Sthāna of Susruta Samhita
