References:
C .Chi.8, S. Ni.5, A. H. Ni.14, M. Ni.49
Nirukti:-
- S`hvitram S`hvetakusht`ham | A. H. Ni. 14.37 Tod`aramala
- Tvag Gatam Cha Yad Asraavee Tat Kilaasam Prakeertitam | M. N. 49. 37-39
- Tvag Gatam Eva Kilaasam | S. Ni. 5; M. N. 49. 37-39
Synonyms and Svaropa : S`hvitra is also named as
- Daarun`a
- Chaarun`a / Vaarun`a M. N. 49.37 / Daarun`a A. H. Ni. 14.37
- Kilaasa
- Aparisraavee (It does not exudates / suppurate) M. N. 49.37
- It is called as vitiligo (White discolouration of the skin).
- Hetu of Kusht`ha and Kilaasa are same. M. N. 49.37
- Vis`hvaamitra has explained another aspect that When Kilaasa itself enters in to the successive Dhaatu_s after involving skin, then Kilaasa is named as S`hvitra S. Ni. 5. 17; D`alhan`a
- Kilaasa is renamed as S`hvitra when involves Maamsa, Medas and gives Arun`a Varn`a. Whereas, Kilaasa is involving skin only. As it involves skin, only there is absence of exudates (Aparisraavee).
- It means that the first stage of manifestation of disease is Kilaasa and S`hvitra is the last stage.
Types of S`hvitra:
- According to the discolouration of the skin, Kilaasa is of three types. Generally, it is caused due to vitiation of all the three Dosha.
- When Dosha are situated in Rakta Dhaatu it manifests with red colour (Rakta). This is called as Daarun`a.
- Dosha situated in Maamsa Dhaatu manifests with copper colour (Taamra). This is called as Vaarun`a.
- When Dosha are situated in Medas Dhaatu, it manifests with white colour (S`hveta). This is called as S`hvitra.
- Sampraapti of Kilaasa is limited only up to skin; hence, Kilaasa is devoid of any exudates. When Maamsa, Medas Dhaatu are involved, it gives Arun`a Varn`a and is called as श्वित्र.
- Amongst all these three types Kilaasa turns to be difficultly curable as Dosha get harboured in to the successive Dhaatu. C. Chi. 8. 174
Classification:-
It is also classified as
- Vaataja
Rooksha, Arun`a (slightly red coloured), Parusha, Pariddhvansee
- Pittaja
TaamraVvarn`a (copper cloured) , resembling to lotus leaf, it gives burning sensation (Paridaaha), it shades out the skin hairs.
- Kaphaja
S`hveta (white coloured), it is solid with itching (Kan`d`oo), unctuous, Bahala (Stholam).
- Out of these three types, in Kilaasa the pathogenesis involves the deeper Dhaatu; hence Kilaasa is difficult to cure.
- Arun`adatta says that A. H. Ni. 14. 39
- Vataja S`hvitra = Raktaas`hrita S`hvitra
- Pitaja S`hvitra = Maamsaas`hrita.
- Kaphaja S`hvitra = Medodhaatvaas`hrita.
It is further classified in to…
Doshaja
Vran`aja
- When the deeper Dhaatu are involved, the skin irrespective of its origin i. e. either Doshaja or Varan`aja, becomes incurable. M. N. 49.39
- Sus`hrutaachaarya says that Kilaasa is related to skin only. (Tvag Gatam Eva Kilaasam Ch. Ni. 5) Unlike Kusht`ha, S`hvitra manifests only on skin. Chakrapaan`i C. Chi. 8. 174
- Kilaasa, though it is situated in the deeper Dhaatu like Maamsa or Medas, the pathogenesis is restricted to skin only.
Dosha
- Vaata
- Pitta
- Kapha
It is manifested due to all the three Dosha. M. N. 49.37; Su. Ni. 5.17
Dhaatu
- Rakta
- Maamsa
- Medas
Upadhaatu
Tvak
Asaadhya Criteria
- Parasparatah Abhinnam / Sams`hlisht`am / Sambaddha Man`d`alam (Parasparam abhinna Man`d`alam)
- Bahu
- Raktalomavat
- Varshagan`a Utpannam / Puraan`am
- S`huklaroma
- Bahulam
- Agnidagdhaja
- Guhyastha S`hvitra
- Paan`italastha S`hvitra
- Osht`hastha S`hvitra
- Sambaddhaman`d`alam (Parasparam Abhinna Man`d`alam)
- Ante Jaatam (Oshth`a Paan`I Paada Guhyaja)
- Ante Jaata RaktaRoma
Krichchhrasaadhya Criteria
श्वित्र involving successive Dhaatu
Saadhya Criteria
- Araktaloma
- Tanu (Abahulam)
- पाण्डु
- Na Atichirotthita
- Madhyaavakaas`he Uts`hoonam
- As`huklaroma (Krishn`aroma)
- Asams`hlisht`a
- Nava S`hvitra
- Anagnidagdhajam
Difference between S`hvitra and Kilaasa
| कुष्ठ | Kilaasa | |
| Manifests on | Tvak and other Dhaatu_s | Only Tvak |
| Lakshan`a | It may be Sraavee (with exudates) | It is Aparisraavee. |
S`hvitra: Comparative study
| रोगमार्ग | Baahya |
| Svabhaava | Daarun`a |
| Claasificati | Raktapradoshaja |
| Vyaktihtaa | Tvak |
| Saadhya Criteria | AnagnidagdhajamAraktalomaAs`huklaroma (Krishn`aroma)Asams`hlisht`aMadhyaavakaas`he Uts`hoonamNa AtichirotthitaNava S`hvitraपाण्डुTanu (Abahulam) |
| Krichchhra | श्वित्र involving successive Dhaatu_s |
| Asaadhya Criteria | AgnidagdhajaAnte Jaata RaktaRomaAnte Jaatam (Oshth`a Paan`I Paada Guhyaja)BahuBahulamGuhyastha S`hvitraOsht`hastha S`hvitraPaan`italastha S`hvitraParasparatah AbhinnamPuraan`aRaktalomavatS`huklaromaSambaddhaman`d`alam (Parasparam Abhinna Man`d`alam)Sams`hilsht`amVarshagan`a Utpannam |
| Dosha | Vaata Pitta and Kapha |
| Dosha Gun`a | Vaata = Rooksha, KharaPitta = Snigdha, Teekshn`a, Ushn`a, LaghuKapha = Snigdha, Guru, manda, S`hlakshn`a, Sthira, Mritsna |
| Dosha Praadhaanya | Vataja S`hvitra = Raktaas`hrita S`hvitraPitaja S`hvitra = Maamsaas`hrita.Kaphaja S`hvitra = Medodhaatvaas`hrita. A. H. Ni. 14. 39Aruna`dataa |
| Dhaatu | Rasa, Rakta, Maamsa, Medas |
| UpaDhaatu | Tvak |
| Srotas | Rasavaha, Raktavaha, Maamsavaha, Medovaha |
Last updated on March 26th, 2021 at 11:20 am