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Kshudra Roga Chikitsaa

References:
S.Chi.20, 25, A.H.U.32

Chikitsaa:
Treatment of Kshudra Roga include S`hodhana, S`hamana, S`hastrakarma, Kshaarakarma also local treatment modalities. This treatment should be planned considering nature of Dosha, Dhaatu, Lakshan`a, Rugn`a Avasthaa etc.

Ajagallikaa:

Apakva:

  • Panchakarma: Jalaukaavachaaran`a
  • Blood should be drained by applying leeches locally.
  • LepanaS`huktyaadi Kalka, S`hyaamaadi Kalka etc should be smeared on the wound.

Pakva: It should be treated like Vran`a.

Andhaalajee, Yavaprakhyaa, Panasee, Kachchhapee, Paashaan`agardabha :
Apakvaavasthaa:

  • Panchakarma: Svedana – fomentation should be carried out.
  • Lepana: Manahs`hilaadi Pralepa – this should be smeared on the wound.

Pakvavasthaaa:

  • Bhedana
    1. Incision and drainage
    2. Debridement of wound
    3. Treatment of Vran`a.

Vivritaa, Indravriddhaa, Gardabhee, Jaalagardabha, Irivellee, Gandhanaamaa, Kakshaa, Visphot`aka:
All these Kshudra Roga (minor diseases) should be treated like Pittaja Visarpa.
Ropan`a: Madhuraushadha Siddha Ghrita should be used for healing of wound.

Jaalagardabha:

Langhana
Raktamokshan`a
Rookshan`a
Kaayas`hodhana
Dhaatree Prayoga
S`his`hira Pradeha

Chippa (Chipya) and Kunakha:

SechanaUshn`aambu (hot water) should be sprinkled on the affected site.
UtkartanaPakva and Dusht`a (suppurated and vitiated) muscular tissue should be incised and debridement done. It should be drained thoroughly.
AbhyangaChakrataila should be used for massage.
Avachoorn`anaSarja Choorn`a should be used for dusting.
Bandhana: It should be bandaged properly.
Agnikarma: Failure to respond to the measures describe above finally leads to cauterization (Agnikarma)
Ropan`aMadhura Dravya Siddha Taila should be used to promote healing of the wound.

Anus`hayee:
Treatment is same as of Kaphaja Vidradhi.

Vidaarikaa:
General treatment

  • Abhyanga:
  • Svedana:
  • Vimlaapana: Softening of the site should be carried out by pressing thumb and rolling the accumulation against the underlying bone at the affected site.
  • Lepana:
  • Sams`hodhana: Wound should be kept clean.
  • Ropan`a: Healing can be achieved by using Kashaaya Madhura Siddha Taila

 Apakva Vidaarikaa:

  • Prachchhaana (multiple parallel and superficial incisions)
  • Jalaukaavachaaran`a
  • LepanaAjakarn`aadi Lepa (this should be smeared on the wound)

Pakva Vidaarikaa:

  • Vidaaran`a: It should be drained thoroughly using scalpel.
  • LepanaPat`olapichumardaadi Lepa: This should be smeared on the wound.
  • Bandhana: It should be bandaged properly.
  • Vran`a Prakshaalana: Wound should be washed and kept clean using Ksheeravriksha and Khadira Kashaaya.
  • Ropan`a: Wound healing treatment should be carried out.
  • After Raktamokshan`a Vidaarikaa should be treated like Kaphaja Granthi.

S`harkaraarbuda:
The treatment is same as of Medoja Arbuda.

Kachchhoo, Paamaa, Vicharchikaa:
The treatment is same as of Kusht`ha.

Kachchhoo, Paamaa, Vicharchikaa, S`harkaraarbuda
Lepana: Following lepa should be can be smeared on the affected area.

  • Sikthaadi Lepa
  • Vachaadi Lepa
  • Naktamaala Taila Lepa
  • Kat`u Dravya Siddha Taila

 AbhyangaSaara Taila should be used for massage

Paadadaaree:

Siraavedhana: bloodletting should be carried out by puncturing a vein near Gulpha Sandhi.
Svedana: fomentation should be carried out.
LepanaMadhoochchhisht`aadi Lepa

Alasa:

SechanaAaranaala (Kaanjee) should be sprinkled on the lesion.
LepanaNimbaadi Kalka or LakshaaRasa Abhayaa Yoga (These should be smeared on the affected part.)
Raktamokshan`a.
Pratisaaran`a:

  • Kan`t`akaaree Tailam
  • Kan`t`akaaree Siddha Sarshapa Taila
  • Kaaseesaadi Choorn`a

Kadara:

Utkaratana:
Dahana:

Indralupta:

Snehana and Svedana: Oleation and fomentation should be carried out.
AbhyngaMaalatyaadi (JaatyaadiTailam should be used for local massage.
Raktamokshan`a:

  • Siraavyadha: After Snehana and Svedana, blood letting by vein puncture should be carried out.
  • Prachchhaana: Incisions should be taken deeply on which Pralepa should be done.

Pralepa:

  • Marichaadi Lepa
  • Kut`annat`aadi Lepa
  • Gunjaa Kalka

Rasaayana Prayoga: This disease is difficult to cure without the use of Rasaayana drugs like Soma etc.

Arumshikaa:

Raktamokshan`a
Sechana: Nimba Vaaree
PradehaVaajeevisht`haa Pradeha
Pralepa: Haritaalaadi Lepa, Yasht`yaadi Lepa
Abhyanga: Maalatyaadi (Jaatyaadi) Tailam should be used for massage.

Daarun`aka:

Snehana:
Svedana:
Siraamokshan`a:
Avapeed`a Nasya:
S`hirobasti:
S`hiro Abhyanga:
Kshaalanaartha:for cleaning of the head after Abhyanga Kodrava Trin`a Kshaara Jala should be used.

Palita

Abhyanga
Nasya
Snehapaana: for this purpose the oils used are

  • Neelee Tailam
  • Saireyaadi Tailam

Masoorikaa

Lepana: Lepa mentioned in the treatment of Kusht`ha should be used in Masoorikaa.
Treatment of Masoorikaa is same as of Pitta Kaphaja Visarpa.

Charmakeela, Jatuman`i, Mashaka, Tilakaalaka

Utkartana: These should be excised from the root.
Dahana: using Kshaara or Agni should be done.

Laanchchhana, Nyachchha, Vyanga, Neelikaa:

Siraavedhana: It should be done on the forehead.
Gharshan`a: Vigorous scrubbing should be carried out.
PradehaKsheerivriksha Tvak Pradeha, Balaadi Pradeha, Kapitthaadi Kalka etc.
Nasya: Maarkava Svarasa

Prasupti:

It should be treated like Vaataja Kusht`ha.
Dahana is the treatment of choice.

Uktot`ha:
It should be treated as Kapha Pittaja Kusht`ha.

Kot`ha:

Treatment mentioned in Kusht`ha ,Udarda and Amlpitta should be used.
Consumption of Mahaatikta Ghrita. (Kusht`ha Adhikaara)
Raktamokshan`a
It should be treated as Kusht`ha.

Yauvaana Pid`akaa:

Vamana: Emesis should be carried out at first.
Nasya,
Siraa Mokshan`a: According to Vaagbhat`a, if they are not subsided, Siraa Mokshan`a at forehead region should be carried out.
LepanaVachaadi Lepa, Kustumburvaadi Lepa, Rodhraadi Lepa, Vat`apallavaadi Lepa

Padmineekan`t`aka:

Vamana: Emesis should be carried out at first using Nimba Kvaatha.
UtsaadanaNimbaaragvadhaadi Kalka should be used for anointing.

Parivritti / Parivartikaa:

Ghrita Abhyanga:
Svedana:
Upanaahana:Poultice should be applied locally.
Skin on the penis should be brought back to the glans and then Upanaaha (Poultice)should be carried out again.
Basti: Saalvan`a Vaataghna Basti should be given for 3 or 5 days.
Snigdha Aahaara

Niruddha Prakas`ha:
Dilatation

  • Hollow tube made up of iron or wood or Laakshaa should be rinsed with Ghrita and then should be inserted through urethra slowly.
  • After every three days, the diameter of the tube should be increased; this will help to increase the urethral diameter.
  • Otherwise, incision should be taken on the reverted skin where it is constricting the urethral lumen. It will remove the constriction of the urethral lumen.
    ParishekaS`his`humaara and Varaaha Vasaa and Majjaa should be used for this.
    Snigdha Aahaara.

Vahnirohin`ee (Agni Rohin`ee): This should be treated like Visarpa.
Sanniruddha Guda: This should be treated like Niruddha Prakas`ha.
Valmeeka:

Utkartana: It should be excised out using scalpel.
Kshaara and Agni Karma:
It should be treated like Arbuda.
S`hodhana and Ropan`a should be carried out.
If Valmeeka is not too large and it is not on the Marma, then following should be carried out in the order:

  • S`hodhana
  • Rakta Mokshan`a
  • Pralepa
  • Upanaaha: Poultice should be hot and oily.
    Pakva Valmeeka:
  • Excision
  • Cauterization (Dahana Karma).
  • Kshaara Pratisaaran`a (dressing and anointing the edges of a wound) should be done.
  • Ropan`a Karma – It should be done, when Vran`a is S`huddha (not affected by any vitiated Dosha)

Ahipootanaa:

Dhaatree Stanya S`hodhana: Pat`olaadi Ghrita should be used to purify the Stanya.
Vran`a Ropan`a: Triphalaadi Choorn`a can be used for this purpose.
Kapaala Tutthaja Choorn`a
LepanaKaseesaadi Lepa

Guda Bhrams`ha:

Snehana
Svedana
Abhyanga:This should be carried out at the anus.
BandhanaGophan`aa Bandha should be done.
SnehaPaanaAbhyangaMooshika Taila should be used.

Treatment of Kshudra Roga by Sus`hruta

VyaadhiTreatment guidelines
Ajagallikaa (Pakva)Vran`a
Andhaalajee, Yavaprakhyaa, Panasee, Kachchhapee, Paashaan`agardabhaVran`a
Vivritaa, Indravriddhaa, Gardabhee, Jaalagardabha, Irivellee, Gandhanaamaa, Kakshaa, Visphot`akaPittaja Visarpa
KunakhaChippa
Anus`hayeeS`hleshmavidradhi
S`harkaraarbudaMedoja Arbuda
Kachchhoo, Paamaa, VicharchikaaKusht`ha
MasoorikaaPitta S`hleshma Visarpa
Avapaat`ikaaParivritti (Parivartikaa)
Vahnirohin`ee (Agnirohin`ee)Visarpa
Sanniruddha GudaNiruddha Prakas`ha
ValmeekaArbuda
Mushka KachchhooAhipootana
Vyaadhi (Vaagbhat`a)Chikitsaa similar To (Vaagbhat`a)
Granthi (Alajee), Kachchhapa, S`haalooka, (Panasikaa), Paashaan`a GardabhaYavaprakhyaa
PrasuptiVaataja Kusht`ha
Utkot`haKapha Pittaja Kusht`ha
Kot`haKusht`ha

Last updated on February 18th, 2021 at 06:08 am

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