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S`hivtra

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 MaamsaMedas 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 Shvitra.
  • 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
  1. Vataja S`hvitra = Raktaas`hrita S`hvitra
  2. Pitaja S`hvitra = Maamsaas`hrita.
  3. 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

  1. Vaata
  2. Pitta
  3. Kapha

It is manifested due to all the three Dosha. M. N. 49.37; Su. Ni. 5.17

Dhaatu

  1. Rakta
  2. Maamsa
  3. Medas

Upadhaatu
Tvak
Asaadhya Criteria

  1. Parasparatah Abhinnam / Sams`hlisht`am / Sambaddha Man`d`alam (Parasparam abhinna Man`d`alam)
  2. Bahu
  3. Raktalomavat
  4. Varshagan`a Utpannam / Puraan`am
  5. S`huklaroma
  6. Bahulam
  7. Agnidagdhaja
  8. Guhyastha S`hvitra
  9. Paan`italastha S`hvitra
  10. Osht`hastha S`hvitra
  11. Sambaddhaman`d`alam (Parasparam Abhinna Man`d`alam)
  12. Ante Jaatam (Oshth`a Paan`I Paada Guhyaja)
  13. Ante Jaata RaktaRoma

Krichchhrasaadhya Criteria
S`hivtra involving successive Dhaatu
Saadhya Criteria

  1. Araktaloma
  2. Tanu (Abahulam)
  3. Paan`d`u
  4. Na Atichirotthita
  5. Madhyaavakaas`he Uts`hoonam
  6. As`huklaroma (Krishn`aroma)
  7. Asams`hlisht`a
  8. Nava S`hvitra
  9. Anagnidagdhajam

Difference between S`hvitra and Kilaasa

 Kusht`haKilaasa
Manifests onTvak and other Dhaatu_sOnly Tvak
Lakshan`aIt may be Sraavee (with exudates)It is Aparisraavee.

 

S`hvitra: Comparative study

RogamaargaBaahya
SvabhaavaDaarun`a
ClaasificatiRaktapradoshaja
VyaktihtaaTvak
Saadhya CriteriaAnagnidagdhajamAraktalomaAs`huklaroma (Krishn`aroma)Asams`hlisht`aMadhyaavakaas`he Uts`hoonamNa AtichirotthitaNava S`hvitraPaan`d`uTanu (Abahulam)
KrichchhraS`hivtra involving successive Dhaatu_s
Asaadhya CriteriaAgnidagdhajaAnte 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
DoshaVaata Pitta and Kapha
Dosha Gun`aVaata = Rooksha, KharaPitta = Snigdha, Teekshn`a, Ushn`a, LaghuKapha = Snigdha, Guru, manda, S`hlakshn`a, Sthira, Mritsna
Dosha PraadhaanyaVataja S`hvitra = Raktaas`hrita S`hvitraPitaja S`hvitra = Maamsaas`hrita.Kaphaja S`hvitra = Medodhaatvaas`hrita. A. H. Ni. 14. 39Aruna`dataa
DhaatuRasa, Rakta, Maamsa, Medas
UpaDhaatuTvak
SrotasRasavaha, Raktavaha, Maamsavaha, Medovaha

Last updated on March 26th, 2021 at 11:20 am

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