Kustha ( Leprosy )

Kustha is the chronic infectious diseases. Which Produces Various
Granulomatous lesions in the skin  the mucous membranes and peripheral nervous system.



Cause - 1 Viruddhara
               
               2 Gramya Anupa

               3 Udaka Mamsani

               4 Dadhi

               5 Matsya Amla Lavanya

               6 Nisevana

              7 Chardi Vega Adharana

               8 Ajirnashana

               9 Gudati Sevana
             
                10 Panchakarma  Vyapada



 Clinical Features

Vata Pradhan

1 Raukshyata

2 Parushya

3 Shosha

4 Shoola

 5 Sankocha

6 Ayama

7 Harsha

8 Toda



Pitta Pradhan


1 Daha

2 Raga

3 Srava

4 Paka

5 Visragandha

6 Kleda

7 Angapatana


Kapha Pradhan


1 Shvetata

2 Saityata

3 Kandu

4 Sthairya

5 Utseda

6 Gourava

7 Sneha

8 Kleda




Investigation


1 CBC

2 AEC


3 ESR

4 Allergen Test


5 Histo - Pathological



Principal of Treatment

1 Punaha - Punaha Shoshana in Bahudosha .

2 Raktmokshana

3 After sodhana and Raktmokshana , Ghritapana is essential to prevent Vata Prakopa

4 Lepa Prayoga - After sodhana and Raktmokshana

5 Tikta , Kashaya , Ushna Veerya , Rakta  Prasadaka Dravya Prayoga


Treatment

Panchakarma


1 Snehana - PTG / MTG / GTG


2 Svedana - Bashpa


3 Vamana - Madanphaladi  Yoga


4 Virechana - Ichhabhedi + Gomutra

Rasa + Triphala - Trivrit - katuki


Raktmokshana -  Leech




Shamana  Chikitsha


Drug of choice - Kadhira ( internal ) / Argvadha ( external )

Main Drug - Khadira , Tuvaraka , Chopachini , Bhallataka , Guduchi .



Naimittika Rasayana - Madhusnuhi Rasayana , Amritabhallataka Leha .



Recommended Clinical Formulation



1 Arogyavardhini Vati 2 BD After Food

2 Talakeshwara Rasa 125 mg TID After Food

3 Rasamanikya 60 mg TID with Guduchi ghrita

4 Gandhaka Rasayana Vati 2 BD After Food

5 Tamra Parpati 125 mg TID After Food

6 Mahamanjisthadi Kasahya 2 tsf with warm water After Food BD


7 Gandhaka Malahara  Locally Apply BD

8 Somraji Tails  Locally Apply BD

9 Mahamarichyadi Tails Locally Apply BD


10 Six C ointment  Locally Apply BD


11 Cutis ointment Locally Apply BD


Diet and lifestyle


Pathya  - Katuka , Alabu , Patola , Methi , Katu , Tikta Rasa

Apathya - Viruddhara , egg , peanuts , milk , wheat , fish , chicken , pork , beef

Avoiding Dry product , White Flour , Fried foods other processed fats and Sugar