Kushtha Chikitsa: Difference between revisions

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==== Six layers of skin ====

In the context of ~~Kushtha~~, ~~four aspects of skin are~~ important~~. First is~~ that ~~it consists of~~ six layers, and each layer is seat of ~~specific type of gradually progressing~~ kushtha.

In the context of ''kushtha'', it is important to note that Ayurveda acknowledges that there are six layers of skin, and each layer serving as a site or seat of ''kushtha'':

~~Following highlighted part should be in vidhi~~

~~(1) First~~ layer Udakadhara, external most layer is responsible for water metabolism. Initial pathology of minor types of kushtha starts with excessive sweating/ discoloration/itching swelling/ altered ~~tectile~~ sense in prodromal stage of kushtha indicative of impairment of water metabolism. This layer may be correlated with stratum corneum.

#The first layer is ''Udakadhara'', which is the external-most layer and is responsible for water metabolism. Initial pathology of minor types of ''kushtha'' starts with excessive sweating/ discoloration/itching swelling/ altered tactile sense in prodromal stage of ''kushtha'' indicative of impairment of water metabolism. This layer may be correlated with stratum corneum.

~~(2) Second~~ layer is Asragdhara, which contains the blood metabolites and impurities of blood trigger the pathology of kushtha and manifest as –bluish black, red, rashes/ pricking pains/ and ulceration. This layer may be correlated with stratum lucidum,

#The second layer is Asragdhara, which contains the blood metabolites and impurities of blood trigger the pathology of ''kushtha'' and manifest as –bluish black, red, rashes/ pricking pains/ and ulceration. This layer may be correlated with stratum lucidum,

~~(3) Third~~ layer of skin is the seat of ~~Sidhma~~ and ~~Kilas Kushtha~~. ~~3rd~~ layer may be correlated with stratum granulosum.

#The third layer of skin is the seat of ''sidhma'' and ''kilas kushtha''. The third layer may be correlated with stratum granulosum.

~~(4) Fourth~~ layer is seat of ~~Dadru~~ and ~~Krushtha~~. ~~4th~~ layer may be correlated with stratum germinosum (combination of spinosum and basale layers),

#The fourth layer is seat of ''dadru'' and ''krushtha''. The fourth layer may be correlated with stratum germinosum (combination of spinosum and basale layers),

~~(5) Fifth~~ layer of skin is seat of makushtha and severe dermal pathologies. ~~5th~~ layer may be correlated with ~~Papillary~~ layer.

#the fifth layer of skin is seat of ''makushtha'' and severe dermal pathologies. The fifth layer may be correlated with papillary layer.

~~(6) Sixth~~ layer is the seat of most severe mahakushtha, which are incurable. ~~6th~~ layer may be compared with ~~Reticular~~ layer. (Ch. Sharir 7/ 4)

#The sixth layer is the seat of most severe ''mahakushtha'', which are incurable. The sixth layer may be compared with reticular layer. (Ch. Sharir 7/ 4)

==== Patho-physiology of kushtha ====

@@ Line 2,325: / Line 2,325: @@
 ==== Six layers of skin ====
-In the context of Kushtha, four aspects of skin are important. First is that it consists of six layers, and each layer is seat of specific type of gradually progressing kushtha.
+In the context of ''kushtha'', it is important to note that Ayurveda acknowledges that there are six layers of skin, and each layer serving as a site or seat of ''kushtha'':
-Following highlighted part should be in vidhi
-(1) First layer Udakadhara, external most layer is responsible for water metabolism. Initial pathology of minor types of kushtha  starts with excessive sweating/ discoloration/itching swelling/ altered tectile sense in prodromal stage of kushtha indicative of  impairment of water metabolism. This layer may be correlated with stratum corneum.
+#The first layer is ''Udakadhara'', which is the external-most layer and is responsible for water metabolism. Initial pathology of minor types of ''kushtha'' starts with excessive sweating/ discoloration/itching swelling/ altered tactile sense in prodromal stage of ''kushtha'' indicative of impairment of water metabolism. This layer may be correlated with stratum corneum.
-(2) Second layer is Asragdhara, which contains the blood metabolites and impurities of blood trigger the pathology of kushtha and manifest as –bluish black, red, rashes/ pricking pains/ and ulceration. This layer may be correlated with stratum lucidum,
+#The second layer is Asragdhara, which contains the blood metabolites and impurities of blood trigger the pathology of ''kushtha'' and manifest as –bluish black, red, rashes/ pricking pains/ and ulceration. This layer may be correlated with stratum lucidum,
-(3) Third layer of skin is the seat of Sidhma and Kilas Kushtha. 3rd layer  may be correlated with stratum granulosum.
+#The third layer of skin is the seat of ''sidhma'' and ''kilas kushtha''. The third layer  may be correlated with stratum granulosum.
-(4) Fourth layer is seat of Dadru and Krushtha. 4th layer may be correlated with stratum germinosum (combination of spinosum and basale layers),
+#The fourth layer is seat of ''dadru'' and ''krushtha''. The fourth layer may be correlated with stratum germinosum (combination of spinosum and basale layers),
-(5) Fifth layer of skin is seat of makushtha and severe dermal pathologies.  5th layer may be correlated with Papillary layer.
+#the fifth layer of skin is seat of ''makushtha'' and severe dermal pathologies. The fifth layer may be correlated with papillary layer.
-(6) Sixth layer is the seat of most severe mahakushtha, which are incurable. 6th layer may be compared with Reticular layer.                                                                        (Ch. Sharir 7/ 4)
+#The sixth layer is the seat of most severe ''mahakushtha'', which are incurable. The sixth layer may be compared with reticular layer. (Ch. Sharir 7/ 4)
 ==== Patho-physiology of kushtha ====