Changes

=== ''Tattva Vimarsha'' ===

=== ''Tattva Vimarsha'' ===

• Kushtha disease is the result of combined and simultaneous involvement of all the three dosha and subsequently vitiation of the four body constituents i.e. rasa (twak-skin), mamsa(muscle tissue), rakta(blood), and lasika(lymph).

*''Kushtha'' is the result of combined and simultaneous involvement of all the three ''dosha'' and subsequently vitiation of the four body constituents i.e. ''rasa'' (''twak'', or skin), ''mamsa''(muscle tissue), ''rakta''(blood), and ''lasika''(lymph).

• There can be infinite clinical presentations of kushtha [skin diseases] depending upon severity of combination of abovementioned vitiating factors.

*There can be infinite clinical presentations of ''kushtha'' (skin diseases) depending upon severity of combination of abovementioned vitiating factors.

• While diagnosing the severity of kushtha, the depth of lesion can be assessed according to involvement of skin, muscle, blood and lymph respectively. The treatment should be planned accordingly targeting these constitutes and based upon predominantly vitiated dosha.  

*While diagnosing the severity of ''kushtha'', the depth of lesion can be assessed according to involvement of skin, muscle, blood and lymph respectively. The treatment should be planned accordingly targeting these constitutes and based upon predominantly vitiated ''dosha''.  

• The varieties in vitiated qualities of doshas (like ruksha etc.) depend upon dietary and lifestyle causative factors. Kushtha can be classified based upon the criteria like specific sensation in skin, change in color of skin (pigmentation), site of lesion, spread of lesion, clinical features.

*The varieties in vitiated qualities of ''doshas'' (like ''ruksha'' etc.) depend upon dietary and lifestyle causative factors. ''Kushtha'' can be classified based upon the criteria like specific sensation in skin, change in color of skin (pigmentation), site of lesion, spread of lesion, clinical features.

• Continuous exposure to change in temperature [thermal sensitivity], change in fluid volume and muscle mass inside body, incompatible dietary and lifestyle factors are main causative factors of Kushtha. Similarly sudden changes in above factors may lead to acute condition of skin disease.  

*Continuous exposure to change in temperature (thermal sensitivity), change in fluid volume and muscle mass inside body, incompatible dietary and lifestyle factors are main causative factors of ''kushtha''. Similarly sudden changes in above factors may lead to acute condition of skin disease.  

• If the curable Kushtha are not timely treated, it leads to favorable environment to growth of micro-organisms. The micro-organisms grow on the vitiated Twak, Rakta, Mamsa, and Lasika leading to various severe skin lesions.  

*If the curable ''kushtha'' are not timely treated, it leads to favorable environment to growth of micro-organisms. The micro-organisms grow on the vitiated ''twak, rakta, mamsa,'' and ''lasika'' leading to various severe skin lesions.  

• The curable disease can become incurable due to improper management, exposure to causative factors and aggravation of dosha. However, the incurable diseases are never curable.  

*The curable disease can become incurable due to improper management, exposure to causative factors and aggravation of ''dosha''. However, the incurable diseases are never curable.

=== ''Vidhi Vimarsha'' ===

=== ''Vidhi Vimarsha'' ===