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| ==== Six layers of skin ==== | | ==== Six layers of skin ==== |
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− | 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
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− | (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) |
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| ==== Patho-physiology of kushtha ==== | | ==== Patho-physiology of kushtha ==== |