Changes

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

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

*Important etiological factors for skin diseases include: Diet and beverages with antagonistic properties,  excess intake of liquid, unctuous, heavy to digest food, suppression of natural urges specially that of emesis,  excess exercise, exposure to excess heat, excessive eating, quick change in environmental temperature, inappropriate follow up of purification procedures, eating new grains, curd, fish, sesame, excessive salty and sour food, black gram, radish, milk, sugar products, following daytime sleep, and bad thoughts and deeds (especially towards venerable people).  

*Important etiological factors for skin diseases include: Diet and beverages with antagonistic properties,  excess intake of liquid, unctuous, heavy to digest food, suppression of natural urges specially that of emesis,  excess exercise, exposure to excess heat, excessive eating, quick change in environmental temperature, inappropriate follow up of purification procedures, eating new grains, curd, fish, sesame, excessive salty and sour food, black gram, radish, milk, sugar products, following daytime sleep, and bad thoughts and deeds towards venerable people.  

*These factors vitiate water component of skin, blood, muscular layer and other layers of skin and localize three ''dosha'' in the skin to cause ''kushtha'', layer by layer.

*These factors vitiate water component of skin, blood, muscular layer and other layers of skin and localize three ''dosha'' in the skin to cause ''kushtha'', layer by layer.

*Variable skin manifestations of ''kushtha'' depend upon degree of involvement of three vitiated ''dosha'' and their effect on four ''dhatus'' i.e. ''rasa, rakta, mansa'' and ''lasika''.

*Variable skin manifestations of ''kushtha'' depend upon degree of involvement of three vitiated ''dosha'' and their effect on four ''dhatus'' i.e. ''rasa, rakta, mansa'' and ''lasika''.

*With involvement of first and second layer, prodromal symptoms appear. Third and fourth layer involvement results in minor ''kushtha''.  Fifth and sixth layer involvement causes ''mahakushtha''.

*With involvement of first and second layer, prodromal symptoms appear. Third and fourth layer involvement results in minor ''kushtha''.  Fifth and sixth layer involvement causes ''mahakushtha''.

*Dryness, atrophy, pricking pain / paraesthesia, pain, constriction or loss of elasticity, hardness, roughness, horripilation, blackish, brownish, slight reddish in colour are manifestation of ''vata dosha''. Burning sensation, redness, exudation, suppuration, offensive smell, stickiness / moist and sloughing of body parts are the symptoms caused by predominance of ''pitta'' ''dosha''. ''Kapha dosha'' is responsible for symptoms like whitish discoloration, cold in touch, pruritus, non-progressive / slow progression of disease, elevated; heaviness and oiliness are presented along with maggot’s formation and stickiness like symptoms.

*Dryness, atrophy, pricking pain / paraesthesia, pain, constriction or loss of elasticity, hardness, roughness, horripilation, blackish, brownish, slight reddish in color are manifestation of ''vata dosha''. Burning sensation, redness, exudation, suppuration, offensive smell, stickiness / moist and sloughing of body parts are the symptoms caused by predominance of ''pitta dosha''. ''Kapha dosha'' is responsible for symptoms like whitish discoloration, cold in touch, pruritus, non-progressive / slow progression of disease, elevated; heaviness and oiliness are presented along with maggot’s formation and stickiness like symptoms.

*Different degree of ''doshic'' involvement determines the color, shape, size, symptoms and discharge from the lesions. The treatment differs as per dominance of ''dosha''.

*Different degree of ''doshic'' involvement determines the color, shape, size, symptoms and discharge from the lesions. The treatment differs as per dominance of ''dosha''.