KSHUDRA ROGA

CRITICAL
UNDERSTANDING
DR. GAURAV DESAI
 OBJECTIVES
• To shed light on the often neglected topic.

• To critically examine the reasons for this

classification.
• To discuss a few of the commonly seen
diseases.
• To enlist the treatment principles to be
followed.
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 REFERENCES

• Charaka Samhita
– Su. 18. Trishothiya Adhyaya

– Chi. 12 Shwayathu Chikitsa

• No direct reference of the term.

• Described the diseases later grouped as
kshudra rogas.
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 Cont…

• Sushruta Samhita
– Ni. 15. Kshudra Roganam Nidana.
– Chi. 20. Kshudra Roga Chikitsa.
– Chi. 25. Mishraka Chikitsa.

• Grouped the diseases as kshudra rogas.

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 Cont…

• Ashtang Hridaya
– U.T. 31. Kshudra roga Vigyaneeya.

– U.T. 32. Kshudra roga Pratishedhaneeya.

• In typical Vagbhata style, arranged logically.

• Updated the list, adding and deleting some
diseases.
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 Cont…

• Ashtang Sangraha
– U.T 36. Kshudra roga Vigyaneeya.
– U.T. 37. Kshudra roga Pratishedhaneeya.

• Similar description as that found in A.H

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 KSHUDRA ROGA???

• ¤ÉÑSìzÉoSÈ xuÉsmÉÉkÉqÉ
¢ÔüUmÉrÉÉïrÉuÉcÉÏ II
• ¤ÉÑSìÈ xuÉsmÉåÅkÉqÉå¢ÔüUå CÌiÉ II
• Swalpa

• Adhama
• Krura
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 Cont…

• E£ükÉqÉï rÉÑ£üÉ UÉåaÉÉÈ ¤ÉÑSìUÉåaÉÉÈ

II

• Diseases with the above qualities are classified

as Kshudra Rogas.

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 INDU QUOTES
• qÉlSuÉåaÉÉqÉWûuÉåaÉÉ
urÉÉkÉrÉÉåÅsmÉÂeÉÉåÅÂeÉÈ I
• rÉå qÉWûÉliÉÉåÅsmÉMüɶÉæuÉ ¤ÉÑSìUÉåaÉÉxiÉÑ
iÉå xqÉëÑiÉÉÈ II

• Diseases having:
• Manda vega / Maha vega
• Alpa ruja / A ruja
• Mahan / Alpa
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 CLASSIFICATION

• INDU, further clarifies that:

 Swalpa : Vyanga, Tila etc.

 Adhama : Kunakha, Ruddhaguda,
Sharkararbuda.
 Krura : Agnirohini, Masurika, Vispota, Valmika.
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 NUMBERS

• Charaka : no specific mention.

• Sushruta : 44

• Vagbhata : 36
• Madhavakara : 43

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 A LOOK AT A FEW OF THE KSHUDRA
ROGAS

*THE COMPARISONS ARE THE PRESENTERS VIEWS AND MAY NOT BE

ABSOLUTELY ACCURATE.

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 VALMIKA / ACTINOMYCOSIS
• Generally affects urdhva • Painful abscesses in
jatru. the mouth, lungs, GIT.
• Slow growing. • abscesses grow larger
• Vedana, Daha, Kandu, often over months.
Kleda. • leak large amounts
• Tridoshaja. of pus

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 TREATMENT
• Pratyakhyeya.

• Vamana.
• Rakta mokshana.

• Lepa.

• Shastra karma.

• Kshara karma.
• Appears to fall in the Krura category.
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 VISPOTAKA/ B.PHEMPHIGOID
• Involves pitta, rakta and
vata.
• In Twacha
• Agni dagdha Spota.
• Chronic, autoimmune,
sub epidermal,
blistering skin disease
that rarely involves
mucous membranes.

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 TREATMENT

• For treatment of: Vivruta, Masurika, Vispota,

Viddha, Gardhabi, Kaksha, Gandha pitika, Rajika,
Jala gardhabha, Irivellika.
• Similar to Pittaja Visapra.
• Agni rohini : Asadhya.

• Start Visarpa Treatment.

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 CHIPPA/ ONYCHIA
• Pitta and Vata involved. •  Inflammation of the
• Paka in nail matrix matrix of the nail.
• With Vedana and Jwara. • formation of pus.

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 TREATMENT

• Shodhana.

• Reduce the ushma (Pitta?).

• Shastra karma.
• Kartana of Dushita mamsa.
• Rakta mokshana.

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 KUNAKHA / SUBUNGAL HAEMATOMA
• Due to abhighata. • Results from a
• Krishna varna, ruksha. traumatic injury.
• It can be extremely
painful.

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 TREATMENT

• Shodhana.

• Reduce the ushma (Pitta?).

• Shastra karma.
• Kartana of Dushita mamsa.
• Rakta mokshana.

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 PADADARI / CRACKED HEELS
• Vata involved. • Caused by dry skin.
• Atyanta Ruksha. • They are painful to
• Saruja. stand on if deep.
• Skin can bleed.
• Can become infected.

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 TREATMENT

• Sira vedha.

• Swedana.

• Snigdha Lepa

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 KADARA / CORN
• Due to repeated • Skin thickens in
trauma. response to pressure.
• Sa keela, Kathina • Natural body defense.
granthi. • eventually becomes
• Madhya unnata. painful.
• Saruja.

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 TREATMENT

• Shastra karma.

• Utkartana.

• Followed by Agni karma.

• Avoid cause.

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MUKHADUSHIKA / ACNE VULGARIS
• Kapha, Vata, Rakta
involved.
• Shalmali Kantaka.
• Affects Young.
• Multiple non
inflammatory
follicular papules
• Occurs most commonly
during adolescence.

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 TREATMENT
• Vamana.
• Lepa.

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 DARUNAKA / DANDRUFF
• Kapha, vata involved.
• Sakandu, ruksha.
• Kesha bhoomi
Prapatana.
• Shedding of
dead skin cells from
the scalp.
• frequent exposure to
extreme heat and cold.
•  redness and irritation.

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 TREATMENT
• Snehana.

• Swedana.
• Murdha sira vedha.

• Avapeedana.

• Siro basti.

• Siro abhyanga.
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 PARIVARTIKA / PARAPHIMOSIS
• Vyaan vayu. • Foreskin becomes
• Improper movements. trapped behind
• Granthi rupa charma. the glans penis.
• And cannot be reduced.

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 TREATMENT
• Application of ghrita.

• Swedana.

• Upanaha.

• Abhyanga.

• Reduction by gentle Manipulation.

• Upanaha.(for 3-5 days).

• Vatanashaka basti.
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 GUDA BHRAMSHA / RECTAL PROLAPSE
• Ruksha, durbala. • Walls of
• Pravahana. the rectum protrude
• Atisara. through the anus.
• Weakening of the
ligaments and muscles.
• Straining during
defecation.

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 TREATMENT

• Snehana.

• Swedana

• Reduction by gentle manipulation.

• Gophana bandha.
• Swedana.

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REASONS FOR NOMENCLATURE???
• Localized.

• Spot diagnosis.
• No involvement of gambhira dhatus.

• Treatment mostly localized.

• Relatively simple treatment.

• Treatment similar to that described else where.

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 HOW TO APPROACH KSHUDRA ROGAS???

• Do we get confused trying to classify the diseases?

• Struggle in deciding the line of treatment?

• Blame the science for not describing certain

conditions observed clinically?
• Comment that Ayurveda is not up to date?

OR
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 CHARAKA’S OPINION
In Sutra 18.

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12/7/21 KSHUDRA ROGAS - CRITICAL REVIEW 35
 KEY TO KSHUDRA ROGAS
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xÉqÉcÉUåiÉç II

12/7/21 KSHUDRA ROGAS - CRITICAL REVIEW 36

 BHAISHAJYA RATNAVALI
Chapter 60

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12/7/21 KSHUDRA ROGAS - CRITICAL REVIEW 37

 CONCLUSION
• Commonly occurring diseases included under
this heading.
• Changed with time.
• Ready reckoner.
• Understand basics.
• Modify and formulate new treatment
modalities.
• Without compromising core philosophy.

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 THANK YOU
12/7/21 KSHUDRA ROGAS - CRITICAL REVIEW 39