You are on page 1of 16

KUSHATHA CHIKITSA 7TH Ch.chi.

Prognosis of kushtha

सर्वैर्लिङ्गैर्यक्
ि तं मततमान ् वर्वर्वर्िर्ेदबलम ्|
तष्ृ णादाहपरीतं शान्ताग्नं र्न्तयर्िर्ि्धम ्||३७||
र्वातकफप्रबलं र्द्र्दे कदोषोल्बणं न तत ् कृच्छ्रम ्|
कफवपत्त-र्वातवपत्तप्रबलातन तय कृच्छ्रसाध्र्ातन||३८||

A wise physician must not undertake the treatment of following types


of patients suffering from Kustha
1) The patient of Kusta with the signs and symptoms all the 3 vitiated
Doshas
2) The patient who is weak
3) The patient who is suffering from morbid thirst, burning sensation
4) The patient having no digestion strength and
5) The patient having maggots in the patches of Kustha. [37- 38]

1. Chikitsa Sutra of kushtha

र्वातोत्तरे षय सवपिर्वम
ि नं श्लेष्मोत्तरे षय कयष्ठे षय|
वपत्तोत्तरे षय मोक्षो रक्तस्र् वर्वरे चनं चाग्रे||३९||

➢ Patient suffering from Kustha dominated by Vata is


administered with herbal ghee internally.

By Dr. Renu Bala Reader Basic Principle SDAC CHD 46 B Page 1


➢ Patient suffering from Kustha dominated by Kapha is
administered Vaman
➢ Patient suffering from Kustha dominated by pitta is given
Virechana and raktmokshana.

2. Samshodhan chikitsa

र्वमनवर्वरे चनर्ोगााः कल्पोक्तााः कयगष्ठनां प्रर्ोक्तवर्ााः|


प्रच्छ्छनमल्पे कयष्ठे महतत च शस्तं र्सरावर्धनम ्||४०||
बहयदोषाः संशोध्र्ाः कयष्ठी बहयशोऽनयरक्षता प्राणान ्|
दोषे ह्र्ततमात्रहृते र्वार्यहिन्र्ादबलमाशय||४१||
स्नेहस्र् पानर्मष्टं शद्
य धे कोष्ठे प्रर्वाहहते रक्ते|
र्वार्यहहि शयद्धकोष्ठं कयगष्ठनमबलं वर्वशतत शीघ्रम ्||४२||

➢ Vamana and Virechana for a Kushta patient, patient suffering


from Kustha, the recipes described in the Kalpa sthana section is
employed.
➢ Rakotamokshana Pracchanna Raktamokshana Blood- letting is
done with a coarse device in case of Kushta with mild
symptoms.
➢ Sira Vyadha Raktamokshana vein puncture is administered in
more acute stage
➢ Kushta patient with more vitiated Doshas (Bahudosha) is given
Shodhana therapies for several times, with a lot of care
➢ Excessive elimination of Doshas (morbid factors) might weaken
the patient and the aggravated Vata might endanger patiens life
instantaneously.
➢ After the elimination of Doshas from the gastro- intestinal tract
(by Vamana and Virechana) and Raktamokshana from blood,
the patient is given Sneha (oil, ghee etc) to drink.

By Dr. Renu Bala Reader Basic Principle SDAC CHD 46 B Page 2


➢ Because Vayu gets aggravated and the patient becomes weak
soon after the elimination therapies which condition will be
remedied by the administration of the Snehapana
➢ After administration of the above therapies, the patient suffering
from Kushta is given treatment as described hereafter.
➢ These therapies are to be repeated again and again. The
physician should not administer therapies to eliminate large
quantity of morbid Doshas at a time. If that is done, then it
might weaken the patient and endanger his life. This applies to
vitiation of one or more Doshas.
➢ Oleation therapy is given only after the morbid Doshas are
eliminated from the body. Without that, administration of
oleation therapy might aggravated the disease

b. Vaman dravya for kushtha

दोषोग्क्लष्टे हृदर्े र्वाम्र्ाः कयष्ठे षय चोध्र्वििागेषय|


कयटर्फलमदनमधयकैाः सपटोलैतनिम्बरसर्यक्तैाः||४३||
शीतरसाः पक्र्वरसो मधूतन मधयकं च र्वमनातन|

Herbs for Vamana for Kushta treatment:


When Doshas are located in Hrudaya (heart) or the centre of the body,
are in a state of Utklesha (increase), then the patient is given Vamana
therapy with the help of the treatment of different types of Kustha
herbs like
➢ Kutaja – Holarrhena antidysenterica (fruit)
➢ Madanaphala – Randia spinosa and
➢ Madhuka –
➢ Patola –
➢ Nimba – Neem is administered

By Dr. Renu Bala Reader Basic Principle SDAC CHD 46 B Page 3


Shitarasa (sheeta kalpana) Pakvarasa, different types of honey and
Madhuka are useful for Vamana.
a. Virechan dravyas for kushtha

कयष्ठे षय त्रत्रर्वत
ृ ा दन्ती त्रत्रफला च वर्वरे चने शस्ता||४४||
सौर्वीरकं तयषोदकमालोडनमासर्वाश्च सीधूतन|
शंसन््र्धोहराणां र्थावर्वरे कं क्रमश्चेष्टाः||४५||

➢ Virechana herbs for Pitta dominant Kushta


➢ Trivrit – Operculina turpethum
➢ Danti – Baliospermum montanum
➢ Triphala ; Amla, Haritaki, Vibhitaki are useful in purgation
therapy.
The recipe can be prepared in the form of:
➢ Sauviraka , a type of vinegar
➢ Tushodaka ,a sour drink prepared of corns and cereals,
➢ Alodana , a kind of liquefied preparation
➢ Asava - alcoholic preparation and
➢ Different types of Sidhu , Vinegar prepared of unboiled sugar
cane juice.
➢ After Virechana, Samsarjana can be administered depending
upon the extent of success of Virechana

दार्वीबह
ृ तीसेवर्ैाः पटोलवपचम
य दि मदनकृतमालैाः|
सस्नेहैरास्थाप्र्ाः कयष्ठी सकर्लङ्गर्र्वमयस्तैाः||४६||

b. Herbs for Asthapana (decoction enema) for Kushta:


Darvi – Berberis aristata
Brihati -Solanum indicum,
By Dr. Renu Bala Reader Basic Principle SDAC CHD 46 B Page 4
Sevya -Vetiver ,Vetiveria zizanioides
Patola – Tricosanthes dioca
Pichumardam- Neem
Madana – Randia dumetorum
Krutamala – Cassia fistula
Kalinga - Holarrhena antidysenterica
Yava -Barley (Hordeum vulgare)
Musta - Cyperus rotundus
The decoction enema is administered along with oil or fat.

र्वातोल्बणं वर्वररक्तं तनरूढमनयर्वासनाहिमालक्ष्र्|


फलमधयकतनम्बकयटर्ैाः सपटोलैाः साधर्े्स्नेहम ्||४७||

c. Anuvasana Basti (fat enema) for Kushta


After Virechana, if there is aggravation of vata, then the doctor should
decide if the patient is eligible for Basti treatment. If eligible,
Anuvasana basti is administered with fat processed with Madana
Phala , Madhuka– Licorice – Glycyrrhiza glabra, Nimba, Kutaja and
Patola -Tricosanthes dioca.

सैन्धर्वदन्तीमररचं फणणज्झकाः वपप्पली करञ्र्फलम ्|


नस्र्ं स्र्ा्सवर्वडङ्गं क्रक्रर्मकयष्ठकफप्रकोपघ्नम ् [१] ||४८||

Nasya herbs for Kushta:


➢ Saindhava Rock salt, Danti – Baliospermum montanum,
➢ Maricha piper nigrum,

By Dr. Renu Bala Reader Basic Principle SDAC CHD 46 B Page 5


➢ Phanijjaka Ocimum basilicum,
➢ Pippali –Piper longum and
➢ Fruit of karanja – Pongamia pinnata.
These drugs cure diseases caused by- Krimi parasitic infestation,
Kushta – skin disease and diseases caused by the aggravation of
Kapha.

d. Herbs for Dhumapana for Kushta

र्वैरेचतनकैधम
ूि ैाः श्लोकस्थानेररतैाः प्रशाम्र्गन्त|
कृमर्ाः कयष्ठक्रकलासााः प्रर्ोगर्तैरुत्तमाङ्गस्थााः||४९||

➢ Vairechanika Dhumapana herbs described in Sutrasthana 5/26-


27 are used.
➢ It is useful in Krimi (Parasitic infection), Kilas affecting the
head.

गस्थरकहठनमण्डलानां गस्र्वन्नानां प्रस्तरप्रणाडीर्िाः|


कूचैवर्विघट्हटतानां रक्तो्क्लेशोऽपनेतवर्ाः||५०||
आनूपर्वाररर्ानां मांसानां पोट्टलैाः सयखोष्णैश्च|
गस्र्वन्नो्सन्नं [१] वर्वर्लखेत ् कयष्ठं तीक्ष्णेन शस्त्रेण||५१||

रुधधरागमाथिमथर्वा शङ्
ृ गालाबूतन [ ] र्ोर्र्ेत ् कयष्ठे |
प्रगच्छ्छतमल्पं कयष्ठं वर्वरे चर्ेद्र्वा र्लौकोर्िाः||५२||
र्े लेपााः कयष्ठानां र्यज्र्न्ते तनहृितास्रदोषाणाम ्|
संशोधधताशर्ानां सद्र्ाः र्सद्धधििर्वेत्तेषाम ्||५३||

d. Raktamokshana

By Dr. Renu Bala Reader Basic Principle SDAC CHD 46 B Page 6


➢ The patches of Kustha which are stable, hard and rounded, is
subjected to Prastara and Nadi type of Svedana and rubbed with
Kurcha (a surgical brush with hard fibres). The blood oozing out
through this process should thereafter be eliminated.
➢ The elevated patches of Kustha are fomented with lukewarm
Pottalis (A cloth bundle pack with hot fomenting paste of
ingredients) containing meat of semi- aquatic and aquatic
animals. Thereafter, blood is eliminated by incising with a sharp
edged scalped.
➢ In Kaphaja Kushta with limited number of patches, blood is
eliminated by scratching patch and by applying Shringa (horn),
Alabu (ground) and Jalaukas (Leech therapy) It is only after the
elimination of impurities in the blood (thought blood- letting
therapy) and elimination of Doshas from the gastrointestinal
tract through elimination therapies, that the ointment prescribed
Kushta become instantaneously efficacious. [50-53]

र्ेषय न शस्त्रं क्रमते स्पशेगन्िर्नाशनातन र्ातन स्र्याः|


तेषय तनपा्र्ाः क्षारो रक्तं दोषं च वर्वस्रावर्||५४||
पाषाणकहठनपरुषे सयप्ते कयष्ठे गस्थरे पयराणे च|
पीतागदस्र् कार्ो वर्वषैाः प्रदे होऽगदै श्चानय||५५||
स्तब्धातन सयप्तसयप्तान्र्स्र्वेदनकण्डयलातन कयष्ठातन|
कूचैदिन्तीत्रत्रर्वत
ृ ाकरर्वीरकरञ्र्कयटर्ानाम ्||५६||
र्ा्र्कितनम्बर्ैर्वाि पत्रैाः शस्त्रैाः समयिफेनैर्वाि|
घष्ृ टातन गोमर्ैर्वाि तताः प्रदे हैाः प्रदे ह्र्ातन||५७||

e. Kshara Prayoga in Kushta


➢ In such conditions where the patches are anaesthetic and in
which application of surgical instruments is contra indicated,
Kshara is used .

By Dr. Renu Bala Reader Basic Principle SDAC CHD 46 B Page 7


➢ If the patches of Kushta are hard and rough like stone, if there is
numbness and stability and if the condition is chronic, then the
patient is given medicated internally, and thereafter, ointment
containing Visha (Vatsanabha or any poisonous ingredient) is
applied.
➢ If the patches of Kushta are numb and absolutely anaesthetic,
and if there is absence of sweating and itching, then they are
rubbed with the Kucha (brush) made of the stems of Danti ,
Trivrit , Karanja ,Kutaja Or with the Leaves of Jati Arka ,
Nimba or With sharp instruments, orWith Samudra Phena
(cuttle fish bone) or with (dried) cow dung ointments are
applied.

मारुतकफकयष्ठघ्नं कमोक्तं वपत्तकयगष्ठनां कार्िम ्|


कफवपत्तरक्तहरणं ततक्तकषार्ैाः प्रशमनं च||५८||
सपींवष ततक्तकातन च र्च्छ्चान्र्िक्तवपत्तनयत ् [१] कमि|
बाह्र्ाभ्र्न्तरमग्र्र्ं तत ् कार्ं वपत्तकयष्ठे षय||५९||

Pittaja Kusta is treated on the lines prescribed for the treatment of


Vatika and Kaphaja types of Kusthas (skin diseases caused by Vayu
and Kapha). In addition, Kapha, Pitta and Rakta (blood) is eliminated
(by Vamana, Virechana and Raktamokshana) and alleviated by
recipes containing bitter astringent herbs.
Similarly, medicated ghee and such other efficacious therapies for the
alleviation of Pitta and Rakhta are administered both externally and
internally for the treatment of Pittaja Kusta [ 58-59]
2. Shamana treatment

दार्वी रसाञ्र्नं र्वा गोमूत्रेण प्रबाधते कयष्ठम ्|


अिर्ा प्रर्ोगर्ता र्वा मासं सवर्ोषगयडतैला||६१||

By Dr. Renu Bala Reader Basic Principle SDAC CHD 46 B Page 8


➢ Intake of Rasanjana along with cow urine cures Kushtha
➢ Intake of Abhaya along with Trikatu (Ginger, pepper and long
pepper), Guda (Jaggery) and sesame oil for 1 month cures
Kustha. [61]

a. Patolamuladi Kashaya

मूलं पटोलस्र् तथा गर्वाक्ष्र्ााः पथ
ृ क् पलांशं त्रत्रफला्र्वचश्च [ ] |
स्र्ा्त्रार्माणा कटयरोहहणी च िागाधधिका नागरपादर्यक्ता||६२||
पलं तथैषां सह चणू णितानां र्ले शत
ृ ं दोषहरं वपबेन्ना|
र्ीणे रसैधन्
ि र्वमग
ृ द्वर्वर्ानां पयराणशाल्र्ोदनमाददीत||६३||
कयष्ठातन शोफं ग्रहणीप्रदोषमशांर्स कृच्छ्राणण हलीमकं च|
षड्रात्रर्ोगेन तनहगन्त चैष हृद्बगस्तशल
ू ं वर्वषमज्र्वरं च||६४||

➢ Root of Patola , Root of Gavakshi – Citrullus colocynthis (1


Pala,Triphala 1 Pala each, Trayamana – Gentiana kurroo and
Nagara – Ginger (4 Sana) is made to a powder. One Pala of this
powder is to be boiled in water Intake of this Kashaya alleviates
Doshas (causing Kustha) of the patient.
➢ After this potion is digested, the patient is given old rice along
with meat soup of animals and birds inhabiting arid land.
➢ This recipe when administered for 6 nights (days) cures Kustha,
Shopha (oedema), Grahani Dosha (sprue syndrome), Arsas
(piles), Mutra Krichra (dysuria), Halimaka (serious type of
Jaundice), Pain in cardiac and urinary bladder region and
Vishamajvara (Recurrent fever) {62- 64}

b. Mustadi Churna

By Dr. Renu Bala Reader Basic Principle SDAC CHD 46 B Page 9


मस्
य तं वर्ोषं त्रत्रफला मगञ्र्ष्ठा दारु पञ्चमल्
ू र्ौ द्र्वे|
सप्तच्छ्छदतनम्ब्र्वक् सवर्वशालगश्चत्रको मर्व
ू ाि||६५||
ि र्िाः संर्ोगर्तं समध्र्वाज्र्म ् [१] |
चूणं तपिणिागैनर्व
र्सद्धं कयष्ठतनबहिणमेतत ् प्रार्ोधगकं िक्ष्र्म ्||६६||
श्र्वर्थंय सपाण्डयरोगं गश्र्वत्रं ग्रहणीप्रदोषमशांर्स|
ब्रघ्निगन्दरवपडकाकण्डूकोठांश्च वर्वतनहगन्त||६७||
इतत मयस्ताहदचूणम
ि ्|

c. Triphaladi Churna

d. Use of Sulphur
➢ Administration of Lelitaka (Sulphur) with the juice of (Amalaki)
together with honey is the remedy par excellence for the cure of
17 types of Kustha (skin diseases).
➢ Similarly, is the therapeutic efficacy of Makshika Dhatu (copper
pyrite) taken together with Cow’s urine [70]
e. Use of Mercury
➢ If Rasa (mercury) is processed by adding sulphur or
Svarnamakshika (copper Pyrtite), the Bhasma so prepared
would be a remedy of excellence for curing all ailments. The
patient suffering from Kushta should take this recipe.
➢ Similarly, Mercury processed with Diamond and Shilajatu, or
Yogaraja cures all ailments. The patient suffering from Kushta
should take this recipe every day [ 71-72]

f.`Madhvasava
g. Kanakabindvarishta

By Dr. Renu Bala Reader Basic Principle SDAC CHD 46 B Page 10


➢ 1 Drona (12.288 liters) of the decoction of Khadira is kept in a
ghee smeared jar. To this, 6 Palas of the powder of Triphala
(Haritaki, Bibhitaki and Amalaki), Trikatu (Sunthi, Pippali, and
Maricha), Vidanga , Rajani , Musta –Atarushaka , Indrayava ,
Bark of Sauvarni ( Cassia fistula )and Chinnaruha (Giloy )each
taken in equal quantity is added.The jar containing the recipe is
kept inside a heap of grains for a month.
➢ Intake of this every morning in appropriate Dosage for 1 month
certainly cures MahaKustha (major types of Kustha). Kshudra
Kustha (minor types of Kustha) can however, be cured by this
recipe in 15 days.
➢ It also cures all types of Arsha Piles, Shvasa , Bhagandara ,
Kasa , Kilasa and Prameha The person taking this recipe
becomes golden in complexion. This is called Kanakabindu .
➢ Intake of this recipe is useful in Kusthas cause by Vayu, Kapha
and Pitta. However, use of the decoction of Krtamala (in the
place of Khadira) in this recipe will make it separately useful in
curing Kaphaja Kustha. [76-80]

h. Triphalasava

त्रत्रफलासर्वश्च गौडाः सधचत्रकाः कयष्ठरोगवर्वतनहन्ता|


क्रमक
य दशमूलदन्तीर्वराङ्गमधर्
य ोगसंर्यक्ताः||८१||

External application(lepa)

1. Application of the paste of Ela, Kustha , Darvi , Shatapuspa –


Anethum sowa, Chitraka ,Vidanga , Rasanjana and Abhaya
(Harad) is very effective in curing Kustha (skin diseases). [84]

2. Chitrakadi lepa for Mandala Kusht

By Dr. Renu Bala Reader Basic Principle SDAC CHD 46 B Page 11


3. Mamsyadi Lepa

4. Trapu adi Lepa for Mandala Kushta

5. Kadali adi Lepa

6. Siddharthaka Snana

र्सद्धाथिकं स्नानं
मयस्तं मदनं त्रत्रफला करञ्र् आर्र्वधकर्लङ्गर्र्वााः|
दार्वी ससप्तपणाि स्नानं र्सद्धाथिकं नाम||९१||
एष कषार्ो र्वमनं वर्वरे चनं र्वणिकस्तथोद्घषिाः|
्र्व्दोषकयष्ठशोफप्रबाधनाः पाण्डयरोगघ्नाः||९२||

The decoction of the above mentioned drugs is also useful in emetic


and purgation therapies. The powder or paste of these drugs is useful
for unction which promotes the colour of the skin.
7. Kushtadi Lepa
8. Shireesha twagadi Lepa

Kashayas for Kushta


दावर्ाि रसाञ्र्नस्र् च तनम्बपटोलस्र् खहदरसारस्र्|
आर्र्वधर्वक्ष
ृ कर्ोगस्त्रफलार्ााः सप्तपणिस्र्||९७||
इतत षट् कषार्र्ोगााः कयष्ठघ्नााः सप्तमश्च तततनशस्र्|
स्नाने पाने च हहतास्तथाऽष्टमश्चाश्र्वमारस्र्||९८||

Decoctions of the following 8 recipes are useful in the treatment of


Kustha (skin diseases)
1) Rasanjana(solid extract) which is collected from Daruharidra –
Berberis aristata
2) Nimba – Azadirachta indica and Patola – Trichosanthes dioica
By Dr. Renu Bala Reader Basic Principle SDAC CHD 46 B Page 12
3) Heart-wood (or solid extract) of Khadira – Acacia catechu
4) Aragvadha and Vrksaka(Kutaja) – Cassia fistula and Hollarhena
antidysentrica
5) Triphala( Haritaki, Bibhitaka and Amalaki)
6) Saptaparna – Alstonia scholaris
7) Tinisha – Abelia chinensis and
8) Ashvamara - Nerium indicum
The decoction of the above mentioned recipes are used in bath, as
drink, as alepana (external application) for Pragharsana (rubbing) and
Avachurnana (dusting). These decoctions may be used in the
preparation of medicated oil and medicated ghee. [97-99]

9.Triphaladi Kashaya

Tailas for Kushta


1. Kushtadi taila
2. Shveta karaviradya Taila
3. Shveta Karavirapallavadya Taila
4. Tiktekshvadi Taila
5. Kanakaksheeri Taila
6. Vipadikahara Ghrta and Taila
➢ Medicated ghee and oil is prepared by boiling ghee and or/ oil
with the paste of Jivanti ( Manjistha )–, Daruharidra .
Kampillaka, Payas (milk) andTuttha. When cooking of this is
over, Sarjarasa and Madhucchista (bee’s wax) is added.
Massage with this oil cures Carmakustha, Ekakustha, Kitibha
and Alasaka varieties of Kustha. [117-118]
7. Chitrakadi lepa
8. Edagajadi Udvartana
9. सिध्मे लेपः|
Useful herbs for Bath
➢ The paste or decoction of Vasa , Triphala (Haritaki, Bibhitaki
and Amalaki), Brhati – Solanum indicum, Sevya is used for
Udvartana (Unction) and Pralepa (external application) by a
patient suffering from Kustha.
➢ Similarly, the decoction of Khadira , Avaghata (Karnikara)
Terminalia arjuna, Rohitaka , Lodhra – Symplocos racemosa,

By Dr. Renu Bala Reader Basic Principle SDAC CHD 46 B Page 13


Kutaja – Hollarhena antidysentrica, Dhava Anogeissus latifolia,
Nimba, Saptacchada (Saptaparna) – Alstonia scholaris – Stem
bark And Karvira – Nerium indicum is useful for bath and drink
by a patient suffering from Kustha [128-129]

Ghrit for kushatha

1.तिक्िम ् घि
ृ ं ||१३४||

खहदरघत
ृ ं तनम्बघत
ृ ं दार्वीघत
ृ मत्त
य मं पटोलघत
ृ म ्|
कयष्ठे षय रक्तवपत्तप्रबलेषय र्िषग्र्तं र्सद्धम ्||१३५||

If Kustha (skin diseases) is dominated by Rakta and Pitta, then for its
treatment,
2. Khadiraghrta,
3. Nimbaghrta
4.Darvighrta and
5.Patolaghrta is used.
These are the well established and excellent recipes [13

6.तिक्िषट्पलकं घि
ृ म ्|

7.महातिक्िकं घि
ृ म ्|

दोषे हृतेऽपनीते रक्ते बाह्र्ान्तरे कृते शमने [१] |


स्नेहे च कालर्यक्ते न कयष्ठमनयर्वतिते [२] साध्र्म ्||१५१||

8.महाखदिरं घि
ृ म ्| |१५६||

By Dr. Renu Bala Reader Basic Principle SDAC CHD 46 B Page 14


Diet for the patient

लघूतन चान्नातन हहतातन वर्वद्र्ात ् कयष्ठे षय शाकतन च ततक्तकातन|


िल्लातकैाः सत्रत्रफलैाः सतनम्बैर्यक्
ि तातन चान्नातन घत
ृ ातन चैर्व||८२||
परय ाणधान्र्ान्र्थ र्ाङ्गलातन मांसातन मद्
य गाश्च पटोलर्क्
य तााः|

Kushta Pathya
1) Laghu ahara -Light and wholesome food
(2) Tikta shaka -Vegetables (leafy) having bitter taste
(3) Food preparations and medicated ghee prepared by boiling with
Bhallalaka, Triphala and Nimba
(4) Old (not freshly harvested) cereals
(5) Meat of animals inhabiting arid land (Jangala Mamsa) and
preparations of Mudga (green gram) mixed with Patola Pointed
gourd.

शस्ता, न गयर्वम्
ि लपर्ोदधीतन नानूपम्स्र्ा न गयडगस्तलाश्च||८३||

Kushtha apathaya
➢ Intake of heavy
➢ sour food,
➢ milk,
➢ curd,
➢ meat of animals inhabiting marshy land, fish,
➢ Guda (Jaggery) and
Tila are prohibited for Patients of Kusta [82-83]

By Dr. Renu Bala Reader Basic Principle SDAC CHD 46 B Page 15


By Dr. Renu Bala Reader Basic Principle SDAC CHD 46 B Page 16

You might also like