UNDERSTANDING THE CONCEPT OF SANKRAMIKA DADRU KUSTA- A CASE STUDY

Skin is a primary external covering of body mostly affected by fungal infections. In Ayurveda skin fungal infection is termed as Dadru (Tinea/Ringworm). It is one of the most common Twak Vikara affecting all the age group of population.. There is no separate mention of Nidana, Poorvarupa, Samprapti of Dadru, but the Samanya Nidana, Poorvarupa mentioned for Kusta can be considered here. Sankramika or Aupasargika Roga Nidanaof Kusta explained by Achaya Susrutha. Incidence rate of Dadru gradually increasing day to day because of improper Vihara like uncleanliness of body, sharing cloths of others etc., so this type of Dadru considered as Sankramika Vyadhi. These Sankramika Vyadhi spreads from person to person by Krimi through Sweda. Dadru can be diagnosed with the help of Varna (Raga), Samsthana (Pidika & Mandala), Adhistana (Twak). The knowledge of Nidana is helpful for the proper diagnosis, prevention of disease and treatment also. The physician who is having proper knowledge of Nidana means to cure the disease and their proper utilization. 'Nidana Parivarjana' is the main method of keeping oneself free from the disease. Krimi Gatha Dadru Vyadhi (Sankramika) has to be treated by Apakarshanam, Prakrithi Vigatha and Nidana Parivarjana. With the help of this principle the case of Sankramika Bahya Malaja Sitha type of Dadru Kusta successfully managed.

MANAGEMENT OF STRESS RELATED PSORIASIS W. S. R. TO CHETAH SAMAVAYI

There is a wide range of importance for appearance in present era. Psoriasis is chronic disorder which is commonly encountered in day to days clinical practices. It is one of the burning issue having social importance. Increased stress and life style are main predisposing factor which is accounting for wide spared prevalence of this disease. Usually10-15% cases present before general practitioners are pertaining to skin diseases. Due to altered life style, lack of physical exercise, unhygienic, mental stress, over eating, skin diseases are commonly observed. We can observe many diseases popping up especially due to mental stress i.e., Manasa Vikriti. There is Samavaya Sambandha between Tvacha and Manas (Chetah Samavayi). Most of the Tvak Vikaras are psychologically agonising and have negative impact on quality of life. Here it is important to remember the citation of Acharya Charaka regarding the relationship between the Tvacha and Manas, Tvacha is considered as Chetah Samvayi i.e., the skin has an eternal relationship with Manas (psyche/mind). The knowledge of Nidana is helpful for the proper diagnosis, prevention of disease and treatment also. Thus to treat any Tvak Gata Vikara, Bhishak should consider the skin ailment as well as condition of Manas. This paper highlights a case study of stress related Kitibha Kusta (Psoriasis) treated with Shodhana Chikitsa.