🔺CASE STUDY : NO 56 🔺 PART NO : 2 🔺VISARPA (Herpes zoster/ cellulitis/ skin hypersensitivity disorders) 🔺SAMPRAPTI (PATHOGENESIS) *Due to nidana, Tridoshas, especially Pitta and Vata, get vitiated -They enter the Raktavaha Srotas and Twacha (skin) -Inflammation and infection spread through blood and skin channels -Leads to formation of spreading erythematous lesions with systemic symptoms *Samprapti Ghatakas: -Dosha: Tridosha (mainly Pitta + Vata) -Dushya: Rasa, Rakta, Mamsa, Twacha -Srotas: Raktavaha, Rasavaha -Adhisthana: Twacha (skin) -Roga Marga: Bahya (external/skin) 🔺UPASHAYA (RELIEVING FACTORS) -Cooling therapies -Ghee-based medications -Pitta and Rakta-pacifying herbs Rest, light diet, shade -Application of soothing lepas (pastes) 🔺 Anupashaya (Aggravating Factors) -Exposure to sun, fire, or heat -Spicy, sour, salty food Alcohol, anger, over-exertion -Inappropriate bloodletting or virechana 🔺 SAMANYA CHIKITSA (GENERAL LINE OF TREATMENT) -General Principles: *Tridosha shamanam (pacifying vitiated doshas) *Raktamokshana (bloodletting) – especially in Pittaja Visarpa *Shodhana therapies – Vamana, Virechana, especially in Sannipataja *Snehana and Swedana – judiciously, depending on dosha and stage *Lepa (topical application) – cooling and anti-inflammatory herbs *Internal medicines: Tikta, Kashaya, Sheeta dravyas -Reference: Charaka Samhita Chikitsa 21/34-45 🔺VISHESHA CHIKITSA (SPECIFIC LINE OF TREATMENT) *Dosha-Specific Treatments: -Vataja Visarpa : Snehapana, mild Swedana, Basti with Dashamoola -Pittaja Visarpa : Virechana, Raktamokshana, Tikta ghrita, cooling lepas -Kaphaja Visarpa : Vamana, Laghu ahara, Deepana-Pachana -Sannipataja : Shodhana, Tikta-Kashaya dravyas, close monitoring -Agni Visarpa : Rakta mokshana, Virechana, Strong cooling lepa, internal ghee 📌 Useful Ayurvedic Medicines: -Mahatiktaka Ghrita -Panchatikta Ghrita -Sarivadyasava, Khadirarishta -Patolakaturohinyadi Kashaya -Panchatikta Kwatha 📌Manjishtadi Kwatha -Rasa preparations (under -supervision): Ras Manikya, -Gandhaka Rasayana 📌 Lepas (External Pastes): -Chandanadi lepa -Kushta rakta haraka lepas -Multani mitti + Chandana + Rakta chandan + Guduchi + Gairika 📌 Raktamokshana (Bloodletting): -Especially indicated in Pittaja, Sannipataja, and Agni Visarpa Reference: Sushruta Samhita, Chikitsa Sthana 9/12-17 Charaka Chikitsa 21/41-50Charaka Samhita Chikitsa Sthana, Chapter 21 – Visarpa Chikitsa Sushruta Samhita Nidana Sthana Chapter 5, Chikitsa Sthana Chapter 9 Ashtanga Hridaya Nidana Sthana Chapter 17, Chikitsa Sthana Chapter 20 Madhava Nidana Chapter 49 🛑https://chat.whatsapp.com/KLufxKFrXwbIIAXLxXDqOB