A CRITICAL REVIEW OF KUSTHA WITH SPECIAL REFERENCE TO MELASAMA
Vd. Kavita Khond, *Vd. Sneha Tiwari, Intern Akshatas Dawangne, Arti Kolhe, Damini Padmawar, Himanshu Nandeshwar
ABSTRACT
In Ayurvedic literature, all skin ailments are mostly concluded in the title under Kushtha and Kshudra Roga. The primary meaning of Kushtha is Twak vaivarnta (skin discoloration). Vyanga is Kshudraroga with Painless, small, and blackish-coloured features. Melasma is an acquired pigmentary disorder characterized by common clinical findings like hyperpigmented macules on the face. In its pathogenesis, various factors like genetic predisposition, UV rays, cosmetics, and hormonal drugs play an important role. In Ayurveda, this condition is similar to Vyang, which is mentioned in Kshudra rogadhikar. According to Ayurveda, it occurs due to excessive anger and hard work. So, as the results vitiate Doshas mainly Pitta, along with Vata, produce blakish patches on the face, which is called Vyang. Vyang is a Rakta pradoshja vikar, and in its probable Doshas involved are Udaan vaayu, Bharajak pitta, and Dushya Ras and Rakta dhatu. This condition disturbed our mental and physical state. A good physical appearance and natural colour show us to be healthy. So, for this purpose, in Ayurveda, lines of treatment like Shodhan (purification), Shaman chikitsa, and various numbers of Lepa, medicated oil, and ointment for external application are also mentioned. All accessory factors are also important during the management of disease, e.g., psychological condition, cosmetics, OCP, some drugs, etc. This article review attempts to understand the Vyang with the modern view of Melasma and to help in the treatment of it.
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