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Year - 2024Volume - 2Issue - 1Pages - 79-90

A LITERATURE REVIEW OF KARSHYA AND ITS MANAGEMENT THROUGH AYURVEDA

 17 Feb 2024  456

About Author

Rathod D1,Dachewar-Singam D2,
1 PG Scholar of Kayachikitsa Department, Shri Ayurved Mahavidyalaya, Nagpur, Maharashtra
2 Professor and HOD Kayachikitsa Department, Shri Ayurved Mahavidyalaya, Nagpur, Maharashtra

Correspondence Address

clo pooja shah , House no. 22A , jawahar nagar , lane no.2 nagpur
Contact No. : 8459311869, Email : dipakrathod278@gmail.com

Date of Acceptance : 25 Feb 2024

Date of Publication : 27 Mar 2024

Article ID : SD-IJAY_055

How to cite this article : http://doi.org/10.55552/SDNJAY.2024.2110

Abstract

Karshya means the weakening of the "disease of malnutrition" [Apatarpanajanyavyadhi] resulting from reduced food intake. Rukshanapana (lack of food). Langhan (fasting). Pramitashana (Lack of nutrition). Shoka (sanity). Essentially it is  vataja prakriti. Extreme filtering measures and Nidra (sleep) vegadharana, repressed impulses, many body functions etc. Other causes such as may cause negative effects of Vata. According to Ayurveda Shabdakosh the meaning of  Krusha  is Amedasvi, Durbala, Alpamamsa and Nirmamsa Aahar factors of this disease, Alpashana is especially responsible for  the development of Karshya. Karshya is included in Vataj Nanatmaja Vatavyadhi. 2)) Charak and Sushrut classified it as Raspradoshaja Vyadhi. Karshya is Vata Pradhan Apatarpanajanya Vyadhi. In these diseases, the body gradually loses weight. It is governed by Rasa-pradoshaja Vyadhi. It is the worst health and nutrition problem in developing countries. Aahar is considered an important factor in disease, while Alpashana and Vishamashana are particularly responsible for the development of Karshya. Acharya Charaka explains the symptoms of Karshya very well and also explains in detail its causes such as Aharaja (diet), Viharaja (attitude) and Manasika (mental state). All these causes lead to changes in Vayu, Agni, inadequate production of Rasadhatu and other Dhatus and Karshya. Depending on the clinical location and pathogenesis, Karshya may be associated with severity. If emaciated people are not treated properly, they may experience splenomegaly, cough, weight loss, shortness of breath, gurgling, hemorrhoids, stomach infection, stomach infection, etc. It will improve. In today's medicine, weight loss can be treated with steroids and protein powders as well as a healthy diet. However, overuse of steroids and protein powders can cause serious problems. The same diet plan will not be effective for all patients if Agni is not included. Therefore, it is best to find a safer and better alternative treatment. An excellent diet plan and various medicines complete the treatment of Kasha in the Ayurvedic text Nidanparivarjana. This article describes the Ayurvedic perspective of Karshya, which will help in the diagnosis and treatment of the disease.

Introduction

Karshya is one of the most common health and nutrition problems in the developing world. Karshya is  Apatarpana janya Vyadhi. According to Ayurvediya Shabdakosh it means Krusha, Amedasvi, Durbala, Alpamamsa and Nirmamsa. (Ayurvedic Shabdaksh). Aahar factors are mainly responsible for this disease, Alpashana and Vishamashana are especially responsible for the development of Karshya. Karshya is included in Vataj nanatmaja Vatavyadhi. Both Charak and Sushrut attributed this to Raspradoshaja vyadhi. Acharya Bhavprakash describes Kasha disease as a separate disease. Treatment of the elderly includes weight loss, muscle atrophy, loss of subcutaneous fat, physical disability, depression, fatigue and other symptoms. Apparently Karshya has something to do with weight loss. Krishata is the first stage; It must be treated with proper care, otherwise it will cause Atikarshya. Chronologically, Rasa Dhatu's Upososhan leads to Dhatukṣhaya. Therefore, Karshya patients suffer from indigestion, malabsorption and metabolic disorders. In today's medicine, weight loss can be treated with steroids and protein powder, as well as a healthy diet. However, overuse of steroids and protein powders can cause serious problems. The same diet plan will not be effective for all patients if Agni is not included. Therefore, it is best to find a safer and better alternative treatment. An excellent diet plan and various medicines complete the treatment of Kasha in the Ayurvedic text Nidanparivarjana. Brimhana, Madhur dravya, Rasayana, Vrishya etc. are mentioned in the scriptures for Kashi patients. treatments are recommended.

Discussion

In Ayurveda, Kasha Disease is defined as irregular nutrition. Karshya disease is described in detail by Charak in Astoninditiya Adhaya; This disease is considered as an evil phenomenon and hence Karshya is recommended for treatment and management principles as it is subject to many other diseases. Sushruta also considered Karshya to be a state of medical deficiency. The role of Rasa in Karshya history is explained. The working hours of Dhatukṣhaya, Ojakṣhaya and Balakṣhaya are stated. This treatment should be treated using the classical treatment mentioned above. Dhatukṣhaya supports the concept of due immunity. The effects of Langana are mentioned in Astanga Hridaya Karshya. Following Sushruta, Astanga Hṛidaya also suggested the treatment of Brimhan. Brimhan's treatment is specified in the treatment plan. Sarangadhar joins Karshya in Nanatmaja Vatavyadhi. In Bhav Prakash, Kasha is described as a separate chapter. Karshyaroga is mentioned in Yogaratnakar's Medoroganida. Rukshannapan, Langhana, Promitasan, Kriyati Yoga, Shok, Vegadharan, Nidranigraha, Ruksha udvartan, Atisnanabhayasa, Prakṛitijara, Ati Vyayama, Ati Vyavaya, Dhyana, Adhyana.


Kashaya
rasa, Vatalaaharaseban, Kshudanigraha, Pipashanigraha, Krodh and Vikaraanusaya are Kashaya factors in etiology. These factors are divided into nutritional, behavioral, medical, psychological, and iatrogenic factors as defined in the disease investigation. All these conditions cause Vayu to become corrupted. Disruption of Vayu causes Upososhan of Rasa Dhatu in Pachakagni and Dhatavagni stages. Loss of exaggerated Rukshaguna of Vayu, Ushnaguna of Pitta and Snigdhaguna of Kapha leads to Soshankarya of Rasa Dhatu at the level of Jatharagni. So Rasa dhatu is not established properly. The main functions of Rasa dhatu are Tusti and Prinan; This means that Rasa dhatu provides nourishment to the advancing Dhatus. This function is blocked. The formation of Ama in the Dhatavagni stage affects the ultimate absorption and metabolism of Rasa dhatu. Poor functioning of Vyanvayu in Karshya leads to changes and malfunctions as a result of metabolic activity, which together lead to changes in the level of digestion, absorption and metabolism of Jatharagni and Dhatavagni, so that the production of Dhatus and food cannot be stored. timely action. This may cause malnutrition in Kasha patients. As a result of malnutrition, there is a loss of fibrous muscle content in the legs. Fatty diet and obesity cause loss of fat tissue. Patients suffer from weak bodies and skin disease, cough disease, respiratory disease, Kṣhaya, Gulma, Arsha, Udar, Grahani, Vataroga, Agnisad, Raktapitta etc. He suffers from many diseases such as.

Conclusion

Karshya is Apatarpanjanya Vydhi where Rukshata appears in the body due to destruction of Vata Dosha. Sushka-Sphika, Udar, Griva, etc. are the main features. Ayurveda explains the symptoms, causes, problems and treatment of Kasha very well. Understanding the factors contributing to the effect will help reduce or prevent the pathogenesis of the disease. Distinguishing nutritional deficiencies and better understanding disease pathogenesis  provide important keys to effective management. Varthasaman, Agnidhipan and Snehana are needed under Kasha. Nirantar Brimhan,  Shodhana and Shamana treatments along with proper nutrition and daily exercise provide the best treatment  for Karshya disease. In this way, we can give people health and immunity.

References

1. Acharya Charak-Charak samhita vol 1 edited with Vaidyamanora hindi commentary by Aacharya Vidyadhar Shukla, professor Ravi Dutta Tripathi, chaukhamba pratisthan, Sutrasthan, 21: 301

 2. Kaviraja Ambikadutta Shastri, sushrut samhita, chaukhambha Sanskrit sansthan edition 4th 2003 chapter 15/39, 62, 63.

 3. Sushruta Samhita of Maharshi Sushruta edited with Ayurveda Tatva Sandipika by Kaviraja Ambikadatta Shastri Part – I Chaukhambha Sanskrita Samsthana, Charu Printers, and Reprint edition year 2005 Sutra sthana, 15/36: 63.

 4. Tripathi RD. Ashtangasamgraha Sutrasthana chapter 21/6. Reprint. Varanasi: Chaukhambha Sanskrita Pratisthana Orientalia publishers, 1996; 360.

 5. Shastri SN. Charaka samhita Sutarsthan-21/20. Reprint. Varanasi: Chaukhambha Bharati Academy, 2009; 414.

6. Bhavaprakasha Bhisagratna Shri Brahmashankar Mishra with Vidyotini Hindi Commentary by Shri hariprashad Pandey, Chaukhambha Sanskrita series Varanasi, Vidya Vilasa press, Second edition 1949, Uttarardha Chikitsa prakarana Cha. 40/399-400.

 7. Singhal GD &Colleagues, Sushruta, Sushruta Samhita second edition 2007,Chaukhambha Sanskrit Pratishthan Dehli, sutrasthana 15/33: 138-139.

 8. Ashtanga Samgraha of Srimada Vagabhatta edited with Saroj Hindi commentary by Dr. Ravi Dutta Tripathi, Chaukhambha Sanskrita Pratisthana Orientalia publishers Varanasi Edition 1996 Sutra sthana Cha 24/442/49-50.

 9. Charaka Samhita, Ayurveda dipika Ayushi Hindi commentary First part by Vd. Harisha Chandra kushawaha, Chaukhambha orientalia publisher Varanasi, First edition 2005, Sutra sthana – 21/ 13-15, 311-14.

10. Acharya Charak-Charaksamhita vol 1 edited with” Vaidyamanora “hindi commentary by Aacharya, professorRavi Dutta Tripathi, chaukhamba pratisthan, sutrasthan, 21/34: 320.

 11. Sharma PV, Agnivesha, Charaka Samhita., Reprint edition 2011, part 1, Chaukhamba Orientalia Varanasi, Sutrasthana 21/14: 145. 12. Shastri SN. Charaka samhit Sutarsthan-21/10-

12. Reprint. Varanasi: Chaukhambha Bharati Academy, 2009; 411.

13. Pandita Sarngadharacarya- Sarngadhara-Samhita;Commentary; Dr.Brahmanand Tripathi; Chaukhamba Surbharti Prakashan,Varanasi,purvakhana, 7/ 112; 73.

14. Dr. Bramhanand Tripathi, charak samhita, chaukhambha surbharti Prakashan Varanasi, Edition 11, reprint 2004, chapter 21/11-12: 401,402.

15. Shastri SN. Charaka samhit Sutarsthan-21/20. Reprint. Varanasi: Chaukhambha Bharati Academy, 2009; 414.

6.Bhava Prakasha, Shri. Bhavamishra, Edited with Vidyotini Hindi Commentary by Bhisagratna Pandit Sri Brahma Shankar Mishra, Vol I, Chaukhamba Sanskrit Sansthan, Varanasi, 9th Edition : pp 413

17.Charaka Samhita of Agnivesha, Acharya Vidyadhar Shukla, Prof.Ravi Dutt Tripathi, Vol I, Chaukhamba Sanskrit Pratishthan, Delhi, 2005 :

Pp 304

18.Sushruta Samhita, Prof. K.R.Srikantha Murthy, Vol I, 1st Edition, Chaukhamba Orientalia, Varanasi, 2002 : pp 108

19.Astanga Hridayam of Vagbhata, Bhisagacharya Harishastri Paradkhara Vaidya, Chaukhamba Orientalia, Varanasi, 9th Edition, 2002 : pp 186

20.Bhava Prakasha, Shri. Bhavamishra, Edited with Vidyotini Hindi Commentary by Bhisagratna Pandit Sri Brahma Shankar Mishra, Vol I, Chaukhamba Sanskrit Sansthan, Varanasi, 9th Edition : pp 413

21.Charaka Samhita of Agnivesha, Shastri. R, G.N.Chaturvedi, Vol 1, 21st

Edition, Chaukhamba Bharati Academy, Varanasi, 1995 : pp 412

22.Sushruta Samhita of Sushruta, Srikantha Murthya.K.R, Vol 1, 1st Edition, Chaukhamba Orientalia, Varanasi, 2000 : pp 108

23.Astanga Samgraha, Gupta.K.A, Vol1, Reprint, Krishnadas Academy, Varanasi, 1993: 185

24.Bhava Prakasha of  Bhava Mishra, Vishwa.B, Vol 1,7th Edition, Chaukhamba Sanskrit Sansthana, Varanasi, 2000 : pp 412

25.Sushruta Samhita of Sushruta, Srikantha Murthya.K.R, Vol 1, 1st Edition, Chaukhamba Orientalia, Varanasi, 2000 : pp 108

26.Charaka Samhita of Agnivesha, Acharya Vidyadhar Shukla, Prof.Ravi Dutt Tripathi, Vol I, Chaukhamba Sanskrit Pratishthan, Delhi, 2005 : Pp 304

27.Sushruta Samhita, Prof. K.R.Srikantha Murthy, Vol I, 1st Edition, Chaukhamba Orientalia, Varanasi, 2002 : pp 108

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