Pratisarniya kshara - a review

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Journal name: World Journal of Pharmaceutical Research
Original article title: Pratisarniya kshara - a review
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Author:

Dr. Deepshikha Srivastava


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Pratisarniya kshara - a review

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr201818-13460


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Summary of article contents:

1) Introduction

The article by Dr. Deepshikha Srivastava explores the concept of Kshara, particularly its relevance and applications in Ayurveda, as derived from ancient texts such as the Sushruta Samhita. In Ayurvedic medicine, Kshara refers to substances that possess the property of expelling unhealthy tissues by their corrosive action. The distinctions between different types of Kshara, namely Pratisarniya Kshara (for external application) and Paniya Kshara (for internal use), are also elaborated upon, highlighting their therapeutic significance in treating various ailments.

2) The Concept of Kshara

Kshara is fundamentally defined by its etymology, derived from roots signifying destruction or removal, which reflects its medicinal properties. According to Sushruta, Kshara is classified based on its application, potency, and origin. Applications include external (Pratisarniya) and internal (Paniya) forms, while potency classifications—mild, moderate, and acute—identify the concentration and strength of Kshara in achieving desired therapeutic effects. This categorization emphasizes Kshara's versatility and adaptiveness in medical treatments, which manifests its utility in various surgical and therapeutic interventions in Ayurveda.

3) Indications and Contraindications of Pratisarniya Kshara

Pratisarniya Kshara is specifically indicated for a wide variety of conditions, such as Kushtha (skin diseases), Arsha (hemorrhoids), and Dushta Vrana (infected wounds). Its applications extend to addressing various types of infections and chronic conditions, showcasing its multi-faceted utility in clinical settings. However, the text also outlines significant contraindications, cautioning against its use in conditions like Jwara (fever), Atisaara (diarrhea), and for certain populations such as the elderly or pregnant women. This careful consideration of contraindications illustrates the holistic and patient-centered approach inherent in Ayurvedic practices.

4) Preparation and Properties of Pratisarniya Kshara

The method of preparing Pratisarniya Kshara is critical to maintaining its efficacy and safety. The preparation process involves the careful selection and processing of ingredients, which can include various herbs and minerals. Properties such as its taste (Rasa), potency (Veerya), and aftertaste (Vipaka) are also emphasized. For instance, common constituents like Kutaja and Ashwakarna exhibit distinct beneficial properties, allowing practitioners to tailor treatments based on individual patient needs. Such specificity in preparation and properties underlines the intricate knowledge of pharmacognosy within Ayurvedic medicine.

5) Conclusion

In conclusion, the exploration of Kshara, particularly Pratisarniya Kshara, in Ayurvedic practice reveals its rich historical context and robust application in modern medicine. Through systematic classification, preparation, and thorough understanding of indications and contraindications, Kshara remains a vital element of therapeutic strategies in Ayurveda. Dr. Srivastava's review serves to reinforce the complexity and effectiveness of traditional medicinal practices and their relevance in contemporary health paradigms, promoting continued examination and integration of Ayurvedic principles in holistic medicine.

FAQ section (important questions/answers):

What is Pratisarniya Kshara in Ayurveda?

Pratisarniya Kshara is an external application of Kshara, which is used in Ayurvedic treatments to expel unhealthy tissues and has various therapeutic indications.

What are the classifications of Kshara?

Kshara is classified based on application (Pratisarniya and Paniya), potency (Mridu, Madhyama, Tikshna), and origin (Vanaspatija, Pranija, Khanija).

What are the indications for using Pratisarniya Kshara?

Indications include conditions like Kushtha, Arsha, Dushta Vrana, and Bhagnara among others, targeting skin and tissue disorders.

What are the contraindications for Pratisarniya Kshara?

Contraindications include Jwara, Sarvaanga-shotha, Hridroga, and conditions related to weakness, pregnancy, and old age.

What are the main properties of Kshara?

Kshara typically has a Katu (pungent) taste, Tikta (bitter) properties, and Ushna (heat) potency, promoting healing and cleansing.

Which herbal ingredients are used in Pratisarniya Kshara preparation?

Common ingredients include Kutaja, Palaash, Ashwakarna, and various others that contribute to its medicinal properties.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Pratisarniya kshara - a review”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Kshara (Ksara):
Kshara refers to a substance with corrosive properties, derived from the roots meaning 'to destroy'. It has significant applications in Ayurveda for treating various ailments, particularly by eliminating unhealthy tissues. The classification of Kshara, such as Pratisaraniya (external) and Paniya (internal), highlights its versatile therapeutic uses.

2) Srivastava (Sri-vastava, Shrivastava, Shri-vastava):
Dr. Deepshikha Srivastava is a prominent Ayurvedic scholar and lecturer, renowned for her expertise in Shalya Tantra, a branch focused on surgical interventions and wound management within Ayurveda. Her contributions to research underscore the relevance of traditional remedies and practices in contemporary healthcare contexts.

3) Ksharana (Ksarana):
Ksharana pertains to the action of Kshara, which mobilizes and removes vitiated doshas from the body. In Ayurvedic texts, the term embodies the therapeutic essence of Kshara, emphasizing its role in detoxifying unhealthy tissues and promoting healing through its corrosive action.

4) Dravya:
Dravya in Ayurveda signifies a material substance or drug. It encompasses a wide range of medicinal constituents, including herbs, minerals, and other natural elements used for therapeutic purposes. Understanding Dravya is pivotal for effective treatment strategies and formulations in Ayurvedic medicine.

5) Samhita:
Samhita refers to a collection or compilation of texts, especially in the context of Ayurvedic literature. These texts, including Sushruta and Charaka Samhitas, serve as foundational references for Ayurvedic practices, encompassing treatments, classifications, and principles guiding the healing process.

6) Rasa (Rasha):
Rasa denotes the taste or flavor of a substance, which in Ayurveda is crucial for determining a drug's therapeutic properties. It is one of the five elements in the Rasa Panchaka, influencing the drug's efficacy and its effects on the body’s doshas.

7) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalya-tantra is a specialized branch of Ayurveda focused on surgical interventions. It encompasses techniques for managing wounds, tumors, and surgical procedures using traditional methods. The knowledge in this field is vital for holistic therapeutic approaches in Ayurvedic practice.

8) Tantra (Tamtra, Tantrism):
Tantra refers to a systemic approach or framework within various fields, including Ayurveda. In this context, it signifies methods and practices aimed at achieving health and balance, often involving intricate rituals or procedures for healing.

9) Shalya (Salya):
Shalya refers to the surgical aspect of Ayurveda, often associated with instruments and techniques for managing physical ailments through incision or intervention. It exemplifies the traditional surgical knowledge preserved in ancient texts, highlighting the integration of surgical practices into holistic health care.

10) Paniya:
Paniya pertains to the internal use of Kshara, typically administered orally. It underscores the dual nature of Kshara in Ayurvedic treatments, complementing Pratisaraniya (external), and indicates its medicinal properties that aid in therapeutic interventions.

11) Katu:
Katu represents a taste classified as pungent or spicy in Ayurveda. It is associated with stimulating digestive processes and can be indicative of certain medicinal properties, affecting the body's dosha balance and contributing to various health benefits.

12) Sushruta-samhita (Susruta-samhita):
Sushruta Samhita is one of the most revered texts in Ayurvedic medicine, attributed to Sushruta. It is a comprehensive treatise on surgery, detailing surgical instruments, methods, and various treatments, solidifying ancient practices in contemporary medical understanding.

13) Substance:
Substance refers to any material or matter used in treatments, particularly in the context of Ayurvedic medicine. It encompasses a broad spectrum, from herbal preparations to mineral compounds, playing a significant role in therapeutic formulations.

14) Madhura:
Madhura represents a sweet taste in Ayurveda, associated with soothing properties. It can influence the body's doshas positively, often resulting in calming effects that facilitate healing, and is integral in directing treatment strategies.

15) Disease:
Disease refers to any pathological condition affecting the body's normal functions. In Ayurveda, the classification and understanding of diseases are critical for devising targeted treatments, focusing on restoring balance among the doshas, tissues, and bodily systems.

16) Dushta (Dusta):
Dushta implies something that is contaminated or impure. In Ayurvedic contexts, it often describes unhealthy or diseased tissues or conditions, emphasizing the need for cleansing or corrective treatments to restore health.

17) Karma (Karman):
Karma in Ayurveda relates to action or procedure, encompassing the therapeutic interventions undertaken in treatments. It underscores the philosophical aspects of Ayurvedic practices, where actions taken for healing are guided by principles aimed at restoring balance.

18) Ushna (Usna):
Ushna denotes a warm or heating quality in Ayurveda. It is often attributed to substances that stimulate digestion, circulation, and other metabolic processes, thus playing an essential role in determining treatment approaches based on an individual's conditions.

19) Varga:
Varga refers to a classification or group in Ayurveda. It often relates to the categorization of drugs based on their properties or specific therapeutic uses, aiding practitioners in selecting appropriate treatments for various conditions.

20) Guna:
Guna refers to the inherent qualities or attributes of substances in Ayurveda. Understanding these attributes helps practitioners determine the effects of various drugs on the body, influencing treatment strategies based on individual constitution and imbalances.

21) Kala:
Kala signifies time or season in Ayurveda, which is crucial for determining treatment timing and appropriateness. It acknowledges the cyclical nature of health and disease, stressing the importance of aligning treatments with seasonal changes to enhance efficacy.

22) Ayurveda (Ayus-veda):
Ayurveda, meaning 'the science of life,' is an ancient Indian system of medicine focused on balancing the body, mind, and spirit. It emphasizes holistic healing and has rich principles encompassing herbal medicine, diet, lifestyle, and surgery.

23) Madhyama:
Madhyama refers to a moderate potency level of Kshara. Its classification aids practitioners in tailoring treatments according to the severity of conditions, ensuring that therapies align with individual patient needs and the specific therapeutic outcome desired.

24) Pradesha (Pradesa):
Pradesha refers to a site or location in the context of Ayurvedic treatments. Identifying specific sites of application or therapy is critical for effective treatment, as it helps maximize the efficacy of interventions based on local pathology.

25) Activity:
Activity signifies the functional or therapeutic effects of a substance in Ayurveda. Understanding the activities of various drugs aids healthcare practitioners in constructing effective treatment plans based on desired outcomes for specific conditions.

26) Snigdha:
Snigdha describes a property indicating unctuousness or oiliness in substances, often associated with nourishing qualities. It is a vital aspect in Ayurveda that influences the choice of remedies based on their effects concerning dryness or moisture in the body.

27) Sharkara (Sarkara):
Sarkara refers to sugar or a sweet substance in Ayurveda. It is often used in medicines for its energizing properties, and its classification enriches the understanding of treatment formulations aimed at balanced nutritional intake.

28) Kashaya (Kasaya):
Kashaya denotes astringent taste in Ayurveda, contributing to properties that help consolidate, tone, and dry tissues. Its therapeutic potential lies in managing certain conditions where excess moisture or fluid retention is a factor.

29) Shankha (Sankha, Samkha, Shamkha):
Shankha, or conch shell, is commonly referenced in Ayurvedic texts for its medicinal properties. It is utilized for both its physical characteristics in treatments and its symbolic significance in rituals, reflecting Ayurveda's integrative approach to health.

30) Sthana:
Sthana relates to location or site in Ayurveda. Recognizing appropriate sites for therapeutic interventions reinforces effective treatment strategies, focusing on localized actions that correspond to specific conditions or pathologies.

31) Animal:
Animal in the context of Ayurveda may refer to animal-derived substances used in medicines or the study of animal physiology concerning anatomical and health insights. It highlights the breadth of resources Ayurveda draws on for therapeutic practices.

32) Dosha (Dosa):
Dosha represents the fundamental bodily humors in Ayurveda – Vata, Pitta, and Kapha. Understanding an individual's dosha balance is central to Ayurvedic diagnosis and treatment, influencing health and wellness directives tailored to each person's needs.

33) Tikta:
Tikta represents the bitter taste in Ayurveda, which is often associated with detoxifying properties. It has implications for enhancing metabolic processes and cleansing actions within the body, thereby playing a role in holistic balance.

34) Avapa:
Avapa refers to additional or supportive substances that enhance the properties of primary drugs in Ayurveda. Its role in formulations serves to modify the strength or effectiveness of treatments, allowing for personalized therapeutic approaches.

35) Vrana:
Vrana denotes a wound or injury in Ayurveda. Understanding Vrana characteristics and stages is essential in determining appropriate treatment methods for optimal healing and recovery in surgical or traumatic contexts.

36) Tvak:
Tvak refers to the skin in Sanskrit, highlighting its importance in Ayurvedic medicine. Proper management of skin-related conditions is a key aspect of treatment, emphasizing the role of topical formulations and therapies in overall health.

37) Drug:
Drug encompasses a wide array of substances used for medicinal purposes in Ayurveda. This broad term includes herbal remedies, minerals, and other compounds, emphasizing the diverse pharmacopoeia available for effective therapeutic interventions.

38) Sesamum indicum:
Sesamum indicum, commonly known as sesame, is a plant that holds significant culinary and medicinal value in Ayurveda. Its oil is utilized for soothing properties and its nutritional benefits, underscoring its relevance in holistic health practices.

39) Dakshinavarta (Daksinavarta, Dakshina-avarta):
Dakshinavarta refers to the rightward spiral of conch shell, significant in Ayurvedic contexts for its specific applications in rituals and therapies. Its orientation is linked to auspiciousness and is often involved in specific Ayurvedic preparations.

40) Vimanasthana (Vimana-sthana):
Vimana-sthana is a chapter in the Charaka Samhita, detailing the intricate definitions and properties of drugs and substances. It serves as a guideline for practitioners, providing foundational knowledge crucial for understanding therapeutic classifications in Ayurveda.

41) Nabhipradesha (Nabhipradesa):
Nabhipradesha refers to the navel region. In Ayurvedic practice, this area is considered vital for various treatments, emphasizing its significance in both anatomical and energetic contexts, influencing local therapy applications.

42) Indravriksha (Indra-vriksha, Indravrksa):
Indravriksha refers to a botanical entity in Ayurveda, often highlighted for its medicinal properties. Its classification within herbal medicine underscores the significance of plant resources available for therapy and healing practices.

43) Dushtavrana (Dustavrana, Dusta-vrana, Dushta-vrana):
Dushta-Vrana indicates a chronic or non-healing wound in Ayurveda, characterized by infection or inflammation. Treatment focuses on cleansing and promoting healing actions to restore the integrity of the affected tissue.

44) Raktapitta (Rakta-pitta):
Rakta-pitta refers to a condition characterized by an imbalance of the Pitta dosha, leading to symptoms such as bleeding or infections. Understanding this condition is vital for appropriate Ayurvedic management and restoration strategies.

45) Conch-shell:
Conch shell is used in traditional Ayurvedic practices for its acoustic and medicinal properties. Its applications range from therapeutic formulations to ritualistic uses, signifying its role in both health and cultural practices.

46) Bhagandara (Bhagamdara):
Bhagandara refers to a particular type of fistula or abscess in Ayurvedic terminology. Its identification and treatment align with principles aimed at managing localized infections and promoting wound healing through surgical means.

47) Agnimantha (Agni-mantha, Agnimamtha):
Agnimantha, or a specific medicinal herb, is valued in Ayurveda for its therapeutic qualities. Its inclusion in formulations reflects a broader commitment to utilizing nature for holistic healing and catering treatment to individual needs.

48) Paribhadra:
Paribhadra refers to an herbal preparation or plant recognized for its health benefits in Ayurveda. Its association with treatments highlights the importance of botanical resources in formulating effective remedies.

49) Dirghanada (Dirgha-nada):
Dirghanada denotes a type of herb in Ayurveda linked to its therapeutic applications. Understanding these classifications helps practitioners utilize the rich potential of botanical features in the healing process.

50) Saptaparna (Sapta-parna):
Saptaparna is a herbal plant revered in Ayurveda for its multiple health benefits. Its therapeutic use embodies the principles of utilizing natural resources to restore balance and promote well-being in individuals.

51) Vibhitaka:
Vibhitaka refers to a medicinal fruit used in Ayurveda, recognized for its antioxidant and healing properties. Its integration into treatments underscores the significance of fruits and natural substances in promoting health.

52) Prakshepa (Praksepa):
Prakshepa refers to substances added to enhance or modify the primary compound's properties in Ayurvedic preparations. This method allows practitioners to tailor therapies according to individual patient needs, optimizing the impact of treatment formulations.

53) Koshataki (Kosataki):
Koshataki signifies an Ayurvedic classification of remedies, often related to specific therapeutic applications. Understanding grouped classifications aids practitioners in choosing appropriate interventions for particular health conditions.

54) Nadivrana (Nadi-vrana):
Nadivrana denotes a wound located within the nadis or channels in Ayurvedic belief. Treatment strategies for Nadivrana focus on restoring flow and balance within bodily systems, emphasizing the interconnected nature of physical structures in healing.

55) Shiroroga (Siroroga, Shiras-roga):
Shiroroga refers to ailments associated with the head or cranial region in Ayurveda. Understanding its classification allows practitioners to explore targeted treatments addressing symptoms manifesting in this area effectively.

56) Vamavarta (Vama-avarta):
Vamavarta denotes the leftward spiral of conch shell, which may hold particular significance in Ayurveda for its applications in therapies and rituals, reflecting the cultural beliefs associated with specific orientations.

57) Garbhini:
Garbhini refers to a pregnant woman in Ayurveda, highlighting the need for specialized care during this critical time. Ayurvedic approaches consider both the mother’s and child's health, tailoring treatments to support both.

58) Apamarga:
Apamarga is a medicinal herb known for its therapeutic qualities in Ayurveda. Its applications in treatments exemplify the holistic approach by utilizing known plants for their healing properties.

59) Shodhana (Sodhana):
Shodhana refers to a detoxification or purification process in Ayurveda, aimed at cleansing the body of impurities. This plays a crucial role in maintaining health, especially in individuals with imbalances or accumulation of toxins.

60) Vidradhi:
Vidradhi refers to a type of cyst or abcess in Ayurvedic terminology, indicative of localized conditions requiring special therapeutic strategies. Its treatment focuses on reducing inflammation and promoting healing within affected tissues.

61) Upakrama:
Upakrama denotes specific therapeutic strategies or modalities employed in Ayurveda. These strategies are utilized to address a range of conditions, emphasizing the tailored nature of treatments within the holistic framework.

62) Gujarati:
Gujarati refers to the language and cultural practices of the Gujarat region in India. Its significance lies in preserving Ayurvedic knowledge through regional traditions, highlighting diverse approaches to holistic health within different cultures.

63) Vrishana (Vrsana):
Vrishana signifies a part of the anatomy associated with male reproductive health in Ayurveda. Understanding this aspect guides practitioners in addressing conditions specific to male health, balancing treatment with holistic approaches.

64) Hridroga (Hrdroga, Hrid-roga):
Hridroga refers to heart-related ailments in Ayurveda. Comprehensive management of Hridroga involves integrating lifestyle changes, dietary recommendations, and herbal remedies to address underlying imbalances affecting heart health.

65) Spandana (Spamdana):
Spandana translates to vibrancy or pulsation, reflecting the dynamic nature of bodily functions in Ayurveda. Recognizing this concept emphasizes the importance of energy flow and vitality in maintaining overall health.

66) Dravanti (Dravamti):
Dravanti refers to a specific herbal preparation or plant used in Ayurvedic formulations. Its recognition underlines the emphasis on identifying and utilizing various plants for enhancing health and well-being in patients.

67) Vitiation (Vitiated):
Vitiated describes a state of imbalance or dysfunction within the body per Ayurvedic principles. Identifying vitiated states is essential for devising appropriate treatment plans aimed at restoring balance among the doshas.

68) Chedana:
Chedana refers to the therapeutic action of cutting or excising in Ayurveda. This technique is often employed in surgical practices to remove unhealthy tissues or obstructions, reflecting a fundamental aspect of Shalya-tantra.

69) Bhedana:
Bhedana signifies the action of dissecting or dividing in Ayurvedic surgery. It aims to alleviate obstructions or reduce pathological conditions, aligning with principles of intervention within Shalya-tantra to promote healing.

70) Lekhana:
Lekhana encompasses scraping or abrasive actions in Ayurveda aimed at stimulating and promoting healing. It is integral in treatments where surface activity leads to enhanced circulation and tissue rejuvenation.

71) Sambuka (Shambuka):
Sambuka refers to a type of wood or bark used in certain Ayurvedic treatments. It signifies the importance of locally sourced materials in developing herbal remedies that respect nature and promote healing.

72) Khanija:
Khanija pertains to mineral substances utilized in Ayurvedic medicine. Understanding these minerals contributes significantly to the therapeutic landscape, emphasizing the diverse origins of healing agents in Ayurvedic practices.

73) Kshudra (Ksudra):
Kshudra refers to smaller or less significant ailments in contrast to serious conditions. However, even minor issues are tended to in Ayurveda, reflecting the holistic approach to health that seeks to address all aspects of patient well-being.

74) Vriddha (Vrddha):
Vriddha denotes the elderly population in Ayurveda, necessitating unique care approaches. Ayurvedic treatments forVriddha individuals focus on gently restoring balance, promoting well-being, and accommodating the specific needs associated with aging.

75) Mandala (Mamdala):
Mandala in Ayurvedic terms signifies a circle or grouping. It can also refer to patterns that capture perspectives on health and well-being, enhancing understanding of holistic approaches based on interconnectedness.

[Note: The above list is limited to 75. Total glossary definitions available: 136]

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Sushruta-samhita, Charakasamhita, Vedic literature, Botanical name, Kshara-Karma, Acharya Charaka, Acharya Dalhana, Pratisarniya Kshara, Adverse effects of Kshara, Chemicals constituents, Paniya Kshara, Classification of Kshara.

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