Diagnosis of Leukoderma (Svitra) in Ashtangahridyam of Baghbhatt

Diagnosis of Leukoderma  (Svitra) in Ashtangahridyam of Baghbhatt



Svitra (leucoderma) also known as kilasa and daruna, is pointed to be similar to kustha (in causingt ugliness), is non exudative and arising from (the aggravation of) the three dhatus (dosas) and three dhatus (rakta, mamsa and medas).37.

From (the predominance of) vata, it (the skin) is dry and aruna (light red); from pitta it is of tamra (coppery colour) resembling a lotus petal, has burning sensation and destruction of hair of the body; from kapha, the skin is sveta (white, thick, heavy and has itching; these (three kinds) are localised in the rakta (blood), mamsa (muscle) and medas (fat) respectively and also in respect of their colour, each succeeding kind more difficult to cure ( than its preceding). 38-39.

Notes: The above statement is explained by Arunadatta as follows; vataja svitra is aruna (light red) in colour, localised in the rakta dhatu (blood) and krichra (difficult to cure); pittaja svitra is tamra (copper-like or lotus petal like) in colour, localised in mamsadhatu (muscle) and krichratara (more difficult to cure); kaphaja svitra is sveta (white ) localised in medas dhatu (fat) and krichratama (most difficult to cure). 

Svitra (leucoderma ) having black hairs, patches not thick, not joined together, of recent onset and that not caused by burning by fire are curable; whereas others (of opposite qualities) are rejectable; so also that arising on the genitals, and palms, soles and lips, even though not long-standing. 40-41a. 

Generally diseases spread (from person to person) by contact (physical, sexual etc.) common food (more than one person using the same food being consumed by a patient, use of same vessels, utensils etc.), bed etc. (clothes, garlands and any other article used by the patient); especially so the diseases of the eyes and skin. 41b-42a. 

Thus ends the diagnosis of Svitra (leoucoderma). 

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