Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Which means of Kroshtuka shirsha
Kroshtuka – jackal
shirsha – head
Kroshtuka shirsha is a kind of Vata Vyadhi – a particular diseased situation attributable to aggravation of ‘solely vata’. It has additionally been defined within the context / chapter of ‘vata vyadhi’.
The illness manifests with an enormous swelling within the centre of the knee joint with extreme ache as attributable to mixed aggravation of vata and rakta. The form of the swelling resembles that of the pinnacle of a jackal and therefore the title kroshtuka shirsha.
Ref – Sushruta Nidana Sthana, Chapter 1, verse 76
Kroshtuka Shirsa
वातशोणितजः शोफो जानुमध्ये महारुजः ।।
शिरः क्रोष्टकपूर्वं तु स्थूलः क्रोष्टकमूर्धवत् ।।७६ ।।
Kroshtuka shirsha is attributable to simultaneous aggravation of vata and sonita – blood.
Aggravated vata related to blood get lodged within the knee joint and produces swelling therein. The swelling happens on the centre of the knee joint. The swelling is related to extreme ache.
Look of swelling – The swelling is stout and resembles the pinnacle of kroshtuka i.e. jackal in form and therefore the title ‘Kroshtuka shirsha’.
Causes –
– Vata aggravating components together with meals and life-style practices and seasonal modifications
– Elements answerable for aggravation of rakta
Signs –
– Shotha – swelling on the centre of knee joint which resembles the pinnacle of jackal in form
– Maharaja – extreme ache within the area of swelling over the knee joint
Distinction from different joint issues
Many sorts of joint associated issues might happen as a result of aggravated vata in several joints of the physique. However in Kroshtuka shirsha, the knee joint has been particularly talked about to be concerned. There may be additionally an affiliation of rakta in pathogenesis.
Is Kroshtuka shirsha a variant of Vatarakta?
As a result of involvement of rakta together with vata, it would seem like much like vatarakta however in vatarakta a number of joints are concerned whereas in Kroshhtuka shirsha, solely the knee joint is concerned. Additionally, the swelling is large and ache is extreme on this situation and Kroshtuka shirsha can be talked about amongst vata vyadhis and never as a variant of vatarakta. So, Kroshtuka shirsha is a vata vyadhi occurring in ‘solely knee joint’ with affiliation of aggravated rakta.
Then again, Kroshtuka shirsha may be thought-about as a variant of Vatarakta as a result of Acharya Sushruta has defined Vatarakta within the context of / chapter of Vata Vyadhi itself.
So, Kroshtuka shirsha is a Vata Vyadhi, Vatarakta in accordance with Acharya Sushruta can be a Vata Vyadhi. Rakta is concerned in each instances. So, they might be variants of one another. Kroshtuka shirsha is taken into account as Vata Vyadhi as a result of it doesn’t have its origin from pada i.e. foot, as in Vatarakta, and is confined to the knee joint itself i.e. the illness origin is within the knee itself. In Kroshtuka shirsha, just one joint is concerned whereas many joints are concerned in Vatarakta.
Therapy
Therapy for Kroshtuka shirsha has not been defined in Ayurveda texts.
So, it must be handled on the strains of Vata Vyadhi Chikitsa.
Different remedy rules embody –
– Vatarakta Chikitsa – remedy on the strains of treating vatarakta
– Shotha Chikitsa – remedy on the strains of treating swelling / inflammatory swelling
Analysis
Administration of Pseudogout (Kroshtuksheersha) by means of natural drugs – a case report – On this research performed by Division of Panchakarma, Vijayashree Ayurvedic Medical Faculty and Hospital, Jabalpur, Madhya Pradesh, India, Pseudogout was handled successfully utilizing Kaishora Guggulu, Punarnavasavam and Punarnavadi Guggulu – correlating the situation to Pseudogout.
Ref – https://www.researchgate.internet/publication/372725109_Management_of_Pseudogout_Kroshtuksheersha_through_herbal_medicine_a_case_report
Trendy Correlation
Kroshtuka shirsha has been correlated to Pseudogout as a result of similarity of presentation of each situations.
Some consultants have additionally correlated it with
– Infected knee joint
– Sino-arthritis of knee joint
– Gonorrhoeal arthritis
