This document compares and contrasts two types of Kamala (jaundice) in Ayurveda - Koshthashakhashraya Kamala and Shakhashrita Kamala. Koshthashakhashraya Kamala is caused by an excess of aggravated Pitta dosha involving the blood and tissues. It presents with yellowing of the eyes, skin, urine and stool. Shakhashrita Kamala is caused by the obstruction of the normal passage of Pitta due to vitiated Kapha, which prevents Pitta from entering the intestines. This leads to pale or clay-colored stools. The management of Koshthashakhashraya Kamala

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Koshthashakhashraya kamala
VS
Shakhashrita kamala
Dr. Amrit Godbole
B.A.M.S. (State Ayurvedic College Lucknow)
M.D. (Kayachikitsa) IMS,BHU
C.C.Y.P(BHU)

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Koshthashakhashraya
kamala
(kamala of pitta
prakopa)

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Introduction
पाण्डुरोगी तु योऽत्यर्थं पपत्तऱानि निषेवते| तस्य
पपत्तमसृगमाांसां दग्वा रोगाय कल्पते||३४||
This type of Kamala is supposed to be a stage
ahead of Pandu. If a patient of Pandu
roga excessively follows pitta vitiating diet and
regimen, the pitta so aggravated by involving
the rakta and the mamsa causes kamala
specifically kostha-shakhashrit kamala

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Symptomatology
 हाररद्रिेत्र् स भृशां हाररद्रत्वङ्िखािि्| रक्तपीतशकृ न्मूत्रो
भेकवर्णो हतेन्द्न्द्रय्||३५||
 दाहापवपाकदौबबल्यसदिारुचिकपषबत्| कामऱा बहुपपत्तैषा
कोष्ठशाखाश्रया मता||३६||
 Its clinical features are the eyes, skin, nails and face of
the patient become exceedingly yellow; stool and urine
become reddish-yellow in color; complexion develops
a color similar to that of a frog (found in rainy season);
the senses get impaired; has burning sensation,
indigestion, weakness, prostration and anorexia.
This kamala is caused by excess of pitta is known
as koshthashakhashrita.

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“सांशो्यो मृदुभभन्द्स्तक्तै् कामऱी तु
पवरेििै्”
The treatment of kostha-shakhashrit
kamala is somewhat planned as an
aggravated stage of piitaja pandu, as
this type of kamala has a preoccupied
condition of pandu underneath its
pathology and on consuming pitta
vardhaka aahara and vihara kostha-
shakhashrit kamala precipitates.

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(kamala of obstructive
pathology)
Shakhashrita kamala

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रूऺशीतगुरुस्वादुव्यायामैवेगनिग्रहै्||१२५||
कफसम्मून्द््छबतो वायु् स्र्थािात ् पपत्तां क्षऺपेद्बऱी|
हाररद्रिेत्रमूत्रत्वक् श्वेतविाबस्तदा िर्||१२६||
भवेत ् साटोपपवष्टम्भो गुरुर्णा रृदयेि ि|
दौबबल्याल्पान्द्गिपाश्वाबनतबहहक्काश्वासारुचिज्वरै्||१२७||
क्रमेर्णाल्पेऽिुसज्येत [१] पपत्ते शाखासमाचश्रते|१२८|

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 The passage of pitta is obstructed by
vitiated kapha and not allowing pitta to enter kostha,
it will cause excess of pitta in body tissues
in Shakhasrita Kamala. This involves the obstructive
pathologies at hepatic circulation. As the pitta cannot
enter the gastro-intestinal tract, it leads to clay colored
stools. In obstructive jaundice, bilirubin has no access
to the intestine and it is the reason for pale stools.

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Management

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बहहबनतपत्तररदऺार्णाां रूऺाम्ऱै् कटुकै रसै्||१२८||
शुष्कमूऱककौऱत्र्थैयूबषैश्िान्िानि भोजयेत ्|
मातुऱुङ्गरसां ऺौद्रपपप्पऱीमररिान्द्न्वतम्||१२९||
सिागरां पपबेत ् पपत्तां तर्थाऽस्यैनत स्वमाशयम्
कटुतीक्ष्र्णोष्र्णऱवर्णैभृबशाम्ऱैश्िाप्युपक्रम्||१३०||
आपपत्तरागा्छकृ तो [१] वायोश्िाप्रशमाद्भवेत ्|
स्वस्र्थािमागते पपत्ते पुरीषे पपत्तरन्द्जजते||१३१||
निवृत्तोपद्रवस्य स्यात ् पूवब् कामभऱको पवच ्

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K
PITTA
KAPHA

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Katu (pungent), teekshna (sharp), ushna (hot),
lavana (saline) and extremely amla (sour) drugs
should be continued till the stool of the patient
acquires the color of pitta and the vata gets
alleviated. When the pitta returns to its own
habitat, the stool gets colored with pitta and the
patient is relieved of complications, then
further, the line of treatment described earlier
for the treatment of kamala (koshthashrita)
should be used.

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