Abstract

A COMPREHENSIVE REVIEW OF HERBO-MINERAL FORMULATION SELECTION IN KUSHTHA CHIKITSA: PRINCIPLES, PRAXIS, AND PHARMACOLOGICAL PERSPECTIVES

Dr. Jagdish Gehlot*, Dr. Sharad Gautam, Prof. Avadhesh Kumar Bhatt

Abstract

Kushtha (a broad term encompassing various obstinate skin diseases including psoriasis, eczema, leucoderma, and leprosy) represents one of the most challenging clinical entities in medical science. Ayurveda, the ancient Indian system of medicine, offers a profound and multidimensional approach to its management, termed Kushtha Chikitsa. A cornerstone of this approach is the use of sophisticated herbo-mineral formulations (Rasa Aushadhis). These formulations, which integrate processed minerals and metals with herbal extracts, are prized for their high efficacy, low dosage, and rapid action in combating deep-seated pathologies. This review article systematically explores the fundamental principles governing the selection of specific types of herbo-mineral formulations—such as Bhasma, Kupipakwa Rasayana, Parpati, Pottali and others—in different presentations of Kustha. It delves into the Ayurvedic rationale based on Doshic predominance (Vataja, Pittaja, Kaphaja), disease chronicity, and the patient's constitutional strength. Furthermore, the article examines the contemporary pharmacological understanding of these formulations, highlighting their immunomodulatory, antipruritic, keratolytic, and detoxifying properties. By synthesizing classical wisdom with modern scientific validation, this review aims to provide a structured framework for clinicians to rationally select herbo-mineral compounds, thereby optimizing therapeutic outcomes in the management of Kushtha.

Keywords: Kushtha Chikitsa, Herbo-Mineral Formulations, Rasa Shastra, Bhasma, Kupipakwa Rasayana, Parpati, Psoriasis.