Kamala-An Ayurvedic Perspective: Volume 8, Issue 8, 409-422. Review Article ISSN 2277 - 7105

World Journal of Pharmaceutical Research
Thakur. SJIF Research

World Journal of Pharmaceutical Impact Factor 8.074
Volume 8, Issue 8, 409-422. Review Article ISSN 2277– 7105
KAMALA- AN AYURVEDIC PERSPECTIVE
Dr. Uma Thakur*
Assistant Professor, Deptt. of Kayachikitsa Babe ke Ayurvedic College and Hospital,

Daudhar, Distt Moga, Punjab.
Article Received on ABSTRACT

01 May 2019, Ayurveda is traditionally skillful, treating liver diseases since centuries
Revised on 21 May 2019,
Accepted on 12 June 2019 and drug toxicity appears to be less as compared to conventional
DOI: 10.20959/wjpr20198-15306 medicine. Acharyas like Charaka, Susruta and Vagbhata have vividly
described Kamala Roga. The management of Kamala and its
*Corresponding Author complication with drugs, diet and life style have been mentioned in
Dr. Uma Thakur Ayurvedic classics. Charaka has considered it as an advance stage of
Assistant Professor, Deptt.
Pandu Roga and described Kamala in the16th chapter of Chikitsa
of Kayachikitsa Babe ke
Sthana, along with Pandu Roga. Kamala is a Raktapradoshjavikara.[1]
Ayurvedic College and
Hospital, Daudhar, Distt KEYWORDS: Kamala Roga, Chikitsa Sthana, Pandu Roga,
Moga, Punjab.
Raktapradoshjavikara.
INTRODUCTION
Kamala is one of the important common clinical entity in Ayurveda whose description
appears to be most comprehensive and incorporates the disorders of hepatobiliary system of
modern medicine. Hepatobiliary diseases are the serious ailments and the medical treatment
scenario is worsening day by day for lack of proven precise therapeutic regimen. In
Ayurvedic literature Kamala has been mentioned as a sequel of Pandu Roga. It occurs when
Pandu Rogi takes more Paittik Ahara Vihara.[2] Jaundice a yellowish discoloration of tissue
resulting from the deposition of bilirubin is the common presentation of patients with liver
and biliary diseases. Ayurveda is a whole medical system that is based on various theories
about health and illness and on ways to prevent, manage or treat health problems. Liver is
considered to be one of the vital organs which help in maintaining the health of body. Liver is
said to be the seat of Pitta[3] all the functions of Pitta especially those of Ranjaka Pitta are
attributed to liver.
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Thakur. World Journal of Pharmaceutical Research
Definition
Pandurogi Tu Yo Atyaartham Pitlani Nishevete
Tasya Pittam Asrigmansa Dagdha Arogyakalptee[4]
The patient of Pandu Roga who indulges in Pitta aggravating diet and regimens, the Pitta
Dosha gets aggravated and vitiates the Rakta Dhatu and Mansa Dhatu to precipitate a disease
condition known as Kamala Roga.
Kutsitam Mala Yasmin Roge Sa Kamala Rogah[5]

There is regular production of Mala (waste material) and its excretion from the body is
essential to maintain health. Malas, considered as one of the pillars of the body become
Kutsita (vitiated) once it is accumulated in the body excessively. If not excreted from the
body properly due to some physiological or pathological condition it leads to discolouration
of Mala Sthanas.
Concept of Pitta in Kamala: Kamala is one of the Pitta predominant diseases. It was pointed
out that Pitta Vrudhi Lakshana, is a responsible colouring factor of Peeta in the sense that
abnormal colour such as Pitta, Haridra manifestation they become characteristic features of
Kamala Roga.the term Pitta is derived from the root of “Tapa”. Tapa Santhape[6] –production
of heat Kamala is considered as a Raktapradoshaja Vikara. Ranjaka Pitta and its Sthana
Yakrit are also involved in its Samprapti.Ranjaka refers to bile pigments, Pitta refers to bile
salts. Ranjaka Pitta is one of the fine varieties of Pitta. It is excreted by Yakrit. Rasa Dhatu is
stated to contribute to the formation of Rakta with the help of Ranjaka Pitta, which is claimed
to impart to Rasa its colour.when Rajanka Pitta enters the Kostha it also colours the Mala i.e.
Pureesha to yellow. There it is called Malaranjaka Pitta. As these functions are performed by
Ranjaka Pitta, it is correlated to bile pigment. Ranjaka Pitta gives colour to Rasadhatu and
forms Rakta and at the same time, Ranjaka Pitta is a byproduct of Raktadhatu. Ranjaka factor
of Ranjaka Pitta is correlated to bile pigments in terms of Rasa Ranjaka Pitta and Mala
Ranjaka Pitta. Rasa Ranjaka Pitta is haemoglobin and Mala Ranjaka Pitta is the byproduct of
haemoglobin i.e. bilirubin / bile which is formed after splitting of haemoglobin.Ranjaka Pitta
is also called as Ranjakagni because Agni carries the function of digestion of food. Therefore
Pitta the substance of Ranjaka Pitta is compared to bile salt. Bile salts have choleretic action
that stimulates the secretion of bile from liver (Piyyarechaka). It is this Ranjaka Pitta, which
provides an exceedingly valuable tool for the diagnosis of both Kosthashrita Kamala as well
as Shakhashrita Kamala.[7]

Classification of Kamala Roga

A. On the basis of Ayurvedic classics
1. Charaka Samhita
Kosthashrita Kamala
Shakhashrita Kamala
2. Sushruta Samhita
Kamala
Panaki
Halimaka
Laghraka or Alasakhya
3. Astanga Hridya
Swatantra Kamala
Paratantra Kamala
B. On the basis of Samprapti

1. Sankhya Samprapti
Kosthashrita Kamala Roga
Shakhashrita Kamala Roga
2. Vikalpa Samprapti
Bahupitta Kamala Roga
Alpapitta Kamala Roga
3. Pradhanya Samprapti
Swatantra Kamala Roga
Paratantra Kamala Roga
4. Bala Samprapti
Mridu- Kosthashakhashrita Kamala Roga.
Daruna- Kumbha Kamala, Halimaka.
C. Classification of Kamala Roga on the basis of its Nidana (etiology)

 Due to excessive intake of Pittaja Ahara and Vihara by the Pandu Rogi or suffering from
any other disease.

 Due to excessive intake of Pitta aggravating Ahara and Vihara by disease free persons i.e.
by the healthy individuals.
Kosthashrita Kamala Roga: the term Kostha means “Sharir Madhya” or Maha Srotasa8
Kosthashrita Kamala is a Nidanarthakari Roga. It cannot occur independently. During
convalescing period, if Pandu Rogi consumes Pitta aggravating diet, the vitiated Pitta
harbours in the Kostha, some spreads towards Shakha and some amount stays in the
gastrointestinal tract due to function of Vata dosha. Arundatta comments the Kosthashrita
Kamala as a synonym of Panduroga.[9] This refers to Pittaja Pandu Roga since not all the
varieties of Pandu Roga cause Kosthashrita Kamala. This disease is also called as Bahupitta
Kamala that means production of Pitta is more hence Pittaja Pandu can be the cause of this
Kamala. Dalhana commenting on Sushruta statement “Aamyantey”[10] opines that
Kosthashrita Kamala can occur not only after Pandu Roga but can also manifest after any
other disorders (Anaya Rogante Cha).
Shakhashrita Kamala Roga: it occurs as Swatantra Kamala. When the Pitta retained in the
Shakhas due to obstruction of Pittavaha Srotas by vitiated Kapha Dosha spreads into the
whole body by aggravated Vata Dosha via Rasa, Rakta Dhatus produces Shakhashrita
Kamala Roga. In this type of Kamala Roga Pitta Vriddhi does not occur due to Pitta vitiating
Nidana. But its main cause is obstruction of Pittavaha Strotasa, so commentator Chakrapani,
has termed it as Alpa Pittamaka Kamala Roga. Due to obstruction of Pittavaha Strotasa Pitta
does not reach to the Pakwashya which is responsible for the normal colour of stool. As a
result “Tila Pishta Sannibhama Varchas” (clay coloured stool) are produced. On the other
hand major part of the pitta retained in the Shakha mixes with Rakta Dhatu (blood) and there
is excretion of dark yellow colour of urine.
Nidana: Various etiological factors precipitating Pitta leading to manifestation of Kamala.
Table. 1: Category wise Nidana of Kamala Roga.[11]

Viharaja Ritujanya Guna Manashik
Aharaja nidana
nidana nidana Pradhana nidana Nidana
Kshara Diwaswapna Sarad ritu Ruksha Kama
Amla Ati vyayam Greeshma ritu Sheeta Chinta
Lavana Ati maithuna Varsha ritu Guru Shoka
Ati ushna Pratikarma Meghanta Swadu Bhaya
Viruddha Vaishamya Ardharatri Krodh
Asatmya bhojan Vega dharana Madhyanha

Poorva Roopa
Poorvarupa are the prodromal symptoms or the premonitory indications that occurs before the
complete manifestation of the disease. The provoked Doshas at the stage of Sthanasamshraya
will manifest the sign / symptoms of the forth coming disease. Specific prodromal symptoms
have not been mentioned in Ayurvedic classics. But in Sushruta Samhita premonitory
symptoms are given below.[12]
 Twak sphatonam (cracking of the skin)
 Sthivanam (salivation or spitting)
 Gatrasada (lassitude)
 Mridbhakshana (desire for eating clay)
 Kuta shotha (swelling if the eyelids)
 Vinmutra peetatwa (yellow colour of the stool and urine)
 Avipaka (indigestion).
Specific Poorvarupa for Kamala have not been mentioned in Brihattrayi or Laghuttrayi. In
Astanga Hridya, Poorvaroopa is defined as Alpavyaktatvum or Rupa[13] and hence the Rupa
with low intensity (Alpabala) can be considered as Poorva Rupas of Kamala (Swtantraja). In
Sushruta Samhita Kamala is described as a synonym of Pandu. So Poorvarupas of Pandu
Roga may be considered as Poorvarupa of Kamala.
Roopa
Any disease manifests only after the completion of Dosha Dushya Samurchana. The signs
and symptoms appears in the fifth Kriyakala i.e. Vyakthavastha. The Lakshanas through
which the disease is expressed are termed as Roopa.[14] (ch. Chi. 16/35-36).
Roopa of Kosthashrita Kamala

 Haridra Netra Nakha Twak Aanana - Patients of Kosthashrita Kamala develops yellow
discolouration in sclera, nails, skin and face. Bahu Pitta Kamala is a synonym of Kosthashrita
Kamala, which means increased production of Ranjaka Pitta takes place in the Rakta
(Shakha). as a result Ranjaka Pitta rises in Rakta and circulates in the body giving rise to
Haridra Netra Twak Anana.
 Raktapeeta Shakrita-The patients of Kosthashrita Kamala possess dark yellow or reddish

yellowstool. In Kosthashrita Kamala, increased production of Ranjakpitta is observed in
Shakha and Kostha. That means the Ranjaka Pitta not only produces more quantity in Shakha

(Rakta) it is also excreted more in Kostha (intestine). Therefore more the quantity of Ranjaka
Pitta (bile) excreted in Kostha darker is the stool (Mala), so called as Mala Ranjakapitta.
 Raktapeeta Mutrata- patient posess dark urine because of increased quantity of Ranjaka
Pitta excreted in the urine.
 Bhekavarna– Patient presents with the signs and symptoms of yellowish appearance of the
body, which resembles the frog in the rainy season. It is observed that the frogs in rainy
season have pallor with light yellow colour. Such a light yellow colour is being observed in
sclera (Netra), skin (Twacha), face (Anana) and body. Hence, there will be Panduta observed
in Kosthashrita Kamala because only after establishment of Pandu Roga, Kosthashrita
Kamala can occur.
 Hatindriya - diminished perception of power of sense organs occurs due to severe

Raktakshaya (anemia).
 Daurbalya– weakness occurs because of Raktakshaya.
 Aruchi– tastelessness, anorexia
 Avipaka – this symptom occurs due to upset in Annavaha Srotas
 Daha – burning sensation in the body
Roopa of shakhashrita kamala: Only Charaka Samhita and Astang Hridaya have described
the Lakshana of Shakhashrita Kamala.[15] Chakrapani stated that “Tilapista Nibha Varchah”
as Pratyatma Lakshana of Shakhashrita Kamala. Ranjaka Pitta is yellow in colour. This
colour is very important tool for diagnosis of Kamala. Its rise in the blood (Shakha) and
absence in Kostha can be very easily accessed by its colour.
 Haridra Netra Mutra Twak– means sclera, urine and skin appears yellow in Shakhashrita
Kamala. Unlike Kosthashrita Kamala, it is darker yellow in colour. This is because of raised
Ranjaka Pitta (bilirubin) in Rakta. This is conjugated bile. It has to enter Kostha (intestine) in
normal course, but because of block in Pitta Sthana (liver) due to Kapha, the bile instead of
entering into Kostha, undergoes “Vimarga Gamana” and enters Rakta i.e. systemic
circulation. As Ranjaka Pitta is yellow in colour it gives rise to yellow sclera, urine and skin.
 Tila Pishta Nibha Varcha- Tilapishta means the paste of white ginjili seeds. The Pureesha
(stool) in Shakhashrita Kamala resembles the paste of white ginjili seeds. The colour,
consistency and the content of fat in stool are similar to Tila Pishta. This is because Ranjaka

Pitta does not enter into the Kostha (intestine) due to Avarodha in Pitta Sthana i.e. in liver. In
normal course Ranjaka Pitta enters the Kostha, colours the Pureesha (stool) to golden yellow.
Therefore it is called Malaranjaka Pitta.
 Jwara- Jwara occurs especially few days before the yellow Netra and Mootra are produced.
It disappears after Kamala symptoms are established. Fever is an important symptom of the
infection usually in viral hepatitis the symptom of Kamala starts with fever.
 Aruchi, Amlapitta- Aruchi means anorexia i.e. tastelessness. Alpaagni means loss of
appetite. Ranjaka Pitta (bile) enters the Kostha and digests the fat content of food normally.
Because of Ruddhapatha or Avarodha in Pitta Sthana due to Kapha, bile does not reach
Kostha (intestine) hence food is not digested, upset of Annavaha Srotas.
 Atopa, Vishtamba- it means abdominal distress with gurgling sound. These symptoms are
caused due to upset in digestion. Absence of Ranjaka Pitta in Kostha is the main reason
behind this condition.
 Gurunam Hridyen Cha- heaviness in epigastric region.
 Parshav Shoola- due to enlargement of liver Parshava Shoola may occur.
 Daurbalya- fatigue or weakness
 Shwasa- dyspnoea, cough
 Hikka- hiccup
Samprapti: The process of manifestation of the disease by the vitiated doshas is known as
samprapti.[16]
Samprapti of kosthashrita kamala: In Charak Samhita Kamala has been explained as a

sequel of Pandu Roga. The patient who is already suffering from Pandu Roga indulges in diet
such as Amla, Madhya and Apathya Ahara leads to the production of more quantity of
Ranjaka Pitta immediately. The vitiated Ranjaka Pitta burns the blood and flesh giving rise to
Pandu Vadana[17] or Peeta Vadana (Dalhana) i.e. pallor of face and Bheka Varna of skin.
Samprapti involves three stages

a. Pitta Prakopa due to Nidanas: All the Pitta Dosha vitiating Nidana can be divided
into 3 groups
1.Ahara Janya Pitta Dosha aggravating Nidana
2.Vihara Janya Pitta Dosha aggravating Nidana
3.Other Pitta Dosha aggravating Nidana.

b. Rakta Dagdhata: Kosthashrita Kamala is Rakta Pradoshaja Vikara and Ranjaka Pitta is by
product of Rakta Dhatu.that means the main pathology of Kosthashrita Kamala is restricted to
Raktadhatu and Ranjaka Pitta. Here the production of Ranjaka Pitta will be more in quantity,
therefore it is called Bahu Pitta Kamala. Prakupit Pitta due to its Ushna, Teekshna Gunas
causes Daghata of Rakta.
While describing Samprapti of Kosthahrita Kamala, in Astanga Hridya it is mentioned that

„Tasya Pittam Asrig Mansam Dagdhwa Rogaye Kalptey‟[19] the literal meaning of Asrig
Dagdha is burning of Rakta Dhatu. This leads to increased production of Malarupa Pitta,
which is the reason for all the cardinal features of Kamala.
As a result of RBC breakdown, bile is formed which is essential for digestion and absorption
of fats and function of many enzymes. If its production or excretion is disrupted it is quite
harmful to body. It leads to production of “Kutsita Mala” which is characteristic of Kamala.
c. Mamsa Dagdhata: Yakrit is described as Mamsa Vishesha.thus Yakrit can be considered as

Mamsa in the pathogenesis of Kamala and Mamsa Dagdhta may be considered as destruction
of liver cells which is the pathology behind Kosthashrita Kamala i.e. due to excessive lysis of
RBC‟S more bilirubin is formed. This Malarupa Pitta or bilirubin circulates through
Rasaraktavaha Srotas to all over the body and produces certain signs and symptoms.
Samprapti of shakhashrita kamala: In the term Shakhashrita Kamala, Shakhas refers to

one of the Trividharogamargas. It is the Madhyamarogamarga. Ruksha Sheeta Guru Swadu
Vyayama Veganighreha Kaphasamurchito Vayu Sthanata Pitta Sheeepe Hali.[18]
Due to above mentioned causative factors, the Vata is vitiated, mixes with the aggravated
Kapha Dosha and takes Pitta out of its own seat. Here Pitta refers to Ranjaka Pitta. The word
Shakha refers to Rakta, Mamsa and Twak. The Ranjaka Pitta gets name called Swatantra
Kamala, Amlapitta Kamala, Ruddapatha Kamala.
Swatantra Kamala: This type occurs independently unlike Kostha Shakhashrita Kamala.
Ruddha Patha Kamala: The word Ruddha Patha means obstruction of channel, there is a
block in the channel of Ranjaka Pitta and hence it is called “Ruddha Patha”

Alpa Pitta Kamala:-It refers to the reduction in the quantity of Ranjaka Pitta. There is block
in the path of flow of Ranjaka Pitta therefore, it does not enter into Mala Srotas(intestine) and
will not appear in Mala(stool). As the Ranjaka Pitta does not enter in Kostha and does not
appear in Mala (Pureesha) it is called „Alpa Pitta Kamala‟.
Chikitsa of kamala roga: Signs and symptoms of the disease and a careful examination have
to be done to find out certain causes responsible for the disease. Health is a state of
equilibrium of Sharira Dhatus. Any change in equilibrium of Doshas results in Dosha
Vaishamya that is called as Roga. All the measures by which aggravated vitiated Doshas,
Dhatus and Malas are brought back to their normal state and disease is cured constitute the
therapeutics of Chikitsa.
Chikitsa of Kosthashakhashrita Kamala

Chikitsa Siddanta
 Kamalayantu Pittaghanam Pandu Roga Avarodhi Yat[19]
Kamalayantu Pittaghanam- The main aim of treatment is to eliminate Ranjaka Pitta, which is
elevated in the blood. Therefore, Pittaghna drugs are recommended. The main pathology lies
in the blood i.e. Asrigmansa Dagdhwa (excessive haemolysis of rbc). Hence, it should be
prevented. Panduroga Avarodhi Yat- the line of treatment is designed in such a way that the
drugs used should not cause adverse effects on Pandu Roga, which is the primary causation
of this disease. While treating Kosthashrita Kamala care should be taken to restore the blood
hence Panduta is relieved.
 Mridubhu Tiktakee Kamali Tu Virechanee[20]: A mild Virechana (purgation) is

recommended with bitter drugs (Tiktaka Dravya). The bitter drugs posses the properties of
„Pittahar‟. Probably such drugs may act as „Pittarechaka‟ like that of Katuki.
A. General treatment
 Nidana parivarjana
 Shodhana
Snehana
Virechana
 Shamana- kapha pittahara chikitsa

Shodhana
a. Snehana: Snehana is indicated as Poorva Karma for Virechana in Kamala. The Sneha
which is advised internally stimulate gall bladder to release more bile into duodenum to
digest the fat. Therefore, bilirubin which is stored in gall bladder is excreted from the body.
In this way Snehapana helps in excreting bile from the liver, further it is eliminated from the
body through the stool.
Following Ghritas are very effective for snehapana

1. Panch gavya ghrita
2. Kalyanaka ghrita
3. Maha tiktaka ghrita
b. Virechana: Virechana helps in eliminating accumulated Doshas from the body. It is

considered as the treatment for Pittaja Vikaras. Kamala is one among them and is described
as Virechana Sadhya Vyadhi. Probably that might be the reason to quote-Virechanam
Pittaharanam Sreshtham.[21]
A mild Virechana (purgation) is recommended with bitter drugs (Tiktaka Dravya). The bitter
drugs possess the properties of Pittahar and such drugs may act as Pittarechaka.
Shamana: The aim is pacifying the involved Doshas. Causative factors lead to vitiation of
Kapha and Vata, since Pitta is carried to places away from Kostha because of obstruction due
to Kapha and abnormal movement of Vata. Therefore Kaphahara and Vatahara measures will
help to cure the condition.
Chikitsa of shakhasrita kamala: In Shakhasrita Kamala there is Avarodha (shleshmana

ruddha margam- obstruction) of Ranjaka Pitta due to Kapha in Pitta Sthana. Here the
important cause of Avrodhha is Kapha Dosha because of this Ranjaka Pitta cannot enter
Kostha (intestine). This is the main pathology of Shakhasrita Kamala. Therefore, the main
aim also should be towards disintegration of Samprapti.
 Tilapishta Nibham Yastu Varcha Srijti Kamli Shleeshmana Ruddamargam Tat

Pittam Kapha Harerjayeta[22]
Obstructed Ranjaka Pitta should be relieved by removal of Kapha.

The patient of Kamala, who passes Tila Pista Nibha stool which indicates the obstruction of
Ranjaka Pitta due to Kapha Dosha, an important event in the pathology of Shakhashrita
Kamala. Therefore the stool will not be coloured by Ranjaka Pitta hence it is white.thus it can
be relieved by removal of Kapha situated in Pitta Sthana. Therefore, the drugs which posses
Katu, Lavana, Amla Rasa and have Tikshna, Ushana, Ruksha properties, e.g. Maricha,
Pippali, Nagar are effective in clearing the channels of Ranjaka Pitta in Shakhasrita Kamala.
The properties of Katu Rasa and Lavana Rasa are enumerated below
Katu Rasa-Guna-Karma: it is Agni Deepaka and Shoshaka (digestion and Absorption),
Margashodhaka (clears the channels), Kaphashamaka (alleviates Kapha Dosha), it is
Krimihara, Shothahara and Abhishyandhara (relieves Inflammation and congestion) and it
has Ushnaguna, hence the channel of Ranjaka Pitta is cleared.
Lavan Rasa- Guna-Karma: it act as Pachana, Deepana, Chedana, Bhedana, Teekshana,

Vikasi, Kapha-Visyandana, Margavishodhana and it has Ushana-Guna. Therefore it helps in
clearing of obstruction of Kapha.
 Kaphaharam Pitta Vriddhikaram Samam Chikitsam Shakhashreyya Doshasya Vriddhi

Koshthaanyaartham[23] increase the quantity of Ranjaka Pitta at the level of Shakha to bring it
to Koshtha. There are some procedures to bring the Shakhasrita Dosha to Koshta, which are
explained below.[24]
1. Vriddhi
It means quantitative increase in Shakhashrita Dosha. In Shakhasrita Kamala as Pitta has
become Vimarga Gamana to Shakhas, initially Pittavardhaka Dravyas were used.
2.Vishyandanath: Chakrapani defines it asVilayana i.e. increase in fluidity. Vridhha Pitta,

which is accumulated in Shakhas Vilayana i.e. liquefied due to Teekshna, Ushna Gunas of
Dravyas.
3. Pakath: when Doshas attain Paka they become Laghu. Here Paka can be considered as
Laghutva of Kapha, so that they travel towards Kostha.
4. Sarotomukha vishodhanat: as sequel to the above steps due to Paka of Kapha the Srotas
becomes clear, facilitating the passage of Vishyanda Pitta.

5. Vayosch-nigrahaat: vata plays a key role in spreading the Doshas from Kostha to Shakha
but when Nigrahana of the Vata is attained, Doshas automatically reaches Kostha. Once Pitta
reaches to Kostha Mala-Ranjana Kriya is started.
 Shakhashreya Pittam Swaamashyameti[25]: The third procedure is, the above said line of
treatment should be followed until the shakhagata ranjaka pitta returns to its seat (Kostha) i.e.
Swamashaya (own seat of Pitta i.e. Kostha).
 Aapita Ragat Shakrito Yavat Kostha Margastho Malo Na Tawat Pitta Vardhanam[26]
The above said treatment such as Ushna, Teekshana, Lavana, Bhrushamla substances should
be continued as long as the Ranjaka Pitta returns to koshtha (in its own seat) and appears in
stool (Pureesha). When Ranjaka Pitta has reverted to its place, Pureesha gets its normal color
and the symptoms of Kamala subside. Afterwards the treatment should be followed on the
line of Koshtha-Shakhasritakamala.
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Kamala-An Ayurvedic Perspective: Volume 8, Issue 8, 409-422. Review Article ISSN 2277 - 7105

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World Journal of Pharmaceutical Research

Thakur. SJIF Research

Volume 8, Issue 8, 409-422. Review Article ISSN 2277– 7105

KAMALA- AN AYURVEDIC PERSPECTIVE

Dr. Uma Thakur*

Assistant Professor, Deptt. of Kayachikitsa Babe ke Ayurvedic College and Hospital,

Article Received on ABSTRACT

www.wjpr.net Vol 8, Issue 8, 2019. 409

Kutsitam Mala Yasmin Roge Sa Kamala Rogah[5]

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Classification of Kamala Roga

B. On the basis of Samprapti

C. Classification of Kamala Roga on the basis of its Nidana (etiology)

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Nidana: Various etiological factors precipitating Pitta leading to manifestation of Kamala.

Table. 1: Category wise Nidana of Kamala Roga.[11]

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Roopa of Kosthashrita Kamala

 Raktapeeta Shakrita-The patients of Kosthashrita Kamala possess dark yellow or reddish

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 Hatindriya - diminished perception of power of sense organs occurs due to severe

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Samprapti of kosthashrita kamala: In Charak Samhita Kamala has been explained as a

Samprapti involves three stages

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While describing Samprapti of Kosthahrita Kamala, in Astanga Hridya it is mentioned that

c. Mamsa Dagdhata: Yakrit is described as Mamsa Vishesha.thus Yakrit can be considered as

Samprapti of shakhashrita kamala: In the term Shakhashrita Kamala, Shakhas refers to

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Chikitsa of Kosthashakhashrita Kamala

 Mridubhu Tiktakee Kamali Tu Virechanee[20]: A mild Virechana (purgation) is

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Following Ghritas are very effective for snehapana

b. Virechana: Virechana helps in eliminating accumulated Doshas from the body. It is

Chikitsa of shakhasrita kamala: In Shakhasrita Kamala there is Avarodha (shleshmana

 Tilapishta Nibham Yastu Varcha Srijti Kamli Shleeshmana Ruddamargam Tat

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Lavan Rasa- Guna-Karma: it act as Pachana, Deepana, Chedana, Bhedana, Teekshana,

 Kaphaharam Pitta Vriddhikaram Samam Chikitsam Shakhashreyya Doshasya Vriddhi

2.Vishyandanath: Chakrapani defines it asVilayana i.e. increase in fluidity. Vridhha Pitta,

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7. (essential of kayachikitsa-ii, vol I 2008 edition by dr aruna, 78-79.

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