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Dadru and its Ayurvedic formulations w. s. r to Fungal Infections -A Review

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Int J Ayu Pharm Chem
REVIEW ARTICLE www.ijapc.com
e-ISSN 2350-0204

Dadru and its Ayurvedic formulations w. s. r to Fungal Infections

- A Review
Mangala Jadhav1 and Ruchi Sharma2*
1,2
Dept. of RasaShastra evum Bhaishajya Kalpana, R.A. Podar Medical (Ayu.) College, Worli, Mumbai. MS,
India

ABSTRACT
Prevalence rate of fungal infection is found to be 20-25% worldwide according to WHO.
Nowadays oral and topical antifungals are used to treat these fungal infections. But due to its
increased use, people developed resistance against this drugs. This led to rise in identification
of some safe herbal drug or formulations which can be used to treat these infections and they
show good efficacy and safety.
Ayurveda has mentioned a skin disorder, dadru whose symptoms resemble with that of fungal
infections. So treatment of dadru can be investigated in fungal infections. For that it’s
important to understand the meaning and symptoms of dadru, its correlations with fungal
infection and its treatment mentioned in ayurveda and allopathic science. Also, in ayurvedic
literature there are ample of pharmaceutical formulations mentioned for the treatment of dadru.
In this study an attempt has been made to compile all the data about dadru, symptoms,
treatment and formulations mentioned in Charak samhita, Sushrut samhita, Asthang sangrah,
Madhav nidhan, Bhavprakash, Yogratnakar, Sharangdhar, Rasa ratna samucchya and rasa
tarangini in one place so that researchers can use it and further evaluated them in preclinical
and clinical studies for its efficacy and safety.

KEYWORDS
Fungal Infection, Dadru, Formulation, Charak Samhita, Sushrut Samhita, Bhavparkash,
Yogratnakar, Sharangdhar, Rasa Ratna Samucchya, Rasa Tarangini

Greentree Group Publishers

Received 25/06/2020 Accepted 22/07/2020 Published 10/09/2020
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INTRODUCTION contamination of deeper tissues.

Dadru is one of most common twak vikara Contamination of these deeper tissues and

affecting all ages of the population, still aggravation of kapha/pitta dosha leads to

stands as a challenge to different medical dadru i.e. ringworm. Also third dosha vata

system. In recent years, it has been noticed is considered to be involved. Thus it is

that there is considerable increase in tridoshaj disease, in which prime involved

incidence of the skin problem in tropical doshas are kapha and pitta.
and developing countries like India. Tinea,
superficial fungal infections mostly caused REVIEW OF LITERATURE
by three species of fungi present the same
Various references of dadru and fungal
symptoms as that of dadru. This infections
infections are reviewed and are stated
are of different types and are named based
below:
on the involvement of body part - tinea
DADRU-
corporis (general skin), tinea cruris/jock
STHANA OF DADRU-
itch (groin), tinea capitis(scalp), tinea
According to Charak samhita, Dadru is
barbae/ tinea sycosis/ barber's itch(beard
said to be located in the 4th layer of twacha.
and moustache) tinea unguium(nail) and
HETU/NIDAN OF DADRU
tinea pedis/athlete’s foot (feet) collectively
According to different acharya, the nidan
known as dermatophytes. Tinea infections
of dadru are shown in (Table 1).
are also called as ringworm because it has a
LAKSHANA OF DADRU-
clinical presentation like red patches in the
Symptoms of dadru by different acharyas
shape of ring. According to Ayurveda
are stated below:
fungal infection is diagnosed as “dadru”
 स्कण्डूरागपिडकं दद्रुमण्डलमदु गतम। (च. पच. 7/21)
because of its similar symptoms. Dadru is
 अतसीिष्ु िवर्ाापि ताम्रापर् वा पवसिीपर् पिडकावपतत च
caused due to involvement of dosha like-
दद्रुकुष्ठापििः।
kapha- pitta. Kapha and pitta dosha gets
तयोर्द्ायोरप्यत्स्ु स्तिता िररमण्डलता कण्डुपचचरोत्स्थित्स्वं
vitiated and manifest in the skin and there
cause the accumulation of toxins. These -चेपत सामातयापि रुिापर्॥(स.ु पि. 5/8)

toxins further gets accumulated in deeper  दीर्ाप्रतािा दवू ाावदतसीकुसमु च्छपविः।

tissues of skin like rasa (nutrient plasma), उत्स्सतिमण्डला दद्रुिः कण्डूमत्स्यिषु पड़िपर्॥(अ. ह्र. पि 14/24)
rakta, (blood), mamsa (muscles) and lasika  रॊक्ष्यकण्डूदाहास्त्राववपतत मंडलापि वृपिमपतत दद्रुिः।(का.
(lymphatic). These toxins cause सं. पच.)

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 सकण्डूरागपिडकं दद्रुमण्डलमदु गतम।  सकण्डूरागपिडकं दद्रुमण्डलमदु गतम।(यो. र. उ.
दद्रुमाण्डलरुिेर्ॊत्स्िपिम । उद्गतम= उच्छूिम ॥(भा. प्र. पच. कुष्ठ.22)
8/30-31)
Table 1 Nidan of dadru according to different author
Ch.S Su.S B.S H.S M.N
Mithya Ahara
Adhyashana + + - + +
Vishamashana + + - - -
Atyashana + + - - -
Intake of food during indigestion + + - - +
Continuous and excessive use of Madhu, Fanita, Matsya, Lakucha, + - - - -
Mulaka, Kakamachi ,and intake of above substances while having Ajirna
Excessive Snehana - - - - -
Vidahi Ahara without emesis of undigested food + - + + -
Rasatah
Excessive intake of Amla and Lavana Rasa + - - - +
Dravyataha
Excessive intake of gramya ,anupa,audaka ,mamsa - - + - -
Navanna, dadhi, masa, matsya, mulaka, tila, pishtanna, kshira, guda + - - - +
Dushivisha - + - - -
Dushita Jala - - - + -
Gunataha
Excessive Dravya, Snigdha Ahara + - - + +

Table 2 Lakshana of dadru according to different author

S.no Lakshanas C.S. S.S. AH AS MN KS BP YR Fungal
1 Rookshata + +
2 Kandu + + + + + + + + +
3 Daha +
4 Strava + +
5 Mandala + + + + + + + +
6 Raga + + + + +
7 Pidaka + + + + + +
8 Visarpini +
9 Chirothana +
10 Unnata + +
11 Parishushka
12 Anushangini +
13 Vedana +

Table 3 Dadru included in which type according to different acharya

S.no Name of the granth Maha kustha Kshudrakustha Dosha
1 Charak Samhita + PK
2 Shusrut Samhita + K
3 Asthang Hridya + KP
4 Madhav Nidana + KP
5 Kashyap Samhita +
6 Bhav Prakash +
7 Yog Ratnakar +
8 Sharangdhar Samhita 18 types of kustha
9 Rasa Ratna Samucchya Doesn’t mentioned the types

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The roopas/lakshana/symptoms of Dadru mahakustha that cann’t be cured with any
according to various authors are shown in treatment.
the (Table 2). दद्रुकुष्ठं पर्द्पवर्ं पसति् मपसतं च।(dalahan)
CLASSIFICATION OF DADRU  अपसतस्य महोिक्रमसाध्यत्स्वादिुबपतर्त्स्वप्रकषााच्च
Mainly all skin disorders in ayurveda are महाकुष्ठेषु मध्ये सश्रु तु े िाठिः।
classified into maha and kshudra kustha.  पसतदद्रुकुष्ठस्य
Dadru classification according to different सख
ु साध्यत्स्वादिु रोिरर्ात्स्विप्रु वेशाभावािथाऽत्स्यथंिीडारपहतत्स्वाच्च
acharya are shown in (Table 3). चरके क्षुद्रकुष्ठेषु मध्ये िाठ इत्स्यदोषिः ॥
TYPES OF DADRU
DOSHA DUSHYA SANKALPNA –
Acharya Dalahan has mentioned two types
Dosha, dushya and strotas involved in the
of dadru- sita dadru and asita dadru. On
manifestation of dadru according to
expanding this types he has told that sita
different authors are classified in Table 4.
dadru is one which is explained by acharya
TREATMENT OF DADRU
charaka under kshudra kushta which can be
There is no specific treatment plan told in
easily cured and asita dadru is one which is
samhitas to cure dadru. But a general
explained by acharya sushruta under
treatment for kustha is told that can be
Table 4 Doshas, dushya, strotas, adhisthan involved according to various Acharya’s
C.S. S.S A.H A.S M.N
Dosha Pitta-kapha Kapha Kapha-pitta Kaphapitta Kapha-pitta
Dushya Twak, Rakta, Twak, Rakta, Twak, Rakta, Twak, Rakta, Twak, Rakta,
Mansa, Ambu Mansa, Ambu Mansa, Ambu Mansa, Ambu Lasika, Ambu
Strotas Rasa, Rakta Rasa, Rakta Rasa, Rakta Rasa, Rakta Rasa, Rakta

applied in all types of kustha. Acharya  for kapha dosha Vaman and;
charka has said that “All types of kustha are  After the proper shodhan of the
caused due to tri dosha but there may be body, the lepa applied on the kustha roga
predominance of some dosha, the treatment tends to be effective.(C. CI. 7/53)
is to be planned in the manner of curing For shodhan karma, following yoga are
predominant dosha first and then lesser mentioned in charak chikitsa sthan:-
one”. (C. Ci. 7/31-32)  Vaman by indrajav, madanphala,
According to the dosha predominance mulethi, patol patra- swarasa/ kwatha +
charak has mentioned the treatment- nimbpatra swarasa
 For vata dosha ghrita pana,  Virechan by using shweta nishoth,
 For pitta dosha Rakta mokshan and danti mula, triphala
virechan
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Acharya Sushrut has also mentioned that THE CHARAKA SAMHITA FOR THE
first sanshodan karma is to be done then in MANAGEMENT OF DADRU
twachagat or rasagat kustha lepa of Formulation mentioned in charak samhita
shodhan dravya is to be applied. for internal and external use are given in the
There are many reference of formulations (Table no 5 and 6) respectively.
found in samhitas for the treatment of *Yoga Ratnakar has mentioned this
kustha and dadru. As general plan of kustha formulation by name of vidangadhi lepa.
treatment is followed so the formulations FORMULATIONS MENTIONED IN
mentioned under kustha can also be used in THE SHUSRUT SAMHITA
dadru. Formulations mentioned in some of MANAGEMENT OF DADRU.
these samhitas for Dadru are stated as Formulation mentioned in shusrut samhita
follows: for the treatment of kustha and dadru are
FORMULATIONS MENTIONED IN- shown in (Table 7 and 8) respectively.
Table 5 Formulation in charak samhita for internal use-
S.no Name of the Ingredients Roga-adhikar
formulation
1 Tri Yog  Daruharidra, Cow Urine Kustha
 Rasanjana, Cow Urine
 Sunthi, Pippali, Maricha, Guda, Tila Taila, Haritaki-
For 1 Month
2 Gandhak Use Gandhak, Amala Swarasa, Honey Cure 17 type
of Kustha
3 Swarna Swarna Makshika Bhasma, Cowurine Cure 17 type
Makshika Use of Kustha
4 Sheelajet Use Parad Bhasma(Processed By Gandhak And Swarna Makshik) Kustha
with Vajra Sheelajet Or Yograj Yog
5 Kanakbindu Khadira Kwatha, Triphala, Trikatu, Vayavidanga, Haridra, In 1 month
Aristha Nagarmotha, Vasa, Indrayav, Daruharidra, Guduchi cure Maha
Kustha
In 15 days cure
kshudra
Kustha
6 Bhalatak Ghrita Bhalatak, Triphala, Nimb along with the food and ghee. So it Kustha
7 Triphal Ghrita can be interpreted that ghee processed by this ingredients are to
8 Nimbadhi be consumed along with the food
Ghrita

Table 6 Formulations in charak samhita for external use-

S.no Name of the Ingredients Roga
formulation adhikar
1 Kustha-Nashak Lepa Ela, Kuth, Daruharidra, Sathpushpa, Chitrak, Vayavidang, Kustha
Rasvath, Haritaki
2 Masyadhi Lepa Jatamansi, Maricha, Sendhav Lavan, Haridra, Tagar, Snuhi, Kustha
Grhyadhum, Gorochan, Palash Kshar, Cowurine
3 Sidharthak Snaan, Nagarmotha, Madan Phala, Triphala, Karanj Patra, Kustha
Kwatha, Lepa Aamaltas Patra, Indrajoo, Daruharidra, Saptaparni

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 4 Edgajaadi Lepa* Chakramadh, Kuth, Saindhav Lavan, Sarsoon, Vayavidanga, Dadru,
Kanji Kustha

Table 7 Formulation in shusrut samhita internal use.

S.no Name of the Ingredients Roga adhikar
formulation
1 Mahatiktak Saptparni, amaltas, atis, patha, kutaki, guduchi, triphala, patol, Kustha, kandu
ghrita nimb, pittpapda, duralbha, tryaman, nagarmotha, chandan,
panchakh, haldi, pippali, indryan, murva, stavar, anantamul,
indrayav, vasa, vacha, madhuk, chiryata, vidarikanda, ghrita,
amala swaras
2 Tiktak ghrita Triphala, patol, nimb, vasa,kutaki, duralbha, tryaman, Kustha
pittpapda, tryaman, nagarmotha, indrayav, chandan, chiryata,
pippali, ghrita,
3 Neel ghrita Vayasi, kathgular, kutaki, loha churna, triphala, vijayasar, , Kustha (external
indrajoo, trikatu, dalchini, devdaru, amaltas, kakjangha, danti, and internal)
bakuchi, nagkesar, badi kateri, ghrita
4 Katipya yog  Haritaki, trikatu, gud, taila Kustha(lehan)
 Triphala, pippali, vidang, honey, ghrita
 Haldi, gomutra
 Chitrak/pippali, gomutra
 Rasot, gomutra
 Nimb, saptparni, laksha, nagarmotha, dashmula, haldi
daruharidra, manjistha, triphala, trikatu, vasa, devdaru, chitrak,
vidang, gomutra
5 Siddh purana Amaltas, saptaparni, patol, kutaj, karanj, nimb, haldi, daruhaldi, Kustha
Ghrita mushak
6 Triphala With trikatu Kustha
ghrita
7 Guduchi yoga Guduchi swarasa, kwath, ghrita All types of
kustha

Table 8 Formulations in sushrut samhita for External Use

S.no Name of the Ingredients Roga
formulation adhikar
1 Saptasiddh  Samudraphena, shak, gojihva, kodumbra, laksha, rala, rason, All types
lepa chakramadh, bakuchi, tejbala, kaner, madar, kutaj, amaltas, gomutra of kustha
 Sajji kshar, tutha,nkasis, vidang ghryaduma, chitrak, kutaki,
snuhi, haldi, saindhav lavan
 Kshara of this ingredient stated in the above sentence+
palash kshar
 Jyotishkphala, laksha, maricha, pippali, chameli patra
 hartal, manasheela, madar ksheer, til sahijan bheej, maricha
 sjji kshara, kuth, tutha, kutaj, chitrak, vidang, maricha,
manasheela
 haritaki, karanj, vidang,pili sarson, saindhav lavan,
gorochan, bakuchi, haldi, gomutra
2 Dadru lepa  laksha, kuth, sarson, shriniket, haldi, trikatu, chakramardh, Dadru
muli bheej(lepa)
 saindhav lavan, chakramardh bhej, gud, nagkeshar, rasot,
kapitth rasa(lepa)
 swanakshiri, amaltas, shirish, nimb, ral, indryajav,
ajakarn(lepa, snaan, ubatan)
3 Neel ghrita Vayasi, kathgular, kutaki, loha churna, triphala, vijayasar, , indrajoo, Kustha
trikatu, dalchini, devdaru, amaltas, kakjangha, danti, bakuchi, (external
nagkesar, badi kateri, ghrita and
internal)
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 4 Mahaneel Triphala, trikatu, tulsi, mahendi, makoy, amaltas, madar, varun, danti, Kustha
ghrita kutaj, chitrak, daruhaldi, badi kateri, gobhar-rasa, dahi, dugda,
mutra, ghrita, chiryata, karan bhej, nilika, kala nishoth, bakuchi, pilu,
nimb phul
5 Vajrak taila Saptparni, karanj, madar, chameli, kaner, snuhi, shirish, chitrak Kustha
aprajita, vatsnabh, kalihari, vajra, kasis, manasheela, trikatu,
triphala, haldi, daruharidra, pili sarsoon, vidang, chakramardh,
gomutra, taila
6 Mahavajrak Pili sarson, karanj, putikaranj, haldi, daruhaldi, rasot, kutaj All types
taila chakramardh, saptparni, indrayan, laksha, ral, arka ksheer, aprajita, of kustha
amaltas, snuhi, shirish, sorashtramrtika, kutaj, bhilawa, vacha, kuth,
vidang, manjistha, kalihari, chitrak, chameli, katutumbi, kaporkachri,
muli, saindhav lavan, kaner, ghruhdhoom, vatsanabh, kuchala, sindur,
tejabala, tutha, gomutra, tila taila

FORMULATION MENTIONED IN FORMULATIONS MENTIONED IN

THE BHAVPRAKASH FOR THE RASA RATNA SAMUCHYA FOR THE
MANAGEMENT OF DADRU MANAGEMENT OF DADRU
Bhavprakash has mentioned various In rasa ratna samuchya, for the treatment
formulation for internal and external use in of dadru various internal and external
dadru that are stated in (Table 9 and 10) formulations are mentioned which are
respectively. shown in (Table 15 and 16) respectively.
FORMULATION MENTIONED IN MALAHAR MENTIONED IN RASA
SHARANGDHAR SAMHITA FOR THE TARANGINI FOR THE
MANAGEMENT OF DADRU MANAGEMENT OF DADRU
Formulations mentioned in Sharangdhar Malahar/ointment mentioned by rasa
samhita for the management of dadru for trangini are stated below in the (Table 17).
internal and external use are shown in RINGWORM
(Table 11 and 12) respectively. Ringworm infection or Tinea is the name of
a group of skin diseases which is caused by
FORMULATIONS MENTIONED IN a fungus. Ringworm is a red skin rash that
YOG RATNAKAR FOR THE usually forms a ring in normal- looking
MANAGEMENT OF DADRU skin. A worm doesn’t cause it. According to
For the management of dadru various the site involved in the infection they are
kalpas for internal and external use classified as:
mentioned in yog ratnakar are stated in 1. TINEA CAPITIS
(Table 13 and 14) respectively. It includes infections of areas of both -scalp
and hair.
Clinical Diagnosis

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 It is predominantly seen in the  Tinea barbae is also known as Tinea
children(3-14 years), but is uncommon in sycosis or barber's itch.
adults.  It is the ringworm of area of beard
 Usual cause for transmission of this and moustache in adult males with the
infection is by using the infected combs or invasion of coarse hairs.
hair brushes.  Ringworm of these regions in
 Clinical diagnosis of it is confirmed females and children are called as tinea
by the microscopic examination of KOH faciei.
preparation that is made from scales and  Pathogenesis, infecting
plucked out hair. dermatophytes and treatment are same as
 Wood's lamp examination may that of tinea capitis.
demonstrate the fluorescence because of  It is presented as highly
pteridine which is derived from certain inflammatory folliculitis with the features
dermatophytes. of kerion.
Treatment  The pain present is not in a
Topical Therapy proportion to that of inflammation.
 It has a little role in treatment. Treatment
 Use of antifungal shampoos will Oral and topical antifungals.
help in decreasing the viability of fungal 3. TINEA UNGUIUM
spores that are present on the hair. Tinea unguium means infection of the area
Systemic Antifungal Therapy of nail plate by dermatophytes only.
 It is the main stay of treatment Clinical Diagnosis
 Griseofulvin: is still the drug of  In distal and lateral subungual
choice for it and it is the only FDA onychomycosis (DLSO) the most common
approved oral gold standard treatment for type are: The nail plate gets rough,
tinea capitis. It is to be given after fatty thickened, cracked and may get lifted up by
meals for 6-8 weeks. subungual hyperkeratosis. It is pesented as
 It is known to have highly efficacy yellow or white patch of discoloration at the
and has an excellent long-term safety free edge of nail plate near lateral nail fold.
record.  Superficial white onychomycosis
2. TINEA BARBAE (SWO) presents as powdery white
Clinical Diagnosis

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superficial erosions on dorsal surface of the whitening and breakdown of the skin
nail and; between the toes, scaling of the feet, blisters
 Proximal subungual on the feet.
onychomycosis (PSO) which involves the Treatment
part of nail plate adjoining to posterior nail Oral and topical antifungals.
fold and it is particularly associated with 5. TINEA CORPORIS
AIDS patients. These are the fungal infection which occurs
Treatment in the area of genital.
Systemic Therapy Clinical Diagnosis
 Oral antifungals are mainstay of  Jock itch or tinea corporis may be
treatment for the Tinea unguium.(Tinea hard to cure.
unguium is most difficult to eradicate).  This condition is found more
 Triazoles and allylamines have commonly in men and rarely in women. It
become first-line of choice of drugs and happens more often in the warm weather.
they provide the higher cure rates with  Symptoms include- red, ring-like
fewer relapses patches in the area of groin and inner thighs,
Topical Therapy but not the scrotum, itching and pain in the
 Ciclopirox olamine (8% lacquer) is groin area.
to be applied daily for the 48 weeks. Treatment
 Topical therapy is considered to be Oral and topical antifungals.
more cost-effective than that of systemic 6. TINEA CRURIS
therapy. This infection occurs anywhere on the body
4. TINEA PEDIS or the face but is more common in skin
This common type of tinea occurs on the folds. Also is more commonly found in
feet and between the toes. warmer climates.
Clinical diagnosis Clinical Diagnosis
 It can be caused due to sweating, not  Symptoms include- red, ring-
drying the feet after swimming or bathing, shaped patches with raised, scaly edges and
wearing tight socks and shoes, and warm itching.
weather. Treatment
 Clinical symptoms of tinea pedis Oral and topical antifungal.
include- itchy, burning rash on the feet,

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7. TINEA INCOGNITO (STEROID Treatment
MODIFIED TINEA) Topical and Systemic Antifungal
These are ringworm infections which  Topical therapy should be given to
become unrecognizable due to its all patients of tinea infections.
modification by over usage of the topical or  Supplement it with systemic
systemic corticosteroids. antifungal drugs when there is involvement
Clinical Diagnosis of scalp, hair or widespread skin.
 High index of suspicion for the SYSTEMIC TREATMENT OF
lesions appears especially on the face, DERMATOPHYTOSIS
groins and hands. Oral antifungal used in fungal infection are
 Stopping of steroids will make the presented in (Table18)
scaling more evident and then scrapping VARIOUS TOPICAL ANTIFUNGAL
will become easier. AGENTS
 KOH smear examination will show Topical agents used in fungal infection are
abundant fungal hyphae which is shown in (Table 19)
considered to be beneficial for the
diagnosis.
Table 9 Formulation in Bhavprakash samhita for the internal use-
S.no Name of the Ingredients Roga adhikar
formulation
1 Panchnimbka Nimnb Panchang, Bhringraj Swaras, Triphala, Trikatu, Dadru
Avaleha Bhrami, Gukshur, Bhilawa, Chitrak, Vayavidanga,
Barahikand, Loha Bhasma, Haldi, Dadruharidra,
Bakuchi, Amaltas, Shaker, Kuth, Indra, Patha, Kher,
Vijyasara, Nimb Kwatha
2 Svayambhuv Guggulu Bakuchi, Shilajet, Guggul, Swarnamakshik, Loha Bhasma, Kustha
Mundi, Amalaki, Haritaki, Karanj, Kher, Guduchi,
Nishoth, Jamalghota, Nagarmotha, Vayavidang, Haldi,
Kudha, Honey
3 Ekvishantik Guggul Chitrak, Triphala, Trikatu, Jeera, Kamooja, Vacha, 18 types of
Saindhav Lavan, Atiit, Kuth, Chavya, Yavasa, Kustha
Vayavidanga, Ajmoda, Nagarmotha, Devdaru
4 Kaishor Guggul Kustha
5 Amritbhallatak Bhilawa, Guduchi, Bhel, Guduchi, Bakuchi, Chakramadh, Kustha
Avaleha Triphala, Trikatu, Manjitha, Ajwyain, Saindhav Lavan,
Nagarmotha, Dalchini, Ela, Nagkesar, Pittpapda,
Tejpatra, Sughandwala, Khas, Chandan, Gukshur,
Kachur, Rakt Chandan, Ghee, Dugda
6 Mahabhallatak Nimb,Shweta Sariva, Atis, Kutaki, Tryaman, Triphala, Dadru
Avaleha Nagarmotha, Pittpapda, Bakuchi, Yavasa, Vacha, Kher,
Shweta Chandan, Patha, Sunthi, Kachur, Bharangi, Vasa,
Chiryata, Indrajoo, Kali Sariva, Indryan, Murva,
Vayavidanga, Kutaj, Chitrak, Hastikand, Guduchi,
Vakayan, Patol, Haldi, Daruhaldi, Pippali, Amaltas,

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 Satona, Nishoth, Bet, Shweta Gunjja, Majith, Kalihari,
Rasna, Karanj, Punarnava, Danti, Vijyasar, Bhringraj,
Miyavansa, Ankol, Shakhont, Triphala, Trikatu,
Nagarmotha, Vayavidanga, Chitrak, Saindhav Lavan,
Chandan, Kuth, Ajwaiyn

7 Laghumanjisthaadi Manjistha, Triphala, Kutaki, Vacha, Daruharidra, Kuth, Dadru

Kwath Nimb
8 Madhyamanjisthaadi Manjistha, Bakuchi, Chakramadh, Nimb, Haritaki, Haldi, Kustha
Kwatha Amalaki, Vasa, Satavari, Bala, Nagbala, Yasthimadhu,
Gukshur, Patol, Khas, Guduchi, Rakt Chandan
9 Bhrinmanjisthaadi Manjistha, Kutaj, Guduchi, Nagamotha, Vacha, Sunthi, 18 types of
Kwath Haldi, Daruharidra, Kantkari, Nimb, Patol Kutaki, Kustha
Bharangi, Vayavidyang, Chitrak, Murva, Devdaru,
Indrayav, Bhringraj, Pippali, Tryaman, Patha, Satavari,
Kher, Triphala, Chiryata, Bakayan, Vijyasar, Amaltas,
Phulpriyangu, Bakuchi, Raktchandan, Varuna, Danti,
Shakhotak, Vasa, Pitppapda, Sariva, Atis, Yavasa,
Indrayan, Sugandhvala
10 Laghumarichadi Kalimirch, Nishoth, Nagarmotha, Hartal, Manashela, Dadru(internal)
Taila Devdaru, Haldi,Daruharidra, Jatamansi, Kutchandan,
Indrayan, Kaner, Madar, Gobar Ras, Vatsnabh, Katu
Taila, Cow Urine
11 Mahamarichadi Taila Kalimaricha, Nishoth, Danti, Madar Ksheer, Gobar Ras, Dadru
Devdaru, Haldi, Daruhaldi, Jatamansi, Kuth, Chandan,
Indryan, Kaner, Hartal, Manasheela, Chitrak, Kalihari,
Nagarmotha, Vayavidang, Chakramadh, Sirish, Kutaj,
Nimb, Saptaparni, Snuhi, Syamak, Karanj, Kher, Bakuchi,
Vacha, Jyotishmati, Vatsnabh, Katu Taila, Cow Urine
12 Somraji Ghrita Bakuchi, Khersara, Patol, Triphala, Trayaman, 18 Types of
Duralbha, Kutaki, Guggul, Ghrita Kustha

Table 10 Formulation in bhavprakash samhita for the external use-

S.no Name of the Ingredients Roga adhikar
formulation
1 Pathyaadhi Lepa Haritaki, Karanj, Sarson, Haldi, Bakuchi, Saindhav Lavan, Kustha
Vayavidang, Cow Urine
2 Somrajyaudvartan Bakuchi, Adhrak Swaras Kustha
3 Laghumarichadi Kalimirch, Nishoth, Nagarmotha, Hartal, Manashela, Kustha(external)
Taila Devdaru, Haldi,Daruharidra, Jatamansi, Kutchandan,
Indrayan, Kaner, Madar, Gobar Ras, Vatsnabh, Katu
Taila, Cow Urine
4 Dadru Lepa  Kuth, Vayavidanga, Chakramadh, Haldi, Kustha, Dadru
Saindhav Lavan, Sarson, Nimbu Swaras
 Gandlik, Sarson, Snuhi, Chakramadh, Takra
Dadru

Table 11 Formulations in sharangdhar samhita for internal use

S.No Name Of The Formulation Reference Roga Adhikar
1 Vhrinmanjisthaadi Kwatha S. M. 2/137-142 18 types of Kustha
2 Nimbpatra Kalka S.M. 5/5 Kustha
3 Triphal Churna S.M. 6/9-11 Kustha
4 Tryushna Churna S.M. 6/12 Kustha
5 Narayan Churna S. M. 6/83-91 Kustha
6 Hapushadadi Churna S. M. 6/92-94 Kustha
7 Lavanbhaskar Churna S. M. 6/140-146 Kustha
8 Panchnimba Churna S. M. 6/150-155 All types of Kustha

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 9 Navayas Churna S. M. 6/161-163 Kustha
10 Mandur Vatak S. M. 7/34-36 Kustha
11 Chandraprabha Vati S. M. 7/ 40-49 Kustha
12 Yograj Guggul S. M. 7/56-69 18 types of Kustha
13 Kaishor Guggul S. M. 7/70-81 All types of Kustha
14 Triphala Modhak S. M. 7/88-94 All types of Kustha
15 Kanchnar Guggul S. M. 7/95-100 Kustha
16 Amrita Ghrita S. M. 9/44 Dukhsadhya Kustha
17 Mahapanchtikta Ghrita S. M. 9/45-50 Kustha
18 Shadbindu Ghrita S. M. 9/60-65 Kustha
19 Panchtikta Ghrita S. M. 9/91-92 Kustha
20 Usheer Aasav S. M. 10/15-19 Kustha
21 Loha Aasav S. M.10/36-40 Kustha
22 Mridvika Arishta S. M. 10/41-45 Kustha
23 Devdarvaadhi Aristha S. M. 10/55-61 Kustha
24 Khadir Aristha S. M. 10/ 62-67 All types of Kustha
25 Babbul Arishta S. M. 10/68-70 Kustha
26 Rohitak Arishta S. M. 10/75-78 Kustha
27 Dashmula Arishta S. M. 10/79-94 Kustha
28 Mahataleshwar Rasa S.M.11/175-179 All types of Kustha
29 Kusthakuthar Rasa S. M. 11/180-183 All types of Kustha
30 Kanaksundra Rasa S. M. 11/234-239 18 types of Kustha

Table 12 Formulation in sharangdhar samhita for external use

S.No Name Of The Formulation Reference Roga Adhikar
1 Kasisadi Ghrita S. M. 9/51-57 Kustha, Dadru
2 Marichadi Taila S. M. 9/148-152 Kusthahar
3 Vajri Taila S. M. 9/182-186 All types of Kustha

Table 13 Formulation in yog ratnakar for internal use

S.No Name of the Ingredients Roga
Formulation adhikar
1 Khadirashtak Khadir, Triphala, Nimb, Patol Patra, Guduchi, Vasa Kustha
Kwatha
2 Mahakashya Sunthi, Nimb, Kiratikta, Pippali, Patha, Haldi, Daruharidra, 18 types
Traymaan, Triphala, Guduchi, Kamal, Kutaki, Vasa,Vacha, of Kustha
Bakuchi, Manjistha, Ativisha, Duralbha, Mahanimb, Chitrak,
Amaltas, Mahri, Kutaj, Bharangi, Nagarmotha, Yav, Murva, Patol,
Rakt Chandan, Krushan Sariva, Pittpapda, Shweta Sariva,
Vayavidanga, Khadir, Gomutra
3 Khadiras Rasa Khadir Panchang, Goghrita, Amalaki Swarasa, Madhu Kustha
4 Nimbadi Kalka Nimb Patra, , Amala, Vyavidang, Bakuchi Kustha
5 Panchnimb Nimb Panchang, Vijya Sara, Khadir, Chitrak Mula, Vayavidang, Kustha
Churna Amaltas, Sharkar, Bhilawa, Triphala, Gokshur, Chakramardh,
Bakuchi, Trikatu, Halfi, Loha Bhasma, Bhringraj Swarasa,
Godugda, Goghrita
8 Vidangadi Vayavidanga, Triphala, Pippali, Madhu Kustha
Churna
9 Ekvishynti Triphala, Trikatu, Jeera, Vacha, Saindhav Lavan, Ativisha, Kuth, 18 types
Guggul Chavya, Ela, Yvakkshara, Vayavidang, Ajmoda, Nagarmotha, of kustha
Devdaru, Guggul, Goghrita
10 Triphala Modhak Triphala, Vidang, Loha Bhasma, Bhilawa, Bakuchi, Shilajeet, 18 types
Guggul, Pushkarmula, Nishoth, Chitrakmula, Trikatu, Dalchini, of kustha
Tejpatra, Kesar, Nagarmotha
11 Bhalatak Avaleha Nimb, Shyamlata, Atees, Kutaki, Tryaman, Triphala, Nagarmotha, Dadru,
Pittpapda, Bakuchi, Anantmula,Vacha, Khadir, Chandan, Patha, Kustha
Trikatu, Kachoor, Bharngi, Vasa, Bhoonimb, Kutaj, Kali Nishoth,
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 Mahri, Murva, Vayavidang, Ativisha, Chitrakmula, Hasti Karna,
Palasmula, Nagarmotha, Patol, Haldi, Daruhaldi, Etc
12 Dhatryavaleha Triphala, Vayavidang, Chitrak, Bhilawa, Bakuchi, Loha Bhasma, All types
Bharangi of Kustha
13 Shshankalekhadi Bakuchi, Vayavidanga, Pippali, Chitrak, Mandur Bhasma, Amalaki, All types
Leha Til Taila of Kustha
14 Tiktashatpal Nimb, Patol, Daruhaldi,Duralbha, Katuki,Triphala, Pittpapda, Kustha
Ghrita Tryaman, Raktchandan, Kiratikta, Pippali, Nagarmotha, Indrayav
15 Panchtikta Ghrita Nimb, Patol, Kantakari, Guduchi, Vasa, Goghrita Triphala Kalka Kustha
roga
16 Mahapanchtikta Saptaparni, Ativisha, Amaltas, Kutaki, Patha, Nagarmotha, Usher, Kustha
Ghrita Triphala, Patol, Nimb, Pittpapda, Jvasa, Raktachandan, Pippali,
Padumkath, Haldi, Daruhaldi, Vacha, Mahri, Satavrimula, Sariva,
Krushansariva, Indrayav, Vasa, Murvamul, Guduchi, Kiratikta,
Yasthimadhu, Tryamaan, Goghrita, Amala Swaras
17 Mahakhadir Khadir, Kranj, Vijyasar, Nimb, Vetas, Pitpapda, Kutaj, Vasa, All types
Ghrita Vayavidang, Haldi, Daruhaldi, Amaltas, Guduchi, Triphala, Nisoth, of Kustha
Saptaparni
18 Khadir Asava Khadir, Triphala, Devdaru, Daruhaldi Bakuchi, Madhu, Dhatki All types
Pushpa, Sharkar, Kankol, Maricha, Lavang, Ela, Jatiphala, of Kustha
Dalchini, Nagkesar, Maricha, Tejpatra, Pippali
19 Kanak Aristha Khadir, Triphala, Trikatu, Haldi, Dhatur, Bakuchi, Guduchi, Kustha
Vayavidang, Madhu, Dhatki Pushpa
20 Triphala Gutika Triphala, Bhilava, Loha Bhasma, Krishna Jeerak, Bharangi, Kustha,
Langali, Trikatu, Guda, Varahikandh Dadru
21 Navak Kashaya Triphala, Neem, Patol, Manjistha, Kutaki, Vacha, Haridra Kapha-
(Kwatha) Pitta
Kustha

Table 14 Formulation in yog ratnakar for external use

S.No Name of the Ingredients Roga
Formulation adhikar
1 Pathyadi Lepa Haritaki, Krnja, Shweta Sarson, Haldi, Krushan Jirak, Saindhav Kustha
Lavan, Vayavidanga
2 Elaadi Lepa Ela, Kuth, Vayavidanga, Sonf, Chitrak Mula, Bla, Dantiula, Rasot Kustha
3 Manasheeladi Manasheela, Hartal, Maricha, Sarson Taila, Arka Ksheer Kustha
Lepa
4 Kranj Bheejadi Kranj Bheej, Chakramardh, Kuth,Gomutra Kustha
Lepa
5 Shweta Shweta Karvir, Kutaj, Kranj, Daruharidra, Chameli Kustha
Karviraadi Lepa
6 Sarvkusthahar Kajjali, Katu Taila Kustha
Lepa
7 Sarshapadi Sarson, Kranj, Haldi, Daruharidra, Manjistha, Triphala, Karchoor, Kustha
Churna Chandan, Shweta Sariva, Murva, Priyangu, Trikatu, Dalchini, Ela,
Tejpatra, Nagkesar, Laksha
8 Chitrakadi Taila Shweta Kaner Swaras, Vayavidanga, Chitrak, Katu Taila Kustha
9 Vajra Taila Saptaparni, Kranj, Arka, Malti, Kaner, Snuhi, Shirish, Chitrak, All types
Kranj, Triphala, Trikatu, Daruhaldi, Shweta Sarson, Vayavidang, of Kustha
Chakramardh, Gomutra, Sarson Taila
10 Manjisthaadi Manjistha, Kuth, Haldi, Chakramardh, Amaltas, Sarson Taila, Trun Kustha
Taila Swarasa
11 Kasmarda Yog Kashmarda, Sooveerphala Dadru
(Lepa)
12 Mulakbheejadi Mulak Bheej, Sarson Bheej, Laksha, Haridra, Daruharidra, Dadru
Yog Chakramard Bheej, Shreeveshtak, Sunthi, Maricha, Pippali,
(Lepa) Vayevidanga, Kuth, Gomutra

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 13 Aaragvadhpatra Aaragvadh Patra, Kanji Dadru
Yog
(Lepa)
14 Prupunnat Chakramard Bheej, Aamalaki, Rala, Snuhi, Sooveramal Dadru
Yog(Lepa)
15 Vidangadi Lepa Vayevidang, Chakramardh Bheej, Kuth, Haridra, Saindhav Lavan, Dadru,
Sarson, Dhanyamal Kustha
16 Laghumarichadi Maricha, Hartal, Manasheela, Nagarmotha, Arka Ksheer, Kaner Dadru
Taila Mula, Nishoth, Gobhar Rasa, Mahari, Kuth, Haridra, Daruhaldi,
Devdaru, Lala Chandhan, Metha Visha:- Kalka Dravya
Sarson Taila:- Sneha
Gomutra:- Drava(Liquid)
17 Dardadi Lepa Hingul, Kajjali, Pippali, Metha Visha, Vaye Vidang, Haridra, Dadru
Chitrak Mula, Maricha, Haritaki, Sunthi, Nagarmotha,
Samudrafena, Bheej, Kutaki, Amaaltas Patra, Chakramardh Bheej,
Neem Swarasa Or Kwatha
18 Gunjaadi Gunja, Chitrakmula, Shankh Bhasma, Haldi, Durva, Haritaki, Dadru
Udvartan Kalihari, Snuhi, Saindhav Lavan, Ghritkumari Nagarmotha, Arka
Ksheer, Bakuchi, Gruhdhoom, Chakramardh, Vayavidanga,
Maricha, Madhu, Khajoor
19 Lakshaadi Lepa Laksha, Ral, Kuth, Haldi, Shweta Sarson, Trikatu, Mulibheej, Kustha,
Chakramardh Dadru
20 Bruhtmarichadi Maricha, Nisoth, Dantimula, Arkaksheer, Gobar Rasa, Devdaru, Dadru,
Taila Haldi, Daruhaldi, Jatamansi, Kuth, Raktchandan, Mahri, Kaner, Kustha
Hartal, Manasheela, Chitrak, Kutaj, Kalihari, Chavya,
Vyavidanga, Chakramardh, Shirish, Nimb, Saptaparni, Guduchi,
Snuhi, Amaltas, Kranj, Nagarmotha, Khadir Pippali, Vacha,
Jyotishmati, Sarson Taila, Gomutra
21 Maheshvar Kajjali, Arka Ksheer, Manasheela, Shweta Jeera, Krushn Jeera, Kustha
Ghrita Haldi Daruhaldi, Godanti, Maricha, Nagabhasma, Chakramardh,
Bakuchi, Ghrita

Table 15 Formulation in rasa ratna samuchya for internal use

S.No Name of the Ingredients Roga adhikar
formulation
1 Krishnamanikya Rasa Gandhak, Tikshna Loha, Kanta Loha, Abhrak Kustha
Bhasma, Parad, Vatsnabh, Swarnamakshik
Bhasma, Manjistha Kwatha
2 Manjisthaadi Gan Manjistha, Nagarmotha, Devdaru, Khadir Kastha, Kusthahara gan
Triphala, Kuth, Vacha, Bakuchi Bheej, Patha,
Katuki, Pittpapda, Amaltas Phalamajja,
Yasthimadhu, Murva, Haldi, Trayaman Mula,
Varahikand, Dhatur, Vidang, Vasamula, Nimb
Twaka, Guduchi, Kutaj Twaka, Kakoli, Duralbha
3 Tripurantak Rasa Rasa Sindur, Vatsnabh, Sunthi, Vidanga, Dhatur, All types of kustha
Yasthimadhu, Chitrak Mula, Patha, Nirgundi,
Triphala, Vandhyakkaroti , Ridhi, Vridhi, Haldi,
Daruhaldi, Goat Urine
4 Kusthkuthar Rasa-1 Kajjali, Mundi Swarasa, Bhringraj Swarasa, All types of kustha
Vacha, Amala, Pippali, Loha Bhasma, Vidyan,
Vatsnabh, Tamra Bhasma, Sunthi, Shweta Jeera,
Kuth, Chitraka, Triphala, Saindhav Lavan
5 Kusthkuthar Rasa-2 Rasa Sindur, Gandhak, Loha Bhasma, Tamra All types of kustha
Bhasma, Guggul, Triphala, Kuchla, Chitrakmula,
Shilajeet, Karanjbheej
6 Vyoshadi Gutika Trikatu, Kajjali, Triphala, Chitrak Kustha
7 Vajrashekh Rasa Kajjali, Abhrak Bhasma, Swarnamakshik Bhasma, All types of kustha
Aprajeta, Netrabhala, Sarpakshi, Shankhpushpi,
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 Nili, Gojehva, Dugdika, Palash Bhej, Rudravanti,
Jalvetas, Kakmachi, Satavari Kwath, Hasthikarna
Palash, Guduchi Kwatha, Vrishchakali Kwath,
Murva Kwatha, Vidarikandha Kwath, Dashmula
Kwatha, Cow Ghee
8 Dadrukusthavidravan Kajjali, Swarnamakshik Bhasma Hartal, Kantaloha Kustha, Vicharchika,
Rasa Bhasma, Krishna Vajraabhrak Bhasma, Hingul, Dadru
Yasthimadhu, Kuth, Guda, Amalvetas Kwath,
Honey, Ghee
9 Manikyatilak Rasa Kajjali, Swarnamakshik Bhasma Hartal, Kantaloha Kustha
Bhasma, Krishna Vajra Abhrak Bhasma, Hingul,
Yasthimadhu, Kuth, Satavari Swaras, Manjistha
Kashya
10 Parhit Rasa Kajjali, Swarna Bhasma, Atees, Vatsnabh, Vidang, All types of kustha
Trikatu, Triphala
11 Talkeshwar Rasa1 Parad, Naga Bhasma, Patra Hartal, Gomutra, Dadru, Kustha
Jambiri Nimbu Swaras, Kumara Swaras, Bhringraj
Swaras, Snuhi Swaras
12 Talkeshwar Rasa 2 Kajjali, Hartal, Tamra Bhasma, Loha Bhasma All types of kustha
13 Mahataleshwar Rasa1 Kajjali, Patra Hartal Swarnamakshik Bhasma, All types of kustha
Manasheela, Saindhav, Tankan, Tamra Bhasma
Loha Bhasma, Guggul
14 Mahataleshwar Rasa2 Kajjali, Hartal, Manashela, Tankan, Saindhav, Kustha
Tamra Bhasma
15 Kusthnashan Rasa Kajjali, Chitrakmula, Vhakuchi, Maricha All types of kustha
16 Arogya Vardhini Rasa Kajjali, Loha Bhasma, Abhrak Bhasma, Tamra Kustha
Bhasma, Triphala, Shilajeet, Guggul, Chitrakmul,
Kutaki
17 Narayan Rasa Rasa Sindur, Gandhak, Guggul, Triphala Dukhsadhya Kustha
18 Medinisara Rasa Rasa Sindur, Gandhak, Tamra Bhasma, Loha All types of kustha
Bhasma, Trikatu, Vatsnabh
19 Jantughni Vati Kajjali, Mandur Bhasma, Ajmodha, Palash Bhej, Kustha
Samudraphala, Jayaphala, Vidanga, Kuchla,
Swarnamakshik
20 Dhanvantri Rasa Kajjali, Tamra Bhasma, Tankan, Kankustha, Rakta Kustha
Chandan, Pippali
21 Vajradhar Rasa Rasa Sindur, Hartal, Hirak Bhasma, Abhrak All types of kustha
Bhasma, Swarna Bhasma
22 Kasisbaddh Rasa Rasa Sindur, Kasis, Arjuna Twaka Kwatha Kustha, dadru
23 Treelokyavijaya Rasa Kajjali, Vatsnabh, Hartal, Rudanti, Swarnakshiri All types of kustha
Mul
24 Sarvkusthantak Taila Kajjali, Krishna Abhrak, Tutha, Nimb Taila, Kustha(external&
Karpas Bhej Taila, Malkanguni Taila internal both)
25 Kusthvidravan Taila Bhakuch Kwatha, Kajjali, Loha Bhasma, Tila Taila, All types of the
Tambhul Rasa kustha(external&
internal both)
26 Mahabhalatak Taila Bhalatak, Tila Taila All types of the
kustha(internal and
external both)
27 Sarvakusthankush Mushali, Vhakuchi, Nirgundi Mula, Honey, Ghee All types of the
Churna kustha(orally)
Table 16 Formulation in rasa ratna samuchya for external use
S.No Name of the Ingredients Roga adhikar
formulation
1 Sarvkusthantak Kajjali, Krishna Abhrak, Tutha, Nimb Taila, Karpas Kustha(external&
Taila Bhej Taila, Malkanguni Taila internal both)

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 2 Kusthvidravan Bhakuch Kwatha, Kajjali, Loha Bhasma, Tila Taila, All types of the
Taila Tambhul Rasa kustha(external&
internal both)
3 Vajra Taila Snuhi Ksher, Arka Ksher, Dhaturpanchang Rasa, All types of the
Chitrakmul Kwatha, mahisha mala Swarasa, Tila kustha (external)
Taila
Prakshep- Gandhak, Chitrak Mul, Manasheela,
Hartal, Vidang, Ativisha, Vatsnabh, Tiktakoshatki,
Kuth, Vacha, Jatamansi, Trikatu, Haldi,
Daruharidra, Yasthimadhu, Sajji Kshara, Jeerak,
Devdaru
4 Mahabhalatak Bhalatak, Tila Taila All types of the
Taila kustha(external,
internal both)
5 Mahamartand Shakvriksha Bheej, Nimb Bheej Majja, Ankol Bheej, Kustha
Taila Chitrakmul, Amaltasphala Majja, Bibhitakphala
Majja, Snuhi Ksher, Vhakuchi, Narikel Giri, Chirooji,
Erandbheej Majja, Chakrmadh, Tila Taila, Kustha
Churna, Nswarna Kshirimul
6 Kanchini Taila Swarna Kshiri Taila, Kuth Kustha
7 Kusthari Taila Narikel Giri, Haldi, Daruhaldi, bakuchi Bheej, 18 types of kustha
Vacha, Bhavitakibheej Majja, Bhringraj, Bhallatak
Bheej, Shak, Dhatur Bheej
8 Mayurksharadi Apamarg Kshara, Palash Kshara, Medhashringi Dadru
Lepa Kwatha, Parade, Yavak Kshar, Sarjik Kshara,
Tankan Kshar, Haldi, Trikatu, Daruharidra, Tamra
Bhasm
9 Kusthavidhvansan Kajjali, Tankan, Tamra Bhasma, Pippali, Kuth, Rakta All types of the
Lepa Chandan kustha
10 Nirgundyadi Lepa Nirgundi Mula, Sarson Taila, Madhu, Cow Ghee, Kustha
Kumara Swaras, Gandhak, Jho, Semal Multwak
Swaras
11 Gunjadh Urvartan Gunja Bheej, Chitrak, Shank Bhasma, Haldi, Dadru, Kustha
Bhallatak Bheej, Kalihari Mula, Snuhi Ksheer,
Manasheela, Kumara Swaras, Meghnath,
Ghriydhum, Parad, Gomutra, Chakramardh Bheej,
Vidyang, Maricha, Madhu, Samudri Jala

Table 17 Malahar mentioned in rasa tarangini

Rasa Formulation name Ingredients Rogadhikar
Tarangini

1 Dadruvidravan Chakramardh, Laksha, sikta taila, gandhak, Dadru(cure in 7

malahar tankan days)

2 Talkodhya malahar Sikta taila, kajjali, girisindur, garika Dadru, Kustha

manasheela,Hartal, Haritaki Katha

3 Sinduradho Sikta taila , rasa sindoor, Rala Kustha,

malahar 2

Table 18 Oral drugs used in fungal infection

Disease Drugs Dose Duration
Tinea Capitis Griseofulvin 20-25mg/kg/day 6-8 weeks
Terbinafine 3-6 mg/kg/day For trichophyton (black dot)
2-4 weeks

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 For microsporum (gray
patch) 4-8 weeks
4-6 weeks
Itraconazole 3-5mg/kg/day 20 days
Fluconazole 6mg/kg/day 8-16 weeks
8mg/kg/once a week
Tinea Barbae Griseofulvin 1gm/day 4-8 weeks
Terbinafine 250mg/day 2-4 weeks
Itraconazole 200mg/day 2-4 weeks
Fluconazole 200mg/day 4-6 weeks
Tinea Corporis/ cruris Adults:
Griseofulvin 500mg/day 2-6 weeks
Terbinafine 250mg/day 2 weeks
Itraconazole 100mg/day 15 days
Fluconazole 150mg/day 4-6 weeks
Children:
Griseofulvin 10-20mg/kg/day 6 weeks
Terbinafine 3-6mg/kg/day 2 weeks
Itraconazole 5mg/kg/day 1 week
Tinea pedis / manuum Adults:
Terbinafine 250mg/day 2 weeks
Itraconazole 200mg twice daily 1 week
Fluconazole 150mg/week 3-4 weeks
Children:
Itraconazole 5mg/kg/day 2 weeks
Onychomycosis/ tinea Terbinafine 250mg/day For fingernails: 6 weeks
unguium For Toenails: 12 weeks
For fingernails: 6 weeks
continuous therapy or 2
Itraconazole 200mg/day or 400mg/day for pulses
1 week in 1 month For toenails: 12 weeks
continuous therapy or 3
pulses

Not recommended For fingernails: More than 4

Fluconazole 500mg/day months
Griseofulvin For Toenails: More than 1
year

Table 19 Topical ointments used in fungal infection

Preparations Comments
AZOLES
Clotrimazole: 1% cream, lotion and powder Fungistatic, but effect is broad spectrum
Miconazole: 2% cream, gel, lotion and powder Effective against dermatophytes, candida, and
Malassezia furfur
Econazole: 1% cream
Ketoconazole: 2% cream, shampoo
Oxiconazole: 1% cream and lotion
Bifonazole: 1 % cream
Fluconazole: 0.5% gel
Sertaconazole: 2% cream
Sulconazole: 1% cream
ALLYLAMINES
Terbinafine: 1% cream Fungicidal
Butenatine: 1% cream Effective against dermatophytes and Malassezia furfur.
Amorolfine: 5% lacquer, 0.25% cream
Others

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 Tolnaftate: 0.1 % lotion.
Ciclopirox olamine: 8%lacquer
Whitfield's ointment (salicyclic acid 3% and
benzoic acid 6%)

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 REFERENCES 9. Pocket Atlas of Clinical Dermatology

1. Charaka Samhita, Agnivesha, Revised with Diagnosis and Treatment by Ramesh

by charaka and Dridhabala, ‘Vidyotini’ Bansal, jaypee Publishers

Hindi commentary by Pt. Kashi Nath

Shastri and Dr. Gorakh Nath Chaturvedi,
reprint 2003,Chaukhamba Bharati
Academy, Varanasi.
2. Rasatarangini, Sadananda sharma,
edited by pt. Kashinath Shastry, 11th
edition, 1989, published by Motilal
Banarasidas, Varanasi.
3. Yoga Ratanakara Vidyotini Hindi
Commentary -Vaidya Laksmipati
Sastri,’Bhisagratna Brahmasankar Sastri,
Chaukhamba Publications, 2017
4. Asthang Sangrah Hindi Commentary -
Kaviraj Atrideva Gupta, Chowkhamba
5. Sharangdhar Samhita edited Pt.
Parshuram Shastri, Chaukhamba Surbharati
Prakashan Varanasi(India)
6. Vagbhat “Ashtanga
Hridaya”,Sarvangasundar commentary by
Arundatta edited by H.P.Vaidya,
Chaukhamba Orientalia, Varanasi(India)
7. Vruddha Jivaka “Kashyapa
Samhita”,9th edition, edited by Pt.
Hemaraja Sharma, Chaukhamba Sanskrit
Sansthan, Varanasi(India)
8. Sushrut,”Sushrut Samhita” Nibandha
Sangraha commentary edited by Narayan
Ram Acharya, Chaukhamba Surbharati
Prakashan, Varanasi(India),2017

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