The Role Of Chaturvidha Chikitsa In Arbuda (Cancer)

Abstract

Abruda means the one which causes hurt or kills and adheres like crab. In the charaka samhita sutra sthana 18th chapter,trishothiya adhyaya, quoted as ‘vikara nam akushalo na jignat kadachana ,nahi sarva vikaranam namato asthi druva sthithaha’1 means all discomforts of the body are itself diseases, which are not always identified with name, but can be diagnosed and treated depending upon dosha –dushya samurchana with their adhishatana and vyaktha sthana.. arbuda is the roga involving kapha dosha and mamsa dhatu for dosha- dushya sammurchana including apaka karma and takes shelter in any place of the body. According to Acharya Kalyana karaka, in Chikitsa there are different types or modalities which are used by intelectual vaidyas, to treat a disease, ‘Yena Yena prati visheshaat bhishag jeet rogaha, Sadhyate tat chikitsa parigneyo’ 2 .According to Acharya Sushrut, in the management of Shopha, Supti, Angavikara, Arbuda, Vidradhi vikara, are explained to adopt Chaturvidha chikitsa on the basis of prognosis of diseases and avastha of vyadhi Chaturvidha chikitsa are Oushadha-medicines, Shastra-operative procedures, Agni –cauterization and Ksharaapplications of alkalies, with help of medicines acts to reduce pain, burning sensation and shodhana but to avoid further increase or spreading mechanism shastra karma,agni and kshara are advised. According to Acharya Sushruta, the arbuda is defined as, Samurchita vatadi doshas in the body gets sthana samshraya in mamsa dhatu and forms localised round shaped ,immobile, less pain, large in size with broad base gradually increases in the body .In this paper tried to explain about arbuda depending on doshika predominance arbuda causes, types and treatment mentioned in Sushrut Samhita.