Importance of Pathya and Apathya in Kushta Chikitsa

The word Kushta in Ayurveda is a broad term used for all skin disorders. Its characteristic feature is discoloration or Vivarnata of twak. If left untreated, it may cause severe deformities. Since it is a Bahudoshaja and Dushchikitsita vyadhi, Sodhana (purification) along with Pathya seva is important. Aims & Objective: This study explores the role of Pathya and Apathya in enhancing the efficacy of Kushta chikitsa, based on classical Ayurvedic texts and clinical insights. Methods & Materials: A comprehensive review of Ayurvedic Samhitas and various articles published were analyzed. Results: Pathya, such as a Tridosha pacifying diet, avoidance of Ati snigdha, Ushna, Katu and Virudhaahara, and adherence to specific lifestyle modifications, showed significant improvement in reducing Kushta symptoms. Contrarily, Apathya behaviours like indulgence in Virudhaahara, excessive use of alcohol, and stress exacerbated the disease. Conclusion: Pathya-Apathya plays a pivotal role in Kushta chikitsa, acting synergistically with therapeutic measures. Proper adherence to Pathya facilitates detoxification, enhances immunity, and supports the therapeutic process, while avoidance of Apathya prevents aggravation of Doshas and recurrence.