Karsya & Mamsasosha

As per Ayurveda kayachikitsa syllabus Paper II B

1. ProfSriramChandraMishra
KayachikitsaDepartment
VYDSAyurvedMahavidyalaya,Khurja
WEIGHT LOSS
↓
EMACIATION, CACHEXIA

2. (C. Su. 21/17)
KarsyaRoga
•KarshyaisanApatarpanjanyaVyadhi.
•ItisincludedintheAshtauninditiyaAdhyaya.
•KarshyacanbeconsideredasWeightloss,butlosingweightwithout
trying,mightindicateanunderlyingconditionleadingtoEMACIATION,
CACHEXIA.

3. Mamsasosha
•Mamsakshayaandshoshacanbeconsideredaswastingofmuscles.
•Extremeweightlossandunnaturalthinnessduetoalossofsubcutaneous
fatandmusclethroughoutthebodyleadingtotheconditionemaciation.
•Thisconditionemaciation(wastingofmuscles)isexplainedasasymptom
inmamsavahasrotasvidhalakshana(म ांसवहस्रोतसववद्धजन्यलक्षण)
(SU.Sha.9/12)
•ThesymptomMamsasoshaalsofoundinMusculardystrophy,

4. Weightloss
•Increasedmetabolism(hypermetabolic),inadequateconsumption
orassimilationofnutrient,orexcessivenutrientlosscontributesto
significantweightloss.
•Unexplainedweightloss,orlosingweightwithouttrying,canbea
causeforconcern,mightindicateanunderlyingcondition.
Emaciation
•Extremeweightlossandunnaturalthinnessduetoaloss
ofsubcutaneousfat(thefatty,oradiposetissuebeneaththeskin)
andmusclethroughoutthebody
•Itisaserious,usuallychronicandprogressivecondition
characterizedbysignificant(>20%)bodyweightloss.

5. Cachexia
•Itisthetermedusedtodescribetheend
stageofemaciation.
•Itisamultifactorialsyndromedefined
byanongoinglossofskeletalmuscle
mass(withorwithoutlossoffatmass)
thatcanbepartiallybutnotentirely
reversedbyconventionalnutritional
support.

6. UnexplainedWEIGHTLOSSleadingtoEMACIATION,CACHEXIA
canbeasymptomofaseriousconditionorillness.
Diabetes
Heartfailure
HIV/AIDS
Hypercalcemia
Hyperthyroidism(overactivethyroid)
Hypothyroidism(underactivethyroid)
Medications
Parkinson'sdisease
Pepticulcer
Substanceabuse(alcohol,cocaine,other)
Tuberculosis
Ulcerativecolitis
Addison'sdisease(adrenalinsufficiency)
Amyloidosis(buildupofabnormalproteinsinorgans)
Cancer
Celiacdisease
Changesindietorappetite
Changesinsenseofsmell
Changesinsenseoftaste
COPD
Crohn'sdisease
Dementia
Dentalproblems
Depression(majordepressivedisorder)

7. Nidanaof Karshyaroga
(C. Su. 21/17)
Excess Sodhanaetc
(SU. Su. 15/33)

8. Samprapti
SampraptiVighatana
•Dosha–Vatapradhana
•Dushya–Rasa,Mamsa,Medaetcdhatu
•Srotas–Rasavaha,Mamsavaha,Medovaha
•Srotodusti–Sanga
•Adhisthana–Udara,Sarvashareer
•Vyadhiswabhava–Krichhrasadhya

9. SamanyaLakshana(Clinical Features)
•Emaciationofmuscularparts
•Visibilityofbonesand
vessels
•Enlargedjoints
•IntolerancetoPhysical
exercise,labourwork,large
meals, thirst,diseases,
therapies,coldness,hotness,
excesssexualact
•Pronetovariousdiseases
(C. Su. 21/15)
(C. Su. 21/15)
Upadrava(Complications)
(C. Su. 21/14)

10. Management
(C. Su. 21/20)
(C. Su. 21/34)
•BrimhanaisthekeytreatmentforKaarshya.
•The substance should beLaghu (easytodigest)
and Santarpana (refreshing,increasing the body
constituentsDhaatu).
•MaamsaisthemosteffectiveBrimhanaDravyatobeusedfor
treatingKaarshya.

11. (C. Su. 21/29-33)
AHARA-VIHARA

12. Medicines(DependsonCause)
•SingleDrugs-AstavargaAusadhi(Kakoli,Kshirkakoli,Jeevak,Rishbhak,Meda,
Mahameda,Riddhi,Vriddhi),Aswagandha,Satavari,Vidarikanda,Vidarikanda,Bala,
Atibala,Nagabala,Yasthimadhu,Jivanti,Mudgaparni,Salammisri,Safed
musli,badam,akhrot,Kaju,milk
•Compoundformulations
•Rasausadhi–Swarnayoga,Rasarajarasa,Pravalabhasma
•Vati–Silajeetwadivati
•Kashaya-BrimhaniyaMahakashaya(Ksheeravidari,Dugdhika,
Aswagandha, Kakoli,Ksheerakakoli,SvetaBala,Pitabala,
Banakapasha,Vidarikanda,Vidhara),Dhanwantarakashaya,
•Avaleha–Chawanprasha,Drakshavaleha,Vidaryadiavaleha
•Ksheerapaka-Asvagandhaksheerapaka
•Asavarista–Mritusanjeevanisura

13. •Panchakarmatherapy
Abhyanga/Pizhichil–Mahamasataila,Dhawatarataila,
Balaswagadhaditaila
Vasti-Brimhanavasti
Nasya–BrimahaniyanasyawithKsheerabala101,Dhanwantara101
avarthi
(SU. Chi. 38/83)