Author(s): Kumkum Pandey, Rajesh Sood

These six are named as Satbhava padartha by Vaishishika darshan. Among these Satpadarthas Samanya and Vishesha are the two main principles of Ayurveda. Fundamental principles are the main pillars of Ayurvedic medicinal therapy. Principle of Vishesha is also one of these valuable principles. Vishesha is meant for diminution of all Vitiated, all existing materials. Cakrapani explained in his commentary that Vishesha is a differentiating intelligence. A disease can only be developed either by Vriddhi or Kshaya of natural Doshas. If we want to treat any disease, we have to either elevate or diminish these vriddha or Kshayit doshas to get equilibrium which is the main line of treatment in Ayurveda. Concept of Vishesha has been extracted from Vaisheshik Darshan. Maharishi Kanad has described Vishesha as one of the “sat-padarthas”. These “sat-padarthas” are to get abhyudaya i.e. prosperity in life and nishreyasa i.e. ultimate goal. Carak has firstly described the applied concept of Vishesha in Carak samhita. While commenting on Carak samhita acharya Cakrapani described the three types of Vishesha as Dravya Vishesha, Guna Vishesha, and Karma Vishesha. The concept of Vishesha siddhant can be applied in any type of disease which can occur due to vitiation of Doshas. Charmekeela is the growth like formation on the external surface of Twacha due to Prakupit vyanvayu along with Kapha and has been taken as trial disease in this study. To fulfill the objectives of study patients of Charmakeela attending the opd of skin care unit,,Paprola,H.P. were selected and were divided into two groups.In group 1 decoction of Lekhniya mahakashaya in the the dose of 40 ml twice a day was given and in group 2 decoction of Lekhniya mahakashaya 40 ml along with local application of Apamarga pratisarniya kshara was done. Total duration of trial was 1 month. Patients were asked to come at every 15 days for follow up. Group2 has shown the markedly improvement in the cardinal symptoms of Charmakeela rather than group1. There was no significant change in hematological profile and lipid profile other than serum cholesterol of the patients before and after the trial. Decrease in serum cholesterol was significant before and after the trial.