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International Journal ofAyurvedic and Herbal Medicine
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Evaluating the Impact of Ayurvedic Alimentary Protocols (Pathya-Apathya) on the Gut-Skin Axis in the Management of Kustha (Skin Disorders)

Published:03 Jun 2026
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Dr. Dharti Joshi1*, Dr. Suman Singh2, Dr. Dilip Jani3

1 Third year P.G. Scholar, Upgraded P.G. Department of Dravyaguna, Government Ayurved College, Vadodara, Gujarat, India

2 Assistant Professor, Upgraded P.G. Department of Dravyaguna, Government Ayurved College, Vadodara, Gujarat, India

3 Professor & Head of Department, Upgraded P.G. Department of Dravyaguna, Government Ayurveda College, Vadodara, Gujarat, India

Corresponding Author:Dr. Dharti Joshi

picture_as_pdfDownload link10.47191/ijahm/v16i3.16

subjectAbstract

Introduction

Ayurveda emphasizes the prescription of Pathya and Apathya as an essential responsibility of the Vaidya for achieving Rogaharana and Swasthya rakshana. Pathya acts as a Prakriti-sthapana Upaya, maintaining physiological balance, while Apathya functions as a Nidana responsible for disease initiation and progression. Ayurvedic alimentary protocols may influence gut microbiota, digestion (Agni), and systemic metabolism, thereby contributing to improved skin health. Materials and Methods: This article is based on a literary review of Ayurvedic texts including Brihattrayi, Bhela Samhita, Vangasena, Basavarajiya, Yogaratnakar and relevant Nighantus.

Results and discussion

Ayurveda considers Pathya-Apathya a scientific dietary and lifestyle approach in disease management. Kustha Roga is Tridoshaja Vyadhi predominantly Pitta-Kapha Pradhana; hence, Pathya Ahara-Vihara focus on Pitta-Kapha Shamana using Laghu, Ruksha, Tikta, Kașhaya Rasa, Shita or Ushna Virya. Pathya Ahara Vihara plays an important role in checking pathology at minute level, whereas Apathya Ahara Vihara aggravates Doshas and worsens the condition. Avoidance of Apathya, especially Viruddhahara and Abhishyandi Ahara, possibly reduces systemic inflammatory responses associated with chronic skin disorders.

Conclusion

Pathya-Apathya forms an integral therapeutic component in Kustha Roga, where appropriate diet and lifestyle alone can act as effective Chikitsa by pacifying Doshas and preventing Ama formation and recurrence.

sellKeywords

PathyaApathyaKusthaAyurvedaAhara -ViharaLifestyle

format_list_numberedReferences

  1. Yadhava T., editor. Charaka Samhita of Agnivesha, Sutra Sthana. Ch. 11, Ver. 12. 3rd edition, Varanasi, Chaukambha Surabharati Prakashana; 2008. p.67.
  2. Acharya Trikamji Jadavji, Chakrapanidatta, Charaka samhita of Agnivesha, Sutrasthana; Deerghanjeeviteeyamadhyayam: Chapter 1, Verse no 24. Varanasi: Chaukamba Orientalia, 2011; Pg No 7.
  3. Agnivesha, Charaka, Dradhabala, Charaka Samhita, Sutrasthana, edited by Pt. Kashinath Shastri, reprint edition, Chaukhamba Bharati Academy, Varanasi, Adhyaya, 2003; 25/45:478.
  4. Pro.vaidya Yashwant Govind joshi, kayachikitsa, ch.no. 13, publication PSV(Pune sahitya vitran) page no. 191
  5. Vaidhya Ravidatta Shastri, Editor Tripathi J.P., Commentary Chakradatta of Chakrapani, Varanasi, Chaukhamba Surbharati Prakashan, Chikitsasthan, chapter 49
  6. Vagbhatas: Astanga Samgraha with Hindi commentary Vol-II, by Kaviraj Atridev Gupta & Rajvaidya Pandit Sri Nanda Kishor Sharma Bhisagacarya, Krishnadas Ayurveda, Krishnadas Academy, Varanasi, Edition-2002, Chikitsasthan, Chapter-21
  7. Acharya Harita of Harita Samhita, by Vaidhya Jaymini Pandey, Kustha Roga Chikitsa, Varanasi, Chaukhambha Visvabharati, 2016
  8. Acharya Bhela of Bhela Samhita, by Sri Abhay Katyayan, Chaukhamba Surbharati Prakashan, Chikitsasthan, Sutrasthan, ch.4 Kusthopachar,
  9. Shri Vallabhacharya, Vaidhya chintamani, Vol-2, Editor & Translator-Dr. K. Rama Chandra Reddy, Chaukhambha orientalia, Varansi, Kustha Roga Prakarana.
  10. Dr. Gyanendra Pandey, Basavrajiya, Chaukhambha Krushnadas Academy, Varanasi, Ch-13
  11. Kaviraj Govind das sen, Bhaishjya Ratnavali, by Professor Siddhinandan Mishra, Chaukhambha Surbharati Prakashan, chapter 54.
  12. Vrinda madhav, Editor & Translator-Dr. Premvati Tiwari, Chaukhambha Vishvbharti, Varansi. Ch. -51, Kustha adhikar.
  13. Gada nigraha, with Vidhyotini Hindi teeka, by Shree Indradev Tripathi, Chaukhambha Sanskrit Sansthan, Varanasi, Kustha adhikar.
  14. Vaidya Lakshmipati Shastri, Hindi commentary, Yogaratnakar with vidyotini Hindi commentary, Kusthachikitsa, Varanasi, chaukambha Sanskrit Sansthan, 1999
  15. Bhavprakash Nighantu (2010). Indian Materia Medica: Commentary by K.C. Chunekar and edited by G.S. Pandey, Chaukhamba Bharati Academy, Varanasi.
  16. Bapalal Vaidya, Nighantu Adarsha, Vol 1 & 2, Varanasi: Chaukhambha Bharati Academy, 2016;
  17. Agnivesha, Charak Samhita, Charaka and Dridbaala with the Ayurveda- Dipika Commentary of Chakarapanidatta, Edition by Vaidhya jadavaji Trikamji Acharya Chaukhmbha bharti academy Varanasi, reprint 2007. Sutra sthan, chapter 27.
  18. Sushruta samhita nibandha sangraha by dhalhana edited by vaidyajadavaji trikamji Acharya chaukhambha sanskrit sansthan edition -2012 Sutrasthana chapter no.46
  19. Vagbhata, Ashtanga hridaya, edited by Dr. Brahmanand Tripathi, Nirmala commentary, Sutrasthana chapter 10, Delhi Chaukhambha Sanskrit Pratishthan.
  20. Agnivesha, Charak Samhita, Charaka and Dridbaala with the Ayurveda-Dipika Commentary of Chakarapanidatta, Edition by Vaidhya jadavaji Trikamji Acharya Chaukhmbha bharti academy Varanasi, reprint 2007. Chikitsa sthan, chapter 7
  21. Munteanu, C.; Schwartz, B. The relationship between nutrition and the immune system. Front. Nutr. 2022, 9, 1082500
  22. Dr. Nagendra Singh Raghuwanshi, A Comprehensive Review of Yava (Hordeum Vulgare): Ayurvedic and Biomedical Perspectives, African journal of Biomedical Research, Vol. 27 (February 2024); 428-430
  23. X.J. Yang, B. Dang, M.T. Fan, Free and bound phenolic compound content and antioxidant activity of different cultivated blue highland Hordeum vulgare varieties from the qinghai-tibet plateau Molecules, Vol 23 (4) (2018), p. 879
  24. Shah K, Sheth D, Tirgar Pravin. Anti-inflammatory activity of Triticum aestivum on carrageenan induced paw edema im wistar rats. Pharmacologyonline 2, 2010, 745751.
  25. Behera JP. ,Antioxidant Effect of Aqueous Extract of Triticum aestivum Grass on Insulin Resistance models in Wistar Albino Rats. Free Radicals and Antioxidants, 5(2), 2015, 43-51.
  26. Aparajita Das, Deb Kumar Das, DIETARY AND THERAPEUTIC EFFECT OF MUDGA [VIGNA RADIATA (L.) R. WILCZEK]: A REVIEW, Journal of Pharmaceutical and Scientific Innovation 9(4):109-112, August 2020, DOI:10.7897/2277-4572.094179
  27. He Li et.al., Identification of the flavonoids in mungbean (Phaseolus radiatus L.) soup and their antioxidant activities, Volume 135, Issue 4, 15 December 2012, Pages 2942-2946
  28. Deka et al., ANALGESIC, ANTIINFLAMMATORY AND ANTIPYRETIC ACTIVITY OF TRICHOSANTHES DIOICA ROXB. LEAF EXTRACTS, IJPSR, 2018; Vol. 9(1): 227-235.
  29. Datta K,et.al., Exploring Trichosanthes dioica: ethnomedicine, phytochemistry and pharmacology Chemistry & Biodiversity Journal, PubMed, 2025 Dec; PMID: 40845282, 2025 Dec;22(12):e01188
  30. Rodrigo Arreola et al., Immunomodulation and Anti-Inflammatory Effects of Garlic Compounds, Journal of Immunology Research, 2015 Apr 19;2015:401630.
  31. Capasso A., Antioxidant action and therapeutic efficacy of Allium sativum L., Molecules Journal, PubMed: 23292331, 2013 Jan 4;18(1):690-700.
  32. Iyyamperumal U et al., Anti-inflammatory and in vitro antioxidant potential of extracts leaves of Luffa acutangula (var) amara in rodent model (rats).2013 Int. J. Pharm. Pharm. Sci. 5(Suppl. 2), 79–83
  33. Parshuram Nivrutti Shendge et.al., Therapeutic potential of Luffa acutangula: phytochemistry and pharmacology, Frontiers in Pharmacology Journal, 10.3389/fphar.2018.01177, PMID: 30459601, 2018 Oct 22;9:1177
  34. Jyoti Rani et al., A narrative review on nutritional and health benefits of underutilized summer crop to address agriculture challenges: Moth bean (Vigna aconitifolia L.), Legume science, September 2013.
  35. Darakhshan Masroor et al., Analgesic, anti-inflammatory and diuretic activities of Cicer arietinum L., Pak J Pharm Sci 2018 Mar;31(2):553-558., https://pubmed.ncbi.nlm.nih.gov/29618447/
  36. Juarez-Chairez MF, et al. Biological Activities of Chickpea (Cicer arietinum L.): A Review, Plant Foods for Human Nutrition Journal, DOI: 10.1007/s11130-020-00814-2,2020, PMID: 32239331
  37. Anupam Thakur, Evaluation Of Wound Healing Activity Of Echinochloa Frumentacea Seeds, International Journal of Environmental Sciences, Vol. 11 No. 16s (2025)
  38. Chandrashekhar Karnam, CLASSICAL, ΕΤΗΝΟΒΟTANICAL, PHYTOCHEMICAL AND PHARMACOLOGICAL OVERVIEW OF KODRAVA (Paspalum scrobiculatum L.), Ayurpharm Int J Ayur Alli Sci., Vol. 9, No. 8 (2020) Pages 91 – 98

How to Cite

Joshi, D. D., Singh, D. S., & Jani, D. D. (2026). Evaluating the Impact of Ayurvedic Alimentary Protocols (Pathya-Apathya) on the Gut-Skin Axis in the Management of Kustha (Skin Disorders). International Journal of Ayurvedic and Herbal Medicine, 16(3). https://doi.org/10.47191/ijahm/v16i3.16

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