Types(3)-

1. Bahya phiranga

2. Abhyanter phiranga

3. Bahirantergata phiranga

1

LAKSHANA

Phiranga is correlated with Syphilis. Syphilis is a sexually transmitted disease caused by bacteria. It infects the genital area, lips, mouth, or anus of both men and women. You usually get syphilis from sexual contact with someone who has it. It can also pass from mother to baby during Pregnancy.
Syphilis is characterized by four stages: primary, secondary, latent, and tertiary. Each stage of syphilis has characteristic symptoms, but any particular sign may or may not be present.After becoming infected with syphilis, there is an incubation period between 9 and 90 days (the average being around 21 days) before the first signs and symptoms of the disease appear.
The primary stage of syphilis typically begins with a sore (called a “chancre”) on the skin that’s initially exposed to the infection -usually the genitals, rectum or mouth. The sore has been described as feeling like a button: firm, round, usually measuring half an inch across, and not tender to the touch. Swelling of the lymph nodes in the groin may occur, but the nodes are not usually tender.
In secondary stage, common symptoms include headache, achiness, loss ofappetite and may be rash.
In the latent stage of syphilis-There are no symptoms in this Stage, However, a man in the latent stage of syphilis is still infected, and the disease can be diagnosed by a blood test. During this Stage, a pregnant woman can transmit syphilis to her fetus.
The final stage of syphilis, which occurs in about one third of untreated persons , is known as the tertiary stage. Many ougans may be affected.
Common symptoms include fever; painful. non healing skin ulcers; bone pain; liver disease; and anemia. Tertiary syphilis can also affect the nervous system (resulting in the loss of mental functioning) and the aorta (resulting in heart disease).  

2

NIDANA

The cause of syphilis is a bacterium called Treponema pallidum. The most common route of transmission is through contact with an infected person’s sore during sexual activity. The bacteria enter your body through minor cuts or abrasions in your skin or mucous membranes. Syphilis is contagious during its primary and secondary stages, and sometimes in the early latent period. 

3

LABORATORY

VDRL Test 

4

SAMPRAPTI

Nidana sevana-> jivanu sankramana-> varnotpatti-> granthi nirmana-> phiranga roga

5

SAMPRAPTI GHATAKA

DOSHA-pitta pradhan tridosha DUSHYA-rakt,lasika SHROTAS-sukravaha shrotas ADHISTHAN-samast sarira

6

UPADRAVA

- Krishyata(lean & thin body)
- Balakshaya(loss of immunity/strength)
- Nasabhanga(saddle nose)
- Agnimandya
- Asthi sosha
- Asthi vakrata (rickets) 

7

PRICIPAL OF CHIKITSA 

Shodhana, Raktamokshana, Shodhana, Ropana.
Drug of Choice: Chopchini
Main Drugs: Chochini, Gouripashana, Khadira, Manjishtha.
Naimittika Rasayana: MadhusnuhiRasayana, Rasakarpoora, Mallasindhoora, Talasindhoora, Gandhaka Rasayana, Vyadhiharana Rasayana.  

1. Raktmokshan & jalavcharana

2. Varn shodhana-sphatika curna / triphala kvatha/ bhringraja svarasa/ nimba patra kvatha

3. Varn prakshala k baad varna per shodhan lepa –triphala masi/ varnaghna malham/ pardadi lepa vati  

CHIKITSA PATRA 1

1. Rasa karpura- 250mg +

Rasamanikya- 120mg +

Amrita sattva-500mg +

Praval pisti- 250mg (2 times with madhu)

2. Sarivadhvasava-20ml + Khadirarista-20ml (2 times with 40ml water)

3. Arogyavardhani vati-2 vati (3 times with water)

4. Triphala curna-3gm(nibandh hetu) (Before sleep with water)

CHIKITSA PATRA 2

1. Gandhaka rasayana-500mg (3 times with water)

2. Chopachini powder-3gm+ Nimbadi powder- 3gm (2 times with water)

3. Manjishthadi Kwatha- 20ml (2times with water)

DIET AND LIFESTYLE

Pathya(DO):

Patola,Karela, etc.pungent taste substances,cowmilk,moong dal.

Apathya(DON’T):

Sour-salt substancesNidahiAhara, Day sleeping, sexual intercourse, suppression of natural urges of urine, etc. 

RASODHI/BHASMA/PISTI-(120-250MG WITH MADHU/USHNODAKA)

- Rasamanikaya-(suddha hartal)

- Rasakarpoora-(parad,sphitika,saindhav,kasisa)

- Vyadhi haran rasa-(kajjali,malla,hartal)

- Malla sindura-(parad,gandhak,malla)

VATI-(250-500MG WITH USHNA JALA/MADHU/KSHEER)

- Arogyavardhani vati-(kajjli,tamra,loha,kutki)

- Saptashali vati-(parad,khadira,akarkara)

- Malladi vati-(somal,khardira)

CURNA-(3-6GM WITH MADHU/USHNODAKA)

- Chopacheeni-(chopachini,akarkara,vidanga)

- Nimbadi curna-(nimba,harad,amlaki)

- Panchnimbadi curna-(nimba panchanga,loha,harad)

KAVATH/ASAV/ARISHTA-(20-40ML WITH SAMABHAG WATER)

- Patoladi kvatha-(patol,nimba,guduchi)

- Laghu manjistadi kvatha-(manjista,kutki)

- Brihad manjistadi kvatha-(manjistha,kutaj,nimba)

ASHAV/ARISHTA-(20-40ML SAMBHAGA WATER)

- Khadirarista-(khadira,davdaru,bakuchi)

- Sarivadhasava-(sariva,nagarmotha,lodhra)

- Devdarvadharista-(devdaru,vasa,manjistha)