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In Western language, Visarpa is called Erysipelas. It spreads rapidly throughout the body, sometimes in one place or suddenly in different places. The name of the disease is Visarpa. The term has two parts, i.e., 鈥榁i鈥� and 鈥�Sarpa鈥�. 鈥榁i鈥� stands for 鈥榁ividha鈥� meaning different, and 鈥楽arpa鈥� Stands for 鈥楽arpa峁嘺鈥� meaning spreading. Since the roga spreads either upwards or downwards or sidewards or in all these directions, it is called Visarpa. This roga is also called Pari-sarpa. The prefix 鈥�Pari鈥� stands for 鈥楶arita岣モ�� and 鈥楽arpa鈥� stands for 鈥楽arvata岣モ�� meaning all over. Mahar峁�i Caraka discusses disease of Visarpa and treatment of Erysipelas and Herpes or Visarpa-肠颈办颈迟蝉腻. The causes of Visarpa are -excessive intake of saline, sour, and pungent tastes; intake of sour, curd, mastu, 蝉耻谤腻, 艣耻办迟补, 厂补耻惫墨谤补; excessive intake of Madya, intake of polluted Madya, condiments, pickles, haritas, 惫颈诲腻丑颈蝉, 办奴谤肠颈办腻, 办颈濒腻峁璦, mandaka, 艣膩峁囜笉膩ki, other fermented drinks, tila, masa, Kulattha, different types of oil and pastries, 膧苍奴辫补 meat, Audaka meat, garlic; intake of food large quantity, sleeping during day time etc.; affliction by phthisis, injury, bandha and falls; excessive exposure to hot sun and excessive physical work etc. The seven dhatus are involved in the pathogenesis of Visarpa, namely, Rakta, 尝补蝉颈办腻, Tvak, 惭腻峁僺补, and three 诲辞峁�a蝉. Visarpa is seven types, viz., 痴腻迟颈办补, Paittika, Kaphaja, S膩nnip膩tika, V膩tapittaka, Kapha惫腻迟补ja and Pitta艣le峁�mika. The location of Visarpa is of three types, namely, Internal (difficult to cure), External (curable), and the both (incurable).

The general treatment of visarpa is Virecana followed by bloodletting is adopted. The general treatment of visarpa includes: Virecana followed by bloodletting is adopted; if the dosas causing Visarpa are of 膩ma nature and if these dosas are located in the abode of kapha, then fasting and emetic therapies and bitter drugs, application of dry and cool drugs are useful; If 诲辞峁�a in the sites of pitta, then lightening measure, purgation, emesis, bloodletting, and bitter drugs are useful; if 诲辞峁�a in the sites of 惫腻迟补, then medicines and ununctuous nature are useful, and if 诲辞峁�a in the periphery, then the patient should be treated with bloodletting with horns, leeches, etc. To cure of Visarpa the patient should be advised the following diet, namely, rice-paste, old 艣腻濒颈, green gram, bengal gram, 膧尘补濒补办颈, barley and wheat. Use of formulations to cures of this disease, namely, 惭耻办迟腻 paste, 顿补苍迟测腻诲颈 lepa, Kampillak膩di oil, and 骋丑峁泃补 etc. Blood-letting is most effective therapy for visarpa^[1].