A STUDY TO EXPLORE TWAK LAKSHANA TO ASSESS INTERNAL HEALTH

Introduction: Ayurveda describes the body as an interplay of Dosha, Dhatu, and Mala, serving as a vital diagnostic surface. Twak, the site of Sparshanendriya1 , reflects the relationship between Shareera, Indriya, and Manas, offering insights into systemic health. This study explores Twak Lakshana in classical Ayurvedic texts to evaluate its role in diagnosing internal diseases. Objectives: To assess Twak's role in evaluating internal health, compile references from Samhita, analyse Twak Lakshana in healthy and diseased individuals, and compare findings. Methodology: Data were collected from Ayurvedic texts and a questionnaire assessing Twak characteristics. Participants, pre-diagnosed patients and healthy individuals were selected based on defined criteria, and their Twak Lakshana findings were analysed. Results: Skin manifestations were observed in 66% of patients with systemic diseases. These signs, linked to Rasa and Raktha Dhatu, varied with disease chronicity, Ahara Rasa, and Rasa Dhatu Poshana, reflecting the status of Dosha, Dushya, and Mala. Conclusion: Twak provides valuable diagnostic insights into systemic diseases but is influenced by factors such as Desha, Kala, Vaya, Bala, Dosha, and Prakruthi. Its diagnostic reliability depends on these variables and the disease's chronicity.