Abstract

ROLE OF VIRECHNA AND SHAMANA LINE OF MANAGEMENT IN PALMO-PLANTAR HYPERKEROTIC PSORIASIS (CHARMADALA) – A CASE STUDY

Dr. Sahana Kamath* and Dr. Muralidhara Sharma

Abstract

A female patient of 56yrs working as a bank employee often working on computers complains of painful and itchy thick, cracked palms and soles since one year. Initially there were fine scales being shed from the area she itched, as months passed by there were plaques of thick skin shed on itching, the thick skin even with a mildest stretch got cracked open so for these complaints she approached to our OPD, was diagnosed as Kaphapittaja Charmadala, Virechana was planned for management of the same. Patient was treated with Virechana followed by Samsarjana Krama for successive three times. The Therapy reduced the hyperkeratinisation of palms, cracking and scaling of skin plaques in palms, itching was reduced in palms. In the soles there was a complete remission observed after the second course of virechana, without a recurrence. There was a marked reduction in the Psoriasis Debility Index from 34 to 16.

Keywords: Palmo-Plantar Psoriasis, Kaphapittaja Charmadala, Snehana, Virechana.