Abstract

MANAGEMENT OF SHWITRA THROUGH AYURVEDA – A SINGLE CASE STUDY

*Dr. Nikita Shukla and Dr. Amit Chavan

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Abstract

Vitiligo (Shwitra): An Ayurvedic Approach: Vitiligo, known as Shwitra in Ayurveda, is a chronic skin disorder characterized by localized or generalized depigmentation due to the destruction of melanocytes. From an Ayurvedic perspective, it is classified under Kushta Roga, primarily involving Pitta and Rakta vitiation. Virechana Karma, a therapeutic purgation process and one of the five main Panchakarma therapies, is indicated specifically for Pitta and Rakta disorders. It aims to eliminate the vitiated doshas from the body through the lower gastrointestinal tract, restoring doshic balance and improving skin health. This paper explores the pathophysiology of vitiligo in Ayurvedic terms and evaluates the effectiveness of Virechana in its management. Through detoxification and metabolic correction, Virechana enhances Agni (digestive and metabolic fire), purifies the Rakta dhatu, and supports repigmentation processes. Clinical outcomes, supported by classical references and selected case studies, indicate significant improvement in lesion reduction, pigment restoration, and reduced recurrence rates. Hence, Virechana Karma, when administered with appropriate Purvakarma and Paschat karma, emerges as a safe, holistic, and effective approach in the integrative management of vitiligo.

Keywords: Virechana, Vitiligo, Shwitra, Panchakarma, Ayurveda, Rakta Dushti, Pitta Vyadhi.