Abstract

AYURVEDIC MANAGEMENT OF SHWITRA (VITILIGO) - A CASE STUDY

*Dr. Bharat Singh, Prof. Dr. HML Meena, Dr. Rashmi Mutha

Abstract

Introduction: Vitiligo, known as Shwitra in Ayurveda, is an acquired depigmentary disorder characterized by circumscribed hypopigmented macules resulting from selective destruction or dysfunction of melanocytes. It is considered an autoimmune condition in modern dermatology, while Ayurveda classifies Shwitra under Kushtha Roga, caused by the vitiation of Tridosha and impairment of Rakta, Mamsa, and Meda Dhatus. Although not life-threatening, Shwitra has a significant psychosocial impact due to cosmetic disfigurement. Ayurvedic management aims to restore Dosha-Dhatu Samyata and promote repigmentation through internal and external therapeutic modalities. Methodology: A 24-year-old female presented with a well-defined depigmented patch measuring approximately 5 × 4 cm over the frontal scalp and forehead region, persistent for two years. The lesion was non-scaly, nonitchy, and associated with leucotrichia. Based on clinical and classical features, the case was diagnosed as Shwitra (correlating with Vitiligo vulgaris). The patient was treated with Shamana Chikitsa comprising internal medications and local applications tailored according to Dosha-Dhatu involvement. The progress was monitored through serial clinical and photographic assessments. Result and Discussion: Significant perifollicular repigmentation and reduction in the depigmented area were observed after Shamana Chikitsa, with partial reversal of leucotrichia. The therapeutic response suggests enhanced melanocyte regeneration and restoration of pigment metabolism. The findings indicate that Shamana Chikitsa may modulate underlying autoimmune and metabolic factors through correction of Dosha-Dhatu Samyata. Conclusion: The observed improvement supports the efficacy and safety of Ayurvedic Shamana Chikitsa in promoting repigmentation and improving the cosmetic and psychological outcomes in Shwitra (Vitiligo). This case highlights the potential of Ayurveda as a holistic, non-invasive, and sustainable approach to vitiligo management.

Keywords: Vitiligo, Shwitra, Ayurvedic therapy, Shamana Chikitsa, Autoimmune skin disease.