Abstract

AYURVEDIC STRATEGIES FOR EFFECTIVELY MANAGING PALMO-PLANTAR PSORIASIS: A CASE STUDY

Dr. Surekha Parte*, Dr. Yogesh Wane, Dr. Prakash Joshi

Abstract

In modern science, the skin is the largest organ and plays key roles in protection, temperature control, and immunity. Skin diseases are increasingly continously due to lifestyle changes, environmental factors and immunity issues. By understanding the Twak sharir through both Ayurveda and modern perspectives, we can study and treat the disease like Kushta more effectively. In Ayurveda, Twak is not only one of the five Gyanendriyas, but also an important site of Dosha expression, a medium for sweda excretion, and a mirror of overall health and beauty. The term Kushtha in Ayurveda encompasses a broad category of skin disorder. Kushtha is considered Tridoshaja in nature, involving Vata, Pitta and Kapha, though usually one dosha predominates. Vipadika is a skin disorder described in Ayurveda as a kshudra kushtha that predominantly affects the hands and feet, especially the palms and soles. It presents with Twaka-Sphutanam, Tivravedana, Raktasrava, and kandu. Vipadika is correlated with Palmo-planter Psorissis which manifest painful, deep fissures or cracks which are often dry, sometimes bleeding, and associated with severe pain and occasional itching. This is chronic inflammatory and autoimmune nature, which also life threatening. The primary cause is attributed to the aggravation of Vata and Kapha doshas, leading to dryness, roughness and weakened skin integrity. Factors contributing to Vipadika include exposure to cold and dry climates, barefoot walking, prolonged standing, inadequate foot care, and nutritional deficiencies. So treatment of Kushta applied successfully. In the present case study, female of age 48yrs visit in Ayurveda OPD had complaint of severe itching, redness and pain in skin lesions, transient white, brown, or red macule, localized at bilateral sole region and palm region since 2yrs. She had associated complaint of loss of appetite, dizziness, disturbed sleep and irregular bowel evacuation since 2yrs. She took allopathic treatment but does’nt get any improvement so she decided to switch on Ayurveda management for better cure and preventive care. On the basis of clinical presentation patient was diagnosed Vipadika, type of Kushtha Roga so the line of management is based on Kushtha Chikitsa. After 2months of drug intervention Panchtikt Ghrita 10ml, OD in morning, in combination with Mahakalyanak Ghrita in dose of 5ml HS (at bed time), Khadiraarishta 10ml BD, Aarogyavardhini Vati 1tab BD, and Cap. Stresscom 2tab at night, patient get significant relief in symptoms ie. dryness and peeling of skin, pain and bleeding with severe itching. Size of lesions is reduced. This is effective in reducing the progression of disease and improve quality of life of patient.

Keywords: Vipadika, Palmoplantar psoriasis, Panipada sphutana, Teevravedana.