Abstract
In Ayurveda all the skin diseases are described under single heading i.e. ‘Kushta’ which are further divided into Mahakushta and Kshudrakushta. Vipadika is among the 11 types of Kshudra Kushta involving Vata Kapha mentioned in classics characterized by ‘Panipada Sphutana’ (Fissures in Palms and Soles) and ‘Tivravedana’ (Severe Pain). On basis of its signs and symptoms it can be correlated with ‘Palmoplantar Psoriasis’. Kushtachikitsa is classified into Shodhanam, Shamanam and Nidanparivarjana amongst which Shodhana Chikitsa is of greater significance in skin diseases, and Raktamokshana is considered to be a shortest and effective treatment in the management of skin diseases. Siravyadha is a type of Panchashodhana described by Acharya’s as an effective remedy in number of disease conditions. Acharya Sushruta and Vagbhata has mentioned that Siravyadha is half treatment in Shalyatantra as Basti is the half treatment in Kayachikitsa. Diseases which do not get pacified so quickly by therapeutic measures like Snehana, Swedana etc. are pacified by Siravyadha.
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