A Review on Vyangavis a vis Melasma

Abstract

Ayurvedais one of the oldest comprehensive health care system worldwide. Ayurvedicscience being ancient and traditional still correlate with day to day medical conditions and their treatment. Melasma being a non communicable and non deteriorated condition is still a mental trauma in human life especially for the younger age group. Melasma is a common acquired condition of symmetrical hyper pigmentation typically occurring on the face with higher prevalence in females and darker skin types. It is is characterized by more or less dark brownish maculae with irregular contour , but clear limits on photo exposed areas especially on the face, forehead, temples and more rarely on the nose, eyelids, chin and upper lips. In Ayurveda, vyanga has been elaborated as one of the kshudra rogas(minor ailments). VYANGA, a type of kshudra Roga, characterized by niruja(painless), shayavvarna mandala(bluish black patches) occurring specially on the face. The clinical features correlate with melasma which is acquired and symmetrical hypermelanosis . Vyangais a disease which belongs toswalpavariety of kshudra Roga. Vayuaggravated by Krodh and ayasa, get associated with pittaand suddenly produces a thin grey coloured circular patch which reaches the face. As per medical science melasma, cutaneous pigmentation is the outcome of two important events, the synthesis of melanin by melanocyte and the transfer of melanosomes to surrounding Keratinocytes. Both modern andayurvedicsciences have considered the use of topical as well asoral medications and their combinations for the treatment of vyanga. In Ayurveda,vyangahas been treated both by antah parimarjanand bahya parimarjan chikitsa. Several ayurvedic text such as Sushruta Samhitaand AshtangaHridayaand Sangrahaetc, have elaborated the pathophysiology and treatment of vyanga, the available references are scattered. So, there is a need of in-depth review and compilation of ayurvedictext and literatures which are effective for the management of vyanga