AYURVEDIC MANAGEMENT OF LICHEN PLANUS: A CASE REPORT

Abstract

Lichen planus (LP) is a chronic inflammatory skin disorder that most often affects middle-aged adults. LP can involve the skin and mucous membranes; it can significantly affect the quality of life of patients as well. Lichen planus is an autoimmune disorder. In Ayurveda, Lichen planus can be compared to Chramakushtha type of Kush- thavyadhi (~skin disease) which is the presentation of discolouration of the skin. In this study, a case report of lichen planus is being presented. The patient was treated on the lines of Kushthachikitsa with Predominant of dosha, aimed at controlling the vitiated Vata, Kapha, and normalizing the Raktadushti. For this Panchakarma therapy including Virechan (~the purgation) and Raktamokshana(~bloodletting therapy) as the chief treatment modality. On completion of Panchakarma therapy, the case was subjected to three months of Shaman therapy (~oral medication) of GiloySwarasa (~Juice of tinosporacordifolia), SanshamaniVati, Amarsundari Vati, Cap. Max Hb, Avipittikar Chruna, and Syrup Raktadoshantak. The observations made after the treatment through an assessment on various signs and symptoms and Pathyapathya (~Do’s & Don’ts) were advised during the whole treatment. The Ayurvedic treatment was successful and able to save normal skin texture. The patient was first fol- lowed up for a month, after which the signs and symptoms were reduced. No other oral medication was adminis- tered during this follow-up. The patient had been given regular follow up for more than a year without any relaps- es and complications. Keywords: Ayurveda, Charma Kushtha, Kushthachikitsa, Lichen planus.