Management of Dadru Kustha through Virechana Karma Followed by Shamana Chikitsa: A Case Report

Abstract

Purpose: It is estimated that about 10 to 15% of individuals are contaminated with dermatophytes at some point in their life and thus suffering called Dermatophytosis. In India, 1-12 cases out of every 1000 patients are found to be affected with this type of fungal infection. All the skin diseases in Ayurveda have been classified under the broad heading of ‘Kushtha’ which are further classified into Mahakushta and Kshudrakushta. Acharya Charaka has included Dadru in Kshudrakushtha, whereas Acharya Sushruta and Acharya Vagbhata has explained it under Mahakushta. The main Lakshanas of Dadru include Kandu (Itching), Utsanna (elevated circular lesions), Mandala (Circular Patches), Raaga (Erythema) and Pidakas (Papule). Materials & Method: A 47 yrs. old female patient came with complaints of round and reddish patches over abdominal region, chest, axilla, inguinal region with severe itching for 1 year. She was treated with Virechana Karma; Shodhanartha Snehapana with Goghrita (4 days), Sarvanga Abhyanga & Sarvanga Bashpaswedana (4 days), Virechana with Trivruttavaleha. Shamana Chikitsa with Laghumanjisthadi Kwatha 30 ml BD internally and Dadruvidravana Malhara for external application given for 28 days. Result: After completion of treatment, significant improvement was observed in parameters like Kandu(itching), Utsanna (elevated circular lesions), Mandala (Circular Patches), Raaga (Erythema) and Pidakas (Papule). Conclusion: From this case study, it can be concluded that Ayurvedic treatment is effective in management of chronic cases of Dadru Kustha.