Abstract
Ayurveda described various skin diseases under the single heading Kushta. In Charaka Samhita, Acharya Charaka explained Ashtadasha Kushtas in two main categories namely ‘Maha Kushta’ and ‘Kshudra Kushta’. Kushta is tridoshaja vyadi, however, the symptoms appear according to the dosha predominance. Vipadika is one of the Kshudra Kushta with predominance of vata kapha doshas and it is charactrised by Pani Pada sputana (fissures in palms and soles) and Teevra vedana (severe pain). According to clinical manifestations, Vipadika is more similar to ‘Planto Palmar Psoriasis’ which is long lasting Auto Immune disease. It is found to be 3-4% of all Psoriasis cases. In modern science, many treatment modalities are available to treat the disease. They may cause many side effects and recurrence after subside is also very common which gave a big scope to alternative system of medicines to treat Vipadika. In the present case study, the line of management followed was mentioned by Acharya Charaka, according to dosha Predominance. The patient, initially administered sneha pana with Maha Tiktaka gritha for 7 days which was beneficial to pacify pitta dosha and kapha dosha utkleshana before Vamana. Later on, Vamana therapy was conducted to eliminate kapha dosha which gave good symptomatic relief to the patient. However, in view of the severity, chronicity and recurrence of the disease, Mridu Lavana jala Avagaha Sweda followed by Padhabyanga with pinda taila was also performed which resulted in excellent improvement in very short period of time.
Highlights
Psoriasis is a genetically determined disorder charactrised by development of chronic, well -defined scaly, erythematous plaques on the extensor aspect of the extremities especially on the elbows and knees, trunk, back, scalp, nails, palms and soles
Several distinct forms of psoriasis are recognized, one of them is Planto-palmar psoriasis, it manifests as keratotic scaly patches and plaques on the palms and soles very frequently which accompany with fissures which can be painful. (2)
In Ayurveda it can be correlated with Vipadika, Which is one of the type of Kshudra Kushta with vata kapha predominance and it is charactrised by Pani pada sputanam( fissures in palms and soles),Teevra vedana(severe pain) by Acharya Charaka,(3) And Ashtanga Hridaya Kara added symptoms Manda kandu, Saraga Pidaka(4) to Vipadika
Summary
Psoriasis is a genetically determined disorder charactrised by development of chronic, well -defined scaly, erythematous plaques on the extensor aspect of the extremities especially on the elbows and knees, trunk, back, scalp, nails, palms and soles. Anti-malaria’s, NSAIDS, Lithium etc are known to cause Psoriasis form drug reactions and to precipitate the disease. Several distinct forms of psoriasis are recognized, one of them is Planto-palmar psoriasis, it manifests as keratotic scaly patches and plaques on the palms and soles very frequently which accompany with fissures which can be painful. In Ayurveda it can be correlated with Vipadika, Which is one of the type of Kshudra Kushta with vata kapha predominance and it is charactrised by Pani pada sputanam( fissures in palms and soles),Teevra vedana(severe pain) by Acharya Charaka,(3) And Ashtanga Hridaya Kara added symptoms Manda kandu (mild itching), Saraga Pidaka (studded with red colored eruptions)(4) to Vipadika.
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