Kshudra Kushta Research Articles

Ayurvedic Management of Kitibhakushta (Guttate Psoriasis) – A Case Report

ABSTRACT The skin disease in Ayurveda has been classified under Kushta, which is classified as Maha Kushta and Kshudra Kushta. Kitibha Kushta is type of Khudra Kushta. A 26-year-old male patient having brown rough-to-touch hard and dry lesions on a lower limb with itching for 2 years has been treated with Shodhan, followed by Shaman treatment. Shamanchikitsa included Gandhakrasayan and Panchatikta Ghrita after Shodhanchikitsa for 15 days and for local application for 1 month. By using the Ayurvedic modalities, we can find better results in Kushta.

Holistic approach to treating Vipadika (Palmoplantar Psoriasis) with Ayurvedic Therapies: A Case Report

In Ayurveda all skin disease has been considered under the headings of Kushta. Vipadika is one among such disease which has been included under the heading of Kshudra Kushta. It is characterized by Panipada Sphutanam (fissures), Teevravedana (severe pain) either in palms or soles or in both.[1] Its symptoms can be correlated with palmar-plantar psoriasis which is a chronic skin disease which mainly affects palms and sole region and is characterized by hyperkeratosis, fissures, erythema and occasionally inflammation and pustules. In present, case report a patient with complaint of dryness and cracking of both palms associated with burning and pain in the past 2-3 years, was successfully treated with Shodana (Virechana) and Shamana Aushadhi’s like Manjishthaadi Kashya, Kaishore Gugullu and Jatyadighrit externally for a period of one month. This is an effort to show the brighter side of Ayurvedic treatment not just in alleviating the symptoms but also in improving the immune strength and causing no recurrence of disease. Shodhana helps remove the root cause of the disease, and prevent from recurrence.

Management of Vicharchika Kushta through Ayurveda

Skin disorders in Ayurveda have been mentioned under the broad heading of Kushta. There are 18 types of Kusta which are classified as Maha kushta and Kshudra kushta. Vicharchika is the type of Kshudrakushta. Vicharchika kushta is characterized by symptoms like Kandu, Srava, Pidaka and Shyava varna. Vicharchika is often correlated to eczema based on the clinical presentations. There is no specific treatment or definite cure for Eczema in modern medical science, except some of the symptomatic treatments like application of topical steroid. These steroids cause some serious health hazards like suppression of the hypothalamic pituitary- adrenal axis and even cushingoid features. Whereas Ayurveda has specific treatments like Shodhana and Shamana type of therapies which manages the disease without causing any side effects to the body. In present case report a patient complaints of blackish lesions with itching and discharge since 2 years was treated with Shodhana (Vamana, Virechana) and Shamana aoushadhi, shown a significant results.

Palmoplantar keratoderma -An Ayurveda Approach

Skin diseases are a major health problem affecting a high proportion of the population in India. Palmoplantar Keratoderma is one of the common disorders of Keratinisation, it is Characterised by a diffuse or focal thickening of the stratum corneum of the palms and soles . All the skin diseases in Ayurveda are broadly classified under the umbrella of kushta .Vipadika is one among the kshudra kushta, characterised by Sphutana and teevra vedana in pani - pada . In the present case -report a patient c/o cracked and dry lessions over both the palms and feet associated with severe itching since 10 months , was treated with oral medicines and external applications respectively. After complete treatment for 3 months there was complete remission in the symptoms and there is no recurrence till date. From the current case report , it can be inferred that Palmoplantar Keratoderma can be treated with the appropriate Ayurveda medications.

AYURVEDIC MANAGEMENT OF VAIPADIKA – A CASE STUDY

In the realm of Ayurveda, various dermatological conditions are encompassed under the broad term "Kushta." One specific subtype is Vaipadika Kushta, categorised as a form of Kshudra Kushta, distinguished by the fissuring of both palms (Pani) and soles (Pada), accompanied by intense pain (Teevra Vedana). This manifestation bears a resemblance to palmoplantar psoriasis in conventional medical terms. In a particular case, a patient had been grappling with the distressing symptoms of dryness and cracking on both feet for two years. These symptoms were further compounded by slight bleeding and intense itching. The therapeutic approach involved a combination of Raktamokshana (bloodletting), Aragwadha Takradhara (medicated buttermilk pouring), and Shamanoushadha (palliative medication). Remarkably, within a span of three months, this integrated treatment regimen yielded significant and positive results for the patient.

ANTI DERMATOPHYTIC EFFECT OF KUSHTAGHNA DASHEMANI IN DADRU KUSHTA (DERMATOPHYTOSIS), AN IN-VITRO STUDY

Background: Shadvirechanashatashritiya adhyaya of Charaka Samhita describes fifty group of drugs (Panchashanmahakashaya) and Kushtaghna dashemani is one among them. Dadru is classified under Kshudra kushta by Acharya Charaka. On the basis of presenting symptomatology Dadru kushta can be interpreted as Dermatophytosis. The prevalence of superficial fungal infection in India is 27.6% of which Dermatophytes are the most common agents (75.6%) though the disease is not a life threatening, the relapsing nature of this disease makes it much annoyance for patient and bothersome for physician too. Hence an attempt was made to evaluate the effect of Kushtaghna Dashemani on Dadru Kushta through in-vitro study. The In-vitro study on Anti- dermatophytic action of Kushtaghna dashemani Kashaya was carried out by Agar Well diffusion method on the dermatophyte species Trichophyton tonsurans, Microsporum Canis and Trichophyton rubrum with different concentrations of Kushtaghna dashemani Kashaya. Anti-dermatophyte effect of different concentrations of Kushtaghna dashemani kashaya was seen at the different volume used against the taken dermatophytes species.

Management of Ekakushta (childhood psoriasis) through Ayurveda multimodal approach: A case report

Abstract Kushta Roga is a broad term used in Ayurveda to refer to various skin ailments. Ekakushta is a type of Kshudra Kushta caused by the Vata and Kapha Dosha. Its symptoms are quite similar to those of psoriasis, including Aswedanam (no sweating/dryness), Mahavastum (affecting a large region), and Matsyashakalopamam (scaling like fish skin). Corticosteroids are usually prescribed topically to treat psoriasis, although this only offers temporary relief. Ayurveda has effective treatment of Ekakushta using a variety of interventions; nevertheless, because of the disease’s complicated etiology, a multimodal approach is necessary. A 15-year-old girl with a moderate build has been complaining for the last 4–5 years about reddish-patchy skin rashes that cause pain, scaling, and itching all over her body. She also reported recurrent relapses. The symptoms pointed to the involvement of the Vata and Kapha Dosha, suggesting Ekakushta (psoriasis). Due to the disease’s tendency toward remission and recurrence, we undertook purgative therapy (Virechana Karma) for the purification of vitiated Dosha. The patient was administered Shamana medicines for Dosha pacification and a topical application following purifying therapy. A complete remission of symptoms was noted after Ayurvedic therapy, as documented by pre- and post-therapy photos of lesions. Furthermore, there were notable declines in the Psoriasis Area and Severity Index score (32.6 to 0), Adolescent Psoriasis Quality of life Psychosocial Impact (42 to 8 at the end of treatment), and Adolescent Psoriasis Quality of life Physical Symptoms and Treatment (17 to 3) after 6 months of treatment with no documented adverse drug reactions during treatment. Ekakushta (psoriasis) is extremely difficult to treat; nonetheless, a comprehensive pathogenesis assessment, appropriate purification, and pacifying therapy work well.

A case study on Kitibha Kusta (Psoriasis) with Samshodana Chikitsa

All the skin diseases in Ayurveda have been discussed under the broad heading of “Kustha”. In general Twak Vikaras are mainly affecting due to altered lifestyle, lack of physical exercise, poor hygiene, mental stress and improper food habits. Kitibha Kushta is one of the Kshudra Kushta. Here Tridosha, Rasa, Rakta, Mamsa, Ambu are affected. Kapha-Vata is the Dosha predominant in the Kitibha Kustha and Rakta Dusti is the main cause for all Twak Vikaras. Vamana and Virechana is the Shodhana Karma for Twak Vikara. After Shodhana, Shamana Chikitsa plays major role for Alpadosha Nirharana. This paper highlights a case study of Kitibha Kushta as a Raktavahasrotodusti Vikara treated with the Ayurvedic principles in particular Shodhana Chikitsa.

An open label single arm clinical study to evaluate the combined effectiveness of Navakashaya and Vidangadi Lepa in Vicharchika (Dermatitis)

Background: Vicharchika is one among the Kshudra Kushta with predominance of Kapha Dosha and it is characterized by, Kandu (Itching), Bahu Srava (Excessive exudation), Shyava Varna (Greyish black discolouration) and Pidaka (Papule). Vicharchika is similar to Dermatitis (Eczema). Dermatitis is a heterogenous group of disorders that share similarities in clinical appearance and histopathologic findings, but may have different etiologies. Objectives: To evaluate the combined effectiveness of Navakashaya and Vidangadi Lepa in the management of Vicharchika (Dermatitis). Methods: Among 34 registered subjects, 30 of them completed the course of treatment. They were administered with Navakashaya internally and Vidangadi Lepa application externally for a period of 30 days. Ordinal data was analyzed with Friedman’s test followed by Wilcoxon signed rank test as post-hoc and Nominal data was analyzed with Cochran Q test followed by McNemar test as post-hoc. Continuous data was analyzed by Repeated Measures ANOVA and after applying bonferroni correction with Paired t test as post-hoc. Results: There was statistically significant improvement in the subjective and objective parameters of Vicharchika (Dermatitis). Conclusion: Navakashaya and Vidangadi Lepa are effective in the management of Vicharchika (Dermatitis).

UBHAYAMARGA SHODHANA (DUO - DIRECTIONAL CLEANSING) IN KITIBHA KUSHTA-A CASE STUDY

Skin is a barrier protecting the underlying tissue from physical, chemical and biological toxic agents. Skin diseases are mainly affecting the external beauty of the patients that clogs the routine of ones life. Skin disorders constitute one of the largest groups of health problems in general clinical practice. Kushta is a broad term which covers almost all the skin disease in Ayurveda. In general, Tvak Vikaras are mainly affecting due to altered lifestyle, lack of physical exercise, poor hygiene, mental stress and improper food habits. Kushta is further divided into Maha Kushta and Kshudra Kushta. Kitibha Kushta is one of the Kshudra Kushta. Here Tridosha, Rasa, Rakta, Mamsa, Ambu (Sapta Dushya) are affected. Rasa and Rakta Dushti are the main causes of Tvak Vikaras for which Vamana and Virechana Karma are the Agrya Shodhanas respectively. After Shodhana, Shamana Chikitsa plays a major role in Alpadosha Nirharana. This case study highlights Kitibha Kushta as a Rasa-Raktavahasrotodusti Vikara which was intervened with a unique therapeutic modality Ubhayatahamarga Shodhana - a duo - directional cleansing. KEYWORDS: Kitibha Kushta, Psoriasis. Ubhayatahamarga, Shodhana, Duo-directional cleansing.

Ayurveda Management on Palmoplantar Psoriasis- A Case Study

Psoriasis is an immune-mediated disease and a chronic proliferative inflammatory skin ailment. Probably it is associated with a genetic predisposition that can be triggered by stress. It can have negative impact on the physical, emotional and psychological wellbeing. Around 5% of all the psoriasis sufferers have palmoplantar psoriasis. It has a strong genetic component but environmental factors such as infections can also play an important role in the presentation of the disease. Palmoplantar psoriasis typically affects the skin of the palms and soles. Its morphologies are hyperkeratotic, pustular, or mixed. This disorder result in a substantial functional impairment and are chronic in nature. As a result, they are linked to a significant decline in life quality. Kushta roga is Vaivarnya and Dushti of twacha. Vipadika is included under Kshudra Kushta, characterized by Sputana in soles and palms with Vedana. Kushta is a disease of Bahudosha, Bhurodosha, the line of treatment to be adopted is Antah Parimarjana and Bahir Parimarjana chikitsa. This present study is on one such similar case of a male patient with thick skin lesion over both palms and soles with itching sensation, scaling of lesions & hyperpigmentation suffering over a period of 4 years. The treatment plan was based on the Samprapti of Vipadika Kushta. Assessment were done based on DLQI and PASI score. Nitya Virechana along with Shamana Chikitsa were selected as the line of treatment. Within few months of the treatment, the psoriatic lesions and associated signs and symptoms were healing effectively, subjective improvement in the quality of life. No adverse events were reported during the course of therapy and no recurrence was noticed as of reporting the present case report.

MANAGEMENT OF EKA KUSHTA WITH SHODHANA AND SHAMANA – A CASE STUDY

In Ayurveda, all skin diseases are explained under the disease Kushta. The word Kushta is derived from the sutra – “ Krishnati sarvam Vapuhu iti Kushtam” which means, the one which causes vikruta to Shareera is called Kushta. Kushta is broadly bifurcated into Maha kushta & Kshudra kushta. Eka Kushta is one among Kshudra kushta; those which do not affect the Gambheera dhatu. In the present case report, a 58-year-old male patient presents with pinkish red scaly appearance with silvery margins in both the upper limbs, lower limbs, abdomen, trunk and chest region associated with severe itching since 26 years. The patient was treated with Shodhana like Virechana along with Shamana aushadhis & reported with significant improvement in the condition.

Management of Vipadika (Palmo-Plantar Psoriasis) by Ayurveda

An immune-mediated condition known as psoriasis causes persistent skin inflammation. Palmoplantar psoriasis, a kind of psoriasis that is difficult to cure, affects about 5% of all psoriasis patients. In Ayurveda, all skin conditions are referred generally under the term ‘Kushtha’. One such illness that has been classified as Kshudra Kushta is called Vipadika and is marked by symptoms like Pani-pada Sphutan (Fissure in the palms and soles) and Teevra vedana (with great pain). The main causes of its expression include vitiation of Vata, Kapha, and Pitta/Rakta. In present case report, a 54 years female patient presented in OPD 2 of Sane Guruji Rugnalaya, Hadapsar, Pune, with complaints of dryness and cracking of both soles associated with itching and pain for 1 year and was treated with oral medicines and external application of Gandharva Haritaki and Gorakhmundi Ghrita Siktha respectively. After complete treatment of 30 days, there was complete remission in the symptoms and there is no recurrence till date. From the current case report, it can be inferred that Vipadika (palmo-plantar psoriasis) can be successfully treated with the appropriate Ayurveda medications

Ayurvedic Management of Vicharchika (Dry Eczema)

Skin disorders are major health issues in the present era. It is a multifaceted concept that includes the emotional, social, and economic impacts on individuals, their families, and society as a whole. All skin conditions are classified as "Kushta" in Ayurveda, which is further divided into Mahakushta and Kshudra Kushta. Vicharchika is explained by Acharya charak in Kshudra kusta. In Ayurveda, Vicharchika is a Rakta Pradoshaja Vikara, involving three Doshas with Kapha predominance. A patient of 40 years, old man consulted in OPD of Kaya Chikitsa department, Sir Sundarlal Hospital, IMS, BHU. Patient was presented with complains blackish reddish patches with tearing of skin along with burning sensation and itching on both the hands with involvement of fingers since 8 yrs. Patients was treated on line of Rakta Pradoshaja Vikara and Dosha dominance. Patient was givens Saman aushadi like- Aarogyavardhini Vati, Kaishor Guggulu, Panchtikta Ghrit Guggulu, Patolakatukrohini Kashaya and Lepa of Sidharthak Churna with water and 2 sitting of Jalaukavacharan. The results of the treatment are recorded as a photographic document, As per the result lesions of the skin became lighter in colour and erythema and itching was completely gone. With the help of Ayurvedic treatment we can completely cure this disease with proper medication and diet management.

Role of Virechana Karma and Shamana Aushadhi in the Management of Mandal Kustha

Skin disorders are major health issues in the present era. It is a multifaceted concept that includes the emotional, social, and economic impacts on individuals, their families, and society as a whole. As per Ayurveda, all skin disorders come under the broad term "Kushta" which is further divided into Mahakushta and Kshudra kushta. Mandala kushta which is described as one of the Mahakushtha finds similarity with psoriasis. Aim: The aim was to evaluate the efficacy of Virechana karma (purgation) and Shaman aushadhi in Mandal kustha. Material and Method: A 20-year-old female patient was presented with complaints of reddish-white lesion on behind left ear, bilateral upper and lower limbs and back region associated with including severe itching, sometimes bleeding from lesions on itching, burning sensation and white silvery scaling. She was treated with Shodhanartha Snehapana with Panchatikta Ghrita followed by Sarvanga Abhyanga with Neem taila and Sarvanga Swedana. She was given Virechana with Triphala Kwatha, Trivrita avaleha and Draksha kwatha. The Shamana Chikitsa included Gandhak rasyana - 250mg, Kaishor guggulu - 1gm, Panchtikta ghrita guggulu 1gm, Brihat dantaphala taila for L/A for 1 month. Result: The results of the treatment are recorded as a photographic document. As per the result lesions of the skin became lighter in colour and scaling was completely gone. Conclusion: With the help of Ayurvedic treatment we can completely cure this disease with proper medication and diet management.

Comparative Study on the Efficacy of Vipadika Hara Ghrita and Taila Prepared with Go Ksheera and Arka Ksheera in the Management of Vipadika Kushta: A Case Study

Objective: In Ayurveda, majority of skin diseases are dealt under broader term Kushta. As per acharya Charaka, Vipadika kushta is classified under Kshudra kushta. This can be correlated with Palmo-plantar psoriasis, which mainly effects palms and soles of a person causing cracks associated with severe pain, itching, discolouration and burning sensation. In the present study, an effort is made to compare clinical efficacy of Vipadikahara ghrita and taila prepared using go ksheera and arka ksheera in two different batches for the treatment of Vipadika kushta. Intervention: Vipadikahara ghrita & taila is a yamaka preparation that is mentioned in both charaka samhitha and ashtanga hridaya kushta chikitsa adhyaya, in the context of vipadika kushta. In this formulation ksheera is one of the ingredients, where specific type of ksheera to be used is not specified in charaka samhitha. Whereas in ashtanga hridaya commentary by Kaviraj Athrideva Gupta, usage of arka ksheera is mentioned. As specific ksheera is not mentioned in Charaka samhitha, go ksheera is taken and its effect is compared with the arka ksheera. Vipadikahara Ghrita & taila is administered externally for 15 days and changes are noted. Results: Vipadikahara ghrita & taila prepared with go ksheera helped in reducing only pain, whereas that prepared with arka ksheera reduced pain, itching, discolouration and size of the lesion. Conclusion: Hence it can be said that arka ksheera is found to be more effective in the present case study.
 Keywords: Vipadika kushta, Vipadika hara ghrita & taila, Go ksheera, Arka ksheera, Palmo-plantar Psoriasis.

Ayurvedic management of Psoriasis (Kitibha) - A Case Report

Psoriasis is a chronic disorder which is commonly encountered in day-to-day clinical practice. It is a chronic non-communicable proliferative autoimmune skin disease which affects 2-3% of worldwide population. Psoriasis is a disorder of hyperkeratinisation characterized by sharply defined erythemato-squamous lesions. WHO considers skin diseases as Psycho-cutaneous diseases. Psoriasis has resemblance with Kitibha Kushta in Ayurveda. Kitibha Kushta is one of the Kshudra Kushta, characterized by skin manifestation having the symptoms Shyava Varna (blackish brown discoloration), Kinakhara Sparsha (rough in touch), Parushatva (hard) and Kandu (itching). Due to Bahudosha involvement, Shodhana (purifying therapy) followed by Shamana (palliative therapy) plays an important role in the management of Kushta. Case Summary: A 35 years old male patient approached with the complaints of diffuse scaly lesions over scalp, bilateral upper and lower limbs, abdomen and back associated with itching and powdery appearance since 8 years. He was diagnosis with Psoriasis (Kitibha) on the basis of signs and symptoms. The patient was given with Deepana, Pachana, Virechana, Kushtahara Shamana Aushadis (Oral medications) and Kumarabharana Rasa as line of management. Significant improvement was observed after 1 month of treatment in terms of PASI Score.

Ayurvedic Management of Vipadika (Palmoplantar psoriasis): A Case Report

Vipadika is one among the Kshudra Kushta. It features with Panipada sphutana, Teevravedana. Its symptoms can be correlated with palmoplantar psoriasis, which is a form of psoriasis and is chronic and recurring in nature that affects the palms and soles of the feet and is characterized by hyperkeratosis, fissures, erythema and occasionally inflammation and pustules. This disease not only affects person physically but also affects the mental and social health of the patient. Since there is no satisfactory treatment for psoriasis in conventional medicine. Ayurvedic treatment can provide promising results in this condition. In this article a case of 50 years old female with a complaints of Peeling of the palmoplantar skin and Itching with occasional burning sensation in the palmoplantar region since 3-4 months is presented which was successfully treated with Shamanoushadis like Manjishtadi Kashaya, Nimbadi Guggulu, Navayasa Loha, Kamaduga Rasa and external application of Jeevantyadi Yamaka lepam for a period of one month. This is an effort to show the brighter side of Ayurvedic interventions not just in alleviating the symptoms but also in improving the immune strength and causing no recurrence of disease.

CLINICAL EFFICACY OF SARVANGA PARISHEKA IN EKA-KUSHTA W.S.R. TO PSORIASIS

Eka-Kushta is one among the Kshudra Kushta presenting with Aswedanam, Mahavastu and Matsyashakalopama lakshanas and it takes upper hand by its chronicity, severity, involving large extent of body parts and is often compared to Psoriasis, a chronic, non-infectious skin disease characterized by well defined, slightly raised, dry, silvery erythematous macules of typical extensor distribution. Psoriasis is one of the most common skin diseases equally affecting both males and females of all the age groups ranging up to 1% to 2% of the world’s population. Kushta, a disease of bahudosha, bhuri dosha and saptako dravya sangraha is to be treated by adopting repeated Antah Parimarjana as well as Bahir Parimarjana chikitsa. In the present study to assess the efficacy of Bahir parimarjana chikitsa, Sarvanga Parisheka with Siddharthaka yoga kashaya was adopted. This is a clinical study where in 20 diagnosed Eka-Kushta patients of either sex were selected. The overall result in the study revealed that there is statistically significant (p<0.001) improvement in patients after the treatment. Hence, the present study reveals that there is a significance of Sarvanga Parisheka in Eka-Kushta. In this regard, it can be concluded that in Kushta as it’s adhishtana is Twak and there is involvement of ‘Saptadravyas’ Bahir Parimarjana is also needed with Antah Parimarjana chikitsa is needed.

ROLE OF VIRECHANA AND JALUKA-KARMA IN MANAGEMENT OF ECZEMA (VICHARCHIKA) – A CASE STUDY

Introduction: An eczema is a common form of dermatitis that causes inflammation of the epidermal layer of skin. It results from various internal and external factors which are related to allergic conditions or hypersensitivity that causes inflammation. Eczema impairs the quality of life and has significant psychological and social distress. Managing eczema can help in improving a patient’s quality of life. In Ayurveda, it is described by the term Vicharchika which is a Rakta Pradoshaja Vikara and is included under Kshudra Kushta. Material and method: In this study, a male patient of 20-year-old presented with complaints of a dry scaly lesion (approx. 5cm×3cm) with intense itching and burning sensation over the dorsum of the bilateral foot for 6 months. Diagnosis: This condition in Ayurveda was diagnosed as Vicharchika. Intervention: In this present study, an attempt is made to study the combined efficacy of Virechana and Raktamokshan in Eczema (Vicharchika). Outcome: The patient had significant relief in the symptoms of Vicharchika. There was a marked improvement in itching and dryness. Result and Conclusion: The result was assessed by improvement in the patient's symptoms before and after the treatment. Virechana and Raktamokshan are the best lines of treatment in the management of (Kushta) skin disorders.