Shaman Chikitsa Research Articles

Ayurvedic Approach for Shwitra- A Case Study

Skin is one of the most important and visible organ of our body. Skin anomalies create physical as well as psychological problems in an individual. Among different variety of Kustha, Shwitra is considered as one of them in the Ayurvedic classics which occur due to vitiation of Tridoshas and Dhatus like Rakta, Mamsa and Meda. Shwitra can be correlated with vitiligo or leucoderma, where it manifest as white patch on the skin due to partial or complete loss of skin pigmentation and causes cosmetic imbalance of the body. Vitiligo is an autoimmune disease and it may be associated with other autoimmune diseases such as pernicious anaemia, addison disease and diabetes mellitus results in destruction of melanocytes thus causing depigmentation. A female patient, aged 36 years suffering from white patches in left forehead region for last 2 years and she was treated with both Sodhan and Shaman Chikitsa for a period of 3 months. Result was assessed from the changes in the size of patch and photographs. Proper written consent was taken from the patient prior to the study. Follow up was done at 1 month interval and after 3 months there was marked improvement seen in patch and colour. The present study indicates different prospective of treatment for Shwitra kustha and it provides cost effective as well as safe treatment of the disease. This study shows a new dimension in the treatment for Shwitra and could be carried out for statistical significant study.

Scleroderma – Ayurveda Management

Skin diseases are commonly observed day by day due to altered life style, improper hygiene, mental stress, over eating and nutrition deficiency. All the skin diseases in Ayurveda have been discussed under the broad heading of Kushtha, which are further divided into Mahakushtha and Kshudra Kushtha. Kapala kushtha is a type of Mahakushtha with symptoms like blackish red skin patches, which resembles pot sherds, dry, rough, thin, wide, of uneven edges with severe pain and less itching. It can be compared to scleroderma; the first specific clinical symptoms to suggest a diagnosis of scleroderma is skin thickening. Later the skin becomes hard, shiny, leathery and hardens like a stone. This article highlights a case study of Kapala Kushtha treated with the Ayurvedic principles in particular Shodhana Chikitsa; the therapy which expels out the morbid Doshas from the body. Kushtha is difficult to cure, so it is called ‘Dushchikitsya’ but by the application of Shodhana therapy, cure of the diseases becomes easier due to removal of the root cause. Here is a case study of 67yrs/female having signs and symptoms of Kapala kushtha. The patient was admitted and managed with Shodhana Chikitsa (purification) which included Raktashodhak Ksheer Basti (medicated enema) and Virechan (purgation) followed by Shaman Chikitsa (pacification) and the results with rationality have been depicted in this article.

ROLE OF AYURVEDA DRUGS IN TREATMENT OF SHVITRA: A CASE STUDY

The term Kushtha is used in Ayurveda to describe the majority of skin diseases. In the Ayurvedic Samhita, Shvitra is one of the kinds of Kushtha that occurs due to vitiation of Tridoshas and Dushya such as Rakta, Mamsa, and Meda.1 Shvitra is mentioned in every classic, including the Bruhatrayees and Laghutrayees. Vitiligo, an acquired pigmentary illness of unknown aetiology, is the most common cause of depigmentation in the globe, with a preva- lence of 1%2. Vitiligo is characterized by the appearance of white patches in the skin or hair as a result of the loss of functional melanocytes in the skin or hair, or both known as Shvitra in Ayurveda. A female patient, aged 19, who had been suffering from white spots on her face for 11 years was treated with Shaman Chikitsa over a period of 24 months, with follow-up every 30 days in between. Relief from the complaints was measured by changes in patch size gradually. The patch's size was almost cured after 24 months of treatment. The results of this case study showed that Ayurveda therapy, both internal and external, was effective in the treatment of Shvitra over a period of 24 months. The efficacy of Ayurvedic therapy was demonstrated in this case study. Keyword: Shvitra, Leukoderma, Bakuchi, Trivang Bhasm

Management of Bandhyatava (Infertility) by Sodhan Followed by Shaman Chikitsa: A Case Report

As per Ayurveda Vandhyatva occurs due to the vitiation of Vata Dosha which affects basic four constituents of Garbha sthapana. In modern science Infertility is described as an inability to conceive despite unprotected sex for duration of one year or more and PCOS is a major causative factor behind it. PCOS results in deterioration of female reproductive health which leads to infertility. In Ayurveda Samhithas, vast range of treatment methods are described. The basic aim in Ayurveda is to correct Ritu, Kshetra, Ambu and Beeja, the four basic factors for infertility by Shamana and Shodhan Chikitsa. Panchkarma provides best efficacy because it helps in balancing Doshas and Dushyas. Uttarbasti is also indicated for infertility which helps in detoxification of reproductive tract and balancing Vata Dosha, finally helps in retaining Garbha. In this case report importance of Sodhan Chikitsa before Shaman Chikitsa in case of infertility is emphasized.

AYURVEDIC MANAGEMENT OF RHEUMATOID ARTHRITIS (AMAVATA): A CASE STUDY

Rheumatoid Arthritis is an auto‐immune and most common persistent inflammatory disease occurring throughout the world in all ethnic groups with a male to female ratio of 1:3. In Indian System of Medicine, it resembles with Amavata, which was the first time described in Madhava Nidan as a separate clinical entity in the 7th century and characterised by Angamard (Pain), Aruchi (Anorexia), Trishna (Thirst), Alasya (Laziness), Gaurava (Stiffness), Jwara (Fever), Apaka (Indigestion), Angashunta (Swelling) etc. In modern medicine, treatment has limitations due to its side effects, whereas in Ayurveda, its effective management is detailed for its different states. Eranda Tail and Saindhavadi Tail Basti under Panchakarma procedures play a significant role in the management of Amavata. In the present case study, a 47years old female with a diagnosed history of RA has given a Combination of interventions includes Deepana, Pachana, Baluka Sweda, Eranda Taila and Saindhavhadi Taila Anuvasana Basti for 16 days along with Shaman Chikitsa (conservative treatment). At the end of the management, 60 % im- provement was observed in the overall effect of therapy. Keywords: Amavata, Rheumatoid arthritis, Baluka Sweda, Eranda Taila, Saindhvadi taila Anuvasana Basti.

AYURVEDIC PROTOCOL FOR THE MANAGEMENT OF WILSON’S DISEASE – A CASE REPORT

Wilson’s disease (hepatolenticular degeneration) is a rare important autosomal recessive disorder caused by dys- function of the copper transporter ATP7B, which leads to snagging in copper transport by the hepatic lysosomes resulted in the deposition of copper in the brain, liver, kidney, or skeletal system. The symptoms are jaundice, Kayser-Fleischer rings, dysarthria, ataxia, and muscle spasticity etc. Current therapeutic modalities for the manage- ment of Wilson's disease include zinc, trientine, penicillamine etc. In Ayurvedic classics there is no exact correlation is available for this disease entity that exactly matches the feature of Wilson disease, but it can be correlated with Vatavyadhi under the Sahaja Vyadhi (Heredity) or Janamjata Vyadhi (congenital). The treatment1 mentioned for Vatavyadhi is Snehana (oleation), Mrudu Swedana (mild sedation), Anuvasana Basti (oil enema) and Niruha Basti (Decoction Enema). Material and methods: An 18-year-old male patient with Wilson disease complained of short stepping gait, persistent constipation, tremors, changed speech, generalised stiffness, and frequent eye blinking. S. Ceruloplasmin was found to be 18.33 mg/dL (usually 20 mg/dl to 40 mg/dl), S. copper was found to be within normal limits, and a slit lamp assay for the KF ring was negative. Ayurvedic therapy was used in conjunction with oral medicine throughout the treatment. Results: Clinical observations revealed that the patient's earlier symptoms had significantly improved, and he was able to carry out his usual activities with ease. Duration of treatment:three months. Conclusion: From the case study it can be concluded that the Ayurvedic medications and Panchkarma therapy in such patients may help in providing supportive care and improving the quality of life. Keywords: Vatavyadhi, Shaman Chikitsa, Bastikarma, Wilson's disease.

COMPARATIVE CLINICAL STUDY OF AMSABASTI AND SNEHAN – SWEDAN THERAPY BY LAGHUVISHGARBHA TAIL ALONG WITH TRAYODASHANGGUGGULU IN AVABAHUKA (FROZEN SHOULDER)

Avabahuka is caused mainly by vitiated vata. Avabahuka is not mentioned in nanatmajvatavyadhi but acharya sushruta and other acharyas considered avabahuka as vatavyadhi. Avabahuka is a disease that affects amsa sandhi. Avabahuka is correlated with frozen shoulder of modern science. It is also known as adhesive capsulitis, or stiff shoulder where joint pain and stiffness of shoulder joint both occur. Therefore as avabahuka causes major limitations in activities of daily living casting a negative influence on the quality of life as well as long-term or even permanent disability in a few of the patients, proper treatment is needed for the problem. In ayurveda basic principle of avabahuka treatment is vata shaman chikitsa. The general line of treatment for vatavyadhi issnehana, swedana, mrudusamshodhan, basti, nasya, and so on. Snehana – swedana for the treatment of avabahuka which is generally given in vatavyadhichikitsa has gained popularity for its efficacy. Evaluation of the utility, safety, and efficacy of laghuvishagarbha tail amsabasti by amsabasti yantra along with trayodashangguggulu as compare to laghuvishagarbha tail snehana – swedana along with trayodashangguggulu in the management of avbahuka (frozen shoulder). In this study, 140 patients will be divided randomly into 2 groups (70 in each). In group a (experimental) –amsabasti of laghuvishgarbha tail and oral drug trayodashangguggulu (500 mg thrice a day) after meals with plain water will be given for 21 days and group b (control) –snehana of laghuvishgarbha tail, swedana of by plain water and oral drug trayodashangguggulu (500 mg thrice a day) after meals with plain water will be given for 21 days. Assessment of avabahuka will be recorded on day 0, on 7th day, on 14th day and on 21st day. Changes will be observed in objective outcomes. Amsa basti will be more efficacious thansnehana -swedana in the management of avabahuka.

Systematic Review of effects of Shodhana & Shmana Chikitsa in Ayurveda in the Management of Diabetes Mellitus Type-II (Prameha)

Introduction: Diabetes mellitus is a complex metabolic clinical condition. It induces some irreversible pathological changes in the body, which rise to multiple complications. Moreover, the side effects of the established anti-hyperglycemic agents in contemporary science on their long-term use make it more worst. Considering the higher incidence rate of Diabetes mellitus due to faulty lifestyle, it is essential to think over various safe but effective measures in alternative science. i.e., Ayurveda. In Ayurveda, diabetes mellitus can be correlated with Prameha or Madhumeha due to similarity in signs & clinical features.
 Aim & Objective: The prime aim of this study is to study the efficacy and safety of different Shodhana & Shamana Chikitsa in Ayurveda for glucose control & improvement in clinical features during the management of Diabetes Mellitus Type II(Prameha W.S.R).
 Materials & Methods: This is a meta-analysis of Ayurvedic interventions in Shodhana, or Shamana Chikitsa used to manage Prameha (Diabetes mellitus type II). On extensive Review of the literature, 42 clinical studies (R.C.T. & N.R.C.T.) fulfilling inclusion criteria & conducted with 1743 participants at different places were critically analyzed. Adequate details of the individual studies were tabulated and discussed.
 Observations & Results: It is reflected that the combinations of both these interventions are more effective than only Shaman Chikitsa in the management of Diabetes mellitus.
 Conclusion: All of these interventions in Ayurveda reviewed through this study are appeared to be generally safe and effective, having a prime or adjuvant role. However, Ayurvedic physicians should prescribe them based on their clinical judgment, patient’s references, type of pathology, chronicity of the disease & strength of the patient.

Role of Raktmokshana (Siravedh) & Shaman Chikitsa in Vicharchika - A Case Study

In ayurvedic texts, all skin diseases are classified under Mahakushtha and Kshudrakushtha. Vicharchika is a type of Kshudrakushtha. It can be correlated with eczema according to modern science. Eczema is characterised by dry itchy skin with areas of poorly demarcated scales. In acute phase eczema may be vesicular and oozing. In chronic phase, it may become hyperpigmented and lichenified. Modern dermatology employs systemic and local administration of steroids for the management of eczema. Despite an initial response, maintenance therapies with small doses of systemic and topical glucocorticoids usually produce hazardous ill effects. So attempt has been made to treat eczema by Ayurvedic medicine. Ayurveda focuses on underlying etiopathogenesis and treats the root cause of the disease. The present study has been done to evaluate the efficacy of Shodhana i.e.Raktamokshan(siravedha) and Shaman Chikitsa in Vicharchika.

Management of Vipadika (~Plantar Psoriasis) in Ayurvedic Prospect

Plantar psoriasis accounts for 3%–4% of all psoriasis cases and produces significant functional and social disability. Plantar psoriasis is a variant of psoriasis that characteristically affects the skin of the soles with features, i.e.,; hyperkeratotic, pustular, or mixed morphologies. Many of the skin disorders in Ayurveda have been described under the heading of Kushtha (group of skin diseases) and Kshudra Kustha. Vipadika (Plantar psoriasis) is one of the diseases which has been included under the heading of Kshudra Kushtha. In classics, clinical features of Vipadika are cracks (Sphutana) either in palms or soles or in both with pain. A 42-year-old male patient visited our outpatient department with complaints of scaling and fissure of skin of bilateral soles, with bleeding from cracks for 6–8 months. Examination and history lead to a diagnosis of Vipadika (Plantar psoriasis). This case was managed with Virechana Krama (~therapeutic purgation), followed by Shaman Chikitsa (pacifying therapy) with internal administration of Guduchi Churna 2 g twice a day after meal with luke warm water, Panchvalkal Kwath once 4 ml morning empty stomach, with Panchvalkal Kwath wash in sufficient quantity, Triphala Churna Avchurnan (topical dusting of powder) and local application of Jatyadi tail along with Pathya (wholesome regime), and Apathya (unwholesome regimen) for 4 months. The effect of the therapy was assessed by the signs and symptoms before and after the treatment. The treatment modalities showed relief in patient's signs and symptoms. Hence, Ayurveda procedures and medicaments are promising in the management of Vipadika (~Plantar psoriasis).

Ayurvedic Management of Chronic Pancreatitis in Adolescent Girl: A Case Report

Background- Chronic pancreatitis is the primary life-threatening nutritional & metabolic condition of gastrointestinal system that becomes a significant threat to the children's growth and induces educational loss due to recurrent hospitalization. Its mortality rate in childhood is up to 10 %. Malnutrition is one of the primary causes of pancreatitis in children. Modern science provides various types of medical and surgical therapies for Chronic pancreatitis, but it is realized that more research is needed for its management satisfactorily.
 Aim - To study the efficacy of Ayurvedic management of chronic pancreatitis induced due to Malnutrition in an adolescent girl.
 Material & Methods- It is a single case study of 12 years old teenage girl who was presented herself predominantly with pain in the epi-gastric region (recurrent attacks-especially after intake of the fatty or heavy meal), tenderness in the epi-gastric area, loss of appetite, fever on and off, general malaise, loss of weight, constipation (intermittent), anxious & uncomfortable mental irritation since one & half month. After taking conservative treatment from modern science for one & a half months, she did not get satisfactory relief & therefore; she was advised to under ERCP. However, the patient & her relative was not willing to undergo the same, that’s they approached Panchakarma OPD. After examination, she was advised for Shodhana(Panchtikta & Guduchyadi Niruha Vasti) & Shaman Chikitsa(Amruttotara Kashayam, Arogyavardhini Vati, Kumariasava; Dhanvantara Kashayam, Avipattikar Churna), Panchatikta Ghrita with Vasant Kusumakar Rasa- 10tab+Guduchi Satva- 20gm + Shatavari Churna- 15gm+ Ashwagandha Choorna-15 gm with honey.
 Observation & Results- After 16 months of regular treatment, the patient has become entirely symptom-free & to date, there was no need for hospitalization. There was no educational loss due to ill-health.
 Discussion:-Utilizing the basic concepts of Ayurveda(Nidanpanchaka), Jirna Jwarahara, Yakrutottejak, Pramehaghna, or pancreatic-protective, Mrudu Virechak, Bruhana (Shamana & Bruhana Snehapana), Rasayana Chikitsa was planned in this case which showed the promising result.
 Conclusion- Ayurvedic management with Shodhana & Shamana Chikitsa based on the fundamentals of Ayurveda is effective in Chronic pancreatitis induced due to Malnutrition in children, which may become a ray of hope for pediatric patients.

A CASE STUDY ON GRIDHRASI WITH SHEPHALI (NIRGUNDI) GHANAVATI

Ayurved is ancient and time tasted science. Till the date its principle remains unchange.The Ayurvedic science describes guideline for essential and harmful for long lasting healthy and happy life. (1) (2)Several disorders of biological system are produced by improper and changing lifestyle, busy professional life, long time sitting posture in office, continuous and over exercised in factories, changing food style all are responsible for vatavyadhi and specially Gridhrasi too.Gridhrasi is the one of the common disease. It has painful or Shoolpradhan condition which hamper the routine of life. It is occurs about three times as frequency in male as in the female as in the female sex. Gridhrasi is one of the Nanatmaj vyadhi and vata is is the main dosha in the Samprapti. It is the closely resemble with Sciatica which is characterised by low back pain and radiates towards leg mostly unilateral. The case study being presented of 42 years old female patient suffering from Vataj Gridhrasi with cardinal signs and symptoms of Gridhrasi are Ruk,toda,Stambh, and radiating pain in the leg in order of Sphik, Kati,Uru, Janu, Pad.Here Shaman chikitsa done with Shephali(Nirgundi) Ghanavati.(3)(4)

CONCEPTUAL STUDY OF ROLE OF GANDHAKADI MALAHARA IN DADRU

Dadru is one of the common skin diseases mentioned in Ayurveda. In Ayurveda Twak Sharir holds important place. Ayurvedic literatures have described Twak Sharir with various types of Kushtha according to layers of skin. Dadru is a type of Kushtha which mainly affects the 4th layer among the six layers of the skin. In modern science the clinical manifestation of Dadru is closely related to local fungal/tinea infection which is affecting upto 15% of population. Excessive severe itching and ring shaped red patches are the common manifestation which can be diagnosed by Darshana and Prashana Pariksha. Management includes Shodhan, Shaman and Bahirparimarjan Chikitsa. Among them Shaman measures in the form of Lepa (topical applications) are widely prescribed. In present study Gandhakadi Malhar is selected as Topical application.

Management of Palmo-Plantar Psoriasis by Classical Shodhan and Shaman Chikitsa- A Case Report

Background: Palmo-plantar psoriasis in a non-inflammatory skin condition in which it is capable to produce functional disability. It is the type of psoriasis which occurs in palms and soles together with features like scaling, erythema and itching, pustules cracked & pain, and is limited. Palmo-plantar is the disease which does not have a specific line of treatment, but can be assessed and treated with classical line of Ayurvedic management. This Palmo-plantar not only affects physically but also disturbs the mental health of patient In Ayurveda all the skin diseases are described under single topic; Kushtha (Skin disorders). As Palmo-Plantar psoriasis is compared with Vipadika Kshudra Kushta (cracked bilateral soles & palms) in Ayurveda, the predominant Dosha’s (fundamental bodily bio-elements) are Vata (governs movement of body & mind) & Kapha (controls immune system) in which Vaman Karma (Emesis) is useful. Aim: To evaluate the role of Ayurveda treatment modalities in Vipadika Kshudra Kushta. Materials & Methods: A case report of 56 year old male patient suffering from scaling of both palms and soles with severe pain since 16 years is presented in this article where the patient got satisfactory relief by adopting Shodhan Karma (purification treatment) followed by Shaman Chikitsa (pacifying treatment) with dietary and behavioral lifestyle modification. The symptoms were reduced by Vaman procedure. Result: Patient got about 80% relief after the treatment by which one can say that the palmo-plantar psoriasis can be treated by Ayurveda Medicine.

EVALUATION OF THE TREATMENT OF SHWITRA WITH AYURVEDA MODALITIES: A CASE STUDY

In Ayurveda most of the skin diseases are explained under the term Kushtha. Shwitra is considered as one of the varieties of Kushtha in the Ayurvedic Classics, caused vitiation of Tridoshas and Dhatus like Rakta, Mamsa and Meda. The references of Shwitra are found in almost all the Samhitas like Bruhatrayees and Laghutrayees. Partial or complete loss of skin pigmentation giving rise to white patch on any part of the body is called as leucoderma or vitiligo and in Ayurveda it is called as Shwitra. This depigmentation results due to destruction of melanocytes, which may be unknown in origin or due to autoimmune endocrinopathies selective IgA deficiency. A female patient, aged 20 year suffering from white patches in neck region since 4 year was treated with both Shaman Chikitsa and Sodhan Chikitsa for a period to 4 months with follow up at every 30 days in between, Relief from the complaints was assessed by noting the changes in the size of patch. After 4 months of treatment the size of patch was reduced. The present case study revealed the efficacy of Ayurveda therapy both internal and external for duration of 4 months in the management of Shwitra.

A ROLE OF MANASMITRA VATAK AND BRAMHI TAIL SHIRODHARA IN MANAGEMENT OF STRESS

Stress is a feeling of emotional or physical tension. It can come from any event or thought that makes you feel frustrated, angry or nervous stress in your body’s reaction to a challenge or demand. In short burst, stress can be positive, such as when it helps you avoid danger or meet a deadline but when stress last for a long time it may harm your health. In Ayurveda Ojakshaya can be correlated with Stress. Ayurveda is reported to have several combinations and approaches effective for STRESS with the help of Panchakarma like Shirodhara and Shaman chikitsa with Manasmitra Vatak. Aim and Objective: To study the effect of Manasmitra vatak and Bramhi tail Shirodhara in management of Stress. Material and Method: The 38 years old female patient, suffering from Stress since last one year and having complaints of Insomnia, Inability to concentrate, anxious, constant worry, anger, feeling overwhelmed, constipation, frequent cold. These symptoms increases day by day since last six months. She was approached to our OPD and prescribed Manasmitra avatak once a day for one month and Bramhi tail Shirodhana 5 days in every month for 3 months. Observation and Results: Patient was assessed on the basis of Perceived Stress scale score which was 30 before treatment; it would be consider high perceived stress. After administration of Manasmitra vatak once a day for one months and Bramhi tail Shirodhara 5 days in every month for 3 months. There is significant relief seen and the perceived stress score reduced up to 10 after treatment. Manasmitra Vatak and Shirodhara helps in improving brain functions and reduced stress. Conclusion: 1. Manasmitra vatak and Bramhi tail Shirodhara showed significant improvement in this case. 2. No adverse effects were observed.

KARNINI YONIVYAPAD W.S.R TO CERVICAL EROSION – A CASE STUDY

Karnini Yonivyapad is described with its own pathogenesis and treatment in classical text. It can be compared with cervical erosion due to its clinical appearance. Among all Yonivyapad, only this Yonivyapad is related with cell pathology. In present circumstances when cervical intraepithelial neoplasia, cervical cancer are the burning issues in front of whole world, it is necessary to understand physiology and pathology of cervix in benign stages so that an appropriate prevention or treatment can be done at this stage. An ideal and complete treatment of pathological erosion should be that which destroy the ectopic columnar epithelium and make healthy cell environment so that regression of erosion will take place properly. Virechana karma is the radical purification that eliminates waste products, toxins and aggravated doshas from the body. As aggravated Doshas are the primary cause of disease, this method is the most direct for curative purposes. In present study, patient with Karnini yonivyapada is treated with combination of Shodhan, shaman and local therapy. Trivrit Lehya has been selected for Virechana karma because in all the herbs easy and safe among purgative is Trivrit. Apamarga (Achyranthes aspera L.) kshar Tail used for Yoni pichu and Triphala Guggul is selected for Shaman chikitsa, which is seen to be very much effective.

A COMPARATIVE STUDY TO EVALUATE THE EFFECT OF VIRECHANA KARMA WITH TRIVRITADI KWATH AND SHAMAN CHIKITSA WITH AVIPATIKARA CHURNA IN THE MANAGEMENT OF URODAHA (RETROSTERNAL BURNING) IN AMLAPITTA (ACID PEPTIC DISORDER)

In the recent years there has been an unprecedented increase in the incidence of Gastrointestinal System disorders due to change in lifestyle, diet pattern, behavioral pattern, mental stress and also hazardous use of painkillers. Ayurveda comes with varieties of treatment options to cure the GI disorders without causing any harmful effect. The aim of this study is to compare between Shodhan and Shaman therapy in Amlapitta, to evaluate the efficacy of Virechana Karma and Shaman Chikitsa. The criterions of diagnosis of patients was based on sign and symptoms of Amlapitta and Ayurvedic and modern text. Two groups were taken, and duration of study was of one month. In group A, virechana therapy was given with Trivritadi Kwath, and in group B, shaman therapy was given with Avipatikara churna. Follow up of patients was done after given therapy. Result shows that shodhana therapy is more effective than shaman therapy in patients of Amlapitta.

A Pilot Study on Efficacy of Vishakalpa (Shwetra lepa) in Shwetra (Vitiligo)

Shwetra (Vitiligo) is a skin disease which takes longer time to cure. It affects the external beauty of the body causing social stigma, shyness, loss of confidence, fear of comments marital problems, etc. The disease needs repeated shodhana and regular internal and external shaman chikitsa for longer duration. Objectives: To study the efficacy of Vishakalpa (Shwetra lepa) alone in the management of Shwetra and to provide a potent drug for sure and quick relief from Shwetra (vitiligo), this pilot study was carried out. Material and methods: Shwetra lepa was prepared and used as local application in 15 patients having newly diagnosed patches of vitiligo. The changes in shape, size and number of patches and VETI score was assessed before and after treatment. The data was analyzed with the help of parametric and non parametric tests. Results: Though there was no significant change in VETI score, minimal reduction in shape and size of patches, daha and kandu was observed with Shwetra lepa vati. Conclusion: One month study duration for local application of Shwetra lepa vati and sample size was found to be insufficient to prove the efficacy of Shwetra lepa. Hence it is recommended that Shwetra lepa should be used alone for longer period up to 6 to 9 months or it can be used along with repeated shodhana and continuous shamana chikitsa for 2 to 6 months for effective results.

Management of Kitibha Kushta (Plaque Psoriasis) with Combination of Ayurvedic Modality-A Case Study

Skin diseases are commonly observed due to altered lifestyle, lack of physical exercise, poor hygiene, mental stress and improper food habits. Kushta (Skin diseases) is divided into Maha Kushta (Major skin diseases) and Kshudra Kushta (Minor skin disease). Kitibha Kushta (Plaque Psoriasis) is included in Kshudra Kushta commonly found today, having sign and symptoms similar to Plaque psoriasis. Due to relapsing nature of Plaque psoriasis it needs long duration treatment. Ayurveda provides long lasting results by treating the disease and preventing reoccurrence. In this case study, a 43 years old male came to OPD of Kayachikitsa with chief complaint of Kandu (Itching), dry silvery white patches over left leg treated with Shodhana Chikitsa (Body purification treatment) using Vaman Karma (Therapeutic Emesis) and Shaman Chikitsa (Alleviating treatment) using internally Gandhaka Rasayana, Panchatikta Ghrita and S-kin powder, Shabsoria Oil for external application for 1 month. The PASI score was 14.4. Before treatment, after 15 days it was 7.4 and after 30 days it was reduced to 0. Patient got relief in the symptoms. Better result achieved in this case using Shodhana Chikitsa and Shaman Chikitsa along with Bahirparimarjan Chikitsa (External application).