Shamana Chikitsa Research Articles

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.

The effect of Bhumyamalaki Churna and Kusha Mula Churna in the management of Asrigdara w.s.r. to Menorrhagia

Background: Now a days in fast developing globalized era, the percentage of working women are more. Due to the busy schedule, she is unable to follow Paricharyas as mentioned in Samhitha, such as Rajaswala Paricharya, Sutika Paricharya. Due to which women are prone for menstrual disorders. One fifth of the women have the problem with heavy menstrual blood loss at some period of their reproductive life. One among them is Menorrhagia. Prolonged bleeding causes psychological upset like discomfort during work, lack of concentration, mental disturbance etc. Menorrhagia is defined as cyclic bleeding at normal interval; the bleeding is either excessive in amount (>80ml) or duration (>7days) or both. Menorrhagia is largely responsible for iron deficiency and iron deficiency anaemia, both of which have negative effect on women health. Acharyas explained both Shamana Chikitsa and Shodhana Chikitsa for Asrugdara. Among Shamana Chikitsa Bhumyamalaki Churna and Kusha Mula Churna are mentioned by Bhaishajya Ratnavali and Chakradatta respectively. Bhumyamalaki and Kusha Mula have Kashaya and Madhura Rasa, Shita Virya and Madhura Vipaka, does Pitta Shamana and Stambhana Karma. Both the drugs are easily available hence are opted for the study. Materials and methods: The present study was Randomised clinical study where 30 subjects diagnosed with Asrugdara was taken in 2 groups with 15 subjects in each group. Conclusion: Bhumyamalaki Churna is found to be more effective in managing the Asrugdara w.s.r. Menorrhagia.

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 Katigraha Through Ayurveda – A Case Report

The description of Katigraha is not available as a separate entity in the classics. It is described amongst the eighty by Nanatmaja Vatavyadhi in the Charak Samhita. Ayurveda provides a horizon for such patients with its miraculous treatments of Panchakarma, Shamana, Rasayana, Agnikarma, etc. Lumbar canal stenosis is an abnormal narrowing of the spinal canal in the lumbar region, resulting in a neurological deficit that produces symptoms like pain, numbness, paraesthesia, and loss of motor function. Abnormal weight distribution combined with soft tissue laxity and instability over a prolonged period allows for excessive joint play and buckling of the posterior annular fibres of the intervertebral disc (IVD). The main treatment protocol, according to Ayurveda, is the use of both purification and palliative treatment. This case report represents a 56-year-old male patient who came to the OPD complaining of pain in his lumbar, hip, and legs; tingling sensation; stiffness; and walking difficulty. At Kati Pradesh, the trauma caused by the fall led to the vitiation of Vata and kha- vaigunya. Additionally, Agnimandya was already there, which caused ama to develop. He was given both Shodhana and Shamana Chikitsa. There was a significant improvement in the symptoms, and the patient could do his routine work without any support. This case and its results show that this therapy is effective in lumbar canal stenosis and should be done in a large population. Patients with lumbar canal stenosis can be effectively treated with Panchkarma procedures and oral medications without surgical intervention.

Management of Sthoulya Through Shodhana and Shamana Chikitsa - A Case Study

Obesity is characterized as an abnormal or excessive fat buildup that puts one's health at danger. Obesity is defined as having a BMI of 30 kg/m2. The term "The New World Syndrome" might also be used to characterize obesity. All age groups are experiencing an increase in its frequency in many advanced countries. Statistics show that during the past 10 years, the problem of obesity has grown from 12–20%, especially among men. The double burden of obesity includes malnutrition, and now more individuals are fat than underweight. It can be understood as a Medovaha shrotovikara in Sthoulya. Mithya ahara and vihara sevana, which are increasingly prevalent in this epidemic period, are to blame for this Shrotovikara. This article represents one such similar case which was treated with Shodhana and Shamana chikitsa.

Effect of Pre-conceptional care in the management of Repeated Pregnancy Loss with TORCH Infection – A case report

Introduction – Pregnancy is a complex phenomenon which includes physiological, psychological and social changes. RPL is a distressing condition that affects millions of women worldwide. RPL is defined as the loss of two or more consecutive pregnancies before 20 weeks of gestation. RPL can be correlated with Putraghni Yonivyapada and Garbhastravi Vandhya explained in Ayurvedic classics. Aim- To evaluate the effect of Pre-conceptional Ayurvedic protocol in RPL with TORCH infection. Methodology – A female patient aged 32 years having previous history of two pregnancy loss visited in the OPD of PTSR department, ITRA Jamnagar on September 2022. She took allopathic medications for 1 year. Her investigation revealed positive TORCH Pannel test and follicular study showed oligo-ovulation. Pre-conceptional care plan includes Shodhana Chikitsa followed by Shamana Chikitsa. Result – After 4 months of pre-conceptional care she conceived without any complications. Now she is having healthy pregnancy of 7 Months 22 days. Discussion - Putraghni is a Yoniroga characterised by repeated pregnancy losses due to the excessive use of Rooksha Ahara and Vihara which leads to Vata Prakopa further causing Shonita Dushti and Artava Dushti which in turn results in repeated loss of pregnancy. The overall TORCH infection positivity rate was 61.1%. Pre-conceptional care plays important role to stabilizing the previous disease conditions, to prevent any reproductive disease and to ensure that women enter pregnancy with optimal state of health which would be safe for both fetus and her. Keywords – RPL, TORCH, pre-conceptional care, Putraghni Yonivyapada, Garbhastravi Vandhya.

Ayurvedic Management of Chalazion (Utsangini): A Case Study

A chronic non- infective lipo- granulomatous inflammation of the blocked meibomian gland. An inflamed, blocked meibomian gland, typically on the upper eyelid, results in a chalazion (meibomian gland lipogranuloma). Ayurveda correlates it with Utsangini. Both Acharya’s Sushruta and Vagbhata provide an explanation of Utsangini under Vartmagatha Rogas. According to Sushruta, it comes under Tridoshaja / Sannipataj Sadhya Vyadhi. But even so, Vagbhata asserts that it is a Raktaja Sadhya Vyadhi.The overall prevalence of chalazion is 51% in adult .Both Shodhana and Shamana Chikitsa are mentioned in care of Utsangini. In modern medicine, the therapies include intralesional corticosteroid injection and surgical drainage are advised. In this study, a 22-year-old male patient with a right eye redness, watering of eye and painless swelling of the right upper eye lid with heaviness presented to the Eye OPD of the Dr. DY Patil College of Ayurved and Research Centre, Pimpri, Pune. Following the history and examination, chalazion was diagnosed. The patient received local treatment in kriya kalpa using Netra Parisheka therapy in addition to shamana chikitsa. As a result of the treatment remarkable improvement in all disease symptoms and signs was observed. So, the management of chalazion has been proven to be successful with Ayurvedic treatment.

Role of Panchakarma in the Management of Spinal Canal Stenosis - A Case Study

Spinal canal stenosis is a painful, degenerative condition, and is localized to facets, joints, and ligamentum flavum of the vertebra which is often referred to for surgical correction. The main cause of stenosis is herniated vertebral disc. If there is no compression, the spinal canal can be referred to as narrow, but not stenotic. Certain studies have defined lumbar spinal stenosis as the narrowing of the osteo-ligamentous vertebral canal or the intervertebral foramina, which causes compression of the thecal sac or the caudal nerve roots. The narrowing may impact the entire canal or just a portion of it, but it occurs at a single vertebral level. In this condition, it may, drastically affect the quality of life due to severe pain in doing daily routine activities. In contemporary science, there is no treatment except surgical intervention which is having a high chance of complication and the chances of recurrence. Surgery is necessary when there are clinically significant motor deficiencies or symptoms of cauda equina syndrome. Based on the manifestation of clinical signs and symptoms it can be correlated with Gridhrasi, according to Ayurveda. Gridhrasi can be treated successfully by the intervention of Panchakarma procedures along with Shamana Chikitsa. Here is a case study of a patient suffering from low back pain radiating to bilateral lower limbs, stiffness, numbness, burning sensation in the bilateral sole region, and unable to walk without support, who was previously diagnosed as a case of Spinal Canal Stenosis. He was treated with a Panchakarma procedure, Shamana Chikitsa along with Physiotherapy Exercises. The patient showed marked improvement and could do daily routine activities properly.

Management of Eka kushtha (plaque psoriasis) with Shodhana and Shamana in pediatric age group: A case report

Abstract: Psoriasis is an auto-immune, chronic, disfiguring skin condition that negatively impacts the quality of life of individuals. Its incidence rate among children has doubled since 1970, equally prevalent among males and females. Eka kushtha, one of the types of Kshudra kushtha (~minor skin diseases) can be correlated with psoriasis due to the resemblance in symptoms. A male child aged 12 years presented with symptoms of round, red, scaly, dry, silvery lesions over the extensor surface of bilateral upper and lower limbs for the last two years. Eka kushtha (~plaque psoriasis) of moderate severity was diagnosed on the basis of variable scaly plaques with marked erythema, scaling, and induration. Shodhana chikitsa (~bio-cleansing therapy) through Virechana karma (~therapeutic purgation) followed by Shamana chikitsa (~palliative therapy) as mentioned in Ayurveda classics were followed. Improvement in the clinical symptoms as well as changes in the scores of the Psoriasis Area and Severity Index and Children’s Dermatology Life Quality Index scale was observed. The presently available treatment principles for psoriasis are based on controlling the symptoms and are associated with serious side effects. Encouraging results noticed in this case report give insight that Shodhana along with Shamana chikitsa is safe and effective in managing psoriasis in the pediatric age group.

Ayurvedic management of Ekakushtha (Psoriasis): A case study

Abstract: Ekakushtha, comparable to psoriasis, is a non-infectious, autoimmune, chronic inflammatory disease of the skin characterized by well-defined erythematous plaques with silvery scale occurring mainly on the extensor surface, scalp, and having a chronic course. It is relapsing in nature. It affects not only the physical state of the patient but also impacts mental and social life of the patient. A 17-year-old male patient presented to the Ayurveda outpatient department with complaints of itchy scaly lesions on the head, chest, abdomen, back, and bilateral upper and lower limbs from the past five years. He was diagnosed with Ekakushtha and Shamana chikitsa (~palliative procedures) was planned in the management. The Psoriasis Area Severity Index (PASI) score was used to assess the outcome. The PASI score has decreased from 21.8 to 0.8. The present case report illustrates the significance of Ayurvedic treatment in the management of Ekakushtha, and the outcome infers that chronic, non-communicable, auto-immune diseases can be managed with Ayurveda approaches successfully.

Efficacy of Shilodbhidadi taila uttarabasti in the management of Pittaja mutrakricchra (cystitis) in female – An experience

Abstract: Urinary Tract Infections (UTIs) are a common cause of morbidity and have the potential to cause kidney damage. Mutrakricchra (~cystitis) is a disease of Mutravaha srotas (~urinary tract) and its symptomatology resembles more closely to cystitis which is the basic form of UTI. The injudicious use of prescribed antibiotics causes toxicity, drug resistance, and health hazards which make it difficult to manage the recurrent UTI. There is a need to search for an ideal therapy for UTI that causes least adversities. This case report provides an effective Ayurveda protocol to the existing modalities of UTI management. A 58-year-old female visited the Ayurveda outpatient department with the complaints of Adho udarashoola (~pain in the lower abdomen), Sashoola, Sadaha mutra pravritti (~painful, difficult, and burning micturition), and Atimutra pravritti (~increased frequency of micturition) with the frequency of 10–15 times/24 h for two months. After analysis, based on Ayurvedic and modern parameters, the condition was diagnosed as Pittaja mutrakricchra (~dysuria caused due to vitiation of Pitta dosha). After 60 days of management, the patient got complete relief after taking consecutive two sittings of Uttarabasti (~intraurethral douching) for eight days with an interval of one month along with Shamana chikitsa (~palliative therapy), suggesting in effective management of Pittaja mutrakricchra (~cystitis) in female through Ayurveda treatment protocols.

An Ayurvedic Management of Dadru with special reference to Tinea Cruris: A case study

Tinea amongst all the skin disorders is the difficult to cure as it always has recurrence and also very obstinate. In regardless of quite excellent treatment options in modern medicine, it bubbles up again when medication stops. Tinea is fungal infection resembles with Dadru in Ayurveda. Ayurveda has given health solutions to mankind since the ancient time. Excessive severe itching and red patches are the common clinical manifestation which can be diagnosed by Darshana and Prashana Pariksha.Raktamokshana and Shamana Chikitsa will help to cure Dadru. Patient of Dadru presented with elevated irregular ring like patches with severe itching, redness/discolouration and burning sensation at the, groin region. Later it spreads over thigh, genital and buttocks region associated with sleeplessness, since 1 years. He has already taken modern medicine but there was recurrence. Patient treated with Arogyavardhini Vati,Gandhak Rasayana Gomutra siddha Haritaki Panchtiktaghrita Guggulu internally and Marichyadi TailShirisha Twakon OPD level and got relief.

Ayurvedic Interventions for Sthoulya (Obesity): A Single-Case Analysis

In the present era, the prevalence of lifestyle-related disorders is rapidly on the rise globally. Modernization and the advancement of science and technology have contributed to increasingly sedentary lifestyles. Among these lifestyle disorders, obesity or overweight (Sthoulya) stands out as a significant issue, disrupting individuals' physical, mental, and social well-being. Obesity is characterized by an excessive accumulation of body fat. In Ayurveda, obesity is referred to as Sthoulya, classified under the category of Santarpanajnaya Vyadhi. Ayurveda offers a holistic approach to managing Sthoulya, and Acharya Charaka has recommended the use of Apatarpana Chikitsa for its treatment. The Chikitsa adopted was Deepana-Pachana, followed by Shamana Chikitsa with Classical Ayurveda and Proprietary medication for the duration of 3 and half months with diet and lifestyle advice. After completion of the course of the treatment has shown significant results in reducing weight by about 9 kilograms and reducing the signs and symptoms of Sthoulya. Therefore, the Ayurvedic approach to management delivers gratifying outcomes and proves equally advantageous for both the management and prevention of obesity while promoting overall health.

Efficacy of Deepana-Pachana, Swedana and Shamana Chikitsa in Juvenile Idiopathic Arthritis (JIA)

Juvenile Idiopathic Arthritis (JIA) is a type of most common chronic inflammatory rheumatic disease with very little clarity about etiology and pathology. Main clinical findings: A 16-year-old adolescent female girl with the complaint of pain and swelling in knee joint bilaterally, difficulty in walking, restricted movement and pain in wrist, ankle and interphalangeal joints, morning stiffens in hand and wrist joints. Diagnosis: This case of Juvenile Polyarticular (RF positive) arthritis was diagnosed as Amavata (symptoms suggest pravridhavastha). Interventions: Treatment given for 3 months in a duration dependent pattern. Deepana, Pachana followed by Snehan, Rechana and Baluka sweda, Upnah was done along with oral medications. Outcome: Patient felt relief in pain, swelling of joints reduced, restriction of joint movement was reduced, Lakshana of Ama like Anorexia, Fatigue, Heaviness and Laziness were also relieved. Conclusion: This paper is an attempt to explore effectiveness of Ayurvedic treatment in case of JIA.

Case study on Gridhrasi with Mahanimba Mula Twak Ghana Vati

Background: Low back pain is one of the most common complaints in India that affects with 70% to 80% of the population. Among the various causes of low back pain, the intervertebral disc prolapsed is the most common and the pain may be confined in the lower back only or referred to as a leg, buttock or hip which often outline the features of Sciatica syndrome. In Ayurvedic Science, the disease Sciatica can be compared with Gridhrasi which is one of the most common disorders of Vata. Aims & Objectives: This study aimed to access the efficacy of Ayurvedic management including Shodhana and Shamana Chikitsa in Gridhrasi. Materials and Methods: It is a single case study. A 45-year married man who has already been diagnosed with a bulge with superimposed right paracentral protrusion of L4-L5, correlated with Ghridrasi of the right leg from 5 months approached to our Ayurvedic hospital. He was treated with Panchakarma treatment including Yoga Basti, Kati Basti along with Shamana Chikitsa for one month. Results: Symptomatic assessment of patient was carried out after one month and satisfactory outcome was there and overall quality of life of patient was significantly improved. Conclusion: The after mentioned therapy gives symptomatic relief for the management of Gridhrasi.

Ayurvedic management of Gridhrasi with special reference to Sciatica: A Case Study

Background: About 70% to 80% of people in India report having low back pain, making it one of the most prevalent complaints. The most frequent intervertebral disc prolapse among the many causes of low back pain is referred to leg, buttock, or hip which frequently outlines the characteristics of Sciatica syndrome. Sciatica is similar to Gridhrasi, one of the most prevalent Vata illnesses, according to Ayurveda. Aims & Objectives: The purpose of this study was to evaluate the effectiveness of Ayurvedic treatment in Gridhrasi. Materials and Methods: Single case study of a 44-year-old married man who had been visiting an Ayurvedic hospital for Ghridrasi of the right leg for eight months had previously been diagnosed with a diffuse bulging of the L4-L5 intervertebral disc. He had one month of Panchakarma therapy, which included Abhyanaga Swedana, Patra Pinda Swedana, and Tila Pinda Swedana in combination with Shamana Chikitsa. Results: After a month, the patient's symptoms were assessed, and the outcomes were good. The patient's general quality of life had also greatly improved. Conclusion: The mentioned treatment reduces Gridhrasi symptoms significantly.

Management of Chemotherapy and Radiotherapy-Induced Side Effects in Pancreatic Carcinoma Through Panchagvya and Other Shamana Chikitsa in Ayurveda - A Case Report

Pancreatic cancer is a carcinoma with a poor prognosis due to a high mortality rate. There are 10 cases in the 1,00,000 population per annum. Surgical intervention, Chemo & radiotherapy are the conventional measures to treat these conditions. However, due to the specific side effects of Chemo & radiotherapy, search strategies for the Safest Ayurvedic intervention are highly needed. The prime aim of this paper is to study the efficacy of Ayurvedic treatment in managing the side effects of Chemotherapy in pancreatic Carcinoma of a male patient. In a single case study, a patient diagnosed with CA Pancrease was advised for Chemo-Radiation therapy. However, the severity of the complaints, such as Anorexia, nausea, vomiting, and epigastric pain, worsened after one of Chemotherapy & remained throughout the day. Despite taking the antacid suggested by the oncologist, there was no relief in symptoms. Therefore, a patient approached Ayurvedic Chikitsa. Shamana Ayurvedic Chikitsa (Praval Pishti, Gulvel Satva, Suvarna Sootshekhar Rasa, Moutikta Kamdudha & Chandrakala Rasa) for six consecutive monthswas prescribed. After 3-5 days, the patient has observed significant relief in the above symptoms & he was able to take his regular diet. The frequency of vomiting was also reduced significantly. After six months of standard treatment, his weight also improved. Three sittings of Chemo & radiotherapy were completed without any hurdles & no associated side effects. The selected combination of all Ayurvedic medicines induces relief in symptoms due to their Agnidipak, Vata-Pitta Shamak Chhardighna, Yakrutotejjak&Rasayana properties. In the present case report, the above said Ayurvedic prescription significantly induces relief in side-effects of Chemo & radiotherapy due to its Pitta Shamak&Agnivardhaka effects.

AYURVEDIC MANAGEMENT OF TENSION TYPE HEADACHE (VATAJ SHIRAHSHOOLA): A CASE STUDY

Purpose: Tension Type Headache is the common type of headache, it may last for few days to few weeks, generally seen in patients with stress and psychological conditions. Patient came in OPD with complaints of pain & feeling of tight band around head, pain in eyes, pain in back of head & neck, pain rises in evening, as sign & symptoms and cause of Tension Type Headache resembles with Vataj Shirahshoola. In the era of stress & tension recurrency is commonly seen. The present case highlights the ayurvedic management in reducing the episodes of headache & recurrency with Panchakarma procedure and dietary and lifestyle adoption. Method: The present case study deals with 32-year-old female patient having complaints of pain & feeling of tight band around head, pain in eyes, pain in back of head & neck, pain rises in evening, symptoms increase with stress. She was clinically diagnosed with Vataj Shirahshoola (Tension Type Headache). Patient was treated with Nasya Karma along with Shamana Chikitsa and advised for dietary and lifestyle adoption. Result: Panchakarma along with Shamana & Ahar-Vihar adoption showed significant results in the patient. Conclusion: Tension Type Headache can be managed with Ayurvedic Chikitsa (Panchakarma + Shamana). With Nidan Parivarjana & Ahar-Viharaj adoption we can reduce the recurrency of episodes

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.

A MANAGEMENT OF SHWITRA BY AYURVEDIC MEDICINES – A CASE STUDY

Skin disorders are common manifestation in present era and Shwitra being one of them, affects not only the quality of life but also the psychological state of mind, social wellbeing and economic growth of a person. This disease has become a major social embarrassment and economic burden for the patient. Thus, the following article discusses the method of treatment of the disease using Ayurvedic treatment methods including Shaman Aushadhi (Kushtahar yog, Kandughana churna and Dooshivishari gulika etc). Based on the signs and symptoms observed in the patient, a treatment protocol was advised. It can become a new way to achieve effective and safe care treatment and to show a significant improvement in a patient’s condition. A 66year old male diagnosed with vitiligo vulgaris (Shwitra), presented with complaints of an increasing area and number of depigmented patches specifically over face which were treated by following the Ayurveda principles. On the basis of the patient’s condition, Prakruti and Samprapti ghatak (pathological factors) a treatment protocol was designed which includes the Shamana chikitsa. The combination of various powdered herbs like Bakuchi churna, Kusthahar yog, Vishaghan churna, Panchatikta ghrita guggulu, khadirarishta were advised to the patients with proper dietary instructions and restrictions. The treatment protocol was found to be effective in the reversal of depigmented patches to re-pigmentation and it could be extended in future cases by using different combinations of drugs based upon the different Ayurvedic parameters to obtain even better results. It showed marked improvement in the patient’s condition. According to one’s prakruti and combinations of various potential ingredients, diets and lifestyle recommendations, it worked on the overall disease management. The management strategy was efficacious in recovery of the patients with the improvement in the re-pigmentation. The case was treated with compound Ayurvedic medicines over a period of 6 months with remarkable improvement which is evident from the inspection and photographs. The outcome of this clinical study will reveal further the effect of Ayurvedic medicine in vitiligo.