E-ISSN:2456-3110

Case Report

Vaipadika

Journal of Ayurveda and Integrated Medical Sciences

2025 Volume 10 Number 1 JANUARY
Publisherwww.maharshicharaka.in

Ayurvedic management of Vaipadika - A Case Study

Nataraj HR1, Akarsha Krishna S2*, Ashwin Kumar S Bharathi3, Soniya MP4, Niranjan RN5
DOI:10.21760/jaims.10.1.35

1 Nataraj HR, Associate Professor, Department of Agada Tantra, Sri Dharmasthala Manjunateshwara College of Ayurveda and Hospital, Hassan, Karnataka, India.

2* Akarsha Krishna S, Post Graduate Scholar, Department of Agada Tantra, Sri Dharmasthala Manjunateshwara College of Ayurveda and Hospital, Hassan, Karnataka, India.

3 Ashwin Kumar S Bharathi, Professor, Department of Agada Tantra, Sri Dharmasthala Manjunateshwara College of Ayurveda and Hospital, Hassan, Karnataka, India.

4 Soniya MP, Post Graduate Scholar, Department of Agada Tantra, Sri Dharmasthala Manjunateshwara College of Ayurveda and Hospital, Hassan, Karnataka, India.

5 Niranjan RN, Post Graduate Scholar, Department of Agada Tantra, Sri Dharmasthala Manjunateshwara College of Ayurveda and Hospital, Hassan, Karnataka, India.

Vaipadika is one among eleven Kshudra Kushtas characterized by Pani Pada Sputana (cracking of palms and soles), Teevra Vedana (intense pain), Manda Kandu (mild itching) and Saraga Pidaka (reddish lesions). It is a Vatakapha predominant condition. Palmoplantar psoriasis effecting hand and foot shares similar clinical features as that of Vaipadika. It causes itching, pain, and rashes on the palms of the hands, sides of the fingers or on the soles of the feet. As Kushta is a Bahudoshaja Vyadhi, it requires Shodhana Chikitsa (purificatory therapies). But Kshudra Kushtas like Vaipadika respond well to OP based Shamana Chikitsa (pacification therapy). The current case report is an attempt to appreciate the effect of Shamana Chikitsa in the management of Vaipadika Kushta (Palmoplantar psoriasis). A sixty-three-year-old female patient approached the outpatient department with complaints of cracked left palm associated with itching, burning sensation and pain in the last one year. Though it is a chronic case, the patient was able to get relieved within four visits which created a promising faith towards Ayurvedic treatment.

Keywords: Ayurveda, Kshudra Kushta, Palmoplantar psoriasis, Vipadika

Corresponding Author How to Cite this Article To Browse
Akarsha Krishna S, Post Graduate Scholar, Department of Agada Tantra, Sri Dharmasthala Manjunateshwara College of Ayurveda and Hospital, Hassan, Karnataka, India.
Email: 		Nataraj HR, Akarsha Krishna S, Ashwin Kumar S Bharathi, Soniya MP, Niranjan RN, Ayurvedic management of Vaipadika - A Case Study. J Ayu Int Med Sci. 2025;10(1):233-235.
Available From
https://jaims.in/jaims/article/view/3967

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2024-12-10 2024-12-21 2024-12-31 2025-01-13 2025-01-26
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
None Nil Not required 12.54

© 2025by Nataraj HR, Akarsha Krishna S, Ashwin Kumar S Bharathi, Soniya MP, Niranjan RNand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

J Ayu Int Med Sci 2025;10(1)233
Download PDFBack To ArticleIntroductionCase ReportObservations and ResultsDiscussionConclusionReferences
Nataraj HR et al. Ayurvedic management of Vaipadika

Introduction

Skin has always played a significant role in aesthetics. Healthy skin never fails to increase a person's confidence. However, because skin disorders are so evident, they not only diminish self-confidence but also lead to mental distress. Vipadika or Vaipadika is explained as one among Eleven Kshudra Kushtas which has the features of Paani Paada Sputana associated with Teevra Vedana as explained by Acharya Charaka.[1] Based on the features the major Dosha involved is Vata along with Pitta and Kapha.[2] Acharya Sushruta also explains it under Kshudra Kushta but with a different name called Padadaari.[3] Palmoplantar psoriasis is a condition that affects the palms and soles. It can manifest as pustular lesions, thick scaly plaques, or painful plaques.[4] Palmoplantar psoriasis accounts for around 3-4% of all psoriasis cases.[5] The present case has a one-year history. Based on the clinical symptoms, such as cracks and pealing of skin over her hands linked with itching, as well as the clinical results, the underlying dosha can be identified, and a specific course of treatment can be implemented, and her condition improved.

Case Report

A 63 years old female patient visited skin opd of SDM college of Ayurveda Hassan with complaints of cracks and pealing of skin over left palm in last one year. Associated with extreme itching, which hampered her normal activities. She initially ignored problem, but when it worsened, she sought help from a nearby allopathic hospital. They suggested topical applications and drugs (details unknown), but symptoms persisted. There is no history of prolonged illness or associated symptoms. There is no surgical history, no previous record of such an incident.

Clinical Findings

On the day of first visit the general examination of the person was of normal built without any pathological presentation. On local examination, there were cracks and peelings on palms associated with itching.

Local Examinations

The patient has cracks and peeling of skin over palms associated with itching. There was no any discharge.

Management

First visit: 15/11/2023 - 29/11/2023

1. Pancha Thiktha Gritha 10gm early morning in empty stomach
2. Gandhaka Malahara ointment external application morning hours
3. Patola Katurohinyadi Kashaya 10ml twice daily before food with equal quantity of warm water
4. Laghu Suthashekara Vati two tablets twice daily before food
5. Nalpamaradi Taila external application at night
6. Nimbadi Guggulu one tablet twice daily after food

Second visit: 29/11/2023 - 14/12/2023

1. Pancha Thiktha Gritha 10gm early morning in empty stomach
2. Nalpamaradi Taila external application at night
3. Laghu Suthashekara Vati two tablets twice daily before food
4. Patola Katurohinyadi Kashaya 10ml twice daily before food with equal quantity of warm water
5. Grab capsule one tablet twice daily after food
6. Atrisor ointment external application morning hours
7. Dooshivishari Gulika one tablet twice daily after food

Third visit: 10/1/2024 - 25/2/2024

1. Laghu Suthashekara Vati two tablets twice daily before food
2. Atrisor ointment external application morning hours
3. Shiva Gulika one tablet in the morning before food
4. Khadirarista 10ml twice daily after food with equal quantity of warm water
5. Mark psora capsules one tablet twice daily after food

Fourth visit: 14/2/2024 - 29/2/2024

1. Laghu Suthashekara Vati two tablets twice daily before food
2. Shiva Gulika one tablet in the morning before food
3. Khadirarista 10ml twice daily after food with equal quantity of warm water
4. Trichoderma ointment external application morning hours
5. Nimbadi Guggulu one tablet twice daily after food


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Nataraj HR et al. Ayurvedic management of Vaipadika

Observations and Results

On first visit patient had severe itching, peeling of skin and cracks over palms. Over subsequent visits itching, peeling and cracks reduced drastically.

jaims_3967_01.JPG
Figure 1: Before Treatment

jaims_3967_02.JPG
Figure 2: After treatment

Discussion

Shamana Chikitsa is being opted in this case as a line of treatment. Considering the potent action of Pancha Tiktha Gritha for its Tridoshahara and Kanduhara properties it has been opted for Shamana Chikitsa. Patola Katurohinyadi Kashaya, which is Vishaghna, Kapha Pitta Shamaka in nature. Local application of Gandhaka Malahara is highly effective in treating chronic cases of Vaipadika.[6] Nalpamaradi Taila local application acts as Kustaghna. Nimbadi Guggulu, which is Kapha Vatahara. Laghu Suthashekara Vati is Pitta Shamaka and helps in reducing Kandu. Dooshivishari Gulika which is a potent immune modulator, has Vishaghna, Kustaghna, properties.[7] Khadirarista which is a potent Kustaghna, which helps in reducing the symptoms of Vipadika.

Conclusion

The present case study concludes that Vipadika has been effectively treated with Shamanoushadhi inspite of its chronicity and severity with Ayurveda medicines.

References

1. Jadavji Trikamji, editor. Charaka Samhita of Agnivesha, Chikitsasthana; Kushtachikitsa Adhyaya. 1st ed. Varanasi, India: Chowkambha Prakashan; 2013. Chapter 7, Verse 21-26. p. 451 [Crossref][PubMed][Google Scholar]

2. Jadavji Trikamji, editor. Charaka Samhita of Agnivesha, Chikitsasthana; Kushtachikitsa Adhyaya. 1st ed. Varanasi, India: Chowkambha Prakashan; 2013. Chapter 7, Verse 31-32. p. 451 [Crossref][PubMed][Google Scholar]

3. Jadavji Trikamji, editor. Sushruta Samhita of Sushruta, Nidanasthana; Kshudraroga Nidana Adhyaya. 6th ed. Varanasi: Chowkambha Orientalia; 1997. Chapter 13, Verse 29. p. 321 [Crossref][PubMed][Google Scholar]

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7. Deepa P, Nataraj HR, Anushree CG, Shirwar AK. A Critical Review on Dooshivishari Agada: A Herbo Mineral Formulation. Int J Ayurveda Pharma Res. 2022 Nov 13:70-77. [Crossref][PubMed][Google Scholar]

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