E-ISSN:2456-3110

Case Report

Shamana Aushadhis

Journal of Ayurveda and Integrated Medical Sciences

2025 Volume 10 Number 6 JUNE
Publisherwww.maharshicharaka.in

Vipadika Kushta and its management using Shamana Aushadhis - A Case Report

Rehina S1*, Majumder M2
DOI:10.21760/jaims.10.6.55

1* Rehina S, Third Year Post Graduate Scholar, Dept of Roga Nidan Evum Vikriti Vijnjan, Institute of Post Graduate Ayurvedic Education and Research at Shyamadas Vaidya Shastra Pith, Kolkata, West Bengal, India.

2 Madhumita Majumder, Lecturer, Dept of Roga Nidan Evum Vikriti Vijnjan, Institute of Post Graduate Ayurvedic Education and Research at Shyamadas Vaidya Shastra Pith, Kolkata, West Bengal, India.

In Ayurveda, Kushta refers to various skin diseases, commonly including leprosy as a term associated with these conditions. Kushta is generally divided into two categories: Maha Kushta (major skin ailments) and Kshudra Kushta (minor skin ailments). Vipadika is one among the Kshudra Kushta often compared with palmar-plantar psoariasis characterized by severe pain, itching in the palms and soles as a cause of vitiated Vata and Kapha Doshas. Vipadika is also included one among the 80 Vatika Nanatmaja Vyadhis as the increased Ruksha Guna of Vata results in cracking of Pani & Pada (Pani Pada Sphutana). In this present study, patient having the complaints of pain, itching, scaling and cracking of both palms & soles was treated using Shamana Aushadhis internally along with external application, created a significant result.

Keywords: Vipadika, Shamana, Ayurveda, Palmar-plantar psoriasis, Case report

Corresponding Author How to Cite this Article To Browse
Rehina S, Third Year Post Graduate Scholar, Dept of Roga Nidan Evum Vikriti Vijnjan, Institute of Post Graduate Ayurvedic Education and Research at Shyamadas Vaidya Shastra Pith, Kolkata, West Bengal, India.
Email: 		Rehina S, Majumder M, Vipadika Kushta and its management using Shamana Aushadhis - A Case Report. J Ayu Int Med Sci. 2025;10(6):395-401.
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https://jaims.in/jaims/article/view/4418/

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2025-05-09 2025-05-27 2025-06-07 2025-06-17 2025-06-27
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None Nil Not required 12.35

© 2025 by Rehina S, Majumder M and 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(6)395
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Rehina S et al. Vipadika Kushta and its management using Shamana Aushadhis

Introduction

Skin diseases can create cosmetic challenges that impact an individual’s mental health and disrupt their daily activities. Ayurveda classifies all skin diseases under the broad category known as Kushta. The classic describes 18 types of Kushta and their associated symptoms. Nidanas of Kushta aggravates the Doshas, causes Agnimandya in turn leads to Shithilatha of Dushyas like Tvak, Rakta, Mamsa, Lasika and obstruct the Lomakupa(sweat glands) this Prakupiita Doshas enters into Rasa Raktadi Dhatus & lodges in Tvak resulting in Kushta.[1] Acharya Charaka has mentioned that all the Kushtas are Tridoshaja in nature.[2] Vipadika is a Kshudra Kushta which is Vata- Kapha predominant in nature. Different Acharyas outline the symptoms of Vipadika as described in Ashtanga Hrudaya;[3] Pani Pada Sphutana (cracks over palms & soles), Teevra Vedana (intense pain), Manda Kandu (mild itching) and Saraga Pidaka (red colored macules) are said to be the symptoms. According to Charaka;[4] Pani Pada Sphutana (cracking of palms and foot), Teevra Vedana (severe pain) are said to be the symptoms of Vipadika. According to Sushruta;[5] Vipadika is also known as ‘’Padadari’’which is confined only to the soles of the feet characterized by itching, burning sensation & pain. According to Madhukosha;[6] opines that the Vidarana which occurs in the Pani is termed as Vicharchika and that which occurs in the Pada is termed as Vipadika.

According to Bhoja;[7] the Doshas became imbalanced within Tvak and Mamsa, leading to their accumulation in Pani Pada resulting in Vipadika.

Methods

A 7-yr old female child, exhibiting the symptoms of pain, dryness, scaling, itching and cracking of both palms & soles for the past month. On the basis of clinical signs & symptoms, the case was diagnosed as Vipadika. Treatment schedule was planned accordingly and successfully managed with Shamana Aushadhis.

Case Study

A 7-yr old female patient attended the OPD of IPGAE & R At SVSP Hospital with the chief complaints of pain, dryness, scaling, itching and cracking of both palms for the past month.

History of present illness

The patient seemed healthy 1 year ago, but has gradually developed symptoms such as pain, dryness, itching, scaling and cracking on both palms & soles. Patient was treated at Calcutta School of Tropical Medicine, and were on Allopathic medication few months ago, but no considerable improvement occurred then the patient came to our Institution for better management.

On examination multiple cracks were present on both palms & soles along with redness. The clinical evaluation led to the diagnosis of Vipadika, characterized by predominance of Vata and Kapha Doshas.

Personal history

Appetite - Poor
Bowel - Irregular
Micturition - Regular
Sleep - Sound
Food - All kinds of food including junk foods

Vital data

Pulse - 72/min
Blood pressure - 110/70mmHg
Respiratory rate - 22/min
Temp - 98.6°F
Weight - 14kg

General Examination

Patient was conscious, alert & cooperative

Appearance - Normal
Built - Moderate
Nutrition - Moderate
Icterus - Absent
Cyanosis - Pallor
Pallor - Present ++
Oedema - Absent
Clubbing - Absent
Lymphadenopathy - Absent

Systemic examination

Integumentary system (Skin examination)

Site - Plantar aspect of both palms, dorsum of foot along with toes

Dryness, Itching, Scaling, Cracking seen along with redness

Margin - Irregular


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Rehina S et al. Vipadika Kushta and its management using Shamana Aushadhis

Nidana Panchaka

Nidana - Viruddha Annapanam (Intake of fish along with milk), Adhyashana (Intake of food before the digestion of previous food), Vega Dharana (Suppression of urges especially micturition in this case).[8]

Poorvaroopa - Kandu (Itching), Khara Sparsha (Rough in touch).[9]

Roopa - Pani Pada Sphutana (Cracking of both palms & soles), Rukshatha (Dryness), Kandu (Itching), Saraga Pidaka (Redness along with scaling).[10]

Samprapti

Nidana Sevana ( Aharaja & Viharaja Nidana)
↓
Agnidushti
↓
Aggravation of Vata & Kapha predominant Tridosha causing vitiation of Twak, Rakta, Mamsa & Lasika.[11]
↓
Raktavaha Sroto Dushti followed by consequent involvement of Rasavaha, Mamsavaha, Udakavaha & Svedavaha Sroto Dushti
↓
Sanga and Vimarga Gamana of Doshas within Tvak and Mamsa
↓
Sthana Samshraya occurs in Hasta & Pada
↓
Devolopment of Rukshatha, Sphutana in Hasta & Pada
↓
Vipadika

Upashaya

Application of Jeevantyadi Yamaka

Treatment given

Snehana using Mahatikta Ghrita followed by Trivrit Avaleha along with the intake of Tab Navayasa Lauha & local application with Jeevantyadi Yamaka

Shamana Aushadhi: for 21 days (about 3 weeks)

1st Visit (20/10/2024)

1. Mahatikthaka Ghrita –

A. 1 ½ tsf at morning, empty stomach

B. 1 tsf at evening, empty stomach, followed by intake of lukewarm water

2. Trivrit Avaleha - 1 tsp along with hot water, before bed.
3. Jeevantyadi Yamaka - For L/A
4. Siddharthaka Soap - For L/A

2nd Visit (10/01/2025)

  • All previous medications + Tab Navayasa Lauha (1tab twice daily, empty stomach)

3rd Visit (07/02/2025)

  • All medicines were continued for another one month

Table 1: Assessment criteria for Sphutana

SNClinical FeaturesScore
1.Insignificant dryness at palms0
2.Roughness is present on touching1
3.Excessive roughness present, leading to itching2
4.Excessive roughness present, leading to slight cracks3
5.Roughness leading to cracks & fissures4

Table 2: Assessment criteria for Vedana

SNC/FScore
1.No pain0
2.Mild pain of easily bearable nature, comes occasionally1
3.Moderate pain, but no difficulty2
4.Appears frequently and requires some measures for relief3
5.Pain requires medication and may remain throughout the day4

Table 3: Observation table

SNClinical FeaturesB/FA/FAfter First Follow-Up
1.Scaling of skin++++++++
2.Roughness++++++
3.Itching++++++-
4.Pain+++-
5.DischargeNILNIL-
6.Redness++++-

jaims_4418_01.JPG


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Rehina S et al. Vipadika Kushta and its management using Shamana Aushadhis

jaims_4418_02.JPG
Before treatment (20/10/2025)

jaims_4418_03.JPG

jaims_4418_04.JPG
First Follow-Up (10/01/2025)

jaims_4418_05.JPG

jaims_4418_06.JPG
Second Follow-Up (07/02/2025)

Result

Following treatment, the patient’s symptoms improved, and they were recommended to continue medication and maintain a proper diet.

Discussion

Mahatiktha Ghrita:[12-15] Mahatiktha Ghrita is useful in treating various diseases such as Amlapitta, Rakta Pitta, Vata Rakta, Kushta, Visarpa, Kushta, Asrigdhara. It contains drugs like Saptaparna which is effective in blood related diseases and purifies the blood (Asrajantujith). Aragvadha used for skin diseases and is a mild laxative. Patha is specifically indicated for skin infections like Kushta and pacifies itching. Musta is both Deepana & Pachana in nature, helps in correction of Mandagni. Usira, Dhanvayasa, Shweta Chandana does Pitta Shamana helps in reducing redness associated with skin diseases. Triphala possess antioxidant properties. Patola is Raktashodak, Varnya and relieves itching. Nimba is a good anti-inflammatory drug useful in allergic skin rashes and wound healing thereby helps in reducing redness associated with skin. Vacha is Tridosha Shamana, Katu-Tikta Rasa predominant which helps in pacifying Kapha Dosha thereby reduces itching.

Trivrit Avaleha: Virechana is main treatment mode adopted in Kushta, as it is Raktavaha Srotodushti Vikara. Virechana is given with Trivrit Avaleha which contains Trivrit & Trijata (Tvak, Ela, Patra). Trivrit is meant to produce Sukha Virechana without causing any complications. Trijata is Vata-Kapha Shamaka in nature also does Deepana.[16]


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Rehina S et al. Vipadika Kushta and its management using Shamana Aushadhis

Tab Navayasa Lauha:[17] The main ingredients of Navayasa Lauha are Triphala, Trimada & Trikatu. These drugs possess anti-inflammatory properties which reduces inflammation and helps in relieving symptoms associated with Vipadika like Kandu, Daha, Vedana. Also possess Srotoshodhaka and Vata-Kapha Dosha Shamak in nature. The immuno modulatory property of these will help to regulate the immune system.

Jeevantyadi Yamaka[18]

On Rukshata

The Snigdha Guna of Jeevanti, Go-Ghrita, Tila Taila and Madhucchista might have helped to control Vata and for the prevention of Rukshata and Khara Sparsha in Vipadika. This type of lubrication helps for moistening and softening of skin.

On Kandu

Kandu might have subsided by

A. Kandughna property of Tuttha and Daruharidra.
B. Krimighna property of Manjista, Kampillaka, Tuttha and Sarjarasa.
C. Vishaghna property of Sarjarasa.
D. Kaphaghna property of Manjista, Daruharidra, Kampillaka, Sarjarasa.
E. Kapha Lekhana property of Tuttha.
F. Kapha Nissaraka property of Jeevantimoola.

On Sphutana

Sphutana of Pani and Pada might have reduced and cured by,

A. Vrana Shodhana and Vrana Ropana properties of Daruharidra, Kampillaka, Tilataila, Sarjarasa and Manjista.
B. Rasayana property of Go Dugdha.
C. Snigdha Guna of Jeevantimoola, Godugdha, Go Ghrita, Tila Taila and Jeevantimoola.

On Vedana

Vedana might have subsided by the Vedana Sthapaka action of Kampillaka, Tila Taila and Sarjarasa.

On Srava and Raga

A. The Sthambaka action of Sheeta Virya of Sarjarasa.
B. Kashaya Rasa and Sandhaneeya property of Tila Taila.

C. Sheeta Virya of Jala, Godugdha, Go-Ghrita and Jeevantimoola.

On Daha

Daha might have subsided by the Pitta Shamaka properties of Manjista, Jeevantimoola, Daruharidra, Go-Dugdha and Go-Ghrita.

Other than this, Rakta is one of the Dushyas. The Raktavaha Srotodusti produces Kushta. Hence Rakta needs to be cleansed. This might have been done by the Raktashodhaka properties of Manjista, Jeevantimoola, Daruharidra, Kampillaka and Madhucchista.

In total, the Kustaghna property of certain drugs like Manjista, Kampillaka, Tuttha and Madhuchista formulated along with Sneha Dravyas might have given multiple benefits in curing Vipadika.

Above all, the Tvachya property of the Taila might have helped to subside symptoms and help to maintain the normalcy of Tvacha in Pani and Pada.

Siddharthaka Soap - The composition of this Yoga consists of many ingredients which helps to alleviate skin diseases. Musta possess Deepana & Pachana properties and helps in blood purification. Madanaphala is Kaphahara in nature and is Kushtapaha. Karanja is Kapha-Vataghna and thus pacifies Vipadika.[19][20]

Conclusion

Vipadika is a disease characterized by the combination of Vata and Kapha imbalances. The increased Ruksha Guna of Vata causes dryness of skin and results in cracks. Kandu is produced by Kapha Dosha. The Dharana of Tvak & Mamsa leads to Sphutana as it lies above the Mamasadhara Kala. Nidana Parivarjana is crucial in treatment as it halts the disease’s progression by restricting Dosha vitiation. In the present case, the patient was managed by means of Shamana Aushadis containing the effect of Snehapana & Virechana are found to be effective in the management of Vipadika like skin aliments.

Acknowledgement

I would like to thank the Apothecary Department & laboratory of I.P.G.A. E & R at SVSP, Kolkata for providing essential materials required during the study.


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Heartfelt gratitude to my teachers for their valuable suggestions and to everyone who have directly or indirectly guided me in writing this case study.

Declaration of Patient Consent

The authors certify that they have obtained all appropriate patient consent. She has given her consent for her clinical information to be reported in this journal. The patient was assured that her initials will not be published, and due efforts will be made to conceal the identity.

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