Introduction

Kushtha is the general term used in Ayurveda to denote diseases of skin. Skin is the protective organ of the body and reflects the health of the individual. According to Ayurveda, three Dosha.^[9]

Vata, Pitta and Kapha are responsible for health and disease depending on their equilibrium and imbalance state of the body. Acharya Charaka had mentioned that all Kushthas are Tridoshaj in nature.^[10]

In Ayurveda all skin diseases are described under single heading i.e., Kushtha. Although there seems no direct correlation between Vipadika as described in Ayurveda and any of modern disease such as palmo plantar psoriasis, dyshidrotic eczema, contact dermatitis, pityriasis rubra pilaris, acquired palmoplantar keratoderma, and tinea pedis/ manuum but they are discussed here as the symptoms associated with the diseases are more or less similar to the symptoms of Vipadika, which is one type of Kshudra Kushtha. It involves predominantly Vata and Kapha Dosha and characterized by Pani-Pada Sphutan (Fissure in palm and soles) and Teevra Vedana (with severe pain). Acharya Vagbhat^[11] also opines the same as stated by Acharya Charaka and added occurrence of red patches over palm and sole.

Aims and Objectives

To study the efficacy of classical management principles of Kushtha Chikitsa in the management of Vipadika (Kshudra Kushtha).

Case Report

Vital data

Age: 12 years
Gender: Male child
Education: School going
Socioeconomic status: Lower economic status

Presenting Complaints

Table 1: Complaints with duration

• Tivravedana (Severe pain)
• Manda-Kandu (Mild itching)
• Raga

Samprapti Ghataka

Dosha: Tridosha (Vata Kapha Pradhana)
Dhatu: Rakta, Mamsa
Upadhatu: Twak
Vyakta Sthana: Panipad

Vyadhi Vinishchay

Vipadika: Tridosha (Vata Kapha Pradhana)

Materials and Methods

Treatment: 30 days treatment plan included internal and external medications.

Table 3: Plan of Internal medications

Plan of External procedures: Jeevantyadi Yamaka Lepa^, twice a day

With the above-mentioned line of treatment patient got satisfactory relief from the symptoms of Vipadika. It can be well appreciated in the photographs documented before and after treatment.

Assessment Criteria

Table 4: Subjective Criteria

Table 5: Changes observed in the patient during treatment

Discussion

Vipadika is characterized by Panipada Sphutana, Teevravedana where there will be a vitiation of Twak, Raktha, Mamsa and Lasika along with Tridosha vitiation. So, following Shamanoushadis along with external application of Jeevantyadi Yamaka Lepam^[16] is advised to the patient.

Which help reduces the symptoms and promotes healing by enhancing tissue regeneration and repair. The Lepa will also provide moisturizing effect to the skin and reduces the itching sensation.

The moisture content of Lepa will prevent dryness of skin and promotes overall skin health.

Conclusion

This report shows that Ayurvedic intervention is potent enough in treating Vipadika effectively. Following Pathya Ahara and Vihara along with medications help break the pathogenesis and alleviates the symptoms and also improves the immune strength. Hence, the treatment was effective in relieving the symptoms and causing no remission.

References