A case series on the role of Ayurveda in the management of Plantar Corn

Sisira Mohan; Dhanya  P V; I Umesh Namboothiri

doi:10.21760/jaims.8.4.37

Sisira Mohan Research Officer and Specialist Consultant, Itoozhi Namboothiri’s Ayurveda Nursing Home, Mayyil, Kannur, Kerala, India.
Dhanya P V HOD, Department of Panchakarma, Itoozhi Namboothiri’s Ayurveda Nursing Home, Mayyil, Kannur, Kerala, India.
I Umesh Namboothiri Ethnomedical Research Centre, Itoozhi Illam Ayurveda Foundation and Charitable Trust, Mayyil, Kannur, Kerala, India.

DOI: https://doi.org/10.21760/jaims.8.4.37

Keywords: Plantar corn, Kshudraroga, Kadaram, Triphala kasayam, Jathyadi ghritam

Abstract

Plantar corn characterized by painful, circumscribed horny thickening is often intractable to conservative management and the symptoms affect persons gait and activities. In Ayurveda it is described as Kadaram under Kshudraroga, being caused by aggravated Dosas along with Medas and Raktha. Treatment described for Kadaram according to Ayurveda is surgical excision followed by cauterization with Sneha. In this case series, a deviation from the prescribed treatment protocol was followed by doing surgical enucleation of corn and management of the excised site using Triphala Kasayam and Jathyadi Ghritam. The cases were prospectively followed up for three months for incidence of recurrence. No recurrence was observed during the follow up period. Thus, surgical enucleation followed by proper wound care can be effectively used in the management of plantar corn.

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References

Somen Das, A Manual on clinical surgery, Dr S Das Publication Calcutta, Fourth edition Reprint 1998.

Sacchidanand S, Mallikarjuna M, Purohit V, Sujaya SN. Surgical enucleation of corn: a novel technique. J Cutan Aesthet Surg. 2012 Jan; 5(1):52-3. doi: 10.4103/0974-2077.94329. PMID: 22557862; PMCID: PMC3339135.

Al Aboud AM, Yarrarapu SNS. Corns. [Updated 2022 Oct 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470374/

Singh D, Bentley G, Trevino SG. Callosities, corns, and calluses. BMJ. 1996 Jun 1; 312(7043):1403-6. doi: 10.1136/bmj.312.7043.1403a. PMID: 8646101; PMCID: PMC2351151.

Susrutha, Susrutha Samhita, with the Nibandhasangraha commentary of Sri Dalhanacharya & Nyāyacandrika Panjika of Sri Gayadasacharya on Nidanasthana, Edited by Vaidya Yadavji Trikamji Acharya & Narayan Ram Acharya ‘Kavyatirtha’, Chaukhamba Sanskrit Sansthan, Varanasi, Reprint 2015, Nidanasthana 11/10,11,12; page 312.

Susrutha, Susrutha Samhita, with the Nibandhasangraha commentary of Sri Dalhanacharya & Nyāyacandrika Panjika of Sri Gayadasacharya on Nidanasthana, Edited by Vaidya Yadavji Trikamji Acharya & Narayan Ram Acharya ‘Kavyatirtha’, Chaukhamba Sanskrit Sansthan, Varanasi, Reprint 2015, Chikitsasthana 11/10,11,12; page 312.

Vagbhata, Ashtangahrdaya, Sarvangasundara commentary of Arunadatta & Ayurvedarasayana of Hemadri, Edited by Pt. Hari Sadasiva Sastri Paradakara, Chaukhamba Sanskrit Sansthan, Varanasi, Reprint, 2016, Uttarasthana 29/23,24,25; page 883

Singh D, Bentley G, Trevino SG. Callosities, corns, and calluses. BMJ. 1996 Jun 1; 312(7043):1403-6. doi: 10.1136/bmj.312.7043.1403a. PMID: 8646101; PMCID: PMC2351151.

Kumar MS, Kirubanandan S, Sripriya R, Sehgal PK. Triphala promotes healing of infected full-thickness dermal wound. J Surg Res. 2008 Jan; 144(1):94-101. doi: 10.1016/j.jss.2007.02.049. Epub 2007 Jul 27. PMID: 17662304.

Peterson CT, Denniston K, Chopra D. Therapeutic Uses of Triphala in Ayurvedic Medicine. J Altern Complement Med. 2017 Aug;23(8):607-614. doi: 10.1089/acm.2017.0083. Epub 2017 Jul 11. PMID: 28696777; PMCID: PMC5567597.

Gupta V, Tyagi A, Bhatnagar A, Singh S, Gaidhani SN, Srikanth N. Topical application of Jatyadi Ghrita and Jatyadi Taila accelerates wound healing in Sprague-Dawley rats: a study in gamma-radiation-induced skin wound model. Int J Radiat Biol. 2021; 97(7):1003-1019. doi: 10.1080/09553002.2021.1913526. Epub 2021 Apr 19. PMID: 33872127.