A clinical evaluation of Bakuchi Hartal Lepa and Amalaki Khadir Kashayam in the management of Switra (Vitiligo) - A Pilot Study

Abstract

Vitiligo is usually patchy depigmentary disorder, due to reduced or absent melanocytes. Most paediatric cases present after first decade of life with well-demarcated milky-white or hypopigmented patches. In Ayurveda vitiligo is known as Shwitra and described under Kushtha. The Tridoshas (Vata, Pitta, and Kapha) and Dhatus (such as Rasa, Rakta, Mamsa, and Meda) vitiations are what give rise to this variety of Kushta in the classical Ayurvedic texts. The disease is significant primarily because it raises cosmetic concerns, which ultimately cause the sufferer to experience several socialised psychological stigmas. Ayurveda provide effective and safe treatment protocol for vitiligo. In the present Pilot study Amalaki- Khadir Kashaya with Bakuchi (Prakshep Dravya) is used as internal medication and Bakuchi, Hartala Lepa with Gomutra as external therapy in 8 patients. The Gunas of these drugs are opposite to Doshas responsible for Switra. This study shows significant decrease in number of hypopigmented patch as well as improvement in the psychological status of the patient.