Case report on Ayurvedic management of Eczema with special reference to Charma Kushta

Neethu KS; Ajay Paul

doi:10.21760/jaims.9.1.45

Neethu KS Assistant Professor, Department of Kayachikitsa, Ayurveda College & Hospital, Coimbatore, Tamil Nadu, India.
Ajay Paul Associate Professor, Department of Kayachikitsa, Ayurveda College & Hospital, Coimbatore, Tamil Nadu, India.

DOI: https://doi.org/10.21760/jaims.9.1.45

Keywords: Eczema, Erythema, Charmakushta, lichenification, Dermatology life quality index, eczema area and severity index

Abstract

Skin inflammation is referred to as eczema, also referred to as dermatitis. Erythema, vesiculation, and oozing are the symptoms of acute eczema, followed by subacute scaling and crusting and chronic lichenification. According to Ayurveda, Charmakushta which is one among the 18 types of Kushta can be correlated to chronic stage of eczema. This condition can be managed with Sodhana and Shamana principles mentioned in Kushta. The subjective parameter like pruritus is assessed with NRS(numeric rating scale) and EASI score (eczema area and severity index) was taken for measuring area or extent along with severity. Sleep disturbance was measured using atopic dermatitis sleep score (ADSS) and DLQI (Dermatology Life Quality Index) was also assessed. All these parameters were assessed before and after treatment and also after follow up. DLQI of the patient was 66.6%before treatment which was reduced to 26.6% after treatment and 13.3% after follow up. NRS score has showed a 5 point decrease in the score and ADSS showed a marked decrease in mean score after follow up. EASI score also showed a marked reduction from 22 to 8.6 after follow up.

Downloads

Download data is not yet available.

References

Yash Pal Munjal. API textbook of medicine. 10th ed. New Delhi. Dr. Yash Pal Munjal For And On Behalf Of The Association Of Physicians Of India; 2015.

PM Govindhan Vaidhyan. Ashtanga Hrudayam, Nidanasthana. 14/3. Kodungallur: Devi book stall,2018, p:251.

Sharma R K, Dash B, editors. Charaka Samhita, Chkitsasthana. 7/21. Varanasi: Chaukhambha Sanskrit Pratishthan, Delhi, 2012.p.323

Saurabh Jindal. Review Of Dermatology. 5th ed. New Delhi. Jaypee Brothers Medical Publishers; 2017.

Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI)--a simple practical measure for routine clinical use. Clin Exp Dermatol. 1994 May;19(3):210-6. Available from: 10.1111/j.1365-2230.1994.tb01167.x. PMID: 8033378.

T.Sreekumar. Ashtanga Hrudaya, Sutrasthana.15/17-18. Thrissur: Publication Department, Harisree Hospital, 2008.p.381.

Sidhinandana Mishra. Bhaishajya Ratnavali. 42/13. Varanasi: Chaukhamba Surabharathi Prakashan, 2019.p.768.

K.R. Srikantha Murthy. Ashtanga Hrudayam, Uttarasthana. 36/84-85. Varanasi: Chowkhamba Krishnadas Academy,2006.p.357.

Sidhinandana Mishra. Bhaishajya Ratnavali.55/13-17.Varanasi: Chaukhamba Surabharathi Prakashan, 2019.p. 898.

K.R. Srikantha Murthy. Ashtanga Hrudaya, kalpasthana 2/21-23.Varanasi :Chowkhamba Krishnadas Academy,2006.p.543.

K.R. Srikantha Murthy. Ashtanga Hrudaya,Chikitsa sthana19/31-32.Varanasi :Chowkhamba Krishnadas Academy, 2006.p.477.

Agnivesha, Charaka Samhita, Vidyotini Hindi commentary by Kashiram Shastri and Gorakhnath Chaturvedi, Chaukhambha Bharati Academy; Varanasi, Part II, reprint 2006, Chikitsa Sthana 7/30, pp. 253.

Sharma R K, Dash B, editors. Charaka Samhita, Chkitsasthana. 7/21.Varanasi: Chaukhambha Sanskrit Pratishthan, Delhi, 2012.p.324-5