Management of Vipadika through Panchakarma w.s.r. to Palmoplantar Psoriasis: A Case Report

  • Sheetal G. Lodha Associate Professor, Department of Panchakarma, R. A. Podar Ayurved Medical College, Worli, Mumbai, Maharashtra, India.
  • Ruchika S. Karade Assistant Professor, Department of Panchakarma, R. A. Podar Ayurved Medical College, Worli, Mumbai, Maharashtra, India.
Keywords: Panchakarma, Vipadika, Snehapana, Virechana, Palmoplantar psoriasis

Abstract

Introduction: Palmo-plantar Psoriasis is a non-infectious chronic inflammatory disease of the skin bound to the palm and soles in extent. In Ayurveda, all skin diseases are recounted under a single heading i.e., Kushtha (skin diseases). Palmo-plantar Psoriasis can be co-related with Vipadika (one of the Kshudra Kushtha described in Ayurveda), based on its clinical signs & symptoms. Aim and Objective: To evaluate the effect of Virechana, Raktamokshan, and Snehapana in a Vipadika w.s.r. to palmoplantar psoriasis. Materials and Methods: In the present case, a 50-year-old female patient was diagnosed as a patient of Vipadika (palmoplantar psoriasis) having pruritic rashes on both palm and sole along with bloody and watery discharge from the same. The patient was treated with Shodhana therapy, which included Shodhnartha Snehapana, Virechana, Raktamokshana, and Shamana Aushadhi. Observation and Results: Significant results were observed in the SPI - Simplified Psoriasis Index (SPI score), as well as in itching and associated complaints. Discussion and Conclusion: Panchakarma therapies like Virechana, Raktamokshana, and Snehapana provide effective relief in the case of Vipadika in symptoms like itching, discharge and SPI score.

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References

Khandpur S, Singhal V, Sharma VK. Palmoplantar involvement in psoriasis: a clinical study. Indian J Dermatol Venereol Leprol. 2011 Sep-Oct;77(5):625.

Kumar B, Saraswat A, Kaur I. Palmoplantar lesions in psoriasis: a study of 3065 patients. Acta Derm Venereol. 2002;82(3):192-5.

Trikamaji Y, editor. Commentary: Ayurveda Deepika of Chakrapani on Charaka Samhita of Charaka. Chikitsasthana, Ch. 7, Ver. 22. 2nd ed. Varanasi: Chowkhambha Sanskrit Sansthan; 2016. p. 451.

Laws PM, Young HS. Topical treatment of psoriasis. Expert Opin Pharmacother. 2010 Aug 1;11(12):1999-2009. doi:10.1517/14656566.2010.492778.

Trikamaji Y, editor. Commentary: Ayurveda Deepika of Chakrapani on Charaka Samhita of Charaka. Chikitsasthana, Ch. 7, Ver. 144-150. 2nd ed. Varanasi: Chowkhambha Sanskrit Sansthan; 2016. p. 457.

Shastri PK, editor. Shri Sharma Sadananda Rasatarangini. Tarang 24, Ver. 321-328. 11th ed. Varanasi: Motilal Banarsidass Publication; 1979. p. 706.

Trikamaji Y, editor. Commentary: Ayurveda Deepika of Chakrapani on Charaka Samhita of Charaka. Siddhisthana, Ch. 1, Ver. 11-12. 2nd ed. Varanasi: Chowkhambha Sanskrit Sansthan; 2016. p. 678-9.

Trikamaji Y, editor. Commentary: Nibandhasangraha of Dalhana on Sushruta Samhita of Sushruta. Sutrasthana, Ch. 14, Ver. 34. 2nd ed. Varanasi: Chowkhambha Surbharati Prakashan; 2003. p. 65.

Trikamaji Y, editor. Charaka Samhita of Charaka. Sutrasthana, Ch. 13, Ver. 61. 2nd ed. Varanasi: Chowkhambha Surbharati Publication; 2019. p. 85.

Tripathi B, editor. Sharangdhara Samhita. Madhyam Khanda, Ch. 9, Ver. 92. Varanasi: Chaukhambha Sanskrit Surbharati Prakashan; 2008. p. 218.

Chaturvedi KS, Gorakhnath, editor. Charak Samhita of Charaka. Ch. 3, Ver. 257. Reprint ed. Varanasi: Chaukhambha Bharati Academy; 2009. p. 75-6.

Tripathi B, editor. Commentary: Dipika Hindi commentary on Sharangdhara Samhita. Madhyam Khanda, Ch. 9, Ver. 156. Varanasi: Chaukhambha Sanskrit Surbharati Prakashan; 2017. p. 158.

Chularojanamontri L, Griffiths CEM, Chalmers RJG. The Simplified Psoriasis Index (SPI): a practical tool for assessing psoriasis. J Invest Dermatol. 2013 Aug;133(8):1956-62. ISSN 0022-202X. doi:10.1038/jid.2013.138.

CITATION
DOI: 10.21760/jaims.10.4.46
Published: 2025-06-10
How to Cite
1.
Sheetal G. Lodha, Ruchika S. Karade. Management of Vipadika through Panchakarma w.s.r. to Palmoplantar Psoriasis: A Case Report. J Ayurveda Integr Med Sci [Internet]. 2025Jun.10 [cited 2025Jun.15];10(4):305 -309. Available from: https://jaims.in/jaims/article/view/4167
Section
Case Report