Management of Visphotaka : A Case Study

Abstract

In Ayurveda all the skin disorders are collectively named under the heading of Kushta. Ayurvedaacharyas have described all the kushta having the involvement of all the three dosha’s. But the signs, symptoms and the treatment depend on the predominance of the dosha involved. Visphotaka can be compared to Pemphigus vulgaris due to its resemblance in signs and symptoms. Pemphigus vulgaris is an autoimmune disorder that involves blistering and erosion of skin and mucous membranes. It occurs almost in the middle aged. In case of pemphigus, the immune system mistakenly produces antibodies against specific proteins in the skin called desmogleins. These proteins form the glue that keeps the skin cells attached and intact. When desmogleins are attacked, skin cells separate from each other and fluids can collect in-between the layers of skin forming infection and blisters that do not heal. These lesions may occupy a part of body or can spread in the entire body. The allopathic approach of treatment may lead to future systemic disturbances. In Ayurvedic science it is considered to be a raktapittaja disorder and the treatment modalities are applied accordingly. Purificatory therapies like purgation according to holistic approach, followed by internal medications have been proved highly significant in any skin disorder. A case report of a 27yr old female patient presenting with the similar complaints treated by Virechana Karma will be presented in this paper.