Mangement of Yuvana Pidaka using Mukha Lepa

ISSN: 2456-3110 ORIGINAL ARTICLE Jan-Feb 2019 Journal of Ayurveda and Integrated Medical Sciences | Jan - Feb 2019 | Vol. 4 | Issue 1 7 Mangement of Yuvana Pidaka using Mukha Lepa Dr. Annie Sebastian, 1 Dr. Muralidhar P. Pujar, 2 Dr. Meenakshi Malik, 3 Dr. Unique Sharma 4 1,3,4 Post Graduate Scholar, 2 Professor, Department of Panchakarma, Sri Dharmasthala Manjunatheswara College of Ayurveda and Hospital, Hassan, Karnataka, INDIA. I NTRODUCTION Physical appearance is a matter of many in these days. Pollution, unhealthy lifestyle and habits are found to affect one’s skin. Yuvana Pidaka (acne vulgaris) is a common skin problem, which is described under the Kshudra Roga [1] (minor ailment) in Ayurvedic authentic texts. It occurs due to vitiation of Kapha, Vata Dosha and Rakta Dhatu [2] involving Rasavaha and Raktavaha Srotas . Mukhadusika is a synonym for Yuvana Pidaka . According to Ayurveda, signs and symptoms of Yuvana Pidaka are; Shalmali Kantakavat Address for correspondence: Dr. Annie Sebastian Post Graduate Scholar, Department of Panchakarma, Sri Dharmasthala Manjunatheswara College of Ayurveda and Hospital, Hassan, Karnataka, INDIA. E-mail: dr.sr.annie@gmail.com Submission Date : 07/01/2019 Accepted Date: 22/02/2019 Access this article online Quick Response Code Website: www.jaims.in DOI: 10.21760/jaims.4.1.2 Pidaka (eruptions resembling the thorns of a Shalmali tree occuring on face), Saruja (pain), [3] Medhogarbha (eruptions packed with fat) [4] and Ghana (thick). Yuvana Pidaka is correlated to acne vulgaris which is a self limiting disorder of teenagers and youth and affects primarily the face, [5] upper part of chest and back [6] To enhance skin glow and complexion, ample drugs are mentioned in Ayurvedic classics. The current study has been conducted to measure the effectiveness of Lepa prepared of Manjishta, Chandana, Kushta and Yastimadhu which is practiced commonly for Yuvana Pidaka A IMS AND O BJECTIVES The study was undertaken with the objective to measure the therapeutic effect of Mukha Lepa with Manjishta etc. drugs in Yuvana Pidaka after Sadyovirechana with Avipathi Churna. The study also aimed to further understand how this Lepa worked in Yuvana Pidaka condition and its effect on complexion Study design It is an open labelled, single arm, non-randomized clinical trial in patients of Yuvana Pidaka conducted in A B S T R A C T Yuvana Pidaka (acne vulgaris) is one of the most common, troublesome and frustrating skin care problem for people around the world. It is caused by to Kapha , Vata and Rakta Dhatu involving Rasavaha and Raktavaha Srotas . Apart from others unhealthy life style is identified as the major reason behind the eruption of such lesions. It has adverse effect on self esteem of the subjects and decreases one’s self confidence. Present study tries to understand the therapeutic effect of Mukha Lepa - an external application of Manjishta, Chandana, Yastimadhu and Kushta over the face mixed with milk once every morning for fifteen days after Sadhyovirechana with Avipathi Churna . Study was conducted on ten subjects and assessed with the parameters like Ruja, Kandu, Daha , number and type of eruptions before and after the procedure. The response to the treatment was recorded and the therapeutic effect was evaluated by statistical tests. A considerable change in the complexion over the face of subjects was also noted. It is observed that this particular Lepa is beneficial in the treatment of Yuvana Pidaka apart from improving the complexion of the skin. Key words: Yuvana Pidaka, Mukha Lepa, Acne Vulgaris.

Dr. Annie Sebastian et.al. Mangement of Yuvana Pidaka using Mukha Lepa ISSN: 2456-3110 ORIGINAL ARTICLE Jan-Feb 2019 Journal of Ayurveda and Integrated Medical Sciences | Jan - Feb 2019 | Vol. 4 | Issue 1 8 an Ayurveda College Hospital located in district headquarters in Southern India Materials and Methods Source of data 10 subjects of Yuvana Pidaka selected from the Outpatient Department of Sri Dharmasthala Manjunatheswara College of Ayurveda and Hospital, Hassan. Assessment Criteria Subjects having classical symptoms of Yuvana Pidaka ( Shalmali Kantakavat Pidaka with Kandu, Ruja and Daha ) of both genders in the age group of 20-30 years were enrolled in the trial. Treatment significance was assessed statistically by adopting McNemar test for subjective parameters and Paired ‘t’ test for objective parameters Intervention All the subjects were advised to apply 5-10 grams of drug on the affected area with milk once daily morning and wash after it dried (15-20 minutes) using luke warm water for 15 days consecutively. Drugs used Drugs used were Manjista (Rubia cordifolia ), [7] Chandana (Santalum album ), [8] Yastimadhu ( Glycyrrhiza glabra ) [9] and Kushta ( Saussurea lappa ) [10] taken in following proportion: Manjishta - 20 gm , Chandana - 20 gm , Yastimadhu - 30 gm and Kushta - 30 gm The pharmacological actions of drugs are as follows; Drug Rasa Guna Virya Vipaka Karma Manjisht a Tikta, Kashay a, Madhu ra Ruksh a, Guru Ushna Katu Kapha Pitta Samaka, Rakta Shodaka, Vrana Ropana, Kushtagna, Sothahara, Krimigna. Chandan a Tikta, Madhu ra Laghu, Ruksh a Sheeta Katu Kapha Pitta Samaka, Varnya, Kandugna, Twak Doshahara, Daha Prasamana. Yastimad hu Madhu ra Guru, Snigdh a Sheeta Madhur a Vata Pitta Samaka, Varnya, Sothahara, Kandugna,T wak Dosha Hara, Daha Samaka. Kushta Tikta, Katu, Madhu ra Laghu, Ruksa, Tikshn a Ushna Katu Kapha Vata Hara, Varnya, Kushtagna, Vedana Sthapana, Jantugna. O BSERVATIONS AND R ESULTS Table 1: Observation of symptoms Before Treatment (BT) and After Treatment (AT) Symptoms BT AT Present Absent Present Absent Ruja 9 1 0 10 Kandu 8 2 0 10 Daha 2 8 0 10 Table 2: Observation of total number of eruptions BT and AT. Total eruption BT Frequency AT Valid 1 - 5 4 3 6 - 10 3 10 - 15 3 Total 10

Dr. Annie Sebastian et.al. Mangement of Yuvana Pidaka using Mukha Lepa ISSN: 2456-3110 ORIGINAL ARTICLE Jan-Feb 2019 Journal of Ayurveda and Integrated Medical Sciences | Jan - Feb 2019 | Vol. 4 | Issue 1 9 Table 3: Observation on papules BT and AT. Table 4: Observation on pustules BT and AT. Pustule BT Frequency AT Valid Absent 6 7 1 - 2 no. 2 3 3 - 4 no. 2 Total 10 Table 5: Observation on Nodules BT and AT. Nodule BT Frequency AT Valid Absent 4 9 1 - 2 no. 2 1 3 - 4 no. 4 Total 10 Table 6: The result of McNemar test for Symptoms Sympt oms BT AT N P Rem arks Presen t Absent Prese nt Absen t Ruja 9 0 0 9 9 0.0 04 S Kandu 8 0 0 8 8 0.0 08 S Daha 2 0 0 2 2 0.5 00 NS N - No. of Patients, S - Significant, NS - Non Significant Table 7: Showing result of Paired T test for Eruptions Param eter Mean Dif f. % of reduct ion SD t P Rema rks BT AT Total no. of eruptio ns 1 90 0.3 0 1 60 84.21 0.8 43 6.0 00 <0.0 01 S Papule 1 87 0.1 2 1 75 93.58 0.7 07 7.0 00 <0.0 01 S Pustule 1 60 0.3 0 1 30 81.25 0.8 23 4.9 93 0.00 1 S Nodule 1 66 0.1 66 1 50 90.36 0.5 47 6.7 08 0.00 1 S DISCUSSION Yuvana Pidaka (Acne vulgaris) is a common skin disorder which harms one’s appearance as well as personality. Pitta Prakruti persons or Pitta associated Kapha and Vata Prakruti are more vulnerable. Causes of Yuvana Pidaka are mostly due to imbalanced diet and unhealthy life style which in turn vitiates Kapha, Vata Dosha and Rakta Dhathu . As Rakta Dhathu results in formation of twak, [11] and therefore vitiation in Rakta Dhatu will ultimately result in Twak Vikara . Twak is important as it protects body as well as it acts as Sparsanendriya . In the classics Manjishtha, Chandana, Yastimadhu, Kushtha , has been explicitly described as drugs which are good for treating skin lesions and other skin related ailments. Acharya Sushruta, [12] Vagbhatta [13] and Sharangadhara [14] have mentioned Lepa as one of the line of treatment in Yuvana Pidaka . So the above mentioned drugs has been used in Lepa form as it is easy to apply and is the most effective means for gaining maximum results. This combination has also been selected because of easy availability of drugs, proven for its results when used as a single drug and also because of the ease to prepare Churnas . Manjishta, Yastimadhu and Chandana are Pittakaphahara and Kushta is Kaphavata Samaka , hence these drugs will directly help in balancing the vitiated Doshas. Papule BT Frequency AT Valid Absent 2 9 1 -2 no. 2 1 3 - 4 no. 5 5 - 6 no. 1 Total 10

Dr. Annie Sebastian et.al. Mangement of Yuvana Pidaka using Mukha Lepa ISSN: 2456-3110 ORIGINAL ARTICLE Jan-Feb 2019 Journal of Ayurveda and Integrated Medical Sciences | Jan - Feb 2019 | Vol. 4 | Issue 1 10 The result of the current study shows statistically significant improvement in terms of Ruja ; results can be attributed to the Sothahara, Vedanasthapaka, Kushtagna, Raktashodaka properties of Manjishta, Yastimadhu and Kushta . Kandu also showed statistically significant improvement. It is due to Kandugna, Kushtagna and Kaphahara properties of these drugs. Daha did not show statistically significant result in this study, which may be because of the smaller sample size and among 10 subjects only two subjects complaint of Daha . The drugs used in this combination Chandana and Yastimadhu were having Dahaprasamana property. Objective parameter in this study was assessed by using paired ‘t’ test and it also showed significant result with ‘p’ value <0.05. The specific Raktashodaka, Twak Prasadaka, Sothahara and Kushtagna properties of these drugs may be the reason for this particular outcome. Pharmacologically these drugs are proved to be anti-inflammatory, analgesic, [15] anti-oxidant and antimicrobial [16] CONCLUSION The term Yuvana Pidaka indicates the prevalence of the disease in the Yauvana stage of the Madhyamavastha . In this study all the 10 subjects were in Yauvana stage and on analysis ‘p’ values were found to be statistically significant (P<0.001). Therefore, it could be concluded that this Lepa is beneficial in the treatment of Yuvana Pidaka (Acne vulgaris). L IMITATIONS OF THE STUDY 1 It is better to include more subjects. 2 Include only subjects according to Prakruti. S UGGESTIONS FOR FURTHER RESEARCH 1 Study can be conducted using two groups, one group only Lepa , another Lepa with internal medication to compare recurrence. 2 Krimihara Chikitsa can be done along with this REFERENCES 1 Dr. Kaviraj Ambikadatta Shastry edited. Sushruta samhita. Nidana sthana, Adhyaya 13, shloka 3. 15 th edition, Chowkambha Sanskrit Bhavan, Varanasi; 2005;287. 2 Sushrut Samhita purvardha - Ayurveda Tattva Sandipika Shastri Ambikadutta, Chaukhamba Sanskrit Sansthan, Varanasi, Reprint Edition 2005. (Su.S.Ni.13/38) 3 Sushrut Samhita purvardha - Ayurveda Tattva Sandipika Shstri Ambikadutta Published by- Chaukhamba Sanskrit Sansthan Varanasi, Reprint Edition 2005. (Su.S.Ni.13/38) 4 Brahamanand Tripathi. Astanga Hrdayam, Uttarasthana, Delhi: Chaukhamba Sanskrit Pratishthan; 2009.shlok 31/5 5 Sushrut Samhita purvardha - Ayurveda Tattva Sandipika Shstri Ambikadutta, Chaukhamba Sanskrit Sansthan Varanasi, Reprint Edition 2005. (Su.S.Ni.13/38) 6 Ashtanga Hridaya with Sarvangasudari Vyakhya, Uttar Sthana 31/5, Editor Lalchandra Vaidya, Motilal Banarsidas Publication, Pg 751. 7 Sharma Priyavat Dravya guna vignana, volume 2, Choukhambha Bharati Academy, Varanasi, 8 th ed. 1986; 800-802 8 Sharma Priyavat Dravya guna vignana, volume 2, Choukhambha Bharati Academy, Varanasi, 8 th ed. 1986; 715-17 9 Sharma Priyavat Dravya guna vignana, volume 2, Choukhambha Bharati Academy, Varanasi, 8 th ed. 1986; 253-56 10 Sharma Priyavat Dravya guna vignana, volume 2, Choukhambha Bharati Academy, Varanasi, 8 th ed. 1986; 572-75 11 Sharma A, Sharma PV. Sushruta Samhita. Volume-II. Varanasi: Chaukhambha Surbharati Prakashan; 2012. pp. 47-48. 12 Sushrut Samhita chikitsasthan with Nibandha sangraha of Dalhana, Chaukhamba Sanskrit Sansthan Varanasi, Reprint Edition 2005. (Su.chi 20/36-37) pg 480 13 Ashtanga Hridaya with Sarvangasudari Vyakhya, Uttar Sthana 32/3, editor Hari Sadasiva Sastri Paradakara,

Dr. Annie Sebastian et.al. Mangement of Yuvana Pidaka using Mukha Lepa ISSN: 2456-3110 ORIGINAL ARTICLE Jan-Feb 2019 Journal of Ayurveda and Integrated Medical Sciences | Jan - Feb 2019 | Vol. 4 | Issue 1 11 Chaukhamba Sanskrit Sansthan, Varanasi edition: reprint, 2016, pg 890 14 Sharangdhara Samhita of Sharangdharacharya, Chapter 11/11, Editor Dr. P. Himsagar Chandramoorthy, English translation 2 nd Edition 2007, P 370 15 Patel, A., Patel, T., Macwan, C., Patel, M., Chauhan, K. and Patel, J. Evaluation of Anti-inflammatory and Analgesic activity of roots of Rubia cordifolia in rats. Journal of Pharmaceutical Sciences and Research. 2010;2(12):809-813 16 Naidu, C., Lalam, R., Bobbarala, V. Antimicrobial agents from Rubia cordifolia and Glycyrrhiza glabra against phytopathogens of gossypium. International Journal of Pharm Tech Research, 2009;1(4):1512-1518 ******************************* How to cite this article: Dr. Annie Sebastian, Dr. Muralidhar P. Pujar, Dr. Meenakshi Malik, Dr. Unique Sharma. Mangement of Yuvana Pidaka using Mukha Lepa. J Ayurveda Integr Med Sci 2019;1:7-11. http://dx.doi.org/10.21760/jaims.4.1.2 Source of Support: Nil, Conflict of Interest: None declared.

Other Health Sciences Concepts:

[back to top]

Discover the significance of concepts within the article: ‘Mangement of Yuvana Pidaka using Mukha Lepa’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:

Ruja, Daha, Kandu, Kshudraroga, Yashtimadhu, Raktadhatu, Kusta, Chandana, Mukhalepa, Vatadosha, Kaphadosha, Manjishta, Yuvana-Pidaka, Acne vulgaris, Pitta prakruti, Subjective parameter, Objective parameter, Twak Vikara, Unhealthy lifestyle, Skin lesion, Ayurvedic classic, Sadyovirechana, Avipathi churna, Rasavaha Srota, Pitta Samaka, Raktavaha Srota, Kaphavata Samaka.