Role of nityavirechana and shamana chikitsa in palmo-plantar psoriasis (vipadika): a case study

Summary of article contents:

Psoriasis is a chronic, unpredictable, and immunemediated disease that has a negative impact on the patient's quality of life. Palmo-Plantar Psoriasis can add a negative impact as it directly affects the activities of daily routine 1. Palmo-Plantar Psoriasis accounts for 2-4 % of psoriasis cases, reducing significant functional and social disability 2. In India prevalence of psoriasis varies from 0.44-2.8 %. It is twice common in males compared in female 3. Palmo-Plantar Psoriasis is variant psoriasis resistant to many forms of treatment 4. According to Ayurveda , all skinrelated diseases come under Kushta Roga 5 . Palmo-Plantar Psoriasis can be correlated with Vipadika. Vipadika is one of the Kshudra Kushta which is explained in classics. According to Charaka in Chikitsa Sthana 's 7 th chapter Vipadika is Vata Kaphaja Vyadhi. Vipadika has Pani, Pada, Sphutanam and Teevravedana Lakshanas 6 . Objectives: The efficacy of Nitya Virechana and Shamana Chikitsa in the management of Palmo-Plantar Psoriasis ( Vipadika ). Materials: A single case study: a 77-yearold man was diagnosed with Palmo-Plantar Psoriasis before 4 months. Symptoms such as itching at night, silvery scaling on bilateral soles and palms along with pain, and slightly burning sensation and advised for Nitya Virechana and Shamana Chikitsa . Result: Symptomatic assessment of the patient was carried out after 3 months and the satisfactory outcome was there and overall quality of life and patient was significantly improved. Conclusion: Nitya Virechana and Shamana Chikitsa , brought about satisfactory relief in symptoms in patients. With this basic concept, a male patient of 77 years diagnosed case of Palmo-Plantar Psoriasis was treated with Ayurvedic management 1 sitting in IPD level and 1 OPD level sittings. The treatment showed highly significant even improvement seen in the symptoms. Hence i t can be effectively practiced in the management of Psoriasis. Keywords: Palmo-Plantar Psoriasis, Vipadika, Nitya Virechana, Shamana Chikitsa INTRODUCTION Palmoplantar Psoriasis is an autoimmune condition that can flare up with exposure to certain triggers