Ayurvedic management of dermatophytosis (dadru)- a case report

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Journal name: World Journal of Pharmaceutical Research
Original article title: Ayurvedic management of dermatophytosis (dadru)- a case report
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Author:

Dr. Meenakshi Sharma, Dr. Sisir Kumar Mandal


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Ayurvedic management of dermatophytosis (dadru)- a case report

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20206-17551


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Summary of article contents:

Introduction

Dermatophytosis, a superficial fungal infection, is a significant public health issue particularly prevalent in tropical and subtropical regions. Known as Tinea corporis in contemporary medicine, it leads to considerable morbidity affecting the quality of life, productivity, and mental well-being. The condition exhibits symptoms similar to 'Dadru Kustha,' a skin disorder described in Ayurveda. This case report details a 29-year-old male patient diagnosed with Dadru Kustha, who was successfully treated through Ayurvedic methods.

The Ayurvedic Perspective on Dermatophytosis: Dadru Kustha

In Ayurveda, skin disorders are classified under 'Kustha,' with 'Dadru' being a specific subtype associated with symptoms such as itching (kandu), redness (raga), and circular patches (utsana mandala). These symptoms indicate a predominance of pitta and kapha doshas, which when aggravated lead to the manifestation of Dadru Kustha. The study highlights how dietary habits and lifestyle choices, such as consuming incompatible foods and maintaining improper sleep patterns, serve as nidana (causative factors) that vitiate the doshas and lead to this condition.

Treatment Approaches

The treatment protocol for the patient involved both internal and external Ayurvedic medications aimed at pacifying the vitiated doshas. Internally, the patient was prescribed Ushirasava, while an external application of Chakramardadi lepa combined with Takra was recommended. The treatment focused on reducing symptom severity such as itching and redness while addressing the underlying dosha imbalances. Over the course of treatment, significant improvements were observed, indicating the effectiveness of this Ayurvedic approach compared to allopathic treatments.

Assessment and Results

The symptoms were systematically assessed using a grading scale before and after treatment. Results demonstrated a considerable reduction in the severity of symptoms such as kandu, raga, utsana mandala, pidika, and rukshata after two and four weeks of treatment. This systematic evaluation not only reflects the efficacy of Ayurvedic treatments in managing dermatophytosis but also underscores the crucial role of personalized and holistic approaches in patient care.

Conclusion

This case study concludes that Dadru Kustha shares clinical similarities with dermatophytosis and can be effectively managed using Ayurvedic interventions. The treatment regimen was deemed safe, cost-effective, and associated with a lower recurrence rate than conventional antifungal therapies, which often face challenges such as host-related side effects and drug resistance. The success of this Ayurvedic treatment highlights the potential benefits of integrating traditional medicine approaches in managing skin disorders.

FAQ section (important questions/answers):

What is dermatophytosis and how does it affect the skin?

Dermatophytosis is a superficial fungal infection affecting the skin. It leads to itchy, red rashes and can cause considerable discomfort, affecting daily life and mental health.

How is Dadru Kustha related to dermatophytosis?

Dadru Kustha, as per Ayurvedic texts, resembles dermatophytosis in clinical manifestations, including symptoms like itching, redness, and circular patches on the skin.

What were the main symptoms observed in the case report?

The patient presented with dry reddish lesions, severe itching, and circular patches on the hand, thigh, and legs, consistent with a diagnosis of Dadru Kustha.

What Ayurvedic treatments were used in the reported case?

The treatment included Ushirasava for internal use and Chakramardadi lepa applied externally, alongside dietary restrictions to manage the conditions effectively.

How did the patient's symptoms change with treatment?

After two weeks of treatment, symptoms like itching and redness showed improvement. Complete resolution of symptoms was noted after four weeks without any adverse effects.

What advantages does Ayurvedic treatment offer for dermatophytosis?

Ayurvedic treatment is considered safe, cost-effective, and reduces recurrence rates compared to conventional antifungal treatments, which may lead to adverse reactions and antifungal resistance.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Ayurvedic management of dermatophytosis (dadru)- a case report”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Kushtha (Kustha):
Kustha refers to a group of skin diseases in Ayurveda, characterized by various symptoms such as itching, malformations, and eruptions. It is considered important in the context of Ayurvedic dermatology, where its management involves understanding dosha imbalances and employing both internal and external therapies to restore skin health.

2) Dadru:
Dadru is a specific type of Kustha that correlates with dermatophytosis or fungal infections like Tinea corporis. The symptoms include itchy, scaly patches on the skin, similar to what is observed in dermatophyte infections. Understanding Dadru is essential for Ayurvedic practitioners to apply appropriate treatment methodologies.

3) Dosha (Dosa):
In Ayurveda, doshas are fundamental energies (Vata, Pitta, and Kapha) that govern physiological and psychological functions. Imbalance in these doshas leads to the manifestation of diseases, including skin disorders like Kustha. Treatments are tailored to restore balance among the doshas and target the specific type of disease.

4) Sharman (Sarma, Sharma, Sarman):
Dr. Meenakshi Sharma is a PG Scholar and the primary author of the case report discussing the Ayurvedic management of dermatophytosis. Her research emphasizes integrating traditional Ayurvedic principles with modern health practices, helping bridge gaps in skin-related health care.

5) Vipaka:
Vipaka refers to the post-digestive effect of food substances in Ayurveda, which influences the body's dosha composition after meals. It aids in determining the therapeutic application of specific formulations based on how they interact with doshas, thus playing a crucial role in treatment strategies for skin diseases.

6) Pitta:
Pitta is one of the three doshas in Ayurveda, associated with heat, digestion, and transformation. Conditions like Dadru primarily involve Pitta dosha vitiation, requiring treatments aimed at pacifying this dosha to alleviate symptoms like inflammation and irritation related to skin disorders.

7) Rasa (Rasha):
Rasa, meaning taste or essence, is a fundamental concept in Ayurveda, influencing dietary recommendations and herbal formulations. It informs the practitioner about the therapeutic properties of food and medicines, guiding them in creating personalized treatment plans based on the patient’s doshic constitution.

8) Disease:
Diseases encompass a range of pathological conditions affecting health, with skin diseases like dermatophytosis being particularly common. Understanding the nature and treatment of these diseases within an Ayurvedic framework allows for holistic and effective management strategies.

9) Kapha:
Kapha is a dosha in Ayurveda linked to structure, stability, and lubrication. In the case of Dadru, an imbalance in Kapha, alongside Pitta, can lead to skin disorders. Treatment focuses on balancing Kapha through diet and herbal remedies to reduce symptoms and restore skin health.

10) Virya:
Virya refers to the potency or strength of a substance and its effect on the doshas and dhatus. Understanding virya helps practitioners select appropriate treatments that effectively target imbalances and maximize therapeutic benefits, especially in skin diseases like Kustha and Dadru.

11) Katu:
Katu, meaning pungent or bitter in Ayurveda, describes a taste that can stimulate digestion and influence the body’s dosha balance. In treating skin disorders, Katu is particularly relevant for its capacity to aid in detoxification and promote circulation, essential in managing Kustha.

12) Itching:
Itching is a primary symptom of dermatophytosis and is characterized by an urge to scratch the affected area. It is critical to address itching in treatment plans, as it significantly impacts the patient’s quality of life and can exacerbate other symptoms of skin diseases.

13) Guna:
Guna refers to the inherent qualities of substances in Ayurveda, such as lightness, dryness, or heat. By analyzing the gunas of both food and medications, practitioners can create balanced treatments tailored to the unique doshic constitution of each patient, particularly for skin disorders.

14) Ruksha (Ruksa):
Ruksha signifies 'dryness' in Ayurveda and is one of the qualities used to assess the condition of the skin and the body. Treatments designed for conditions like Dadru often incorporate ruksha properties to counteract excess moisture or oiliness in the affected areas.

15) Laghu:
Laghu translates to 'light' and represents a quality that can enhance digestion and metabolism in Ayurvedic practice. Lightness is often emphasized in formulations for skin diseases, supporting the expulsion of toxins and promoting rapid healing necessary for conditions like Dadru.

16) Dhatu:
Dhatus are the seven bodily tissues essential for maintaining life in Ayurveda, including rakta (blood), mamsa (muscle), and others. Imbalances or weaknesses in dhatus can lead to conditions like Kustha, necessitating a holistic approach to treatment.

17) Drug:
Drugs in Ayurvedic practice refer to naturally derived substances used for healing. Knowledge of their properties, formulations, and dosages is central in crafting effective treatment plans for various conditions, including skin diseases like Dadru.

18) Channel:
A channel in Ayurvedic terms signifies the pathways within the body that facilitate the flow of energy and substances. Maintaining the open flow of these channels is essential to prevent and treat skin disorders, ensuring effective absorption of therapeutic agents.

19) Mandala (Mamdala):
Mandala often refers to circular patches or elevated lesions observed in skin diseases. In the case of Dadru, understanding the characteristics of mandala is vital for diagnosis and treatment, as it directly correlates to the manifestation of symptoms associated with Kustha.

20) Rakta:
Rakta refers to the blood tissue in Ayurveda, associated with the circulatory system and overall vitality. Its health is crucial in the management of skin diseases, as blood carries nutrients and supports healing processes crucial for conditions like Kustha.

21) Ushna (Usna):
Ushna translates to 'hot,' a quality that can influence the body’s dosha balance. Treatments for conditions with pitta involvement often address ushna qualities by using cooling agents to alleviate symptoms like heat or burning sensations in the skin.

22) Table:
Tables are structured representations of data or treatment regimens, providing clear comparisons and assessments. In the context of the study, tables are used to document symptoms, treatment plans, and evaluate the effectiveness of Ayurvedic interventions systematically.

23) Study (Studying):
The study presents a clinical case of Ayurvedic management of dermatophytosis, advancing understanding of traditional treatments. It seeks to validate the efficacy of this approach, highlighting the importance of integrating Ayurvedic principles into modern healthcare for sustainable and holistic patient care.

24) Raga:
Raga translates to redness or inflammation in the context of skin diseases. Recognizing and addressing raga is essential in formulating treatment strategies, as inflammation often accompanies conditions like Dadru, necessitating a targeted approach to alleviate symptoms and promote healing.

25) Vitiation (Vitiated):
Vitiated refers to the state of imbalance among the doshas, leading to the manifestation of disease. In managing skin conditions like Dadru, recognizing vitiation allows practitioners to tailor interventions aimed at restoring balance to the affected doshas.

26) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine originating from India, emphasizing harmony between body, mind, and spirit. Its holistic approach to health, including diagnostic practices like dosha analysis, is crucial for managing conditions like dermatophytosis and improving patient quality of life.

27) Activity:
Activity can refer to the physiological and pharmacological effects that herbal remedies exert on the body. Understanding these activities is essential for the formulation of effective treatments within Ayurveda, particularly in managing skin diseases through balanced and targeted applications.

28) Madhura:
Madhura indicates sweetness, one of the six tastes recognized in Ayurveda. Foods and drugs with madhura properties are thought to nourish and soothe, making them beneficial in countering excessive pitta in conditions like Dadru and contributing positively to treatment outcomes.

29) Kashaya (Kasaya):
Kashaya translates to astringent, one of the six rasa or tastes in Ayurveda, known for its cooling and tightening effects. In skin treatments, Kashaya properties help mitigate inflammation and excessive moisture, providing a complementary approach to managing conditions like Kustha.

30) Kandu (Kamdu):
Kandu refers to itching, a primary symptom in skin conditions such as Dadru. Addressing kandu effectively is essential in treatment protocols, as it significantly affects a patient’s comfort and quality of life, prompting a need for targeted interventions.

31) Takra:
Takra, or buttermilk, is utilized in Ayurvedic treatments for its cooling and soothing properties. It serves as a base for topical applications and internal formulations, benefiting skin health by aiding in hydration and providing relief from inflammatory conditions.

32) Food:
Food plays a critical role in Ayurveda, not just for sustenance, but as a therapeutic tool. The type, quality, and combination of foods directly influence dosha balance and can significantly impact the treatment and prevention of skin conditions like Dadru.

33) Kampillaka:
Kampillaka refers to a specific herb used in Ayurvedic formulations due to its beneficial properties, including its effectiveness against infections. Its inclusion in treatments for skin diseases like Kustha is based on its therapeutic potential in restoring skin integrity.

34) Samprapti:
Samprapti refers to the process of disease manifestation in Ayurveda, including the progression of signs and symptoms. Understanding samprapti is essential for developing effective treatment strategies in conditions like Kustha, allowing practitioners to target specific imbalances.

35) Substance:
In this context, substance refers to the various components (herbs, dietary items) that constitute Ayurvedic formulations. Each substance has unique properties and effects, crucial for crafting treatments tailored to the individual's dosha profile and health needs.

36) Samaka (Shamaka):
Shamaka refers to alleviating or pacifying treatments in Ayurveda, often used to restore balance among the doshas. In managing conditions like Dadru, shamaka strategies help address symptoms effectively, promoting overall skin health and mitigating the inflammatory response.

37) Nidana:
Nidana refers to the etiological factors or causes of diseases in Ayurveda. Identifying nidana is crucial in understanding why conditions like Dadru occur, allowing practitioners to recommend lifestyle changes and dietary adjustments that prevent recurrence.

38) Lasika:
Lasika pertains to the lymphatic tissue, involved in various physiological processes including immunity and fluid balance. Its health is critical in Ayurveda, particularly in skin conditions like Kustha, where proper lymphatic function can influence healing and tissue integrity.

39) Srotas (Shrotas):
Srotas are the channels through which bodily elements flow, playing a significant role in Ayurveda. Proper function of srotas is essential for maintaining health and facilitating treatment, especially in skin diseases, where blocked channels may exacerbate conditions.

40) Mamsa (Mamsha):
Mamsa refers to muscle tissue in Ayurveda, which plays a vital role in strength and vitality. Proper maintenance of mamsa through dietary and therapeutic interventions is key in ensuring overall health, especially in combating diseases that also affect the skin.

41) Delhi:
Delhi is the capital city of India, where the All India Institute of Ayurveda is located. Research conducted in this city contributes significantly to the advancement of Ayurvedic science, particularly in addressing prevalent health issues like dermatophytosis.

42) India:
India is the birthplace of Ayurveda, an ancient system of medicine with a holistic approach to health. The country's rich traditional practices and diverse medicinal flora are key elements in the development and application of Ayurvedic treatments for various diseases.

43) Lepa:
Lepa refers to topical applications used in Ayurveda to treat skin conditions. These formulations are key in providing localized relief by directly addressing symptoms like itching and inflammation, crucial for effective management of skin diseases such as Dadru.

44) Line:
In a clinical context, line can refer to a specific pathway or treatment methodology. The 'line of treatment' for a condition like Dadru incorporates various Ayurvedic strategies aimed at restoring balance among the doshas and alleviating symptoms effectively.

45) Hand:
Hand refers to the anatomical location that was affected in the case study presented. Evaluating symptoms and lesions on the hand provides specific insights into dermatological conditions such as Dadru, emphasizing the need for targeted treatment strategies.

46) New Delhi:
New Delhi, the capital of India, serves as the site for significant research and medical practice in Ayurveda. The All India Institute of Ayurveda, located here, plays a pivotal role in advancing traditional practices, particularly in the management of dermatological disorders.

47) Inflammation:
Inflammation is a key symptom across various skin diseases, including dermatophytosis and Kustha. Managing inflammation is crucial in treatment protocols, as excessive inflammation can exacerbate symptoms and negatively impact overall skin health.

48) Kushthaghna (Kusthaghna):
Kusthaghna refers to substances or treatments that are effective against Kustha, helping to alleviate its symptoms and promote healing. These interventions are crucial in Ayurvedic dermatology, targeting the pathological mechanisms underlying skin conditions.

49) Raktapitta (Rakta-pitta):
Raktapitta refers to a condition of blood disorders in Ayurveda, characterized by symptoms that may overlap with skin diseases. Understanding this relationship aids practitioners in developing comprehensive treatment plans that address both blood health and skin integrity.

50) Dadrughna (Dadru-ghna):
Dadrughna refers to treatments or substances that specifically address Dadru or related skin conditions in Ayurveda. Such specialized remedies are critical in managing the manifestations of dermatophytosis through targeted therapeutic interventions.

51) Amlarasa (Amla-rasa):
Amla-rasa indicates a sour taste in Ayurveda, associated with cooling and detoxifying properties. It can be beneficial in balancing Pitta and supporting skin health, making it an important consideration when formulating treatments for inflammatory skin conditions.

52) Meenakshi:
Meenakshi Sharma, the lead author of the study, plays a crucial role in documenting Ayurvedic approaches to managing skin diseases. Her research contributes to the understanding and evidence of Ayurveda's effectiveness in treating conditions like dermatophytosis.

53) Katurasa (Katu-rasa):
Katu-rasa signifies a pungent taste that plays a role in stimulating digestion and promoting metabolic balance. Its inclusion in treatment formulations is beneficial for addressing ailments characterized by excess moisture or kapha disturbances in conditions like Kustha.

54) Tridosha (Tridosa, Tri-dosha):
Tridosha is a foundational concept in Ayurveda representing the three doshas: Vata, Pitta, and Kapha. Understanding tridosha is crucial in diagnosing and treating diseases, especially in conditions where dosha imbalance leads to symptoms such as in Kustha.

55) Prabhava:
Prabhava refers to the inherent potency or effect of a substance in Ayurveda. Understanding prabhava aids practitioners in selecting herbs and drugs that have the most effective action against specific diseases, ensuring better outcomes in treatment plans.

56) Pradhana:
Pradhana indicates the predominant factor or element in a situation. In the context of doshas, recognizing the pradhana dosha in a patient helps in customizing treatment protocols and dietary recommendations tailored to their unique health needs.

57) Rukshata (Ruksata):
Rukshata denotes 'dryness' or the quality of being dry in Ayurveda. Addressing rukshata is essential in skin treatments, particularly when managing skin conditions characterized by excessive dryness and irritation.

58) Tikshna (Tiksna):
Tikshna signifies sharpness or potency, particularly in relation to herbs and treatments. In Ayurveda, tikshna properties are sought after for their ability to penetrate tissues effectively, essential for addressing conditions like Kustha.

59) Quality:
Quality refers to the inherent characteristics of substances used in Ayurvedic treatments. Evaluating quality is integral to ensure that herbs and medications are appropriate for addressing specific conditions and are effective in their therapeutic roles.

60) Burning (Burn, Burned, Burnt):
Burning sensations are often associated with inflammatory skin conditions. Addressing the burning sensation is vital in treatment protocols, especially for conditions like Dadru, for improving the patient's comfort and overall treatment experience.

61) Pidaka:
Pidaka refers to skin eruptions or lesions that can appear in various dermatological conditions. Understanding the characteristics and progression of pidaka is crucial for effective diagnosis and treatment planning in Ayurveda.

62) Pidika:
Pidika, similar to pidaka, refers to the eruptive nature of skin lesions. Recognizing and addressing pidika in treatment allows Ayurvedic practitioners to manage and mitigate symptoms effectively, particularly in inflammatory skin conditions.

63) Vikasin (Vikasi, Vikashin):
Vikasi signifies the quality of being expanding or opening. In Ayurvedic treatments, it's connected to formulations that promote circulation and facilitate healing processes, essential for managing skin diseases effectively.

64) Kleda:
Kleda refers to moisture or excess fluid accumulation, often influencing the development of skin disorders. Managing kleda is crucial in the context of Kustha, guiding the choice of treatments that can effectively reduce moisture-related symptoms.

65) Water:
Water is a vital element in Ayurveda, consistent with the understanding of hydration and its role in skin health. The qualities of water in treatments can influence the effectiveness of herbal remedies aimed at alleviating skin disorders.

66) Paka:
Paka refers to the process of digestion in Ayurveda. Understanding how different substances undergo paka enables practitioners to formulate treatments that are effective in addressing dosha imbalances, particularly in diseases like Kustha.

67) Amla:
Amla indicates the sour taste known for its cooling effect. Amla is often incorporated in treatments to balance excessive heat or inflammation, playing a significant role in the management of skin diseases related to Pitta imbalance.

68) Male:
The case study presented involves a male patient. Gender can influence the manifestation and treatment of various conditions, including skin diseases, highlighting the importance of personalized approaches in Ayurveda.

69) Burning sensation:
Burning sensation is a common complaint in inflammatory skin conditions like Dadru. Addressing this symptom is crucial for comfort and to facilitate healing, making it a focus in treatment strategies within Ayurvedic practice.

70) Mental health:
Mental health is intrinsically linked to physical health, including the impact of skin diseases on emotional well-being. Addressing mental health is essential in holistic treatment plans, emphasizing supportive care for the patient’s overall quality of life.

71) Butter milk (Buttermilk):
Butter milk, or Takra, is utilized in Ayurvedic treatments for its soothing and cooling properties. It can help alleviate inflammation and support skin recovery, making it a valuable component in formulations for treating conditions like Dadru.

72) Antibiotic (Antibacterial):
Antibacterial properties are critical in treating infections, particularly in Ayurvedic formulations for skin diseases. Recognizing herbs with antibacterial effects enhances treatment efficacy against pathogens like fungi, which contribute to conditions such as dermatophytosis.

73) Madhurarasa (Madhura-rasa):
Madhura-rasa, the sweet taste, serves to nourish and balance other doshas within the body. Its incorporation into Ayurvedic therapies is vital for counteracting excess heat and inflammation characteristic of conditions like Dadru.

74) Accumulation (Accumulating, Accumulate):
Accumulation pertains to the buildup of doshas, toxins, or excess fluids in the body, often leading to disease. In managing conditions like Kustha, it is crucial to address any accumulation to restore balance and promote healing.

75) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha relates to the heavier, more stabilizing quality in Ayurveda. Imbalance in Kapha can contribute to skin disorders characterized by moisture and lethargy, necessitating targeted therapies that help combat excessive Kapha manifestations.

[Note: The above list is limited to 75. Total glossary definitions available: 123]

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Discover the significance of concepts within the article: ‘Ayurvedic management of dermatophytosis (dadru)- a case report’. Further sources in the context of Science might help you critically compare this page with similair documents:

Dadrukushtha, Herbal remedies, Pathogenesis, External medication, Symptomatic relief, Assessment criteria, Public Health Problem, Ayurvedic Management, Therapeutic intervention, Clinical presentation, Antimicrobial activity, Dosha Vitiation, Clinical manifestation, Srotoshodhana, Dietary restriction, Intrinsic and extrinsic factors, Kustha classification, Pitta and kapha dosha.

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