PLAMO PLANTER PSORIASIS TREATED WITH AYURVEDA
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This document summarizes the case study of a 19-year-old male student with palmoplantar psoriasis (Vipadika) who was treated using Ayurvedic methods for 2 months. The patient presented with fissures, scaling, erythema and itching on the palms and soles. He was treated internally with herbal formulations and externally with herbal oils. After treatment, his symptoms improved significantly with reduction in scaling, erythema and complete resolution of fissures. The case demonstrates that Ayurvedic treatment targeting the aggravated doshas can effectively manage palmoplantar psoriasis.
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PLAMO PLANTER PSORIASIS TREATED WITH AYURVEDA
- 1. MAHATMA GANDHI AYURVED COLLEGE HOSPITAL AND RESEARCH CENTRE SALOD (H) WARDHA DEPARTMENT OF KAYCHIKITSA TITLE :MANAGEMENT OF PALMOPLANTER PSORIASIS(VIPADIKA) THROUGH AYURVEDA: A CASE STUDY PRESENTER Dr Yogesh Jakhotiya
- 2. INTRODUCTION Palmoplantar psoriasis is a chronic, recurring condition that affects the palms and soles 1. There is hyperkeratosis, fissures, and erythema, and occasionally inflammation and pustules. symptoms may seriously interfere with the patient’s quality of life and may be disabling 2. There is very limited treatment in modern medicine such as topical steroids and some symptomatic drugs like methotrexate .
- 3. Palmoplantar psoriasis can be correlated with Vipadika. It is included in Ksudrakushtha with Vata-Kaphaja Dosha involvement. It is characterized by Pani-Padasphutna (fissure in palms and soles) and Tivravedana (with severe pain)3. The treatment which is given in Ayurveda is Shamana and Shodhana4.
- 4. CASE REPORT Patient name : ABC OPD NO : 1608030014 Address : Pulgaon, Wardha Age : 19 years Sex : Male Occupation : student
- 5. Chief complaints - Fissures & scaling on the soles and palms - Itching of bilateral soles and palms 2 Yrs - Mild pain with discharge .
- 6. H/O PAST ILLNESS : Not significant FAMILY HISTORY : Not significant PERSONAL HISTORY : Not significant DIET : Mixed diet NIDRA : Samyak (6-8 hours )
- 7. ASHTAVIDH PARIKSHA Nadi : 76/min,regular, Vatapradhan pittaj Mala : Niram Mutra : 4 to 6 times/ day Jivha : Niram Shabda : spashta Sparsha : Anushnashita Drika : No Pallor , No icterus Aakruti : Madhyam
- 8. DASHVIDH PARIKSHA Prakruti : Vatapradhan pitta Vikruti : DOSHA- Vatapradhan kapha , DUSHYA-twacha ,rakta,mamsa ,lasika Sara : Madhyam Sahnana : Madhyam Pramana : Madhyam Satmya : No allergy to any food & drug Satva : Madhyam Aaharshakti : Madhyam Vyayamashakti : Madhyam Vaya : Taruna
- 9. VITAL PARAMETERS Temprature : Normal Pulse : 76/min B.P : 120/80 mm/hg R.R : 18/ min
- 10. SYSTEMIC EXAMINATION RS : AE = BS CVS : S1 S2 audible , no any abnormal sound P/A : Soft non tender , no any oraganomegaly
- 11. SKIN EXAMINATION Multiple fissures with scales and erythema with mild discharge and blackish color are seen on both palm and soles . No local tenderness
- 12. Before t/t
- 13. TREATMENT GIVEN FOR TWO MONTHS ABHYANTARA CHIKITSA Sr.No DRUG DOSE ANUPAN DURATION 1 Arogyavardhini vati 250mg BD water First15 days 2 Gandhak rasayan 250mg BD water First 15 days 3 Chopchini churna 3gm BD water First15 days 4 Haritaki churna 5gm HS Warm water First1 month 5 Panchatiktaghruta 10ml BD Warm water First 1 month 6 Yashad bhasma Rasamanikya Guduchi churna 250mg 50mg BD 6gm Water last15 days 7 Cap Neem 250mg BD Water last1 month 8 Mahamanjishtha quath 20ml BD water 2 month
- 14. BAHYA CHIKITSA SR NO DRUG USE DURATION 1 Triphala quath Dhavan First 15 days 2 Karanja tail Local application First1 month 3 Jatyadi ghruta Local application last1 month 4 Neem tail Local application last1 month
- 15. RESULTS SR. NO LAKSHANA(SIGN & SYMPTOMS) B.T A.T 1 Scaling of skin ++ -- 2 Erythematous ++ -- 3 Fissure(B/L U.L & L.L) +++ --- 5 Itching +++ +
- 16. Before t/t
- 17. After t/t
- 18. DISCUSSION Panchatikta ghruta is described as best for all types of kushtha roga and it also pacifies vata which is main cause of fissures and pain 5. Arogyavardhani is indicated in kustha roga 6. Gandhak rasayan is having antifungal and antimicrobial activity so it is chosen to avoid any secondary infection 7. Mahamanjishtha qutha is given in kustha chikitsa in vrindamadhav as its is raktashodhak ,kaphghna and kushtha nashak 8.
- 19. Haritaki churna is given for koshtha shudhi Yashad bhasma contains zinc which promotes healing 9 . Rasamanikya is said to be antimicrobial in one study in text it is indicated in kustha as its active ingredient is haratala 10. Neem tail , karanja tail and jati ghruta are used for local application Neem is kandughna ,jati has kusthaghna , vrnashodhan ,vrnaroopan and karanja has jantughna , kandughna , vrnaroopan ,vedanasthapan 11 12 13.
- 20. CONCLUSION From the above case it can be concluded that palmo planter psoriasis i.e Vipadika can be successfully managed with Ayurvedic intervention . Treatment according to dosha dushya can be taken into consideration can gives positive results in vipadika .
- 21. REFRENCES 1. Pettey AA, Balkrishnan R, Rapp SR, Fleischer AB, Feldman SR. Patients with palmoplantar psoriasis have more physical disability and discomfort than patients with other forms of psoriasis: implications for clinical practice. J Am Acad Dermatol. 2003;49:271---5. 2. Neeta Khanna, Trilok Raj Tejasvi, 2012: Step by Step Psoriasis Management. First Edition. Jaypee Brothers Medical Publishers, New Delhi. 3. Acharya Charaka, Charak Samhita, Ayurveda Dipika commentary by Shree Chakra Panidatta, Edited by Vaidya Yadavji Trikamji Acharya, Chaukhamba Surbharti Prakasan, Varanasi, Re-printed 2013, Chikitsha chap. 7/22, 29, 451. 4. Acharya charaka, Charak samhita, Ayurveda Dipika commentary by Shree Chakra Panidatta, edited by Vaidya Yadavji Trikamji Acharya, Chaukhamba Surbharti Prakasan, Varanasi, Re-print: 2013, Chikitsa chap. 1/3, 377.
- 22. 5.Vrndamadhav ,Dr Premvati Tivari chapter 51 kushthadhikar verse no 113- 116. 6. Rs.rtn.sam.kushtha .chi. 20/108-114. 7. International Journal of Recent Trends in Science And Technology, ISSN 2277-2812 E-ISSN 2249-8109, Volume 8, Issue 2, 2013 pp 134-137 8.Vrndamadhav ,Dr Premvati Tivari chapter 51 kushthadhikar verse no 208- 212. 9.Ayurveda sara aangraha, Shri Baidynath Ayurveda, 18th edition 1996;243- 244 10.Shalini T.V et al / IJRAP ,2011,2(5) 1455-1456. 11.Sharma PV. Dravyagunavijanana ,second part , chaukhamba bharti academy Varanasi repriented; 2003 12.Chunekar KC and Sahay Gangaprasad , Bhavprakash nighantu , Hindi commentry ,chukhamba bharti academy varanasi, reprint 2004. 13.Mishra Bramashankar and Ruoalal JI Vaisya , Bhavprakash –vaidyotini Hindi commentry .chukhamba sanskrit bhavan Varanasi, edition ;2012