An open clinical trial to evaluate the efficacy of Kanka Taila Pratimarsha nasya in Vyanga with special reference to Melasma

Brown to gray-brown patches on the face are a typical cause of melasma, a skin condition. It usually appears on the forehead, chin, nasal bridge, cheeks, and above the upper lip. Women are more likely than men to experience it. In India, 20–30% of women between the ages of 40 and 65 have facial melasma. 90% of women and 10% of men across all ethnic and racial groupings experience it, respectively. Melasma can be correlated to Vyanga It is One of the Kshudra Rogas that causes obvious cosmetic impairment and excessive mental tension. Niruja (Painless), Tanu (Thin), and Shyava Varnayukta Mandala (Brownish patch) over Mukha Pradesha (Face)are characteristics of Vyanga (Melasma). While considering the pathogenesis of Vyanga Pitta dosha is more predominant on the basis of Ashraya- ashryi bahava Rakta is also involved. Nasya is mainly indicated. By doing Nasya it removes vitiated Pitta and also helps in Varna prasadana. In this study Pratimarsha Nasya was administered for 30 days continuously. The assessment criteria noted before and after the treatment. Subjective parameters i.e Mukhamagatya Mandalam (Patches), Shyavavarna (Pigmenation), Kandu (Itching), Parusha Sparsha (Dry skin) are the chief complaints of Vyanga and objective parameters such as MASI (Melasma area severity index). Assessments are done before and after the treatment. Symptoms of Vyanga decreased and it shows clinical progressiveness of the treatment given. In our study we found significant improvement.