Lichen Planus Management with Panchakarma: A Case Study

Introduction: Lichen planus is a chronic inflammatory and immune-mediated dermatosis. The researchers theorize that t-cell immune responses could be impaired, but the cause remains unclear. Typically, the disease shows up in ankles, lower back, and wrists with complaints of shiny, itchy bumps with violaceous color. It is relatively rare, with a prevalence of 0.2–1% in adults. In Ayurveda, this condition is correlated with Kushtha (dermatological inflammatory conditions). Case report: A 27-year-old woman presented with pruritic lesions across her hands, arms, legs, and ankles that had persisted for ten years and had not improved with allopathic medicines. She didn't have any pertinent family or medical history. Medical examination found several itchy, violaceous color papules. Results: After receiving Shodhana therapy (purification of physical toxins) which are Virechana (Purgation), Basti (Enema), and Raktamokshana (Leech Therapy), the patient received Shamana therapy (pacificatory therapy), leads to reduction in the intensity of itching and visible improvement in the size, number and overall appearance of papular lesions. Discussion: This case demonstrates how Shodhana Chikitsa (detoxification treatment) works in concert with Shamana Chikitsa (pacification treatment) to remove vitiated doshas (humors) while enhancing the immune system and providing supportive care. Conclusion: Ayurvedic treatments are effective in treating Cutaneous lichen planus, although more research with bigger sample sizes is necessary.