A Case Study of Ayurvedic management for Vipadika (Palmoplantar Psoriasis)

Kushta (Skin Diseases) is the general term used in Ayurveda to refer to all skin conditions. Acharya Charaka has listed eighteen different kinds of Kustha (skin diseases). Eleven of them are Kshudra Kushta, while rest of them are Maha Kustha. Vipadika is the one among in Kshudra Kustha which is compared with Palmoplantar Psoriasis. It is a chronic, multifactorial, inflammatory, complicated illness characterised by an increase in the turnover rate of epidermal cells and hyperproliferation of keratinocytes in the epidermis. This skin disease hampers day-to-day activity of patient due to associated symptoms and depresses patients because of cosmetic issues. This case concerned a 27-year-old woman who was experiencing itching on the plantar aspect of Right foot, cracks across the soles, and pain while walking. No prior history of any systemic disease was present. No surgery had been performed on the patient. The symptoms like burning and pain subsided in the initial visit. With subsequent follow-ups, the cracks, itching, and pain during walking decreased. One session of Laghu Virechana and a single session of Raktmokshan were scheduled. The entire course of treatment lasted roughly ten months. During treatment patient was irregular on initial visits though, the patient experienced relief from major parameters with the given treatment regimen.