Successful Management of Congenital Ichthyosis Vulgaris with Topical Gomutra and Adjunctive Ayurvedic Therapy: A Case Report

Background: Ichthyosis vulgaris (IV) is a congenital autosomal dominant skin disorder characterized by scaling and dryness, with no definitive cure in conventional medicine. Ayurveda correlates IV with Ekakushtha, emphasizing Vata-Kapha dominance, and employs holistic management strategies.Case Presentation: A 5-year-old male child with IV presented with whitish scaling and severe itching since birth, unrelieved by conventional topical therapies. Treatment involved topical Gomutra (cow urine) baths, Eranda Taila (castor oil), Narikela Taila (coconut oil) application, and internal administration of Mahatiktaka Ghritam and Kushthaghna Mahakashaya over 8 weeks.Results: After 8 weeks, the patient exhibited a 90% reduction in scaling and itching, with no relapse one month post-treatment. Skin hydration improved, and biopsy findings supported mild hyperkeratosis resolution.Conclusion: Ayurvedic interventions, particularly Gomutra-based topical therapy and Snehana (oleation), offer a promising alternative for managing IV, warranting further research.