ROLE OF NIMBADI TAIL ON ECZEMA (PAMA)

Pama or Eczema, in its various forms, is by far the Commonest skin disorder. It constitutes 30 per cent of all the skin disorders and 2 to 3 percent of all the medical problems put together in our country. Its Nidana or aetiology is also complex and varies from case to case. According to Charaka and Vagbhata, it is caused due to the predominance of pitta & kapha. According to Sushruta it is a disorder of predominance of pitta. The common sites of involvement are sphik (thighs), Pani (hands and palms), Kurpara (elbows) according to Vagbhata. it is characterised by grouped pidakas with Kandu, daha, srava and vedana. It may be white, red or black. If Nitamba, hasta and pada are involved, the condition .is termed as Kachchhu by Sushruta. It appears to be, that Vrushana Kachchhu also is a form of pama of vrushanas, which is caused due to the predominance of kapha and rakta. Arunshika is also a term which denotes the involvement of head with similar symptoms of pama. According to Charaka, Vicharchika also appears to be an advanced form of pama. But description of Vicharchika and Vipadika of Sushruta is analysed by Gayadasa are dry eczemas of hasta and pada respectively. Hence, Kachchhu, Vrushana Kachchhu, arunshika and Vicharchika all appear to be the forms of Pama.