A Case Report on the Effective Management of Mandala Kustha Through Classical Sodhana and Samana Chikitsa

In Ayurveda, skin is one of the five Gyanendriyas (sense organs) responsible for Sparsha Gyan or the sense of touch, making it vital for both physical and mental well-being. Among various skin problems, fungal infections are most common. In modern medicine, fungal infections caused by dermatophytes are termed dermatophytosis or tinea (ringworm), which appears as circular lesions with raised edges.Ayurveda categorizes all skin diseases under the broad term Kushta, which encompasses both Mahakushta (major skin disorders) and Kshudra Kushta (minor skin disorders). Mandala Kushta, one of the Mahakushta types, closely resembles tinea corporis in its clinical presentation. Skin disorders are thus considered significant health concerns due to their physical, emotional, social, and economic impact on individuals and society. Aim: The aim was to evaluate the efficacy of Virechana karma (purgation) and Shaman aushadhi in Mandal kustha. Material and Method: A 40-year-old female patient was presented with complaints of circular erythematous, hyperpigmented skin lesion in all over body with intense itching, sometimes bleeding from lesions on itching with some areas showing scaling. She was treated with Shodhanartha Snehapana with Mahatiktaka Ghrita followed by Sarvanga Abhyanga with Neem taila and Sarvanga Swedana She was given Virechana with Trivrita avaleha and Triphala kwatha. The Shamana Chikitsa included Tab.Arogyavardhini Vati 250mg ,Tab. Vidangadya louha 250mg, Aragwadhadi kasaya 30ml, Neem taila for L/A for 1 month. Result: The results of the treatment are recorded as a photographic document. As per the result lesions of the skin became lighter in colour and itching was completely gone. Conclusion: With appropriate Ayurvedic treatment, supported by proper medication and dietary management, this condition can be effectively and completely cured.