Ayurvedic Management of Chronic Shvitra (Vitiligo)

Shvitra is a chronic pigmentary disorder described under Kushta Roga in Ayurveda and is clinically comparable to vitiligo. It results from the vitiation of Tridosha, predominantly Pitta Dosha, leading to depigmentation of the skin. Conventional therapies often provide variable outcomes and recurrence, whereas Ayurveda aims to correct the underlying Dosha-Dushya imbalance. Case Presentation: A 37-year-old married female presented with multiple hypopigmented patches over the face, neck, scalp, back, ears, left hand, and left leg for 4–5 years, associated with occasional itching. The patient had a history of regular curd consumption, milk-based porridge intake, and daytime sleeping, which were considered important Nidana. She was managed with an individualized Ayurvedic regimen comprising Panchatikta Ghrita Guggulu, Shvitrahara Vati, Arogyavardhini Vati, Vidanga Churna, Bakuchi Churna, Sarivadi Vati, Dhatri Lauha, Chandraprabha Vati, Kutaki Churna, Eranda Bhrishta Haritaki, topical Lucoskin ointment, Bakuchi Taila, along with Nidana Parivarjana and Pathya-Apathya. Follow-up was conducted every 15 days for 3 months. Results: The patient showed complete relief from itching, no development of new lesions, and approximately 30% repigmentation of the existing lesions without any adverse drug reactions. Conclusion: This case suggests that a comprehensive Ayurvedic approach may help arrest disease progression and promote repigmentation in patients with chronic Shvitra. Further controlled clinical studies are needed to validate these findings.