E-ISSN:2456-3110

Case Report

Palmoplantar Psorasis

Journal of Ayurveda and Integrated Medical Sciences

2025 Volume 10 Number 5 MAY
Publisherwww.maharshicharaka.in

Ayurvedic management of Vipadika (Palmoplantar Psorasis) with Shamana Aushadhis: A Case Report

Devarakonda P1*
DOI:10.21760/jaims.10.5.43

1* Prem Devarakonda, Assistant Professor, Department of Panchakarma, Apex Institute of Ayurvedic Medicine and Hospital, Samaspur Chunar, Mirzapur, Uttar Pradesh, India.

Ayurveda is one among ancient life science, where its main aim of it is to attain Dosha Dhatu Satmya and by following Dinacharya, Ritucharya and Ahara Vihara for healthy wellbeing of the induvial, as in modern era due to sedentary lifestyle dietary changes and repeated exposure to these factors leads to systemic changes that is Dhatus and Doshas which leads to the disease Kustha. Among Kustha it is classified into different types by Acharya Charaka as 7 Mahakustha and 11 Ksudra Kustha diseases As Acharaya Charaka opines that Vipadika as one among the Ksudra Kustha here we see Panipada Sputana and Teevravedana (cracking, irritating pain in soles and palms) and it can be correlated to palmo plantar psoriasis which is a chronic skin disease. Clinically it is defined by eruptions of sterile pustules or lesions that appear abruptly on an erythemato-sqamous (hyperkeratosis, erythema, scaling, fissuring).[2] where there are all these symptoms are present in this case, so here for Vipadika Acharays considered Shodhana and Shamana, Pathya Vyvastha, Satvayaya, Nidana Parimarjana line of treatment. Where we adopt some Shamana Aushadis and Lepana for the condition.

Keywords: Dryness, palmoplantar psoriasis, Ksudrakustha, Scaling, Shodhana, Shamana, Vipadika

Corresponding Author How to Cite this Article To Browse
Prem Devarakonda, Assistant Professor, Department of Panchakarma, Apex Institute of Ayurvedic Medicine and Hospital, Samaspur Chunar, Mirzapur, Uttar Pradesh, India.
Email: 		Devarakonda P, Ayurvedic management of Vipadika (Palmoplantar Psorasis) with Shamana Aushadhis: A Case Report. J Ayu Int Med Sci. 2025;10(5):276-280.
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https://jaims.in/jaims/article/view/4313/

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2025-04-11 2025-04-26 2025-05-06 2025-05-16 2025-05-26
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
None Nil Not required 11.32

© 2025 by Devarakonda P and Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

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Devarakonda P et al. Ayurvedic management of Vipadika

Introduction

Natural products have been the source of most active ingredients in western medicines this is widely accepted to true when applied to drug discovery. In the olden days before the advancement of high throughput screening and post genomic era, more than 80% of drug substances were obtained from natural products or inspired by natural compounds.[3] Ayurveda which is ancient system of medicine where the word Ayu denotes life and Veda denotes science in total it is called as life science.[4] Where its main aim is to maintain healthy lifestyle to prevent and treat illness by maintaining balance in body (Dosha, Dhatu etc.) and mind[5] by following Ayurvedic remedies as revealed by Acharyas in Samhitas dietary and lifestyle modification to maintain and attain healthy lifestyle, Ayurveda attain good results in the treatment of the skin diseases as it works upon the principle on the Shodhana elimination of Doshas, toxins from the root causes[8] and it not only has the ability of elimination of toxins from the roots but has the ability to treat the disease by Shamana principle that is maintain the balance in Doshas and Dhatus in body to be disease free.

Acharya Charaka explained about disease Kustha due to Viruddha Annapana, excessive intake of Drava, Snigdha and Guru Dravyas; restraining natural urges like vomiting etc.; exercising or coming in contact of excessive heat after eating excessive quantity of food. Indulging in habits such as, taking Shita quality food etc. followed by Ushna quality or either fasting followed by heavy meals. Having cold water immediately after exposure to scorching sun, exertion and fear, eating uncooked or raw foods or having meals although previously taken meals have not been digested. Indulging in food and other habits which have been restricted during the phase of Panchakarma.[7]

The vitiated three Doshas Vata, Pitta, Kapha and impaired Tvak, Raktha, Mamsa and Ambu together constitute seven essential entities which play role in pathogenesis of Kushtha.[8]

Acharya Charaka opines Kushtha classified into seven Mahakustha (major skin disorders) and eleven Kshudrakushtha (eleven minor skin disorders][9] In present case Vipadika which is considered as one among the Ksudra Kustha has complaints of Sputana, Kandu and Vedana.[10]

The treatment as like Shodhana, Shamana, Nidana Parivarajana are mentioned by the Acharyas, in this case we adopt Shamana line of treatment where our ultimate goal is to maintain or balance the vitiated Doshas in the body.

Case Report

A 55-year-old female presented at our Ayurvedic clinic with a history of chronic cracking, itching and pain in the palms region since 5months, there they was diagnosed as palmoplantar psoriasis and given medications for the same (steroids) topical applications by general physician, subject symptoms were not reduced and not satisfactory so, came to the ayurvedic clinic for the concerned issue. In this case subject has problem in washing, cleaning, cooking and doing household works so, here subject has advised to the Shamana line of treatment by Aushadhis and advised for healthy lifestyle like food, local hygiene.

Ashtavidha Pariksha

Nadi - 72 bpm
Mala - Once a day
Mutra - Normal
Jihva - Coated
Spabda - Normal
Sparsha - Rooksha (dry)
Druk - Normal
Akruthi - Madhyama
Agni - Vishamagni
Bala - Madhyama

Observations

Table 1: Clinical features for Sputana

Clinical featuresScoreBTAT
41
Insufficient dryness in palms0
Roughness is present when touching1
Excessive roughness present and leads to itching2
Excessive roughness present and leads to slight cracks3
Roughness leads to cracks and fissures4

Table 2: Kandu (Itching)

Kandu (Itching)ScoreBTAT
21
No itching0
1-2 times a day1
Frequent itching2
Itching disturbs the sleep3

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Devarakonda P et al. Ayurvedic management of Vipadika

Table 3: Vedana (Pain)

Vedana (Pain)ScoreBTAT
21
No pain0
Mild pain in easily bearable nature1
Moderate pain but no difficulty2
Appears frequently requires some measures for relief3

Treatment Schedule

SNMedicineContentsMode of Action
1.Arogyavardini Rasa
2-0-2 after food		1. Shuddha Parada
2. Shuddha Gandhaka
3. Lauha Bhasma
4. Abhraka Bhasma
5. Haritaki
6. Vibhitaki
7. Amalaki		These drugs have Pachak (Digestive), Dipak (appetizer), Vishaghna (Antitoxic), and Jantughna (Antimicrobial) effects. It is mentioned as the best medicine for skin diseases.
2.Sarivadyasava
15 ml - 0 -15 ml After food		1. Sariva
2. Manjishtha
3. Madhuka
4. Usheera
5. Musta
6. Dhataki flowers
7. Jaggery
8.Water		1. Sariva (Hemidesmus indicus) - It has anti-inflammatory and blood purifying properties.
2. Manjishtha (Rubia cordifolia) - It is known for its blood purifying and detoxifying properties.
3. Musta (Cyperus rotundus) - It has digestive and carminative properties.
4. Haritaki (Terminalia chebula) - It helps in digestion and acts as a mild laxative.
5. Amalaki (Emblica officinalis) - It is rich in Vitamin C and has antioxidant properties.
6. Dhataki (Woodfordia fruticosa) - It acts as a binding agent and helps in the fermentation process of the medicine.
3.Jeevantyadi Yamaka
E/A		1.Taila
2. Ghrita
3. Arka
4. Jivanti
5. Manjistha
6. Darvi
7. Kampillaka
8. Tuttha
9. Sarjakshara
10. Madhucchista		It is having effect like
1. Anti inflammatory
2. Wound healing
3. Moisturizing
4. Antioxidant
5. Soothing
4.Kaishora Guggulu
2-0-2 after food		1. Guggul
2. Triphala
3. Trikatu
4. Vidanga
5. Danti
6. Guduchi
7. Nishotha		1. Guggulu (Commiphora mukul): A resin obtained from the Guggul tree, which is known for its anti-inflammatory and cholesterol lowering effects.
2. Triphala: A combination of three fruits - Amalaki (Emblica officinalis), Bibhitaki (Terminalia bellirica), and Haritaki (Terminalia chebula) - commonly used to support digestion and detoxification.
3. Trikatu: A blend of three pungent herbs - Ginger (Zingiber officinale), Black Pepper (Piper nigrum), and Long Pepper (Piper longum) – known for their digestive and metabolic support.
4. Neem: Also known as Azadirachta indica, neem is valued in Ayurveda for its antibacterial, antifungal, and blood purifying properties.
5. Manjistha (Rubia cordifolia): Known for its detoxifying effects on the lymphatic system as well as its skin-healing properties.
6. Haridra (Curcuma longa): Commonly referred to as turmeric, this herb has potent anti-inflammatory and antioxidant properties.
7. Daruharidra or Indian Barberry (Berberis aristata): Used in traditional medicine to support healthy skin function and address various skin-related concerns due to its antimicrobial properties.

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Figure 1: Before Treatment
jaims_4313_01.JPG

Figure 2: After Treatment
jaims_4313_02.JPG

Discussion

In Ayurveda, Vipadika is considered to be a result of an imbalance in the body's doshas (Vata, Pitta and Kapha).

Shamana Aushadis are Ayurvedic medicines that are used for pacifying or alleviating symptoms of a disease without addressing its root cause. When it comes to treating Vipadika with Shamana Aushadis, we often recommend using herbal medicines that help to soothe skin and reduce inflammation. Some commonly used herbs in these medications include Nimba (neem), Haridra (turmeric), Manjistha (Rubia cordifolia), Kumari (aloe vera) and Yastimadhu (licorice). These herbs are known for their anti-inflammatory, antiseptic and moisturizing properties which can help to alleviate itching and redness associated with eczema. In addition to topical applications such as creams and oils containing these herbs, internal medications may also be prescribed to address underlying imbalances in Doshas that are contributing to Vipadika. This may include herbal formulations or powders that help to purify blood and detoxify body.

It's important to note that while Shamana Aushadis can provide relief from symptoms of Vipadika, they may not necessarily address the root cause of the condition. it is important for individuals with Vipadika to recommend a comprehensive treatment plan that includes dietary changes, lifestyle modifications and Shodhana by performing panchakarma for long-term management of this disease. Overall, while Shamana Aushadi treatments can be effective in providing relief from symptoms of Vipadika in the short term, it is essential for individuals suffering from this condition consider adopting a Appropriate approach towards imbalances within their body through multidimensional treatments as such as Shodhana and Shamana.

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