Ayurvedic management of vipadika w.s.r. to palmer psoriasis

Background: Skin Disease in Ayurveda described under the Kushta Roga Adhyay. Kushta Roga is classified into seven Mahakushta (seven types of major skin disease) and eleven Kshudra Kushta (minor skin disease) Vitiation of Twak (skin), Rakta (blood), Mamsa (muscle tissue) and Lasika (lymph) leads to Kushta. Vipadika is one of the Kshudra Kushta (minor skin disease), characterized by Pada-Pani Sphutana (cracks on heels and hand) and Vedana(pain).In modern point of view Vipadika is correlated with Palmoplantar Psoriasis which is primarily affects the palms of feet & soles of the feet causing thick, scaly, painful patches. These patches may crack bleed, leading to difficulty with daily activities. Aim: To study the management of Vipadika w.s.r. to palmer psoriasis with Ayurvedic modilities. Objectives: 1) To study the role of Shodhan & Shaman Chitiktsa in management of Vipadika. 2) To Study Palmoplantar Psoriasis disease in details. Material &Methadology: A 17 Yrs Female patient came to OPD with complaints of Ubhay Hasta Anguli Pradeshi – Twak Sphutan, Twak Vaivarnya, Kandu, Shoola, Shweta Strav and Intermittently Raktaastrav, Malabadhata, Agnimandya in the last 8 months. Was effectively treated with Shodhan Chikitsa followed by Shaman Chikitsa along with Bahyachikitsa. Results after the complete treatment assessed by subjective &objective diagnostic criteria. Results : Patients show 100 % result after Shodhan Chikitsa followed by Shaman Chikitsa along with Bahyachikitsa. Conclusion: The case study reveals that, Vipadika was treated using solely Virechan and Ayurvedic medicine. In the care of Vipadika, Pathya Sevan is crucial. Avoiding Apathya is advised. As a result, the offered Ayurvedic medication proved effective in curing the Vipadika.