â€œTHE EFFECT OF VIRECHANA ON VIPADIKA (PALMO-PLANTAR PSORIASIS â€“ A CASE REPORTâ€
*Dr. Manikrao Kulkarni
Psoriasis is a chronic, unpredictable and immune mediated disease that has a negative impact on patientâ€™s quality of life. Palm and sole Psoriasis can add to this negative impact as it directly affects activities of daily living. In India, prevalence of psoriasis varies from 0.44 to 2.8%. It is twice more common in males compared to females. High prevalence of plantar involvement was ascribed to Indian custom of walking barefoot or wearing open slippers most of the time which leads to frequent trauma compared to closed footwears. Palmo-Plantar psoriasis is with painful fissures and bleeding which are more common. A 52 year old male patient suffering with Palmo â€“ plantar psoriasis since 4 months. In ayurveda repeated shodhan chikitsa and shaman yoga are mentioned in the treatment of vipadika. In this case study, deepan-pachana, snehapana with Panchatikta ghrita and virechan karma and local application were given. The treatment showed good result in Palmo-Plantar psoriasis. Pachan leads to amapachana, and virechana helped to remove vitiated doshas from the body. Local application with Jatyadi Taila improved the texture of skin locally.
Keywords: Vipadika, Palmo-Plantar psoriasis, Rukshan, Pachan, Virechana.
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