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Ayurvedic Management of Vipadika (Palmoplantar psoriasis): A Case Report

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Journal name: Ayushdhara
Original article title: Ayurvedic Management of Vipadika (Palmoplantar psoriasis): A Case Report
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Author(s):

Vedavati
PG Scholar, Department of Kayachikitsa, D G M Ayurvedic Medical College and Hospital, PG and PhD studies and Research Centre Gadag, Karnataka, India
Santosh. N. Belavadi
Professor & HOD, Department of Kayachikitsa, D G M Ayurvedic Medical College and Hospital, PG and PhD studies and Research Centre Gadag, Karnataka, India


Ayushdhara:

(A peer-reviewed, bi-monthly open-access journal)

Full text available for: Ayurvedic Management of Vipadika (Palmoplantar psoriasis): A Case Report

Year: 2023 | Doi: 10.47070/ayushdhara.v10i3.1215

Copyright (license): CC BY-NC-SA 4.0


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Summary of article contents:

Introduction

Vipadika, classified as a Kshudra Kushta in Ayurveda, is characterized by fissures and severe pain in the palms and soles, manifesting as a chronic condition that can be correlated with palmoplantar psoriasis. The condition exhibits symptoms such as hyperkeratosis, fissures, erythema, itching, and occasional burning sensations. Due to limited treatment options available in conventional medicine, Ayurvedic treatment emerges as a promising alternative. The study presents a case of a 50-year-old female patient successfully treated with Ayurvedic remedies, leading to significant symptom relief and no recurrence.

Ayurvedic Treatment Protocol

The Ayurvedic management implemented in this case consisted of both internal and external remedies tailored to alleviate the symptoms of Vipadika. Internal medications included Manjishtadi Kashaya, Nimbadi Guggulu, Navayasa Loha, and Kamaduga Rasa, administered for 30 days. The external application of Jeevantyadi Yamaka Lepa complemented the treatment, helping to soothe the skin and reduce dryness. The combination of these Ayurvedic formulations aimed not only to alleviate symptoms but also to improve overall skin health, restore balance among the body's doshas, and enhance immune function.

Pathophysiology of Palmoplantar Psoriasis

Palmoplantar psoriasis is primarily an autoimmune disorder characterized by excessive skin cell production and inflammation. The disease is marked by an abnormal immune response where T cells release inflammatory cytokines, resulting in keratinocyte hyperproliferation and improper differentiation. This results in thickened, scaly skin, which significantly impacts the quality of life. The Ayurvedic perspective views this condition as a disruption of the skin's harmony due to vitiated doshas, underlining the need for corrective measures through specialized herbs and treatments that promote skin health and restore balance.

Conclusion

The findings in this case report reinforce the effectiveness of Ayurvedic interventions in managing Vipadika and suggest that such therapies can lead to substantial symptomatic relief and improvement in skin health. The successful application of specific Ayurvedic medicines, coupled with supportive dietary and lifestyle practices, not only mitigates the immediate symptoms but also addresses underlying issues related to immune function and skin integrity. This approach exemplifies the potential of Ayurveda in treating chronic skin conditions effectively while minimizing the risk of recurrence, endorsing a holistic model of patient care.

FAQ section (important questions/answers):

What is Vipadika and how does it relate to psoriasis?

Vipadika, classified under Kshudra Kushta, shares symptoms with palmoplantar psoriasis, characterized by fissures, itching, and burning sensations on palms and soles. It is a chronic and recurring condition that deeply impacts both physical and mental well-being.

What Ayurvedic treatments were used for the patient with Vipadika?

The treatment involved both internal medicines like Manjishtadi Kashaya and Nimbadi Guggulu, and external application of Jeevantyadi Yamaka Lepa. This approach was aimed at reducing inflammatory symptoms while promoting skin healing and improving overall immune strength.

How effective was the Ayurvedic intervention for the patient?

The patient showed significant improvement in symptoms after 30 days of Ayurvedic treatment, with reduced fissures, itching, and pain. The holistic treatment not only alleviated symptoms but also aimed to enhance immune function, preventing disease recurrence.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Ayurvedic Management of Vipadika (Palmoplantar psoriasis): A Case Report�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Vipadika:
Vipadika is an Ayurvedic term for a condition characterized by fissures in the palms and soles, severe pain, and itching. It correlates with palmoplantar psoriasis, which is a chronic, recurring disease affecting the skin.

2) Inflammation:
Inflammation in Vipadika is characterized by redness, swelling, and pain. The Ayurvedic treatments like Manjishtadi Kashaya and Nimbadi Guggulu possess anti-inflammatory properties that help reduce the inflammation and associated symptoms.

3) Food:
Dietary recommendations for managing Vipadika include consuming light and wholesome food while avoiding heavy, sour foods, and specific items like milk, curd, and meat. This dietary regimen aids in alleviating symptoms and breaking the pathogenesis of the disease.

4) Guggulu:
Guggulu is one of the key ingredients in Nimbadi Guggulu, which has anti-inflammatory, antioxidant, and immunomodulatory properties. It helps in reducing inflammation and symptoms associated with Vipadika.

5) Nimbadi:
Nimbadi refers to Nimbadi Guggulu, a formulation used in the treatment of Vipadika. It contains Nimba (Neem), which has anti-inflammatory and immunomodulatory properties, contributing to the reduction of symptoms like itching and inflammation.

6) Kashaya (Kasaya):
Kashaya refers to a type of Ayurvedic decoction. Manjishtadi Kashaya is used in the treatment of Vipadika to reduce inflammation and normalize keratinocyte proliferation due to its anti-inflammatory and immunomodulatory properties.

7) Lepa:
Lepa is an Ayurvedic term for a topical paste. Jeevantyadi Yamaka Lepa is used for external application to treat Vipadika. It has anti-inflammatory, antimicrobial, and wound-healing properties, promoting tissue regeneration and reducing symptoms.

8) Panipada:
Panipada sphutana is an Ayurvedic term describing fissures in the palms and soles. This is a primary symptom of Vipadika, leading to pain and discomfort, and is a key target for treatment.

9) Navayasa:
Navayasa Loha is an Ayurvedic formulation consisting of herbs like Triphala, Musta, Vidanga, Chitraka, and Trikatu. It possesses anti-inflammatory properties and helps in reducing inflammation and symptoms like itching and pain in Vipadika.

10) Disease:
Vipadika is identified as a Kshudra Kushta, a minor skin disease in Ayurveda with symptoms that can be correlated with palmoplantar psoriasis, a chronic autoimmune disease affecting the palms and soles.

11) Vedana:
Vedana refers to pain, a significant symptom in Vipadika. The Ayurvedic treatments employed aim to reduce vedana through anti-inflammatory and analgesic properties, providing relief to the patient.

12) Kandu (Kamdu):
Kandu means itching, one of the distressing symptoms of Vipadika. The formulations like Nimbadi Guggulu and Kamaduga Rasa help in reducing itching due to their anti-inflammatory and immunomodulatory effects.

13) Blood:
In Ayurveda, vitiation of blood (Raktha) is considered a factor in the manifestation of Vipadika. Treatments like Manjishtadi Kashaya and Kamaduga Rasa aim to purify the blood, removing toxins that contribute to the condition.

14) Loha:
Loha refers to the iron content in Ayurvedic formulations. Navayasa Loha, containing herbs and iron, is used to treat Vipadika by leveraging the anti-inflammatory and blood-purifying properties of its ingredients.

15) Rasa (Rasha):
Rasa refers to a type of Ayurvedic preparation. Kamaduga Rasa is used in the treatment regimen for Vipadika to reduce inflammation, purify the blood, and detoxify the body, helping in alleviating the symptoms.

16) Pada:
Pada means foot in Sanskrit. In the context of Vipadika, it refers to the soles of the feet, where fissures and other symptoms manifest. Treatment focuses on alleviating these symptoms to improve patient's quality of life.

17) Pani (Panin):
[see source text or glossary: Pani]

18) Drug:
Ayurvedic drugs like Manjishtadi Kashaya, Nimbadi Guggulu, Navayasa Loha, and Kamaduga Rasa play a crucial role in the treatment of Vipadika. These drugs have various properties such as anti-inflammatory, antioxidant, and immunomodulatory.

19) Vitiation (Vitiated):
Vitiation of doshas (Vata-Kapha) and bodily tissues like Twak, Raktha, Mamsa, and Lasika is a critical concept in the Ayurvedic understanding of Vipadika. Treatments aim to correct these vitiations to restore health.

20) Belavadi:
[see source text or glossary: Belavadi]

21) Samtosha (Samtosa, Santosa, Santosha, Santosh):
[see source text or glossary: Santosh]

22) Dosha (Dosa):
Dosha refers to the three fundamental bio-energies in Ayurveda: Vata, Pitta, and Kapha. Vipadika is predominantly associated with Vata-Kapha dosha vitiation, and treatment aims at balancing these doshas.

23) Burning sensation:
Burning sensation is a symptom reported in Vipadika, often accompanying pain and itching. Ayurvedic treatments are designed to alleviate this through anti-inflammatory and cooling properties of various formulations.

24) Triphala (Tri-phala):
Triphala, an Ayurvedic compound of three fruits, is a key ingredient in Navayasa Loha. It has anti-inflammatory properties that help in managing symptoms of Vipadika such as itching and inflammation.

25) Medicine:
In the context of Vipadika, Ayurvedic medicines like Manjishtadi Kashaya, Nimbadi Guggulu, and Kamaduga Rasa are used to treat the condition. These medicines are chosen for their specific therapeutic properties.

26) Lasika:
Lasika refers to serum or lymph. In Vipadika, the vitiation of Lasika along with other bodily tissues is considered critical. Ayurvedic treatments aim to restore the balance of Lasika, thereby alleviating symptoms.

27) Rakta:
Raktha (blood) is one of the tissues that gets vitiated in Vipadika. Treatments like Manjishtadi Kashaya aim to purify the blood, removing toxins and thereby reducing symptoms like itching and inflammation.

28) Mamsa (Mamsha):
Mamsa refers to muscular tissue. The vitiation of Mamsa is part of the pathogenesis of Vipadika. Ayurvedic treatments focus on removing this vitiation to restore the integrity and health of the skin.

29) Diet:
Dietary recommendations are crucial in managing Vipadika. Patients are advised to consume light, wholesome foods and avoid heavy, sour items. This helps in alleviating symptoms and preventing recurrence.

30) Pain:
Pain (Vedana) is a significant symptom of Vipadika. Ayurvedic treatments focus on reducing pain through the use of anti-inflammatory and analgesic herbs, providing significant relief to the patient.

31) Madhavanidana (Madhava-nidana):
[see source text or glossary: Madhava-nidana]

32) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha is one of the three doshas in Ayurveda. In Vipadika, there is a predominance of Vata-Kapha dosha vitiation, leading to symptoms like fissures and thickening of the skin. Treatment aims to balance these doshas.

33) Discussion:
[see source text or glossary: Discussion]

34) Karnataka:
Karnataka is the location where the case of Vipadika was treated in the Ayurvedic study. The research was conducted at D G M Ayurvedic Medical College and Hospital in this Indian state.

35) Ayurveda (Ayus-veda):
Ayurveda is the traditional system of medicine used in the treatment of Vipadika. It employs a holistic approach, including herbal medicines and dietary recommendations, aiming for long-term relief without recurrence.

36) Tridosha (Tridosa, Tri-dosha):
Tridosha refers to the concept of three doshas: Vata, Pitta, and Kapha. In the management of Vipadika, balancing these doshas, particularly Vata-Kapha, is crucial for alleviating symptoms and preventing recurrence.

37) Bhojana:
[see source text or glossary: Bhojana]

38) Vidanga (Vidamga):
Vidanga is an ingredient in Navayasa Loha. It has anti-inflammatory properties that help in reducing the symptoms of Vipadika like inflammation, itching, and pain, contributing to the overall treatment.

39) Kshudra (Ksudra):
Kshudra refers to minor. Vipadika is classified as a Kshudra Kushta, or minor skin disease in Ayurveda. Despite its classification, it can cause significant discomfort and requires effective treatment.

40) Trikatu (Tri-katu):
Trikatu, which includes Black Pepper, Long Pepper, and Ginger, is an ingredient in Navayasa Loha. It has anti-inflammatory and digestive properties, aiding in the treatment of Vipadika by reducing symptoms and improving digestion.

41) Madhava:
[see source text or glossary: Madhava]

42) Snigdha:
[see source text or glossary: Snigdha]

43) Avastha:
[see source text or glossary: Avastha]

44) Jaggery:
Jaggery (Guda) is advised to be avoided in the diet for Vipadika management. Heavy and sweet foods like jaggery can aggravate the symptoms, and their exclusion is part of dietary recommendations.

45) Vihara:
Vihara refers to lifestyle practices. Proper Vihara, along with Pathya Ahara (diet), is crucial in managing Vipadika. Lifestyle modifications help in breaking the pathogenesis and in preventing the recurrence of symptoms.

46) Pathya:
Pathya refers to a recommended diet. Following a Pathya Ahara is crucial in the management of Vipadika to ensure that diet does not aggravate the symptoms and supports overall treatment.

47) Nidana:
[see source text or glossary: Nidana]

48) Repair:
Repair in the treatment of Vipadika refers to the healing and regeneration of skin tissues. Ayurvedic applications like Jeevantyadi Yamaka Lepa facilitate this by enhancing tissue regeneration and reducing symptoms.

49) Bitter:
Bitter-tasting vegetables are recommended in the diet for managing Vipadika. The bitter taste helps in balancing the doshas and alleviating symptoms like itching and inflammation.

50) Nature:
[see source text or glossary: Nature]

51) Animal:
[see source text or glossary: Animal]

52) Kapha:
Kapha is one of the three doshas in Ayurveda. In Vipadika, both Vata and Kapha doshas are vitiated. Treatment aims to balance these doshas to reduce symptoms like fissures, pain, and itching.

53) Drava:
[see source text or glossary: Drava]

54) Musta (Mushta):
Musta is an ingredient in Navayasa Loha. It has anti-inflammatory properties that help in reducing symptoms like itching and pain associated with Vipadika, making it an essential component of the treatment.

55) Ahara:
Ahara means diet in Ayurveda. A proper Ahara is crucial for the treatment of Vipadika. Light, wholesome foods are recommended while avoiding heavy, sour foods, milk, curd, and meat to alleviate symptoms.

56) India:
India is the country where the Ayurvedic treatment for Vipadika was administered. The case study was conducted at an Ayurvedic Medical College in Karnataka, showcasing traditional Indian medical practices.

57) Nimba:
Nimba or Neem is a key ingredient in Nimbadi Guggulu. It has anti-inflammatory, antioxidant, and immunomodulatory properties, making it effective in reducing inflammation, itching, and other symptoms of Vipadika.

58) Ayus (Ayush):
[see source text or glossary: Ayush]

59) Guru:
[see source text or glossary: Guru]

60) Tila:
Tila or sesame is advised to be avoided in the diet for managing Vipadika. As a heavy food, it can aggravate the symptoms, and avoiding it is part of dietary recommendations.

61) Guda:
Guda or jaggery is advised to be avoided in the diet for managing Vipadika. It is considered a heavy food that can aggravate symptoms like inflammation and itching, making its exclusion necessary.

62) Vata:
Vata is one of the three doshas in Ayurveda. In Vipadika, Vata dosha along with Kapha dosha gets vitiated. Ayurvedic treatments target the balance of these doshas to alleviate symptoms like fissures and pain.

63) Daha:
Daha refers to burning sensation, a symptom sometimes reported in Vipadika. Ayurvedic treatments aim to reduce this through formulations with cooling and anti-inflammatory properties.

64) Curd:
Curd is advised to be avoided in the diet for managing Vipadika. As a heavy and sour food, it can aggravate symptoms, and its exclusion is part of dietary guidelines to support treatment.

65) Fish:
Fish is advised to be avoided in the diet for managing Vipadika. Certain types of meat, including fish, can exacerbate the symptoms, and avoiding them is part of the dietary recommendations.

66) Milk:
Milk is advised to be avoided in the diet for managing Vipadika. As a heavy food, it can aggravate symptoms, making its exclusion necessary in the dietary guidelines to alleviate the condition.

67) Sour:
Sour foods are advised to be avoided in the diet for managing Vipadika. These foods can exacerbate symptoms like inflammation and itching, and their exclusion is part of dietary recommendations.

Other Science Concepts:

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Discover the significance of concepts within the article: �Ayurvedic Management of Vipadika (Palmoplantar psoriasis): A Case Report�. Further sources in the context of Science might help you critically compare this page with similair documents:

Pathogenesis, Physical and mental health, Autoimmune disease, Ayurvedic Management, Immunomodulatory properties, Nimbadi guggulu, Hyperkeratosis, Tridosha vitiation, Chronic inflammatory skin disorder, Manjishtadi kashaya, Immune dysregulation, Dietary recommendation.

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