A CASE STUDY OF PALMOPLANTAR PSORIASIS (VIPADIKA)WITH AYURVEDA MANAGEMENT

Palmoplantar Psoriasis is an uncommon form of psoriasis that affects the skin on the palms and soles. It is distinguished by the appearance of hyperkeratosis, scaling, numerous cracks in the palms and soles, as well as pain and bleeding. The Palmoplantar variety of psoriasis comprises 3 to 4 percent of all cases of psoriasis. In Ayurveda, all skin diseases are categorized as Kushthaand KshudraKushtha. Based on clinical signs and symptoms, Palmoplanter Psoriasis may be associated with Vipadika (a type of KshudraKushtha mentioned in Ayurveda). It is distinguished by Pani-Pada Sphutana(a fissure in either the palms or soles, or both) and Teevra Vedana (extreme pain). It mostly concerns the Vata andKapha Doshas.

Aim:The aim was to evaluate the efficacy ofShodhana (Virechana), followed by Shamana drugs, external washing with Amla, Musta decoction, and three sessions of Jalaukavacharana in the management of Palmoplanter Psoriasis (Vipadika).

Material and Method:A 32-year-old female patient presented to OPD of Panchakarma Department of Pt. Khushilal Sharma Govt. (Auto.) AyurvedaCollege and Institute Bhopal with the complaint of fissures, scaling, blackish discoloration, and severe pain in bilateral palms associated with itching and burning sensation for the past 8 years. She wastreatedwith ShodhanarthaSnehapanawithPanchtikataGhritafollowed by Sarvanaga Abhyanga and VaspaSwedana with DashmoolaTailamand Dhshmoolavashpasweda. Virechanawas performed withTrivratadikashayam with Erand tailamfollowed by Shamana drugs, external washing with Amla, Musta decoction, and three sessions of Jalaukavacharana (leech application was planned every 7 days).

Result:The result of the treatment is recorded as a photographic document. After two months of treatment, the patients symptoms were relieved, and the skin condition improved noticeably.

Conclusion:The study concluded that Palmoplantarpsoriasiscan be successfully treated with Ayurveda management.