The Effect of Virechana Karma and Shamana Chikitsa in Dadru Kushtha With Special Reference to Tinea Corporis: A Case Report

Dadru is a type of Kushtha (skin disorder) described in Ayurveda, characterized by circular lesions, redness (raga), itching (kandu), and elevated margins. Aacharya Charak and Aacharya Sushrut have classified Dadru under Kshudra Kushtha and Mahakushtha respectively with predominance of Kapha–Pitta dosha. Clinically, above mentioned features closely resembles clinical features of Tinea corporis which refers to a superficial dermatophytic infection affecting the skin. Modern treatment of Tinea corporis often includes antifungal agents, which may have limitations such as recurrence and side effects. Ayurveda offers a holistic approach focusing on the elimination of doshas, especially Pitta and Kapha, which are predominantly involved in Dadru Kushtha. A 36-year-old male patient presented with chronic, recurrent, pruritic, annular erythematous lesions over the groin, thigh, and abdominal region for four months, previously treated unsuccessfully with conventional therapy. Based on classical Ayurvedic parameters, the condition was diagnosed as Dadru Kushtha with Kapha–Pitta predominance. The management included a combined Shodhana Shamana approach, Virechana karma was performed following proper poorvakarma to eliminate vitiated Pitta–Kapha and purify Rakta dhatu with internal formulations possessing Kushtaghna, Kandughna, Raktashodhaka, and Krimighna properties, along with external applications like Dashang Lepa and medicated oils.This integrative protocol addresses root pathology (samprapti vighatana) and symptomatic relief, adding practical clinical evidence to existing Ayurvedic literature. Marked improvement was observed within one month, with complete relief in itching and burning, significant reduction in lesion elevation and discoloration, and no adverse effects. The intervention demonstrated effective disease control with improved patient compliance and reduced risk of recurrence.This case highlights the efficacy of a classical Ayurvedic treatment protocol combining Virechana and Shamana chikitsa in the management of Dadru Kushtha (Tinea corporis). The approach offers a safe, sustainable, and scientifically relevant alternative for chronic dermatophytic infections, contributing valuable clinical evidence to integrative dermatological practice.