Introduction: Vyanga is a Kshudra Roga characterized by the appearance of painless, thin, bluish-black or brownish hyperpigmented patches on the face, resulting in cosmetic concern and psychological distress. Modern management often provides temporary relief with frequent recurrence. Ayurvedic therapies aimed at improving skin complexion and correcting underlying Dosha imbalance may offer a safe and effective alternative. Main Clinical Finding: A 28-year-old male presented with gradually progressive brownish-black hyperpigmented patches over the bilateral malar region of the face for one year. The condition was associated with mild dryness and cosmetic disfigurement. The patient reported prolonged sun exposure and irregular dietary habits. Previous topical allopathic treatment provided only temporary improvement, with recurrence after discontinuation. Diagnosis: The patient was diagnosed with Vyange. According to Ayurvedic principles, the condition was assessed as both Sararik Vata-Pitta dosha, Rakta dhatu, and Mansika nidan (psychological etiological factor), specifically Krodha (anger), Shoka (sorrow) and Ayas (physical and mental exertion). Interventions: The patient was treated with Shastika Shali Pinda Sweda (Pottali Facial) using a medicated preparation of Yashtimadhu, Lodhra, Shastika Shali rice, and cow milk. Ten treatment sessions were administered over one month at an interval of three days. Outcome: Significant improvement was observed in pigmentation, lesion characteristics, and facial involvement. Assessment scores showed reduction in Mandalakara from 3 to 2, Shyava Krishna Varna from 4 to 2, Niruja Tanuka from 3 to 1, and Vyanga present on Mukha from 4 to 1. Clinical photographs demonstrated visible improvement in facial complexion and reduction in hyperpigmentation. Conclusion: Shastika Shali Pinda Sweda demonstrated encouraging results in the management of Vyanga, producing noticeable cosmetic improvement without adverse effects. Further clinical studies involving larger sample sizes are required to establish its efficacy.
Dr. Monika Jat*1, Dr. Devendra Singh2, Dr. Rupashree Nath3, Prof. Anand More4 (Tue,) studied this question.