Introduction: In Ayurveda, skin disorders are grouped under Kushta Roga, with Switra being a notable type, characterized by the presence of white or depigmented skin patches. This condition is believed to arise due to the vitiation of Sapta Dhatus—Vata, Pitta, Kapha, Rasa, Rakta, Mamsa, and Meda. The primary site affected in Switra is the Tamra layer, the fourth layer of Twacha (skin). The condition bears a close resemblance to Vitiligo, a chronic hypopigmentary disorder in modern medicine, marked by melanocyte destruction. Vitiligo affects 0.25\% to 2.5\% of the global population, with a significant proportion of cases occurring in childhood. Material and Methods: This case study describes a 10-year-old male child with depigmented patches on the foot persisting for six years. The patient was managed using Ayurvedic Shamana Aushadhi over a period of 81 days. Gradual and consistent clinical improvement was noted in terms of patch size reduction and re-pigmentation. Result: The therapeutic protocol based on classical Ayurvedic formulations demonstrated encouraging outcomes. Marked changes in the size, color, and appearance of lesions reflect the potential clinical efficacy of Shamana Aushadhi in pediatric Switra. Discussion (Clinical Significance): This case underscores the clinical relevance of traditional Ayurvedic principles in the effective management of chronic skin diseases. It provides evidence that Ayurvedic Shamana therapy can be effective even in chronic case of pediatric vitiligo. The case highlights a holistic, non-invasive, and safe approach to treatment that may serve as a viable alternative or complementary strategy to conventional therapies, particularly in children. It also opens avenues for future clinical research and wider application of Ayurveda in dermatological practice.
Patel et al. (Mon,) studied this question.