In Ayurveda, skin disorders are broadly categorized under the term 'Kushtha.' Among these, Vipadika isclassified as Kshudra Kushtha, characterized by Sphutanam (cracks) on the palms or soles accompaniedby Tivravedana (severe pain) and Daha (Burning sensation). Vipadika closely resembles palmo-plantarpsoriasis, a chronic skin condition primarily affecting the palms and soles. The causative factors ofVipadika align with those of Kushtha, including dietary imbalances such as Viruddha Aahara, excessiveintake of Drava, Snigdha, and Guru Aahara, Vega Dharana, and indulgence in unethical actions. Objective:This study aimed to evaluate the efficacy of Virechana Karma and Shamana Chikitsa in managing Vipadika.Material and Method: A 37-year-old male patient with complaints of excessive dryness, pain, andfissures in palms and plantar region for 2 years, diagnosed as Vipadika (palmo-plantar psoriasis), wastreated with Shodhana poorvaka shamana chikitsa. Virechana karma with Trivritta Avaleha and ShamanaChikitsa with Mahamanjishtadi Kwatha, Avipattikar Churna, Mahatikta Ghrita, Khadiraarista, PanchatiktaGhrita Guggulu, and Nimba Taila (local application), Marked improvement was found after the shodhanapoorvaka shamana chikitsa. Conclusion: Shodhana therapy effectively addresses the root cause ofVipadika, aiding in disease prevention and long-term management. These findings underscore theimportance of integrating detoxification and palliative care for chronic skin conditions.The combination of Ayurvedic modalities gives significant results in Lakshanas (symptoms) like Panipadasphutana (fissures in palms and plantar region), Tivravedana (severe local pain), Daha (burningsensation), and Kandu (itching) in a span of about 2 months.
Anand et al. (Sat,) studied this question.