Ayurvedic management of Vipadika (~palmoplantar psoriasis): A case report

Abstract

In Ayurveda, skin disorders are included under a broad category of diseases, namely, Kushta. There are 18 types of Kushta described in Ayurveda. Out of which, Vipadika (~cracks in palms and soles) is one. It can be correlated with palmoplantar psoriasis. According to ancient seers of Ayurveda, Pani pada sphutana (~cracks in palms and soles), Tivra vedana (~severe pain), Manda kandu (~mild itching), and Saraga pidika (~redness associated with eruptions) are the symptoms of Vipadika. In the present case report, a 62-year-old male patient complained of dryness and cracking of the left sole with roughness associated with itching on the plantar aspect of the left foot and severe pain during walking for two years. He was taking allopathic treatment for two years but had limited relief. The patient has difficulty in mobility and daily activities. A combination of Shuddha gandhaka, Rasamanikya, and Chopachini churna along with Kaishore guggulu, Raktaprasadaka hima, Panchatikta ghrita, Panchasakara churna, Arogyavardhini vati, and Sarivadyasava as internal medicines and Haridra, Rasamanikya along with Yashtimadhu was prescribed as a local application. The patient was advised to follow Pathya and Apathya (~wholesome and unwholesome diet) during the treatment. Within three months of the treatment, the psoriatic lesions and associated signs and symptoms were healed effectively.