USE OF APAMARGA KSHARSUTRA IN THE MANAGEMENT OF WART (CHARMAKEELA): A CASE STUDY

Introduction: Warts, also known as Verrucae, is a common dermatological condition caused by Human Papilloma Virus (HPV). A wart is generally a small, rough growth typically on human hands or feet but often in other locations that can resemble a cauliflower or a solid blister. According to Ayurveda, this ailment can be compared with Charmakeela, one of the kshudrarogas. Case presentation: A 65-year-old male patient visited OPD complaining of pedunculated growth over the left thigh region, occasionally feeling itching and discomfort at the growth site. Routine blood and urine examination were done and found within normal range. Diagnosis and management: Based on clinical features, the case was diagnosed as a wart (Charmakeela) and suggested for a Ksharasutra ligation procedure on an OPD basis. Treatment aims to destruct hyperkeratotic overgrown skin and to avoid recurrence. Outcome: There was marked improvement in the wart after Ksharasutra ligation; gradually, the wart detached from its base, leaving a minimal scar. Discussion: Satisfactory results were obtained. This case highlights that Ksharasutra ligation is a very effective and invasive procedure and one of the potential treatments for managing warts.