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Case Studies | Ayurveda | India | Volume 12 Issue 11, November 2023

Successful Management of Visphota Kustha (Blistering Skin Diseases) through Multimodality Treatment of Ayurveda - A Case Study

Dr. Amaresh Kar | Dr. Kundan Kumar Mishra

Abstract: Introduction: Twak Vikar (skin diseases) has a very wide range of understanding in Ayurveda. Acharya Charaka explained that, apart from the existing classification of Kustha, it can also be divided further based on types of pain (Ruja), colour (Varna), nature of origin (Sammuthana), appearance (Akruti), area (Sthana) and others. Case Study: A48 years male patient presenting severe itching, burning sensation all over the body with small fluid filled pockets diagnosed as Visphota Kustha and was managed successfully through both internal and external measures like classical Virechana and Pariseka, initial Amapachana with Sunthi and Haritaki, Snehapana with Mahatiktaghrita followed by Vireachana with Avipattikara Churna, external Pariseka was done with Panchavalkala Kwatha and discharge medicine was given as Patolamuladi Kashyam, Guduchi Churna, Arogyavrdhini Bati and Trivanga Bhasma. The discharge improvement was very significant in terms of all presenting symptoms of the disease. Discussion: Visphotais a verity of Kshudra Kustha by Charaka characterized by multiple small pidaka with very thin outer layer. The symptoms explained by Madhav Nidana founds more suitable here i. e. due to Pitta vitiation blisters which burns like Agni, occurs with or without fever either localized or generalized over the body. However, on close observation it reveals that even though Acharya explained eighteen variety of Kustha with their respective cardinal symptoms, the causative factor but general line of treatment has been explained for all. Conclusion: Virrudha Ahara (practice wrong combination of food) and Agni Mandya (reduced appetite) are considered as root cause for all verities of diseases including skin disorders. The ultimate aim of Ayurveda is to bring Dhatusamyata (homeostasis). Assessment of DoshaAmsa Amsa Kalpana is must before administering any treatment even though Acharya advised for Tridoshaharachikitsa. This study can be considered as a guide to treat other blistering skin diseases and assessment of Dosha Amsamsa Kalpana.

Keywords: Management of Vispota Kustha, Blistering skin diseases in Ayurveda, Multimodality treatment in Ayuyrveda, single case study on VisphotaKustha

Edition: Volume 12 Issue 11, November 2023,

Pages: 1261 - 1264