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Case Studies | Ayurveda | Volume 15 Issue 4, April 2026 | Pages: 951 - 955 | India
Effective Management of Vaipadika Kushta: A Case Study on Palmar Psoriasis
Abstract: Introduction: Ayurveda is a divine ancient system of medicine where skin diseases are broadly categorised under Kushta. Vaipadika is described as a type of Kshudra Kushta affecting the hands and feet. It is mainly characterised by Rukshata (dryness), Sphutana (cracks/fissures), Scaling and Vedana (severe pain). Its pathogenesis is mostly associated with the Tridosha, predominantly Vata Dosha, in association with Kapha Dosha, along with Rakta and Mamsa as Dushya, resulting in the manifestations of the symptoms. The Vaipadika Kushta is compared to the chronic inflammatory condition affecting the hand and feet. From a dermatological perspective, palmar psoriasis is characterised by erythematous plaques with thick, adherent scales, fissuring, occasional pustule formation, and severe pain. This is a localised form of Psoriasis, particularly affecting the palms and soles, which impacts motor skills and daily activities, often leading to significant discomfort and pain that can hamper the quality of life. Methods: The Vaipadika Kushta can be treated by both Shodhana and Shamana lines of treatment. In this case study, a 52-year-old female presenting with the clinical features of Vaipadika was treated with Shodhana therapy as an inpatient in the hospital, and post Shodhana therapy, Shamanoushadha with Rasayana was administered. Results: The patient showed potential relief from the complaints and significant improvement in the quality of life. No adverse effects were reported during or after the treatment. The improvement was assessed through the PPASI Score, which evaluates redness, thickness, scaling and the area involved. Discussion: In this case, an attempt is made to highlight the significance of Virechana as a modality of Shodhana in Vaipadika Kushta, in conjunction with Shamana and Rasayana Chikitsa. Significant symptomatic relief and functional improvement were suggestive of the effectiveness of Ayurvedic interventions, which could be further validated and established through clinical studies in a larger population.
Keywords: skin disease, Vaipadika Kushta, Palmar Psoriasis, Virechana Karma, purificatory therapy, Shamana Oushadha, palliative medicines, Rasayana Dravya, rejuvenating drugs, quality of life
How to Cite?: Dr. Deepa S. J., Dr. Srinivasa S., "Effective Management of Vaipadika Kushta: A Case Study on Palmar Psoriasis", Volume 15 Issue 4, April 2026, International Journal of Science and Research (IJSR), Pages: 951-955, https://www.ijsr.net/getabstract.php?paperid=SR26413125431, DOI: https://dx.dx.doi.org/10.21275/SR26413125431