Vipadika (Palmoplantar Psoriasis): A Case Study
Author : Amol Shivajirao Patil and Dr. Shilpa Badhe
Abstract :
The skin is the body's largest organ (20 square feet), and it plays an important role in both physical and mental health. Kushta is a comprehensive term used in Ayurveda to describe all skin ailments (Skin Diseases). The Ayurvedic Samhitas include 18 different types of skin disorders¹. One of them is Vipadika (Palmoplantar psoriasis). Palmoplantar psoriasis is a chronic variant of psoriasis that characteristically affects the skin of the palms and soles and produces significant functional disability. It features hyperkeratotic, pustular, or mixed morphologies. The exact cause of palmoplantar pustulosis is unknown. However, palmoplantar psoriasis is caused by a combination of genetic and environmental factors. The most common genetic factor associated with palmoplantar psoriasis includes the human leukocyte antigen (HLA) Cw6. There may also be possible linkages to variations in the CARD14 gene and genes in the IL-19 subfamily in palmoplantar pustulosis. Environmental triggers include smoking, irritants, friction, and manual or repetitive trauma. Paradoxically, anti-tumor necrosis factor-alpha agents have been shown to induce palmoplantar eruptions A case of 44yr old female patient who presented features of Vipadika like scaling of Foot skin, Erythematous lesion, itching etc. was treated with the help of shamana and shodhana.
Keywords :
Vipadika, palmoplantar psoriasis, shaman chikitsa, shodhana chikitsa
