An Integrative Clinical Approach to Vipadika w.s.r to Palmoplantar Psoriasis

Abstract

In this modern era, skin disorders have become a significant health concern, affecting not only physical health but also an individual’s social, mental, economic, and family wellbeing. Palmo-plantar psoriasis is a persistent form of psoriasis that primarily involves the skin of the palms and soles, leading to considerable functional disability and a marked reduction in quality of life. In Ayurveda, a broad spectrum of skin disorders is described under the term Kustha, which is further subclassified into Maha kustha and Kshudra kustha. Vipadika is one the Kshudra kustha having Vata- Kapha dosha predominance. The term Palmo plantar psoriasis is not mentioned in our ancient classics but its signs and symptoms can be clinically correlated to Vipadika It is a chronic condition characterised by Sphutanam (cracking) and Teevra Vedana (severe pain) either in palm or sole or both. In this case, Ayurvedic treatment focused on restoring Agni balance, maintaining equilibrium of the Tridosa, and relieving symptoms. This was a single case study carried out at the OPD of our institute, involving a patient who presented with white plaque-like skin discoloration accompanied by itching, burning sensation, and pain in both the palms and soles for the past two months. On the basis of its clinical manifestations, we diagnosed the disease condition as Vipadika. Shamana Chikitsa was administered for a duration of 45 days. Clinical assessment was carried out using the Psoriasis Area and Severity Index (PASI) score before and after treatment. The treatment regimen demonstrated encouraging results, with marked improvement in subjective parameters such as reduction in Shyavata (hyperpigmentation), Kandu (pruritus), Pidaka (lesions), Ruja (pain), and Rukshata (dryness). This study emphasizes the need for standardization of Ayurvedic diagnostic methods and treatment protocols that are both safe and effective, and suggests their potential application in future research.