Ayurvedic Management in Shwitra (Vitiligo) using Putikadi Lepa and Dhatrikhadir Kashaya

Abstract

Vitiligo is a primary autoimmune depigmentary disorder. Secondary post -inflammatory depigmentation is called leukoderma. In a vitiligo patch melanocyte are absent and hence no melanin production. Vitiligo may be associated with other autoimmune disorder. They may be localized, segmental or generalised sometimes the hair on vitiligo. In Ayurveda vitiligo is known as a Shwitra. Classified under Kustha (skin disorders). Three Doshas imbalance -Vata, Pitta, Kapha body tissues like Rakta, Mamsa, Meda etc. The prevalence of vitiligo is estimated to be 0.14-2% in different countries and 2.64% in Kumaun region. In Ayurveda, Ayurvedic treatment mainly focuses on the medicine. It includes both Shodhana and Shamana therapies. Internal medicine such as Dhatri khadir Kashaya along with honey. External applications (Lepa) Putikadi Lepa with Gomutra sun exposure to stimulate pigmentation. A female patient aged 13 years suffering from white patches. Large macule on left temporal surface was treated Since 6 months. Shodhana and Shamana chikitsa period of 2 months follow-up at 30 days in between changes was noted by assessing through colour and size of patch and also improve the patient well-being.