SHODHANOTTARA SHAMANA CHIKITSA IN THE MANAGEMENT OF SHWITRA (VITILIGO)-A CASE REPORT

Abstract

Aim: Shwitra is a common depigmentation disorder correlated with Vitiligo in contemporary system of medicine. It affects about 1% of the world and 3-4% of Indian population, its treatment modalities are costly with many complications. There is need to prove the efficacy of Ayurvedic treatment for such disorders which are mentioned in Ayurveda classics. Backgrounds: In Ayurveda Shwitra is described under kushtha. It occurs due to vitiation of Rakta, Mamsa and Medo dhatus because of vitiated Tridoshas. The line of treatment of skin diseases is Shodhana and Shamana therapy. Vitiligo is an autoimmune disease characterized by depigmented or hypo-pigmented patches. Its treatment includes topical corticosteroids, topical immunomodulators, phototherapy and surgical options. Case Description: A 13 years female child came with irregular white colored patches over both thigh, legs, abdomen and lips for the last 5-6 years. Patient had undergone Deepana- Pachana, Snehapana and Virechana Karma. followed by Shamana therapy. Assessment was done on VASI (Vitiligo Assessment Scoring Index) Score and Vitiligo Impact Scale-22 (VIS-22). Conclusion: Shodhana Chikitsa along with Shamana therapy had provided significant relief to the patient. Changes in above mentioned scales and overall improvement in the clinical symptoms was reported which indicates efficacy of Ayurvedic therapies in the management of Shwitra (Vitiligo). Clinical significance: Vitiligo is a harmless, purely cosmetic problem. Shodhanottara Shamana treatments are proven to be the best hope for such affected persons.