CLASSICAL APPROACH OF THE VYANGA W.S.R. MELASMA
*Dr. Kumari Neelam, Dr. Kalpesh Jajoria, Dr. Saurabh Jain, Prof. Sunil Kumar
Abstract
Melasma is a common, acquired and symmetrical hypermelanosis
characterized by more or less dark brownish maculae, with irregular
contour, but clear limits, on photoexposed areas, especially the face,
forehead, temples, and more rarely on the nose, eyelids, chin, and
upper lips. In Ayurveda, vyanga has been explained as one of the
Kshudra Rogas[1] (minor ailments). Vayu aggravated by krodha and
ayasa, get linked with pitta and suddenly produces a thin, grey
coloured circular patch when reaches the face. Both modern and
Ayurvedic sciences have considered the use of topical as well as oral
medications and their combinations for the treatment of vyanga. In Ayurveda, vyanga has
been treated both by antah-parimarjan and bahi- parimarjana chikitsa. Several Ayurvedic
texts, including Sushruta Samhita, Ashtanga Samgraha, and Hridaya, have elaborated on the
pathophysiology and treatment of vyanga. However, the available references are scattered. As
a result, a comprehensive review and compilation of Ayurvedic texts and literatures is
required. This review may be helpful in better understanding of comparative pathophysiology
and management of Vyanga vis a vis Melasma.
Keywords: Melasma, Vyanga, Kshudra Roga, Antah-parimarjan, Bahi-parimarjana.
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