Abstract

A REVIEW ON NIDANPANCHAK OF ICHTHYOSIS VULGARIS W.S.R. TO EKAKUSHTA

Sakshi Patil*, Jaikrishna Chhangani and Pramod Garje

Abstract

Skin is one among the five Gnanendriya adhistana as described in Ayurvedic texts, which is responsible for „Sparsha Gyanam‟ or touch sensation; therefore, it plays a great role in physical and mental wellbeing of any individual. The unbroken skin is the nature‟s dressing over the body. Ichthyosis vulgaris (IV) is a genetic skin condition of autosomal dominant inheritance. Ichthyosis vulgaris is the most common type of ichthyosis, with an incidence of 1:250 live births. In Ayurveda, the description of Kushta-roga viz. Eka kushta finds similarity with Ichthyosis vulgaris. The aim of this review is to correlate the nidanpanchak of Ekakushta to ichthyosis vulgaris. The Ayurvedic treatment and management of ichthyosis vulgaris can be planned properly after understanding the nidanpanchak of Ekakushta. Methods – In Ayurveda, the description of Kushta-roga viz. Eka kushta finds similarity with Ichthyosis vulgaris. The common symptoms of ichthyosis vulgaris are palmar and plantar hyper linearity, keratosis pilaris, hyperkeratosis, xerosis, and excess scaling which are also characterised to Ekakushta. The term ichthyosis coined from Greek word „fish‟, so as the Eka kushta Symptom as „Matsya Shakalopamam‟ in Sanskrit which means the scales of fish. The barrier abnormality per se may elicit epidermal inflammation, hyperproliferation and hyperkeratosis, potentially contributing to the patient‟s skin symptoms. Despite this and other new knowledge about pathology, treatment of ichthyosis often remains unsatisfactory. Result – Manifestation and the aetiopathogenesis of both Ichthyosis vulgaris and Ekakushta are similar. Conclusion – The Nidanpanchaka of Ekakushta can be correlated with Ichthyosis vulgaris which can be useful for treatment also.

Keywords: Ichthyosis vulgaris (IV), Ekakushta, Nidanpanchaka, Matsya Shakalopamam, Hyperkeratosis.