Abstract

MANAGEMENT OF SHWITRA THROUGH AYURVEDA - A SINGLE CASE STUDY

Renuka Swanandesh Joshi* and Kalpana Nilesh Gholap

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Abstract

Shwitra refers to a skin condition characterized by the appearance of white patches, classified under Kushtha in Ayurveda. This condition, commonly known as vitiligo, is attributed to various factors including improper dietary practices, disrespect towards spiritual entities, and past-life sins, leading to an imbalance in the Tridosha, particularly affecting Bhrajaka Pitta. With a global prevalence of 0.4-2%, Shwitra possess significant challenges, especially in children, impacting their self-esteem and social interactions. This case study focuses on a 7- year-old female patient presenting with a white patch in the left temporal area for six months. A comprehensive Ayurvedic treatment regimen was implemented, involving Krumikuthar Ras, Vidangarishta, Arogyavardhini Vati, Bakuchi Ghanavat and local applications such as Gomutra bhavit Bakuchi churna and Bakuchi taila, complemented by Jalokavacharana therapy. Clinical observations during treatment showed progressive colour changes from white to pinkish and eventually to normal skin tone. The approach emphasized both internal and external therapies targeting the underlying imbalances. Notably, Jalokavacharana was effective in purifying the blood and alleviating symptoms, while Bakuchi preparations stimulated melanocyte function, promoting skin pigmentation. The results indicate that Ayurvedic management can yield satisfactory outcomes in repigmenting skin affected by Shwitra, highlighting its potential as an effective alternative therapy with fewer recurrence risks compared to conventional treatments. The study reinforces the importance of a holistic approach in managing chronic skin disorders in paediatric patients.

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