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Abstract

MANAGEMENT OF SHVITRA (VITILIGO) BY AN AYURVEDIC REGIME - A CASE STUDY

Dr. Sheikh Mosin Sheikh Dilawar*, Dr. T. Y. Swami, Dr. Anil B. Kale, Dr. Ashish P. Rana, Dr. Prasad P. Dounde and Dr. Pratiksha Bharakad

ABSTRACT

Vitiligo is an idiopathic and progressive skin disorder which is characterized by hypopigmented patches caused due to destruction or malfunction of the melanocytes. It is not a life-threatening disease but has morbid social and psychological implications causing cases of severe mental disturbance and depression. Patients suffering from this disorder carry a social stigma and are usually considered to be an outcast. Some dermatological outpatient records show the incidence of vitiligo to be 3% to 4% in India although an incidence as high as 8.8% has also been reported. The current medicinal system provides various treatment modalities to manage vitiligo but these are time-consuming, have adverse effects and are not permanent. Ayurveda provides a fresh perspective on the management of vitiligo; which has been covered under the description of Shvitra or Kilaasa. Ayurvedic management has shown a lot of promise in terms of enhancing the regenerative ability of melanocytes as well as improves the functionality of the existing ones. This research paper presents a case study giving an in-depth insight regarding the management of vitiligo using the Ayurvedic regime. In Ayurvedic management of vitiligo first shodhana by virechana is important then treatment is followed by internal medicine (trivanga bhasma bakuchi and guduchi satva) and external application (hartala bakuchi gomutra lepa). The current case study shows a reduction in the size of hypopigmented patches as well as the improvement psychosocial profile of the patient.

Keywords: Vitiligo, Shvitra, bakuchi, melanocytes, hartala.


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