Study on Palmo Plantar Psoriasis with special reference to Vipadika: A Case Report

Abstract

Palmoplantar Psoriasis is a chronic variant of Psoriasis that affect the skin of palms and soles, partially or completely with redness, dryness and thickness along with deep painful cracks leading to impairment in daily activities. The present case, 26-year-old male patient came with complaints of hyper pigmented dry scaly lesions with cracks on both palms and soles associated with itching, pain, mild erythema and pustulosis for the last one month. This was a diagnosed case of Palmoplantar Psoriasis having chronicity of 7-8 years on modern medicines with recurrent exacerbations. The features were similar to Vipadika, one form of Kshudra kushta. Tridosha dushti was confirmed by clinical signs and symptoms with predominance of Vata kapha and treated with internal medicines - Patolakaturohinyadi kashayam, Aragwadhamahatikthakam ghritham, Dooshivishari Gulika, Kalinga patolakaturohini kashayam and Panchakarma procedures - Rookshnam with Vaiswanara choornam, Snehanam with Ketakeemooladi tailm, Virecanam with Nimbaamritadi Erandam and Takradhara. As this was a chronic case and Dhatu leena doshavastha seen, treatment principles of Dooshivisha, Jeernajwara and Rasayana were incorporated along with Kushta chikitsa. The considerable reduction in signs and symptoms and also absence of recurrence for the last few months shows that Ayurveda treatment is very effective in the management of Palmoplantar Psoriasis.