A Single Case Study: Effect of Sodhana & Shamana Chikitsa in the Management of Vipadika in Ayurveda
Author : Dr. Sanjay Kambale and Dr. Radha Hara
Abstract :
Vipādikā is a type of Kṣudra Kuṣṭha described in Ayurvedic classics, characterized by painful fissures over palms and soles associated with dryness and burning sensation. It is predominantly caused by Vāta–Kapha doṣa with involvement of Rakta and Tvak. In modern medicine, it can be correlated with cracked heels or palmar–plantar psoriasis. Conventional treatment often provides temporary relief with frequent recurrence. This case study demonstrates the effectiveness of Śodhana and Śamana Chikitsā in the management of Vipādikā. A 41-year-old male patient presented with symptoms pāṇi–pāda sphuṭana (fissures of palms and soles), rukṣatā (dryness), kharatā (roughness), śūla (pain), and occasionally kandu (itching). Treatment included Deepan Pachan, Shodhan Chikitsa (Purification)- Vaman Karma, Sansarjan kram, Internal medicine.
After examining the patient we planed him for shodhan (Purification) and shaman (Pacification) chikitsa. First we gave him dipan-pachan with chitrakadi vati (2 tds) for 3 days. On 4th day we start him mahatiktak ghruta as snehpana with increasing quantity. (1st day 30 ml, 2nd day 50ml, 3rd day 75ml, 4th day 100ml, 5th day 150ml) for 5 days. On 9th day we have done abhyanga and swedana. On 10th day we gave him vaman with madanphala 30gm + vacha 10gm + honey 20ml (as a vamak Dravya). For vamanopaga Dravya we gave him yashtimadhu phanta 2.5 liter, saindhav jala 1 liter. After giving vamak Dravya and vamanopaga Dravya patient have 7 vega and 4 anuvega. After vaman we gave him dhumapan chikitsa with ajvain. After vaman patient follow sansarjan krama for 7 days. Then we started him shaman (Pacification) treatment with following drugs. Arogyavardhani vati, Gandhaka Rasāyana, Mahamanjisthadi Kwath, Mahātiktaka Ghṛta,) External application: Karanj Taila, Pathyaapathya, Chikitsā for 21 days. Marked improvement (90%) was observed without adverse effects, highlighting the role of Ayurveda in chronic skin disorders.
वैपादिकं पाणिपादस्फुटनं तीव्रवेदनम् ||च.चि.७/२२||.
Keywords :
Vipādikā, Kṣudra Kuṣṭha.
