An Ayurvedic Approach to Vipadika (Palmoplantar Psoriasis): A Case Study

Ayurveda includes all the skin diseases under the broad name Kushta (Skin Diseases). There are 18 types of skin diseases were described in Ayurved Samhitas. Out of which 11 are Kshudra Kushta. Vipadika (Palmoplantar psoriasis) is one of them. Different Acharyas have given different presentations of signs and symptoms of Vipadika. According to Ashtang hridaya, Panipadsputana (Cracks over palms and soles), Tivra Vedana (severe Pain), Manda Kandu (Mild Itching), and Sarag Pidika (Red-colored Macule) are the symptoms of Vipadika. This skin disease hampers day-to-day activity and depresses patients because of cosmetic issues. This case was about a woman of age 55 years having Itching on the plantar aspect of both feet, cracks over soles, burning sensation, and pain during walking. There was no previous history of any systemic disease. The patient had not undergone any surgical procedure. The patient used to eat pickles twice a day on daily basis. At the first follow-up, the burning sensation was reduced. Then the cracks, itching, and pain during walking reduced with consecutive follow-ups. Raktmokshan (Leech therapy) was planned after every 15 days. Total treatment was about 3 months with a follow-up of 15 days. With this treatment protocol, the patient got completely relieved from all parameters.