A single case study on role of shaman and bahya Chikitsa in the management of vyang (malesma)

Abstract

  Background Vitiligo (Shwitra) is an acquired idiopathic depigmentary disorder characterised by the
formation of hypo-pigmented or depigmented patches on the skin. In Ayurveda, Shwitra is described as
a Tridoshaja Vyadhi with predominant vitiation of Bhrajaka Pitta, in association with the involvement
of Rakta and Mamsa Dhatus. Case presentation This case involves a 14-year-old male patient who
attended the OPD of kaumarbhritya department with complaints of white patches over the abdomen
and back , both the legs, and few on thighs. Aims and Objectives The objective of Ayurvedic treatment
protocol is to refine vitiated doshas, bring back the melanocyte function, ameliorate digestive fire, and
regain pigmentation .The Ayurvedic regimen included Shamana and Shodhana-oriented formulations.
Khadirarishta and Jeerakarishta were administered to enhance digestion and blood purification.
Conclusion The Ayurvedic approach aimed at repairing internal imbalances, promoting healthy skin
pigmentation, and preventing further progression of lesions. The patient has recovered pigmentation and
still under follow up for betterment. Early intervention in paediatric Vitiligo through individualised
Ayurvedic treatment modality can provide safe and supportive long-term outcomes.