International Journal For Multidisciplinary Research

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Ayurveda based multimodal management in palmoplantar psoriasis (vipadika): a case report

Author(s) Dr. Darshika takle, Prof. Dr. Adishree Bhat M.G., Prof. Dr. Ajith Krishnan
Country India
Abstract Background: Vipadika, a subtype of Kshudra Kushtha described in Ayurveda, closely resembles palmoplantar psoriasis in modern dermatology. It is characterized by painful fissures, dryness, scaling, and itching of the palms and soles, often leading to functional disability. Conventional therapies provide symptomatic relief but are associated with recurrence and side effects. Ayurveda emphasizes holistic management through Shodhana and Shamana therapies. Case Presentation: A 61-year-old male farmer presented with chronic symmetrical hyperkeratotic lesions, painful fissures, and pruritus on both soles for five years. The condition was aggravated by occupational pesticide exposure and continuous footwear use. Previous allopathic treatments provided only temporary relief. The patient was managed with an integrative Ayurvedic approach, including Panchatikta Ghrita Guggulu, Avipattikara Churna, Arogyavardhini Vati, local application of Shatadhauta Ghrita, and Cutisora ointment, along with Panchavalkala Kwatha foot soak for 42 days. Results: Progressive improvement was noted at each follow-up. Pain, itching, burning sensation, and fissures showed significant reduction, with complete resolution by day 42. Final assessment score was 0, indicating 100% relief. Photographic evidence demonstrated marked healing of fissures and restoration of normal skin texture.Conclusion: This case highlights the effectiveness of an integrative Ayurvedic regimen in managing Vipadika (palmoplantar psoriasis). The observed relief in symptoms and prevention of recurrence support the potential role of Ayurveda as a safe, holistic, and patient-centric approach for chronic skin disorders.
Keywords Vipadika, palmoplantar psoriasis, Ayurveda, case report, integrative management
Field Medical / Pharmacy
Published In Volume 7, Issue 6, November-December 2025
Published On 2025-12-28
DOI https://doi.org/10.36948/ijfmr.2025.v07i06.64714
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E-ISSN 2582-2160
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