Ayurvedic Management of Lichen Planus- A Case Study
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DOI:
https://doi.org/10.52482/ayurline.v4i03.349Keywords:
ichen planus, kaphavataj kushtha, Mahatiktakam kashayam, Mahamanjishthadi kashayam, vilwadi gulikaAbstract
Lichen planus (LP) is a chronic inflammatory and immune mediated disease that affects the skin, nails, hair, and mucous membranes. A 40 yrs. old male patient visited OPD with complaints of itchy, large veracious lesions on medial malleolus of both legs for a long time. These symptoms were occurring off and on for the past 2 years and 5 months including a recurrence 2 months ago. He also had a history of diabetes. For current recurrence he has taken treatment from dermatologist for 3 months. As itching persists he has chosen to take ayurved medicine. As per ayurved it is kushtha with predominance of kapha. Charma Kushtha is a clinical condition described in Ayurveda which resembles LP. Ayurvedic perspective of this particular case presenting with pruritus and verrucous lesion can be established with clinical presentation. Itching, hyperkeratosis, sliminess, and thickness, all are the features of Kapha dominancy. Acanthosis (Karshnya) is the feature of aggravated Vata. On the basis of symptomatology, the disease can be equated with Kapha-Vata Kushtha.So treatment was chosen as Mahatiktakam kashayam, Mahamanjishthadi kashayam and vilwadi gulika. Both kashaya are mentioned in kushtha chikitsa itself while vilwadi gulika is mentioned in visha chikitsa which is also one cause of kushtha. Patient was advised to visit fortnight and observed clinically. After 2 months symptoms disappears. Thus this regimen shows good result in lichen planus
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