Ayurvedic Panchakarma treatment in Skin diseases like Ringworm
Skin is the largest organ of human body. Its size and external location makes it susceptible to a wide variety of disorders. In recent years there has been a considerable increase in the incidents of skin problems in most of the countries due to various reasons like poor sanitation, unhygienic conditions, frequent use of tight cloths, pollution. I have found that there are more patients with ring worm than any other skin diseases. Ring worm is a fungal infection of skin which results in a red, itchy, scaly, circular rash. In Ayurveda, ring worm can be correlated with Dadru. Dadru is Kapha pittaja disorder which is explained in Brihatrayi and Laghutrayi which comes under Kshudra Kushta characterized by following symptoms:
सकण्डूरागपिडकं दद्रुमण्डलमद्गुतम| ( चरक चिकित्सा 7/23)
Its meaning – the disease having symptoms like red, itchy, scaly, circular rash is called Dadru. Modern treatment available for Dadru/ringworm is tropical anti-fungal drugs and oral anti-fungal drugs. Nowadays resistance is increasing to anti-fungal allopathic drugs so, it is essential to find out better remedy for this condition. Panchakarma is specialty of ayurveda, in which vitiated doshas are removed from human body and helps to cure disease from its root. Shodhana therapy is the best treatment for Dadru.
Ayurvedic Panchkarma treatment details for skin diseases like Dadru:
1) Vaman karma– Dipan, pachan chikitsa should be given to the patient before starting snehapan.
|Procedure||Drug and Dose||Duration|
|Snehapana||Tikta ghrita||Till samyaka snigdha lakshanas are seen in vardhaman matra starting from 30 ml (up to maximum 7 days)|
|Sarvanga Snehana||Tila Taila||Daily for 2 to 7 days|
|Sarvanga Sweadana||Bashpa sweda (dashmool)||Daily for 2 to 7 days|
|Vamana||Vamana Kalpa-Madanphala churna – 4-5 gm, pippali churna-2 gm, vacha churna – 1 gm, saindhava 2 gm, madhu-q.s Vamanopaga –Yashtimadhu phanta||On vaman day (1 day)|
|Dhumapan||Dhumavarti/Vacha dhoom||After vaman karma|
|Samsarjana Krama||Peya, vilepi, yush etc.||As per shuddhi lakshanas(3to7 days)|
Follow up should be taken and patient shall post for virechana karma after 7 days.
2) Virechana karma-
|Procedure||Drug and Dose||Duration|
|Snehapana||Tikta ghrita||Till samyaka snigdha lakshanas are seen in vardhaman matra starting from 30 ml (3-7 days)|
|Sarvanga Snehana||Tila Tailam||3 to 7 days|
|Sarvanga Sweadana||Bashpasweda (dashmool)||3 to 7 days|
|Virechan karma||Virechan kalpa – Trivruttavaleha 25-30 gm Anupan – koshna jal||1 day|
|Samsarjana Krama||Peya, vilepi, yush etc.||As per shuddhi lakshanas (3to7 days)|
Follow up should be taken and patient shall post for Basti karma after 7 days.
3) Basti karma- Duration: 7 days
On day 1 and day 7- Matra basti should be given
On day 2 to day 6- Niruh basti should be given
Preparation of Matra basti:
- Murchita Tila Taila- 40 ml
- Karanja Taila-20
- Sanidhav – 5 gm
Preparation of Niruh basti: following drugs are useful for preparation of kwatha.
|SR. NO.||Name of bharad churnas (coarse)||Quantity in gms|
The total quantity of Kwatha for basti should be around 600 ml.
Prakshep dravya in kwatha:
Kalkadravya for kwatha is Shatpushpa.(10 gm)
- Saindhava- 10 gm
- Tila taila – 50ml
- Madhu – 50 gm
After Bastikarma samsarjana karma is also important. Follow up of patient should be taken for other vyapada (side effects) of panchakarmas.
As kushtha is bahudosh prakopaka vyadhi so frequent shodhan according to bala of patient is essential. Vamana is considered as a prime treatment for Kapha Dosha. Vamana drug is having Ushna, Tikshna, Aashukari, Vyavayi, Vikasi properties which helps in elimination of Doshas. In this process Doshas in Kostha eliminated from the body by the act of vomiting. Virechana karma (purgative treatment) is also main treatment for pitta dosha. At last basti of selected dravyas from kushtaghna and kandughna gana is very useful. Hence, Vamana followed by virechan and basti is effective in relieving the signs and symptoms of Dadru (ring worm).