Management of Vyanga vis-a-vis Melasma Through Ayurveda

Melasma is a skin condition characterized by dark spots and patches on the nose, cheeks, forehead and jawline. Although it is completely harmless, it causes skin discoloration which is difficult to fade away with routine skin care. Symptomatology of Vyanga given in various available Ayurvedic classics are Mandala (circular patches), Shyava (brown), Tanu (thin), Niruja (painless), etc. The clinical features of melasma can be correlated with Vyanga and condition can be treated based on the Vyanga Chikitsa. Objective: This case study evaluates the efficacy of Baladi sneha nasya along with, Lepa in managing Vyanga. Materials and Methods: A 40-year-old female patient presenting with, Shyava, Tanu, Niruja Mandala on face classic symptoms of Vyanga was treated with Arjuna twak churna lepa with honey and Baladi sneha nasya (nasal medication) for a duration of 90 days. Assessment was done using Ashtavidha Pariksha and objective criteria. Result: Based on the collected data, efforts were made to evaluate the efficacy of Arjunadi lepa followed by Baladi Sneha Nasya in the subjects of melasma vis-à-vis Vyanga. Conclusion: In contemporary science, topical steroids have been described in the management of melasma. Alternative to that Nasya with Arjuna Twak Churna Lepa along with Madhu and Baldi Sneha Nasya selected for treatment, has shown very effective result in Vyanga.