Management of Vipadika through Panchakarma w.s.r. to Palmoplantar Psoriasis: A Case Report

Introduction: Palmo-plantar Psoriasis is a non-infectious chronic inflammatory disease of the skin bound to the palm and soles in extent. In Ayurveda, all skin diseases are recounted under a single heading i.e., Kushtha (skin diseases). Palmo-plantar Psoriasis can be co-related with Vipadika (one of the Kshudra Kushtha described in Ayurveda), based on its clinical signs & symptoms. Aim and Objective: To evaluate the effect of Virechana, Raktamokshan, and Snehapana in a Vipadika w.s.r. to palmoplantar psoriasis. Materials and Methods: In the present case, a 50-year-old female patient was diagnosed as a patient of Vipadika (palmoplantar psoriasis) having pruritic rashes on both palm and sole along with bloody and watery discharge from the same. The patient was treated with Shodhana therapy, which included Shodhnartha Snehapana, Virechana, Raktamokshana, and Shamana Aushadhi. Observation and Results: Significant results were observed in the SPI - Simplified Psoriasis Index (SPI score), as well as in itching and associated complaints. Discussion and Conclusion: Panchakarma therapies like Virechana, Raktamokshana, and Snehapana provide effective relief in the case of Vipadika in symptoms like itching, discharge and SPI score.