A Clinical Evaluation of Vyanga-Hara Lepa and Triphala Churna along with Microdermabrasion in Vyanga w.s.r. to Melasma

Background: Vyanga is classified under Kshudra Roga, characterized by painless, bluish-black patches on the face, commonly correlated with melasma in contemporary sciences. The increasing incidence of this condition among young adults, especially women, is largely attributed to factors such as psychological stress, hormonal disturbances, excessive sun exposure, and poor lifestyle habits. Despite being classified as a minor disease in classical texts, Vyanga significantly affects facial aesthetics, leading to psychosocial distress and reduced quality of life. Modern treatments often have recurrence or side effects, making Ayurvedic management a safer and more holistic alternative. In Bhavaprakasha Nighantu, Haritakyadi Varga, Jatiphala (nutmeg) is described as a potent Varnya (complexion enhancer) and Lekhana (scraping/de-pigmenting) herb, which makes it beneficial in the management of Vyanga (melasma). Triphala Churna, a classical Ayurvedic polyherbal formulation made from the dried fruits of Haritaki, Bibhitaki, and Amalaki, has significant systemic actions that contribute to reducing melasma pigmentation when taken internally. Before applying Lepa, one should use a mechanical material, such as rock, stone, or Samudraphena, to rub or abrade the outermost layer of skin. The medications will penetrate quickly, and the Lepa will be absorbed faster if the dead skin on the surface is removed. According to Yuga-Anurupa Sandarbha, microdermabrasion with Al₂O₃ crystals has been utilized. Intervention and duration: The study registered 45 patients for the clinical trial with Vyanga signs and symptoms (Mandala, Niruja, Shyava, Tanu), and those fulfilling the inclusion criteria were chosen for the study. Assessment was done on the 15th day, 30th, and 45th day. Results: Using the proper statistical techniques, such as calculating the mean, standard deviation (SD), and standard error of the mean (SE), the study's data were examined. Conclusion: This clinical study of Vyanga-hara Lepa, Triphala Churna, along with microdermabrasion, showed significant results in Vyanga.