Kushta is considered as one among the Ashta Mahagadas in classics. Vipadika Kushta is mentioned as one among the eleven Kshudra kushta, with the predominance of Vata Kapha dosha Vipadika is characterized by Sphutanam (cracking) either in palms or soles or in both with Teevra Vedana1. Vata due to its khara and ruksha guna causes symptoms like Sphutana (cracks) and Teevra Vedana (severe pain). Kapha by its snigdha and guru guna causes Kandu (severe itching) and thickness of the skin. Vipadika is correlated with palmoplantar psoriasis which is a chronic skin disease mainly affects palms and sole region. In present case report a patient with complaint of dryness, scaling, itching and cracking of both soles associated with pain since 2 years, was treated with Shodana (Virechana) and Shamana Aushadhi's, has shown a significant result. Shodhana helps remove the root cause of the disease and prevents recurrence.
Vipadika, Kushta, Pani pada sputana, Tivra vedana, Shodhana, psoriasis
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