Journal of Natural Remedies

V. Archana ¹, Delvin T. Robin ², Preeti Mohan ³, James Chacko ⁴

Affiliations
1 Rajiv Gandhi Ayurveda Medical College and Hospital, Pondicherry University, New Mahe - 673311, Puducherry, IN
2 Department of Swasthavritta, Amrita Vishwa Vidyapeetham, Amrita School of Ayurveda, Kollam - 690525, Kerala, IN
3 Department of Agada Tantra and Vyavahara Ayurveda (Toxicology, Jurisprudence and Forensic Medicine), Amrita Vishwa Vidyapeetham, Amrita School of Ayurveda, Kollam - 690525, Kerala, IN
4 Department of Kayachikitsa, Rajiv Gandhi Ayurveda Medical College and Hospital, Pondicherry University, New Mahe - 673311, Puducherry, IN

Abstract

Alopecia Universalis is a condition that causes generalized hair loss in the body. It is associated with nail changes in 10-15 % of Autoimmune origin conditions. Several medicines normalize hair growth, but this condition requires a treatment modality that concentrates on the root cause of hair falling all over the body. Here is a case report about the Ayurvedic approach in a 48-year-old male patient with Alopecia Universalis presented with hair loss all over the body associated with itching. We administered the Ayurveda protocol and Severity of Alopecia Tool (SALT) criteria assumed before and after assessing clinical output.

Keywords

Ayurveda, Alopecia Universalis, Virechana.

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James Chacko ¹, B. Varshanath ², Delvin T. Robin ², Preethi Mohan ³

Affiliations
1 Department of Kayachikitsa, Rajiv Gandhi Ayurveda College, Mahe – 673310, Puducherry, IN
2 Department of Swasthavritta, Amrita School of Ayurveda, Kollam – 690525, Kerala, IN
3 Department of Agadatantra, Amrita School of Ayurveda, Vallikavu, Kollam - 690525, Kerala, IN

Abstract

Background: Palmo-Plantar Pustulosis (PPP) is one of the debilitative skin disorders having a prevalence of 0.050 to 0.12 % worldwide, which is hallmarked by sharply demarcated erythematous pustular lesions over the body. Modern treatment provides certain moisturizers, topical steroids, light therapy, and systemic therapies in the long run, but recurrent crops of pustular lesions are the main problem. Here a case of PPP treated with Ayurvedic protocol is discussed. A 65-year old female patient complained of blackish-red pustular desquamative lesions over the upper and lower limb associated with occasional oozing after itching with extreme hardness and rough texture over the affected area for three years. The ailment was diagnosed as kitibha (a type of psoriasis), and the treatment was organized accordingly. The patient received continuous virechana (purgative therapy) for three months at a rate of six days per month, followed by pathya (wholesome food), topical application, and internal medications. Auspitz signs and PASI (Psoriasis Area and Severity Index) assessment, along with symptomatic improvement in signs and symptoms, were used to quantify the outcome of the disease. After receiving the initial bowel cleansing medications such as Patolakaturohinyadi Kashaya, Saribadyasava, and Manibhadragula, the patient claimed complete recovery from the acute phase. The second phase was followed by continuous virechana (purgation therapy) for three months at a rate of six days per month, which showed no signs of relapse for three consecutive months in the affected areas. Even though PPP is incredibly challenging to treat, shodhana (purificatory therapy) for six consecutive months can potentially prevent relapse. This opens up the future scope for structured clinical trials in the treatment of disease.

Keywords

Ayurveda, Case Report, Palmo-Plantar Pustulosis, Purgation Therapy, Relapse

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