Abstract

Abstract

Vipadika, a condition classified under Kshudra Kushtha in Ayurveda, manifests as painful fissures on the palms and soles, accompanied by itching, skin discoloration, and thickening. This case study highlights the management of Vipadika in a 45-year-old female, correlating it with Palmo plantar psoriasis and exploring the efficacy of classical Ayurvedic treatments. The patient presented with chronic symptoms, including severe itching, dryness, blackish discoloration, and peeling of skin on the palms and soles, persisting for over a year and exacerbated by irritants like cement and paint thinners. Prior allopathic treatments provided minimal relief. Ayurvedic diagnosis attributed the condition to vitiation of Vata and Kapha doshas and the involvement of Rasa, Rakta, Lasika, and Mamsa dhatus. A treatment plan integrating Shodhana (detoxification) and Shamana (pacification) therapies was implemented. Following treatment, the patient experienced substantial improvement. Symptoms like itching, dryness, and discoloration significantly reduced, and the skin's texture improved, restoring functionality to the affected areas. Progress was measured using assessment scales such as the Dermatology Life Quality Index (DLQI) and the Modified Palmo plantar Psoriasis Area and Severity Index (mPPPASI), which showed marked improvement. Additionally, the treatment boosted the patient's confidence and quality of life.