Ayurvedic management of Shwitra (vitiligo) - A Case Study

Introduction: In Ayurveda all skin diseases are classified under heading Kushta Roga. Shwitra is one among them. Shwitra is a condition characterized by whitish discolored patches on the body, it is caused due to involvement of Sapta Dravyas i.e., Vata, Pitta, Kapha, Rasa, Rakta, Mamsa and Meda. The fourth layer of Twacha (Tamra) mainly considered as prime location of Shwitra. It can be can be correlated to Vitiligo. Vitiligo is a hypopigmentation dermatological disorder, affecting 1% of the population worldwide. Methodology: The present case report is of 63 years old male, came with complaints of whitish discolored patches over bilateral legs (shin aspect) with mild itching and no burning sensation; was effectively treated with Shamana Aushadis initially, followed by repeated Shodhana i.e., with Virechana and Jaloukacharana. Result: Patient showed encouraging result after Virechana, Jaloukacharana and followed by Shamana Aushadis, where subjective criteria evaluated using scoring method & objective criteria evaluated using VETI scoring method. Discussion: Patient was Initially treated with Shamana Aushadis, where white discolored patches turned to pinkish, later treated with repeated course of Virechana followed by Jaloukacharana in regular intervals, where subject was observed with 85% improvement in subjective criteria & VETI scoring improved from 12 to 4. Hence, the present case study highlights the importance of efficacy of Ayurvedic treatment in Shwitra, as mentioned in classics