Exploring Ayurvedic Interventions in the Management of Atopic Dermatitis – Case Study
Abstract
Atopic dermatitis (AD) is a chronic inflammatory skin disorder characterized by intense itching, redness, and recurrent flare-ups. This condition arises from a combination of genetic factors, immune dysregulation, and environmental triggers, leading to a compromised skin barrier and an exaggerated immune response. Ayurvedic medicine offers a holistic approach to managing AD by focusing on balancing the three doshas—Vata, Pitta, and Kapha—and addressing the underlying toxins (Ama) that exacerbate the condition. In this case study, a 36-year-old female with chronic eczematous lesions and associated symptoms of disturbed sleep, anxiety, and constipation was treated with a combination of internal and external Ayurvedic therapies. Key treatments included Avipattikar Churna, Khadirarishta, Gandhak Rasayana, Mahatiktak Ghrita, Laghumanjishthadi Kadha, Panchatikta Ghrita Guggulu, and Raktamokshana (bloodletting). The therapeutic interventions targeted detoxification, immune modulation, and skin healing. Post-treatment, significant improvements were noted in the reduction of scaly patches, lichenification, itching, and skin discoloration. Bloodletting plays a crucial role in purifying the blood, reducing inflammation, and improving skin healing by balancing Pitta and Kapha doshas. This integrative approach, combining modern and traditional Ayurvedic therapies, offered long-term relief from AD symptoms and addressed both the physical and emotional aspects of the condition
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National Institute of Arthritis and Musculoskeletal and Skin Diseases. Atopic Dermatitis. Bethesda (MD): U.S. Department of Health and Human Services
Sandilands A, Sutherland C, Irvine AD, McLean WH. Filaggrin in the frontline: role in skin barrier function and disease. J Cell Sci. 2009 May 1;122(Pt 9):1285-94. doi: 10.1242/jcs.033969. PMID: 19386895; PMCID: PMC2721001.
Patil S, Joshi P. Ayurvedic management of Vicharchika (Eczema) – A Case Report. J Ayurveda Integr Med Sci. 2023;8(3):45–50.
Navya M, Ajitha K. Role of Viruddhahāra in current lifestyle diseases. Int J Ayur Pharma Res. 2024;12(11):41–47.
Patra S, Das S, Nayak AK, Panda S, Nayak S. Management of Vicharchika (Eczema) with Ayurvedic interventions: A review. J Ayurveda Integr Med. 2022;13(2):100377. doi:10.1016/j.jaim.2021.100377
Wollenberg A, Barbarot S, Bieber T, Christen-Zaech S, Deleuran M, Fink-Wagner A, et al. Consensus-based European guidelines for treatment of atopic eczema (atopic dermatitis) in adults and children: part I. J Eur Acad Dermatol Venereol. 2018;32(5):657-682. doi:10.1111/jdv.14891
Weidinger S, Beck LA, Bieber T, Kabashima K, Irvine AD. Atopic dermatitis. Nat Rev Dis Primers. 2018;4:1. doi:10.1038/s41572-018-0001-zSushruta. Kushtha nidana 5thchapter. In:Singhal GD, Tripathi SN, editors. Sushruta samhita. Delhi: Chaukhamba Sanskrit Pratishtana; 2018; p. 539.
Chitmulwar V, Deshmukh S. Ayurvedic Management of Vicharchika vis-à-vis Atopic Dermatitis: A Case Report. J Clin Diagn Res. 2024;18(4):VD01-VD03. doi:10.7860/JCDR/2024/67529.19194
Sharma PV. Dravyaguna Vijnana (Materia Medica-Vegetable Drugs). 2nd ed. Varanasi: Chaukhambha Bharati Academy; 2001. p. 235-240.
Satoskar RS, Bhandarkar SD, Rege NN. Pharmacology and pharmacotherapeutics. 24th ed. Hyderabad: Elsevier; 2015. p. 1061-1063.
Wisdomlib. Khadirarishta: An Ayurvedic Solution for Skin Disorders and Eczema. World J Pharm Res. 2024 Aug 19
Ghorpade PS, Ghorpade RP. ROLE OF GANDHAK RASAYAN IN SHUSHKA VICHARCHIKA (ECZEMA). Ayushdhara. 2023;10(2):158-164.
Sharma RK, Dash B, editors. Charaka Samhita of Agnivesha, Chikitsa Sthana. 1st ed. Varanasi: Chowkhamba Sanskrit Series Office; 2014. p. 7-10.
WJPMR. Ayurveda management of Dadru Kushta: Case Series
LEADGEN Ayurvedic. Laghumanjishthadi Kadha - LEADGEN Ayurvedic
Jayasri GKT. Ayurvedic benefits of Panchatikta Guggulu Ghrita (Guggulu Tiktaka Ghritam) for skin and bone health [Internet]. Coimbatore: Arya Vaidya Chikitsalayam and Research Institute; 2024 Jun 5
Sahasra Yogam. Mahatiktaka Ghrita Saptavarti - Sahasra Yogam
Bhatia A, Kaur J, Kaur G, Sood A, Goyal A. Efficacy of Raktamokshana (bloodletting) in the management of eczema: A clinical study. Ayu. 2019;40(2):112-117. doi:10.4103/ayu.AYU_42_18
Chitmulwar V, Deshmukh S. Ayurvedic Management of Vicharchika vis-à-vis Atopic Dermatitis: A Case Report. J Clin Diagn Res. 2024;18(4):VD01-VD03. doi:10.7860/JCDR/2024/67529.19194
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