@article{Nakka_Madikonda_B_2020, title={Role of Vamana and Padhabhayanga in the Management of Vipakdika With special reference to Plantopalmar Psoriasis}, volume={11}, url={https://ijam.co.in/index.php/ijam/article/view/1341}, DOI={10.47552/ijam.v11i1.1341}, abstractNote={<p>Ayurveda described various skin diseases under the single heading <em>Kushta</em>. In Charaka Samhita, Acharya Charaka explained <em>Ashtadasha Kushtas</em> in two main categories namely <em>‘Maha Kushta’</em> and <em>‘Kshudra Kushta’. Kushta</em> is <em>tridoshaja vyadi</em>, however, the symptoms appear according to the <em>dosha</em> predominance. <em>Vipadika </em>is one of the <em>Kshudra Kushta</em> with predominance of <em>vata kapha</em> <em>doshas</em> and it is charactrised by <em>Pani Pada sputana</em> (fissures in palms and soles) and <em>Teevra vedana (</em>severe pain). According to clinical manifestations, <em>Vipadika</em> is more similar to ‘Planto Palmar Psoriasis’ which is long lasting Auto Immune disease. It is found to be 3-4% of all Psoriasis cases. In modern science, many treatment modalities are available to treat the disease. They may cause many side effects and recurrence after subside is also very common which gave a big scope to alternative system of medicines to treat <em>Vipadika. </em>In the present case study, the line of management followed was mentioned by <em>Acharya Charaka</em>, according to <em>dosha</em> Predominance. The patient, initially administered <em>sneha pana</em> with <em>Maha Tiktaka gritha</em> for 7 days which was beneficial to pacify <em>pitta dosha</em> and <em>kapha dosha utkleshana</em> before <em>Vamana.</em> Later on, <em>Vamana </em>therapy was conducted to eliminate <em>kapha dosha</em> which gave good symptomatic relief to the patient. However, in view of the severity, chronicity and recurrence of the disease,<em> Mridu Lavana jala Avagaha Sweda</em> followed by <em>Padhabyanga</em> with <em>pinda taila</em> was also performed which resulted in excellent improvement in very short period of time.</p>}, number={1}, journal={International Journal of Ayurvedic Medicine}, author={Nakka, Padma Priya and Madikonda, Praveen Kumar and B, Johar}, year={2020}, month={Apr.}, pages={131–135} }