CLINICAL EVALUATION OF VAMAN KARMA FOLLOWED BY SHAMAN CHIKITSA IN THE MANAGEMENT OF SIDHMA KUSHTHA: A CASE REPORT

Abstract

Introduction: Sidhma Kushtha, a chronic and cosmetically distressing form of Maha Kushtha, poses significant therapeutic challenges in conventional medicine. Ayurvedic texts emphasize a twofold approach-Shodhana and Shamana-for its effective management. This case report presents the rationale of applying classical Vaman Karma followed by Shaman Chikitsa, aiming to establish a holistic, dosha-specific intervention in line with traditional Ayurvedic wisdom. Main Clinical Finding: A 24-year-old male presented with hypopigmented to erythematous maculopapular lesions with scaling and pruritus over anterior chest, lasting for 5-6 years. Diagnosis: Based on Ayurvedic and clinical assessment, the diagnosis was established as Sidhma Kushtha. The disease severity was evaluated using the Pityriasis Rosea Severity Score (PRSS), which recorded a score of 16 before treatment, indicating a moderate to severe condition. Intervention: The treatment included Pachan, Snehapana with Mahatiktak Ghrita, Vaman Karma using classical Vamak Yoga, followed by three months of Shaman Chikitsa with Krumikuthar Rasa and Vidangarishta. Outcome: The PRSS score improved remarkably from 16 to 1 post-treatment, with visible lesion clearance, reduction in pruritic and improved skin texture. Conclusion: This case highlights the clinical utility of classical Shodhana and Shamana therapies in chronic skin disorders like Sidhma Kushtha.