A Case Presentation

Presented by Guided by
Dr. Rani Khandelwal Dr. Harish K Singhal Dr. Dinesh K Rai
MD Scholar 2nd year Associate Professor & Head Associate Professor

Post Graduate Institute of Ayurveda

DSRRAU, Jodhpur
General information of patient
• Name: Bhagwati Age: 11 year
• Gender:- Female Fathers name: Mahesh ji
• Address: Bhojassar Informant: Guardian

• Religion: Hindu OPD No: 40659

• Socio- economic status- Middle class Habitat: Rural
• Date of admission: 16/7/2023 Contact No- 9878977889
Chief complaints with duration
• White patches on all over body parts – 1 year
• Severe Itching- 1 year
Present history of illness
• Before 1 years, the patient was in good health. She gradually acquired
some white discoloration over her scalp, first with minor irritation and
a very little lesion. The patient was unconcerned about it and ignored
it, but her sister saw more white patches on both legs, upper limbs ,
trunk and around eyes after two month. Presented with severe
itching, dryness, and the color of the patches were white. After that
patient’s parents took her to get a suitable and effective management
to the the OPD No 4, OPD of Kaumarbhritya in Sanjeevani Ayurved
Hospital. There she was diagnosed with Shwitra and given suitable
medicine along with Panchkarma therapy.
• There was no associated symptoms present.
• Past History: No history of above skin complaints before 1 year or trauma.
• Family History- No one in the family have similar signs and symptoms.
• Birth History- Full term normal delivery. Birth weight-2.75kg
• IMMUNIZATION STATUS- not proper.

• Personal History:
• Appetite – good
• Bowel - clear
• Urine - Normal (5-6 times a day),
• Sleep - Sound sleep
• Food habit - only home made food consumed
• SOCIAL HISTORY
• Residential Area:- Rural
• Hygiene: - average
• Sanitation: - average
• Water: - Tube well
• Family:- Joint

• DEVELOPMENTAL STATUS
• Gross Motor: - Achieved
• Fine Motor: - Achieved
• Personal and Social: - Achieved
• Language: Achieved
Systemic examination
• Respiratory System : Normal
• Cardio Vascular System : Normal
• Gastro Intestinal System : Normal
General examination
• Eyes- normal but white patched present around eyes
• Tongue - normal
• Pulse Rate- 80/min
• RR–20/min
• BP -110/70mm of Hg
• Temperature - Afebrile
• Built - good
• Weight – 28 kg
• Height- 140 cm
• Cyanosis -Absent
• Clubbing - No any
• Oedema - No any
• Lymphadenopathy - No any
Dashvidha Pariksha
Prakriti – Pitta Kaphaj
Satmya – Madhyama,
Vikriti – Rasa, Rakta, Mansa, Meda
Aharashakti – Madhyama
Sara- Madhyama
Vyayama Shakti – Madhyama
Samhanana – Madhyama
Vaya – Baalavastha
Satva – Madhyama
Pramana – Madhyama
Local examination
• 1. Site of lesion- face, trunk and limbs
• 2. Distribution- asymmetrical and diffused in some parts, segmental in some
parts
• 3. Character of lesion- all over body, Colour: White;
• 4. Itching – Present; Severity: severe
• 5. Inflammation- Absent
• 6. Discharge- Absent
• 7. Superficial sensation on lesion –Normal sensation.
• 8. Pain: Absent;
• 9. Swelling: Absent
on examination

• VASI score = Σ {Hand units} x {Residual Depigmentation)

Degree of Depigmentation Residual depigmentation

100% (1) Complete Depigmentation

90% (0.9) Specks of Pigment present

75% (.75) Depigment > Pigment

50% (0.5) Depigment = Pigment

25% (0.25) Depigment < Pigment

10% (0.1) Only Specks of Depigmentation

VASI Score
• Before Treatment:
• Face & neck – 1x.75 Upper extremity:- 6x 0.5 Trunk(front):- 8x 0.5
• Back – 8x 0.75 lower extremity :- 8 x 0.9 Feet 2x 0.25 hand:-
1x 0.1 Total- 23.95

• After Treatment:
• Face & neck –0 Upper extremity:- 2x 0.1 Trunk(front):- 4x 0.25
• Back – 2x 0.25 lower extremity :- 4 x 0.25 Feet 2x 0.25
• hand:- 0 Total- 3.2
• COLOUR OF PATCH
• Grading for color of patch

Color of patch Score BT AT

1. Normal skin color 0 0 (normal skin colour in

some body area, lightening
of white patches in some
body area)
2. Reddish (Rakta) 1

3. Cupric (Tamram) 2

4. White (Shweta) 3 3
NUMBER OF BLACK SPOTS IN OBSERVED PATCH
Grading for number of black spots in observed patch
Number of Black Spots in Observed Patch Score BT AT

1 Non- appearance of black spot 0 0

2 Appearance of 1-5 black spot 1

3 Appearance of 6-10 black spot 2

4 Appearance of more than 10 black spot 3 3

SIZE OF PATCHES
Grading for size of patches
S. SIZE Score BT AT
NO.
1 Absent of patch 0 0
2 Less than 5 cm 1 1
3 5 to 15 cm 2 2
4 More than 15 cm 3 3
Intervention
• On assessing the Doshabahulya (excessive vitiation of Dosha) and
Stheermoolatva (extensive spread) of disease, Shodhana was planned
before starting Shamana treatment.
Shodhan karma
1 st Shodhan 2 nd Shodhan 3rd Shodhan 4th Shodhan

Snehapaan ( Panchtikta Snehapaan 23 sept – 29 sept. Snehapaan 19 dec – 25 dec. Snehapaan 6 feb – 12 Feb.
Ghrita) 7 sept – 13 sept. 1st day 30 ml 1st day 20 ml 1st day 30 ml
1st day 20 ml Increase 10 ml everyday Increase 20 ml everyday Increase 20 ml everyday
Increase 10 ml everyday Maximum 90 ml Maximum 140 ml Maximum 150 ml
Maximum 80 ml

Virechan yoga given on 16 Virechan – Abhyadi Modaka Virechan – Abhyadi Modaka Virechana yog given on 15 feb
sept with given on 1/11/ 23 given on 28/11/ 23

No. of Vegas- 16 No. of Vegas- 24 No of Vegas - 18 No of Vegas - 18

Madhyam shuddhi Pravar Shuddhi Madhyam shuddhi Madhyam shuddhi

Sansarjan karma for 5 days Sansarjan karma for 7 days Sansarjan karma for 5 days Sansarjan karma for 5 days
Shamana Chikitsa
16 July. 2023 11 Aug. 2023 18 Sept. 2023 3 Oct. 2023
1. Before meal (compound mixture of) CST 1. Before meal 1. Before meal (compound mixture
Shudhha gandhak – 200 mg (Swarnamakshik and Manjistha Shudhha gandhak – 200 mg of)
Praval pishti – 200mg churna was not given) Praval pishti – 200mg Gandhak rasayan– 200 mg
Arogyvardhini Vati – 200 mg Arogyvardhini Vati – 200 mg Praval pishti – 200mg
Swarnamakshik – 200 mg Bakuchi churna- 2 gm Arogyvardhini Vati – 200 mg
Panch tikta ghrit guggullu – 200 mg Amrita satva 200 mg Bakuchi churna- 2 gm
Bakuchi churna- 2 gm Aavla churna 1 gm Aavla Churna – 1.5 gm
Manjistha churna – 1 gm TDS with madhu TDS with Madhu
TDS with Madhu Mahamanjisthadi kwath 15 ml - BD

2. After meal 2. After meal 2. CST 2. After meal

khadirarishta – 3 tsp Manjistharista - 3 tsp Khadirarishta – 3 tsp - BD
Sarivadyasava – 3 tsp Khadirarishta – 3 tsp
With equal amount of water – BD With equal amount of water BD
3. Before Meal 3. Before meal 3. Before Meal 3. CST
Panchtikta Ghrita – 1.5 tsp with Keshore Guggulu – 2 tab Panchtikta Ghrita – 1.5 tsp with
Leukwarm milk Shashilekha Vati - 2 tab BD Leukwarm milk
Shashilekha vati 2 tab BD Shashilekha vati 2 tab BD

4. Local Application CST CST CST

Leukoskin Lotion – BD
After half an hour, expose the area to the
mild sunlight for 10-20 mins
5. At night CST 5. At Night CST
Panchsakar Churna – 1 tsp Tarunikusumakar churna – 1 tsp
Isabgol churna – ½ tsp with leukwarm
water
9 Nov. 2023 29 Dec. 2023 3 Feb. 2024
1. Before meal 1. Before meal (compound mixture 1. Before meal (compound mixture
CST + Aavla churna of) of)
Gandhak rasayan– 200 mg Gandhak rasayan– 200 mg
Praval pishti – 200mg Praval pishti – 200mg
Arogyvardhini Vati – 200 mg Arogyvardhini Vati – 200 mg
Amrita Satva – 200 mg Bakuchi churna- 2 gm
Bakuchi churna- 2 gm Manjishtha Churna – 1 gm
Aavla Churna – 1.5 gm TDS with Madhu
TDS with Madhu
Mahamanjisthadi kwath 15 ml - BD
2. After meal CST
Khadirarishta 3 tsp- BD CST

3. CST CST 3. Before meal

Shashilekha Vati – 1 tab
Panchtikta Ghrita Guggulu – 1 tab
4. Local application CST CST
Bakuchi Taila + Madhuyashti Churna +
Balsudha

5. CST 5. At night CST

Panchsakar Churna – 1 tsp
Follow up
Date Observations

17 July 2023 White patches on all over body (around eyes, trunk, upper limbs, lower limbs), itching
decreases
11 Aug 2023 White patches become reddish in colour, mild itching present

18 Sept 2023 Granulation starts in white patches and becoming pink reddish in colour, no itching

3 Oct 2023 Pigmentation start in white patches in form of black spots, no itching

29 Dec 2023 Area of white patches decreases. repigmentation spots started to develop over face, scalp,
trunk, upper extremities and thighs, no itching

21 Feb 2023 Clear skin appearance in some area, only specks of white spot remain in some body area,
no itching
Before treatment After treatment
Before treatment After treatment
Before treatment After treatment
Differential Diagnosis
• Post inflammatory hypopigmentation,
• Pie baldism (a rare autosomal dominant disorder in which depigmented
patches surrounded by hyper pigmented areas occur most often on the
forehead, neck, anterior trunk, and mid-extremities),
• Morphea (localized scleroderma, in which skin is usually sclerotic),
• Lichen sclerosis
• Pityriasis alba,
• Chemical leukoderma
Discussion
Shwitra

• Shwitra is mention under Kushta Roga Chikitsa chapter, where white patches
appear on the whole body or a local region.
• Skin covers all over the body as covering, Bhrajaka Pitta is placed in skin which is
responsible for Chhaya and Prabha of skin. An imbalance in those may cause skin
diseases.
• Shwitra differs from other skin disorders by the normal functioning of all but the
skin tissue (twak) resulting in discoloration of the skin (twak vaivarnyata), without
discharge (aparisarav stravi).
• In Shwitra morbidity is located in Medhodhatu. Depending on the colour and
Ashraya in Dhatus 3 types of Shwitra are mentioned i.e., if located in Rakta
(blood) it is red in colour, if in Mamsa (muscle tissue) it is of coppery colour, and if
located in Medas it is white in colour.
 Vitiligo
• Due to similarity in the manifestation of the disease this can be co-related to
Vitiligo. Vitiligo is an acquired condition affecting 1% of the population
worldwide.
• Focal loss of melanocytes results in the development of patches of
hypopigmentation. It is thought to be the result of cell mediated autoimmune
destruction of melanocytes.
• Generalized vitiligo is often symmetrical and involves hands, wrist, feet, knees
and neck, as well as areas around body orifices.
• Segmental vitiligo is restricted to one part of the body but not necessarily a
dermatome. The patches of depigmentation are sharply defined.
 Purva Janma Krit
AHARA (Dadhi Sewan) VIHARA(Diwa-swapan) KRIMI Papkarma

NIDANA SEVANA

AVARANA OF TWAK RAKTA

BHRAJAKA PITTA DUSHTI STHAN SAMSRAYA IN STHAN SAMSHRAYA IN MEDO
VATA DAURBALYA MANSA DHATU DHATU

TIRYAGA SIRAS CHANGES IN COLOR TWAKA- UPDHATU OF SWEDA- MALA OF MEDO

PANDU VERNA
OF SKIN MANSA DHATU

DHATU SHAITHAILYA TWAK RAKTA TWAK RAKTA

DAURBALYA DAURBALYA

PANDU VERNA

SWITRA
Samprapti Ghatak:

Dosha – Kapha Pradhana Tridosha

Dushya - Rasa, Rakta, Mamsa, Meda
Ama - Jatargni Janya Ama
Agni - Dhatwagnimandhya.
Srotas - Rasavaha, Raktavaha, Mamsavaha & Medovaha
Srotodusti Prakara – Sanga, vimarga gamana
Rogamarga - Bahya
Vyakta Sthana - Twacha
Roga swabhava - Chirakari
Sadhyasadhyata – Yapya
Probable mode of action of Virechana
The virechana drug reaches the hridaya, then the dhamani,
and thereafter it reaches to macro and micro channels of
By prabhav and
the body by these properties.
Jala and prithvi
constitution of aushada
Sara guna
vikasi guna causes
softening and Dosha sanghata is
Vyavayi guna causes
loosening of the bond liquified (vishayndana)
quick absorption
by dhatu saithilya by ushna guna
karma
Virechan occurs
The action of tikshna
Due to sukshma guna, it reaches microchannels,
guna is to break the
disintegrates endogenic toxins, which are then
mala and dosha in
excreted through microchannels.
microform
• Bakuchi Churna contain psoralen, isopsorale, bakuchiol, bavchinin & corylin which
have antioxidant properties, stimulates melanocytes for Melanin synthesis and has
immuno-modulatory effect, inhibitory antigen induced granulation .
बाकु ची मधुरा तिक्ता कटुपाका रसायनी ।।
विष्टम्भहृद्धिमा रुच्या सरा श्लेष्मास्त्रपित्तनुत् ।
रूक्षा हृद्या श्वासकु ष्ठमेहज्वरकृ मिप्रणुत् ।।
तत्फलं पित्तलं कु ष्ठकफानिलहरं कटु ।
के श्यं त्वच्यकृ मिश्वासकासशोथामपाण्डु नुत्

• Arogyavardhini Vati is having Raktadhushtihara (blood purifier), Kushtahara (alleviates

skin disease), Sroto Vishodhana (cleansing channels of body) and Pitta Doshahara
(alleviates Pitta) properties. And it improves digestion and metabolic activities.
Swarna makshik:- somya, Swadu, tikta, yog wahi, pitta shamak, raktaprasadak

Praval pishti:
पुष्टिकान्तिबलवीर्यवर्धनं विद्रुमं तु कफवातपित्तजित्
रक्तरोगहरणं क्षतक्षयाक्ष्यामयघ्न मुदितं कषायकम् ॥
(rastantra sar evam siddha prayog Sangraha)

Amrita satva:
गुडू ची कटुका तिक्ता स्वादुपाका रसायनी ।।
संग्राहिणी कषायोष्णा लघ्वी बल्याऽग्निदीपिनी ।
दोषत्रयामतृड्दाहमेहकासांश्च पाण्डु ताम् ।
कामलाकु ष्ठवातास्त्रज्वरक्रिमिवमीन्हरेत् । (Bhav Prakash)
Gandhak Rasayana:-
शुद्धो बलिर्गोपयसा विभाव्य ततश्वतुर्जात गुडू चिकाभिः ।
पथ्याक्ष धात्री औषध भृङ्गराजैर्भाव्यो अष्टवारं पृथक् आर्द्रके ण ।
शुद्धे सितां योजय तुल्यभागां रसायनं गन्धकराजसज्ञम् ।
कर्षोन्मितं सेवितमेति मर्यो वीर्यं च पुष्टिं दृढदेहवह्निम् ।
कण्डूं च कु ष्टं विषदोषमुग्रं मासद्वयेनेह जयेत्प्रयोगः ।
घोरातिसार ग्रहणीपदं च हरेच्च रक्तं हृद्भूलयुक्तम् ।
जीर्णज्वरे मेहगणे प्रकृ ष्टं वातामयानां हरणे समर्थम् ।
प्रजाकरं के शमतीव कृ ष्णं करोति चेद्भक्षति चार्धवर्षम् ।
(Yogratanakar , Rasayana adhikar)
Gandhaka Rasayana the main ingredient of Gandhaka Rasayana i.e.,
Bhavita Gandhaka (Sulphur) has several potential uses for skin. It is
Raktashodhaka, Twachya and Kushtagna.
Panchtikta Ghrita guggulu
निम्बामृतावृषपटोलनिदिग्धिकानां भागान् पृथक् दश पलान् विपचेद्धटेऽपाम्
अष्टांशशेषितरसेन पुनश्च तेन प्रस्थं घृतस्य विपचेत्पिचुभागकल्कैः ॥
पाठाविडङ्गसुरदारुगजोपकु ल्याद्विक्षारनागरनिशामिशिचव्यकु ष्ठैः ।
तेजोवतीमरिचवत्सकदीप्यकाग्निरोहिण्यरुष्करवचाकणमूलयुक्तैः ॥
मञ्जिष्ठयाऽतिविषया विषया यवान्या संशुद्धगुग्गुलुपलैरपि पञ्चसङ्ख्यै:
तत्सेवितं विधमति प्रबलं समीरं सन्ध्यस्थिमज्जगतमप्यथ कु ष्ठमीदृक् ॥
नाडीव्रणार्बुदभगन्दरगण्डमाला जत्रूर्ध्वसर्वगदगुल्मगुदोत्थमेहान् ।
यक्ष्मारुचिश्वसनपीनसकासशोफहृत्पाण्डु रोगमदविद्रधिवातरक्तम् ॥ (AH 21/57-60)
Maha manjishthadi kwath

मञ्जिष्ठामुस्तकु टजगुडू चीकु ष्ठनागरैः भाङ्गींक्षुद्रावचानिम्बनिशाद्वयफलत्रिकैः ।

पटोलकटुकीमूर्वाविडङ्गासनचित्रकैः॥
भृङ्गराजमहादारुपाठाखदिरचन्दनैः त्रिवृद्वरुणकै रातबाकु चीकृ तमालकैः।
शाखोटकमहानिम्बकरञ्जातिविषाजलैः इन्द्रवारुणिकानन्तासारिवापर्पटैः समैः ।
एभिः कृ तं पिबेत्क्वाथं कणागुग्गुलुसंयुतम् अष्टादशस्तु कु ष्ठेषु वातरक्तार्दिते तथा।
उपदंशे श्लीपदे च प्रसुप्तौ पक्षघातके मेदोदोषे नेत्ररोगे मञ्जिष्ठादिः प्रशस्यते। (शार्ङ्गधरसंहित मध्यमखण्ड 2/
137 – 142)
Khadirarishta:-
खदिरस्य तुलार्धं तु देवदारु च तत्समम् ।
बाकु ची द्वादशपला दार्वी स्यात् पलविंशतिः ॥
त्रिफला विंशतिपला ह्यष्टद्रोणेऽम्भसः पचेत् ।
कषाये द्रोणशेषे च पूते शीते विनिक्षिपेत् ॥
तुलाद्वयं माक्षिकस्य तुलैका करा मता ।
धातक्या विंशतिपलं कङ्कोल नागके शरम् ॥
जातिफलं लवङ्गेला त्वक्पत्राणि पृथक् पृथक् ।
पलोन्मितानि कृ ष्णाया दद्यात् पलचतुष्टयम् ॥
घृतभाण्डे विनिक्षिप्य मासादूर्ध्वं पिबेन्नरः ।
महाकु ष्ठानि हृद्रोगं पाण्डु रोगार्बुदे तथा ॥
गुल्मं ग्रन्थि कृ मीन् कासं श्वासं प्लीहोदरं जयेत् ।
एष वै खदिरारिष्टः सर्वकु ष्टनिवारणः ॥ (Sharangdhar Madhya Khand 2/137-142)
Sarivadyasav:
शारिवां मुस्तकं लोध्र न्यग्रोधं पिप्पलं शटीम् ।
अनन्तां पद्मकं बालं पाठो धात्रीं गुहूचिकाम् ॥
उशीरं चन्दनद्वन्द्वं पमानी कटुरोहिणीम् ।
पत्रमेलाद्वयं कु ष्ठं स्वर्णपत्री हरीतकीम् ॥
एषां चतुष्पलान् भागान् सूक्ष्मचूर्णीकृ तान् शुभान् ।
जलद्रोणद्वये क्षिप्त्वा दद्याद् गुडतुलात्रयम् ॥
पलानि दश धातक्या द्राक्षां षष्ठिपलां तथा।
मासं संस्थापयेद् भाण्डे संवृते मृण्मये शुभे ॥
शारिवाद्यासवस्यास्य पानान्मेहाश्च विंशतिः ।
शराविकादयः सर्वाः पिडकास्तत्कृ ताश्च याः ॥
औपदंशिकरोगाश्च वातरक्तं भगन्दरम् ।
सर्व एते शमं यान्ति व्याधयो नात्र संशयः ॥ (भैषज्यरत्नावली, प्रमेह पिडक अधिकार: २२-२७)
Shashilekha vati
• Ingerdients
• Shuddha parada
• Shuddha gandhak
• Shuddha tamra bhasma
• Mardan with Bakuchi kwatha
• All ingredients of Shashilekha Vati are Kaphavatashamaka by virtue of their
Katutikta rasa, Katu vipaka and Ushna virya. All of these contents specifically
act as Kushtaghna by their Prabhava
• Shashilekha Vati with Anupana enters to all Sukshmastrotasas and it acts on
dosha, Dhatu by properties of Sukshma, Tikshna guna and Ushna virya. Thus it
acts as Tvachya, Varnya
• Taruni Kusumakar Churna Main content Sanai:
Sanai Cassia angustifolia Vahl 12gm Rasa (taste on the tongue):
Gulab Pankhudiyaan Rosa centifolia Linn 1gm Kashaya (Astringent), Katu
Sendha Namak Sodii chloridum 1gm (Pungent), Tikta (Bitter)
Kala Namak Unaqua Sodium chloride 1gm Guna (Pharmacological
Safed Jira Cuminum cyminum Linn 1gm Action): Laghu (Light),
Kala Jira Carum carvi Linn 1gm Tikshna (Sharp), Ruksha (Dry)
Yavakshar Potasii carbonas 1gm Virya: Ushna (Heating)
Haritaki Terminalia chebula Retz. 1gm Vipaka (transformed state
Shunthi Zingiber officinale Roscoe 1gm after digestion): Katu
Kali Mirch Piper nigrum Linn 1gm (Pungent)
Pippali Piper longum Linn 1gm Karma: Rechana / laxative
Tankan Sodii biboras 1gm
Ilaichi Elettaria cardamomum each 1gm
Bakuchi Taila :
सोमरजि हरिद्रे वे सर्षपाः कु ष्टमेव च ।
करन्जैडगजाबीजं पत्राण्यारग्वधस्य च ॥
विपचेत्सार्षपं तैलं नाडिदुष्टव्रणपहम् ।
अनेनाशु प्रशाम्यन्ति कु ष्टादशैव तु ॥
नीलिका पिडका व्यन्गौ गम्भिरं वातशोणितम् ।
कण्डु कच्छु प्रशमनं दद्रुपामानिवारणम् ॥ (भै.र.५४/३१२- ३१४)

Indication :Krimiroga, Dushtavrana, Kushta, Kitibha, Dadru, Paama, Gatra

vaiavarnya, Vishirna charma, mamsa drudikara, Pandu, Kandu, Visarpa
Leukoskin Lotion
Hindi Name Botanical Name
Bal jadi (Ratanjot) Arbenia benthami
Bakuchi Psoralea corylifolia
Vatsnabh Ammi majus
Ark Calotropis gigantean
kumari Aloe vera

Chameli Taila Jasminum officinale olie

Til Tail Sesamum indicum olie
Bakuchi ash Psoralea corylifolia ash
Vatsnabh Ash Ammi majus ash
Petroleum jelly/ cream base
The initial time period for sun exposure should be 5 mins and gradually increased by 2 mins. every week upto maximum
20 mins. per day. Mild irritation/itching are a positive sign for erythema/pigmentation. In some hypersensitive patients if
severe irritation persists, dilute the ointment with pure chameli (Jasmine)/Nariyal (Cocount) Oil, reduce/discontinue the
sun exposure
 Conclusion
• The incidence of vitiligo is increasing due to faulty life style, so identifying
and eliminating multifactorial agents associated with the disease based
on Ayurvedic principles is essential. Regaining of pigmentation can be
achieved in most of patients by following Ayurvedic treatment protocol
as mentioned in Shwitra Chikitsa. Shwitra is a disease having high impact
on body and mind due to cosmetic disfigurement. Shodhana along with
Shamana Chikitsa helps to remove the root cause of the disease and
prevents the recurrence of the disease by eliminating aggravated dosha
in the body, through resulting in overall improvement w.r.t. no of lesion,
size of the lesions regaining of normal skin pigmentation.
Acknowledgement

• Dr. Harish Kumar Singhal

Associate Professor & Head
• Dr. Dinesh Kumar Rai
Associate Professor
• Dr. Ashok Kumar Yadav
Assistant Professor