Ayurvedic management of a chronic non-responsive case of Charmakhya Kushta (Lichen Simplex Chronicus): A Case Report
DOI:
https://doi.org/10.70066/jahm.v13i11.2381Keywords:
Charmakhya kushta, Lichen simplex chronicus, Snehapana, Virechana, Shamana, Case reportAbstract
Introduction: In Ayurveda Charmakhya is one among the type of Kshudra Kushta in which there will Twak vaivarnyata like Hasti Charmavat, Khara Sparsha, kandu and Raga are seen. This condition in contemporary science can be compared with Lichen simplex Chronicus based on its signs and symptoms. Charmakhya is mainly caused by vitiation of Tridosha mainly Vata and Kapha dosha along with this there will be vitiation of Rasa, Rakta and Mamsa dhatu. Ayurveda treatment mainly helps in treating the disease from root. Clinical findings: A 33-year-old female visited to Rajashekharaiah Ayurvedic hospital, Bangalore with OPD number 4326 on 16th April 2025, complaints of tvak vaivarnya, specially over bilateral Ankle joint. Accompanied by Kandu (itching), Raga (redness), and Khara Sparsha (rough texture). The symptoms developed gradually and were unresponsive to previous standard treatments. Intervention: Ayurvedic treatment included Deepana-Pachana (strengthening of the stomach), Snehapana (oleation), followed by Abhyanga (body massage), Parisheka (pouring), Virechana (purgation), Matra basti and Shamana Chikitsa (palliative treatment). Outcome: The patient attained Madhyama Shuddhi of Virechana; after Virechana and Shamana chikitsa noticeable improvement in symptoms and a decrease in disease severity. Itching decreased from severe to mild, lichenification markedly reduced, erythema, scaling and pigmentation showed gradual improvement’s, this indicates effective twacha gata dosha and kapha-vata dosha prashamana. Conclusion: Following 26 days of Shodhana and 60 days of Shamana chikitsa, the patient with chronic, non-responsive Charmakhya (Lichen Simplex Chronicus) shown a marked improvement. When Virechana, Matra Basti and Shamanoushadi were used together, the underlying dosha imbalance was successfully corrected without any side effects. These findings imply that Ayurvedic treatments could aid in the creation of more successful treatment plans for these kinds of long-term skin conditions.
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