A Case Report On Ayurvedic Management Of Dadru

Skin (Tvak) is an essential organ serving as a protective barrier and thereby reflecting the internal health. Disturbance in Tridosha with involvement of Rakta, Mamsa, and Lasika leads to Kushta disorders¹. Dadru is a Kshudra Kushta, resulting from predominant Kapha–Pitta vitiation and is characterized by circular reddish lesions and itching². Factors such as improper diet, sweating, and poor hygiene can worsen the condition.³ Ayurvedic management emphasizing Nidana Parivarjana, Shodhana, Shamana oushadhi, and external applications aims at restoring doshic balance.

CASE REPORT

A 67-year-old female reported to the Vishachikitsa OPD at SDM College of Ayurveda & Hospital, Hassan, presenting with multiple circular reddish lesions along with severe itching and burning sensation in the axillae, groins, inner thighs, waist and buttocks, persisting for the last six months. The patient does not have any history of chronic illness.

General Examination

• Temperature: 97 F
• Pulse rate: 86 bpm
• Blood pressure: 130/90 mmHg
• Respiratory System: Chest clear
• Circulatory System: S1, S2 heard, no murmurs
• Central Nervous System: Conscious and oriented
• P/A: soft and non tender

Local Examination

• Site: B/L axillae, groins, inner thighs, waist and buttocks
• Shape: Circular
• Colour: Reddish
• Number: multiple
• Type of lesion: erythematous patches, with raised borders

Ashta sthana pareeksha

• Nadi: Kapha pitta
• Mala: Regular bowel
• Mutra: occasionally associated with burning sensation
• Jihva: Alipta
• Shabda: Spashta
• Sparsha: Anushna sheeta
• Drik: Prakruta
• Akruti: Madhyama

Dashavidha pareeksha

• Prakruti: Vata kapha
• Vikruti: Dosha - Kapha pitta; Dushya - Rasa, rakta, mamsa, ambu, lasika
• Sara: Madhyama
• Samhanana: Madhyama
• Satva: Madhyama
• Satmya: Katu, Amla pradhana ahara
• Ahara shakti: Madhyama
• Vyayama shakti: Madhyama
• Vaya: Madhyama
• Bala: Madhyama

Figures 1 to 4: Showing clinical presentation on day 1 of admission

MANAGEMENT

SL.NO	SHAMANA OUSHADHI	DOSE	TIME
1.	Krimikutara rasa	1-1-1	After food
2.	Gandhaka rasayana DS	1-0-1	After food
3.	Arogyavardhini vati	2-0-2	Before food
4.	Sootasekara rasa	2-2-2	Before food
5.	Nimbadi kashaya	15ml-0-15ml	Before food
6.	Tulasi bathing powder	once	for external application & wash
7.	Pinda taila	once	for external application at night
8.	Gandha karpura	once	for external application at morning

Table 1: Showing Shamana Oushadhi (for 7 days)

SL.NO	PROCEDURES	DAYS
1.	Sarvanga Utsadana with Daruharidra+Kushta+Lodhra choorna+Pinda taila	11 days
2.	Sarvanga Parisheka with Dashamoola kwatha	11 days
3.	Sadyovirechana with Avipattikara choorna 15grams with honey at 11am on 04/09/2025 (2 Vegas)	1 day
4.	Sadyovirechana with Nimbamruthadi eranda taila 50ml at 5.30am on 05/09/2025 (5 Vegas)	1 day
5.	Anuvasana Basti with Nimbamruthadi eranda taila 50ml	3 days
6.	Anuvasana Basti with Balaguduchyadi taila 60ml	3 days
7.	Niruha Basti - Manjishtadi niruha basti Madhu - 50ml Saindhava - 5g Sneha - Balaguduchyadi taila 50ml Kalka - Daruharidra choorna, Lodhra choorna, Manjishta choorna, Kushta choorna (5g each), Arogyavardhini vati (2 tabs) Kwatha - Manjishtadi kashaya 100ml	4 days
8.	Virechana with Trivrut lehya 100grams with Triphala kashaya 100ml with honey on 12/09/2025 (9 vegas)	1 day

Table 2: Showing treatment procedures

Figures 5 to 8: On the day of discharge - redness and itching reduced

SL.NO	SHAMANA OUSHADHI	DOSE	TIME
1.	Gandhaka rasayana DS	1-0-1	After food
2.	Arogyavardhini vati	1-1-1	Before food
3.	Patolakaturohinyadi kashaya	15ml-0-15ml	Before food
5.	Aragwadhadi kwatha	once	for external wash
6.	Pinda taila	once	for external application at night
7.	D sora lotion	once	for external application at morning

Table 3: Discharge medications

Figures 9 to 12: Follow up after 15 days - lesions subsided, patient free of symptoms

OBSERVATION & RESULTS

DAY	KANDU	RAGA	DAHA
1st	++++	++++	+++
14th	++	++	+
30th	+	-	-

Table 4: Observation and symptoms

DISCUSSION

Dadru involves Kapha–Pitta vitiation affecting Tvak, Rakta, Mamsa, Ambu and Lasika⁴. The patient presented with chronic circular reddish lesions, severe itching, and burning sensation, indicating deeper dosha dushti². Krimikutara rasa was prescribed in the intention of eliminating Krimi from the body. Shamana oushadhi such as Gandhaka rasayana, Arogyavardhini vati, Sootasekara rasa, and Nimbadi Kashaya are indicated for Kushta, Pitta–Kapha disorders, and skin purification³â»âµ,⁸⁻⁹. External medicaments like Pinda taila, Gandha karpura, and Tulasi bathing powder are documented for reducing inflammation and itching⁹⁻¹â°. Pinda taila has specific indications for vata pittaja vikaras, as mentioned in Vatarakta adhikara. As the present case shows predominant vitiation of Pitta dosha, Pinda taila was advised.

Shodhana was planned in accordance with classical guidelines²â»â´. Utsadana helps in kapha vilayana and Parisheka prepare the body for purification, by eliminating the toxins via sweat. Sadyovirechana was administered for elimination of Krimi from the body and also for immediate and quick relief of symptoms. Anuvasana, and Niruha basti were prescribed, and curated in such a way targetting Kapha and Pitta doshas¹¹â»¹²; and also to relieve the symptoms present in adho-shareera. Virechana was again administered to ensure complete shuddhi and thereby providing systemic cleansing and enhanced therapeutic outcome.

Marked symptomatic improvement reflects successful Samprapti vighatana and validates Ayurvedic principles in managing chronic Dadru.

CONCLUSION

This case demonstrates the effectiveness of combined Shodhana and Shamana therapy along with Krimighna chikitsa in treating Dadru. Internal medications, external applications, and purificatory therapies addressed both symptoms and underlying doshic imbalance³â»â¶. Significant relief in itching, burning, redness, and lesion size confirms Ayurveda’s role as an effective modality for managing Kshudra Kushta like Dadru.

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