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ORIGINAL ARTICLE
Year : 2020  |  Volume : 8  |  Issue : 3  |  Page : 185-192

Clinical evaluation of the effectiveness of Switra Nashak Churna and Lepa in the management of Switra (vitiligo): A pilot study


1 Ayurveda Hospital, North Eastern Institute of Ayurveda and Homoeopathy, Shillong, Meghalaya, India
2 Department of Panchakarma, North Eastern Institute of Ayurveda and Homoeopathy, Shillong, Meghalaya, India
3 Department of Samhita and Siddhanata, Govt. Ayurvedic College, Guwahati, Assam, India

Correspondence Address:
Dr. Abhishek Bhattacharjee
Department of Panchakarma, North Eastern Institute of Ayurveda and Homoeopathy, Shillong, Meghalaya.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JISM.JISM_81_20

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Background: All the skin diseases in Ayurveda have been described under the heading of Kushtha. Pigmentation disorder Switra is also considered under Kushtha, as it fulfills the general criteria of Kustha, by causing cosmetic problems. The description of Switra found in Ayurveda texts is very much similar to that of vitiligo mentioned in modern contemporary medicine. According to modern medical science, vitiligo is the most common pigmentation disorder that is characterized by a progressive loss of melanocytes from the epidermis; it manifests as white macules and/ or patches on the skin and/ or mucosa with or without whitening of hair. Though many treatment modalities are available in the modern contemporary system of medicine, most of those treatment modalities are expensive, having serious adverse effects; apart from this, many a time, the output of the treatment is not satisfactory. In Ayurveda, many formulations for internal as well as external use have been mentioned for this condition. So to achieve an effective, safe, and affordable treatment, this study was planned with the drugs that are considered the best in the treatment of Switra. Objective: The objective of the study was to evaluate the effectiveness of Switra Nashak Churna and Lepa in the management of Switra (vitiligo). Materials and Methods: In this clinical study, 25 patients suffering from Switra were given Switra Nashak Churna (Bakuchi beeja and Khadir sara) with Haridra swaras anupana and Switra Nashak Lepa (Bakuchi beeja, Mulaka beeja, and Gomutra) as external application followed by a sun exposer. Out of the 25 patients, 20 completed the treatment for 60 days. Assessment was done before starting the treatment and on the 60th day based on the size and number of depigmented skin lesions. Result: Statistically significant improvement was observed in the patients in terms of the size and number of the skin lesions. Conclusion: It can be concluded that Switra Nashak Churna and Switra Nashak Lepa have been found to be effective in the management of vitiligo. After the assessment on the 60th day, the improvement was found to be significant.


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