Article: THERAPEUTIC EFFICACY OF PRACCHANA KARMA IN THE AYURVEDIC MANAGEMENT OF SHWITRA (VITILIGO): A CASE REPORT

Article Category: Case Reports

DOI: 10.7897/2277-4343.166202

Pages: 5-8

Author: Ankita Arya, Abhinav *, Hemlata Mishra, Pankaj Sharma

Abstract: Introduction: Shwitra (Vitiligo) is a chronic depigmenting disorder characterised by selective melanocyte destruction resulting in hypopigmented skin patches. Conventional biomedical treatments often demonstrate limited efficacy and unwanted side effects. In Ayurveda, Shwitra is attributed to the vitiation of Tridoshas and Rakta Dhatu, managed through biopurification and pacification therapies. Pracchana Karma, a therapeutic bloodletting procedure, is postulated to purify vitiated Rakta and stimulate local pigmentation, supported by classical texts and emerging clinical evidence. Clinical Findings and Intervention: An 18-year-old female patient with a six-month history of hypopigmented macules underwent Pracchana Karma every 15 days, involving superficial scarifications and application of hemostatic Arjuna Churna. Alongside, systemic Ayurvedic medicines including Aarogyavardhini Vati, Gandhak Rasayana, Kaishora Guggulu, Yashada Bhasma, Bakuchi Churna, and Kamdudha Rasa were administered orally for six months. Topical Bakuchi taila was applied daily with controlled sunlight exposure to facilitate melanogenesis. Results: Progressive re-pigmentation was observed, with a gradual reduction in patch size and increased pigmentation noted at monthly follow-ups. Clinical examination confirmed the restoration of normal skin colour with no adverse effects. The combined therapy facilitated immune modulation, toxin clearance, enhanced melanocyte activity, and tissue repair, achieving sustained remission and improved quality of life. Conclusion: Pracchana Karma effectively removes vitiated blood, stimulates local reparative processes, and supports melanocyte proliferation. Adjunct medicines contribute by balancing Doshas, purifying blood, and promoting skin regeneration. This integrative Ayurvedic approach offers a safe, scientifically substantiated alternative for managing Shwitra.

Keyword: Aarogyavardhini Vati, Gandhak Rasayan, Pracchana Karma, Shwitra, Vitiligo