A CASE STUDY ON AYURVEDIC MANAGEMENT OF DADRU W.S. R TO TINEA CRURIS

 

Dr. Dnyaneshwar Kantaram Jadhav ¹

 

¹ M.D Kaychikitsa (Ayu). Assistance Professor, Kaychikitsa Department, Shri Dhanwantri Ayurvedic Medical College and Research Centre, India  

 

1. INTRODUCTION

Tinea cruris is fungal infection of the groin region. Eczema marginatum, crotch itch, dhobi itch, gym itch, jock itch are other names of this disease. It is also called as dermatophytosis. Tinea cruris is found in all age and sex. It is observed that males are infected more than females. Ring like rash is clearly identification of this disease. Its patch is typically red or brown ring like structure, with irritation and. Its size can be small, medium, or large too. Andhare (2019)

In Ayurved it can correlated with dadru. There is no separate description of Nidana Panchak of Dadru. The Samanya Nidana, Poorvarupa mentioned for Kusta can be apply for dadru.

Table 1

Table 1 Showing Comparative Symptoms of Tinia Cruris and Dadru.  Andhare (2019)
S. No	Symptoms of Tinea Curis	Symptoms of Dadru Kushta
1	Erythema	Raga
2	Itching	Kandu
3	Granular surface	Pidka
4	Circular elevation of skin	Utsanna mandal

 

 A case report as follow

 A 31-year-old male patient came to us with chief compliant of (3)–

1)     Elevated ring like patch around buttock region.

2)     Severe itching +++

3)     Discoloration/Redness ++

4)     Burning sensation +++

Patient had above complaints for 8 months.

No H/o / HTN, Asthma

 

1.1. HISTORY OF PERSONAL ILLNESS

31 years old male suffering from Elevated ring like patch around buttock region, Severe itching, Discoloration/Redness, Burning sensation since last 8 months. He took Modern medicine (Tab.Allegra 120 mg, Tab.levocet 4mg, Tab. fluconazole 150 mg, fourderm cream) but no relief from that. With all this Modern medicine he just got relief from itching, that also reoccur again during night-time. Discoloration/Redness increased gradually, then he decides to take Ayurved treatment. For Ayurvedic treatment he came to our clinic – Nakshtra Ayurved Panchkarma Clinic & Research Center, Mumbai.

 

1.2. PERSONAL HISTORY

Occupation: Engineer.

 

1.3. ASHTAVIDHA PARIKSHANA

Nadi (pulse) = 74 /min. (kapha-vata)

Mala (stool) = Malavshtmbha.

Mutra (urine) = Normal.

Jeeva (tounge) = saam.

Agni = Kshudhamandya.

Shabda (speech) = Normal.

Sparsha (skin) = Twak rukshata.

Druka (eyes) = Normal.

Akruti = Madhyama.

Bala = Uttam.

Raktadaaba (B.P) = 130/80 mm/Hg.

 

 

 

2. MATERIAL AND METHOD

2.1. MATERIAL

 

Table 2

Table 2 Showing Material Used for Study
S. No	Dravya	Dose	Duration	Anupana
1	Gandhak Rasayan vati	250 mg	Twice a day	Lukewarm water
2	Arogyavardhini vati	500 mg	Twice a day	Lukewarm water
3	Pachak vati	250 mg	Twice a day	Lukewarm water
4	Gandahrva haritaki vati	500 mg	H. S	Lukewarm water
5	Mahamanjishtadhi Kashaya	20 ml	Twice a day	Lukewarm water
6	Panchawalkal oilment	For local application: Twice a day
7	Avagahana (Triphala + Khadir + Nimba)	At morning

 

2.2. METHOD

Centre of study: Nakshtra Ayurved panch karma clinic & research center, Mumbai.

Type of study: Simple random single case study.

 

3. DISCUSSION AND RESULT

3.1. RESULT

Clinical examination of the patients revealed regression of all symptoms within 7 days.

 

 

 

3.2. DISCUSSION

Hetu of Dadru (Tinea cruris)

1)     Ahar

·        Improper and irregular diet.

·        Chiken, Matsya sevan (daily)

·        Dadhi (on each alternate day)

·        Biscuit (daily with tea – daily)

·        All types of fast-food

2)     Vihar

·        Prolong seating

·        Ratri jagran.

·        Bath (twice a week)

3)     Manasika nidan- vegavrodha causes vata vrudhi.

 

SANPRAPTI GHATAK

Dosh:  tridoshaj (kapha-pitta pradhana)

Dushya: Twak, Rakta, Lasika (Ambu), Sweda

Srotus: Rasa, Rakta.

Adhishthana: twacha

Rogamarga: bahya

 

SAMPRAPTI PURIPANDA AND RAJU (2016)

 

 

4. ACTION OF DRUG AND OTHER PROCEDURE

 

Table 3

Table 3 Showing Action of Drug and Other Procedure Done in Study
S. No	Dravya	Action
1	Gandhak Rasayan vati Bhawan (2012)	Raktashodhak, Kandughana, rasayana
2	Arogyavardhini vati Gune (2005)	Dhatwagnivardhana, malashodhaka, Pakwashyadushti nashka.
3	Pachak vati  Anupama (2014)	Amadosa nasaka & Agni vardhaka
4	Gandahrva haritaki vati Anupama (2014)	Anulomna, vatashulnashak
5	Mahamanjishtadhi Kashaya Ministry of Health and Family Welfare (2010)	Varnya, Kushtaghana, raktaprasadnam, sonitstapana, rasayana
6	Avagahana (Triphala + Khadir + Nimba) Tripathi (2011)	Kandughna, Tridoshghna, Vranya, Raktashodhaka

 

Nidana parivarjana

Acharya sushruta also give importance to nidanparivarjanam. We advise patient to take bath daily, dry the body with towel, avoid prolong seating, if need prolong seating than take break of 2 min and stand till buttock part get dry, wash all cloths in Dettol mixed warm water.

 

5. CONCLUSION

Dadru like Skin disease difficult to cure by modern medicines. All steroid like medicine supresses the disease which later create worst state of disease. From the above case, it may be stated that Dadru can be completely cured by Ayurvedic treatment.

 

REFERENCES

Andhare, R. (2019). Management of Dadru Kushtha According To Ayurved : A Case Study, Iamj, 7(8), 14-27.

Anupama (2014).  Gandharva Haritaki Churna Benefits, Ingredients, Dosage.

Bhawan, K.G.A. (2012).  Rasatantrasara Va Sidhaprayog Sangraha, Pratham Khanda, Kharaliya Rasayan –Page No. 225, 226.  

Gune, G. P. (2005). Aushadhi Gundharma Shatra, Reprint, 208.  

Ministry of Health and Family Welfare (2010).  The Ayurvedic Pharmacopoeia Of India-Part-1, 113.  

Puripanda, S. K. raju, M.B. Mallika, K.J. Tripathy, T.B. (2016).  Understanding The Concept Of Sankramika Dadru Kusta- A Case Study : IJAPR | 4(8).81.

Sharangdhar (n.d.). Sharangdhar Pachak Vati 120 Tab, Packaging Size : 120Tabs, 2 Tabs Twice A Day After Meal.

Tripathi, B. (2011). Charak Samhita Of Maharshi Charak, Chukhambha Prakashan, Varanasi, Chikitsastan, Chapter 7, 252.

Tripathi, B. (2011). Charak Samhita, Maharshi Charak. Chikitsa-Stan;Kushta Chikitsa Adhya: Chapter 7. Verse No.99. Varanasi : Chukhambha Prakashan, 320.

Https://En.M.Wikipedia.Org/Wiki/Tinea_Cruris. (26 May 2020 : 12.20 Pm)