Effect of Ayurveda Drugs on Hyperkeratotic palmar dermatitis (Vatika kustha): A case Report

Abstract

Hyperkeratotic palmar dermatitis (HPD) is a chronic, inflammatory skin condition primarily affecting the palms, characterized by thickened, scaly and fissured skin. It is often resistant to standard therapies and can significantly impair hand function and quality of life. In Ayurveda, it doesn’t have a one-to-one correlation with single name disease, but it can be conceptually correlated with Vatika kustha. It is associated with both endogenous and exogenous factors such as atopic diathesis, genetic predisposition, irritants, allergens, occupational and immunological factors. The dosha involves, is Vata causing dryness, scaling, thickening and cracking of the skin. Here is a case report of 62 year old male with complains of bleeding, itching, pain and blackish discoloration from past 3 months. Harida khandaa, Arogywardhani vati, Khadirarista and local application of Jatyadi taila, these were given to the patient as their treatment plan. Their treatment program also includes cleaning of the affected area, using lukewarm water, moisturization and education about palm care. The case was treated successfully within 21 days with the given medication. This will surely inspire to study the drugs at larger scale.