World Journal of
Pharmaceutical and Life Sciences

AYURVEDIC MANAGEMENT OF KACHHU WSR TO LICHEN AMYLOIDOSIS – A CASE STUDY

Dr. Kiran Kumar P. V.*, Dr. Vijayamahantesh Hugar, Dr. Varsha Kulkarnui and Dr. Bharati B Hiremath

ABSTRACT

Background: Lichen Amyloidosis (LA) is a rare primary cutaneous amyloidosis characterized by chronic idiopathic pruritus.[1] This condition arises from amyloid protein produced by skin cells, which deposits exclusively in the skin.[2] Its chronic nature and high recurrence rate often render contemporary treatment protocols unsatisfactory. The manifestations of LA are comparable to the signs and symptoms of Kachhu, a variant of Kshudra Kusta, distinguished by Sleshma and Pitta Pradhanyata. This condition has significant socio-medical implications and negatively impacts the psychological well-being of patients due to its persistent and relapsing nature. Objectives: The primary objective of this study is to effectively treat this unique condition using Lepa Chikitsa. Materials and Methods: A 48-year-old male patient presented at the Panchakarma OPD of Government Ayurveda Medical College and Hospital, Mysuru, with complaints of Blackish erupted lesions on Right lower limb, associated with severe itching and occasional burning sensations for the past 25 years. After assessing the signs, symptoms, and chronicity, the patient was diagnosed with Lichen Amyloidosis classified as Kachhu and was treated accordingly. The treatment lasted for 15 days and included the external application of Simhasya Lepa, along with the internal administration of Arogyavardhini Rasa, Kaishora Guggulu, and Tab Gandhaka Rasayana. Results and Conclusion: Post-treatment, there was significant relief in the subjective parameters of itching, along with regression of the condition. Ayurveda demonstrates considerable potential for treating such skin disorders through Shodana, Shamana, and Bahairparimarjana chikitsa.

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