HOLISTIC AYURVEDIC TREATMENT OF VIPADIKA: RESOLVING VATA-KAPHA INDUCED PALMOPLANTAR FISSURES – A CASE REPORT

Abstract

Vipadika, classified under Kshudra Kushtha in Ayurveda, is primarily caused by vitiation of Vata and Kapha Dosha, and is characterized by painful fissures, dryness, itching, and occasional bleeding on the palms and soles. In this clinical case, a 52-year-old female who was suffering from chronic fissures in both palm & sole with severe pain for six months was treated through a classical Ayurvedic approach. The treatment included internal medications such as Gandhak Rasayan, Rasmanikya, Aarogyavardhini Vati, Kaishor Guggulu, Khadirarishta, and Dashmool Kwath, along with external applications of Gandhak Malhar and Jatyadi Taila. These formulations targeted Dosha Shamana, Rakta and Rasa Dhatu Shuddhi, including Vrana Shodhana-Ropana. The protocol provided significant relief in symptoms such as fissuring, pain, itching, and bleeding within a short span. The multi-layered approach of Ayurvedic therapy addressed the root cause by correcting Agni, eliminating Ama, and nourishing Twacha through Rasayana chikitsa. This case demonstrates that Vipadika, though chronic and resistant to modern treatments, can be effectively managed with Ayurvedic principles focused on Dosha and Dhatu involvement. The results underline Ayurveda’s potential as a safe, holistic, and sustainable treatment approach for chronic skin disorders.