A clinical study on the role of gandhaka malahar in the management of (charakokta and sushrutokta) type 1 sidhma and type 2 sidhma kushta

Skin diseases are common manifestation in present era and more so frequent in the elder age. The patients of skin disease are additionally prone to experience physical, emotional and socio-economic embarrassment in the society due to disfigured appearance. Normally 10- 15% of the general practitioners encounter with skin disorders in their day to day practice. Kustha a type of skin disorder mentioned in Ayurveda is a Tridoshaja Vyadhi, where Twaka, Rakta, Mamsa and Ambu are the main Dushyas. Dadru (Fungal skin infection), one of the most common but miserable variety of Kushtha affects the population of all the age groups and stands as a challenge to different medical systems inspite of many advances. According to Charaka Sidhma, is a Kapha Vata Pradhan Vyadhi and According to Sushruta Sidhma is Kapha Pradhan vyadhi, management of which includes Shodhana, Shamana and Bahirparimarjana Chikitsa among them Shamana measure in the form of Lepa has shown appreciable result in many prior research studies. Present study was conducted on 12 diagnosed patients of Type 1 Sidhma and 11 Patients of Type 2 Sidhma in whom Gandhak Malahar was applied. The ingredients of which are the drugs possessing Shodhana and Kushtahara property. The results revealed significant effect of Lepa in various subjective parameters like Kandu Svetavarna, No. of Lesion, Tanu, Rajoghristam, Tamra, Alabu pushpavata after treatment. The effect of the drug also continued during follow up period of 15 days which suggested the sustained effect of the combination