Ayurvedic and Panchakarma for managing darunaka: a case study.
Journal name: Ayushdhara
Original article title: A unique combination of ayurvedic medicines and panchakarma in management of darunaka: a single case study
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Pranjal Sanjay Jain
MD Scholar, Department of Kayachikitsa, S.G.R. Ayurveda College, Solapur, Maharashtra.
Amey Chandrakant Nakil
MD Scholar, Department of Kayachikitsa, S.G.R. Ayurveda College, Solapur, Maharashtra.
Vivek Shrirampant Chandurkar
Professor and HOD, Department of Kayachikitsa, S.G.R. Ayurveda College, Solapur, Maharashtra.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: A unique combination of ayurvedic medicines and panchakarma in management of darunaka: a single case study
Year: 2021 | Doi: 10.47070/ayushdhara.v8i2.724
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Darunaka, commonly known as dandruff, is a prevalent and often embarrassing condition primarily affecting the scalp. It is characterized by itching, dryness, cracking of the skin, and hair loss. This condition arises from a combination of factors, including poor hygiene, pollution, and lifestyle changes, leading to the vitiation of Vata and Kapha doshas in Ayurvedic terminology. The current case study elucidates the effective management of Darunaka through a unique combination of Ayurvedic medicines and Panchakarma therapies in a 30-year-old male patient suffering from the condition for three years.
Ayurvedic Medicines for Darunaka Management
The treatment regimen for Darunaka involved a selection of specific Ayurvedic herbs and formulations. Key medications used included Ativisha, Musta, Shunthi, and Haritaki, administered in doses of 500 mg twice a day, along with other formulations like Virechan churna and Mahamanjishtadi Kwatha. This combination aimed to address both the symptoms and the underlying causes by enhancing digestion and purifying the blood. Mahamanjishtadi Kwatha specifically assists in balancing aggravated Pitta, Vata, and Kapha doshas, while Aarogyavardhini, which acts as a blood purifier and promotes proper blood circulation, was also included to tackle skin diseases effectively.
Panchakarma Procedures in Treatment
In addition to Ayurvedic medicines, a series of Panchakarma procedures were carried out to amplify the treatment's effectiveness. Notably, Takradhara and Darunak Lepa were administered. Takradhara involves the application of medicated buttermilk, renowned for its nourishing properties for the scalp, while Darunak Lepa serves as a topical treatment to alleviate symptoms associated with Darunaka. The patient underwent these procedures over 19 days, complemented by external applications of Eladitail, which is beneficial for vitiated Vata and Kapha conditions. The combination of these therapies provided significant symptomatic relief, leading to improvements in itching, skin cracking, hair loss, and scalp dryness.
Conclusion
The case study concludes that the integration of Ayurvedic medicines and Panchakarma therapies proves to be a safe and effective approach for managing Darunaka. The therapies not only alleviated the visible symptoms but also addressed the root causes of the condition, showcasing the holistic nature of Ayurveda in treating chronic and cosmetic-related diseases. Overall, the treatment significantly improved the patient's quality of life and demonstrated the potential of Ayurvedic methodologies in contemporary healthcare settings.
FAQ section (important questions/answers):
What is Darunaka and how is it related to dandruff?
Darunaka, known as dandruff, is an irritative condition primarily affecting the scalp. Ayurvedically, it is correlated with Seborrhoeic dermatitis, characterized by symptoms such as itching, dryness, and hair loss, often caused by the vitiation of Vata and Kapha doshas.
What Ayurvedic treatments were used for Darunaka management in the study?
The study used a combination of Ayurvedic medicines such as Mahamanjishtadi Kwatha and Aarogyavardhini, along with Panchakarma treatments like Takradhara, Darunak Lepa, and Raktamokshan. These treatments aimed to reduce symptoms and improve scalp condition effectively.
How effective were the treatments for the patient with Darunaka?
After 19 days of treatment, significant relief in symptoms was observed. Itching (Kandu) decreased from severe to absent, cracking of skin (Twaksphuthan) showed improvement, and hair falling (Keshachutti) was significantly reduced, demonstrating the effectiveness of the chosen therapies.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Ayurvedic and Panchakarma for managing darunaka: a case study.�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Disease:
In Ayurveda, a health condition like Darunaka (Dandruff) is considered a dermatological disease affecting the scalp, causing symptoms such as itching, dryness, and flaking of the skin, often leading to social and cosmetic concerns.
2) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine that aims to treat and prevent illnesses through a holistic approach, including herbal medicines and practices like Panchakarma, as seen in the treatment of Darunaka in this study.
3) Hair:
Hair is primarily affected in Darunaka, with symptoms including hair fall (Keshachyuti), dryness, and flaking, leading to potential cosmetic concerns.
4) Kandu (Kamdu):
Kandu refers to itching, which is a primary symptom of Darunaka and was significantly reduced after the Ayurvedic treatment and Panchakarma therapies in the case study.
5) Lepa:
Lepa refers to a topical Ayurvedic application or paste used for treatment. In this study, Darunak Lepa was applied to treat symptoms like dryness and itching in Darunaka.
6) Rukshata (Ruksata):
Rukshata, or dryness, is a cardinal symptom of Darunaka affecting the scalp and was reduced effectively after the Ayurvedic treatment combined with Panchakarma therapies.
7) Vata:
Vata is one of the three doshas in Ayurveda. Imbalance in Vata, along with Kapha, is considered a cause of Darunaka, resulting in symptoms like dryness and cracking of the skin.
8) Medicine:
Ayurvedic medicine aims to address the root cause of diseases like Darunaka. A combination of specific herbs and compounds, such as those mentioned in the study, helps balance doshas and treat symptoms.
9) Blood:
Blood purification is a significant aspect of managing skin conditions in Ayurveda. Procedures like Raktamokshan (bloodletting) are used to cleanse the blood of impurities and alleviate symptoms.
10) Samhita:
[see source text or glossary: Samhita]
11) Varanasi (Varanashi):
[see source text or glossary: Varanasi]
12) Dosha (Dosa):
A dosha is a fundamental bodily humor in Ayurveda. Darunaka is primarily caused by the vitiation of Vata and Kapha doshas and sometimes associated with Pitta and Rakta as well.
13) Kapha:
Kapha is one of the three doshas in Ayurveda. An imbalance in Kapha is one of the primary causes of Darunaka, contributing to symptoms like itching and flaking of the skin.
14) Hindi (Himdi):
[see source text or glossary: Hindi]
15) Kaphadosha (Kaphadosa, Kapha-dosha):
[see source text or glossary: Kapha-dosha]
16) Dhara:
Dhara refers to the process of pouring herbal liquids in a steady stream for therapeutic purposes. Takradhara, a type of Dhara, was used in this study to treat Darunaka symptoms.
17) Takra:
Takra, or buttermilk, is used in Takradhara therapy for its cooling and nourishing properties, beneficial in treating scalp conditions such as Darunaka.
18) Drug:
[see source text or glossary: Drug]
19) Rajasthan:
[see source text or glossary: Rajasthan]
20) Vitiation (Vitiated):
Vitiation refers to the imbalance or aggravation of doshas. In the context of Darunaka, the vitiation of Vata and Kapha doshas leads to symptoms like dryness, itching, and flaking of the skin.
21) Samgraha (Sangraha):
[see source text or glossary: Sangraha]
22) Kushtha (Kustha):
Kushtha in Ayurveda generally refers to skin diseases. Arogya vardhinivati, used in this study, is known to treat various skin conditions categorized under Kushtha.
23) Samita (Shamita):
[see source text or glossary: Samita]
24) Tattva:
[see source text or glossary: Tattva]
25) Nature:
[see source text or glossary: Nature]
26) Rakta:
Rakta means blood in Ayurveda. Darunaka's treatment involves blood purification to address symptoms caused by impurities in the Rakta Dhatu.
27) Yoga:
[see source text or glossary: Yoga]
28) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra is the location of S.G.R. Ayurveda College, Solapur, where the study on managing Darunaka using Ayurvedic techniques was conducted.
29) Siravedha (Sira-vedha):
Siravedha, a form of Raktamokshan (bloodletting), involves releasing impure blood to treat disorders. It was used in the treatment regimen for Darunaka in the forehead (Lalata) region.
30) Pradeha:
[see source text or glossary: Pradeha]
31) Marathi:
[see source text or glossary: Marathi]
32) Suvarna:
[see source text or glossary: Suvarna]
33) Solapur:
Solapur, a city in Maharashtra, is the location of S.G.R. Ayurveda College where the Darunaka case study was conducted.
34) Dravya:
Dravya in Ayurveda refers to substances or herbs used for treatment. The study lists specific Dravya used in treating Darunaka, including Ativisha, Musta, and Shunthi.
35) Lalata:
[see source text or glossary: Lalata]
36) Pitta:
Pitta is one of the three doshas. Although Darunaka is mainly due to Vata and Kapha imbalance, Pitta's involvement affects the severity and manifestations of symptoms like itching and inflammation.
37) Musta (Mushta):
[see source text or glossary: Musta]
38) Taila (Thaila):
Taila refers to oils used in massages or as therapeutic agents in Ayurveda. Eladi Taila was used in this study for external application to treat Darunaka.
39) Sira (Shira):
[see source text or glossary: Shira]
40) Ushna (Usna):
[see source text or glossary: Ushna]
41) Madha:
[see source text or glossary: Madha]
42) Amla:
[see source text or glossary: Amla]
43) Pune:
Pune is mentioned as the location for Rajesh Prakashan, a publisher of Ayurvedic texts cited in the study.
44) Purification:
Purification of the blood is crucial in Ayurvedic treatment of skin conditions. The therapies aim to cleanse the Rakta Dhatu to alleviate symptoms of Darunaka.
45) Kushthaghna (Kusthaghna):
Kushthaghna denotes substances that combat skin diseases (Kushtha), and it is one of the properties attributed to medicines used in treating Darunaka.
46) Raktadhatu (Rakta-dhatu):
Rakta-dhatu signifies the blood tissue in Ayurvedic physiology. Purification of Rakta-dhatu is essential for treating skin afflictions like Darunaka.
47) Pittadosha (Pittadosa, Pitta-dosha):
Pitta-dosha, while not primarily involved, can influence the severity of Darunaka symptoms through its impact on heat and inflammation in the body.
48) Pratishthana (Pratisthana, Pratishthan):
[see source text or glossary: Pratishthan]
49) Kshudraroga (Kshudra-roga, Ksudraroga):
Ksudraroga in Ayurveda refers to minor diseases. Darunaka is categorized as Ksudraroga by Acharya Sushruta, indicating it as minor yet cosmetically significant.
50) Shirodhara (Sirodhara, Shiras-dhara):
Shirodhara is a therapeutic Ayurvedic technique involving the pouring of liquid over the forehead. Takradhara, a variant, was used in the study to treat Darunaka effectively.
51) Discussion:
The discussion in this case study highlights the effectiveness of combining Ayurvedic medicines and Panchakarma therapies in treating Darunaka, addressing both the root causes and symptoms.
52) Irritation:
Irritation is a common side effect of many anti-dandruff shampoos, whereas the Ayurvedic treatment for Darunaka aims to alleviate symptoms without causing irritation.
53) Depression:
Depression can accompany conditions like Darunaka due to their cosmetic and social implications. Ayurvedic therapies like Takradhara also help in mental relaxation apart from treating physical symptoms.
54) Kaphaghna (Kapha-ghna):
Kaphaghna refers to substances or treatments that dispel Kapha dosha. Many therapies and herbs used in the study have Kaphaghna properties, aiding in the treatment of Darunaka.
55) Kandughna (Kandu-ghna):
Kandughna substances are those that alleviate itching. Ayurvedic treatments for Darunaka incorporate Kandughna herbs to relieve symptoms like Kandu (itching).
56) Shiroroga (Siroroga, Shiras-roga):
Shiroroga in Ayurveda encompasses diseases of the head. Darunaka is considered a Shiroroga by Acharya Vagbhat, emphasizing its location on the scalp.
57) Agnivesha (Agnivesa, Agni-vesha):
[see source text or glossary: Agnivesha]
58) Amlarasa (Amla-rasa):
[see source text or glossary: Amla-rasa]
59) Ativisa (Ativisha):
[see source text or glossary: Ativisha]
60) Haritaki:
[see source text or glossary: Haritaki]
61) Abhyanga (Abhyamga):
Abhyanga is an Ayurvedic oil massage therapy used for its multiple health benefits, including improving scalp health, which was employed in treating Darunaka in this study.
62) Parinama:
[see source text or glossary: Parinama]
63) Yogavahin (Yogavahi, Yoga-vahi, Yoga-vahin):
[see source text or glossary: Yogavahi]
64) Sanskrit:
[see source text or glossary: Sanskrit]
65) Amalaki:
[see source text or glossary: Amalaki]
66) Grahani:
[see source text or glossary: Grahani]
67) Shunthi (Sunthi, Sumthi, Shumthi):
[see source text or glossary: Shunthi]
68) Anushna (Anusna):
[see source text or glossary: Anushna]
69) Sparsha (Sparsa):
[see source text or glossary: Sparsha]
70) Snigdha:
[see source text or glossary: Snigdha]
71) Spashta (Spasta):
[see source text or glossary: Spashta]
72) Kashaya (Kasaya):
[see source text or glossary: Kashaya]
73) Vaghela:
[see source text or glossary: Vaghela]
74) Hygiene (Hygienic):
Hygiene of the hair and scalp is crucial in preventing conditions like Darunaka, which can result from poor cleaning habits, among other factors.
75) Dipika:
[see source text or glossary: Dipika]
[Note: The above list is limited to 75. Total glossary definitions available: 98]
Other Science Concepts:
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