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Clinical Dermatology Open Access Journal Research Article 6 min read

Dadru (Skin Disease): A Case Report

Chambyal K* and Yadav CR*
* Corresponding author
ISSN: 2574-7800  10.23880/cdoaj-16000189  Received: September 06, 2019  Published: September 23, 2019
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Keywords
Dadru Tvaka Cikitsa
Abstract

Skin is the outermost layer of body which protects body from direct contact of surrounding environment. The skin also secretes some secretions which are protective in nature by their killing or inhibiting action on some microorganisms. Dadru is pitta kapha vyādhi which simulates clinically with Tinea corporis. The symptoms are Itching, redness with elevated piḍikā, scaly lesions. In this study, a female patient with average built 42 years came with complaints of itching, rashes, scaly lesions and was diagnosed to suffer from dadru. A composite of āyurveda treatment- malla sindūra -125mg B.D, śuddh gandhakaa cūrṇa-1g B.D, rasamāṇikya -125mg B.D, nimbādi cūrṇa -1g B.D (anti-helminthic), manjiṣṭhā cūrṇa- 1g B.D, haridrākhanḍa-1tsp B.D, kaiśora guggulu-2 tab(250mg) B.D., dadruharalepa for local application B.D, taruṇīkusumākara cūrṇa with lukewarm water only during sleeping time, these medicines were given to patient. Some dietary and life style changes were also advised to her. After follow up of seven days, significant results were seen in kaṇḍu, redness and scaly lesions.

Introduction

Skin is the protective layer of whole body and also called “tvaka”. According to āyurveda, it is upadhātu of mānsadhātu [1, 2, 3]. Dadru occurs on cells in the outer layer of skin. Itching, redness with elevated piḍikā, alasī flower & copper like colour [4] are symptoms of this disease according to āyurveda. ācārya caraka kept dadru under the concept of kśudra kuṣṭha which is pitta kapha vyādhi [5]. According to suśruta, this vyadhi comes under mahākuṣṭha & is kapha pradhāna vyadhi [6]. In āyurveda, tvacāgatakuṣṭha like dadru, the treatment given is shodhana lepana [7]. So mild purgative, taruṇīkusumākara cūrṇa is also used for this purpose. Ācārya vāgbhaṭṭa said, kuṣṭha which is present in tvaka, the symptoms are toda, vaivarṇya & rūkṣatā [8]. Rasa & rakta dhātu duṣṭi also occur in the pathogenesis of dadru & it is spreading like dūrvāvāta (dīrghapratānā) [9] in whole body.

A female patient with average built 42 years was treated in OPD, Department of śarīra kriyā, National Institute of āyurveda, Jaipur with chief complaints of itching and rashes in bilateral inguinal region, under breast area, on left thigh, left forearm and lower abdomen (belt area). Patient had given the history of constipation, pain in epigastric region & white discharge per vagina sometimes. She has also giving the history of hypothyroidism and taking medication since six years.

TSH level is 5.29uI/ mL, B.P- 126/88, P.R- 80/min., weight- 70 kg, height- 5.7.

After the examination, this patient was diagnosed to suffering from dadru (Tinea corporis infection) & a composite āyurveda treatment was given. Malla sindūra - 125mg B.D, shuddha gandhaka cūrṇa-1g B.D, rasamāṇikya-125mg B.D, nimbādi cūrṇa-1g B.D ( anti- helminthic), manjiṣṭhā cūrṇa- 1g B.D, haridrākhanḍa-1tsp B.D, kaiśora guggulu-2 tab B.D (250mg), dadruharalepa two times for local application, taruṇīkusumākara cūrṇa- 5g with lukewarm water only during sleeping time, these medicines were given to the patient. Satisfactory results were found after 7 days of treatment.

Dietary and Life Style Modifications

Patient is advised to avoid sour, salted food, incompatible food, oily, spicy, junk/fast food, cold water, non- vegetarian food, avoid tight fitted clothes, avoid day- time sleep and also suggested to maintain personal hygiene.

S.
No.		Drug NameBotanicalFamily
FamilyRasaGuṇaVīryaVipākaPrabhāvaDoṣa Karma
Name
1.Manjiṣṭhā [10]Rubia
cordifolia		RubiaceaeTikta, kaṣāya,gurū, rūkṣaŪṣṇaKatuVarṇya,Kapha pitta
śāmaka
madhurakuṣṭhaghna
2.Nimba [11]MeliaceaeLaghuŚītaKatukuṣṭhaghna,Kapha pitta
śāmaka
Azadirachta
Tikta, kaṣāyakrumihara,
indica
kaṇdughana
3.Haridrā [12]Curcuma
longa		ZingiberacaeTikta, katuRūkṣa, laghuŪṣṇaKatuVarṇya,Tridoṣa
śāmaka
krumihara,
kaṇdughana
4.Taruṇī [13]Rosa
centifolia		RosaceaeTikta, kaṣāya,Laghu, snigdhaŚītaMadhuraHrudya, varnyaKapha pitta
śāmaka
madhura
5.Sarala niryasa
[14]		Pinus
roxurghii		PinaceaeKatu, tikta,
madhura		Laghu, tikshna,
snigdha		ŪṣṇaKatukuṣṭhaghnaKaphavāta
śāmaka
[14]
6.Gandhaka [15]Katu, tikta,Sara, Balya, vṛṣya,
bṛnhaṇa		ŪṣṇaMadhuraKaṇḍu, kuṣṭha,
dadru nāśaka		Pittavardhaka,
Kaphavāta
śāmaka
7.Rāla [16]Shorea
robusta		Dipterocarpaekaṣāya –
madhura		RūkṣaŚītaKatukuṣṭha, krimiPittakapha
śāmaka
vināśana
9.Somala [17]TiktaSnigdhakuṣṭhaharakuṣṭhaghna
10.Harītakī [18](l
Combretaceae		pancarasa,
Laghu,rūkṣa		ŪṣṇaMadhurakuṣṭha, krimihara,
rasāyana
Terminaliaavaṇavarjita)
Tridoṣa śāmak
chebulakaṣāya
Pradhāna
11.āmalakī [19]EmblicaEuphorbiaceae (lpancarasa, Gurū, rūkṣa, śītaŚītaMadhurarasāyana,
kuṣṭhaghna		Tridoṣahara
avaṇavarjita)
officinalis
Pradhāna
12.Vibhitakī [20]TerminaliaCombretaceaekaṣāyaRūkṣa, laghuŪṣṇaMadhuraKrimihara,Tridoṣahara
bellirica
13.Giloya [21]TinosporaMenispermaceaeGurū, snigdhaŪṣṇaMadhurakuṣṭhahara,
Tikta, kaṣāyaTridoṣaśāmaka
cordifoliakrimihara
14.Guggulu
C
[22]		a
Burseraceae		Tikta, katuLaghu, rūkṣa,
vishada,sara,
tridoṣa, - purānā,
navīna - snigdha,
picchila		ŪṣṇaKatukuṣṭhaghna
ommiphor
Tridoṣaahara
mukul
picchila

Table 1: Rasa, Guṇa, Vīrya, Vipāka, Prabhāva & Doṣa Karma of Auṣadhi.

Observation and Result

Before treatment After treatment

Figure 1: On Lower Abdomen.
Click to enlarge
Figure 1: On Lower Abdomen.
Figure 2: On the left thigh region.
Click to enlarge
Figure 2: On the left thigh region.

Before treatment After treatment

Figure 3: On the left forearm.
Click to enlarge
Figure 3: On the left forearm.

During follow up, the (kaṇḍu, rāga & utsanna maṇḍala) symptoms of patient were diminished after taking medicines for seven days & at this time, patient condition was improved.

Discussion

Dadru is pitta kapha vyādhi. Dadru is manifested as discoloured, elevated lesions with severe kaṇḍu and rūkṣatā and recurrence is possible. It is commonly found in unhygienic and in immune compromised person. In this study, the treatment given is as follows: Malla sindūra, shuddha gandhaka cūrṇa, nimbādi cūrṇa, manjiṣṭhā cūrṇa, haridrākhanḍa, kaiśora guggulu (raktashodhaka action), and dadruharalepa are tridoṣa śāmaka. Dadruharalepa includes Sarala niryasa, Gandhaka, ṭankaṇa & rāla [23]. This lepa is applied locally two times in a day. Kaiśora guggulu includes the contents like triphalā, nim, giloya, guggulu and malla sindūra (Shuddha pārad, ghandhak & somal) [24]. All these drugs have raktashodhaka property which helps in curing rakta duṣṭi. Rakta duṣṭi is common in all skin diseases. These medicines are dadru nāśaka, krimihara, kuṣṭhaghna, kaṇdughana & varṇya. These drugs act as a rasāyana and are also responsible for maintaining the healthy condition of skin. During this study, significant improvement in symptoms (Elevated lesion, itching & redness) occurs within seven days.

Conclusion

Dadru is a contagious skin disease which is clinically similar to tinea corporis. So, personal hygiene is very important to maintain in this disease. This present case study cocludes that ayurvedic medicines like Malla sindūra, shuddha gandhaka cūrṇa, nimbādi cūrṇa, manjiṣṭhā cūrṇa, haridrākhanḍa, kaiśora guggulu, and dadruharalepa with some dietary and life style changes are very effective in the treatment of dadru.

References

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@article{chambyal2019,
  title   = {Dadru (Skin Disease): A Case Report},
  author  = {Chambyal K* and Yadav CR},
  journal = {Clinical Dermatology Open Access Journal},
  year    = {2019},
  volume  = {4},
  number  = {3},
  doi     = {10.23880/cdoaj-16000189}
}
Chambyal K* and Yadav CR (2019). Dadru (Skin Disease): A Case Report. Clinical Dermatology Open Access Journal, 4(3). https://doi.org/10.23880/cdoaj-16000189
TY  - JOUR
TI  - Dadru (Skin Disease): A Case Report
AU  - Chambyal K* and Yadav CR
JO  - Clinical Dermatology Open Access Journal
PY  - 2019
VL  - 4
IS  - 3
DO  - 10.23880/cdoaj-16000189
ER  -