Abstract

A HOLISTIC APPROACH IN THE MANAGEMENT OF VYANGA (FACIAL MELANOSIS)-A CASE STUDY

Dr. Madhumita Panigrahi*, Prof. Mahesh Vyas and Dr. Kabi Prasad Mohanty

ABSTRACT

Maharishi Sushruta was the first to give a detail and separate description of the disease Vyanga in Nidana Sthana chapter 13 (Kshudra Rogadhikar). It is characterized by the presence of Shyava Varna, Nirujam, Tanu mandala on face. It is common and usually harmless but for cosmetic reasons, it is nuisance to those who have it. As per Modern science the symptoms of Vyanga resembles facial melanosis. A 33 year old female patient was suffering from Vyanga on face, itching over facial skin since last 10 years consulted OPD, Dept. of Basic Principles, IPGT & RA. Considering the clinical features and involved Pitta, Vata, Rakta in pathology, patient was treated with Mukhakantivardhaka lepa from Sharangadhara Samhita, Uttara Khanda, chapter 11 along with Pathyapathya. The patients was treated with the external application of the Lepa with a dose of as per requirement, once daily, for 30 minutes for 60 days. Assessment of the efficacy of the drug was done on the basis of relief in the scores given to sign and symptoms of Vyanga. At the end of the treatment, there is complete disappearance of Vyanga and relief in itching found. So it showed that Mukhakantivardhaka lepa is effective in Vyanga.

Keywords: Vyanga, facial melanosis, Mukhakantivardhaka lepa, Sharangadhara Samhita.