Ayurvedic Traditional Management of Vishphotaka Kushtha (Bullous Impetigo): A Case Study

Abstract

Kushtha Roga in Ayurveda encompasses a broad range of dermatological conditions caused by Tridosha vitiation and Rakta–Mamsa Dhatu Dushti. Among the Kshudra Kushtha, Vishphotaka Kushtha is characterized by reddish-white, fluid-filled eruptions (Visphotaka) associated with burning, itching, and exudation. These features closely resemble Bullous Impetigo, an acute bacterial skin infection marked by vesicobullous lesions that rupture to form crusts. Virechana Karma (therapeutic purgation) is a prime Shodhana Chikitsa indicated for Pitta-Kapha predominant disorders with Rakta Dushti, aiming at systemic detoxification and recurrence prevention. Objective: To assess the efficacy of Virechana Karma in a 50-year-old male patient diagnosed with Vishphotaka Kushtha, focusing on symptom relief, dosha balance, and observation of Samyak Virechana Lakshana. Materials and Methods: A single case was managed following classical Panchakarma principles. Poorva Karma included Deepana-Pachana with Panchkola Churna for five days, Snehapana with Panchatikta Ghrita (30–190 ml), and Sarvanga Abhyanga Swedana for four days. Then Virechana Karma was performed using Trivritmoola Yavakuta, Haritaki Churna, Aragvadha Phalmajja, and Draksha. The patient passed 20 Vegas, the final evacuations being Kaphantam, confirming Madhyama Shuddhi. Sansarjana Krama was followed for seven days. Results: The procedure produced Samyak Virechana Lakshana including Srotovishuddhi (channel purification), Indriya Samprasada (clarity of senses), Laghutva (lightness), Oorjavardhana (enhanced vitality), and Agnideepana (improved metabolism). There was complete resolution of bullous lesions with normalization of skin texture and no recurrence at follow-up. Conclusion: Virechana Karma proved to be an effective Shodhana Chikitsa for Vishphotaka Kushtha by eliminating Pitta-Kapha Doshas, purifying Rakta Dhatu, and restoring systemic balance. The therapy achieved both local healing and systemic detoxification, underscoring its scientific relevance in managing acute vesiculobullous dermatoses like Bullous Impetigo.