Article Type: Case Study

 

Article Citation: Dr. Dnyaneshwar Kantaram Jadhav. (2020). A CASE STUDY ON AYURVEDIC MANAGEMENT OF DADRU W.S.R TO TINEA CRURIS. Journal of Ayurvedic Herbal and Integrative Medicine, 1(1), 8-12. https://doi.org/10.29121/j-ahim.v1.i1.2020.3

 

Received Date: 25 May 2020

 

Accepted Date: 30 June 2020

 

Keywords:

Tinea Cruris

Dadru

Ayurved
ABSTRACT

Ayurved is time tested science. From ancient to present era its principles never change. With great logics its cure all types of disease.

Tinea cruris is fungal infection of the groin region.it is ring like shape with any size. It is found more in male then female. According to ayurved all skin disease comes under kushta vhydhi. Tinea cruris can be correlated with dadru. Dadru is one of the Kshudrakustha with predominance of Pitta and Kapha dosha.

31 years old male suffering from Elevated ring like patch around buttock region, Severe itching, Discoloration/Redness, Burning sensation since last 8 months. He took Modern medicine but no relief from that. With Modern medicine he just got relief from itching, that also reoccur again during night time.

Ayurvedic medicines along with good hygiene and some lifestyle modifications give best result.

1.      INTRODUCTION

 

Tinea cruris is fungal infection of the groin region. Eczema marginatum, crotch itch, dhobi itch, gym itch, jock itch are other names of this disease. It is also called as dermatophytosis. Tinea cruris is found in all age and sex. It is observed that males are infected more than females. Ring like rash is clearly identification of this disease. Its patch is typically red or brown ring like structure, with irritation and. Its size can be small, medium or large too. [1]

In Ayurved it can correlated with dadru. There is no separate description of NidanaPanchak of Dadru. The Samanya Nidana, Poorvarupa mentioned for Kusta can be apply for dadru.

 

Table 1 : Showing comparative symptoms of tinia cruris and dadru.  [2]

A case report as follow –

A 31 year old male patient came to us with chief compliant of [3]–

1)     Elevated ring like patch around buttock region.

2)     Severe itching +++

3)     Discoloration/Redness ++

4)     Burning sensation +++

Patient had above complaints since 8 months.

No H/o / HTN, Asthma

 

1.1. HISTORY OF PERSONAL ILLNESS

 

31 years old male suffering from Elevated ring like patch around buttock region, Severe itching, Discoloration/Redness, Burning sensation since last 8 months. He took Modern medicine (Tab. Allegra 120 mg, Tab. levocet 4mg, Tab. fluconazole 150 mg, fourderm cream) but no relief from that. With all this Modern medicine he just got relief from itching, that also reoccur again during night time. Discoloration/Redness increased gradually, then he decide to take Ayurved treatment. For Ayurvedic treatment he came to our clinic – Nakshtra Ayurved Panchkarma Clinic & Research Center, Mumbai.

 

1.2. PERSONAL HISTORY

 

Occupation: Engineer.

 

1.3. ASHTAVIDHA PARIKSHANA

 

Nadi (pulse) = 74 /min. (kapha-vata)

Mala (stool) = Malavshtmbha.

Mutra (urine) = Normal.

Jeeva (tounge) = saam.

Agni = Kshudhamandya.

Shabda (speech) = Normal.

Sparsha (skin) = Twak rukshata.

Druka (eyes) = Normal.

Akruti = Madhyama.

Bala = Uttam.

Raktadaaba (B.P) = 130/80 mm/Hg.

 

2.      MATERIAL AND METHOD

 

2.1.  MATERIAL

 

Table 2: Showing material used for study

2.2. METHOD

 

Centre of study: Nakshtra Ayurved panchkarma clinic & research center, Mumbai.

Type of study: Simple random single case study.

 

3.      DISCUSSION AND RESULT

 

3.1. RESULT

 

Clinical examination of the patients revealed regression of all symptoms within 7 days.

 

 

3.2. DISCUSSION

 

Hetu of Dadru (Tinea cruris) 

1)     Ahar 

·         Improper and irregular diet.

·         Chiken, Matsya sevan (daily)

·         Dadhi (on each alternate day)

·         Biscuit (daily with tea – daily)

·         All types of fastfood

2)     Vihar

·         Prolong seating

·         Ratri jagran.

·         Bath (twice a week)

3)      Manasika nidan- vegavrodha causes vata vrudhi.

SANPRAPTI GHATAK

Dosh:  tridoshaj (kapha-pitta pradhana)

Dushya: Twak, Rakta, Lasika (Ambu), Sweda

Srotus: Rasa, Rakta.

Adhishthana: twacha

Rogamarga: bahya

 

SAMPRAPTI [4]

4.      ACTION OF DRUG & OTHER PROCEDURE

 

Table 3: Showing action of drug & other procedure done in study

 

NIDANA PARIVARJANA

Acharya sushruta also give importance to nidanparivarjanam. We advise patient to take bath daily, dry the body with towel, avoid prolong seating, if need prolong seating than take break of 2 min and stand till buttock part get dry, wash all cloths in Dettol mixed warm water.

 

5.      CONCLUSION

 

Dadru like Skin disease difficult to cure by modern medicines. All steroid like medicine supress the disease which later create worst state of disease. From the above case, it may be stated that Dadru can be completely cured by Ayurvedic treatment.

 

SOURCES OF FUNDING

 

None.

 

CONFLICT OF INTEREST

 

None.

 

REFERENCES

 

        [1]        https://en.m.wikipedia.org/wiki/Tinea_cruris. (26 may 2020: 12.20 pm)

        [2]        Radha Andhare, MANAGEMENT OF DADRU KUSHTHA ACCORDING TO AYURVED: A CASE STUDY, IAMJ,: Volume 7, Issue 8, August - 2019 (www.iamj.in) : page no.1427.

        [3]        Dr.Brahmanada Tripathi, Charak Samhita of Maharshi charak, Chukhambha prakashan, Varanasi, 2011, Chikitsastan, chapter 7, verse no.23, page no.252.

        [4]        S.kamalakar puripanda etc, UNDERSTANDING THE CONCEPT OF SANKRAMIKA DADRU KUSTA- A CASE STUDY : IJAPR | August 2016 | Volume 4 | Issue 8 : page no.81

        [5]        Rasatantrasara va sidhaprayog sangraha by krushna Gopal Bhawan, pratham khanda, kharaliya rasayan –page no. 225, 226.

        [6]        Aushadhi Gundharma shatra by Vd. G. P. Gune, reprint -2005, part-2, kalpa no 10, page no-208.

        [7]        www.sharangdhar.com/ayurvedic-product/pachakvati/

        [8]        Gandharva haritaki (https://www.bimbima.com/ayurved/gandhavra-haritaki-churna-benifits-ingredients-dosage/466/): uploade on 2 september 2014 & downloaded on 28 may 2020.

        [9]        The Ayurvedic Pharmacopoeia of India-part-1, vol-3, pg. no-113.

      [10]     Brhamananda Tripathi, (1st Ed.). Charak samhita, Maharshi Charak. Chikitsa-stan;kushta chikitsa adhya: chapter 7. Verse no.99.Varanasi: Chukhambha prakashan, 2011; page no.320.