VITILIGO (Shwitra)

K.
J Institute of Ayurveda & Research

K.J Campus, opp. I.T.I, Javla-savli,P.O.SavliDist.Vadodara-391770
VITILIGO
Dr. Mahesh M. P.
BAMS, M.D(AYU)
Associate Professor & HOD.
Department of Roga Nidana & Vikriti Vigyana,
K. J. Institute of Ayurveda & Research, Savli,
Vadodara
25/06/2022 Dr.Mahesh M P BAMS,M.D (AYU)
Clinical presentation 1
Non-segmental vitiligo. Bilateral maculae, symmetrically distributed

Focal lesions of vitiligo showing localized area of white hair (leukotrichia). This is undetermined or unclassified vitiligo

Leukotrichia

Vitiligo at a site of chronic pressure (around the waist). Isomorphic or Koebner phenomenon

Isomorphic or Koebner phenomenon. Vitiligo appearing along the shoe contact in a woman with generalized vitiligo

Reverse Koebner phenomenon. Sparing of normal skin along the shoe contact in a woman with universal vitiligo

Segmental vitiligo in a 49-year-old woman

A 52-year-old woman with universal vitiligo showing spontaneous typical perifollicular re-pigmentation only on sun-exposed areas

Nidana of Shwitra
वचां%यत(या)न कृत-नभावो )न0दा सरु ाणां ग7 ु धष:णं च|
पाप<=या पव
ू क
: ृ तं च कम: हे तःु <कलास%य DवरोEध चा0नम ्||१७७||
Ca.Ch 7,Ma.Ni
Untruthfulness, ungratefulness, no respect for the gods, disrespect for the

peers (guru), sinful acts, and misdeeds of past life and intake of Viruddha
Anna.

Switra is classified into following types:
•Daruna – when doshas vitiates the rakta dhatu (blood), the patches will be red in colour.
•Aruna – when doshas vitiates the mamsa dhatu (muscle tissue), the patches will be coppery in
colour.
•Kilasa – when doshas vitiates the medho dhatu (fat tissue), the patches will be white in colour.
This is the most common clinical presentation of svitra hence leukoderma is often called Kilasa.

Sadhyasadhyata of Shwitra
यत ् पर&परतोऽ)भ+नं बहू य12तलोमवत |

य6च वष9गणो<प+नं त6छे ?व@ं नैव )सCयDत || १७५ ||
अर2तलोम तनु यत ् पाKडु नाDतMचरोि<थतम ्
मCयावकाशे चा6Rनं िSव@ं त<साCयम6
ु यते || १७६ || Ca Ch 7
If the patches are conjoined together and are more in number, if the body hair above the patches
are red in color and if the disease is more than one year old. Such śvitra never gets cured. If body
hair over the patches is not red if skin is thin and pale in color. The disease, if is not old, space
between patches is elevated then such śvitra is sadhya.

AYURVEDIC MANAGEMENT
Treatment plan should be designed taking in account of the disease pattern, patient’s age,
occupation, Prakriti, condition e.g. pregnancy etc.
A. INTERNAL MEDICATION
To relieve the Aama, the best Shodhan Karma as per Dosha-Dushya is Virechana. Virechan with
herbal decoction of Psoralia Corylifolia (Bakuchi) and Euphobia Neriifolia (Snuhi). For Shamana
treatment Bakuchyadi Churna, Khadirasaradi Churna, Panchnimbadi Churna can be used. Asavas
like Kanakabindvarista, Madhwasava and Ghrita like Neeli Ghrita, Mahatikta Ghrita and Neelika
Ghrita can be used.[9] Other Ayurvedic praparations such as dried ginger, black pepper, Pippali and
Chitraka root fermented in Gomutra also are in use which gives positive results.

EXTERNAL MEDICATION
1.Stimulation of pigmentation: The best

2.combination for the external application on lesion is of Aragwatha, Bakuchi (active principle
is Psoralen) and Pippali. This combination stimulate the pigment cells for re- pigmentation.
3.To provide favourable conditions in the skin for better pigmentation: Pigment cells multiply
very slowly like nerve cells. So herbs like Nirgundi can be given to provide better environment
for pigment cells to grow quickly.
4.To preserve the pigmentation: Pigmentation which has been formed, this can be achieved by
using different herbal combinations in adequate dosage.

SUITABLE OIL APPLICATION :
Oil application followed by exposure of lesion to the sun rays as long as according to the tolerance of
patient. After exposure to the sun rays the affected part gets dark colour as well as form a bullae. If
bullae is formed, it should be punctured with sterile needle.
LEPA APPLICATION:
Applicaton of Ankollakandi Lepa, Avalgujadi Lepa, Balyadi Lepa, Bhallakadi Lepa, Bhringarajadi
Lepa, Manashiladi Lepa, Panchnimbadi Lepa etc also has fruitful effect.
Throughout the days of treatment patient should follow Pathyakar Aahara-Vihaara.

PATHYAKAR AAHAR-VIHAR
Aachar Rasayana and diet containing aged rice, Godhuma,Mudga, Laghu Aahara, Patola,
Khadiridaka etc should be practice of daily routine.
At the same time Viruddh Aahara, Guru Aahara, Vidahi Aahar, Vishthanbi Aahara, Anup Mamsa,
Kanda Moola, Masha etc should be avoided.
YOGA PRACTICE
Yoga practice for 20 minutes in the morning will act as good stress reliever. As stress triggers the
disease, that’s why this treatment part is as must to do level.

International theme for World Vitiligo Day
2022 is 'Learning To Live With Vitiligo.


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K.

J Institute of Ayurveda & Research

Non-segmental vitiligo. Bilateral maculae, symmetrically distributed

25/06/2022 Dr.Mahesh M P BAMS,M.D (AYU)

25/06/2022 Dr.Mahesh M P BAMS,M.D (AYU)

25/06/2022 Dr.Mahesh M P BAMS,M.D (AYU)

25/06/2022 Dr.Mahesh M P BAMS,M.D (AYU)

25/06/2022 Dr.Mahesh M P BAMS,M.D (AYU)

25/06/2022 Dr.Mahesh M P BAMS,M.D (AYU)

Segmental vitiligo in a 49-year-old woman

25/06/2022 Dr.Mahesh M P BAMS,M.D (AYU)

Untruthfulness, ungratefulness, no respect for the gods, disrespect for the

25/06/2022 Dr.Mahesh M P BAMS,M.D (AYU)

25/06/2022 Dr.Mahesh M P BAMS,M.D (AYU)

यत ् पर&परतोऽ)भ+नं बहू य12तलोमवत |

25/06/2022 Dr.Mahesh M P BAMS,M.D (AYU)

25/06/2022 Dr.Mahesh M P BAMS,M.D (AYU)

1.Stimulation of pigmentation: The best

25/06/2022 Dr.Mahesh M P BAMS,M.D (AYU)

25/06/2022 Dr.Mahesh M P BAMS,M.D (AYU)

25/06/2022 Dr.Mahesh M P BAMS,M.D (AYU)

2022 is 'Learning To Live With Vitiligo.

25/06/2022 Dr.Mahesh M P BAMS,M.D (AYU)

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