Effect of Nitya virechana (therapeutic purgation on daily basis) in skin sarcoidosis: A case report

Abstract:

Sarcoidosis is a chronic, multisystem, inflammatory disorder of unknown cause and has highly variable epidemiology, affecting any organ in the human body. The most common extrathoracic manifestation is the involvement of the skin in about 1/3^rd of cases. A 42-year-old female came to the outpatient department with the complaints of Sampurna sharira twak pradesha rakta varna utseda and Pidika (~erythematous infiltrated plaques all over the body), Tivra kandu (~severe itching), Tivra daha (~intense burning sensation), and Puya srava (~pus discharge) for the last three years. The condition was diagnosed as skin sarcoidosis, further confirmed by skin biopsy report by her attending physician. Bahu doshaja avastha (~vitiation of Dosha in excess amount) is always seen in Kushtha, where Koshtha shodhana (~biocleansing of gut) either from Urdhwa marga (~upward tract) through Vamana karma (~therapeutic emesis) or Adhomarga (~downward tract) through Virechana karma (~therapeutic purgation). Instead of Virechana karma (~therapeutic purgation therapy), Nitya mridu virechana (~mild therapeutic purgation on daily basis) was selected as the choice of treatment in the present case, which was found convenient to the patient with encouraging results. Nitya mridu virechana with Aaragvadha phala majja (~fruit pulp of Cassia fistula L.) along with other internal medicines were provided to the patient and encouraging results were observed in the symptoms.