A comparative clinical trial on the effect of Balaadi saksheera siddha sarpi nasya and Jalaukavacharana in the management of Pittaja vyanga

The skin would reflect any unhealthystate of the physique or psyche, as beauty manifests through the appearance ofthe complexion of the skin. The colour of the skin is important biologically,cosmetically, and socially. Skin diseases though afflict bodily but give a lotof psychological disturbances. In India, lots of money is spent on cosmeticproducts which duly fail to give a satisfactory results. But Ayurveda relativelyproved to be efficacious in the treatment of skin diseases. It provides an effective, safe and economically cheaper methods of treatment.

Vyangais described under Kshudra roga1. It is a condition where the aggravated VataPitta gets localized in theMukhapradesha causing an important sign of Neeruja, Tanu, Shyaava, varnayuktamandala in general2,where as in PittajaVyangaTaamrantam and Aneelam signs are mentioned3.This condition of Vyanga can be correlatedwith Melasma. Since Melasmais commonacquired symmetric hypermelanosis characterized by irregular light brown to gray brown Macules involving sun-exposed areas. There is a predilection for the cheeks, forehead,upper lips, nose and chin area4.

Its known that Melasma occurs in all ethnic groups, However, epidemollogical studies have reported higherprevalence among more pigmented phenotypes such as East Asians, Indians, Koreans and Chineese5. Thereported prevalence of Melasma in a tertiary care  hospitalinIndia was found to be 20.5% inmen6. Melasmais morecommon in females than in males. Inpresent era, people are more concerned towards aesthetic problems. Since Vyangais one such cosmetic condition, which notonly hinders the beauty and physical approach of an individual but also leads to hindrance of one’s self confidence andcauses depression. Since modern aesthetic treatment are costly and doesn’tprovide complete cure. Need for better intervention through ayurvedabecomenecessary.

                          Among the Panchakarma, Acharya’s have mentionedabout Nasya karma, Rudhiravasechana, Aalepa and many treatment modality in Pittaja Vyanga7.Jalaukavacharanais best in conditions like PittajaVyanga also, due to the predominance of Pitta dushti byvirtue of its habitat8. Since Jalaukavacharanais a para-surgical procedure it canbe performed in Paramasukumara9. Though there are referencesregarding both Nasya and Rudhiravasechana for the management of Vyanga many of the research works were carried outmainly on Nasya, Hence Rudhiravasechana is the unique procedure that needs to be brought to the limelight. So anapproach towards treating PittajaVyanga, through Nasya with Balaadi SaksheeraSiddha Sarpi7 and Jalaukavacharanaisplanned for the study.