Randomized controlled clinical study to evaluate the efficacy of Durvadi Lepa in Pama w.s.r. to Scabies in children.

Ayurveda is ancient medical science, which guide’s us about all aspects of life in health and disease. Kaumarbharitya, one among the ashtanga’s of ayurveda (8 branches of Ayurveda) has its recognition as important branch of medicine as per Kashyapa. Ayurveda has given importance to skin diseases since the era of Vedas and later on Samhita kala. The study of skin disease were done elaborately and separate chapter on Kushtha found the place. Skin disease in Ayurveda are described as Kushthroga disease. There are seven MahaKushtha and eleven number of Shudra Kushtharoga are explained. All Kushtharoga are Tridoshaja in nature but according to dominancy of Dosha’s they can be classified according to dosha. Pama Kushtha is one of the ShudraKushtha, Which is explained both in Brihatrayi and Laghutrayi. In Pama Pitta-Kapha is dominating. It is contagious and widely spreader disease throughout world. PamaKushtha is characterized by many small Pitika’s (ulcer), Toda (pricking sensation),Daha(burning sensation) and Kandu (itching).Pama may be considered as scabies in contemporary science. Human scabies is intensely pruritic skin infection caused by the host specific mite SARCOPTS SACABIEI HOMINIS. It is highly contagious, neglected cutaneous parasite disease, associated with poor individuals community, environmental circumstances and health.

RATIONALE OF STUDY

India is being a developing country, much population is living in lower socioeconomic class more over 90% of population live in rural area. Most of the Children’s are not conscious about their health and personal hygiene which lead to many systemic diseases like skin diseases, tuberculosis, cholera etc.{2} Pama is highly contagious, intensively pruritic. It may spread in a group of population within a short period of time due to close contact or skin to skin contact and contaminated clothes. It is found that "Pama" Vyadhi is one of the commonest diseases found in the low socioeconomic class and occurs in person do not follow guidelines of hygiene. Sign, symptom, pathogenesis and treatment of Pama are very well described in Ayurvedic texts which can correlate with scabies in modern paediatrics. This indicates that disease is one of the types of Kushtha. So far no study has been conducted for evaluation of Durvadi lepa in above problem. Therefore, this study was conducted to evaluate the efficacy of Durvadi lepa in the management of Pama