A randomized standard controlled clinical trial to access the efficacy of Kushthadi Lepa in the management of PAMA in children.

Scabies is one of the most common complaints in children seen all over world causing much discomfort in children. Skin diseases have high prevalence throughout the world. Scabies is caused by burrowing and release of toxic or antigenic substances by the female mite sarcoptes scabiei var hominis. Scabies is contagious and can spread through close physical contact so it is an acute communicable disease and highly prevalent in young children.

Scabies is major public health problem with an estimated prevalence of 130 million cases worldwide. The prevalence varies from 0.35 to 46%. The highest rates are found in countries with hot tropical climates where infestation is endemic. The point population in the general population of rural India is about 13%, in Maharashtra 81%, in rural area 72% of cases are seen in the age group below 16 years.

According to modern treatment permethrin 5% cream applied on entire body for scabies. Additional therapies include sulphur ointment 5-10% and crotamiton 10% lotion.

Skin disease in Ayurveda is described as Kushtha roga. There are seven Mahakushtha and eleven number of Kshudra Kushta roga explained. All Kushtha are tridoshaja but they are classified according to Dosha. Pama kushtha is one of the kshudra roga in which Pitta-Kapha is predominating. Pama Kushtha characterized by many small pitika, srava, kandu, toda and daha that may be considered as scabies in contemporary science. It is found that ’PAMA’ Vyadhi Is one of the commonest diseases found in the low-socio economic class and occurs in person who does not follow hygiene. Signs, symptoms, pathogenesis and treatment of Pama are very well described in Ayurvedic texts and there are various Kalpa described in samhitas in Ayurvedic texts.

i.e Kushthadi Lepa is used and the topic is selected.