This is non-infectious disorder of skin; where white lesion (Patches) are formed. Vitiligo is caused by stoppage of melanin (colour pigment) formation by melanin producing cells, melanocytes; as a result depigmented macules are formed. These macules may vary in size and shape and can be located in any part of the body even on mucus membrane of lip and genitals. The common areas affected are face, hand,feet, axilla, groins and trunk. The areas which are subjected to friction and trauma are usually involved; and any damage to skin leaves to white depigmented scar.Vitiligo in Ayurvedic literatures is described as 'SHVITRA' or "Shveta Kusth", while classifying Kusth in its eighteen main types. The lesions of vitiligo are painless and remain sensory unlike Leprosy. Expect the cosmetic defects vitiligo is an absolutely harmless disease.
There is a common myth about the vitilago that it can not be cured but contrary to this; remarkable repigmentation can be achieved in every patient and its spread can be arrested; provided that patient follows dietary restrictions and take appropriate treatment for prescribed period. A proper assessment of known causative factor of vitilago; such as plastic slippers, shoes, gloves, bindi, and other rubber or plastic materials ;pressure or trauma is mandatory and if there is any such factors, patients should discard them.
Both sodhan (Purification) and Shaman chikitsa is advocated for vitiligo.
Two types of drugs are mainly used.
1. KASTHA AUSADHI (HERBAL DRUGS)
2. RAS AUSADHI (HERBO MINERAL DRUGS)
Herbal drugs (HERBAL DRUGS) are of mainly two types.
A. Photo sensitizing drugs.
B. Blood purifiers.
A. PHOTO SENSITIZING DRUGS:-It includes Psoralea corylifolia
(Bavichi), Semicarpus anacardium (Marking nut) and Ficus
hispida (Kakodumbar).These drugs are used locally as well as
systematically with sun exposure. Sun exposure is advised
after three hours of drug administration.
B. BLOOD PURIFIRES:- These drugs are Haridra (Curcuma longa); Bhrigaraj(Eclipta alba);Guduchi( Tinospora cardifolia); Sariva (Hemidascus indicus); Khadir(Acasia catachu);Apamarga( Acaranthus aspara) are used to redress blood morbidity.
Ras Ausadhi (HERBO MINIRAL DRUGS):-It includes chiefly Ras Manikya, Taal Sindur, Sameer Pannag Ras, and Talkeshwar Ras.These drugs act like immuno suppressant and usually used in those patients where spread of disease is very fast.Tamra bhasma, Kashish bhasm Subhra bhasm are also used to initiate regimentation.
After initiation of repigmentation; treatment must be continued till the desired complete regimentation of all the
lesions are achieved. But some stubborn lesions especially of mucosal surface of palms and finger tips; sometimes
responds very poorly or incomplete.
These residual depigmented areas can be subjected to camouflage. For this paste made from mehndi leaves are applied to affected area or lotion made root of Plumbago Zylanica in absolute alcohol is painted over the skin.This imparts natural colour which lasts for two to four days.
Dr.Ravi Kant Srivastava,B.A.M.S; M.D (Ay) is Professor&Head of Dept. of Kriya Sharir at Govt.Ayurvedic College,Jabalpur(M.P).Skin disorders is a field of his special interest.
Shweta Association is a Vitiligo Support Group. Considering a person with Vitiligo and his/her emotional, psychological, social and day–to–day needs, ‘Shweta’ takes holistic approach to solve all the problems. It provides a common platform for such people to unite them, discuss their problems, to exchange views, to learn scientific facts about the disorder and above all to improve the self image of the person.
Shweta Association is a charitable trust registered under the State of Maharashtra, India. You can contact them at Email: maya[at]myshweta.org Website: http://www.myshweta.org/