• Dr. Bheemreddy Myakal
• Dr. Mythrey R C

Background: Shwitra is characterised by the whitish patchy discoloration of the skin. It is a rakta pradoshaja vyadhi caused due to vitiated tridosha, rakta, mamsa and medo dhatu. Shwitra, can be correlated with ‘Vitiligo’ of Western system of medicine. Vitiligo is an idiopathic, acquired, circumscribed leukoderma which is often associated with a positive family history and is characterized by discrete, pale white macules, few or many in number, that tend to enlarge centrifugally over time. Worldwide prevalence of vitiligo is observed as 1% of the world population. Currently, the treatment modalities available for the management of vitiligo include topical immonomodulators & steroids, oral corticosteroids, PUVA therapy with eximer laser, phototherapy and Surgical therapies like grafting. Long term usage of topical glucocorticoid is often accompanied by loss of effectiveness and atrophy of the skin. To disintegrate the samprapti of shwitra and to increase the duration between relapse, asanadi gana was selected which is mentioned in shodhanadi gana sangrahaniya adhyaya of ashtanga hrdaya sutrasthana. Based on this, the study has been taken up to assess the combined efficacy of asanadi gana kashaya internally and asanadi gana taila externally after samsarjana krama of virechana in the management of shwitra vis-à-vis vitiligo. Objective of the study : To evaluate the combined efficacy of virechana followed by asanadi gana kashaya internally & asanadi gana taila application externally. Methods: Study design- An open labelled clinical trial with pre and post-test design. Intervention- Total 30 subjects were selected incidentally. All the 30 subjects were administered classical virechana followed by asanadi gana kashaya internally after food and asanadi gana taila lepa followed by suryapada santapa sevana for 20 minutes in early morning hours (7am – 11am) for 40 consecutive days. Results: The result of the study revealed that statistically significant improvement was seen in twak shwetata, colour, margin, surface area involved, number of lesions & VASI score with P value < 0.001. Conclusion: It can be concluded from the results that classical virechana followed by asanadi gana kashaya internally and asanadi gana taila lepa externally were effective in treating shwitra vis~a~vis vitiligo

Shwitra, Vitiligo, Virechana, Asanadi gana kashaya, Asanadi gana taila, VASI

"An Open Labelled Clinical Trial To Evaluate The Efficacy Of Virechana Followed By Asanadi Gana Kashaya & Taila Lepa In Shwitra Vis~A~Vis Vitiligo.", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.11, Issue 2, page no.a611-a620, February-2024, Available :http://www.jetir.org/papers/JETIR2402079.pdf

"An Open Labelled Clinical Trial To Evaluate The Efficacy Of Virechana Followed By Asanadi Gana Kashaya & Taila Lepa In Shwitra Vis~A~Vis Vitiligo.", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.11, Issue 2, page no. ppa611-a620, February-2024, Available at : http://www.jetir.org/papers/JETIR2402079.pdf