EFFECT OF POLYHERBAL FORMULATION IN THE MANAGEMENT OF SCABIES (PAMA) - A CASE REPORT.

Vishal Prajapati 1 , Sonam Chaudhary 2 , Kuldeep Kumar Soni 3 , V. K. Kori 4 and K. S. Patel 5 . 1. PhD Scholar, Kaumarbhritya Department, IPGT & RA, Jamnagar, Gujarat, India. 2. MD Scholar, Kaumarbhritya Department, IPGT & RA, Jamnagar, Gujarat, India. 3. Lecturer, Kaumarbhritya Department, MSDS Ayurvedic Medical College & Hospital, Farrukhabad, Uttar Pradesh, India. 4. Associate Professor, Kaumarbhritya Department, IPGT & RA, Jamnagar, Gujarat, India. 5. Professor, Kaumarbhritya Department, IPGT & RA, Jamnagar, Gujarat, India. ...................................................................................................................... Manuscript Info Abstract ......................... ........................................................................ Manuscript History Received: 16 October 2018 Final Accepted: 18 November 2018 Published: December 2018


ISSN: 2320-5407
Int. J. Adv. Res. 6 (12), 977-983 978 diagnosis of scabies. [2] Treating scabies in infants and children is challenging. Many drugs used in adults cannot be used in children because of diverse safety profiles. [3] Many agents, most of which are topical, have been used to treat scabies, including Sulfur, Gamma benzene hexachloride (lindane), Crotamiton, Benzyl benzoate, Malathion, Ivermectin, and Permethrin. [4] According to Ayurveda Scabies can be correlated to Pama. Pama is one of the eleven types of Kshudra Kuṣṭha ("Minor skin disease"), according to the Charaka Samhita (Chikitsa Sthana) which is caused by vitiation of Kapha and Pitta Dosha. [5] Pama-kuṣṭha is characterized by extreme itchy eruptions of white, reddish or black color seen over Sphika (Buttocks), Pani-Pada (Hands & Foot), Kurpara (Forearm or elbow region). Diagnosis was based upon signs and symptoms of Pama Kushta such asToda (Pain), Kandu (Itching), Daha (Burning sensation), Pitika (Burrows), Srava (Discharge). [6], [7], [8] The main aim of treatment was to purify the blood and bring out the toxins from the bloodstream and locally to pacify the symptoms like itching and lesions. Also personal hygiene and pathya-apathya i.e. dietary modifications were a very necessary part of the treatment. History of present illness:-According to his Father, patient was asymptomatic 2 years back. But since then patient had developed few rashes in between the fingers and started itching. This itchiness started from his fingers first which widespread to his wrist, forearm within last 12-18 months. Furthermore, he said that the itchiness worsens at night and his sleep was disturbed by intense pruritus. History of pyrexia was denied.They had consulted to allopathic doctor and taken treatment for the same and got relief for some months but again rashes & itching in between the fingers started. Hence they came to Institute of Postgraduate Teaching& Research in Ayurveda Hospital, Jamnagar, Gujarat, India for management.

Past History:-Not significant
Family History:-Previously, his elder brother had experienced the same complaint. Also, he had a history of sharing the same room and bed with his brother.

Criteria for selection of internal Polyherbal formulation:-
Keep on stirring the contents with ladle. Boil this till it reduces to one fourth quantity after that filter it across a clean cloth immediately and use when it is mild hot.
All the internal and external medicines used in this case were prepared in the Pharmacy, Gujarat Ayurved University, Jamnagar, Gujarat, India, so as to assure authenticity of drugs. Night awaking (Ratri Jagarana), Day sleeping (Diwaswapa) Observations &Results:- property, and it is also a drug of choice for Pama. Along with above medications, Pathya-apathya and hygiene maintenance were also advised to patient. Child has followed the treatment protocol and Pathya-apathya properly and responded very well with treatment.

Conclusion:-
Hence it is concluded that external use of Panchvalkala Kwath and Local Application of Gandhaka Malhar along with internal use of Polyherbal formulation and proper hygiene maintenance are highly effective in the management of Scabies (PamaKushtha).