A Case Study On Padadari :Gandhak-Coconut Oil Topically And Pittapapda With Nagarmotha Internally

About Author

Correspondence Address

Dr. Gauri Ashok Khot1
PG Scholar, Department of Kayachikitsa,
Shree Ayurved Mahavidyalay, Nagpur


Contact No. : , Email :

Date of Acceptance : 05 Jul 2023

Date of Publication : 10 Aug 2023

Article ID : SD-IJAY_028

How to cite this article : Khot G.A.Dachewar A.S. A Case Study on Padadari :Gandhak-Coconut Oil Topically and Pittapapda with Nagarmotha Internally. Sanjivani Darshan National Journal of Ayurveda & Yoga.2023;1(1):15-20 http://doi.org/10.55552/SDNJAY.2023.1103

Abstract

The  world is an acronym for integrated science  of the Hatha , Tantra and Ayurveda .Ayurveda involve   ancient practice from india to heal and prevent disease while keeping the body and spirit in harmony . ayurveda principle includes all the physical and mental activities starting from waking up in the morning upto sleep in night .  The patient  of dermatological diseases in the population are rapidly increases .  Padadari disease described in Ayurveda under kshudra- roga  has been first mentioned  in sushrut samhita. it can be correlate with cracked feet .padadari means “Vidar or dari or Cracks or Fissures” in the hands or feet .In person who are in habit of too much walking on rough ground without footwear so vaat dosh get increased and it producing fissure in sole of feet , this is called as padadari . padadari denotes uncleanliness of sole . Ayurveda has mentioned many preparation on such minor conditions as well as oral remedies . gandhak  kalpna is best remedies for padadari when it used with pittapapada and nagarmotha tremendous result occur .

Introduction

Acharya  Sushrut & madhavnidha explained group of diseases known as ‘kshudrarog’ Nowadays, occurrence of many  Kshudrarogas is in society, Padadari has  included  that group only. Painful, cracked and dry heels are  a predominant cosmetic problem and have  been termed as Padadari; Almost all books of different chronological order have described Kshudraroga with less or more elaboration. Cracks on lower limb have no  any age limit and it can affect anybody .  many of the time cracks are occupational like bus conductor , water worker ,fisherman and  whose job with continuous standing.  Due to  old Age, dry skin , continuous  walking on rough surface,  standing on stony or woody  floors, open brogan , Unhealthy food, hyperlipidemia , Diabetes mellitus and insipidus , plantar psoriasis and other dermatological reckless, dirty  condition of lower limb  or continuous  exposure of lowe limb to grime, , microbe are common causative factor for  Padadari.

According  to present day science described  that cracked heels can occur because   deficiency of vitamin C , vitamin B-3, vitamin E , zinc, omega-3 fatty acids, calcium, and iron.

As per aspect of ayurvedic  science  Vata and Kapha dosha are those two are  basic dosha’s  that maintain the  equilibrium.  vata dosha  vrudhi may cause ruksha then vata dosha decrises kapha and makes twak rukshta  and vali formation . Kapha maintain twak  moist and mrudu .  Thus the prakop of  vata can causes ruja ; when  to  severe painful  dari in lower limb  known as  Padadari.

when administration  of medicine  as  internally, external application of medicine . according  to Ayurvedic samhitas there are many herbs  medicine are mentioned  which has  Vranaropak or healing properties.

Getting clues from these, local application of Gandhak with coconut oil   as well as internally use pittapapda and nagarmotha has been used in case of Padadari. Now-a-days cosmetology is growing rapidly , new procedure and medicine are coming from the field of modern medicine , but still some disease are there which are out of modern control . specifically skin diseases do not have firm and total cure in modern medicine , they tend to recure. This kind of pit and fall of modern medicine where Ayurveda can come strong and give total cure to the patient

             Presentation of case A 69-year-old male patient presented to our Institute hospital on 29th November, 2021 with chief complaint of 1 months dari (cracks or fissure) over both lower limb  along with Vedana (pain), Kandu (Itching), Rukshata (Dryness) & Daha (burning) off and on. There Was   history of Hypertension or Diabetes sincs 7 yr and  h/o hernioplasty of inguinal hernia .no h/o allergy of food and medicine , no h/o of any habbit  For the above complaints he went to multiple hospitals  and took various treatments for Padadari resulting in temporary relief. Patient b/b relative in our  hospital ,he had vitally stable ,  general condition was well . With this clinical  general presentation, on the basis of local and general examination   patient was diagnosed  with  Padadari .

 Ayurvedic remedies  like local application of Gandhak with coconut oil and pittapapda +nagarmotha internally  was started as he have been received many other treatment  for Padadari. Meanwhile initial and routine blood investigations like Complete Blood Count and Blood Sugar levels were sent to the labs which were within normal limits. Along with this the progress in the condition of feets was closely observed to assess the efficacy of this Gandhak with coconut oil  and pittapapda +nagarmotha  on Padadari.

Accordingly to over all study of  local medicine works as a best treatment for Padadari. Method of Application On OPD basis the, the patient was treated and advised to apply  preparation of Gandhak and  coconut oil  two time  in a day and pittapapda +nagarmotha each  6gm  8 hrly in  a day with warm water  . when  cleaning of feets with warm water, Gandhak with coconut oil  is evenly applied locally. After 1 hour it is again washed & and maintain proper hygine of feet keep it moisturized  likewise this procedure repeated for 3 month.

DRUG REVIEW

GANDHAK- gandhak has antimicrobial  as well as antifungal activity it effective in both  when taking if p/o  and locally  as antimicrobial agent . locally  use of  it  sulphur kill bacteria and fungus by formation of not only  hydrogen sulphide but also  pentatonic acid.

NAGARMOTHA- according to samhitas it having wound healing properties  now this  study was aimed to evaluate the wound healing activity of extract of tuber parts of C.rotundus. the  alcoholic extract of tuber parts of C. rotundus was new intervention  for wound healing activity.

PITAPAPDA-Pittapapda’ is a well-known crude drug used in Indian system of traditional medicine for diverse pharmacological activities like anthelmintic, antipsoriatic, hypoglycaemic, antidiarrhoeal and hepatoprotective. It is a major constituent of Ayurvedic preparations like ‘Parpatadi-kwath’, ‘Parpatadi-arishta’, ‘Parpatadi-arka,’ etc. During crude drug market survey it was observed that whole plant of seven botanically different species,

Criteria of Assessment 1. Vidar (Cracks) 2. Vedana (Pain) 3. Rukshata (Dryness) 4. Kandu (Itching). These clinical features were noted on 1stmonth , 2ndmonth and 3rd month on the basis of following charts.

Table no 1: Showing gradation of Vidar or racks Grade Vidar Or Cracks

Table no 2: Showing gradation in Vedana. Grade Vedana or Pain

Table no 3: Showing gradation in Rukshata. Grade Rukshata Or Dryness

 Table no 4: Showing gradation in Kandu. Grade Kandu Or Itching

Observation

Discussion

Conclusion

There are large number of skin diseases which are mostly treated from conventional source which bases on steroid therapy and required long term   treatment  .  When the drug stooped than the chance of recurrences is more  . It can be concluded that in the management of padadari,gandhak-coconut topically and nagarmotha with pittapapada internally provide significant result . No adverse   effect were observed during treatment .In Ayurveda various treatment principles for Padadari are explained like administration of drugs internally, external application of drugs, massage of paad and so on .cheap treatment for Padadari and proves one of best treatment for padadari.

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Source of Support : None declared
Conflict of interest : Nil