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Volume : 03  
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Reg. No. : MAHA-703/16(NAG)  
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: https://doi.org/10.5281/zenodo.19597355  
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Impact Factor : 1.013  
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH  
Ayurvedic Management of Shwitra Vyadhi : A Case Study  
Dr. Shubham Manikrao Dande 1 , Dr. Vipul Kanani 2, Dr. Akanksha R. Raut 3, Dr. Suwarna M. Abgad4  
1 Third year PG scholar ,Rognidan Evum Vikriti Vigyan Department, RTAM, Akola  
2 Professor & HOD,Rognidan Evum Vikriti Vigyan Department, RTAM, Akola  
3 Third year PG scholar ,Rognidan Evum Vikriti Vigyan Department, RTAM, Akola  
4Third year PG scholar ,Rognidan Evum Vikriti Vigyan Department, RTAM, Akola  
Corresponding Author: Dr. Shubham Dande  
E-Mail : shubhamdande5@gmail.com  
Article Info: Article Received on : 06/02/2026  
Article Reviewed on: 08/04/2026  
Article Published on : 15/04/2026  
Cite this article as: - Dande, S., Kanani, V., Raut, A., & Abgad, S. (2026). Ayurvedic Management of Shwitra Vyadhi : A Case  
Study. International Journal of Diagnostics And Research, 3(3), 55–61. https://doi.org/10.5281/zenodo.19597355  
Abstract  
Shwitra is a type of Kushtha characterized by white depigmented patches on the skin due to vitiation of Tridosha,  
predominantly Pitta, involving Twak and Rakta Dhatu. Shwitra can be correlated with vitiligo or leucoderma, where it  
manifest as white patches on the skin due to partial or complete loss of skin pigmentation and causes cosmetic  
imbalance of the body. A male patient, aged 27 yrs. suffering from white patches on face and neck region from last 6  
months and he was treated with the Shodhana and Shamana Chikitsa for a period of 2 month. Result was assessed  
from the changes in the size of patch and photographs. Proper written consent was taken from the patient. Follow up  
was done at 15 days interval and after 2 months there was marked improvement seen in patches and colour. The  
present study elucidates various therapeutic perspectives on Shwitra Kustha, demonstrating a management protocol  
that is both economically viable and clinically safe.  
Keywords: Tridosha, Shwitra, Vitiligo, Virechana, Shamana Aushadhi..  
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Introduction :  
Aims And Objectives :  
Shwitra is a condition characterized by whitish  
discoloured patches on the body, which is caused  
due to involvement of Sapta Dravyas i.e. Vata,  
Pitta, kapha, Rasa, Rakta, Mamsa and Meda.[1]  
Shwitra can be correlated with vitiligo. Vitiligo is  
an autoimmune condition in which skin became  
hypopigmented due to loss of melanocytes cells. It  
is very distressing disease and because of its ugly  
appearance and presentation of the body, it may  
disturb patients personal, familial, social life. It  
affects both sexes equally. Worldwide prevalence  
of vitiligo is 1% among which highest incidence  
has been recorded in Mexico and India. In India it  
is estimated between 3-4% although incident is  
high as 8.8% in dark skinned people. [2] Numerous  
theories exist regarding the etiology of vitiligo,  
including the main reasons include autoimmune,  
1) To study the case of Shwitra (vitiligo)  
through Ayurveda.  
2) To  
analyze  
the  
role  
of  
Ayurvedic  
management in Shwitra Vyadhi.  
Case Description:  
A 27 years old male patient came at OPD of R.T.  
Ayurved Hospital, Akola. With complaints of white  
patches on face and neck.  
History of present illness :  
Patient was healthy before 6 months but gradually  
he noticed that small white patches over face and  
neck. Initially he neglected but with the time the  
size of patch gets increased. For this patient visited  
dermatologist in his town where he was diagnosed  
as vitiligo and given treatment. Patient took  
treatment for nearly 2 months and didn't get any  
significant results. Later on for permanent solution  
for the said complaints he visited the OPD of R.T.  
Ayurved Hospital, Akola for further management.  
Past History :  
chemical  
contact,  
endocrine,  
genetic,  
[3]  
psychological, and adverse drug interactions.  
Dishonesty, ungraciousness, contempt for the gods,  
insulting the preceptors, evil deeds, sins from past  
incarnations and eating contradictory foods are the  
actual reasons that are considered Nidana in  
Ayurveda. [4] There is no complete cure for Vitiligo  
and hence, there is a scope for Ayurveda to  
No History of any major illness like Diabetes  
mellitus, Hypertension or Thyroid Disorder.  
Family History : Nil; Family history negative for  
Shwitra (vitiligo).  
Personal History :  
intervene.  
Ayurvedic  
treatment  
employs  
a
Appetite - Irregular  
comprehensive protocol: purification therapies to  
eliminate systemic toxins, complemented by  
Sleep  
- Normal  
Bowel - Regular but not clear  
Bladder - 4-5 times /day  
Weight - 62 kg  
targeted  
topical  
applications  
and  
internal  
medications. Together, these interventions disrupt  
the “Dosha-Dushya Sammurchana” to address the  
root cause of disease.  
Height - 156 cm  
Diet - Veg and Non veg (Mostly preferred high  
protein diet)  
Psychological history - Nil (Mostly worried for  
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exams)  
Treatment protocol :-  
Occupation - Student  
Total duration - 2 months  
Treatment given -  
General Examination :  
Temperature - 98.2° F  
Ayurveda categorises treatment into 3 main stages  
Pulse rate - 76/min  
1)  
Nidanparivarjana[5]  
2)  
Sanshamana  
3)  
Blood pressure - 120/70 mm of hg  
[6]  
Sanshodhana.  
The treatment protocol was  
Pallor  
- Absent  
- Absent  
formulated by following Ayurvedic principles and  
aphorisms. The Doshas were deep seated in Rakta,  
Mamsa and Medo Dhatu. Shodhana was done prior  
to Shamana to eliminate the toxins from the body.  
As Acharya Vagbhata says the person should be  
prepared with Deepana and Panchana before  
Snehapana[7] , Chitrakadi Vati in a dose of 2 tablet  
twice after food with lukewarm water was given for  
Icterus  
Oedema - Absent  
Ashtavida Pariksha :  
Nadi  
- Pitta-Vataj  
Mutra  
- 4-5 times/day  
Mala - Drawamal (1 to 2 episode,  
Durghandiyukta)  
Jivha  
- Saam  
2 days.  
Snehapana was done with Panchatikta  
Shabda - Spashta  
Ghrita for 5 days as Samyak snigdha lakshana was  
seen at 5th day. All precautions were followed  
during Snehapana procedure.1st day - 30ml.….2nd  
day - 60ml…..3rd day - 90ml..…4rth day -  
120ml…..5th day - 150ml.After proper internal  
oleation is achieved, patient was given a 3 day  
resting period. During this period Bahya Snehan  
was done by Neem Taila followed by Swedana.  
Patient is given Snigdha, Ushna, Drava Ahara.  
Virechana Karma is performed on 4th day after the  
Kapha Kala with the help of Trivrit Avleha along  
with the Aragwadh Kwath. During the Virechan  
Sparsha - Ushna  
Drik  
- Prakrut  
Aakruti - Madhyam  
Diagnosis :  
On examination the case was identified as Shwitra based  
on the clinical signs and symptoms.  
Samprapti Ghatkas -  
•
•
•
•
Dosha– Tridoshaja  
Dushya– Rasa, Rakta, Mamsa & Meda  
Agni– Agnimandhya  
Srotas– Rasavaha, Raktavaha, Mamsavaha  
Medovaha  
&
•
•
•
•
•
•
Srotodusti– Sanga  
karma,  
the  
patient  
experienced  
18  
Vegas  
Rogamarga– Bahya  
(Kaphantar). This indicated a Madhyam shuddhi. A  
5-day Samsarjan karma with 2 Annakalas was  
prescribed according to the standard dietary  
guidelines.  
Udbhava Sthana– Amashaya  
Vyakta Sthana– Twacha  
Swabhava– Chirakari  
Sadhyasadhyata– Yapya  
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(blood). Since Pitta and Rakta have an intimate  
relationship (Ashraya-Ashrayi bhava), vitiated Pitta  
directly vitiated the blood, leading to the loss of  
skin pigmentation. Shwitra is a Raktapradoshaj  
Vyadhi[8]. Acharya Charaka explains Virechana is  
the ultimate treatment for Pitta-related[9] disorders.  
Virechana expels toxic Pitta and purifies the blood  
thus restores the normal functioning of Bhrajaka  
Pitta.  
Medicine  
(Shaman  
Aushadhi)  
given  
after  
Virechana karma :  
Time  
period  
Medicine  
Dose  
2 Tablets twice after  
meal with water  
Arogyavardhini  
vati  
2 months  
2 Tablets twice after  
meal with water  
2 Tablets twice after  
meal with water  
20ml twice after meal  
with water  
Local application  
(Sufficient quantity  
F/B - 10 minutes  
exposure to sunlight.  
2 months  
2 months  
2 months  
Krumikuthar ras  
Bakuchi  
Ghanawati  
Khadirarishta  
Arogyavardhini Vati[10]  
- It is indicated under  
Arogyavardhini Vati  
Avalgujadi lepa  
Kushtaroga  
Adhikara.  
2 months  
contains Shuddha Parada, Shuddha Gandhak, Loha  
Bhasma, Abhraka Bhasma, Tamra, Triphala,  
Shilajatu, Guggulu, Chitrak Moola, Katuki, and  
Nimba Patra extract. This formulation supports  
digestion, helps eliminate excess Snigdha Dravyas,  
aids in digestion of Drava and Kleda, and improves  
blood quality. Acts as a potent liver stimulant and  
Mala Shodhana, balances Pitta and clears Strotas.  
Also helps in purgation due to presence of Kutki. It  
works on the Meda Dhatu and the Dhatwagni, thus  
digesting and removing the Ama Janit Medo  
Dhatuvridhhi. In Shwitra Vyadhi there is a  
Sanga(Obstruction) of Doshas. Arogyavardhini  
clears the obstruction in the micro channel's. In  
modern aspect melanin synthesis requires the  
enzyme tyrosinase. And copper is an essential  
cofactor for tyrosinase activity. Presence of Tamra  
bhasma (micro particles of copper) may helps  
tyrosinase activity to stimulate melanogenesis.  
Follow up was taken at every 15 days of interval to  
examine the patient condition and to see the  
efficacy of the drugs.  
Before Treatment  
After Treatment  
Discussion :  
Krumikuthar Rasa[11]  
- Acharya Sushruta has  
Role of Virechana in Shwitra Vyadhi :- Shwitra is  
classified under Kushta Roga. While it involves a  
Tridosha imbalance, it primarily affects Bhrajaka  
Pitta (the subtype of Pitta residing in the skin that  
provides color and complexion) and Rakta Dhatu  
mentioned that all types of Kushta originate from  
[12]  
Vata, Pitta, Kapha and Krimi.  
Raktaja Krimi  
circulating in the blood affects the normalacy of  
blood in which the Bhrajak Pitta reside. Which is  
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properties. The extract is used for its  
responsible for the normal pigmentation of skin.  
Krumikuthar Rasa is used to break the pathogenesis  
of the disease and not directly used for  
repigmentation.  
Bakuchi Ghanavati[13] - Bakuchi Ghanavati is a  
concentrated, water-extracted tablet made from the  
raw Bakuchi drug. According to Raj Nighantu  
(Shwitraprashamani para ) and Bhavprakash  
Nighantu ( Shwitrahari para ) it is the ultimate  
remedy for Shwitra. The Tikta Rasa, Ruksha Guna  
and Katu Vipaka clears the main Strotodushti.  
Laghu and Ruksha Guna subsides the vitiated  
immunomodulatory properties, blood purification,  
astringent effects, bactericidal action, cooling  
properties and anti-inflammatory benefits. [18] As a  
result, it enhances liver function, purifies the blood,  
and supports the production of melanin pigments  
by melanocytes which are essential for skin  
pigmentation.  
Avalgujadi lepa[19] - It is made from Avalguja  
(Bakuchi) seeds and Hartala (Arsenic trisulphide)  
processed  
with  
Gomutra.  
And  
as  
Acharya  
Vagbhata says it is “Savarnakaranam Param” i.e.  
it is a supreme application for restoring the natural  
colour of the skin. The active constituent in  
Bakuchi is psoralin. When applied topically and  
exposed to sunlight, it triggers a phototoxic reaction  
that that stimulates the proliferation of melanocytes  
Kapha.  
It  
has  
properties  
like  
Kushtahara,  
Kaphavatahara and making promote shining of  
skin. [14]  
The main constituent of Bakuchi is Psoralin. It  
increases the rate of synthesis and amount of  
melanin and hence encouraging skin to recover  
from a vitiliginous state. [15] Psoralia corylifolia is  
the only drug that has a dual action on both  
Rouget's cell and the melanoblastic cell of the skin.  
and promote the synthesis of melanin[20]  
.
Hartala breaks the pathogenesis of Shwitra which  
prevent the self destruction of melanocytes. The  
Vyavayi and Ashukari properties of Hartala may  
help the other drugs to reach the site quickly and  
remove the obstruction of Shwitra. [21] Gomutra is  
Katu, Tikshna, Ushna, and Kshara in potency. It is  
effective in destroying Kilas and Kushta along with  
other diseases.  
[16]  
The active principles in Bakuchi (Psoralens) act  
on these cells to dilate the intradermal capillaries.  
This increases local blood plasma flow, which is  
why applying Bakuchi or taking it internally often  
causes the characteristic redness (erythema) over  
the white patches.  
Sun exposure therapy : Acharya Sushruta  
describes applying Lepa then exposing the skin to  
the sun. It causes Sphota (Blisters), which are then  
punctured to release the fluid followed by healing  
which promotes repigmentation.  
Khadirarishta[17]  
-
The primary ingredient of  
Khadirarishta is Khadira extract. As Acharya  
Charaka said Khadira is the best drug in Kushta  
Vyadhi. And also told that use of Khadira in Kushta  
Vyadhi in every possible way like in Ahara, Pana  
Apathya - A patient is 27 years old student. He  
often consumed the incompatible food such as milk  
shake, street food, panner, pickles and non veg  
food. He was strictly instructed to avoid above food  
(Drinking)  
(Medicine).  
,
Vihara  
(Bath/Wash),  
Bheshaja  
It has Laghu, Ruksha Guna, Tikta,  
Kashaya Rasa, Katu Vipaka and Sheeta Virya  
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along  
with  
sour  
(Amla),  
Lavana(Salty),  
References :  
Dadhi(curd), Tila(Sesame), Guda(Jaggery), Udid  
(Black gram).  
1. Acharya  
Charaka  
,
Dr.Brahmhanand  
Tripathi,Choukhmba Surbharti Prakashan  
Varanasi. Charaka Chikitsasthan Adhaya  
7/174, page no. 277  
Pathya - Patient was encouraged to take light food,  
Tikta Rasa Pradhan Dravyas, Shak, Puranshali,  
Shashtishali, Mudga, Masoor, Godhuma.  
2. Vende, Madhubala Ashok et.al., A Literary  
review of Shwitra and its management  
according to Ayurveda, European Journal of  
Pharmaceutical and Medical Research,2019,  
6(11),132-138  
Conclusion :  
In today's modern era, due to lack of knowledge  
about correct eating habits, We inattentively follow  
3. Pajvani U, Ahmad N, Wiley A, et al. The  
relationship between family medical history  
wrong  
dietary  
habits.  
Which  
manifest  
and  
childhood  
vitiligo.  
J
Am  
Acad  
dermatological disorder like Vitiligo(Shwitra),  
Eczema, Psoriasis, etc. About Shwitra there is a  
social stigma. There is no complete cure for  
Vitiligo and hence, there is a scope for Ayurveda to  
intervene. The Ayurvedic treatment protocols  
targets the underlying pathogenesis to eradicate the  
root cause and prevent disease recurrence.  
Clinically this comprehensive approach reduces the  
restoration of normal skin pigmentation. In this  
present case study, the white patches which were  
present on face and neck region was almost  
recovered within 2 months of treatment. Here  
Nidanparivarjana, Shodhana, Shamana Chikitsa  
administered, which helps in purification of body,  
eliminated vitiated Doshas and prevent recurrence  
of the disease. Therefore it can be concluded that  
Dermatol 2006; 55 (2): 238-44. Shastri K.  
4. Acharya  
Charaka  
,
Dr.Brahmhanand  
Tripathi,Choukhmba Surbharti Prakashan  
Varanasi. Charaka Chikitsasthan Adhaya  
7/177  
5. Acharya  
Sharma, Sushruta Samhita of Maharshi  
Sushruta.( Susrutavimarsini Hindi  
Sushruta,  
Acharya  
Priyavat  
commentary) Vol 3, Choukhmba Surbharti  
Prakashan Varanasi, Sushruta Uttarsthan  
Adhaya 1/25, p.10.  
6. Acharya Vagbhata, Ashtanga Hridayam,  
Sutrasthana (Dvividhopakraniya Adhyaya)  
14/4, Hindi Commentary 'Nirmala' by Dr.  
Brahmanand  
Sanskrit Pratishthan, Delhi.  
Tripathi,  
Chaukhamba  
7. Acharya Vagbhata, Ashtanga Hridayam,  
Sutrasthana, Chapter 13  
(Doshopakramaniya Adhyaya), Verses 28-  
29. Edited with 'Nirmala' Hindi  
the  
treatment  
protocol  
along  
with  
external  
Commentary by Dr. Brahmanand Tripathi,  
Chaukhamba Sanskrit Pratishthan, Delhi,  
Reprint Edition 2023, p. 185.  
application gives significant relief to the patient  
within 2 months. Therefore, this therapeutic  
protocol demonstrates promising potential in the  
management of Shwitra. However, well-designed  
clinical trials with a larger sample size are needed  
to establish statistical significance and validate  
these clinical findings.  
8. Acharya Charaka, Charaka Samhita Vol 1,  
Sutrasthana 28/12-13. Hindi commentary by  
Dr. Brahmanand Tripathi, Chaukhamba  
Surbharati Prakashan, Varanasi, 2014, p.  
574.  
9. Agnivesha. Charaka Samhita, Sutra Sthana (  
Maharogaadhyaya 20/18 ) Edited by Shastri  
Copyright @ : - Dr.Shubham Dande Inter. J.Digno. and Research IJDRMSID0108 |ISSN :2584-2757  
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Volume : 03 Issue : 03  
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]  
K,  
Chaturvedi  
G.  
Vol  
1.  
Varanasi:  
Catechu. Indian J phytolpharmacol 2009,  
53(1): 25-33 PMid: 19810573  
Chaukhamba Bharati Academy; 2021. p.396  
10. Prof. Siddhi Nandan Mishra, Bhaisajya  
Ratnawali Chapter no. 54 verse no. 111-  
117, Chaukhamba Surbharti Prakashan,  
Varanasi  
19. Acharya Vagbhata, Ashtanga Hridayam,  
Chikitsasthana (Shvitra-Krimi Chikitsitam)  
20/13, Hindi Commentary 'Nirmala' by Dr.  
Brahmanand  
Tripathi,  
Chaukhamba  
Sanskrit Pratishthan, Delhi.  
11. Govindadasa. (2024). Bhaishajya Ratnavali  
S. N. Mishra, Trans.; Vol. 2, Chaukhamba  
Surbharati Prakashan, Kushtha Rogadhikara  
54/235-237. p. 842–843  
20. Bhagyesha K, Babu SS, Mulki Patil B.M.,  
Evaluation Of Effect Of Ankolakadi Yoga  
In Shvitra With Special Reference To  
Vitiligo, PG Dissertation submitted to D.G.  
Melmalagi Ayurvedic Medical College,  
Gadag, 2011  
12. Acharya  
Sharma, Sushruta Samhita of Maharshi  
Sushruta.( Susrutavimarsini Hindi  
Sushruta,  
Acharya  
Priyavat  
commentary) Vol 3, Choukhmba Surbharti  
Prakashan Varanasi, Sushruta Nidansthana  
Adhaya 5/6, p. 494  
21. Senevirathna GG, Weerasekera KR. A  
Basic Analytical Study of Romashatana  
Churna (Powder) for Arsenic Contain.  
International Journal of Ayurveda. 2021;47-  
51  
13. Mishra  
BS,  
Vaisya  
R,  
editors.  
Bhavaprakasha Nighantu of Sri Bhava  
Mishra, Haritakyadi Varga, Verse 207-208.  
11th ed. Varanasi: Chaukhambha Sanskrit  
Bhawan; 2012. p. 118-119.  
Declaration of patients consent - Patient’s written  
consent has been collected and preserved by the  
author(s).  
14. K.C.  
Chunekar  
and  
G.S.  
Pandey,  
Financial support and sponsorship - Nil  
haritakadivarga, page 123, reprint: 1999,  
chaukhambha Bharti Academy Varanasi.  
Conflicts of interest - There are no conflicts of  
interest.  
15. Wu CS et. al. Effect of psoralen plus  
ISSN: 2584-2757  
Ultraviolet  
A
irradiation  
on  
cultured  
epidermal cells in vitro and patient with  
vitiligo in vivo Br. Journal of Dermatology  
2007, Jan 156(1):122 -9 (pubmed)  
DOI : https://doi.org/10.5281/zenodo.19597355  
Dr. Shubham Dande Inter. J.Digno. and Research  
This work is licensed under Creative  
Commons Attribution 4.0 License  
16. Kalavade, V. A., & Chapadgaonkar, S. S.  
(2019). A Review of Effect of Bakuchi on  
Shwitra Kushta. International Journal of  
Submission Link : http://www.ijdrindia.com  
Scientific  
Development  
and  
Research  
(IJSDR), 4(7), 298-300.  
17. Prof. Siddhi Nandan Mishra, Bhaisajya  
Ratnawali Chapter no. 54 verse no. 365-  
370, Chaukhamba Surbharti Prakashan,  
Varanasi.  
Benefits of Publishing with us  
Fast peer review process  
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Author retains copyright  
18. Mulla SM. Vitiligo Ayurvedic Treatment  
Approach.  
Dermatology.  
J
Clinical  
2018.  
Cosmetic  
2(3)  
Unique DOI for all articles  
dx.doi.org/10.16966/2576-2826.129.) (Syed  
https://ijdrindia.com  
Ismail,  
Immunomodulatory  
Mohammed  
activity  
Asad  
Acacia  
of  
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