Table: 1.
| Date | Patient complaints | Interventions |
|---|---|---|
|
1st Episode: Non- Ayurvedic Interventions | ||
| October 12, 2010 | Patient noticed small non-oozing eruptions in the legs with pain and an itchy sensation. It eventually became big and spread to the whole body except the face, axillary, scalp and genital region within two months and mostly erupted at night. | Took biomedical interventions – Corticosteroids for one month. No Ayurveda interventions were done. |
| November 20, 2010 | Lesions aggravated, and the patient started to feel stressed about the condition as her whole body became blackish-discoloured with profuse, itchy sensations and pain. She experienced a lack of sleep because the lesions aggravated at night and also due to stress. There was excessive hair loss during this time. | Homoeopathic medications for one month. No Ayurveda interventions were done. |
| OP-based Ayurvedic Interventions | ||
| April 03, 2011 | At the time of Ayurveda consultation, she presented with lesions that were maculopapular, diffuse with blackish-red colour, and polygonal in shape with irregular borders. The lesions were distributed all over the body except the face, scalp, head, oral mucosa, nails, and genitals. Flakes with white streaks (Wickham Striae) were seen associated with itching. | Ayurvedic internal medications for Mrdu Shodhana, Pachana Shodhana and Lekhana were prescribed along with external applications for 30 days. |
| May 04, 2011 to July 23, 2011 | After one month of medications, the patches became light. The dryness and pain reduced. Occasional itching was present. | Continued Mrdu Shodhana, Pachana and Shamana medicines as internal medications. Medicated oils to moisten the skin and to normalise the skin colour were advised for three months. |
| July 23, 2011 to April 19, 2012 | Only light marks of the early lesions were visible on the skin, and there was no pain, itching or dryness. | Continued Ayurvedic internal medications and external applications for 9 months. |
| 2nd Episode: OP-based Ayurvedic Interventions | ||
| November 14, 2018 | Recurrence of hard, dry, raised and blackish discolouration of the skin, mainly in hands and legs, with itching and burning sensation. | Started with out-patient-based Pachana, Shodhana and Lekhana treatment for 33 days. |
| IP-based Ayurvedic Interventions | ||
| April 18, 2019 to April 30, 2019 | The blackish-red lesions on the skin reduced in intensity, and there was relief from pain, itching and dryness with oral medications. The lesions still persisted in the hands and legs with mild itching and burning sensation. | Deepana and Pachana medications were given for 2 days. |
| There were no changes in the skin lesions, but the itching and burning sensation had reduced. |
Shodhananga. Snehapana was administered for 7 days, Sarvanga Abhyanga and Bashpa Sweda for 3 days, Virechana 1 day and Samsarjana Krama for 1 day. |
|
| May 01, 2019 | The lesions and itching sensation had resolved. | Discharged and advised to take Madhusnuhi Rasayana for 30 days. |
| Follow-up | ||
| October 20, 2020 | On telephonic conversation, the patient reported no fresh lesions and is symptom-free | No medications from the last six months |
| May 11, 2021 | On telephonic conversation, patient reported to be symptom-free | Stopped taking all the Ayurvedic medications |
| July 30, 2022 | On telephonic conversation, patient reported to be symptom-free | No medications |