A Case Study on Ayurvedic Management of Papulo-Pustular Skin Lesions in a Pediatric Patient: An Integrative Approach Following Virechana Therapy

Case Study

Abstract

This case study Describes the Ayurveda management of a chronic dermatological condition in a nine-year-old male child who presented with pustular and papular lesions over the groin and shoulder regions. The lesions were accompanied by severe itching and serous discharge and had persisted for more than one month despite prior allopathic treatment. An individualized and holistic Ayurveda treatment plan was designed based on classical principles to address both local symptoms and systemic imbalance. The therapeutic approach began with Deepana and Pachana therapies to improve Agni and eliminate Ama. This was followed by Snehapana and Virechana to expel aggravated Pitta and Kapha Doshas from the body. External treatments, including Abhyanga with medicated oils, were used to support skin healing and reduce inflammation. After the detoxification phase, Samsarjana Krama was implemented to gradually restore Agni and metabolic balance. Shamana Chikitsa with appropriate herbal formulations was administered to control symptoms and prevent recurrence, while Rasayana therapy was included to enhance immunity and promote tissue regeneration. The child showed marked clinical improvement, with significant reduction in itching, discharge, and lesion size, ultimately achieving complete resolution. No recurrence was noted during follow-up, highlighting the potential of systematic Ayurveda management in pediatric dermatology cases.