Case Report International Ayurvedic Medical Journal ISSN:2320 5091
EFFECT OF BAKUCHI ON VITILIGO – A CASE STUDY
Gupta Amit Kumar1, Prasad Mahendra2, Meena M S3
1
M D (Ayu) Scholar, P.G. Department of Sharir Kriya, NIA, jaipur, Rajasthan, India
2
Lecturer, P.G. Department of Sharir Kriya, NIA, jaipur, Rajasthan, India
3
Director, National Institute of Ayurveda, Jaipur, Rajasthan, India
ABSTRACT
Shwitra is considered in Kushta.. It is not painful and troublesome. In society it is very
dreadful and hating state. One to four percent population is suffering in world. It produces
mental discomfort. A 3½ years old boy had suffering white patches over arm and shoulder.
Bakuchi Churna 500 mg twice in a day with warm water and Bakuchi Tailam apply over affected
area in morning sunlight for one year by follow up every month. The assessment criteria were
size and color of the patches. The effect of drug is to enhance the proliferation of melanocytes.
m
The content of Bakuchi along with sunlight is very effective. The color becomes red and sizes
diminish.
Keywords: Shwitra, Bakuchi, Melanocytes.
Melanocytes
INTRODUCTION
Ayurveda is a prehistoric health misdeeds of past lives and intake of
science. It covers health maintenance and mutually contradictory food are the
disease condition. In Indian society many causative factors of Shwitra5.
people are suffering from shwitra.
shwitra Though CASE REPORT:
there is no painful, uneasiness and body A three year old boy complaining
trouble. In Indian society it is very hateful
h white patch over skin of ventral and inner
and dreadful condition.. Society is not surface of left hand spreading to outside of
interested to take part in and keep away in shoulder multiple irregular sized varied from
unpleasant state. It gives mental discomfort 0.2x0.2cm to 1 inch x1 inch patches.
and stress. In world 0.1 to 4% people are Initially lesions were small discrete, later
affected by this disease1In which about 25% progressively increased in their size and then
the
are suffering before 8 years age2. There are spread to upper arm and shoulder gradually
many theories
ies regarding the cause of shwitra over duration of one and half years with
(leukoderma). The main cause of the negative family history. There were no
leukoderma is autoimmune, genetic, associated complaints confined to lesions
psychological, endocrine disorder, chemical like itching or burning sensation and also no
contact and adverse drug interaction3,4 . history of environment, occupation and
However in Ayurveda,, the causes for related
ted to contact with harmful dietary
the Shwitra, are considered as substance. Father told that at the time of
untruthfulness, ungratefulness, disrespect for birth he has history of fits and was on
the gods, insult of the preceptors, sinful acts, phenobarbitone for one year.
year
Gupta Amit Kumar et & all : Effect Of Bakuchi On Vitiligo – A Case Study
EXAMINATION: General condition of patient had been followed up every month
patient was fair, Vitals are normal. Local for one year.
and systemic reveals that no abnormality OBSERVATION: Regular use of bakuchi
detected Bowel are constipated. powder and bakuchi tail minimises the size
Micturation is normal and adequate. and get srink, also changes the color of
Appetite is good. White patches are patches from white to reddish in first visit
different sizes with dispersed area of hand follow up.
and shoulder. CONTENT: Bakuchi (psoralia corylifolia)
EVALUATION OF SYMPTOMS: has many compounds like bakuchinol
Evaluation of lesion are based on the (phenol), psoralen, isopsoralen, psorelidin,
following criteria- isopsoralidin, dehydroisopsoralidin and
1. Size (Diameter) of patches on inner size corylifolen8. Inspite of that there is some
of elbow was around 1 inch. more compound are present like bakuchicin
2. Number of patches-one large patch on (colorless needle), corylin (colorless
left elbow and 8-9 small patches on left crystal)9 .
upper arm. PATHYA: Cow milk and ghee, munga,
3. Colour of patches-white. parval, rice, spinach, methi and easily
SAMPRAPTI: digestive diets.
Mithya Ahar (vitiated, incompatible APATHYA: Guda, sesamum (Til), curd,
diet ), Vihar (life style), day time sleep, prickles, chillies, fish, brinjal, jackfruit,
disobey of Guru and parents order, heavy diets, etc
misbehaviour, misconduct and
Poorvajanmakrita Karma leads to vitiation DISCUSSION
of Kapha and logging in Srotas leads to In the following work, bakuchi
blockage and abberent path of vitiated Vata churna (internal use) and bakuchi Tailam
and Pitta. It resides in Rakta Dhatu then at (external use) had been used for the
appears red if resides in Mansa Dhatu then treatment of Shwitra, the result of which are
its color become Tamra and if resides in found encouraging. The ras is Katu, Tikta,
Meda Dhatu then it appears white. Ruksha Guna, Katu Vipak. The powder and
SAMPRAPTI GHATAKA: extract have strong antioxidant properties
Dosha: Vata, pitta and kapha. (10). bavachin and psoralidin has inhibitory
Dushya: Rakta, mans, meda and ambu. against antigen induced granulation11 .
Adhsthan: Bahya rogamarg- Twacha (Skin) Rasa, Guna ,Vipaka and Doshagnata
Srotodushti: Srotavarodh. of the bakuchi then it can be found that in
MEDICATION: bakuchi katu-Tikta Rasa, Ruksha Guna,
After proper analysis first visit katu Vipaka, predominate. In the Shwitra
patient had been prescribed bakuchi churna Sroto-Dushti is removed by the katu-Tikta
500 mg6,7 with warm water twice a day Rasa, Ruksha Guna, katu Vipaka, of the
after meal and bakuchi Tailam for local bakuchi and also increases the blood
application over affected area followed by circulation locally, thus provides nutrition to
exposure to early morning sun light6 .The the cells present there and helps in the
194 [Link] IAMJ: Volume 3; Issue 1; January - 2015
Gupta Amit Kumar et & all : Effect Of Bakuchi On Vitiligo – A Case Study
adequate formation of Bhrajak Pitta in the 2. Matz H, Tur E. Vitiligo. Curr Probl
skin. Dermatol. 2007;35:78–102.
Bakuchi content has increase the rate 3. Pajvani U, Ahmad N, Wiley A, Levy
of synthesis and amount of melanin and RM, Kundu R, Mancini AJ, et al. The
hence encouraging skin to recover from a relationship between family medical
vitiliginous state12. The use of sunlight in history and childhood vitiligo. J Am
early morning on affected area of skin Acad Dermatol. 2006;55:238–44.
because it has content of ultraviolet rays and 4. charak Samhita, pt. Kashi Nath Shastri
with Bakuchi leads to favourable milieu for hindi commentary,chikitsa sthan 7/4-8,
promoting the growth of melanocyte chaukhambha Sanskrita sansthan,
migration and stimulates proliferation13 . It Varanasi, reprint 2006.
is not enough in proliferation of melanocyte 5. Chakradatta, hindi commentary by Dr.
but also prevents the autoimmune activity Indra Dev Tripathi,
disease14 . kushthachikitsaprakarana 50/57, reprint
The mode of action on skin is 2005, chaukhambha sanskrita bhawan,
depends on the nature of drugs used. The varanasi.
nature of Ushna leads to diminution of 6. the ayurvedic pharmacopeia of india part
Kapha and Vata Dosh and Laghu, Ruksha 1, government of India, department of
Guna subside the Kapha Guna. Katu Vipaka ayush page 31
helps the Shodhana of Srotas. Also Ushna 7. abeysekera ajita mahendra et. al. “
properties helps the Agnideepan and studies on the composition and
Pachana. It has properties of like standardization of “ Bakuchi oil” an
Kushthaghna, Kaphvatahar and makeing Ayurvedic medicinal oil prepared from
promote shining in skin (Twachya)15 . psoralea corylifolia L. used in the
treatment of vitiligo” IJRAP 3(3), May-
CONCLUSION jun 2012.
The effect of bakuchi churna is very 8. Amit Tiwari and R.S. Bhakuni “ new
effective in pediatric vitiligo without any constituents from psoralea corylifolia”
adverse effect on body on any system or Indian Journal of Chemistry : vol.49B,
organ. The use of sun light is additive effect February 2010,pp.256-259
to promote the melanocyte formation. 9. Guo J, Weng X, Xinchu W, Hou W,
Qinghua L, Kaishun B. Antioxidants
REFERENCES from Chinese medicinal herb-Psoralea
1. Handa S, Kaur I. Vitiligo: Clinical corylifolia L. Food Chem. 2005;91:287–
findings in 1436 patients. J 92.
Dermatol. 1999;26:653–7 2. Halder 10. Matsuda H, Sugimoto S, Morikawa T,
RM, Grimes PE, Cowan CA, Enterline Matsuhira K, Mizuguchi E, Nakamura S,
JA, Chakrabarti SG, Kenney JA., Jr et al. Bioactive constituents from
Childhood vitiligo. J Am Acad Chinese natural medicines. XX.
Dermatol. 1987;16:948–54. Inhibitors of antigen- induced
degranulation in RBL-2H3 cells from
195 [Link] IAMJ: Volume 3; Issue 1; January - 2015
Gupta Amit Kumar et & all : Effect Of Bakuchi On Vitiligo – A Case Study
the seeds of Psoralea corylifolia. Chem autoimmune disease, cancer, and
Pharm Bull. 2007;55:106–10. cardiovascular disease” The American
11. Xu Jianguo,Effects of Fructus psoraleae Journal of clinical nutrition:
on tyrosinase activation,Chinese Herbal [Link]/content/8016/16785
Medicine 1991:22(4):169 (cited on dated 21.11.2014)
12. Wu CS [Link]. “ effect of psoralen plus 14. Bhav Prakash nighantu, hindi
ultraviolet a irradiation on cultured commented by [Link] and
epidermal cell in vitro and patients with [Link],haritakyadivarga, page 123,
vitiligo in vivo” Br. Journal of reprint:1999, chaukhambha Bharati
dermatology 2007, Jan 156(1):122-9 Academy Varanasi.* M.D. (Ayu)
(pubmed) Scholar, P.G. Department of Sharir
13. Micheal holick “ sunlight and vitamin D Kriya, NIA, jaipur.
for bone health and preventation of
Before Treatment Photo 1 During Treatment Photo 2 After Treatment Photo 3
After Treatment Photo 4
CORRESPONDING AUTHOR
Dr. Amit Kumar Gupta
M D (Ayu) Scholar,
P.G. Department of Sharir Kriya,
NIA, Jaipur, Rajasthan, India
Email:dramitgupta9350@[Link]
196 [Link] IAMJ: Volume 3; Issue 1; January - 2015
