Published Paper Details:

Skin, known as Twacha in Ayurveda, is considered the outer protective covering of the body and an indicator of overall systemic health, reflecting physical, mental, and emotional well-being. Ayurvedic texts classify skin disorders under the broad category of Kushtha. Acharya Charaka describes seven types of Maha Kushtha and eleven types of Kshudra Kushtha, with Dadru falling under the latter group, primarily involving an imbalance of Kapha and Pitta dosha. Clinically, the presentation of Dadru corresponds to dermatophytosis (Tinea corporis), a common superficial fungal infection characterised by annular erythematous plaques, pruritus, and scaling. Persistent dermatophytic infections may lead to secondary eczematous changes due to disruption of the skin barrier and heightened immune responses. Ayurveda attributes these chronic pathological features to aggravated Pitta and Kapha, along with Ama deposition in peripheral tissues. Therapeutic strategies emphasise both Shamana (pacification) and Shodhana (purification) approaches to restore dosha equilibrium and skin homeostasis. Integrative management incorporating Virechana Karma (purgation), Jalaukavacharana (leech therapy), and targeted topical herbal formulations such as Nimba Taila may improve local circulation, promote tissue repair, and provide antimicrobial action. Modern diagnostic techniques, including KOH microscopy and fungal culture support accurate identification and antifungal selection. This article evaluates a multimodal Ayurvedic approach involving Jalaukavacharana, Virechana, and Nimba Taila in managing Tinea corporis (Dadru Kushtha) with secondary eczematization, highlighting their potential role in enhancing skin barrier function and achieving sustainable clinical outcomes.