Understanding the treatment modalities of Pemphigus Vulgaris (Agnivisarpa) through the lens of Ayurveda - A Single Case Study

Pemphigus is a disease that causes blisters and sore on the skin or mucous membrane. The blisters rupture easily, leaving open sores, which may ooze and become infected. Agnivisarpa can be compared to pemphigus vulgaris due to its resemblance in sign and symptoms. The disease needs early and proper treatment to prevent further morbidity and mortality. Being an autoimmune disorder physician generally use corticosteroids and immunosuppressive drugs here an attempt is made to study in detail about pemphigus vulgaris and its understanding though Ayurveda. A case report of 47year old male patient with clinical presentation of fluid filled blisters burning and pain along with hyperpigmentation received systemic medication in modern medicine without an adequate response. Samshodhan coupled with Samshamana medication are the cornerstones for Visarpa. Hence in this study, Virechana Karma once in a week for 2 month. After that Raktamokshana (After completion of 3 sitting of Virechana Karma) followed by 3 months of Samshamana medicine. At the conclusion of treatment, a skin lesion assessment was performed.