Abstract

Background: Sphutanam (cracking) of the palms and soles, Teevra Vedana (severe pain), and Manda Kandu (moderate itching) are the hallmarks of Vipadika, which is included under Kshudra Kushta (small skin illnesses) in Ayurveda. Chronic plantar hyperkeratosis, a dermatological condition that affects the soles and causes severe dryness, scaling, fissuring, and pain, is directly linked to it. For six months, a 35-year-old patient complained of severe dryness, scaling, itching, painful fissures, and sporadic bleeding in both soles. Traditional therapies only offered short-term respite. Shodhana (purificatory therapy) and Shamana (palliative therapy) were used in the treatment plan once the disease was diagnosed as Vipadika according to Ayurvedic principles. Internal Shamana Aushadhis (palliative drugs) were used to control symptoms and stop recurrence, followed by Raktamokshana (bloodletting) to remove Dushta Rakta (vitiated blood) and Virechana (therapeutic purgation) to get rid of exacerbated Doshas. Results: Significant improvement was seen after 45 days of treatment, including improved skin texture and moisture retention as well as decreased discomfort, itching, and fissuring. There were no recurrences during the follow-up period. This case study presents the management of chronic plantar hyperkeratosis in a patient undergoing Ayurvedic treatment with Vaman therapy. The study highlights the improvement observed over 45 days and the role of Vaman in detoxification and skin health.