Comparative Study of Arjun Twak Lepa and Arjun Twak Kukkutand Pottali in Management of Vyanga with Special Reference to Melasma: An Update

Background: Hyperpigmentation is a darkening of the skin caused by an excess of the pigment melanin in the skin. Healthy and glowing facial skin enhances a person's beauty and self-confidence. Vyanga is a Kshrudraroga with the facial features of Niruja (painless) and Shavavarna Mandalas (bluish-brownish patches). Melasma, a hyper pigmented disorder with similar clinical features, can be compared to it. When applied locally, whole raw egg/egg yolk alone or with herbs has shown to be very effective in tightening skin, improving complexion, and healing skin disorders. In the current study, an egg is combined with Arjun Twak Churna (Fine powder made of skin of Terminalia Arjun) in pottali (poultice) in the experimental group to improve Vyanga management. Aim of the study was to study Arjun Twak Kukkutand Pottali's effect on MASI (Melasma Area Severity Index). MASI of the patients was investigated, and the effects of Arjun Twak Kukkutand Pottali and Arjun Twak Lepa on MASI were compared.

Methodology: A total of 44 patients were enrolled in the study (22 in each group). Arjun Twak Lepa was given to the control group for local use for 21 days. Arjun Twak Kukkutand Pottali was provided for local application for 21 days in the experimental group. On the 0th and 21st days, the assessment was completed.

Results: Positive Changes were seen in eight subjective and objective parameters, out of ten. Conclusion: Arjun Twak Kukkutand Pottali performed better in reducing MSI (Melasma Severity Index).