Effect of Chakramardadi Taila on Dadru Kushta (Ringworm Infestation): An Observational Study

Abstract

In recent years, the prevalence of skin diseases has increased by approximately 10– 15% in developing countries such as Sri Lanka, primarily due to low immunity, poor hygiene, and inadequate nutrition. In Ayurveda, such conditions are classified under Twak vikara or Kushtha roga. Dadru kushtha, a type of Kshudra kushtha, is characterized by Kandu (itching), Raga (erythema), Utsanna Mandala (elevated circular lesions), and Pidika (papules), which closely resemble tinea or ringworm in modern medicine. This observational study aimed to evaluate the efficacy of Chakramardadi taila, a classical Ayurvedic oil formulation composed of Vidanga (Embelia ribes), Saindhava Lavana (rock salt), Haridra (Curcuma longa), Vacha (Acorus calamus), Aragvadha (Cassia fistula), Amalaki (Phyllanthus emblica), Bakuchi (Psoralea corylifolia), Chakramarda (Cassia alata), and Snuhi (Euphorbia nerifolia). A total of 30 clinically diagnosed patients with Dadru kushtha were enrolled in the observational study after obtaining informed consent. The intervention involved the external application of the oil twice daily for 28 days. Assessments were carried out at baseline, weekly intervals during the treatment, at the end of the 28-day treatment period, and 14 days post-treatment to evaluate the sustainability of therapeutic effects. The study found higher prevalence among individuals aged 41–50 and 18–30 years. Results demonstrated complete (100%) relief in symptoms such as Kandu, Pidika, and number of, with 98.5% improvement in Raga and 98.6% reduction of Mandala (lesions) observed. These improvements were statistically and clinically significant, likely due to the Kandughna (anti-pruritic), Kushtaghna (anti-dermatotic), Krimighna (antimicrobial), Vishaghna (detoxifying), and Tridoshahara (doshabalancing) properties of the ingredients. In conclusion, Chakramardadi taila demonstrated significant efficacy in the management of Dadru kushtha and may be considered a promising therapeutic intervention in Ayurvedic dermatology.