Efficacy of Modified Putikadi Ointment and Ketoconazole in the Treatment of Dadru (Tinea Corporis)

Dadru is one of the most common but miserable Twak Vikar affecting all the ages of population. Increasing urbanization and industrialization have posted greater danger due to pollution and contamination with toxic, allergic and chemicals in our daily life, this fungal infection is commonly found in higher society and also in lower society due to unhygiene. According to Ayurveda, Dadru kushtha is Kapha-pitta predominance disease. It is managed by Shodhana, Shamana and Local application which may be called as Bahiparimarjan chikitsa. In today’s fast life no one has spent so much time, they want quick relief so Local application is the best line of treatment. It works fast due to its physiological effect on external skin in the form of Lepa or ointment. Putikadi Lepa which is mentioned in Sushruta Samhita and Ashtanga Hridaya includes fresh leaves of Karanja (Putik), Arka, Aragwadha, Snuhi and Jati with Gomutra reduces the symptoms of Dadru. All the drugs of Putikadi Lepa are kushtaghna, kandughna, and krimighna type. So it is more effective in Dadru kushta. But it is not possible every time to give fresh Lepa to the patients, so formulation was prepared in the form of ointment for convenience of patients in previous study. When the pilot study was carried out on Putikadi ointment, it was observed that the ointment has pungent smell after application due to Gomutra, so to remove this drawback some drugs should be added like Manjistha and Yashtimadhu to enhance the complexion of skin. This study should be taken to evaluate the efficacy of modified Putikadi ointment in the treatment of Dadru.