Comprehensive Ayurvedic Approach to Scleroderma Management: A Case Study with Focus on Vatarakta

Abstract

Scleroderma, an autoimmune connective tissue disorder, is characterised by excessive collagen deposition, resulting in skin tightening, joint stiffness, and Raynaud’s phenomenon. Conventional treatments often focus on symptomatic management, while Ayurvedic protocols offer a holistic approach targeting the root cause of the disease. This case study details the successful Ayurvedic management of a 15-year-old female diagnosed with diffuse-grade scleroderma, presenting symptoms of skin induration, joint contractures, and digital ischemia.

The ayurvedic diagnosis of Vatarakta, a vitiated Vata and Rakta condition, was made based on clinical presentation. Treatment focused on Shodhan (internal purification) and Shaman (pacification) therapies, including the use of Guduchi Ghanavati, Mahamanjishthadi Kwath Ghanavati, and Pippali , alongside dietary modifications and lifestyle interventions. Over six months, the patient showed significant improvement in joint mobility, skin flexibility, and overall health, with a substantial reduction in Raynaud’s phenomenon and ulceration. The intervention prevented disease exacerbation, as confirmed by long-term follow-up.

This case highlights the potential of Ayurveda to manage autoimmune conditions like scleroderma by addressing the imbalance of doshas and improving immune resilience. The treatment not only alleviated symptoms but also improved the patient’s quality of life, supporting the use of integrative approaches for chronic, degenerative conditions.