Effect of Nimbadi cream in the management of garbhini kikkis: a single case study.

Abstract

Garbhini Kikkis (Striae gravidarum) commonly develop during pregnancy due to rapid abdominal stretching and reduced dermal elasticity. Though not harmful, they lead to kandu, vidaha, and cosmetic concerns. Ayurveda describes Kikkisa as a twak-vikar caused by vitiated Vata and Kapha, presenting with kandu, daha, and vaivarnyata. Nimbadi formulation containing Nimba, Manjistha, Tulasi, and Badara is known for its kledashoshana, varnya, and vranaropana properties. This single-case study evaluates the effect of Nimbadi Cream in managing Garbhini Kikkis.

A primigravida woman with abdominal Kikkisa in her second trimester was selected. Nimbadi Cream was prepared as per classical guidelines and applied locally once daily for 90 days. Assessment criteria included kandu, vidaha, vaivarnyata, number of striae, and length–width–area of a single prominent stria, recorded at baseline and as per follow ups using standard grading and measurement methods.

Marked reduction in kandu and vidaha was noted within the first visit. Vaivarnyata gradually improved with visible lightening of the lesions. The number of striae showed mild reduction, while the length, width and area of the selected prominent stria demonstrated clear narrowing and shortening by Day 90. Overall therapeutic response was assessed as marked improvement.

The results may be attributed to Nimba’s anti-inflammatory and healing action, Manjistha’s rasayana effect, Tulasi’s antioxidant action and Badara’s soothing properties, which collectively support collagen remodelling and reduce dermal inflammation.

Nimbadi Cream appears to be a safe and effective option for managing Garbhini Kikkis. Further controlled studies are recommended.