Pama is characterized by Kandu (excessive itching), Sveta, aruna, shyava pidaka (eruptions which are white, reddish or blackish brown in color), It occurs due to increase of Pitta and Kapha Dosha

Paama can be compared with scabies. It is a worldwide problem and all ages, races and socio-economic groups are susceptible. Higher incidents occur with overcrowding, economic depression and in refugee camps. Scabies can be transmitted directly by close personal contact, sexual or indirectly via fomite transmission.

The highly host specific eight-legged mite sarcoptes scabiei causes human scabies. Mites from animals are not a source of human infestation. Intense pruritus classically is accentuated at night and is exacerbated by a hot bath or shower. Localization of the pruritic papules in patients with scabies is classically in the webs of the fingers, flexor aspects of the wrists, extensor aspects of the elbows, peri-umbilical skin, buttocks, ankles, penis in males, and the peri-areolar region in females.

CHIKITSA SIDDHANT-

1.      Nidan parivarjana

2.    Abhyanter prayoga- haridra kalka with 100ml gomutra

3.    Sthanik prayoga- wax, sounf, vacha, peeta sarsapa, haridra all equal amount make paste with water and apply

4.    Abhyanga

a.     Karanja taila

b.    Saar taila (Agar, Devdaru,sarala)

c.     Jeeraka taila (Jeerak, sindura, sarsapa)

d.    Arka taila (Arka, haridra, sarsapa taila)

ADARSHA CHIKITSA PATRA

1.      Gandhak rasayan 500mg + rasa manikya 125mg + suddha tankan 250mg (twice with warm water)

2.    Panchnimbadi curna 2gm + Arogyavardhani vati 500mg (twice with water)

3.    Sarivadhyasava (20ml with 20ml water twice)

4.    Pralepa- pamahar lepa