All skin diseases in Ayurveda have been considered under the headings of kushta. Vipadika is one of the types of the Kshudrakushtha which involves VataKapha dosha predominantly as stated by acharya Charaka. It is characterized by Sphutanam (fissures) either in palms or soles or in both with Theevra vedana (severe pain). Looking from the modern point of view it can be correlated with Palmoplantar psoriasis. In the present case, A 30 years old male patient suffering from cracks in the palm, dryness, and intermittent itching for 2 years which increased from the last 6 months was treated with shodhan (virechana karma) and shaman chikitsa showed a significant result. Shodhana helps remove the root cause of the disease and prevent a recurrence.

Keywords : Kushta, Vipadika, Palmar plantar psoriasis, Virechana, Shamana