Abstract

Dr. Annapurna Kadakol*, Dr. K. H. Pachchinavar, Dr. R. C. Yakkundi

ABSTRACT

Padadari (cracked heels) is a common Kshudra Roga described in Ayurveda, caused mainly by Vata–Kapha vitiation leading to Rukshata, fissuring, and pain in the heel region.[1] Continuous weight-bearing, friction, and dryness increase the severity. Lepa Karma is mentioned as an effective external therapy in classical texts.[2] Sarjadi Lepa and Gudadi Lepa are traditional formulations indicated for fissures.[3-5] Aim: To evaluate and compare the effectiveness of Sarjadi Lepa and Gudadi Lepa in Padadari. Materials and Methods: A randomized study of 40 patients diagnosed with Padadari was conducted. They were divided into two groups: Group A received Sarjadi Lepa; Group B received Gudadi Lepa. Treatment was administered externally once daily for 15 days. Assessment was done on Day 0, Day 15, and Day 30 using parameters such as pain, dryness, cracking, number of cracks, and size of cracks.[6] Statistical methods included Wilcoxon Signed Rank Test and Mann–Whitney U Test, with p<0.05 considered significant. Results: Both groups showed significant improvement. Group B (Gudadi Lepa) demonstrated greater reduction in pain (88.33%), dryness (90.83%), cracking (92.5%), and number of cracks (95%) compared to Group A. Intergroup comparison showed statistically significant improvement in cracking and number of cracks (p<0.05). These findings align with earlier studies using similar Lepa formulations.[7-11] Conclusion: Sarjadi Lepa and Gudadi Lepa are effective for Padadari, but Gudadi Lepa offers faster healing, superior moisturization, and better cosmetic outcomes. It can be recommended as a preferred therapy.