Kikkisa and Striae Gravidarum: Ayurvedic Perspectives on Pathophysiology and Management

Abstract

Introduction

Pregnancy induces various physiological changes, among which dermatological alterations, including Kikkisa (striae gravidarum), are common. Striae gravidarum, often regarded as stretch marks, typically develop during the second and third trimesters and are a prominent cosmetic concern. This study explores Kikkisa in the context of Ayurveda and its association with striae gravidarum.

Methods

A literature review of classical Ayurvedic texts, including Garbhini Paricharya, was conducted to identify traditional therapeutic approaches for managing Kikkisa. Studies on the pathophysiology of striae gravidarum, including hormonal changes and skin tension, were reviewed to establish a correlation with Ayurvedic practices.

Results

Striae gravidarum, affecting 70-90% of pregnant women globally, present as linear, atrophic dermal lesions on the abdomen, groin, and breasts. Ayurvedic texts describe Kikkisa with symptoms like burning sensation (Vidaha), skin discoloration (Vaivarnya), itching (Kandu), and dermal tearing (Charma Vidarana). Ayurvedic management strategies, such as topical herbal applications (Lepa), medicated decoction showers (Parisheka), oil massage (Taila Abhyanga), and internal herbal treatments (Abhyantara Chikitsa), offer promising therapeutic options.

Discussion

While striae gravidarum are benign, their psychological impact on body image and emotional well-being is significant. Ayurvedic therapies provide holistic management, addressing both the physical and emotional effects of Kikkisa. Further clinical studies are needed to validate the efficacy of these treatments in modern practice.