{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T14:32:56Z","timestamp":1761748376068,"version":"build-2065373602"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Datta Meghe Institute of Higher Education and Research"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Paronychia, a bacterial or fungal infection affecting the area where the nail meets the skin, often impacts individuals engaged in frequent water-related work. Typically resolving within a week, the condition can persist and worsen with exposure to water, chemicals, or unclean substances, leading to chronic infection and significant cosmetic concerns. In Ayurveda, this condition is referred to as\n                      <jats:italic>Kunakha<\/jats:italic>\n                      , a term originating from \u201cKu\u201d (bad) and \u201cNakha\u201d (nail) in Hindi.\n                      <jats:italic>Kunakha<\/jats:italic>\n                      , associated with\n                      <jats:italic>Asthi dushti<\/jats:italic>\n                      (Bone tissue) and characterized by nail discoloration, pain, and chronicity, corresponds to Kshudraroga in Ayurvedic texts, particularly the 13th chapter of Nidana Sthana by Acharya Susruta. The condition results from vitiated Tridosha with\n                      <jats:italic>Pitta<\/jats:italic>\n                      preponderance, leading to Vata and Pitta\n                      <jats:italic>Prakopa<\/jats:italic>\n                      (vitiation) upon nail damage, thus causing pain and discomfort.\n                      <jats:italic>Kunakha<\/jats:italic>\n                      is also known as\n                      <jats:italic>Chippa<\/jats:italic>\n                      or\n                      <jats:italic>Anguliveshtaka<\/jats:italic>\n                      in ancient Ayurvedic literature, with Acharya Charaka referring to it as\n                      <jats:italic>Aksata<\/jats:italic>\n                      . This case report demonstrates significant relief from paronychia through comprehensive Ayurvedic treatment, including\n                      <jats:italic>Shaman Chikitsa<\/jats:italic>\n                      (pacifying treatment).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A south 63-year-old Asian male patient came to Mahatma Gandhi Ayurved College Hospital and Research Center Salod (Hirapur), Wardha, Maharashtra, India. Patient had symptoms of pain and blackish discoloration in index finger nail and thumb finger nail of right hand since 3\u00a0months. Associated with pain patient has swelling and tenderness along with pus discharge which was on and off in origin.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings highlight the potential efficacy of Ayurvedic interventions in managing chronic and recurrent nail infections, offering a promising alternative for conditions that are otherwise challenging to treat with modern medicine. Despite being resistant to conventional modern therapies, the patient experienced substantial improvement, with no recurrence observed even after 1\u00a0year post-treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13256-025-05588-2","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:14:23Z","timestamp":1761743663000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Role of poly-herbo-mineral combination in management of kunakha (paronychia)"],"prefix":"10.1186","volume":"19","author":[{"given":"Harshada","family":"Timande","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayuri Amol","family":"Deshpande","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amol Madhav","family":"Deshpande","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akshay","family":"Pargaonkar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"issue":"1","key":"5588_CR1","first-page":"411","volume":"7","author":"TV Thulasi","year":"2022","unstructured":"Thulasi TV. Effect of jalukavacharana in nail bed infection - a single case study. J Ayurveda Integr Med Sci. 2022;7(1):411\u20135.","journal-title":"J Ayurveda Integr Med Sci"},{"issue":"3","key":"5588_CR2","first-page":"339","volume":"77","author":"D Rigopoulos","year":"2008","unstructured":"Rigopoulos D, Larios G, Gregoriou S, Alevizos A. Acute and chronic paronychia. Am Fam Phys. 2008;77(3):339\u201346.","journal-title":"Am Fam Phys"},{"key":"5588_CR3","first-page":"83","volume":"4","author":"L Victoria Devi","year":"2016","unstructured":"Victoria Devi L, Khagen B. Contribution of Ayurvedic classics on Kshudra roga with special reference to cosmetic diseases. Int J Ayur Pharm Res. 2016;4:83\u20137.","journal-title":"Int J Ayur Pharm Res"},{"key":"5588_CR4","doi-asserted-by":"publisher","first-page":"240","DOI":"10.4103\/JISM.JISM_57_19","volume":"7","author":"P Sawarkar","year":"2019","unstructured":"Sawarkar P, Sawarkar G. Contribution of Ayurveda for management of paronychia: a case report. 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