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Warts and verrucas (Charmakeela)
Warts and verrucas are common, small, rough lumps or growths on the skin caused by infection with the human papillomavirus (HPV). They are generally benign (noncancerous) and can appear anywhere on the body, though they are most common on the hands and feet (where they are called verrucas or plantar warts). While often harmless, they can sometimes be itchy, painful, or embarrassing. They can go away on their own, but this may take months or even years.
Common symptoms
Firm and rough texture.
Skin-colored, brown, grey, yellow, or black.
Can be dome-shaped, flat, bumpy, cauliflower-like, smooth, or thread-like (filiform).
Appear on palms, knuckles, knees, fingers, face, lower legs, and feet.
Verrucas (plantar warts) on feet may have tiny black dots (clotted blood vessels) under hard skin and can be painful, feeling like standing on a needle.
Can occur singly or in clusters (mosaic warts).
May itch.
Most warts are painless, but some can hurt when touched, especially plantar warts when standing or walking.
Possible causes
Caused by infection with certain strains of the human papillomavirus (HPV).
Over 100 types of HPV exist, with specific strains causing different types of warts.
The virus enters the skin through small cuts, scrapes, or damaged skin, causing extra cell growth and thickening of the outer skin layer.
Warts are contagious and can spread through direct skin-to-skin contact or indirectly via contaminated surfaces (e.g., towels, razors, public showers, pool areas).
Risk factors include: children and young adults, weakened immune systems (e.g., HIV/AIDS, organ transplant recipients, diabetes), injuries to the skin, frequently wet hands or feet, heavy sweating (hyperhidrosis), nail biting or picking at cuticles/hangnails, shaving over warts, direct contact with other people's warts, and scratching or picking one's own warts (autoinoculation).
Ayurvedic perspective: Warts (Charmakeela) are primarily attributed to the vitiation (aggravation) of Vata and Kapha Doshas, affecting Rakta (blood) and Mamsa (muscle/flesh) Dhatus (tissues). Accumulation of Ama (toxins) due to improper diet, lifestyle, weak digestion, and low immunity also contributes.
Ayurvedic perspective
In Ayurveda, warts, known as Charmakeela, are considered non-cancerous skin growths primarily caused by the human papillomavirus (HPV). The Ayurvedic perspective attributes their formation to an underlying imbalance in the body's doshas, particularly the vitiation of Vata and Kapha, and sometimes Pitta. This doshic disruption leads to the accumulation of toxins (Ama) and a weakened immune system, creating a conducive environment for the HPV virus to manifest. Vata imbalance contributes to the dry, hard, and rough texture of warts, while Kapha imbalance leads to fleshy, raised growths and toxin buildup. Pitta imbalance can result in reddish, inflamed, or burning warts.
Ayurvedic herbs
Neem (Azadirachta indica) - known for its antiviral and antimicrobial properties, used as a paste, oil, or tea.
Turmeric (Haridra) - anti-inflammatory and antiviral, used topically as a paste or internally.
Aloe Vera - soothes skin and promotes healing, used as a gel or mixed with turmeric.
Tulsi (Holy Basil) - used as a paste for its antimicrobial properties.
Garlic - possesses antiviral properties, applied as a paste or slice.
Guggulu (Commiphora mukul) - anti-inflammatory and immune-boosting, often in formulations like Kanchanar Guggulu and Triphala Guggulu.
Triphala - improves digestion and detoxification, used internally or as a decoction for external washes.
Khadira (Acacia catechu) - known for blood-purifying properties, found in Khadirarishta and Khadiradi Vati.
Chandraprabha Vati - a rejuvenative formula supporting vitality and combating viral infections.
Arogyavardhini Vati - aids in detoxification and supports skin health.
Ashwagandha - an immune-boosting herb.
Amalaki (Indian Gooseberry) - supports immunity.
Guduchi (Giloy) - used as a tea for immune support.
Thuja Oil - known for antiviral and skin-healing properties, applied topically.
Clove Oil - helps dry out warts naturally when dabbed on.
Apamarga Kshara (Alkaline Ash) - has caustic properties for direct application to remove warts.
Arka Ksheera (Calotropis gigantea latex) - used topically under medical supervision for wart removal.
Changeri leaves (Oxalis corniculata) - paste rubbed over warts.
Gandhaka Rasayana - strengthens skin and connective tissues, also a blood purifier.
Rasamanikya - an antiviral and bactericidal Ayurvedic drug.
Dosha imbalance
Vata
Kapha
Pitta
Lifestyle tips
Maintain good hygiene by regularly washing hands and avoiding touching, scratching, or picking warts to prevent spreading.
Boost immunity through a balanced diet, immune-boosting foods like garlic, ginger, and turmeric, and appropriate herbs.
Stay well-hydrated by drinking plenty of water to support skin health and flush out toxins.
Manage stress through practices such as yoga, meditation, and relaxation exercises, including pranayama techniques like Kapalabhati, Anuloma Viloma, and Nadi Shodhana.
Avoid sharing personal items like towels or razors.
Keep the affected area clean and dry.
Refrain from biting nails.
Practice safe sex to reduce the risk of spreading or contracting HPV, especially for genital warts.
Engage in regular physical activity to improve circulation and overall health.
Consider Panchakarma therapies like oil massages, herbal steam treatments (Swedana), purgation, Agnikarma (thermal cauterization), Kshara Karma (alkaline cauterization), and Raktamokshana (bloodletting) under the guidance of an Ayurvedic practitioner for detoxification and wart removal.
