Importance of Shodhana in the Management of Skin Disease with special reference to Psoriasis – A Case Study

Abstract

Psoriasis is an autoimmune disorder with high recurrence rate. In modern science there is no specific medicine available for the complete cure of the disease. Ayurveda has explained the disease under the heading of Kushta. It is advised to administer Shodhana Karma in such disease.So it was an attempt done to show the effect of Shodhana in the management of Psoriasis (Vamana, Virechana and Raktamokshana) because the Dosha involved in the pathogenesis of any disease may aggravate even after Shamana therapy but not after Shodhana if done in appropriate manner after Dashavidh Pariksha. A male patient of 57 years old having psoriatic patches all over body since 6 years with sever itching started with a single patch over abdomen but ignored by him and treated with local ointments but the result was a big zero. Patient came to the OPD of Jupiter Ayurved College, Nagpur. After detailed history of patient and his life style patient was advised to do Nidana Parivarjana and a chart of do’s and don’ts i.e. Pathyapathya given to him to strictly follow it. Then it was decided to treat the patient with Shodhana as per classical references. Before starting with the Vamana he was first treated with Rukshana Churna for 7 days (A.H.S. 16/37) with the help of Triphala, Vidanga, Mustha and Khadir 500mg each in combination trice a day for 7 days. Then the assessment of his patches, itching sensations, discharge was noted. Then he was administered Vamana by Yashthimadhu Phanta and Nimbatwaka Kwatha preceding Snehapana by Panchatikta Ghrita. After Sansarjana Krama patient was taken for Virechana by Jayapala containing medicine i.e. Ichcchabhedi Rasa followed by Raktamokshana by Siravedha.A very well significant result was obtained in resolution of psoriatic patches, itching and discharge through the patches. Before and after treatment data in each process was collected in form of photographs. Details will be provided at the time of presentation. May this will help many students, scholars, physicians in future.