Management of Eka-Kushtha (Chronic Plaque Psoriasis) in Ayurveda: A case study

Abstract

Background: In Ayurveda, all the skin diseases are explained under Kushtharoga and are classified as Maha Kushtha (major skin disorders) and Kshudra Kushtha (minor skin disorders). In Samhita (classical literatures), it is described that all Kushta to have involvement of Tri Dosha (three bodily humors) but the type of Kushtha depends on the predominance of particular Dosha. The signs and symptoms of Eka-Kushtha (chronic plaque psoriasis) are similar to that of psoriasis explained in modern science. Aim: The aim was to evaluate the role of Ayurveda treatment modalities in Kushtha. Materials and Methods: A male patient aged 51 years presented with the signs and symptoms of well-defined, slightly raised silvery scales over the lower back region, over the both knee joints and hands, and over the trunk region along with severe dryness in whole body, powdery discharge with severe itching, diagnosed it as Eka-Kushta (chronic plaque psoriasis) and was treated with both external and internal therapy, which included Shodhana (purificatory) and Shamana (palliative). Shodhana was given by Sadhya Snehan (proper oleation) followed by Vamana Karma (therapeutic emesis), in which vitiated Doshas (three fundamental bodily bio-elements) are expelled through Urdhvamarga (upward direction through mouth), and Shamana was given by Aushadhi (internal medicine). The total content of Vamana Aushadhi taken by patient was 2800mL and had (Vamana Vega) vomited 10 times (2150mL was output). Results: At the end of Vamana, Pittantik Vamana was achieved. Patient felt notable reduction from Kandu (itching), scaling, and gradual reduction of erythema during treatment. Conclusion: This case study revealed the efficacy of Ayurveda therapy, including both external and internal medications, for 1 month in the management of Kushtha.