Virechana Karma Research Articles

Ayurveda heals - Virechana for wound healing with special reference to Shareerika (Pittaja) Vrana: A case report

Shareerika Vrana also called as Nija Vrana are said to be result of Doshopaplava (Dosha dushti) and are Kashta Sadhya as compared to Sadyo Vrana. A 43 years old female patient approached outpatient department with chief complaints of a non-healing wound in the both of her feet at the dorsal aspect associated with pain, discharge & burning sensation. On examination it was analyzed as Shareerika (Pittaja) Vrana (non-healing ulcer). Patient was treated with classical Ayurveda therapeutic measures, Shodhana Karma (Virechana Karma), & Ropana Karma (Bahya and Abhyantara), which included daily dressing with Jatyadi Taila along with Triphala guggulu & Gandhaka rasayana internally. A remarkable improvement in the condition of the wound is observed with significant healing during treatment period with complete healing in 7 days post Virechana Karma. In this study, an attempt is made to prove the role of Virechana in Wound Healing with special reference to Shareerika Vrana. Keywords: Shareerika Vrana, Virechana Karma, Shashthi Upakrama, Ropana karma

AYURVEDIC MANAGEMENT OF KSHEENA SHUKRA (OLIGOSPERMIA) LEAD-ING TO MALE INFERTILITY: A CASE STUDY

As per the World Health Organization (WHO) report in India, the overall prevalence of primary infertility ranges between 3.9 and 16.8%. A recent report on the status of infertility states that 50% of it is related to productive anomalies or disorders in males. In comparison, 90% of male infertility problems are related to Oligospermia and other abnormalities in semen analysis. As per Ayurveda, Oligospermia can be considered as Ksheena Shukra (Oligospermia). Surgery, Hormone treatments, medications and Assisted Reproductive Technology (ART) are the main lines of treatment in Conventional medicine, but these are associated with many unwanted and severe adverse effects. The present case discussion is about effectively managing a case diagnosed as Ksheena Shukra with Ayurvedic intervention. This case report aims to evaluate the effect of Ayurvedic treatment in managing Ksheena Shukra. In this case study, Shodhana (Purificatory Therapy) procedures {especially Virechana Karma (Purgation) and Vasti(Enema)} were performed before administering Rasayana (Rejuvenation) drugs; the pre- and postsemen analysis during the treatment period shows a marked increase in sperm count and motility. The outcome of this case reveals that Ayurvedic treatments can effectively manage the Oligospermia associated with male infertility.

ROLE OF BASTI KARMA WITH LAVANA SWEDA IN THE MANAGEMENT OF AMAVATA: A CASE STUDY

Amavata is a condition characterized by the presence of undigested toxins circulated throughout the body via vitiated Vata, settling in joints and causing pain, stiffness, and swelling. In modern medicine, Rheumatoid Arthritis (RA) shares clinical similarities with Amavata, presenting as a chronic inflammatory polyarthritis with systemic manifestations. While allopathic treatments offer symptomatic relief, they often fail to address the underlying pathology, leading to side effects and toxic reactions. In contrast, Ayurvedic interventions like Virechana Karma, Basti Karma, and Ruksha Sweda target the root cause of disease by addressing Agni and ama. In this study, A 26-year-old female patient visited Panchakarma OPD, having pain and swelling in both knee joints and wrist joints for 6 months, loss of appetite for 3 months and morning stiffness for more than 50 minutes for 2 months. This case study provides a comprehensive overview of Erandamooladi Niruha and Saindhvadi Anuvasan in the form of Kala Basti and Lavana Sweda in Ayurvedic management strategies.

Role of Virechana Karma in management of Psoriasis w.s.r. to Ekakushtha - A Case Study

Role of Virechana Karma in management of Psoriasis w.s.r. to Ekakushtha - A Case Study

An Ayurvedic Management for Artava Kshaya – A Case report

A female patient aged 27 years, came to OPD of Vaidya Ratnam Hubballi Ayurveda, on 20th March 2024, with chief complaint of menstruation flow occurs only on intake of hormonal tablets, in the last one year, and also having over weight of 103kg and also undergone salpingectomy. Methodology: Detailed history with all necessary clinical, physical examination and laboratory investigations were carried out. No gross physical and chemical abnormality was found. All the laboratory investigations were found to be normal. So, the treatment was planned according to the symptoms. Diagnosis was made on the basis of presenting complaints as Artava Kshaya. Patient was treated with Virechana karma with Manibhadra leha, followed with shamanoshadhi’s with Tila kwatha granules, Menvos Tablets, Ashokarishta, for one month. Result: Patient got her menstruation regular with normal duration after taking medicine also the amount of flow was also good for five days.

Approach of Shoshan and Sanshaman Chikitsa in Management of Mandal Kushtha w.s.r. to Psoriasis

Psoriasis is a chronic inflammatory, hyperproliferative skin disease. It is characterised by well-defined, erythematous scaly plaques, particularly affecting extensor surfaces, scalp and nails, and usually follows a relapsing and remitting course. Psoriasis affects approximately 1.5%-3% of populations of European ancestry but is less common in Asian, South American and African populations. It occurs equally in both sexes and at any age; although it is uncommon under the age of 5 years, more than 50% of patients present before the age of 30 years. Aims and Objectives: To find out the effect of Ayurvedic medicine and Shodhan chikitsa in the management of Mandal kushtha (psoriasis). Material and Methods: A 53-year-old male patient having complaint of skin lesion on scalp, upper back and abdomen area with red demarcation from last 15 years. Lesion having silvery scales and falling all rubbing with severe itching. This condition clinically correlated to Mandal Kushtha described in Ayurveda. Mandal Kushiha has Shwelam Raklam varna, Sthirar, Styanam and Utsana Mandala (skin begins with special characters. Acharya Charaka mentioned Shodhan Chikitsa for purification of Kushtha Roga. Result and Discussion: Considering The sign and symptoms patient was treated with classical Vamana Karam (therapeutic emesis) and Virechana karma (therapeutic purgation) according in line of treatment of Kushtha (psoriasis). Assessment was done before treatment, after treatment and after follow-up. Pictures were taken before treatment and after treatment. Remarkable improvement was noticed in scaling, induration and itching after Vamana and Virechanа treatment and residue only hyper pigmented pink lesion.

Management of PCOS Through Ayurvedic Approaches: The Role of Panchakarma

Among women of reproductive age, PCOS is a widespread metabolic and reproductive disorder that can disrupt menstrual cycles, fertility, hormonal equilibrium, and physical appearance. Manifestations may include acne, facial hair growth, fatigue, susceptibility to UTIs, and hair loss. In Ayurvedic texts, Acharya Charak classified it as Vinshati Yonivyapada, Acharya Sushruta referred to it as Nashtartava, and Acharya Kashyapa described it as Pushpaghni Jataharini, all with symptoms resembling those of PCOS. In contemporary medicine, hormonal therapy and other medications are often prescribed for PCOS, despite potential long-term adverse effects. Hence, Panchakarma could offer a preferable treatment approach, utilizing Shodhan Chikitsa (purification therapy) alongside lifestyle adjustments for managing PCOS more effectively. At Sanjeevani Chikitsalya in Jodhpur, a 21-year-old female diagnosed with PCOS, presenting symptoms of irregular menstrual cycles, rashes and itching in the hip region, generalized weakness, and UTI infections for the past two years, underwent successful treatment. The approach involved Shodhan Chikitsa, specifically Virechana Karma.

Ayurvedic Management of Multifactorial Female Infertility – A case report

Introduction: Infertility is a medical condition that can cause psychological, physical, mental, spiritual, and medical detriments to the patient. “Infertility is defined as failure to conceive within one or more years having regular unprotected coitus. All types of female Infertility in Ayurveda are described under the heading of Vandhya. According to Acharya Sushruta, there are four factors responsible for creation of Garbha i.e. Ritu (Ovulatory period/ period for copulation), Kshetra (reproductive tract including Uterus, Fallopian tube, Ovary), Ambu (Nutritive fluid for fertilized ovum), Beeja (Shukra & Shonita i.e. Sperm & Ovum). Among these four factors tubal blockage can be considered as the deformity of Kshetra i.e. Kshetradushti and Low level of Anti mullerian hormone can be compared to Dhatukshayajanya Vandhyatav. Aim and Obejctive: This case study was done to treat multifactorial female infertility with Ayurvedic treatment protocol and provide better quality of life. Methodology: A female Patient of 28 years of age, came to OPD of Prasuti Tantra Evum Stree roga with complaint of inability to conceive since 2 years of unprotected intercourse. Patient was diagnosed with female infertility due to bilateral tubal blockage, and low AMH level treated by Ayurvedic intervention i.e. - Virechana Karma, Yuktaratha Basti (3 days) along with Uttarabasti with Apamargkshara Taila (6 days) and Nagakesara Choorna orally (after stopping of menstrual bleeding). Result: Female infertility cured after treatment and conception achieved. Discussion: Ayurvedic approach would be beneficial in conservative management of tubal blockage and has an effective result in female infertility.

Ayurvedic Management of Endometriosis – A Case Study

Introduction: Endometriosis is a benign gynaecological disorder defined by presence of endometrial glands and stroma outside the lining of uterine cavity. This ectopic endometrial tissue behaves as normal endometrial tissue and bleeds every month. This blood may become encysted and form endometrioma. The exact prevalence is not known but estimates range from 10-15% within the woman reproductive age group. Materials and methods: A 26-year-old married patient came to the OPD of Prasutitantra evam Streeroga on 10 September 2023 with the complains of failure to conceive since four and half years along with early and scanty menses since 3 years. A chocolate cyst of size 18*21*13mm in right ovary and a haemorrhagic cyst of size 42*36*41mm in left ovary was detected by USG. She was given Virechana Karma in first cycle, followed by Matra Basti with Dashamoola Trivruta Taila for 7 days in next consecutive cycle and orally Saptasara Kashayam along with Purana Guggulu Choorna as Prakshepa and Goghruta as Anupana. Result: After treatment her USG on 31/11/2023 relieved complete resolution of the chocolate cyst. The follow-up was done for 1 month which showed no recurrence of the cyst. Discussion: Virechana eliminates the Doshas and normalizes the ovarian functions. Dashamoola Trivruta Taila Matra Basti helps in Vaatanulomana and does Tridosha Shamana, in Saptasara Kashayam most of the ingredients are having digestive, carminative, analgesic, anti-inflammatory, Stroto Shodhana, Vatakaphashamana, laxative, and blood purifier properties. Guggulu when given with Saptasar Kashayam will increase the efficiency of the formulation by its Yogavahi property thus helping in breaking the pathogenesis.

AYURVEDIC MANAGEMENT IN CHRONIC STOMATITIS (I.E. MUKHAPAK) – A CLINICAL CASE STUDY

Stomatitis is an inflammatory ulcer of the mucosa of the oral cavity, which causes a burning sensation and pain. In Ayurveda, it is mentioned as Mukhpaka. Introduction: Objective: To assess the effect of ayurvedic management on Chronic stomatitis (i.e. Mukhapaka). Methodology: Here, a 20-year male patient with complaints of Ulcer over the upper lip, severe pain and burning sensation during eating for the last two months had been diagnosed with Stomatitis, successfully managed with simple Ayurvedic medicine and purgation therapy (virechana karma), within Few days of treatment. Observation and result: Ayurvedic management effectively treats chronic stomatitis (i.e., Mukhapaka). Conclusion: Chronic stomatitis (i.e. Mukhapaka) can be treated with minimal medications within a short period.

Management of Essential Hypertension (Ucharaktachap) - A Pilot Study

Hypertension is the most common lifestyle disorder today. Hypertension may be a chronic and sometimes asymptomatic medical condition during which systemic blood pressure is elevated beyond normal. Fewer than half of those with hypertension are conscious of their condition and lots of others are Modern treatment modalities are effective for the management of hypertension but pose human beings to their unwanted complications on their long-term use. The conventional antihypertensive drugs have many adverse effects & are not well tolerated which led to non-compliance, switching & discontinuation of treatment. There is no direct description of HTN in Ayurveda but based on its clinical presentation and similarity between pathogenesis factors for hypertension can be correlated with Raktadhatugata Vata (Vatpradhan) and it is considered as Tridoshaja Vyadhi. Treatment for hypertension in Ayurveda on the idea of Balancing all three Doshas. So Nidan Parivarajan, proper dietary habits, Yoga, Meditation along with Ayurvedic herbs can be beneficial for balancing the state of mind, maintaining as well as reducing blood pressure. Ayurveda has various classical formulations and single herbs having Hridya, Kaphahara, Vatahara, Balya, Raktaprasadana, etc. properties which are safe and cost-effective too. In present study Nitya Virechana Karma has been selected as Shodhana measure, to trump over offending Tridosas, as Virechana has also been equally effective in Rakta vitiation. In the present study Shamana remedy (Amritanagaradi Kashayam) has been selected taking in to view the aspect of the preventive, curative and also Dosha Pratyanic effect of Shamana Yoga drugs.

Effective Ayurvedic drugs after Virechana Karma in the management of Hypothyroidism: A Case Report

Hypothyroidism is a common endocrine disorder seen daily in hospital OPDs of Bhopal, in which the thyroid gland does not produce enough thyroid hormone. Levothyroxine is extensively used for the treatment of hypothyroidism but its treatment is unsatisfactory, considering its treatment is symptomatic and is for lifetime. Patients with hypothyroidism come to Ayurveda institutions seeking its treatment through Ayurveda because Ayurvedic management of hypothyroidism is considered much safe and effective and Ayurveda attempts to heal the root imbalance of hypothyroidism as compared to modern management. While analysing the signs and symptoms of hypothyroidism in Ayurvedic view, we note there is involvement of all Strotas. In the present case study, the patient came in the Panchakarma OPD with complaints of tiredness, Generalised weakness, Sudden weight gain, Puffiness of face, Hair fall, Constipation, Lack of concentration for last 2 year. Kanchanar Guggulu is the choice of drug for the study. Along with Aarogyavardhani Vati, Punarnava Mandur and Hanspadadi Kashayam as oral medicines after Virechana Karma done are advised. In this case study the effect of Ayurvedic management in hypothyroidism is evaluated.

Effect of Virechana Karma Along with Japapatryadi Tail Local Application and Amritadi Kwath Orally in the Management of Vicharchika

In the present case report, a 58-year-old man consulted in the Outpatient department of Dayanand Ayurvedic College, Jalandhar. The complaint of the patient was recurrent skin rashes with redness, skin oedema, itching, flaking and discolouration in the skin. By examining the signs and symptoms, the patient was diagnosed with Eczema (Vicharchika), Shodhana and Shaman Chikitsa was given under the treatment of Vicharchika[1]. Vicharchika, according to Ayurveda, is a Raktapradoshaja Vyaadhi with the involvement of Tridoshas, and it is Kapha in predominance[2]. The patient was given Virechana Karma along with the local application of Japapatryadi tail and Amritadi kwath orally for a period of 2 months. After that, the condition of the patient was assessed on the basis of signs and symptoms of Vicharchika, which were cured after taking the treatment. This study shows that the cases of eczema (Vicharchika) can be successfully managed with Virechana Karma followed by Japapatryadi tail locally and Amritadi kwath given orally.

A Case Study on Bala Amavata w.s.r. to Juvenile Rheumatoid Arthritis

Introduction: Amavata is one of the most difficult to cure (Krichhrasadhya) diseases mentioned in Ayurveda. The main pathological factor in the development of this disease is “Ama”. This Ama is carried by “Vata” and travels throughout the body and gets lodges in the joints, which is the seat of “Kapha”. Accumulation of Ama in all the joints, results in Shotha (edema), Shoola (pain) and Stabdhata (stiffness) in the joints. Clinically, it is closely related to Rheumatoid Arthritis, which is a chronic inflammatory autoimmune disease involving multiple joints of the body. Methodology: A 13years boy with multiple joint pain, diagnosed as Amavata treated with Ayurvedic treatment modalities like Patrapinda Sweda and Virechana. Result: Remarkable improvement was noticed in pain, swelling, morning stiffness and restricted joint movement within first two months. Discussion: In modern medicine, the treatment of this disease includes steroids and Immunomodulator drugs together with non-steroidal anti-inflammatory drugs (NSAIDs), which acts as only Symptomatic treatment, whereas Virechana karma is one of the important bio-purificative methods which is indicated for complete elimination of Dushita Doshas and Ama from the body. Hence this article highlights on the importance of Ayurvedic treatment in the management of Amavata (Rheumatoid Arthritis).

Understanding the treatment modalities of Pemphigus Vulgaris (Agnivisarpa) through the lens of Ayurveda - A Single Case Study

Pemphigus is a disease that causes blisters and sore on the skin or mucous membrane. The blisters rupture easily, leaving open sores, which may ooze and become infected. Agnivisarpa can be compared to pemphigus vulgaris due to its resemblance in sign and symptoms. The disease needs early and proper treatment to prevent further morbidity and mortality. Being an autoimmune disorder physician generally use corticosteroids and immunosuppressive drugs here an attempt is made to study in detail about pemphigus vulgaris and its understanding though Ayurveda. A case report of 47year old male patient with clinical presentation of fluid filled blisters burning and pain along with hyperpigmentation received systemic medication in modern medicine without an adequate response. Samshodhan coupled with Samshamana medication are the cornerstones for Visarpa. Hence in this study, Virechana Karma once in a week for 2 month. After that Raktamokshana (After completion of 3 sitting of Virechana Karma) followed by 3 months of Samshamana medicine. At the conclusion of treatment, a skin lesion assessment was performed.

Review of Metabolic Syndrome (Santarpana Janya Vyadhi) and its Management by Virechana Karma and Vyoshadi Saktu

Ayurveda, considered the oldest form of healthcare globally, aligns individuals with the inherent principles of nature to maintain overall well-being by harmonizing body, mind, and spirit. In the contemporary age of rapid modernization and hectic lifestyles, people lead busy and stressful lives, marked by a growing consumption of high-calorie fast food. The prevalence of sedentary habits contributes to an increase in total body fat and cholesterol. It leads to health issues such as hypertension, heart diseases, hyperlipidemia, and truncal obesity. Metabolic syndrome (MetS) is a disorder of energy and storage containing of risk factor for various complications such as Type 2 diabetes mellitus and cardio vascular disease. Being an alarming disease, it requires effective management. In recent years several synthetic drugs have been introduced for the treatment of metabolic syndrome. Clinical trials have shown that antihypertensive, antidiabetic, antilipidemic drugs alone have limited long term efficacy and one cannot avoid major side effects such as drug dependence, drug resistance, sedation etc. Ayurvedic medicine provides a range of measures. In Ayurvedic literature, Acharya Charaka has mentioned group of diseases which arises due to over intake of heavy meals and sedentary life style collectively called as Santarpana Janya Vyadhi which can be symptomatically co-related with metabolic syndrome. Acharya Charaka has specified treatment methods involving substances (Dravyabhuta Chikitsa) and non-substances (Adravyabhuta Chikitsa) for conditions caused by over-nourishment, such as Vaman, Virechana, Raktmokshana, Vyayama (exercise), Dhooma(fumigation), Swedana(sudation), and Rooksha Anna Sewana (intake of dry substances). This paper aims to review metabolic syndrome in Ayurveda and its corresponding management strategies.

A CASE STUDY IN ASRIGDARA WITH SHODHANA AND SHAMANA CHIKITSA

Introduction: Asrigdara is a condition commonly encountered by physicians in day-to-day practice. It is a preva-lent medical condition in women that can lead to significant physical and emotional disturbances. Asrigdara is characterised by excessive discharge of Asrik (menstrual blood). Abnormal uterine bleeding encompasses both cyclic and non-cyclic bleeding patterns. Acharya Charaka has elaborated on various causative factors such as Ati Lavana (excessively salty), Amla (sour), Guru (heavy), Katu (pungent), Vidahi (spicy), Krushara (dry), Payasa (milk), Saktu (wheat), Mastu, which can aggravate Vata, and cause retention of Rakta vitiated due to the reasons above. This, in turn, can lead to an increase in doshas affecting the Rajovaha Sira (uterine vessels) and subsequently increase raja (menstrual blood). The fundamental treatment principles involve normalising the amount of menstrual flow and addressing associated symptoms. A 30-year-old married female patient presented to the outpatient department (OPD) with complaints of prolonged menstruation duration, excessive menstrual flow, and lower abdominal pain. The pain was described as erratic, accompanied by generalised weakness. To address the goal of reducing excessive menstrual blood loss and regulating the menstrual cycle, a combination of Ayurvedic treatments was employed, including Shodhana Chikitsa (detoxification) through Virechana Karma and Shamana Chikitsa (palliative treatment) using Shalmali Ghrita. The desired outcome of the Ayurvedic intervention was to alleviate heavy menstrual bleeding and establish regularity in the menstrual cycle. Conclusion: - Heavy menstrual bleeding not only inflicts significant mental stress but can also impede a woman's ability to engage in physical activities, causing disruptions in her daily routine. Prolonged and cumbersome menstrual cy-cles over the long term can even lead to life-threatening conditions. Therefore, the required treatment should be pure, non-hormonal, practical, safe, and gentle, aiming to restore the menstrual and ovulatory cycle without symptom recurrence and any adverse effects on long-term usage.

Comparative Evaluation of Virechana Karma and Lekhana Basti in the Management of Metabolic Syndrome

Metabolic Syndrome is a complex metabolic condition which is a rising therapeutic problem in modern society. Additionally, it has been linked to the emergence of CVD, Type 2 DM and other grave health issues. It primarily develops as a result of a diet high in fat, a sedentary lifestyle, stress, insomnia, drinking too much alcohol, being overweight, and other factors. When three out of the five biochemical and physiological abnormalities such as visceral obesity, dyslipidemia, hypertension, increased blood sugar, insulin resistance, etc. are present in the body, it is considered clinically diagnosed. Acharya Charaka has mentioned a group of diseases namely Santarpana Nimittaj Vikara (diseases caused due to over eating) which can be symptomatically co-related with metabolic syndrome, especially Medaavrit (covered by fatty tissues) Vata (one of the three bodily humors representing air in the body). Aims & Objectives: Comparative evaluation of Virechana Karma (therapeutic purgation) and Lekhana Basti (a type of therapeutic enema) in the management of metabolic syndrome. Material & Methods: 43 patients were selected on the basis of classical symptomatology of metabolic syndrome from OPD and IPD of Dept. of Panchakarma, Hospital of Rishikul Campus and randomly divided into two groups - Virechana group and Lekhana Basti group on the basis of inclusion - exclusion criteria. There after the patients were subjected for detailed clinical history and physical examination. Statistical analysis used: Since objective criteria were selected so for intragroup comparison Paired- t- test was applied and for intergroup comparison Unpaired- t- test (t-test) was applied. Conclusion: Virechana Karma is better than Lekhana Basti in the management of metabolic syndrome.

AYURVEDIC INTERVENTION IN THE MANAGEMENT OF PANDU ROGA (DIMORPHIC ANAEMIA)

Pandu Roga is an Ayurvedic ailment clinically comparable to many types of Anaemia. This study was done to establish the effect of Ayurvedic management on the patient of Pandu Roga (Dimorphic Anaemia). In the IPD, Arogyashala Rugnalaya, Nashik, from 08/01/2022 to 17/01/2022, A 69-year Male patient, suffering from Pandu Roga (Dimorphic Anaemia) was treated with Ayurvedic management. Shamana Chikitsa (ayurvedic medicinal treatment) And Virechana Karma (Therapeutic Purgation) were administered. The patient felt a significant increase in Hb g% and other hematological investigations. Symptoms were assessed as per the criteria of assessment, and improvement was seen in symptoms. Panduta (Pallor) 75%, Daurbalya (General weakness) 75%, Ayasaja Shwasa (Dyspnoea on exertion) 66.66%, Pindikodveshtana (Leg cramps) 50%, Nidraluta (Sleepiness) 50%, Shiroruk (Headache)100%, Bhrama (Giddiness)0%, Sadana (Fatigue) 66.66%, Gatra Shoola (Body aches) 66.66%, Agnimandya (Impaired appetite) 66.66%, Aruchi (Anorexia) 66.66%. This case study demonstrates that Ayurvedic management was significant in Pandu Roga (Dimorphic Anaemia).

A CLINICAL STUDY TO EVALUATE THE EFFECT OF VIRECHANA WITH TRIPHALADI CHOORNA IN THE MANAGEMENT OF PSORIASIS

Virechana is among the Pancha Shodhana and Panchakarma, as explained by Acharyas in the classics. Virechana is the procedure in which the orally administered Dravyas act on internally vitiated Doshas, specifically Pitta, and expels them through Gudamarga. Psoriasis is a chronic, recurrent, inflammatory disease of the skin of unknown origin, characterised by well-circumscribed erythematous, dry plaques of various sizes covered with scales. The Prevalence of Psoriasis varies across countries, ranging from 0.09-11.43%. Globally, it is estimated that at least 100 million individuals are affected by Psoriasis. In India, the reported incidence varies from 0.44- 2.8% among skin disorders, with an overall incidence of 1.02%. In Ayurveda, various skin diseases are classified under the broad category of Kushta. Features of Psoriasis resemble multiple types of Kushta. Hence, this clinical study of Virechana with Triphaladi Choorna was taken to assess its efficacy in this disease. The assessment used parameters like PASI Score, Auspitz sign, and Candle grease sign. Objectives: To evaluate the effect of Virechana with Triphaladi Choorna in the management of Psoriasis. Methods: This is an open-label clinical study with pre-test and post-test design wherein 20 patients diagnosed with Psoriasis and fulfilling the selection criteria in the age group of 18 – 70 years of either gender were selected from the OPD/IPD. Results: The study showed a statistically significant result in decrement in PASI Score with a change from before treatment to after follow-up. Interpretation and Conclusion: Hence, Virechana Karma with Triphaladi Choorna was found to be effective in reducing signs and symptoms of Psoriasis