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Article: Psoriasis Disease | Chronic Disease Treatment

Psoriasis and Ayurveda

Author:

Vd. Aniket A. Shilwant
Guide: Dr. B.H. Shyamkuwar
Govt. Ayurved College, Nagpur

Introduction:

Psoriasis is an autoimmune disorder characterized by erythematous-squamous papules, often beginning on the scalp. Environmental factors significantly contribute to the disease and its recurrences. In Ayurveda, psoriasis is compared with "Ekkushtha," mentioned under the eleven kshudra kusthas in Samhitas. Ekkushtha in Ayurvedic classics reveals similar manifestations as those of psoriasis.

Case Study:

  • Sex: Male
  • Age: 49 years
  • Patient Name: XYZ

Medical History:

  1. Alcohol addiction.

  2. Smoking.

Presenting Symptoms:

  1. Lalima yukta Vaivarnya: Erythematous plaques.

  2. Krushna arun varni twacha: Black silvery scales.

  3. Twacha nishkasan: Exfoliation of the skin.

  4. Ruksha, Sushka twacha: Dry skin.

  5. Kandu: Itching.

  6. Mala vibhandha: Constipation.

General Examination:

  1. Jivha: Niram (clean).

  2. Shabda: Kshina (weak).

  3. Sparsha: Ruksha, Shushka (dry and rough).

  4. Agni: Manda (weak digestion).

  5. Mala: Vibandha (constipation).

  6. Mutra: Samyak (normal urination).

  7. Nadi: Kaphavataj, 70/min.

  8. B.P: 140/90 mm of Hg.

  9. Weight: 59 Kgs.

Etiological Factors (Hetu):

  1. Excess alcohol consumption.

  2. Excessive meat consumption.

  3. Excess intake of dietary items with ruksha (dry) and shushka (rough) properties.

Ayurvedic Diagnosis:

  • Dosha: Kapha-Vata.

  • Dhatu: Rasa (nutrient plasma), Rakta (blood).

  • Strotas: Rasavaha (nutrient carrying channels), Raktavaha (blood carrying channels).

  • Diagnosis: Ek-kushta (Psoriasis).

Treatment Schedule:

  1. Snehapana: Administration of Mahatiktak Ghrita starting from 25ml and increasing up to 650ml over 7 days.
  2. Snehana Swedana: Followed by vamana (therapeutic emesis) on the 9th day, showing madhyam shuddhi (moderate purification) with 19 vegas (emesis bouts).
  3. Oral Medication:
    • Aarogyavardhini Vati 250mg, three times daily.
    • Panchatiktaghritapana 2 teaspoons, once daily.
    • Mahamanjishtadi Kwath 4 teaspoons, twice daily.
  4. External Application: Daily bath with Takra (buttermilk) processed with Khadira and Nimbadi medicines.

This treatment continued for 2 months, with the patient called in for routine follow-ups.

Results:

  1. Constipation: Relieved.
  2. Skin Exfoliation: Markedly stopped.
  3. Itching: Almost stopped.
  4. Skin Lesions: Mild decrease in dimensions of large scaly areas.

Conclusion:

This case study demonstrates the effectiveness of Ayurvedic treatment in managing psoriasis. The integrative approach, involving internal medication and external applications, led to significant relief in symptoms and improvement in the patient's overall condition. Regular follow-up and adherence to the prescribed regimen were crucial in achieving these results.