Ayurvedic management of ek kushta w. s. r. To psoriasis: a case study

Abstract

Ek kustha is a type of Kshudra Kustha occuring mainly due to the Imbalance of Vata and Kapha doshas, resembling the psoriasis in its clinical manifestations. Poriasis is a long-lasting autoimmune and chronic inflammatory skin disorder clinically characterized by erythematous, sharply demarcated papules and rounded plaques, covered by silvery micaceous scale predominantly affecting the skin of elbows, gluteal cleft, knees and scalp. Being skin manifestations, psychological distress can lead to significant depression and social isolation, a high rate of thoughts about suicide has been associated with psoriasis. Steroid creams, vitamin D3 cream, PUVA and immune system suppressing medications such as methotrexate are the mainstay of treatment of psoriasis. These modern trestment modalities not devoid from grave complications mainly in long term use. Owing to these reasons, there is a need for treatment having good efficacy and no toxicity profile. So this case study was conducted considering Psoriasis as Ekkustha and Ayurvedic management was planned accordingly. Drastic results were witnessed by Shodhana (Vasantik Vaman & Sharadik Virechana) and Shamana (Some internal herbo-mineral preparations, External oil application),