Introduction

Kustha is primarily caused by vitiated Tridoshas, Dushya, and Sharira dhatus, such as Twak, Rakta, Mamsa, and Lasika, which can then result in seven different varieties of Kustha. Kustha may disseminate throughout the body. Kustha may be caused by Vegavarodha, Purva janmakruta papa, Nidana Sevana, and Pradnyparadha ahitakara Dinacharya.

Since Poorva rupa is Asweda, the Charaka Samhita explains Purva Roopa in terms of skin discoloration, itching, horripilation (Romancha), and roughness that resembles Ati Ushnata in Sharira.^[1]

Because it is diffused ill-defined large patch, the Charaka Samhita mentions Maha Vastu, which appears to be Matsya Shakala, Kinakhara Sparsha of Twacha, Rukshata, Shosha, Toda, Sankocha, Aayama, Parushya, Kharata, Romaharsha, Shyava, or Aruna Varnata are the Lakshana of the Eka Kustha.^[2]

Kushtha, such as Aswedanama, Mahavastuma, Matsyashakalopamama, and Abhraka- Patrasama, appears to be closer to Kustha. Aswedanama (no sweating) denotes the absence of perspiration. Maha-Vastuma refers to widespread lesions that infiltrate the whole body.^[3]

Kustha is a widespread illness that affects the entire body. Matsya-Shakalopama (fish scales) explains the scaly nature and hyperkeratinisation that occurs in the epidermis, scaling that mimics fish scales.^[4]

In India, the frequency is 0.44-2%, with males being afflicted twice as often as girls in their third or fourth decade. Psoriasis greatly impairs the quality of life of patients and their families, resulting in physical, emotional, and social stress, as well as several psychological causes.

Skin cells proliferate up to ten times quicker than usual in this instance. Psoriasis is a polygenic, chronic relapsing inflammatory autoimmune disease caused by the interaction of antigen-presenting dendritic cells, T lymphocytes, and keratinocytes, which causes the skin to pile up into bumpy red patches covered with scales.

They can develop anywhere, but the majority of the time they appear on the scalp, elbow, knee, and lower back. Psoriasis does not transfer from person to person,

Treatment Advised

Table 1: Drug intervention and duration of treatment.

Pathya Apathya^[5]

Table 2: Diet Regimen

Observation

Table 3: Severity of symptoms BT and AT

Figure 1:  a) BT    b) AT

Discussion

The Eka Kustha can be associated with psoriasis, and according to Samhitas, no specific therapy is recommended; instead, we should employ Yukti and treat according to Dosha.

Gramya Anupa Audaka Mamsa (eating the meat of marshy animals with milk); and eating fish with milk.

In this case study patient come with complaint of itching, redness, patches all over the body. The line of treatment of Ek Kushtha applied on it. For this, we use Daruharidra Kwath with Gomutra Ark for 2.5 months. After treatment patient get significant relief in symptoms of itching, redness and scaly patches all over the body.

Daruharidra Kwath is indicated for Kushtha, Varnya, Deepana, Pachana, Rechana, Amahara, Pramehahara etc. Daruharidra as well-known go to cure for various skin ailments. Owing to its blood purifying qualities and Kapha-Pitta characteristics which help in removing toxins from the blood, it controls sebum production and assists in treating a host of skin infections as well. That’s why it is advantageous for treating allergic conditions (like psoriasis).

Gomutra contain Teekshna Rechaka property helps to expel out Pitta (toxins) through Virechana which damages the skin.

Conclusion

Eka Kushtha is hard to treat, it can significantly improve with the right diagnosis made at the right time. Additionally, the combination Ayurvedic medicines yields quite outcomes in Ek-Kushta.

We can treat ailments without using Shaman Aushadhi, but if the condition has been present for more than a year, Sadvritta Palan is required. The major cause of the sickness is knowingly making errors. Diseases are also caused by unhealthy eating.

The Mula for the Roga is Satata Nidana Sevan; if not treated, it becomes Asadhya Vyadhi. But this study reveals the efficacy of Ayurvedic formulation in Ek Kushtha without developing any complication and prevent further progression of disease.