A single case study on Ekakustha (Scalp Psoriasis) with Ayurvedic Management

Abstract

Ekakustha (Psoriasis) is non-infectious chronic inflammatory disease of skin characterized by well-defined erythematous plaques with silvery scale which have a preference for extensor surface and scalp and by chronic fluctuating course. The disease not only disturbs the patient physically but also interrupts the mental and social health of the patient. Psoriasis occurs when the immune system mistakes the skin cells as pathogens and sends out faulty signals that speed up the growth cycle of skin tissues of the body. Psoriasis is a multi-factorial disease that arises due to many factors such as genetic predisposition, local trauma, general illness, smoking, excessive alcohol, indigestion, and stress. According to Ayurveda vitiation of Vata and Kapha Dosha by dietary and lifestyle changes play a primitive role in the generation of chronic psoriasis. In addition to this, Ama, a variety of exogenous environmental stressors and genetic / epigenetic factors play a significant role in the pathogenesis of psoriasis. These vitiated Doshas with and without Ama, in turn, adversely affect the skin and blood tissues as well. So, in psoriasis Vata, Kapha, and Pitta / Rakta vitiation are major contributing pathological factors in its manifestation. Here a 32 years old male patient came with complain of Shiro Kandu (itching on scalp), Kesha Patana (Hair falling), Darunaka (Dandruff), Vibandh (Constipation). He was diagnosed with Ekakustha (psoriasis). All the symptoms were resolved in 2 months. Psoriasis patient can get benefits from Ayurveda treatment like Takra Dhara and Shaman Chikitsa.