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

Abstract

Introduction: Psoriasis is one of the most common dermatologic diseases. A 24 years old female presenting complain of large itchy, erythematous plaques with dry scaling all over the body include scalp and nails. The patient had taken allopathic medicine irregularly from many skins specialist but did not get relief. Patient is diagnosed with psoriasis or Ekakushtha and treated with shodhan therapy as Virechana karma. Objective: To evaluate the effect of Virechan in Psoriasis w.s.r. to Ekakushtha. Materials & Methods:  Deepan, Pachana with Chitrakadi Vati and Ajmodadi Churana for 5 days and Snehpana with Panchtikta Ghrita for 7 days. External Snehana, Swedana for 3 days. Virechana is done with the help of Trivrit Avaleha dose of 80 gm followed by Samsarjana Karma for 5 days as Pashchat Karma in the management of psoriasis. Result: After Virechana therapy, there was a reduction in the redness, itching and scaling of the plaque in the 7 days. Discussion: Psoriasis is one of the most common skin disorders and a chronic dermatologic condition marked by periodic flare-ups of sharply defined red patches, covered by a silvery, flaky surface. In Kushtha, Rakta is considered as one of the main Dhatu which is responsible for Prasara stage of Kushtha Samprapti. As the Pitta and Rakta have Ashreya- Ashryi relationship, treatment modality of Pitta Dosha and Rakta Dhatu resemble each other. Therefore, Virechana therapy is used in this case for Shodhan Karma.