Modest Ayurvedic interventions in the management of Ekakustha w.s.r to Psoriasis: A Case Series

Abstract

Psoriasis is a non-contagious, long-lasting autoimmune and chronic inflammatory skin disorder clinically characterised by erythematous, sharply demarcated papules and rounded plaques, covered by silvery micaceous scale. As per Ayurvedic texts, Psoriasis can be co-related with Ekakustha which is Vata-Kapha transcendent Kshudra Kustha. The prevalence of Psoriasis is between 0.44% and 2.8% in India and affecting up to 1% of world’s population, with men twice as likely to be affected as women. It is most common in people in their 3^rd or 4^th decade of life.  Ayurveda offers wide range of treatment option for this chronic disease under the broad heading Kustha. 5 patients of Ekakustha were selected from Panchakarma OPD. Classical Virechana Karma followed by Shamana Aushadhi (Mahamanjisthadi Kashayam, Arogyavardhini Vati, Gandhak Rasayan and Panchatiktaghrita Guggulu Vati), external application (Siddharthak Snan Churna and Brihat Marichyadi Taila) and lifestyle modification were prescribed for one month. After completion of treatment, marked improvement were noticed in subjective criteria, PASI score and pictorial representation. Follow up suggested no further progression of disease. Panchakarma therapy and Shamana Aushadhi along with lifestyle modification provides a safe and effective treatment option for Psoriasis, highlighting the potential of multi modal Ayurvedic interventions in Psoriasis.