Impact of Sadyovamana and Virechana in the management of Kitibha Kushtha in co-relation to Psoriasis - A Case Report

Abstract

Introduction: The skin, which forms the outermost layer of the body, is its largest organ. It acts as an anatomical barrier against biological, chemical, and physical external agents. Due to environmental and lifestyle changes - such as altered work schedules that elevate stress levels and directly affect health - numerous interconnected factors contributing to skin diseases are often categorized under the term 'Kushta. Kushta is a Kleda Pradhana Vyadhi involving all Sapta Dravyas and is considered one of the Ashta Mahagadas. If left untreated, it leads to Kutsita - characterized by vitiation and discoloration of the skin. Kitibha Kushta is classified under Kshudra Kushta and closely resembles the signs and symptoms of psoriasis.

Aim of study: To evaluate the effectiveness of Sadhyo vamana and Virechana karma in Kitibha Kushta (psoriasis), along with Shamana Aushadhi in terms of alleviating the symptoms and improving the quality of life of patient.

Methodology: A detailed study of Kitibha Kushta was conducted through a comprehensive review of Ayurvedic treatises, research journals, and electronic databases. A patient diagnosed with Kitibha Kushta was selected for the study and administered both internal and external Ayurvedic medications. The patient's response to the treatment was closely observed and documented.

Result: The integrated Panchakarma approach resulted in significant clinical improvement. The patient reported substantial relief in itching, scaling, and discoloration. Post-treatment signs showed restored skin texture, improved sleep, appetite, and bowel regularity.

Discussion: The combined use of Sadyovamana and Virechana offers an effective alternative in managing chronic skin diseases like psoriasis. The therapies helped regulate the aggravated Doshas and enhanced Agni, facilitating better absorption and metabolism.