Applied Aspect Of Shodhan Chikitsa In Psoriasis (Ekakustha)

Abstract

Psoriasis is a chronic inflammatory disease of skin which is non-infectious in origin. It is characterized by  erythematous plaques (of well defined margins) with silvery scale on extensor surface and scalp. This disease  not only affects patient’s physical appearance but also disturbs the mental and social health, as the lesions  appears externally which are embarrassing. In Ayurveda the disease Ekakushtha resembles more with the  characteristics of psoriasis. Ekakustha is described as Vata-Kaphaj disease. The exact aetiology of this disease  is unknown but it is believe that there are many factors(like genetic, dietary, immunological and  psychological)which helps in precipitation of this disorder. There is no treatment available for complete cure of  Psoriasis. The use of various drugs such as corticosteroids, anthalin, psoralen and ultraviolet rays is  recommended by modern science. which supress the immune system (if used for long time) and have negative  impact on body. In Ayurveda repeated Shodhan Chikitsa (Purificatory processes) and Shaman Yogas  (Pacifying) are mentioned in treatment of Kushtha (Skin diseases) . Shodhan Chikitsa (Purificatory processes)  is able to give satisfactory results in Ekakustha and also used for prevention of many disorders and promotion  of healthy life.A lot of work has already been done for psoriasis keeping Vaman Karma (emesis) and Virechan  Karma (purgation) as the main procedures, In the present work there is a new approach towards use of Basti  karma will also discussed along with these two, as the Vatadosha is suggested to be a main Dosha (among all  three Doshas) in creating the pathogenesis of psoriasis. The combined effect of all the three procedures was  found very effective and clinically safe as no adverse drug reactions were reported during treatment period.