Role of Ayurvedic Modalities in the Management of Ekakustha (Psoriasis) ) : A Case Report

Abstract

Psoriasis is a chronic papulo-squamous disorder of unknown aetiology characterized by well-defined  erythematous papules and plaque lesions with silvery white micaceous scales. It is an incurable ailment which  is frustrating to the suffering human physically as well as psychologically. There is no such satisfactory safe  and curable remedy in modern medicine. Ayurveda has considered all skin diseases under Kustha. Ekakustha (Psoriasis)is one of the kshudra kusthas characterized by Aswedan (absence of perspiration), Mahavastu (big  size lesions), Matsyashakalapam (fishlike scale). Due to similarity of sign and symptoms Ekakustha(Psoriasis) may be correlated with Psoriasis. In the present study, a diagnosed case of psoriasis has been treated with  ayurvedic modalities like Deepan –pachan (appetizer-digestives), Ghritapana (intake of medicated ghee),  Virechana (purgation) as sodhana(purification), Shamana (pacification) yoga and Takradhara. The  effectiveness of these treatments were found unique and very much satisfactory. ‘PASI’ (Psoriasis area and  Severity index) score was taken as assessment parameter of improvement. The skin lesions of the patient was  calculated by ‘PASI’ score before starting the treatment, was found to be 48, which decreased to 1.2 at the end  of treatment .This case report showed remarkable improvement in overall condition of the patient with no  recurrence since 1 year.