Abstract

EFFECT OF UBHAYA SHODHANA AND RASAYANA KARMA IN EKAKUSHTA/ PLAQUE PSORIASIS

Dr. Anupama S.*, Dr. Abhilash P. R. and Dr. Yagyik Mishra

Abstract

a) Introduction: Psoriasis is a non-infectious, chronic inflammatory disease of the skin, characterized by well-defined erythematous plaques with silvery scale, with a predilection for the extensor surfaces and scalp, and a chronic fluctuating course. The disease is tallied with Ekakushta, one among the Kshudra Kushta explained in the ayurvedic literature, b) Case Presentation: A male patient aged 40 years came with c/o scaly skin lesions along with itching and powdery flakes all over the body especially in the extensor surface of both upper limb and lower limb and upon the trunk. On clinical examination and investigations, the diagnosis was confirmed as Psoriasis/ Ekakushta. c) Management and Outcome: He was given Kramataha Virechana Karma followed by the administration of Tuvaraka Rasayana after the samsarjana krama. The extend of the skin lesions reduced and improvement in the condition and was assessed by the PASI Score. d) Discussion: The treatment of kushta involves shodhana and shamana revolving around the concept of Vyadhihara Rasayana. Rasayana chikitsa is indicated for swastha as well as atura just similar to panchakarma therapy. The effectiveness of the vyadhihara rasayana is accelerated if done following the shodhana karma. The treatment of kushta specifies the usage of Tuvaraka as its is known for its ubhayamarga shodhana and Rasayana karma. Thus the treatment protocol was adopted and the result is tremendous.

Keywords: Psoriasis, Ekakushta, Virechana, Tuvaraka Rasayana.