Abstract

Abstract

Psoriasis is chronic immune-related inflammatory skin condition that affects 2-3% of global population and 0.44 – 2.8% of Indians. It is characterized by hyperkeratinisation, erythematous scaly plaques. Nowadays due to mityaharavihara, sedentary and stressful life style psoriasis cases are increasing rapidly and conventional treatment remains limited. In Ayurveda we compare psoriasis with kitibha kusta which is one among the Astadasha kustas that to Kshudra kusta explained in Bruhatrayi and Laghutrayi, characterized by Shyava varna (blackish brown color), kinakara Sparsha (rough to touch), Parusha (hard) and Kandu (itching). Case summary: A 50-year-old male patient consulted with complaints of multiple erythematous elevated lesions associated with diffused scaling and itching present on various parts of the body since 10years. He was diagnosed with Kitibha kusta (chronic plaque psoriasis) based on his signs and symptoms, his PSAI score before treatment: 23.2%, Patient is incompatible to Gandaka rasayanam, Avipattikara churnam, on assessment we identified Bahudoshavasta in patient hence we conducted vamana procedure, advised Shamanoushadis after Vamana karma, significant improvement was seen in patient after Vamana karma, patients PSAI score became almost zero after 6 months of treatment.

Keywords: Psoriasis, Kitibha Kusta, Vamana, Shamanoushadis.