Abstract

ROLE OF VIRECHANA KARMA AND SHAMANA AUSHADHI IN THE MANAGEMENT OF KITIBHA KUSHTHA (PSORIASIS).

*Vd. Sarita S. Pawar and Vd. Narayan R. Sabu

Abstract

Psoriasis is one of the commonest skin disease characterised by scaly papules and plaques. Prevalence of psoriasis in different parts of the world varies from 0.1 to 3 percent. A high familial occurrence of psoriasis (7–36%) suggest that genetics factors plays a role in its aetiology. Psoriasis occurs with almost equal frequency in males and females. Psoriasis is a chronic disease marked by periods of remissions and exacerbations. Remissions may last for a few weeks to many years. Triggering factors responsible for psoriasis according to modern science is it may be local or systemic and included trauma (koebner phenomenon), season (worsens in winter), emotional stress, upper respiratory tract infections and drugs like beta blockers. withdrawal of systemic steroids can leads to precipitation of pustular psoriasis. Psoriasis is characterised by the development of erythematous, well-defined, dry, scaly papules and plaques of size ranging from pinhead to palm- sized or larger. The scales are abundant, loose, dry and silvery white or micaceous. In Ayurveda all skin diseases explained under the “Kushtha”, 18 types of kushtha are found in samhitas. As per Ayurveda sing and symptoms of psoriasis are resembles with Eka Kushtha and Kitibha Kushtha which is included in Kshudra kushtha. Mainly vitiation of Vata- Kapha dosha is found in Eka Kushtha and kitibha kushtha. Shodhana karma is mandatory in bahudosha- avastha. In charaka sutra 24 Kushtha is included in Raktapradoshaja vyadhi[6] and Virechana[7] is best treatment for this. Hence, we have given shaman chikitsa followed by virechana. In this article case study has been explained.

Keywords: Kitibhakushtha, Eka Kushtha, Shodhana, Shamana, Virechana, Raktamokshna.