A case study on the management of Kitibha kushta (Psoriasis) with virechana, dhanyamla dhara and takra dhara

Abstract

All the skin diseases in Ayurveda have been discussed under the broad heading of “Kushta”. Kushta Roga a dermatological disorders including psoriasis described as one of the most chronic disorders which is recurrent and immune mediated skin condition. It can have negative impact on physical, emotional and psychosocial status of affected person. Prevalence rate shows that it affects 1-2% of worldwide population in both the genders. This disease characterised by scaling, thickened-rough skin lesions, itching, in severe cases covers entire body. Kitibha Kushta is included in Kshudra Kushta  commonly found today, having sign and symptoms similar to Plaque psoriasis. In this case study, a 49 years old male with chief complaint of Kandu  (Itching), Powdery discharge and dry blackish brown patches over the anterior and posterior side of both legs, abdomen and upper back treated with Shodhana Chikitsa using Virechana Karma, along with Sarvanga Dhara (Dhanyamala Dhara), Shirodhara (Takra dhara) and Samshamana Aushadhis (Oral medicines) for 24 days. Patient recovered from the symptoms by undergoing above said treatment and there is improvement in the quality of life of the patient.