Article: MANAGEMENT OF PSORIASIS (MANDALA KUSHTHA) THROUGH AYURVEDA: A CASE STUDY

Article Category: Case Reports

DOI: 10.7897/2277-4343.155146

Pages: 15-20

Author: Anjali Bhati *, Chhaju Ram Yadav, Rashmi Gurao

Abstract: Background: Psoriasis is a chronic and non-infectious skin disease characterized by circumscribed erythematous scaly lesions. It has an unpredictable course of remission with multifactorial causes like stress, lifestyle changes, and dietary habits. The point prevalence of psoriasis is 8% of total dermatological disorders. Treatment available in the contemporary system is not curative but suppressive only. In Ayurveda, the disease can be correlated with Mandala Kushtha due to the resemblance of signs and symptoms. Shodhana is the treatment of choice in Kushtha but due to subnormal psychological and physical strength, Shamana Chikitsa was adopted. Method: In the present case study, a 25 years old female patient consulted OPD no. 3 of National Institute of Ayurveda, Jaipur with the signs and symptoms of erythematous scaly patches, itching, over affected areas since last 1 year. The Psoriasis area severity index was noted 14.4. She was treated with Ayurveda formulations i.e. Ashtamurti Rasayana, Rasmanikya, Shudha Gandhak, Vidang Churna, Arogyavardhini Vati, Panch Nimba Churna, and so on. Pathya and Apathya were advised to her. Result: After 2 months of treatment, cessation of new lesions and marked reduction of itching and pain were observed. Her PASI score decreased to 7. In the next 4 months, the elevation of lesions and scale disappeared, and the skin surface regained its normal texture. Discussion and Conclusion: These Ayurvedic drugs having Kaphahara, Kandughna, and Kushthghna properties balance morbid Dosha, pacifies the Rakta and Mamsa and thus relieves itching, reduce Kleda and suppress the overall pathological progression of disease. Therefore Ayurvedic intervention has shown effective potential in treating psoriasis (Mandala Kushtha).

Keyword: Ayurveda, Mandala Kushtha, Psoriasis, PASI Score, Shamana Chikitsa