Article: AYURVEDIC INTERVENTION IN THE MANAGEMENT OF CHRONIC PLAQUE PSORIASIS THROUGH ANTARPARIMARJANA (SHAMANA AUSHADHI) AND BAHIRPARIMARJANA (UDGHARSHANA AND ABHYANGA): A CASE STUDY

Article Category: Case Reports

DOI: 10.7897/2277-4343.16237

Pages: 28-33

Author: Sudip Lahiri *, Shumaila Afreen, Tapas Bhaduri

Abstract: Considered as the mirror of health, the skin holds utmost importance in navigating the physical, psychological, and social aspects of an individual. Any pathological changes involving the skin can substantially impair daily functioning and overall quality of life. Psoriasis is one such dermatological disorder frequently encountered in clinical practice. The conventional medications often have limitations, including side effects and a high relapse rate, highlighting the need for alternative therapeutic strategies. Ayurveda provides a personalized approach, taking into account the individual's Prakriti and varying degrees of Vikriti. This case study represents a 38-year-old non-diabetic, non-hypertensive male previously diagnosed with chronic plaque psoriasis, approaching the Kayachikitsa O.P.D. of I.P.G.A.E. & R. at S.V.S.P., Kolkata, presently with a 6-month history of thick, erythematous, scaly plaques accompanied by intense itching and burning sensations localized to the anterior aspects of both lower legs. Based on the clinical features, a diagnosis of Kitibha was made and treated by antarparimarjana (shamana aushadhi) and bahirparimarjana (udgharshana and abhyanga) along with dietary and regimental modifications for 3 months. A marked improvement was noted in the appearance of lesions, accompanied by complete remission of itching and burning sensation, a lowering of the PASI score, and an improvement in the ORIDL scale. The findings of this case study highlight the efficacy, applicability, and relevancy of the principles of Ayurveda in the management of chronic plaque psoriasis.

Keyword: Chronic plaque psoriasis, Kitibha Kushtha, Antarparimarjana, Bahirparimarjana, Shamana Aushadhi, Udgharshana