A CLINICAL CASE STUDY ON THE EFFECT OF SHODHANA AND SHAMANA CHIKITSA IN THE MANAGEMENT OF EKAKUSTHA (PSORIASIS VULGARIS)

Abstract

Background: Psoriasis Vulgaris is a chronic, immune-mediated inflammatory skin disorder characterized by erythematous plaques covered with silvery scales. In Ayurveda, the clinical presentation closely resembles Ekakustha, a type of Kshudra Kustha, described with features such as Aswedanam, Mahavastu, and Matsyashakalopama. Objective: To evaluate the efficacy of combined Sanshodana and Sanshamana Chikitsa in a patient suffering from psoriasis for the last five years. Methodology: A 30-year-old male presented with widespread white scaly lesions, dryness, and itching over the entire body. After clinical and Dosha assessment, Shodhana Karma was planned. The patient underwent Snehapana with Panchtikta Ghrita followed by Virechana using Trivrit Avaleha. After purification, Sanshamana Aushadhi were administered for 15 days along with dietary regulation. Result: Within 22 days, white scaly lesions resolved significantly, itching subsided completely, and the patient reported marked subjective and objective improvement. Conclusion: This case demonstrates that when Panchakarma and Kayachikitsa are applied together following classical principles, remarkable improvement can be achieved in chronic Ekakustha.