TO EVALUATE THE ADD ON EFFECT OF PANCHVALKAL TAILA ABHYANGA WITH TAKRADHARA IN EKAKUSHTHA

Abstract

Background Ekakushtha, described under Kshudra Kushtha in classical Ayurvedic texts, is a Vata–Kapha Pradhana Tridoshaja Vyadhi with predominant Rakta Dushti. Clinically, it closely resembles psoriasis, a chronic immune-mediated inflammatory skin disorder characterized by erythematous plaques with silvery scaling. Modern treatment provides symptomatic relief but is associated with recurrence and adverse effects. Classical Shodhana Chikitsa is effective but not suitable for all patients. Therefore, a safe and practical Shamana Bahya Chikitsa approach combining Panchavalkala Taila Abhyanga and Takradhara was selected for evaluation. Aim and Objectives To evaluate the add-on effect of Panchavalkala Taila Abhyanga with Takradhara in the management of Ekakushtha (Psoriasis). To assess the efficacy of Panchavalkala Taila Abhyanga. To evaluate the additional therapeutic benefit of combining it with Takradhara. Methodology A randomized controlled clinical trial was conducted on 60 diagnosed patients of Ekakushtha, divided equally into two groups. Group A received Panchavalkala Taila Abhyanga followed by Takradhara, while Group B received Takradhara alone. Duration of treatment was 14 days with follow-up on the 21st day. Subjective parameters including Matsyashakalopama, Mandala, Kandu, Bahalatva, Aswedana, and Rukshata were assessed using gradation scales. PASI score was used as an objective parameter. Statistical analysis was performed using Wilcoxon Signed Rank Test and Paired t-test with significance set at p < 0.05. Results Both groups showed statistically significant improvement (p < 0.001) in subjective and objective parameters. However, Group A demonstrated superior results with greater reduction in scaling, itching, dryness, erythema, and PASI score compared to Group B. No adverse effects were observed during the study period. Discussion The combined therapy works through Vata–Kapha Shamana, Rakta Prasadana, Srotoshodhana, and Manasika Prashamana. Panchavalkala Taila Abhyanga improved Twak Poshana and reduced Rukshata, while Takradhara regulated stress response and balanced Prana Vata and Sadhaka Pitta. The synergistic mechanism resulted in better clinical outcomes and improved quality of life. Conclusion The study concludes that Panchavalkala Taila Abhyanga when used as an adjuvant to Takradhara provides significantly better therapeutic outcomes in Ekakushtha (Psoriasis) compared to Takradhara alone. The aim and objectives of the study were successfully achieved.