Management of Ekakushtha with Shamana Chikitsa with Specific Reference to Psoriasis: A Case Report

About Author

Correspondence Address

Dr.Omprakash J. Patil
PG Scholar, Department of Kayachikitsa,
Shree Ayurved Mahavidyalay, Nagpur
Mobile No. 7387746431
E-Mail: omprakashpatil145@gmail.com

Contact No. : 7387746431 , Email : omprakashpatil145@gmail.com

Date of Acceptance : 02 Jun 2023

Date of Publication : 10 Aug 2023

Article ID : SD-IJAY_027

How to cite this article : Omprakash J. Patil,Archana S. Dachewar. Management of Ekakushtha with ShamanChikitsa with Specific Reference to Psoriasis: A Case Report. Sanjivani Darshan National Journal of Ayurveda & Yoga 2023;1(1):5-14 http://doi.org/10.55552/SDNJAY.2023.1102

Abstract

Diseases of skin are increases in recent years due to life style changes and unhealthy foods. Peoples of today’s era are cautious about the skin problems because of skin is the mirror image which reflects the functions of internal body organs. Psoriasis is non-infectious chronic inflammatory disease of skin. It is characterized by well-defined erythematous plaques with silvery scale which have a predilection for extensor surface and scalp and by chronic fluctuating course. According to W.H.O. the world-wide prevalence of Psoriasis is 2-3%. In India prevalence of Psoriasis varies about 0.44% to 2.88%. In Ayurveda all skin diseases are described under KushthaVyadhi. Ekakushtha is type of KshudraKustha which is mentioned in ancient samhitas.Ekakushtha is described as Vat - Kaphaj disease in CharakSamhita Chikitsasthan. Ekakushtha has clinical features like Asvedanam (absence of sweating), Mahavastu (big size lesions) and Matsyashakalopamam (scaling) which can be compared with Psoriasis. Due to highly recurrent nature the disease has remained a great problem. Here efforts were made to treat a sixty-six years old male diagnosed case of Plaque Psoriasis by combined Ayurvedic regimen. The diagnosis is considered as Ekakushtha in perspective of Ayurveda which is a Vata-Kaphaj predominant  Kshudra-Kushtha. All types of Kushtha will be treated with Shodhana and ShamanaChikitsa. ShamanaChikitsa was preferably given for 30 days. PASI (Psoriasis area severity index) score was taken for assessment criteria. PASI score before starting the treatment was found to be 5.6 which decreased to 0.6 at the end of treatment. Also, significant improvements in subjective parameters were observed. This case report showed that combined Ayurvedic modalities resulted in great improvement in overall condition of the patient with no recurrence in five months follow-up. Ayurvedic treatment regimen can be very useful in the management of Psoriasis and betterment of mankind.