Ayurvedic protocol for the management of psoriasis (eka-kushta)

a successful case report

| Posted in: Science

Journal name: World Journal of Pharmaceutical Research
Original article title: Ayurvedic protocol for the management of psoriasis (eka-kushta)
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Subtitle: a successful case report

Original source:

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Author:

Dr. Arpana Gupta and Dr. Swati Nagpal


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Ayurvedic protocol for the management of psoriasis (eka-kushta)

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research


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Summary of article contents:

Introduction

Psoriasis is a common, chronic autoimmune skin disorder characterized by scaly patches with an erythematous base that can significantly affect the physical, emotional, and psychosocial wellbeing of individuals. Its prevalence in India ranges from 0.44% to 2.8%, and it can affect all age groups. Within Ayurveda, psoriasis falls under the category of "kushta," specifically classified as "Eka-kushta," a subtype associated with imbalances in Vata and Kapha doshas. The management of psoriasis using contemporary methods, which often employ corticosteroids and phototherapy, has limitations, prompting the exploration of Ayurvedic treatments that offer better efficacy and reduced toxicity.

Shodhana Therapy: Detoxification for Recovery

The case study involved a 30-year-old male diagnosed with Eka-kushta and treated using Ayurvedic protocols focusing on "Shodhana" or detoxification therapies. The primary detoxification method employed was "Virechana," aimed at purging vitiated doshas from the body. The procedure entails a structured protocol that includes preparatory phases (Purva karma), the operative phase (Pradhana karma), and post-operative care (Paschat karma). This comprehensive approach is essential as it not only helps eliminate toxins but also prepares the body for subsequent treatments.

Efficacy of Virechana in Symptom Relief

The treatment's efficacy was notable, showing a 50% relief in symptoms after the Shodhana therapy and 70% improvement after two months of oral Ayurvedic medications. Key to this treatment was the use of specific herbal formulations during the Virechana procedure. The study highlights how these herbal remedies possess anti-inflammatory properties and act as blood purifiers, leading to significant improvements in skin condition. Such detailed protocols are crucial for patients suffering from longstanding skin disorders like psoriasis, as they focus on holistic healing rather than temporary symptomatic relief.

Importance of Pre- and Post-Operative Care

The study stressed that proper management during Pre- and Post-operative phases of Virechana significantly contributes to successful outcomes in psoriasis treatment. Careful monitoring and administration of dietary and herbal therapies following the Virechana procedure are essential for restoring balance and aiding recovery. The procedures enhance detoxification and re-establish normal physiological functions, thus playing a critical role in the overall treatment strategy for chronic skin disorders.

Conclusion

The successful application of Ayurvedic treatments for psoriasis, particularly through Virechana therapy followed by targeted herbal medications, showcases the potential of traditional medicine in managing chronic skin disorders. The case study indicates that a structured Ayurvedic approach can lead to substantial symptom relief, addressing both the physical manifestations and the underlying imbalances in the body. This holistic methodology emphasizes the importance of detoxification and systematic treatment, reaffirming the role of Ayurveda in contemporary healthcare practices for skin conditions.

FAQ section (important questions/answers):

What is the Ayurvedic classification of psoriasis?

Psoriasis is classified as Eka-kushta under the category of Kushta roga in Ayurveda, which refers to skin disorders resembling psoriasis clinically.

What treatment modalities were used in the case study?

The patient underwent Virechan karma (shodhana therapy) along with Shamana medicines, which included specific herbo-mineral preparations and external applications for managing psoriasis.

What were the key symptoms of the patient?

The 30-year-old male patient presented with skin lesions on limbs and palms, experiencing severe itching associated with redness and silvery-white scales, characteristic of psoriasis.

How effective was the treatment in relieving symptoms?

The patient reported a 50% relief in symptoms after the shodhana therapy and about 70% relief after taking oral medications for two months.

What is the significance of Virechan karma in psoriasis treatment?

Virechan karma is significant for cleansing the body of vitiated doshas and helps to correct the underlying pathogenic factors associated with psoriasis, promoting overall skin health.

What were the results of the treatment after two months?

After two months of treatment, the patient experienced marked improvement in symptoms, including relief from itching, reduced size and discoloration of the lesions, and enhanced skin appearance.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Ayurvedic protocol for the management of psoriasis (eka-kushta)”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Karma (Karman):
In Ayurveda, 'Karma' refers to the systemic treatment approach that includes various therapeutic modalities. It encompasses actions taken to restore balance within the body, such as Panchakarma procedures that detoxify and rejuvenate. Understanding 'Karma' is crucial for effective management of conditions like psoriasis.

2) Medicine:
'Medicines' refer to the various herbal and mineral formulations used in Ayurveda for treating ailments. In the case of psoriasis, specific medicinal preparations are used alongside detoxifying therapies to manage symptoms and restore skin health through natural healing processes.

3) Dosha (Dosa):
'Dosha' is a fundamental concept in Ayurveda that represents the three vital energies: Vata, Pitta, and Kapha. An imbalance among these doshas leads to health issues, including skin disorders like psoriasis. Proper understanding and management of doshas are essential for effective treatment strategies.

4) Shodhana (Sodhana):
'Shodhana' pertains to detoxification processes in Ayurvedic medicine aimed at purging accumulated toxins and restoring health. It often involves procedures like Panchakarma, which clear vitiated doshas from the body. This process is crucial for treating chronic conditions, including skin diseases like psoriasis.

5) Gupta:
'Gupta' refers to the primary author of the case study, Dr. Arpana Gupta, who conducted the research and documented the Ayurvedic treatment of psoriasis. Their expertise in Ayurvedic practices lends credibility to the findings and contributes to the field's understanding of skin disorders.

6) Study (Studying):
'Study' represents the systematic investigation into the efficacy of Ayurvedic treatments in managing psoriasis. It provides detailed observations on patient outcomes and supports the adoption of traditional practices in healthcare, bridging ancient wisdom with contemporary medical understanding.

7) Ayurveda (Ayus-veda):
'Ayurveda' is an ancient Indian system of medicine that emphasizes balance among body, mind, and spirit. It incorporates lifestyle, diet, and natural therapies to prevent and treat diseases. Ayurvedic principles form the foundation for managing conditions like psoriasis effectively.

8) Samana (Shamana):
'Shamana' involves palliative treatments in Ayurveda focused on alleviating symptoms and restoring balance without aggressive detoxification. It complements Shodhana therapies in managing conditions like psoriasis by providing symptomatic relief and enhancing the patient's quality of life.

9) India:
'India' is the birthplace of Ayurveda, a medical system that integrates holistic health practices rooted in Indian traditions. The prevalence of psoriasis in India necessitates effective, traditional treatments, reflecting Ayurveda's significance within the Indian healthcare framework.

10) Pradhana-karma:
'Pradhana-karma' refers to the operative phase in the detoxification process of Shodhana therapy. This critical stage involves performing therapeutic actions, such as Virechana, that directly address the underlying dosha imbalances, leading to improved health outcomes for patients with psoriasis.

11) Paschat-karma:
'Paschat-karma' signifies the post-operative care following detoxification therapies in Ayurveda. It involves dietary and lifestyle measures aimed at maintaining the health achieved during treatment. The phase is essential for ensuring long-lasting results after procedures like Virechana.

12) Pradhana:
'Pradhana' connotes the active stage or main procedures in Ayurveda that focus on treatment. During the management of psoriasis, it encompasses practical therapeutic methods aimed at addressing the core issues related to skin disorders effectively.

13) Itching:
'Itching' is a common and distressing symptom associated with psoriasis. It indicates skin irritation and is often exacerbated by the condition. Alleviating itching through Ayurvedic treatments is a primary goal of managing psoriasis, enhancing patient comfort and overall well-being.

14) Tikta:
'Tikta' refers to a bitter taste in Ayurvedic medicine and denotes the property of certain herbs used in treatment. Remedies with Tikta qualities help to balance the doshas and are often included in formulations aimed at addressing skin diseases like psoriasis.

15) Drug:
'Drug' entails any substance used to diagnose, cure, treat, or prevent disease. In Ayurveda, drugs are derived from natural sources and target specific dosha imbalances, making them essential for effective management of conditions like psoriasis.

16) Yoga:
'Yoga' encompasses a range of treatments and practices in Ayurveda, often implying therapeutic methods or combinations used to restore health and balance. In managing psoriasis, yoga signifies a holistic approach combining both treatment and lifestyle.

17) Male:
'Male' indicates the gender of the patient under study, reflecting the demographic aspect of health conditions such as psoriasis. It is relevant for understanding how the disease affects different genders and guiding treatment choices accordingly.

18) Tiktaghrita (Tikta-ghrita, Tiktaghrta):
'Tikta-ghrita' is a medicated ghee utilized in Ayurvedic therapies known for its cooling and detoxifying properties. It is particularly effective in managing skin disorders, as it helps alleviate symptoms like itching and inflammation associated with psoriasis.

19) Purvakarma (Purva-karman, Purvakarman):
'Purva-karma' refers to the preparatory treatments undertaken before the main therapeutic process in Ayurveda. It includes methods like Snehana (oleation) and Swedana (sudation) aimed at preparing the body for more intensive cleansing during procedures like Virechana.

20) Ekakushtha (Eka-kushtha, Ekakustha):
'Eka-kustha' is an Ayurvedic term representing a specific type of skin disorder akin to psoriasis. Recognizing this condition is essential for practitioners to effectively tailor treatments using Ayurvedic principles that address the unique aspects of psoriasis.

21) Abhyanga (Abhyamga):
'Abhyanga' is a traditional Ayurvedic practice of oil massage that promotes circulation and alleviates stress. It is often included in preparatory treatments for psoriasis management to support detoxification and enhance overall skin health through improved nourishment.

22) Snehana:
'Snehana' refers to the oleation process in Ayurveda where medicated oils are used. This practice is vital in preparing the body for detoxification therapies, helping to pacify vitiated doshas and alleviate symptoms in skin disorders like psoriasis.

23) Ghrita (Ghrta):
'Ghrita' denotes clarified butter or ghee used extensively in Ayurvedic medicine. It serves as a base for medicated formulations, providing health benefits, including nourishment and balancing doshas, thus aiding in the management of conditions like psoriasis.

24) Kushtha (Kustha):
'Kustha' encompasses skin diseases in Ayurveda, including psoriasis. Understanding the different types and characteristics of Kustha disorders is essential for practitioners to develop effective treatment plans tailored to patient needs.

25) Sharman (Sarma, Sharma, Sarman):
'Sharma' appears as a common name associated with Ayurvedic practitioners and researchers. It signifies expertise in the field, contributing to the credibility of research findings and traditional knowledge relevant to treating conditions like psoriasis.

26) Panca (Pancan, Pamca):
'Pancha' translates to five in Sanskrit and can refer to the five actions or therapies in Ayurveda, particularly in the context of Panchakarma. Each action aims to detoxify and rejuvenate the body, thereby enhancing treatment efficacy for conditions like psoriasis.

27) Taila (Thaila):
'Taila' indicates oil in Ayurveda, commonly used in various therapeutic applications, including skin treatments. It is crucial for massages and topical applications that support the management of dry and irritated skin conditions such as psoriasis.

28) Purva:
'Purva' means 'previous' or 'prior' in Sanskrit, indicating the initial steps or preparatory phases of treatment in Ayurveda. Understanding these steps is vital for successful implementation of subsequent therapeutic measures in managing conditions like psoriasis.

29) Post:
'Post' refers to the phases or interventions that occur after the primary treatment, especially in the context of Ayurvedic therapies. Post-treatment care is essential for ensuring lasting effects and recovery in conditions like psoriasis.

30) Shamanacikitsa (Samanacikitsa, Shamana-cikitsa):
'Shamana-chikitsa' signifies palliative treatments aimed at alleviating symptoms rather than removing the root cause. This is particularly relevant in managing psoriasis, as it helps improve patient comfort and quality of life during treatment.

31) Kaphadosha (Kapha-dosha, Kaphadosa):
'Kapha-dosha' is one of the three vital energies in Ayurveda associated with structure and stability. Understanding how Kapha influences skin conditions provides insights into personalized treatment approaches for managing disorders like psoriasis.

32) Observation:
'Observations' denote the careful monitoring of a patient's condition throughout treatment. Documenting observations aids in assessing treatment efficacy and customizing future interventions to improve outcomes in conditions like psoriasis.

33) Lakshana (Laksana):
'Lakshana' means 'symptom' or 'characteristic' in Ayurveda. Recognizing the Lakshana of a condition like psoriasis is crucial for accurate diagnosis and effective treatment, as it helps practitioners select appropriate therapeutic approaches.

34) Vitiation (Vitiated):
'Vitiation' signifies the disturbance of natural balance in the doshas. Understanding vitiation is crucial for Ayurveda, as it informs diagnosis and treatment options, particularly for diseases like psoriasis that stem from such imbalances.

35) Trivrit (Tri-vrit, Trivrt):
'Trivrit' signifies a specific herbal formulation used in Ayurvedic cleansing therapies. Its properties make it effective in alleviating symptoms and managing conditions like psoriasis by purging toxins from the body.

36) Snigdha:
'Snigdha' indicates the quality of ‘oleation’ or 'unctuousness.' It is used to assess the patient's condition, particularly the level of moisture and lubrication in the body, which can be crucial in managing skin disorders such as psoriasis.

37) Disease:
'Disease' refers to any abnormal condition affecting the body, including psoriasis. Understanding the nature of diseases is foundational in Ayurveda for developing effective treatment strategies that address underlying imbalances.

38) Koshtha (Kostha):
'Kostha' refers to the gastrointestinal tract's area in Ayurveda. It's important as many treatments focus on detoxifying and restoring balance in the Kostha to address symptoms that arise from digestive disturbances, including skin disorders.

39) Kapha:
'Kapha' represents one of the three doshas, associated with water and earth elements. Its balance is crucial in Ayurveda, as excess Kapha can lead to conditions such as psoriasis, highlighting the need for its regulation in treatment.

40) Pulse:
'Pulse' reflects the heart rate and overall circulatory condition of an individual. In Ayurvedic practice, monitoring pulse is essential for assessing health status and guiding treatment decisions entered through practices aimed at balance and wellbeing.

41) Agni:
'Agni' refers to the digestive fire or metabolic processes in Ayurveda. A well-functioning Agni is crucial for maintaining health. Imbalances in Agni can contribute to conditions like psoriasis, thus emphasizing the importance of digestive health.

42) Katu:
'Katu' refers to a sharp or pungent taste in Ayurveda that can stimulate digestion. It denotes certain herbs and their effects on balancing doshas, particularly beneficial for treating skin disorders by enhancing metabolism.

43) Vega:
'Vega' represents the natural urges or physiological drives within the body. Recognizing and respecting Vega is critical in Ayurveda, as improper management can disturb bodily functions and contribute to disease, including skin issues like psoriasis.

44) Vati:
'Vati' translates to tablet or pill in Ayurveda and refers to solid herbal formulations. These are commonly used for treating a variety of conditions, including psoriasis, exhibiting the versatility of Ayurveda in addressing health problems.

45) Vata:
'Vata' is one of the three doshas associated with movement and communication within the body. An imbalance in Vata contributes to various health issues, necessitating careful management during treatment approaches for conditions like psoriasis.

46) Diet:
'Diet' encompasses the food and nutritional guidelines recommended in Ayurveda for maintaining health. Proper dietary choices play a crucial role in managing conditions such as psoriasis by balancing doshas and supporting overall wellbeing.

47) Sign:
'Sign' refers to observable indicators of a condition such as psoriasis. Identifying signs is crucial in diagnosis and treatment, guiding practitioners to tailor interventions effectively for optimal health outcomes.

48) Burning sensation:
'Burning sensation' indicates discomfort often experienced in psoriasis. Managing this symptom is essential in treatment, aiming to restore skin health and alleviate distressing sensations associated with the disease.

49) Purification:
'Purification' in Ayurveda relates to cleansing processes aimed at removing toxins and restoring health. This principle is fundamental in the management of psoriasis, focusing on detoxification methods that promote healing.

50) Kushthaghna (Kusthaghna):
'Kushthaghna' refers to substances or treatments that effectively combat skin disorders in Ayurveda. Identifying Kushthaghna materials is significant for developing therapeutic strategies that alleviate the symptoms and causes of psoriasis.

51) Dhatusamya (Dhatu-samya):
'Dhatu-samya' denotes the balance of tissues in Ayurveda, which is essential for maintaining overall health. Achieving Dhatu-samya is crucial in treating skin diseases, including psoriasis, to ensure holistic recovery.

52) Pittadosha (Pittadosa, Pitta-dosha):
'Pitta-dosha' is one of the three doshas linked to transformation processes in the body. Its imbalance can lead to skin disorders such as psoriasis, highlighting the need for targeted treatments to restore Pitta balance.

53) Discussion:
'Discussion' reflects the analysis and interpretation of findings from the study. It frames the results within the larger context of Ayurvedic principles and practices, contributing to a deeper understanding of treating conditions like psoriasis.

54) Toxicity:
'Toxicity' refers to harmful effects caused by imbalances or accumulated toxins in the body. Ayurveda focuses on reducing toxicity through cleansing processes like Shodhana to manage conditions such as psoriasis effectively.

55) Kshudra (Ksudra):
'Kshudra' denotes minor or lesser ailments in the Ayurvedic classification of diseases. Understanding Kshudra types is vital for addressing skin conditions in targeted ways, highlighting Ayurvedic approaches to common dermatological issues.

56) Raktaja:
'Raktaja' refers to disorders originating from blood in Ayurveda. Psoriasis is considered a Raktaja disorder that emphasizes the need to purify the blood through specific Ayurvedic treatments to manage its symptoms effectively.

57) Shamyaka (Samyaka):
'Samyaka' signifies the state of proper or balanced conditions in Ayurveda. Achieving samyaka state is crucial for successful treatment outcomes, particularly for chronic conditions like psoriasis that require sustained management.

58) Tikshna (Tiksna):
'Tikshna' refers to sharp or penetrating qualities in Ayurvedic medicines. Such properties are vital for addressing diseases by effectively penetrating tissues to facilitate healing, particularly relevant in managing psoriasis and its symptoms.

59) Vyavayi:
'Vyavayi' signifies the property of quick action in Ayurvedic herbs or medications. Such properties facilitate swift therapeutic effects, vital in managing acute symptoms of conditions like psoriasis, thereby enhancing overall treatment efficacy.

60) Pittaja (Pitta-ja):
'Pittaja' indicates conditions arising from an imbalance in Pitta dosha. Recognizing Pittaja manifestations is crucial for tailoring Ayurvedic interventions to restore balance and promote healing in skin disorders like psoriasis.

61) Mineral:
'Mineral' signifies the use of inorganic substances in Ayurvedic medicine. They complement herbal formulations for various treatments, including skin disorders, enhancing the therapeutic efficacy of interventions directed at psoriasis.

62) Burning (Burn, Burned, Burnt):
'Burning' refers to the irritating sensation experienced in inflamed skin conditions like psoriasis. Addressing burning sensations is critical to improve the patient’s comfort and overall quality of life during treatment.

63) Surface:
'Surface' refers to the outer layer of the skin affected in conditions like psoriasis. Understanding surface characteristics is vital for effective treatment strategies targeting specific skin-related issues.

64) Vikara:
'Vikara' denotes the changes or disturbances in the body’s state, often representing diseases. Recognizing Vikara helps Ayurvedic practitioners to determine the necessary interventions to restore balance and health, particularly in skin conditions like psoriasis.

65) Patola:
'Patola' is a specific Ayurvedic herb used for its medicinal properties, particularly in skin treatments. Its inclusion in formulations for psoriasis highlights Ayurveda's focus on leveraging natural remedies to address health issues.

66) Dushya (Dusya):
'Dushya' refers to elements in the body that can become a source of pathology. In Ayurvedic practice, identifying Dushya is essential for effective treatment planning, especially in managing chronic conditions like psoriasis.

67) Varṇya (Varnya):
'Varnya' denotes substances or treatments that promote a healthy complexion. Utilizing Varnya properties in treatments for psoriasis is essential for restoring skin health and enhancing the patient’s appearance and confidence.

68) Shakha (Sakha):
'Shakha' refers to the limbs or branches of the body in Ayurveda. Understanding the anatomical distinctions is essential for localized treatments and specificity in managing diseases like psoriasis affecting different body parts.

69) Vamana:
'Vamana' is an Ayurvedic therapeutic method involving therapeutic emesis. It is one of the Panchakarma techniques. Though not utilized in this case, understanding its role enhances comprehension of detoxification pathways within Ayurvedic medicine.

70) Vipaka:
'Vipaka' refers to the taste effect that food and herbs have after digestion in Ayurveda. Understanding the concept of Vipaka is significant for dietary recommendations that support treatment outcomes, especially in conditions like psoriasis.

71) Dhosa (Dhosha):
'Dhosha' serves as an alternative spelling of 'dosha,' encapsulating the same concept of bodily energies vital to Ayurvedic practice. Understanding doshas, including their roles in health and disease, is crucial for treatment planning.

72) Family:
'Family' represents patient demographics relevant to health conditions and treatment approaches. Understanding familial health history can provide insights into the patient’s health risks, guiding better treatment planning and interventions.

73) Pitta:
'Pitta' refers specifically to one of the three doshas vital for digestion and metabolism in Ayurveda. Its balance is essential for skin health, and understanding its role is crucial for effective treatment approaches to conditions like psoriasis.

74) Sneha:
'Sneha' refers to the concept of unctuousness or oleation in Ayurveda involving oils and fats. Its significance lies in treatment practices that require lubrication of body tissues, particularly in detoxification and skin treatments.

75) Rakta:
'Rakta' means blood in Ayurveda, playing a central role in many illnesses, particularly Raktaja disorders like psoriasis. Understanding blood's role in health informs treatment approaches aiming to purify and balance bodily humors.

[Note: The above list is limited to 75. Total glossary definitions available: 89]

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Discover the significance of concepts within the article: ‘Ayurvedic protocol for the management of psoriasis (eka-kushta)’. Further sources in the context of Science might help you critically compare this page with similair documents:

Pittadosha, Virechan Karma, Therapeutic Purgation, Ayurvedic Management, Severe itching, Ayurvedic protocol, Panchakarma procedure, Clinical observation, Auspitz sign, Rakta Pradoshaja Vikara, Skin lesion, Chronic inflammatory skin disorder, Post-operative care, Skin disorder, Eka Kushta, Management of Psoriasis, Shamana medicine, Positive outcome, Pre-operative care.

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