Ekakushta management in psoriasis: Virechana and takradhara case study.
Journal name: World Journal of Pharmaceutical Research
Original article title: Management of ekakushta wsr to plaque psoriasis with virechana karma and takradhara - a case study.
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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Hivarale A.U., Ghungaralekar R.R., Rewdkar-Kole M.S. and Patil L.D.
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Management of ekakushta wsr to plaque psoriasis with virechana karma and takradhara - a case study.
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr201612-7441
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Summary of article contents:
Introduction
Psoriasis is a chronic, non-infectious skin disorder characterized by well-defined, scaly, erythematous patches. It affects 1-2% of the global population and displays a significant genetic component, with psychological stress being a primary exacerbating factor. Traditional treatments, including PUVA and corticosteroids, often result in adverse effects such as hepatotoxicity and nephrotoxicity. In contrast, Ayurveda correlates psoriasis with a condition termed Ekakushtha, proposing a holistic treatment approach that promotes long-lasting results and improved patient well-being.
Virechana Karma: Purgation Therapy
Virechana, a purgation therapy, is a key Ayurvedic treatment involving a three-stage process: Purva Karma (pre-procedure), Pradhana Karma (main procedure), and Pashchat Karma (post-procedure). Initiating with Purva Karma, preparatory steps such as oleation and fomentation are performed to ready the body for the purgation process. Following this, the Pradhana Karma involves the administration of a specific herbal formulation on an empty stomach. The effectiveness of this treatment modality lies in its ability to detoxify the body, effectively relieving symptoms of psoriasis.
Takradhara: Herbal Buttermilk Therapy
Takradhara is another Ayurvedic treatment employed in managing psoriasis, utilizing a mixture of buttermilk and medicinal herbs. This therapy involves the slow pouring of warm, medicated buttermilk over the patient's body, which is believed to enhance absorption of the treatment through the skin. The buttermilk, combined with anti-inflammatory and antioxidant properties of herbs like Amalaki and Musta, offers systemic benefits and supports skin healing. Implemented for one month post-Virechana, Takradhara serves to further alleviate skin conditions and promote overall health.
Case Presentation and Treatment Results
In this case study, a 32-year-old male with plaque psoriasis underwent Virechana followed by Takradhara. After one month of treatment, the patient showed significant improvement, with the disappearance of reddish silvery patches, along with relief from itching and burning sensations. Subsequent administration of herbal medicines complemented the treatment, and the patient was advised on dietary modifications to prevent relapse. Remarkably, during a 6-month follow-up, the patient exhibited no signs of recurrence.
Conclusion
This case study underscores the efficacy of Ayurvedic treatments, particularly Virechana and Takradhara, in managing psoriasis. By addressing both the physical symptoms and underlying factors contributing to the disease, Ayurveda provides a comprehensive approach to patient care. The favorable outcomes suggest a need for further research into Ayurvedic therapies and their potential to offer safe, effective alternatives to conventional psoriasis treatments.
FAQ section (important questions/answers):
What is psoriasis and its general characteristics?
Psoriasis is a chronic inflammatory skin disease characterized by dry, scaly, erythematous patches covered with silvery-white scales. It often affects extensor surfaces like elbows, knees, and scalp, with an incidence of 1-2% in the global population.
What is the Ayurvedic correlation for psoriasis?
In Ayurveda, psoriasis is correlated with Ekakushtha, a type of skin disease. Ayurvedic treatment focuses on holistic approaches and therapies such as Virechana and Takradhara, which aim at detoxification and restoring balance in the body.
What treatment was given to the 32-year-old patient?
The patient received Virechana, a purgation therapy, followed by Takradhara. This involved preparatory procedures, purgation with a specific herbal formulation, and post-treatment dietary considerations to facilitate recovery and promote health.
What were the results of the Ayurvedic treatment?
After one month of treatment, the patient experienced complete relief from itching, burning, and scaling, with hyperpigmentation remaining in some areas. There were no signs of recurrence in follow-ups lasting six months.
What modern treatments exist for psoriasis?
Modern treatments for psoriasis include PUVA therapy and corticosteroids. However, these can lead to significant side effects like hepatotoxicity, nephrotoxicity, and bone marrow depletion, making alternative treatments desirable.
What lifestyle changes were advised for the patient?
The patient was advised to avoid junk food, incompatible and sour foods, and day-sleep. Simple dietary and lifestyle modifications were recommended to promote long-term health and prevent recurrence of psoriasis.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Ekakushta management in psoriasis: Virechana and takradhara case study.”. 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 the context of Ayurveda, 'Karma' denotes actions or therapeutic procedures aimed at detoxification or treatment. It plays a significant role in traditional practices, including the purgative methods and treatments employed in managing conditions like psoriasis. Karma embodies the concept that treatment requires intentional action to restore balance in the body.
2) Disease:
The term 'Disease' refers to a pathological condition that disrupts normal bodily functions. In this case, psoriasis is highlighted as a chronic inflammatory skin disease with multifactorial causes. Understanding disease is essential in determining appropriate treatment approaches, as well as acknowledging the importance of holistic management in Ayurvedic practices.
3) Drug:
In medical terms, 'Drug' signifies substances used for treating diseases or managing symptoms. In the study, Ayurvedic formulations are acknowledged, including herbal preparations like Arogyavardhini vati. The choice of drugs is critical for effectiveness, especially in chronic conditions like psoriasis, where conventional treatments may yield adverse effects.
4) Ayurveda (Ayus-veda):
Ayurveda is a comprehensive traditional system of medicine originating in India, emphasizing a holistic approach to health. The study showcases Ayurveda's relevance in treating psoriasis through methods like Virechana and Takradhara, highlighting its potential to offer safe, effective alternatives to modern pharmacological solutions with fewer side effects.
5) Water:
In many Ayurvedic treatments, 'Water' is integral, serving both as a medium for herbal decoctions and as part of dietary recommendations. It facilitates hydration, aids in detoxification during processes like Virechana, and plays a role in balancing the body's doshas, thus supporting overall health and recovery.
6) Food:
Food represents a crucial element in Ayurvedic treatment protocols, where dietary choices can significantly influence health outcomes. In managing psoriasis, specific recommendations about avoiding incompatible or inflammatory foods aim to reduce symptoms and promote healing. This exemplifies the integral link between diet and disease management in Ayurveda.
7) Diet:
The term 'Diet' encompasses the specific eating habits and nutritional intake recommended to support health, particularly during treatments. In this Ayurvedic case study, dietary modifications post-treatment are crucial for maintaining improvements, showcasing the role of diet in enhancing the efficacy of therapeutic interventions for psoriasis.
8) Pradhana-karma:
Pradhana-karma refers to the main therapeutic procedure in Ayurveda, particularly during detoxification treatments. It emphasizes the significance of purgation (Virechana) in psoriasis management. Correctly executing this step is essential for its success, illustrating the comprehensive approach Ayurveda takes in treating chronic diseases like psoriasis.
9) Purvakarma (Purvakarman, Purva-karman):
Purva-karma is the preparatory stage in Ayurvedic treatments aimed at ensuring that the body is ready for the main therapeutic procedure. This step is crucial in therapies like Virechana, as it lays the groundwork for effective detoxification and enhances the overall benefits of subsequent treatments.
10) Abhyanga (Abhyamga):
Abhyanga denotes a therapeutic oil massage, a common practice in Ayurveda known for its revitalizing and balancing effects. In this case study, it is utilized as part of the preparatory process to enhance detoxification and provide comfort, highlighting the significance of physical treatments in managing skin conditions.
11) Pradhana:
Pradhana signifies the primary focus or central aspect of treatment. In Ayurvedic practices, it emphasizes the importance of the main therapeutic actions like Virechana for effectively addressing diseases. Understanding this concept ensures proper application of treatments to achieve desired health outcomes.
12) Svedana:
Svedana, or sudation therapy, serves as a complementary technique in Ayurveda, typically involving the application of steam to facilitate detoxification. Utilized during preparatory phases, Svedana helps open the pores and enhance the effects of subsequent treatments, showcasing its value in comprehensive Ayurvedic healing processes.
13) Surface:
The term 'Surface' often relates to the outer layer of the skin where diseases like psoriasis manifest. Ayurvedic treatments target affected surfaces through various therapeutic modalities, emphasizing how localized interventions can influence systemic health and restore skin integrity.
14) Purva:
Purva refers to the preparatory aspect of Ayurvedic treatment processes, essential for setting up the body for effective healing. It signifies the importance of preliminary treatments, like oleation and fomentation, in enhancing the efficacy of more intensive procedures such as purgation therapies.
15) India:
India is the birthplace of Ayurveda, a system that integrates holistic health principles with traditional medicinal practices. The cultural and historical context of India deeply influences Ayurvedic approaches to disease management, as reflected in treatments for conditions like psoriasis observed in the study.
16) Study (Studying):
The term 'Study' refers to the detailed investigation showcased in the case report, documenting the management of psoriasis through Ayurvedic therapies. This case study highlights the effectiveness and collaborative aspects of alternative medicine, providing insights into the practical applications of Ayurvedic principles.
17) Post:
Post relates to the period following a therapeutic intervention. In Ayurveda, post-treatment care, including dietary recommendations and lifestyle alterations, is vital for sustaining the benefits of the treatment and preventing recurrence of conditions like psoriasis.
18) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra is a state in India where the Ayurvedic treatment discussed in the case study took place. The region's rich Ayurvedic heritage supports a growing interest in holistic wellness, making it an appropriate setting for implementing and studying such alternative medical approaches.
19) Ekakushtha (Ekakustha, Eka-kushtha):
Ekakushtha is an Ayurvedic classification correlating closely with psoriasis, illustrating traditional perspectives on skin diseases. Understanding this concept helps Ayurvedic practitioners target their interventions effectively, aligning treatments with both symptomatic and deeper health issues manifesting through skin conditions.
20) Medicine:
In the context of this study, 'Medicine' encompasses both conventional and Ayurvedic treatments used to address psoriasis. The integration of different therapeutic approaches underscores the broader landscape of healthcare options available for managing chronic diseases and promoting overall well-being.
21) Snehana:
Snehana is the process of oleation in Ayurveda, essential for preparing the body for detoxification procedures. This technique enhances hydration, lubrication, and absorption, crucial for effectively tackling skin conditions like psoriasis, illustrating the multidimensional strategies employed in Ayurvedic practice.
22) Amalaki:
Amalaki, or Emblica officinalis, is an important herb in Ayurveda known for its antioxidant and anti-inflammatory properties. In this case study, it is used in Takradhara, underscoring its significance in managing chronic inflammatory conditions like psoriasis through natural and holistic means.
23) Kushtha (Kustha):
Kushtha is a collective term for skin disorders in Ayurvedic literature. It provides the framework for understanding various dermatological issues, including psoriasis. By categorizing diseases, Ayurveda allows for targeted treatments that address specific symptoms and root causes within the body's holistic context.
24) Burning (Burn, Burned, Burnt):
Burning describes a common symptom associated with psoriasis, contributing to discomfort and impacting the patient's quality of life. Addressing such symptoms is essential in treatment plans, particularly when utilizing holistic approaches aimed at alleviating physical sensations linked to skin disorders.
25) Itching:
Itching is a prevalent symptom in patients with psoriasis, signifying an imbalance requiring therapeutic intervention. In Ayurvedic practice, addressing itching involves not only topical treatments but a holistic approach that includes dietary modifications and internal therapies to restore skin health and comfort.
26) Science (Scientific):
Science represents the systematic study of phenomena, including disease treatment. Ayurveda, while traditional, incorporates scientific principles in understanding health and disease processes, advocating for evidence-based practices that align with both modern and ancient wisdom in treating conditions like psoriasis.
27) Powder:
Powder often refers to the ground form of herbs utilized in Ayurvedic preparations. In the case study, specific herbal powders are mentioned as key components in formulations that contribute to detoxification and treatment efficacy, exemplifying the role of plant-based substances in traditional medicine.
28) Musta (Mushta):
Musta, or Cyperus rotundus, is an Ayurvedic herb valued for its therapeutic properties. It is included in treatments such as Takradhara, emphasizing its role in alleviating symptoms related to skin disorders. The integration of such herbs showcases Ayurveda's focus on natural healing modalities.
29) Takra:
Takra refers to buttermilk, frequently used in Ayurvedic treatments for its digestive properties and cooling effects. It serves as a base in therapies like Takradhara, highlighting how food substances are utilized as therapeutic agents in holistic healing practices.
30) Blood:
Blood signifies an essential bodily fluid in terms of overall health and functioning. In Ayurveda, the condition of the blood is often evaluated when diagnosing diseases, including skin disorders like psoriasis. Proper management extends to ensuring healthy physiological balance, which informs treatment choices.
31) Vati:
Vati denotes Ayurvedic medicines in tablet form, often made from herbal powders. In the study, Arogyavardhini vati is highlighted for its role in managing psoriasis, showcasing the convenience and efficacy of this preparation type in traditional healing methodologies.
32) Sign:
Sign refers to observable manifestations of a condition, providing crucial clues for diagnosis and treatment. In Ayurveda, recognizing signs of diseases like psoriasis is essential for implementing appropriate therapies that address both symptoms and underlying causes.
33) Male:
Male refers to the gender of the patient in the case study. Understanding gender dynamics may influence treatment approaches in Ayurveda, as roles and experiences can affect health perceptions and responses to diseases like psoriasis.
34) Life:
Life encompasses the holistic existence of individuals, including physical, mental, and social dimensions. Ayurvedic treatments are designed to enhance quality of life, prioritizing long-term health and well-being as foundational elements in the management of chronic diseases like psoriasis.
35) Emblica officinalis:
Emblica officinalis, commonly known as Amalaki, is a key herb in Ayurveda known for its numerous health benefits. Its incorporation into treatments reveals Ayurveda's reliance on natural ingredients, as Amalaki offers antioxidant, anti-inflammatory, and restorative properties critical for managing skin conditions effectively.
36) Terminalia chebula:
Terminalia chebula, found in Ayurvedic formulations, is valued for its therapeutic effects, particularly in digestive health. Its role in treatments like Virechana underscores the significance of incorporating effective herbs from nature to facilitate detoxification and improve health outcomes in chronic conditions.
37) Cyperus rotundus:
Cyperus rotundus, or Musta, is an herb celebrated in Ayurvedic medicine for its potent health benefits. Its inclusion in therapeutic procedures reveals the value placed on herbal constituents in treatment protocols aimed at addressing skin disorders and enhancing overall wellness.
38) Terminalia bellirica:
Terminalia bellirica is another key component in Ayurvedic formulations, known for its balancing effects on the body's systems. Its presence in remedies signifies Ayurveda's holistic approach to treating conditions like psoriasis, focusing on restoring harmony through natural therapies.
39) Purification:
Purification is a core principle in Ayurveda, particularly emphasized in detoxification processes like Virechana. This concept involves cleansing the body to remove toxins that can contribute to health issues, reinforcing the idea that health restoration often necessitates a thorough cleansing regimen.
40) Butter milk (Buttermilk):
Buttermilk, known as Takra in Ayurveda, is often used in treatments for its cooling properties and digestibility. In the context of this study, buttermilk suggests a dietary component incorporated into Ayurvedic treatment strategies, showcasing how food-based healing plays a pivotal role in holistic care.
41) Discussion:
Discussion refers to the analytical review of findings and concepts derived from the case study. It represents the engagement in exploring the implications of treatment outcomes, as well as the effectiveness of Ayurvedic interventions in addressing chronic conditions like psoriasis.
42) Depression:
Depression highlights the psychological dimension of chronic diseases, including psoriasis. Recognizing this aspect is vital in the Ayurvedic approach, as treatments not only aim at physical symptoms but also address mental well-being, emphasizing the interconnectedness of mind and body.
43) Similarity:
Similarity refers to the resemblance between psoriasis and the Ayurvedic concept of Ekakushtha, facilitating the understanding of how traditional medicine can correlate with contemporary diseases. Recognizing such similarities aids practitioners in devising appropriate treatment modalities for various skin conditions.
44) Meenakshi:
Meenakshi appears as the name of one of the contributors to the study, representing the collaborative nature of medical research. It highlights the importance of teamwork and interdisciplinary approaches in addressing complex health issues through effective treatments.
45) Substance:
Substance refers to the materials, particularly herbal compounds and formulations, utilized in Ayurvedic treatments. Understanding different substances' roles and effects is crucial for optimizing therapeutic applications and ensuring that treatments align with Ayurvedic principles of healing.
46) Triphala (Tri-phala):
Triphala is an Ayurvedic herbal formulation composed of three fruits, recognized for its detoxifying and rejuvenating properties. Its inclusion in treatments like Virechana underscores the emphasis on holistic healing in Ayurveda, facilitating symptom relief and promoting overall health.
47) Lakshana (Laksana):
Lakshana refers to the characteristics or symptoms that define specific conditions. Identifying Lakshana is essential in Ayurveda for accurate diagnosis and treatment planning, as it guides practitioners in selecting appropriate therapies to address distinct health issues.
48) Abhayadi:
Abhayadi refers to a specific Ayurvedic formulation, highlighting the diversity of treatments available in this traditional system. Such preparations often combine various herbs to provide synergistic effects, underscoring the holistic nature of Ayurvedic medicine in managing complex health conditions.
49) Bleeding:
Bleeding signifies a critical symptom observed in the skin lesions mentioned in the case study. Addressing such acute manifestations is vital in formulating effective Ayurvedic treatments, emphasizing the importance of understanding the nature and severity of symptoms presented by patient conditions.
50) Snigdha:
Snigdha refers to an oily or unctuous quality desired during treatments in Ayurveda that prepare the body for detoxification. Emphasizing Snigdha ensures that the body is well-prepared for procedures like Virechana, enhancing therapeutic effectiveness and comfort.
51) Shamyaka (Samyaka):
Samyaka describes the ideal or correct state achieved in Ayurvedic treatments, such as the proper responses to oleation therapies. Achieving Samyaka outcomes is essential for the success of therapeutic interventions, underscoring the intricacies of balancing physical and systemic factors in recovery.
52) Quality:
Quality pertains to the overall state of health and physical well-being. In the context of the study, improving the quality of life for psoriasis patients is a primary objective, demonstrating the holistic perspective prevalent in Ayurvedic treatments that seek to enhance both physical and emotional health.
53) Madhya:
Madhya refers to a moderate state or balance in Ayurvedic practices, particularly during detoxification. Achieving Madhya is essential to ensure effective cleansing without overstrain on the body, illustrating the careful consideration given to each step in the treatment process.
54) Castor:
Castor refers to castor oil, often utilized in Ayurvedic treatments for its laxative properties. Its role in Virechana highlights the diverse applications of natural oils in promoting health and facilitating detoxification in traditional medicine practices.
55) Indian:
Indian signifies the cultural and geographical context wherein Ayurveda developed and flourished. The Indian heritage shapes holistic health practices, illustrating how traditional wisdom remains relevant and beneficial in treating contemporary health challenges like psoriasis.
56) Patil:
Patil appears as a name of one of the contributors to the study, emphasizing the collaborative nature of research in Ayurvedic medicine. Acknowledging contributors fosters recognition and encourages further exploration of treatments within a community of practitioners and scholars.
57) Pulse:
Pulse is a vital sign regularly monitored in Ayurvedic practices to assess a patient's health status. Understanding pulse characteristics aids practitioners in evaluating overall health and tailoring treatments to individual needs within the holistic framework of Ayurveda.
58) Salt (Salty):
Salty pertains to specific dietary components that Ayurveda often advises avoiding in skin disease management, including psoriasis. Identifying and eliminating salty foods plays a crucial role in preventing symptom exacerbation and promoting overall recovery in Ayurvedic treatment protocols.
59) Yoga:
Yoga in this context refers to the traditional practices that promote physical, mental, and spiritual well-being. Ayurvedic treatments frequently integrate yoga principles to complement therapeutic strategies, emphasizing the interconnectedness of mind, body, and spirit in achieving holistic health.
60) Vega:
Vega pertains to the bodily urges or natural impulses, which are essential considerations in Ayurveda. Understanding and respecting Vega during treatments, especially during purgation, is key to optimizing health outcomes and ensuring patient comfort during therapeutic processes.
61) Curd:
Curd is a dairy product often classified under foods to be avoided during Ayurvedic treatment for skin disorders. Recognizing dietary influences on health is crucial in Ayurveda, illustrating how lifestyle choices are integral to achieving and maintaining wellness.
62) Rice (Rce):
Rice represents a staple food within Ayurvedic diet recommendations, often preferred during recovery phases. Its digestibility and nourishing qualities make it suitable for post-treatment diets, illustrating how food choices are carefully selected to support healing processes.
63) Line:
Line refers to the comprehensive approaches in Ayurveda regarding disease management. It emphasizes the structured methods and protocols that guide practitioners through the treatment process, ensuring systematic and effective therapeutic action for various conditions.
64) Fire:
Fire symbolizes transformation and purification in Ayurvedic practices, often associated with the concept of Agni or digestive fire. This is crucial in both the digestion and assimilation of treatments, underscoring the significance of maintaining a balanced and healthy digestive system within Ayurveda.
65) Ghi (Ghee):
Ghee, or clarified butter, is frequently used in Ayurvedic therapies for its nourishing and lubricating properties. Its role in detoxification processes emphasizes Ayurveda's reliance on healthy fats, advocating for methods that enhance absorption of therapeutic substances and improve overall health.
66) Sour:
Sour refers to certain food flavors that Ayurveda often advises against for patients with skin conditions. Recognizing and avoiding sour foods plays an essential role in dietary practices aimed at reducing inflammation and promoting skin health in individuals affected by conditions like psoriasis.
67) Pur:
Poor denotes inadequate or suboptimal conditions that may arise from untreated health issues or lack of dietary and lifestyle attention. In Ayurveda, recognizing elements that contribute to poor health informs practitioners' approaches to restoring balance and improving overall wellness.