Case Studies: Psoriasis
Outcome scales after 21 days of treatment:
Symptoms | Before treatment | After treatment |
PASI | 4.5 | 0.8 |
Erythema | High | Absent |
Scaling | High | Low |
Itching | High | Low |
Thickness | Medium | Low |
After 21 days of inpatient treatments, the patient has gotten 70% improvement from the symptoms. After the treatment she was advised to take medications along with proper diet and lifestyle modifications. She had continued the follow-up medications with a strict dietary regimen for the next year, but no recurrence was observed. Now all the symptoms had subsided completely.
CASE STUDY
In Ayurveda all skin diseases are described under the umbrella of Kushta. In this system, many herbs have proven efficacy in psoriasis. Repeated Shodhana (Herbal medicines) is the main line of treatment of skin diseases in Ayurveda.
Patient Name: Mrs. RS
Age/Sex: 35 yrs/Female
Presenting complaints:
Skin lesions along with severe itching and scaling over scalp, trunk, upper and lower limbs—for 6 years
H/O Presenting complaints:
A 35 years old female patient was admitted at our hospital with complaints of skin lesions over scalp, trunk, upper and lower limbs since 6 years. She had taken Allopathic and Homeopathic medications and the symptoms got relieved, but on stopping the medications, the symptoms got aggravated since 6 months.
Vital Parameters:
BP: 130/90mm of hg Pulse: 70/min
Height: 160cm Weight:76 Kg
Ahara: Mixed diet
Vihara: No exercises
Appetite: Teekshnagni
Micturition: Normal
Bowel: Constipated
Sleep: Good
General systemic examination:
Gait: normal GC: Obese CVS: S1S2 heard
CNS: Oriented to place and time
RS: NVBS heard PA: Soft, No organomegaly
Clinical Examination:
Integumentary system—Erythema with silvery white scales
Palpation—The patches are very thick, elevated
Auspitz sign—positive
Dasavidha Pariksha:
Prakruthi: Kapha vata
Vikrutha Dosha: Kapha Vata
Dushya: Rakta, Mamsa, Twak
Sara: Medosara
Samhanana: Pravara
Satva: Madhyama
Aharasakthi: Abhyavaharanasakthi—Pravara
Jaranasakthi-Madhyama
Vyayamasakthi: Madhyama
Vaya: Youvana
Pramana: Pravara
Ashtavidha Pariksha:
Nadi: Sadharana
Mala: Sama
Mutra: Sadharana
Jihwa: Upalipta
Sabda: Sadharana
Sparsha: Anushnasita
Drik: Sadharana
Akruthi: Ati
Nidana Panchaka:
Nidana: Ahara – Mithyahara, Divaswapna, Ratrijagarana
Vihara – Avyayama
Purvarupa: Kharasparsha, Vivarnatha, Kotonnathi
Rupa: Dougdhikapush Pavarna (erythematous), Rajah Ghrishtata (scales were formed), and Kandu (itching)
Upasaya: Application of oils
Anupasaya-
Samprapthi Gataka:
Dosha: Kapha Vata
Dushya: Twak, Rakta, Mamsa
Agni: Jataragni, Dhatwagni
Ama: Sama
Srotas: Dhatuvaha
Srotodushtiprakara: Atipravruthi, Sanga
Sadhyasadhyata: Yapya
Samprapthi Flow Chart:
Mithyaharavihara
↓
Kapha- und Vata-Vṛiddhi
↓
Sarvashareeragatam
↓
Twak Rakta Mamsa dhathu dushti
↓ Srotorodha
Kledotpathi
↓
Kandu, Kota, Raga
Diagnosis: Psoriasis (Kushtam)
Treatment given:
Patient was given 21 days of Inpatient treatments with Internal medication and External therapies along with pathya aharas (Specific diet).
Snehapana
Abhyanga and Bashpasweda
Vamana
Takradhara
Shashtikashalilepana
Shamanoushadhas
Outcome scales after 21 days of treatment:
Symptoms | Before treatment | After treatment |
PASI | 4.5 | 0.8 |
Erythema | High | Absent |
Scaling | High | Low |
Itching | High | Low |
Thickness | Medium | Low |
After 21 days of inpatient treatments, the patient has gotten 70% improvement from the symptoms. After the treatment she was advised to take medications along with proper diet and lifestyle modifications. She had continued the follow-up medications with a strict dietary regimen for the next year, but no recurrence was observed. Now all the symptoms had subsided completely.
Ayurveda and its Panchakarma chikitsa have their unique specialty for treating skin diseases. It focuses on the purification of blood and rejuvenation of deep layer tissues. Flushing out the toxins and restoring the digestion process prevents further toxin accumulation.
