Effect Of Vamanottara Virechana In The Management Of Eka Kushta W.S.R Plaque Psoriasis

INTRODUCTION: In Ayurveda, skin disorders are described under Kushta (skin disorders) which is primarily divided into two types, i.e, Mahakushta and Kshudra Kushta. Eka-Kushta is one among the Kshudra Kushta, which is predominantly of Kapha-Vata origin and its symptoms and characteristics closely resemble to those of Psoriasis, a chronic inflammatory skin disorder. Prevalence of Psoriasis in India accounts 2-3% of the total population and Plaque Psoriasis being the most common manifestation. Key characteristics of Plaque Psoriasis include distinctive erythematous papules and plaques, silvery micaceous scales, chronic inflammation associated with itching and burning sensation.MATERIALS AND METHODS: A 39year old male patient approached Kayachikitsa OPD of JSS Ayurveda Hospital, Mysore, presenting with the complaints of blackish, rough, dry, raised and scaly patches over the legs, scalp and chest region, associated with itching and powdery discharge. After Roga-Rogi Pareeksha (examination of disease and patient) he was diagnosed as Eka-Kushta (Plaque Psoriasis) and was advised to undergo Vamanottara Virechana Karma (therapeutic emesis followed by purgation therapy) followed by Shamana Chikitsa (palliative treatment) and the treatment protocol provided the maximum benefits to the patient.OBSERVATION AND RESULTS: This study evaluated the effectiveness of Ayurveda treatment for Eka-Kushta. 85% of symptomatic relief was achieved through Vamanottara Virechana and patient was advised with Shamana Chikitsa and remained symptom free during the follow-up. This study demonstrates the potential of Ayurveda medicines in managing Eka-Kushta.