Successful Ayurvedic Management of Chronic Psoriasis (Ekakustha): A Case Report

Psoriasis is a chronic autoimmune skin disorder characterized by keratinocyte hyperproliferation, inflammation and systemic immune dysregulation. Conventional therapies such as corticosteroids and immunomodulators often provides symptomatic relief but are associated with frequent relapses and adverse effects. Ayurveda offers a holistic approach by addressing systemic imbalances, detoxification and promoting overall health. This case study reports the treatment of a 31-year-old female with chronic plaque psoriasis, persisting from 23 years, unresponsive to conventional therapy. The patient presented with erythematous plaques, silvery scales, pruritus and psychological distress. A personalized Ayurvedic regimen, comprising oral medications, topical applications and lifestyle modifications, was administered over three months. The treatment emphasized detoxification and dosha pacification using Panchatikta Ghruta Guggulu and Charamroghar Powder. Topical therapies like Psoro Oil and Psoro Ointmentto alleviate erythema and pruritus. Gastrointestinal disturbances were managed with Amlapittahar Capsules, while mental health was addressed using Brahmi Vati, leading to improved sleep quality and reduced anxiety. The patient demonstrated significant clinical improvement, with a reduction in the PASI score from 15 to 5 by the second month and near-complete resolution of lesions by the fourth month. This integrative approach also improved psychological well-being and quality of life. The findings highlight the efficacy of Ayurveda in addressing both symptomatic and systemic aspects of psoriasis. Future research involving larger cohorts and objective biomarkers is warranted to substantiate these outcomes and establish Ayurveda as a complementary or standalone therapy for chronic inflammatory conditions.