A Breakthrough Approach to Managing Chronic Plaque Psoriasis in Ayurveda by Sequential Purification Therapies

Psoriasis vulgaris, the most prevalent form of psoriasis, commonly manifests in early adulthood and is marked by a chronic, relapsing course. In India, its prevalence ranges from 0.44% to 2.8%. This immune-mediated dermatological condition severely affects the quality of life by imposing physical, emotional, and social burdens. A 31-year-old male presented with dry, itchy, erythematous, scaly, and well-demarcated plaques symmetrically distributed over the scalp, trunk, and limbs. Based on Ayurvedic clinical evaluation, the condition was diagnosed as Ekakustha (plaque psoriasis). An integrative approach using classical Ayurvedic Shodhana (purification) therapies was employed, beginning with Virechana Karma (therapeutic purgation) followed by Basti Karma (medicated enema), in accordance with traditional management protocols for chronic skin disorders. Over the course of treatment and follow-up, the patient showed significant clinical improvement, including reduction in lesion size and severity, normalization of skin tone, and relief from pruritus and discomfort. This case highlights the importance of repeated systemic cleansing in managing chronic and relapsing conditions like psoriasis. The therapeutic response observed suggests that Panchakarma therapies may offer a promising complementary strategy in the long-term, individualized management of plaque psoriasis. Further research and well-designed clinical studies are warranted to substantiate these findings and integrate traditional interventions into evidence-based dermatological practice.