Ayurvedic approach to treat Kitibha Kushta (Guttate Psoriasis) - A Case Report

Psoriasis is a chronic inflammatory hyperproliferative skin disorder which particularly affects the extensor surfaces & scalp region. Its worldwide prevalence rate is 2% to 3% and in India prevalence rate is between 0.44% to 2.8%. Guttate psoriasis, mentioned in contemporary science, can be compared to Kitibha Kustha based on similar symptoms such as small, red or pink spots (Mandala Utapatti) appearing on the trunk, arms, and legs, scaly or crusty texture, and itching (Kandu) or burning (Daha). Although various treatments are available, they are often associated with side effects and medicine dependency. So, Ayurvedic treatment principle consists of Shodhana and Shamana Chikitsa which can be intervened in the management of Kitibha Kustha. Owing to this a case study comprising of Virechan Karma along with Shamana Aushadhi has been planned in the management of Kitibha Kustha. A 27-year-old male patient presented with symptoms of small red-pinkish patches spreading across the body, along with itching and burning sensation for the past 4 months. The patient visited our hospital and was diagnosed with Kitibha Kustha. Pre- and post-assessment was conducted using the PASI score to evaluate the severity of the condition. PASI score, which reduced from 56.8 to 8.3 after the completion of the therapeutic intervention.