A review on Paranthimukuladi Kashayam in the management of Podivarppan w.s.r. to Erythrodermic Psoriasis

Varppan is a skin condition explained in Arogyakalpadrumam, wherein the Kupitha Vata (vitiated Vata) moves out Raktha (blood) from Rakthashaya (seat of Raktha) and both moves together throughout the body and cause Vyadhi (disease). Podivarppan, a subtype, exhibits symptoms like Kandu (itching), Mandala Sopha (round swelling) and Dhumra Varna Raja (powdery discharge) on scratching. These symptoms of Podivarppan aligns with that of erythrodermic psoriasis, characterized by erythema, scaling of skin in sheets, edema, psoriatic plaques and pruritus. Paranthimukuladi Kashayam is a Yoga (formulation) mentioned in the management of Podivarppan, in Arogyakalpadrumam. This conceptual article examines the potential therapeutic applications of action of Paranthimukuladi Kashayam in managing Podivarppan and erythrodermic psoriasis.