Ayurvedic Approach to Managing Kitibha Kushta (Guttate Psoriasis): A Clinical Case Study

Introduction : In Ayurveda, Kitibha Kushta, a kind of Kshudra Kushta, is comparable to Guttate Psoriasis in contemporary dermatology. It represents a chronic skin condition caused by Tridosha vitiation. Standard treatments are generally of little utility, whereas Ayurvedic treatment seeks to re-establish Dosha balance, Agni correction, and Dhatu purification for long-term control. Clinical Findings : A 36 year-old female visited OPD of KLE Shri BMK Ayurveda hospital OPD no 03 on 6th May 2025, complaints of tvak vaivarnya, which was mahavastu over urdhwa shaaka, adha shaka, keshamoola and udara .These symptoms were gradual in onset later associated with kandu, raaga and kina khara sparsha distributed all over body. The patient received snehapana with panchatiktaka guggulu ghrita followed by Virechana with trivrut leha and Shamanoushadhi for Rakta pradoshaja vikara and Vata kapha Shamana. Intervention: Ayurvedic treatment included Deepana-Pachana (strengthening of the stomach), Snehapana (oleation), Virechana (purging), and Shamana Chikitsa (palliative treatment). Outcome: Clinical parameters were graded on a standard gradation scale pre and post-treatment. Madhyama Shuddhi was experienced by the patient during Virechana and enhanced psychological well-being. Conclusion: This case reflects the efficacy of Ayurvedic management in chronic dermatoses. The combination of Shodhana and Shamana was behind long-term relief due to removal of the cause by dosha pacification, Agni improvement, and Dhatu cleansing. It was tolerated well and produced a remarkable clinical improvement in Kitibha Kushta.