A Personalised Ayurvedic Approach to Psoriasis Through Virechana and Raktamokshana

Psoriasis (ICD 11-EA90) is a non-infectious chronic autoimmune condition caused by the rapid overproduction of new skin cells resulting in scales, inflammation and redness. Among all types of psoriasis; plaque psoriasis (ICD 11- EA90.0) makes upto 90% of cases. There is a role of T- cells and genetic factors along with environmental influences (physical trauma, infection, drugs). In Ayurveda entire skin diseases are categorized under the umbrella of Kustha (skin diseases). Based on its presentation psoriasis can be correlated with Ekakustha which is categorized under Kshudra kustha. A personalised treatment plan is necessary according to the condition of the patient as well as the disease. In this case the patient underwent Sodhana (bio-purification) therapy beginning with Deepana-Pachana (appetizers and digestives), Snehapana (internal oleation) followed by Virechana Karma (purgation therapy) and a suitable Samsarjana Krama (dietetic regimen). Later on, Raktamokshana (blood-letting therapy) along with Shamana Ausadhi (oral medication) were administered. After 2 months of follow up there was significant reduction in PASI (Psoriasis Area and Severity Index) and DLQI (Dermatology Life Quality Index) scores.