Therapeutic Approach of Ayurveda in Pama Kusta: A Case Study

Pama Kustha is one among the eleven varieties of Kshudra Kuṣṭha (skin disease) described in Ayurveda, is characterized by kandu (itching), pidaka (papules)and srava (discharge). It is the most common contagious disease. These clinical features show close resemblance to Scabies, a contagious ectoparasitic infestation caused by Sarcoptes scabiei. Approximately 300 million cases of scabies are reported world-wide each year and may cause large nosocomial outbreaks. It is especially widespread in tropical regions and in crowded living conditions, where children and vulnerable groups are more commonly affected. This case study presents a patient diagnosed as Pama Kuṣṭha with clinical presentation of whitish and blackish papules with itching, nocturnal aggravation, and burrow-like lesions predominantly on interdigital spaces, wrists, and external genatalia. Ayurveda treatment protocol- kostha shodhana (purification therapy) and shamana (palliative) therapies were done targeting krimi (parasitic infestation) and Kapha-Pitta dosha vitiation.Assessment was done before and after 7 days of treatment. Significant relief in itching, reduction of lesions, and overall improvement in quality of life were observed. The given Ayurvedic treatment protocol was found to be effective in the management of Pama which shows the true potential and efficacy of our science.