Therapeutic outcomes of Ayurvedic detoxification and palliative care in Eka Kushta (Plaque Psoriasis): A case report

Background: Psoriasis is a chronic, immune-mediated inflammatory skin disorder with erythematous, scaly plaques. Conventional therapies often provide symptomatic relief but may cause adverse effects or recurrence. Ayurvedic management integrates detoxification and palliative therapies targeting systemic imbalances. Case: An 18-year-old female presented with widespread blackish and whitish scaly plaques, pruritus, burning, and dryness, unresponsive to long-term corticosteroids. Ayurvedic examination indicated tridoshic imbalance and reduced digestive capacity. Treatment and Findings: The patient underwent sequential detoxification (therapeutic emesis and purgation) following digestive stimulation and internal oleation, accompanied by strict post- procedure diet. Subsequent palliative therapy had well defined regime. Progressive improvement was noted in scaling, itching, erythema, and discoloration, with PASI scores reducing from 72 to 4 and pruritus resolving completely. No new lesions appeared, and systemic symptoms improved. Conclusion: Integrated Ayurvedic detoxification and palliative management effectively addressed the root causes of plaque psoriasis, producing rapid clinical improvement, enhanced quality of life, and sustained remission.