Abstract

EFFECT OF VIRECHANA KARMA (SHODHANA) AND ABHYANTAR CHIKITSA IN EKA-KUSHTHA-A CASE STUDY

Dr. Pradnya Kabra*, Dr. Vandana Avhad and Dr. Sushrut Deshpande

Abstract

Introduction: In Ayurveda, all the skin diseases are explained under Kushtha roga and are classified in two groups. Eka-kushtha is one of them and having similar signs and symptoms that of psoriasis explained in modern science. Materials & Methods: A male patient aged 26yrs presented with sign and symptoms as well defined, slightly raised silvery scales over both the hands, legs, head and over lower back region along with severe dryness, powdery discharge with severe itching and erythema since 25 yrs diagnosed it as Eka-kushtha. Also complaining of memory loss, joint pain and inflammation i,e sausage like swelling mainly at distal interphalangeal predominantly in later stages of psoriasis. It was treated with both external and internal therapy after pachana. Which included Shodhana (virechana) and Shamana (Abhyantara) chikitsa for almost 2 months. Patient was clinically assessed with PASI score. Observation & Result: After the treatment PASI score was reduced from 42.7 to 0.2, also patient felt notable reduction from Kandu (itching), Scaling, dryness and gradual reduction of erythema during treatment. Conclusion: This case study revealed that Sodhana (virechan) and Abhyantar chikitsa are significantly effective and clinically safe as no adverse drug reactions were reported during treatment period in the management of Eka-kushtha.

Keywords: Virechana, Sodhana, Shamana, Ekakushtha, Psoriasis.