Abstract

EFFICACY OF VAJRAKA GHRITA AND AMRUTHARAJANYADI KASHAYAM IN KITIBHA KUSHTA (PALMOPLANTAR PSORIASIS): CASE STUDY WITH SHODHANA AND SHAMANA CHIKITSA

Dr. Mohini S. Phadtare* and Dr. Mahesh Pandey

Abstract

Background: Kitibha Kushta, described in Ayurveda as a Vata-Kapha dominant Kshudra Kushta, shows striking clinical similarity with Palmoplantar Psoriasis—a chronic, relapsing dermatological disorder marked by hyperkeratosis, fissures, and disabling discomfort of the palms and soles. Modern pharmacological approaches often provide only temporary symptomatic relief and are associated with high recurrence. This case study evaluates the efficacy of Shodhana Chikitsa (Virechana and Raktamokshana) followed by Shamana Chikitsa using Vajraka Ghrita and Amrutharajanyadi Kashayam in managing Kitibha Kushta. Methods: A 32-year-old female patient with chronic palmoplantar psoriasis for two years was administered classical Ayurvedic line of treatment involving Deepana-Pachana, Snehapana, Virechana, Raktamokshana, and Shamana with internal and external medications. Results: Significant improvement was observed in scaling, itching, fissures, discoloration, and overall quality of life, with no recurrence over a 2-month follow-up. Conclusion: The combined approach of Shodhana and Shamana therapy, supported by Vajraka Ghrita and Amrutharajanyadi Kashayam, demonstrates promising results in treating chronic dermatological conditions like palmoplantar psoriasis.

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