Abstract

A PILOT STUDY ON THE COMBINED EFFECT OF VIRECHANA KARMA AND PHOTOTHERAPY IN THE MANAGEMENT OF PSORIASIS

Dr. Suwarna Suryawanshi*, Dr. Preeti Chaturvedi

Abstract

Psoriasis is a chronic, immune-mediated inflammatory skin disorder with a relapsing course and considerable psychosocial impact. In Ayurveda, it is correlated with Ek-Kushtha, a type of Kshudra Kushtha characterized by predominance of Vata–Kapha Dosha and Rakta Dushti. The condition is generally suppressive rather than curative. Classical texts emphasize Shodhana Chikitsa, particularly Virechana Karma, as the one of important modality and management in chronic Kushtha, and Atapa Sevana considered supportive therapy. This comparative pilot study was conducted on ten patients with psoriasis. Five patients underwent Virechana Karma along with phototherapy (Group A), while another five received only Shamana therapy along with phototherapy (Group B). Prior to Virechana, Deepana–Pachana therapy was given using Chitrakadi Vati and Panchakola Phanta, followed by Snehapana with Panchtikta Ghrita, Abhyanga with Marichyadi Taila, and Swedana. Virechana Karma was then performed with a classical formulation. Subsequently, phototherapy was administered thrice weekly for 9–10 sessions, considered a modern equivalent of Atapa Sevana, specially indicated in kushtha roga chikitsa like shwitra. Clinical assessment using the Psoriasis Area and Severity Index (PASI) and subjective parameters showed reduction in scores. Results showed that Group A achieved greater reduction in PASI scores and more consistent improvement in erythema, scaling, and itching compared to Group B. These findings suggest that Virechana Karma enhances the therapeutic effect of phototherapy and provides superior outcomes in psoriasis management, though larger controlled studies are required for validation.

Keywords: Psoriasis, Ek-Kushtha, Virechana Karma, Panchtikta Ghrita, Phototherapy, Atapa Sevana, PASI score.