Scalp Psoriasis Ayurvedic Treatment

Before Treatment

This Ayurvedic scalp psoriasis case study is about a 29-year-old male who visited Adyant Ayurveda complaining of:

• a dry, flaky, itchy line of skin over the hairline in the forehead
• a small area over the right elbow
• right shin ankle
• Symptoms have been present for 6 months

Baseline Condition

• Appetite: Low
• Motion: Normal
• Sleep: Disturbed
• Diet: Mixed
• Lifestyle: Varied stress levels

Outcome After Treatment

After completing the treatment plan, the patient had:

• no visible dry, flaky, itchy line of skin over the hairline in the forehead
• Improvement in appetite
• Sleep was observed
• Reduced itching and discomfort

Demographics

• Age: 29 years
• Gender: Male
• Occupation: IT Professional
• Medical History: Not a known case of DM / HTN / Hypothyroidism
• Family History: No contributory history of psoriasis or autoimmune disease

Chief Complaints

• Duration of scalp psoriasis: 6 months
• Severity level: severe
• Impact on daily life: Work disturbance due to itching, inferiority complex in society, and varied stress level.

Main Symptoms

• Shiro Kandu (scalp itching) – severity scale- Ati kandu
• Darunaka: Dandruff/scaling
• Kesha Patana (Hair fall)
• Redness and inflammation
• Plaque thickness
• Associated symptoms: Sleep issues and stress

Ayurvedic Classification

• Condition: Ekakushtha (or Kitibha Kushtha)
• Type: Kshudra Kushtha

Dosha Analysis

• Prakriti (Body constitution): Kapha-Pitta
• Vikriti (Current imbalance): Pitta-Vata
• Dominant Doshas: Pitta-Vata involvement with Kapha association

Samprapti (Pathogenesis)

Nidana (Causative Factors)

• Ahara (Diet): Viruddha Ahara (incompatible foods)
• Vihara (Lifestyle): Viruddha Vihara (wrong routines)
• Manasika (Mental factors): Stress (Manasika Bhava +)
• Environmental trigger: Sheeta Kala (cold season)

Phase 1: Purvakarma (Preparation Phase)

• 1) Deepana-Pachana: Agnitundi Vati – 4 days (1-1-1 before food)
• 2) Snehapana (Internal Oleation): Panchatiktaka Ghrita (Dose escalation: 30 / 45 / 60 / 80 ml)
• 3) Abhyanga (Oil Massage): Nalpamaradi Taila for 3 days

Phase 2: Pradhana Karma (Main Detoxification) – Virechana

Virechana was selected because Pitta involvement is common in psoriasis and inflammatory skin conditions.

• Trivrut Lehya – 50 gms

Phase 3: Shamana (Pacification & Healing Phase)

External Applications (Lepa & Taila)

• Ayyappala Kera Taila: Applied on the scalp twice daily.
• Keshya Churna: Used for hair wash instead of chemical shampoos.

Phase 4: Diet and Lifestyle Corrections

Results Achieved in 4 Weeks

• Itching (Kandu): Reduced by 95%
• Scaling (Darunaka): Reduced by 90%
• Redness (Raga): Completely disappeared
• Hair Fall (Kesha Patana): Significantly minimized
• Lesion Size: Forehead line cleared completely; elbow/ankle lesions reduced and flat.

Why This Treatment Worked

• Unlike topical steroids that suppress symptoms, Ayurveda treated the root cause.
• Virechana expelled the Pitta toxins.
• Internal medicines purified the Rakta (blood) and repaired the Twak (skin).
• Dietary corrections stopped further toxin accumulation.