Patient Background:
A female patient aged about 29 years, approached Adyant Ayurveda with the complaints of reddish, white scaly lesions prominently over the arms, legs, lower regions of scalp near the ears, whole back region and over the cheeks since 4-5 months. Associated complaints of itching along with flakes on itching. The patient also has high stress levels.
- Diet is untimely, more of unhealthy foods, incompatible foods.
- Lack of physical activity
- Bowels are irregular.
- Appetite is low.
- Sleep is disturbed.
- Prakruti: Kapha vata
- H/o hypothyroid regulated with medications.
- Family h/o respiratory allergy in mother.
Procedure:
The patient was counseled about the long-term treatment modality as it was a widespread condition.
Panchakarma Virechana was planned as the first line of treatment to address the doshic imbalance from the root.
Amapachana was done with agnitundi vati, followed by snehapana with panchatikta ghrita , bahya snehana with yastimadhu taila.
| Procedure | Days | Treatment |
| Deepana Pachana | 7 days | Agnitundi vati 1 vati thrice daily half hour before meal |
| Snehapana | 4 days | Panchatikta ghrita Dose starting with 30ml increased to 120ml |
Bahya snehana swedana | 3 days | Yastimadhu taila for abhyanga Dashamoola kashayam for swedana |
| Virechan | 1 day | Trivrit lehyam 50gm was given |
Outcome:
The patient underwent virechana procedure for 15 days. The procedure went smoothly, with 14-15 vegas.
A significant change was noted in the lesions. Itching reduced by 70%, with no flaking, size and number of lesions reduced by 50%.
Internal medications like gandhaka rasayana, guggulu tiktaka kashayam, khadiraristam along with external application of psoraherb oil were advised to be taken for a course of 6 weeks.
A strict dietary modification with guidance about virudha ahara, along with stress management was advised to speed up the healing.
Conclusion:
Panchakarma Virechana is a targeted procedure which works as a shodhana chikitsa to accelerate the healing process in psoriasis and give long term benefits. However, the internal medications have to be continued until the symptoms completely resolve.
A complete rasayanam therapy will be advised as a rejuvenation and maintainence of psoriasis.
Ayurveda has a holistic approach for a impactful treatment of Psoriasis.
Here are some before and after pictures for reference.
Before
After
