THE EFFECT OF VIRECHANA KARMA AND SHIROBASTI IN SCALP PSORIASIS – A CASE REPORT.

Scalp Psoriasis is a chronic dermatosis characterized by an unpredictable course of remission and relapse. It is characterized by well defined dried, erythromatous plaques with silvery scale which have a predilection for scalp. The disease not only affects the patient physically but also disturbs mental and social health of the patient. According to W.H.O., it is one of the most common dermatological disease affecting upto 2.5% of the World’s population and in India, prevalence of Psoriasis varies from 0.44 to 2.88%. Kitibha Kushta is described as Vata-Kaphaj disease. Kitibha Kushta has signs and symptoms :Shyava, Krushna / aruna varna kina (Erythrema)Khara/Parushata of the Kina (Dryness and scaling)Srava (flow of exudates in early stage)Vrutta (Rounded plaques), Ghana (Stable plaque) Ugra Kandu (Severe Itching)Vartate cha samutpannam (Flare up of psoriasis)Which can be compared with psoriasis. The intrinsic nature of psoriasis posed an ultimate challenge to the skill and humanity of the medicinal world. Ayurveda provides maximum relief to such disease with Panchakarma. In this case study first Rukshana-Pachana, Virechana Karma as shodhan chikitsa, shirobasti as bahi parimarjan chikitsa and shaman oushadhi were given. At the end of 60-days treatment in virechana, shrobasti and shamana oushadhi showed good results in scalp psoriasis as the overall effect of therapy.