ROLE OF KOSTHASHODHANA WITH SHAMAN CHIKITSA IN THE MANAGEMENT OF EKA-KUSTHA (PSORIASIS) A CASE REPORT

Introduction: Psoriasis is a chronic immune-mediated inflammatory, proliferative skin disorder that affects individuals across all age group, but its manifestation in order adults poses unique challenges. In this population,age related changes in skin physiology,multiple comorbidities,and polypharmacy may influence both disease expression and therapeutic choices. Clinical presentation in the elderly can be atypical and is often complicated by fragile skin, reduced healing, capacity, and increased susceptibility to adverse drug reaction. According to the Ayurveda symptoms of the Eka-Kustha, which is a Vata-Kapha dominant Kshudra Kushtha,which can be correlate with Psoriasis in modern.A 72 years male patient suffered from erythematous plaques on all over body (mainly bilateral lower limb, bilateral upper limb, Scalp region, and nape of neck) associated with severe itching, burning sensation, blood discharge from lesion and silvery scales on all over body along with sleep disturbance and generalized weakness since 10 years undergoing various allopathic treatment without sustained relief. Deepana-Pachana drugs treated him, Kosthashodhana along with Shaman Chikitsa. Conclusion:Following the Ayurvedic regimen. The patient experienced marked improvement in all the symptoms after 21 days of treatment. The psoriasis area and severity index (PASI) scores were used to assess severity of disease, which showed marked improvement after treatment.