Virechan in Psoriasis- a case report

Psoriasis is a long-lasting autoimmune disease characterized by patches of abnormal skin. These skin patches are typically red, itchy, and scaly. They may vary in severity from small and localized to complete body coverage. Injury to the skin can trigger psoriatic skin changes at that spot, which is known as Koebner phenomenon. Around one-third of people with psoriasis report a family history of the disease, and researchers have identified genetic loci associated with the condition. Identical twin studies suggest a 70% chance of a twin developing psoriasis if the other twin has the disorder. The risk is around 20% for non-identical twins. These findings suggest both a genetic susceptibility and an environmental response in developing psoriasis. Conditions reported as accompanying a worsening of the disease include chronic infections, stress, and changes in season and climate. Others include hot water, scratching psoriasis skin lesions, skin dryness, excessive alcohol consumption, cigarette smoking, and obesity. Psoriasis has been associated with low self-esteem and depression is more common among those with the condition. In this case, the primary aim was to manage Psoriasis with ayurvedic medicine and virechana therapy. For the first week, the patient was given rasmanikya 125 mg, gandhak rasayana 250 mg, panchnimbadi churna 3 gm, panchtiktaghrit guggulu 500 mg twice a day after meals and 777 oil for local application. Virechan was given after proper snehana and complete remission was observed after 45 days of treatment.