Published Paper Details:

Ekakushtha is described in Ayurveda as a subtype of Kshudra Kushtha resulting primarily from the vitiation of Vata and Kapha doshas. Its clinical features show close resemblance to psoriasis, which is recognised in modern medicine as a chronic, immune-mediated inflammatory skin disease. Psoriasis presents with well-defined erythematous plaques and papules covered by silvery scales, commonly distributed over the scalp, knees, elbows, and lumbosacral area. Due to persistent and visible skin lesions, individuals with psoriasis often experience substantial psychological and emotional burden. High levels of stress, social withdrawal, depressive symptoms, and increased risk of suicidal ideation have been reported in affected patients. Contemporary therapeutic approaches such as topical corticosteroids, vitamin D3 analogues, phototherapy (PUVA), and systemic immunosuppressive drugs, including methotrexate provides symptomatic relief. Although beneficial, long-term therapy is frequently limited by adverse effects, drug resistance, or relapse of symptoms once medication is discontinued. This highlights an ongoing need for effective and safer long-term management options. Considering the clinical similarity, psoriasis can be correlated with Ekakushtha for Ayurvedic therapeutic planning. In the present case study, Ayurvedic interventions were administered based on the principles of Samshodhana and Samshamana chikitsa. Significant improvement was observed following detoxification procedures such as Vasantika Vamana and Sharadika Virechana, supported by internal herbo-mineral formulations and external medicated oil application. The outcome indicates that an integrative Ayurvedic approach may offer promising results while minimising toxicity concerns.