A CLINICAL STUDY TO EVALUATE THE EFFICACY OF YOGAAMRUTO RASA IN KITIBHA KUSTHA W.S.R. TO PSORIASIS.

Abstract

Rasa Shastra is a partially independent branch of Ayurvedic medicine, which deals with preparation of the drugs with metals and minerals to produce the drugs with higher efficacy in lower dose with good palatability. Skin is the most common organ to get afflicted with diseases in human. Almost 12.4% among the total patients that approach for treatment to general practitioners complain of skin related ailments. Ayurveda classified all the skin diseases under a single heading called ‘Twagamaya’. This ailment was added amongst the eight grave diseases in virtue of their painful influence on human body and psychology. Kitibha Kustha is one among them categorized as Kshudra Kustha and Sadhya Kustha in Ayurveda. Kitibha Kustha can be correlated to Psoriasis with many similarities. Yogaamruto Rasa (YMR) is Rasaushadhi mentioned in Rasa Kamdhenu indicated for all types of Kustha. Parada (Mercury), Gandhaka (Sulphur), Tamra churna (Copper), Vatsanabha (Aconitum ferox), Vacha (Acorus calamus), Trikatu (homogenous mixture of Zingiber Officinale, Piper nigrum, Piper longum), Musta (Cyperus rotundus), and Vidanga (Embelia ribes) are the main ingredients of YMR. Its clinical efficacy was evaluated in 30 patients of Kitibha kustha by preparing a special case proforma based on the signs and symptoms mentioned in classics. Therapy was found to be statistically extremely significant (P<0.0001) in Syava, Kinakharasparsa, Parusam, Rookshatvam, Kandu, Utsannata, Disturbance in sleep, Redness and Scaling. Significant relief was observed in Auspitz phenomenon (p=0.0223). Whereas insignificant for Pitting of nails (p=0.0828) and Koebner’s phenomenon (p=0.0816)