EFFICACY OF VAMAN KARMA IN PSORIASIS (KITIBHA KUSHTA) - A CASE REPORT

Abstract

The word 'Kushta'(skin disease) is widely used for all types of skin diseases. It is a broad term, which covers almost all the skin diseases. Kushta is produced invariably by the vitiation of the seven factors i.e. three Dosha (bodily humor)and four Dushya(bodily structure) for systemic study kushta are classified into two major groups 7 Maha Kushta(types of skin disease) & 11 Ksudra Kushta(types of skin disease). Kitibha (psoriasis) comes under kshudra kushta. Clinically psoriasis exhibits itself as a dry well defined macules, papules and plaques of erythma with layer of silvery scales. The appearance of a typical lesion is characteristic of psoriasis. The typical lesion or coin shaped by confluence, big plaques of the size of the palm of a hand or figurate areas may not all be present. In present case patient having positive signs and symptoms of psoriasis. Kitibha kushta of Ayurveda closely resembles the clinical symptoms of Psoriasis. silvery lesion with itching and scalling is the main symptom of patient and Auspitz sign – pin point blood,Koebners phenomenon are positive. Differential diagnosis of psoriasis is discussed and proposed Ayurveda treatment is mention. The objective in study is to evaluate the efficacy of vaman karma(therapeutic emesis)in reduction of sign and symptoms of psoriasis(kitibha kushta). After vaman karma reduction in symptoms like scaling and itching was found in patient. Mild reduction was observed in Erythema of arms, body and legs. Maximum reduction in Erythema was found in hand.