Abstract
Background “Sarva Chikitsamapi Bastimeke.” This quotation points out the supreme position of Basti among all treatment principles. The efficacy of Basti is well defined by all the Acharyas, who accept it as Ardhachikitsa, Though Basti can be given in all age groups without any hesitation, Kashyapa refers to Bastikarma as ‘Amrutam’ . Kitibha kushta is one among the kshudra kushta, having a predominance of vata and kapha dosha, characterized by shyavam, aruna, kandu, drudham, khinakhara sparsha, resembling the clinical features of psoriasis. It significantly impacts quality of life, causing low self-esteem, depression, and social isolation, making psoriasis a serious global problem. In classical texts, shodhana is given prime importance in the treatment of kushta, which should be performed as “stokam stokam nirharayet punah punah shodhayet.” Basti is contraindicated in kushta in some contexts, such as shotha, srotorodha, and medha pradhanyata, but as per the treatment principles of kushta, the treatment is planned based on the predominance of dosha. For vata pradhana kushta like kitibha, basti is the choice of treatment modality, and even in cases of avarbala, snehadveshi, and sukumara, basti is considered the ideal line of treatment instead of vaman and virechana. References to basti karma in kushta chikitsa can be found in various texts, including Charak Siddhi Sthana. One such treatment is Panchatikta Niruha Basti, which is planned in the present study. This treatment consists of panchatikta kwatha and sarshapa kalka, which have ushna virya and katu vipaka, providing vataharan and kapha chedhana effects, with kandughna and kushtagna properties that aid in the management of kitibha kushta. Methodology: The study was a single-group observational study involving 30 subjects with a pre- and post-test trial. Panchatikta Yoga Basti was administered for a duration of 8 days. The assessment was based on the signs and symptoms of kitibha kushta and the PASI scale of psoriasis. Result: Statistically significant results were observed in shyava varna, kandu, drudam, khar sparsha, and the PASI scale. Conclusion: Based on the results, it can be concluded that Panchatikta Yoga Basti is effective in the management of kitibha kushta.