Abstract
Psoriasis is a chronic, relapsing, immune-mediated inflammatory skin disease that affects about 2 to 3 percent of the world population and causes considerable physical and psychological suffering. Modern treatment gives good control but is limited by side effects, cost and frequent recurrence, which leads many patients to seek Ayurvedic care. In Ayurveda, Ek Kushtha, a type of Kshudra Kushtha characterised by Aswedanam, Mahavastu and Matsya shakalopamam, is the condition most commonly correlated with psoriasis. This review aims to study the management of Ek Kushtha with special reference to psoriasis. It is based on classical Ayurvedic texts with their commentaries, modern dermatology textbooks, and research articles from journals and reliable internet sources. The Nidana, Samprapti, Rupa and Sadhya-Asadhyata of Ek Kushtha were compiled and compared with the modern understanding of psoriasis, and the two conditions show close clinical similarity, although the correlation is not an exact equivalent. Ayurvedic management comprises Nidana Parivarjana, Shodhana, Shamana, Bahya chikitsa, Pathya-Apathya, Rasayana and Satvavajaya, with Shodhana, especially Vamana and Virechana, regarded as the most important. Modern management relies on topical agents, phototherapy, systemic drugs and biologics, which control severe flares faster but are limited by long-term side effects and cost. External therapies such as Abhyanga and Lepa, along with Tikta drugs such as Guduchi, Neem and Haridra, help to reduce dryness, scaling and itching. Ayurvedic management appears to be a useful option for psoriasis, particularly for long-term control and prevention of relapse, and an integrative approach combining both systems may give better outcomes. Diet, lifestyle correction and stress management also have a scientific basis, since obesity, alcohol, smoking and stress are known to worsen psoriasis. However, most available studies are small and lack control groups or long follow-up, so well-designed randomised controlled trials with standard outcome measures such as PASI are needed.