Issue : 01 DOI : INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCHVolume : 02
Copyright @ : - Dr.Jayashree Madhavan Inter. J.Digno. and Research IJDRMSID00055 |ISSN :2584-2757 98
Abstract
Background: Psoriasis affects about 2–3 % of the global population, roughly 30 million people in India alone, and
plaque-type lesions account for nearly 85 % of all cases. Beyond high-visibility dermal plaques, this condition carries
an elevated risk of psoriatic arthritis, cardiometabolic syndrome, anxiety, and depression, imposing significant
quality-of-life and economic burdens. Current management depends on topical steroids, phototherapy, systemic
immunosuppressants, and cost-intensive solutions; these options provide transient control yet are limited by relapse
on withdrawal, cumulative organ toxicity, immuno-suppressive risk, and affordability constraints. In Ayurveda,
plaque psoriasis corresponds to Visarchika, a tridoṣaja condition requiring a staged approach: lipid-mediated internal
oleation (Snehapana) to mobilise morbid doshas, emesis (Vamana) and purgation (Virecana) for Kapha-Pitta
elimination, followed by cooling therapies such as Takradhara and targeted Shamana medicines to stabilise Vata and
rebuild tissue homeostasis. Case: A 41-year-old female software engineer with a three-year history of plaque psoriasis
presented with pruritic, silvery plaques over elbows, forearms, shins, lumbosacral region, and buttocks, involving 32
% body-surface area. Baseline indices confirmed severe disease: PASI 18.4, ESR 31 mm h⁻¹, CRP 7 mg L⁻¹. Prior
intermittent clobetasol cream provided only short-lived relief and she declined systemic immunosuppressants because
of safety and cost concerns. Intervention: The patient completed three-week Panchakarma treatment – Shodhana
(Phase 1) followed by Shamana (Phase 2). Phase- 1 Shodhana regimen began with graded Snehapana using
Mahatikthaka ghritham (40 to 180 mL, days 1–5), followed by Vamana on day 9, daily Sarvanga Takradhara with
pre-massage on days 13–19, and Virechana with Avipatti choornam on day 17. From day 21 a 60-day shamana
regimen - Patolakatukurohinyadi kwath, Khadirarishtham, Guluchyadi kwath, oral and topical Mahatikthaka
ghritham, and Artisor - was administered. A laghu-tikta vegetarian diet excluded dairy, gluten, sugar, fried items, and
nightshades; daily yoga and fixed sleep cycles were maintained. Outcome: In Phase 1 reduced PASI by 70 % (18.4
to 5.2) in 21 days, and lowered ESR from 31 to 17 mm h⁻¹ and in Phase 2, complete remission (PASI 0) with further
ESR normalization to 12 mm h⁻¹ was achieved. Over 12 months of follow-up, only two ≤ 2 cm diet-related micro-
flares occurred, each resolving within a week of topical Mahatikthaka ghritham. No adverse events or laboratory
abnormalities were observed. Conclusion: Sequential, doṣha-specific Panchakarma viz., Snehapana, Vamana,
Sarvanga Takradhara, and Virechana, followed by targeted shamana therapy and disciplined pathya produced
durable, steroid-free remission in severe plaque psoriasis. The clinical trajectory supports classical Kapha-Pitta
shodhana principles and aligns with emerging immunologic evidence, highlighting Ayurveda’s potential as a patient-
centered, systems-biology strategy for chronic inflammatory dermatoses.
Key words: Visarchika, Kshudra kushta, Tridoshaja, Panchakarma, Vamana, Virechana, Takradhara, pathya-
Apathya, Shodhana, Shamana, Lepa, Abhyanga
P
ISSN No. : 2584-2757
Volume : 02
Issue : 04
Publisher
ROGANIDAN VIKRUTIVIGYAN PG ASSOCIATION
FOR PATHOLOGY AND RADIODIGNOSIS
DOI : 1 0 . 5 2 8 1 / z e n o d o . 1 6 0 4 0 8 1 1
Reg. No. : MAHA-703/16(NAG) Year of Establishment – 2016
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH
Corresponding author: Jayashree Madhavan Article Info: Published on : 15/07/2025
Impact Factor : 1.013
Ayurvedic Management of Plaque Psoriasis (Visarchika): A Case Study
Dr. Anjali J. Raichur1, Dr. Sukrutha S.2 , Jayashree Madhavan3, Vivek Sunder4
1 Senior Physician, Kerala Ayurveda Multi-specialty Clinic, Koramangala.
2 Lead, Clinical & Scientific Affairs, Kerala Ayurveda Limited, Indiranagar.
3 Chief Scientific Officer, The Katra Group, Indiranagar.
4 Chief Executive Officer, Kerala Ayurveda Limited, Indiranagar.
Cite this article as: - Jayashree Madhavan (2025) ; Ayurvedic Management of Plaque Psoriasis (Visarchika): A Case Study
;Inter.J.Dignostics and Research 2 (4) 98-106, DOI : 1 0 . 5 2 8 1 / z e n o d o . 1 6 0 4 0 8 1 1
G AR V
Copyright @ : - Dr.Jayashree Madhavan Inter. J.Digno. and Research IJDRMSID00055 |ISSN :2584-2757 98
Abstract
Background: Psoriasis affects about 2–3 % of the global population, roughly 30 million people in India alone, and
plaque-type lesions account for nearly 85 % of all cases. Beyond high-visibility dermal plaques, this condition carries
an elevated risk of psoriatic arthritis, cardiometabolic syndrome, anxiety, and depression, imposing significant
quality-of-life and economic burdens. Current management depends on topical steroids, phototherapy, systemic
immunosuppressants, and cost-intensive solutions; these options provide transient control yet are limited by relapse
on withdrawal, cumulative organ toxicity, immuno-suppressive risk, and affordability constraints. In Ayurveda,
plaque psoriasis corresponds to Visarchika, a tridoṣaja condition requiring a staged approach: lipid-mediated internal
oleation (Snehapana) to mobilise morbid doshas, emesis (Vamana) and purgation (Virecana) for Kapha-Pitta
elimination, followed by cooling therapies such as Takradhara and targeted Shamana medicines to stabilise Vata and
rebuild tissue homeostasis. Case: A 41-year-old female software engineer with a three-year history of plaque psoriasis
presented with pruritic, silvery plaques over elbows, forearms, shins, lumbosacral region, and buttocks, involving 32
% body-surface area. Baseline indices confirmed severe disease: PASI 18.4, ESR 31 mm h⁻¹, CRP 7 mg L⁻¹. Prior
intermittent clobetasol cream provided only short-lived relief and she declined systemic immunosuppressants because
of safety and cost concerns. Intervention: The patient completed three-week Panchakarma treatment – Shodhana
(Phase 1) followed by Shamana (Phase 2). Phase- 1 Shodhana regimen began with graded Snehapana using
Mahatikthaka ghritham (40 to 180 mL, days 1–5), followed by Vamana on day 9, daily Sarvanga Takradhara with
pre-massage on days 13–19, and Virechana with Avipatti choornam on day 17. From day 21 a 60-day shamana
regimen - Patolakatukurohinyadi kwath, Khadirarishtham, Guluchyadi kwath, oral and topical Mahatikthaka
ghritham, and Artisor - was administered. A laghu-tikta vegetarian diet excluded dairy, gluten, sugar, fried items, and
nightshades; daily yoga and fixed sleep cycles were maintained. Outcome: In Phase 1 reduced PASI by 70 % (18.4
to 5.2) in 21 days, and lowered ESR from 31 to 17 mm h⁻¹ and in Phase 2, complete remission (PASI 0) with further
ESR normalization to 12 mm h⁻¹ was achieved. Over 12 months of follow-up, only two ≤ 2 cm diet-related micro-
flares occurred, each resolving within a week of topical Mahatikthaka ghritham. No adverse events or laboratory
abnormalities were observed. Conclusion: Sequential, doṣha-specific Panchakarma viz., Snehapana, Vamana,
Sarvanga Takradhara, and Virechana, followed by targeted shamana therapy and disciplined pathya produced
durable, steroid-free remission in severe plaque psoriasis. The clinical trajectory supports classical Kapha-Pitta
shodhana principles and aligns with emerging immunologic evidence, highlighting Ayurveda’s potential as a patient-
centered, systems-biology strategy for chronic inflammatory dermatoses.
Key words: Visarchika, Kshudra kushta, Tridoshaja, Panchakarma, Vamana, Virechana, Takradhara, pathya-
Apathya, Shodhana, Shamana, Lepa, Abhyanga
P
ISSN No. : 2584-2757
Volume : 02
Issue : 04
Publisher
ROGANIDAN VIKRUTIVIGYAN PG ASSOCIATION
FOR PATHOLOGY AND RADIODIGNOSIS
DOI : 1 0 . 5 2 8 1 / z e n o d o . 1 6 0 4 0 8 1 1
Reg. No. : MAHA-703/16(NAG) Year of Establishment – 2016
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH
Corresponding author: Jayashree Madhavan Article Info: Published on : 15/07/2025
Impact Factor : 1.013
Ayurvedic Management of Plaque Psoriasis (Visarchika): A Case Study
Dr. Anjali J. Raichur1, Dr. Sukrutha S.2 , Jayashree Madhavan3, Vivek Sunder4
1 Senior Physician, Kerala Ayurveda Multi-specialty Clinic, Koramangala.
2 Lead, Clinical & Scientific Affairs, Kerala Ayurveda Limited, Indiranagar.
3 Chief Scientific Officer, The Katra Group, Indiranagar.
4 Chief Executive Officer, Kerala Ayurveda Limited, Indiranagar.
Cite this article as: - Jayashree Madhavan (2025) ; Ayurvedic Management of Plaque Psoriasis (Visarchika): A Case Study
;Inter.J.Dignostics and Research 2 (4) 98-106, DOI : 1 0 . 5 2 8 1 / z e n o d o . 1 6 0 4 0 8 1 1
G AR V
Issue : 04 INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]Volume : 02
Copyright @ : - Dr.Jayashree Madhavan Inter. J.Digno. and Research IJDRMSID00055 |ISSN :2584-2757 99
Introduction :
Visarchika, Ayurveda’s clinical correlate to plaque
psoriasis, arises when Kapha generates thick,
adherent scales, Pitta kindles erythema and
burning, and Vata drives the rapid outward spread
of lesions [1]. Classical texts therefore recommend a
Kapha-Pitta shodhana sequence (internal oleation,
emesis, purgation) followed by Vata-pacifying
therapies and strict pathya to lock in remission.
Contemporary dermatology adds a complementary
lens: plaque psoriasis is sustained by a TNF-α/IL-
23/IL-17 inflammatory cascade, oxidative stress,
and altered gut–skin–liver balance that together
cause keratinocyte hyper-proliferation and
angiogenesis [2-3]. Although topical steroids,
methotrexate, cyclosporine, JAK inhibitors, and
biologic agents can suppress these pathways, their
benefits are limited by rebound, cumulative
toxicity, and limited affordability for many patients
[4].Each step of the classical Panchakarma sequence
now finds mechanistic support:
Snehapana with bitter ghritham mobilizes
Kapha–Pitta dosha and [5, 10] prepares the body
for lipid mediated toxin elimination.
Vamana rapidly lowers circulating TNF-α and
IL-6, helping interrupt the cytokine cascade [6].
Daily Sarvanga Takradhara calms vitiated
Vata by dampening cutaneous HPA-axis
reactivity and restoring stratum-corneum
hydration [7].
Virechana evacuates residual Pitta-raktha and
boosts Nrf-2 antioxidant defense [8].
Phytoconstituents in Mahatikthaka ghritham -
notably neem limonoids and guduchi
diterpenoids—inhibit NF-κB and STAT-3 in
keratinocytes, normalizing epidermal turnover
[9].
While individual elements of this regimen have
been studied in isolation, comprehensive
documentation of a full Panchakarma treatment
program in severe plaque psoriasis is scarce. The
present case report fills that gap, correlating clinical
outcomes with the classical dosha rationale and
these emerging molecular insights.
Place of Study: Kerala Ayurveda Multi-specialty
Clinic, Koramangala, 8th block, Bengaluru 560095
Case Presentation: A 41-year-old woman
presented with classical symptoms of Visarchika
lesions - thick, erythematous, scaly plaques: over
elbows, extensor arms and legs, lumbosacral
region, and buttocks. She reported unbearable
pruritus, continuous flaking, and occasional watery
exudate/oozing (srava). There were no co-
morbidities or joint symptoms, and vital signs were
stable. Baseline indices confirmed severe disease:
PASI (Psoriasis Area and Severity Index) 18.4 and
ESR 31 mm h⁻¹, with routine haematology, liver
and renal panels within normal limits (Table 1).
Table No.1 : Psoriasis Area Severity Index
(PASI) & Erythrocyte Sedimentation Rate
(ESR)
Parameter Before
Treatment
After
Treatment
Erythema
(Redness) 4 (Severe) 0 (None)
Scaling 4 (Severe) 0 (None)
Induration 4 (Severe) 0 (None)
Body Surface Area >30% 0
ESR 31 mm/hr 17 mm/hr
PASI Score >16 0
Copyright @ : - Dr.Jayashree Madhavan Inter. J.Digno. and Research IJDRMSID00055 |ISSN :2584-2757 99
Introduction :
Visarchika, Ayurveda’s clinical correlate to plaque
psoriasis, arises when Kapha generates thick,
adherent scales, Pitta kindles erythema and
burning, and Vata drives the rapid outward spread
of lesions [1]. Classical texts therefore recommend a
Kapha-Pitta shodhana sequence (internal oleation,
emesis, purgation) followed by Vata-pacifying
therapies and strict pathya to lock in remission.
Contemporary dermatology adds a complementary
lens: plaque psoriasis is sustained by a TNF-α/IL-
23/IL-17 inflammatory cascade, oxidative stress,
and altered gut–skin–liver balance that together
cause keratinocyte hyper-proliferation and
angiogenesis [2-3]. Although topical steroids,
methotrexate, cyclosporine, JAK inhibitors, and
biologic agents can suppress these pathways, their
benefits are limited by rebound, cumulative
toxicity, and limited affordability for many patients
[4].Each step of the classical Panchakarma sequence
now finds mechanistic support:
Snehapana with bitter ghritham mobilizes
Kapha–Pitta dosha and [5, 10] prepares the body
for lipid mediated toxin elimination.
Vamana rapidly lowers circulating TNF-α and
IL-6, helping interrupt the cytokine cascade [6].
Daily Sarvanga Takradhara calms vitiated
Vata by dampening cutaneous HPA-axis
reactivity and restoring stratum-corneum
hydration [7].
Virechana evacuates residual Pitta-raktha and
boosts Nrf-2 antioxidant defense [8].
Phytoconstituents in Mahatikthaka ghritham -
notably neem limonoids and guduchi
diterpenoids—inhibit NF-κB and STAT-3 in
keratinocytes, normalizing epidermal turnover
[9].
While individual elements of this regimen have
been studied in isolation, comprehensive
documentation of a full Panchakarma treatment
program in severe plaque psoriasis is scarce. The
present case report fills that gap, correlating clinical
outcomes with the classical dosha rationale and
these emerging molecular insights.
Place of Study: Kerala Ayurveda Multi-specialty
Clinic, Koramangala, 8th block, Bengaluru 560095
Case Presentation: A 41-year-old woman
presented with classical symptoms of Visarchika
lesions - thick, erythematous, scaly plaques: over
elbows, extensor arms and legs, lumbosacral
region, and buttocks. She reported unbearable
pruritus, continuous flaking, and occasional watery
exudate/oozing (srava). There were no co-
morbidities or joint symptoms, and vital signs were
stable. Baseline indices confirmed severe disease:
PASI (Psoriasis Area and Severity Index) 18.4 and
ESR 31 mm h⁻¹, with routine haematology, liver
and renal panels within normal limits (Table 1).
Table No.1 : Psoriasis Area Severity Index
(PASI) & Erythrocyte Sedimentation Rate
(ESR)
Parameter Before
Treatment
After
Treatment
Erythema
(Redness) 4 (Severe) 0 (None)
Scaling 4 (Severe) 0 (None)
Induration 4 (Severe) 0 (None)
Body Surface Area >30% 0
ESR 31 mm/hr 17 mm/hr
PASI Score >16 0
Issue : 04 INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]Volume : 02
Copyright @ : - Dr.Jayashree Madhavan Inter. J.Digno. and Research IJDRMSID00055 |ISSN :2584-2757 100
Line of Treatment :
Treatment Protocol:
Panchakarma Phase 1 – Shodhana (Purificatory
Therapies):
Vamana (therapeutic emesis) – Eliminates
Kapha, reduces scaling
Virechana (purgation) – Corrects Pitta-
Rakta imbalance, reduces inflammation.
Takradhara – Pacifies Vata-Pitta, soothes
skin, improves sleep
Panchakarma Phase 2 – Shamana (Palliative
Therapy):
Internal Medicines: Mahathikthaka
Ghritham, Patolakatukurohinyadi Kwath,
Khadirarishtam, Guluchyadi kwath
External Medicine: Mahathikthaka
Ghritham, Atrisor cream
Lifestyle & Dietary Corrections:
Patient was advised to avoid dairy, fried/spicy food,
sugar, wheat, and nightshades. Emphasis was
placed on Laghu-Tikta Aahara and regular sleep.
Daily Abhyanga with Eladi thailam and Winsoria
oil was advised.
1. Deepana – Pachana
Hinguvachadi Pills - 2 tablets, three
times daily before food with lukewarm
water for 3 days.
2. Snehapana (Internal Oleation):
Mahathikthaka Ghritham was administered
early morning (7:00 AM) for 5 days in
increasing doses with lukewarm water as
Anupana.
The lipid-based Mahathikthaka Ghṛitham,
containing Neem, Patola, and Guduchi,
supports targeted tissue delivery (Dhamani
Pravishṭa) and known to suppress NF-κB
activation and pro-inflammatory cytokines
like TNF-α and IL-6. [5 &2]
Diet recommended during Snehapana:
During the snehapana procedure, the patient
was advised to consume Mudgayusha (green
gram soup) or plain vegetable soup in the
late afternoon if required. For dinner, Kanji
(thin rice gruel). Lukewarm water was
consumed throughout the day. The patient
was instructed to maintain warmth, avoid
cold exposure, dust, and exertion.
3. Vamana Karma (Emesis)
1. Performed at 7:00 AM following
Kapha-Utkleshaka Aahara.
2. Kṣheera – 2 L
3. Yaṣhtimadhu Phanta – 1.5 L
4. Nimba Jala – 1 L
5. Saindhava Jala – 1 L
Procedure
The patient consumed 1 L of Kṣheera to
achieve Akanthapana.
A Lehya of Madanaphala (¾ g) and Vacha
Choorna (1.5 g) with Madhu (honey) was
administered.
Followed by 1 L of Ksheera and 1.5 L of
Yashtimadhu Phanta
Five Vamana Vegas (emetic bouts)
occurred.
Nimba Jala and Saindhava Jala was
administered in half-doses, inducing four
more Vegas and five Krcchra Vegas.
Copyright @ : - Dr.Jayashree Madhavan Inter. J.Digno. and Research IJDRMSID00055 |ISSN :2584-2757 100
Line of Treatment :
Treatment Protocol:
Panchakarma Phase 1 – Shodhana (Purificatory
Therapies):
Vamana (therapeutic emesis) – Eliminates
Kapha, reduces scaling
Virechana (purgation) – Corrects Pitta-
Rakta imbalance, reduces inflammation.
Takradhara – Pacifies Vata-Pitta, soothes
skin, improves sleep
Panchakarma Phase 2 – Shamana (Palliative
Therapy):
Internal Medicines: Mahathikthaka
Ghritham, Patolakatukurohinyadi Kwath,
Khadirarishtam, Guluchyadi kwath
External Medicine: Mahathikthaka
Ghritham, Atrisor cream
Lifestyle & Dietary Corrections:
Patient was advised to avoid dairy, fried/spicy food,
sugar, wheat, and nightshades. Emphasis was
placed on Laghu-Tikta Aahara and regular sleep.
Daily Abhyanga with Eladi thailam and Winsoria
oil was advised.
1. Deepana – Pachana
Hinguvachadi Pills - 2 tablets, three
times daily before food with lukewarm
water for 3 days.
2. Snehapana (Internal Oleation):
Mahathikthaka Ghritham was administered
early morning (7:00 AM) for 5 days in
increasing doses with lukewarm water as
Anupana.
The lipid-based Mahathikthaka Ghṛitham,
containing Neem, Patola, and Guduchi,
supports targeted tissue delivery (Dhamani
Pravishṭa) and known to suppress NF-κB
activation and pro-inflammatory cytokines
like TNF-α and IL-6. [5 &2]
Diet recommended during Snehapana:
During the snehapana procedure, the patient
was advised to consume Mudgayusha (green
gram soup) or plain vegetable soup in the
late afternoon if required. For dinner, Kanji
(thin rice gruel). Lukewarm water was
consumed throughout the day. The patient
was instructed to maintain warmth, avoid
cold exposure, dust, and exertion.
3. Vamana Karma (Emesis)
1. Performed at 7:00 AM following
Kapha-Utkleshaka Aahara.
2. Kṣheera – 2 L
3. Yaṣhtimadhu Phanta – 1.5 L
4. Nimba Jala – 1 L
5. Saindhava Jala – 1 L
Procedure
The patient consumed 1 L of Kṣheera to
achieve Akanthapana.
A Lehya of Madanaphala (¾ g) and Vacha
Choorna (1.5 g) with Madhu (honey) was
administered.
Followed by 1 L of Ksheera and 1.5 L of
Yashtimadhu Phanta
Five Vamana Vegas (emetic bouts)
occurred.
Nimba Jala and Saindhava Jala was
administered in half-doses, inducing four
more Vegas and five Krcchra Vegas.
Issue : 04 INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]Volume : 02
Copyright @ : - Dr.Jayashree Madhavan Inter. J.Digno. and Research IJDRMSID00055 |ISSN :2584-2757 101
The procedure was concluded upon
observation of Pittanta Lakshana,
indicating successful detoxification
4. Pashchat Karma (Post-Vamana Care)
Dhumapana was performed using Haridra
and Kapha-reducing herbs
Gandusha with Triphala Kashaya was
advised
Peyadi Samsarjana Krama was followed
for three days to gradually restore normal
diet.
Following Vamana Karma, the patient was
scheduled for Virecana Karma (therapeutic
purgation) as the next step in the detoxification
protocol. Snehapana (internal oleation) was
reinitiated in preparation for the upcoming
Virechana.
Post-Vamana and Virechana Therapy
5. Snehapana: Following Vamana, the patient
experienced severe burning sensations,
indicative of residual Pitta aggravation. Hence,
Virechana Karma was initiated as the next line
of detoxification. Mahathikthaka Ghritham was
administered for 4 days in increasing doses:
Day 1: 40 ml
Day 2: 80 ml
Day 3: 120 ml
Day 4: 180 ml
The patient attained Samyak Snigdha Lakshana
6. Snehana and Sarvanga Takradhara:
From Day 1 post-Vamana, Abhyanga with Eladi
thailam and Winsoria oil was continued along
with Sarvanga Takradhara
On Day 5 and 6, only Takradhara was
continued.
Day 7, after achieving Samyak Snigdha
Lakshana, Takradhara was done before
Virechana.
7. Virechana Karma:
Avipatti Choornam (20 g) was administered with
hot water on an empty stomach at 8:30 AM.The
patient rests in left lateral position, and drinks
warm water frequently.
The first Vega occurred after 45 minutes; a total
of 12 Vegas were observed by 2:30 PM.
Vitals remained stable: Pulse Rate: 82 bpm;
Heart Rate: 80 bpm; Respiratory Rate: 14/min;
Blood Pressure: 120/70 mmHg and blood
routine revealed decreased ESR (17mm/hr).
8. Post- Virechana Dietary and Lifestyle
Modifications: Peyadi Samsarjana Krama
(structured post-Panchakarma diet) was followed
for three days. Post-treatment PASI score
showed no erythema, induration, or scaling on
the affected parts noted post-treatment (Table 2).
Table No.2 : Line of Treatment Shodhana -
Chikitsa - Outcome - Mechanism of Action
(MoA)
Phase
Dates
/
Durat
ion
Therapy
Administe
red
Key
Observati
ons /
Outcomes
Scienti
fic
Ration
ale
(MoA)
Purva
karma
(Prepara
tion
Phase)
Day 1–3
Deepana-
Pachana
with
Hinguvach
adi pills
Abhyanga
at home
Improved
digestion,
prepared
patient for
Snehanap
ana
Stimula
tes
Agni;
reduces
Kapha-
Ama
load;
primes
gut-
skin
axis
Copyright @ : - Dr.Jayashree Madhavan Inter. J.Digno. and Research IJDRMSID00055 |ISSN :2584-2757 101
The procedure was concluded upon
observation of Pittanta Lakshana,
indicating successful detoxification
4. Pashchat Karma (Post-Vamana Care)
Dhumapana was performed using Haridra
and Kapha-reducing herbs
Gandusha with Triphala Kashaya was
advised
Peyadi Samsarjana Krama was followed
for three days to gradually restore normal
diet.
Following Vamana Karma, the patient was
scheduled for Virecana Karma (therapeutic
purgation) as the next step in the detoxification
protocol. Snehapana (internal oleation) was
reinitiated in preparation for the upcoming
Virechana.
Post-Vamana and Virechana Therapy
5. Snehapana: Following Vamana, the patient
experienced severe burning sensations,
indicative of residual Pitta aggravation. Hence,
Virechana Karma was initiated as the next line
of detoxification. Mahathikthaka Ghritham was
administered for 4 days in increasing doses:
Day 1: 40 ml
Day 2: 80 ml
Day 3: 120 ml
Day 4: 180 ml
The patient attained Samyak Snigdha Lakshana
6. Snehana and Sarvanga Takradhara:
From Day 1 post-Vamana, Abhyanga with Eladi
thailam and Winsoria oil was continued along
with Sarvanga Takradhara
On Day 5 and 6, only Takradhara was
continued.
Day 7, after achieving Samyak Snigdha
Lakshana, Takradhara was done before
Virechana.
7. Virechana Karma:
Avipatti Choornam (20 g) was administered with
hot water on an empty stomach at 8:30 AM.The
patient rests in left lateral position, and drinks
warm water frequently.
The first Vega occurred after 45 minutes; a total
of 12 Vegas were observed by 2:30 PM.
Vitals remained stable: Pulse Rate: 82 bpm;
Heart Rate: 80 bpm; Respiratory Rate: 14/min;
Blood Pressure: 120/70 mmHg and blood
routine revealed decreased ESR (17mm/hr).
8. Post- Virechana Dietary and Lifestyle
Modifications: Peyadi Samsarjana Krama
(structured post-Panchakarma diet) was followed
for three days. Post-treatment PASI score
showed no erythema, induration, or scaling on
the affected parts noted post-treatment (Table 2).
Table No.2 : Line of Treatment Shodhana -
Chikitsa - Outcome - Mechanism of Action
(MoA)
Phase
Dates
/
Durat
ion
Therapy
Administe
red
Key
Observati
ons /
Outcomes
Scienti
fic
Ration
ale
(MoA)
Purva
karma
(Prepara
tion
Phase)
Day 1–3
Deepana-
Pachana
with
Hinguvach
adi pills
Abhyanga
at home
Improved
digestion,
prepared
patient for
Snehanap
ana
Stimula
tes
Agni;
reduces
Kapha-
Ama
load;
primes
gut-
skin
axis
Issue : 04 INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]Volume : 02
Copyright @ : - Dr.Jayashree Madhavan Inter. J.Digno. and Research IJDRMSID00055 |ISSN :2584-2757 102
This demonstrates the efficacy of classical
Panchakarma with dietary and lifestyle
interventions in managing psoriasis.
Results:
Panchakarma Phase 1 produced a 70 % reduction
in disease severity: PASI fell from 18.4 to 5.2, ESR
from 31 to 17 mm h⁻¹ and CRP from 7 to 4 mg L⁻¹,
by day 21. The patient also reported an increase in
uninterrupted sleep from 4.5 to 7 hours. No
electrolyte or hepatic-renal abnormalities were
detected. A single 2 cm ankle plaque appeared on
Phase
Dates
/
Durat
ion
Therapy
Administe
red
Key
Observat
ions /
Outcome
s
Scientific
Rational
e (MoA)
Snehapa
na (1st
Cycle)
Day 4–8
Mahathikt
haka
Ghritham
(increasin
g doses for
5 days)
Samyak
Snigdha
Lakshana
s
achieved
Enhances
lipid-
mediated
toxin
mobilizat
ion;
prepares
for
emesis [5]
Vamana
Karma Day 9
Madanaph
ala,
Vacha,
Ksheera,
Yashtimad
hu Phanta,
Nimba
Jala
9 Vegas +
5
Kricchra
Vegas
achieved,
Pittanta
Lakshana
observed
Removes
mucinous
buildup;
activates
gut-skin
axis;
stimulate
s hepatic
detox
pathways
[6]
Pashcha
t Karma
(post-
Vamana
)
Day 10–
12
Dhoomap
ana,
Ganduṣa,
Peyadi
Samsarjan
a Krama
Recovery
and
transition
to normal
digestion
or normal
gut
epitheliu
m
Rejuvena
tes
mucosal
immunity
;
stabilizes
metabolic
function,
Gandush
a helps in
rapid
absorptio
n of
lipid-
soluble
drugs
into
systemic
circulatio
n. [7]
Takradh
ara +
Abhyan
ga
Day 13–
19
Takradhar
a with
Eladi
Thailam
and
Winsoria
Oil
Abhyanga
Reduced
Vata
symptoms
,
improved
dryness
and
flaking
Modulate
s HPA
axis; anti-
inflamma
tory
action via
probiotic
s and
lactic
acid-rich
buttermil
k [8-9]
Phase
Dat
es /
Dur
atio
n
Therapy
Administere
d
Key
Observ
ations /
Outco
mes
Scientific
Rationale
(MoA)
Sneha
pana
(2nd
Cycle)
Day
13–16
Mahathikthak
a Ghritham
(40–180 ml)
Samyak
Snigdha
Lakṣaṇa
s re-
attained
Supports
deeper
systemic
detox;
maintains
antioxidant
capacity [10]
Virech
ana
Karm
a
Day
17
Avipathi
Choornam
12
Vegas,
burning
sensatio
n
relieved
, ESR
reduced
Clears
inflammato
ry
cytokines;
improves
liver
function
and
systemic
antioxidant
capacity [11]
Pasch
at
Karm
a
(post-
Virech
ana)
Day
18–20
Peyadi
Samsarjana
Krama
continued
Restore
d Agni,
stable
vitals
Reestablish
es digestive
fire;
supports
recovery
phase
Sham
ana
Chikit
sa
Day
21
onwar
ds
(contin
ued)
Patolakatuku
rohinyadi
Kwath,
Khadirarisht
am,
Guluchyadi
kwath, etc.
No
sympto
ms post-
therapy,
PASI
reduced
to 0
Maintains
immunomo
dulation;
prevents
disease
recurrence
[12]
Copyright @ : - Dr.Jayashree Madhavan Inter. J.Digno. and Research IJDRMSID00055 |ISSN :2584-2757 102
This demonstrates the efficacy of classical
Panchakarma with dietary and lifestyle
interventions in managing psoriasis.
Results:
Panchakarma Phase 1 produced a 70 % reduction
in disease severity: PASI fell from 18.4 to 5.2, ESR
from 31 to 17 mm h⁻¹ and CRP from 7 to 4 mg L⁻¹,
by day 21. The patient also reported an increase in
uninterrupted sleep from 4.5 to 7 hours. No
electrolyte or hepatic-renal abnormalities were
detected. A single 2 cm ankle plaque appeared on
Phase
Dates
/
Durat
ion
Therapy
Administe
red
Key
Observat
ions /
Outcome
s
Scientific
Rational
e (MoA)
Snehapa
na (1st
Cycle)
Day 4–8
Mahathikt
haka
Ghritham
(increasin
g doses for
5 days)
Samyak
Snigdha
Lakshana
s
achieved
Enhances
lipid-
mediated
toxin
mobilizat
ion;
prepares
for
emesis [5]
Vamana
Karma Day 9
Madanaph
ala,
Vacha,
Ksheera,
Yashtimad
hu Phanta,
Nimba
Jala
9 Vegas +
5
Kricchra
Vegas
achieved,
Pittanta
Lakshana
observed
Removes
mucinous
buildup;
activates
gut-skin
axis;
stimulate
s hepatic
detox
pathways
[6]
Pashcha
t Karma
(post-
Vamana
)
Day 10–
12
Dhoomap
ana,
Ganduṣa,
Peyadi
Samsarjan
a Krama
Recovery
and
transition
to normal
digestion
or normal
gut
epitheliu
m
Rejuvena
tes
mucosal
immunity
;
stabilizes
metabolic
function,
Gandush
a helps in
rapid
absorptio
n of
lipid-
soluble
drugs
into
systemic
circulatio
n. [7]
Takradh
ara +
Abhyan
ga
Day 13–
19
Takradhar
a with
Eladi
Thailam
and
Winsoria
Oil
Abhyanga
Reduced
Vata
symptoms
,
improved
dryness
and
flaking
Modulate
s HPA
axis; anti-
inflamma
tory
action via
probiotic
s and
lactic
acid-rich
buttermil
k [8-9]
Phase
Dat
es /
Dur
atio
n
Therapy
Administere
d
Key
Observ
ations /
Outco
mes
Scientific
Rationale
(MoA)
Sneha
pana
(2nd
Cycle)
Day
13–16
Mahathikthak
a Ghritham
(40–180 ml)
Samyak
Snigdha
Lakṣaṇa
s re-
attained
Supports
deeper
systemic
detox;
maintains
antioxidant
capacity [10]
Virech
ana
Karm
a
Day
17
Avipathi
Choornam
12
Vegas,
burning
sensatio
n
relieved
, ESR
reduced
Clears
inflammato
ry
cytokines;
improves
liver
function
and
systemic
antioxidant
capacity [11]
Pasch
at
Karm
a
(post-
Virech
ana)
Day
18–20
Peyadi
Samsarjana
Krama
continued
Restore
d Agni,
stable
vitals
Reestablish
es digestive
fire;
supports
recovery
phase
Sham
ana
Chikit
sa
Day
21
onwar
ds
(contin
ued)
Patolakatuku
rohinyadi
Kwath,
Khadirarisht
am,
Guluchyadi
kwath, etc.
No
sympto
ms post-
therapy,
PASI
reduced
to 0
Maintains
immunomo
dulation;
prevents
disease
recurrence
[12]
Issue : 04 INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]Volume : 02
Copyright @ : - Dr.Jayashree Madhavan Inter. J.Digno. and Research IJDRMSID00055 |ISSN :2584-2757 103
day 68 after dietary indiscretion and resolved
within four days with topical Mahatikthaka
ghritham alone.
Panchakarma Phase 2 cleared the residual
plaques: PASI 0, ESR 12 mm h⁻¹, CRP 2 mg L⁻¹, (≤
2 cm) behind the knee self-resolved within a week.
No procedural or drug-related adverse events
occurred across either phase and routine
biochemistry remained normal throughout the 12-
month follow-up period.The characteristic triad of
Kapha induced scaling, Pitta-linked erythema, and
Vata-driven dissemination in Visarchika makes a
Kapha–Pitta-oriented shodhana purge the logical
first step in management.
Discussion:
This case highlights the effective application of
Vamana Karma as a Bheshaja Shodhana (bio
purificatory therapy) in the management of
psoriasis, aligning with the Ayurvedic principle of
Kapha-Pitta Shodhana. The successful induction of
Pittanta Vamana signifies adequate Dosha
elimination, which plays a crucial role in breaking
the Samprapti of psoriasis. Further, interventions
including Virechana Karma and Thakradhara
helped promote long-term remission, improve skin
healing, and restore optimal immune balance.
Firstly, to correct the underlying Dosha-vikriti,
Shodhana Chikitsa was initiated. Given the Kapha
aggravation, Vamana was selected as the first line
of treatment to expel accumulated Dosha and
restore balance. Mahathikthaka Ghritham was
administered for Snehapana, effectively reducing
scaling and thickened plaques in Visarchika
(psoriasis). Due to persistent burning sensation,
Virechana followed, addressing Rakta Dushṭi and
residual Pitta involvement, aiding skin
detoxification. However, a rise in Vata prompted
the use of Takradhara, which helped pacify Vata
and relieved dryness and flaking. Takradhara was
performed for seven days before Virechana Dravya
administration. Post-Virecana, there was significant
reduction in burning and flaking.Subsequently,
Shamana Chikitsa was adopted to maintain Dosha-
samyatva. Patolakatukurohinyadi Kwath, with its
Tikta Rasa and Pitta-shamaka actions, supported
Rakta Shuddhi. Guluchyadi kwath, being Pitta-
Kapha shamaka, and Khadirarishtam, a classical
Raktashodhaka, were included to prevent
recurrence and sustain benefits.Externally,
Mahathikthaka Ghritham promoted Dhatu Paka
Shamana and countered dryness with its Snigdha-
Tikta nature (Table No.3).This integrative
shodhana + shamana protocol yielded 70 % relief
in three weeks, complete clearance after the second
phases and year-long steroid-free control. Minor
flares correlated only with dietary lapses,
underscoring the need for strict, ongoing pathya.
For chronic autoimmune skin disease, annual
shodhana and a disciplined lifestyle are
recommended to sustain long-term remission.
Table No. 3 : Line of Treatment - Shamana
Chikitsa – Action – Mechanism of action
Medicine Dose Time Action MoA Summary
Patolakatuku
rohinyadi
Kwath
(Kerala
Ayurveda
Limited)
10 ml Befor
e
break
fast &
dinne
r
Pacifie
s Pitta-
Kapha
and
purifie
s blood
Hepatoprotective
activity, Anti-
Inflammatory
property, Blood
purification
(rakta
prasadana),
Supports liver
detoxification
and Digestive
stimulant [13]
Copyright @ : - Dr.Jayashree Madhavan Inter. J.Digno. and Research IJDRMSID00055 |ISSN :2584-2757 103
day 68 after dietary indiscretion and resolved
within four days with topical Mahatikthaka
ghritham alone.
Panchakarma Phase 2 cleared the residual
plaques: PASI 0, ESR 12 mm h⁻¹, CRP 2 mg L⁻¹, (≤
2 cm) behind the knee self-resolved within a week.
No procedural or drug-related adverse events
occurred across either phase and routine
biochemistry remained normal throughout the 12-
month follow-up period.The characteristic triad of
Kapha induced scaling, Pitta-linked erythema, and
Vata-driven dissemination in Visarchika makes a
Kapha–Pitta-oriented shodhana purge the logical
first step in management.
Discussion:
This case highlights the effective application of
Vamana Karma as a Bheshaja Shodhana (bio
purificatory therapy) in the management of
psoriasis, aligning with the Ayurvedic principle of
Kapha-Pitta Shodhana. The successful induction of
Pittanta Vamana signifies adequate Dosha
elimination, which plays a crucial role in breaking
the Samprapti of psoriasis. Further, interventions
including Virechana Karma and Thakradhara
helped promote long-term remission, improve skin
healing, and restore optimal immune balance.
Firstly, to correct the underlying Dosha-vikriti,
Shodhana Chikitsa was initiated. Given the Kapha
aggravation, Vamana was selected as the first line
of treatment to expel accumulated Dosha and
restore balance. Mahathikthaka Ghritham was
administered for Snehapana, effectively reducing
scaling and thickened plaques in Visarchika
(psoriasis). Due to persistent burning sensation,
Virechana followed, addressing Rakta Dushṭi and
residual Pitta involvement, aiding skin
detoxification. However, a rise in Vata prompted
the use of Takradhara, which helped pacify Vata
and relieved dryness and flaking. Takradhara was
performed for seven days before Virechana Dravya
administration. Post-Virecana, there was significant
reduction in burning and flaking.Subsequently,
Shamana Chikitsa was adopted to maintain Dosha-
samyatva. Patolakatukurohinyadi Kwath, with its
Tikta Rasa and Pitta-shamaka actions, supported
Rakta Shuddhi. Guluchyadi kwath, being Pitta-
Kapha shamaka, and Khadirarishtam, a classical
Raktashodhaka, were included to prevent
recurrence and sustain benefits.Externally,
Mahathikthaka Ghritham promoted Dhatu Paka
Shamana and countered dryness with its Snigdha-
Tikta nature (Table No.3).This integrative
shodhana + shamana protocol yielded 70 % relief
in three weeks, complete clearance after the second
phases and year-long steroid-free control. Minor
flares correlated only with dietary lapses,
underscoring the need for strict, ongoing pathya.
For chronic autoimmune skin disease, annual
shodhana and a disciplined lifestyle are
recommended to sustain long-term remission.
Table No. 3 : Line of Treatment - Shamana
Chikitsa – Action – Mechanism of action
Medicine Dose Time Action MoA Summary
Patolakatuku
rohinyadi
Kwath
(Kerala
Ayurveda
Limited)
10 ml Befor
e
break
fast &
dinne
r
Pacifie
s Pitta-
Kapha
and
purifie
s blood
Hepatoprotective
activity, Anti-
Inflammatory
property, Blood
purification
(rakta
prasadana),
Supports liver
detoxification
and Digestive
stimulant [13]
Issue : 04 INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]Volume : 02
Copyright @ : - Dr.Jayashree Madhavan Inter. J.Digno. and Research IJDRMSID00055 |ISSN :2584-2757 104
Medicine Dose Time Action MoA Summary
Khadirarisht
am
(Kerala
Ayurveda
Limited)
20 ml
Befor
e
break
fast &
dinne
r
Rakta
Shodh
ana
(blood
purific
ation)
Microvascular
tonic,
antiallergic,
detoxifier of
Rakta Dhatu [14]
Guluchyadi
kwath
(Kerala
Ayurveda
Limited)
10 ml
Befor
e
break
fast &
dinne
r
Boosts
immun
ity and
reduce
s
inflam
mation
Immunomodulat
or: enhances
phagocytosis,
downregulates
pro-
inflammatory
cytokines [15]
Mahathiktha
ka Ghritham
(Capsule)
(Kerala
Ayurveda
Limited)
2-0-2
Befor
e
meals
Promot
es
detoxif
ication
and
tissue
shealin
g
Bioavailability
enhancer,
improves
epithelial
healing and
detox [2]
Mahathiktha
ka Ghritham,
(External)
(Kerala
Ayurveda
Limited)
Appli
ed on
affect
ed
parts
Daily
Soothe
s and
heals
skin
Skin emollient,
antimicrobial,
enhances barrier
function and
moisturization [2]
Artisor
Capsules
(Atrimed
Pharmaceuti
cals Ltd.)
2-0-2 After
meals
Anti-
inflam
matory
and
immun
e-
modul
ating
effect
Anti-
inflammatory,
antioxidant,
modulates
keratinocyte
proliferation [3]
Atrisor
Cream
(Atrimed
Pharmaceuti
cals Ltd.)
Appli
ed
extern
ally
After
show
er
Reduc
es
itching
and
scaling
Anti-
inflammatory,
antioxidant,
modulates
keratinocyte
proliferation [3]
Table No.4 : Pathya and Apathya
Phase Pathya
(Recommended)
Apathya (To
Avoid)
Before &
During Treatment
Light, easily
digestible diet,
rice, rasam,
moong dal, bitter
vegetables
Dairy, wheat,
fried foods, spicy
foods, sugar,
nightshades
(brinjal, potato)
After Treatment
Same diet
continued with
gradual additions
Processed foods,
alcohol, irregular
meal timings
Lifestyle
Recommendations
Yoga,
meditation,
proper sleep
cycle
Night shifts,
excessive stress,
irregular eating
habits
Conclusion
This case demonstrates that a root-cause,
Ayurveda-centred strategy can deliver durable
control of chronic plaque psoriasis (Visarchika). A
stepwise Panchakarma sequence viz., Snehapana,
Vamana, Sarvanga Takradhara, and Virechana,
followed by targeted shamana formulations and a
disciplined diet produced 70 % symptom relief in
21 days and also complete remission (PASI 0)
within an year; the patient remained lesion-free for
a full year without steroids. The outcome validates
classical Kapha–Pitta shodhana principles and
highlights Ayurveda’s capacity for sustainable,
long-term management of inflammatory skin
disease
Image 1: Before Treatment Image 2: After Treatment
Graph 1: PASI Score before & after treatment
Copyright @ : - Dr.Jayashree Madhavan Inter. J.Digno. and Research IJDRMSID00055 |ISSN :2584-2757 104
Medicine Dose Time Action MoA Summary
Khadirarisht
am
(Kerala
Ayurveda
Limited)
20 ml
Befor
e
break
fast &
dinne
r
Rakta
Shodh
ana
(blood
purific
ation)
Microvascular
tonic,
antiallergic,
detoxifier of
Rakta Dhatu [14]
Guluchyadi
kwath
(Kerala
Ayurveda
Limited)
10 ml
Befor
e
break
fast &
dinne
r
Boosts
immun
ity and
reduce
s
inflam
mation
Immunomodulat
or: enhances
phagocytosis,
downregulates
pro-
inflammatory
cytokines [15]
Mahathiktha
ka Ghritham
(Capsule)
(Kerala
Ayurveda
Limited)
2-0-2
Befor
e
meals
Promot
es
detoxif
ication
and
tissue
shealin
g
Bioavailability
enhancer,
improves
epithelial
healing and
detox [2]
Mahathiktha
ka Ghritham,
(External)
(Kerala
Ayurveda
Limited)
Appli
ed on
affect
ed
parts
Daily
Soothe
s and
heals
skin
Skin emollient,
antimicrobial,
enhances barrier
function and
moisturization [2]
Artisor
Capsules
(Atrimed
Pharmaceuti
cals Ltd.)
2-0-2 After
meals
Anti-
inflam
matory
and
immun
e-
modul
ating
effect
Anti-
inflammatory,
antioxidant,
modulates
keratinocyte
proliferation [3]
Atrisor
Cream
(Atrimed
Pharmaceuti
cals Ltd.)
Appli
ed
extern
ally
After
show
er
Reduc
es
itching
and
scaling
Anti-
inflammatory,
antioxidant,
modulates
keratinocyte
proliferation [3]
Table No.4 : Pathya and Apathya
Phase Pathya
(Recommended)
Apathya (To
Avoid)
Before &
During Treatment
Light, easily
digestible diet,
rice, rasam,
moong dal, bitter
vegetables
Dairy, wheat,
fried foods, spicy
foods, sugar,
nightshades
(brinjal, potato)
After Treatment
Same diet
continued with
gradual additions
Processed foods,
alcohol, irregular
meal timings
Lifestyle
Recommendations
Yoga,
meditation,
proper sleep
cycle
Night shifts,
excessive stress,
irregular eating
habits
Conclusion
This case demonstrates that a root-cause,
Ayurveda-centred strategy can deliver durable
control of chronic plaque psoriasis (Visarchika). A
stepwise Panchakarma sequence viz., Snehapana,
Vamana, Sarvanga Takradhara, and Virechana,
followed by targeted shamana formulations and a
disciplined diet produced 70 % symptom relief in
21 days and also complete remission (PASI 0)
within an year; the patient remained lesion-free for
a full year without steroids. The outcome validates
classical Kapha–Pitta shodhana principles and
highlights Ayurveda’s capacity for sustainable,
long-term management of inflammatory skin
disease
Image 1: Before Treatment Image 2: After Treatment
Graph 1: PASI Score before & after treatment
Issue : 04 INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]Volume : 02
Copyright @ : - Dr.Jayashree Madhavan Inter. J.Digno. and Research IJDRMSID00055 |ISSN :2584-2757 105
References :
1. Nestle, F. O., Kaplan, D. H., & Barker, J,
Psoriasis. New England Journal of
Medicine, 2009; 361(5)
2. Solanki Akshaykumar Vinodbhai. Harish
Bhakuni. Gaurav Kumar Garg. Hardik
Chudasama. Hardik Solanki ―Clinical
Evaluation of Guduchyadi Kwathinthe
Management of Ekakustha with special
reference to Psoriasis: A Randomized
Controlled Trial‖. Frontiers in Health
Informatics, 2024; 13 (5), 557-569
3. Huang TH, Lin CF, Alalaiwe A, Yang SC,
Fang JY. Apoptotic or Antiproliferative
Activity of Natural Products against
Keratinocytes for the Treatment of
Psoriasis. Int J Mol Sci. 2019 May 24; 20
(10):2558.
4. Dogra, Sunil & Yadav, Savita, Psoriasis in
India: Prevalence and pattern. Indian journal
of dermatology, venereology and leprology
2010; 76. 595-601.
5. Patil V, Baghel MS, Thakar AB. Effect of
snehapana (internal oleation) on lipids: a
critical review. Anc Sci Life. 2009
Oct;29(2):32-9.
6. Jang DI, Lee AH, Shin HY, Song HR, Park
JH, Kang TB, Lee SR, Yang SH. The Role
of Tumor Necrosis Factor Alpha (TNF-α) in
Autoimmune Disease and Current TNF-α
Inhibitors in Therapeutics. Int J Mol Sci.
2021 Mar 8;22(5):2719. doi:
10.3390/ijms22052719. PMID: 33800290;
PMCID: PMC7962638.
7. Somanath S., Durgawati Devi. Exploring
Dhumapana: The ancient art of Ayurvedic
inhalation for health J Ayurveda
Integr Med Sci 2024.
8. Singh, K., Kumar, A. M., & Gupta, B. K.
Effect of Takradhara on Glucocorticoid
Hormone in Psoriasis. World Journal of
Pharmaceutical Research, 2015; 4(5), 2060–
2068.
9. Anju K. V., & Kavitha C. K. A Review on
Different Mode of Action of Takradhara –
As a Novel Panchakarma Therapy.
International Journal of Science and
Research (IJSR), 2022; 11(8)
10. Sawarkar, Punam & Sawarkar, Gaurav.
Significance of Shodhana Snehapana for
Medovaha Strotodushti Vikara w.s.r.t.
Lifestyle disorders. Drugs and Cell
Therapies in Hematology. 2021; 10. 3832-
3842.
11. Kaushik, U. (). In-vitro antioxidant activity
of extracts of Avipattikar churna.) (Yadav,
Yadevendra & Rajesh, Kumar & Arun,
Sharma. An Updated Review on Recent In-
Vitro, In-Vivo and Clinical Research of
Avipattikar Churna. 2009 10.21276
Copyright @ : - Dr.Jayashree Madhavan Inter. J.Digno. and Research IJDRMSID00055 |ISSN :2584-2757 105
References :
1. Nestle, F. O., Kaplan, D. H., & Barker, J,
Psoriasis. New England Journal of
Medicine, 2009; 361(5)
2. Solanki Akshaykumar Vinodbhai. Harish
Bhakuni. Gaurav Kumar Garg. Hardik
Chudasama. Hardik Solanki ―Clinical
Evaluation of Guduchyadi Kwathinthe
Management of Ekakustha with special
reference to Psoriasis: A Randomized
Controlled Trial‖. Frontiers in Health
Informatics, 2024; 13 (5), 557-569
3. Huang TH, Lin CF, Alalaiwe A, Yang SC,
Fang JY. Apoptotic or Antiproliferative
Activity of Natural Products against
Keratinocytes for the Treatment of
Psoriasis. Int J Mol Sci. 2019 May 24; 20
(10):2558.
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12. Kumar, Anoop & Bhardwaj, Rachana.
Samsarjana Krama-The Science Within and
Beyond it; A Review. International
Research Journal of Ayurveda & Yoga.
2022; 04. 74-80. 10.47223
13. Ram Krishna Rao, Mudiganti & S, Nandha
& Sumathi, Jones & Amutha, Arul &
Prabhu, Kailash & Ravi, Aparna & Dinakar,
Shruthi. Phytochemical and GC MS
Analysis of an Ayurvedic Formulation,
Patolakaturohinyadi Kwatham. International
Journal of Pharma Science Review and
Reserach. 2015; 34.
14. Singh SK, Rajoria K. Ayurvedic
management of life-threatening skin
emergency erythroderma: A case study.
Ayu. 2015 Jan-Mar; 36(1):69-72.
15. Markonda, M., & Sowmya, S. B. A
Comparative Clinical Study to Evaluate the
Efficacy of Guduchyadi Kashaya and
Rajrukshadi pachana Kashaya in the
Management of Eka Kushta w.s.r to
Psoriasis. International Journal of Ayurveda
and Pharma Research, 2021; 9(Suppl1), 1–
9.
ISSN: 2584-2757
DOI : 1 0 . 5 2 8 1 / z e n o d o . 1 6 0 4 0 8 1 1
Dr.Jayashree Madhavan Inter. J.Digno. and Research
This work is licensed under Creative
Commons Attribution 4.0 License
Submission Link : http://www.ijdrindia.com
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Copyright @ : - Dr.Jayashree Madhavan Inter. J.Digno. and Research IJDRMSID00055 |ISSN :2584-2757 106
12. Kumar, Anoop & Bhardwaj, Rachana.
Samsarjana Krama-The Science Within and
Beyond it; A Review. International
Research Journal of Ayurveda & Yoga.
2022; 04. 74-80. 10.47223
13. Ram Krishna Rao, Mudiganti & S, Nandha
& Sumathi, Jones & Amutha, Arul &
Prabhu, Kailash & Ravi, Aparna & Dinakar,
Shruthi. Phytochemical and GC MS
Analysis of an Ayurvedic Formulation,
Patolakaturohinyadi Kwatham. International
Journal of Pharma Science Review and
Reserach. 2015; 34.
14. Singh SK, Rajoria K. Ayurvedic
management of life-threatening skin
emergency erythroderma: A case study.
Ayu. 2015 Jan-Mar; 36(1):69-72.
15. Markonda, M., & Sowmya, S. B. A
Comparative Clinical Study to Evaluate the
Efficacy of Guduchyadi Kashaya and
Rajrukshadi pachana Kashaya in the
Management of Eka Kushta w.s.r to
Psoriasis. International Journal of Ayurveda
and Pharma Research, 2021; 9(Suppl1), 1–
9.
ISSN: 2584-2757
DOI : 1 0 . 5 2 8 1 / z e n o d o . 1 6 0 4 0 8 1 1
Dr.Jayashree Madhavan Inter. J.Digno. and Research
This work is licensed under Creative
Commons Attribution 4.0 License
Submission Link : http://www.ijdrindia.com
Benefits of Publishing with us
Fast peer review process
Global archiving of the articles
Unrestricted open online access
Author retains copyright
Unique DOI for all articles
https://ijdrindia.com