A case study of psoriasis which responded well to Panchtiktaghrut guggul and 777 oil as Shamana therapy

 

 

Abstract               Background: Skin is the largest organ of the body. In Ayurveda all the skin diseases are described under a umbrella term‘Kushtha.’ Kushtha is caused when the tridosha i.e, vata , pitta, kapha are disturbed. According to Acharya Kashyap, the clinical features of Ekakushta resembles psoriasis. Psoriasis is not a fatal disease but it hampers the quality of life. It is difficult to treat as it has high recurrence, according to modern medicine it is auto-immune, non-contagious disorder and is very difficult to cure. This is case study of Psoriasis vulgaries . The patient have taken treatment from various pathies but due to frequent recurrence approached towards Ayurvedic medicines. Since the patient was willing to take only shamana chikitsa he was treated with internal medicine and external application for 2 months.

Keywords: Psoriasis, Panchtiktaghrut guggul,777 oil, shamana chikitsa

 

INTRODUCTION

Psoriasis is defined as auto-immune disorder characterized by abnormal patches which are dry, itchy and scaly. This disease have various type of presentation they may be small patchy with localised presentation to extensively spread all over the body including scalp, palms and sole. Even being auto-immune disease, the symptoms aggrevates due to environmental changes, general illness, stress or local trauma. Modern science treats this disease with PUVA and corticosteroids which can be toxic to liver, kidney and other vital organs of the body. But according to Ayurveda this disease occurs due to imbalance of tridosha. All the skin diseases are treated in the following sequence sodhana, shamana and rasayana chikitsa. Treating Psoriasis is a challenge due to its remission and excebation nature. Here we prescribed the internal medication along with the local application as the patient was not willing to undergo the sodhana chikitsa and we had the following finding after 2 months.

 

A Case Report Study:

A 20 years old male patient visited Ayurvedic opd in May 2019 with chief complaints of

• Reddish patch all over body including scalp.
• Scaling of skin.
• Severe itching all over the body.

Patient had above complaints, since 3-4 months

H/O- No H/O of D/M, HTN, Asthma or any major illness.

Family H/O – No H/O of D/M, HTN, Asthma or any major illness.

Medicinal History: Use of steroids locally as well as orally .

Surgical History: No any operative done till date.

Allergic: No known history of allergy to any medicine.

History of present illness:

The patient was normal 3-4 months back. Since then patient have been suffering from Reddish patch which firstly appeared over upper limbs, lower limbs, trunk, head, and lastly scalp with scaling and severe itching. For this patient have taken local and internal steroids for 1 month but no significant relief was observed and the patient had stopped to respond to local steroids. For the further management they came to our hospital for ayurvedic medicine.

Personal History:

 Occupation- Job

 Addiction - Guthkha chewing.

O/E

Nadi(Pulse)- 72/min

Mala(Stool)- Satisfactory

Mutra(urine)- Normal

Jeevha(Tongue)- Eshat saam

Agni (Appetite) – Mandagni

Shabda(Speech)- Normal

Sparsha(Skin) – Khara,Ruksha,Raktawarniya (dry,reddish)

Druka(Eyes)- Normal

Akruti (Physic)- Madhyam

Bala- Madhyam

Raktadaba- 130/80 mm Hg

Bhar – 86 kg

Height- 175 cm

General examination:

 RS- AEBE clear

 CVS- S1, S2 Normal

 CNS- conscious and oriented.

 P/A- Soft

Local examination:

• Redness associated with maculopapular lesion on palm, sole, trunk, hand, feet including scalp.
• Scaling
• Itching
• Pain – on and off

 

PASI Score-

Before treatment-

Table 1

 

Table 2

 

Table 3

Total(D)= 2.1+2.8+13.5+9.6; PASI Score= 28

 

After treatment-

Table 4

 

Table 5

 

Table 6

Total(D)= 0.2+0.2+1.8+0.4; PASI Score = 2.6

 

MATERIAL AND METHOD

Method:

• Centre of study: Ayurved Rugnalaya and Multispeciality hospital,Nigdi

Simple Random single case study

Material with prognosis:

Table 7

 

First follow-up:

First follow-up was taken after one month and there was 50% relief in the symptoms and hence the same dose was continued for next one month.

Second follow-up:

Second follow-up was taken after one month after first follow-up and the symptoms were relieved by 85%.

 

DISCUSSION

Hetu:

Ahar:

• Improper and Irregular diet
• Dairy products - Panner, excess curd in diet
• Anup Sevan: Matsya sevan (two times in a week)

Vihar:

• Vega dharan
• Ratri jagran

Manasika Nidan:

• Chinta, bhaya and krodha

Samprapti Ghatak:

 Dosha: Tridosha

Dushya: Rasa and Rakta

Adhishtan : Twak

Action of Drug in the management of Psoriasis:

Panchatiktaghrut Guggul:

• Antitoxin
• Antipruritic
• Anti-infammatory
• Analgesic
• Anti-ulcerogenic
• Depurative

 777 oil: Shwet Kutaj and coconut are its content

• Moisturizes the skin
• Reduces dryness
• Anti-inflammatory
• Antipruritic
• Anti-ulcerogenic

BEFORE TREATMENT

 

 

AFTER TREATMENT