Management of psoriasis with Ayurveda Panchakarma and Manibhadragula as Shodhana Rasayana – a case report
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Chiravila Omanakuttan Pillai Sambhu
, Kesavan Parameswaran Namboothiri
Abstract
Objectives
Plaque psoriasis is very embarrassing condition of skin as it produces itchy rashes and scaly lesions which may not respond well to the treatment. It can be correlated with Kitibhakushta which is one among the 18 types of Kushta (skin diseases). Several corticosteroids for skin applications are used now a day’s which gives only temporary relief.
Case presentation
A 36 years old moderate built male patient complains of blackish skin rashes with itching, pain and scaling all over the body for three months. Based on the symptoms, Dosha (Biological humors) involved were assessed as Kapha (binding factors) and Vata (vital force of life) and suggestive of Kitibhakushta. Diagnosis of the Plaque psoriasis was further confirmed by biopsy. Classical Kushta treatment was adopted here. As Poorvakarma (pre-operative procedures), Rukshana (Dehydrating therapy) was done and then Snehapana (intake of medicated ghee) was administered. Then classical Vamana (emetic therapy) and Virechana (purgative therapy) were performed. This took almost one month. After Samsarjana (special diet) patient was administered Manibhadragula as Shodhana Rasayana for a period of one month. At the end of Manibhadragula intake, remarkable changes were observed in all the symptoms. There were significant changes seen in PASI, DLQI and photographs taken before and after treatment.
Conclusions
Here the special mode of administration of Manibhadragula as mentioned in Ashtanga Hridaya helps for Shodhana and the Shodhana itself has Rasayana action. Drugs also have Rasayana property. This made the authors to propose a new concept called Shodhana Rasayana. Classical treatment by considering the condition of Roga (disease) and Rogi (patient) helps for management of Kushta.
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Research funding: None declared.
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Conflict of interest: Dr. Chiravila Omanakuttan pillai has nothing to disclose. Dr. Changuli Krishna Bhat has nothing to disclose. Dr. Kesavan has nothing to disclose. Dr. Puthanmadom Venkataramana Sharma has nothing to disclose.
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Informed consent: Written informed consent was obtained from the patient for publication of the case report with images.
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Ethical approval: Not applicable.
References
1. Charaka Samhita by Agnivesha with Ayurveda Dipika commentary by Chakrapanidatta, reprint ed. Varanasi: Chaukhamba Surbharati Prakashan, Cikitsa Sthana, Chapter 7, Ver. 22; 2017:451 p.Search in Google Scholar
2. Sarac, G, Koca, TT, Baglan, T. A brief summary of clinical types of psoriasis. North Clin Istanbul 2016;3:79–82. https://doi.org/10.14744/nci.2016.16023.Search in Google Scholar PubMed PubMed Central
3. Vagbhata. Ashtangahridayam, Sutrasthana, with commentaries sarvangasundara of Arunadatta and Ayurveda rasayana of Hemadri. Varanasi: Chaukhamba Surbharti Prakashan; Chapter 19, verse 31; 2017:713 p.Search in Google Scholar
4. Gupta, B, Mahapatra, SC, Makhija, R, Kumar, A, Jirankalgikar, NM, Padhi, MM, et al.. Physiological and biochemical changes with Vamana procedure. Ayu 2012;33:348–55. https://doi.org/10.4103/0974-8520.108821.Search in Google Scholar PubMed PubMed Central
5. Charaka Samhita by Agnivesha with Ayurveda Dipika Commentary by Chakrapanidatta, reprint. Varanasi: Chaukhamba Surbharati Prakashan, Cikitsa Sthana, Chapter 7, Ver 2017;451:40.Search in Google Scholar
6. Charaka Samhita by Agnivesha with Ayurveda Dipika Commentary by Chakrapanidatta, reprint ed. Varanasi: Chaukhamba Surbharati Prakashan, Cikitsa Sthana, Chapter 23, Ver. 8–13; 2011:122 p.Search in Google Scholar
7. Aggarwal, BB, Prasad, S, Reuter, S, Kannappan, R, Yadev, VR, Park, B, et al.. Identification of novel anti-inflammatory agents from Ayurvedic medicine for prevention of chronic diseases: “reverse pharmacology” and “bedside to bench” approach. Curr Drug Targets 2011;12:1595–653. https://doi.org/10.2174/138945011798109464.Search in Google Scholar PubMed PubMed Central
8. Venugopala, KN, Rashmi, V, Odhav, B. Review on natural coumarin lead compounds for their pharmacological activity. Biomed Res Int 2013:1–14. e3586066. https://doi.org/10.1155/2013/963248.Search in Google Scholar PubMed PubMed Central
9. Acharya, NR, editor. Susruta Samhita. Varanasi: Chaukhamba Surbharati Prakashan, Cikitsa Sthana, Chapter 27, Verse 1. 2017:498 p.Search in Google Scholar
10. Charaka Samhita by Agnivesha with Ayurveda Dipika Commentary by Chakrapanidatta, reprint. Varanasi: Chaukhamba Surbharati Prakashan, Cikitsa Sthana, Chapter 16, Ver 2017;97:17–19.Search in Google Scholar
© 2021 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Reviews
- Swarna Prashana – faith in the embrace of research
- A review on the concept of aging in Ayurveda literature
- Ethno-pharmacology of Asaroon (Asarum europaeum L.) with special reference to Unani System of Medicine
- Is Trikatu an ayurvedic formulation effective for the management of flu-like illness? A narrative review
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Articles in the same Issue
- Frontmatter
- Reviews
- Swarna Prashana – faith in the embrace of research
- A review on the concept of aging in Ayurveda literature
- Ethno-pharmacology of Asaroon (Asarum europaeum L.) with special reference to Unani System of Medicine
- Is Trikatu an ayurvedic formulation effective for the management of flu-like illness? A narrative review
- The anti-cancer properties of neem (Azadirachta indica) through its antioxidant activity in the liver: its pharmaceutics and toxic dosage forms. A literature review
- The role of acupuncture for myofascial pain syndrome (MPS) in interventional pain management
- Research Articles
- Identification of phenolic compounds in the buds of Algerian Pistacia atlantica desf. Subsp. atlantica by antioxidant activity guided fractionation
- Optimization of water-based ultrasonic-microwave assisted extraction (UMAE) of bioactive compounds from Garcinia mangostana pericarp
- Proximate analysis, HPTLC finger print analysis and multi spectrometric analysis of Strychnos nux-vomica nuts
- Amelioration of sodium fluoride induced oxidative stress by Cynometra travancorica Bedd in mice
- The effects of saffron petals and damask rose petals on biochemical and inflammatory measurements
- Ethanolic extract of Achillea wilhelmsii C. Koch improves pulmonary function and inflammation in LPS-induced acute lung injury mice
- Interaction between properties of commercial Australian honey and saliva: in vitro exploratory study of a potential mechanism in the treatment of oral mucositis
- The potential of immature poken (Citrus reticulata) extract in the weight management, lipid and glucose metabolism
- Effect of the beta-adrenergic blockade on intestinal lactate production and glycogen concentration in dogs infused with hexoses
- Investigating the effect of the Teucrium polium aqueous extract on the liver of the streptozotocin-induced diabetic rats
- Synergistic effects of high-intensity interval training (HIIT) and intake of nettle on serum levels of chemerin and beta cells function in type 2 diabetic rats
- The effect of Cinnamomum cassia extract on oxidative stress in the liver and kidney of STZ-induced diabetic rats
- Protective role of Sterculia tragacantha aqueous extract on pancreatic gene expression and oxidative stress parameters in streptozotocin-induced diabetic rats
- Ameliorating activity of polyphenolic-rich extracts of Basella rubra L. leaves on pancreatic β-cell dysfunction in streptozotocin-induced diabetic rats
- Amelioration of related complications by the combined usage of Gymnadenia orchidis Lindl and pumpkin seed in type 2 diabetic mice
- The effect of Madhumeha Kusumakar Rasa – an Ayurved medicine – in insulin resistance
- Anti-obesity effects of the n-butanol fraction of the methanolic leaf extract of Artemisia campestris from Tunisian pharmacopeia in male Wistar rats
- Compensatory depression of arterial pressure and reversal of ECG abnormalities by Annona muricata and Curcuma longa in hypertensive Wistar rats
- Preventing SARS-CoV-2 transmission in the emergency department by implementing a separate pathway for patients with respiratory conditions
- Clinical significance of serum gonadotropin and androgen levels among Egyptian overweight/obese pubertal girls
- Preference between serum homocysteine and urinary periostin as early predictive biomarkers of renal dysfunction among uncontrolled diabetics
- Mizaj assessment in multiple sclerosis patients based on Persian Medicine
- Immediate effects of the practise of Sheethali pranayama on heart rate and blood pressure parameters in healthy volunteers
- Effects of 12 sessions of steam bath intervention on spirometry parameters among healthy adult volunteers
- The effects of psychological counseling and acupressure based on couple therapy procedure for alleviation of vomiting and nausea in pregnant women in Iran country
- “The immediate effect of neutral spinal compress on heart rate variability in hypertensive individuals”
- Effect of whole-body vibration after a resistance exercise bout on heart rate variability in hypertensive population
- Wet-cupping on calf muscles in polycystic ovary syndrome: a quasi-experimental study
- Auricular field nerve stimulation using the NSS-2 BRIDGE® device as an alternative to opioids following kidney donor surgery
- Evaluation of general body temperament and uterine dystemperament in amenorrhoea: a cross-sectional analytical study
- Short Communication
- Isolation, characterization, and antimicrobial activity of communic acid from Juniperus phoenicea
- Letter to the Editor
- Can silymarin ameliorate β-thalassemia major-induced osteopenia/osteoporosis?
- Case Reports
- Management of psoriasis with Ayurveda Panchakarma and Manibhadragula as Shodhana Rasayana – a case report
- Psychogenic pseudo-myasthenic ptosis – management with ayurvedic medicines and Smriti meditation
- Education Forum
- Tongue stretching: technique and clinical proposal
- Simulation-based ventilatory training for the caregivers at primary and rural health care workers in Central India for dealing with COVID-19 pandemic: recommendations