Ayurvedic perspective on managing Kitibha Kustha (psoriasis): A single case report

Abstract

Introduction: Psoriasis is a chronic dermatological disorder that affects 3.5% of the global population and 0.44–
2.8% of Indians. It causes significant physical, emotional, and socioeconomic burden. The condition is marked by
erythematous macules with silvery scales, typically distributed on extensor surfaces, and may present systemic
symptoms like arthritis. In Ayurvedic literature, a similar condition is described as Kitibha Kustha, characterized
by dryness (Rukshata), exudation (Srava), blackish discoloration (Shayav), and hardness (Parusham). Case
Presentation: A male patient presented with well-defined, slightly elevated, dry, erythematous macules with silvery
scales and systemic symptoms suggestive of psoriasis. The Ayurvedic diagnosis was confirmed as Kitibha Kustha
based on classical clinical features. Therapeutic Intervention: The patient underwent Virechan Karma (therapeutic
purgation) as a systemic intervention and Jivantyadi Yamak Sneha as a local application. Treatment was administered
over a structured period, with close monitoring of clinical outcomes. Outcome: Significant improvement was
observed in clinical symptoms, including resolution of dryness, discoloration, and exudation. There was no
recurrence of symptoms during the follow-up period. Conclusion: This case highlights the potential efficacy of
Ayurvedic interventions, particularly Virechan Karma and herbal topical applications, in managing psoriasis.