Assessing the role of Manibhadra Guda Virechana in the therapeutic management of Ekakustha (Psoriasis Vulgaris): A Case Report

Ekakushtha, as described in Ayurvedic classics, is a chronic, non-infectious skin disorder characterized by dry, scaly, and persistent skin lesions that are often symmetrically distributed. It closely parallels Psoriasis vulgaris in modern dermatology—an immune-mediated condition with a prevalence of 0.44% to 2.8% in India. Psoriasis significantly impairs quality of life due to its relapsing nature and chronic course. A 25-year-old male patient presented with an 8-month history of progressively worsening dry, thick, and scaly lesions over the trunk, limbs, and lower back. The lesions were extensive, non-sweating, and fish scale-like (Matsyashakalopama), with intermittent itching (Kandu) and burning (Daha), particularly during winter. Classical Virechana Karma using Manibhadra Guda was administered, followed by specific internal medications to maintain the therapeutic benefits. Clinical parameters were examined before and after treatment and on follow-up after 45 days, where notable improvements were observed. While conventional treatments provide symptomatic control, this case underscores the potential of Ayurvedic therapies, especially Panchakarma in managing chronic dermatological conditions like Ekakushtha. The approach aims not only at symptomatic relief but also at minimizing relapses and gradually addressing the root cause. This study advocates for further exploration of Ayurveda as a sustainable and holistic treatment modality in chronic skin disorders.