A Case Study on Kitibha Kushta: Relevance of Classical Ayurveda in Modern Dermatology

Introduction: Agadtantra, one of the eight branches of Ayurveda, deals with the diagnosis and management of poisoning. Dushivisha refers to a low-grade latent toxin that persists in the body, vitiates Rakta Dhatu, and contributes to chronic disorders such as Kitibha Kushta (psoriasis-like condition). Ayurveda attributes Kitibha Kushta to Vata-Kapha predominance with Rasa and Rakta involvement, closely resembling plaque psoriasis in modern medicine. The characteristic features of Kitibha Kushta include Shyava Varna (dark discoloration of the skin), Kinakhara Sparsha (rough and scaly texture), Parushata (hardness), and Rukshata (dryness). Main clinical finding: A 24-year-old male presented with scaling, itching, erythematous patches, and inflammation over the trunk, with chronic constipation. Intervention: Treatment included Shodhana and Shamana therapies: Snehapana, Vamana Karma followed by Virechana. Shamana medications included Avipattikara Churna, Su.Gandhaka, Dushivishari Gutika, Panchnimba Churna, Khadirarishta, and Mahamanjishtadi Arishta. Diet and lifestyle modifications were advised. Assessment was based on gradation of clinical features before and after treatment. Conclusion and outcome: An integrative Ayurvedic approach combining Shodhana and Shamana therapies effectively managed Kitibha Kushta with Dushivishajanya etiology. This case highlights the relevance of detoxification, Dosha balance, and Rasayana support in chronic skin disorders like psoriasis.