Management of Mandala Kushtha (Psoriasis) through Ayurveda - A Case Study

Abstract

Mandala Kushta is a type of skin disorder predominantly associated with an imbalance of Sleshma (Kapha) and  is categorized under Mahakushta in Ayurveda. It is generally characterized by symptoms such as reddish circular  lesions, raised skin patches, intense itching, and a burning sensation. The development of this condition can be  attributed to several causative factors, including intake of Kledakar (moisture-promoting) foods, imbalance of the  Doshas, blockage of body channels (Srotorodha), suppression of natural urges (Vegadharana), parasitic infestations  (Krimi), and psychological disturbances (Manovikaras). Since the condition involves the aggravation of all three  Doshas (Vata, Pitta, and Kapha) along with disturbances in Rakta (blood), Mamsa (muscle tissue), and Twak  (skin), Ayurvedic treatment emphasizes the use of herbal remedies and classical formulations. These therapeutic  measures work by pacifying the vitiated Doshas, purifying and nourishing the Rasa and Rakta dhatus, restoring  hormonal equilibrium, and enhancing metabolic and digestive functions (Agni). This essay explores the Ayurvedic understanding of Mandala Kushta, with a particular emphasis on Saman Chikitsa (palliative therapy) as a key  component in its effective management. This study aims to assess the therapeutic impact of Ayurvedic Samshaman  Chikitsa in managing Mandal Kushtha (psoriasis). A 29-year-old female patient having a complaint of red scaly  patches on both hands for 2 years with itching. This condition clinically correlates to Mandal Kushtha described in  Ayurveda. Mandala Kushtha has Shwetam Raktam Varna, Sthira, Styanam, and Utsana Mandala (skin begins with  special characters. Based on the clinical signs and symptoms, the patient was treated with classical Ayurvedic formulations  indicated for Mandala Kushtha (psoriasis). The assessment was carried out before treatment, after completion of treatment,  and following the follow-up period. Photographic documentation was done before and after the treatment.