ROLE OF KOSHTHASHUDDHI IN AUGMENTING EFFECT OF CHANDRASHAKALADI VATAKA RASAYANA AND CHANDAMARUTAM IN THE MANAGEMENT OF EKA-KUSHTHA (PSORIASIS)

Akash S. Changole* and Mandip Goyal

ABSTRACT

Eka-Kushtha is a variety of Kshudra Kushtha with dominancy of Vata and Kapha Dosha and is characterized by symptoms like- Aswedanam, Mahavastum and Matsyashakalopama, having similarity with Psoriasis. Due to its chronic and recurrent nature, it has a great impact on the quality of life of the patients. The present study was aimed to study the role of Koshthashuddhi in augmenting effect of Chandrashakaladi Vataka Rasayana and Chandamarutam used as external application in the patients of Eka-Kushtha (Psoriasis). The selected patients were randomly divided into two groups. In Koshtha Shuddhi Rasayana group (Group KSR), Koshthashuddhi was done by administration of Haritakkyadi Yoga, after Snehapana followed by administration of Chandrashakaladi Vataka Rasayana and external application of Chandamarutam Malahara for 30 days. In Second Group R (Rasayana Group) patients were treated with Chandrashakaladi Vataka Rasayana and external application of Chandamarutam Malahara for 30 days without Koshthashuddhi. The improvement provided, were assessed on the basis of relief in signs and symptoms which were assigned scores, assessed before and after the treatment. PASI score and DLQI score were assessed before and after treatment. Both the groups provided highly significant results in all signs, symptoms and other parameters. However Koshthashuddhi followed by administration of Chandrashakaladi Vataka along with external application of Chandamarutam Malahara was more effective.

Keywords: Eka-Kushtha, Koshthashuddhi, Chandrashakaladi Vataka Rasayana, Chandamarutam Malahara, Psoriasis.