Effect of Vamana Karma, Triphala Kashaya and Dehigetadi Lepa in treatment of Kitibha (Psoriasis) - A case study

Abstract

Kitibha is a type of Kushta Roga occurred by vitiation of Vata and Kapha  Dosha. The features of the Kitibha Roga fairly resembles psoriasis. Psoriasis is a non-contagious, autoimmune, and papulo-squamous disorder. Acharyas prescribed Vamana Karma as one of the therapeutic measures in treatment of Kushta (Kitibha). It helps to eliminate vitiated Dosha, especially vitiated Kapha Dosha, through Urdhava Bhaga. Wagapul Madanaphala Yoga is used in Vamana Karma in treatment of Kitibha(psoriasis) with effective results by Sri Lankan traditional physicians. Triphala Kashaya and paste of Dehigetadi Lepa and are also indicated in treatment of Kitibh a with successful results. Since no scientific study has been conducted to evaluate effects of these treatments, the present case study was undertaken. A 35 year old male with a 2 years history of psoriasis was treated with Vamana Karma using Wagapul Madanaphala Yoga followed by oral administration of Triphala Kashaya and external application of Dehigetadi Lepa for a period of fourteen days. Before conduction of Vamana Karma, patient was subjected to Snehana (oleation) by giving ghee in progressive doses and Swedana (fomentation) with steam using Sarvang Vashpa Swedan Yantra (steam cabinet). The response to the treatment was recorded and therapeutic effects were evaluated through symptomatic relief. Daha (burning sensation) and Srava (pinpoint bleeding) were completely relieved after Vamana Karma. Other symptoms were completely or partially relieved after entire treatment. It is concluded that Vamana Karma followed by oral administration of Triphala Kashaya and external application of Dehigetadi Lepa are effective in treatment of Kitibha (psoriasis).