A Successful Management of Kitibha Kustha vis-a-vis Plaque Psoriasis Through Ayurveda

Abstract

Background: Kitibha Kuṣṭha, a Vata–Kapha dominant Kṣudra Kuṣṭha, presents with thick, scaly, hyperpigmented plaques accompanied by itching and dryness. This case study evaluates the clinical efficacy of an Ayurvedic Śodhana-Śamana protocol in managing Kitibha Kuṣṭha induced by prolonged contact with chemically polluted agricultural water. Case Details: A 34-year-old male farmer presented with multiple hyperpigmented, rough, pruritic plaques on both upper and lower limbs, back, and elbows for two years. Signs such as positive Grattage, Auspitz, and Candle-grease tests supported the diagnosis. Classical symptoms corresponded with Kitibha Kuṣṭha as described in Ayurvedic texts. Environmental history revealed continuous exposure to pesticide-contaminated water, identified as a major Nidana. Intervention: Management included Dipana-Pacana with Ajamodadi and Lavana Bhaskara Curna, Udvartana with Triphala Curna, Snehapana with Guggulutiktaka Ghṛta, followed by Abhyanga and Virecana using Trivṛt Lehya. Raktamokṣana (Jalauka) and Śamana therapy with Paṭola Kaṭurohinyadi Kaṣaya, Tiktaka Ghṛta, Arogyavardhini Vaṭi, and Gandhaka Rasayana were administered. Results: PASI-based scoring demonstrated marked improvement from 26 at baseline to 0 following the complete treatment protocol. Significant reduction in erythema, induration, scaling, itching, and discoloration was observed. Conclusion: This case highlights that an integrated Ayurvedic approach combining Śodhana, Śamana, and Swasthavṛtta-based preventive measures can produce substantial clinical improvement in Kitibha Kuṣṭha associated with environmental toxin exposure. Ayurvedic interventions show promising potential for managing chronic dermatological conditions linked to occupational hazards.