Ayurvedic Management of Viruddhaharajanaya Sidhma

Abstract

Psoriasis is a chronic, immune-mediated inflammatory skin disorder influenced by genetic, environmental, and dietary factors. In Ayurveda, the condition Sidhma often compared with psoriasis due to similarities in symptomatology. This case explores the correlation between psoriasis and Viruddhahara (incompatible diet), along with the influence of environmental stresses, aligning with Ayurvedic pathogenesis. Materials and Methods: Here we report a case of Viruddhaharajanaya sidhma. Patient presented with erythematous, scaly plaques over the trunk and extremities for the last 8 years. The condition diagnosed clinically and histopathological as chronic plaque psoriasis. A detailed dietary and lifestyle history revealed prolonged consumption of incompatible food combinations (tinned juices and curd and meat on daily basis). Patient was assessed using Ayurvedic diagnostic tools, and the condition was correlated with Sidhma as described in classical text. Management included Dipana pacana, Shodhana (Virecana), and followed by Shamana cikitsa. Results: Within three weeks, a significant reduction in itching, scaling, and erythema was observed. The Psoriasis Area Severity Index (PASI) score reduced from 49 to 7.8. The patient was advised to follow pathya (compatible dietary regimen) and avoid Viruddhahara.