Management of Scalp Psoriasis (Ekakushtha) Through Ayurvedic Intervention

Abstract

Ekakustha (psoriasis) is a chronic, non-contagious inflammatory skin disorder characterized by well-demarcated erythematous plaques covered with silvery-white scales, commonly affecting the scalp and extensor surfaces. It follows a relapsing-remitting course and significantly impairs the physical, psychological, and social well-being of patients. In Ayurveda, psoriasis can be correlated with Ekakustha, a subtype of Kshudra Kushtha, predominantly involving the vitiation of Vata and Kapha Doshas along with the involvement of Ama, Twak, and Rakta Dhatus. Aim: To evaluate the effectiveness of Ayurvedic management in a clinically diagnosed case of scalp psoriasis (Ekakustha). Methods: A 14-year-old male patient presented with Shiro Kandu (scalp itching), Kesha Patana (hair fall), erythema (redness), and Darunaka (dandruff). Based on clinical findings and Ayurvedic assessment, he was diagnosed with Ekakustha (scalp psoriasis). The patient received a comprehensive Ayurvedic treatment along with appropriate dietary and lifestyle modifications. Clinical progress was monitored through regular follow-up over four months. Results: Gradual and significant improvement was observed in all presenting symptoms during the treatment period. At the end of four months, complete resolution of scalp itching, scaling, erythema, dandruff, and hair fall was achieved without any reported adverse effects. Conclusion: This case demonstrates that Ayurvedic management can be an effective and safe therapeutic approach for scalp psoriasis (Ekakustha). The combined use of Ayurvedic medications with appropriate dietary and lifestyle modifications may help achieve symptomatic relief and improve the patient's quality of life. Further large-scale clinical studies are recommended to validate these findings.