Amrita Bhallataka: A Powerful Ally in Plaque Psoriasis and its Complications Management

Abstract

Psoriasis is a chronic relapsing inflammatory skin disorder often associated with systemic and arthropathic complications. In Ayurveda, such conditions are understood under Kushta, a Tridoshaja disorder involving vitiation of Vata, Kapha, and Rakta with progressive dhatu involvement. Chronicity and recurrence indicate deeper pathology requiring both dosha Shodhana and Dhatu poshana through Rasayana therapy. This case study presents the management of a 43-year-old male with long-standing plaque psoriasis and joint involvement who was admitted to the Kayachikitsa inpatient department of Government ayurveda medical college hospital, Tripunithura, for ayurvedic management. Clinical features included erythematous scaly plaques, severe itching, nail pitting, and multiple joint pains. Management followed classical ayurvedic principles employing sequential Shodhana, Shamana, and Rasayana therapies. Amrita bhallataka lehya, described in Yoga ratnakara, was administered as a discharge Rasayana considering its Deepana, Pachana, Kusthaghna, and Rasayana properties, aiming to correct Agnimandya, support Dhatu poshana, and prevent recurrence. Significant improvement was observed. The Psoriasis Area and Severity Index (PASI) decreased from 17.4 to 7.3, indicating a marked reduction in lesion severity and extent. The Disease Activity in Psoriatic Arthritis (DAPSA) score reduced from 32.5 to 6.5, showing improvement in arthropathic symptoms. The patient also reported better digestion, reduced itching, and improved general well-being with no major relapse during follow-up. This case highlights the potential role of Amrita bhallataka lehya as a supportive Rasayana in the long-term management of plaque psoriasis and its complications, contributing to sustained remission and improved quality of life.