Dosha-Dhatu-Mala Based Ayurvedic Approach in Chronic Psoriasis Management

Abstract

Psoriasis is a chronic relapsing inflammatory skin disorder characterized by scaling, itching, dryness, and erythematous lesion. Chronic plaque psoriasis is a persistent inflammatory dermatological disorder. It is associated with immune dysregulation, inflammatory cytokine activation, and abnormal keratinocyte proliferation. Modern dermatology describes psoriasis as an immune-mediated disease involving T-cell activation, inflammatory cytokine and accelerated keratinocyte proliferation leading to chronic inflammation and plaque formation. (Griffiths CEM et al., The Lancet, 2021). Despite availability of various therapeutic modalities its chronic and relapsing nature makes long term management challenging. The present case report describes a 62-year-old male patient suffering from chronic plaque psoriasis since 20 years. The disease initially started with dryness and excessive scaling over the back region, followed by progression of lesions with severe burning sensation and scalp involvement associated with dandruff. The patient had previously taken conventional treatment with temporary symptomatic relief. Ayurvedic assessment was performed based on Roga-rogi pariksha, Dosha, Dhatu, Mala, Dushya involvement. Integrative Ayurvedic management consisting of internal medicines, local applications, and supportive care was initiated. Progressive clinical regression in symptoms was observed during follow-up, with approximately 60% improvement by April 2026 and 90-95% clinical resolution by June 2026.