Management of Eka Kushta in Children through Virechana Karma - An Ayurvedic Case Approach

Introduction: Eka Kushtha, a type of Kshudra Kushtha described in Ayurveda, is considered a Vata-Kaphaja disorder. The classical features of Eka Kushta are Aswedanam, Matsyashakalopamam, Mahavastu, Rukshata, and Kandu closely resemble the clinical features of psoriasis, including well-defined erythematous scaly plaques, silvery-white scaling, chronicity with remission and relapse, dryness, pruritus, and seasonal variation. Both conditions are chronic, recurrent, and relapsing dermatological disorders, affecting quality of life and psychological well-being. Thus, Eka Kushtha described in Ayurvedic texts can be correlated with psoriasis in modern dermatology. Methodology: A 15-year-old female with 8-year history of Eka Kushtha presented with large erythematous scaly patches, severe itching, and dryness over extensor aspect of both upper arms and forearm nape of neck, back lower trunk region and below knee joint and USG revealed mild fatty liver and right adnexal cyst. Management included Virechana Karma followed by oral medications and Nidana Parivarjana. Results: Marked improvement was observed post-Virechana with significant reduction in itching, scaling, and patch size. Further symptomatic relief and improvement in skin health were noted during oral therapy along with Nidana Parivarjana. Follow-up USG findings also revealed complete resolution of the right adnexal cyst and reduction in fatty liver changes, indicating systemic benefits of the Ayurvedic management. Discussion: Ayurvedic management of Eka Kushtha demonstrates significant potential in psoriasis care by addressing root causes, preventing relapse, and improving quality of life without the adverse effects on skin immunity. Conclusion: The Ayurvedic approach using Virechana Karma followed by Shamana Chikitsa showed marked improvement in symptoms of Eka Kushta. Systemic benefits, including resolution of fatty liver and adnexal cyst, were also noted. This highlights the holistic efficacy of Ayurveda in managing chronic skin disorders safely and effectively.