Ekakusta, kitibha and Sidma are some of the types of Kshudra and Maha Kustas (skin diseases) narrated in Ayurveda closely resemble the classical symptoms of Psoriasis.

Psoriasis (Kiṭibha) is well known disease in Ayurvedic fraternity from the time immemorial. A clear disease description is available in Caraka samhita. As per conventional system of medicine psoriasis comes under papulosquamous disorder with a morphological feature of scaly papules and plaques. Psoriasis is an autoimmune disorder of the skin results in hyper proliferation of the skin.

The term Psoriasis originated from the Greek word “Psora” (spelled sora) that means, “itch”. It is a chronic skin disease characterized by dry skin and raised, rough, red areas on the skin covered with fine silvery scales. Erythematous, well defined dry scaly papules and plaques ranges from pin head to palm sized. Due to itch scraping causes multiple bleeding points (Auspitz sign).

The disorder is a chronic recurring condition which varies in severity from minor localized patches to complete body coverage. Fingernails and toenails are frequently affected (psoriatic nail dystrophy) – and can be seen as an isolated finding. Psoriasis can also cause inflammation of the joints, which is known as psoriatic arthritis. 10 to 30% of people with psoriasis have psoriatic arthritis.

Etiology, Triggering factors and preventive measures

As per Ayurveda causes of all varieties of skin diseases are common.

  • Intake of mutually contradictory food like fish and milk, intake of unctuous and heavy drinks, suppression of natural urges like vomiting, sleep, thirst etc.
  • Physical exercise in excess heat climate or after taking heavy meal, violation of laws of Ayurveda in exposing to heat, cold, fasting and taking food.
  • Intake of cold water immediately after exposing to scorching sun.
  • Intake of uncooked food and food before the previous meal is digested.
  • Violation of laws of panchakarma (5 purification procedures).
  • Excess intake of foods like fresh grains, curd, fish, salt and sour substances; excess intake of black gram, radish, pastry, sesame seeds, milk, jaggery;
  • Sexual act in the state of indigestion; day sleep, performing sinful acts. As a common law of Nidānaparivarjan (abstinence of aetiological factors) these aetiological factors can also be considered as triggering factors/ preventive measures and to be avoided in the course of treatment

Signs and Symptoms

The clinical features are shyavam (Blackish brown discoloration of skin), Kiṇakharasparsha (affected skin will be rough to touch like the scar tissue), Paruṣa (hard to touch).


Ayurveda believes that impurities in the blood associated with emotional factors are the cause of the disease.

Psoriasis is believed to occur due to vitiation of all the three doshas (Vata, Pitta, Kapha) in varying degree, but predominantly Vata and Kapha according to the Ayurvedic concept. All the procedure and medicines those pacify these two Vāta and Kapha Doṣa are indicated in this disease. In vitiation of Vāta medicated ghee, in pitta domination bloodletting or purgation; in Kapha domination medicated vomiting are indicated.

At Rudra Ayurveda, our treatment primarily focuses on balancing the vitiated dosha by doing body purification.

Management of Psoriasis comprises of:

  • Shodhana chikitsa (Detoxification) done through Panchakarma therapies like Vamana, Virechana, Rakta mokshna etc & an exclusive therapy called Thakra dhara
  • Shamana chikitsa through administration of internal medication and external applications
  • Rasayana chikitsa (immunomodulation) through kayakalpa
  • Very strict Diet regime
  • Lifestyle changes
  • Stress management