Psoriatic Arthiritis - Patient Case Study

Patient: 42-Year-Old-Male

Patient Baseline

A 42-year-old male patient, a corporate executive by profession, presented with chronic joint pain and stiffness involving the knees, ankles, and small joints of the hands, accompanied by reddish, scaly skin lesions on elbows and scalp. Morning stiffness lasted for over an hour and was associated with fatigue and intermittent low-grade fever. Previous medical records confirmed a diagnosis of Psoriatic Arthritis (PsA) made by a rheumatologist three years earlier. The patient was on intermittent NSAIDs and disease-modifying drugs but experienced gastrointestinal side effects and fluctuating symptoms. At the time of reporting to Sukhayu Ayurved, Jaipur, the patient showed: Skin involvement: Plaque-type psoriasis (elbows, scalp, knees). Joint involvement: Swelling, tenderness, and restricted movement in knee and finger joints. Inflammatory markers: ESR – 52 mm/hr; CRP – 22 mg/L. Overall mobility score: Moderate functional limitation. Ayurvedic Assessment: Vata-Kapha dominance with significant Rakta and Mamsa Dhatu involvement. The condition was assessed as a form of Vatarakta with Kushtha-Anubandha, reflecting autoimmuity (Agnimandya, Ama accumulation, and Dosha-Dhatu Dushti).

Panchakarma Protocols

  • Poorva Karma (Preparatory Phase – 7 days): Deepana-Pachana-Snehapan-Abhyanga-Swedana
  • Pradhana Karma (Main Detoxification – 15 days): Virechana, Followed by Kashaya Basti with Takra Dhara
  • Paschat Karma (Post-detox & Rejuvenation – ongoing): Shamana and Rasyana Chikitsa

Improvements Observed

  • Morning stiffness duration reduced markedly in 12 weeks- negligible
  • Joint pain score (VAS 0–10)- from 8 to 1 or 2
  • Skin lesions were very much limited on the body
  • Reported significant reduction in fatigue, improved digestion
  • Feverish feeling- negligible

Treatment Outcome

After three months of integrated Ayurvedic care, the patient achieved over 80 % improvement in joint mobility and near-complete resolution of psoriatic lesions. Inflammatory markers normalized, and energy levels restored. The patient discontinued dependency on painkillers and reported no relapse during six-month follow-up.