Baseline Condition
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).