Healing from Within: An Ayurvedic Approach to Managing Psoriasis

Psoriasis is more than just a skin condition. The physical discomfort, visible appearance, and chronic nature of the disease can lead to emotional distress, low self-esteem, and social isolation, significantly impacting a person’s quality of life. And with over a million people affected in the UK alone, psoriasis is clearly a complex and widespread problem. 

Fortunately, Ayurveda offers a holistic approach to healing that seeks to understand and treat the root causes of the condition, rather than simply treating the symptoms. And by doing so, offers hope to millions across the world. 

What is Psoriasis?

Psoriasis is a chronic autoimmune condition that causes the rapid build-up of skin cells, leading to thick, scaly patches on the skin’s surface. These patches, often referred to as plaques, are typically red, inflamed, and covered with silvery-white scales. Psoriasis most commonly affects areas like the elbows, knees, scalp, and lower back, but it can occur anywhere on the body.

Causes and Triggers

While the exact cause of psoriasis isn’t fully understood, it is believed to be related to an immune system malfunction. In individuals with psoriasis, the immune system mistakenly attacks healthy skin cells, causing them to reproduce much faster than normal. This leads to the accumulation of dead skin cells on the surface, forming the characteristic plaques.

Psoriasis is also influenced by genetic factors, meaning it can run in families. Additionally, certain triggers can exacerbate the condition or cause flare-ups, including:

• Stress
• Infections
• Injury to the skin
• Certain medications
• Cold and dry weather
• Lifestyle factors such as smoking, heavy alcohol consumption, and obesity 

In Ayurveda, psoriasis is viewed as an imbalance of the body’s internal energies, often related to the doshas (Vata, Pitta, and Kapha). Ayurvedic treatment therefore focuses on detoxification, dietary changes, herbal remedies, and lifestyle modifications to restore balance and reduce symptoms.

Symptoms of Psoriasis

The symptoms of psoriasis can vary depending on the type and severity of the condition. Common symptoms include:

• Plaque formation
• Dryness and flaking
• Cracking
• Itching and discomfort
• Burning sensation
• Nail changes
• Joint pain (Psoriatic Arthritis)
• Fatigue
• Mood changes

All of these symptoms can be attributed and correlated with specific dosha imbalances. For example, 

• Pitta imbalance: The inflammatory nature of the lesions, redness, and heat in the affected areas are often attributed to a Pitta imbalance which is associated with the qualities of heat and sharpness.
• Kapha imbalance: The thick, scaly nature of the plaques is linked to an increase in Kapha, which is characterised by qualities of heaviness and solidity.
• Vata imbalance: Dryness and cracking of the skin may indicate a Vata imbalance, which is associated with qualities like dryness and roughness.

Recognising the symptoms of psoriasis through an Ayurvedic lens, therefore, allows for the understanding of the underlying dosha imbalances contributing to the condition, and creating a tailored plan to treat and manage the specific manifestations of psoriasis.

Types of Psoriasis

There are several types of psoriasis, each with distinct characteristics:

1. Plaque Psoriasis (Psoriasis Vulgaris): The most common type, characterised by raised, red patches covered with a silvery-white build-up of dead skin cells.
2. Guttate Psoriasis: Appears as small, dot-like lesions, often triggered by a bacterial infection such as strep throat.
3. Inverse Psoriasis: Occurs in body folds, such as under the breasts, in the groin, or around the buttocks, with smooth, red patches of skin.
4. Pustular Psoriasis: Characterised by white pustules (blisters of non-infectious pus) surrounded by red skin.
5. Erythrodermic Psoriasis: A severe, rare form that leads to widespread redness, itching, and pain, covering much of the body.
6. Nail Psoriasis: Affects the nails, causing pitting, abnormal nail growth, and discoloration.
7. Psoriatic Arthritis: A type of arthritis that affects some people with psoriasis, leading to joint pain, stiffness, and swelling.

Diagnosing Psoriasis in Ayurveda

While diagnosing psoriasis usually involves a combination of clinical evaluation, medical history, and sometimes diagnostic tests such as skin biopsies, in Ayurveda, diagnosing psoriasis entails a comprehensive evaluation that considers the individual’s physical, mental, and emotional health. Diagnostic approaches typically include:

1. Physical Examination-

The practitioner conducts a thorough physical examination to observe the following:

• Skin lesions: The location, size, colour, and type of lesions (plaque, pustular, guttate, etc.) are assessed.
• Skin texture: Checking for dryness, scaling, and thickness of the skin in affected areas.
• Nail changes: Evaluating any nail involvement, such as pitting, separation, or discoloration, which can be associated with psoriasis.

2. Comprehensive Patient Assessment-

This involves obtaining a detailed medical history to determine when psoriasis symptoms started and how they progressed, any family history of skin disorders or autoimmune conditions, as well as understanding the patient’s lifestyle and dietary habits. 

3. Assessment of Dosha Imbalances-

As psoriasis is often associated with an imbalance in the doshas (Vata, Pitta, Kapha), the practitioner assesses the predominant dosha imbalance. 

4. Psychological and Emotional Evaluation-

Recognising the connection between emotional health and physical conditions, practitioners will evaluate behavioural patterns, psychological stressors, emotional traumas, or mental health issues that may be exacerbating the condition.

5. Assessment for Psoriatic Arthritis-

Evaluating joint symptoms such as stiffness or pain.

Ayurvedic Treatments and Remedies for Psoriasis

Ayurvedic treatments for psoriasis focus on addressing the root causes of the condition by balancing the body’s doshas, detoxifying the system, and promoting overall well-being. Through a combination of detoxification therapies, herbal remedies, dietary adjustments, and lifestyle changes, Ayurveda offers a holistic approach to managing psoriasis. 

While these treatments can be effective, they should be tailored to the individual’s unique constitution and condition, ideally under the guidance of a qualified Ayurvedic practitioner.

1. Panchakarma Therapy

Panchakarma is a cornerstone of Ayurvedic treatment and involves a series of detoxification procedures aimed at purifying the body by eliminating toxins.

• Vamana (Emesis Therapy): This treatment involves therapeutic vomiting to expel toxins, particularly beneficial for Kapha imbalances.
• Virechana (Purgation Therapy): It involves the use of herbal laxatives to cleanse the intestines, addressing Pitta-related issues that contribute to psoriasis.
• Basti (Medicated Enema): Basti helps in removing toxins from the colon, balancing Vata, and is particularly effective in chronic cases of psoriasis.
• Raktamokshana (Bloodletting): A method used to purify the blood, which is thought to remove toxins associated with skin diseases like psoriasis.

These therapies are typically performed under the supervision of an experienced Ayurvedic practitioner and are followed by specific dietary and lifestyle guidelines to support the detoxification process.

2. Herbal Remedies-

Ayurveda uses a variety of herbs known for their detoxifying, anti-inflammatory, and skin-soothing properties. Some of the commonly used herbs for psoriasis include:

• Neem (Azadirachta indica): Known for its anti-inflammatory, antibacterial, and detoxifying properties, neem is often used both topically and internally to cleanse the blood and skin.
• Turmeric (Curcuma longa): Turmeric is renowned for its anti-inflammatory and antioxidant properties, which help reduce the inflammation and scaling associated with psoriasis.
• Guggulu (Commiphora mukul): This resin is used for its anti-inflammatory and detoxifying effects, often in combination with other herbs to treat chronic skin conditions.
• Khadira (Acacia catechu): Known for its blood-purifying properties, Khadira is effective in treating skin diseases like psoriasis.
• Aloe Vera (Aloe barbadensis): Applied topically, aloe vera soothes irritated skin, reduces inflammation, and promotes healing.

3. Dietary Recommendations-

Diet plays a crucial role in managing psoriasis; the goal being to balance the doshas and reduce the formation of ama (toxins) by:

• Avoiding triggers: Foods that are heavy, oily, spicy, or sour, such as dairy, fried foods, and red meat, are usually avoided as they can aggravate Pitta and Kapha.
• Emphasising cooling foods: Incorporate cooling foods like leafy greens, cucumber, bitter gourd, and other vegetables that help balance Pitta.
• Promoting detoxification: Include foods that aid digestion and detoxification, such as ginger, garlic, and turmeric.
• Hydration: Drinking plenty of water, herbal teas, and coconut water helps keep the body hydrated and supports detoxification.
• Fasting and detox: Periodic fasting or following a detox diet with light, easy-to-digest foods can help reduce the build-up of toxins in the body.

4. Topical Applications-

Ayurvedic topical treatments for psoriasis include herbal oils, pastes, and creams designed to soothe the skin and reduce inflammation. These should ideally include:

• Coconut Oil: Coconut oil is cooling and moisturising, making it an excellent remedy for soothing dry, scaly skin.
• Mahamarichyadi Taila: This herbal oil is specifically formulated for skin disorders and is used to reduce itching, inflammation, and scaling in psoriasis.
• Aloe Vera Gel: Applying fresh aloe vera gel directly to the affected areas can help reduce redness, scaling, and itching.
• Turmeric Paste: A paste made from turmeric powder and water or coconut oil can be applied to psoriatic plaques to reduce inflammation and promote healing.

5. Lifestyle Modification-

In addition to dietary and herbal treatments, Ayurveda emphasises these lifestyle changes to manage psoriasis effectively:

• Stress management: Stress is a known trigger for psoriasis, and Ayurvedic practices such as meditation, yoga, and Pranayama (breathing exercises) are recommended to reduce stress and promote mental balance.
• Regular exercise: Moderate exercise, such as walking or yoga, helps improve circulation, reduce stress, and maintain a healthy weight.
• Adequate sleep: Ensuring sufficient rest and a regular sleep schedule is important for balancing the body’s natural rhythms and supporting the healing process.
• Sun exposure: Moderate sun exposure can benefit psoriasis by providing natural vitamin D, which helps regulate skin cell growth. However, it’s important to avoid excessive sun exposure, which can worsen symptoms.

6. Ayurvedic Supplements-

Certain Ayurvedic formulations and supplements are recommended to balance the doshas and support overall health. These include:

• Triphala: A traditional Ayurvedic formula used for detoxification and improving digestion, which can help reduce the build-up of toxins associated with psoriasis.
• Khadirarishta: An herbal tonic used in Ayurveda to purify the blood and treat skin disorders.
• Manjishtha (Rubia cordifolia): Known for its blood-purifying properties, it helps in reducing the symptoms of psoriasis when taken as a supplement or used topically.

In Ayurveda, treating psoriasis goes beyond addressing the visible symptoms; it involves a comprehensive approach to restoring balance within the body and mind. By understanding psoriasis as a manifestation of internal imbalances, Ayurveda offers a pathway to long-term relief through personalised treatments, dietary adjustments, and lifestyle changes. 

While managing psoriasis can be challenging, incorporating Ayurvedic principles into your routine can help you regain control, reduce flare-ups, and improve overall well-being, leading to a more balanced and harmonious life.

For more information on treating psoriasis, visit The Ayurvedic Clinic today to consult with our experienced panel of Ayurvedic practitioners for an accurate diagnosis and a tailor-made treatment plan that not only helps manage psoriasis symptoms but also supports overall skin health and optimal well-being.