Clinical study to evaluate the efficacy of Vamana Karma with Mudgara (Jasminum malabaricum Wight.) Patra Swarasa in Psoriasis.

Introduction: Vamana Karma is one of the Panchakarma Therapy for the elimination of vitiated Kapha Dosha. Psoriasis is an immune-mediated chronic inflammatory disorder which manifests as dermatological lesions. In Ayurveda, psoriasis is a Kapha Pradhana Kustha on the basis of their clinical presentations..  Method: In this present clinical study, Mudgara (Jasminum malabaricum Wight.) Patra Swarasa was used to evaluate the efficacy of Vamana Karma in psoriasis. Multidimensional assessment of psoriasis was done with ‘Psoriasis Area Severity Index’ (PASI), 5D Itch Score, Auspitz Sign and Candle Grease Sign. An open clinical trial was done on 20 diagnosed psoriatic patients selected from the OPD/ IPD of the Department of Panchakarma at Shree Dharmasthala Manjunatheshwara Ayurveda Hospital, Kuthpady, Udupi, Karnataka. After proper Pachana-Deepana and Samyaka Snigdha Lakshana, patients were subjected to Abhyanga and Parisheka for 2 days. Vamana Karma was performed as mentioned in the classical Ayurveda text.  Patients were examined before Snehapana, after Vamana Karma and on the 7th day after the Vamana clinically and Auspitz Sign, Candle Grease Sign,  PASI & 5 D Itch Scores were determined. Result: The result of this study showed statically significant reduction in PASI and 5D Itch Scores (P < 0.01). No marked changes were observed in Candle Grease sign after treatment.  Conclusion: This study suggests that Mudgara (Jasminum malabaricum Wight.) Patra Swarasa is found effective in the the management of Psoriasis.