Psoriasis is a common and chronic skin condition that necessitates continuous care and management. While modern medicine offers no definitive cure, many patients seek alternative therapies to manage this lifelong disease. In this context, it is our privilege to present insights from Dr. Gaurang Joshi, an internationally renowned Ayurvedic dermatologist and the President of the International Psoriasis Foundation. Dr. Joshi shares the Ayurvedic perspective on psoriasis and offers holistic strategies for its management.

About Dr. Gaurang Joshi
Dr. Joshi serves as the Medical Director of Atharva Multi-Specialty Ayurveda Hospital and CEO of Green Tree Botanicals. He also chairs the Atharva Life Science Academic and Research Foundation. An esteemed faculty member at the International Academy of Ayurved and editor of the Journal of Cancer Prevention and Current Research, Oklahoma, USA, Dr. Joshi can be reached through Atharva Ayurveda.

Dermatocare: What causes psoriasis according to Ayurveda?

Dr. Joshi:
In Ayurveda, skin diseases are grouped under Kushtha, and psoriasis is classified as Ek Kushtha. This condition arises due to the vitiation of Vata and Kapha doshas, which then disturb the Rasa and Rakta Dhatus—bodily elements responsible for skin nourishment—resulting in accumulation and pathology in the skin (Twak).

Based on our clinical observations, the three principal causes of psoriasis include:

1. Viruddha Aahar (Incompatible Diet):
   Irregular eating habits, such as consuming incompatible food combinations and erratic meal timings, significantly contribute to disease manifestation.

2. Viruddha Vihar (Improper Lifestyle):
   Mental stress from personal or professional issues, inadequate sleep, and improper use of synthetic skincare products or medications can aggravate skin disorders. Such factors may lead to allergies that later progress to psoriasis.

3. Adrishta Hetu (Unknown or Genetic Factors):
   Hereditary predispositions or unknown triggers may also play a role.

Dermatocare: Is there a role of diet in psoriasis management?

Dr. Joshi:
Diet plays a central role in both the occurrence and management of psoriasis. According to Ayurveda, the first line of treatment is Nidana Parivarjanam—eliminating the root causes. Hence, dietary modifications are crucial.

Dietary Guidelines for Psoriasis:

• Replace regular salt with rock salt, in limited quantities.

• Avoid non-vegetarian food, except for boiled eggs and specific fish types under medical supervision.

• Eliminate red/green chilies, garlic, onion, and spicy or fried foods.

• Avoid milkshakes, fruit salads, or consuming fruits and milk together.

• Restrict intake of sour, citric foods and fermented items.

• Refrain from leftover, frozen, dry, pungent, and fast foods—as they aggravate Vata and Kapha.

Patients should consume freshly cooked meals with a preference for well-cooked vegetables.

Dermatocare: Can Ayurveda cure psoriasis?

Dr. Joshi:
Psoriasis is considered a Yapya condition in Ayurveda, meaning it is manageable but not permanently curable. Through a comprehensive Ayurvedic treatment protocol—encompassing diet, lifestyle correction, stress management, Panchakarma therapies, herbal medications, yoga, and meditation—patients can achieve symptom-free periods. However, long-term lifestyle discipline is essential.

Dermatocare: Are there home remedies for psoriasis?

Dr. Joshi:
Yes, certain home-based practices can help manage symptoms:

• Virgin Coconut Oil acts as an excellent natural moisturizer for dry and scaly skin.

• Moderate exposure to natural sunlight may also provide benefit.

That said, it is imperative to consult a qualified Ayurvedic physician for further personalized treatment.

Dermatocare: What does Ayurvedic treatment for psoriasis involve?

Dr. Joshi:
Ayurvedic treatment of psoriasis follows a structured approach:

1. Diet and Lifestyle Management
   Avoiding dietary and lifestyle triggers is fundamental. Stress management is critical.

2. Panchakarma (Internal Detoxification):
   This includes:

   • Virechana (therapeutic purgation)

   • Raktamokshana (bloodletting)

   • Shirodhara (oil therapy for mental calm)

   • Abhyanga (herbal oil massage)
     As stated by Acharya Charaka: “Punah Punah Shodhan”—repeated purification is essential for sustained relief.

3. Herbal Medications
   Specific herbs are used both internally and topically, selected based on individual needs.

4. Yoga and Meditation
   Regular practice aids in managing stress and complements Panchakarma.

Dermatocare: How long does Ayurvedic treatment take?

Dr. Joshi:
The duration depends on factors such as severity, toxin load, and psychological well-being. Treatment is typically long-term and must be accompanied by sustained dietary and lifestyle changes. Recurrence is common if protocols are not consistently followed.

Final Message from Dr. Gaurang Joshi

I urge patients to avoid unqualified Ayurvedic practitioners who claim to cure psoriasis. Treatment must not be based solely on internet sources or media reports. Always consult a certified Ayurvedic physician to ensure ethical and effective care.

Watch the video below to understand how Ayurvedic treatments support skin health.