Skin diseases not only affects physical body of a person but also affects his lifestyle and social confidence very badly. Psoriasis is a chronic inflammatory non-infectious disease of skin which is characterized by well-defined erythematous lesions having plaques with silvery scales. In Ayurveda Ekakustha can be studied as plaque psoriasis basing on its sign and symptoms. Ekakustha or plaque psoriasis is a Vata Kaphaja Kustha Roga which can be treated with both Antahparimarjan and Bahirparimarjan Chikitsa. Here is a case study on Ekakustha where Samsodhana and Sanshaman therapy were adopted to treat the disease. Virechan therapy in regular intervals along with Takradhara and Ayurveda medication was given to the patient treated for a period of 6 months. The severity of the psoriatic lesions was assessed by PASI score taken before and after treatment. Before starting the treatment his PASI score was 49.8. After 2 months it was 27, after 4 months it was 9.3 and after 6 months treatment his PASI score was 0. Then after 3 months follow up also there was no new complains and the patient was absolutely fine with no psoriatic features.
