Become A Member

Introduction: Skin diseases are among the most prevalent disorders worldwide, significantly affecting quality of life. In Ayurveda, Kustha Roga encompasses a broad category of skin conditions, ranging from superficial dermatoses to chronic, systemic disorders, classified into Maha Kustha and Kshudra Kustha. These conditions arise from the vitiation of Tridosha and impaired Rasa-Rakta dhatu. Conventional modern dermatology primarily emphasizes symptomatic treatment with corticosteroids, antihistamines, and immunosuppressants, which often cause adverse effects and recurrence. Thus, exploring Ayurvedic management within Kayachikitsa (internal medicine) provides a holistic framework. Methods: A comprehensive review was conducted by analyzing Ayurvedic classics (Charaka Samhita, Sushruta Samhita, Ashtanga Hridaya) and commentaries for textual references on Kustha Roga. Biomedical databases such as PubMed, Scopus, and Web of Science were searched (2000–2024) with terms including Ayurveda, Kustha, skin diseases, herbal dermatology, integrative dermatology. Inclusion criteria: classical descriptions, pharmacological studies of Ayurvedic herbs/minerals, clinical trials, and systematic reviews. Results: Ayurveda outlines multifactorial etiologies including incompatible diet (Viruddhahara), poor lifestyle (Mithya Ahara-Vihara), and genetic predisposition. Management involves Shodhana (purification therapies such as Vamana, Virechana, Raktamokshana), Shamana (palliative therapy with herbs like Khadhira, Nimba, Manjishtha, Haridra), and Rasayana (rejuvenatives such as Amalaki, Guduchi). Clinical evidence suggests efficacy of formulations like Panchatikta Ghrita, Mahatiktaka Kashaya, and Aragwadhadi Taila. Modern studies validate their antimicrobial, anti-inflammatory, and immunomodulatory properties. Integrative approaches combining Ayurveda with modern dermatology improve outcomes, reduce recurrence, and enhance quality of life. Discussion: Ayurvedic interventions offer a systemic approach addressing root causes, compared to symptomatic relief of modern therapies. Gaps include limited large-scale clinical trials, standardization, and regulatory validation. Conclusion: Integrating Ayurvedic Kayachikitsa principles with modern dermatology provides sustainable, patient-centered strategies for managing skin diseases.

KEYWORDS: Ayurveda, Immunomodulation, Kayachikitsa, Kustha Roga, Skin diseases