Psoriatic Arthritis Ayurvedic Treatment

Arthritis in people with chronic psoriasis is termed as psoriatic arthritis. Sometimes arthritis develops first, or both psoriasis and arthritis start simultaneously. Both psoriasis and arthritis have periods of remission and recurrence. It is an autoimmune condition where the immune system attacks body’s own cells. It may be due to some genetic or environmental factors. Family history of psoriasis or psoriatic arthritis itself reinforces the risk. Common triggering factors are trauma, bacterial or viral infection etc. Psoriatic arthritis is not completely curable, only symptomatic care is available. Lack of proper care often leads to disabilities. 

Psoriatic Arthritis Signs and Symptoms

The severity of signs and symptoms may vary between individuals. Psoriasis and psoriatic arthritis are chronic diseases which worsen with time. There are periods of remission and recurrence of symptoms. In most cases, the symptoms of psoriatic arthritis resemble rheumatoid arthritis (joint pain, swelling, etc). The specific symptoms/ signs of psoriatic arthritis are sausage-like swelling of toes and fingers, foot pain where the ligaments and tendons attach to bones, low back pain due to sacroiliitis or spondylitis, inflammation of eyes resulting redness/ blurring of vision/ pain etc, and abnormalities of nails (pits, easily separable nails etc). 

Psoriatic Arthritis Ayurvedic Analysis

The primary phase of vatashonita (Uttana) mainly affects twak/ skin and mamsa/muscle tissue and the major feature is skin problems (eg: itching, dryness, scaling, oozing etc). Thereafter, in the second phase named ‘gambheera avastha’ (a chronic condition) there will be involvement of deep dhatu/tissues like medas (fat tissue), asthi (bones), majja (bone marrow), shukra (sperm and ovum) along with rasa (end-product of digestion) and mamsa (muscle tissue). In some people, Gambheera stage develops even without Utthana stage (acute one affecting skin and muscles more). The signs and symptoms of Gambheera avastha include severe joint pain; swelling; bone/joint deformities due to aggravation of vata is sandhi, asthi and majja; etc. Finally, there may be complications like khanjata. The signs and symptoms of this disease resembles skin disease- excess sweat or less sweat, increased sensitivity or loss of sensitivity etc, along with other features like itching/ tingling sensation/ pain/ heaviness/ numbness over joints etc. The symptoms shows a pattern of intermittent remission and recurrence. 

Psoriatic Arthritis Causative Factors

Vitiation of rakta and vata are the major factors involved in development of vatashonita. Rakta is vitiated by excess intake of vidahi ahara (food items that cause burning sensation during and after digestion), viruddha ahara (incompatible food), rakta dushana ahara (that vitiates blood), altered pattern of sleep, trauma etc. The risk is more for those who live a sedentary life, and have delicate body. Vata is vitiated by exposure to cold, dryness, excess intake of cold and dry food, light food, skipping of meals, altered sleep pattern, over-activity, trauma etc. Then the aggravated vata vitiates the rakta again resulting in vatashonita. In most cases, feet are affected at first.  

Possible Complications in Psoriatic Arthritis Disease

Chronic psoriatic arthritis leads to arthritis mutilans in some people. It is characterised by severe pain and disabilities. This causes damage of fingers resulting in deformity. Other common complications are hypertension, diabetes, cardiovascular disease, metabolic syndrome etc. 

Other systemic diseases and precautions to be taken

Check whether the complaints are caused by other diseases like gout before planning treatment. 

Psoriatic Arthritis Disease Management with Ayurveda Treatment

Ayurvedic management of psoriatic arthritis is based on the principles of vatashonita, Gambheera avastha. The disease recurs at times, and hence only symptomatic care is available. Pacification of rakta and vata is the main aim. Internal medicines are given along with procedures like rukshana (if ama is present), snehana (internal as well as external), swedana (sudation therapy), nasya (nasal administration of drugs), virechana (purgation therapy), vasthi (enema with suitable drugs), lepana (external application of pasted medicines), raktamoksha (blood-letting, eg: leech therapy) etc. In addition to the treatment, strict dietary and lifestyle modification are needed. If there is associated mental distress, psychotherapy is provided. 


Avoid the food items that are mentioned as causative factors of vata and rakta vitiation. Include more vegetables, whole grains, sweet fruits, nuts etc in diet. 


Mild to moderate exercises can be done as per the guidance of the physician. 

Psoriatic Arthritis Preventive Aspects In Ayurveda

Most cases are not preventable. Healthy lifestyle can help prevent the condition up to an extent. 

  • Take healthy nutritious diet.
  • Ensure adequate sleep.
  • Exercise regularly.
  • Avoid stress.
  • Perform seasonal purification therapy.
  • Avoid sedentary habit.
  • Do not travel with legs hanged for long period. 
  • Avoid chances of trauma/ injuries. 

Importance of Diet

Certain food items will trigger the symptoms- eg: peas, sour and salty food etc. Follow a diet that will not cause vitiation of vata and rakta during and after treatment. 


  • Avoid chances of injuries/ trauma.
  • Exercise regularly.
  • Avoid stress.
  • Stick on to a healthy dietary habit.
  • Avoid over-exposure to cold, dry wind, etc. 
  • Take adequate rest.

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