Effect of an Ayurvedic Treatment on kitibha kushtha Psoriasis Symptoms and Gut Health

INTERVENTION: CONDITION: Health Condition 1: L409‐ Psoriasis, unspecified PRIMARY OUTCOME: Change in Psoriasis Area and Severity Index PASI Score from baseline to the end of treatment period ; Assessed to determine the efficacy of the intervention in reducing the severity of Kitibha Kushtha PsoriasisTimepoint: Total duration 90 days with three follow ups at 30 days gap SECONDARY OUTCOME: Measure pre and post treatment shifts in Gut Micribiota Diversity via 16s rRNA sequencing Metabolic efficiency using standardized Agni Scales and disease severity Quality of life through PASI and DLQI ScoreTimepoint: Total Duration 90 days with three follow ups at 30 days gap INCLUSION CRITERIA: Age group 20 yrs to 60 yrs irrespective of se Xreligion economic status and race Patients have signs and symptoms of Kitibha Kushtha as per classical text Diagnosed and confirmed cases of Kitibha Kushtha Psoriasis based on Subjective and Objective criteria The PASI score more than 10 mild and below 20 moderate Psoriasis Below 10 years of chronicity Patient willing to enroll in study 4 weeks washout period for Methotrexate Patients receiving Methotrexate will undergo a washout period of 4 weeks prior to enrollment in the study to eliminate residual pharmacological effects and avoid interference with the study interventions