This article presents a comprehensive case study on the Ayurvedic management of Kitibha Kushta, a chronic skin disorder characterized by patches and lesions that can lead to significant discomfort and psychological distress. The Kitibha Kushta can be correlated with the Psoriasis in Contemporary science. Psoriasis is common chronic skin condition which is characterized by the development of erythematous, well defined, dry, scaly papules and plaques of size ranging from a pinhead to larger size. The study focuses on a 22-year-old male patient who exhibited typical symptoms of Kitibha Kushta. The management plan included a holistic approach combining dietary modifications, herbal formulations like Khadiraarishta, Nimbadi Kashaya etc. and therapeutic treatments such as Panchakarma like Vamana & Virechana. The efficacy of the treatment was assessed through both qualitative observations and quantitative measurements of symptom relief over a 3 months period. Results demonstrated a marked improvement in the patient’s skin condition, reduction in itching and inflammation, and enhanced overall well-being. This case study underscores the potential of Ayurveda as a viable treatment modality for chronic skin conditions, highlighting the importance of individualized therapy and lifestyle adjustments in achieving long-term health outcomes. The findings contribute to the growing body of evidence supporting Ayurvedic practices in dermatological care and encourage further research into the mechanisms and effectiveness of such interventions.