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Psoriasis is a chronic dermatosis characterised by an unpredictable course of remissionn & relapse. It is an non-infectious skin disaease chracterised by scaly, silvery patches mainly on the scalp and extensior surface of the body. Its exact cause is unkown. In ayurveda, it is closely resembles with ekakushta. The features of ekakushta explains in ayurveda classics resembles with the symptoms of psoriasis. Psoriasis is the challenge for modern science. There is no definite treatment for psoriasis in modern science till today. The drug available in the market use to treat psoriasis are not very effective and have local and systemic effects.
In ayurveda, vata pitta and kapha dosha is the main contributory factor for the disease. Due to vitiation of three dosha, the disease manifest and main line of treatment for psoriasis is panchkarma and internal medicine. It is considering the best approach for skin disorder in ayurveda. A case report of 42-year old male, presented with well demarcated red scaly, silvery patches mainly on both legs, hands, scalp, chest and back with itching, and also nail and joint involvement has been presented in this article.
Etiology of Psoriasis:
Unknown but many factors have been associated-
Genetic: may be autosomal dominant
Triggers: physical trauma ,infection and drugs.
Biochemical change: like increase level of arachidonic acid and Cgmp.
Immunological factors: helper T cells PLAY A KEY ROLE.
Roughly, 1% of population is affected. Can occur at any age and affected both sex. Most patients as worse in winters.around 7 million people are affected in developed country.
Increased epidermal cell proliferation.
Retention of nuclei in stratum corneum.
Proliferation of fibroblast.
Dilated and tortous capillary loops.
Shortened epidermal turnover time from normal of 60 to 10 days.
Clinical features: Usually chronic indolent lesions which persist for month. Lesions are mildly papule or plaque.erthematous plaque lesions with characteristic slivery, large, loose scales. The patients of psoriasis may also suffer from depression and low self-esteem.
In a patients with psoriasis always check for nail and joint involvement.
Nail: 10 to 15% of the patients have nail involvement. Pitting, nail plate thickening, subungual debris, discolouration of nail plate and oil spot seen in the nails.
Joints: 10% patients have joint involvement.
Sites: Scalp, pressor points & extensor. Sometimes generalised.
Chronic recurrent psoriasis is difficult to treat. Modern science treat with PUVA and corticosteroids but these drugs having local and systemic side effects like liver and kidney failure etc. So, it is the time to find out the effective and safe treatment for Psoriasis. Medicines which are used in ayurveda are safe and practised since many years. A huge numbers of drugs are prescribed in ayurveda for the treatment of kushta.
Case details: A 42-year old male patient, hindu brahman by religion, presented on 10 april 2016 with well demarcated raised red scaly, silvery patches on chest, back and both legs and hands. He complained of itching all over the body and on scraping, white powder like substances fall down and leaves a bleedy surface. On history, patients had complaints since 20 years and diagnosis of psoriasis by allopathic physician. Since 20 years he has been taking allopathy and homoepathy patients from various practioners of U.P and delhi. He is brahman and lives in well known temple of delhi and visit homes of peoples for religious ceremony. He is afraid that if the disease is spreading continously, then he is unable to work as priest because people neglect him due to disease. The disease is spreading all over his body and also involves nail and joint. Destruction of nail plates of hand and legs was also developed. For this, patients took allopathic treatment for such a long time but do not get relief.
The patients visit our clinic for the first time. He told use that his problem not solves since 20 years and spreading continuously. So, he is unable to trust us. So, we first give him counselling because reassurance and emotional support are invaluable. Physical and mental rest enhance the effects of the treatment. It is also important to tell him that the disease is not contagious and is benign.
SYMPTOMS OF THE PATIENTS :
Itching all over body
Silvery patches, especially, on legs ,chest ,back but now spreading in his hand and scalp.
Destruction on nail plates
Swelling in right middle metatarso phangeal joint and pain
Some blood test of the patients were done like CBC, LFT, KFT, SR, URIC ACID to assess outcome.
His general health was good and both physical and all blood test were within the normal limts.we advise patients for panchkarma and oral medication but patients refuse for panchkarma so we start his oral or internal medication.
Investigation Done :
CBC(Complete Blood Count)
LFT(Liver Function Test)
KFT(Kidney function Test)
Sr. Uric Acid
Investigation was done to rule out any other pathology. Investigation were within normal limit.
Internal Medication :
Medication are given into two phase. In First Phase, we are given panchsakara churna - one spoon two times daily for anulomana and pachan, Panchnimba churna- one spoon two times daily with luke water, panchtikta ghrita gugulu - two tab two times daily, and one oil for local application containing jyotishmati,bakuchi, and chakramad for five days. We told patient to apply the oil firstly only on legs for 5 days. Patient taking the same for 5 days and come on 5th day, we see the fabulous result, the rashes which are developed within 4 to 5 months just disappear and other rashes are also subsiding.
After 5 days, in second phase, we continue the same treatment and also added haridra khand - one spoon two times daily, gugulu tiktam kashaya - three spoon two times daily (one hour before food for 15 days). The patient came back on 20th day, with great result, the rashes were almost 60 % subsiding and pain and swelling in finger and ankle also reduce to great extent. Now, patient is not taking any pain killer for pain. Patient also get improvement in nails of legs.
We prescribe the same medicine for one month that time and ask him to do some physiotherapy additional for finger deformity. After that patient came with 70 to 75 % relief in symptoms and patients also tell that during the treatment, he will not develop any additional rashes.
During the treatment, we also told the patients to follow some dietary changes and live according to the rules of Ayurveda.
Result: Psoriasis is a disease with unkown etiology and triggered by many factors. In modern science, treatment of psoriasis is a challenge. They do not have any safe and proper medicine for psoriasis. But, ayurveda treatment gives satisfactory results as well as the quality life to the patients. Ayurveda removes toxin out of the body and corrects the formation of aama. Ayurveda gives the prevention as well as the treatment. So, by following the dietary and lifestyle change we prevent the reoccurrence of the disease.,infection
Sir mere ko dhat swapandosh shigrapatan aur mera guptang tedha shithil aur chota h mujhe dhool aur dhoop ki allergy h and meri pachan kriya bhi khrab h m 3 se 4 bar bathroom jata hu jiski meri medicine chal rha h to mujhe kis doctor ko dikhana chahiye sexologist urologist venereologist ya kisi aur ko please help me m bhut hi jyada pareshan hu.
I am facing a stomach problems from 2 to 3 days my digestion is not proper suggest me to improve my digestion.
Sir, My mom age 52 is diagnosed with chronic calcific pancreatitis. I want to know what is the reason behind that? Why doctor had written so instead of only pancreatitis. Why he added chronic & calcific before pancreatitis? Is it curable?
Hey I have a abnormal sweating problem, when I get anxiety and nervous I sweat a lot, especially on my face, it is becoming a big problem as I work in an organisation please help me.
Have dengue in the month of july & after getting discharge from hospital got rashes all over my back what to do? everyday one new pimple came n it will remain as it is.
I am 23 years old male. I have a addiction to masturbation (frequent - once or sometimes even twice a day) since I was 14. I am facing problems such as premature greying of hair (since last 2 years), lower back pain, reduced memory and stamina, blurred vision and sometimes premature ejaculation as well. I am very thin (weight 50kg). I want to quit this addiction and become a healthy person. Need your advice. Thanking you in advance.
Sir I had a sex with street prostitution out of my sexy appeal wore a condom and had sex with her and condom didn't even broke I wasn't involved in any type of oral activities sir what will happen please tell?
Your nails tell a lot about your health or the lack of it! Many health problems have nails as the indicators or warning signs. If your nails are not healthy or pink and shiny, you might be in for some sort of health issue. If you have cracked nails, discoloured nails, irregularities or very thick nails then you probably have some internal health problem.
Look for these indicators to get an idea-
1) Color of your nails : Pink or white nails are considered healthy. Dark spots on your nails? surface are not just a sign of aging but also indicate a risk of heart disease. Red color is a possible sign of heart infections and green colour usually indicates local fungal infection.
3) Furrow nails: Furrow nails are the ones which are irregular with a dent like appearance. It may indicate you of psoriasis or auto-immune illness which leads to hair loss. Thick furrow nails may signal a yeast infection.
4) Thick nails: Nails thicken in time. Thick nails are neither natural nor normal. If your nails are extremely thick, you probably it could be that your lungs are not healthy. It can also indicative of the fact that your body has poor circulation.
5) Curved nails: If your nails are curved and concave like shape it might signal either lack of iron or heart problems.