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.

Epidemiology: 

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.

Histopathogenesis:

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 and pain in left middle fingers and flexor deformity in proximal interphalangeal joint

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.

Ayurveda For Psoriasis 

Rosacea is a medical condition of the skin that affects people across the globe. The exact cause of rosacea is unknown to scientists and there is still no permanent solution to this. However, heredity is believed to be one of the causes of rosacea. They are small and red in appearance, often filled with pus. They are fairly visible on forehead, nose, and cheeks. They occur in cycles, and temporarily go away only to come back within a short interval of time.

There are four kinds of rosacea, namely erythematotelangiectatic, papulopustular, rhinophyma and ocular. Every rosacea type has its own set of symptoms. Rosacea can get worse if there is a tendency of eating spicy food and alcohol consumption. Ayurveda is known to be a great treatment option for treating rosacea. Here is a set of Ayurvedic treatment options that could fetch great results:

Turmeric: Turmeric is an anti-inflammatory and antioxidant powerhouse. It can treat a range of skin diseases, such as skin aging, hyperpigmentation and scarring. Not to mention it is one of the finest elements to treat rosacea. Experts of Ayurveda suggest consuming one spoon of turmeric on a daily basis to avoid skin inflammation and other skin problems. It can be taken in the form of juice, with food, and capsule.
Carrots and beets: Carrots and beets are one of the best forms of iron. The latter is required for the normal functioning of the skin. Deficiency of it can cause the skin to be dry and sallow. Beets and carrots have the ability to control rosacea. They can be consumed daily with food or in the form of juice.
Ashwagandha: Ashwagandha is more commonly known as east Indian ginseng. They are one of the most powerful herbs to treat rosacea. Being anti-inflammatory in nature, it strengthens the skin from within and helps in getting rid of rosacea puss. Ashwagandha can be applied in the form of an extract every alternate day to fetch great results.
Honey: Honey is a natural cleanser and antioxidant. They directly attack the rosacea causing virus and do not let them spread. Honey can also bring down the reddish patches that are so common of rosacea. Honey should be applied on the face before taking a bath or sleeping, and washed away with warm water after 1 to 2 hours.
Fenugreek: Fenugreek is an ancient medicinal plant that is rich in vitamin C, folic acid, vitamin A, vitamin K, iron, potassium, and calcium. They help the skin to glow and remove the reddish patches on the face. Its anti-inflammatory nature does not allow the pus to form. It is also considered to be an anti-itching agent. It can be consumed daily in meals.

Rosacea - 5 Ayurvedic Treatments for it!

Breasts are integral to womanhood. They define a woman s beauty. Well grown, firmer breasts are what every woman dreams of. However, not many women are lucky enough to have the perfect shape and size of breasts. A common belief among people is that bigger the size of the breasts, the better they are. This is a big misconception. The ideal breast size is the one that is in proportion to the rest of the body. Bigger breasts do not look good on women with smaller structure and are also prone to sagging. Apart from a disproportionate figure, many women with larger breasts complain of backache, neck and shoulder pain due to the physical burden born by the upper body. Hence, the need for a medical intervention. Such women can consider breast reduction as a permanent solution to their problem.

Breast reduction or reduction mammoplasty is a procedure that reduces the size of the breasts through surgical removal of tissues, fat and skin, thereby making it ideal as per the body structure. The procedure is performed under the guidance of a trained aesthetic plastic surgeon and takes about three to five hours.

Hospital admission is usually required and a general anesthesia is given to the patient. Healing of wounds may take a few days. Breast reduction surgery also deals with issues of sagging breasts and helps them give an uplifted and firmer appearance. Another advantage of this surgery is that it can reduce the size of areola making the breasts appear younger and better.

Like any other surgery, reduction mammaplasty is not free of side effects. There are risks associated and one has to carefully weigh the risks and benefits before taking this decision. It can cause complications like excessive bleeding and adverse anesthesia reactions. Apart from this, some of the common side effects of this surgery are loss of sensation in the nipples and areola, inability to breastfeed and scarring. Sometimes, the procedure may need to be repeated in case there is a visible asymmetry in the size of both the breasts.

In general, women considering this option are overweight, have no plans to bear children in future and are suffering from heaviness and pain in upper part of the body due to larger breasts. However, many women desire to improve their appearance. Cosmetic market delivers many new gels and creams for breast reduction, claiming them to be simpler and safer than surgery, but their effectiveness is doubtful. Women looking for a more permanent solution may consider a surgical procedure. However, following the surgeon s instructions is important pre as well as post-surgery. If you are worried about the size of your breasts, do visit a plastic surgeon and discuss your options.

Should You Get Breast Reduction Surgery? 

Also known as contact dermatitis or contact eczema, allergic eczema is a condition wherein one experience symptoms of skin rash on coming in contact with an allergen. Other symptoms include a burning sensation in the eyes, coughing and a runny nose.

Causes-

This condition is caused when you come in contact with an allergen. Some common triggers that cause your immune system to react in this manner are:

Perfumes in cosmetics

Hair dyes

Metals such as nickel found in jewelry

Latex based products

Chemicals present in soaps and other cleansing agents

Certain antibiotic creams and lotions

Adhesives

Symptoms-

With allergic eczema, the most common symptoms include itching and pain around the affected area, and tender skin. Inflammation and dry skin are some other common symptoms that one may experience. Pus-filled red bumps are common occurrences along with this disorder. The skin may start to thicken and turn scaly. The symptoms may show up when one is exposed to sunlight.

Treatments-

The treatment for this disorder begins after a thorough diagnosis of the symptoms. Based on how severe the symptoms are, the treatment is prescribed accordingly. The first step is usually to wash the affected area with warm water to wash away the allergens. In case of mild symptoms, you may not need any treatment. It is also advised to use apply moisturizing cream to maintain hydration of the skin. To reduce inflammation and itching, use of corticosteroid creams is recommended.

In case of severe symptoms, strong corticosteroid pills may be prescribed.

If the treatments are carried out properly, the symptoms tend to clear up within 15-20 days. However, it is important to remember that the condition may erupt again if you come in contact with the allergen once more. Thus identification of the allergen is very important for long-term treatment and preventive measures. By seeing an allergist contact dermatitis can be ruled out by doing an Allergy Patch Testing.

Allergic Eczema: Causes, Symptoms and Treatments

What is the real reason behind the surgery?

The decision to have breast augmented surgery should be a woman s alone. Friend s advice or pressure from your partner should not play a role in this. Since this is a complicated procedure, getting the surgery done with external pressure can lead to disappointment.

How expensive are these surgeries?

Breast augmentation surgeries are slightly expensive compared to other plastic surgeries. However, the price of the surgery varies depending on the procedure chosen and the doctor who is performing it. It makes sense to consider a clinic which fits the budget and has a very good reputation of its own. Planning your finance well in advance should be one of the top priorities of a woman.

The Risks-

While most breast augmentation surgeries are harmless, there are potential complications that go with it. Bruising and swelling are common risks that are involved with this procedure. This might even last for a week. If surgeries go wrong there is a potential risk in getting a second surgery to set things right. The candidate might have to take antibiotics and pain medication for quite a few weeks till things become normal.

Think about a realistic size-

There is this general notion that breast augmentation surgeries do not give a natural look to a woman. To ensure that one gets a natural look, it is very important to choose the right size of the implant. While it remains a personal choice, the appropriate breast size makes a woman more attractive.

Set the expectation right-

Most breast augmentation surgeries give people a positive outlook towards life. They feel more confident and happier than before. Having said this, there are chances of potential changes in the physiological and physical front. Before the surgery, a detailed discussion with the doctor is recommended.

Where should you have the surgery from?

While there are many places that offer cheap implant options, money should not be the only consideration. A surgery as important as this should have various parameters weighed such as the experience of a doctor, the success rate of the doctor, talking to people who have undergone the same procedure from the same facility etc.

Is a night stay at the clinic mandatory?

A night stay at the clinic is not mandatory. While some clinics emphasize for a night stay so that the patient can be kept under observation, some prefer that their candidates go home and heal at the privacy of their homes.

Pregnancy-

If a person is planning to get pregnant after the surgery, there is a potential risk of breastfeeding. While most women do not face this, there are considerable ones who come across this problem. A prior consultation with the doctor will help to take an informed decision.

Things To Consider Before Having Breast Augmentation Surgery

Top 6 things that revive acne prone skin

Male or female, it affects us all at some point of time in our lives. Stress, pollution, improper diet, high blood sugar, and hormonal imbalance are the main reasons behind acne. 

Amongst the external intake related causes caffeine, dairy products, fried food, sweets and cola are the foods to be avoided. Also smoking, as cigarette smoke alters skin lipids and also causes relative deficiency of antioxidants contributing to the onset and/or exacerbation of acne. Alcohol consumptions on the other hand both directly and indirectly causes acne. Heavy drinking or binge drinking does more harm than light drinking.

However, certain foods when included in daily diet, help curb acne.

1. Lots of water - One reasons of acne is when the toxins in our body start reflecting on our skins. It is advisable to drink at least eight glasses of water to flush out the toxins, ensure smooth digestion, regulate acidity and ensure that your skin glows from within.

2. Cool cucumbers - Cucumbers have high water content, along with cooling properties. It has antioxidants, vitamin c and silica which are all good for the skin. Cucumbers are also known to fight inflammation causing enzymes.

3. Nourishing carrots - Carrots are rich in beta carotene and vitamin a. They help cure acne by eliminating the oils and proteins which cause them. Broccoli and green leafy vegetable also serve the same purpose.

4. Saviour berries - Berries have high content of anti-oxidants which prevent the skin from damage within, thus preventing acne and inflammation.

5. Anti-oxidant green tea - Also a rich source of anti-oxidants, green tea is known to balance the blood sugar, which in turn protects the skin from acne.

6. Yummy yogurts - Even though dairy products are known to be bad for acne, yoghurt happens to be very good for prevention of acne. Keep in mind that it is fresh and not too fermented.


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Top 6 Things That Revive Acne Prone Skin

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