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 

Corns and calluses are defined as thickened and hardened areas of the skin, which are formed due to excess pressure, friction or rubbing in a particular area. They generally form at the bottom of the feet and can cause discomfort and pain while walking. Corns usually form on the sides and tops of toes. There are several variants of corn such as hard corn, soft corn and seed corns. Calluses typically form in areas which undergo high friction. It can appear on hands and feet. Read on to find more about corns and calluses.

Causes
1. In some cases, corns or calluses may form due to improper walking motion but in most cases corns and calluses form due to wearing shoes which fit in an improper manner.
2. High heels in particular are a major reason for the formation of corns and calluses. Other reasons include foot deformities or wearing shoes and sandals without socks.
3. Corns and calluses have a risk of being infected by bacteria which causes the infected region to secrete pus or fluid.

Symptoms
There are different types of corns and calluses and each of them have different symptoms during their formation.
1. A callus is a small patch of dead skin which can form anywhere in the body but usually in places which undergo friction.
2. A hard corn is a patch of hard skin which is located outside the little toe or on top of a toe.
3. A soft corn is a sensitive red patch of skin which is typically found between toes.
4. A seed corn is a painful patch of dead skin which typically forms on the ball of the foot or on the heel.

Treatment
If you have developed a corn or a callus it is advisable to consult a doctor as they can correctly differentiate between warts and calluses. Use of moleskin around the corn or callus usually reduces the pressure from the affected region. Oral antibiotic medication can also be prescribed by your physician. Certain moisturising creams also help treating corns and calluses. Opt for stronger moisturising creams after consulting your doctor if regular ones are not helping. In certain instances corns and calluses may need to be surgically removed.

All About Corns and Calluses

Most men, about 60%, see some development of breast tissue in their lifetime. This growth could be round, symmetrical and occurs bilaterally. This growth of breast tissue in males is medically known as gynecomastia.

Causes:

The most common cause is an imbalance between the oestrogen and androgens, with excessive oestrogens leading to the growth of breast tissue.
Excessive use of anabolic steroids
Obesity
Unknown reasons
It can affect men of all ages, and if this presents as a serious problem, then surgery is the most definitive form of treatment.

Surgical options: There are two major options available for correcting gynecomastia   liposuction and excisive surgery.

Liposuction:

Done either under local sedation or under general anaesthesia depending on the extent of the tissue proliferation
A small incision is made either in the armpit or around the areola
Excessive fat tissue and breast gland tissue are suctioned out
The chest contour also is altered at the same time, if desirable
Post-surgery, the person is made to wear a compression garment for the first few days
This helps in keeping the tissue in place and also helps reduce swelling
Healing takes about a couple of weeks  time, depending on the person s overall health status and the extent of surgery.
Excisive surgery:

This is done when the extent of gynecomastia is more severe
These people would have sagging, stretched skin around the breast area
More amount of fat and glandular tissue can be removed through excision
This is more often done under general anaesthesia
The incision is often done around the areala (dark portion around the nipple) so it is concealed or along the natural creases which are formed due to excessive breast tissue
Excessive breast tissue is removed and the incisions are closed
There could be swelling, pain, bruising, and higher chances of post-surgical infections
Recovery will take about ten days to two weeks
Refraining from exercise is often advised for up to 2 weeks
Benefits:

Restore a masculine appearance
Shorter surgery
Faster recovery
Minimal or invisible scars
Almost immediate results that can be dramatic
Improved confidence and self-image
After the surgery:

Surgery is definitely a sure way to remove the male breast tissue, it is almost a permanent treatment for this condition.
It is very important to get a trained, experienced surgeon for the procedure
It is important to follow post-op instructions including pain management, infection control, and recovery
If it was caused by use of steroids or obesity, lifestyle modification is essential to prevent recurrence

Enlarged Breasts In Men - Surgery At Your Rescue!

5 natural ways to treat corn

Corns are formed when our hands or feet try to defend themselves from some injury, forming a callused shield instead. The outermost skin comes together in a pile and forms a strong cover made of dead cells, if an area is rubbed too often. This usually happens if one is wearing ill-fitted shoes. Some home remedies to take care of these corns or calluses are:

1. Rub with pumice stone - this can be done after a shower or bath, as the skin is wet and soft now. Rub the area with a pumice stone to remove the dead cells. Don't rub harshly in a single attempt. Instead, rub mildly every day until the all the dead cell comes out. If the corn is very thick, this process might take a few weeks.
2. Apply castor oil - castor oil acts as a softener. One can either soak the area with castor oil dipped in cotton to use the oil with a cord pad.
3. Wear comfortable shoes and socks - wear socks with shoes that are comfortable and have thick cushioned soles. Ensure that your shoe fits you well and that it is wide enough for your toes to be placed comfortable inside.
4. Use bread mask - rub the corn slightly with the pumice stone so that the loose dead skin falls off. Soak a piece of bread in half a cup of apple cider vinegar. When well soaked, put the piece of bread on the corn, wrap it with gauze and secure it with an adhesive tape. The bread can also be mashed into a paste.
5. Lemon and olive - miss a couple of tablespoons of lemon juice with two teaspoons of olive oil. Add to this, some baking soda to form a thick paste. Apply this paste on the corn and cover it with gauze.

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Vitiligo is a skin disorder that is characterized by the development of white patches on the skin. The disorder is chronic in nature; it occurs when the melanocytes (melanin production and distribution agent) which are present in the skin, die.

The area of the skin affected by this condition tends to vary from person to person. It may affect the insides of your mouth, hair, eyes and cause permanent discoloration.

Vitiligo can be classified into two types

1. Segmented Vitiligo: This type of vitiligo tends to spread fast but is stable than the other type. It is asymmetrical and affects such portions of the skin which are linked to nerves that originate in the dorsal roots along the spinal cord.

2. Non- Segmental Vitiligo: This type of vitiligo occurs in equal proportions on both sides of the body. This disorder affects the areas of the skin that are exposed to sun frequently, such as the arms, neck and the face.

Causes

There is no known cause of vitiligo; however, the likely causes are found to be trauma from a stressful event, chemical exposure and genetics. It may also result from complications in the immune system.

Symptoms:

1. The primary symptom of vitiligo is the appearance of white patches on the skin.

2. The initial patches which occur on the skin are slightly pale in color; which becomes even paler in due course of time and eventually turn white, thus making them look distinct and prominent on the skin.

3. The edge of the patches may become inflamed and cause itching.

4. Direct exposure to the skin may cause the symptoms to aggravate.

Ayurvedic View
According to Ayurveda, Leucoderma is caused due to the aggravation of Pitta Dosha. Pitta is an Ayurvedic humor which symbolizes heat or fire, and is manifested in the skin. Aggravated Pitta leads to accumulation of ama (toxins) in deep layers of the skin, leading to the condition of Leucoderma.

Pitta is of five types; one of them is Bhrajak Pitta that gives coloration to skin. In the case of Leucoderma, Bhrajak Pitta is in an imbalanced state, and therefore, the skin starts losing its color and white patches appear. Along with Pitta Dosha, deeper body tissues like Rasa Dhatu (nutrient plasma), Rakta (blood), Mansa (muscles), Lasika (lymph) are also involved in the disease.

Treatment consists of pacifying imbalanced body energies, cleansing the blood and administrating herbs that restore skin color. Poor digestion is the root cause of this disease, as it causes the build-up of toxins in the tissues. An essential part of treatment, therefore, is restoring digestion. The patient will also be advised on the correct diet and lifestyle adjustments to prevent recurrence of the disorder.

Diet & Lifestyle Advice

Increase consumption of vegetables that are bitter in taste, like drumsticks and bitter gourd.
Stay away from difficult to digest foods, sour taste, excessive salt, curd, fish, jaggery and sesame seeds.
Avoid consumption of opposite foods, such as fish and milk together.
Have sound and adequate sleep daily.
Do not over-expose yourself to excessive cold or heat conditions.

Ayurvedic Treatments For Vitiligo 

Vitiligo is a type of skin disorder. It is an autoimmune disease in which the melanin cell stops functioning or starts dying, and forms blotches on the skin. It can affect any part of the skin. It may also affect the inside of the mouth and hair.

There are many treatments available to restore the pigmentation of the skin. However, one of the most trusted and reliable treatments is described in Ayurveda. According to Ayurveda, there are tons of ways available in the house. By using these remedies, one can easily and adequately treat Vitiligo without any side effects. In Ayurveda, Mustard oil is one of the most significant remedies. Mustard oil is very beneficial to heal this type of skin disease.

Know More About Mustard Oil:

Mustard oil is extracted from the mustard seed by the process of steam distillation. The connotations of this oil may vary depending upon the part of the world the mustard seed is coming from. In some countries, mustard oil is only used for massage purposes. However, in many countries, it is considered edible. In both cases, mustard oil has millions of medicinal values and health benefits.  

Nutritional Value of Mustard Oil:

Mustard oil is packed with all the nutrients of the mustard seed. In 1 litre of mustard oil, there are 844 calories. Mustard oil has a total fat content of 100 grams which includes 21 grams of polyunsaturated fat, 12 grams of saturated fat, and 59 grams monounsaturated fat. It has zero content of sodium, carbohydrates, and protein. It also contains some important fatty acids such as  linoleic, oleic, and erucic acid along with some important substance called Allyl isothiocyanate, that has several health benefits.

Benefits of Mustard Oil:

There are many health and medicinal benefits of mustard oil. Some of them are:

Mustard essential oil improves blood circulation.

Mustard oil helps in digestion by keeping the digestive system intact.

Mustard oil boosts appetite and makes a person feel full.

Mustard essential oils fight bacterial infections.

Mustard essential oils prevent fungal infections.

Mustard oil repels insects.

Mustard oil is good for hair.

It is also beneficial for many orthopaedic problems like arthritis, lumbar pain, cervical pain, vertigo, etc.

Mustard is also used for the treatment of Vitiligo.

How Is Mustard Oil Used To Treat Vitiligo?

Mustard oil is one of the most popular home remedies used to heal Vitiligo. It helps in producing intense melanoid pigments and one can observe pigment initiation within 10 days. Regular use of mustard oil in food, massaging, or in the form paste will help to treat this skin disorder.

According to a recent study, mustard or mustard oil has enormous therapeutic potential for treating Vitiligo. Paste of mustard oil and turmeric will help intensify the pigments of the skin.  

Take Away:

There are many home remedies available used to cure Vitiligo and mustard oil is one such ingredient. It is the most popular and scientifically proven method for the treatment of Vitiligo. However, it is best to consult a dermatologist or physician before opting for any of these remedies. Everyone s skin and internal function is different and hence it is better to always go for the options which are prescribed for better and safe result.

How Is Mustard Oil Beneficial In Vitiligo Treatment?

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