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 

Atopic Dermatitis is a specific type of eczema which occurs when the epidermal layer of the skin is affected by eczema causing bacteria and other microorganisms. These eczemas are treatable and homeopathy finds a simple and natural solution to this disease. It not only helps to contain the disease from spreading it to other parts of the body but also helps in curing it of the root itself. There are some quick and effective remedies towards atopic dermatitis through homeopathy. Some of these are explained below.

Antimonium Crudum: People who have eczema which manifests as thick and hard boils are often given this medicine. In fact, it is administered both to children and the elder people. It has been seen that those who show symptoms of irritability in their behavior, get angry very soon and are most likely to be left alone, are the ones who are given this treatment to cure their eczema.
Arsenicum: Sometimes eczema is formed where boils turn thick and hard and have pus oozing out of it. For such skin infections, Arsenicum is the most widely used medicine that the homeopathic practitioners rely on. People who face such kinds of skin diseases are often seen to be depressed or melancholic in their lives. Thus, their mental feelings are often manifested in the form of eczema on their body.
Calcarea Carb: Eczema not only occurs on the body but also on the scalp. There are a few kinds of infections which have their roots on the scalp and then it starts spreading all over the face. For such kinds of infection, Calcarea Carb is the best form of homeopathic medicine which can be administered. In fact, patients with this problem are mostly children.
Graphites: Seems to be a very powerful and effective medicine against eczema which resembles ars. It is given to those patients whose skin becomes very hard and rough and there seems to be pus formation within the infection. Eruptions may be occurring in the eyes, behind the ears, and on the cheeks. Such infections are treatable with graphites.
Thus, if you are showing signs and symptoms of atopic dermatitis, then you should immediately consult your nearest homeopathic practitioner and get the proper medicine prescribed for yourself. Eczema would only spread and cause irritation in the skin if not timely treated and homeopathy offers one of the best types of treatments for this purpose.

Homeopathic Treatment For Atopic Dermatitis!

Bathing soap vs. Body wash: what's better when you take a shower?

The most important part of skincare is keeping your skin cleansed and fresh. But before that, it is imperative to find the right product for the same. Skin type varies from person to person, and hence finding skincare goods most suited to your skin makes all the difference.

Bathing habits directly affect the quality of your skin, which involves picking the appropriate cleanse; i. E. Choosing between a body soap and body wash. Each has a different set of characteristics and comes with its own set of advantages and disadvantages. Let's find out which one is better for your skin.

Why you should choose bathing soap bar:

 it is more effective in removing dirt through deep cleansing

 it is suited to skin that is excessively oily in nature as it contains ingredients that are highly effective in stripping off excess oil from the skin

Why you should not choose bathing soap bar:

 it tends to strip the skin of its natural oils and moisture, making it dry and flaky

 it is unhygienic in case of sharing between individuals as soaps tend to accumulate the dirt from your skin due to direct body contact

Reasons to pick a body wash:

 it has a very mild and gentle effect on the skin in comparison to soaps

 it keeps the skin moisturized by preserving natural oils

 it is more hygienic than bar soaps in case of interpersonal sharing

 it is the most suitable option for dry skin

Reasons to ditch a body wash:

 it contains a large amount of artificial additives and preservatives that can do more harm to your skin than good, giving rise to allergic reactions in some cases

So, who's the winner of the two?

You must certainly base the choice on what's best for your skin type. Body soap is more compatible with oily skin while dry skin is better suited for body wash. A body wash, however, is much more gentle on your skin. 

If you would like to consult with me privately, please click on 'consult'.
Related Tip: Soap Vs Hand Wash - What Should You Wash Your Hands with?

Bathing Soap vs. Body Wash: What's Better When You Take a Shower?

Tummy tuck or abdominoplasty is a frequently performed cosmetic procedure which is meant to improve the looks or appearance of your abdominal region. The primary goal of this procedure is to remove excess skin or fat from the abdominal region and then reconnect the tissues with sutures to get a more toned and flat look.

The requirement for abdominoplasty
The tummy tuck surgery is for someone who has folds of fat or skin on their abdominal region that results in an unsightly appearance and causes body image issues. These problems may be caused by multiple factors, some of which are mentioned below:

1. Significant weight loss: Men or women who have lost a lot of weight tend to have excess loose skin on their bodies as a result of the skin being stretched over a long period of time.

2. Pregnancy: Many women who have gone through multiple pregnancies also have similar problems as the skin in their abdominal region tends to stretch over multiple times which may result in the skin becoming flabby.

3. You have a weak lower abdominal wall: Some patients tend to generally have a weak lower abdominal wall which over the years tends to protrude and hang. This results in a misshapen body which they want to correct for body image issues. 

4. To correct scarring from C section: Many women who give birth via C-section tend to have a scar on their body and some abdominal contouring can change the shape and size of the scar, which in turn not only tightens the tummy but also hides the scars.

Considerations before abdominoplasty
Abdominoplasty isn't recommended if you fall under any of the following categories:
1. Still have to lose weight: If you have to lose a lot of weight, then it is advised that you wait till your goal weight is reached and only then consider this procedure. Abdominoplasty isn't meant to reduce weight, but to take out excess skin and flab that remains after weight loss

2. Plan on becoming pregnant again: If you are planning to become pregnant again, then the muscles and tissues in your abdomen might loosen and cause a flabby belly again.

3. If you have heart disease or other conditions: If you have heart related conditions or are diabetic, then abdominoplasty won't be considered as it might put you at high risk of complications after surgery.

Abdominoplasty - An Overview

Did you know that milk can cause acne?

Including cheese, milk, and ice-cream etc into your daily meals maybe the reason behind the painful acne on your face. Processed milk and other dairy products negatively affect your skin and trigger the formation of whiteheads, blackheads and pimples. 

Here s how milk causes acne and what you can do to get clearer skin.

How does milk cause acne?

1. Milk contains a growth hormone IGF-1 (responsible for the growth and strength of calves) in large amounts. This has an adverse effect on your skin, and is responsible for its inflammation, which results in acne. In fact, this hormone can even increase the size of the acne.
2. Consumption of milk and other dairy products also result in a sharp rise in the amount of insulin present in your body, which initiates more IGF-1 production by the liver, thereby increasing acne.
3. Excessive sebum (oil) is secreted by your skin due to the consumption of milk, which results in more number of clogged pores, causing an acne breakout. Additionally, an increase in sebum helps the acne bacteria to grow and breed, which further causes skin inflammation.
4. Consumption of milk can render your skin unable to get rid of dead skin cells, causing more acne due to clogged pores. This happens as milk sticks dead cells together inside your pores, interfering with their natural process of falling off.

What can you do to get acne-free skin?

The best way to get acne-free skin is by trying to limit your consumption of milk and dairy products. You can do so in two ways:

1. Discontinue Milk Intake: Stop consuming milk and its products completely for at least 30 days and observe the changes. If your skin improves after 30 days, you can add small amounts of high-quality dairy, like organic yoghurt, to your diet. If eliminating milk does not show any positive effects, try observing other triggers of acne and look for appropriate methods of removing them. 

2. Switch to Organic Milk Products Only - If you find it difficult to totally cut off milk from your diet, try reducing the amount of milk intake and totally avoid processed milk products. Switching to raw, grass-fed dairy products will also be beneficial.

What are the alternatives to milk which can be consumed without harming your skin?

You can also replace milk with the following products in your diet chart to prevent the occurrence of acne.

1. Organic almond milk without added sugar
2. Organic coconut milk containing no artificial sweeteners
3. Natural coconut cream

Warning: Do not consume soy milk as a milk substitute as it contains omega-6 fats, which cause skin inflammation and swelling of acne.

If you would like to consult with me privately, please click on 'Consult'.

Did you know that milk can cause acne?

What causes warts? Can we prevent it?

Warts are small formations that occur on the skin. They appear in the form of dark protruding bumps or brown flat lesion on the skin surface. Sometimes they might also have tiny black specks on them. Warts usually form on the hands, feet, face and genitals, although they may appear on other parts of the body in some cases.

What causes the formation of warts?

Common warts are caused due to infection of the outermost layer of skin that occurs as a result of viral contamination. The virus that is responsible for this condition belongs to the human papillomavirus (HPV) family.

This infection is highly contagious and easily spreads from one person to the next. It is most likely to occur on skin that is cut or damaged as that allows easy access for the virus to enter the skin system.

How to prevent the formation of warts?

Common warts are contagious and spread very easily. Preventing the spread of the HPV virus can be done through simple steps that will help you avoid getting affected by this condition.

Some of the preventive measures that can be adopted are as follows:

- picking and scratching on warts should be avoided

- avoid biting fingernails as gnawing on the skin around the nails makes it more prone to infection

- grooming, brushing and shaving around infected areas should be done with care

- moisture and dampness should be avoided as the virus thrives on it

Do not self-medicate with lime (chuna), garlic, onion or Dettol.

Treatment

Wart removal should be done by a qualified dermatologist. It is simple, safe opd procedure which takes few minutes only and does not leave any scars.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Effective Ways to Get Rid of Warts - Cauliflower-like Skin Inflammation

What Causes WARTs? Can We Prevent it?

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