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 

Blemishes refer to the discolored patches on your skin left behind by skin disorders such as pimples, acne, pigmentation or due to skin pores clogged by excess oil secretion. Blemishes, pimples and acne are some of the skin problems, which keep on affecting your skin and are hard to keep at bay completely. If you are suffering from the distressing problem of blemishes and wondering whether it is possible for you to get rid of them forever, then the good news is that it is not absolutely impossible. But in order to do so, you have to persistently work hard on your skin care regime.

Following are some interesting ways to eliminate those blemishes forever:

1. Skin exfoliation: skin exfoliation is a very effective process for getting rid of blemishes permanently. Exfoliation helps to shed the upper layer of your skin or rather the affected layer of your skin. But after exfoliation, a strict skin care routine must be followed everyday, which should combine cleaning, toning and moisturizing, so that the pimples and acne do not get a chance of popping out again.

2. Avoid overexposure to sun: too much exposure to sun can worsen your blemishes and make them darker in color. It can also create difficulties to get rid of them. Sun exposure may lead to break out of more pimples and acne, which in turn will leave behind marks on your skin.

3. Cut down on sugar: research shows that consuming excess sugar can trigger the break out of acne on your skin. Therefore, cutting down on your sugar intake will prevent further acne breakouts, which, in turn, will help you to get rid of your blemishes forever.

4. Apply lemon juice: applying lemon juice to the affected areas on a regular basis is another great remedy.

5. Avoid oily and fried foods: excluding oily and fried foods from your diet can help reduce the excess oil secretion by the skin pores and also prevent clogging of the pores.

Can You Really Banish Those Blemishes From Your Face Forever?

5 Unexpected Triggers of Hair Fall

Your genes may be the most common triggers of hair fall, but in certain cases hair fall can be triggered by a host of other reasons you wouldn t have thought about. Sometimes these reasons can range from being simple and temporary (lack of essential nutrients in your diet for example) to something more complex and indicative of an underlying health problem. Read on...

1. Brushing wet hair

Detangling wet hair (easy at it may seem) is probably one of the most common triggers of hair fall. Wet hair is extremely delicate, and brushing wet hair causes the strands to break, leading to excessive hair fall. Repeatedly doing so can cause your hair to become thinner over time, which may result in visibly less hair on your scalp.

2. Food poisoning

Food poisoning can cause an abnormality in your blood circulation, which, as a result, can lead your hair to prematurely enter into a shedding phase. The hair loss that takes place due to this reason is known as  diffuse hair loss.  This type of hair loss usually lasts for a period of 3 months, after which, the hair follicles are replaced by new ones. Hair fall caused by food poisoning is only temporary, and is corrected on its own with time.

3. Car crashes or any other traumatic events

When you go through a car crash or any other traumatic incidence for that matter (divorce, death in the family etc), you may experience an extreme form of shock. This can lead to the development of small bald patches on your head, which is known as Telogen Effluvium. Usually, trauma triggers an autoimmune reaction, because of which the white blood cells attack the hair bulb. This causes the hair bulb to enter into the resting phase, which leads to mildly painful hair loss in particular patches. This type of hair fall is reversible.

4. Food allergies

Different foods (such as dairy, wheat, soy etc) can cause allergies in different people. Such an allergic reaction can cause your immune system to react violently, consequently making your immune system send signals throughout your body to ward off attacks. This, in very rare cases, can give rise to the condition of Alopecia Areata, as your immune system detects the growth of your hair as foreign attack and sends off signals to destroy hair follicles. This type of hair fall ceases once you stop consuming food(s) you re allergic to.

5. General Anaesthesia and Surgery

Hair fall triggered by general anaesthesia and a major surgery usually shows up 3 months after the surgery has taken place. The combination of general anaesthesia and a major surgery can put your body under heavy physical stress, which can cause alterations in the life cycles of the hairs on your scalp, consequently leading to excessive hair fall. Hair fall caused by this reason is temporary too, and usually your hair will grow back over time.
Now that you know about the possible triggers of hair fall, you may be in a better position to control your condition and prevent your hair from falling out. 



5 Unexpected Reasons Why You Might Be Losing Your Hair!

Vitiligo is a skin condition that causes loss of pigmentation of the skin. Melanocytes, the pigment cells, within the skin are destroyed. This causes these parts of the skin to lose color and turn pale. It might affect different parts of the body including the arms, legs, face and even genitalia. It can affect a person of any age, ethnicity or gender.

Causes
The exact cause of vitiligo is not definitively known. However, there are a number of risk factors that might contribute towards the condition. These include-

Autoimmune disorders- Vitiligo might be a result of an autoimmune disorder where the overactive immune system destroys the pigment cells of the skin.
Exposure to Chemicals- Exposure to certain chemicals can increase the risk of vitiligo by causing depigmentation.
Hereditary factors- There might be a genetic pre-disposition towards vitiligo. Though a person can exhibit symptoms of the condition at any age, it is most commonly found to manifest itself around the age of 20 years.
Symptoms
Vitiligo may start with a simple spot of pale skin but over time, this spot expands and turns paler until it is white in color. Irregular in shape, the edges of these spots may inflame and cause itchiness.

Treatment
The treatment of vitiligo will be determined by a number of factors such as the number and the extent of the white patches and where they are located. Vitiligo treatment includes cosmetic, medical and surgical methods.

Cosmetic Treatment- Cosmetic and skincare products such as sunscreens, dye or makeup can help relieve and hide signs of the condition.
Medical Treatment- Oral medication or medicated ointments may be prescribed to treat Vitiligo. Photochemotherapy which involves the use of PUVA rays to induce re-pigmentation may also be prescribed. If the condition has spread to a considerable extent then the physician might advise that the color from the remaining areas of the skin also be removed in order to match the affected areas.
Surgical Treatment- Surgical treatments are at times prescribed which involve skin grafting or tattooing. This is usually prescribed for those with small patches of affected areas.
With ongoing and extensive research being conducted on this skin condition, we will in the near future be able to both understand and treat it better.

Vitiligo - What Causes It and How Can It Be Treated?

Blisters can be a very major inconvenience. Though it seems to be a good idea to pop a blister yourself as it can otherwise cause distraction or may be uncomfortable and unsightly, puncturing it often does more harm than good. Here are a few ways mentioned about how to treat blisters. Read on more to find out all about it.

1. For a Blister which has not popped
a) Try not to pop the blister as the pus if spread can affect other areas
b) Leave the blister uncovered or cover it with a loose bandage
c) Avoid putting pressure on the area of the blister. If the blister has appeared in areas where applying pressure is unavoidable like for example at the bottom of the foot, put mole skin around the blister in a circular fashion such that the mole skin gets the shape of a donut.

2. For a blister which has been popped
a) Wash the area where the blister appeared gently with warm water. Apply gentle soap in the area as well to disinfect the region. Do not by any chance use alcohol, hydrogen peroxide or iodine in the area as it would cause complications.
b) Smooth down the skin flap which remains after the blister pops. 
c) Apply antibiotic ointment in the affected area to prevent infections
d) Cover the region loosely with help of a sterile bandage or gauge.

3. When to drain a blister
a) For blisters which are painful, large or in awkward spots, it is better to drain them. Be careful and cautious while draining the blister and follow the below mentioned tips.
b) Wash the area where the blister has appeared.
c) Take a needle and sterilize it with alcohol and water.
d) Make an incision at the edge of the blister and carefully squeeze out the pus.
e) Wash the blister again and pat dry. Do not remove the skin flap which remains there after draining.
f) Smoothen the skin flap and apply antibiotic ointment in the region.
g) Wrap it up with a loose sterile bandage or gauge.

4. Follow up
a) Change the bandage on a regular basis, whenever it is wet or dirty.
b) Consult a doctor immediately if signs of infections like red streaks around the affected region, fever, or accumulation of more pus occur.

However, for blisters which have formed due to spider bites, chicken pox or such consult a doctor first.

All About Blisters and their Treatment

Acne could be a real headache for normal skin. It not only ruins your face, but is also tough to get rid of. The condition is characterized usually by red pimples or blackheads and occurs due to infected or inflamed sebaceous glands. If you are skeptical about using chemical products, here is list of acne related treatments with alternative medicines:

1. Apple cider vinegar: Apple Cider Vinegar has multiple qualities. It can dry up the excess oil present in the face thereby ensuring that the bacteria cannot feed upon it. Its alkaline property helps the skin's pH to come down to an accepted level. Last, but not the least, apple cider vinegar directly attacks the acne causing bacteria and eradicates them from within. This pack is easy to prepare and can be applied multiple times a day.

2. Honey and cinnamon combo: Cinnamon possesses antimicrobial properties and attacks acne right from the word go. Honey, on the other hand, is a natural cleanser which helps to drive out the acne from your face. The pack is prepared by mixing 2 spoons of honey and 1 spoon of cinnamon. Before applying it on the face, it has to be ensured that the face is rinsed well with water. Owing to the pack's sticky nature, it should not be left on the face for more than 15 minutes.

3. Milk and honey paste: There is a wide misconception about milk causing acne. Unless injected inside the skin, milk actually improves the skin tone and limits acne outbreak. It also helps in reducing skin irritation and redness. Honey has antibacterial properties and fights acne. The pack is prepared by adding 1 spoon of honey and 1 spoon of milk and applied on the face for no more than 10 - 15 minutes. The mask can be washed off with warm water and by lightly rubbing the skin in circular motion.

4. White portion of the egg: The white portion of the egg has unaccountable benefits. Being rich in protein, it helps to fight acne and reduces blemishes of the skin. The vitamin present in the white portion combat acne and soak up excess oil present in the skin. This pack should be applied for 15 minutes followed by a thorough face wash with lukewarm water.

5. Mashed papaya: Papaya ingredients are found in almost all beauty products these days. Raw papaya is a great remedy for acne problems though. Papaya also helps to remove excess fat from the skin and eradicates dead skin. It contains an enzyme called Papain, which is known to have anti-inflammatory properties. It also restricts pus formation in the skin. Papaya can be mashed evenly and applied on the face for 15-20 minutes before washing it off with plain water. This pack can be tried three or four times a week to see visible changes in the face.

Acne Treatment With Alternative Medicine

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