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 

Dandruff is a non-contagious condition that is characterized by the appearance of skin flakes on your scalp. The disorder is not a serious one, but can be embarrassing for the person concerned. Mild symptoms of this disorder can be taken care of by shampooing with a mild cleanser on a regular basis. In case of severe dandruff symptoms, treatment may be required.

Symptoms
The symptoms of dandruff are easily spotted; white flakes of dead skin appear on the hair and shoulders. You may experience itchiness on the scalp due to the accumulation of the dead skin cells. The condition tends to aggravate in dry and cold weather conditions.

Causes
Dandruff can be caused by a variety of factors such as:

Not shampooing regularly: Irregular shampooing can cause dead skin cells to accumulate, leading to dandruff.
Oily and irritated skin: This condition is characterized by the appearance of greasy skin covered by flaky white scales. It occurs in areas, which are rich in oil glands such as the eyebrows and the nose.
Fungus: Yeast like fungus, known as  malassezia , lives on the scalp and may lead to the buildup of excess skin cells, thereby, causing irritated skin.
Dry skin: Dry skin is the perfect spot for the accumulation of dead cells, a condition that results in dandruff.
Ayurvedic View
Ayurveda places the problem of dandruff in the category of Shudra Roga, which appears due to an imbalance of all three doshas. The primary doshas involved are Pitta and Vata. Pitta is an Ayurvedic humor which symbolizes heat or fire and Vata is dry and rough in nature. In an aggravated state, both doshas cause production of specific impurities, called ama, which are dry and heating in nature. These impurities accumulate in the deep tissues of the scalp and contaminate them. Contamination of the deep tissues and aggravated Vata-Pitta Dosha cause itching and patches on scalp. Due to these factors, the scalp sheds larger than normal amounts of dead epidermal cells, which leads to the problem of dandruff.

The Ayurvedic line of treatment is to generally pacify Pitta and Vata through herbal medicines, as well as a tailor-made diet and lifestyle plan. Also, special herbs are administered to cleanse the body of accumulated digestive impurities.

Ayurvedic treatment options:

If the cause lies on the scalp such as dry skin, then just hair oil application or local treatment will be sufficient to cure dandruff.
If the cause lies in underlying skin disease such as psoriasis, treatment for the causative disease will be required.
Ayurvedic treatments such as shirodhara, shirobasti helps not only to relieve dandruff and improve hair quality. They also help you to relieve stress and lack of sleep (which also cause for dandruff).

Ayurvedic herbal hair oils for dandruff: 

Bhringaraja taila
Triphaladya taila
Durdurapatradi taila
Chemparutyadi taila
Nalpamaradi taila etc
Internal medicines helpful in this complaint are-

Saptamrita loha   Contains Indian licorice and Triphala, useful in skin diseases
Bhringarajasava   an alcoholic Ayurvedic medicine. Improves immunity, skin complexion
Chandanasava   improves immunity, relieves excessive oiliness
Narasimha Rasayana   Improves hair quality and scalp skin health. Especially useful when dandruff is caused due to dryness in the scalp.
Diet & Lifestyle Advice

Wash hair regularly 2-3 times a week with a mild shampoo.
Massage your hair with oil every time before washing the head and hair.
Avoid spicy, greasy, hot and penetrating foods, junk food, and aerated drinks.
Have food with good nutritive value; include fiber-rich foods, salads, fruits, and lentils.
Do regular yoga and exercises to minimize stress levels.
Avoid scratching the scalp with hands or any other objects.

Dandruff - Can Ayurvedic Remedies Help Treat it?

It is common for skin to get dry and the condition is marked by less than the required water in the epidermis (the topmost skin layer). Males and females are equally affected by it. With age, the incidences for having dry skin increases. Elderly people tend to have less amount of natural lubricants and oil in the skin. Areas like the hands, lower legs and arms are more prone to have dry skin. Atmospheric humidity also affects the dryness of skin. It is called xerosic dermatitis or xeroderma.

It might be temporary and mild and may last for some days. In some cases, it can become a severe long-term problem. Dry skin symptoms encompass itching, discomfort and skin tightness. Winters and dry, cold air also affects your skin and the result is dry skin.

Why it normally occurs?
Individuals who wash or sanitize their hands more often can experience a greater degree of dry skin.

Medications may also induce this condition.
The epidermis layer of the skin normally has protein and fat, which prevents dehydration in the skin. When the fatty oils in the skin are removed, the moisture and protection of the skin is lost. The skin becomes more sensitive and breakdowns easily when it gets dried. It might cause the skin to become powdered or may be invisible.
Red rash may appear if dry skin is left untreated. Simple treatment and prevention measures have been effective in dry skin treatment.
Avoid chemical cleansers and harsh soaps is an effective way to prevent dry skin. Moisturisers and bland emollient application on a regular basis have shown effectiveness for treating the condition.
Cellulitis, bacterial infections and eczema might be complications arising from dry skin. Thankfully, dry skin generally is mild and the remedies are easy.
Generalised winter itching is also called winter itch and can be seen commonly amongst older people. It is mainly caused due to dry skin.
People suffering from eczema may also experience winter itch. 
Cold temperature and low humidity can make the dry skin worse in winters.

Dry Skin - Why It Normally Happens?

Natural ways to remove your blackheads and whiteheads
 
Blackheads and whiteheads not only make you look unattractive, but also are hard to cure and keep recurring. Fortunately, there are quite a few substances and food items available in every kitchen that can effectively and naturally treat them and can also prevent them from recurring! 

Some of the best natural treatments for whiteheads and blackheads are-

1. Use milk- milk is a natural cleanser. Add a hint of lemon juice to half a cup of milk and mix it well with half a spoon of salt. Apply this mixture while scrubbing thoroughly on the entire surface of your face skin. This method decreases whiteheads and blackheads in a week and also stops them from recurring.

2. Cinnamon &amp; honey- a paste made up of one tablespoon of cinnamon powder and adequate honey is a very effective mixture. Apply it on the face, especially on the affected areas, and keep it on for the entire night. Wash it off in the morning. Continue this every night till whiteheads and blackheads disappear.

3. Baking soda- baking soda is exceptionally good to treat several skin problems. A mixture of baking soda and water must be applied on the face. Once it dries, wash it off. This mixture dries off the whiteheads and blackheads and also removes excessive oil from the skin.

4. Mint &amp; turmeric- extract 4 teaspoons of mint juice and add half a spoon of turmeric making a thick paste. Apply it on affected areas for a while. Once this paste dries off, wash your face with water. Milk can replace mint juice if desired.

5. Lemon juice- squeeze out lemon juice from 2 big sized lemons. Add some water to reduce the acidic effect. Dip a cotton ball in it and rub it across your face. You can do this several times a day. This is the simplest method to treat whiteheads and blackheads.

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Everybody Has Them! Remove Blackheads &amp; Whiteheads Naturally.

Bedtime skin care to prevent acne

Skin repairs and rebuilds at night time while you rest, so it makes sense to follow good skin care routine before going to bed every night.

3 most effective bedtime skin care tips that rejuvenate your skin.

1. Cleanse and moisturize your skin: Your skin is exposed to kinds of pollutants, allergens, makeup during daytime. So cleanse your skin properly. Then apply vitamin E based moisturizer to keep your skin hydrated.

2. Use clean pillowcase: Many pathogens and oil may reintroduce to your skin if you use unwashed pillowcase. Thus make it a habit to use a clean pillowcase, preferably made of silk fiber, which keeps you away from the risks of pimples and other skin infections.

3. Don’t sleep with your phone: Your phone collects many bacteria and other microbes during daytime. Thus it is better to keep your phone away while sleeping to avoid any counter infections.



3 Highly Effective Bedtime Skin Regimen to Prevent Acne and Wrinkles

Pimples are the most common type of skin issue and almost each one one of us are affected by them. Though these pimples often go away themselves, but when the situation aggravates it is always best to get it check from a doctor. Homeopathic is branch of medicine which offers cure for such type of cases with zero side effects. Homeopathic remedies to get rid of pimples

Psorinum: It is considered to be the best homeopathic drug for acne. Acne indurata, acne simplex and acne pustular are all treatable with Psorinum. In oily skin with over worked sebaceous glands, the skin is left greasy, making it more prone to acne. Psorinum can help reduce secretion of oil and in effect, treat the underlying cause of a pimple outbreak. It is also used in treating acne that gets worse with consuming chocolates, meats, sweets and fat. Itchy winter acne may be treated with this as well.
Calcarea Sulphurica and Hepar Sulph: Calcarea Sulphurica and Hepar Sulph are homeopathic remedies that are very effective for treating pustular acne. Pustular acne means pus filled acne. Often, there is blood staining the pus. Hepar Sulph is effective if the pimples ooze out pus or blood mixed with pus. These pimples may be extremely painful. It is especially useful to treat pimples in teenagers.
Kali Bromatum: Kali Bromatum is a wonder medicine that treats chest, shoulders and facial acne. It is generally marked by a persistent itch. The acne might be indurated, pustular or simplex. The scar forming acne is also generally treated with Kali Bromatum. Purple tinged acne is best treated with Kali Bromatum.
Natrum Mur and Antimonium Crudum: They are very effective in the treatment of facial acne, especially those affecting the cheeks. Cheeks which turn hot due to acne are best treated with Antimonium Crudum. It may be pustular or papular in nature. Another complaint in such cases is a burning sensation. Natrum Mur is a homeopathic medicine that shows maximum efficacy in case of itchy pimples on cheeks. Anemic girls are also benefitted by Natrum Mur.
Sulfur: It is used in extremely itchy acne. People with unhealthy looking and dirty skin are benefitted from the use of this homeopathic wonder drug. The itch generally gets much worse at night or with the application of warmth. For acne that hasn t responded to previously applied topical medicines and ointments, sulfur has shown marked improvement and has even obliterated all signs of acne.
Silicea: Acne affecting the forehead heals fast with the application of silicea. Even pustular acne has shown drastic healing with this homeopathic medicine.

Pimples - 6 Common Homeopathic Remedies!

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