Psoriasis is a long lasting disease characterized by patches of scaly, itchy and red skin. It can be restricted to a small areas or can even spread to the whole of your body. When the underlying infection reaches the surface of your skin, the healthy cells die. This causes red and itchy plaque covered with white scales. It mostly occurs on the elbows, knees and scalp. Sometimes these scales itch and also bleed. In severe cases the red skin grows and merges with another patch.

Conditions of psoriasis:
1. Finger nails get discolored and pitting is noticed. The nails begin to crumble and in severe cases detach from the nail bed.
2. Scales and crust start to develop on the scalp.

Types of psoriasis:
1. Guttate psoriasis- It is characterized by small red spots which occur on the torso and limbs. It usually starts in young childhood or adulthood. It triggers respiratory infection, tonsillitis and strep throat.
2. Inverse psoriasis- In this condition bright red and shiny abrasion occurs in the groin area, in the armpits and under your breasts.
3. Erythrodermic psoriasis- It is characterized by periodic redness of the skin and shedding of the skin. It also causes severe sunburn and infection.

Cause of psoriasis:
Many factors can cause psoriasis. Factors such as, trauma, infection or emotional stress can trigger this condition. Some abnormalities in the system also cause psoriasis. People who have a flare up of psoriasis are usually affected by emotional stress or some trauma like the death of a loved one or loss of a new job. These tensions may intensify because of problems in your internal system.

Ayurvedic treatments for psoriasis:
1. Consuming medicated ghee.
2. Herbal medicines or herbal concoctions can also be consumed.
3. Basthies are medical and herbal enemas which should be taken for 8days.
4. You should avoid having meat and only consume vegetarian dishes to reduce psoriasis. Also avoid yogurt, black gram, salty food products and chilies.
5. You can also remove impurities from your body by means of vomiting and purging.
6. You can also cure psoriasis by covering your entire body in a paste of mud.
7. Consume turmeric and Neem daily to treat psoriasis.

Some medicine like arogya vardhini vati, kutaki, ras manikya, Giloy ghan vati must be taken after consulting an Ayurvedic expert.

7 Best Ayurvedic Medicine for Psoriasis Treatment

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 

Warts show up in all shapes and sizes. Caused by the human papilloma virus (HPV), they are exceedingly contagious and while they can show up in anybody of all ages, they will probably trouble children and teenagers.

About all warts are harmless however once they appear on conspicuous places such as the face or hands, most individuals will do almost anything to dispose of them.

Contemplating Warts-

Warts are frequently seen as simply a minor nuisance   to expel the wart is to evacuate the issue. Yet, is this totally genuine? No, say homeopaths.

Their presence on top of the skin warns of a more profound weakness or susceptibility that allows them to proceed and flourish. While expelling the wart creates a sans blemish skin, it does nothing to right this fundamental weakness   the person is still defenseless against future medical issues.

Homeopathic Remedies For Warts-

At the point when using homeopathy for warts, great results are accomplished when the cure corresponds to the characteristics of the person as well as the shape and appearance of the wart.

On account of that, three remedies are prescribed more regularly than whatever other   Antimonium crudum (Ant-c.), Nitricum acidum (Nit-air conditioning.) and Thuja occidentalis (Thuj.) (under strict supervision of the experts). Perused on for the descriptions of these three and other regular wart remedies.

Antimonium crudum (Ant-c.) (under strict supervision of the experts): Hard, smooth warts that frequently show up in groups. Crabbiness and a thickly covered white tongue also suggest the requirement for this cure. The person may also gorge and have various complaints regarding the digestion problem.
Calcarea carbonica (Calc.) (under strict supervision of the experts): Round, hard, solitary warts. Frequently useful for endophytic warts that have a horny divider surrounding a focal depression. Shown in individuals with sticky hands and feet who incline toward routine and the well known as opposed to change and the obscure.
At long last, a Warning About Warts

Some skin cancers such as squalors cell carcinomas appear to be similar to warts so it is critical to get a firm diagnosis if there is any uncertainty.

In case genital warts are present it is also imperative for ladies to have a PAP smear to watch that pre-cancerous changes have not occurred on the cervix.

Treating Warts with Homeopathy

Dandruff is not a major health concern but it can affect your self-confidence and self-image. This condition is most often the result of a dry scalp or type of dermatitis. It could also be caused by a yeast infection or eczema. Common forms of treatment for dandruff include medicated shampoos that fight the fungus or slow down the ageing of skin cells on the scalp. Some ways of treating excessive dandruff are:

Neem- Neem is renowned for its anti-fungal properties that help in the treatment of dandruff. It is also well known for its antibacterial and anti-inflammatory properties. Neem can be used on its own by applying a paste of boiled neem leaves on your scalp or used as a hair mask made of dried and crushed neem leaves and olive oil. Your scalp may itch a little on the application of this paste but this is temporary.

Coconut and Honey Scrub- Coconut helps preserve proteins in the hair and lessens dandruff. Honey is also used to treat dandruff as it has well known anti-microbial properties. To benefit from this, apply and massage a mixture of 2 teaspoons of honey or coconut oil and 3 teaspoons of yogurt to your scalp for about 10 minutes before washing your hair. Wait for about half an hour before rinsing it out. Dry with a towel and massage a few drops of coconut oil into the scalp. However, do not rinse your hair more than twice with shampoo while washing off the paste as it can strip your hair of its moisture.

Banana and Apple Cider Vinegar- Bananas are a good source of vitamin B that helps improve circulation and keeps skin healthy. Apple cider is also a known fungicide that helps treat dandruff. If you suffer from acute dandruff, massage a paste of 1 whole banana and 2 cups of apple cider vinegar into your scalp and leave for 20 minutes on a daily basis for a week. Once dandruff reduces, you can apply the paste once a week.

Yogurt- Yogurt is rich in healthy bacteria that helps reduce yeast in the body and prevents the scaling of dead skin cells. To use yogurt as a form of treatment for dandruff, apply a cup of fresh yogurt to the scalp and leave for 15 minutes before rinsing off. You could also add two spoons of freshly ground pepper to the yogurt as pepper also has antifungal properties.  

How To Deal With Excessive Dandruff?

Ringworm of the scalp usually affects children. This is a common type of a fungal infection of the scalp and has nothing to do with the worms as the name suggests. This is treated with antifungal medications and though the antifungal shampo-is not to-effective, it might be advised along with medication.

Causes of scalp ringworm:

 Most of the times a ringworm infection is transfered from person to person through sharing towels and touching. The fungi and its spores can remain alive on brushes, combs, sheets, furniture and unwashed towels for long. Some people are only carriers of fungi, meaning that they carry the fungi and its spores in their hair and skin but do not have any infection and symptoms. But they might pass the fungi to others who may develop the symptoms.
 It spreads from pets like cats and dogs who are very prone to fungal infection of the skin. They easily pass their infection to children and other family members. Farm animals are also a source of fungal infection and if the farm gate is touched from where the infected cattle passes, it is enough to cause infection.
 Also at times there is no reason and fungi infection can just happen out of the blue. Like for example, the fungi spores can get transmitted through air, they might get into the air by an infected person and land on someone else's head. This can develop into fungi and can cause infection.

Symptoms of scalp ringworm:

 The infection looks more like dandruff, a severe form of dandruff in different parts of the scalp. This is often mistaken to be psoriasis.
 In some infection there is loss of hair leading to bald patches. These patches become scaly and inflamed. The patches might have broken off small hair.
 Several painful pustules and boils occur on the scalp
 In severe infection there is boggy swelling on some part of the scalp, which is known as kerion. This might be tender and oozing and if not treated can lead to hair loss and permanent scarring.
 In severe infections like with pustules and kerion, one might develop high fever and the glands of the neck might swell. 

Treatment of scalp ringworm:
The treatment of the fungal infection of the scalp involves the following:

 Antifungal medicines: these are usually taken in the form of tablets and following are advised:
 Griseofulvin: this is often the first choice and a course of 8-12 weeks is required. The tablet can be crushed and taken with water.
 Terbinafine: the course for this is four weeks and is important to complete the course in order to get rid of the infection.

Fungal Infection on Scalp: How to Treat It?

5 simple ways to prevent dandruff in winter

Dandruff is becoming increasingly common. This scalp condition can exacerbate in winter since the humidity of the air around you decreases, which results in dry skin and an itchy scalp. But there are certain ways in which you can prevent the onset of dandruff during winters. Read on to find out.

1. Wash your hair with lukewarm water
You may find a shower with hot water a great way to start your day, but unfortunately, it has a negative effect on your scalp. Hot water baths are responsible for scalp irritation and effectively increase inflammation, which ultimately leads to the occurrence of dandruff. So, always opt for lukewarm water to wash your hair in order to maintain the natural moisture level of your scalp.

2. Give your scalp a coconut oil massage
Make it a habit to massage your scalp with 3-5 tablespoons of coconut oil before sleeping at night. Rinse away the oil the following morning using a gentle shampoo. Regularly following this remedy proves to be beneficial in keeping dandruff away from your scalp.

3. Watch your diet
You can ensure that your scalp remains healthy during winters by including moderate amounts of vitamin b, omega 3 fatty acids and zinc in your diet. To get these nutrients eat foods like walnuts, leafy vegetable, and eggs etc. These foods can help in keeping your scalp hydrated, thus preventing the occurrence of dandruff.

4. Stay away from hair styling products
Winter robs away the moisture from your scalp, which makes it highly vulnerable to damage on exposure to harsh chemicals. Most hair styling products (such as hair colours) contain strong chemicals, and if you use them frequently during the winters, you may end up having an itchy scalp resulting in dandruff later.

5. Use conditioners and shampoos containing tea tree oil
Hair care products like shampoos and conditioners made of tea tree oil help in restoring moisture to your scalp, which in turn stops dandruff from occurring. Alternatively, giving your scalp a tea tree oil massage two times every week works wonders for your hair and keeps dandruff at bay.

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