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 

Fungal infections in nails are caused by an overgrowth of the fungi in your nails. When the growth of fungus happens on the fingernails or toenails, it is known as onychomycosis or tineaunguium. Here are the probable causes of why you might get a fungal nail infection:

Causes -

1. Diabetes
2. Problems in your circulatory system
3. Age
4. Artificial nails
5. Swim in public pools
6. Nail injuries
7. Skin injuries surrounding the nail
8. Fingers or toes which have been moist for an extended period of time
9. Immune system problems
10. Wearing shoes which have toes enclosed

It is also worth note that fungal infections happen much more frequently in your toenail as compared to your fingernail. This is because of two main reasons. The first reason is that fungi can grow very easily on your toenails because of the position. Your shoes are dark, warm and moist and therefore, perfect for the growth of fungi. The second reason for more fungal infections on your toenails as compared to your fingernails is because toes have less blood flow than fingers, thus making it harder for the immune system to fight off the infection.

Symptoms

Fungal infections in your nails are one of the easier infections to diagnose. This is because there are several symptoms which indicate you have this condition. Here are those symptoms.

1. Scaling underneath your skin
2. White or yellow streaks on your nails
3. Corners of the nail may crumble
4. Flaky surface of the nail
5. Yellow spots at the bottom of the nails
6. Loss of nail
7. A nail breaking off from the rest of the nails
8. An odour from the nail
9. Brittle or thick nails

Fungal Nail Infection - Know Symptoms Of It!

Vitiligo is a disorder in which the skin starts losing its original color in the form of unequal shapes and sizes. This problem of skin pigmentation means that the melanocytes in the skin get damaged. This leads to the development of the white patches on the skin.

The hairs which grow on the affected area start losing their color and become gray. This problem also causes psychological disorders which related to appearance and many times, the adolescent's high dose of medications if this disorder develops in the visible areas like face, hands, arms or the feet. The adolescents start feeling embarrassed, depressed and worried about what the others might think of them and how they would react to seeing them.

Causes

Though the exact causes of vitiligo are not clear, the researchers assume that this disorder is just like an autoimmune disorder. This means that the pigmentation or the element which gives color to the skin get destroyed by the antibodies of the person s own body.

In some cases, it has also been observed that the initial stage of this disorder relates to an event which causes psychological stress to the person. People whose parents or other family members suffer from this disease are also likely to suffer from the same. This can be said that this disorder passes down the genes from generation to generation.

If people have suffered sunburns, rashes and other disorders related to the skin where the hair turns gray before the person turns thirty-five, are also some of the causes of this disease.

Role of homeopathy in treating Vitiligo

Homeopathy aims at treating the problem from the root, over a period of time yet in an effective manner. This field of medicine works at building the immunity of the patients and restore their health. As per homeopathy, it is important to understand the constitution of the patient before prescribing any type of medicine. Also, homeopathic medicines prescribed to an individual are related more to the constitution of the individual, the symptoms it is indicating and the overall psyche of the patient. 

Further, it is required that the formation of the melanin in the body is improved, in order to treat the problem. Since all patients are different, thus they respond differently to the treatment provided. And, the course of the treatment can only be decided once the underlying root cause is determined. Homeopathy treatment goes beyond the general and medicinal aspects of the vitiligo treatment. 

All these medicines listed above are only suggestive in nature and can change with the change in symptoms. Therefore one should only take homeopathic medicines as prescribed by the doctor. 

Vitiligo - Know Why Homeopathy Is The Best Choice Of Treatment!

Rosacea is a medical condition of the skin that affects people across the globe. The exact cause of rosacea is unknown to scientists and there is still no permanent solution to this. However, heredity is believed to be one of the causes of rosacea. They are small and red in appearance, often filled with pus. They are fairly visible on forehead, nose, and cheeks. They occur in cycles, and temporarily go away only to come back within a short interval of time.

There are four kinds of rosacea, namely erythematotelangiectatic, papulopustular, rhinophyma and ocular. Every rosacea type has its own set of symptoms. Rosacea can get worse if there is a tendency of eating spicy food and alcohol consumption. Ayurveda is known to be a great treatment option for treating rosacea. Here is a set of Ayurvedic treatment options that could fetch great results:

Turmeric: Turmeric is an anti-inflammatory and antioxidant powerhouse. It can treat a range of skin diseases, such as skin aging, hyperpigmentation and scarring. Not to mention it is one of the finest elements to treat rosacea. Experts of Ayurveda suggest consuming one spoon of turmeric on a daily basis to avoid skin inflammation and other skin problems. It can be taken in the form of juice, with food, and capsule.
Carrots and beets: Carrots and beets are one of the best forms of iron. The latter is required for the normal functioning of the skin. Deficiency of it can cause the skin to be dry and sallow. Beets and carrots have the ability to control rosacea. They can be consumed daily with food or in the form of juice.
Ashwagandha: Ashwagandha is more commonly known as east Indian ginseng. They are one of the most powerful herbs to treat rosacea. Being anti-inflammatory in nature, it strengthens the skin from within and helps in getting rid of rosacea puss. Ashwagandha can be applied in the form of an extract every alternate day to fetch great results.
Honey: Honey is a natural cleanser and antioxidant. They directly attack the rosacea causing virus and do not let them spread. Honey can also bring down the reddish patches that are so common of rosacea. Honey should be applied on the face before taking a bath or sleeping, and washed away with warm water after 1 to 2 hours.
Fenugreek: Fenugreek is an ancient medicinal plant that is rich in vitamin C, folic acid, vitamin A, vitamin K, iron, potassium, and calcium. They help the skin to glow and remove the reddish patches on the face. Its anti-inflammatory nature does not allow the pus to form. It is also considered to be an anti-itching agent. It can be consumed daily in meals.

Rosacea - 5 Ayurvedic Treatments for it!

Hives, also known as  urticuria  is a skin disorder that is characterized by formation of white or red welts on the surface of the skin. The sizes of the welts may vary and can last for up to six weeks or more. The disease is not life threatening but the general discomfort associated with it can interfere with your daily activities. The symptoms of hives are treated by taking anti-histamines and anti-itching medications.

Let s take a look at the symptoms:
1. Development of red or white welts, especially on torso, arms and the face
2. The welts may cause severe itching
3. Painful swelling on various parts of the body such as cheeks, lips and the insides of the throat
4. You may experience tightness in the chest and feel dizzy

What might be the causes?
Hives occur when certain cells are triggered into releasing histamine (an organic nitrogenous compound). The various factors that trigger this condition are:
1. Insects bites or parasite bites
2. Continuous scratching at the same spot
3. Various pain medications
4. Prolonged exposure to sunlight
5. High levels of stress
6. Excessive consumption of alcohol

This disease can lead to severe complications which have been listed below:
1. Severe allergic reaction: Anaphylaxis is an allergic reaction that causes the bronchial tubes to narrow down thus, obstructing normal breathing. It is a condition that may, in certain cases, lead to death as well. Hence, you need prompt medical attention if you suffer from this complication.

2. Breathing complications: Swelling on the inner parts of the throat may obstruct normal breathing and cause you to pass out. It can also increase the risk of certain immune disorders such as rheumatoid arthritis and celiac disease (a disorder caused by eating gluten rich foods in excess).

Treatment
The treatment for this disorder includes taking anti-histamine medications that help in blocking histamine (organic compounds which help to regulate physiological functioning) in the body. You may also be administered anti-inflammation medications to reduce inflammation. Wear loose clothing and stop scratching away at the affected regions of the body to make sure you do not aggravate the condition.

Hives Rash or Urticuria - 6 Cause Behind Skin Disorder

Get rid of suntan: 6 effective home remedies

Sun tan is a common issue this time of the year. A severe sun tan not only robs the skin of its natural glow, but also makes it itchy, lifeless and unhealthy. Here are six simple remedies you can easily follow to remove your tan and get your glowing skin back:

1. Turmeric face pack
Turmeric is commonly known as the best home medication and it indeed has several beneficial effects. Mix a spoonful of turmeric in a bowl of milk and apply the mixture to your face. Keep for 15 minutes and remove.

2. Lemon juice
Cut a lemon and rub the sliced portion on the tanned areas of the body. Wash off after keeping for 5-10 minutes and follow this procedure on a daily basis.

3. Honey and papaya face pack
Honey helps keep the skin soft and supple whereas papaya contains enzymes that enable whitening of skin and effective exfoliation. Blend the mixture of papaya and honey and apply on your face for at least half an hour to experience effective tan removal.

4. Sandalwood paste
Sandalwood has the capability to soothe the skin and rejuvenate it to return its natural glow. Sandalwood paste should be applied right before bedtime on a daily basis to help reduce the effect of sun tan.

5. Yogurt
Yogurt is the best natural anti-tanning agent. Applying it on the tanned areas of your skin not only cools it off but also helps retain the natural complexion of the skin.

6. Aloe vera gel
Whether you extract it directly from the plant or use a product containing aloe vera, it greatly helps in moisturizing the skin and keeping it hydrated. Regular use of aloe vera gel can remove your tan in a short span of time.

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Get Rid Of SunTan : 6 Effective Home Remedies

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