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 

Tips to overcome Alopecia

Everyone experiences hair fall and a vast majority experiences severe hair loss. But some people may experience hair loss as a result of the immune system attacking hair follicles or the place where hair growth begins. While the damage is not permanent, it can be quite frustrating and lower your self-esteem. This condition is known as alopecia. 

Try these 2 effective ways to counter Alopecia.

1. Minimize its effects: Treatments can help hair grow, but there are several ways through which you can minimize the effects of this medical condition. For instance, always use sunscreens for your scalp, face and exposed areas. This will ensure that bald patches don’t cause sunburn. Similarly, use wigs, caps and scarves to save your scalp from Sun and keep it warm in case it’s very cold. If alopecia has affected your eyes or hair inside the nostril, it is recommended that you wear eyeglasses to protect eyes from dust and debris, especially when eyelashes or eyebrows are missing or use ointments for protecting the nose.

2. Medications for hair growth: Depending on the hair loss patterns, you can opt for treatments that involve cortisone, topical minoxidil, immunotherapy and anthralin, which can help in increasing hair growth and suppress immunity reaction to prevent the effects of this medical condition.

Remember, the treatment depends on several factors, such as age, amount of hair loss and the ability to be regular with the treatments. Make sure that you consult with your doctor before beginning any treatment.

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

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Alopecia Care - Handle this hair loss problem with ease.

The heart pumps pure blood to all parts of the body through a network of arteries. These are thicker in the beginning and become finer and thinner as they reach the various organs. These arteries are lined by a layer of epithelial tissues and as blood flows through them, the heavier cholesterol / fat molecules settle down along the walls. 


This attracts more and more fat molecules to settle down.  This is known as atherosclerosis (hardening of the arteries). Over a period of time, the vessels circumference reduces and the blood supply to the target organ reduces. This impacts proper functioning of these organs and when this happens to the major organs like the heart, kidney or the brain, conditions like stroke or thrombosis or heart attack can occur.


This condition, known as coronary artery disease, is becoming a major cause of deaths.  While that is the bad news, the good news is that it is largely lifestyle dependent, and if steps are taken, it can be prevented, and in the early stages, the damage completely reversed.


Preventive measures: 
1. Diet: A low-fat, high-fiber, heart-healthy diet consisting of Omega-3 fatty acids is recommended by doctors, especially to people who are prone to develop heart disease.  This also requires reduced salt, increased unsaturated fats, reduced triglycerides and reduced sugar.  Include loads of fresh fruits and vegetables, whole grains, nuts and seeds and fish oils. Include multivitamins or other supplements after checking with your doctor.


2. Exercise:  Regular exercise in any form increases the efficiency of the circulatory system, keeps the cholesterol levels in check and helps in blood pressure management.  Exercise in any form is advisable, based on individual preference. A moderate physical activity of 30 to 45 minutes per day is advisable.


3. Smoking: This is one of the major risk factors for smoking, and quitting or controlling smoking is one of the best methods to prevent coronary artery disease.


4. Alcohol consumption:  While moderate alcohol consumption is believed to be healthy for the heart, excessive alcohol consumption is a strict no-no.  Binge drinking especially is shown to cause heart attacks.


5. Weight management: Check with your doctor on what is ideal BMI for you and work out a plan to keep your weight under check.


6. Regular medications: If you are on blood pressure or diabetes medications, ensure you do not miss them.  Keep a constant check to ensure your readings are managed well. 


7. Watch out:  Ask your doctor if there are specific symptoms that you need to watch out and seek medical support if you see any of them.


Coronary disease is not treatable fully, but can be prevented and managed effectively to improve the overall quality of life.

Coronary Artery Disease - 7 Ways You Can Prevent it 

Have you been stressed out lately and feel like you have lost your mental peace? You should consider trying yoga for reviving your peace of mind. Yoga poses integrate a combination of physical health and spiritual health, which allow you to cope with the various tensions you experience in everyday life. You get a calm and relaxed state of mind and your sense of both internal and external well-being also improves. Here are the best yoga poses, which help you bring mental peace.

Anjaneyasana - high lunge: For performing this yoga pose, you should stand up straight and bend forward on one of your knees, keeping your other leg stretched behind. Your arms should be held above your head, and you must inhale and exhale all the time. This pose gives you positive energy, which enhances mental power and strength.
Anjaneyasana - low lunge: This yoga pose involves the bending of one knee in a low lunged position, keeping the forward knee flexed at a 90 degree angle. Your arms should be stretched. This yoga asana is good for increasing your mental focus, and helps in releasing all sorts of tensions. It is very effective for total mental peace.
Garundasana - eagle pose: This is a high level yoga pose that helps in improving your concentration and balance. All negative mental energy you possess get dispelled. It involves a chair pose, with one of your left arm wrapped around another. Your arms should stay entwined. This asana enables you to develop mental and physical harmony, which results in inner peace.
Natarajasana - dancer s pose: This is another effective yoga posture, which helps in boosting your concentration power. It involves standing on one leg while you bend forward having one arm stretched in front, and another grabbing your foot of the leg, which is raised.
Virabhadrasana - warrior pose: This yoga pose aims at combating your inner conflicts in order to attain a relaxed mental state. You need to stand on one leg, bend forward, raise your other leg, and clasp your hands behind your back. This practice is effective in eliminating negative emotions, which upset your mental peace.
Urdhva prasarita eka padasana - standing split pose: This yoga asana involves standing with one of your legs resting on the ground, while the other one is extended upwards. Blood rushes to your head, which improves your mental functions. You also experience a serene state of mind, which is important for a sound mind.
Apart from these, the Adho Mukha Vrksasana or the Handstand is also effective for attaining mental peace. Here, you need to propel your body upwards, supporting your entire body weight on your hands.

How Yoga Can Bring You Mental Peace?

You are sitting in an office meeting and it has been a couple of hours since you have had your breakfast. Lunch looks like a long time away and you are trying hard to concentrate. But all of a sudden your stomach starts distracting you and makes noises calling out to you. Does this sound familiar to you?

The rumbling of our stomach has been a constant subject of studies for several scientists. In fact, 2,000 years ago, the Greeks coined a special name for it called Borborygmi. So, what s with all the growling and rumbling. 

What causes stomach rumbling?
The rumbling that you hear is related to the movement of food, liquid, digestive juices and air through your intestines. When your intestine is processing the food, your stomach may grumble and growl. When it is hungry and your stomach is empty, the rumbling noise is more audible and can be heard clearly.

The stomach digests the food through a process called peristalsis. The walls of the gastrointestinal tract that are made of muscles contract and move the food down the intestines. Peristalsis is responsible for the rumbling sound that you tend to ear when you are hungry.

Here is the exact process that occurs in your stomach:

During the digestion process, the food along with the digestive juices, gas and air bubbles are pushed down through the digestive system.
If you have food in your system that needs to be broken down, then the muscle contractions aids its movement. The presence of food can muffle the sound of movement and rumbling.
But when it is empty, all you have in there is air or gas. The movement of air bubbles and gas is not absorbed and your stomach grumbles clearly.
Five ways to deal with it
So now that we know why our stomach growls, is there a way to control it? Here are five effective tips to keep the rumbling of your stomach under check.

Mute the rumbling noise by eating small meals at regular intervals instead of a few large meals. Your digestive system will then have a lesser opportunity to create those loud noises of rumbling.
Eat slowly and swallow less air.
Stay away from high-fructose or high-sugar foods that tend to cause a lot of intestinal noise when it gets broken down in the system.
Eat food that produces less gas.
Try to take a small walk after heavy meals in order to aid digestion and keep your bowels moving, without excessive build-up of gas in your digestive system.
In case you have a concern or query you can always consult an expert & get answers to your questions!

Rumbling Of Stomach - Why It Happens? + How To Manage It?

Dealing with Dysmenorrhoea (Painful Periods)

Dysmenorrhoea is a medical condition where a woman has extremely painful periods. While menstruation is normal, it is very painful. This is caused by disorders like fibroids, pelvic inflammatory disease, adenomyosis, endometrial polyps, use of intrauterine contraceptive device or endometriosis. Many women assume that pain is normal and must be tolerated.

Few ways to deal with dysmenorrhoea are:

1. It’s Ok To Take Pain Relievers: To relieve the pain, simple analgesics like paracetamol and aspirin can be taken.

2. Anti-inflammatory Drugs Can Taken: Non-steroidal anti-inflammatory drugs are also prescribed to deal with dysmenorrhoea and most women are known to feel relief from the pain.

3. Fish Oils Capsules: Fish oil capsules which contain Omega 3 fatty Acids are also a good option to use when troubled with severe menstrual pain.

4. Prefer Light Diet: A few minor dietary changes can also help. Eating low fat vegetarian food especially on the days of the periods can prove to be helpful.

5. Avoid Sedentary Lifestyle: It is said that exercise can reduce the pain of dysmenorrhoea. Sedentary lifestyle is not good for the uterus region and it is advisable to indulge in regular exercises.

6. Use Heat Therapy: Heat therapy is a common and effective way to deal with dysmenorrhoea. Keeping a hot water bag on the region of the pain is known to soothe the pain and help relax the muscles.  

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

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Why Do Some Girls Have Extremely Painful Periods?

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