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 

Atopic Dermatitis is a specific type of eczema which occurs when the epidermal layer of the skin is affected by eczema causing bacteria and other microorganisms. These eczemas are treatable and homeopathy finds a simple and natural solution to this disease. It not only helps to contain the disease from spreading it to other parts of the body but also helps in curing it of the root itself. There are some quick and effective remedies towards atopic dermatitis through homeopathy. Some of these are explained below.

Antimonium Crudum: People who have eczema which manifests as thick and hard boils are often given this medicine. In fact, it is administered both to children and the elder people. It has been seen that those who show symptoms of irritability in their behavior, get angry very soon and are most likely to be left alone, are the ones who are given this treatment to cure their eczema.
Arsenicum: Sometimes eczema is formed where boils turn thick and hard and have pus oozing out of it. For such skin infections, Arsenicum is the most widely used medicine that the homeopathic practitioners rely on. People who face such kinds of skin diseases are often seen to be depressed or melancholic in their lives. Thus, their mental feelings are often manifested in the form of eczema on their body.
Calcarea Carb: Eczema not only occurs on the body but also on the scalp. There are a few kinds of infections which have their roots on the scalp and then it starts spreading all over the face. For such kinds of infection, Calcarea Carb is the best form of homeopathic medicine which can be administered. In fact, patients with this problem are mostly children.
Graphites: Seems to be a very powerful and effective medicine against eczema which resembles ars. It is given to those patients whose skin becomes very hard and rough and there seems to be pus formation within the infection. Eruptions may be occurring in the eyes, behind the ears, and on the cheeks. Such infections are treatable with graphites.
Thus, if you are showing signs and symptoms of atopic dermatitis, then you should immediately consult your nearest homeopathic practitioner and get the proper medicine prescribed for yourself. Eczema would only spread and cause irritation in the skin if not timely treated and homeopathy offers one of the best types of treatments for this purpose.

Homeopathic Treatment For Atopic Dermatitis!

As per the American Osteopathic College of Dermatology, an estimated 10 percent of individuals encounter keloid scarring every year. While women and men are equally prone to have keloid scars, people with darker skin tone are more likely to experience keloids.

What are keloids and why do they occur?
Keloid is widely recognized as keloid scar or keloid disorder. It is caused when the fibrous tissues also known as scar tissues are injured. In specific instances, the scar tissues grow in excess, and they form a hard and smooth growth, which is known as keloid, which could be bigger than the actual wound. They are customarily found in areas like the chest, cheeks, shoulder, and earlobes. Nonetheless, any part of the body could be affected by keloids. Though they do not pose a threat to health, they can be a cause of significant cosmetic concerns. Another factor why they occur is in the case of overgrowth of the scar tissue that develops over the period of weeks.

Are keloids a cause for concern?
Keloids are often itchy and discomforting. Keloids often cause a major cosmetic concern as they are large and easily spotted. Due to this, several patients encounter stress as they become conscious. Exposure to sun must be avoided in case of keloids as the tanning of the affected area may darken the keloid scar and become more prominent. The response of the treatment for keloids depends majorly upon the anatomical location of the scar. An extremely itchy keloid can be quite distracting. Many patients are skeptical of getting treatment as it may leave a permanent scar.

Common Treatment options for Keloids

Laser: The pulsed-dye laser can be helpful in flattening keloids and making them appear less red and intense. The treatment is considered as safe and is almost painless, but many treatment sessions may be required. These may be expensive, as insurance plans do not usually cover laser treatments.
Cryotherapy: This is a method in which the keloid is frozen with the help of liquid nitrogen to flatten the keloid. However, it may result in lightening or darkening of the affected area.
Radiation: Radiation is considered as a safe and effective option by several doctors for the treatment of keloids.
Silicone gel or sheeting: In this method, a sheet of silicone gel has to be worn continuously for months in order to treat the affected area. The outcomes of this treatment may vary. Some doctors claim relative success with compression dressings composed of materials that are not silicone.
Surgery: Treating keloids by surgery may prove to be risky as it may activate the development of a more prominent keloid. Some operations have been successful by applying compression or injecting steroids to the wound after the keloid has been treated. Superficial radiation treatment post-surgical procedure has also been considered to be helpful.
A condition that poses no threat to your health, and is purely of cosmetic concern, Keloids do have several treatment options providing the expected results.

Keloid - 5 Ways It Can Be Treated!

Lupus is an autoimmune disease, which is chronic i. e. Lasts for years or more than at least six weeks and may affect any part or organ of the body. The immune system fights off viruses, bacteria and germs by producing proteins known as antibodies. Autoimmune means that due to some defect, your immune system is unable to differentiate between the healthy tissues in your body and foreign invader that harms your body; thus creating antibodies that destroy the healthy tissues. This causes inflammation and damage to various parts of the bodies, leaving the sufferer in excruciating pain. 

Symptoms:
1. Fatigue: most of the people suffering from lupus experience weariness and fatigue. People usually take afternoon naps to remedy this. However, this may lead to insomnia. Talk to a doctor to successfully cure this symptom.
2. Unexplained fever: if you suffer from recurrent fever that hovers around 99 to 101 degrees fahrenheit, visit the doctor as soon as possible since this is a sign of infection or inflammation.
3. Hair loss: one of the most prominent symptoms of lupus is hair loss or thinning of hair. You may find your hair looking brittle, thin and ragged, including the hair on your eyebrows, eyelashes and other parts of the body. 
4. Lesions or skin rash: another prominent symptom is the butterfly rash that covers both the cheeks and the bridge of the nose and appears right before a flare up. This rash may occur all of a sudden or when exposed to the sunlight. Lupus also causes lesions and discoloration on various parts of the body due to exposure to sunlight or artificial light.
5. Pulmonary issues: lupus causes pleuritic chest pain due to painful inflammation in the lungs as well as the areas surrounding it such as diaphragm and lung blood vessels. This affects the patient's breathing process. Moreover, lupus is also known to decrease the size of the lung also called the" vanishing lung syndrome" that is identified by shortness of breath and chronic chest pain.
6. Kidney inflammation: most individuals suffering from lupus tend to develop nephritis that is inflammation in the kidneys. It is imperative to visit the doctor if you have symptoms of nephritis as it may cause end-stage renal disease (esrd) if untreated.

Symptoms of Lupus

6 Best Home Remedies To Get Rid of Acne

Acne causes skin damage and leaves marks that ruin appearance. Although these scars cannot be completely removed, they can be reduced to an extent that they become invisible.

Give your skin these tested remedies to get rid of pimple scars-

1) Cleansing of Lemons: Lemons, as you know are rich in vitamin C, which helps in the synthesis of collagen (the connecting tissues of skin) in the body. Therefore, regular use of lemons helps in keeping your skin free from blemishes or scars. Treating with lemon includes consuming lemons as well as application of lemon juice on the scars and washing it off.

2) Smoothening of Aloe Vera: Aloe Vera gel application is extremely beneficial for skin, it not only reduces the scars but also soothes the skin. It also smoothens out the skin as well as lightens the complexion.

3) Soothing of Sandalwood: Sandalwood or chandan is antiseptic and anti inflammatory in nature. It is therefore highly effective at cleansing of scars as well as soothing facial skin. Regular application of sandal wood powder mixed with rose water gives a glow to your skin that nothing else can.

4) Healing of Fenugreek: Fenugreek or Methi seeds are anti-inflammatory and are also a smoothening agent. It heals skin conditions and greatly reduces acne scars. Its extract can be applied externall for the reduction in the intensity of the scars  appearance.

5) Protection of Neem Leaves: Neem leaves are effective against a lot of skin problems, from acne and eczema to ringworm. Its alkaloids content gives Neem its antibacterial, antiviral and antifungal properties. Neem also helps in removal of toxins from the body. It can be crushed and externally applied in the form of a pack or its bitter juice can be comsumed.

6) Care of Apple cider vinegar: Vinegar promotes peeling off skin, which is helpful when you have scars. It is also antiseptic in nature.  It can be applied on the scalp using cotton, with a little dilution. The vinegar is particularly helpful in dandruff.

Have any further questions on how Ayurveda can help you get beautiful skin? Click on consult privately to ask me.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.

6 Best Home Remedies To Get Rid of Acne

Vitiligo is a skin disorder where white patches of depigmentation develop on the skin and keep enlarging. This disorder is long term and continuous in nature. The patches appear due to the death of melanocytes within the skin. Melanocytes are skin pigment producing cells, which produce melanin. Vitiligo can affect the skin of several areas, including the eyes, hair and the portion inside the mouth.

Causes
The causes of this disease are as follows:
1. Autoimmune disorders in which the immune system of a patient becomes over reactive and the melanocytes are destroyed.
2. This disease may also occur due to genetic oxidative stress imbalance.
3. Stressful events may also lead to vitiligo.
4. Harm or damage to the skin from sunburns or cuts also leads to vitiligo.
5. Exposure of the skin to several harmful chemicals may be a cause.
6. Neural disorders are also responsible for vitiligo.
7. Vitiligo may also happen from viral causes or may be hereditary and passed on from family members.

Symptoms
Vitiligo has only one major symptom. White, flat spots and patches develop on the surface of the skin. The earliest of these white patches appear on the parts of the body which are exposed to the sun continuously.
It starts off as a simple spot in the beginning and gradually, the spot starts getting pale and finally turns white. The patches have irregular shapes, and in some cases the edges get inflamed and are red in color. Itchiness is experienced in the affected areas. Symmetrical patches signify slow development of vitiligo.

The two major types of vitiligo are:
1. Non segmental vitiligo, which affects the back of the hand, the arms, knees, elbows, feet, mouth.
2. Segmental vitiligo, which is more stable than non segmental vitiligo, but spreads faster. It usually affects areas of the skin, which are attached to nerves.

Treatment
The different methods of treatment for vitiligo are:
1. Phototherapy with UVB and UVA light: Exposing the affected area of the skin to UVB lamps is a popular cure for vitiligo. This treatment can be performed easily at home. UVA treatment incorporates taking of a drug which makes the skin more sensitive to ultraviolet light and then the skin is exposed to high doses of UVA light.
2. Skin Camouflage: Cosmetic creams and makeup can be used to camouflage affected areas of the skin. These topical creams are waterproof.
3. Depigmentation: Depigmentation is used to treat widespread areas affected by vitiligo. The skin color of the unaffected areas is reduced in order to match the affected areas. It is done using topical ointments.
Vitiligo is a skin disease, the major causes of which are still to be discovered. Proper care and treatment should be taken for skin areas affected by vitiligo.

Vitiligo: Causes, Symptoms and Treatments

Don't wait any longer, manage your Liposuction online with a Lybrate doctor today

Consult for Liposuction - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES