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 

4 Foods That Strengthen Your Child’s Teeth

Kids have a mind of their own when it comes to food. The unhealthier it is, the more they tend to like it. Most taste driven or sweet foods are harmful for your child’s oral hygiene. However not all foods that your children like to eat are as bad for their oral health, some even help strengthen their teeth.

Here are 4 foods that your children can have for healthy teeth and gums.

1) Sugarless Gum - It helps loosen plaque and increase the number of natural antibodies in the mouth. It also keeps the gums hydrated. While too much of anything is not good, these gums are good once in a while.

2)  Crispy Vegetables  - These might not be popular with children but can be made yummy with interesting dips to go with them. Raw carrots, celery, cauliflower, and green beans are chewing foods which clean the child's teeth and gums.

3) Natural Sugar - Sugar from milk, yoghurt and cheese are rich in vitamin D, phosphate and calcium. When consumed, they raise the pH level of the mouth which lowers the level of acids, hence reducing risk of tooth decay.

4) Vitamin C Rich Foods - Fruits like oranges, kiwis, strawberries, papayas and limes help kill bacteria that can cause gingivitis. They also aid a good supply of collagen in the child's gums. However, parents need to remember that one can eat citrus foods only after thirty minutes from brushing their teeth. This is because the citric acid in these foods can weaken the tooth enamel temporarily.


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4 Foods That Strengthen Your Child’s Teeth

Bad breath isn't just an indication of what you eat. Apart from being a turn off for people who come in contact with you, it could also hint at health problems.

Here are 5 reasons that cause bad breath and ways to overcome the same.

1) Unhealthy Teeth And Gums - Most of the bad breath and halitosis problems result due to unhealthy teeth and gums. Basically, people who don't take care of their dental hygiene are prone to the problem. 
Solution - Clean your teeth and rinse your mouth properly to get rid of the annoying rotten egg stench.

2) Lack Of Hydration - If you are not drinking enough water, you can have bad breath. Saliva washes away smell causing bacteria. But not having enough water will lead to lesser saliva, which will lead to dead and rotting cells that will stink. 
Solution - Drink atleast 8-10 glasses of water daily, at regular intervals.

3) Allergies - Nose and asthma related allergies are one of the leading causes of bad breath. 
Solution - Make sure that you get rid of the allergies via proper care. Also, hydrate more when you have any allergy, like sinus problems or tonsil infection, it helps in clearing allergies out.

4) Eating the wrong stuff - Garlic, uncooked onion and too many spices can also lead to bad breath. 
Solution - Use moderate spices and always rinse your mouth after each meal. Also, avoid foods that are high in sugar as they promote more bacteria. 

5) Acid Reflux - If getting gaseous feeling in the pit of your stomach is a common problem for you, then you might have bad breath too. Heartburn, indigestion and acid reflux are common causes of bad breath. 
Solution - Avoid foods that can cause a reflux and try light eating. It will take care of other health problems too.

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Bad Breath - 5 Reasons You Might Suffer From It And What Can You Do About It

Psoriasis is a skin disease, which develops in men and women often during middle age and above. Although tests and researches are being carried out in various laboratories around the world, the exact cause of this condition is yet unknown. Psoriasis is not infectious. In other words, it does not spread by coming in contact with someone suffering from it. In case you see that you are just developing psoriasis or it is in its early stages, then you can opt for some simple and natural methods of curing it. These home remedies fall under Ayurvedic treatments and help you in getting rid of this disease before it spreads further into your body.

Moist skin: Apply lots of moisturizer on your body. This is done to keep the skin moist and supple. The more your skin becomes dry, the chances of it bleeding and causing infections increase. It is often recommended to apply body oil or sesame oil before taking a bath as it softens the skin.
Use natural body soaps: Sometimes the body soaps that you use are made of harsh chemicals. These chemicals come in contact with your body and aggravate the infection furthermore. You can use home made natural soaps, which are made of natural ingredients and are gentle on your skin.
Avoid skin injuries: Skin injuries like a cut, bleeding, blisters etc. can be harmful for psoriasis. They can aggravate the inflammation and cause more damage. In fact, it is recommended that you apply moisturizer and sunscreen every time you step out of the house in order to protect your skin from further damage.
Use medicines after consultation: Certain medicines have the ability to flare up the effects of psoriasis. Thus, when you develop this disease, it is advised that you meet a general physician and discuss your medicines with him/her in order to control the same.
Reduce stress: Stress levels contribute a lot to psoriasis. Thus, you need to relax as much as possible. You can try out yoga and meditation to keep the stress level down and in turn control this disease as well.
Wear cotton clothes: Wear clothes that you are comfortable in and those which do not cause irritation on your skin. Synthetic clothes sometimes cause a lot of irritation and rashes on the skin. It is something that should be avoided.
These are some of the quick and natural remedies to cure yourself of psoriasis as early as possible.

Psoriasis - 6 Ayurvedic Remedies That Can Help!

In today s world, females have advance techniques available for shaping up their breasts. It is a part of their overall persona and beauty. Breast augmentation is one of the greatest plastic surgery operations that is done in hospitals across the globe. 

Gone are the days, when you would sit back at home and blame nature for your saggy breasts. You have the gift of plastic surgery at your rescue. Breast augmentation can enhance the beauty of your breast and uplift its features. In this process, the implant is put under the pectoral muscle so that you can still breastfeed your infant if needed.
The process is executed with the help of a small 4 cm incision. The recovery process takes a week s time. Breast augmentation can be carried out in a surgical centre or in any hospital s outpatient facility. It doesn t require a hospital stay in most cases. In some selected cases only, the procedure is done using local anaesthesia. In those cases, the patient stays awake. The breast region is made numb.

What to expect during the procedure?

The woman opting this must know what all are expected to happen during the procedure. The surgeon will insert the breast implant by making a single cut in one of the following three areas:

1. In the crease under breast 
2. Underarm (axillary)
3. Around the nipple (periareolar)

After the incision is done, the surgeon will try and separate the breast tissue from the patient s muscles and connective tissue. This will lead to the creation of a pocket either behind or in front of the pectoral muscle. After this, the surgeon will put the implant into the newly-created pocket. It will be centred behind the nipple. 

Saline implants are put in an empty form and then filled with sterile salt water. Silicone implants are, however, pre-filled with silicone gel. After the implant is over, the cut is stitched with sutures and the skin is bandaged with adhesive and tape.

What to expect after the procedure?
For a few weeks, the patient might experience Soreness and swelling. It is also possible to develop bruises. Your scars will fade away with time. It is quite possible that the scars will not vanish permanently ever in your lifetime. You must wear a compression or sports bra at the time of healing. You might be required to take painkillers, as advised by the surgeon.

Breast Augmentation - What to Expect from the Procedure?

Do you know that enlarged breasts, which are observed in many men are caused because of a health condition? This is known as gynecomastia and involves enlargement of the breast tissues in men. The condition is commonly called man boobs. It is usually not something serious and is not always permanent.

Causes
During the puberty stage, gynecomastia is quite common and normal. It occurs because of natural changes in oestrogen and testosterone, the sex hormones. The condition is also likely in men of old and middle age because of ageing and hormonal shift. Certain medicines such as antibiotics, heart medicines, AIDS medicines, drugs for heartburn and anti-anxiety medicines may also be responsible for this condition. Drinking alcohol in excess and taking marijuana, and other recreational drugs also increase the chances of gynecomastia. Breast size may also get enhanced by the use of herbal products containing lavender oil and tea tree oil.

Symptoms
Men affected by gynecomastia are featured by having a rubbery mass underneath their nipple region. It is less in amount and is usually tender. Fluid discharge is also an indication in some cases.

Diagnosis
For the diagnosis of gynecomastia, you should visit a plastic surgeon, who deals with cases of hormone imbalances. Blood or hormone tests may be required if your physical examination shows that your breasts are larger than usual, the lymph nodes are swollen, or when the lump is sore.

Treatment
Commonly, gynecomastia can not be cured with medicines. Surgery is compulsory. In the case of teenagers, the breasts become of normal shape within two to three years. Surgery is the only option for restoring your chest shape and improving your self-image. In the surgery for treating gynecomastia, a small cut is made on your breasts and extra breast tissues are removed. This makes your breasts smaller and flatter. The nipple may also need to be repositioned. Liposuction is another procedure which is carried out for this purpose, in which extra fat is sucked out from under your skin. Among the different modes of treatment for gynecomastia, surgery is meant for long term results. However, you need to undertake a healthy lifestyle in order to maintain your new chest shape. Gaining weight and taking drugs may cause gynecomastia to reoccur.

Gynecomastia - What You Need To Know About It!

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