Psoriasis can be defined as a skin condition, which is caused due to autoimmune disorders within the body. This is a condition where the skin on the body develops raised and dry areas which are reddish in colour while also being bordered by silvery scales. 

Treatment of psoriasis in ayurveda
Ayurveda has a different slant to conventional medicine with regards to the treatment of psoriasis. According to ayurveda, it is the impurities in the blood, which cause the immune system to react adversely and cause this condition. Ayurveda concentrates on treating the underlying problems through the combination of changes in diet, home remedies and certain medications to treat this disorder. Some of them are mentioned below:

Changes in diet which will help purify the symptoms: 
Some advice that is usually given to patients to clean up their diet and include certain other items are as follows:
1. Avoid spicy food and try to eat food, which can be easily broken down within the digestive system
2. Inclusion of more fruits and fruit juices in your diet
3. Also include vegetables and also have a mix of boiled vegetables daily.
4. It is better to avoid animal products such as animal fats, eggs, canned and processed foods from your diet.
5. Regular consumption of butter milk and curd are known to be very good in blood purification and thus should be consumed in large quantities. 

Some ayurvedic tips and ingredients, which can help treat psoriasis: 
Other tips that can be implemented as skin applications to treat psoriasis are as follows: 
1. Use avocado oil to rub on the affected areas as it is known to be an effective treatment when applied long term.
2. Ensure that the skin is always moisturized by applying a soft, cream or gel.
3. Periodic baths in sea water if possible is also good for lessening the symptoms of psoriasis.
4. Aloe vera cream applied specifically on the patches is known to also lessen them overtime.

Few other tips to follow
1. Get into deep breathing and meditation to ensure that your body and mind are relaxed as this is very important during the healing process
2. Expose the affected areas of your skin to mild sunlight for about half an hour daily as it is known to improve symptoms. 


Ayurveda and Psoriasis

A little bit of sun is always good for you and you do need sunlight for your body to process vitamin D, which is necessary for bone health. At the same time, the ultraviolet rays from the sun can be detrimental for your health. While being in the sun is not a bad thing, how long you stay in the sun and how well you are protecting yourself count. Prolonged and unprotected sun exposure harms your skin and can decrease the immunity function of the skin.

Some effects of sun exposure include:

Development of cancerous and non-cancerous skin lesions
Benign tumours
Coarse and fine wrinkles
Freckles
Mottled pigmentation (Skin discoloration in certain areas)
Sallowness (The colour of the skin turns yellow)
Telangiectasia (Expansion of blood vessels under your skin)
Elastosis (Destruction of the collagen and elastic tissue)

The most harmful effect of sun exposure is definitely skin cancer. It is the uncontrolled development of anomalous skin cells is skin cancer. This accelerated development leads to formation of tumours, which are either malignant (cancerous) or benign (noncancerous). Skin cancer is mainly of 3 types: basal cell carcinoma, melanoma and squamous cell carcinoma. Among these, squamous cell and basal cell carcinoma are less critical; while melanoma is very serious. When melanoma is left untreated, it can affect the other organs and get difficult to treat. UV rays are the major causes of skin cancer. Sun exposure over the years leads to squamous cell and basal cell carcinoma, while severe sun damage episodes before the age of 18 cause melanoma.

Here are some tips to prevent sun damage:

Always apply sunscreen 20 minutes before you go out, even if it is cloudy. A sunscreen with SPF of 30 or more, and zinc oxide is advisable if you want optimum sun protection. Also, you should reapply sunscreen every 2 hours, especially if you are swimming or sweating.
Select cosmetic products, contact lenses and clothing that offer protection from UV rays.
Choose sunglasses that offer total protection from UV rays. Also, wear a hat with a wide brim to shade your neck and face.
Avoid direct exposure during harsh hours like between 10.00 and 3.00PM.

Prolonged Sun Exposure - How It Can Damage Your Skin?

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 

Breast augmentation surgery increases or restores breast size using silicone gel implants, saline implants or in some cases, fat transfer. One of the most popular and frequently performed aesthetic surgery procedures, breast augmentation has a long and successful track record in satisfying women who wish to enhance, regain or restore balance to their figures.

When to Consider Breast Augmentation-

If you want a better proportioned or more appealing figure.
If you wish your clothes fit better.
When pregnancy, weight loss or aging has affected the size and shape of your breasts.
To restore symmetry if one of your breasts is smaller than the other.
Breast enhancement surgery is mainly done using:

Implants: While performing breast surgery using implants, the surgeon will make an incision, lift up the breast tissue, create a pocket in your chest, and place the implant there. Generally, the breast implants are of two types, namely silicone and saline. Although both implants consist of an outer shell made of silicone, the difference lies in the internal content of the implant. Saline implants contain sterile or saline water, whereas silicone breast implants are generally filled with silicone gel.
Fat Transfer: For breast enhancement techniques using fat transfer, liposuction is used to take fat from a part of your body that generally has a higher content of fat. This includes the abdomen or the thighs. This extracted fat is processed and then inserted into the breasts.
The safety of the type of breast enhancements depends on:

Ruptures: Ruptures are risks with both forms of breast implant. The ruptures may result due to surgical error or a fall. Rupture of a saline implant only results in the leakage of harmless and absorbable saltwater. On the other hand, rupture of silicone implants causes leakage of silicone that tends to remain in the body and sometimes, may spread out of the breast and into the nearby lymph nodes.
Aesthetic Results: The look and feel of silicone breast implants is given more preference because they are similar to real breast tissues. Saline implants tend to cause rippling of the skin.
Surgical Differences: Saline implants can be filled after implanting. Hence, they require a smaller incision as compared to pre-filled silicone implants. Additionally, adjustment of saline implants after surgery is possible. However, the standard size of pre-filled silicone implants cannot be altered.
Eligibility: Age criteria for women undergoing breast enhancements using saline implants is 18 and above, while for silicone implants, the minimum age is 22.
Aftercare

The individual is kept under observation for a few days post the breast enhancement surgery. The breasts are covered in gauze dressings for a week before the patient is discharged.
After discharge, one is advised to wear a support bra for the first few weeks till the implants set in.

Everything You Want To Know About Breast Enhancement

Skin inflammation caused due to overexposure to the harmful rays of the sun is known as sunburn. UVA and UVB are the ultraviolet rays that cause maximum damage to your skin. Overexposure to the sun triggers the development of melanin (color imparting pigment) on the upper layer of your skin or the epidermis, resulting in the formation of a tanned skin. Severe sunburn can damage your DNA also.

The most common symptoms of sunburn include:

Your skin may appear reddish in color
You may notice wrinkles
On touching, your skin may feel hot
Frequent itching sensation may make you feel irritated
Blisters may pop out due to sunburn
You may suffer from fever too and that may result in nausea
Your blood pressure can also reduce which can make you feel week
Your skin may be swollen
Some of the risk factors are mentioned below:

Fair skinned people are more prone to sunburns.
Working outdoors for prolonged hours can cause severe sunburn.
Sunburn can hasten your process of aging.
The blisters can result in infections.
Sunburns can also result in the formation of skin lesions.
Sunburn can sometimes lead to skin cancer.
Sunburn can be treated in the following ways:

Bathing in cold water can give you some relief.
Aloe Vera creams have cooling properties; applying aloe vera cream or gel on the affected areas can offer temporary relief.
Sometimes, sunburn can make you feel dehydrated, so it is advised to drink plenty of water to keep yourself hydrated.
Anti-inflammatory medicines like aspirin can help you to treat skin inflammation.
Home remedies like applying orange peel paste on the affected areas can help you to treat mild cases of sunburn.

Sunburn - 8 Signs That You are Suffering from it 

Cosmetic surgery has made it possible for almost everyone to have the body they desire. Having small breasts is one of the most common reasons women choose to undergo cosmetic surgery. This type of surgery is known as breast enhancement or breast augmentation.

For this procedure, the doctor will make a small incision along the natural crease lines of the breast. The breast tissue is then lifted to create a pocket in the breast area and an implant is placed in the pocket. These implants can be filled with saline or silicone. The surgeon will then close the incision and reshape the breasts to accommodate the implant.

Breast augmentation is a relatively safe procedure but as with any other invasive surgery, it does have a few risks. Some of the risks associated with this procedure are:

Reaction to anesthesia
Pain for the first 48 hours after surgery
Hematoma
Infection and bleeding
Numbness and temporary loss of sensation in the breasts
Asymmetric breasts
Scarring
Recovery time from breast augmentation surgery varies from person to person. However, to be on the safe side, avoid any sort of strenuous activity or exercising for a few days. Also, avoid running, jumping or any activity that will make your breasts bounce or potentially dislodge your implants. Swimming should also be avoided. The surgical dressing will need to stay in place for a few days after which you may be advised to wear a support bra. Do not wear under-wired bras until your doctor says you can. You should be able to return to work within a week. During this time, surgical sutures, if any, will also be removed. Avoid sleeping on your stomach or on your side for atleast a month after the surgery.

Follow the aftercare regime prescribed strictly to speed up the healing process. Avoid alcohol for as long as you are taking medication and do not self-medicate yourself in any form. Massaging your breasts can help deal with the scarring unless you have been advised not to.

Most women notice a drastic difference in the way their breasts look after a month. However, for the implants to completely settle into your breast tissue it will take around 3 months. During this time, they become softer and shift until they are placed just behind the nipple. In some cases, you may require a follow up surgery and hence it is best to stay in touch with your cosmetic surgeon. 

Breast Enhancement - Safety, Procedure and Aftercare

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