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 

Psoriasis is an inflammatory skin disease in which the skin cells multiply at a rate higher than the normal. It can even be 1000 times compared to the normal rate. It worsens every winter as the skin becomes itches and even starts bleeding after scratching. However, psoriasis is not contagious meaning that it cannot spread from one person to another. In fact, psoriasis is not an infectious disease. It does not occur due to infection of any sort. That is why it does not spread from one person to another.

Treatment
The general belief is that Psoriasis is incurable. However, this is not true. Homeopathy is far more effective in the treatment of psoriasis and these homeopathic medicines are completely natural and do not contain any chemical compounds at all unlike allopathic medicines. The homeopathic remedies do not intend to suppress this inflammation. In fact, they intend to correct the cause that has resulted in this indiscriminate cell division and also the inflammation. Once these two things are set right, the symptoms disappear on their own.

Homeopathy does require some patience on the part of both the patient and the doctor to get good results in the homeopathic treatment of psoriasis.
Remedies for the homeopathic treatment of psoriasis

Graphites is one of the best homeopathic remedies for psoriasis with constipation. In such cases the patient cannot tolerate cold easily. There may be thick sticky discharge from the eruptions. In some cases, eczema may also be present with psoriasis. In female patients, there may be disturbance in the menstrual cycle too.
Mezereum is helpful in case of psoriasis on the scalp. In such cases thick and leathery crusts cover the head and there is pus beneath these crusts.
Arsenic Iodatum is given in case where patches of psoriasis occur with multiple colours. The scales are usually large in size.
Sepia is recommended for psoriasis with foul odour from the eruptions and the affected area of the skin. It is a deep acting medicine and should not be repeated often.
Thyroidinum is considered one of the best homeopathic medicines for psoriasis with obesity. In such cases the itching gets worsened at night. It is a remedy for chilly and anaemic patients suffering from dry impoverished skin along with cold hands and feet.
Arsenic Album is an excellent psoriasis remedy in which psoriasis gets worsened by cold and better by warmth.
Sulphur is considered helpful in various skin manifestations
Kali Brom is helpful in case of syphilitic psoriasis whose symptoms include skin cold, blue, spotted corrugated, large, indolent, painful pustules.
Kali Ars is given in case of patches on back, arms and elbows and scaly itches.
Radium Brom is helpful in treating psoriasis of penis, itching eruptions on face oozing and patchy erythema on forehead.
Other natural and alternative remedies can also be resorted to including Naturopathy, Herbal medicine, Yoga, Ayurveda, Acupressure etc. In case you have a concern or query you can always consult an expert & get answers to your questions!

Psoriasis - 10 Homeopathic Remedies For It!

5 things that worsen your psoriasis

Psoriasis is one of the most chronic and long lasting diseases relating to the skin. Under this condition, the infected skin cells multiply 10 times faster than the normal rate. During this disease, the normal skin tends to get covered by a layer of dead skin cells, not allowing the skin to breathe. The top five things that can worsen your psoriasis are listed below.

Alcohol

There is a direct link between your drinking habits and your skin health. Drinking, in general, tends to cause harm to the overall body. Skin being no exception also gets affected adversely by alcohol consumption. If you have psoriasis, then you should immediately consult your dermatologist so that he/she can assign you a daily limit for your alcohol consumption in a manner that it does not worsen the condition of your skin.

Infections

Psoriasis also gets worsened by common infections like an earache, bronchitis, strep throat infection, and such others. It is highly recommended for you to consult your doctor if you have anybody infections along with psoriasis. So the doctor will be able to tell you the risk of the infection and how to go about managing it.

Stress

Stress has been known generally to affect the skin in an adverse manner. Stress can cause your body to have a greater incidence of inflammation on your skin which further affects your skin disease. Your doctor can help you out with the ways to manage your stress so that it does not cause any further damage to your skin.

Weather changes

Medical researchers have proved that psoriasis tends to grow in colder and drier conditions. It has reportedly been observed that people having psoriasis have smoother skin during summers than during winters.

Cuts and bruises

If there are any kinds of breakouts or irregularities in your skin, then it would further worsen your psoriasis. Your cut skin may lead to a flare which is known as the Koebner phenomenon in medical terminology.



5 Things That Worsen Your Psoriasis

Psoriasis is a long lasting disease characterized by patches of scaly, itchy and red skin. It can be restricted to a small areas or can even spread to the whole of your body. When the underlying infection reaches the surface of your skin, the healthy cells die. This causes red and itchy plaque covered with white scales. It mostly occurs on the elbows, knees and scalp. Sometimes these scales itch and also bleed. In severe cases the red skin grows and merges with another patch.

Conditions of psoriasis:
1. Finger nails get discolored and pitting is noticed. The nails begin to crumble and in severe cases detach from the nail bed.
2. Scales and crust start to develop on the scalp.

Types of psoriasis:
1. Guttate psoriasis- It is characterized by small red spots which occur on the torso and limbs. It usually starts in young childhood or adulthood. It triggers respiratory infection, tonsillitis and strep throat.
2. Inverse psoriasis- In this condition bright red and shiny abrasion occurs in the groin area, in the armpits and under your breasts.
3. Erythrodermic psoriasis- It is characterized by periodic redness of the skin and shedding of the skin. It also causes severe sunburn and infection.

Cause of psoriasis:
Many factors can cause psoriasis. Factors such as, trauma, infection or emotional stress can trigger this condition. Some abnormalities in the system also cause psoriasis. People who have a flare up of psoriasis are usually affected by emotional stress or some trauma like the death of a loved one or loss of a new job. These tensions may intensify because of problems in your internal system.

Ayurvedic treatments for psoriasis:
1. Consuming medicated ghee.
2. Herbal medicines or herbal concoctions can also be consumed.
3. Basthies are medical and herbal enemas which should be taken for 8days.
4. You should avoid having meat and only consume vegetarian dishes to reduce psoriasis. Also avoid yogurt, black gram, salty food products and chilies.
5. You can also remove impurities from your body by means of vomiting and purging.
6. You can also cure psoriasis by covering your entire body in a paste of mud.
7. Consume turmeric and Neem daily to treat psoriasis.

Some medicine like arogya vardhini vati, kutaki, ras manikya, Giloy ghan vati must be taken after consulting an Ayurvedic expert.

7 Best Ayurvedic Medicine for Psoriasis Treatment

The skin is the largest external organ as well as the largest organ in general in the human body. There are many types of skin diseases that can afflict your body and they may appear anywhere. Ayurveda is a potent weapon which can be used to treat many skin diseases effectively. The natural remedies of Ayurveda are being increasingly adopted throughout the world. Let's take a look at a few of the skin diseases that can be easily cured by Ayurveda.

Eczema - one of the most common types of skin diseases, eczema is characterized by the reactions that the skin has. These reactions can manifest themselves in many forms. The most common reaction is swelling of the skin with redness. Other forms may also develop blisters, cracking of the skin, scaling or papules.

Scaly rashes - scientifically known as papulosquamous eruptions, scaly rashes are usually the result of itching which in itself is a reaction to some internal or external factors. These rashes can be mild to severely painful depending on what had caused them. Some factors behind these may be eczema, reaction to drugs, psoriasis and others.

Urticaria - these rashes differ from other ones as they persist for a short period of time and usually result in swellings on the skin. These swellings may be very sensitive and itchy. Some common examples of urticaria are nettle rashes and hives that may develop due to an external factor such as bug bites.

Psoriasis - Ayurveda has great treatments for this disease as its incidence within the population is quite high. This is a non-infectious skin condition where inflammation occurs in the affected parts of the skin and reddish scales form on the body. This problem is usually attributed to excessive cells within the body.

Pruritus or itching - another very common skin affliction which can be caused by a variety of factors, it can be a reaction to something external or be caused by internal issues that may be developing. Mostly caused by the reaction of external nerve endings they may become very painful if over stimulated.

Ayurveda has many remedies for all of the ailments mentioned above along with many other skin disorders and has gained popularity as it completely natural and devoid of side effects encountered with conventional medicine.

Common Skin Diseases That Ayurveda Can Easily Cure

Psoriasis, in general, is a persistent autoimmune condition that causes the speedy development of skin cell. This increase in the number of cells causes unhealthy scales on the surface of the skin.

Symptoms of nail psoriasis
Symptoms to watch out for are the nails cracking right from the nail bed. This, in medicinal term, is known as onycholysis and it creates space that can get contaminated by germs. Soreness or a sponge like feeling beneath the nails, pitting, warping and hardening of the nails, discoloration, painful chalk like build up beneath the cuticles which causes the nail to move upwards, are common symptoms as well. This is known as subungual hyperkeratosis. As a rule, almost everybody who is affected by general psoriasis, suffer from nail psoriasis.

Sometimes nail psoriasis may be accompanied by fungal infections. A parting amid the nail and nail bed is the perfect environment for the fungi to grow. If the symptoms you are experiencing are extremely moderate, treatment may not be required. If the discoloration, nail hardening or chipping of the nails is severe, it is probably a good time to make an appointment with a dermatologist.

Causes
A diet deficient in Calcium, Vitamin C or B12 can lead to this condition. Unhygienic habits can aggravate the condition. Psoriasis, in most cases, is acquired genetically. A weak immune system can also be a marker. Certain steps can be taken to keep the nails healthy. Keeping the nails clipped short and clean helps. Wearing gloves while working in the kitchen, during gardening or washing is another preventive measure you can always take.

Treatment
It may be hard to treat nail psoriasis; while topical medicines are prescribed, they usually don t work that well. Oral D3 supplements can be taken. D3 ointments, light or photo therapy and finally corticosteroid injections directly aimed to the nail bed may ease the situation. In very severe cases, nails may need to be removed with the help of surgery, so as to help new nails to grow back. Patience is the key word.

Nail Psoriasis - How To Know If You Are Suffering From It?

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