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 

Vitiligo is a skin condition that causes loss of pigmentation of the skin. Melanocytes, the pigment cells, within the skin are destroyed. This causes these parts of the skin to lose color and turn pale. It might affect different parts of the body including the arms, legs, face and even genitalia. It can affect a person of any age, ethnicity or gender.

Causes
The exact cause of vitiligo is not definitively known. However, there are a number of risk factors that might contribute towards the condition. These include-

Autoimmune disorders- Vitiligo might be a result of an autoimmune disorder where the overactive immune system destroys the pigment cells of the skin.
Exposure to Chemicals- Exposure to certain chemicals can increase the risk of vitiligo by causing depigmentation.
Hereditary factors- There might be a genetic pre-disposition towards vitiligo. Though a person can exhibit symptoms of the condition at any age, it is most commonly found to manifest itself around the age of 20 years.
Symptoms
Vitiligo may start with a simple spot of pale skin but over time, this spot expands and turns paler until it is white in color. Irregular in shape, the edges of these spots may inflame and cause itchiness.

Treatment
The treatment of vitiligo will be determined by a number of factors such as the number and the extent of the white patches and where they are located. Vitiligo treatment includes cosmetic, medical and surgical methods.

Cosmetic Treatment- Cosmetic and skincare products such as sunscreens, dye or makeup can help relieve and hide signs of the condition.
Medical Treatment- Oral medication or medicated ointments may be prescribed to treat Vitiligo. Photochemotherapy which involves the use of PUVA rays to induce re-pigmentation may also be prescribed. If the condition has spread to a considerable extent then the physician might advise that the color from the remaining areas of the skin also be removed in order to match the affected areas.
Surgical Treatment- Surgical treatments are at times prescribed which involve skin grafting or tattooing. This is usually prescribed for those with small patches of affected areas.
With ongoing and extensive research being conducted on this skin condition, we will in the near future be able to both understand and treat it better.

Vitiligo - What Causes It and How Can It Be Treated?

Acne can be such an annoyance, you might have an important day tomorrow and that is when your skin decides to go rogue. What is acne? Overactive oil glands in your skin cause acne. It is a kind of skin disease where the skin produces excess oil, which traps bacteria and dead skin cells. This growth and proliferation of bacteria causes inflammations, leading to acne. Thankfully there are numerous acne care treatment. One of the most common methods is laser treatment.

Laser Treatment for acne
Laser treatment is a kind of dermatological treatment which uses concentrated light to treat acne.

What laser light does?
The concentrated light targets the bacteria, which combines with the excess oil on your face to cause breakouts. The light destroys the acne-causing bacteria, thus eliminating acne and also prevents future breakouts.
Laser treatment also shrinks the size of the oil glands and simultaneously targets pigmentation.

Laser light and scars?
The most common side effect of acne is acne scarring. And if acne scarring is your main concern, then laser treatment for acne will be integrated with laser skin resurfacing to treat your problem. Laser skin resurfacing directs short, pulsating light beams to remove your skin layer by layer with sharp precision. This smooths down scars, and fine lines while stimulating collagen growth.
It is recommended to use the two treatments alternatively. This way you can avoid side effects like redness and swelling. However, these treatments are safe and can give you clear, acne-free skin.

Is it recommended often?
The treatment is recommended based on the severity and frequency of your acne condition. Usually, 6 treatments are suggested, with monthly touch-ups. The touch-ups will maintain your glowing complexion, collagen production and prevent your acne from returning.

Differences you will see
The obvious differences you will see after laser therapy are clearer skin and reduced breakouts. It will also diminish sun damage, and you will have healthy and glowing skin.

Benefit
When topical creams fail, laser treatment for acne is the best option available. Laser treatment is non-invasive; and it will correct you skin problems and maintain clear skin. The best benefits of this treatment are-
i. It is long-term
ii. It will make you less dependable on creams.

Get Rid of Acne with Laser Treatment!

When it comes to hair problems, nothing can treat your hair better than Amla or the Indian Gooseberry. Amla can be used in a number of ways to treat hair fall


Having an amla a day can do your hair a world of good. Amla juice is equally effective. Daily consumption of amla juice (one glass) on empty stomach is highly recommended for people with severe hair fall problems.
If you wish to make your hair grow stronger and thicker, the simple yet effective amla tonic is just for you. Apply and gently massage your scalp with freshly extracted amla juice. Thoroughly rinse your hair with a mild herbal shampoo after 50 minutes to 1 Hour. 
Amla and lemon are known to nourish the hair from within. A mixture containing freshly extracted lemon and amla juice acts as a great tonic. Massage your scalp with this tonic. Let it sit for 30 minutes. Rinse your hair with lukewarm water.
In a bowl of water, add few pieces of freshly cut amla. Bring the water to boil. Filter the water once it cools down (at least 30-40 minutes). In case of dried pieces of amla, you can soak it in water overnight. For better results, wash your hair with this water daily.
Amla and shikakai are synonymous to healthy hair. Make a hair pack using amla and shikakai powder. Mix it thoroughly with water. Apply and keep this pack onto your hair (full length) for 30 minutes. Rinse your hair properly with cold water. Application of this pack is helpful to check hair fall problems.
When it comes to hair fall, nothing works better than Amla and Coconut oil.  Add few dried piece of amla to a bowl containing coconut oil. Heat the ingredients until the mixture becomes thick and dark. Regular use of this excellent liquid can control your hair problems to a great extent.
Henna is a natural hair conditioner. It acts as a catalyst, accelerating the process of hair growth. Prepare a smooth paste of henna powder by mixing it thoroughly with amla juice (freshly extracted). Apply this paste throughout your hair. Let it stay onto your hair for 1-2 hours. Wash it off with plain water. You can also use a mild shampoo. 
You can also use a mixture of Almond oil and amla juice to reduce hair fall problems. Warm the mixture gently (do not boil or overheat). Massage your scalp with the amazing mixture for few minutes. Wash your hair with a mild shampoo.


With the goodness of amla around, hair problems will no longer give you sleepless nights.


8 Benefits Of Amla (Indian Gooseberry) For Hair 

Sitting or standing slouched does not only look bad but also has a bad effect on your spine. If not addressed in time, bad posture can become a person s second nature. Over time bad posture can change the natural curvature of your spine and lead to a number of health issues. Here are a few tips that could help:

1. Follow the structure of the chair
We spend a lot of time on office chairs. A well-designed chair will follow ergonomic guidelines to support your body. However, this can help only if you sit on the chair properly. Distribute your weight evenly on the chair. Try to align your body to the center of the chair. To do this try keeping your ears, shoulder, and hips in a straight line. Alternate between sitting at the edge of your seat and against the backrest to relieve your back muscles.

2. Change Positions
Though you can t change your desk every few hours, you can change how you sit. Tiredness is one of the leading causes for slumping and bad posture. Thus, to maintain a good posture try changing positions frequently. Stretch every half hour or so. Getting up from your table and walking over to a colleague to tell them something instead of calling them can give your muscles a break.

3. Use posture-friendly props
Along with ergonomic chairs, there are a number of other ergonomic props that could help maintain good posture. This includes footrests, pillows to support the lower back and lumbar back supports. These props can help ease the strain on the back muscles. Using a chair with an adjustable back is also a good idea. While walking, invest in bags and backpacks that are ergonomically designed to distribute their weight evenly over the entire back.

4. Exercise right
Improved posture is one of the many benefits of regular exercise. Cardiovascular exercises such as walking, running, and swimming help condition the body and maintain a good balance. Exercises that strengthen the back muscles are also great for posture. These exercises support the muscles of the upper body and relieve stress on the back muscles.

5. Wear the right footwear
Wear shoes that fit right and support the arches of your foot. This can help you maintain your balance and improve posture. Avoid wearing high heels for extended periods of time as they could have a negative effect on your center of gravity. In case you have a concern or query you can always consult an expert & get answers to your questions!

Tips For Improving Posture And Ergonomics!

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?

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