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 reduction or breast reduction surgery is a form of cosmetic surgery where the size of disproportionately large breasts is reduced.
Extra large breasts may cause neck pain, back pain and several other physical symptoms. Many women undergo a breast reduction to make life easier. This surgery provides effective results.
The procedure of breast reduction surgery-
Breast reduction surgeries can be conducted in an outpatient facility. You may have to stay for one night at a hospital as well. While performing this surgery, a patient is given general anaesthesia, which will make the patient asleep during the process.
Breast reduction surgery requires about two to five hours to be completed successfully. During the process, the surgeon will create a cut around the nipple and then on the breast. The cut is made in the shape of a keyhole. Extra skin, tissue and fat will be removed from the breast through the keyhole-shaped incision. Drainage tubes are also utilized for removal of excess skin and fat. After the removal is complete, and enough skin has been removed, the breasts are stitched. They are then wrapped in a special gauze. Sometimes, a surgical bra is required to be worn by the patient during the surgery.
Recovery from breast reduction surgery-
After a breast reduction surgery is performed, the patient must take a minimal one week off from any kind of work or school. Some women require two weeks or more to recover. However, this varies from patient to patient, but not more than three weeks are required for recovery.
You will be having follow up appointments with your surgeon, where the bandages and stitches on the breasts are removed.
As a part of the recovery process, a woman must abstain from all kinds of physical activities for one month following the surgery. After the surgery, it is likely for a patient to feel tired and experience breast pain. However, this is normal and you can have oral pain killers prescribed by your surgeon to get relief and ease. Heavy lifting should be strictly restricted.
Some women experience emotional reactions such as depression after the surgery. This too is normal, but you should talk to your surgeon about it.
Breast reduction surgery is an efficient cosmetic surgery, which enables women to reduce their breast size and volume. The results of such a surgery are quite satisfactory.


Breast Reduction - Tips To Help You Recover Quickly!

When it comes to a man's physique, enlarged breasts can be quite embarrassing. This is a condition known as male gynecomastia and affects more men than you would imagine. Though it does not pose a significant health risk, it can affect a man's psychological health and lower his self confidence. The good news is that men suffering from this condition do not need to live with it.

Male breast reduction surgery or gynecomastia surgery, aims at reconfiguring the contours of a man's chest by removing breast fat. The only permanent solution to this condition is surgery. This is because fat tissues are not solely responsible for enlarged breasts. Often glandular tissue is present in excessive amounts as well.

Gynecomastia surgery is usually performed under local anesthesia with liposuction being the most preferred procedure. This procedure begins when the surgeon makes a small incision on each side of the chest. These incisions are usually placed along the natural contours of the body, around the edge of the areola or near the armpit so as to reduce the visibility of scars. Excess fat and glandular tissue is then sucked out of this incision. Simultaneously, the surgeon sculpts the other tissues in the chest to redefine chest contours. Patients are usually advised to wear a compression garment after the surgery to support the healing tissues and minimize swelling.

Results of this procedure are visible almost immediately. Recovery from gynecomastia surgery is usually quick and many men find themselves back to their normal routine within a few days. However, vigorous exercising and heavy lifting should be avoided for a few weeks after the surgery. The patient may also experience slight soreness and minimal pain that can be relieved with over the counter pain killers. Some men may also experience a temporary loss of sensation in the area. Though the results of this procedure are permanent, there is no guarantee that it will not recur.

Gynecomastia may recur as a result of significant weight gain, use of steroids or as a side effect to certain types of medication. Hence, it is important to maintain a healthy lifestyle and avoid drugs that influence your testosterone levels. Regular exercise can also help tone the chest muscles and keep this condition from recurring.

Embarrassed Because of Enlarged Breast? Male Breast Reduction Can Help

5 horrible things you do to your hair everyday

Hair today, gone tomorrow. That might be your condition if you are not taking care of your hair properly. There are a lot of things you do almost daily that are adversely impacting your hair health. You might not even be aware of the damage you are doing to your tresses by indulging these activities. Read on to find out about the 5 worst things you do to your hair on a daily basis.

1. Excessive hair brushing: Here’s why brushing your hair excessively is bad for your hair: it causes breakage and strips your hair of its natural nourishing oils. To avoid this, try limiting the use of your hair brush to about just two times in a day. Brushing right after you wake up is a good idea, as it helps in distributing the oils produced by your scalp down your hair shaft, which act as a natural conditioner for your hair.

2. Tying your hair in a ponytail everyday: If you tie your hair in a ponytail everyday then chances are you are applying consistent pressure to on the same hair shafts, resulting in brittle and weaker hair. In fact, doing so continuously can even retard hair growth. Try to leave it open as much as you can, but if you absolutely must tie a pony tail, then tie a loose one. Maybe even use booby pins to keep your hair in place instead of scrunchies. Alternating between high and low ponytails helps too.

3. Using a pre-used hairbrush: Your hairbrush contains a lot of germs, which can severely damage your hair. Using an unclean brush is one of the main reasons of damage hair, as these brushes contain dirt gathered from your hair which you’re giving back to your hair by using. It’s best to clean it once in a while to maintain proper hair health. The same holds true for other styling agents such as combs, curlers, rollers, straighteners etc.

4. Delaying a hair cut: Most of us are guilty of this crime. What with your jam-packed schedule and work overload, you often ignore that much needed trip to the salon. Prolonging a haircut is never a good idea as it can lead to a bad case of split ends, which can result in hair that tangles a lot and causes hair fall. Regular trimming sessions, once every 6 weeks, are a must.

5. Shampooing in excess: Some of you prefer your scalp to be squeaky clean every single day, believing that daily dust and pollution require you to indulge in this unhealthy habit. Well, it’s best to stop right now as you’re harming your hair by shampooing daily. Daily shampoos can completely strip your hair of its natural oils, causing your scalp to become dry, leaving your hair with a dry, messy and rough feel. However. Delaying hair wash is not good either. It is best to shampoo whenever your hair feels greasy and dirty.

Avoid doing these to your hair, and let your tresses breathe so that they look healthy and shine with a natural glow.



5 Worst Things You Should Stop Doing to Your Hair!

The first thing anyone notices about you is your face and often people find themselves wishing for things like a slimmer nose, fuller lips etc. This is where facial cosmetic surgery comes in. Facial cosmetic surgery can address areas like your eyebrows, nose, cheeks, chin etc to give you the facial structure you've dreamed of.

Take a look at some of the common types of facial cosmetic procedures:

Brow lift: Frown lines and creases that develop across the forehead, between the eyes and over the nose bridge can be addressed through this procedure. This surgery is performed mainly to combat signs of aging and involves raising eye brows that may be sagging over the eyelid.
Eyelid surgery: Puffiness in the upper eye lids may be caused by excessive fat deposits. When combined with sagging skin, it can disturb the contours of the eye and in some cases cause vision problems. Blepharoplasty or eye lid surgery removes this excess skin and corrects fine lines, wrinkles and bags under the eyes.
Nose: A rhinoplasty is used to reconstruct the nose. The nasal skin is separated from the tissue and cartilage structure underneath which is then reshaped as desired and then sutured together again. Rhinoplasty is of two types; open rhinoplasty and closed rhinoplasty.
Ears: An octoplasty is a facial cosmetic surgery aimed at correcting protruding ears or large outer ears and correcting ear deformities such as a lop ear, cupped ear or shell ear and torn ear lobes. This surgery is usually performed on children between the ages of 4 to 14.
Chin: Surgery on your chin can reshape it to make it look smaller or bigger as desired. This can be done by reshaping the jaw bone or inserting an implant. In some cases the procedure may be combined with liposuction.
Forehead: Signs of aging on the forehead, frown lines or heavy brows triggered by stress and hereditary furrowed lines above the nose can be addressed with a forehead lift. This procedure is often performed along with a facelift or eyelid surgery.
Facelift: As we grow older, our skin loses its elasticity. This triggers the development of wrinkles and deepens creases along the nose and cheek. Facelifts address these signs of aging by tightening skin and strengthening the muscles beneath it. Facial cosmetic surgery can also be used to correct congenital defects such as cleft lips and to treat scars.
Surgery to repair a cleft lip or cleft palate not only enhances appearances but also enhances the quality of life by improving functionality. Scar revision surgery involves the injecting or application of steroid medication to lighten the scar and make it less obvious. To treat burns that leave behind prominent scars, a procedure called Z plasty may be used.

Facial Cosmetic Surgery - Which Type is Suitable for You?

Hives, also called urticaria are swollen welts or bumps that appear on your skin suddenly.

They itch, burn and sting and can happen anywhere on your body. You can get them on your face, lips, tongue, ears or chest. And in size, they can be as small as an eraser to as large as a plate. They also form plaques and can last for hours or up to several days.

Types

Acute urticaria - These type of hives last less than six weeks. The most common causes are allergies due to certain foods and medications, or infections. These hives can also happen due to diseases or insect bites.
Chronic urticaria - Hives lasting more than six weeks come under this category. What causes them is usually more difficult to identify than what causes acute urticaria. In some cases, chronic hives are caused due to thyroid disease, hepatitis or even cancer. This type can affect your internal organs like lungs, muscles, and the gut. Thus, symptoms include muscle soreness, shortness of breath, vomiting, and diarrhoea.
Physical urticaria - These types are caused due to direct physical stimulation of the skin due to cold, heat, sun exposure, vibration, pressure, sweating, and exercise.
What causes hives?

Hives happen mostly due to allergies. Some of the common hive triggers are-

Certain foods, especially peanuts, eggs, nuts and shellfish- Fresh foods are more likely to cause hives as compared to cooked foods. Certain food additives and preservatives can also play culprits. Medicines like penicillin and sulfa- based antibiotics, aspirin and ibuprofen which are non-steroidal anti-inflammatory medications, high blood pressure drugs like ACE inhibitors, and painkillers such as codeine can also trigger hives. Other things that may cause it are:

Insect bites
Latex
Transfusion of blood
Bacterial infections, including urinary tract infections and infected throat
Viral infections- common cold and hepatitis
Pollen grains
Plants like poison oak and poison ivy
Sunlight
Cold weather
Pet dander 
If you wish to discuss about any specific problem, you can consult a dermatologist.

What Are Hives? What Causes Them?

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