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 

7 anti-beauty habits that kill your looks the most!

You might be spending a lot to add to your beauty. But there are many bad habits which affect your beauty. Here is the list of the most common terrible habits which might be damaging your skin and health.

1. Squeezing pimples: when you pop a pimple, clogged pore is burst open releasing bacteria. These bacteria come in contact with your rest of the skin and increase the acne. Moreover, habit of squeezing pimples may also leave scars and pock marks. The best way to get rid of pimples is to use medicated/ antibacterial soap and let it heal itself.

2. Licking/ chewing your lips: chewing your lips make them even drier and chapped. It makes you to lick and chew your lips more often. Excessive lip biting also results into bleeding and infection. To avoid this, get yourself a good lip balm and apply regularly to moisturize and protect your lips.

3. Nail biting: nail biting result in ugly hands, fingers and nails due to cuticle biting. It can also result in infections of nails, mouth, finger and dental problems affecting your smile too. Work upon triggers to prevent these issues by yoga, manicure etc.

4. Smoking: smoking affects your skin making it dry and rough. It decreases the blood flow to the skin and damages your collagen and elastic which result into saggy and loose skin. Quit smoking.

5. Sleeping with makeup on: make up clog your skin pores and oil glands, making it difficult to breathe and prone to acne. To avoid this, spare sometime before going to sleep to cleanse your makeup and moisturize the skin well.

6. Ignoring the sunscreen: ignoring sunscreen in summer is exposing your skin to uv rays. Uv rays cause wrinkles and dry your skin giving you the older look. To protect your skin from uv rays, use sunscreen before half n hour of going out.

7. Inadequate sleep: inadequate sleep releases the stress hormone in the body. It also ages your skin by decreasing collagen from skin. Hence try getting enough sleep.

If you would like to consult with me privately, please click on'consult.


7 Anti-Beauty Habits That Kill Your Looks the Most!

Pimples are the most common type of skin issue and almost each one one of us are affected by them. Though these pimples often go away themselves, but when the situation aggravates it is always best to get it check from a doctor. Homeopathic is branch of medicine which offers cure for such type of cases with zero side effects. Homeopathic remedies to get rid of pimples

Psorinum: It is considered to be the best homeopathic drug for acne. Acne indurata, acne simplex and acne pustular are all treatable with Psorinum. In oily skin with over worked sebaceous glands, the skin is left greasy, making it more prone to acne. Psorinum can help reduce secretion of oil and in effect, treat the underlying cause of a pimple outbreak. It is also used in treating acne that gets worse with consuming chocolates, meats, sweets and fat. Itchy winter acne may be treated with this as well.
Calcarea Sulphurica and Hepar Sulph: Calcarea Sulphurica and Hepar Sulph are homeopathic remedies that are very effective for treating pustular acne. Pustular acne means pus filled acne. Often, there is blood staining the pus. Hepar Sulph is effective if the pimples ooze out pus or blood mixed with pus. These pimples may be extremely painful. It is especially useful to treat pimples in teenagers.
Kali Bromatum: Kali Bromatum is a wonder medicine that treats chest, shoulders and facial acne. It is generally marked by a persistent itch. The acne might be indurated, pustular or simplex. The scar forming acne is also generally treated with Kali Bromatum. Purple tinged acne is best treated with Kali Bromatum.
Natrum Mur and Antimonium Crudum: They are very effective in the treatment of facial acne, especially those affecting the cheeks. Cheeks which turn hot due to acne are best treated with Antimonium Crudum. It may be pustular or papular in nature. Another complaint in such cases is a burning sensation. Natrum Mur is a homeopathic medicine that shows maximum efficacy in case of itchy pimples on cheeks. Anemic girls are also benefitted by Natrum Mur.
Sulfur: It is used in extremely itchy acne. People with unhealthy looking and dirty skin are benefitted from the use of this homeopathic wonder drug. The itch generally gets much worse at night or with the application of warmth. For acne that hasn t responded to previously applied topical medicines and ointments, sulfur has shown marked improvement and has even obliterated all signs of acne.
Silicea: Acne affecting the forehead heals fast with the application of silicea. Even pustular acne has shown drastic healing with this homeopathic medicine.

Pimples - 6 Common Homeopathic Remedies!

Do you know that dandruff causes acne?

Acne is a skin condition that happens when pores get clogged with dead skin cells and oil, giving rise to pimples. It can be caused by numerous reasons like hormonal changes, improper diet, stress, consumption of specific drugs, excessive use of cosmetic products etc. In addition to these factors, acne can be caused by dandruff too, which may not be known to most of you. It has been observed that people who suffer from dandruff problems are more prone to getting pimples.

How does dandruff cause acne?

Dandruff has been associated with presence of yeast or fungi, it is also associated with abnormal skin ultrastructure. Dandruff makes the skin on your scalp flaky. These dry flakes of skin are often responsible for clogging the pores on your face, mostly affecting your forehead. In this way, dandruff triggers appearance of acne and can worsen the condition of your skin if you already have pimples. Though acne is more common among teenagers, acne due to dandruff is mostly experienced by people above the age of 20.

How can you prevent acne due to dandruff?

Eradicating dandruff from your scalp is the best way to prevent acne breakouts on your skin due to dandruff. Here are some simple ways to keep acne due to dandruff away from your skin.

1. Ensure that your hair stays off your face

Keeping hair off your face will ensure that dandruff doesn't come in contact with your skin and clog pores, preventing pimples. For this, you can use hair bands or tie your hair in a ponytail or braid.

2. Brush your hair at least twice a day

Brushing your hair at least two times a day will ensure that the dead cells on your scalp are removed and don't get a chance to clog pores. This option is highly beneficial in getting rid of acne caused by dandruff.

3. Use medicated anti-dandruff shampoo

Topical medicated solutions like a medicated shampoo should be used as a treatment. Short contact period of shampoo with scalp is important for more benefit. Good conditioner should also be used after head wash with shampoo.

If you would like to consult with me privately, please click on consult.

Do You Know that Dandruff Causes ACNE?

Among one of the most common skin conditions that affect many people all over the world is Acne. It is not a harmful or a dangerous condition, but is usually a cosmetic problem and may also sometimes be a symptom of underlying conditions.

What is acne and what are its causes?

Human skin has follicles or pores in them through which hair comes out. The accumulation of a substance known as sebum within the pores of the human skin can sometimes clog these pores. When this accumulates, dead skin cells also get stuck in it and results in a swelling, which takes the form of a pimple like a crest due to bacterial infections. This condition is most prevalent among adolescents due to rapid hormonal changes in the body, although many adults and pre-adolescents have also reported this problem. Here are some common issues and lifestyle factors which make you prone to acne.

1. Hormonal imbalances - This is probably the most common reason cited for acne as adolescents tend to be afflicted by this problem. In many cases, acne goes away on its own after sometimes although in other cases it does stay. In adults, especially women it has been noticed that certain hormonal changes in the body may act as acne triggers. Some of the examples of hormonal imbalances may be:

- PMS or period related triggers in adults and adolescent women
- High testosterone levels in women
- Excessive androgen in men and women
- Hormonal problems due to polycystic ovary syndrome and others
- Taking medicines or steroids that may cause hormonal changes

2. External factors such as using too much makeup - Excessive use of cosmetic products can cause issues within the skin by blocking the pores within the skin may induce acne, even if you  do not have sebum related problems.

3. Diet - Research has proved that excessive oil consumption as well as having foods rich in fat can cause acne problems. Moreover, if you consume iodine in large quantities or for a long time, it results in irritation of the skin pores giving rise to acne.

4. Certain medications and drugs - Consumption of specific over the counter medicines like the ones containing bromide and use of recreational drugs like marijuana and cocaine can lead to the occurrence of acne as side effects.

5. Genetics - Certain genetic factors may also be responsible for someone being more prone to acne than others.

I sincerely hope that you found this information and the underlying advice from me useful. If you did, do share it with your loved ones and others. You can also consult privately with me if you believe I can help you with your Acne or other skin related conditions.

Wishing you loads of good health and happiness.

What Makes Your Skin Prone To Acne? Top 5 Reasons Revealed!

Vitiligo, often known as leukoderma, is a specific kind of skin whitening disease resulting in white patches all over the skin. A gradual loss of pigment layers on the skin surface results in the patches. This type of skin disorder becomes socially challenging for the sufferers. As the discolouration of skin and the patches all over the body start getting noticed by people, the patients get depressed. But they should stay positive as the treatment of vitiligo with Ayurveda has proven to be one of the safest cure methodologies.

Symptoms

Vitiligo generally starts with small spots on exposed areas; especially the bone joints, which are the first areas to be affected by vitiligo. Due to the lack of blood circulation, the bone joints are inclined to get affected by vitiligo. Gradually the spots on the skin turn into white patches. This disease has nothing to do with germs or bad blood. Rather it is caused by de-pigmentation issues on skin layers.

Factors responsible for vitiligo

Women are more prone to vitiligo than men. The factors that cause vitiligo are:

Jaundice
Liver problems
Mental worry
Typhoid
Burn injuries
Parasites in alimentary canal
Apart from these above mentioned factors, hereditary factors also trigger this type of skin disorder.

Ayurvedic Treatment For Vitiligo

Decades of research and practices have established Ayurveda as one of the most ancient and holistic ways of treatment. Ayurveda means the goodness of all the natural elements and herbs. So treating vitiligo with Ayurveda doesn't only mean curing the disorder, but also the Ayurvedic medicines are known to enhance skin tones.

According to Ayurveda, Leucoderma is caused due to the aggravation of Pitta Dosha. Pitta is an Ayurvedic humor which symbolizes heat or fire, and is manifested in the skin. Aggravated Pitta leads to accumulation of ama (toxins) in deep layers of the skin, leading to the condition of Leucoderma.

Pitta is of five types; one of them is Bhrajak Pitta that gives coloration to skin. In the case of Leucoderma, Bhrajak Pitta is in an imbalanced state, and therefore, the skin starts losing its color and white patches appear. Along with Pitta Dosha, deeper body tissues like Rasa Dhatu (nutrient plasma), Rakta (blood), Mansa (muscles), Lasika (lymph) are also involved in the disease.

Treatment consists of pacifying imbalanced body energies, cleansing the blood and administrating herbs that restore skin color. Poor digestion is the root cause of this disease, as it causes the build-up of toxins in the tissues. An essential part of treatment, therefore, is restoring digestion. The patient will also be advised on the correct diet and lifestyle adjustments to prevent recurrence of the disorder.

One of the most effective Ayurvedic medicine for vitiligo is Agnijith. Its capability of producing pigmentation on needed areas is scientifically proven. It is capable of blocking the de-pigmentation issue on skin layers. This cream-based medicine is also known for contacting rich microbial properties, which get easily absorbed in skin and increase the level of blood circulation. Vitiligo is almost an autoimmune disorder, thus the Ayurvedic anti-vitiligo medicines are the best way to cure it.

There are a few Ayurvedic home remedies that are effective enough in removing the white patches. Turmeric is a common herb in everyone's kitchen. Applying a mixture of turmeric and mustard oil on the affected areas can help you cure vitiligo.

Bakuchi and coconut oil s mixture is another effective remedy for vitiligo. Apply the mixture, keep it for 15 minutes and then wash it off.

Vitiligo is a special case of skin disorder, which is triggered by a low immune system or pitta dosha. So leading a good lifestyle and eating healthy food are equally important in order to get cured.  

Vitiligo - Symptoms and Ayurvedic Treatments

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