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 

Ayurveda offers a unique and holistic approach in treating acne. It is an Indian healing system, which aims at treating pimples and acne by managing its underlying causes. Toxicity build-up and impaired digestion are targeted according to the doshas identified in an individual by an Ayurvedic practitioner. 

According to Ayurveda, the whole of the cosmos is made of 5 elements namely water, fire, air, earth and space. Doshas are aggregations of these elements and affect our well-being. If access to an Ayurvedic practitioner isn t feasible, then try cutting down on junk food as they contain additives and preservatives. Eat foods which don t have more than 4 ingredients.

Raw and unprocessed food is the best for digestion. Replace artificial skin care products with natural ones. Change your sheets and pillows regularly as they may have trace residues of acne causing organisms. Insecticides and disinfectants should be substituted for their natural counterparts, such as neem based cleaning agents.

Here are some Ayurvedic natural substances which work wonders for treating your acne:

Tulsi: An amazing way to get rid of pimples is tulsi (basil) paste when used by you on a daily basis. If access to fresh basil is difficult, then get a jar of dried basil from your neighborhood departmental store and use it with warm water. Use about 3 teaspoons so that a smooth paste can be formed and apply it on your face for over 10 minutes up to 5 times a week.
Lemon and Honey: A mix of lemon juice and honey is a simple, but effective homemade beauty remedy for the treatment of acne. Mix 1 tablespoon honey and 1 tablespoon fresh lemon juice. Apply the mix on the pimples and on the spots caused by the pimples. However, do not apply on severe pimple outburst as it can cause a severe and intense burning sensation. Keep it on your face for about 10 minutes and then wash it off. You can continue doing this 7 times in a week. You will eventually find very satisfactory results.
Cinnamon: Try dry roasting dalchini or cinnamon. Grind it finely and then make a creamy paste by adding honey to it. Apply this paste for a minimum of 5 times a week. Let its goodness soak into your skin and watch the benefits of the paste work its miracle!
Neem: Neem leaves (Indian Lilac) are the perfect natural way of treating pimples. Turn it into a paste and apply it on the areas affected with pimples. If getting fresh neem isn t feasible, try procuring some dried and bottled leaves instead and soak for about 15 minutes in hot water and use the same as a paste.
Sesame: Turn sesame seeds into a paste by soaking them overnight. Then turn into a paste. You can also use powder, which is readily available. Keep the paste on for 15 minutes and wait for the magic to work.
Potato: Potato juice or grated potato can be applied directly onto your pimples. Let the sticky potato juice sit on your face for over 10 minutes before washing it off. It lends a mild and natural bleaching glow to your skin. The same technique can be also tried with tomato juice.
Mint: Soak a few mint leaves and turn it into a fresh paste , it will act as an astringent.  Mint is also effective in making acne marks fade away if used regularly.

Acne - 7 Home Remedies for Treating it 

Atopic Dermatitis is a specific type of eczema which occurs when the epidermal layer of the skin is affected by eczema causing bacteria and other microorganisms. These eczemas are treatable and homeopathy finds a simple and natural solution to this disease. It not only helps to contain the disease from spreading it to other parts of the body but also helps in curing it of the root itself. There are some quick and effective remedies towards atopic dermatitis through homeopathy. Some of these are explained below.

Antimonium Crudum: People who have eczema which manifests as thick and hard boils are often given this medicine. In fact, it is administered both to children and the elder people. It has been seen that those who show symptoms of irritability in their behavior, get angry very soon and are most likely to be left alone, are the ones who are given this treatment to cure their eczema.
Arsenicum: Sometimes eczema is formed where boils turn thick and hard and have pus oozing out of it. For such skin infections, Arsenicum is the most widely used medicine that the homeopathic practitioners rely on. People who face such kinds of skin diseases are often seen to be depressed or melancholic in their lives. Thus, their mental feelings are often manifested in the form of eczema on their body.
Calcarea Carb: Eczema not only occurs on the body but also on the scalp. There are a few kinds of infections which have their roots on the scalp and then it starts spreading all over the face. For such kinds of infection, Calcarea Carb is the best form of homeopathic medicine which can be administered. In fact, patients with this problem are mostly children.
Graphites: Seems to be a very powerful and effective medicine against eczema which resembles ars. It is given to those patients whose skin becomes very hard and rough and there seems to be pus formation within the infection. Eruptions may be occurring in the eyes, behind the ears, and on the cheeks. Such infections are treatable with graphites.
Thus, if you are showing signs and symptoms of atopic dermatitis, then you should immediately consult your nearest homeopathic practitioner and get the proper medicine prescribed for yourself. Eczema would only spread and cause irritation in the skin if not timely treated and homeopathy offers one of the best types of treatments for this purpose.

Homeopathic Treatment For Atopic Dermatitis!

Gynecomastia is a condition where the tissues of the breasts swell in a boy or men. This is caused by the imbalance of testosterone and oestrogen. It might affect one or both the breasts depending on the level of hormonal imbalance. Although not considered as a serious condition, Gynecomastia can be a difficult condition to cope up with. There are multiple treatment options and surgery is one of them. In many cases, this condition goes as abruptly as it appeared. For cases that are complicated and difficult to get rid of, doctors suggest a medical procedure get rid of the condition.


Symptoms of Gynecomastia:
Some common symptoms of Gynecomastia include tenderness of breasts, swollen breast gland, pain in the breasts, discharge from the nipple etc.


Causes of Gynecomastia:
There could be many causes of this disease. If the condition is witnessed in babies, it could well come from the mother due to an overdose of oestrogen. Gynecomastia also appears during puberty resulting in the breast to swell up. The condition can again crop up after the age of 50 due to hormonal changes.
Certain medications can be a reason of Gynecomastia. Some of the common medications include certain antibiotics, anti-anxiety related medications, chemotherapy shots, HIV patients receiving HAART, cardiovascular medications such as Lanoxin, anabolic steroids etc.
Certain drugs such as heroin, alcohol, methadone, marijuana, Amphetamines etc.
Certain health conditions such as hypogonadism, hyperthyroidism, liver cirrhosis, ageing, certain tumours, failure of the kidney malnutrition etc.


Risk Factors Of Gynecomastia-
Certain risk factors of gynecomastia include older age, use of certain steroids, adolescence and other medical conditions such as Klinefelter's syndrome, tumour related to hormonal fluctuation and disease related to thyroid.
Diagnosis:
A doctor typically checks the history of drugs along with the health condition of the patient. He might also take a look at the health of the extended family. A careful tissue evaluation of the genitals, breast and abdomen are done. This is followed by a physical exam followed by prescribing certain tests such as mammograms, complete blood work, CT scan, biopsy of the tissue, MRI scan etc.


Treatment:
Most people suffering from Gynecomastia see a significant regression with periodic treatment. If however the condition arises from an underlying cause such as cirrhosis and malnutrition, a doctor suggests 2 option- medications and surgery:


Medications: Certain medications that are known to be helpful for breast related cancers are known to be effective in this condition. Some common examples of these drugs include evista, arimidex and soltamox.
Surgery: Only after exploring all medical options a doctor suggests surgery. There are 2 procedures namely mastectomy and liposuction. The latter removes the fat cells of the breast and the former removes the breast gland tissue.     


Gynecomastia - Is Surgery The Best Option?

What you need to know about the ring-shaped rash called lupus

Lupus is an inflammatory disease that is chronic in nature. It occurs when your tissues and organs are attacked by your body's own immunity system. The inflammation that this disease causes can affect the other parts of your body as well, like the joints, kidneys, skin, brain etc. It is often difficult to diagnose because it lacks distinct symptoms. However, one of the most identifiable symptoms of lupus is a ring-shaped rash on the face.

Lupus can be caused by a number of factors like:

1. Excessive exposure to sunlight
2. Susceptibility towards infections
3. Certain anti-seizure, blood pressure and antibiotic medicines

Symptoms

The symptoms are neither distinct nor regular. However, some common symptoms could be-

1. Fatigue and fever
2. Pain in the joints, stiffness and swelling
3. Ring-shaped facial rash
4. Skin lesions on exposure to the sun
5. Chest pain and shortness of breath

What else can lupus lead to?

Several complications may arise if lupus is left untreated. Some of them are-

1. Kidney damage and failure
2. Hallucination, seizures, strokes and several other problems associated with the brain and the central nervous system
3. Anemia, blood clotting, vasculitis etc.
4. Increased susceptibility to pneumonia
5. Increased risk of heart attacks and other cardiovascular diseases

Treatment

Lupus is a significantly dangerous disease and medical help should be immediately sought if you think that you have symptoms associated with it. Treatment depends on the signs and symptoms of individual patients.

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


What You Need to Know about this RING-SHAPED Rash on Your FACE!

What are dermal fillers + how different it is from botox?

Dermal fillers are an artificial or naturally-derived material used for directly injecting into the skin. These soft tissue fillers are used with the aim to restore your facial appearance to address issues related to facial aging. Depending on the kind of filler that you opt for, the effects can vary from 6 months to 5 years. Nonetheless, they are used for a number of problems associated with facial aging such as:

  for smoothen out and add volume to creases known as laugh lines

  for enhancing thin lips

  for providing shape and fullness to cheeks so as to provide a youthful appearance

  for enhancing the under eye areas to the point that depressions or hollows are no longer visible

  for merging scars from chicken pox or acne with surrounding skin

  for adding volume to your temple or lower cheek area when shifting of fat pads (masses of tightly packed fat cells) underneath your skin surface occurs.

How are these fillers different from botox?

Even though both these procedures involve the use of injections, they are completely different from one another. Botox or botulinum (a purified, natural protein) works by numbing muscles that contract to create facial lines. It is mostly used around the eye and forehead areas for stopping the movement of muscles that cause wrinkles to form. Moreover, it treats active lines, which are visible when you smile, frown or squint.

Dermal fillers, on the other hand, treat wrinkles that are very deep and static, which you can only be seen when the face is in a restful state. Furthermore, it serves to enhance the skin while lightly swapping the collagen (a protein that helps connective tissue in the body to remain strong) that gets lost as you age. When it comes to swelling and bruising, botox reports minimal effects and dermal fillers a certain amount of swelling and bruising that disappear within 7-10 days.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Face Washing Mistakes that are Damaging Your Skin, Every day!

For Your SKIN: What are Dermal Fillers + How Different it is from Botox?

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