Ek insan ki personality sabse zyada uske chehre se nikal kar aati hai. Lekin isi chehre pe agar daag dhabbe pad jaayein toh iski khoobsoorti mein ek kami si aa jati hai. In today's world, an exposure to an excessive number of pollutants, changed dietary habits and lifestyle are the primary reasons why log apni facial khoobsoorti lose karte jaa rahe hain.

Fair and clear skin is loved by all. However, kisi ke face be agar kale dhabbe aur marks pad jaaye toh wohi unke liye ek sabse badi samasya ban jaate hain. Sometimes dark spots may appear because of hormonal changes and due to advancing age as well. Lekin aisa nahi hai ki inko theek rakhne ke liye you cannot take any steps.

While there are a number of cosmetics that claim to visibly reduce or even eliminate kale dhabe completely. However, not all products work that well and some of them are extremely expensive to purchase. On the other hand, there are several effective ways to get rid of dark spots and marks in a natural way.

Some of these do-at-home remedies are described below.

Use lemon to eliminate dark spots: Nimbu ke rass ki madad se aap kaale dhabbo se nijaad paa sakte hain. To reap the benefits of lemon, squeeze a lemon and apply the fresh juice on the affected area or dark spots on your face. Nimbu ke juice ko kum se kum aadhe ghante tak laga rehne dein. Practice the same remedy for at least two months regularly to see great results.
Aloe Vera gel can help: Aloe Vera gel regular basis pe face par lagane se daag aur kaale dhabbe kum ho jaate hain. To reap the benefits of the plant, pluck out a fresh leaf and open it apart to take out the gel. Next, is gel ko aap face par 30 to 45 minutes tak lagaye rakhe. Wash your face with clean water in the end. To see best results, is nuske ko ek mahine tak follow karein.
Honey and Dalchini facepack: Din mein ek baar apne face par honey aur daalchini ka facepack bana kar lagane se daag dhabbe kum hone ke chances bhad jaate hain. To prepare the mixture, mix equal amounts of cinnamon powder and honey in a bowl. Apply this pack on your face and keep it for half an hour. Aadha ghante baad gungune paani se apna face dho lein.
Potato juice: Face se kaale dhabbe hatane ka one of the best methods hai aloo ka prayog karna. To practice this method, ek fresh aloo ko pees lein. Next, apply the potato to your face for at least 20 minutes, before washing your face with lukewarm water. Potato ke tukde dhabbo par lagane se bhi same results paaye jaa sakte hain.
Dahi and Lemon: Mixing equal quantities of curd and lemon juice and applying the mixture on your face also helps lighten dark spots on face. Aap is mixture ko ek mask ki tarah laga sakte hain before washing your face with plain water after 30 minutes.

Kaale Dhabbe Hataayein - 5 Home Remedies for it

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 

Have you been noticing bumps on your skin surface? Does the top of this growth resemble a cauliflower and feel bumpy or smooth when you touch it? These are the symptoms of a disease known as warts, which is caused by HPV or human papillomavirus. Generally, warts are not very dangerous, but they are ugly, contagious and may cause pain as well. Warts may be caused by more than 100 types of HPV viruses. A certain type of HPV causes warts around the genitals. In women, these are called genital warts and it is a severe disease.

Treatment
All warts do not require treatment and disappear on their own. This is because over time, the body s immune system can destroy the HPV virus which causes warts. A wart needs to be treated when it is painful, embarrassing, gets irritating easily, spreads to other parts of the body or spreads to other people. The goal of the treatment is to eliminate or remove the wart, avoiding a scar tissue. Creating a scar tissue would cause more pain than the wart. The treatment of warts depends upon the type, location and specific symptoms of the disease.

Self-treatment
Warts can be treated at home using salicylic acid and duct tape. Most warts do not require treatment, but in case the symptoms worsen and do not go away on their own, you require proper care.
Medical treatment

The medical treatment for warts prescribed by a doctor includes the following:

Cryotherapy
Certain medicated creams and ointments
Surgical methods such as electrosurgery or laser surgery
Chemical peels with certain acids
Excision or cutting of the warts
Before going for a treatment, it is important to detect the exact type of wart. Treatment for some types of warts may be quite painful with the chances of a scar tissue. Warts which lie beneath the skin are difficult to treat and the doctor might need to make an incision on the skin over the wart to let the medicine penetrate through it.

An HPV vaccine can be taken to protect men and women from the common warts caused by HPV viruses. This vaccine can be taken up to the age of 26. The vaccine should be taken before getting sexually active and is more effective when taken before being exposed to the HPV virus. In order to prevent transmission of the HPV virus, having protected sex is recommended. In case of any severe symptoms of warts, you must consult a doctor immediately.

Warts - Dermatological Treatments For It!

The skin is the largest organ in the body and is one of the five sense organs, helping us with  touch.  The first outer layer is called the epidermis and the underlying layer is called the dermis. The skin has a protein known as keratin, which protects it from various external toxins and infections.

In some people, due to unknown reasons, there could be pile up of this protein in the deeper layers, producing small bumps, which feel like sandpaper. Literally, the term keratosis pilaris (KP) refers to piling up of keratin pigment. It can block the hair follicle that would normally open into the skin. When there are multiple blocks in the same area, there could be a sandpaper-like rough feeling to the touch. This gives this condition other names including goosebumps, chicken skin or chicken bumps. Though it is a cosmetic issue, it is medically a benign and very common condition.

Cause

KP, as it is popularly known as, is believed to be a genetic disorder with faulty genes leading to excessive accumulation of keratin. These appear as red, small bumps that are usually seen on the hands, arms, thighs, buttocks, and rarely on the face. The surrounding skin may be inflamed if there is a buildup of skin under the pile of keratin.

The onset of KP is usually in the first decade of life, worsens during puberty, and reduces during adulthood. There are, however, instances where the onset happens during adulthood. Twins and people with atopic dermatitis are more likely to have KP.

KP is more common in people with dry skin as oily skin seems to offer some protection.

There are also studies that give it a correlation with weather, with winter seeing more of this condition than summer. This is because our skin tends to dry more in winter than in summer. There could be some people who are completely normal during the summer months but will develop these bumps during the winter, which again subsides with the season.

Signs and Symptoms

As noted above, KP is a medically benign condition. There is a cosmetic concern if it is in the visible areas like arms and hands. Also, the area could feel rough and dry, but the affected person may not experience any itching or other harm. People with atopic dermatitis and eczema are more likely to develop KP; hence these other skin conditions require proper management.

Management

Patient education is the most important. This disease does not require any treatment and is usually self-limiting. It is very rare for KP to affect the whole body. Creams containing alpha hydroxy acid, salicylic acid, lactic acid, or vitamin A may be required to remove dead skin cells and to prevent clogged follicles from the bodies of the affected people.

Keratosis Pilaris: Signs, Causes, Treatment, and Prevention

Vitiligo is a skin disorder where white patches of depigmentation develop on the skin and keep enlarging. This disorder is long term and continuous in nature. The patches appear due to the death of melanocytes within the skin. Melanocytes are skin pigment producing cells, which produce melanin. Vitiligo can affect the skin of several areas, including the eyes, hair and the portion inside the mouth.

Causes
The causes of this disease are as follows:
1. Autoimmune disorders in which the immune system of a patient becomes over reactive and the melanocytes are destroyed.
2. This disease may also occur due to genetic oxidative stress imbalance.
3. Stressful events may also lead to vitiligo.
4. Harm or damage to the skin from sunburns or cuts also leads to vitiligo.
5. Exposure of the skin to several harmful chemicals may be a cause.
6. Neural disorders are also responsible for vitiligo.
7. Vitiligo may also happen from viral causes or may be hereditary and passed on from family members.

Symptoms
Vitiligo has only one major symptom. White, flat spots and patches develop on the surface of the skin. The earliest of these white patches appear on the parts of the body which are exposed to the sun continuously.
It starts off as a simple spot in the beginning and gradually, the spot starts getting pale and finally turns white. The patches have irregular shapes, and in some cases the edges get inflamed and are red in color. Itchiness is experienced in the affected areas. Symmetrical patches signify slow development of vitiligo.

The two major types of vitiligo are:
1. Non segmental vitiligo, which affects the back of the hand, the arms, knees, elbows, feet, mouth.
2. Segmental vitiligo, which is more stable than non segmental vitiligo, but spreads faster. It usually affects areas of the skin, which are attached to nerves.

Treatment
The different methods of treatment for vitiligo are:
1. Phototherapy with UVB and UVA light: Exposing the affected area of the skin to UVB lamps is a popular cure for vitiligo. This treatment can be performed easily at home. UVA treatment incorporates taking of a drug which makes the skin more sensitive to ultraviolet light and then the skin is exposed to high doses of UVA light.
2. Skin Camouflage: Cosmetic creams and makeup can be used to camouflage affected areas of the skin. These topical creams are waterproof.
3. Depigmentation: Depigmentation is used to treat widespread areas affected by vitiligo. The skin color of the unaffected areas is reduced in order to match the affected areas. It is done using topical ointments.
Vitiligo is a skin disease, the major causes of which are still to be discovered. Proper care and treatment should be taken for skin areas affected by vitiligo.

Vitiligo: Causes, Symptoms and Treatments

All ayurvedic treatments have their roots in hundreds of years of research and thus are extensive. The philosophy followed by these treatments is that every human being in governed by three doshas of forces - vata (air), pitta (fire) and kapha (earth). Depending on the force that is in highest proportion in an individual, all his psychological and physical attributes are determined. Hair loss is attributed to the pitta dosha which is concentrates on metabolism and digestion. The various methods to treat premature loss of hair, according to ayurvedic principles are:


	Balancing the pitta dosha:&nbsp;pitta dosha can be managed by eating less salty, fried and spicy food, consuming limited amount of alcohol, coffee and meat and reducing smoking habits. Certain herbs can curb excess pitta like shatavari or asparagus and bitter vegetables.
	Ayurvedic oil and shampoo: an effective remedy is oil made by boiling a cup of neem (margosa) leaves in 4 cups of water. The mixture is then strained and stored. If applied at night and rinsed off in the morning, hair loss can be prevented and your hair gets healthier. An ayurvedic shampoo can be made at home by preparing a mixture of methi (fenugreek), green bean (mung dal), soapberries, lemon juice and curry leaves which need to grinded well together before applying on the scalp.
	Ayurvedic diet plan:&nbsp;ayurveda believes that a well-balanced diet is the preventive measure to most ailments, including hair loss. Consuming vegetables with high protein and iron content like cauliflower, kale, pumpkin leaves, spinach, salsify, lentils, beet greens, string beans, dandelion greens, raisins, soybeans etc. Proves to be helpful in this regard. This diet can also help to combat systemic diseases like alopecia which may causes loss of hair and sizeable bald spots.
	Ayurvedic medicines:&nbsp;four ayurvedic medicines are used extensively for the purpose of combatting hair loss. These are thikthakam kashayam, thikthakam grisham (regulates metabolism), chyavana prasam and narasimha rasayanam, which improves the strength and quality of hair).
	Combating other problems that cause hair loss:&nbsp;using herbs like brahmi (to manage stress), shilajita and jatamansi (for thyroid imbalance), cardamom (for chronic problems) and ashwagandha (for immune system disorders) can indirectly help when hair loss is a symptom or side effect of another disease.



Combating Hair Loss And Ayurveda

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