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Dr. Kashyap Thakar

General Physician, Mumbai

500 at clinic
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Dr. Kashyap Thakar General Physician, Mumbai
500 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Kashyap Thakar
Dr. Kashyap Thakar is a trusted General Physician in Mumbai, Mumbai. You can meet Dr. Kashyap Thakar personally at Gandhi nursing home - Borivali West in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Kashyap Thakar on Lybrate.com.

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Gandhi nursing home - Borivali West

A chandra apartment, manda peshwar road, borivali west. Landmark: near ram mandir, MumbaiMumbai Get Directions
500 at clinic
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Ayurveda For Psoriasis

B.A.M.S, Diploma in Nutrition and Health Education (DNHE, PG Diploma in Hospital Managment
Ayurveda, Delhi
Ayurveda For Psoriasis

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-

  1. Genetic: may be autosomal dominant

  2. Triggers: physical trauma ,infection and drugs.

  3. Biochemical change: like increase level of arachidonic acid and Cgmp.

  4. 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.

,infection
3272 people found this helpful

When ever I ate fried rice in dinner next morning acidity creates what to do to solve this problem doc.

MBBS
General Physician, Cuttack
When ever I ate fried rice in dinner next morning acidity creates what to do to solve this problem doc.
1.Take bland diet, Avoid foods which cause acidity like spicy, oily, fatty and junk foods, onion, garlic, citrus fruit, tomato etc 2..Have proper Breakfast, Don’t skip or postpone your meal, Take home made food, Avoid food and water from outside, 3.Eat smaller meals at frequent intervals like 5-6 meals per day, and don't overeat. 4.Drink plenty of water. Take your meal regularly and timely. Avoid fasting, Don’t skip your breakfast. 5. Stop smoking, consumption of alcohol and tobacco, excess tea or coffee if you are having, 7. Avoid stress 8. Take one tablet of pan40 in the morning before breakfast daily for few days .9.Consult for further advice
1 person found this helpful
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My aunt suffering from fever always she take medicine and get well but after few days she again suffering from fever.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My aunt suffering from fever always she take medicine and get well but after few days she again suffering from fever.
give tab. crocin 500mg thrice a day after meal. checkup cbc,mp,widal,urine r/m, after tests consult again. drink warm water, dalia, whole grain food, avoid oily foods,
1 person found this helpful
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Costochondritis is nothing but a minor infection in bone? reason for costochondritis? Y it happens? Thyroid patient face this problem?

Internal Medicine Specialist, Lucknow
Costochondritis is nothing but a minor infection in bone? reason for costochondritis? Y it happens? Thyroid patient f...
Costochondritis is actually inflammation and not infection. It’s basically inflammation of joint between bone and cartilage. Generally it goes on itself by 3-4 weeks but if you have a lot of problem, you can start Medicine to reduce inflammation. Thyroid does not have any relation with pain. If you have a lot of symptoms be sure that you have costochondritis only.
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I masturbate daily at night before sleeping. Its been a habit. I didn't get morning erection. Is this normal.

MBBS
General Physician, Cuttack
I masturbate daily at night before sleeping. Its been a habit. I didn't get morning erection. Is this normal.
1.Masturbation is a normal way of relieving sexual tension. 2.It is, not harmful if done in moderation, preferably 1-2 times a week. 3.Excess indulgence may cause physical problem like weakness, tiredness, loss of memory, lack of energy, lack of concentration, behavioural disorder, stress, depression, and sexual problem like erectile dysfunction, premature ejaculation, testicular pain, decrease sperm count. Etc.
1 person found this helpful
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He has had surgery for buccal cavity squamous cell carcinoma n has to undergo radiation fr 45 days can he have a safe sexual relationship without passing infection of any sort.

MBBS, Fellowship in critical care
General Physician, Bangalore
He would not be passing any infection but his partner could definitely pass any kind of infection to him as at this. Stage any infection could be life threatening as he will be immunocompromised due to. Chemo and radiotherapy and not to miss the surgery itself.
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I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Please help me!

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't...
Hi, according to ayurveda follow some of medications for 3days as below and let me know how it worked 1. Tab. Manasamitravatakam 1tab3times per day with milk 2. Shirashoola vajra rasa 1tab3times per day after food.
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Sir I am suffering from fever since last two days so pls tell me which medication I can use.

BAMS
Ayurveda, Ambala
Sir I am suffering from fever since last two days so pls tell me which medication I can use.
* Take full rest & do not do any work at all. *Drink only luke warm water all the day. * cover your whole body so that it cause sweating and lower down fever fast. *Do not take any antibiotic without consulting Physician. * Take 5 leaves of Tulsi and small piece of ginger.Crush them & boil in a glass of waterfor 2-3 minutes. Drink it twice a day to treat the fever. * If the fever do not lower down after taking crocin, then put the cloth/ bandage soaked in tap water and put on forehead and change it after 2-3 minutes. Do that until the temprature lower down.Do not use ice cold water for this. *Eat only light and easy digested food only.Avoid fried foods, meat, eggs, cheese . *If the fever do not lower down even after 3 days , then go to nearest hospital and test the blood for Malaria, Typhoid, Dengue and viral fever only under the guidance of doctor. Avoid from sudden change in temperature .Do not stay in Air condition, wear full sleeve clothes and cover your body on rest.
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I am suffering with cough due to dust allergy I have tried antibiotic medicine but not yet cured please provide the medicine details. Thanks.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
1. Avoid exposure to cold 2. Take bath with little warm water 3. Do steam inhalation regularly at least once a day 4. Warm salt water gargles daily 5 no cold water / cold drinks / ice creams and so on 6. No smoking 7. Wash hands after use of bath room and before and after eating food. 8 more warm liquids medicine can not be advised for open question for medicine contact on private chat Good luck.
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