Psoriasis Psoriasis is a long-lasting autoimmune disease characterized by patches of abnormal skin. These skin patches are typically red, dry, itchy, and scaly. CAUSES Causes According to Ayurveda • Lifestyle Mostly it occurs due to Lifestyle disorders like Stress Smoking Alcohol Consumption Virudhahar – a combination of certain foods like milk and salt (salty food), tea and salt (salty food), ghee and honey, fish and milk etc. They cause toxins in the body. • Junk food, improper timing of meals, sleep during day time, late-night work, excess amount of nonvegetarian food. All these lead to an imbalance of doshas which further cause diseases. • Worms-In Ayurveda various types of worms are mentioned. Some of them cause skin diseases. • Karmas (destiny) All these factors lead to the toxification of blood and skin, which further causes psoriasis. Causes According to Modern Medical Science • Autoimmune - In this body’s own white T cells destroys skin. • Genetic • Blood toxification • Chronic infection • Obesity • HIV • Microbes- Psoriasis has been described as occurring after strep throat, and may be worsened by skin or gut colonization with Staphylococcus aureus, Malassezia, and Candida albicans. TYPES AND SYMPTOMS Types of Psoriasis are differentiated by their appearance and symptoms.  PLAQUE PSORIASIS Appear as red or pink small scaly bumps that merge into plaques of raised skin. Symptoms Itching on elbows, knees, and scalp Blood spots due to scratching or abrasion Small pits in finger nails and toenails.  GUTTATE PSORIASIS Bumps or small plaques on the skin Itching & Red scaly skin Affects large part of the skin  INVERSE PSORIASIS It usually affects genital lesions Affects navel or the area between the buttocks (intergluteal folds) Flat red plaques without much scaling  PUSTULAR PSORIASIS Rapid onset of groups of small bumps filled with pus on the torso Fever  ERYTHRODERMIC PSORIASIS It appears as extensive areas of red skin often involving the entire skin surface. Patients may often feel chilled  SCALP PSORIASIS Scalp psoriasis may look like severe dandruff with dry flakes The red area of skin LLOPATHIC TREATMENT Topical Therapy Topical ointments having Salicylates, Coal Tar & Benzocaine. Systemic Therapy Oral medicines are administered like Acitretin, Cyclosporine, steroids, and methotrexate Phototherapy Exposure to ultraviolet light AYURVEDIC TREATMENT OF PSORIASIS 2 STEP TREATMENTS 1) Shaman – Ayurvedic Medicine 2) Shodhan - Panchakarma Detoxification Ayurvedic treatment includes the following steps: • Light Diet- The patient is advised diet which includes food easy to digest and metabolize viz. peya (rice water), moong dal khichdi etc. It increases digestive fire and helps in digesting ama(toxins). • Pachan- It includes some medicines to detoxify the body e.g. Musta. • Shodhan treatment includes panchakarma procedures like Vaman Therapeutic vomiting Clears small intestine Virechana Therapeutic loose motions Clears large intestine Rakta Mokshana Therapeutic bloodletting via leeches • Shaman – Ayurvedic Medicine treatment Ayurvedic Treatment lay emphasis on four basic landmarks 1. Improving immunity of the patient 2. Blood detoxification 3. Nitya virechana - laxative therapy 4. Lifestyle modification 1. Improving immunity of the patient  Rasayan – antioxidants and immunomodulator herbs Amalaki Giloy Neem Gokshura 2. Blood detoxification Helps in the cleansing of blood and stop the proliferation of keratinocytes. It also inhibit cytokines which will block the process of degradation of skin. Medicines Gandhak rasayan Skin care tablet- natural ingredients like Vidang, Neem, Trivrit, Sariva 3. Nitya virechana- laxative therapy Remove toxins and balance doshas Trivrit 4. Lifestyle modification Avoid • Certain combination of foods like Milk + salt, Tea + salt, Nonveg and eggs, Milk and fish, Ghee and honey • Smoking • Alcohol Consumption Ayurvedic Medicines We use herbal products to reduce the effect of the disease. These products have no side effects. The herbal medicines which are used for the treatment of Psoriasis: • Arogyavardhani Vati • Gandhak Rasayan • Skin Care Tablet • Hemabharak Ras Sindur Action of Ayurvedic treatment According to Allopathy Reduces premature maturation of keratinocytes Ayurvedic medicines increase the maturation period of keratinocytes. CYTOKINE INHIBITOR- Ayurvedic medicines work as cytokine inhibitors, which reduces inflammation. Gandhak Rasayan, Arogyavardhani Vati acts as a cytokine inhibitor. ANTI INFLAMMATORY PROPERTY- Ayurvedic medicines reduce the inflammation caused by T cells. Manjishthadi Churan has anti-inflammatory action. DYING CELL INHIBITOR Hemabharak Ras Sindur controls the early maturation of skin cells. It is a good aphrodisiac. It increases immunity. ►Twitter: twitter.com/dr_shridhar7 ►Facebook: www.facebook.com/advanceayurveda ►Instagram: www.instagram.com/dr.aggarwal/

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