Lichen Planus :

Lichen Planus is an inflammatory skin condition in which flat lesions appear on the skin or mucous membrane, causing pain, redness and itching. It is neither infectious nor contagious, but it may persist for months or years, and may recur. The exact cause is unknown, but it may sometimes be triggered by an allergic or immune reaction to a medication or other substance.

In Ayurveda :

In Ayurveda, there is no clear-cut synonym for lichen planus. However, all skin diseases have been clubbed together as "Kushtha", and the general principles of treatment for kushtha can be applied to the treatment of lichen planus, with very good results. Treatment is aimed at reducing itching and inflammation, and gradually helping the causative immune reaction to subside. Patients having severe symptoms, or recurrence, may require several courses of treatment.

Ayurveda Treatment:

Some of the medicines usually used for the treatment of lichen planus are: Arogya Vardhini, Gandhak Rasayan, Nimba-Gandhak, Swayambhu Guggulu, Sukshma Triphala, Saarivadyasava, Mahamanjishthadi Qadha, and Khadirarishta. Single herbal medicines used for this disease are: Nimba (Azadirachta indica), Saariva (Hemidesmus indicus), Manjishtha (Rubia cordifolia), Karanj (Pongamia pinnata), Tulsi (Ocimum sanctum), Haridra (Curcuma longa), Daruharidra (Berberis aristata), Chirayta (Swertia chirata),Guduchi (Tinospora cordifolia), Khadeer (Acacia catechu) and Vacha (Acorus calamus). These medicines have the unique property of acting on the skin and blood tissue, and also bring about the desired immunomodulation. Medicines used for local application are: Shatadhout ghruta, honey, Neem-Karanj oil, Shodhan oil, Ropan oil, Chandan oil, Marichyadi oil and Bakuchi oil. Selection of the appropriate medicine is made according to the predominance of symptoms and the location of the lesions. Some physicians advocate cleansing of the body for the purpose of detoxification. This is advisable if the lesions are widespread or do not respond to standard oral medicines. Induced emesis, induced purgation, and periodical blood-letting are some of the procedures adopted for this purpose.

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Chronic Eczema

Eczema is a term for a group of afflictions that cause the skin to become inflamed, the most common type being atopic dermatitis. In Ayurveda, eczema is termed as "Vicharchika". This disease is described as a dark-coloured, raised rash, with profuse discharge, and accompanied by itching. It is believed to be mostly caused by disturbed "Vata" and "Kapha" doshas. The skin, stomach and blood tissue are believed to be closely associated with this disease. Eczema of recent origin usually responds well to standard treatment like antihistaminics and steroids. Chronic eczema is usually of much longer duration or is recurrent, and in most cases, the offending cause is not known. Standard modern medicine may not be very helpful here.

Ayurveda Management:

It is in such patients that Ayurvedic herbal treatment may be very useful and effective. One major advantage of Ayurvedic herbal medicines in such an affliction is that medicines may be taken for long periods without any serious side-effects.

For the sake of treatment, many Ayurvedic physicians divide this affliction into wet and dry types, depending upon the presentation of the patient. A detailed history for the symptoms, and a detailed study of the constitutional framework of the patient is essential in deciding the ideal combination of medicines for each patient, so as to get maximum results. Treatment for the impurities caused in the "Rakta" Dhatu, and treatment for stress, are two important principles of treatment which contribute significantly to the success of treatment. Known offending or aggravating causes should be avoided. Excessive salty and sour food products should be avoided.

Panchakarma:

1.Rakta Mokshan(Blood Letting)

For treatment of the "Rakta" impurities in chronic eczema, blood letting, by syringe or leech, is considered most useful and effective. An area of skin or a vein near the affected part is chosen for this purpose. Even patients with very chronic eczema respond well to this therapy. Blood letting is effective in all types and stages of eczema, however, sometimes it is preferable to first treat the wet patches with medicines and local applications to relieve the oozing and itching. Some physicians advocate rubbing of dry patches with a soft, silk cloth. 2.Vaman And Virechan: Induced vomiting and induced purgation are beneficial, where symptoms are severe and very chronic, however, these procedures should be carried out by qualified and experienced physicians. Selection of patients is important, and these are best done as inpatient procedures (after admitting patients to a hospital).

Local Treatment:

Local application medications include Shatadhout Ghruta, Dashang lep, Saariva (Hemidesmus indicus), Chandan (Santalum album), Honey-Ghee mixture and Karanj- Kapur (Pongamia pinnata - Cinnamum camphora) oil.

Oral Ayurveda Medicine:

Oral medications include Arogya-vardhini, Triphala Guggul, Manjishthadi qadha, Kamdudha, Gandhak Rasayan and Mahatikta Ghruta. Several single herbs like Saariva ( Hemidesmus indicus), Manjishtha (Rubia cordifolia), Neem (Azadirachta indica), Brahmi (Bacopa monnieri) , Jatamansi (Nardostachys jatamansi) and herbal combinations are available which are very effective, and can be given long-term. The overall aim is to normalize the skin and blood tissue, and also optimize the immune system of the body.

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Chronic Urticaria

Urticaria, commonly known as "hives" typically develops as rash on the skin, accompanied by severe itching. Acute urticaria is of short duration, up to six weeks, and is usually caused by certain food products, medicines, insect bites and infections. This usually responds well to standard treatment like antihistamines. Chronic urticaria is usually of much longer duration, and in most cases, the offending cause is not known. Standard modern medicine may not be very helpful here. It is in such patients that Ayurvedic herbal treatment may be very useful and effective. One major advantage of Ayurvedic herbal medicines in such an affliction is that medicines may be taken for long periods without any serious side-effects. I shall now discuss the different types of urticaria, from the point of view of Ayurveda, and mention their Ayurvedic treatment in brief.

Ayurveda Treatment :

When disturbed "Vata" dosha is mainly responsible for causing urticaria, a pricking sensation is predominant, and this type of urticaria is called "Sheetapitta". When disturbed "Kapha" dosha is mainly responsible, itching is the predominant symptom, and this type of urticaria is called ""Udarda". Impurities are formed in the "Rakta" dhatu due to improperly induced emesis (vomiting) , and the resulting urticaria is termed as "Kotha". When this kotha becomes recurrent, it is termed as "Utkotha".

Ayurveda Management:

For the treatment of urticaria, application of Indian mustard (Brassica juncea) oil and fomentation with hot water is beneficial.

Panchakarma(Vaman and Virechan):

Induced vomiting and induced mild purgation are beneficial, where symptoms are severe, however, these procedures should be carried out by qualified and experienced physicians.

All efforts should be made to try to avoid the offending cause, if known. Soda bicarbonate powder mixed in warm water, when applied to the hives, gives immediate relief from itching.

Ayurveda Oral Medicine:

Ayurvedic medications containing Trikatu or Marich(Piper nigrum) and Turmeric (e.g. Haridrakhand Yog) are useful in controlling urticaria. Other products like Sameerpannag, Sutshekhar, Arogyavardhini, and Gandhak Rasayan are also very useful. Medicines like Kamdudha, Mukta and Gairik are useful in reducing the burning sensation associated with itching in urticaria. Patients with chronic urticaria may not respond readily to the above mentioned treatment. A detailed history for the symptoms, and a detailed study of the constitutional framework of the patient is essential in deciding the ideal combination of medicines for each patient, so as to get maximum results.

Treatment for the impurities caused in the "Rakta" Dhatu, and treatment for stress, are two important principles of treatment which contribute significantly to the success of treatment. Therefore, medicines like Sariva ( Hemidesmus indicus), Manjishtha (Rubia cordifolia), Guduchi (Tinospora cordifolia), Neem (Azadirachta indica), Brahmi (Bacopa monnieri) , Jatamansi (Nardostachys jatamansi) and Shankhpushpi (Consecora decussata) are useful in chronic urticaria. Ultimately, treatment has to be tailor-made for each patient having chronic urticaria.

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Acne Vulgaris

Acne is called as "Yuvan Pidika" in Ayurveda, which means boils affecting the youth. Disturbed "kapha", "pitta" and "rakta" (blood) together produce boils, mostly on the face. As the Ayurvedic name suggests, these are present mostly in the age group of 15 - 25 years, and in some, may extend till 35 years of age. Some physicians believe that disturbed " meda" is also involved in the production of acne.

Causes:

For the sake of treatment, acne is considered to be of recent onset, chronic, and resulting from or coinciding with menstruation in females. Acne is believed to have a very close relation to the stomach, and therefore, it is believed that excessive salty, sour, sweet, oily and non-vegetarian food-stuffs aggravate, or cause acne. Stress, chronic constipation, menstruation, and obesity, all are believed to contribute to acne.

Ayurveda Treatment:

The main principles of treatment in acne are: treatment of "rakta" (blood) impurities ( this includes control of infection), reduction in stress, and proper regulation of bowel movement. As mentioned above, avoiding food products which aggravate acne is also very important. Use of irritating cosmetics is best avoided. For red boils, with burning sensation, Praval, Kamdudha, and Chandanadi vati are useful. Those with excessive "heat" in their bodies should take, in addition, Triphala and Saariva ( Hemidesmus indicus) at bed time. Those women with scanty or irregular menses should take compounds containing Kumari (Aloe vera). Obese patients with acne benefit from medicines like Triphala Guggulu and Gokshuradi Guggulu.

Local Treatment:

Local applications containing Shalmali (Bombax malabaricum), Lodhra (Symplocos racemosa), Kushtha (Saussurea lappa), Manjishtha (Rubia cordifolia), Turmeric (Curcuma longa), Vacha (Acorus calamus), Chandan (Santalum album), Dashanglep and Saariva ( Hemidesmus indicus) are beneficial in acne. Local application of Khas-Khas and Jayphal (Myristica fragrans) is believed to give very good results. For dry skin, application of Shatadhout Ghrut is beneficial. Ayurvedic combination medicines like Arogya-vardhini, Gandhak Rasayan, Sukshma Triphala, and Chandraprabha are good for internal use. Shankh Bhasma can be applied locally and taken orally too.

Detoxification(Panchakarma) Treatment:

Those who have very severe or cystic type of acne benefit from blood letting by leech, or induced vomiting (Vaman) or induced purgation (Virechan), however, these procedures are best done by qualified personnel in well-equipped clinics. Patient selection for these procedures is important.

Adequate sleep, a sensible diet, and breathing techniques like "Pranayam" are beneficial.

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Skin Diseases (Xerosis)

What is Dry Skin(Xerosis) ?

Dry skin is also called xerosis. It is a common problem. The skin needs moisture to stay smooth and supple, and retaining moisture is especially difficult in winter. Central heating of home and other buildings is very drying to the skin which is commonly seen in the western countries.

Simple daily routines, such as bathing and towel drying, may actually remove moisture from the skin. Modifying ones bathing routine helps preserve skin moisture. Bathing provides the skin with moisture temporarily, but it removes the skin's oily lipid layer and in the long run causes more moisture loss than gain.

Ayurveda believes it to be a vata imbalance created due to consumption of excess of dry food, or dufficult to digest heavy food, and also improper hygiene.

Do’s –

Apply oil massage.

Use more oil on the sole of your feet and palms of your hands when massaging your face.

To balance vata and pitta spicy and heavy to digest food must be avoided.

Some fat must be a part of diet especially ghee.

Do take regular exercise.

You must follow a proper daily routine.

It is also important that you take a lot of water ( preferably at room temperature neither too hot or too cold ).

Do take foods rich in vitamin C and vitamin E eg. Fruits, green leafy vegetables etc.

Don’t’s-

Avoid too much of dry food stuffs.

Too much of fat must also be avoided.

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Oily Skin

What is an oily skin ?

Oily skin is seen as shiny, thick and dull in colour. Often a chronically oily skin has coarse pores and pimples. It is prone to blackheads. This type of skin has the oil producing sebaceous glands overactive and producing more oil than is needed. Thus the oil oozes and gives the skin a greasy shine. The pores are enlarged and the skin has a coarse look.

What are the causes of an Oily Skin ?

• Heredity
• Diet
• Hormone levels
• Pregnancy
• Birth control pills
• Cosmetics you use
• Humidity and hot weather
• Because of the hormonal shifts of adolescence, oily skin is common in teenagers, but it can occur at any age. In general, skin tends to become dryer with age. The flow of sebum or oil increases during adolescence and starts decreasing with age. Hormonal imbalances of adolescence and menopause cause the ocuurence of oily skin.
• Many people have a textured oily skin.

Skin Care for Oily Skin

The great advantage of oily skin is that it ages at a slower rate than other skin types.

Oily skin needs special cleansing with plenty of hot water and soap to prevent the pores from being clogged. Avoid harsh products that strip your skin of oil and encourage flakiness. They can cause reactive seborrhoea

Avoid skincare products that leave your skin feeling taut and dehydrated. They cause the upper layers of the skin to shrinkand thus restricts oil flow through the pores leading to blockages and breakouts.

To cleanse oily skin, use oil-based products as they dissolve sebum effectively.

Keep your skin very clean. Limit washing your face to two or three times a day. Too much washing will stimulate your skin to produce more oil.

Choose your cleanser with care. Try an antibacterial cleansing lotion or a lightly medicated soap, and use it in combination with a water rich in minerals, not tap water. Do not use cleansers or lotions that contain alcohol. After cleansing, apply a natural oil-free moisturizer to keep the skin supple.

Use hot water when washing your face.

If your skin is extremely oily, three or four daily cleansings may be in order and little or no moisturizing necessary before you are 30 years old. After that point, the skin around your eyes and mouth and on your throat may benefit from a nightly moisturizing, plus a mere touch of moisturizer in the morning.

When cleansing, massage your face well with your fingertips, using an upward and outward motion. Be careful not to rub soap into the skin; it can clog pores.

If your oily skin is scaly, you can often correct the problem by using a deep-cleaning exfoliant on alternate nights, and following the treatment with a light coating of moisturizer.

Try using a clay or mud mask. If you have sensitive skin, use white or rose-colored clays.

Choose cosmetic and facial care products specifically designed for oily skin.

Before applying makeup, use an antiseptic day cream with active ingredients that diminish sebaceous secretions. Look for benzyl peroxide in the list of active ingredients.

Use a light antiseptic night cream from time to time if you wish, and apply a clarifying mask one or two times a week.

Diet for Oily Skin

Take a diet rich in proteins but restricted in sugar, fluids and salt.

Take plenty of leafy green vegetables and fresh fruits.

Have your blood brought up to par by the suitable administration of necessary vitamins, iron and similar substances.

Even a slight deficiency in vitamin B2 can cause oily skin. Nutritional yeast, wheat germ and organ meats provide both vitamin B5 and vitamin B2. Other good sources of vitamin B2 are whole grains, beans, nuts, and royal jelly. Buckwheat, black beans and whole rice are excellent to supply the body with iron and rejuvenate pate skin.

Drink plenty of quality water to keep the skin hydrated and flush out toxins.

Reduce the amount of fat in your diet. Avoid pork and fried and highly seasoned foods.

Consume no animal fats, or heat-processed vegetable oils.

Do not cook with oil. Do not eat any oils that have been subjected to heat, whether in processing or cooking. If a little oil is necessary, such as in salad dressing, use cold-pressed canola or olive oil only.

Do not drink soft drinks or alcoholic beverages. Avoid sugar, chocolate, and junk food.

Herbs for Oily Skin -

Atharva face wash -

Atharva body moisturizer -

We offer some classical Ayurvedic supportive remedies for this disease which are supposed to be taken strictly under medical supervision Of Dr Gaurang Joshi

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