Psoriasis

  • Chronic skin disorder with abnormal skin patches, that vary from small patches to complete body coverage.
  • Auto immune in origin.
  • Present as skin lesions with dry patches, scales and itching.
  • Nails and joints get affected.
  • Infections, stress and cold act as triggers.
  • Usually diagnosed based on clinical presentation
  • Laboratory tests are usually not required.
  • 1 crore new patients get added up in India, every year.
  • Usually lasts for many years or across lifetime.

What is an Ayurvedic view of Psoriasis?

  • In Ayurveda, Psoriasis is co-related with the ‘Kitibha’. It is one of the varieties of eleven Ksudrakustha. It is commonly caused by the imbalance in the Vata and Kapha dosha. Clinical features are – syava (Blackish brown discoloration of the skin), kharsparsa (affected skin will be rough to touch like the scar tissue), and parusha (hard to touch).
  • Kitibha can also enter deep tissues which cause damage to tissue including bone, muscles, and joints which causes joint related pathology.
  • If Vata dosha is predominant in the combination, excessive dryness and flaking are seen and if Kapha is predominant we can find silvery wet scaling with a lot of itching and considerable swelling.

Causes

  • Genetic factors
  • Junk food
  • Poor Immune system
  • Physical inactivity
  • Cold environment – Cold, dry weather causes lack of moisture in the air worsens the psoriasis
  • Smoking, alcohol, tobacco consumption
  • Mental stress
  • Diseases – viral infections/ bacterial infections, obesity etc.
  • Drugs – NSAID’s, Beta blockers

General features

  1. Abnormal Patches on skin (mandala)
  2. Redness (raga)
  3. Dryness (ruksha)
  4. Itching (kandu)
  5. Scales (parpatika)

Types

1. Plaque psoriasis (parpatika kitibha)
2. Guttate psoriasis (granthik kitibha)
3. Inverse psoriasis (aavrutta kitibha)
 4. Pustular psoriasis (sapuya kitibha)
5. Erythrodermic psoriasis (sarvanga kitibha)

1. Plaque psoriasis (parpatika kitibha)

Affects 90% patients on elbows, knees, scalp and back.

2. Guttate psoriasis (granthik kitibh)

Numerous small droplet lesions on trunk, scalp and limbs.

3. Inverse psoriasis (aavrutta kitibha)

Smooth, inflamed patches on skinfolds in axillae, groin, genitals, abdomen, below breasts.

4. Pustular psoriasis (sapuya kitibha)

Raised bumps filled with non-infectious pus.
The skin below becomes red and tender.

5. Erythrodermic psoriasis (sarvanga kitibha)

Widespread inflamed skin.
Exfoliation of skin.
Associated itching, dryness and pain.

Treatment

Psoriasis is an autoimmune disorder, and is said to be incurable, but we at Ancient Veda, have find an effective result through Ayurveda. Ayurvedic remedies are the best treatment that helps in curing psoriasis permanently of its root. Treatment includes panchakarma along with oral medications.

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