Psoriasis: Causative Factors and its
Management in Ayurveda
Introduction
Ayurveda is
the ‘science of life’,it is an Indian system of medicine practiced since 5000
years. It describes over 100s of herbs and 10,00s of formulations for various
ailments. Ayurvedic Formulations have great importance in Ayurvedic medicine.
Generally, Ayurvedic formulations are multicomponent mixture of botanicals. The
activity of the herbal medicine depends on the overall function of a variety of
active components, as all the constituents provide synergistic action and thus
enhance the therapeutic value. Each active constituent plays an important role
and they are all related to each other.
According to Ayurvedic
review, skin disorders are described in so many chapters as like ‘Kustha’,
‘Visarpa’, Vatrakta,’ etc. Here, a descriptions of psoriasis is mainly in the
chapter of kustha. There are two types of kustha according to Charaka
1.
Mahakustha
2.
Kshudrakustha
Causative Factor
In the
kustha chapter, charaka has mentioned so many caustitive factors for this
disease. A few are mentioned below
1.
Food
poisoning due to incompatible diet
2.
Psychosomatic
disorder
3.
Depression
4.
Excessive
intake of hot, pungent, sour and salty food substances
5.
Excessive
exercises
6.
Alcoholism
7.
Hereditary
Prevention
Psoriases is
a psychosomatic disorder similer to a peptic or duodenal ulcer. For this
condition we have to reduce depression anxiety of the patients by using Shamaka
ghrita as a snehana, particularly Panchagavya ghrita or pancha tikta ghrta
guggulu.
Pranayama is
useful for reducing depression and anxiety.
Abhyangam (body massage) with medicated oils
is useful for combating irritable symptoms
such as itching and scaling. Abhyangam helps in slowing down the scaling
process and making skin normal.
Svedana (steam with medicated decoctions) is
also beneficial for psoriasis. Svedana opens all romakupas (skin pores) and
helps the penetration of medicine for reducing scaling.
Management
The
resistant nature of psoriasis along with its distressing symptoms, require a
regular and dedicated treatment involving both aspects of antah-parimarjana and
Bahir-parimarjana.
1.
Shodhan
(Panchakarma therapy/purification) particularly Virechana is useful.
2.
Shamana
chikitsa is also important after completing Shodhana therapies. Nimba
(margosa), Bakuchi (psoralis corylifolia, Harida (turmeric),
Daruharidra(berberis aristata), Manjishtha (Rubia cordifolia),
Sariva(Hemidesmus indicus),Khadira(Acacia catechu), Karanja(pongamia pinnata),
Guduchi (Tinospora cordifolia) are a few medicinal plants that are described
for psoriasis. They can be used according to the prakruti of the patient and
the disease.
3.
Oils
and ointments for external applications like manjishthadi thailam, Jatyadi
thailam, Bakuchi thailam, shata dhauta ghruthum may be applied.
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