Management of psoriasis with Ayurveda Panchakarma and Manibhadragula as Shodhana Rasayana – a case report

Author(s):  
Chiravila Omanakuttan Pillai Sambhu ◽  
Changuli Krishna Bhat Prathibha ◽  
Kesavan Parameswaran Namboothiri ◽  
Puthanmadom Venkataramana Sharma Anandaraman

Abstract Background Plaque Psoriasis is very embarrassing condition of skin as it produces itchy rashes and scaly lesions which may not respond well to the treatment. It can be correlated with Kitibhakushta which is one among the 18 types of Kushta (skin diseases). Several corticosteroids for skin applications are used now a day’s which gives only temporary relief. Case presentation A 36 years old moderate built male patient complains of blackish skin rashes with itching, pain and scaling all over the body for three months. Based on the symptoms, Dosha (Biological humors) involved were assessed as Kapha (binding factors) and Vata (vital force of life) and suggestive of Kitibhakushta. Diagnosis of the Plaque psoriasis was further confirmed by biopsy. Classical Kushta treatment was adopted here. As Poorvakarma (pre-operative procedures), Rukshana (Dehydrating therapy) was done and then Snehapana (intake of medicated ghee) was administered. Then classical Vamana (emetic therapy) and Virechana (purgative therapy) were performed. This took almost one month. After Samsarjana (special diet) patient was administered Manibhadragula as Shodhana Rasayana for a period of one month. Results At the end of Manibhadragula intake, remarkable changes were observed in all the symptoms. There were significant changes seen in PASI, DLQI and photographs taken before and after treatment. Conclusions Here the special mode of administration of Manibhadragula as mentioned in Ashtanga Hridaya helps for Shodhana and the Shodhana itself has Rasayana action. Drugs also have Rasayana property. This made the authors to propose a new concept called Shodhana Rasayana. Classical treatment by considering the condition of Roga (disease) and Rogi (patient) helps for management of Kushta.

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Shreya Agarwal ◽  
Nimish Gupta

Abstract Background Leech infestation in the nose or nasopharyngeal region is a rare occurrence. The most common known cause is drinking water from natural water sources like ponds and rivers. Its hidden location of attachment in the nasopharynx and its uncommon occurrence make it easy to miss during diagnosis. Case presentation We present a case of a 61-year-old male patient with recurrent unilateral epistaxis without any apparent cause. He was diagnosed with leech infestation in the nasopharynx on endoscopic examination. This article reports the management of nasopharyngeal leech infestation and safety measures for this animate foreign body retrieval. Conclusion A vigilant approach, thorough history, and examination are a must. Though leeches are simple to remove most of the time, certain necessary precaution should be kept in mind for better management and prevention of further complications.


2019 ◽  
Vol 30 (5) ◽  
pp. NP15-NP17 ◽  
Author(s):  
Aleksandra Petrovic ◽  
Georgios Kymionis

Background: To describe the successful management of a massive iridoschisis after penetrating keratoplasty for keratoconus, using the nd:YAG punctures. Case presentation: A 73-year-old male patient has undergone four penetrating keratoplasties for keratoconus. Nine months after the last surgery, patient presented with massive iridoschisis involving the visual axis. Patient was successfully treated with nd:YAG laser iridopunctures. Conclusion: Massive iridoschisis could be a potential complication of keratoconus, especially after penetrating keratoplasty. This condition can be potentially treated with nd:YAG iridopunctures.


The Healer ◽  
2020 ◽  
Vol 1 (1) ◽  
pp. 74-80
Author(s):  
Mahesh Prasad Sah ◽  
Rupesh Sonam ◽  
Bijendra Shah

In Ayurveda all the skin disease is kept under the topic “kustha roga”. Kitibha kustha is one of the kustha roga in which the skin becomes dull black, rough, dry like scar. It is vitiated by vata and kapha doshas. It can be clinically correlated with psoriasis in modern science. Psoriasis is the chronic inflammatory and hyper proliferative skin disease. Here, in the case a male patient of 42 years came with complain of scaly lesion all over the body since 32 years. Lesion was associated with itching and aggravated in winter season. The patient was clinically diagnosed with Kitibha Khustha (psoriasis). For the case sodhana and samana chikitsa was done. Patient got relief with in the treatment of 45days. Through the case it can be concluded that kitibha kusth can be cured by following the treatment protocol of Ayurveda.


2020 ◽  
Vol 08 (11) ◽  
pp. 5193-5198
Author(s):  
Sruthi O

In the present era, Dharunaka is a common condition mostly affecting children to middle aged people due to improper lifestyle, lack of hygiene and stress. There is no specific etiology explained in Any Ayurvedic texts. Dharunaka can be compared with seborrhoeic dermatitis / Dandruff in contemporary science. Maintenance of proper hygiene is the most important thing in this disease. Otherwise the chances of recurrence are more. With Ayurvedic formulations we can give good result in this condition. A 30-year-old male patient with chief complaint of itching on the scalp, dryness on scalp and hairfall came to our hospital and herbal medicines like Aragwadadi Kashayam (orally), Triphala Choornam (external), Tankanabasma, Manjishtadi Kashayam, Prapoundarika Tailam were given and procedures like Shiroabhyanga with Durdoorapathradi oil and Nasya with Prapoundarikadi oil also given. This medication was found very effective in controlling signs and symptoms of Dharunaka and improving the overall condition of the scalp. The improvement provided by the treatment is assessed on the basis of sign and symptoms before and after the treatment.


2021 ◽  
Vol 9 (12) ◽  
pp. 3179-3182
Author(s):  
Sanika R. Pandit ◽  
Rajesh Kolarkar

People suffering from Autoimmune diseases is increasing day by day. The exact cause of the autoimmune disease is still unknown. Psoriasis is one such disease. Dry thick raised itchy patches on the skin are the sign of psoriasis. They are covered with silvery-white scales. It is triggered by infection stress and cold. There is no known cure but with proper management, serious flares can be avoided. It generally affects the scalp, sole, palm, elbows and knees. Such diseases can be effectively managed by Ayurveda. Ayurveda defines the major- ity of skin diseases under the category of Kushtha. Clinically we can compare scalp psoriasis to Kitibha Kush- tha mentioned in the granthas. In the present study, a 53-year-old male patient was treated for scalp psoriasis. He presented himself with itching, dry scales, flake formation and whitish-pink patches on the scalp. He was treated with Arogyavardhini, Sukshma Triphala, Panchatikta Ghrut, Jatamansi choorna internally and Karan- ja Tel for local application. The treatment was given for seven months. The case report is presented here to share effective management of scalp psoriasis by Ayurveda. Keywords: Psoriasis, Kitibha Kushtha, autoimmune diseases, Arogyavardhini, Ayurveda.


2021 ◽  
Vol 18 (2) ◽  
pp. 61-63
Author(s):  
Navgeet Mathur ◽  
Medha Mathur ◽  
Anjana Verma

In presence of abnormal neurological features, infective etiology should be kept as one of the differential diagnoses. This case report was about 38 years old male patient who presented with fever with blister-like rashes in centripetal distribution over the body and myoclonus. CSF examination showed the presence of varicella-zoster Ig M antibodies. Diagnosis of chickenpox induced myoclonus was made. Appropriate treatment recovered the patient completely. This case report highlighted the clinical spectrum of chickenpox as well as the possible pathogenesis and diagnostic, therapeutic approach of this uncommon entity.


Author(s):  
Swati Sharma ◽  
Gurubasavaraja Yalagachin ◽  
Tapas Brata Tripathy

Skin being the largest organ of the body is the reason behind the beauty and the cause for confidence. WHO has classified skin diseases a Psycho-cutaneous disease. This emphasizes on the relation between skin and psyche. Hence skin ailments are given high priority by any victim. 10 - 15% of the OPD patients for any practitioner will comprise of cosmetology related patients. Skin diseases are commonly observed due to altered lifestyle; lack of physical exercise, poor hygiene, mental stress and improper food habits. All the skin disorders in Ayurveda have been discussed under the broad heading of Kushta. Kushta is being further divided into Maha Kushta and Kshudra Kushta. Kitibha Kushta is one of the Kshudra Kushta, disorder which is commonly encountered in today’s clinical practice. Here, Tridoshas, Rasa, Rakta and Mamsa Dhatu are affected. Kitibha Kushta is a disease mainly affecting the beauty of the subject, thus its management would be challenging task.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hee Won Yang ◽  
Jong Bin Bae ◽  
Jung-Im Na ◽  
Ki Woong Kim

Abstract Background Lichenoid drug eruption is rare and can mimic idiopathic lichen planus and other dermatoses. Clonazepam, a commonly used drug for the treatment of anxiety-related disorders and seizures, is known to be an unlikely cause of cutaneous adverse effects. Only one case report of LDE due to clonazepam has been reported. Case presentation A 81-year-old male patient with Alzheimer’s disease developed a lichenoid eruption after taking clonazepam. He developed a violaceous scaly patch on his lower extremities, from both buttocks to the feet. The cutaneous eruption resolved 2 months after cessation of clonazepam and with initiation of corticosteroid therapy. Conclusion A skin eruption that develops after clonazepam administration can be a lichenoid drug eruption, which is less likely to resolve spontaneously and requires discontinuation of clonazepam administration.


2020 ◽  
Author(s):  
Afif Harb ◽  
Sam Razaeian ◽  
Dafang Zhang ◽  
Christian Krettek ◽  
Nael Hawi

Abstract Background: Fractures of the acromion process of the scapula are a rare entity that account for approximately 7% to 16% of all scapula fractures, which in turn account for 0.5% to 1% of all fractures in the body. These fractures usually occur from direct trauma to the shoulder or as a result of overuse injuries to the shoulder joint. Given the rare incidence of these fractures, there are currently no treatment guidelines for treating these fractures when diagnosed. Case presentation: In this case report, we discuss how a secondarily diagnosed displaced acromion fracture associated with anterior glenohumeral joint subluxation in a polytrauma patient was surgically treated. After surgical fixation of this fracture and accordingly neutralizing all the dislocating tension forces exerted by the deltoid muscle, the glenohumeral joint was spontaneously relocated postoperatively. Conclusion: Patient with shoulder trauma should be carefully examined for acromion fractures. Acromion fractures can be treated with good results with early surgical treatment and proper fixation. Surgical treatment is important to regain shoulder functions, as it enables early rehabilitation.


BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
B. Bonaventura ◽  
D. Kraus ◽  
G. B. Stark ◽  
H. Fuellgraf ◽  
J. Kiefer

Abstract Background Epidermolysis bullosa is a group of rare inherited skin diseases characterized by blister formation following mechanical skin trauma. Epidermolysis bullosa is associated with increased skin cancer rates, predominantly squamous cell carcinomas, yet to our best knowledge, there is no reported case of dermatofibrosarcoma protuberans in a patient with Epidermolysis bullosa. Case presentation Here, we present a 26-year-old man with junctional epidermolysis bullosa, who developed a DFSP on the neck. Initial, the skin alteration was mistakenly not considered malignant, which resulted in inadequate safety margins. The complete resection required a local flap to close the defect, which is not unproblematic because of the chronic inflammation and impaired healing potential of the skin due to Epidermolysis bullosa. Conclusions To our best knowledge, this is the first reported case of a skin-associated sarcoma in a patient with EB; however, further investigation is required to verify a correlation.


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