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VAIDYARAJ ATMARAM WAMAN DATARSHASTRI
PIONEER OF PANCHABHAUTIK CHIKITSA, AN INNOVATIVE AYURVEDIC APPROACH IN DIAGNOSING AND TREATING DISEASES.
LET’S DISCUSS A WELL KNOWN CHRONIC DERMATOLOGICAL DISORDER……
I AM
DR. ANIRUDDHA KULKARNI FORM
MIRAJ, MAHARASHTRA, INDIA
AND WILL SHARE MY THOUGHTS AND EXPERIENCES ABOUT –
MANAGEMENT OF PSORIASIS
WITH
PANCHABHAUTIK CHIKITSA
PSORIASIS - INTRODUCTION
• IT IS THE MOST COMMONLY RECOGNIZED PAPULOSQUAMOUS DISEASE.
• IT OCCURS IN 2 TO 3% OF THE GENERAL POPULATION.
• IT AFFECTS MALE AND FEMALE PATIENTS EQUALLY.
PSORIASIS - PATHOLOGY
• FORMERLY THOUGHT TO BE PURELY A DISEASE OF KERATINOCYTE HYPERPROLIFERATION.
• BUT NOW, IT IS CLEAR THAT IT IS AN IMMUNOLOGICALLY MEDIATED DISEASE.
• FACTORS PLAYING ROLE IN PATHOGENESIS –
T CELLS, CYTOKINES, CHEMOKINES, GROWTH FACTORS, DENDRITIC CELLS, EICOSANOIDS, NEUTROPHILS AND MAST CELLS.
PSORIASIS - DEVELOPMENT
DEVELOPMENT OF CUTANEOUS LESIONS
SUBSEQUENT RELEASE OF INFLAMMATORY MEDIATORS
FOLLOWED BY INFLUX OF NEUTROPHILS
GENERATION OF CYTOKINES
ACTIVATION OF T CELLS
EXPOSURE TO PRECIPITATING FACTORS
GENETICALLY SUSCEPTIBLE INDIVIDUALS
PSORIASIS – CLINICAL MANIFESTATIONS
• IT CAN INVOLVE THE SKIN, SCALP AND NAILS.
• SKIN LESIONS ARE CHARACTERIZED BY ERYTHEMATOUS MACULES, PAPULES OR PLAQUES THAT ARE USUALLY COVERED WITH SILVERY SCALES.
• ON REMOVAL OF THE SCALES, PINPOINT BLEEDING MAY BE OBSERVED. (AUSPITZ SIGN)
PSORIASIS – DISTINCT FORMS
• PSORIASIS VULGARIS
• THE MOST COMMON TYPE
• APPEARS AS A PERSISTENT ERYTHEMATOUS SCALY PAPULE AND PLAQUE ON ELBOWS, KNEES AND SCALP.
PSORIASIS – DISTINCT FORMS
• GUTTATE PSORIASIS• USUALLY OCCURS AFTER
VIRAL OR BACTERIAL(MOST COMMONLY STREPTOCOCCAL) INFECCTION.
• APPEARS AS SMALL, ERYTHEMATOUS, SCALY PAPULES SCATTERED OVER A LARGE AREA OF THE BODY IN A RAINDROP DISTRIBUTION.
PSORIASIS – DISTINCT FORMS
• INVERSE PSORIASIS
• IT OCCURS IN SKINFOLD AREAS SUCH AS THE GROIN, AXILLA AND INFRAMAMMARY FOLDS.
• SCALES ARE USUALLY ABSENT.
PSORIASIS – DISTINCT FORMS
• ERYTHRODERMIC PSORIASIS
• APPEARS AS WIDESPREAD ERYTHRODERMA WITH FINE SILVERY SCALES ASSOCIATED WITH FISSURES.
PSORIASIS – DISTINCT FORMS
• PUSTULAR PSORIASIS
• IT IS A RARE VARIANT OCCURING WITH GENERALIZED PUSTULES THAT ARE 2 TO 3 MM IN DIAMETER AND ASSOCIATED WITH FEVER.
DERMATOLOGICAL DISORDERS -KUSHTHA
• THE WORD KUSHTHA MEANS THE ONE WHICH DESTROYS WITH CERTAINITY.
• AS FAR AS THE CHRONICITY OF DISEASE IS CONCERNED, KUSHTHA IS THE MOST CHRONIC AMONG ALL THE DISEASES.
• KUSHTHA IS A DISEASE WHERE DISFIGURATION OF BODY ELEMENTS IS SEEN ALONGWITH THE DISCOLORATION.
KUSHTHA – CAUSATIVE FACTORS
• DIETARY • INTAKE OF CONTRADICTORY, INCOMPATIBLE AND
DISAGREEABLE FOOD ITEMS.
• EXCESSIVE INDULGENCE IN NEW RICE, CURDS, FISH, SALT, SOUR, FLOUR PRODUCTS, OILY AND LIQUID FOOD.
• BEHAVIORAL• BATHING IN COLD WATER IMMEDIATELY AFTER BEING
IN THE HOT SUN, EXERTION, SUPPRESSION OF NATURAL URGES, SLEEPING DURING DAYTIME.
KUSHTHA – INVOLVEMENT OF BODY CONSTITUENTS
• DOSHAS
• VATA
• PITTA
• KAPHA
• DUSHYAS
• BLOOD(RAKTA)
• SKIN(TWAKA OR RASA)
• LYMPH(LASIKA)
• PARASITES(KRUMI)
KUSHTHA - CLASSIFICATION
MAHAKUSHTHAS
• KAPALA
• AUDUMBARA
• MANDALA
• RUSHYAJIHVA
• PUNDARIKA
• SIDHMA
• KAKANAKA
KSHUDRA KUSHTHAS
• EKAKUSHTHA
• CHARMADALA
• KITIBHA
• VIPADIKA
• ALASAKA
• DADRU
• CHARMAKUSHTHA
• PAMA
• VISPHOTA
• SHATARU
• VICHARCHIKA
KUSHTHA – DISEASE PROCESS
THE TOXINS ARE TRIED TO EXPEL FROM THE BODY RESULTING IN SKIN LESIONS
THE PROCESS OF PUTREFACTION STARTS IN THE REGION OF MAHABHUTA SIMILAR TO ITS PROPERTY
ILL DIGESTED AAHARA RASA STARTS CIRCULATING IN THE BODY
OPPRESSED DIGESTIVE FIRE RESULTING IN INDIGESTION
INGESTION OF CONTRADICTORY DIET (MAIN CAUSATIVE BACKGROUND)
APPEARANCE OF LESIONS ACCORDING TO MAHABHUTAS
• FROM THIGHS TO TOEPRITHVI MAHABHUTA
• LOW BACK AND SACRAL AREA
AAPA MAHABHUTA
• ABDOMEN AND BACK REGION
TEJA MAHABHUTA
• CHEST, HEAD AND SCALP REGION
VAYU AND AAKASHA MAHABHUTA
KUSHTHA - PRODROMAL SYMPTOMS
• ROUGHNESS OF THE SKIN
• ITCHING
• EXCESSIVE OR TOTAL ABSENCE OF SWEATING
• NUMBNESS
COMPARISON WITH KUSHTHA LESIONS DESCRIPTION
• HAVE ERUPTIONS WHICH ARE ELEVATED, CIRCULAR, ARE MARKED BY ITCHING AND ARE SLOW IN DEVELOPING
PUNDARIK AND DADRU KUSHTHAS
• REDDISH BLACK DISCOLORATION OF THE SKIN IS SEENEKAKUSHTHA
SIGNS AND SYMPTOMS OF INVOLVED DHATUS
RASA DHATU
• NUMBNESS
• SWEATING
• ROUGHNESS
• SLIGHT ITCHING
RAKTA DHATU
• NUMBNESS
• ITCHING
• PRESENCE OF PUS
MANSA DHATU
• THICK CIRCULAR PATCHES
• ROUGHNESS
• PRICKING PAIN
• HARDNESS
SIGNS AND SYMPTOMS OF INVOLVED DHATUS
MEDA DHATU
• FOUL ODOR
• INCREASE IN WASTE PRODUCTS
• PUS
• PARASITES
ASTHI AND MAJJA DHATU
• SINKING OF NASAL BRIDGE
• EYE DISEASES
• PRESENCE OF WORMS IN ULCERS
SHUKRA DHATU
• DEFORMITY OF HANDS AND LIMBS
• LOSS OF POWER OF LOCOMOTION
PRINCIPLES OF TREATMENT
DETERMINATION OF CAUSATIVE
FACTOR
CORRECTION OF DIGESTION PROCESS
DIGESTION OF AAMA
IMPROVEMENT IN
NOURISHMENT OF DHATUS
DIGESTION OF METABOLIC
TOXINS
INSPECT AND TREAT KRUMI IF
ANY
SHAMANA(PALLIATION) TREATMENTS
INTERNAL MEDICATIONSAAROGYAVARDHINI
PHALATRIKADI GUGGUL
PATOLADI GUGGUL
CHATURTHAKA YOGA
SHWADANSHTRADI GUGGUL
TAMRA BHASMA
JWARAHARA YOGA
BENEFICIAL AND AVOIDABLE DIET AND REGIMEN(PATHYA-APATHYA)
APATHYA(AVOIDABLE)• GREEN CHILLIES
• RAW GARLIC AND ONION
• SPROUTS
• CURD
• MILK WITH FRUITS
• MILK WITH SOUR AND SALT FOOD ARTICLES
• INCOMPATIBLE DIET
• CONTRADICTORY DIET
PATHYA(BENEFICIAL)• SIMPLE DIET
• RICE
• MUNG DAL
• FRUIT VEGETABLES
• FRESH AND SWEET BUTTERMILK
• PROPER TIMINGS OF MEALS AND SLEEP
• PRACTICE STRESS REDUCTION TECHNIQUES LIKE MEDITATION