1.91 CME

Ayurvedic Management of Psoriasis, सोरायसिस का आयुर्वेदिक प्रबंधन

Speaker: Dr. Ruchi Gulati

Founder, Sukh Ayurveda Health Centre, Noida, Uttar Pradesh

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Description

This webinar focuses on the holistic and evidence-based approach of Ayurveda in managing psoriasis, a chronic inflammatory skin disorder. The session will explore the pathogenesis of psoriasis from an Ayurvedic perspective, emphasizing the concepts of dosha imbalance and rakta dhatu dushti. Participants will learn about effective Ayurvedic therapies, including panchakarma, herbal formulations, and dietary modifications that support long-term remission. The discussion will also highlight integrative approaches combining traditional wisdom with modern dermatological insights for better patient outcomes.

Summary Listen

  • Surya's eye, relating to psoriasis in dermatology and Ayurveda, is a common condition with good treatment outcomes in Ayurveda, often exceeding those in dermatology. Psoriasis is an inflammatory disease with hyperplasia, causing rapid skin growth and redness with characteristic scales.
  • The course of psoriasis is unpredictable, with flare-ups often triggered by stress. In severe cases, bone damage can occur, and removing scales may result in bleeding. The prevalence varies globally, affecting 0.3 to 2.5% of the population, with similar rates in males and females.
  • The condition typically manifests between 23 and 37 years of age, with two onset peaks: teenage years and around retirement. The current hypothesis points to it being a T-cell mediated autoimmune disease.
  • Common triggers include streptococcal infections, viral infections, skin trauma (Koebner phenomenon), psychological stress, certain drugs like lithium and beta-blockers, sunburn, and metabolic factors such as vitamin D and calcium deficiencies. Hormonal factors, like pregnancy, can also trigger flare-ups.
  • Clinical presentation includes rounded, well-defined, symmetrical plaques covered with white or silver scales, predominantly on extensor surfaces (elbows, knees), scalp, palms, and soles. The severity is assessed by dividing the body into four regions and evaluating the extent of involvement, redness, and scaling.
  • Types of psoriasis include chronic plaque psoriasis (most common), guttate psoriasis (often following streptococcal infections), pustular psoriasis, erythrodermic psoriasis (often steroid-related and requiring referral), and localized forms like palmo-plantar psoriasis and scalp psoriasis.
  • Diagnosis involves considering patient history, lesion distribution, family history, and non-cutaneous complications. Differential diagnoses include tinea, eczema, and seborrheic dermatitis. Biopsy confirms the diagnosis by revealing hyperkeratosis.
  • Ayurvedic management involves addressing dosha imbalances, particularly Pitta, managing stress, and dietary modifications. The treatment goals include improving quality of life and achieving long-term remission with minimal medication toxicity.
  • Treatment protocols vary based on symptom severity and extent of involvement. Mild cases involve local applications and mild purification (shodhana) therapies. Moderate to severe cases involve more intense purification, internal medications, and addressing psychological well-being.
  • Lifestyle and dietary modifications are crucial, including avoiding triggering foods (viruddha and vidahi ahar), spicy, fried, and processed foods. Emphasis is placed on increasing the intake of foods that pacify Pitta dosha and following proper daily routines.

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