skin dr sharma

COMMON SKIN DISEASES IN GENERAL PRACTICE

Dr. Ananth Ram SharmaMD Panchakarma, (Ph.D)

Amrita School of AyurvedaDepartment of Panchakarma

Presented in ABHA – 2010 CME on Skin disorders

By AMAI Alappuzha Unit

I will take you to ………

• Dosha and Lakshana• Lakshana and Dosha - Dhatu involved• Dhatu Gatatva• Common skin diseases in your clinic

and their management• Clinical experience• Conclusion

Dr Sharma's Presentation, Amrita School of Ayurveda

Don’t be Panic


Lakshananusara Dosha Vivechana Sl. Dosha Symptoms

1 Vata Rukshata, Shosa, Toda, Shula, Samkocha, Ayama, Parushya, Kharata, Harsha, Shyava-Arunata, Twak Swapa, Twak sankocha, shopha, bheda, kounya.

2 Pitta Daha, Raga, Parishrava, Paka, Visragandha, Kleda, Angapatana, avadarana, akshiraga, satwotpatti putikleda bahula, trishna Kshiprotthana, sajwara

3 Kapha Shwetata, Shaitya, Kandu, Sthairya, Utsedha, Gaurava, Sneha, Kleda, varnabheda, shopha, srava,

Dosha – Dushya Vs lakshanas


Symptoms Dosha DushyaKandu Kapha RaktaPidaka Pitta Rakta, MamsaShyavata Vata Twak, RaktaSrava Pitta & kapha Rakta, LasikaShyama Vata Twak, RaktaPraklinna Kapha&pitta Rakta, LasikaRaji Vata RaktaRuksha Vata RaktaPaka Pitta RaktaVrana Pitta Rakta, MamsaRuja Vata Mamsa.

Symptoms of Dhatugata kustha


Dhatu Sushruta VagbhataTwakgata Sparsha hani, swedanatwa, Ishat kandu,

vaivarnya, ruksha bhavaToda, vaivarnya, rukshata

Raktagata Twakswapa, romaharsha, sweda. Sweda, swapa, shwayathuabhipravartana, kandu, vipuyaka

Mamsagata Bahulya, vaktrashosha, karkashya, pidakodgama, toda, sphota, sthiratwa (twak sputana)

Panipadashrita sphota, sandhi kledadhika

Medogata Dourgandhya, upadeha, puya krimi pradurbhava, gatrabheda gatikshaya, anga dalana.

Kounya (vikala panitwa-Indu)

Asthigata Nasabhanga, akshiraga, krimiudhbhava in vrana, kshaya, kshate cha krimayaha swaropaghata

Nasabhanga, netra raga, swara

Shukragata Kounya, gatikshaya, angabheda, kshata sarpana.

Swadara apatya badhana

Eczema

• Inflammatory nature. • Dermatitis or inflammation of the

skin. • May be genetic in origin. • Young adults of both the sexes • Common in summers.


• Acute– Redness with an ill-defined border. Papules

large blister, vesicles and scaling.

• Sub acute– Redness and crusting are present

without the extreme swelling.

• Chronic– Less vesicular more scaly, skin pigmented and

thickened and with fissures.

• According to Ayurveda, eczema is a minor form of leprosy and is caused by the aggravation of kapha in addition to vata and pitta.


Vicharchika & Eczema


Vicharchika Eczema

Rupa

Pidaka

Pidaka- saraga shopha Inflammation with marked reddening

Papule

Symptoms

Pidaka – kustharogadhikarepidadayake kshudrasphotaka

Vesicles

Kandu ItchingSrava-Lasikadhya Oozing-serumRuksha DrynessRaji Linear markings (lichenification)Paka Pustules(secondary infection)Vrana UlcerRuja Irritation because of excessive scratchingVarna Lohita(kashyapa) Reddening (acute stage) Colour of lesion

Shyava or shyama Hyper pigmentatioin (chronic stage)

Variety Ruksha-Vatika Dry eczema TypeSravi- paittaika or kaphaja Wet eczema

Management

• Vamana and Virechanam• Jalaukavacharanam• Eladigana lepam • Aragvadadi Kashayam – In Dry• Patolakaturohiyadi in Wet• Manibhadra Gulam


Dandruff • Dandruff - Seborrhoeic dermatitis.• Caused by the excess formation of sebum.• The irritation due to this causes dandruff, producing

dry or greasy scales. • Produce red patches of the scalp with large scales

and sometimes a thick crest.• Worse by sweating. • Sebum does contain compounds that are powerful

hair removers.• Darunaka - due to increase of Kapha and Vata.


Management

• Mild• Triphala churnam – Durdurapatradi

• Severe• Takradhara• Chitrakamula – triphala• Internal Medications• Puliyila swarasa with Haridra

bhanupaka taila for crest


Alopecia

• Indralupta – Alopecia areata and totalis• Ruchya – Alopecia universalis• Khalitya - Baldness• Reasons -hereditary, stress, hormones,

medicines, irregular food habits, environment etc.

• Vata and Pitta blocked by Kapha and Raktha



Alopecia Universalis

Stage I

Alopecia Totalis

Female baldness

Male Baldness

Stage II

Stage III

Management

• Vamana or Jalauka – Stage I• Vamana Virechana Prachana – Stage II• Prachana Purvaka Lepa• Nagavalli Svarasa• Kadalavanakkin Kuru lepam


Acne

• Acne occurs during adolescence.• More than 96% of teenagers.• Increase in male sex hormones.• Sebum gets blocked and bacteria

begins to grow. • Both whiteheads and blackheads

start out as a microcomedone.• Mukha Dushika• Vata, Kapha and Raktha


Management

• Simple acne• Manjishtadi Kashayam• Rajapravartini Vati• Kumaryasavam

• Acne Vulgaris• Jalaukavacharanam• Vamanam• Eladi ganam Lepam


Fissure of sole

• Plantar Hyper Keratosis• Pain – Cracks – Fissures – Tenderness –

Bleeding – Pus – inability to walk• Padadari – vipadika• Vata Dosha – Lessening of Snehamsha and

Ap dhatu


Management • Pada Nimajjana• Jeevanthyadi Yamakam with

Durvadi Keram• Vidaryadi Kashayam• Malatikthakam Ghrutham• Chandraprabha Vati• Siktha Tailam• Padadari Malaharam• Pulithodu Kari with taila• Ketaki basma with Taila


• An autoimmune disease • Body produce proteins called cytokines that

alter their pigment-producing cells and cause these cells to die.

• Incurable• Shwitram• Tridoshajam • In Raktha – Mamsa and Meda


Vitiligo

Management


• Kushta Chikitsa• Shodhana – Shamana• Raktha Mokshana• Gajalinda Bhasma • Karkokilari with Marotti Enna• Nimba Kalka with Gomutra• Kattattitol, Karkokilari intake and

sun bath – Sphota• Bringa raja fried in iron vessel

intake• Palasha Kshara with guda

Urticaria• Hypersensitivity reaction to allergens. • Urticaria develops around loose

tissues of the eyes or lips.• Sheeta pitta• Vitiated pitta with increased Vata and

Kapha


Management • Haridra khanda • Rasa sindur • Gairika • Arogyavardhini rasa • Sut shekhar rasa • Laghu Sutashekhara• Kaishore guggulu • Manjishtadi Kashaya• Khadirarishta• Virechana


Candidiasis • Candidiasis (yeast infection) is infection by the

yeast Candida. • Tends to occur in moist areas of the skin.• Cause rashes, scaling, itching, swelling.• Candida is a normal resident of the mouth,

digestive tract, and vagina that usually causes no harm.

• Under certain conditions Candida can overgrow on mucous membranes and moist areas of the skin.

• Hot, humid weather, Poor hygiene, Tight synthetic underclothing

• Use of antibiotics or corticosteroids and other drugs that suppress the immune system


Candida


Tinea• Tinea Versicolor, Jock itch, athlete's foot, and

ringworm, are all types of fungal skin infections known collectively as tinea.

• They're caused by fungi called dermatophytes that live on skin, hair, and nails and thrive in warm, moist areas.

• The source of the fungus

might be soil, an animal

(most often a cat, dog, or

rodent), or another person.


Management

• Anti fungal• Gangaka• Tankanam• Cheenappavu• Rasam• Thutham• Nimba• Haridra


Keratosis Pilaris• Small, pointed pimples on the upper arms,

thighs, and buttocks. • Worsens in the winter and usually clears

up in the summer. • Keratosis pilaris has no known cause• Usually no treatment is necessary


Psoriasis ?

• Cure ?• Shodhana• Shamana• Rasayana


Cosmetics

• Savarneekarana – Laksha, Manashila, Manjishta, Haratal, Haridra, Daru

• Krushneekarana - Bakuchi• Romasanjanana – Hasthi Dantha Mashi• Romashatana - • Avasadana – Jati Mukula – Manashila, Haratala,

Guggul, Chitraka, • Utsadana – Nyagrodadi Gana, Padmakadi

Gana, Tila


Apathya

• Black Gram• Fish• Curd• Divaswapnam• Brinjal• Ladies finger• Maida• Egg


To Summarize

• Dosha chintha• When to do Shodhana• Raktha Prasadana• Rakthamokshana• Pathya



THANK YOU ALL

||Na Matra Matramapyatra Kinchidagama Varjitam||

Visit: http://panchakarma4all.blogspot.

com

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