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COMMON SKIN DISEASES

IN GENERAL PRACTICE
Presented in ABHA – 2010
CME on Skin disorders
By AMAI Alappuzha Unit

Dr. Ananth Ram Sharma


MD Panchakarma, (Ph.D)

Amrita School of Ayurveda


Department of
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
Sl. Vata
1 Dosha
Dosha Rukshata,
Symptoms Shosa,Vivechana
Toda, Shula, Samkocha, Ayama, Parushya,
Kharata, Harsha, Shyava-Arunata, Twak Swapa, Twak sankocha,
2 Pitta Daha, Raga,
shopha, Parishrava,
bheda, kounya. Paka, Visragandha, Kleda, Angapatana,
avadarana, akshiraga, satwotpatti putikleda bahula, trishna
3 Kapha Shwetata, Shaitya,
Kshiprotthana, Kandu, Sthairya, Utsedha, Gaurava, Sneha,
sajwara
Kleda, varnabheda, shopha, srava,

Dr Sharma's Presentation, Amrita School of Ayurveda


Dosha – Dushya Vs
lakshanas
Symptoms Vata
Kandu
Pidaka
Shyavata
Srava
Shyama
Praklinna
Raji
Ruksha
Paka
Vrana
Ruja
Dosha
Kapha
Kapha&pitta
Pitta
Dushya
& kapha Mamsa.
Twak, Rakta
Rakta
Rakta, Lasika
Mamsa

Dr Sharma's Presentation, Amrita School of Ayurveda


Symptoms of Dhatugata kustha
Dhatu
Twakgata
Sushruta
Sparsha hani, swedanatwa, Ishat kandu,
Vagbhata
Toda, vaivarnya, rukshata
vaivarnya, ruksha bhava
Raktagata Twakswapa, romaharsha, sweda. Sweda, swapa, shwayathu
abhipravartana, kandu, vipuyaka
Mamsagata Bahulya, vaktrashosha, karkashya, Panipadashrita sphota,
pidakodgama, toda, sphota, sthiratwa sandhi kledadhika
Medogata Dourgandhya,
(twak sputana)upadeha, puya krimi Kounya (vikala panitwa-Indu)
pradurbhava, gatrabheda gatikshaya,
Asthigata Nasabhanga,
anga dalana. akshiraga, krimiudhbhava Nasabhanga, netra raga, swara
in vrana, kshaya, kshate cha krimayaha
Shukragata Kounya, gatikshaya, angabheda,
swaropaghata Swadara apatya badhana
kshata sarpana.

Dr Sharma's Presentation, Amrita School of Ayurveda


Eczema
• Inflammatory nature.
• Dermatitis or inflammation of the
skin.
• May be genetic in origin.
• Young adults of both the sexes
• Common in summers.

Dr Sharma's Presentation, Amrita School of Ayurveda


• 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.
Dr Sharma's Presentation, Amrita School of Ayurveda
Vicharchika & Eczema

Vicharchika
Rupa Pidaka Pidaka- saraga shopha Eczema
Inflammation with marked reddening
Papule Symptoms
Pidaka – kustharogadhikare Vesicles
Kandu
Srava-Lasikadhya Itching
Oozing-serum
Ruksha pidadayake kshudrasphotaka
Raji Dryness
Linear markings (lichenification)
Paka Pustules(secondary infection)
Vrana
Ruja Ulcer
Irritation because of excessive scratching
Varna Lohita(kashyapa) Reddening (acute stage) Colour of lesion
Shyava or shyama Hyper pigmentatioin
Variety Ruksha-Vatika
Sravi- paittaika or kaphaja (chronic
Dry
Wet eczemastage)
eczema Type

Dr Sharma's Presentation, Amrita School of Ayurveda


Management


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

Dr Sharma's Presentation, Amrita School of Ayurveda


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.

Dr Sharma's Presentation, Amrita School of Ayurveda


Dr Sharma's Presentation, Amrita School of Ayurveda
Management

• Mild
• Triphala churnam –
Durdurapatradi
• Severe
• Takradhara
• Chitrakamula – triphala
• Internal Medications
• Puliyila swarasa with Haridra
bhanupaka taila for crest
•Dr Sharma's Presentation, Amrita School of Ayurveda
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

Dr Sharma's Presentation, Amrita School of Ayurveda


Alopecia Totalis

Stage I
Male Baldness
Alopecia Universalis

Female baldness Stage II

Dr Sharma's Presentation, Amrita School of Ayurveda Stage III


Management

• Vamana or Jalauka – Stage I


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

Dr Sharma's Presentation, Amrita School of Ayurveda


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

Dr Sharma's Presentation, Amrita School of Ayurveda
Management

• Simple acne
• Manjishtadi Kashayam
• Rajapravartini Vati
• Kumaryasavam
• Acne Vulgaris
• Jalaukavacharanam
• Vamanam
• Eladi ganam Lepam

Dr Sharma's Presentation, Amrita School of Ayurveda


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

Dr Sharma's Presentation, Amrita School of Ayurveda


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
Dr Sharma's Presentation, Amrita School of Ayurveda
Vitiligo
• 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

Dr Sharma's Presentation, Amrita School of Ayurveda


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

Dr Sharma's Presentation, Amrita School of Ayurveda


Urticaria
• Hypersensitivity reaction to allergens.
• Urticaria develops around loose
tissues of the eyes or lips.
• Sheeta pitta
• Vitiated pitta with increased Vata and
Kapha

Dr Sharma's Presentation, Amrita School of Ayurveda


Management
• Haridra khanda
• Rasa sindur
• Gairika
• Arogyavardhini rasa
• Sut shekhar rasa
• Laghu Sutashekhara
• Kaishore guggulu
• Manjishtadi Kashaya
• Khadirarishta
• Virechana
Dr Sharma's Presentation, Amrita School of Ayurveda
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 thatDrsuppress the immune system
Sharma's Presentation, Amrita School of Ayurveda

Candida
Dr Sharma's Presentation, Amrita School of Ayurveda
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.

Dr Sharma's Presentation, Amrita School of Ayurveda
Management
• Anti fungal
• Gangaka
• Tankanam
• Cheenappavu
• Rasam
• Thutham
• Nimba
• Haridra
Dr Sharma's Presentation, Amrita School of Ayurveda
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

Dr Sharma's Presentation, Amrita School of Ayurveda


Psoriasis ?

• Cure ?
• Shodhana
• Shamana
• Rasayana

Dr Sharma's Presentation, Amrita School of Ayurveda


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

Dr Sharma's Presentation, Amrita School of Ayurveda
Apathya

• Black Gram
• Fish
• Curd
• Divaswapnam
• Brinjal
• Ladies finger
• Maida
• Egg
• Dr Sharma's Presentation, Amrita School of Ayurveda
To Summarize
• Dosha chintha
• When to do Shodhana
• Raktha Prasadana
• Rakthamokshana
• Pathya

Dr Sharma's Presentation, Amrita School of Ayurveda


||Na Matra Matramapyatra Kinchidagama Varjitam||

THANK YOU ALL

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Dr Sharma's Presentation, Amrita School of Ayurveda