INTRODUCTION
Skin is the
largest organ in the body and barrier between body’s internal as well as
external environment. In ayurveda skin is one among five gyanendriya’s
responsible for ‘sparsh gyan’ and skin disease are collectively considered
under a common term ‘kushtha’ where ekkushtha is one under it which finds
similarity with psoriasis.
Psoriasis is a
chronic systemic autoimmune skin disorder characterized by well defined
erythematosus plaques covered by silvery flaky scales mainly affecting skin and
joints. Its prevalence in World is 2-3%
of total population and in India it is about 0.44-2.8%. Males are being
affected by psoriasis more than female.
The exact etiology of psoriasis is still not established but certain
diets, environmental factors ,genetic factors and immunological factors are
considered the cause of it. In ayurveda it is mentioned that aharaj nidan like
taking excessive amount of newly formed rice, heavily digestible food , citrus
fruits, curd, fish, unrefined sesame oil and viharaj nidan like sleeping at day
time, supressing the natural urges of body, excessive exposure to sunrays, excessive
worry, grief are the causative factors. Other factors such as seasonal changes,
alcohol, hypocalcemia and some infections can also trigger psoriasis.
The common sites of occurrence of psoriasis are scalp, elbow, knee,
earlobes and sole which are also considered as the location of kapha and vata.
The derangement of seven factors involving tridoshas (vata, pitta, kapha) along
with twak (skin), rakta (blood tissues),
mamsa (muscle tissues) and lasika
(blood plasma) are the basis of vitiation of srotas . These vitiated factors
enter into gambhir dhatus(deeper body tissue element) and srotas (body
channels) producing scaly lesion and other symptoms.
BASIS
OF MEDICINE SELECTION
1.
Bhallatakadya
churna is classic ayurvedic formulation mentioned in kushtha chapter of shloka
no. 302,303,304 of gad nigraha having contents which collectively works as rakta
shodhak and prasadak , has immune modulation, and anti stress properties along
with vatakapha shamak effect which would help in breaking the pathology of ekkushtha.
2.
Bakuchi
and bhallatak present in the drug has kushthaghna properties that directly act
on skin disorders especially chronic ones.
3.
Bakuchi
is present in bhallatakadya churna as well as somraji tail which has properties
like raktashodhak, (blood purifying effect), lekhan (helps in removing dead
skin), and varnya(improves complexion of skin)
4.
Bramhi
and Shankhpushpi has anti stress properties which will reduce the stress of the
patient.
5.
Haldi
and Daruhaldi present in the Somraji Tail has
anti inflammatory ,kandughna, and rakta shodhak properties.
NEED OF STUDY
1.
To fill the gap in current state of ayurveda research so as to identify
trigger factors, relapsing and recurring condition of psoriasis.
2.
The chronic nature, recurring pattern and visibility of psoriasis
produces a huge adverse impact on the psychological and social aspect of
patient life.
3.
Psychological disability affects the daily routine as well as social
interaction.
4.
In present era, skin disorders are commonly found in day to day practice
and according to roxburgh’s common skin disease book approx 10-15% of the
patients suffering from psoriasis do not respond to available therapies.
Therefore a complete successful treatment method along with dietary changes to
reduce its reccurence is needed which would be highly effective.
5.
Psoriasis affects quality of life , ayurvedic studies can help develop
community level guidelines for prevention, awareness, and early intertvention.
6.
Psoriasis involves both skin and systemic issues like
inflammation,stress,immunity and ayurveda provides a mind body approach through
diet (ahara), lifestyle (vihara) and mental wellness practices (satvavjay
chikitsa)
BASIS
OF MEDICINE SELECTION
1.
Bhallatakadya
churna is classic ayurvedic formulation mentioned in kushtha chapter of shloka
no. 302,303,304 of gad nigraha having contents which collectively works as rakta
shodhak and prasadak , has immune modulation, and anti stress properties along
with vatakapha shamak effect which would help in breaking the pathology of ekkushtha.
2.
Bakuchi
and bhallatak present in the drug has kushthaghna properties that directly act
on skin disorders especially chronic ones.
3.
Bakuchi
is present in bhallatakadya churna as well as somraji tail which has properties
like raktashodhak, (blood purifying effect), lekhan (helps in removing dead
skin), and varnya(improves complexion of skin)
4.
Bramhi
and Shankhpushpi has anti stress properties which will reduce the stress of the
patient.
5.
Haldi
and Daruhaldi present in the Somraji Tail has
anti inflammatory ,kandughna, and rakta shodhak properties.
NEED OF STUDY
1.
To fill the gap in current state of ayurveda research so as to identify
trigger factors, relapsing and recurring condition of psoriasis.
2.
The chronic nature, recurring pattern and visibility of psoriasis
produces a huge adverse impact on the psychological and social aspect of
patient life.
3.
Psychological disability affects the daily routine as well as social
interaction.
4.
In present era, skin disorders are commonly found in day to day practice
and according to roxburgh’s common skin disease book approx 10-15% of the
patients suffering from psoriasis do not respond to available therapies.
Therefore a complete successful treatment method along with dietary changes to
reduce its reccurence is needed which would be highly effective.
5.
Psoriasis affects quality of life , ayurvedic studies can help develop
community level guidelines for prevention, awareness, and early intertvention.
6.
Psoriasis involves both skin and systemic issues like
inflammation,stress,immunity and ayurveda provides a mind body approach through
diet (ahara), lifestyle (vihara) and mental wellness practices (satvavjay
chikitsa) In this study two groups are taken , having sample size of 40 and each group has 20 participants . In 1st group Bhallatakadya Churna and Somraji Tail will be given and in 2nd group Psora Capsule and Psora Oil (from Ayulabs pharmaceuticals )will be given. ANTICIPATED
OUTCOME-
1.
Bhallatakadya
Churna and Somraji tail will prevent the recurrence of ekkustha.
2.
Bhallatakadya
Churna will manage the stress level of the patient very well as it has drugs
like brahmi, shankhpushpi having anti stress properties in its composition.
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