ObjectivesKeratosis pilaris (KP) is the condition of the skin with extensive keratin follicular plugging. It may be associated with the erythema. The upper arm extensor area, shoulders, back of neck and thighs, as well as face and the upper trunk are the areas of presentation. Available medications for KP give only symptomatic relief, while some produce serious side effects. There is no proven universal treatment for the disease that can provide complete recovery. Āyuṛveda management of KP is not yet reported.Case presentationA 26-year-old male patient, presented with main complaints started with papular lesions over his right shoulder, chest and upper back along and later with pustular lesions in the past 2 weeks. The condition was associated with redness, mild swelling and itching. The case was diagnosed as Keratosis pilaris based on its presentation, site, and pathogenesis. Also by analyzing the extent of vitiation of doṣas (morbidities), the Vata kapha pitta hara line of treatment was adopted, which was accomplished in two phases i. e. Śodhana Cikitsa and Śamana Cikitsa.ConclusionBoth internal and external treatments along with diet restrictions were found effective in arresting the pathogenesis and recovery in a short period. All the symptoms associated with the condition were completely cured with no signs of re-occurrence.
Visphota kushta (blistering skin disease) is characterized by transparent blisters with thin skin covering. Management of Visphota Kushta in Ayurveda is rarely reported. The case reported here showed significant regression in the condition in short span of time and could completely stop the use of anti histamines and corticosteroids. A 32 year old female, presented with complaints of blisters over both upper and lower extremities associated with edema, burning sensation, pain, severe itching and oozing since three months. The treatments were given after ascertaining the involved dosha and the samprapti (pathogenesis). The involved dosha were and Pitta (metabolic factor) and Kapha (binding factor) dosha. Pitta - kapha dosha hara line of treatment was adopted in terms of mitigating and purificatory therapy. It helped in arresting the progression of the condition and a complete healing of blisters. Photographs were taken during and after the treatment for records. The blister completely resolved and the skin was normal as before. The patient was back to her normal routine with no signs of relapse. The outcome was a combined effect of both shamana and shodhana chikitsa along with pathya sevana.
Avapeedaka Snehapana is a unique and special method of internal
administration of Sneha dravya (unctuous medicine) mentioned in the
classical ayurveda texts. It is mainly indicated in mutravegarodha janya
vikara (diseases due to the suppression of urge of micturition). Because of the
lack of adequate review and analysis, this method of administration of
snehapana (internal administration of lipid) is losing its significance
from the practices and the concept remains unexplored. The reasons for not being practiced
like other snehana (oleation therapy) procedures are because of the less
understanding of the concept of administration, scattered and minimal textual references.
Through this review, we intend to have a detailed analysis on the concept of
avapeedaka snehapana mentioned in the Brihatrayees
(Caraka Samhita, Sushruta Samhita, and Ashtanga Hridaya—the 3 main texts of ayurveda) with
its possible practical methods of administration. The role of ghrita
(ghee) in inducing the ketogenesis is also analyzed. Being a ketogenic diet, the benefits
of ghrita are interpreted. These efforts may help bring down
avapeedaka snehapana into the mainstream of practice.
Background:
Amavata
is a chronic immune‑inflammatory systemic disorder caused by the formation of
Ama
and its association with
Vata
at
Kaphasthana
(joints) and can be simulated with rheumatoid arthritis (RA). Published evidences show that treatment indicated in
Amavata
is effective in RA. Increased inflammatory status in RA is suggestive of gut dysbiosis involving gut microbiota (GM).
Aim:
The aim of the present study was to analyze the influence of diet on GM of RA patients based on
Pathya
(dietary advice) mentioned for
Amavata
.
Materials and Methods:
Laghutrayis such as Bhavaprakasha Samhita, Madhava Nidana and Sharangadhara Samhita, Bhaishajya Ratnavali and Nighantus (Sanskrit glossary) such as Raja Nighantu, Bhavaprakasha Nighantu and Yogaratnakara, Ashtanga Hridaya also different databases were reviewed for
Pathya
of
Amavata
. Different databases such as PubMed, Scopus, DHARA, Google Scholar, Science Direct were searched with research papers establishing the role of nonnutritive bioactive components in horse gram, barley, garlic, ginger, drumstick leaves, cow urine and buttermilk in the management of RA were also reviewed. It was found that
Pathya
influences on the GM by lowering or inhibiting inflammatory markers such as interleukin‑6 (IL‑6), 17 and leukotrines through Bowman‑Birk inhibitors and polyphenolic compounds. Among them,
Takra
is already a proven probiotic.
Gomutra
augments B and T lymphocytes, IL‑1 and IL‑2, strengthening the immune system.
Conclusion:
It was concluded that
Pathya
Ahara
mentioned for
Amavata
have a direct link with GM of RA patients. Even though the pharmacological actions have been clinically proven/practised, this review creates evidence for its scientific basis.
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