• Psoriasis is one of the commonest diseases of skin.
• It may occur at any age but usually occurs between the Ages of 10 and 30.
• The patchy lesions consist of sharply defined slightly elevated bright red papules or plaques.
• When the plaques are remove the tips of red papillae are exposed.
• Central clearing and peripheral extension is there.
• In most cases the only disability is cosmetic.
• Irritation is usually mild but may be exaggerated in nervous and anxious individual.
• Psoriasis usually increases in traumatized area.
• Tends to spare those exposed to light.
• It is usually more severe in winter season of the year.
• A single plaque may persist unchanged for many years.
Types of Psoriasis
Guttate Psoriasis
• In guttate Psoriasis a profuse eruption of small papular lesions is present on the trunk and limbs.
• It usually occurs in children and young adult.
Pustular Psoriasis
• It is uncommon and involves the palms and soles.
• Crops of sterile pustuls are succeded by brownish crust.
Intertriginous Psoriasis
• Involves the natal cleft and external genitalia and groins and is often irritable.
Psoriatic Arthritis
• Joint pain with swelling in small and large joints is presented in few cases of Psoriasis.
• Small joint deformity and stiffness of joint makes the life troublesome.
Psoriasis of nails
• It may be followed by skin lesions or may occur alone.
• The nails may become discolored & thickened and fine pitting is there.
Exfoliative Psoriasis
• It is sometimes seen and may occur as the result of chemical based medicines.
• Occasionally there is no obvious cause for the universal spread of disease.
Etiology
• The cause is unknown, it is probable that Psoriasis is a manifestation of inborn defect of epidermis.
Prognosis
• Is difficult but it is unjustifiable to depress the patient with the statement that the disease is incurable.
Details of Psoriasis according to Ayurvedic view:
• Mandal Kushtha is the name given to similarity of symptoms given in Psoriasis.
• Ayurveda considers the theory of vata pitta & kapha with saptadhatus (seven deep body tissue) and trimal (three waste products i.e. urine, stool and sweat) with the three mental humor i.e. Satva, Raja and Tama.
• The Herbal formulas used in this disease regulates the equilibrium of all the three basic humors.
Samprapti (Ayurvedic pathogenesis of Psoriasis)
• The main humor involve is kapha; vata and pitta are involved secondarily.
• The Kapha (unctuous substance in the body obstructs the channels (shorotas) and thereby obstructs the normal functions of vata, pitta & kapha.
• We may say that this disease involves all three basic humors but kapha is the main humor.
• Blood, lymph & skin is toxicated with the effect of kapha, vata & pitta and normal nutrition of the skin is hampered caused by the diseases roughness cracks and scaly formation.
Treatment Ayurvedic view
• Vata pitta & kapha are normalised by Ayurvedic medicine and restores the normal luster of skin, and scaly peeling reduces, erythema is relieved with normal function of vata.
• Our herbal medicine function on the basis of holistic principles i.e. the other body ailment like joint pain, abdominal problem, migraine, high B.P., diabetes, headache, disk slip, urinary problem, gynecological disorders, nerve pain are treated concurrently there is no need to consult separately doctors for any bodily discomfort except in few emergency cases.