Psoriasis and psoriariform dermatitis - #30900

Avoid sour, fermented food and bakery products. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Psoria oil for local application. Tab. Guduchi 2-0-2 Tab. Cutisora 2-0-2

​According to Ayurveda, skin conditions like psoriasis are collectively known as Kushtha. They are considered a result of an imbalance in the body’s three fundamental energies or doshas: Vata, Pitta, and Kapha. While modern medicine views psoriasis as an autoimmune disease, Ayurveda focuses on the internal imbalance that causes the symptoms.

​Ayurvedic Perspective on Psoriasis ​Vata and Kapha Imbalance: Psoriasis is primarily associated with an aggravation of Vata (responsible for dryness, flaking, and scaling) and Kapha (leading to thickening, itching, and heaviness of the skin). ​Pitta Involvement: The inflammatory nature of psoriasis, characterized by redness, burning sensation, and pus formation, is linked to an imbalance of Pitta. ​Ama (Toxins): The root cause, in Ayurveda, is often seen as the accumulation of toxins (Ama) in the body due to a weak digestive fire (Agni) and improper diet. These toxins circulate and lodge in the skin and other tissues, leading to the symptoms. ​Mental and Emotional Factors: Stress and anxiety (Manasika Nidana) are also considered significant triggers that can aggravate the doshas and worsen the condition.

​Response to Your Specific Questions

​If the plaques first appear on the leg, is it psoriasis or another condition?

In Ayurveda, the location of the plaques is less important than the overall pattern of symptoms and the underlying dosha imbalance. Psoriasis can manifest anywhere on the body, including the legs, as its presence is a sign of an internal systemic issue rather than just a localized skin problem.

​Is it possible for the condition to be suppressed in 15 days with medication?

Ayurveda aims for a holistic and long-term resolution, not just a quick suppression of symptoms. While some treatments may show improvement in a short period, a “cure” in 15 days is not the typical goal.

Ayurvedic treatment focuses on: ​Detoxification (Shodhana): Procedures like Panchakarma (e.g., Vamana - therapeutic vomiting, Virechana - therapeutic purgation, and Raktamokshana - bloodletting) are used to eliminate toxins from the body. ​Internal Medications (Shamana): Herbal preparations are prescribed to balance the doshas, improve digestion, and purify the blood. Common herbs include Neem, Turmeric, Manjistha, and Guduchi. ​Diet and Lifestyle: Strict dietary modifications are crucial, such as avoiding incompatible food combinations (Viruddha Ahara), sour, salty, and spicy foods, and incorporating more bitter vegetables and herbs. Lifestyle changes include stress management through yoga and meditation. The process is often gradual, and the duration of treatment can vary depending on the individual’s constitution and the severity of the condition.

​Are nail pits a symptom of psoriasis? Yes, in Ayurveda, nail health is directly related to the health of your bone tissue (Asthi Dhatu). Nails are considered a byproduct or mala of Asthi Dhatu. When the doshas, particularly Vata and Pitta, are aggravated and have entered the deeper tissues, they can affect the nails. Therefore, nail pitting is seen as a sign of a deeper, systemic imbalance affecting the bone tissue, which is a common manifestation in psoriasis and psoriatic arthritis. The Ayurvedic approach would be to treat the internal imbalance to restore the health of the entire system, including the nails.

Hello Vidhya ji,

Your question is very important, because psoriasis and psoriasiform dermatitis (conditions that resemble psoriasis) can appear very similar, yet there are some distinguishing points.

✅ HOW TO DIFFERENTIATE

👉Classic sites of psoriasis - elbows, knees, scalp, lower back. But psoriasis can start at any site – even on the legs or trunk. So, location alone does not rule it out. Nail pitting (small depressions on nails)-- is a classic sign of psoriasis, not usually seen in other simple dermatitis.

👉Psoriasiform dermatitis =usually occurs due to drugs, allergy, or eczema-like conditions, and may resemble psoriasis but improves faster once the trigger is removed.

✅REGARDING SUPPRESSION WITHIN 15 DAYS

Psoriasis is a chronic autoimmune condition – it generally does not disappear completely within 15 days.

If a skin lesion clears rapidly with medicines (especially within 2 weeks), it may be more likely psoriasiform dermatitis, eczema, fungal infection, or allergy-related rash rather than classical psoriasis.

In psoriasis, lesions usually take longer duration, recur in cycles, and may come back after stopping medicines.

✅ Key Points to Remember

Yes, nail pitting is a symptom of psoriasis.

Yes, psoriasis can start in legs, not only elbows or scalp.

No, classical psoriasis does not usually vanish within 15 days – if it does, another diagnosis should be considered.

👉 If your skin lesions are confusing, a Ayurvedic physician can confirm with detailed Physical examination

Hope so I answered all your doubt😊

Wish you a good health😊

Warm. Regards Dr Snehal Vidhate

Don’t worry take rasamanikya ras 1Tab bd, Yogendra ras 1tab bd, mahamanjsiadhi gana vati 1tab bd,somaraji tail external application, Gandhak Rasayana 1tab bd enough

Start with 1) panchtiktagrit guggul 2-0-2 after food with water 2) kamdudharas ras 1-0-1 after food with water 3) Neem ghanvati 1-0-1 after food with water Psorolin oil for local application on affected area twice daily Avoid food with milk and Salty foods/ citrus fruits/ Nonveg food/ Do pranayam lom -vilom bhastrika kapalbhati brahmri daily for 5-10mins twice Take bath with neem kwath water twice weekly.

HELLO VIDHYA,

YOUR SKIN,DIGESTION ANS SYSTEMIC SYMPTOMS ARE INTERRELLATED AND ROOTED. IN DEEPER IMBALANCE WHICH AYURVEDA RECOGNIZES PRIMARILY AS AGNI DUSTI(DIGESTIVE FIRE DISTURBANCE) AND SROTORODHA(BLOCKAGES OF BODY CHANNELS)-ESPECIALLY RASA,RAKTA, AND TWAK VAHA SROTAS. THE SYMPTOMS POINTS TOWARDS A CHRONIC PITTA-KAPHA-VATA IMBALANCE WITH TOXIN BUILDUP AD WEAK TISSUE NUTRITIONAL STATUS, LEADING TO A DEGENERATIVE CONDITION THAT MIMICS FEATURE OF 1)SKIN PSORIASIS INDICATES:- TWAK VIKAR(SKIN DISEASE), POSSIBLY EKAKUSHTA , ASSOCIATED WITH RAKTA DHATU DUSTI AND RASA DHATU KSHAYA

2)GUT AND SYSTEMATIC SYMPTOMS MAY CAUSING SKIN PROBLEM - EXCESS GAS, BLOATING,WEAKNESS , FATIGUE POST MEALS=AGNIMANDYA+GRAHANI+VATA PRAKOPA

3)MAIN ROOT CAUSE-AGNI DUSTI(IMPAIRED DIGESTION), TOXIN ACCUMULATION, VITIATED RAKTA,PITTA,VATA, LACK OF PROPER DHATU POSHANA(NUTRIENT TRANSFORMATION), STRESS/LIFESTYLE INDUCED DOSHA IMBALANCE

THIS COULD BE TREATED BY INTERNAL MEDICINES + EXTERNAL APPLICATION FOR SKIN+ DIET STRICTLY FOLLOW+ LIFE STYLE AND YOGA PRANAYAM+BASTI SUPPORT+ TIMELINE OF EXPECTED RECOVERY

Yes — nail pitting (tiny depressions on the nail surface) is a common symptom of psoriasis, caused by abnormal nail growth from psoriatic inflammation.

FOLLOW THIS MEDICATIONS PROPERLY 1)DEEP DIGESTION CORRECTION- AGNIDEEPANA AND AMA PACHANA- -HINGWASTAKA CHURNA- 1/2 TSP WITH GHEE BEFORE MEALS

-KUTAJARISTA- 20 ML WITH EQUAL WATER AFTER MEALS TWICE DAILY

-AROGYAVARDHINI VATI- 1 TAB TWICE DAILY AFTER FOOD- LIVER,SKIN METABOLISM

- TRIPHALA CHURNA- 1 TSP AT BEDTIME WITH WARM WATER- FOR GUT CLEANSING

2)SKIN HEALING(RAKTA SUDDHI+TWAK PRASADANA) -MAHAMANJISTHADI KASHAYA- 20 ML WITH WARM WATER,TWICE DAILY BEFORE MEALS

-PANCHATIKTA GHRITA GUGGULU- 1 TAB TWICE DAILY AFTER FOOD-ANTIINFLAMMATORY, SKIN , AUTOIMMUNITY

-KHADIRARISTA- 15 ML WITH WATER AFTR MEALS TWICE DAILY- BLOOD PURIFIER, ANTI-ITCHING

- NEEM CAPSULE- 1 CAP TWICE DAILY IN MORNING AND AT BED TIME

FOR PERSISTENT ITCHING AND WHITE PATCHES -BAKUCHI CHURNA-1/2 TSP WITH HONEY AFTER BREAKFAST-VERY SLOWLY INTRODUCED

-SARIVADI VATI- 1 TAB TWICE DAILY- USEFUL IN CHRONIC SKIN ALLERGIES AND PIGMENTARY CHANGES

3)EXTERNAL APPLICATION- -BAKUCHI TAILA- APPLY GENTLY ON WHITE PATCHES(1-2 HRS BEFORE BATH) ON ALTERNATE DAYS

-JATYADI TAILA- APPLY GENTLY FOR DRY,ITCHY AREAS-AFTER BATH -KHADIRARISTA WASH- DILUTE IN WATER AND USE FOR FINAL RINSE OR SPONGE BATH ON ITCHY AREAS

- ALOE VERA(FRESH GEL)- APPLY PLAIN ON IRRITATED SKIN - SOOTHING,HEALING

4) LIFESTYLE AND YOGA- DAILY ROUTINE- SLEEP EARLY BY 10 OM, AND WAKE UP BEFORE SUNRISE USE WARM WATTER FOR BATHING AND DRINKING GENTLE SELF MASSAGE WITH KARANJA TAILA-3 TIMES/WEEK AVOID SLEEPING DURING DAY TIME

YOGA AND PRANAYAM VATA BALANCING POSES- PASCHIMMOTTANASANA, PAWANMUKTASANA, VAJRASANA- 15 MIN SURYANAMSKAR - SLOW PACE- 6 ROUNDS PRANAYAM- ANULOM-VILOM,BHRAMARI,SHEETALI- 15 MIN MEDITATION-10 MIN DAILY *AVOID INTENSE EXCERCISE UNTIL DIGESTION STABILIZES

5)DIET PLAN- INCLUDE- WARM,LIGHT ,COOKED FOODS MOONGDAL,RICE GRUEL,CUMIN,AJWAIN,GINGER STEAMED/BOILED VEGETABLES HERBAL TEAS- FENEEL,CORIANDER,AJWAIN COW GHEE

AVOID- MILK,CURD FERMENTED FOOD,BAKERY,REFINED FLOUR BRINJAL,TOMATOES,POTATOES COLD DRINKS,FRIDGE WATER NON VEG, EGGS-FOR NOW TILL TREATMENT CONTINUES SOUR FRUITS, SUGAR AVOID MIXING MILK+FRUITS OR MILK+SALT- STRICTLY AVOID

RECOVERY TIMELINE- IF YOU CONSISTENTLY FOLLOW THIS PROTOCOL THEN 100% RESULT YOU WILL OBSERVE WEEK 1-3:- ITCHING, GUT SYMPTOMS AND SLEEP WILL IMPROVE WEEK 4-6:- ENERGY,DIGESTION,AND FEWER WHITE PATCHES MONTH 2-3:- SKIN RECOVERY BEGINS, STABLE BOWEL MOVEMENT

THIS APPERS TO BE SYSTEMATIC ISSUE AFFECTING SKIN, AS A REFLECTION OF INTERNAL DOSHA IMABALNCE AND DHATU DEPLETION PSORIASIS - LIKE CHANGES AND ITCHING NEED INTERNAL BLOOD PURIFICATION, VATA PITTA BALANCING AND LONG TERM GUT HEALING THE ABOVE TREATMENT IS BASED ON YOUR SYMPTOMS AND WILL GIVE 100% RESULT IF YOU FOLLOW CONSISTENTLY

DO FOLLOW CONSISTENTLY

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

1.Gandhak rasayan 2 tab twice daily after meals 2.Arogyavardhini vati 2 tab twice daily after meals 3.Neemghana vati 1 tab twice daily after meals 4.Khadirarishta 20ml with 20 ml water twice daily after meals 5.Somaraji oil-apply on the affected area thrice daily

Adv: Avoid sour and spicy food Avoid fried food Avoid carbonate drinks, tea and coffee

Need personal consultation,

Please visit nearby panchkarma centre for further advice.

Take care😊

Kind Regards, Dr.Isha Ashok Bhardwaj.

1.gandhaka rasaya 2-0-2 before food 2.nimbadi guggulu 1-1-1 after food 3.aragwadadi kashaya 15 ml-0-15 ml with equal quantity of water before food 4.swadishta virechaka choorna 1tsp with warm milk daily night before bed. 5.vasu cutis ointment for external application

Diet Avoid spice and oil fried food Avoid non veg Avoid alcohol and cigerate Avoid curd,brinjal and other food you feel allergic to. Avoid sweets Bath daily with neem kashaya(boil neen leaves paste in hot water or directly boil neen leaves in hot water)

When it comes to skin conditions like psoriasis, understanding the symptoms and manifestations is crucial for accurate identification. Psoriasis commonly appears as red, scaly patches on classic sites such as the elbows, knees, and scalp. However, it can also manifest on other areas like the legs. If the condition initially appears on the leg, it’s still possible it is psoriasis, but it could also be a case of psoriasiform dermatitis or another dermatological condition. The key distinguishing feature of psoriasis includes well-defined plaques with silvery scales.

The presence of nail pits can be a significant indicator, as nail involvement is a common symptom in psoriasis, affecting many patients. The pitting in nails occurs due to disturbances in nail growth that’s characteristic of psoriasis.

Regarding treatment response, if symptoms are suppressed within 15 days with medication, that might imply efficient management, but it doesn’t necessarily rule out psoriasis. Fast response may occur with potent steroid creams or systemic medications. Ayurveda, on the other hand, focuses on long-term balance, which might not provide immediate suppression but aims at sustainable management through dietary and lifestyle recommendations, herbal treatments, and stress reduction techniques.

For leg lesions, consider ayurvedic herbs like Neem and Turmeric, both traditionally known for their anti-inflammatory and healing properties. Topically, applying aloe vera gel may provide soothing relief. Internally, focus on dietary balance, emphasizing bitter and astringent flavors, and reduce salty, sour, and spicy foods to pacify the Pitta dosha. Always consult with a healthcare provider for a precise diagnosis and personalized treatment plan to ensure safety and efficacy, especially if considering any extensive herbal remedies.