Pulmoplantar pustular psoriasis - #30910

Ok do not worry You can start on Kayakalpa vati-one tablet twice daily before food with warm water Kaishore guggulu- Neemghan vati- 1 tab twice after food with warm water Haridra khanda-of teaspoon with warm water after food twice daily Mahamanjistadi aristha-4 teaspoon with equal quantity of water twice daily after food Kayakalpa taila- local application Avoid oily spicy fried and non vegetarian foods

​In Ayurveda, Palmoplantar Pustular Psoriasis (PPP) is often understood as a chronic skin condition (Kushtha Roga) resulting from an imbalance of the three doshas, particularly Vata and Pitta, and sometimes Kapha. Your description of “red spots,” “puss form,” “itching,” and “scaly” skin aligns with a complex dosha imbalance.

​Pitta Imbalance: The redness and pus formation are classic signs of aggravated Pitta, which governs heat and inflammation.

​Vata Imbalance: The dryness, scaling, and itching you describe point to an excess of Vata, which is associated with dryness, roughness, and air.

​Kapha Imbalance: The pustules and “puss form” can also be linked to an imbalanced Kapha, which deals with fluids and can lead to oozing or wetness.

​Ayurvedic treatment for this condition is holistic and aims to address the root cause by purifying the blood, balancing the doshas, and improving digestion (Agni). The approach often includes:

​1. Diet and Lifestyle (Ahar Vihar) ​Avoid Pitta-aggravating foods: Stay away from spicy, sour, and salty foods. This includes things like fermented foods, curd, and excessive use of chili and spices. ​Embrace Vata and Pitta-pacifying foods: Focus on a diet rich in cooling, bitter, and sweet (natural) tastes. Incorporate green leafy vegetables, old rice, green gram (moong dal), and bitter gourd. ​Hydration: Drink plenty of water and herbal teas to help with detoxification. ​Avoid incompatible food combinations (Viruddha Ahara): Ayurveda emphasizes avoiding combinations like milk with fish, or hot and cold foods together. ​Stress Management: Psoriasis can be triggered by stress. Practices like yoga, meditation, and pranayama (breathing exercises) are highly recommended.

​2. Herbal Remedies ​ ​For blood purification: Manjishtadi kashaya 20 ml after food 2 times a day

well-known for their detoxifying and anti-inflammatory properties.

​For inflammation and scale . Giloy ghan vati 1-1 -1 after food

helps to boost immunity and cleanse the blood.

​For internal cleansing: tab Arogyavardhini Vati 1-1-1 before food used to improve digestion and remove toxins.

​For external application: Karanj oil or jatyadi ghrita

often applied to the affected areas to reduce inflammation, itching, and promote healing. ​

1.Patolakaturohinyadi kwatham tab 2-0-2 before food 2.Vilwadi .gulika 1-0-1after food 3.Thriphaladi churnam 1tsp at bedtime with hot water 4.Krimighna vati 1-0-1after food

Weekly once Virechana(Purgation) with Avipathy churnam (1packet/10gm) with ½glass hot water in empty stomach followed by light diet only - this is to cleanse your body.

*Do’s 3-4litres of water /day More focus on fruits and vegetables Include Sprouted grains Practice yoga and meditation regularly

*Don’ts Tea /coffee Oily too salty sour sweet foods Junk foods Carbonated/soft drinks Maida and its products

Hello Alekhya, I understand you have been suffering a lot due to psoriasis. Don’t worry, here is the tailored treatment plan for you - We have to focus on treatment as well as the the psychological and other triggers also. Treatment - 1. Arogyavardhni vati 2-0-2 after meal 2. Kayakalpa vati 2-0-2 after meal 3.Neem ghanvati 2 -0-2 after meal 4. Mahamanjistharishta + Khadiraristh - 2 tsp each with 4tsp water twice a day after meal 5.Kayakalp oil - Local application over the affected area (but don’t use on scalp) Diet- Avoid sour and spicy food,fast food. Avoid curd, pickle, brinjal,lemon. Take bitter gourd, bottle guard, fruits Yoga - Anulom vilom, bhastrika, tratak, Sheetali, sheetkari. Remedies - Apply freshly extracted Aloe vera gel. Boil neem leaves and let it cool to warm, soak feet for 15 min daily. Keep feet clean. Wear cotton socks when outside. Don’t worry , follow these and you will definitely get relief. Don’t hesitate to reach out for any further query. Would like to hear your improvement in the review. Take care Alekhya Regards, Dr. Anupriya

Hello Alekhya I can truly understand your concern. Palmoplantar pustular psoriasis (on palms & soles) is a autoimmune condition that can be frustrating, especially when it keeps recurring despite many treatments. But dont worry we are here to help you out 😊

✅AYURVEDIC APPROACH

✅INTERNAL MEDICATION (for blood purification & immunity) 1 Panchtikta Ghrita Guggulu 1 TSP morning empty stomach follwed by warm. Water – classic medicine for skin auto-immune disorders. 2 Arogyavardhini Vati 2-0-2 after food – liver detox & balances Pitta. 3 Mahamanjishthadi Kashayam 15ml-0-15ml +45 ml water – powerful blood purifier, reduces redness & itching.

✅EXTERNAL LOCAL APPLICATION

👉Coconut oil + Neem oil mix – apply on palms & soles to reduce dryness, pus, and scaling. 👉Aloe vera fresh gel – soothing for itching & burning. 👉Turmeric + ghee paste – helps healing of cracked/scaly patches.

(Avoid harsh soaps, detergents, frequent washing with hot water.)

✅DIETARY ADVICE-

❌Strictly avoid: fried foods, sour curd, red chili, excess salt, non-veg, alcohol, bakery, cold-drinks.

☑️Take more: bitter vegetables (karela, methi, neem leaves), bottle gourd, pumpkin, pomegranate, green gram, old rice.

☑️Include buttermilk (takra) with jeera daily – good for digestion & skin.

☑️Drink warm water to flush out Ama (toxins).

✅Lifestyle & Stress tips

Maintain regular sleep cycle – late nights worsen psoriasis. Stress is a major trigger – practice Anulom Vilom & Bhramari pranayama daily. Gentle sun exposure in the morning is beneficial. Avoid scratching or peeling scales – it worsens flare-ups.

✅PANCHAKARMA (if possible at Ayurveda centre)

For resistant cases like yours, Panchakarma therapies are very effective

1 Virechana (Purgation therapy) – to eliminate excess Pitta. 2 Raktamokshana / Jalaukavacharana (Leech therapy) – reduces local inflammation & pus. 3 Takradhara (medicated buttermilk pouring therapy) – calms stress & immunity. 4 Basti (medicated enema) – balances Vata & immunity.

With regular Ayurvedic care, psoriasis can be brought under long-term control, flare-ups reduce, and skin starts healing gradually.

Wish you a Good health😊

Warm Regard Dr Snehal Vidhate

Don’t worry take swadista virechana churnam 1tsp with lukewarm water, pancha tikta ghrita Guggulu 1tab bd, Thalakeshwara Ras 1tab bd,vibha ointment Externally enough

Start with 1) panchtiktagrit guggul 2-0-2 after food with water 2) neem ghanvati 1-0-1 after food with water 3) psorolin oil for local application on affected area.2-3 times daily 4) kamdudharas 1-0-1 after food with water Avoid wrong combination of food like milk with salty foods, citrus fruits,nonveg food, Do pranayam lom -vilom bhastrika bhamri 5-10mins daily twice

U can start with Pachatiktaka kashayam tab 1-0-1 before food Khadiradhi vati tab 1-0-1 after food Kaishora Guggulu Tab 2 bd after food 777 oil external application

HELLO ALEKHYA,

WHAT IS IT :- PPP is a chronic skin disease that mainly affects the palms and soles, It causes red patches, pustules (small pus-filled spots), scaling, and itching

WHY IT HAPPENS (Ayurvedic view) -due to imbalance of pitta (heat) and kapha (stickiness, heaviness) dosha -impurities (known as Aam) and Rakta dushti (impure blood) accumulate in the body. -The skin express this imbalance in the form of inflammation, pustules and scaling

WHY IT DOESN’T HEAL EASILY : -PPP is considered a Kushtha roga (skin disorder) in Ayurveda. chronic skin diseases are deeply rooted in blood and tissues, so superficial. ointments alone are not enough.

TREATMENT GOALS -Detoxification = remove accumulated toxins and balance doshas -Blood purification= cleanse the blood to prevent pustules and scaling -Immunity and digestion= improve digestive fire to prevent formation of toxins -Local healing= reduce pustules, redness and itching -Long term balance= prevent recurrence through lifestyle, diet, and stress management

INTERNAL MEDICATIONS

1) KAISHOR GUGGULU= 2 tabs twice daily after meals =purifies blood, reduces inflammation and swelling

2) AROGYAVARDHINI VATI= 2 tabs twice daily after meals =detoxifies liver and blood, corrects digestion

3) GANDHAK RASAYANA= 2 tabs twice daily after meals =anti microbial, improves skin healing, reduces itching

4) MAHAMANJISTHADI KASHAYA= 20 ml with equal water twice daily after meals =strong blood purifier, useful in skin diseases

5) NEEM CAPSULES= 1 cap daily in morning =natural antimicrobial, reduces pustules

6) GUDUCHI EXTRACT= 500 mg twice daily =boosts immunity, balances pitta

EXTERNAL APPLICATIONS

OILS -Karanja taila + nimba taila= antimicrobial, reduces pustules -Coconut oil with turmeric= soothes itching and scaling

PASTES/PACKS -Aloe vera gel + turmeric paste on pustules- healing and cooling -Neem leaf paste= reduces redness and infection

BATHING -use lukewarm water add a few neem leaves or Triphala decoction for soaking hands/feet

LIFESTYLE CHANGES

DAILY ROUTINE -wake up early, drink warm water to flush toxins -gentle oil massage with coconut/sesame oil before bath -keep palms and soles clean and dry, but not overly dry

AVOID -scratching or peeling scales -tight footwear or gloves that traps sweat -daytime sleeping, late night waking

DIET -green leafy vegetables esp. bitter ones- neem, methi, karela -oil rice, wheat, barley, mung dal -fruits= pomegranate, apple, papaya -spices= turmeric, coriander, cumin

AVOID -very spicy, sour, salty, fried, fermented foods -red meat, sea food, alcohol, carbonated drinks -curd, cheese, pickles -junk/processed foods

YOGA ASANAS -bhujangasana -vajrasana -trikonasana -paschimottanasana =improves digestion and detox

PRANAYAM -anulom vilom= balances doshas -sheetali/sheetakari= cooling, reduces pitta -bhramari= calms stress

MEDITATIONS -stress worsens psoriasis; 10-15 mins daily help

SIMPLE HOME REMEDIES -drink neem leaf decoction 3-4 leaves boiled in water 3-4 times/week -apply turmeric + aloe vera paste on affected areas -drink triphala water at night -fenugreek seeds soaked overnight- eat in morning to purify blod

-PPP is chronic but manageable with a holistic approach -Ayurveda aims to treat the root cause rather than just skin -Be patient = results take weeks to months but recurrence reduces with consistent lifestyle and diet -combine ayurveda + yoga + stress management for best outcome

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

1.Panchtikta guggulu 2 tab twice daily after meals 2.Arogyavardhini vati 2 tab twice daily after meals 3.Manjisthadi kwath 20 ml with 20 ml water twice daily before meals 4.Jatyadi oil-apply on the affected area once daily 5.Bakuchi oil-apply on the affected area twice daily

Adv: Avoid sour and spicy food Avoid fried and processed food items Avoid Carbonated drinks Avoid tea and coffee

Need personal consultation,

Please visit nearby panchkarma centre for further advice.

Take care😊

Kind Regards, Dr.Isha Ashok Bhardwaj.