{"title":"Complete Resolution of Plantar Psoriasis With Ayurveda, A Case Report.","authors":"Sayali Borse, Renu Rathi, Arun Naphe Khatri","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Palmoplantar psoriasis is a type of psoriasis that primarily affects the palms and soles, characterized by erythematous plaques, scaling, and fissuring. These features can significantly impair the quality of life, varying in severity. Skin disorders often result from lifestyle changes, such as consuming an incompatible diet (Viruddha Ahaar Sewan refers to eating foods in a contradictory order or that vitiate the body's Doshas), unhealthy food habits and a sedentary lifestyle. Additionally, genetics, stress, exposure to radiation or UV light, and other environmental influences can contribute to skin problems. This case report describes the clinical presentation, diagnostic challenges, and psychosocial impact of palmoplantar psoriasis in a 12-year-old male with a high recurrence rate, and highlights successful Ayurvedic management.</p><p><strong>Aim and objectives: </strong>This case study aimed to document the Ayurvedic management and outcomes in a chronic inflammatory skin condition.</p><p><strong>Methods: </strong>A 12-year-old male presented to the Ayurvedic hospital with thick scaling, cracks/fissures, severe itching, and severe pain on both soles, along with a two-year history of recurrent plaques. Thorough analysis was conducted using Ayurvedic examinations, including Dashavidha (10-fold) and Ashtavidha (8-fold), to diagnose the root causes. The condition was managed with Ayurvedic Shaman Chikitsa, involving internal medicine (herbal formulations and dietary modifications) and external applications (therapeutic oils, pastes, and other topical treatments) to alleviate symptoms and promote healing.</p><p><strong>Observation: </strong>Assessment through scores based on clinical features and grading, which was 13 at the time of admission, 2 on day 15, and 0 on day 30. (higher the score higher is the severity of disease).</p><p><strong>Result: </strong>Major improvements in scaling, itching, cracks, and pain on the soles were observed after 15 days of treatment. After 15 days, internal medicines were discontinued, but external applications continued until complete relief, around the 25th day. The patient was reassessed on the 30th day, showing complete resolution of all signs and symptoms with no recurrence.</p><p><strong>Discussion and conclusion: </strong>This study demonstrates that Vipadika (plantar psoriasis) in children can be treated using an Ayurvedic approach, which includes Abhyantar Chikitsa (internal medicines) and Bahya Chikitsa (external or local treatments). The detailed descriptions of all the medicines used, their contents, their applications, and the procedures followed are provided in the main text. This information will be beneficial for physicians, aiding them in effectively treating similar cases of psoriasis.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Alternative therapies in health and medicine","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Palmoplantar psoriasis is a type of psoriasis that primarily affects the palms and soles, characterized by erythematous plaques, scaling, and fissuring. These features can significantly impair the quality of life, varying in severity. Skin disorders often result from lifestyle changes, such as consuming an incompatible diet (Viruddha Ahaar Sewan refers to eating foods in a contradictory order or that vitiate the body's Doshas), unhealthy food habits and a sedentary lifestyle. Additionally, genetics, stress, exposure to radiation or UV light, and other environmental influences can contribute to skin problems. This case report describes the clinical presentation, diagnostic challenges, and psychosocial impact of palmoplantar psoriasis in a 12-year-old male with a high recurrence rate, and highlights successful Ayurvedic management.
Aim and objectives: This case study aimed to document the Ayurvedic management and outcomes in a chronic inflammatory skin condition.
Methods: A 12-year-old male presented to the Ayurvedic hospital with thick scaling, cracks/fissures, severe itching, and severe pain on both soles, along with a two-year history of recurrent plaques. Thorough analysis was conducted using Ayurvedic examinations, including Dashavidha (10-fold) and Ashtavidha (8-fold), to diagnose the root causes. The condition was managed with Ayurvedic Shaman Chikitsa, involving internal medicine (herbal formulations and dietary modifications) and external applications (therapeutic oils, pastes, and other topical treatments) to alleviate symptoms and promote healing.
Observation: Assessment through scores based on clinical features and grading, which was 13 at the time of admission, 2 on day 15, and 0 on day 30. (higher the score higher is the severity of disease).
Result: Major improvements in scaling, itching, cracks, and pain on the soles were observed after 15 days of treatment. After 15 days, internal medicines were discontinued, but external applications continued until complete relief, around the 25th day. The patient was reassessed on the 30th day, showing complete resolution of all signs and symptoms with no recurrence.
Discussion and conclusion: This study demonstrates that Vipadika (plantar psoriasis) in children can be treated using an Ayurvedic approach, which includes Abhyantar Chikitsa (internal medicines) and Bahya Chikitsa (external or local treatments). The detailed descriptions of all the medicines used, their contents, their applications, and the procedures followed are provided in the main text. This information will be beneficial for physicians, aiding them in effectively treating similar cases of psoriasis.
期刊介绍:
Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field.
Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.