2020 Module 2 19 th amp 20 th September 2020 Charma Roga kushta Skin disorders Common skin disorders Atopic eczema dermatitis hives Psoriasis psoriatic arthritis Acne rosacea cold sore ID: 930122
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Slide1
Slide2DIPLOMA
in Ayurvedic Practitioners Course 2020Module 219th & 20th September 2020
Slide3Charma
Roga (kushta)Skin disorders
Slide4Common skin disorders
Atopic eczema, dermatitis, hives Psoriasis, psoriatic arthritis Acne, rosacea, cold sore Ringworm, scabies
Slide5Structure of the skin
Slide6Eczema, dermatitis, hives
The Allopathic perspective
Slide7Eczema, dermatitis, hives
The Allopathic perspectiveitchy, red, dry and crackedMost commonly affects:the backs or fronts of the kneesoutside or inside the elbowsaround the neck, hands, cheeks or scalp
Slide8Eczema, dermatitis, hives
The Allopathic perspectiveFlare up:Condition worsens Inflammation increases Fluid oozing from the skinPus / yellow crust Swollen and sore High temperature
Slide9Causes of eczema,
dermatisis, hives The Allopathic perspective“The exact cause of atopic eczema is unknown, but it's clear it is not down to one single thing.” – NHS allergies eg. food, soaps, stress, weather hereditary associated conditions such as asthma and hay fever
Slide10General advice
– eczema, dermatitis, hives The Allopathic perspective Manageable condition Can improve with timeMost children grow out of it Maintain food diary to find trigger Stay away from triggers
Slide11General advice
– eczema, dermatitis, hives The Allopathic perspective “Some foods, such as eggs and cows' milk, can trigger eczema symptoms. But you shouldn't make significant changes to your diet without first speaking to your GP”Referral to a dietitian (a specialist in diet and nutrition)
Slide12Treatment eczema, dermatitis, hives
The Allopathic perspective Main emphasis is relief for signs and symptoms Currently no cure Severity of eczema has significant impact on daily life Counselling to help cope with the situation
Slide13Treatment eczema, dermatitis, hives
The Allopathic perspective Emollients Antihistamines Block the effects of histamine in the blood called Help relieve the itching Can either be sedating or non-sedating
Slide14Treatment eczema, dermatitis, hives
The Allopathic perspective Topical corticosteroids / steroid tablets Very mild (such as hydrocortisone)Moderate (such as clobetasone butyrate)Even stronger (such as mometasone)Side effectsMild stinging sensation for less than a minute Thinning of the skin Changes in skin colour
Acne (spots) – especially when used on the face in teenagers
Increased hair growth
Most of these side effects will improve once treatment stops.
Slide15Treatment eczema, dermatitis, hives
The Allopathic perspective Bandages and wet wrapsSpecial medicated bandages, clothing or wet wraps to wear over areas of skin affected by eczema.
Slide16Treatment eczema, dermatitis, hives
The Allopathic perspective Seeing a dermatologist
A
llergy
testing
T
opical
calcineurin inhibitors – creams and ointments that suppress your immune system
B
andages
or wet wraps
P
hototherapy
– ultraviolet (UV) light that reduces inflammation
I
mmunosuppressant
tablets – to suppress your immune system
Slide17Treatment eczema, dermatitis, hives
The Allopathic perspective “Some people may find complementary therapies such as herbal remedies helpful in treating their eczema, but there's little evidence to show these remedies are effective.If you're thinking about using a complementary therapy, speak to your GP first to ensure the therapy is safe for you to use” - NHS
Slide18Psoriasis, psoriatic arthritis
The Allopathic perspective
Slide19Psoriasis, psoriatic arthritis
The Allopathic perspective Flaky red patches of skin covered in silver scalesCan be itchy or soreCan be minor irritation or severeUsually appear - elbows, knees and the lower backUsually periods when no or mild symptoms & periods when symptoms are more severe
Slide20Psoriasis, psoriatic arthritis
The Allopathic perspective Affects 2% of people in the UKCan start at any age Most often develops in adults under 35 years oldIncreased production of skin cellsCells normally replaced every 3 to 4 weeks – reduced to 3 to 7 days
Slide21Cause of psoriasis, psoriatic arthritis
The Allopathic perspective “Although the process isn't fully understood, it's thought to be related to a problem with the immune system … for people with psoriasis, it attacks healthy skin cells by mistake” - NHS
Hereditary
Certain events can trigger including, injury to your skin, throat infections, certain medicines and arthritis
Weak immune system
Slide22Treating psoriasis, psoriatic arthritis
The Allopathic perspective “There's no cure for psoriasis, but a range of treatments can improve symptoms and the appearance of skin patches” – NHS Topical treatment, eg. vitamin D analogues or topical corticosteroidsPhototherapy (exposing skin to ultraviolet light)In severe cases, oral or injected medicines
Slide23Acne
The Allopathic perspective
Slide24Acne
The Allopathic perspective Face, back, chest Blackheads, whiteheads, papules, pustules, nodules, cysts Sebaceous gland produces too much sebum and blocks hair follicle Puberty – due to testosterone and oestrogen Period, pregnancy, PCOS Hereditary Cosmetics, medications
Slide25Treating acne
The Allopathic perspective Topical retinoidsTopical antibiotics Azelaic acid Antibiotic tablets Combined oral contraceptive pill
Slide26Rosacea
The Allopathic perspective Redness / blushing across nose, cheeks, forehead Butterfly rash Dry skin Swelling around eyes Sore eyelids Thickened skin (mainly on nose)
Slide27Causes of rosacea
The Allopathic perspective Alcohol Spicy food Cheese Caffeine Hot drinks Aerobic exercise
Slide28Treating rosacea
The Allopathic perspective Topical creams / gels Antibiotics Steroids
Slide29Charma
Roga (kushta)The Ayurvedic perspective
Slide30Slide31Slide32Slide33Slide34Slide35Slide36Slide37Slide38Structure of the skin
Slide39Charma
Roga (kushta)Types of skin disorder 18 types of skin disorder in Ayurveda: 7 Maha kushta (major) 11 Shudhra kushta (minor)
Slide40Maha
kushta (major) Skin disorders Kapāla kushta – vata Udumbara kushta – kaphaMandala
kushta
– pitta
Saushra
griva
(deer’s tongue) –
vata
/pitta
Puncharike
– pitta
Sidhma
–
vata
/
kapha
Kanaka –
vata
/pitta/
kapha
Slide41Shudhra
kushta (minor) Skin disordersAka kushta – vata/kaphaCharma kushta – vata
/
kapha
Kitibhaya
–
vata
/
kapha
Viyapatika
–
vata
/
kapha
Alasaka
-
vata
/
kapha
Dadhruma
–
pitta/
kapha
Charmadhala
- pitta/
kapha
Parmar
- pitta/
kapha
Visporta
- pitta/
kapha
Shataruwa
– pitta/
kapha
Vicharchika
– kapha
Slide42Charma
Roga (kushta)From the Ayurvedic perspective – main emphasis is Identifying causative factors Eliminating causative factors
Slide43Nidhana
(causative factors) Skin disordersOily foods (Snigdha)Red fish (Mathsya)Sesame (Tilla)Milk / dairy products (Sheera) Yoghurt (Dhadi) Heavy foods (Guru)Root vegetables like
potatoe
(Mansa
mulaka
)
High wheat and carbohydrate content food (
Pishta
)
Sweet food (
Guda
)
High water content
High water content food -
eg
. melon, cucumber (Drava)
Cold water or cold drinks (
Sheetambu
)
Sour and salty food (
Amla
Lavana
)
Slide44Nidhana
(causative factors) Skin disordersIncompatible food and drink (Virrudha anna pana) Certain methods of food preparation (Karma Sanskarana Bhojana) Cold and hot food eaten together (Sheeta / ushna
virya
)
Incorrect or excessive fasting (
Langana
)
Eating before last meal is fully digested (
Adyasana
)
Indigestion (
Ajeerna
)
Inappropriate or excessive consumption of raw food (
Navanna
)
Slide45Nidhana
(causative factors) Skin disordersIncorrect Pancha Karma (detox) treatment (Panchakarma apachari) Yawning, hunger, thirst, vomiting, hiccups (Vega avarodha) Excessive exercising (Viyayama)Worrying or feeling sadness (ati
santapa
)
Overeating (
Ati
bojya
)
Overtiredness (
Shrama
)
Feelings of fear and insecurity (
Bhaya
)
Slide46Nidhana
(causative factors) Skin disordersSleeping at incorrect time / incorrect sleeping patterns (Nidra jagera)Sexual intercourse too soon after eating (Viya vaya) Insulting your guru (Guru apachari) Karma (Papa karma)
Slide47Purva
rupa & rupa Skin disorders Translucent or shiny skin (Ati slaksha)Rough (Karasparsha)Pale (Swetha)Pale turning darker (
Vivarna
)
Excessive sweating (
Sweda
)
Hot / burning sensation (
Daha
)
Itchy (
Kandu
)
Piercing pain (
Thoda
)
Dizziness / giddiness (
Ati
brama
)
Slide48Bumpy skin (
Tawasvapa) Dark colouration (Varuna)Constant pain (Shula) Quick onset of symptoms (Seegra utpathi) Roughness, embarrassment, discomfort, depression, impatience – negative feelings of the mind and body (Rukshushva)Easily triggered / irritated (Kopana)Prickly heat / shiver (Romaharsha)Black discolouration (
Krushna
)
Nidhana
(causative factors)
Skin disorders
Slide49Samprapti
(pathogenesis)Skin disorders Consumption one or more causative factors All 3 doshas can become imbalanced Creates ama (circulates with Ambhu Vaha
Srotas
)
Imbalanced
dosha
circulates through all dhatus
mostly stays in rasa,
rakta
and
mansa
dhatu
Slide50Charma
Roga (kushta) & doshaVata type rasa dhatu, superficial layer of skin Pitta type rakta dhatu, blood tissue Kapha type mansa
dhatu
, muscular tissue
Slide51Charma
Roga (kushta) & doshaVata symptoms:Dry (shosha), rough (ruksha)pinching / insect bite feeling (thoda)pain (shula)
contraction of the skin (
sankosha
) shrivelling, creaking, cracking sounds (
ayama
)
sound of dry scratching (
parosha
)
coarseness / crustiness (
kara
)
prickly heat / shivers (
harsha
)
black / brown / pink colouration (
krushna
varuna
)
Slide52Charma
Roga (kushta) & doshaPitta symptoms Hot (daha)Red (raga)Oozing (parishrava)Inflamed (paka)Fishy smell (
vishra
gandha
)
Wet (
kleda
)
Peeling skin / scabs falling off (
anga
patana
)
Slide53Charma
Roga (kushta) & doshaKapha symptoms:Pale colour (swetha)Cold (sheetha) Itchy (kandu)
Bumpy (
situlya
)
Stagnant (
utseda
)
Deep (guru)
Soft (
snehana
)
Pus (
snehana
)
Rotten appearance (
snehana
)
Insects like to bite it (
jantuji
)
Slide54Chikithsa
Skin disorders Vata – drinking ghee / oleation Pitta – virechana (purgative) / rakta mokshana (blood letting) Kapha – vamana (vomiting) or
ama
pachana
Slide55Chikithsa
Skin disorders HERBSNeem Manjistha White sandalwood Red sandalwood Ajwain Ghee Khadira Amla Mustha
Triphala
Chitraka
Patola
Brahmi
Bhunimba
Daru
haridhra
Venivel
Haridhra
Camphor
Moringa
Acacia
Slide56Chikithsa
Skin disorders MineralsShelarjit GandakaAnimal products Honey Ghee
Slide57Chikithsa
Skin disorders Arishta Kadira arishta Triphala kwathaDashamoola arishtaAshoka arishta
Taila
Neem
oil
Pinda
oil
Visarpahara
oil
Neelyadi
oil
Sarshapadi
oil
Seethodaka
oil
Kumari
oil
Slide58Chikithsa
Skin disorders Shodhana Panchavalkana Neem bark Jasmine water Clove Triphala
Dhooma
Neem
– 5 parts of
neem
plant crushed and mixed with
neem
oil
Coconut leaves
Steam inhalation with lemon grass, mint leaves or eucalyptus oil
Slide59Chikithsa
Skin disorders AlepaTriphala paste Dashanga lepa Neem paste Dermaved Charma lepa
Vasti
Castor oil
Triphala
oil
Mahanarayana
oil
Neelyadi
oil
Slide60Chikithsa
Skin disorders FORMULATED CHOORNATriphala Dhatri Hinguashtaka Nimbhadi Sitopaladi Avipathikara
Paaka
choorna
Manibadhra
Chandanadi
Chopachini
Pittahara
Amahara