COMMON SKIN DISEASES IN

GENERAL PRACTICE
Presented in ABHA – 2010
CME on Skin disorders
By AMAI Alappuzha Unit

Dr. Ananth Ram Sharma

MD Panchakarma, (Ph.D)

Amrita School of Ayurveda

Department of Panchakarma
I will take you to ………

• Dosha and Lakshana

• Lakshana and Dosha - Dhatu involved
• Dhatu Gatatva
• Common skin diseases in your clinic
and their management
• Clinical experience
• Conclusion

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Don’t be Panic

Lakshananusara Dosha Vivechana

Sl. Dosha Symptoms
1 Vata Rukshata, Shosa, Toda, Shula, Samkocha, Ayama, Parushya,
Kharata, Harsha, Shyava-Arunata, Twak Swapa, Twak sankocha,
shopha, bheda, kounya.
2 Pitta Daha, Raga, Parishrava, Paka, Visragandha, Kleda, Angapatana,
avadarana, akshiraga, satwotpatti putikleda bahula, trishna
Kshiprotthana, sajwara
3 Kapha Shwetata, Shaitya, Kandu, Sthairya, Utsedha, Gaurava, Sneha,
Kleda, varnabheda, shopha, srava,

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Dosha – Dushya Vs lakshanas

Symptoms Dosha Dushya

Kandu Kapha Rakta
Pidaka Pitta Rakta, Mamsa
Shyavata Vata Twak, Rakta
Srava Pitta & kapha Rakta, Lasika
Shyama Vata Twak, Rakta
Praklinna Kapha&pitta Rakta, Lasika
Raji Vata Rakta
Ruksha Vata Rakta
Paka Pitta Rakta
Vrana Pitta Rakta, Mamsa
Ruja Vata Mamsa.

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Symptoms of Dhatugata kustha
Dhatu Sushruta Vagbhata
Twakgata Sparsha hani, swedanatwa, Ishat kandu, Toda, vaivarnya, rukshata
vaivarnya, ruksha bhava
Raktagata Twakswapa, romaharsha, sweda. Sweda, swapa, shwayathu
abhipravartana, kandu, vipuyaka
Mamsagata Bahulya, vaktrashosha, karkashya, Panipadashrita sphota,
pidakodgama, toda, sphota, sthiratwa sandhi kledadhika
(twak sputana)
Medogata Dourgandhya, upadeha, puya krimi Kounya (vikala panitwa-Indu)
pradurbhava, gatrabheda gatikshaya,
anga dalana.
Asthigata Nasabhanga, akshiraga, krimiudhbhava Nasabhanga, netra raga, swara
in vrana, kshaya, kshate cha krimayaha
swaropaghata
Shukragata Kounya, gatikshaya, angabheda, Swadara apatya badhana
kshata sarpana.

Dr Sharma's Presentation, Amrita School of Ayurveda

Eczema
• Inflammatory nature.
• Dermatitis or inflammation of the
skin.
• May be genetic in origin.
• Young adults of both the sexes
• Common in summers.

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• Acute
– Redness with an ill-defined border. Papules
large blister, vesicles and scaling.
• Sub acute
– Redness and crusting are present
without the extreme swelling.
• Chronic
– Less vesicular more scaly, skin pigmented and
thickened and with fissures.
• According to Ayurveda, eczema is a minor
form of leprosy and is caused by the
aggravation of kapha in addition to vata and
pitta.
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 Vicharchika & Eczema

Vicharchika Eczema
Pidaka- saraga shopha Inflammation with marked
reddening
Pidaka Papule
Pidaka – kustharogadhikare Vesicles
pidadayake kshudrasphotaka
Kandu Itching
Srava-Lasikadhya Oozing-serum
Ruksha Dryness
Rupa Symptoms
Raji Linear markings (lichenification)
Paka Pustules(secondary infection)
Vrana Ulcer
Ruja Irritation because of excessive scratching
Varna Lohita(kashyapa) Reddening (acute stage) Colour of lesion
Shyava or shyama Hyper pigmentatioin
(chronic stage)
Variety Ruksha-Vatika Dry eczema Type
Sravi- paittaika or kaphaja Wet eczema

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Management

• Vamana and Virechanam

• Jalaukavacharanam
• Eladigana lepam
• Aragvadadi Kashayam – In Dry
• Patolakaturohiyadi in Wet
• Manibhadra Gulam

Dr Sharma's Presentation, Amrita School of Ayurveda

Dandruff
• Dandruff - Seborrhoeic dermatitis.
• Caused by the excess formation of sebum.
• The irritation due to this causes dandruff, producing
dry or greasy scales.
• Produce red patches of the scalp with large scales
and sometimes a thick crest.
• Worse by sweating.
• Sebum does contain compounds that are powerful
hair removers.
• Darunaka - due to increase of Kapha and Vata.

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Dr Sharma's Presentation, Amrita School of Ayurveda
Management
• Mild
• Triphala churnam – Durdurapatradi
• Severe
• Takradhara
• Chitrakamula – triphala
• Internal Medications
• Puliyila swarasa with Haridra
bhanupaka taila for crest

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Alopecia
• Indralupta – Alopecia areata and totalis
• Ruchya – Alopecia universalis
• Khalitya - Baldness
• Reasons -hereditary, stress, hormones,
medicines, irregular food habits,
environment etc.
• Vata and Pitta blocked by Kapha and
Raktha

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Alopecia Totalis

Stage I
Male Baldness
Alopecia Universalis

Female baldness Stage II

Stage III
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Management

• Vamana or Jalauka – Stage I

• Vamana Virechana Prachana – Stage II
• Prachana Purvaka Lepa
• Nagavalli Svarasa
• Kadalavanakkin Kuru lepam

Dr Sharma's Presentation, Amrita School of Ayurveda

Acne
• Acne occurs during adolescence.
• More than 96% of teenagers.
• Increase in male sex hormones.
• Sebum gets blocked and bacteria
begins to grow.
• Both whiteheads and blackheads
start out as a microcomedone.
• Mukha Dushika
• Vata, Kapha and Raktha

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Management

• Simple acne
• Manjishtadi Kashayam
• Rajapravartini Vati
• Kumaryasavam
• Acne Vulgaris
• Jalaukavacharanam
• Vamanam
• Eladi ganam Lepam

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Fissure of sole

• Plantar Hyper Keratosis

• Pain – Cracks – Fissures – Tenderness –
Bleeding – Pus – inability to walk
• Padadari – vipadika
• Vata Dosha – Lessening of Snehamsha and
Ap dhatu

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Management
• Pada Nimajjana
• Jeevanthyadi Yamakam with
Durvadi Keram
• Vidaryadi Kashayam
• Malatikthakam Ghrutham
• Chandraprabha Vati
• Siktha Tailam
• Padadari Malaharam
• Pulithodu Kari with taila
• Ketaki basma with Taila

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Vitiligo
• An autoimmune disease
• Body produce proteins called cytokines that
alter their pigment-producing cells and
cause these cells to die.
• Incurable
• Shwitram
• Tridoshajam
• In Raktha – Mamsa and Meda

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Management
• Kushta Chikitsa
• Shodhana – Shamana
• Raktha Mokshana
• Gajalinda Bhasma
• Karkokilari with Marotti Enna
• Nimba Kalka with Gomutra
• Kattattitol, Karkokilari intake and
sun bath – Sphota
• Bringa raja fried in iron vessel
intake
• Palasha Kshara with guda

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Urticaria
• Hypersensitivity reaction to allergens.
• Urticaria develops around loose
tissues of the eyes or lips.
• Sheeta pitta
• Vitiated pitta with increased Vata and
Kapha

Dr Sharma's Presentation, Amrita School of Ayurveda

Management
• Haridra khanda
• Rasa sindur
• Gairika
• Arogyavardhini rasa
• Sut shekhar rasa
• Laghu Sutashekhara
• Kaishore guggulu
• Manjishtadi Kashaya
• Khadirarishta
• Virechana

Dr Sharma's Presentation, Amrita School of Ayurveda

Candidiasis
• Candidiasis (yeast infection) is infection by the
yeast Candida.
• Tends to occur in moist areas of the skin.
• Cause rashes, scaling, itching, swelling.
• Candida is a normal resident of the mouth,
digestive tract, and vagina that usually causes no
harm.
• Under certain conditions Candida can overgrow
on mucous membranes and moist areas of the
skin.
• Hot, humid weather, Poor hygiene, Tight synthetic
underclothing
• Use of antibiotics or corticosteroids and other
drugs that suppress the immune system
Dr Sharma's Presentation, Amrita School of Ayurveda
 Candida

Dr Sharma's Presentation, Amrita School of Ayurveda

Tinea
• Tinea Versicolor, Jock itch, athlete's foot, and
ringworm, are all types of fungal skin infections
known collectively as tinea.
• They're caused by fungi called dermatophytes
that live on skin, hair, and nails and thrive in
warm, moist areas.
• The source of the fungus
might be soil, an animal
(most often a cat, dog, or
rodent), or another person.

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Management
• Anti fungal
• Gangaka
• Tankanam
• Cheenappavu
• Rasam
• Thutham
• Nimba
• Haridra
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Keratosis Pilaris
• Small, pointed pimples on the upper arms,
thighs, and buttocks.
• Worsens in the winter and usually clears
up in the summer.
• Keratosis pilaris has no known cause
• Usually no treatment is necessary

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Psoriasis ?
• Cure ?
• Shodhana
• Shamana
• Rasayana

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Cosmetics
• Savarneekarana – Laksha, Manashila,
Manjishta, Haratal, Haridra, Daru
• Krushneekarana - Bakuchi
• Romasanjanana – Hasthi Dantha Mashi
• Romashatana -
• Avasadana – Jati Mukula – Manashila, Haratala,
Guggul, Chitraka,
• Utsadana – Nyagrodadi Gana, Padmakadi
Gana, Tila

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Apathya

• Black Gram
• Fish
• Curd
• Divaswapnam
• Brinjal
• Ladies finger
• Maida
• Egg
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To Summarize
• Dosha chintha
• When to do Shodhana
• Raktha Prasadana
• Rakthamokshana
• Pathya

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||Na Matra Matramapyatra Kinchidagama Varjitam||

THANK YOU ALL

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Dr Sharma's Presentation, Amrita School of Ayurveda