LORD DHANVANTARI

SAINT DNYANESHWAR

VAIDYARAJ ATMARAM WAMAN DATARSHASTRI

PIONEER OF PANCHABHAUTIK CHIKITSA, AN
INNOVATIVE AYURVEDIC APPROACH IN
DIAGNOSING AND TREATING DISEASES.

LETS DISCUSS A WELL

KNOWN CHRONIC
DERMATOLOGICAL
DISORDER
I AM

DR. ANIRUDDHA KULKARNI

FORM
MIRAJ, MAHARASHTRA, INDIA
AND WILL SHARE MY THOUGHTS
AND EXPERIENCES ABOUT

MANAGEMENT OF
PSORIASIS
WITH
PANCHABHAUTIK
CHIKITSA

PSORIASIS - INTRODUCTION
IT IS THE MOST COMMONLY
RECOGNIZED PAPULOSQUAMOUS
DISEASE.
IT OCCURS IN 2 TO 3% OF THE
GENERAL POPULATION.
IT AFFECTS MALE AND FEMALE
PATIENTS EQUALLY.

PSORIASIS - PATHOLOGY
FORMERLY THOUGHT TO BE PURELY A
DISEASE OF KERATINOCYTE
HYPERPROLIFERATION.
BUT NOW, IT IS CLEAR THAT IT IS AN
IMMUNOLOGICALLY MEDIATED DISEASE.
FACTORS PLAYING ROLE IN PATHOGENESIS
T CELLS, CYTOKINES, CHEMOKINES, GROWTH
FACTORS, DENDRITIC CELLS, EICOSANOIDS,
NEUTROPHILS AND MAST CELLS.

PSORIASIS - DEVELOPMENT
GENETICALLY SUSCEPTIBLE INDIVIDUALS

EXPOSURE TO PRECIPITATING FACTORS

ACTIVATION OF T CELLS

GENERATION OF CYTOKINES
FOLLOWED BY INFLUX OF NEUTROPHILS
SUBSEQUENT RELEASE OF INFLAMMATORY MEDIATORS

DEVELOPMENT OF CUTANEOUS LESIONS

PSORIASIS CLINICAL
MANIFESTATIONS
IT CAN INVOLVE THE SKIN, SCALP AND NAILS.
SKIN LESIONS ARE CHARACTERIZED BY
ERYTHEMATOUS MACULES, PAPULES OR
PLAQUES THAT ARE USUALLY COVERED WITH
SILVERY SCALES.
ON REMOVAL OF THE SCALES, PINPOINT
BLEEDING MAY BE OBSERVED. (AUSPITZ
SIGN)

PSORIASIS DISTINCT FORMS

PSORIASIS VULGARIS
THE MOST COMMON
TYPE
APPEARS AS A
PERSISTENT
ERYTHEMATOUS
SCALY PAPULE AND
PLAQUE ON ELBOWS,
KNEES AND SCALP.

PSORIASIS DISTINCT FORMS

GUTTATE PSORIASIS
USUALLY OCCURS AFTER
VIRAL OR BACTERIAL(MOST
COMMONLY
STREPTOCOCCAL)
INFECCTION.
APPEARS AS SMALL,
ERYTHEMATOUS, SCALY
PAPULES SCATTERED OVER
A LARGE AREA OF THE
BODY IN A RAINDROP
DISTRIBUTION.

PSORIASIS DISTINCT FORMS

INVERSE PSORIASIS
IT OCCURS IN
SKINFOLD AREAS
SUCH AS THE
GROIN, AXILLA AND
INFRAMAMMARY
FOLDS.
SCALES ARE
USUALLY ABSENT.

PSORIASIS DISTINCT FORMS

ERYTHRODERMIC
PSORIASIS

APPEARS AS
WIDESPREAD
ERYTHRODERMA
WITH FINE SILVERY
SCALES
ASSOCIATED WITH
FISSURES.

PSORIASIS DISTINCT FORMS

PUSTULAR PSORIASIS
IT IS A RARE VARIANT
OCCURING WITH
GENERALIZED
PUSTULES THAT ARE 2
TO 3 MM IN
DIAMETER AND
ASSOCIATED WITH
FEVER.

DERMATOLOGICAL DISORDERS KUSHTHA

THE WORD KUSHTHA MEANS THE ONE
WHICH DESTROYS WITH CERTAINITY.
AS FAR AS THE CHRONICITY OF DISEASE
IS CONCERNED, KUSHTHA IS THE MOST
CHRONIC AMONG ALL THE DISEASES.
KUSHTHA IS A DISEASE WHERE
DISFIGURATION OF BODY ELEMENTS IS
SEEN ALONGWITH THE DISCOLORATION.

KUSHTHA CAUSATIVE FACTORS

DIETARY
INTAKE OF CONTRADICTORY, INCOMPATIBLE AND
DISAGREEABLE FOOD ITEMS.
EXCESSIVE INDULGENCE IN NEW RICE, CURDS, FISH,
SALT, SOUR, FLOUR PRODUCTS, OILY AND LIQUID
FOOD.

BEHAVIORAL
BATHING IN COLD WATER IMMEDIATELY AFTER BEING
IN THE HOT SUN, EXERTION, SUPPRESSION OF
NATURAL URGES, SLEEPING DURING DAYTIME.

KUSHTHA INVOLVEMENT OF BODY

CONSTITUENTS
DOSHAS

DUSHYAS

VATA
PITTA
KAPHA

BLOOD(RAKTA)
SKIN(TWAKA OR
RASA)
LYMPH(LASIKA)
PARASITES(KRUMI)

KUSHTHA - CLASSIFICATION
MAHAKUSHTHAS

KAPALA
AUDUMBARA
MANDALA
RUSHYAJIHVA
PUNDARIKA
SIDHMA
KAKANAKA

KSHUDRA KUSHTHAS
EKAKUSHTHA
CHARMADALA
KITIBHA
VIPADIKA
ALASAKA
DADRU
CHARMAKUSHTHA
PAMA
VISPHOTA
SHATARU
VICHARCHIKA

KUSHTHA DISEASE PROCESS

INGESTION OF CONTRADICTORY DIET (MAIN CAUSATIVE BACKGROUND)

OPPRESSED DIGESTIVE FIRE RESULTING IN INDIGESTION

ILL DIGESTED AAHARA RASA STARTS CIRCULATING IN THE BODY
THE PROCESS OF PUTREFACTION STARTS IN THE REGION OF MAHABHUTA
SIMILAR TO ITS PROPERTY
THE TOXINS ARE TRIED TO EXPEL FROM THE BODY RESULTING IN SKIN
LESIONS

APPEARANCE OF LESIONS
ACCORDING TO MAHABHUTAS
PRITHVI
MAHABHUTA

FROM THIGHS TO TOE

AAPA
MAHABHUTA

LOW BACK AND SACRAL

AREA

TEJA
MAHABHUTA

ABDOMEN AND BACK

REGION

VAYU AND AAKASHA

MAHABHUTA

CHEST, HEAD AND SCALP

REGION

KUSHTHA - PRODROMAL
SYMPTOMS
ROUGHNESS OF THE SKIN
ITCHING
EXCESSIVE OR TOTAL ABSENCE OF
SWEATING
NUMBNESS

COMPARISON WITH KUSHTHA

LESIONS DESCRIPTION
PUNDARIK
AND DADRU
KUSHTHAS

EKAKUSHTHA

HAVE ERUPTIONS WHICH ARE

ELEVATED, CIRCULAR, ARE
MARKED BY ITCHING AND ARE
SLOW IN DEVELOPING

REDDISH BLACK
DISCOLORATION OF THE
SKIN IS SEEN

SIGNS AND SYMPTOMS OF

INVOLVED DHATUS
RASA
DHATU

NUMBNESS
SWEATING
ROUGHNESS
SLIGHT
ITCHING

RAKTA
DHATU

MANSA
DHATU

NUMBNESS
ITCHING
PRESENCE
OF PUS

THICK
CIRCULAR
PATCHES
ROUGHNESS
PRICKING
PAIN
HARDNESS

SIGNS AND SYMPTOMS OF

INVOLVED DHATUS
MEDA DHATU
FOUL ODOR
INCREASE IN
WASTE
PRODUCTS
PUS
PARASITES

ASTHI AND
MAJJA DHATU
SINKING OF
NASAL
BRIDGE
EYE
DISEASES
PRESENCE
OF WORMS
IN ULCERS

SHUKRA DHATU

DEFORMITY
OF HANDS
AND LIMBS
LOSS OF
POWER OF
LOCOMOTION

PRINCIPLES OF TREATMENT
DETERMINATION
OF CAUSATIVE
FACTOR
INSPECT AND
TREAT KRUMI IF
ANY

CORRECTION OF
DIGESTION
PROCESS

DIGESTION OF
METABOLIC
TOXINS

DIGESTION OF
AAMA
IMPROVEMENT
IN
NOURISHMENT
OF DHATUS

SHODHANA(PURIFICATION)
TREATMENTS
BLOODLETTING

PURGATION
EMESIS
TAKRADHARA

SHAMANA(PALLIATION)
TREATMENTS
EXTERNAL
MEDICATIONS

HARIDRA
TAILA
CHATURTHAKA
TAILA

SHAMANA(PALLIATION) TREATMENTS

INTERNAL MEDICATIONS
AAROGYAVARDHINI
PHALATRIKADI GUGGUL

PATOLADI GUGGUL
CHATURTHAKA YOGA

SHWADANSHTRADI GUGGUL
TAMRA BHASMA
JWARAHARA YOGA

BENEFICIAL AND AVOIDABLE DIET

AND REGIMEN(PATHYA-APATHYA)
APATHYA(AVOIDABLE)

PATHYA(BENEFICIAL)

GREEN CHILLIES
RAW GARLIC AND ONION
SPROUTS
CURD
MILK WITH FRUITS
MILK WITH SOUR AND SALT
FOOD ARTICLES
INCOMPATIBLE DIET
CONTRADICTORY DIET

SIMPLE DIET
RICE
MUNG DAL
FRUIT VEGETABLES
FRESH AND SWEET
BUTTERMILK
PROPER TIMINGS OF MEALS
AND SLEEP
PRACTICE STRESS REDUCTION
TECHNIQUES LIKE
MEDITATION

THANK YOU!!!