Treatment of Erythema Dyschromicum Perstans in Ayurveda with Herbal Remedies
ABSTRACT
Erythema Dyschromicum perstans is an acquired form of dermal macular hyperpigmentation which forms irregular patches on the skin, neck and trunk region which is grey in colour. Skin diseases affect the skin which causes rashes, inflammation and skin is the largest organ which covers and protects the body and makes you feel sensations such as temperature and pain. Certain lifestyle factors lead to the development of various skin diseases which include bacteria getting trapped in the follicles of hair due to environmental triggers. It is also known as a cutaneous condition which affects the integumentary system which encloses the skin, nails and various related glands and muscles. There are 3 distinct layers such as epidermis, dermis and subcutaneous tissue. They can be temporary or permanent and may be painless or painful. In this article, we are going to discuss various causes, symptoms and Ayurvedic aspects further in the article.
INTRODUCTION
Erythema Dyschromicum perstans is known as Ashy dermatosis because of its colour. It is grey in colour which is an acquired dermal macular hyperpigmentation. It is a cutaneous eruption and a variant form of lichen planus or lichen planus actinicus. It is mainly characterized by hyperpigmentation macules which commonly vary in shape, color and size. They are non-elevated and have a slightly red margin when first begin to appear. It is a benign, uncommon skin disease which affects both males and females and is common before the age of 40 years. It is more often seen in darker-skinned women and women are more affected than men. These lesions are in symmetric distribution which involves the trunk region and spread to the face and extremities. It resembles infectious diseases such as leprosy and pinta, sometimes resembling lichen planus pigmentosus.
CAUSES
As it is the variant of Lichen planus pigmentosus it includes
- Genetic susceptibility
- Contact allergy due to hair dye
- Whipworm infestation
- Viral infections
- The harmful effect of toxic chemicals- Ammonium nitrate and barium sulphate
- Drug-induced
- Chlorothalonil exposure is mainly seen in banana farm workers which causes erythema dyschromicum perstans.
- Cell-mediated immunity abnormality
EPIDEMIOLOGY
- It is most common in Latin America and Asia.
- Mostly related to Cosmetic issues
- Dark skinned tone individuals are most affected
CLINICAL PRESENTATION
- It is an asymptomatic, gray-blue hyperpigmentation elevated erythematous border.
- The oral cavity and genitals are involved.
DIFFERENTIAL DIAGNOSIS
- Several skin conditions result in skin patches
- Multiple lesions of drug eruptions
- Post-inflammatory hyperpigmentation
- Urticaria pigmentosa
- Incontinentia pigmenti
- Allergic contact dermatitis
- Addison disease
- Hemochromatosis
- LEMP (Idiopathic eruptive macular pigmentation
- Pinta
- Leprosy
LABORATORY STUDIES
- Bacterial and viral cultures
- Erythrocyte sedimentation rate
- Glucose study
- Liver function test
- Urinalysis
- Skin biopsy
TREATMENT
- Topical steroids
- Exposure to ultraviolet radiation
- Pigments lasers
- Chemical peels
The most used treatment is Clofazimine, Corticosteroids and Dapsones
COMPLICATIONS
- Adverse effects on skin, gut and eye
- The temporary orange color of the skin and eye
- Ichthyosis
AYURVEDIC ASPECT
Skin affects all ages from neonates to elderly people causing harm in many ways. It includes the 4 D’s which are Discomfort, Disability, Disfigurement and Disability. In Ayurveda, skin disorders occur due to imbalances of doshas and dhatus in the body. Two main causes of this disease are incompatible diet and incompatible lifestyle. They come under the Kushta Rogas mainly Charma kushtha due to aggravation of Vata, Pitta, and Kapha doshas which further vitiates skin and blood circulation and affects the moisture level of the tissues which makes skin discolored, rough and thick. Kushta is described in Ayurvedic classics- Mahakushta (major ailments-7 types) and Kshudrakushta (minor skin ailments- 11 types).
Twacha Shareera: Twacha Shareera describes the formation of Twacha in the fetus, which shows fertilization of the fetus develops on the surface of boiled milk. Twacha is the Matruja Bhava and is formed due to the Paka of Rakta dhatu by Dhatwagni in the fetus.
- Pitta- Bhrajaka pitta
- Dosha Predominance- Vata and Kapha doshas
PATHOGENESIS
The vitiated doshas further vitiate the Twak (skin or Rasa dhatus), Rakta (blood) and Mamsa (Muscle Tissue), Ambu (Lymph) which are the pathogenic substances of Kustha.
NIDANA
1. Aharaja Nidana
- Mithyahara Vihara
- Phanita
- Atimatrahara
- Adhika Madhura, Amla, Lavam sevana
- Adhika Madhu, Dadhi sevana
2. Viharaja Nidana
- Divaswapna
- Maithuna
- Vyayama
- Chardi vega dharna
CHIKITSA
It plans a strategy which involves the strengthening of the digestive system, detoxification and rejuvenation.
1. Detoxification of the body with Panchkarma
It is helpful in removing the toxins which are accumulated in the body. It involves various procedures such as
- Virechana (purgation)
- Basti (enema)
- Nasya (nasal therapy)
- Rakta moksha
- Siravedha (bloodletting)
2. Corrects the proper functioning of Agni which prevents the formation of Ama doshas to boost the digestive fire
3. Pacifying the symptoms by Gargling (Kavala), medicated Oil (Dhara), External application (Lepa) and Abhyanga.
4. Rasayan (rejuvenating medication)
HERBS USEFUL FOR ERYTHEMA DYSCHROMICUM PERSTANS (EDP)
Guggul
Guggul (Commiphora mukul) is helpful in controlling Vata doshas and has digestive-enhancing properties. Balanced Tridoshas of the Body is a cardiac tonic which increases hemoglobin and enhances the quality of blood. Enhances complexion and is helpful in skin disorders. Supports healthy body weight and healthy joints. Is anti-inflammatory in nature which rejuvenates the body.
Bhumi Amla
Bhumi Amla (Phyllanthus Niruri) is rich in antioxidant properties which manage various liver disorders and reduces the production of acid. Manages Blood sugar level which improves the metabolism and reduces Asthma and cough. Reduces fever which removes the toxin from the body.
Neem
Neem (Azadirachta indica) balances Pitta and Kapha doshas and has antifungal and antibacterial properties. Smooth the skin and protect the skin from various ulcers, skin and ulcers. Boosts the immune system and maintains blood pressure to reduce blood clots and reduce the level of raised cholesterol level.
Curcumin
Curcumin (Curcuma longa) balances tridoshas of the body, used as a blood purifier which removes the accumulation of the blood vessels and removes toxins from the body. Stimulate the digestive fire to rejuvenate the body and skin tone. Has antioxidant properties which heal wounds and hence expel toxins from the body.
HERBAL REMEDIES FOR ERYTHEMA DYSCHROMICUM PERSTANS BY PLANET AYURVEDA
Planet Ayurveda is a GMP-Certified Ayurvedic clinic which formulates the various remedies for the prevention of various health issues and provides relief for the diseased person. All the formulations which are formulated are free from any kind of preservatives, or additives and are 100% pure and are formulated under the strict guidance of Ayurvedic practitioners and cause no side effects. For the management of various skin diseases, planet ayurveda provides herbal supplements for these diseases which will cause no side effects.
PRODUCTS LIST
- Gandhak Rasayan
- Kaishore Guggul
- Gleaming Skin, Hair and Nails Formula
- Youth Restora Capsules
- Manjishtha Capsules
- Recumin Gel
PRODUCTS DESCRIPTION
1. Gandhak Rasayan
Gandhak Rasayan are herbal tablet formulations which are made by planet ayurveda using Shuddh Gandhak (Sulphur). It is helpful in reducing fever and pain. Reduces inflammation and supports the healthy skin thus improving the overall health of the body. Has antibacterial properties which treat skin disorders. Boosts immunity and enhances the strength of the body.
Dosage- 1-2 tablets twice daily after meals with lukewarm water.
2. Kaishore Guggul
Kaishore Guggul is herbal tablets which are formulated by planet ayurveda using Amalaki (Emblica officinalis), Black pepper (Piper nigrum), Vidanga (Embelia ribes), Guduchi (Tinospora cordifolia) and many more. Promotes the flow of urine naturally and improves the digestive functions of the body. Is a skin promoter which is good for all types of skin diseases.
Dosage- 1-2 tablets twice daily with lukewarm water.
3. Youth Restora
Youth Restora is a poly-herbal capsule from planet ayurveda which is made by planet ayurveda using Bhumi Amla (Phyllanthus Niruri), Green Tea (Camellia sinensis) and more. Improves the metabolism and removes free radicals from the body. It Controls premature graying of hair and maintains a youthful state and tones up the body.
Dosage- 1-2 capsules twice daily with plain water after meals.
4. Manjishtha Capsules
Manjishtha Capsule is a single herbal Capsule formulated by Planet Ayurveda using a standardized extract of Manjistha (Rubia cordifolia). Kapha Pitta Shamak has a blood-purifying herb which removes toxins from the body. Promotes natural menstrual cycles. Is good for all types of skin diseases. Promotes the glow of skin and luster.
Dosage- 1-2 capsules twice daily with plain water after meals
5. Recumin Gel
Recumin Gel is an Ayurvedic cosmetic product which is made by planet ayurveda using Haridra (Curcumin), Neem (Azadirachta indica), Guggul (Commiphora mukul) and many more. It is helpful in preventing blood clotting and reduces pores and acne. Improves the healing of wounds. It is useful in flare-ups of various skin disorders.
Dosage- Apply locally
6. Gleaming Skin, Hair and Nails Formula
Gleaming Skin, Hair and Nail formula are polyherbal capsules made by planet ayurveda using Manjistha (Rubia cordifolia), Sariva (Hemidesmus indicus) and many more. It is helpful in clearing away toxins from the body and provides nourishment to the skin and hair. Has antioxidant properties and acts as a blood purifier.
Dosage- 1-2 capsules twice daily with plain water after meals.
Contact Planet Ayurveda Support Team to provide you the costing / ordering and delivery information at – costing.planetayurveda@gmail.com or Call at 0172-521-4040 (India), +91-172-521-4040 (Outside India) or Whatsapp at (+91) 9915-593-604
CONCLUSION
Erythema Dyschromicum perstans is an acquired form of dermal macular hyperpigmentation which forms irregular patches on the skin, neck and trunk region which is grey in colour. They can be temporary or permanent and may be painless or painful. Erythema Dyschromicum perstans is known as Ashy dermatosis, It is a benign, uncommon skin disease which affects both males and females and is commonly before the age of 40 years. They come under the Kushta Rogas mainly Charma kushtha due to aggravation of Vata, Pitta and Kapha doshas which further vitiates skin and blood circulation and affects the moisture level of the tissues which makes skin discoloured, rough and thick. Further, we discussed herbal supplements from planet ayurveda which are helpful in this without causing any side effects.
