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阿育吠陀治疗毛发角化病 - 案例报告。

Āyuṛveda management of keratosis pilaris - a case report.

机构信息

Department of Panchakarma, Amrita School of Ayurveda, Amritapuri, Amrita Vishwa Vidhyapeetham, Kollam, India.

出版信息

J Complement Integr Med. 2020 Jul 21;18(1):223-230. doi: 10.1515/jcim-2019-0195.

Abstract

OBJECTIVES

Keratosis pilaris (KP) is the condition of the skin with extensive keratin follicular plugging. It may be associated with the erythema. The upper arm extensor area, shoulders, back of neck and thighs, as well as face and the upper trunk are the areas of presentation. Available medications for KP give only symptomatic relief, while some produce serious side effects. There is no proven universal treatment for the disease that can provide complete recovery. Āyuṛveda management of KP is not yet reported.

CASE PRESENTATION

A 26-year-old male patient, presented with main complaints started with papular lesions over his right shoulder, chest and upper back along and later with pustular lesions in the past 2 weeks. The condition was associated with redness, mild swelling and itching. The case was diagnosed as Keratosis pilaris based on its presentation, site, and pathogenesis. Also by analyzing the extent of vitiation of doṣas (morbidities), the Vata kapha pitta hara line of treatment was adopted, which was accomplished in two phases i. e. Śodhana Cikitsa and Śamana Cikitsa.

CONCLUSION

Both internal and external treatments along with diet restrictions were found effective in arresting the pathogenesis and recovery in a short period. All the symptoms associated with the condition were completely cured with no signs of re-occurrence.

摘要

目的

毛发角化病(KP)是一种广泛存在角蛋白毛囊栓塞的皮肤状况。它可能与红斑有关。其表现部位包括上臂伸肌区、肩部、颈部背部和大腿,以及面部和上躯干。现有的 KP 治疗药物仅能提供对症缓解,而有些则会产生严重的副作用。目前还没有针对这种疾病的通用治疗方法,能够提供完全康复。阿育吠陀对 KP 的管理尚未有报道。

病例介绍

一名 26 岁男性患者,主要抱怨右肩、胸部和上背部出现丘疹性病变,2 周前出现脓疱性病变。该病症伴有发红、轻度肿胀和瘙痒。根据其表现、部位和发病机制,该病例被诊断为毛发角化病。同时,通过分析 dosas(病态)的失调程度,采用了 Vata-kapha-pitta-hara 的治疗方法,分两个阶段进行,即 Śodhana Cikitsa 和 Śamana Cikitsa。

结论

内部和外部治疗以及饮食限制都被发现能有效控制发病机制,并在短时间内恢复。所有与该病症相关的症状都完全治愈,没有再次发作的迹象。

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