Altern Ther Health Med. 2024 Nov;30(11):44-49.
Palmoplantar psoriasis is a type of psoriasis that primarily affects the palms and soles, characterized by erythematous plaques, scaling, and fissuring. These features can significantly impair the quality of life, varying in severity. Skin disorders often result from lifestyle changes, such as consuming an incompatible diet (Viruddha Ahaar Sewan refers to eating foods in a contradictory order or that vitiate the body's Doshas), unhealthy food habits and a sedentary lifestyle. Additionally, genetics, stress, exposure to radiation or UV light, and other environmental influences can contribute to skin problems. This case report describes the clinical presentation, diagnostic challenges, and psychosocial impact of palmoplantar psoriasis in a 12-year-old male with a high recurrence rate, and highlights successful Ayurvedic management.
This case study aimed to document the Ayurvedic management and outcomes in a chronic inflammatory skin condition.
A 12-year-old male presented to the Ayurvedic hospital with thick scaling, cracks/fissures, severe itching, and severe pain on both soles, along with a two-year history of recurrent plaques. Thorough analysis was conducted using Ayurvedic examinations, including Dashavidha (10-fold) and Ashtavidha (8-fold), to diagnose the root causes. The condition was managed with Ayurvedic Shaman Chikitsa, involving internal medicine (herbal formulations and dietary modifications) and external applications (therapeutic oils, pastes, and other topical treatments) to alleviate symptoms and promote healing.
Assessment through scores based on clinical features and grading, which was 13 at the time of admission, 2 on day 15, and 0 on day 30. (higher the score higher is the severity of disease).
Major improvements in scaling, itching, cracks, and pain on the soles were observed after 15 days of treatment. After 15 days, internal medicines were discontinued, but external applications continued until complete relief, around the 25th day. The patient was reassessed on the 30th day, showing complete resolution of all signs and symptoms with no recurrence.
This study demonstrates that Vipadika (plantar psoriasis) in children can be treated using an Ayurvedic approach, which includes Abhyantar Chikitsa (internal medicines) and Bahya Chikitsa (external or local treatments). The detailed descriptions of all the medicines used, their contents, their applications, and the procedures followed are provided in the main text. This information will be beneficial for physicians, aiding them in effectively treating similar cases of psoriasis.
掌跖银屑病是一种主要影响手掌和足底的银屑病，其特征为红斑、鳞屑和皲裂。这些特征会显著降低生活质量，且严重程度不一。皮肤疾病通常是由生活方式改变引起的，例如食用不兼容的饮食（Viruddha Ahaar Sewan 指的是以矛盾的顺序进食或食用会使身体 Doshas 失衡的食物）、不健康的饮食习惯和久坐不动的生活方式。此外，遗传、压力、辐射或紫外线照射等环境因素也会导致皮肤问题。本病例报告描述了一名 12 岁男性患者掌跖银屑病的临床表现、诊断挑战和心理社会影响，该患者具有较高的复发率，且重点介绍了成功的阿育吠陀管理。
本病例研究旨在记录慢性炎症性皮肤疾病的阿育吠陀管理和结果。
一名 12 岁男性因双侧足底出现厚鳞屑、裂缝/皲裂、剧烈瘙痒和严重疼痛而到阿育吠陀医院就诊，且足底有两年的复发性斑块病史。通过阿育吠陀检查（Dashavidha [10 倍]和 Ashtavidha [8 倍]）进行了全面分析，以诊断根本原因。通过阿育吠陀 Shaman Chikitsa 对病情进行了管理，包括内科（草药制剂和饮食调整）和外部应用（治疗性油、糊剂和其他局部治疗），以缓解症状并促进愈合。
根据临床特征和分级评分，入院时评分为 13，第 15 天为 2，第 30 天为 0（评分越高，疾病越严重）。
治疗 15 天后，足底的鳞屑、瘙痒、裂缝和疼痛明显改善。治疗 15 天后，停用内科药物，但继续使用外部应用，直到第 25 天左右完全缓解。第 30 天再次评估，所有体征和症状完全缓解，无复发。
本研究表明，儿童的 Vipadika（足底银屑病）可以采用阿育吠陀方法治疗，包括 Abhyantar Chikitsa（内科药物）和 Bahya Chikitsa（外部或局部治疗）。本文详细描述了所用药物的全部信息，包括其内容、应用和所遵循的程序。这些信息将对医生有所帮助，帮助他们有效治疗类似的银屑病病例。
