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'''Diagnosis and Management of Skin diseases in Integrative medicine'''

'''Diagnosis and Management of Skin diseases in Integrative medicine'''

This article is based on a lecture delivered by Dr. S. R. Narahari, MD (dermatology in biomedicine), Director, Institute of Applied Dermatology, Kasaragod, Kerala, India, in Prof.M.S.Baghel Memorial Lecture Series on Aug 09, 2021.

This article is based on a lecture delivered by Dr. S. R. Narahari, MD (dermatology in biomedicine), Director, Institute of Applied Dermatology, Kasaragod, Kerala, India, in Prof.M.S.Baghel Memorial Lecture Series on Aug 09, 2021.The video lecture can be accessed on the link of [https://fb.watch/8l9mKsmLtT/ facebook page.]

{{Infobox

{{Infobox

| | [[Sattva]]  || Behavior patterns  

| | [[Sattva]]  || Behavior patterns  

|-

|-

| |  Satmya || Compatible dietary habits  

| |  [[Satmya]] || Compatible dietary habits  

|-

|-

| |  Bala  || Immunity of the patient

| |  [[Bala]] || Immunity of the patient

|-

|-

| |  Roga avastha  || Stage of the disease  

| |  [[Roga]] avastha  || Stage of the disease  

|-

|-

| |  Bhaishajya  || Clinical pharmacology   

| |  Bhaishajya  || Clinical pharmacology   

Fig 6 (a) is Lichen rubour planus. Since it is erythematous (raga), annular (mandala) and papular (pidaka), this is considered as dadru as per [[Ayurveda]]. Fig 6(b) &6(c) are hypertrophic lichen planus. There is hypopigmentation observed in the middle, surrounded by violaceous color. The lesions are thickened (ghana), elevated (utseda) with rough edges (rukshambahi). All represent [[Kapha]] [[vata]] [[dosha]] dominance. It is essential to know the stage of disease (roga avastha) to guide specific and selective treatment options.

Fig 6 (a) is Lichen rubour planus. Since it is erythematous (raga), annular (mandala) and papular (pidaka), this is considered as dadru as per [[Ayurveda]]. Fig 6(b) &6(c) are hypertrophic lichen planus. There is hypopigmentation observed in the middle, surrounded by violaceous color. The lesions are thickened (ghana), elevated (utseda) with rough edges (rukshambahi). All represent [[Kapha]] [[vata]] [[dosha]] dominance. It is essential to know the stage of disease (roga avastha) to guide specific and selective treatment options.

[[File:Fig_7-Lymphedema-_Differential_diagnosis_(vyavachedha_nidhana).jpg|350px|'''Fig 7: Lymphedema: Differential diagnosis (vyavachedhanidhana)'''|thumb]]

[[File:Fig_7-Lymphedema-_Differential_diagnosis_(vyavachedha_nidhana).jpg|350px|'''Fig 7: Lymphedema: Differential diagnosis (vyavachedhanidhana)'''|thumb]]

In both these conditions, erythema (rakta varna), discharge (srava) and papular lesions are present. Therefore, it is considered as [[pitta]] predominant condition. However, the same treatment fails in one patient but improves the condition in another. One patient developed more pain, which is considered as aggravation of [[vata]]. Biopsy of the patient in (b)revealed that the condition was lymphangiosarcoma arising from lymphoedema, while the patient who got relief by treatment is lymphoedema with lymphangiectasia and lymphorrhoea (a).

In both these conditions, erythema (rakta varna), discharge (srava) and papular lesions are present. Therefore, it is considered as [[pitta]] predominant condition. However, the same treatment fails in one patient but improves the condition in another. One patient developed more pain, which is considered as aggravation of [[vata]]. Biopsy of the patient in (b)revealed that the condition was lymphangiosarcoma arising from lymphoedema, while the patient who got relief by treatment is lymphoedema with lymphangiectasia and lymphorrhoea (a).

[[Kushtha Nidana Adhyaya]], [[Kushtha Chikitsa Adhyaya]]

[[Kushtha Nidana Adhyaya]], [[Kushtha Chikitsa Adhyaya]]

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