Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Neurodermatitis
Neurodermatitis is a pores and skin downside during which the individual affected by the situation retains scratching his or her pores and skin on a regular basis i.e. there may be extreme urge to itch.
The lesions / patches of neurodermatitis seem dry, thick, scaly, leathery, pink, brown, yellow, gray or purple in color and scarring with development of lesion. Although precise causes will not be identified, irritants like tight clothes or insect bites, scratching can act like triggers. It additionally coexists with dry pores and skin, atopic dermatitis or psoriasis.
Signs embody pruritic and desquamate pores and skin lesions, erosions, hyperkeratosis and induration, altered pigmentation, erythematous plaques, lichensification and hyperpigmentation.
On this article we’ll attempt to perceive neurodermatitis from an Ayurveda perspective.
Associated Studying – Neurodermatitis
Neurodermatitis: Ayurveda Understanding
There isn’t a one explicit situation defined in Ayurveda texts which will be precisely correlated with neurodermatitis. Right here we’ll attempt to perceive sure circumstances defined within the context of Kushta – pores and skin problems in correlation with neurodermatitis. We can even perceive neurodermatitis by wanting on the situation and its signs from a dosha perspective. We will additionally see that neurodermatitis can also be not a single situation, it may be related to many pores and skin illnesses.
Kandu – Neurodermatitis is marked by ‘itching of the pores and skin’ and might occur in lots of areas of the physique. The primary symptom of neurodermatitis is ‘repeated itching’. The affected person approaches the doctor to get ‘treatment for itching’. Subsequently, neurodermatitis will be merely thought of as ‘Kandu’ (Ayurvedic identify for itching) and likewise handled on the strains of ‘kandu chikitsa’ with out falling into complexities of diagnosing the given situation. There are a lot of circumstances whereby kandu is a predominant symptom. When common administration of kandu together with medicines, therapies and weight-reduction plan are administered, itching in all these circumstances shall be relieved. So, on this situation, we’re treating the ‘chief criticism or symptom’ of the illness, kandu on this context, immaterial of the illness during which it manifests. That is precisely why the affected person has approached the doctor.
Vata hyperlink & Vataja Kushta – Neurodermatitis is claimed to be related to dry pores and skin, atopic dermatitis or psoriasis. In all these circumstances, dryness is widespread. Dryness is attributable to vata vitiation or pores and skin vitiated by aggravated vata. So, Vataja Kushta – pores and skin problems attributable to aggravated vata may cause a situation resembling neuro-dermatitis. All kinds of kushta having vata predominance might have most signs like these of neurodermatitis. We will see that stress and nervousness may also provoke itching signs. Stress and nervousness may also worsen vata.
The subtypes of kushtas whereby there may be vata predominance current with medical image of neurodermatitis. They’re as beneath talked about –
– Eka Kushta
– Charma / Charmakhya Kushta / Hasti Charma Kushta
– Kitibha Kushta
– Vaipadika Kushta
– Vicharchika Kushta
– Mandala Kushta
Eka Kushta – Dry, thick, scaly and leathery pores and skin is a marking function of neurodermatitis. We will see this sample in eka kushta which is a kshudra kushta – minor pores and skin illness. It’s marked with giant patches and resembles the pores and skin of a fish and there may be absence of sweating. Since there isn’t any sweating, the pores and skin will get dry and kleda – pointless fluid is held again within the physique. This situation can also be attributable to mixed aggravation of vata and kapha, whereby right here vata dries up the kapha and therefore there may be itching additionally, although not specified amongst the signs of eka kushta.
Charma / Charmakhya / Hasti Charma
The pores and skin will get thicker together with change of color in itchy spots of neurodermatitis. Such a situation is present in Hasti Charma, a kind of Kshudra Kushta – minor pores and skin ailments. The superior stage or manifestation of neurodermatitis will be thought of as hasti charma. Hasti charma is one among the many eleven kinds of kshudra kushta – minor pores and skin ailments. The patches are thick and devoid of layers. This situation can also be attributable to joint vitiation of vata and kapha.
Kitibha Kushta – That is additionally a kind of kshudra kushta which presents with black and brown lesions / patches which might really feel like a wound scar on contact – kina khara Sparsha. The patches are dry and arduous, as defined in neurodermatitis. This situation is commonly correlated with psoriasis, with which neurodermatitis is commonly related. This situation can also be attributable to mixed aggravation of vata and kapha.
Vaipadika Kushta – That is yet one more vata-kapha kind of pores and skin dysfunction belonging to the kshudra kushta class. On this situation there are painful cracks in palms and soles. Neurodermatitis is just not restricted to palms and soles, however it might probably happen in these areas too. Steady scratching on already current cracks and fissures on the pores and skin of toes and arms can result in patches resembling neurodermatitis.
Vicharchika Kushta – It’s a kshudra kushta brought on as a consequence of predominant aggravation of kapha. It presents with a number of itchy boils or eruptions / blisters of blackish brown color together with extreme itching sensation and oozing (exudation). Extreme itching and discoloration as present in vicharchika can also be present in neurodermatitis.
Mandala Kushta – It’s a Maha Kushta – better pores and skin illness attributable to predominant aggravation of kapha which resembles neurodermatitis in its presentation. The patches or lesions on this situation are within the type of round raised patch / patches that are white or pink in color, stiff, unmovable, elevated, round and mingled with each other. The affected person experiences heaviness across the affected patch. It’s mentioned that the older patches of neurodermatitis exhibit whitening or paleness surrounded by darker hues, which resembles a medical image of mandala kushta.
Relying on the totally different colors which might be manifested within the patches of neurodermatitis, many other forms of kushta – pores and skin ailments presenting with these numerous colors and kshudra rogas – minor ailments which additionally current with these colors and different signs of neurodermatitis will be thought of within the comparability and correlation.
Can predominant aggravation of kapha trigger neurodermatitis?
Itching in response to Ayurveda, by default, is related to kapha. Kapha is the primary dosha accountable for every kind of itching. Pathological improve of kapha would trigger itching. Kapha is unctuous and liquid in nature. So, when kapha abnormally builds up within the physique undoubtedly there shall be itching, however the pores and skin can even seem unctuous and there could also be exudates. However these will not be the options of neurodermatitis. Alternatively, vata-kapha involvement may cause circumstances much like neurodermatitis. This may occur solely when the dryness of vata within the vata-kapha dysfunction turns into dominant over the wetness and unctuousness of kapha and dries it up.
Primarily based on the looks of ‘neuro dermatitis’ lesion
By look, neurodermatitis is significantly giant in dimension. It is usually dry, thick, scaly and leathery. These options are present in eka kushta and kitibha kinds of kushta, each of them fall into the class of kshudra kushta i.e. minor pores and skin ailments.
Primarily based on the signs of neurodermatitis
| Sl No | Symptom of Neurodermatitis | Dosha involvement |
| 1 | Pruritic pores and skin lesions | Vata, Kapha or Vata-Kapha |
| 2 | Desquamative pores and skin lesions | Vata |
| 3 | Erosions with hemorrhagic tendencies | Vata, Vata-rakta |
| 4 | Hyperkeratotic pores and skin | Vata |
| 5 | Induration of dermis | Vata, Vata-Kapha |
| 6 | Altered pigmentation / hyperpigmentation | Vata, Pitta |
| 7 | Atrophic modifications | Vata |
| 8 | Erythematous plaques | Vata, Vata-Kapha |
| 9 | Excoriation | Vata |
| 10 | Nocturnal itching | Vata |
| 11 | Pores and skin ache | Vata |
Right here we will see that vata is predominant in virtually all doshas. Pittingn it the opposite method, vata aggravation causes the predominant signs of neurodermatitis.
Ayurveda Remedy of Neurodermatitis
Nidana Parivarjana
Conserving away from the causative elements and triggers of the illness is the important thing technique to keep away from the illness, its development or recurrence. Amongst these, vata or kapha aggravating elements and all etiological elements enlisted as causal of kushta ought to be stored away.
Dosha Pratyanika Chikitsa
Dosha aggravation and dosha predominance in neurodermatitis ought to be analysed correctly and addressed accordingly.
Vyadhi Pratyanika Chikitsa
Addressing the basis reason for the illness ought to be the primary method in coping with neurodermatitis and that root trigger is perhaps a illness presenting with signs much like neurodermatitis i.e. the kinds of kushta which have been talked about above. Every other illness presenting with a pores and skin situation which seems nearer to neurodermatitis ought to be handled. When the primary illness is handled comprehensively, the illness which has branched out from it, neurodermatitis on this case, can even be addressed. Mainly, kushta chikitsa i.e. remedy line of kushta ought to be adopted by way of implementing panchakarma measures, medicines, way of life modifications and weight-reduction plan which might deal with the illness from its roots.
Panchakarma measures
Virechana is one of the best treatment in instances of neurodermatitis. The Sneha – unctuous substances given earlier than administration of virechana as part of preparatory process, ought to be chosen from the context of kushta chikitsa. If solely virechana is to be given as a daily / every day detox, the medication ought to be in an oil or ghee kind, ready with medicines / herbs that are cures for kushta and are antagonistic to the causal dosha / doshas.
Exterior therapies
Since vata is predominant dosha inflicting neurodermatitis and signs therein, it is vitally vital to maintain the pores and skin unctuous and never permit it to dry. For this, oil therapies ought to be finished continuously. Taila Dhara – showering of natural oils and likewise utility of medicated oils on the bothered half / components of the pores and skin in neurodermatitis are best interventions. Udwarthana with natural powders combined in oils shall be used as and when wanted as scrubs to take away lifeless tissues and pores and skin particles.
Milk ready with Nalpamaradi Kashayam ought to be used for showering over the neurodermatitis patches.
Efficient formulations
Beneath talked about are among the vital and efficient formulations within the remedy of neurodermatitis –
– Tiktaka Kashayam / Ghrta
– Mahatiktaka Kashayam / Ghrta
– Guggulutiktaka Kashayam / Ghrta
– Aragwadhadi Kashayam / Ghrta
– Gandharvahastadi Kashayam
– Gandharvahastadi Eranda Tailam
– Nimbamritadi Eranda Tailam
– Ksheerabala Tailam / Ksheerabala Tailam 101
– Trivrit Leham
– Madhusnuhi Rasayanam
– Nalpamaradi Tailam – exterior
– Shatadhauta Ghrtam – exterior
