Ayurvedic Herbal Remedies for Psoriasis

Abstract

In today’s world, skin conditions, especially psoriasis, have become more of a mental health concern than a physical one, as they disrupt one’s appearance and self-esteem. Psoriasis is a chronic autoimmune condition that primarily affects the skin, causing cells to build up rapidly on the surface. This leads to red, scaly patches on the skin that can be uncomfortable, sometimes itching, stinging, or even cracking and bleeding. Psoriasis affects about 2-3% of people worldwide, usually starting between ages 15 and 35, though it can show up at any age. On average, about 0.3 to 1 in 1,000 people are diagnosed with psoriasis each year. Environmental factors such as stress, infections, and even skin injuries can act as triggers, either bringing on the condition or making existing symptoms flare up. Despite being a lifelong condition, it is manageable with treatment that can reduce flare-ups and improve quality of life for those affected.

Introduction

Psoriasis is an autoimmune disorder marked by flare-ups, causing dry, irritated and flaky patches on the skin. These patches can appear in various shapes and sizes, often covering large areas of the body, including scalp, palm and soles. The abnormal skin growth occurs in the epidermis, where cells in the basal layer multiply too quickly—forming new skin in just 5-6 days instead of the usual 28-30 days. The typical lesions appear as red spots or patches with a thick layer of silvery scales, which can be scraped off.

Causes and Risk Factors

Psoriasis is a complex condition with multiple factors that can contribute to its development. While the exact cause isn’t fully understood, a combination of genetic, immune, and environmental factors is believed to play a significant role in triggering the condition. They are as follow:

• Family history
• Immune system dysfunction
• Emotional and physical stress
• Viral and bacterial infections
• Skin injury can trigger psoriasis
• Dry and cold weather
• Certain medications
• Smoking
• Obesity
• Alcohol consumption

Types of Psoriasis

There are several types of psoriasis, each with distinct characteristics. Here are the main types

1. Plaque Psoriasis – It is the most common form, accounting for 80-90% of cases. It appears as raised, red patches covered with silvery white scales. These patches often occur on the elbows, knees, scalp, and lower back.
2. Guttate Psoriasis – It is characterized by small, drop-shaped spots on the skin, often triggered by a bacterial infection like strep throat. It commonly affects children and young adults.
3. Pustular Psoriasis – It causes white, pus-filled blisters surrounded by red, inflamed skin. This type can appear on areas like the hands and feet or spread across large parts of the body.
4. Inverse Psoriasis – It occurs in the areas with skin folds, such as the armpit, groin, under the breasts, and around the genitals. It appears as smooth, bright red patches and is often irritated by friction or sweating.
5. Erythrodermic Psoriasis – This rare and severe form causes widespread redness, shedding of skin, and intense itching or pain. It can lead to serious complications like dehydration, infection, and heart issues, requiring urgent medical attention.
6. Nail Psoriasis – It affects the nails, causing small dents, discoloration, thickening, and sometimes the nail separating from the nail bed. It often happens along with other types of psoriasis.
7. Scalp Psoriasis – It affects the scalp, causing itching, flaking, and red patches. It can spread beyond the hairline and is sometimes confused with dandruff.

Koebner Phenomenon

It is also known as the Isomorphic response. It refers to the development of psoriasis lesions at the site of skin injury or trauma like cuts, scrapes, burns, or even excessive scratching. In people with psoriasis, these injuries can trigger a flare-up in the affected area, causing psoriasis to develop where the skin was damaged.

Pathology of Psoriasis

Psoriasis happens when the immune system mistakenly attacks healthy skin cells. This causes inflammation and speeds up the skin’s natural process of renewal, turning over skin cells much faster than normal. As a result, new skin cells pile up on the surface, forming thick, scaly patches. The inflammation also causes blood vessels in the area to widen, giving the skin a red, inflamed appearance. Psoriasis is a long-term condition, with flare-ups happening over time, and can sometimes lead to other health issues like heart disease or arthritis.

Signs of Psoriasis

These signs can vary in severity, from small, localized patches to widespread skin involvement, and they may flare up and improve over time. They are as follow:

• Candle Grease Sign (coin-shaped lesions with wax-like scales and exfoliation)
• Red, raised patches of skin
• Dry, cracked skin that may bleed
• Flaky scalp
• Red patches extending beyond the hairline
• Swollen joints
• Pustules or blisters (filled with noninfectious pus)
• Nail separation from the nail bed

Symptoms of Psoriasis

The symptoms of psoriasis can vary depending on the type and severity of the condition, but common symptoms include

• Itching
• Burning sensation in affected area
• Pain
• Joint stiffness
• Soreness in skin
• Tightness of skin
• Discomfort from flaking

Body parts affected by Psoriasis

Psoriasis can appear anywhere on the body and vary in severity, with some people experiencing localized patches while others may have widespread involvement. It can affect various parts of the body, including

• Face
• Scalp
• Elbows
• Knees
• Fingernails
• Toenails
• Genitals
• Palm
• Feet
• Lower back

Can Psoriasis be Transmitted from Person to Person?

No, psoriasis is not contagious, so you can’t catch it from someone else. It’s an autoimmune condition where the immune system mistakenly attacks healthy skin cells, causing those red, scaly patches. While genetics and things like stress or infections can trigger flare-ups, it’s not something you get from touch or being around someone with it.

Diagnosis of Psoriasis

Diagnosis of psoriasis include various steps, they are as follow

1. Medical history
   • Family history
   • History of underlying disease
2. Physical exam
   • Assessment of signs and symptoms
3. Blood test
   • To rule out other conditions
4. Biopsy
   • A small sample of the affected skin is taken and examined under a microscope to confirm the diagnosis and rule out other conditions
5. Assessment of severity
   • Psoriasis Area and Severity Index (PASI)

Management of Psoriasis

Managing psoriasis typically involves a combination of lifestyle changes and treatments to control symptoms, reduce flare-ups, and improve quality of life.

1. Lifestyle changes
   • Moisturisation
   • Hydration
   • Healthy diet
   • Avoid triggers
2. Phototherapy
   • Exposure to ultraviolet (UV) light under medical supervision to slow down skin cell production and reduce symptoms.
3. Medications
   • Topical steroids
   • Vitamin D analogues
   • Topical retinoids
   • Methotrexate
   • Cyclosporine

Complications of Psoriasis

Complications of psoriasis involves

1. Psoriatic arthritis
2. Infections
3. Heart disease
4. Eye problems like conjunctivitis or uveitis
5. Anxiety and depression

Ayurvedic Aspect

Ayurveda categorizes all skin conditions under the term Kustha (skin disorder), essentially referring to what is known as Ayurvedic dermatology. The term Kustha specifically denotes conditions that cause skin discoloration or depigmentation. In Ayurvedic texts, Kustha (skin disorder) is divided into 18 distinct subtypes, each reflecting different manifestations and underlying causes. The primary factors contributing to the development of Kustha (skin disorder) include viruddha annapana (improper diet), the excessive consumption of liquids or foods that are snigdha and guru (heavy), and the suppression of natural bodily urges such as vomiting. Additionally, physical exertion or exposure to heat after overeating can exacerbate the condition. Among the various types of Kustha, one particular form, known as Ekkustha (psoriasis), is classified under Kshudra Kustha (less severe skin disorders) and is characterized by specific clinical signs, including asweda (absence of sweating), mahavastu (lesions that cover a large area), and matasya shaklopama (skin scales that resemble fish scales). Other symptoms include decreased sensation, abnormal sweating, skin color changes, papules, itching, pricking pain, fatigue, pain in ulcerated areas, sudden ulcers, burning sensations, and numbness. These symptoms closely resemble those seen in psoriasis, suggesting that psoriasis can be treated according to the principles of Ekkustha (psoriasis) in Ayurveda. The condition is primarily associated with an imbalance in the vata and kapha doshas, although all forms of Kustha (skin disorder) are typically tridoshaja (involving all three doshas). Therefore, treatment for Kustha should be tailored based on the predominant doshas (humors) in each individual case.

This verse describes the treatment protocols for Kustha (skin disorders) and other dosha (humor) imbalances based on the type of dosha (vata, pitta and kapha) involved. In cases of Vataja Kustha, the first step is to administer ghritapana (consumption of ghee), while for Kapha-related Kustha, the treatment begins with vamana (emetic therapy). In Pitta-induced Kustha, the primary treatments involve virechana (purgation therapy) and raktamokshana (bloodletting).

In treating Ekkustha (psoriasis), several herbs are utilized to balance the doshas, particularly Vata and Kapha, and to promote skin healing. The principal herbs include

1. Gandhak (sulphur) – Detoxifies and purifies the body, improving skin conditions.
2. Bakuchi (Psoralea corylifolia) – Promotes skin health and reduces pigmentation.
3. Nimba (Azadirachta indica) – Antimicrobial and anti-inflammatory, treats skin diseases and infections.
4. Hartal (Orpiment) – Purifies blood, combats chronic skin issues.
5. Manjishtha (Rubia cordifolia) – Detoxifies blood, promotes circulation, supports skin health.
6. Khadira (Acacia catechu) – Treats skin infections, reduces inflammation, promotes regeneration.
7. Lodhra (Symplocos racemosa) – Anti-inflammatory and antimicrobial, supports skin health.
8. Patol (Trichosanthes dioica) – Detoxifies and improves skin tone, treats skin conditions.

Herbal Remedies for Psoriasis by Planet Ayurveda

Planet Ayurveda provides premium herbal solutions, such as the specially formulated Psora Care Pack, which is designed to naturally support and promote the healing of psoriasis. These remedies are made using carefully selected, time-tested Ayurvedic herbs, adhering to the authentic principles of Ayurveda. The products are completely free from harmful chemicals, additives, and preservatives, guaranteeing that they are not only effective but also 100% natural, vegetarian, and pure. With a focus on quality and purity, Planet Ayurveda ensures that every product offers a safe and holistic approach to health and well-being.

Product description

1. Gleaming Skin, Hair, and Nails Formula – These capsules combine powerful and beneficial herbs, including Manjistha (Rubia cordifolia), Chirayata (Swertia chirayita), Sariva (Hemidesmus indicus), and Ghrit Kumari (Aloe barbadensis miller). Chirayata (Swertia chirayita) is known for its detoxifying and antimicrobial properties, purifying the blood and balancing Pitta, which helps treat conditions like acne and rashes. Sariva (Hemidesmus indicus) is a cooling blood purifier that calms skin irritation caused by excess heat and toxins, balancing both Pitta and Kapha doshas. Together, these herbs work synergistically to cleanse the body, detoxify the skin, and support overall wellness.
   Dosage: 2 capsules after meals, twice a day, with warm water.
2. Navkarshik Churna – This herbal formulation has detoxifying, purifying, and rejuvenating effects. It contains herbs like Vacha (Acorus calamus), Haritaki (Terminalia chebula), Katuki (Picrorhiza kurroa), Neem (Azadirachta indica), Manjistha (Rubia cordifolia), and other Ayurvedic herbs. This churna is used to balance the doshas, particularly Pitta and Kapha, which are often involved in skin conditions like psoriasis. By detoxifying the blood and reducing inflammation, it helps soothe skin irritation and improve overall skin health, making it an effective remedy for psoriasis and similar skin conditions.
   Dosage: 1 tsp after meal, twice a day, with warm water.
3. Neem Capsules – These capsules are specially formulated to promote a healthy circulatory system and support overall skin health. Crafted from a standardized extract of Neem (Azadirachta indica), Neem has a bitter, astringent taste and a cooling effect on the body, making it ideal for balancing Kapha and Pitta doshas. Its purifying properties help detoxify the body and reduce inflammation, which can be particularly beneficial for conditions like psoriasis.
   Dosage: 1 capsule after meal, twice a day, with warm water.
4. Gandhak Rasayan – This tablet contains purified sulfur and is renowned for promoting healthy and radiant skin. Gandhak Rasayan helps balance the Pitta and Kapha doshas. By detoxifying the body and purifying the blood, it helps reduce inflammation, soothe irritated skin, and improve overall skin health. This makes it a powerful and natural remedy for managing psoriasis.
   Dosage: 2 tablets after meals, twice a day, with warm water.
5. Pitta Balance – These capsules are formulated with a combination of powerful herbs, including Jahar Mohra Pishti (a natural calcium compound) and Mukta Pishti (a calcium compound derived from pearls), along with other herbal ingredients. Together, they help restore balance to the Pitta dosha, which plays a significant role in skin conditions like psoriasis. The cooling properties of these herbs help calm the digestive system by reducing excess heat and irritation, which is essential for managing Pitta-related imbalances and supporting overall skin health.
   Dosage: 1 capsule after meal, twice a day, with warm water.
6. Manjishtha Capsules – These capsules are made from a standardized extract of Manjishtha (Rubia cordifolia). It is regarded as both a Svarakrut (enhancer of voice) and Varnakrut (skin beautifier), as it helps improve skin texture and tone. It has a bitter, astringent, and slightly sweet taste, making it effective in balancing the Kapha and Pitta doshas. It is used to purify the blood, making it particularly useful in conditions like psoriasis, where blood purification is essential.
   Dosage: 2 capsules after meals, twice a day, with warm water.
7. Radiant Skin, Hair, Nails Lotion – It is an Ayurvedic formulation designed to support skin health, especially for conditions like psoriasis. It contains turmeric (Curcuma longa), Neem (Azadirachta indica) leaves, Jasmine (Jasminum officinale), Guggul (Commiphora mukul), and several other herbs. Together, these herbs work synergistically to hydrate, heal, and balance the skin, promoting a healthier complexion, stronger nails, and shinier hair. This lotion is ideal for supporting the body’s natural healing processes, making it an excellent choice for psoriasis management.
   Usage: For external use only, mix Radiant Skin, Hair, and Nails Lotion with Jatyadi Tailam and apply twice daily to the affected areas after cleaning.
8. Jatyadi Tailam – It is a traditional Ayurvedic formulation used externally for a variety of conditions. The oil contains a blend of beneficial herbs such as Jasmine (Jasminum officinale), Patola Patra (Trichosanthes dioica), Katuki (Picrorhiza kurroa), and several others. In the case of psoriasis, Jatyadi oil is particularly effective in calming itching, reducing irritation, and alleviating the burning sensation often associated with lesions.
   Usage: Apply to the affected area once or twice daily.

Conclusion

In this article I concluded about Psoriasis. We discussed its causes and risk factors, types, koebner phenomenon, pathology, signs, symptoms, body parts affected by psoriasis, about its transmission, diagnosis, management, complications, ayurvedic aspect, and herbal remedies by Planet Ayurveda.