Category: Scleroderma

Ayurvedic Treatment for Scleroderma – Symptoms, Causes , Types & Herbal Remedies

Abstract

The word “scleroderma” is derived from the Greek word “sclero” (hard) and “derma” (skin), referring to the thickening of skin. Scleroderma, also known as Systemic Sclerosis, is a chronic autoimmune disease characterized by the abnormal growth of connective tissue, leading to thickening and scarring (fibrosis) of the skin and internal organs. The exact cause of scleroderma is still not fully understood, but it is believed to involve autoimmune mechanisms, abnormal collagen production and vasculopathy. It is a rare disease, with an estimated prevalence ranging from 30 to 400 cases per million people. It is more common in women, with a female-to-male ratio of approximately 3:1. Most people are diagnosed with scleroderma between the ages of 30 and 50, though the condition can develop at any age. Early diagnosis is a key to manage this disease effectively.

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Introduction

Scleroderma (systemic sclerosis) is a rare, chronic autoimmune disease characterized by the excessive production of collagen, resulting in the hardening and scarring (fibrosis) of the skin and internal organs. Scleroderma can range from mild to severe, and it can affect various parts of the body, including the skin, lungs, kidneys, heart, and digestive system. The symptoms and progression of the disease can vary widely between individuals, and its exact cause remains unclear, though genetic and environmental factors are believed to play a role. Early detection and proper management can help alleviate symptoms and improve quality of life.

Causes and Risk factors of Scleroderma (Systemic Sclerosis)

The exact cause of scleroderma is still not fully understood, but several factors are thought to contribute to its development, these include:

  1. Immune system dysfunction
  2. Family history of autoimmune diseases
  3. Abnormal Collagen Production
  4. Blood vessel damage
  5. Raynaud’s phenomenon
  6. Environmental triggers
  7. Women are more affected
  8. Medications

Types of Scleroderma

Scleroderma is primarily divided into two main types:

  1. Localized Scleroderma – It affects only the skin and sometimes underlying tissues. It includes Morphea, which causes round or oval patches of thickened skin; Linear Scleroderma, which creates bands of thickened skin, often on limbs or the face; and En coup de sabre, a form of linear scleroderma that affects the forehead, giving it a sword-like appearance. These types typically do not involve internal organs.
  2. Systemic Sclerosis (Systemic Scleroderma) – It is a more severe form of the disease that affects not only the skin but also a range of internal organs, including the heart, lungs, kidneys, and digestive system. The disease causes the immune system to attack connective tissue, resulting in fibrosis (scarring) and thickening in different parts of the body. It has two main types:
    • Limited Cutaneous Scleroderma – It is the most common type, affecting the skin on the fingers, hands, forearms, and face, with minimal internal organ damage. Most people have a normal life expectancy but may experience heartburn, severe Raynaud’s phenomenon, musculoskeletal pain, and in rare cases, pulmonary hypertension. One subtype of limited scleroderma is CREST syndrome, named after its main symptoms, including Calcinosis (calcium deposits), Raynaud’s phenomenon (color changes in fingers/toes), Esophageal dysmotility (heartburn), Sclerodactyly (skin thickening on fingers), and Telangiectasias (red spots from enlarged blood vessels).
    • Diffuse Cutaneous Scleroderma – It is a subtype where excessive collagen production leads to widespread skin thickening, typically on the fingers, hands, arms, trunk, legs, and face. This form can cause significant damage to organs such as the gastrointestinal tract, kidneys, lungs, and heart.

Symptoms of Scleroderma (Systemic Sclerosis)

Scleroderma symptoms vary between individuals, depending on the type of the disease and the organs involved. They are as follow:

  • Thickening and tightness of the skin
  • Joint pain or stiffness
  • Puffy hands (swelling of fingers or hands)
  • Raynaud’s phenomenon (cold, numb, or tingling fingers/toes)
  • Pulmonary hypertension
  • Digestive problems
  • Skin discoloration
  • Joint pain or stiffness
  • Heartburn or acid reflux
  • Difficulty swallowing
  • Muscles weakness or pain
  • Shortness of breath or difficulty breathing
  • Red spots on the skin (telangiectasias)

Pathology of Scleroderma (Systemic Sclerosis)

The pathological process in scleroderma involves overactive immune system that attacks the body’s connective tissues,causing inflammation and excessive collagen production.This leads to thickening and scarring (fibrosis) of the skin and internal organs, including the lungs, heart, kidneys, and digestive system. Blood vessels also get damaged, resulting in poor circulation and symptoms like Raynaud’s phenomenon (reduced blood flow to fingers and toes). This leads to the characteristic symptoms and organ complications such as difficulty breathing, heart problems, kidney damage, and digestive issues.

Diagnosis of Scleroderma (Systemic Sclerosis)

Diagnosis of scleroderma involves

  1. Clinical evaluation
    • Medical history
    • Family history
    • Assessment of symptoms
  2. Blood test
    • Antinuclear antibodies (ANA) – Elevated
    • Anti-Scl-70 (topoisomerase I)
    • Anti-centromere antibodies
  3. Imaging studies
    • X-Rays
    • CT scan
    • Echocardiogram
  4. Pulmonary function test – To evaluate lung capacity and function
  5. Esophageal Manometry – To assess oesophagus swelling
  6. Capillaroscopy – To examine blood vessels at the base of the fingernails

Management of Scleroderma (Systemic Sclerosis)

The management of scleroderma (systemic sclerosis) focuses on controlling symptoms,preventing complications, and improving quality of life, they are as follow:

  • Regular monitoring
  • Physical therapy
  • Medication
    • Immunosuppressants
    • Corticosteroids
    • Proton pump inhibitors (PPIs)
    • Calcium channel blockers
    • Angiotensin receptor blockers (ARBs)
    • ACE inhibitors
  • Management of Raynaud’s Phenomenon
  • Pulmonary Care
  • Gastrointestinal Care
  • Kidney Monitoring
  • Psychological Support

Complications of Scleroderma (Systemic Sclerosis)

The complications of scleroderma (systemic sclerosis) include:

  • Pulmonary Fibrosis
  • Pulmonary Hypertension
  • Kidney failure
  • Esophageal Dysmotility
  • Heart failure

Ayurvedic aspect

The Ayurvedic correlation of Scleroderma (Systemic Sclerosis) can be explained through Vata-dominant Uttana Vatarakta associated with twak gata vata, with a primary vitiation of Vata dosha affecting the rasa (plasma), Rakta (blood), and mamsa (muscle), leading to symptoms of dryness, inflammation, and stiffness, which resembles with the thickening and hardening of tissues seen in scleroderma. Vata dosha disrupts rasa dhatu, leading to twak parushyam (roughness of skin), twak-sankocha (stretching of skin) and nidra alpata (loss of appetite). Rakta dhatu impairment causes poor circulation and oxygenation, contributing to fibrosis and leading to symptoms such as twak karshnaya (blackening of skin), blisters on skin, kandu (itching), sarvanga shotha (swelling on body) and sira ayama (stretching in vessels). Mamsa dhatu disturbance results in hasta-anguli evum sandhi sankocha evum jadyam (fingers, joints stiffness, and rigidity) and sankocha janya ruja (pain on movement of joints).

स्वेदाभ्यङ्गावगाहाश्च हृद्यं चान्नं त्वगाश्रिते | शीताः प्रदेहा रक्तस्थे विरेको रक्तमोक्षणम् ||
विरेको मांसमेदःस्थे निरूहाः शमनानि च | बाह्याभ्यन्तरतः स्नेहैरस्थिमज्जगतं जयेत् || (Ch.chi. 28/92-93)

The verse describes the treatment principle of vata vitiated condition involving skin, blood, and tissues. In ayurveda, scleroderma (systemic sclerosis) is treated by addressing vata dosha imbalances, particularly in the rasa (plasma), rakta (blood), and mamsa (muscle) dhatus (tissue). The two main treatment approaches are Shamana (palliative care) and Shodhana (detoxification). Vata shamana therapies and Vatarakta shamaka medicines help reduce pain, stiffness, and inflammation, promoting overall healing and balance. Key therapies include

  • Snehana (oleation) to soften tissues
  • Abhyanga (oil massage) for circulation
  • Swedana (sudation) to remove toxins
  • Basti (medicated enemas) to balance vata
  • Raktamokshana (bloodletting) to detoxify blood

Herbal Remedies for Scleroderma by Planet Ayurveda

Planet Ayurveda offers high-quality herbal solutions, like the specially crafted Sclero Care Pack, designed to naturally support and aid in the healing of Scleroderma (Systemic Sclerosis). The remedies are made with carefully chosen ayurvedic herbs. Free from harmful chemicals, additives, and preservatives, these products are not only effective but also completely natural, vegetarian, and pure. With a strong commitment to quality and purity, Planet Ayurveda ensures each product provides a safe and holistic approach to improving health and overall well-being.

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Product description

1. Ashwagandha Capsules

These capsules are the herbal supplement made from the standardized extract of Ashwagandha (Withania somnifera), a renowned herb in Ayurvedic medicine. It is a versatile herb that works to balance all three doshas, though it is especially effective in pacifying vata and kapha doshas. With its bitter and astringent taste, warming potency, and pungent effect after digestion, it helps promote brain health, cognitive function, and overall neurological stability. This makes it valuable in conditions like Scleroderma (Systemic Sclerosis), supporting long-term health and vitality.

Dosage: 2 capsules two times a day with warm water.

2. Gotu Kola Capsules

These capsules are herbal supplements made from a standardized extract of Mandookparni (Centella asiatica). It helps balance both vata and kapha doshas. This herb is renowned for its medhya (intelligence-enhancing) properties, promoting mental clarity and cognitive function. It helps support a healthy nervous system and improves the transmission of nerve signals, which can be especially helpful for managing conditions like Scleroderma (Systemic Sclerosis).

Dosage: 2 capsules two times a day with warm water.

3. Boswellia-Curcumin

These capsules combine two powerful herbs known for their anti-inflammatory and antioxidant properties: Shallaki (Boswellia serrata) and Curcumin (Curcuma longa). Together, they help reduce inflammation in muscles, bones, tendons, and skin, while also supporting the management of allergic conditions. They help improve blood circulation, ensuring nutrients and oxygen are efficiently delivered to affected areas, while also offering powerful analgesic effects to relieve pain. These herbs are rich in antiseptic, anti-inflammatory, and antioxidant properties, which work together to promote healing and well-being.

Dosage: 2 capsules two times a day with warm water.

4. Sanjivani Vati

These tablets are crafted from a combination of herbs, including Pippali (Piper longum), Haritaki (Terminalia chebula), Vidanga (Embelia ribes), and Vacha (Acorus calamus) among others. These herbs are known for their primarily katu (pungent) and tikta (bitter) taste, as well as their laghu (light), tikshana (sharp), ruksha (dry), and hot potency. It works as an appetizer, promotes digestion, and assists in the elimination of ama (undigested toxins). These effects make it particularly helpful for managing conditions like Scleroderma (Systemic Sclerosis), where digestive support and toxin removal are key for improving overall health.

Dosage: 2 tablets two times a day with warm water.

4. Gandhak Rasayan

These tablets contain purified sulfur. This natural remedy is well-known for its powerful antimicrobial, anti-inflammatory, and detoxifying properties, which can be incredibly beneficial for addressing various skin concerns. These properties help soothe irritated skin, reduce itching, and ease inflammation linked to conditions like Scleroderma (Systemic Sclerosis), supporting the skin’s natural healing for improved comfort and health.

Dosage: 2 tablets two times a day with warm water.

6. Sinhnaad Guggul

It is an Ayurvedic formulation that includes powerful ingredients like Haritaki (Terminalia chebula), Bibhitaki (Terminalia bellerica), Shuddha Gandhak (purified sulfur), and several other herbs. In the case of conditions like Scleroderma (Systemic Sclerosis), Sinhnaad Guggul can help reduce inflammation, support the body’s natural detoxification process, and promote the health of the skin and joints. These herbs are known for their powerful healing properties that work together to support overall health.

Dosage: 2 tablets two times a day with warm water.

Conclusion

In this article I have concluded about scleroderma (systemic sclerosis). We discussed causes or risk factors, symptoms, types, pathology, diagnosis, management, complications, ayurvedic aspect and herbal remedies by planet ayurveda. Ayurvedic treatments focus on rebalancing the doshas, enhancing immune function, and supporting overall health and vitality.

What is Steven Johnson Syndrome? – How can Ayurveda Help with it?

ABSTRACT

Skin is the largest organ of the human body. One of the most important functions of skin is protection from external factors such as bacteria, chemicals, temperature etc. However, when our lifestyle and diet goes haywire, skin conditions may get triggered by medications and infections. In this article, we will take a look at one such rare skin condition called Steven Johnson Syndrome and how Ayurveda can help treat it safely and naturally.

INTRODUCTION- WHAT IS STEVEN JOHNSON SYNDROME?

Steven Johnson syndrome or SJS is a rare but serious condition of the skin and mucous membranes that results in the skin to develop rashes, blisters and then eventually peel. Other organs such as eyes, genitalia, and mouth are also affected in severe cases. The more severe form of Steven Johnson Syndrome is called Toxic Epidermal Necrolysis (TEN) and is a more intense form of Steven Johnson syndrome and causes extensive damage to the mucous membrane. Blisters can also form inside of the body, making it hard to eat, swallow or even urinate. This condition may be rare but it is life threatening.

Steven Johnson Syndrome

CAUSES

SJS is thought to be a condition of the immune system. The immune reaction can be genetic or triggered by various factors such as drugs and infections.

Some of the most common causes are

  1. Allergic reaction to a medication such as antibacterial sulfa drugs, antiepileptic drugs, Allopurinol, NSAIDS and antibiotics.
  2. Infections like hepatitis A, herpes etc.
  3. Vaccinations

SYMPTOMS

Symptoms of Steven Johnson syndrome include

  1. Skin pain
  2. Fever
  3. Body aches
  4. Red rash
  5. Cough
  6. Blisters and sores on skin and mucous membranes
  7. Peeling skin
  8. Painful urination due to blisters

TREATMENT

There are varying opinions among dermatologists regarding the peeling and debriding of the skin in cases of severe Steven Johnson syndrome. However, some of the restorative and supportive treatment method includes:

  1. Stopping the medication that triggered SJS
  2. Using Intravenous fluids, IV steroids, cyclosporine etc.
  3. Using non adhesive dressing on the skin
  4. Tube feeding to promote natural skin healing
  5. Antibiotics and analgesics for symptomatic relief
  6. Following the protocol of thermal burns

AYURVEDA PERSPECTIVE AND MANAGEMENT

Although there is no specific mention of Steven Johnson syndrome in Ayurveda, it can be grouped under the autoimmune disorders. Ayurveda considers that an unhealthy diet and lifestyle for longer periods of time can lead to the accumulation of AMA or toxins which causes an imbalance in the Dosha and eventually disrupts the functioning of the immune system. Treatment in Ayurveda is based on restoring the balance of the aggravated dosha and expelling the toxins out of the body. There are various Ayurveda herbs that help in removal of toxins or ama and healing both external and internal body in Steven Johnson syndrome.

AYURVEDA HERBS THAT HELP IN STEVEN JOHNSON SYNDROME

1. MANJISTHA

(Rubia cordifolia): The herb Manjistha (Rubia cordifolia) mentioned in classical Ayurveda texts is an excellent herb for all skin diseases. It has anti-inflammatory, antibacterial and antioxidant properties. It is a natural blood purifier, inhibits the acne causing bacteria and heals the wounds. It has a bitter sweet Rasa or taste and is considered as ‘Varnya’ (good for skin) in Ayurveda. This herb helps fight the infection and heals the wounds caused by Steven Johnson syndrome

2. NEEM

(Azadirachta indica): Neem (Azadirachta indica) is a medicinal herb that is excellent for skin issues. It has anti-inflammatory properties and healing properties. It has Nimbin that prevents skin problems like acne, blisters etc. This herb is bitter in taste and is considered as Kandu Ghana in Ayurveda which means herbs that help in itching and skin disorders.

3. TURMERIC(Curcuma longa)

Turmeric is well known for its anti-inflammatory properties worldwide. It is an anti-inflammatory, anti-bacterial and blood purifier. It has Laghu (light) and rooksha (dry) guna and a bitter, pungent taste which makes it a great herb to reduce the swelling and work as an antiseptic for all kinds of skin blisters

4. GILOY

(Tinospora cordifolia): Guduchi (Tinospora cordifolia) is one of the most used ayurveda herbs for its immune- boosting properties. Along With immunity, it also has cooling and pitta balancing properties which help relieve skin irritation, inflammation and promote healthy skin. It has sweet Vipaka (post digestion taste) and helps in relieving itching and redness in all kinds of skin disorders.

HERBAL FORMULATIONS for Steven johnson syndrome  BY PLANET AYURVEDA

Planet ayurveda is a GMP certified authentic ayurveda company that manufactures best, 100% pure ayurveda products under the supervision of MD doctors. Planet ayurveda manufactures some of the best herbal alternatives to chemical drugs that also find its mention in ayurveda. All the formulations made by planet ayurveda re 100% vegetarian formulations which are free from chemicals, preservatives, starch and additives. Some of the formulations that work well for Steven Johnson syndrome are:

1. Kaishore Guggul

Kaishore guggul by Planet Ayurveda is a tablet formulation that contains various ayurveda herbs such as Guggula (Commiphora mukul), Guduchi (Tinospora cordifolia), Goskhur (Tribulus terrestris), Vidang (Embelia ribes) and Trikatu (Three peppers). Guggul, the key ingredient in this tablet, helps majorly in fighting the disease, reducing the inflammation and heals the skin wounds.

DOSAGE: 2 tab twice daily after meal with plain water

2. Gandhak rasayan

Gandhak Rasayan by Planet Ayurveda is a tablet formulation that has pure standardized extract of 50 mg of purified Sulphur. This product helps treat various skin issues such as itching, eczema and psoriasis. This tablet is known for its antimicrobial, antiviral and antibacterial properties. It regulates the immune system and thus helps in treating both the symptoms and root cause of Steven Johnson syndrome.

DOSAGE: 2 tab twice daily after meal with plain water

3. Manjishtha Capsule

Manjishtha capsules by Planet Ayurveda has 500 mg of pure standardized extract of the herb Manjistha (Rubia cordifolia) 1 cap twice daily. It is a blood purifier and is beneficial in skin issues, blisters and healing the mucous membranes that get extensively damaged in Steven Johnson syndrome. This formulation is known for its blood purification and antioxidant properties.

DOSAGE: 1 tab twice daily after meal with plain water

4. Gleaming skin, hair and nails formula

This formula is capsule formulation by Planet Ayurveda that has various Ayurveda herbs that help in the overall health of skin, hair and nails. This formulation contains Manjishtha (Rubia cordifolia), Pita Papda (Fumaria officinalis) and Sariva (Hemidesmus indicus). All these herbs collectively help in skin disorders and blood purification and detoxification of the body. It is a helpful formulation in case of eczema, multiple sclerosis and psoriasis. This formulation is a brilliant supplement for skin, hair and nails.

DOSAGE: 1 cap twice daily after meal with plain water

5. Chopchini churna

Chopchini churna is a formulation mentioned in the ancient Ayurveda textbooks. Prime ingredient of this formulation is Smilax china which is also called Chopchini. It is naturally an analgesic and has anti-inflammatory effects. This herb balances all the three aggravated doshas and manages the allergic reaction and skin inflammation by inhibiting the histamine release due to its anti-allergic property. This formulation is known for its appetizer and anti allergic effect which helps in fighting the root cause of Steven Johnson syndrome.

DOSAGE: 1/2 tsp twice daily after meal with plain water

Contact Planet Ayurveda Support Team to provide you the costing / ordering and delivery information at – costing.planetayurveda@gmail.com or Call at 0172-521-4030 (India), +91-172-521-4030 (Outside India) or Whatsapp at (+91) 9915-593-604.

CONCLUSION

Modern medicine system does mention the treatment of all diseases that are seen rising in today’s time but it rarely helps fight the root cause of the disease. Ayurveda has a much more holistic approach towards ailments and helps to fight the root cause with negligible side effects. Hence it is always beneficial for natural ayurveda treatments when it comes to Steven Johnson syndrome.