Category: Skin Health

July 28, 2023

Pityriasis Rosea- Causes, Symptoms, And Ayurvedic Treatment

ABSTRACT

Pityriasis Rosea is a common skin condition which causes raised red color scaly patches on the body. Skin diseases affect the various parts of the skin which causes rashes, inflammation and changes in skin colour. Skin diseases can be genetic or may be due to various lifestyle factors. Skin is the largest organ which protects the whole body. It is usually soft, flexible tissue which performs 3 functions Protection, Regulation and sensation. Mammalian skin is composed of 2 primary layers Epidermis and Dermis. Epidermis is the outermost layer of the skin which forms the protective barrier which prevents the entry of pathogens from entering. Dermis is the layer of skin which lies beneath the epidermis and provides tensile strength and elasticity to the skin. The skin has seven layers of ectodermal tissue which guards various tissues, bones, ligaments and various internal organs. In this article, we are going to discuss the causes, symptoms and ayurvedic aspects in detail further the topic.

INTRODUCTION

Pityriasis Rosea is a rash which begins as an oval spot on the face, chest and abdomen region. It is caused by a virus which begins with a single red and slightly scaly area known as Herald Patch. It is a self-limiting rash which resolves in about 6-10 weeks and further develops smaller scaly oval-shaped patches which resemble a Christmas tree. Commonly known as Pityriasis Circinata, Roseola Annulata and Herpes Tonsurans. Christmas Tree patterns appear mainly on the Trunk and Proximal Extremities. These rashes are itchy in nature and can happen in any age group which is between 10-35 years of age. Sometimes Malaise and fever occur before the start of the rashes and itchiness and sometimes can be due to Human Herpes 6 or Human Herpes 7.

PATHOPHYSIOLOGY

It is due to Natural Killer Cell and B cell activity in Pityriasis rosea which suggests T Cell-mediated immunity.
There is an increased amount of CD4 T-Cell and the Langerhans cells which are present in the dermis.
Anti-immunoglobulin M Keratinocytes is found in Pityriasis Rosea.

HISTORY AND PHYSICAL

Pityriasis rosea is oval scaly plaques which are seen on the trunk and proximal extremities with a Christmas tree appearance.
Collarette Scaling is common with the prodrome of sore throat and gastrointestinal disturbance and arthralgia.
The distribution of the lesions is bilateral and diffuse which runs parallel to the skin tensions.

The various Atypical Morphologies include

Vesicular Pityriasis Rosea- It is an eruption of 2mm to 6 mm vesicles over the hand, palms and sole region. Commonly seen in children.
Urticarial Pityriasis Rosea
Purpuric Pityriasis Rosea which is present as macular purpura.
Giant Pityriasis Rosea consists of a plaque on the palm of the patient.
Pityriasis Rosea as exfoliative dermatitis.
Pityriasis Rosea with Herald Patch is absent in 20% of patients present at an unusual site such as the Face, scalp and Genitalia.

WHO GETS PITYRIASIS ROSEA?

It is most common in Teenagers and in young adults.
More seen in women
The incidence is 0.5-2 %
Most cases occur in the winter season.

CAUSES

This can be due to Immunologic reactions such as viral infection, and bacterial infections.

Viral infections- Herpes Virus 6 and 7 which is a strong association
Influenza A such as H1N1 and Covid.

Drug-Induced reactions

It is strongly associated with Angiotensin-converting enzyme inhibitors and NSAIDs (Non-steroidal anti-inflammatory drugs).

Vaccines

It can be triggered by BCG (Bacillus Calmette Guerin), Diphtheria and Covid-19 vaccines.

CLINICAL FEATURES OF PITYRIASIS ROSEA?

1. Systemic Symptoms

It is typically present as a rash phase and has 69% symptoms of Flu-like symptoms such as Cough and Sore throat.

2. Herald Patch

It is a single patch which is slightly oval, a salmon pink plaque with a peripheral scale inside the edge of the lesion like a collaret.

3. Secondary Rash

It is a scaly plaque which appears on the back and chest and is a smaller lesion than a herald Patch which may be annular. It is due to Relaxed tension on skin lines and cleavage lines on the upper trunks.

ATYPICAL PITYRIASIS ROSEA

Pityriasis Rosea is atypical when it is not diagnosed, and shows features such as

Large size plaques
Mucosal sites involved such as lacerations in the mouth
Multiple herald patches
Absence of herald patches
Severe itching
Recurrence of the disease

DIFFERENTIAL DIAGNOSIS

Lichen Planus
Guttate Psoriasis
Tinea Corporis
Seborrheic Dermatitis
Psoriasis

DIAGNOSIS

Skin Biopsy
Blood tests (IgG or PCR)

TREATMENT

1. General Measures

If it is self-limiting then the most important goal is to control the Pruritus.

Apply moisturizing cream
Apply aqueous cream and shower with plain water
Exposing to the sun without burning

2. Specific Measures

There are other therapies such as

Topical Steroid creams and various antihistamines reduce rashes and itching. Such as Calamine lotion.
Light Therapy which is helpful in post-inflammatory hyperpigmentation
Emollients- Moisturize skin which soothes the skin surface.
Lukewarm water shower in oatmeal.

AYURVEDIC ASPECT

Skin is one of the most important organs of the body which is one of the Gyanendriya which performs the function of sensation and prevents the body from external shock. In ayurveda, Skin diseases come under Kushtha Rogas which are of two types- Mahakushta (7 types) and Kshudrakushta (11 types). Pityriasis Rosea comes under Mandala Kushta which is one of the Mahakushta. This disease involves the vitiation of Kapha doshas with dushya Rakta and Mamsa which affects the skin texture and causes physical and psychological disturbances. To analyse skin disease one must diagnose food habits, lifestyle and general health. An unhealthy diet leads to the formation of the Ama doshas which harm the skin and weakens the digestive fire.

PATHOGENESIS (SAMPRAPTI)

The vitiated doshas (Vata, Pitta and Kapha doshas) get vitiated into the Tvak (rasa dhatu), Blood (Rakta), Mamsa (Muscle tissue) and Ambu (lymph) are together known as Kushta dravya.

Vata doshas lead to dryness in the skin with a much rough appearance having cracks and fissures.
Pitta doshas lead to redness and burning pain with the formation of pus along with ulceration.
Kapha doshas lead to white discoloration, itching and retention of fluids.

SAMPRAPTI GHATAKA

Doshas-Tridoshas mainly Kapha doshas.
Dushya- Rasa and Rakta
Adhishtana- Twaka

CHIKITSA

Panchkarma is one of the best ayurvedic procedures which is helpful in restoring the doshic balance and promotes the health of the skin by removing the accumulated doshas in the body.

1. SHODHANA CHIKITSA

Panchkarma procedures such as Vamana and Raktamokshana which is helpful in removing the accumulated toxins and boosts the circulatory process which maintains calmness and physical and mental relief from disease.

2. SHAMANA CHIKITSA

It is the use of various herbal and classical ayurvedic formulations which pacify the vitiated doshas and thus improve the quality of Rasa and Rakta, thus balancing hormones and helpful in curing Mandala Kushtha.

3. RASAYAN CHIKITSA

It is part of Shamana Chikitsa which is rich in antioxidants, Rejuvenating and has Kayakalpa action which causes and provides relief in Mandala Kushtha.

HERBS USEFUL FOR PITYRIASIS ROSEA

GUGGUL

Guggul (Commiphora wightii) is helpful in managing Vata which enhances digestion and circulatory mechanism. It is helpful in removing Ama from the body and thus balances the tridoshas of the body. Useful in enhancing complexion and in various skin disorders. Decreases the level of cholesterol and relieves inflammation of joints. Guggul is rejuvenative in nature which improves the strength and digestion of the body.

VIDANGA

Vidanga (Embelia ribes) is one of the powerful anti-parasitic herbs which balances Vata and Kapha doshas. It is helpful in easing the movement of the intestine and improves the appetite. Relieves constipation and balances the Vata doshas. Is a great energy booster and tonic thus reducing inflammation. Has antifungal and Antibacterial properties which treat various skin disorders.

KHADIRA

Khadir (Acacia catechu) is helpful in balancing Pitta and Kapha doshas, are useful in all types of skin irritation and in skin itching. Balances the imbalance of kapha doshas in the body. Removes the accumulated toxins from the body, improves digestion and relieves itching and swelling.

DEVDARU

Devdaru (Cedrus deodara) balances the imbalance of doshas and is helpful in various pruritus, infested wounds. It balances Vata and Kapha doshas. Helpful in Skin diseases and relieves Ama (endotoxins). Removes the excess mucus from the lungs. Promotes respiratory health and maintains a clear respiratory tract by boosting property.

HERBAL REMEDIES FOR PITYRIASIS ROSEA BY PLANET AYURVEDA

Planet Ayurveda is an ISO 9001:2015 Certified and US-FDA registered ayurvedic company which adheres to the objectives of all ayurvedic products which are mentioned in Ayurvedic texts. Formulations which are manufactured by planet ayurveda are without any preservatives and chemicals which do not cause any side effects on the human body. Products which are manufactured on the planet Ayurveda are pure and devoid of any adulteration. These products are pure and gluten-free. For Pityriasis Rosea planet ayurveda formulated various herbal supplements which are beneficial in this.

PRODUCTS LIST

KAISHORE GUGGUL
KHADIRARISHT
GLEAMING HAIR, NAIL AND SKIN FORMULA
NEEM CAPSULES
RECUMIN GEL
PITTA BALANCE

PRODUCTS DESCRIPTION

1. Kaishore Guggul

Kaishore Guggul are herbal tablets which are formulated by planet ayurveda using Amalaki (Emblica officinalis) and Guggul (Commiphora mukul), Vidanga (Embelia ribes), Long Pepper (Piper longum) and many more. It is helpful in various skin diseases as it has blood-purifying properties. Removes the toxins from the body and blood. Soothes the inflamed joints and cools the system.

Dosage- 2 tablets twice daily after meals with plain water.

2. Khadirarisht

Khadirarisht is a classic Ayurvedic product which is formulated by planet ayurveda Khadira Twak (Acacia catechu), Gur (Saccharum officinarum), Sheetal Cheeni (Piper cubeba), Lavang (Syzygium aromaticum) and many more. Is helpful in chronic skin diseases which include leprosy. Has a pitta balancing property that reduces dark spots and scars.

Dosage- 2 teaspoons twice daily after meals with plain water.

3. Gleaming Skin, Hair and Nails Formula

Gleaming Skin, Hair and Nails formula are polyherbal capsules which are made by planet ayurveda using Manjistha (Rubia cordifolia), Sariva (Hemidesmus indicus), Ghrit Kumari (Aloe barbadensis) and more. It is helpful in clearing toxins and provides whole nourishment to the skin, hair and nails. Boosts the immune system and prevents various bacterial diseases.

Dosage- 1 Capsule twice daily after meals with plain water.

4. Neem Capsules

Neem Capsules are single herbal capsules formulation which is made by planet ayurveda using a Standardized extract of Neem (Azadirachta indica). It has blood purifying properties, which reduce toxins levels and has antimalarial properties. Manages pimples or acne and minimizes the pores on the skin.

Dosage- 1 capsule twice daily after meals with plain water.

5. Recumin Gel

Recumin Gel is a gel-like formulation which is made by planet ayurveda using ingredients such as Haridra (Curcuma longa), Nee (Azadirachta indica), Jyotishmati (Celastrus paniculatus), Guggul (Commiphora mukul) and many more. It is helpful in improving wounds and controlling the flares of skin diseases, reducing pores, acne and scarring.

Dosage- Apply locally over the affected area.

6. Pitta Balance

Pitta Balance is a polyherbal capsule which is made by planet ayurveda using Giloy Satva (Tinospora cordifolia), JaharMohra Pishti (Natural Calcium Compound), Mukta Pishti (Natural Calcium compounds from pearls) and many more. It is helpful in maintaining Overall health and supports healthy joints. Useful in controlling anger and frustrations.

Dosage- 1 capsule twice daily after meals with plain water.

CONCLUSION

Pityriasis Rosea is a common skin condition which causes raised red color scaly patches on the body. Skin diseases affect the various parts of the skin which causes rashes, inflammation and changes in skin color. It is caused by a virus which begins with a single red and slightly scaly area known as Herald Patch. It is a self-limiting rash which resolves in about 6-10 weeks and further develops smaller scaly oval-shaped patches which resemble a Christmas tree. Pityriasis Rosea comes under Mandala Kushta which is one of the Mahakushta. This disease involves the vitiation of Kapha doshas with dushya Rakta and Mamsa which affects the skin texture and causes physical and psychological disturbances. For this disease, Planet Ayurveda provides a list of products which are helpful in this disease without causing any side effects.

July 8, 2023

How to Treat Ticks and mites infestation in Dogs Through Ayurveda

Abstract

Ticks and mites are the external parasite which feeds on the blood of mammals. They sucks the blood of animals and lead to debilitation of animal health. Tick infestation leads to destruction of the external coat of animals. In dogs ticks infestation leads to severe alopecia and other chronic diseases. In large animals like ruminants and equines ticks cause very dreadful conditions which causes heavy economic loss. Here with help of this content I want to share that Ayurvedic herbs are very effective without any side effects in control of ticks and for the treatment of infections caused by ticks.

Introduction

Ticks belong to phylum arthropoda and class arachnida . Ticks can be divided into two forms Ixodidae ( hard ticks) and Argasidae ( soft ticks).The life cycle of ticks is as follows – egg,nymph , and adult. . Ticks act as the vector of many life threatening diseases in animals like ehrlichiosis, anaplasmosis , babesiosis , hepatozoonosis etc. Mites are tiny members of class arachnida which are not seen by naked eyes . Mites are deeply burrowed under skin surface infection. There are three types of mites infecting dogs viz; sarcoptic, demodex and ear mites causing infection like sarcoptic mange, demodicosis and ear itching /irritation. Below is the brief description of diseases caused by ticks and mites.

Ticks in Dogs

1. Ehrlichiosis

The infection Ehrlichiosis is caused by rickettsia Ehrlichia canis. Rhipicephalus sanguineus tick is the main transmissible vector for the infection. One single tick is enough to infect the animal.

Clinical signs : The clinical signs of ehrlichiosis are characterised by dull,depressed, anorectic animal with a history of epistaxis or haemorrhages, swollen lymph nodes,congested mucus membrane and high temperature which ranges from 103 to 105 degree fahrenheit.

Clinical findings –Thrombocytopenia and leukopenia are important clinical findings of Ehrlichia canis. Normal platelet count in dogs is 175,000–500,000 platelets per microliter of blood. In case of ehrlichiosis it gets reduced even below or equal to 100000 and the leukocytes count decreases below 5000 per microlitre hence leads to leukopenia.

Diagnosis : The most rapid and effective diagnostic tool to detect the organism of Ehrlichia is Polymerase chain reaction which is very very sensitive for rickettsial organisms

Treatment : Ehrlichiosis can be treated using broad spectrum antibiotics like tetracyclines through the I/V route . For highly anaemic patients blood transfusion is advised. Supportive therapy using vitamin b complex and hematinic preparations may be extended.

2. Babesiosis in dogs

Babesiosis is a protozoan disease which is carried by ticks, Babesiosis in dogs is transmitted by tick Rhipicephalus sanguineus causing B.gibsoni infection and another vector is Dermacentor reticulatus which causes B.canis infection. This infection mainly destructs red blood cells and the animal suffers with severe anaemic conditions.

Clinical signs: Clinical signs of babesiosis in dogs include high fever anorexia , pale mucous membrane , water hammer pulse , depression, renal failure, cerebral signs, acute respiratory distress, haemoconcentration, hypotension, cardiac involvement etc.

Clinical findings: Acute haemolysis results in complicated forms of diseases.also results in Coagulopathy, hepatopathy,pancreatitis etc.PCV, total erythrocyte count and haemoglobin value will drop 16, 20 and 24% within 48 hours. Leukocytosis is observed.There will be increased levels of blood glucose,total serum bilirubin and SGOT is observed.

Diagnosis: Capillary agglutination test, Indirect fluorescent antibody test, Enzyme linked immunosorbent assay, Radio immunoassay etc.

Treatment: Treatment for Babesia gibsoni can be given with help of antiprotozoal drugs and also with penicillin group antibiotics.

3. Canine Hepatozoonosis

This is also the protozoal infection caused by the Hepatozoan canis mainly which gets transmitted by tick Rhipicephalus sanguines. Here the transmission takes place by the ingestion of infected ticks. The tick gets infected by feeding on infected dogs . It affects the blood vascular and lymphatic tissues as blood generating organs.

Clinical signs– The clinical signs for hepatozoonosis are high fever,lethargy, weight loss and anaemia. Abnormality of gait of animals is very common in this infection.

Clinical findings: The clinical findings vary from asymptomatic to severe form of diseases. Asymptomatic forms may not show any clinical signs but on examination blood parasites may be observed@1.5% ; Severe form of infection will include clinical signs as well as the parasitemia rate in blood will be as high as 100%, severe neutrophilia is noticed

Diagnosis: microscopic detection will show the presence of H.canis gamots in blood smear, ELISA and IFAT is done for detection of HAI antibody

Treatment: Antiprotozoal and broad spectrum antibiotics are given . Combination therapy with sulphonamides is done.

4. Scabies

Scabies infection also called as mange caused by Sarcoptes.scabiei viz a Mite. The predisposing factors are contact with the infected animal, indirect transmission by touching inanimate objects. It’s a zoonotic infection and can be transmitted to humans also.

Clinical signs– The main site of lesions in scabies are head,neck,forelimb,face and ears.Severe pruritus is noticed which leads to oozing of blood and serum and hence the secondary infection by bacteria occurs resulting in the condition called pyoderma. Lesions may be covered with scales and crusts. A typical acidic odour is observed.

Clinical findings: The clinical findings of infection can be observed under the microscope which shows the presence of small circular white mites.

Diagnosis : It is diagnosed by taking the peripheral skin scraping from different sites of lesions with a drop of glycerin placed on the slide and observed under the 10x power of a microscope.

Treatment: Acaricidal drugs are used with some antibiotics. For external applications amitraz @ 6 ml/litre can be used.

5. Demodectic mange

This is also called demodicosis. Demodectic mites live in the hair follicle and the sebaceous gland. The predisposing factors are young age, short haired breeds , malnutrition and debility, systemic infections, hypothyroidism , biotin deficiency etc.

Clinical signs– Localised lesions are observed in periocular,perioral and antero-lateral surfaces of limbs.In the generalised form there are extensive lesions throughout the skin surface. Whereas the squamous form there are dry eczematous lesions.Hyperpigmentation is observed in squamous form. Pustular form results in pyoderma, the skin surface is covered with brownish grey crusts,grey scab and assumes a red colour and the condition is called “red mange”.

Clinical findings: The skin scrapings when observed under the microscope will notify the presence of cigar shaped mites.

Diagnosis: The diagnosis of demodectic mange can be done by taking deep skin scrapings on the slide and observed at 10x power of microscope. The point to be noted is that skin scrapings in demodex infection should be taken in that way the blood should ooze out from the lesion.

Treatment: Benzyl benzoate preparation with 70%alcohol can be used for external application. Amitraz @ 6ml/litre for 5 to 7 applications are required. Acaricidal drugs are used. Which are contraindicated in pregnant animals.

Modern treatment for tick control in animals

Ticks can be treated by using ivermectin, doramectin tablets etc. these drugs can be used externally as well as in the form of tablets and injections for parenteral use(S/C).For mites ivermectin can be injected and the benzoylbenzoate with 70%alcohol or benzene hexachloride can be used. Neguvon can be used. Amitraz can be used @6ml/litre will be useful for up to 5-7 applications.

Ayurvedic overview

The ayurvedic medications are very effective in ticks and mites control not from now but from years and years ago. When there was no modern medication available people used to treat the animals using these herbal formulations , ayurveda is ancient science which has provided the path for modern science discovery. The herbs used for the treatment of ticks and mites are neem leaves, tea tree, gandhak etc. the best thing about ayurvedic medication is that they do not cause toxicity to animals as we know that drugs used for tick and mites control are hepatotoxic. So here we can use the word that these are patient friendly medications.

Herbal Remedies by Planet Ayurveda for Tick and Mite infestation

The herbal formulations for control of ectoparasites like ticks and mites are very effective and 100%safe. All the products are formulated under the supervision of doctors who have strictly followed the principles of ayurveda. The herbal supplements are made from natural supplements which are very effective.

Neem Oil
Tea Tree Oil
Gandhak Rasayan
Dermo Plan Syrup

Product description

1. Neem oil

Neem oil is obtained from neem (Azadirachta indica). It is used as an external application for tick control as it acts as the insect repellent.neem oil also has a soothing effect on kin and it repairs the damage caused by ticks and mites . It works very nicely for killing the mites which are deeply penetrated under the skin.

2. Tea tree oil

Tea tree oil is obtained from leaves of tea tree (Melaleuca alternifolia). It acts as the insect repellent so helps in controlling ticks and mites infestations. Its wound healing, and skin repairing property helps to heal damage and lesions caused by ticks and mites.its helps in reducing the pruritis , itchiness etc. also it has the septictic property so any rashes on skin will get healed by tea tree oil.

Method of Application : Neem oil is mixed with tea tree oil and applied on the outer coat. Leave it for two hours and then give the shower to your pet.

3. Gandhak rasayan

Gandhak rasayan are tablets which consist of gandhak rasayan/sulphur which helps in relieving the animal from severe pruritus and allergy caused by ticks and mites. It is also antibacterial so treat the bacterial infection caused during mite infection.

Dosage : 1 tablet twice daily with feed.

4. Dermoplan syrup

Dermoplan syrup combines many herbs like Giloy (tinospora cordifolia), Neem (Areca catechu) etc which helps in killing insects and repairs the skin. Also it helps in boosting the immune system to fight against any secondary infections caused by mites.

Dosage: 1 tablespoon twice daily with feed.

Contact Planet Ayurveda Support Team to provide you the costing/ordering and delivery information at – costing.planetayurveda@gmail.com or Call at 0172-521-4040 (India), +91-172-521-4040 (Outside India) or Whatsapp at (+91) 842-749-4030.

Conclusion

The above written content gives the brief information about why the tick infection is harmful to the health of the dogs. It guides you about the mode of infection that occurs due to ticks and mites infestation and the diagnosis of those infections as well as the modern treatment followed in that. But my main objective was to introduce the ayurvedic treatment given by planet ayurveda in ticks and mite infection as well as for their control as we all know that modern medication for tick and infestation are generally hepatotoxic . The herbal formulations discussed above are totally safe and have no side effects. So to avoid any kind of toxicity in the body I would like to advise the use of ayurvedic formulations mentioned above.