Etiopathological Study of 50 Patients of Cutaneous Lichen Planus in Ayurveda
Journal name: Ayushdhara
Original article title: Etiopathological Study of 50 Patients of Cutaneous Lichen Planus in Ayurveda
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
This page presents a generated summary with additional references; See source (below) for actual content.
Original source:
This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.
Jejulee Narzary
PG Scholar, Dept. of Roga Nidan, Govt. Ayurvedic College & Hospital, Guwahati, India
Anup Baishya
Professor & HOD, Dept. of Roga Nidan, Govt. Ayurvedic College & Hospital, Guwahati, India
Ramakanta Sharma
Principal, Govt. Ayurvedic College & Hospital, Guwahati, India
Pankaj Kr. Barman
Professor & HOD, Dept. of Shalya Tantra, Govt. Ayurvedic College & Hospital, Guwahati, India
Download the PDF file of the original publication
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Etiopathological Study of 50 Patients of Cutaneous Lichen Planus in Ayurveda
Year: 2022 | Doi: 10.47070/ayushdhara.v9i3.976
Copyright (license): CC BY-NC-SA 4.0
Summary of article contents:
Introduction
Lichen planus is an autoimmune disorder characterized by violet, flat-topped papules that are itchy and accompanied by white lines known as Wickham’s striae. Although its exact cause remains unclear, it is thought to be an idiopathic inflammatory condition that may affect the skin, mucous membranes, hair, and nails. This study aims to explore the etiopathogenesis of cutaneous lichen planus through the lens of Ayurveda, identifying common contributing factors or Nidanas that lead to its manifestation in a group of 50 patients.
Role of Dietary Habits
One of the significant findings of the study was the impact of Aharaja Nidanas (dietary factors) on the development of cutaneous lichen planus. The most prevalent types of diets among the patients showed a preference for non-vegetarian food, specifically those leading to Kapha and Pitta imbalances. Common dietary habits included excessive consumption of salty and sour foods, heavy meals, and certain combinations like fish with dairy, which Ayurveda suggests can aggravate skin conditions. The data indicated that these dietary practices likely contributed to the disease’s onset, suggesting that dietary modification could be beneficial in managing or preventing the condition.
Impact of Psychological Factors
Another crucial aspect of the study focused on Manasik Nidanas (psychological factors). The research highlighted that stress-related factors, including anxiety and worry, emerged as significant contributors to the symptoms of cutaneous lichen planus. With 78% of patients reporting Cinta (constant worry) as a prevalent psychological issue, it became evident that emotional health plays a critical role in exacerbating skin conditions. This reflection on mental well-being suggests that addressing stress and employing psychological support could be essential strategies in holistic management for patients suffering from lichen planus.
Conclusion
The study concluded that both dietary and psychological factors significantly influence the development and exacerbation of cutaneous lichen planus. In particular, the roles of improper dietary choices that lead to Kapha and Pitta aggravation and various forms of psychological stress should not be underestimated. A multifaceted approach, including dietary modifications and mental health support, could play an essential role in the effective management and prevention of cutaneous lichen planus. This enhances the understanding of how traditional Ayurveda perspectives can contribute to contemporary approaches in dermatology.
FAQ section (important questions/answers):
What is cutaneous lichen planus and its characteristics?
Cutaneous lichen planus is an inflammatory, autoimmune skin disorder. It presents as pruritic, violaceous, flat-topped papules or plaques with white lines (Wickham’s striae), affecting various skin areas, particularly flexor surfaces.
What are the common age groups affected by cutaneous lichen planus?
The highest incidence of cutaneous lichen planus occurs in the age group of 26-40 years, followed by 41-55 years. This may be due to increased exposure to stress and environmental factors leading to immune responses.
What are the dietary habits linked to cutaneous lichen planus?
In the studied population, 90% of patients follow a non-vegetarian diet. Irregular dietary habits that increase Kapha and Pitta doshas are commonly linked to the manifestation of cutaneous lichen planus.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Etiopathological Study of 50 Patients of Cutaneous Lichen Planus in Ayurveda”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Nidana:
Nidana refers to the causative factors or etiologies responsible for the disease. In Ayurveda, understanding and identifying the Nidanas is crucial for both prevention and treatment of diseases, including cutaneous lichen planus.
2) Disease:
A condition that impairs normal functioning and is typically manifested by distinguishing signs and symptoms. Cutaneous lichen planus is an example of such a disease examined in this study.
3) Ayurveda (Ayus-veda):
An ancient system of medicine from India, focusing on maintaining health through balancing the body's three doshas—Vata, Pitta, and Kapha. This study integrates Ayurveda's principles to explore the etiopathogenesis of cutaneous lichen planus.
4) Udaka:
[see source text or glossary: Udaka]
5) Vata:
One of the three doshas in Ayurveda, representing air and ether. It is responsible for bodily movements and functions. Imbalances in Vata are noted as factors in the manifestation of diseases, including cutaneous lichen planus.
6) Sevana:
[see source text or glossary: Sevana]
7) Ahara:
Refers to diet or food intake in Ayurveda. Understanding Ahara is essential as dietary habits can significantly influence the body's doshic balance, playing a role in the development of diseases like cutaneous lichen planus.
8) Kapha:
One of the three doshas in Ayurveda, representing earth and water. Kapha governs structure and fluid balance in the body. An excess of Kapha can contribute to the pathogenesis of conditions like cutaneous lichen planus.
9) Sita (Shita):
[see source text or glossary: Shita]
10) Annapana (Anna-pana):
[see source text or glossary: Annapana]
11) Pittaja (Pitta-ja):
Refers to conditions or diseases caused by an imbalance in the Pitta dosha, which represents fire and is responsible for metabolism and digestion. Cutaneous lichen planus may involve Pittaja factors.
12) Gramya:
[see source text or glossary: Gramya]
13) Family:
Family history is a factor in disease predisposition. In this study, a positive family history was observed in 26% of cutaneous lichen planus cases, indicating potential genetic influence.
14) Anupa:
[see source text or glossary: Anupa]
15) Mamsa (Mamsha):
Refers to meat. The study noted that dietary intake of meat (especially Gramya, Anupa, Udaka Mamsa) was a common Nidana in patients with cutaneous lichen planus, indicating its role in disease manifestation.
16) Prakriti (Prakrti):
Refers to an individual's inherent constitution or body type in Ayurveda, determined by the unique balance of doshas. The study noted Vata-Kaphaja as the most common Prakriti among the patients.
17) Matsya:
Fish. Consumption of fish (Matsya) is considered a Nidana for cutaneous lichen planus, especially when combined with other incompatible foods.
18) Aha (Ahan, Ahar):
Refers to food. Specific foods and dietary habits are linked to the manifestation and exacerbation of cutaneous lichen planus, highlighting the importance of Ahar in managing the disease.
19) Mandagni (Manda-agni, Mamdagni):
Refers to weak digestive fire in Ayurveda. The study showed that 54% of patients with cutaneous lichen planus had Mandagni, suggesting its role in the pathogenesis of the disease.
20) Kushtha (Kustha):
A general term for skin diseases in Ayurveda, which includes various conditions that resemble cutaneous lichen planus. Understanding Kustha helps in identifying similar disorders in Ayurvedic classifications.
21) Bhaya:
Fear. Identified as a Manasik (mental) Nidana in the study, contributing to the psychosomatic aspects of cutaneous lichen planus.
22) Anna:
Food or grain. Thomas understanding the impact of Anna types can help manage and prevent Ayurveda-related diseases, including cutaneous lichen planus.
23) Deha:
Body. The concept of Deha Prakriti (body constitution) is crucial in Ayurveda for diagnosing and managing diseases like cutaneous lichen planus.
24) Betel nut:
Chewing betel nut is listed as an addiction contributing to immunosuppressive effects, impacting the occurrence of cutaneous lichen planus.
25) Kaphaja:
[see source text or glossary: Kaphaja]
26) Agni:
The digestive fire in Ayurveda responsible for metabolism. The study highlighted different types of Agni (e.g., Mandagni) among patients to understand their disease predisposition.
27) Vega:
A term in Ayurveda referring to natural urges. Suppression of these urges (Vega Dharana) is identified as a factor contributing to conditions like cutaneous lichen planus.
28) Dharana:
Suppression. In the context of Vega Dharana, it involves the suppression of natural urges, which is linked to the pathogenesis of cutaneous lichen planus.
29) Snigdha:
Oily. Snigdha Annapana (oily foods) are identified as dietary factors (Aharaja Nidana) that can aggravate doshas and contribute to conditions like cutaneous lichen planus.
30) Samagni (Sama-agni):
[see source text or glossary: Samagni]
31) Krodha:
Anger. Recognized as a Manasik (mental) Nidana exacerbating skin conditions like cutaneous lichen planus.
32) Ushna (Usna):
[see source text or glossary: Uṣṇa]
33) Kandu (Kamdu):
Itching. One of the primary symptoms observed in all patients with cutaneous lichen planus, making it a significant clinical marker.
34) Shoka (Soka):
Grief. Identified as a Manasik (mental) Nidana, contributing to the pathogenesis of cutaneous lichen planus.
35) Guru:
Heavy. Refers to foods causing Guru (heaviness), which are considered Nidanas for developing conditions like cutaneous lichen planus.
36) Pain:
A clinical symptom in some patients with cutaneous lichen planus, although less common (14%), it is a part of the symptomatology.
37) Bronchial asthma:
An associated disease observed in 14% of patients with cutaneous lichen planus, indicating comorbidity.
38) Pishtanna (Pistanna, Pishta-anna):
Refers to foods made from flour. Listed as Nidana in the study, suggesting its role in the pathogenesis of cutaneous lichen planus.
39) Pancakarma (Pancakarman, Pancan-karman, Pamcakarma):
[see source text or glossary: Pancakarma]
40) Apacara:
[see source text or glossary: Apacara]
41) Virudha:
[see source text or glossary: Virudha]
42) Samtapa (Santapa):
[see source text or glossary: Santapa]
43) Vidahi:
[see source text or glossary: Vidahi]
44) Lakuca:
[see source text or glossary: Lakuca]
45) Harita:
[see source text or glossary: Harita]
46) Mulaka:
[see source text or glossary: Mulaka]
47) Payasa:
[see source text or glossary: Payasa]
48) Lavana:
[see source text or glossary: Lavaṇa]
49) Pista (Pishta):
[see source text or glossary: Pista]
50) Pitta:
One of the three doshas in Ayurveda, representing fire. Pitta imbalances are implicated in the pathogenesis of cutaneous lichen planus-like conditions.
51) Madhu:
[see source text or glossary: Madhu]
52) Dadhi:
[see source text or glossary: Dadhi]
53) Sneha:
Refers to fats or oils. Excess intake (Sneha Ati Sevana) is considered a causative factor in diseases like cutaneous lichen planus.
54) Nidra:
Sleep. Disturbed sleep was observed in 64% of patients, indicating its role as a contributing factor in cutaneous lichen planus.
55) Mukta:
[see source text or glossary: Mukta]
56) Shaka (Saka):
[see source text or glossary: Shaka]
57) Shrama (Srama):
[see source text or glossary: Srama]
58) Masha (Masa, Ma-sha):
[see source text or glossary: Masha]
59) Tila:
[see source text or glossary: Tila]
60) Amla:
Sour foods. Excessive consumption (Ati Amla) is listed as an Aharaja Nidana contributing to the development of cutaneous lichen planus.
61) Diet:
Refers to the dietary habits that impact health. In Ayurveda, diet (Ahara) is crucial for preventing and managing diseases like cutaneous lichen planus.
62) Milk:
Mentioned in the context of incompatible foods (e.g., Gramya Anupa Udaka Mamsa with milk) leading to cutaneous lichen planus.
63) Tikshnagni (Tiksnagni, Tikshna-agni):
Refers to high metabolic fire in Ayurveda. It was observed in 8% of patients with cutaneous lichen planus, indicating its role in disease manifestation.
64) Vishamagni (Vishama-agni, Visamagni):
[see source text or glossary: Vishamagni]
65) Madyapana (Madya-pana):
Alcohol consumption. Identified as a Nidana in 30% of patients, contributing to the development of cutaneous lichen planus.
66) Hinduism:
Religion of majority patients (76%) in the study area, possibly affecting the hospital visit frequency due to demographic distribution.
67) Vriddhi (Vrddhi):
[see source text or glossary: Vriddhi]
68) Phanita:
Type of sugar. Avoiding incompatible foods like Madhu Phaṇita Matsya is important in managing cutaneous lichen planus.
69) Dosha (Dosa):
The three fundamental bodily bio-elements in Ayurveda: Vata, Pitta, and Kapha. Balancing these doshas is crucial for preventing and managing diseases, including cutaneous lichen planus.
70) Guda:
[see source text or glossary: Guḍa]
71) Food:
General term for Ahara in Ayurveda, highlighting its role in maintaining health and preventing diseases like cutaneous lichen planus.
72) Hair:
One of the structures affected by lichen planus, along with skin, nails, and mucous membranes.
73) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
[see source text or glossary: Shalya-tantra]
74) Kaphavata (Kapha-vata):
[see source text or glossary: Kapha-vata]
75) Papakarman (Papakarma, Papa-karma):
[see source text or glossary: Papa-karma]
[Note: The above list is limited to 75. Total glossary definitions available: 97]
Other Health Sciences Concepts:
Discover the significance of concepts within the article: ‘Etiopathological Study of 50 Patients of Cutaneous Lichen Planus in Ayurveda’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:
Kushtha, Dehaprakriti, Family history, Disturbed sleep, Signs and symptoms, Agni status, Viharaja Nidana, Aharaja Nidana, Etiopathological study, Koebner's Phenomenon, Manasik Nidana, Recurrence of lesion, Cutaneous Lichen Planus.