A DIETETIC APPROACH IN THE

MANAGEMENT OF

EKAKUSTHA(PSORIASIS)

Vd. Krishna H. Thanki

M.D., Ph.D.(Panchakarma)

Deputed Assistant Professor

Dept. of Panchakarma

Govt. Ayurved College,

Junagadh

INTRODUCTION

• Ayurved clearly state that there is a strong relationship

between diet and dermatological disorder At various level of

their etio-pathogenesis and treatment out come.

• Diet has long been associated with skin health, beauty,

integrity And Aging through multiple pathways and co-factors

implicated in skin biology.

• The onset and clinical course of various common skin diseases

especially psoriasis have been suggested to be critically

affected by nutrition patterns and habits.

IMPORTANCE OF AHARA

Ahara

Nidra

Brahmacharya

AIMS & OBJECTS

• To study the etiological factors especially Aharaj

Hetu in the manifestation of Eka kustha (Psoriasis)

• A diagnosed cases of Eka kustha (Psoriasis) who were

attended the OPD & IPD of Dept. of Panchakarma of Govt.

Ayurved college, Junagadh, were selected for present study.

• Random sampling method was adopted for the selection of

patients.

• Total 89 patients were screened for the present study.

MATERIAL & METHOD

DEMOGRAPHIC DATACategory Percentage

AGE 21 – 30 yrs 15.73

31 – 40 yrs 29.21

41 – 50 yrs 22.47

51 – 60 yrs 22.47

61 – 70 yrs 10.11

SEX Male 46.06

Female 53.93

RELIGION Hindu 66.29

Muslim 24.71

others 8.98

OCCUPATION Housewife 32.58

Service 17.97

Business 19.10

Labor 16.85

Student 6.74

Retired 6.74

CHIEF COMPLAINT n PERCENTAGE

MAHAVASTU 89 100

SWEDA 30 33.70

MATSYASHAKLOPAMA 89 100

KRISHNA ARUNA

VARNA

89 100

SRAVA 59 66.29

VEDANA 20 22.47

KANDU 80 89.88

RUKSHATA 79 88.76

DAHA 64 71.91

MANDAL 89 100

CONTI….

DIET

VEGETARIAN 59 66.29

MIXED 30 33.71

DIETARY HABIT n PERCENTAGE

SAMSHANA 19 21.34

ADHYASHANA 38 42.69

VISHAMASHANA 32 35.95

CONTI….

CONTI….

DOMINANT RASA IN

THE DIETn PERCENTAGE

MADHURA 31 34.83

AMLA 53 59.55

LAVANA 49 55.05

KATU 39 43.82

TIKTA 11 12.35

KASHAYA 2 2.24

CONTI….

DOMINANT GUNA IN

DIETn PERCENTAGE

GURU 46 51.68

LAGHU 38 42.69

SHITA 28 31.46

USHNA 56 62.92

SNIGDHA 4044.94

RUKSHA 31 34.83

AHARAJ NIDANA n PERCENTAGE

VIRUDDHAHARA 69 77.52

ADHYASHANA 49 55.05

ATYASHANA 29 32.58

ASATMYA AHARA 06 6.74

CONTI….

VIRUDDHAHARA n PERCENTAGE

SANYOGA &

VIRYA66 74.15

KRAMA 46 51.68

MATRA 29 32.58

SANSKARA 28 31.46

AVASTHA 21 23.59

CONTI….

MITHYAAHARA n PERCENTAGE

UDAD 33 37.07

MULAK 38 42.69

ATI DAHI 48 53.93

SOUR FOOD 20 22.47

PICKLE 42 47.19

FAST FOOD 36 40.44

COLD DRINKS 25 28.08

USHNA & TIKSHNA 50 56.17

VIDAHI 37 41.57

ATI SNIGDHA 21 23.59

CONTI….

DISCUSSION

Dietary Habit:

Maximum patients were doing Adhyashana and

Vishamashana which ultimately leads to

Agnimandy and Ama formation

Root cause of Kusthauttpati

Dominant Rasa in Diet:

Dominant Rasa in the diet of patients in this series was Amla, Lavan, Katu

Provoke Pitta

Vitiate Rakta

CONTI….

Dominant Guna in Diet:

Ushna Guna Vitiation of Pitta, and in turn

to lead Raktadusti

Guru & Snigdha Agnimandya, delayed

Aharapaka Prakriya, Ama formation and

Rasadusti

CONTI….

Aharaj Nidana:

In present study maximum number of patient were takingViruddhahara followed by Adhyashana and Atyashana.

Adhyashana:

According to Astang Samgrah(Su) 4 Yaam is the time of fooddigestion.

According to classical definition, eating before 12 hours of previousmeal is Adhyashana.

As defined by Hemadri, eating before 4 hours of previous meal isAdhyashana.

CONTI….

Atyashana:

taking excessive amount of diet is called Atyashana

Acharya charak said that Atimatra Ashan is,

“Amapradoshahetu”, Ahita bhojana when taking in

excess (Atimatra) and at improper time leads to dusti

of Annavaha Srotas and also disturb the

Pakaprakriya.

CONTI….

Viruddhahara:

Agnimanya leading to Amavisha.(Ch. Su. 26/84)

Utklesha of Tridosha but do not expel them out of the body.(Ch.Su.26/85)

Deha Dhatubhi Virodhmapadhyante

Chakrapani – It causes Dusti of Dosha and Dhatu

Gangadhara – It causes Nash(destruction) of Dhatu

Srotorodha in different Srotas of the body. (Ch. Su. 26/82)

CONTI….

FOOD INCOMPATIBILITIES IN TODAY'S PERSPECTIVE

Green tea or black tea and milk

Tea contains flavonoids called catechins, which have many beneficial effects on the

heart. When milk is added to tea, then a group of proteins in milk, called caseins, interact

with the tea to reduce the concentration of catechins. So avoid tea and milk

together.[Brown PJ, Wright WB. An Investigation of the interactions between milk

proteins and tea polyphenols. J Chromatogr. 1963;11:504–14. [PubMed]]

Milk and yoghurt interaction

As you know consuming both together can precipitate milk inside the stomach that

may irritate and induce vomiting. So avoid milk and yoghurt together.

Tea and garlic

Tea contains anticoagulant compounds called coumarins. When combined with garlic

(that also has anticlotting properties), they may increase the risk of bleeding. So, better

to avoid tea and garlic together.[Engdal S, Nilsen OG. In vitro inhibition of CYP3A4 by

herbal remedies frequently used by cancer patients. Phytother Res. 2009;23:906–

12. [PubMed]]

CONTI….

Pomegranate juice and grapefruit juice

Pomegranate juice and grapefruit juice, are both known to block the cytochrome P450 3A4

enzyme systems in the intestines and increase blood levels of many medications you are taking.

Taking these two juices together may synergize the above action.[7Hidaka M, Okumura M, Fujita

K, Ogikubo T, Yamasaki K, Iwakiri T, et al. Effects of pomegranate juice on human cytochrome

p450 3A (CYP3A) and carbamazepine pharmacokinetics in rats. Drug Metab Dispos.2005;33:644–

8. [PubMed]]

Sanskara Viruddha

Deep frying of potatoes can develop toxic substances, such as acrylamide, which can prove to be

carcinogenic.[9Tareke E, Rydberg P, Karlsson P, Eriksson S, Törnqvist M. Acrylamide: A cooking

carcinogen? Chem Res Toxicol. 2000;13:517–22. [PubMed]]

Eating potato chips regularly is Sanskara viruddha. It is also mentioned in Ayurved text that

heating honey isSanskar Viruddha. Honey that is available in the market is Agmark honey and this

honey is strongly heated before packaging. It is very important to find the relevance about why we

must not heat honey.

Mithya Ahara

Mithya Ahara means improper diet. According to Vijayrakshita, the diet opposite to

„Ashta Ahara Vidhi Visheshayatanani‟ is designated as „Mithya Ahara‟.

Charaka has described eight factors determining the utility of food they are called

as „Aharvidhi Visheshayatanani‟. They are Prakruti, Karana, Samyoga, Rashi,

Desha, Kala, Upyoga Samstha and Upayokta. These eight factors give rise to

beneficial or harmful effects. Habitual intake of things in proper way may more

useful but in improper way they are always harmful. So they should be avoided.

Mitya Ahar deranged the digestive power of Jatharagni and cause Dushti of

Grahani. Thus the food doesn‟t get digested properly leading to production of Ama.

As grahani is also dushita, Ama undergoes purification, Amavisha is produced.(Ch.

Chi. 15/42-44). So along with Kustha other diseases which can be formed due to

Ama, Amavisha and Grahanidusti etc. may coexist psoriasis, psoriatic arthritis,

crohn disease, ulcerative collitis, dematological enteropathy have been reported.

CONTI….

Grains- Shali rice (Oriza sative Linn)/ Shastika rice/ Koradoosh (Paspalum serobiculatum Linn.)/

Shyamak (Echinochlova frumentacea Linn)/ uddalak (wild variety of Paspalum serobiculatum

Linn).The above five varieties of grain should be old and matured, it may use individually or

mixed form as per the patient inclination.

Grain should be boiled

Mixed as per the patient inclination with the soup or decoction of; mudga (Phaseolus radiatus

Linn.) or Arahar (Canjanus cajan Linn.), Nimba (Azadirachta indica A. guss)

Boiled Grain +Soup may mixed with sufficient quantity of medicated ghee prepared from

Mandukaparni (Centella asiatica Linn or Hydrocotyle asiatica Linn.), Avagulga (Psoralea cordifolia

Linn), Atarushak (Adhatoda vasika Neos) and flower of Arka (Calatropic procera). Or as per the

patient inclination oil (mustered oil- Brassica compeastris Var.) of the above four medicines may use.

Not only that, medicated Ghee with the grain like

Chakramarda (Cassia tora Linn), vegetables like Patola (Trichosanthes dioica Roxb), Vartaku

(Solanum melogena Linn.) or other which having the dominancy of Tikta Rasa (bitter taste) may use

for this purpose. Similarly the fried Patola, Vartaku may place in the dish.

Those are non-vegetarian they may be given -Flesh of Jangala (non aquatic) animals devoid of fatty

matter from it.

Khadir (Acassia catechu willed) decoction may be given for drink

AHARA WHICH IS ADVISED IN EKA KUSTHA

THANK YOU ALL