Brief Answer:
palmar psoriasis

Detailed Answer:
Dear
Thanks for contacting Ayurveda with your XXXXXXX concern and following is step wise management:

1. Since psoriasis rarely affect palms and soles so have you ever been to a skin specialist or general physician to exclude any other disease (chiefly eczema, tinea) or examination of elbows-knees-back of trunk- and scalp?

PS. If possible do upload the snapshot of your palms for better understanding.

2. Have you taken any Allopathic or Alternative system of medicine for the same ( dose and duration)?

3. Any nail changes? & pus in palms?

4. Any Investigaion done, like: skin biopsy, skin scrapping, X-ray of hand joints & Rheumatoid factor?

5. In Ayurveda I usually manage the patient on the line of " Kitibha" and medicine is given alongwith dietary regime, so let me know about above questionnaire.

PS.
. Psoriasis is associated with relapses and remissions
. worse in winter season.
. nail changes (particularly dystrophy) is resistant to treatment.

Dr. Munish
Consultant & Physician
Naimittika

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Brief Answer:
Ayurveda Management

Detailed Answer:
Dear
Thanks for reverting back

A. An initial appointment with skin specialist and baseline investigations is/are necessary to further confirm the diagnosis, till then:

1. Take diet rich in protein,iron, folic acid, brown rice, orange, green vegetables, wheat, barley, green gram,lemon,turmeric,bitter gourd,garlic, pomegranate, nutmeg,bitter and sweet (not sour) food, dry ginger, khadira, black pepper, long pepper, old clarified butter,honey,light exercise, massage, boiled and filtered water to drink, tea, coffee(not after meals or during periods of fasting)

2.Avoid raw fruits, raw radish, too much oily food, over eating, brinjal, tomatoes, soap, jaggery,coffee,sour and sweet food,oil,curd,newly harvested cereals, incompatible foods, food with heavy, unctuous and cold properties, sesame,salt,black gram, milk,lisora,makoya, day sleeping, mental stress, excessive exercise.

3.vitamin e-rich food: spinach, almond oil, sweet potato, sunflower seeds, and wheat germs are good for the skin problems.

4.
. scalp should be dandruff free.
.taking bath in sea water is very good for the skin treatment, similarly at home taking bath in Epsom salt or oatmeal containing water is also good.
.because skin infection of any type is precipitated by stress and disturbed immune system, hence medicines like Shankhpushpi, Sarpagandha, Brahmi,alongwith Suvarn Parpati ,Ashwagandha,Shatavri, as Immuno modulators can be given after consulting Ayurveda Physician there or I can courier you the same with dosage and duration

i . Do let me know whether you are comfortable with tablet,liquid or local application?


Dr. Munish
Naimittika

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