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{{#seo:

{{#seo:

|title=Skin diseases in Integrative Medicine  

|title=Skin diseases in Integrative Medicine  

|titlemode=append

|titlemode=append

|keywords= Principles, diagnosis, management, Skin diseases, tvacha vikara, vyadhi, kushtha  Ayurveda, integrative medicine, dermatological disorders, Shwitra, shleepada, vitiligo, lymphadema, S.R.Narahari, Institute of applied dermatology, treatment interventions, medical system healthcare, symbiohealth, charak samhita, caraka samhita, Indian system of medicine, pathogenesis of disease, alternative medicine, complementary medicine

|keywords= Principles, diagnosis, management, Skin diseases, tvacha vikara, vyadhi, kushtha  Ayurveda, integrative medicine, dermatological disorders, Shwitra, shleepada, vitiligo, lymphadema, S.R.Narahari, Institute of applied dermatology, treatment interventions, medical system healthcare, deole yogesh, basisht gopal, symbiohealth, charak samhita, caraka samhita, Indian system of medicine, pathogenesis of disease, alternative medicine, complementary medicine

|description= Principles of diagnosis and management of skin diseases in Integrative Medicine are described.   

|description= Principles of diagnosis and management of skin diseases in Integrative Medicine are described.   

|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg

|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg

|type=article

|type=article

}}

}}

'''Diagnosis and Management of Skin diseases in Integrative medicine'''

'''Diagnosis and Management of Skin diseases in Integrative medicine'''

 

<p style="text-align:justify;">This article is based on a lecture delivered by Dr. S. R. Narahari, MD (dermatology in biomedicine), Director, Institute of Applied Dermatology, Kasaragod, Kerala, India, in Prof.M.S.Baghel Memorial Lecture Series on Aug 09, 2021.The video lecture can be accessed on the link of [https://fb.watch/8l9mKsmLtT/ facebook page.]

This article is based on a lecture delivered by Dr. S. R. Narahari, MD (dermatology in biomedicine), Director, Institute of Applied Dermatology, Kasaragod, Kerala, India, in Prof.M.S.Baghel Memorial Lecture Series on Aug 09, 2021.The video lecture can be accessed on the link of [https://fb.watch/8l9mKsmLtT/ facebook page.]

 

{{Infobox

{{Infobox

|title =  Contributors

|title =  Contributors

|data2 = Dr. S.R. Narahari ¹

|data2 = Dr. S.R. Narahari ¹

|label3 = Reviewer

|label3 = Reviewers

|data3 = Basisht G.² Jamdade Yogita ³

|data3 = Basisht G.² Jamdade Yogita ³

|data6 = carakasamhita@gmail.com

|data6 = carakasamhita@gmail.com

|label7 = Date of first publication:

|label7 = Publisher

|data7 = September 28, 2021

 

|label8 = Date of first publication:

|data8 = September 28, 2021

|label8 = DOI

|label9 = DOI

|data8 = Under process

|data9 = 10.47468/CSNE.2021.e01.s09.074

}}

}}

===Diagnosis through Integrative Medicine===

===Diagnosis through Integrative Medicine===

In integrative medicine, a disease is diagnosed in contemporary medical science and its comparable condition in  [[ayurveda]] following the patient examination together.  The patient examination is done by the multisystem doctors’ team separately based on their health system’s guidelines. This approach allows a clinician to understand the patient’s condition and helps identify the requirements, which is essential in the treatment using drugs from more than one system of medicine simultaneously. The findings of all the systems are documented to compare clinical features, prognosis, method of drug selection, and possible action of the drug in a specific disease condition. This process follows each therapeutic system’s guidelines strictly.  After examining multiple patients, a sthaneeya vikruti table was developed by collating all patients’ information. The information that contradicts the certain well-known facts of allopathy was excluded through mutual discussion. For example, the coppery red colour (thamra varna) of pitta dominant shwitra was excluded since it is a classical feature of lepromatous leprosy. The international experts reviewed the integrative medicine protocol and upgraded it whenever the multisystem doctor’s team needed improvement . For example, in Psoriasis, annular, erythematous, xerosis lesions with an uneven surface are diagnosed as guttae psoriasis. The sthaneeya vikruti table lists the comparable clinical terms as explained in Ayurvedic classics in the context of [[Kushtha]] are listed in table 1. It shows that guttae psoriasis resembles mandala kushtha.   

In integrative medicine, a disease is diagnosed in contemporary medical science and its comparable condition in  [[ayurveda]] following the patient examination together.  The patient examination is done by the multisystem doctors’ team separately based on their health system’s guidelines. This approach allows a clinician to understand the patient’s condition and helps identify the requirements, which is essential in the treatment using drugs from more than one system of medicine simultaneously. The findings of all the systems are documented to compare clinical features, prognosis, method of drug selection, and possible action of the drug in a specific disease condition. This process follows each therapeutic system’s guidelines strictly.  After examining multiple patients, a sthaneeya vikruti table was developed by collating all patients’ information. The information that contradicts the certain well-known facts of allopathy was excluded through mutual discussion. For example, the coppery red colour (thamra varna) of pitta dominant shwitra was excluded since it is a classical feature of lepromatous leprosy. The international experts reviewed the integrative medicine protocol and upgraded it whenever the multisystem doctor’s team needed improvement.<ref>Narahari, S. R., Ryan, T. J., Prasanna, K. S. and Aggithaya, G. M., Integrating modern dermatology and Ayurveda in the treatment of Vitiligo and lymphedema in India. International Journal of Dermatology, 2011;50: 310–334</ref> For example, in Psoriasis, annular, erythematous, xerosis lesions with an uneven surface are diagnosed as guttae psoriasis. The sthaneeya vikruti table lists the comparable clinical terms as explained in Ayurvedic classics in the context of [[Kushtha]] are listed in table 1. It shows that guttae psoriasis resembles mandala kushtha.   

   

   

[[File:Fig_1-_Guttate_Psoriasis.jpg|350px|'''Fig 1: Guttate Psoriasis (Mandala kushtha)'''|thumb]]

[[File:Fig_1-_Guttate_Psoriasis.jpg|350px|'''Fig 1: Guttate Psoriasis (Mandala kushtha)'''|thumb]]

{| class="wikitable"

{| class="wikitable"

|+ Table 1: Sthaneeya Vikruti of Guttate Psoriasis (Mandala Kushtha)  

|+ Table 1: Sthaneeya Vikruti of Guttate Psoriasis (Mandala Kushtha)<ref>Madhava. Madhava Nidana. Kushtha nidana. Varanasi: Chowkhamba Orientalia, 2001; verses 12–13.</ref>

|-

|-

! Biomedical description !! comparable terms in [[Ayurveda]]

! Biomedical description !! comparable terms in [[Ayurveda]]

Specific nomenclature resembling lichen planus is not observed in [[Ayurveda]] classics. However, in such cases, [[Ayurveda]] describes them based on pathophysiological features and still recommends treatments.

Specific nomenclature resembling lichen planus is not observed in [[Ayurveda]] classics. However, in such cases, [[Ayurveda]] describes them based on pathophysiological features and still recommends treatments.

   

   

In table 3, symptoms of lymphedema and its relative biomedical terms in ayurveda and biomedicine are listed. For example, lymphedema is known as Shleepada in [[Ayurveda]].<ref>Narahari SR, Ryan TJ. Mainstreaming of an Integrative Medicine Protocol for Morbidity Management and Disability Prevention of Lymphatic Filariasis: An opportunity for establishing AYUSH based National Health Programme. Annals of Ayurvedic Medicine, 2020; 9: 108-115.</ref>. The table contains essential clinical features of the disease.<ref>Narahari S. Treating lymphodema patients in Indian villages. J Lymphodema, 2011;6:87-90</ref>

In table 3, symptoms of lymphedema and its relative biomedical terms in ayurveda and biomedicine are listed. For example, lymphedema is known as Shleepada in [[Ayurveda]].<ref>Narahari SR, Ryan TJ. Mainstreaming of an Integrative Medicine Protocol for Morbidity Management and Disability Prevention of Lymphatic Filariasis: An opportunity for establishing AYUSH based National Health Programme. Annals of Ayurvedic Medicine, 2020; 9: 108-115.</ref>.  

[[File:Fig_3-Lymphedema.jpg|350px|'''Fig 3:  Lymphedema'''|thumb]]

[[File:Fig_3-Lymphedema.jpg|350px|'''Fig 3:  Lymphedema'''|thumb]]

{| class="wikitable"

{| class="wikitable"

|+ Table 3: Features of lymphedema (known as Shleepada in [[Ayurveda]])

|+ Table 3: Features of lymphedema (known as Shleepada in [[Ayurveda]])<ref>Narahari S. Treating lymphodema patients in Indian villages. J Lymphodema, 2011;6:87-90</ref>

|-

|-

! Biomedical description !! Comparable terms in [[Ayurveda]]

! Biomedical description !! Comparable terms in [[Ayurveda]]