Epidermoid cysts are noncancerous lumps that commonly develop beneath the skin. It is also known as a sebaceous cyst, which is an encapsulated, subepidermal nodule filled with keratin material.
- SIGNS AND SYMPTOMS OF EPIDERMOID CYSTS
- CAUSES OF EPIDERMOID CYSTS
- PATHOPHYSIOLOGY OF EPIDERMOID CYSTS
- DIAGNOSIS OF EPIDERMOID CYSTS
- TREATMENTS FOR EPIDERMOID CYSTS
- PROGNOSIS OF EPIDERMOID CYSTS
- COMPLICATIONS OF EPIDERMOID CYSTS
- EPIDERMOID CYSTS AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF EPIDERMOID CYSTS
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF EPIDERMOID CYSTS
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF EPIDERMOID CYSTS
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF EPIDERMOID CYSTS
- AYURVEDIC PROGNOSIS OF EPIDERMOID CYSTS
- CHIKITSA- AYURVEDIC TREATMENT FOR EPIDERMOID CYSTS
- AYURVEDIC LOCAL TREATMENT FOR EPIDERMOID CYSTS
- AYURVEDIC SAMANA TREATMENT FOR EPIDERMOID CYSTS
- AYURVEDIC SHODHANA TREATMENT FOR EPIDERMOID CYSTS
- COMMONLY USED AYURVEDIC MEDICINES FOR EPIDERMOID CYSTS
- HOME REMEDIES FOR EPIDERMOID CYSTS
- DIET AND BEHAVIOUR FOR EPIDERMOID CYSTS
- YOGA FOR EPIDERMOID CYSTS
- RESEARCH PAPERS ON AYURVEDIC MANAGEMENT OF EPIDERMOID CYSTS
SIGNS AND SYMPTOMS OF EPIDERMOID CYSTS
- Lump with central blackhead
- Usually found on the face, neck, trunk
- Generally painless
- When infected it becomes tender, red and foul-smelling drainage occur
CAUSES OF EPIDERMOID CYSTS
- Damaged hair follicles or oil glands in the skin
- Genetic diseases like Gardner’s syndrome
PATHOPHYSIOLOGY OF EPIDERMOID CYSTS
Epidermoid cysts are derived from the follicular infundibulum. Generally, these cysts are the result of plugging of the follicular orifice. The cyst communicates with the surface of the skin through a keratin-filled orifice. Epidermoid cysts are lined with stratified squamous epithelium. Epidermoid cysts are filled with keratin.
DIAGNOSIS OF EPIDERMOID CYSTS
- EXAMINATIONS
- Inspection
- Palpation
- INVESTIGATIONS
- Histopathological examinations
TREATMENTS FOR EPIDERMOID CYSTS
- Surgical removal of cyst – excision
- Incision and drainage
- Antibiotics
- Treatment of underlying pathology
PROGNOSIS OF EPIDERMOID CYSTS
Epidermoid cysts are recognized as benign cysts. However, rare malignancy can occur. Squamous cell carcinoma (SCC) is the most common malignancy followed by basal cell carcinoma (BCC).
COMPLICATIONS OF EPIDERMOID CYSTS
- Infection
- Inflammation
- Malignancy
EPIDERMOID CYSTS AND AYURVEDA
In Ayurveda, epidermoid cysts are managed based on the ‘yauvana pidika chikilsa’.
NIDANA- AYURVEDIC CAUSES OF EPIDERMOID CYSTS
- Excess consumption of unctuous, oily food
- Suppression of natural urges.
- Injuries to the skin
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF EPIDERMOID CYSTS
- Painless lumps beneath the twak (skin)
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF EPIDERMOID CYSTS
- Epidermoid cysts are the dosha accumulation beneath the skin. Vata, kapha dosha and rakta dhatu are contributed to pidika formation. Associated with pitta dosha, paka or inflammation occurs.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF EPIDERMOID CYSTS
- Painless lumps – pidika (without paka or inflammation)
- Redness – raktha varna
- Swelling – sopha
AYURVEDIC PROGNOSIS OF EPIDERMOID CYSTS
- Curable – saadhya roga
CHIKITSA- AYURVEDIC TREATMENT FOR EPIDERMOID CYSTS
Ayurvedic local treatment for epidermoid cysts
- Svedam – local fermentation ( before paka)
- Sopha (swelling) relieving lepa application
AYURVEDIC SAMANA TREATMENT FOR EPIDERMOID CYSTS
- Patoladi kashayam
- Gandhaka rasayanam
- Triphala guggulu
- Kanchanara guggulu
- Guduchyadi vati
- Dasanga lepa
- Shalmalyadi lepa
AYURVEDIC SHODHANA TREATMENT FOR EPIDERMOID CYSTS
- Virechanam – purgation
COMMONLY USED AYURVEDIC MEDICINES FOR EPIDERMOID CYSTS
Internal administration
- Patoladi kashayam
- Gandhaka rasayana
- Triphala guggulu
- Kanchanara guggulu
- Guduchyadi vati
HOME REMEDIES FOR EPIDERMOID CYSTS
- Heat application on the affected area with a towel dipped in hot water
DIET AND BEHAVIOUR FOR EPIDERMOID CYSTS
- Avoid food items like oily, hard to digest.
- Consume a balanced diet
- Cold application on inflamed area advised. Which alleviates pitta dosha
YOGA FOR EPIDERMOID CYSTS
- Nadi Shuddi Pranayam – calms the mind and gets relief from irritations associated with epidermoid cysts
The patient needs to be seated in a meditative posture with the head and spine erect, and the body relaxed. The patient has to close one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
RESEARCH PAPERS ON AYURVEDIC MANAGEMENT OF EPIDERMOID CYSTS
Acne or Yauvanapidika treatments are adopted for the management of epidermoid cysts
- Effect of Shalmalyadilepaand Guduchyadivati in the management of Yauvanapidika (Acne)
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3821246/
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Expert,
Ayurveda Medicine, India
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