Ayurvedic Treatment for Oral Lichen Planus

Ayurvedic Treatment for Oral Lichen Planus

Lichen planus is an inflammatory disease of the skin. It is characterized by itchy, non-infectious rashes on the arms and legs. It consists of small, flat on top, pink- or purple-coloured bumps with many sides. Considered to be an autoimmune disease, it typically occurs in people over the age of 30 years. It occurs more in females than in males. People with liver diseases, such as hepatitis C or cirrhosis are more susceptible to lichen planus. The mouth is a common site of inflammation and clinical manifestation of lichen planus and the condition is known as oral lichen planus.

Anzeichen und Symptome

Itchy, discoloured patch or patterns of shiny, raised, red, pink, or purple, flat-topped bumps on the skin inside cheeks & tongue.

Papules, approximately 3 to 5 mm in diameter.

White streaks on the papules are called Wickham’s striae. Intense itching can develop, mostly at night.

The first attack may continue for weeks or months, while recurring sessions can continue for years. Recurrence is very common in cases of oral lichen planus.

Oral lichen planus

  • White streaks appear on the inside of the cheeks. The gums, tongue, and lips may also be affected.
  • The streaks are not usually painful or itchy but they do not resolve.
  • Redness and blistering of the gums.
  • Sore mouth ulcers can develop and recur.
  • Loss of taste, metallic taste in the mouth.
  • Dryness of mouth.

Verursacht

The exact cause of lichen planus is not known yet.

It is considered to be an autoimmune disorder, where the immune system mistakenly attacks healthy tissues.

Hereditary factors do not play any role in this condition.

It is not an infectious condition

It is not related to malnourishment/deficiencies. But some spicy foods, citrus juices, etc. can aggravate open sores in the mouth.

Some reasons for lichen planus are believed to be the following:

Medications – Lichen planus can develop as a reaction to medicines:

  • Beta-blockers, which are common drugs used to treat cardiovascular problems
  • anti-inflammatory medications
  • antimalarials
  • thiazide diuretics
  • phenothiazines, a group of tranquillizing drugs with antipsychotic actions

Mercury tooth fillings.

Grinspan’s syndrome – characterized by hypertension, diabetes, and oral lichen planus.

Pathophysiologie

The classic histopathology of Oral Lichen Planus is liquefactive degeneration of the basal cell accompanied by apoptosis of the keratinocytes, a dense band-like lymphocytic infiltrate at the interface between the epithelium and the connective tissue, focal areas of hyper-keratinized epithelium and occasional areas of atrophic epithelium where the rete pegs may be shortened and pointed (a characteristic known as sawtooth rete pegs). Eosinophilic colloid bodies or Civatte bodies, which are degenerating keratinocytes, are often visible in the lower part of the surface epithelium. Degeneration of the basal keratinocytes and disruption of the anchoring elements of the epithelial basal membrane and basal keratinocytes weaken the epithelial connective tissue interface. As a result, histologic clefts (Max–Joseph spaces) can form and blisters on the oral mucosa develop.

Diagnose

Physical examination due to its appearance.

A punch biopsy of skin

Behandlungen

Lichen planus is not a curable condition.

In most cases, it is a harmless disorder causing no or negligible problems. It is important to maintain good oral hygiene despite the pain.

Therapy includes antihistamines, phototherapy, or steroid creams/tablets.

Antihistamines are used to manage itching in severe cases.

For lichen planus that occurs in the mouth, steroid lozenges are used or mouthwashes if mouth ulcer symptoms become uncomfortable.

Corticosteroids will be needed in severe cases as tablets.

Prognose

Usually, mild lichen planus on the skin clears up on its own in some months to years.

Moderate cases subside within some weeks to months with treatment.

Some cases where the disease affects mucous membranes are resistant to treatment and prone to recur.

Komplikationen

Permanent brown or grey marks on the skin. Rarely, recurrent and persistent aberrations on the skin and mucosa increase the chance of getting oral cancer in patients with lichen planus.

Krankheit & Ayurveda

Charmakushtha

Nidana

An unwholesome diet with opposite potency

Improper routine and behaviour

Teasing and humiliating other good people

Theft

Bad deeds which cause emotional stress factors like repentance/fear/anxiety

Kapha-Vaatadoshakopanidana       – causes for vitiation of all the kapha and Vaatadosha        

Purvaaroopa

Absence of sweating

Loss of tactile sensation

 

Samprapti

Due to the causative factors, vitiated doshas (mainly kapha& Vaata) vitiate rasadhatu and reaches the skin. It settles on the skin and develops into thick and hard skin rashes.

Lakshana

Hasticharma  – thick skin like that of an elephant

Kharasparsam           – Hard/rough to touch

Abteilungen

Nicht erwähnt

Prognose

Akrichram or yaapyam

Chikithsa

Samana

Pralepa with lekhanadravya

External application of ghrita after aamapachana

Gandoosha/Kabalagraha

Sodhana

Snehana

Swedana

Nasya

Dhoomapana

Virechana

Ksharakarma

Häufig verwendete Arzneimittel

        Aragwadhadi kashayam

Patolamuladi kashayam

Thriphalachoornam

Arogyavardhini vati

Jathyadi ghrutam

Verfügbare Marken

AVS Kottakal

AVP Coimbatore

Vaidyaratnam oushadhasala

Hausmittel

While lichen cannot be cured, some home remedies have been said to relieve symptoms.

Turmeric has been suggested as a remedy for oral lichen planus as it has shown effects on the immune system that could help reduce the inflammation that contributes to the condition.

A recent pilot study demonstrated promising results for this herbal treatment.

Other suggested treatments include:

  • applying certain oats, to the skin
  • chewing sage
  • applying aloe vera gels to the skin
  • essential oils
  • borax

However, there appears to be little to no evidence supporting the safety and effectiveness of these treatments.

It is better to follow a course of treatment prescribed by a medical professional.

Diät

  • Zu vermeiden sind

Red meat, fried non-veg items, and seafood

Schwere Mahlzeiten und schwer verdauliche Lebensmittel - verursachen Verdauungsstörungen.

Junk foods and spicy food- cause disturbance in digestion and reduces the bioavailability of the medicine

Kohlensäurehaltige Getränke - erhöhen den Säuregehalt des Magens und stören die Verdauung

Refrigerated and frozen foods – causes weak and sluggish digestion by weakening agni (digestive fire)

Quark - verursacht Vidaaha und damit viele andere Krankheiten

  • Noch zu ergänzen

Leichte Mahlzeiten und leicht verdauliche Lebensmittel

Grüne Kichererbsen, Suppen, mit Kurkuma, Ingwer und Curryblättern gekochte Buttermilch

Frisch gekochte und warme Speisen, verarbeitet mit Kreuzkümmel, Ingwer, schwarzem Pfeffer, Ajwain usw.

Verhaltensweisen:

Avoid a sedentary lifestyle. Be active.

Vermeiden Sie übermäßige Sonneneinstrahlung, Wind, Regen oder Staub.

Halten Sie einen regelmäßigen Essens- und Schlafplan ein.

Avoid forcing or holding of natural urges like urine, faeces, vomiting, hiccups etc.

Avoid Stress and emotional imbalance as much as possible.

Yoga

Ardha mathsyentra asanam

https://www.youtube.com/watch?v=51EqCa6ZGCw

Halasanam

https://www.youtube.com/watch?v=L6RdNJzDGxA

Vakrasanam

https://www.youtube.com/watch?v=4fi85Dqdo1M

Dhanurasanam

https://www.youtube.com/watch?v=adqNfP_NaGo

Alle Übungen und körperlichen Anstrengungen dürfen nur unter der Aufsicht eines medizinischen Experten durchgeführt werden.

Forschungsartikel

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5541468/

*These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. Ayurveda Supplement with GMP Certification from India.

Autorin:
Dr. Rajesh Nair, der Mitbegründer und Hauptberater von Ayurvedaforall.Com, ist Absolvent des renommierten Vaidyaratnam Ayurveda College (angegliedert an die Universität von Calicut) in Kerala, Indien. Außerdem hat er ein Postgraduierten-Diplom in Yogatherapie von der Annamalai University.

Dr. Nair bietet Beratungen in zwei vielbeschäftigten Kliniken in und um Haripad, Alleppey, Kerala, dem südlichen Staat, der weltweit für authentische ayurvedische Behandlungen und Ärzte bekannt ist. Neben der Beratung zu allen Aspekten ayurvedischer Behandlungen hat Dr. Nair ein besonderes Interesse an Panchkarma, Yoga und Massage.

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Dr. Nair ist ein regelmäßiger Redner auf Ayurveda-bezogenen Konferenzen und hat Deutschland besucht, um Ayurveda zu propagieren. Sie können direkt an ihn schreiben.
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