Trattamento ayurvedico per il lichen planus orale

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.

Segni e sintomi

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.

Cause

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.

Fisiopatologia

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.

Diagnosi

Physical examination due to its appearance.

A punch biopsy of skin

Trattamenti

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.

Prognosi

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.

Complicazioni

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.

Malattie e 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

Divisioni

Non menzionato

Prognosi

Akrichram or yaapyam

Chikithsa

Samana

Pralepa with lekhanadravya

External application of ghrita after aamapachana

Gandoosha/Kabalagraha

Sodhana

Snehana

Swedana

Nasya

Dhoomapana

Virechana

Ksharakarma

Farmaci di uso comune

Aragwadhadi kashayam

Patolamuladi kashayam

Thriphalachoornam

Arogyavardhini vati

Jathyadi ghrutam

Marche disponibili

AVS Kottakal

AVP Coimbatore

Vaidyaratnam oushadhasala

Rimedi casalinghi

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.

Dieta

Da evitare

Red meat, fried non-veg items, and seafood

I pasti pesanti e gli alimenti difficili da digerire causano indigestione.

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

Bevande gassate: rendono lo stomaco più acido e disturbano la digestione.

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

Cagliata - causa vidaaha e quindi molte altre malattie

Da aggiungere

Pasti leggeri e alimenti facilmente digeribili

Grammo verde, zuppe, latticello bollito con curcuma, zenzero e foglie di curry

Cibo fresco e caldo trattato con semi di cumino, zenzero, pepe nero, ajwain, ecc.

Comportamento:

Avoid a sedentary lifestyle. Be active.

È meglio evitare l'esposizione a luce solare eccessiva, pioggia o polvere.

Mantenere un programma alimentare e di sonno regolare.

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

Avoid Stress and emotional imbalance as much as possible.

lo 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

Tutti gli esercizi e gli sforzi fisici devono essere decisi ed eseguiti esclusivamente sotto la supervisione di un medico esperto.

Articoli di ricerca

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.

Scrittore:
Il dottor Rajesh Nair, cofondatore e consulente capo di Ayurvedaforall.com, si è laureato presso il prestigioso Vaidyaratnam Ayurveda College (affiliato all'Università di Calicut), in Kerala, India. Inoltre, ha conseguito un diploma post-laurea in Yoga Terapia presso l'Università di Annamalai.

Il Dr. Nair offre consulenze in due cliniche molto frequentate a Haripad e dintorni, Alleppey, Kerala, lo stato meridionale famoso in tutto il mondo per gli autentici trattamenti ayurvedici e per i medici. Oltre a offrire consulenze su tutti gli aspetti dei trattamenti ayurvedici, il Dr. Nair ha un interesse particolare per il Panchkarma, lo Yoga e il Massaggio.

Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India.

Il Dr. Nair partecipa regolarmente a conferenze sull'Ayurveda e ha visitato la Germania per diffondere l'Ayurveda. Potete scrivere direttamente a lui
rajesh@ayurvedaforall.com

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