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Nummular Eczema [255]

 

Nummular Eczema

Nummular eczema – discoid eczema or nummular/discoid dermatitits is the different name of same skin condition. Discoid eczema is usually seen in adults with dry skin although it can affect  both sex , teenagers , adults male or famles and young children. 
Discoid means disc- shaped and the name somes from the characteristic round and oval pathces which occurs in this type of eczema. That is why it is also called nummular means coin shaped. 
It may be dry or ozzoing and it may become very itchy , crusted and infected.

AYURVEDIC VIEW OF DISCOID ECZEMA

In Ayurveda eczema is known as  “Pamma” and “Vicharchika”. This is caused by the faulty dietary habits and life style. Climatory factors , heat , dampness , severe cold , psychological stress may promote eczema. The local factors like dry skin , greasy skin , excessive sweating  etc. may predispose to eczema.

Due to the above factors the Pitta Dosha ( Which represents Fire in Ayurvedic Texts) gets aggravated and it also vitiates the other dosha and dhatues – Blood and Skin (Rakt , mamsa and twacha ). Theses all conditions produces ama “ the toxin” which manifests in skin  and it goes deep into the body tissues “dhatus” causing eczema.

The broad categorize of Eczema are :

Type of Eczema are ::

If one can broadly categorize eczema or vicharchika, into three types, Vata, Pitta and Kapha, then herbal and dietary treatment is fairly straight forward and it is my experience that it generally works well. It is not hard to see how most skin problems fall easily into these categories: 

Vata type: The skin tends to be rough, dry, hard, itchy and scaly. There may be associated constipation, wind and distension, anxiety and insomnia. The skin is aggravated by cold, wind, dryness and stress and relieved by the application of oils, especially sesame.

Pitta type: The skin is hot and inflamed; it is aggravated by heat and heating foods, exposure to the sun and application of most oils, reflecting a state of heat and toxicity in the body. There tends to be burning, redness, oozing, swelling and infection which can be associated with fever, irritability and feeling of heat. 

Kapha type: Kapha skin problems are often accompanied by mucous congestion, lethargy and sluggish metabolism. The skin tends to be cold, clammy, sticky, oozing, swollen and itchy, with a pale complexion. It is aggravated by cold, damp, application of oils and eating dairy products and sugar. 

Eczema is more common in PITTAtypes as Pitta can overheat the blood (Rakta dhatu) and predispose to toxic conditions which are expressed through the skin. Factors causing such skin problems include poor digestion (low agni), toxins in the bowel (ama), incorrect diet, over use of sour, salty, or pungent tastes, heavy, sweet or oily foods, as well as over-use of cosmetics, perfumes, synthetic creams, etc.

AYURVEDIC TREATMENT FOR DISCOID / NUMMULAR ECZEMA

  • From the above description we gets understand that it’s a diseases  not only on the surface of skin but also deep in the tissues and cells of the body i.e. Dhatus and Doshas of the body are also involved in eczema .
  • So Eczema is not EXTERNAL Feature . The  “INTERNAL factors causes  EXTERNAL manifestations. Only using the medicines locally only relieves the symptoms temporarily.
  • To treat the root cause and to get rid from eczema , it needs a proper diagnosis at the  “Dosha Dhatu” level and proper external and internal treatment.
  • The only external use may cause eczema reappears, when we treat internally and externally  it goes away permanently.
  • The First line of treatment is to stop making the “ ama” or toxins which cause the disease.
  • Improves the digestive power and corrects the Pitta disorder.
  • Detoxification of the body is most important
  • Detoxification clears the body from the disease causing factors. It can be achieved by Oral medicines or Panchakarma Therapies.
  • Oral Herbal & Ayurvedic Blood Purifying medicines are very helpful to remove the impurities from the blood and it helps to purifies the blood.
  • Snehan and swedana –external use of oil and induced sweating by application of heat is help in many cases.
  • Internal Snehan , Abhyangam , Vaman , Virechana , Vasti , Siro Virechana and Rakt Mokshana are the different types of Panchakarma Procedures which cures the root cause of the eczema and it goes permanently in most of the cases.

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