Category: आयुर्वेदिक चिकित्सा

Eruptive Syringoma Treatment with Herbal Remedies

Abstract

Eruptive syringoma is a rare variant of syringoma. The condition is accepted as the benign adnexal tumor. The tumors in this condition are considered the intraepidermal portion of eccrine sweat glands. Eruptive syringoma is having great cosmetic importance because any kind of systemic changes in the body or disturbance to physiological functioning is not noticed. The disorder is generally common in females during puberty or later. In this article we will discuss eruptive syringoma in detail and also about its considerable ayurvedic management.

Introduction

The word syringoma is derived from the greek language syrinx meaning tube. It was first described by Jacquet and Darier in 1887 and is capable of affecting 0.6% of the general population.  Eruptive syringoma is characterized by differentiation in the intra epidermal portion of eccrine origin. It is often associated with down syndrome and multiple syringoma. The small tumors in this condition usually appear on the back and neck (in predilection occurs in periorbital areas). The other rare forms of syringoma are plaque, linear, penile, vulvar, chondroid, solitary and sometimes on ankles also.

ERUPTIVE SYRINGOMA

Causes

Conditions like eruptive syringoma have no definite cause for its occurrence. But are generally related to people who have family history with the same condition. Patients with eruptive syringoma have  overactive sweat glands that result in overproduction of sweat or blockage of sweat glands. The patients who are suffering from marfan syndrome are also at a risk of developing eruptive syringoma. Mostly the females with oily skin and health issues that involve  diabetes mellitus preferably are at a greater risk of developing this condition.

In ayurveda this condition is understood as sweda vaha srotas dushti. The reasons for the dushti of sweda vaha srotas are blockage of roomkoopa (sweat ducts) by the vitiated doshas or by dushti of meda (subcutaneous fat). The reasons for vitiation of doshas include regular excessive exposure to simultaneous hot and cold environments, excessive anger, grief and fear.

Pathophysiology

Complete pathology of this condition is not known. According to accepted theories the cutaneous inflammatory process probably leads to hyperplastic reactive process in eccrine duct due to which inflammation occurs. This inflammation may be considered as the cause of eruptive syringoma. This theory can be accepted due to the occurrence of cutaneous inflammation after contact dermatitis, shaving, laser hair removal, radiation dermatitis etc.

Symptoms

In eruptive syringoma most commonly seen symptoms and signs include

  1. Developing  numerous small yellow eruptions on skin. These eruptions are benign and small.
  2. Redness around the affected areas. Along with redness, pain, itching or burning sensation is mostly observed by the patient.
  3.  These papules are commonly seen on the chin, eyelids, abdomen, under eyes and upper part of cheeks.
  4. Cutaneous examination shows multiple and symmetrical papules. The color of these papules varies from skin to brownish shiny in appearance.
  5. These papules measure around 2-4mm in diameter.
  6. These are  present all over the face and on upper extremities too.
  7. Skin biopsy shows normal epidermis with benign proliferation of multiple eccrine ducts lined by two rows of epithelial cells.
  8. Some of these eccrine ducts  have tadpole-like appearance and have an amorphous material in the ductal lumina.

The symptoms according to ayurveda includes excessive sweating or no sweating, sticky skin, skin tightening or burning sensation over skin.

Treatment of Eruptive syringoma

Eruptive syringoma is having huge cosmetic concerns as people with this condition commonly have to bear the weight of unacceptance in the society. The condition is really difficult to predict as it has a tendency to undergo regression with time. But how much time will be required is not defined. In eruptive syringoma the treatment is highly non standardized which includes excision, dermabrasion, cryotherapy, electrodessication, chemical peels. Topical retinoids are also administered along with monoclonal antibodies. Even the recurrence is commonly seen.

It is possible to manage Eruptive syringoma with ayurvedic medications. Planet Ayurveda which is a herbal manufacturing unit offers it’s herbal products that can be used in the management of this condition. The products are totally herbal and only standardized extract of potent herbs is used in manufacturing. The products offered by planet ayurveda for the management of eruptive syringoma are as follows

  1. Kanchnaar guggul
  2. Arogyavardhini vati
  3. Manjishtha capsules
  4. Gandhak Rasayan
  5. Epiderm oil mixed with Nirgundi oil

Products Description

1. Kanchnaar guggul

Kanchnaar guggul helps in subsiding the tumors that appear in eruptive syringoma. Kachnaar guggul is a classical formulation that include ingredients like Kanchnaar (Bauhinia variegata), Guggul (Commiphora mukul), Pippali (Piper longum), Varuna (Crateva religiosa), Ginger (Zingiber officinale), Black pepper (Piper nigrum), Bibhitaki (Terminalia bellerica) and many more. These herbs help in reducing the blockage.

Dose: Two tablets daily twice after meals.

2. Arogyavardhini vati

Arogyavardhini means something that has potency to develop and maintain good health. This is a classical formulation and is used to manage many pathies.   The ingredients that are included in the manufacturing of this formulation are Bibhitaki (Terminalia bellerica), amalaki (Emblica officinalis), chitraka (Plumbago zeylanica), nimba (Azadirachta indica) and many more. These all herbs have a rejuvenating effect on the body and also free it from toxins.

Dose: Two tablets twice a day after meals.

3. Manjishtha capsules

Manjistha Capsules are known to balance pitta dosha and are manufactured using Rubia cordifolia (Manjishtha) only. Manjishtha wonderfully works in resolving the blockage of sweat glands. Also, it is very helpful in detoxifying the body. It is having a healing effect on lesions.

Dose: One capsule twice a day after meals.

4. Gandhak Rasayan

Gandhak rasayan is manufactured using purified sulphur and is very useful in reducing various kinds of skin conditions. This also helps in reducing various causes of itching, burning sensation on skin, oily skin and many other conditions. In eruptive syringomas this formulation works like a boon as it helps in opening the pores of sweat glands and hence helps in reducing the blockage.

Dose: Two tablets twice a day after meals.

5. Epiderm oil mixed with Nirgundi oil

The mixture of these two oils provides patients with relaxation in their symptoms especially in itching. These two oils contain herbal extract of many herbs  like manjistha (Rubia cordifolia), Haridra (Curcuma longa), kalahari (Gloriosa Superba) and many more. These all herbs are potent and have antifungal and anti-inflammatory properties.

Use: Use twice daily by mixing them in equal quantity and apply locally after washing the affected part.

Contact my assistant to provide you the costing / ordering and delivery information at – costing.planetayurveda@gmail.com or call at +91-172-5214040 Or Check Website – www.PlanetAyurveda.com

Conclusion

Eruptive syringoma is a condition whose cause is not understandable. Even in modern medicine exact treatment for such conditions is not available. In ayurveda, as mentioned earlier it is understood as sweda vaha srotas dushti and management with herbal products is done keeping in mind the same concept. The products offered by Planet Ayurveda are totally herbal and do not cause any kind of side effect. In case of any query kindly visit www.planetayurveda.com

Herbal Remedy for Thoracic outlet syndrome

Abstract

The thoracic outlet region is at the lower part of the neck. It  begins from above, behind the clavicle and  extends all the way to the upper part of the arm. The thoracic outlet is located next to the large muscles which  run vertically to the neck and are  known as the sternocleidomastoid muscle. In front, there is a muscle which  runs back to the neck and is called the trapezius muscle. The lower portion of the thoracic outlet extends behind the clavicle. It is known as the pectorals muscle. There are many nerves and vessels which pass through the Thoracic outlet and supply the shoulders as well as arms.  They are together known as the Brachial plexus and control the muscles and also provide sensation to specific areas over shoulders and arms. The compression of these arteries leads to pain and hence the occurrence of thoracic outlet syndrome occurs. In this article we will mainly discuss the details of thoracic outlet syndrome and how its management can be done in Ayurveda.

Introduction

This condition emerges due to compression of blood vessels and nerves which are present in the spaces between the collarbone and first rib. It results in severe pain in the shoulder associated with numbness in the fingers. The condition is named after the thoracic outlet which, as mentioned before, is present between the lower neck and upper chest. Most of the blood vessels, as well as nerves, are located in this area. The commonest cause for the syndrome is repetitive injury or a traumatic car accident and certain types of defects. The term Thoracic Outlet Syndrome was first given by RM Peet. 1965.

Epidemiology

  • Incidence of thoracic outlet syndrome is common in only 1-2% of the population.
  • It is mostly seen in patients between the ages of 20 to 50 years
  • Females generally suffer from thoracic outlet syndrome more than men.

Sign and symptoms of Thoracic outlet syndrome

Following are the common clinical features that are observed in this condition  depending on the type. It includes

Vascular thoracic outlet syndrome

This condition is  seen in the condition in which veins of the lower neck and upper chest are damaged. The condition generally develops after excessive exercise and common signs like swelling in fingers, arms and hands along with heaviness associated with weakness in arms and neck.

Neurogenic thoracic outlet syndrome

Neurogenic type of thoracic outlet syndrome is related to the abnormality which is present in the soft as well as bony tissue. It is generally seen in the region of the lower neck. This causes compression and irritation of the brachial plexus. Generally the nerves are responsible for motor and sensory response. This can result in symptoms like numbness and weakness of the hands, the size of muscle is decreased and tingling along with a pricking sensation is observed.

Arterial thoracic outlet syndrome

It is one of the least common types and has higher severity than others. This is the congenital type which means it is  present from birth and mostly seen in the lower neck as well as upper chest. Soreness in fingers along with poor circulation of blood around arms, hands and fingers is commonly observed. Cold sensation in fingers and arms is also common.

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Causes of Thoracic outlet syndrome 

The Exact cause for the thoracic outlet syndrome is not known but it is understood that it is due to nerve compression. The causes for nerve compression can include things like

Poor posture

Holding the head for too long or dropping the shoulder instantly can result in compression of the thoracic outlet area.

Anatomical defects

Congenital defect which is present from birth due to mutation or can be an inherited condition results in abnormal tightening of the fibrous band connecting the spine to the rib.

Trauma

Trauma can be the result of a car accident or can be due to a fall, damage to the shoulder thus resulting in compression of   nerves or vessels in the thoracic outlet syndrome.

Repetitive activity

Doing an excessive amount of the same action or exercise every day may lead to wearing and tearing of the tissue. Mostly activities like typing, lifting, swimming, or playing basketball can also lead to compression of nerves in the thoracic outlet.

Pressure on the joints

Obesity or being overweight will put pressure on the joints or carrying an oversized backpack can do the same, thus compressing the nerves or vessels in the thoracic outlet.

Risk factors

Below are two factors that may increase the chances of developing this condition. It includes

Sex:- Females are more likely to suffer from the disease as compared to males.

Age:- Adults between the ages of 20 to 40 years of age.

Diagnosing thoracic outlet syndrome

The diagnosis of this condition is generally done by doing examination of the patient and after examination certain scan tests can be guided to the patients

  •  Physical examination showed depression in the shoulder and swelling of the arms.
  • X-ray
  • Ultrasound
  • CT-scan (Computed tomography)
  • MRI (Magnetic resonance imaging)
  • Angiography
  • Arteriography and venography
  • EMF
  • Nerve conduction study

Treatment for Thoracic outlet syndrome

Physical therapy

In neurogenic thoracic outlet syndrome, physical therapy is the kind of treatment that is usually preferred. The patient is asked to perform certain exercises which helps in strengthening and stretches your shoulder muscles to open the thoracic outlet and hence improve your range of motion and hence improve your posture.

Medications

Generally anti inflammatory is prescribed along with some analgesics. Sometimes clot-dissolving medication is also given, they are called anticoagulants.

Surgical options

It is only advised when conservative treatment is not effective.

Herbal formulations by Planet Ayurveda

Planet Ayurveda is a leading Ayurvedic firm which deals with the manufacturing of herbal formulations. These formulations are prepared using potent herbs which are really effective in managing many conditions. The formulations prepared by Planet Ayurveda do not contain any kind of adulterants, dyes, additives, fillers etc. These medications are too potent to manage many conditions and are very fruitful hence giving positive noticeable results. The medication or formulations offered by Planet Ayurveda for the management of thoracic outlet syndrome is as follows

  1. Yograj Guggul
  2. Boswellia Curcumin
  3. Aamvatantak Churna
  4. Vrahat VatChintamani Ras
  5. Bone Support

Herbal-Remedies-for-Thoracic-Outlet-Syndrome

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Product Description

1. Yograj Guggul

Yograj guggul is prepared using herbs like Guggul (Commiphora mukul), Pippali (Piper longum), Kulanjan (Alpinia galanga) and many others. The formulation  helps in providing strength to the body and muscles as well. The formulation helps in nourishing the thoracic outlet area. Along with that, it will remove the ailments like pain, stiffness as well as numbness of the bones and muscles.

Dosage: Two tablets twice daily with water after meals

2. Boswellia Curcumin

Boswellia curcumin is prepared from two very excellent herbs, Shallaki (Boswellia serrata) and Curcumin (Curcuma longa). This is very effective in decreasing inflammatory changes in the muscles and hence increases movement of the area. This herbal formulation is no doubt very good for the patient who suffers from thoracic outlet syndrome.

Dosage: One capsule twice a day after meals

3. Aamvatantak Churna

The formulation is available in Churna or powder form and helps in getting rid of the inflammation and stiffness from the joints as well as the muscles. It contains herbs like Ashwagandha (Withania somnifera), methi (Trigonella foenum graecum), Gorakhmundi (Sphaeranthus indicus), haridra (Curcuma longa) and many others. It is very effective in removing pain and tingling sensation from the affected part. Moreover, it helps in pacification of vata dosha which is mainly responsible for various types of pains in this condition, especially the pricking ones.

Dosage: Two teaspoonfuls twice daily after meals with water.

4. Vrihat Vatchintamani Ras

The formulation has ingredients like Swarna bhasma, Abhrak bhasma, Loha bhasma, Mukta bhasma and many more. Vrihat vatchintamani ras is very effective in enhancing the movement of muscles as well as bones by improving the circulation of blood vessels and veins. It also helps in pacification of vata dosha which is responsible for nerve compression. Moreover, it having rejuvenating and anti-aging properties.

Dosage: One tablet twice a day after meals with water.

5. Bone Support

Bone support is made from herbs like Shudh Laksha (Laccifer lacca resin), Arjun (Terminalia arjuna), Mukta (Pearl calcium), and many more. This is one of the best ayurvedic combinations for improving the health of the bones and promoting circulation to the muscles. It is very effective in treating any kind of bone or muscle defect. This formulation helps in improving bone density especially in osteoporosis, paget’s disease and many others.

Dosage: Two capsules twice a day with water after meals.

Contact my assistant to provide you the costing / ordering and delivery information at – costing.planetayurveda@gmail.com or call at +91-172-5214030 Or Check Website – www.PlanetAyurveda.com

Conclusion

Thoracic outlet syndrome is a very rare known condition but can have a serious impact on one’s life. Generally patients present with complaints regarding restriction of movements along with pricking pain in the shoulder which radiates to back, arms, hands and towards the sternum. As mentioned the thoracic outlet is located in the back of the lower neck and no doubt compression of nerves affect the movement of the neck also. The formulations which are being suggested by planet ayurveda are totally herbal and are effective in managing this condition. They do not contain any kind of adulterants or additives like dyes and colors. In case of any query kindly visit  WWW.planetayurveda.com