Category: Acne & Pimples

What is Steven Johnson Syndrome? – How can Ayurveda Help with it?

ABSTRACT

Skin is the largest organ of the human body. One of the most important functions of skin is protection from external factors such as bacteria, chemicals, temperature etc. However, when our lifestyle and diet goes haywire, skin conditions may get triggered by medications and infections. In this article, we will take a look at one such rare skin condition called Steven Johnson Syndrome and how Ayurveda can help treat it safely and naturally.

INTRODUCTION- WHAT IS STEVEN JOHNSON SYNDROME?

Steven Johnson syndrome or SJS is a rare but serious condition of the skin and mucous membranes that results in the skin to develop rashes, blisters and then eventually peel. Other organs such as eyes, genitalia, and mouth are also affected in severe cases. The more severe form of Steven Johnson Syndrome is called Toxic Epidermal Necrolysis (TEN) and is a more intense form of Steven Johnson syndrome and causes extensive damage to the mucous membrane. Blisters can also form inside of the body, making it hard to eat, swallow or even urinate. This condition may be rare but it is life threatening.

Steven Johnson Syndrome

CAUSES

SJS is thought to be a condition of the immune system. The immune reaction can be genetic or triggered by various factors such as drugs and infections.

Some of the most common causes are

  1. Allergic reaction to a medication such as antibacterial sulfa drugs, antiepileptic drugs, Allopurinol, NSAIDS and antibiotics.
  2. Infections like hepatitis A, herpes etc.
  3. Vaccinations

SYMPTOMS

Symptoms of Steven Johnson syndrome include

  1. Skin pain
  2. Fever
  3. Body aches
  4. Red rash
  5. Cough
  6. Blisters and sores on skin and mucous membranes
  7. Peeling skin
  8. Painful urination due to blisters

TREATMENT

There are varying opinions among dermatologists regarding the peeling and debriding of the skin in cases of severe Steven Johnson syndrome. However, some of the restorative and supportive treatment method includes:

  1. Stopping the medication that triggered SJS
  2. Using Intravenous fluids, IV steroids, cyclosporine etc.
  3. Using non adhesive dressing on the skin
  4. Tube feeding to promote natural skin healing
  5. Antibiotics and analgesics for symptomatic relief
  6. Following the protocol of thermal burns

AYURVEDA PERSPECTIVE AND MANAGEMENT

Although there is no specific mention of Steven Johnson syndrome in Ayurveda, it can be grouped under the autoimmune disorders. Ayurveda considers that an unhealthy diet and lifestyle for longer periods of time can lead to the accumulation of AMA or toxins which causes an imbalance in the Dosha and eventually disrupts the functioning of the immune system. Treatment in Ayurveda is based on restoring the balance of the aggravated dosha and expelling the toxins out of the body. There are various Ayurveda herbs that help in removal of toxins or ama and healing both external and internal body in Steven Johnson syndrome.

AYURVEDA HERBS THAT HELP IN STEVEN JOHNSON SYNDROME

1. MANJISTHA

(Rubia cordifolia): The herb Manjistha (Rubia cordifolia) mentioned in classical Ayurveda texts is an excellent herb for all skin diseases. It has anti-inflammatory, antibacterial and antioxidant properties. It is a natural blood purifier, inhibits the acne causing bacteria and heals the wounds. It has a bitter sweet Rasa or taste and is considered as ‘Varnya’ (good for skin) in Ayurveda. This herb helps fight the infection and heals the wounds caused by Steven Johnson syndrome

2. NEEM

(Azadirachta indica): Neem (Azadirachta indica) is a medicinal herb that is excellent for skin issues. It has anti-inflammatory properties and healing properties. It has Nimbin that prevents skin problems like acne, blisters etc. This herb is bitter in taste and is considered as Kandu Ghana in Ayurveda which means herbs that help in itching and skin disorders.

3. TURMERIC(Curcuma longa)

Turmeric is well known for its anti-inflammatory properties worldwide. It is an anti-inflammatory, anti-bacterial and blood purifier. It has Laghu (light) and rooksha (dry) guna and a bitter, pungent taste which makes it a great herb to reduce the swelling and work as an antiseptic for all kinds of skin blisters

4. GILOY

(Tinospora cordifolia): Guduchi (Tinospora cordifolia) is one of the most used ayurveda herbs for its immune- boosting properties. Along With immunity, it also has cooling and pitta balancing properties which help relieve skin irritation, inflammation and promote healthy skin. It has sweet Vipaka (post digestion taste) and helps in relieving itching and redness in all kinds of skin disorders.

HERBAL FORMULATIONS for Steven johnson syndrome  BY PLANET AYURVEDA

Planet ayurveda is a GMP certified authentic ayurveda company that manufactures best, 100% pure ayurveda products under the supervision of MD doctors. Planet ayurveda manufactures some of the best herbal alternatives to chemical drugs that also find its mention in ayurveda. All the formulations made by planet ayurveda re 100% vegetarian formulations which are free from chemicals, preservatives, starch and additives. Some of the formulations that work well for Steven Johnson syndrome are:

1. Kaishore Guggul

Kaishore guggul by Planet Ayurveda is a tablet formulation that contains various ayurveda herbs such as Guggula (Commiphora mukul), Guduchi (Tinospora cordifolia), Goskhur (Tribulus terrestris), Vidang (Embelia ribes) and Trikatu (Three peppers). Guggul, the key ingredient in this tablet, helps majorly in fighting the disease, reducing the inflammation and heals the skin wounds.

DOSAGE: 2 tab twice daily after meal with plain water

2. Gandhak rasayan

Gandhak Rasayan by Planet Ayurveda is a tablet formulation that has pure standardized extract of 50 mg of purified Sulphur. This product helps treat various skin issues such as itching, eczema and psoriasis. This tablet is known for its antimicrobial, antiviral and antibacterial properties. It regulates the immune system and thus helps in treating both the symptoms and root cause of Steven Johnson syndrome.

DOSAGE: 2 tab twice daily after meal with plain water

3. Manjishtha Capsule

Manjishtha capsules by Planet Ayurveda has 500 mg of pure standardized extract of the herb Manjistha (Rubia cordifolia) 1 cap twice daily. It is a blood purifier and is beneficial in skin issues, blisters and healing the mucous membranes that get extensively damaged in Steven Johnson syndrome. This formulation is known for its blood purification and antioxidant properties.

DOSAGE: 1 tab twice daily after meal with plain water

4. Gleaming skin, hair and nails formula

This formula is capsule formulation by Planet Ayurveda that has various Ayurveda herbs that help in the overall health of skin, hair and nails. This formulation contains Manjishtha (Rubia cordifolia), Pita Papda (Fumaria officinalis) and Sariva (Hemidesmus indicus). All these herbs collectively help in skin disorders and blood purification and detoxification of the body. It is a helpful formulation in case of eczema, multiple sclerosis and psoriasis. This formulation is a brilliant supplement for skin, hair and nails.

DOSAGE: 1 cap twice daily after meal with plain water

5. Chopchini churna

Chopchini churna is a formulation mentioned in the ancient Ayurveda textbooks. Prime ingredient of this formulation is Smilax china which is also called Chopchini. It is naturally an analgesic and has anti-inflammatory effects. This herb balances all the three aggravated doshas and manages the allergic reaction and skin inflammation by inhibiting the histamine release due to its anti-allergic property. This formulation is known for its appetizer and anti allergic effect which helps in fighting the root cause of Steven Johnson syndrome.

DOSAGE: 1/2 tsp twice daily after meal with plain water

Contact Planet Ayurveda Support Team to provide you the costing / ordering and delivery information at – costing.planetayurveda@gmail.com or Call at 0172-521-4030 (India), +91-172-521-4030 (Outside India) or Whatsapp at (+91) 9915-593-604.

CONCLUSION

Modern medicine system does mention the treatment of all diseases that are seen rising in today’s time but it rarely helps fight the root cause of the disease. Ayurveda has a much more holistic approach towards ailments and helps to fight the root cause with negligible side effects. Hence it is always beneficial for natural ayurveda treatments when it comes to Steven Johnson syndrome.

What is Encapsulating peritoneal sclerosis? – Causes, Symptoms, Classifications & Ayurvedic Treatment

Abstract

Encapsulating peritoneal sclerosis mostly occurs in patients who are undergoing peritoneal dialysis. Dialysis fluid is hyperosmotic , hyperglycemic and acidic which causes inflammation in the peritoneum with loss of mesothelium and extensive tissue fibrosis.  It can occur at any age. Encapsulating peritoneal sclerosis was first described in 1980. Here in this article we will learn encapsulating peritoneal sclerosis in detail and its ayurvedic management also.

Introduction

It is associated with thickening of the peritoneum that leads to formation of fibrous cocoons . The patients who are undergoing peritoneal dialysis from long  are mainly affected by this disease. It was originally termed an abdominal cocoon. It can be caused by autoimmune diseases, sarcoidosis, abdominal surgeries, endometriosis and beta blocker administration. Vomiting, abdominal mass, malnutrition and failure to drive and ultrafiltration problems are the major symptoms of encapsulating peritoneal sclerosis. It is divided into four stages i.e. pre eps stage, inflammatory disease, encapsulation, and chronic stage of ileus. Early diagnosis of this disease is important in order to achieve better prognosis. Let’s discuss in detail.

Causes of Encapsulating peritoneal sclerosis

Causes

  1. Autoimmune diseases
  2. Sarcoidosis
  3. Peritoneal and intra abdominal malignancies
  4. Chronic peritoneal chemotherapy
  5. Intraperitoneal exposure to particulate matter or disinfectant
  6. Abdominal surgeries
  7. Endometriosis
  8. Intra peritoneal infections
  9. Beta blocker administration

Risk factor

  1. Duration on peritoneal dialysis
  2. Glucose exposure
  3. Inflammation
  4. Chemical exposure
  5. Genetic factors

Classification

Following are the clinical stages of encapsulating peritoneal sclerosis are

Stage 1:- Pre-EPS stage:- In this stage the patient is asymptomatic with mild ascites and no inflammation

Stage 2:- Inflammatory disease:- This is the second stage of encapsulating peritoneal sclerosis in which patients are symptomatic. Nausea and diarrhea are the main symptoms of this stage

Stage 3:- Encapsulation:- In this stage inflammation can occur. Inflammation may be mild or severe.

Stage 4:- Chronic stage of ileus:- Due to thickening of encapsulating fibrous cocoon patients have absolute bowel obstruction. There is little inflammation at this stage.

Symptoms

  1. Vomiting
  2. Abdominal pain
  3. Abdominal mass
  4. Hemoperitoneum
  5. Malnutrition and failure to thrive
  6. Ultrafiltration problems
  7. Subacute bowel obstruction

Diagnosis

1. Physical Examination: In this examination abdominal mass and abdominal distension is mainly seen.

2. CT-scan: it shows dilated loops of bowel, loculated ascites, peritoneal calcifications and small bowel tethering on examination.

3. Plain radiograph: This test may show the gas-fluid levels similar to those in patients with any other cause of the small-bowel obstruction.

4. Ultrasound: In this test presence of ascites, clumped bowel loops and the appearance of hyperechoic membranes can be seen.

5. MRI: This will demonstrates the same features as CT scan, but MRI gives better image of thickened bowel and peritoneal membrane as compared to CT

scan

Treatment

1. Supportive therapy:- In this aggressive nutritional support is given to the patient.

2. Medical therapy:- Antifibrotic and antiinflammatory drugs given to the patients such as tamoxifen and immunosuppressive.

3. Surgical:- Partial or complete enterolysis and avoid enterotomy.

Prevention

  1. Preserve residual renal function.
  2. Minimum use of high glucose
  3. Prevention of peritoneal deterioration

Ayurvedic overview

Ayurveda is the vedic science which means “knowledge of life”. It treats humans as well as animals. Ayurveda tells us that the entire universe is made up of five elements i.e. aakash, vayu, agni , jal and prithvi. These five elements form the three basic humours of the human body i.e. vata, pitta and kapha. According to ayurveda, encapsulating peritoneal sclerosis can be correlated with anna vaha sroto dushti in which vata dosha is mainly aggravated. Due to aggravation of vata it results in abdominal pain, intestinal obstruction and constipation. Vata can be managed by some ayurvedic therapies such as snehana, swedana and shodhana. In snehana ghee, muscle fat, oil and bone marrow are given to the patient for the balancing of doshas. After snehan patients are given fomentation therapy such as nadi sweda, prastara sveda and sankara sveda etc. The herbs which are helpful in the management of encapsulating peritoneal sclerosis are varun, bhumiamla, gokshur, punarnava and triphala.

Herbal remedies for encapsulating peritoneal sclerosis by Planet Ayurveda

Planet Ayurveda is a worldwide company which treats humans as well as animals. This is a GMP certified company. All the medicines made by this company are natural and free from side effects. This company makes medicines under the observation of MD ayurveda doctors. Planet Ayurveda makes medicine in the form of tablets, syrup and churna. All the products are gluten free. In case of encapsulating peritoneal sclerosis  following products are offered by Planet ayurveda:-

Product list

  1. Mutrakrichantak churna
  2. Nephralka capsule
  3. Saral ghan vati
  4. Triphala capsule
  5. Avipattikar churna

Herbal Remedies for Encapsulating peritoneal sclerosis

Herbal Supplements for Encapsulating peritoneal sclerosis

Product Description

1. Mutrakrichantak Churna

Mutrakrichantak churna is made using only pure and wonderful herbs. The main ingredients of this churna are varun (Crataeva nurvala), bhumi amla (Phyllanthus niruri), gokshur (Tribulus terrestris), and kalmegh (Andrographis paniculata). This churna helps in bringing down creatinine and urea levels in a natural way. It is the best medicine for kidney health and prevents dialysis. This medicine mainly helps to normalize the filtering function of the kidneys. This herbal medicine is also useful to maintain creatinine levels, high uric acid, high urea, kidney stones and urinary tract infections.

Dose:- 1 tsp twice daily with water after meal.

2. Nephralka capsule

Nephralka capsule is an ayurvedic medicine that is primarily used for the management of kidney diseases. The main ingredients of this capsule are bhumi amla (Phyllanthus niruri), mooli satva (Raphanus sativus), revandchini (Rheum emodi), kalmegh (Andrographis paniculata), and punarnava (Boerhavia diffusa). These are the best capsules for the management of kidney functions.  Kalmegh present in this capsule  helps in stimulating appetite and is used in the treatment of anorexia. Punarnava is the best herb to reduce the symptoms of fever, pain, and inflammation. Bhumyamalaki is used for preventing cardiac disorders. Thus this capsule is very helpful in the management of  encapsulating peritoneal sclerosis.

Dose:- 1 capsule twice daily with plain water after meals

3. Saral Ghan vati

Planet Ayurveda’s saral ghan vati is one of the suitable ayurvedic formulations for removing toxins from the body. The main ingredient present in this tablet is saral (pinus roxburghii). It is used as a diuretic that flush out toxins from the body. It has antioxidant properties which helps in reducing inflammation. It also acts as a laxative and has antispasmodic actions (relieves from spasms).

Dose:- 2 tablets twice daily with lukewarm water after a meal.

4.Triphala Capsules

Triphala capsule is an ayurvedic medicine which is enriched with the power of three main ingredients such as haritaki (Terminalia chebula), amalaki (Emblica officinalis), and bibhitaki (Terminalia billerica). It helps to improve gut health and remove toxins from the body. It also boosts immunity and has antioxidant and rasayana properties. Haritaki present in this capsule strengthens the digestive system and improves metabolism. Amalki is a very rich source of vitamin C that helps in promoting liver health and boost immunity. Bibhitaki is well known for liver health. Thus triphala improves digestion, removes toxins and boosts immunity.

Dose:- 1 capsule twice daily with plain water after meals.

5. Avipattikar Churna

The main ingredients of avipattikar churna are pippali (Piper longum), sonth (Zingiber officinale), marich (Piper nigrum), amla (Emblica officinalis), haritaki (Terminalia chebula) and nagarmotha (Cyperus scariosus). All the ingredients used in this churna mainly work on the digestive system and improve digestion. Nagarmotha present in this churna manages the anorexia (loss of appetite). The symptoms caused by globus pharyngis are easily manageable by this churna. Thus, this churna is very useful to improve digestion.

Dosage:- ½ tsp twice daily with warm water after meals.

Contact Planet Ayurveda Support Team to provide you the costing/ordering and delivery information at – costing.planetayurveda@gmail.com or Call at 0172-521-4040 (India), +91-172-521-4040 (Outside India) or WhatsApp at (+91) 842-749-4030.

Conclusion

Encapsulating peritoneal sclerosis mostly occurs in patients who are undergoing peritoneal dialysis. Dialysis fluid is hyperosmotic , hyperglycemic and acidic which causes inflammation in the peritoneum with loss of mesothelium and extensive tissue fibrosis. According to ayurveda this disease can be correlated with aggravation of vata dosha. It can occur at any age. Here in this article we have learnt encapsulating peritoneal sclerosis in detail and its ayurvedic management also.