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Contact Dermatits in ayurveda is unique concept
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Contact Dermatitis an Ayurvedic Approach
By Dr.Ajay ChavanDept. of Rasashastra
Contact Dermatitis an Ayurvedic Approach
2
Objective
• To understand Contact Dermatitis and its
management through Ayurveda.
13/10/2010
Contact Dermatitis an Ayurvedic Approach
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Introduction
• Contact Dermatitis is growing as a major problem in today's industry based era
• Among worker’s compensation claims for dermatologic conditions, 90% are for contact dermatitis
• We should approach to this problem through Ayurvedic view
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Contact Dermatitis an Ayurvedic Approach
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Definition
• Inflammation of skin
• Specific type of inflammation which manifest
clinically with itchy vesicle on an erythmatus
base and histologically characterized by
accumulation of fluid in the inter cellular space
in dermis 13/10/2010
Contact Dermatitis an Ayurvedic Approach
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Eczema
Atopic
Seborhoeic
Stasis
Nummular
Lichen Siplexchronis
Pompholyx13/10/2010
Contact Dermatitis an Ayurvedic Approach
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Contact Dermatitis
• Contact dermatitis is any inflammatory reaction of
the skin that results from direct contact with an
offending agent.
Irritant Contact Dermatitis (ICD) Allergic Contact Dermatitis (ACD)
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Pathophysiology
Contact Dermatitis an Ayurvedic Approach
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• The main pathological feature of CD is
intercellular oedema of the epidermis
• This initial reaction may result in intra epidermal
vesicle and bullae formation in acute cases and
papules, scaling, and lichenification in chronic
cases
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Irritant Contact Dermatitis
• Irritation refers to the direct injurious action by a
substance when in contact with the skin
• Resultant injury causes an inflammation, called
appropriately Irritant Contact Dermatitis
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Contact Dermatitis an Ayurvedic Approach
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Allergic Contact Dermatitis
• Contact allergy is an action by the immune
system of the body on recognizing an allergen
that has gained entry into the skin.
• Resultant inflammation is called an Allergic
Contact Dermatitis.
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Common Allergen And Sources
Allergen Sources Chromate Cement, Tanned Leather, Primer PaintCobalt Ink, Metal AlloyColophony Glue, Adhesive Tape, VarnishEpoxy Resin Adhesive, Plastic, MouldingsFragrance Cosmetics, Creams, Soaps, DetergentsNickel Jewellary, Watch, Kitchen Instrument Paraphenlyedmine Dye, Shoes, Colour developer Preservative Cosmetics, Creams
Typical Examples of Contact Dermatitis
Contact Dermatitis an Ayurvedic Approach
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Contd…
• Surrounding a wound
due to contact allergy
to Resin in adhesive
plaster
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Contd…
• Dermatitis of the
Wrist due to contact
allergy to Nickel in
metal watch
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Contact Dermatitis an Ayurvedic Approach
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Contd…• Hand dermatitis caused
by Thiuram an antioxidant chemical used in manufacture of rubber gloves
• Contact dermatitis from latex gloves in a health care worker
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Contact Dermatitis an Ayurvedic Approach
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Contd…
• Dermatitis of Skin due
to contact allergy with
Kaphon CG; a
preservative in
moisturizer
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Contact Dermatitis an Ayurvedic Approach
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Contd…
• Dermatitis on Fore
Head at the site of
application of Bindi
due to Resin in sticker
Bindi
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Contact Dermatitis an Ayurvedic Approach
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Contd…
• Footwear dermatitis due to rubber and Leather allergen
• Contact dermatitis with bullous formation caused by a new pair of shoes
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Contact Dermatitis an Ayurvedic Approach
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Diagnostic Methods
• There is no in vitro test for diagnosis , simple
in vivo test is usually done.
• Commonly used tests :
Patch test
Prick Test
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Patch Test
Described 100 year ago by BARACQApplication of suspected allergens under plaster
occlusion, usually over upper back Plaster remove after 48-72 hour Skin is examined for any sign of dermatitis
(erythema, oedema, and vesicle formation)Second reading done after 7 days for delayed
reaction13/10/2010
Contact Dermatitis an Ayurvedic Approach
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Prick Test
It detection of allergy It consist placing the drop of allergen and
pricking the skin with sterile needle In positive reaction erythmatious wheal
develops around the site of prick in 30 minute
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Classical Reference
Contact Dermatitis an Ayurvedic Approach
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A³Éå mÉÉlÉå SliÉMüɸå iÉjÉÉÅprÉ…¡åûÅuÉsÉåZÉlÉå|
EixÉSlÉå MüwÉÉrÉå cÉ mÉËUwÉåMåüÅlÉÑsÉåmÉlÉå||
xlɤÉÑ uÉx§ÉåwÉÑ zÉrrÉÉxÉÑ MüuÉcÉpÉUaÉÉåwÉÑ cÉ|
mÉÉSÒMüÉmÉSmÉÏPåûwÉÑ mÉ׸åwÉÑ aÉeÉuÉÉÎeÉlÉÉqÉç|
ÌuÉwÉeÉѹåwÉÑ cÉÉlrÉåwÉÑ lÉxrÉkÉÔqÉÉgeÉlÉÉÌSwÉÑ||
xÉÑ.xÉÇ.Mü.1/25-27
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Contact Dermatitis an Ayurvedic Approach
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Contd…
• Poison admistred with Abhyanga, Avlekhan, Utsadan Kashaya, Parishek, Anulepana, Vastra, Paduka, Garlands, Ornaments etc. whichever symptoms are occurs is consider as Contact Dermatitis
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Abyanga Visha
ÌmÉÎcNûsÉÉåoÉWÒûsÉÉåÅprÉ…¡ûÉå ÌuÉuÉhÉÉåïuÉÉ ÌuÉwÉÉÎluÉiÉ:|xTüÉåOûeÉlqÉÂeÉÉ x§ÉÉuÉxiuÉYmÉÉMü: xuÉåSlÉ euÉU:|SUhÉÇ cÉÉÌmÉ qÉÉÇxÉÉlÉÉqÉprÉ…¡åû ÌuÉwÉxÉÇrÉÑiÉå||
xÉÑ.xÉÇ.Mü.1/51-5213/10/2010
Contact Dermatitis an Ayurvedic Approach
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Contd…
• Poisoneous, slimy, thick or different color
oil use for Abhyanga
• Produces eruptions, pain, exudation, ulcer
of skin, fever and tearing of muscle
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Ustadana Visha
EixÉÉSlÉå mÉUÏwÉåMåü MüwÉÉrÉå cÉÉlÉÑsÉåmÉlÉå|zÉrrÉÉuÉx§ÉiÉlÉѧÉåwÉÑ ¥ÉårÉqÉprÉ…¡ûsɤÉhÉæ:||
xÉÑ.xÉÇ.Mü.1/55
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Contd…
• Symptoms produce by poisoned material used for EixÉÉSlÉ and mÉËUwÉåMü, Anulepana, Shayaa, Vastra, Armor etc.
• Symptoms are seen as like Abyanga like eruptions, pain, exudation, ulcer of skin
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Avlekhana Visha
MåüzÉzÉÉiÉ: ÍzÉUÉåSÒ:ZÉÇ ZÉåprÉ¶É ÂÍkÉUÉaÉqÉ:|aÉëÎljÉeÉlqÉÉå¨ÉqÉÉ…¡åûwÉÑ ÌuÉwÉeÉѸåÅuÉsÉåZÉlÉå||
xÉÑ.xÉÇ.Mü.1/56
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Contact Dermatitis an Ayurvedic Approach
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Contd…
• If the comb is poisoned
• Symptoms are shedding of hairs, headache, bleeding
from minute channel and development of tumors in
the head
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Mukhaalepa visha
qÉÑZÉÉsÉåmÉå qÉÑZÉÇ zrÉÉuÉÇ rÉÑ£üqÉprÉ…¡ûsɤÉhÉæ:|mÉÍ©lÉÏMühOûMümÉëZrÉæ: MühOè¶ÉÉåmÉcÉÏrÉiÉå||
xÉÑ.xÉÇ.Mü.1/60
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Contd…
• Use of poisoned cosmetic
• Give rise to black colour of face and other
symptoms mentioned under Abyanga
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Paduka visha
zÉÉåÄTü:x§ÉÉuÉxiÉjÉÉ xuÉÉmÉ:mÉÉSrÉÉå:xTüÉåOèeÉlqÉ cÉ|pÉuÉÎliÉ ÌuÉwÉeÉѸÉprÉÉÇ mÉÉSÒMüÉprÉÉqÉxÉÇzÉrÉqÉç||
xÉÑ.xÉÇ.Mü.1/72
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Contact Dermatitis an Ayurvedic Approach
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Contd…
• When footwear is poisoned
• Swelling, exudation, loss of sensation,
eruption on feet are produced
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Abharana visha
pÉÔwÉhÉÉÌlÉ WûiÉÉcÉÏïÌwÉ lÉ ÌuÉpÉÉÎliÉ rÉjÉÉ mÉÑUÉxuÉÉÌlÉ xjÉÉlÉÉÌlÉ WûlrÉÑ¶É SÉWûmÉÉMüÉuÉSÉUhÉå:||
xÉÑ.xÉ.Mü.1/74
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Contd…
• If ornament are poisoned
• Lose their shine, brightness
• Damage their places by causing burning
sensation, ulceration and bruises
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Diagnosis
• It can be divided under two category
Morphological • Vicharchika• kitibha
Etiological • Padukavisha• Vastravisha etc.
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Contd…
• Morphological – gives idea about Dhosha
involvement.
• In Etiological – Rules out other causes & helps
for specific medication.
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Vichrchika
xÉMühQÕû: ÌmÉQûMüÉ zrÉÉuÉÉ oÉWÒûx§ÉÉuÉÉ ÌuÉcÉÍcÉïMüÉ||
cÉ.ÍcÉ.7/23
• Having Kandu, Pidika, and excessive quantity of Strava.
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Kitibha
zrÉÉuÉÇ ÌMühÉZÉUxmÉzÉï mÉÂwÉÇ ÌMüOûÏpÉÇ xqÉ×iÉqÉç||
cÉ.ÍcÉ.7/20
• Which having blackish in colour and parusha in
sparasha is called kitibha
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Samanya Chikista
Contact Dermatitis an Ayurvedic Approach
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Chikista Sutra
qÉWûÉxÉÑaÉÎlkÉqÉaÉSèÇ rÉÇ mÉëuɤrÉÉÍqÉ iÉÇ ÍpÉwÉMÇü|mÉÉlÉÉsÉåmÉlÉlÉxrÉwÉÑ ÌuÉSÍkÉiÉÉgeÉlÉåwÉÑ cÉ|ÌuÉUåcÉlÉÉÌlÉ iÉϤhÉÉÌlÉ MÑürÉÉïiÉ mÉëcNûSïlÉÉÌlÉ cÉ|ÍxÉUɶÉurÉÉkÉrÉåiÉ Í¤ÉmÉëÇ mÉëÉmiÉÇ ÌuÉx§ÉÉuÉhÉÇ rÉÌS||
xÉÑ.xÉÇ.Mü.1/76-76
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Contact Dermatitis an Ayurvedic Approach
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Contd…
• Mahasugandhi Agada through drinking
• External application, Nasya, Anjana, Virechana and
Vamana, Raktamokshana should be done quickly
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iÉ§É zÉÏiÉÉqoÉÑÍxÉ£üxrÉ MüiÉïurÉqÉlÉÑsÉåmÉlÉlÉç|cÉlSlÉÇ iÉaÉUÇ MÑü¸qÉÑzÉÏUÇ uÉåhÉÑmȨ́ÉMüÉ|xÉÉåqÉuÉsrÉÉcÉqÉ×iÉÉ µÉåiÉÉ mÉ©Ç MüÉsÉÏrÉMÇü iuÉcrÉqÉç|MüÌmÉijÉUxÉqÉÔ§ÉÉprÉÉÇ mÉÉlÉqÉå¶É rÉÑerÉiÉå||
xÉÑ.xÉÇ.Mü.1/53-54
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Contd…
• Pouring of cold water then applying paste of
Chandana, Tagara, Kusta, Ushira, Venupatra,
Somvalli, Amruta, Shweta, Padma, Kaliyaka made
with Gomutra
• Drinking water also processed with these drugs
and used 13/10/2010
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mÉësÉåmÉÉå oÉWÒûzÉxiÉ§É pÉÉÌuÉiÉÉ: M×üwhÉqÉ×ÌiÉMüÉ:|
GwrÉÌmɨÉbÉ×iÉzrÉÉqÉÉmÉÉÍsÉlSÏiÉhQÒûsÉÏrÉMæü:|aÉÉåqÉrÉxuÉUxÉÉå uÉÉÅÌmÉ ÌWûiÉÉå qÉÉsÉiÉÏUxÉ:|UxÉÉå qÉÔÌwÉMümÉhrÉÉï uÉÉ kÉÔqÉÉå uÉÉÅaÉÉUxÉÇpÉwÉ:||
xÉÑ.xÉÇ.Mü.1/57-58
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Contd…
• Application of the paste
• Krushna Mruttika, mixed with Rusya pitta, ghee,
Shyama, Trivrt and Tanduliyaka or
Gomayaswarasa, Maltiswarsa is beneficial
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Management
• Topical steroid cream to control inflammation
• Antibiotic with steroid
• Oral antihistamines
• Systemic antibiotic to prevent and control
infection
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Discussion
• In ancient days visha prayoga was done
deliberately to cause death/ill health/disfigure
• That's why severity is more at that time
• Present – to make things adoptable variety of
chemicals are used.
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CONCLUSION
• In Ayurvedic Literature Acharyas have given detail
description regarding CD.
• The way of presentation was different at that time
• Thinking logically we have to give treatment for CD.
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THANK YOU 13/10/2010 Contact Dermatitis an Ayurvedic Approach 51
