Ayurvedic Management of Co-existing Skin Conditions with Pityriasis

Abstract

Pityriasis refers to a group of skin conditions, including Pityriasis Rosea, Pityriasis Alba, and Pityriasis Versicolor, characterized by flaky, scaly patches on the skin. Although these conditions are not life-threatening, they can cause significant discomfort and cosmetic concerns. Managing Pityriasis alongside other skin disorders presents additional challenges. Ayurveda, the ancient Indian system of medicine, offers a holistic approach by addressing Dosha imbalances and employing personalized therapeutic strategies (Lad, 2002; Dash & Sharma, 2005).

Co-existing Skin Conditions with Pityriasis


Understanding Co-existing Skin Conditions through Ayurveda

Ayurveda, the traditional Indian system of medicine, offers a deeply insightful and holistic approach to managing co-existing skin conditions, including Pityriasis. According to Ayurveda, skin health is an external reflection of the body’s internal balance, particularly related to the Doshas—Vata, Pitta, and Kapha. These Doshas govern all physiological and psychological functions and are derived from the five great elements (Panchamahabhutas): earth, water, fire, air, and ether (Dash & Sharma, 2005; Pole, 2013). Imbalances in the Doshas lead to various skin conditions. When multiple skin disorders, such as Pityriasis, eczema, psoriasis, and acne, coexist, it suggests a more complex disruption in the body’s equilibrium that necessitates a holistic treatment approach addressing both symptoms and root causes (Lad, 2002).


The Role of Doshas in Skin Health

Ayurveda holds that all skin conditions arise from imbalances in the Doshas. Each Dosha has specific characteristics that, when disturbed, result in particular skin conditions (Pole, 2013).

  • Vata Dosha: Vata, composed of air and ether elements, governs movement, circulation, and cellular function. When Vata is aggravated, it often manifests as dry, rough, and scaly skin conditions, including eczema (Vicharchika) and certain types of Pityriasis (Lad, 2002; Sharma, 2005).
  • Pitta Dosha: Pitta governs metabolism, heat, and transformation in the body. When aggravated, it manifests as redness, inflammation, and irritation in the skin. Conditions such as acne (Yuvan Pidika), psoriasis (Kitibha), and dermatitis are linked to Pitta imbalances (Dash & Sharma, 2005). In cases where Pitta aggravation coexists with Pityriasis, inflammation is more pronounced.
  • Kapha Dosha: Kapha, composed of earth and water, governs stability and lubrication. When Kapha is elevated, it results in excessive oiliness, blockages, and cyst formation. Fungal infections (Dadru), seborrheic dermatitis, and oily skin are associated with Kapha imbalances. These conditions frequently coexist with Pityriasis and are linked to sluggish metabolism and the accumulation of toxins (Ama) (Sharma, 2005).

Co-existing Skin Conditions and Their Ayurvedic Correlation

When Pityriasis coexists with other skin conditions, it signals that more than one Dosha is out of balance. Common co-existing skin conditions and their Ayurvedic understanding include:

  • Eczema (Vicharchika): Eczema, linked to Vata and Pitta imbalances, results in dry, itchy, and inflamed skin. The coexistence of eczema and Pityriasis reflects aggravated Vata, necessitating moisturizing and cooling therapies to balance both Vata and Pitta (Sharma, 2005).
  • Psoriasis (Kitibha): Psoriasis involves both Vata and Kapha imbalances, leading to excessive accumulation of skin cells and thick, scaly patches. In cases of psoriasis coexisting with Pityriasis, Ayurvedic treatment focuses on detoxifying the body and pacifying both Doshas (Pole, 2013; Katta, 2010).
  • Acne (Yuvan Pidika): Acne, primarily a Pitta-Kapha imbalance, manifests as inflamed pimples and excessive oil production. When acne coexists with Pityriasis, Ayurvedic therapies focus on cooling, detoxifying, and balancing oil production (Lad, 2002; Dash & Sharma, 2005).
  • Fungal Infections (Dadru): Fungal infections, often due to Kapha and Pitta imbalance, present as moist, ring-shaped rashes. In cases where Pityriasis and fungal infections coexist, antifungal and cooling treatments are used to address both heat and moisture excesses (Sharma, 2005).

The Importance of Dosha Assessment in Co-existing Conditions

In Ayurveda, successful treatment begins with assessing an individual’s Prakriti (natural constitution) and Vikruti (current imbalance). This helps practitioners identify which Doshas are disturbed and how they contribute to the manifestation of various skin conditions (Pole, 2013). For example, if a person with Pityriasis also has psoriasis and acne, the treatment focuses on balancing Vata, Pitta, and Kapha through dietary changes, herbal treatments, detoxification, and external applications like herbal pastes and oils (Sharma, 2005).


The Role of Agni and Ama in Skin Disorders

Weak digestion or impaired Agni (digestive fire) leads to the accumulation of Ama (toxins) in the body, a common cause of skin disorders in Ayurveda (Lad, 2002; Pole, 2013). Ama, when not properly eliminated, circulates through the bloodstream and manifests in the skin as conditions such as Pityriasis, eczema, and psoriasis. Ayurvedic treatment for co-existing skin conditions focuses on strengthening Agni and eliminating Ama through detoxification, dietary adjustments, and herbal treatments (Dash & Sharma, 2005).


The Interplay of Mental and Emotional Health

In Ayurveda, the mind and body are intricately connected, and mental or emotional disturbances, such as stress or anxiety, can aggravate Pitta and Vata Doshas, leading to flare-ups of skin conditions such as Pityriasis, eczema, and acne (Lad, 2002). Ayurvedic treatments often include mental and emotional health practices, such as meditation, yoga, and pranayama, to calm the mind and balance the Doshas (Pole, 2013).


Ayurvedic Approach to Managing Co-existing Skin Conditions

Ayurvedic management of co-existing skin conditions involves a multifaceted approach:

1. Dietary and Lifestyle Modifications

Dietary modifications aim to pacify the imbalanced Doshas and promote healthy digestion (Pole, 2013). For instance:

  • Pitta-Pacifying Diet: Cooling, bitter, and sweet foods, such as leafy greens, melons, and cucumbers, reduce inflammation.
  • Kapha-Pacifying Diet: Warm, light foods, such as grains, beans, and apples, help reduce oiliness.
  • Vata-Pacifying Diet: Warm, nourishing foods, such as root vegetables and dairy, alleviate dryness (Lad, 2002).

Lifestyle modifications include regular exercise, adequate sleep, and stress management to maintain Dosha balance (Sharma, 2005).


2. Herbal Remedies

Ayurvedic herbs are central to treating co-existing skin conditions. Commonly used herbs include:

  • Neem (Azadirachta indica): Antimicrobial and anti-inflammatory properties make Neem effective in treating infections and reducing inflammation (Sharma, 2005).
  • Turmeric (Curcuma longa): A powerful antioxidant and anti-inflammatory herb, Turmeric helps manage inflammatory skin conditions (Pole, 2013).
  • Manjistha (Rubia cordifolia): This blood-purifying herb detoxifies the body and promotes skin health (Sharma, 2005).
  • Aloe Vera (Aloe barbadensis): Known for its cooling and soothing properties, Aloe Vera is effective in managing inflammation (Lad, 2002).

3. External Applications

External treatments, such as Lepa (herbal pastes), Taila (medicated oils), and Kwatha (herbal decoctions), relieve symptoms and promote healing:

  • Neem and Turmeric Paste: Reduces inflammation and scaling in Pityriasis and other inflammatory conditions.
  • Kumkumadi Taila: A herbal oil with Saffron, known for its nourishing properties, supports skin healing (Sharma, 2005).

Comprehensive Ayurvedic Care

Ayurveda offers a comprehensive approach to managing co-existing skin conditions by addressing the root cause through diet, lifestyle modifications, herbal remedies, and external applications (Pole, 2013). This holistic treatment detoxifies the body, balances the Doshas, and promotes overall health (Dash & Sharma, 2005).


Conclusion

Ayurveda provides a holistic and personalized framework for managing co-existing skin conditions, such as Pityriasis, by addressing the underlying Dosha imbalances, detoxification, and mental health. This integrative approach promotes long-term skin health and prevents recurrences, offering a natural and comprehensive treatment strategy (Lad, 2002; Pole, 2013).



References

Kshirsagar, S. (2009). Ayurveda: The Science of Self-Healing. Lotus Press.

Dash, B., & Sharma, R. K. (2005). Charaka Samhita. Chowkhamba Sanskrit Series Office.

Improving efficiency in medical diagnosis. Agha L, Skinner J, Chan D. JAMA. 2022;327:2189–2190. [PMC free article] [PubMed] [Google Scholar]

 Six Domains of Healthcare Quality | Agency for Healthcare Research and Quality. [ Jun; 2022 ]. 2015. https://www.ahrq.gov/talkingquality/measures/six-domains.html.

Lad, V. (2002). Textbook of Ayurveda: Fundamental Principles. The Ayurvedic Press.

Pole, S. (2013). Ayurvedic Medicine: The Principles of Traditional Practice. Singing Dragon.

Zawar V, Jerajani H, Pol R. Current trends in pityriasis rosea. Expert Rev Dermatol. 2010;5:325–33. [Google Scholar]

 Chuh A, Chan H, Zawar V. Pityriasis rosea – Evidence for and against an infectious aetiology. Epidemiol Infect. 2004;132:381–90. [PMC free article] [PubMed] [Google Scholar]

Katta, R. (2010). Best Practices in Dermatology. McGraw-Hill Education.

Sharma, P. V. (2005). Dravyaguna Vijnana (Materia Medica of Ayurveda). Chaukhambha Bharati Academy.

Leung AKC, Lam JM, Leong KF, Hon KL. Pityriasis Rosea: An Updated Review. Curr Pediatr Rev. 2021;17(3):201-211. [PubMed]2.

Drago F, Ciccarese G, Parodi A. Pityriasis rosea and pityriasis rosea-like eruptions: How to distinguish them? JAAD Case Rep. 2018 Sep;4(8):800-801. [PMC free article] [PubMed]3.

Trayes KP, Savage K, Studdiford JS. Annular Lesions: Diagnosis and Treatment. Am Fam Physician. 2018 Sep 01;98(5):283-291. [PubMed]4.

Chang HC, Sung CW, Lin MH. The efficacy of oral acyclovir during early course of pityriasis rosea: a systematic review and meta-analysis. J Dermatolog Treat. 2019 May;30(3):288-293. [PubMed]5.

LENNHOFF VC. Demonstration of spirochaetes in puncture fluid from axillary lymph glands of two cases of pityriasis rosea (mercuric-sulfide stain). Acta Derm Venereol. 1949;29(5):524-8. [PubMed]6.

Mahajan K, Relhan V, Relhan AK, Garg VK. Pityriasis Rosea: An Update on Etiopathogenesis and Management of Difficult Aspects. Indian J Dermatol. 2016 Jul-Aug;61(4):375-84. [PMC free article] [PubMed]7.

Mahroum N, Shoenfeld Y. Classic Pityriasis Rosea. Isr Med Assoc J. 2022 Aug;24(8):549. [PubMed]8.

Khattab E, Christaki E, Pitsios C. Pityriasis Rosea Induced by COVID-19 Vaccination. Eur J Case Rep Intern Med. 2022;9(2):003164. [PMC free article] [PubMed]9.

Saad S, Gammoudi R, Abdessayed N, Denguezli M. Domperidone-induced pityriasis rosea-like drug eruption. Clin Case Rep. 2022 Apr;10(4):e05674. [PMC free article] [PubMed]10.

Gay JT, Huq ME, Gross GP. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Jun 5, 2023. Herald Patch. [PubMed]11.

Engelmann I, Ogiez J, Ogiez L, Alidjinou EK, Lazrek M, Dewilde A, Hober D. Relapsing Pityriasis Rosea With HHV-7 Reactivation in an 11-Year-Old Girl. Pediatrics. 2018 May;141(5) [PubMed]12.

Alame MM, Chamsy DJ, Zaraket H. Pityriasis rosea-like eruption associated with ondansetron use in pregnancy. Br J Clin Pharmacol. 2018 May;84(5):1077-1080. [PMC free article] [PubMed]13.

Harman M, Aytekin S, Akdeniz S, Inalöz HS. An epidemiological study of pityriasis rosea in the Eastern Anatolia. Eur J Epidemiol. 1998 Jul;14(5):495-7. [PubMed]14.

VanRavenstein K, Edlund BJ. Diagnosis and management of pityriasis rosea. Nurse Pract. 2017 Jan 20;42(1):8-11. [PubMed]


Medically reviewed by Dr. Adil Moulanchikkal, Lead Ayurveda Specialist at EliteAyurveda Clinics, with over 15 years of experience in treating neurological, skin, and autoimmune diseases.


Contact Us

At EliteAyurveda Clinics, we have a panel of specialists in various medical domains, including endocrine, autoimmune, and gynecology. We are renowned for our multifaceted and root-cause approach to treating chronic and difficult-to-treat disorders.

Visit our website to learn more about individualized treatment plans based on Ayurvedic principles. Connect with us to get patient testimonials and speak directly with our patients about their experiences with our treatments.


Note: This article is for informational purposes only and is not a substitute for professional medical advice.


Related-

Know More About Ayurveda Treatment For Pityriasis

GET IN TOUCH

Schedule a Visit