Introduction
Prurigo Nodularis is also known as Picker Nodules and Hyde's disease. PN is an uncommon auto immune skin condition wherein hard crusty lumps are formed on the skin which causes severe itching. Prurigo means itching and nodularis means nodules. The itching is so severe that it stops only once the PN is scratched and it starts bleeding. It is a form of chronic inflammatory dermatosis. Itching leads to distraction. The scratching leads to formation of hyperpigmented lesions with scaly surface and is known as lichen simplex chronicus.
PN is usually in the areas easily reached like arms, shoulders and legs. The factors that trigger PN are related to nervous and mental conditions of the patient. It could be due to improper liver and kidney functions, being anemic, having HIV infection and even skin problems like eczema. Family history of atopic dermatitis or asthma are mostly victims of PN. Nodular Prurigo are known to occur in symmetry and are usually grouped together. Poor and incorrect diet that includes excessive intake of salt, sour or pungent foods, excess sugary or oily foods or overuse of cosmetics, perfumes etc. are other factors leading to PN.
The problem is common in middle aged and older women compared to men.According to Ayurveda, skin problems are more common with people having Pitta imbalance as Pitta can overheat the blood and predispose to toxin conditions.
SYMPTOMS OF PRURIGO NODULARIS
- Discrete, scaly, firm, open nodules are present on extensor surfaces of legs and arms.
- The sore is hard and about half an inch. It is dry and rough to touch.
- Due to repeated scratching and rubbing, the skin gets dark (hyperpigmentation) and thick (lichenification).
- The problem often leads to stress and depression in patients.
DIAGNOSIS OF PRURIGO NODULARIS
PN can easily be diagnosed by visual examination as there are nodules with intense itching episodes. Skin biopsy is done to confirm PN. Blood tests are performed to check the blood count along with liver, kidney and thyroid function tests. Patch testing is done in some cases. Other tests include Dermoscopy to differentiate various nodular pruritic conditions and direct immunofluorescence can be performed.
AYURVEDIC TREATMENT OF PRURIGO NODULARIS
Prorigo nodularis is a very challenging problem to treat. Antihistamines, cortisones, antibiotics are prescribed in most cases. Ayurvedic treatment for Prurigo Nodularis focusses on calming down the inflammation, itching, pain and discomfort along with healing the nodules and preventing further scarring.
Planet Ayurveda offers a complete and effective treatment for managing Prurigo Nodularis in the form of skin care pack. The products help in handling all skin problems. All products are made without any chemicals, additives, preservatives, fillers and binders. The medicines are safe to be used and free from any side effects. This pack includes;
1. Aloe Vitals Capsules
These capsules are prepared from the standardized extracts of Aloe Vera herb which is very beneficial in managing skin ailments of all kinds. The medicine is excellent source of Vitamin C and Vitamin E. The product has shown positive results in treating eczema, alleviating red and dry patches. It helps in stimulating the development of skin cells, keeping the skin hydrated and maintaining skin's natural glow.
Dosage: The recommended dosage of Aloe Vital capsules is 2 capsule two times a day with plain water preferably after meals.
2. Neem Capsules
These capsules are prepared using pure and standardized extracts of Neem herb which is widely known for its anti-inflammatory, anti-fungal, anti-bacterial properties. Neem provides proper nourishment to the skin by removing any excess oil from the skin. It is an excellent blood purifier as it removes toxins from the body.
Dosage: The recommended dosage of Neem capsules is 2 capsule two times a day with plain water preferably after meals.
3. Kumkumadi Tailam
This herbal oil is an excellent combination of herbs like Rakta Chandan, Manjistha, Yashtimadhu, Daruhaldi, Ushira, Padmaka, Vat, Pipal, Nagkesar, and Til. The oil possesses antiseptic, astringent, disinfectant and deodorant properties. It is safe to be used on any part of the body. It keeps skin glowing, removes acnes, scars and blemishes. It also helps in getting rid of wrinkles. The oil treats uneven skin tones and pigmentation spots.
Dosage: It is recommended to apply 3 to 5 ml of Kumkumadi Tailam over the affected areas daily.
4. Radiant Skin, Hair and Nails Formula
These capsules are prepared using four excellent herbs which include Ghrit Kumara, Manjistha, Chirata and Pitta Papda. Other herbs used to prepare these capsules are Bhumi amla, ashwagandha, bhringraj, brahmi , yashtimadhu and amalaka. As the name suggests, the medicine works towards promoting healthy skin, healthy hair and nails. It is very useful in managing the skin related problems of PN. It provides nourishment to the skin.
Dosage: The recommended dosage of Radiant skin, Hair and Nail capsules is 2 capsules two times a day with plain water after meals.