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Research

Psoriasis is a lifelong skin disease that occurs when faulty signals in the immune system cause skin cells to regenerate too quickly--every three to four days instead of the usual 30-day cycle. Extra skin cells build up on the skin's surface, forming red, flaky, scaly lesions that can itch, crack, bleed and be extremely painful. Psoriasis generally appears on the joints, limbs and scalp but it can appear anywhere on the body, covering some people from head to toe. Psoriasis typically first strikes people between the ages of 15 and 35, but can affect anyone at any age, including children.

PSORIASIS is a group of chronic disorders characterised clinically by scaly erythematous plaques all over body. Histological studies reveal epidermal proliferation. Psoriasis vulgaris is one of the commonest type , whereas pustular psoriasis is rare. The mean age of onset of psoriasis is 27 years,but persons of all age groups from infancy to old age can be affected.

Etiological factors of this disease are unclear. Known precipitating factors include trauma infection(haemolytic streptococcal infection) and endocrine changes Psoriasis is a chronic skin disorder; lesions tend to form on your knees, elbows, chest and other parts of your body. The cause of psoriasis is not known, Psoriasis occurs in both sexes with equal frequency, being most prevalent between the ages of 10 and 30. A tendency to psoriasis is inherited.

Ayurvedic texts have explained skin diseases, which resembles Psoriasis in detail. According these references, Psoriasis can be considered as the vitiation of Vata and Kapha. (Two of the basic energies/humors, which maintains our body equilibrium) Accumulation of low potency poisons are the basic pathological changes taking place in the system. Irregular food habits, consumption of foodstuffs that cannot be eaten together (Eg: diary products with fish), excessive intake of yogurt, black gram, seafood, sour and salted items etc can activate the pathogenesis. Alcohol and tobacco consumption will act as a catalyst here. Ayurveda do emphasize on the effect of stress in the pathogenesis of Psoriasis. In the modern life style mental stress also induces the symptoms of psoriasis.

We met Deepak mehta , a 35 year old Indian in a classic Ayurveda center in Mumbai, the western state of India 7 months ago. We visited the Ayurveda center for meeting people who come for long time treatment. Deepak mehta said He was visiting the center for the last 7 Months regularly for treatment for Psoriasis. We could not believe that he was suffering from psoriasis. He is handsome with perfect skin tone and charm. But we asked his again is it for wellness treatment ?. he was laughing. Then he showed us the photographs of his "real skin" which no one would love to keep for the past memories." This is a real rebirth" -he said with joy. I lost my job when I was struggling to survive with the aggravated.

psoriasis conditions. I lost all my faith in life and the remedial efforts I made . Then one of my friends who is familiar with Indian Ayurveda system directed me to Mumbai I decided to stay for the treatment as suggested by doctors and now I say here happily again for detoxifying my body to make sure that it will not affect my body- Now none will believe that I was suffering from psoriasis. - Deepak mehta was talking much on the need to promote the wonders of Ayurveda

Ayurvedic Treatment

Coming to the treatment aspects of Psoriasis according to Ayurveda, it aims at the detoxification of the body or elimination of toxins from the body fluids. It is achieved by "Panchakarma" treatments. Current schedule, comprising various treatment aspects of Ayurveda is aiming at a better control of Psoriasis. This includes internal and external medications purely of plant origin.

Dr. Gaurang a senior ayurveda doctor in Gujarat with extensive experience in psoriasis treatment says it can be controlled if the patient is ready to accept the protocol and conditions fixed by the Ayurveda doctor for treatment as well changing the lifestyle. If it is in the initial stage it can be cured with out much delay. Other wise regular treatment continuing for months will be needed. All depends on how the patient accepts the treatment modalities and how strictly follows the dietary protocol for the rest of the life.

A strict diet regime has to be followed during the entire treatment period and it is better to continue as vegetarian. Yogurt, black gram, chilies and salted thing have to be restricted. It is better to avoid refrigerated/chilled foods. Psoriatic must keep a state of mental calmness.

RESEARCH IN AYURVEDA IN PSORIASIS SCINTIFIC INFORMATION ON INDIVIDUAL HERB USED.

In India we are having many research labs doing research in herbs and toxicology to help us improve our treatments. To prove my point I want to give following information. A lot more is available for any one to review.

Mechanism of action of Dr.Gaurang's SORO Oil

The pre-clinical and clinical trials conducted over the years revealed that the application of soro Oil retards the cell division and inflammatory responses. In vitro study on the effect of Soro Oil on cultured cells was carried out using fast growing cell line SKV 14. Significant reduction in cell multiplication was observed. soro Oil selectively block the mitosis event especially the early anaphase. This was reconfirmed in Onion root tip mitosis assay. soro Oil affects both early anaphase and late metaphase. The rate of cell multiplication retardation is calculated as 40-60%. This properity of soro Oil re-confirmed in Guinea pig. Hyperkeratosis was induced in the flank region of the Guinea pig using a mutagen -Ethidium Bromide. Soro Oil was applied parelelly to study its effect on hyperkeratisos. It was recorded that Soro Oil arrests the level of cell multiplication to 58-63%. The isolated cells were further stained with fluorescent dye and found that spindle and microtubule formation has occurred in the treated cells.

Further Cytokine ELISA was done using the samples to study the co-stimulatory molecule profile in the psoriatic condition and the effect of Soro Oil on them. IL80 and Lymphokine 41 were found to have blocked during Soro Oil applications. Receptor binding mechanism would have resulted in this phenomenon. The effect on Soro Oil on the IL 40 may answer for its efficacy on the inflammatory changes of psoriasis. The experiment was carried out on EPISKIN and EPIderm model. This study was carried out mainly to find out the dose dependent action of Soro Oil. Various concentrations of Soro Oil was prepared viz., 1,2,3,5,10,20,30,40,50 and 60 mg/ml. 20mg/ml of the drug was effective in achieving 82% reduction. This concentration is found to have no cytotoxic effect.

Concentration of Soro Oil in mg/ml % reduction of cell multiplication (Mean) SD 1 12.8 ± 0.112 2. 32.6 ± 1.28 3. 41.8 ± 1.56 4. 68.4 ± 0.223 5. 82 ± 1.23 6. 84 ± 0.08 7. 83 ± 1.47 8. 71 ± 1.04 9. 0-* - -* = necrosis was observed % reduction of cell division after treated with SORO Oil at Various concentrations.

Further extrapolation study was carried out to understand the boosting effect of UVA to Soro Oil treatments. Four sets of fast growing cell lines SKV 14 were maintained in RPMI 1640 medium. The first set was maintained as control whereas the second set was treated with 30mg/ml concentration of Soro Oil. The 3 set was treated with 30mg/ml concentration of Soro Oil + UVA exposure (40 jules) for 2 minutes for 3 days. The fourth set was maintained only with UVA exposure (2 minutes for 3 days). The cells from all the sets were harvested after 3 days and the protein content and DNA were analyzed. The mRNA was also estimated. Soro Oil treatment retards cell division to 56 % as against 59% reduction when UVA alone was used. The combination of Soro Oil and UVA exerted 84% arrest in cell division proving the greater synergy between the two methods of treatment. All the above experiments clearly indicate the unique and selective action of Soro Oil on keratinocyte proliferation inhibition.

Bioavailability

Tmax, Cmax, AUC of single oral dose of SORO Oil in Guinea pig model revealed that peak concentration o 68.3 ng /ml reached in about 20 minutes. Retention time was observed to be 3 hrs.

Immunomodulatory property of SORO Oil

SORO Oil was studied for its immunomodulatory property both by in vitro and in vivo techniques. The phagocytes were isolated from the peritoneal cavity of Balp C mice after injecting with thyoglycolate. The phagocytes were washed and fixed on a flat bottom ELISA plate and were maintained in RPMI 1640. The adhered phagocytes were pre-treated with different dilutions of SORO Oil for 20 minutes. Later the cells were infected with opsonized fungal cells of Candida albicans. The level of phagocytosis and phagocytic killing (phagocytic Index, PI) were calculated by the following formula PI = Test / contro l Similarly, SORO Oil was administered orally to mice after injecting with SRBC (Sheep Red Blood Cells) and the level of antibody production was estimated by haemaglutination.

Immunomodultory studies with SORO Oil reveal that SORO Oil can significantly increase both phagocyte and antibody mediated immunity.

 

EFFECT OF SORO OIL ON KERATINOCYTE PROLIFERATION BY IN VITRO AND IN VIVO METHODS

SORO Oil, studied in detail for its effect on keratinocyte proliferation suppression. The study was carried out in The Department of Microbiology, The New College, Chennai.

For in vitro study, EPISKIN & EpiDerm model were used. The fast growing cell line were maintained either cryo-preserved or in 12% CO2 chamber. The SORO oil was prepared in various dilutions in RPMI 1640 medium.

Immunomodulatory property of SORO Oil

SORO Oil was studied for its immunomodulatory property both by in vitro and in vivo techniques. The phagocytes were isolated from the peritoneal cavity of Balp C mice after injecting with thyoglycolate. The phagocytes were washed and fixed on a flat bottom ELISA plate and were maintained in RPMI 1640. The adhered phagocytes were pre-treated with different dilutions of SORO Oil for 20 minutes. Later the cells were infected with opsonized fungal cells of Candida albicans. The level of phagocytosis and phagocytic killing (phagocytic Index, PI) were calculated by the following formula PI = Test / contro l Similarly, SORO Oil was administered orally to mice after injecting with SRBC (Sheep Red Blood Cells) and the level of antibody production was estimated by haemaglutination.

Immunomodultory studies with SORO Oil reveal that SORO Oil can significantly increase both phagocyte and antibody mediated immunity.

% reduction of cell division after treated with SORO Oil atVarious concentrations

Dose dependant decrease in cell multiplication was observed in the in vitro study. 20mg/ml concentration of SORO Oil was very effective in retarding the cell division to 90% level.

SORO Oil at 50 mg/ml and above produced necrosis in the cell line.

The kinetics of cell division in the case of treated vs. untreated cells was 2:8. The nuclear spindle formation is arrested during the treatment of cells with SORO Oil. This phenomenon was studied by mitosis inhibition assay using onion root tip assay. SORO Oil arrest the cell division especially during the mid anaphase to metaphase stage.

Clinical and experimental studies on the efficacy of SORO Oil a herbal preparation - CCRAS

The efficacy of SORO Oil was confirmed on 300 cases taken up for trials in the out patient department of Central Research Institute, Siddha at Chennai, India between 1998 to2001 The results were published in the Monograph by Central Council for Research in Ayurveda and Siddha (CCRAS), Ministry of Health and Family Welfare, Government of India, New Delhi .

The results together with the follow-up study indicated SORO Oil proved to be an ideal drug that provided marked relief from clinical symptoms, broke the cycle of recurrence, minimizes extent of complications and prevents complications completely. Long-term application did not invite or foresee any hazards, unlike steroidal formulations.

Papers presented in Domestic conferences by Dr. Gaurang Joshi

Dr. Gaurang Joshi and his associates have presented a number of research and clinical study papers in Domestic and International forums.

30 patients were put to treatment with SORO Oil for a period of 12 weeks. In a majority of the cases, the clinical symptoms started receding within the period of study. SORO Oil was found to a great extent, an ideal drug for the treatment of Psoriasis. It was found to be clinically effective, Non-toxic, cosmetically acceptable and economic. The findings results of the above study done by Prof. Dr. J.M. Boopalraj, Dr. Frederick Manuel et al. were presented at the 23rd National Conference of IADV&L (Indian Association of Dermatologists, Venerologists and Leprologists) in 1998 at Chennai and later published in the issue of "The Antiseptic" Medical Journal.

A paper titled " Treatment of psoriasis with Wrightia tinctoria leaf extract" was presented by Dr. Frederick Manuel at the above conference in . The paper highlighted that the extracts of the leaves of the plant are effective and inexpensive for the treatment of psoriasis and that most patients had long remissions on follow-up. The paper was presented on the basis on the basis of the trials done at the Kilpauk Medical College, Chennai.

Use experience reports of practising Dermatologists. SORO Oil and SORO Ointment have been drugs of choice for many practising Dermatologists in India and under their care, more and more patients are benefiting. Their observations have been encouraging. There are many more Dermatologists, General Physicians and practitioners of alternative medicines who share the observation. A few are presented below: "An ideal drug for the treatment of Psoriasis should have all the following characteristics- Effectiveness, Relative non-toxicity, Cosmetic applicability, and Cheapness (economical) . In my experience I have found that SORO Oil satisfies all these parameters to a great extent" " The more chronic the lesion the more striking is the improvement with the application of SORO Oil" "SORO Oil can be considered as one of the drugs of choice for the treatment, control and overall management of Psoriasis" " I have personally prescribed SORO Oil to some of my eligible patients and I found the results encouraging. Most of my patients got good remission" " I would like to thank Dr. Gaurang Joshi for introducing SORO Oil on scientific lines in the treatment of Psoriasis and conclude that SORO Oil is really a breakthrough in the management of all types of Psoriasis" "For the last few years I have been trying SORO Oil for my patients and I find the results are very effective in regard to several signs and symptoms affecting patients. Most of my patients had no remissions for a long period. None of my patients complained of any side effects" " SORO Oil is an ideal drug for psoriasis and has no side effects" " I have been prescribing SORO Oil and SORO Ointment to my Psoriasis patients and some cases of Seborrhic dermatitis with satisfactory results. SORO Ointment gives good results for Pityriasis Versicolor." This also explains the modern views where scientific community believes that there is no proven link between diet and its effect on psoriatic conditions but still some patients experience remarkable improvements in their psoriatic conditions with the control of some of the diets and then the same diet control does not produce any effect on other patients and yet the same diet control does not produce any significant effect on same patient after some time. How can we explain this anomaly. Our special Dietary Guideline which we provide to every psoriatic patient under our treatment is based upon above Ayurvedic View and help every psoriatic patients in their early cure.

References:

 E. Noiesen, M.D. Munk, K. Larsen, M. Høyen and T. Agner. (2007) Use of complementary and alternative treatment for allergic contact dermatitis. British Journal of Dermatology 157:2, 301-305  Eran Ben-Arye, M. Frenkel, M. Ziv. (2004) An Approach to Teaching Dermatologists About Complementary Medicine. The Journal of Alternative and Complementary Medicine 10:5, 899  E. Ernst, MD, PhD, FRCP. (2003) CAM in dermatology: Telling fact from fiction. International Journal of Dermatology 42:12, 979-980  Gottlieb, AB, Lifshitz, B, Fu, SM, Staiano-Coico, L, Wang, CY, Carter, DM: Expression of HLA-DR molecules by keratinocytes and presence of Langerhans cells in the dermal infiltrate of active psoriatic plaques. J Exp Med 1986 164: 1013-1028,  Gottlieb, AB: Immunologic mechanisms in psoriasis. J Am Acad Dermatol 1988 18: 1376-1380, |  Gottlieb, AB, Chang, CK, Posnett, DN, Fanelli, B, Tam, JP: Detection of transforming growth factor alpha in normal, malignant, and hyperproliferative human keratinocytes. J Exp Med 1988 167: 670-675, Grossman, RM, Krueger, J, Yourish, D, Granelli-Piperno, A, Murphy, DP, May, LT, Kupper, TS, Sehgal, PB, Gottlieb, AB: Interleukin-6 (IL-6) is expressed in high levels in psoriatic skin and stimulates proliferation of cultured human keratinocytes. Proc Natl Acad Sci USA 1989 86: 6367-6371, Krueger, GG: Psoriasis: current concepts of its etiology and pathogenesis. In: Dobson RL (ed.). Year Book of Dermatology 1981, Year Book Medical Publishers, Chicago, pp 33-70,  Baker, BS, Swain, AF, Fry, L, Valdimarsson, H: Epidermal T lymphocytes and HLA-DR expression in psoriasis. Br J Dermatol 1984 11: 555-564,  Baadsgaard, O, Tong, P, Hansen, E, Taylor, RS, Chan, L, Mannie, A, Wantzin, GL, Voorhees, JJ, Fox, D, Cooper, KD: Lesional psoriasis T cell clones express UM4D4, the surface component of an antigen independent T cell activation pathway (abstr). J Invest Dermatol 1988 90: 545,  Kaplan, G, Witmer, MD, Nath, I, Steinman, RM, Laal, S, Prasad, HK, Sarno, EN, Elvers, U, Cohn, ZA: Influence of delayed immune reactions on human epidermal keratinocyres. Proc Natl Acad Sci USA 1986 183: 3469-3473,  Nathan, CF, Kaplan, G, Levis, WR, Nusrat, A, Wirmer, MD, Sherwin, SA, Job, CK, Horowitz, CR, Steinman, RM, Cohn, ZA: Local and systemic effects of intradermal recombinant interferon-gamma in patients with lepromatous leprosy. N Engl J Med 1986 315: 6-15.

For More Details contact
Dr.Gaurang Joshi
B.A.M.S.(Gold Medalist) Ayurveda Immunologist,
Panchakarma Physician, Skin Specialist,
2,Paras Society, Nirmala Convent Road,
Opp:Physiotherapy College,
RAJKOT.360001. Gujarat,India.
Email:drgaurang_joshi@yahoo.com

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  • Shirodhara Massage

    Atharva Ayurveda that offer shirodhara are careful to create a comfortable and tranquil environment with atmospheric background music and a soft treatment table.
    Lying on your back, your body will be cocooned in warmed towels and your head will be positioned under the oil ‘fountain’ – a metal bottle with a slow-flowing spout from which the oils will stream gently onto the forehead.

  • Abhyanga Massage

    Abhyanga, the Ayurvedic form of massage, functions as both a strengthening and reducing therapy. There are four main reasons for giving or receiving an Abhyanga:
      • The eliminate excess water and fat deposits
      • To purify the blood and tissues of toxins
      • To strengthen and rejuvenate
      • To maintain strength and balance

  • Panchakarma

    Panchakarma therapy is also used as a purification therapy to cleanse the body before starting a treatment. A diseased body can be compared to a soiled cloth which can not be colored as we desire. Hence to attain the maximum benefits , the body has to be purified or cleaned before starting the treatment.The cleared channels help medicines to penetrate the deeper tissues.

  • Research At Atharva Ayurved India

    Currently Doing Research Project Title “Clinical study to evaluate the efficacy and safety of Polyherbal powder in patients with vitiligo.”with The Department Of Pharmaceuticals Sciences,Saurashtra University,Rajkot. Currently Doing One More Research Project Title “An open label study to evaluate the efficacy and safety of Polyherbal formulations in patients with mild to moderate psoriasis”

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