What is psoriasis?
Psoriasis is a chronic inflammatory skin condition characterised by clearly defined, red and scaly plaques (thickened skin). It is classified into several subtypes.
What are the clinical features of psoriasis?
Psoriasis usually presents with symmetrically distributed, red, scaly plaques with well-defined edges. The scale is typically silvery white, except in skin folds where the plaques often appear shiny and they may have a moist peeling surface. The most common sites are scalp, elbows and knees, but any part of the skin can be involved. The plaques are usually very persistent without treatment.
Itch is mostly mild but may be severe in some patients, leading to scratching and lichenification (thickened leathery skin with increased skin markings). Painful skin cracks or fissures may occur.
When psoriatic plaques clear up, they may leave brown or pale marks that can be expected to fade over several months.
Treatment of psoriasis
General advice
Patients with psoriasis should ensure they are well informed about their skin condition and its treatment. There are benefits from not smoking, avoiding excessive alcohol and maintaining optimal weight.
Topical therapy
Mild psoriasis is generally treated with topical agents alone. Which treatment is selected may depend on body site, extent and severity of the psoriasis.
Emollients
Coal tar preparations
Dithranol
Salicylic acid
Vitamin D analogue (calcipotriol)
Topical corticosteroids
Calcineurin inhibitor (tacrolimus, pimecrolimus)
Phototherapy
Most psoriasis centres offer phototherapy with ultraviolet (UV) radiation, often in combination with topical or systemic agents.
Types of phototherapy include
Narrowband UVB
Broadband UVB
Photochemotherapy (PUVA)
Targeted phototherapy
Systemic therapy
Moderate to severe psoriasis warrants treatment with a systemic agent and/or phototherapy. The most common treatments are:
Methotrexate
Ciclosporin
Acitretin
Other medicines occasionally used for psoriasis include:
Mycophenolate
Hydroxyurea
Azathioprine
6-mercaptopurine
Systemic corticosteroids are best avoided due to risk of severe withdrawal flare of psoriasis and adverse effects.
Biologics
Biologics or targeted therapies are reserved for conventional treatment-resistant severe psoriasis, mainly because of expense, as side effects compare favourably with other systemic agents. These include:
Anti-tumour necrosis factor alpha antagonists (anti-TNFα) infliximab, adalimumab and etanercept
The interleukin (IL)-12/23 antagonist ustekinumab
IL-17 antagonists such as secukinumab
The phosphodiesterase 4 inhibitor, apremilast
This was the modern medical treatment which is not successful. It never cures the psoriasis, but patient ends up with other diseases. I have seen bitter fact in the causes and principles of treatment of psoriasis that there is no known cause and no treatment of this disease in the so called modern molecular treatment.
The use of tar coal for bathing and external application is difficult because it is odourous. It has now been confirmed that coal tar causes skin cancer too. Methtrexate can also cause cancer. Most of the oral medications are also harmful for the baby in the mother's womb.
We should look for other treatments as these above drugs have failed.
I intend to tell the disappointed patients of psoriasis about the natural and harmless treatment. This is a miraculous treatment for Psoriasis, it is cheap and safe. Every patient with Psoriasis should go for it because it is a gift for patients who came across it.
Natural Herbal Formula For Psoriasis
1. Costus Root 80 grams
2. Watercress Seeds 20 grams
3. Senna Leaves 20 grams
4. Fruit Vinegar 800 grams
These 3 herbs were grinded into powder and then boiled in vinegar for 10 minutes on low flame. It was allowed to cool down and then strained. The powder was thrown after straining. This lotion was used on affected skin with the cotton piece. Most of the patients responded well and they were cured in 3-4 months.
The patients who had infected psoriasis were also given costus root powder to eat. The dose was 4-5 grams costus root powder twice daily.
You can also add olive oil in your diet in a dose of 15 to 30 ml two times daily.
Most of the patients were cured in 3 to 4 months but in some patients the treatment had to be continued for 6 months. The most important thing about the treatment of psoriasis is that the natural herbal treatment is very effective and harmless unlike allopathic method f treatment. If you are suffering from psoriasis or your friend or your relative has a psoriasis then you should give it a try. The above herbs are a great opportunity for you and your dear ones.
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