AYURVEDIC PERSPECTIVE OF LICHEN PLANUS
Ayurveda considers digestion to be the primary factor in the pathology of disease. In the case of psoriasis, a compromised digestive system leads to an increase of pitta dosha into rasa dhatu. Pitta dosha is an ayurvedic principle of physiology representing the energy of transformation in the body. Rasa dhatu is the first tissue created from the process of digestion and is akin to plasma, serum, white blood cells and the lymphatic system.
VITIATION OF DOSHA IN LICHEN PLANUS
Lichen Planus is caused by vitiation of Vata and Kapha dosha. The vitiated doshas affect the skin and blood tissues. They also influence water element of the affected region on skin. Thus the skin which is influenced by affected doshas becomes discolored (Violet ), scaly and thin.
with new mature skin cells.
According to ayurveda principles the vitiated vata dries the water element of skin and also initiate rapid growth of skin tissue. The vitiated Kapha dosha causes itching on the affected skin. The blood which is affected by vata and kapha adversely influences healing process
AYURVEDIC TREATMENT OF LICHEN PLANUS
In treating lichen planus, ayurveda recommends a comprehensive treatment strategy that involves strengthening your digestion and detoxifying and eliminating toxins. Addressing your diet, and not only how you eat, but also when and what, is important. Herbal formulas support digestion and aid in the detoxifying process.
Ayurvedic treatment of lichen planus aims to rid the body of accumulated toxins. Ayurveda's primary purification and detoxification method is a process known as panchakarma, which uses a combination of therapies to cleanse the body and balance the doshas. Panchakarma may include therapeutic vomiting, purgation, enema therapy and nasal cleansing, as well as the use of medicated oils and steam baths. After the detoxification process, patients undergo a period of rest that may involve a special diet
THE AYURVEDIC HERBS AND MINERALS USED FOR LICHEN PLANUS ARE ::
Arogyavardhini vati Mahamanjishthadi Qwath Khadriarishta Neem
Gandhak Rasayan Saariva Manjishta Karanj Tulasi Haridra
Daruharidra Chirayata Vacha Panchatikt Ghrit Guggulu
Neem-Karanj Oil Bakuchi Oil Mahamarichyadi oil chandanide Oil
MODERN CONCEPT OF LICHEN PLANUS
CAUSES OF LICHEN PLANUS
CLASSICAL FEATURES OF LICHEN PLANUS
THE COMMON LICHEN PLANUS DISORDERS ARE
Oral Lichen Planus
When lichen planus affects the mouth, it most commonly causes the appearance of small blue-white spots, which may be tender or mildly painful. They are typically found on the sides of the tongue or the insides of the cheek, though in rare cases they can appear on the gums. The skin lesions usually occur in lines and form a small lacy network, which can cause some mild enlargement of the affected area. Oral lichen planus is associated with an increased risk of developing oral cancer.
Lichen planus pigmentosus
In some patients oval greyish brown marks appear on the face and neck or trunk and limbs without an inflammatory phase. It may be the same or similar to erythema dyschromicum perstans. A skin biopsy reveals lichenoid features,which are absent in a similar condition called idiopathic macular pigmentation.
Vulval lichen planus
As in the mouth, lichen planus may cause painless white streaks.
Lichen sclerosus is the medical term used to describe chronic inflammation of the skin, usually of the sex organs and the anus. Lichen sclerosus (LIKE-in skler-O-sus) is a skin disorder that can affect men, women, or children, but is most common in women. It usually occurs on the vulva (the outer genitalia or sex organ) in women, but sometimes develops on the head of the penis in men. Occasionally, lichen sclerosus is seen on other parts of the body, especially the upper body, breasts, and upper arms
Lichen simplex chronicus
Hyperpigmented, lichenified plaque with accentuated skin lined caused by repeated rubbing of the area. Lichen simplex chronicus (LSC) is a localized, well-circumscribed area of lichenification (thickened skin) resulting from repeated rubbing, itching, and scratching of the skin. It can occur on normal skin of individuals with atopic, seborrheic, contact dermatitis, or psoriasis.
Erosive lichen planus
Affects the labia minora (inner lips) and introitus (entrance to the vagina). The affected mucosa is bright red and raw. The labia minora can shrink and stick to each other or to the labia majora (the outer lips). Erosive lichen planus can be very painful, preventing sexual intercourse. It can also scar, closing over the vagina.
Vaginal lichen planus
Sometimes lichen planus affects deeper within the vagina where it causes desquamative vaginitis. The surface cells in the vagina peel off and cause a mucky discharge. The eroded vagina may bleed easily on contact.
Penile lichen planus
Classical papules are the most common form of lichen planus on the penis and mostly occur in a ring around the glans (the tip of the penis). White streaks and erosive lichen planus are much less common on the penis.
Other mucosal sites
Erosive lichen planus uncommonly affects the eyelids, external ear canal, oesophagus, larynx, bladder and anus.
Follicular lichen planus, also known as lichen planopilaris, results in tiny red spiny papules around a cluster of hairs. Rarely, blistering occurs in the lesions. Permanently bald patches may develop
Lichen planus of the nails
Lichen planus affects one or more nails in 10% of cases, sometimes without involving the skin surface – if all nails are abnormal and nowhere else is affected it is called twenty nail dystrophy. The nail plate tends to thin and may become grooved and ridged. The nail may darken, thicken up or lift off the nail
Lichen planus of the nails
Lichen planus affects one or more nails in 10% of cases, sometimes without involving the skin surface – if all nails are abnormal and nowhere else is affected it is called twenty nail dystrophy. The nail plate tends to thin and may become grooved and ridged. The nail may darken, thicken up or lift off the nail bed (onycholysis). Sometimes the cuticle is destroyed and forms a scar (pterygium). The nails may shed, stop growing altogether and rarely, completely disappear.
Actinic lichen planus
Actinic lichen planus only affects sun exposed sites such as face, neck and the backs of the hands.
Bullous lichen planus
Bullous lichen planus is rare; blisters appear within lichen planus papules or by themselves, generally on the lower legs.
Longstanding erosive lichen planus may result in skin cancer like Squamous cell carcinoma of the mouth –oral cancer- , vulva – vulvar cancer-, and penis – penile cancer-. This should be suspected if there is an enlarging lump or an ulcer with thickened edges. Cancer from other forms of lichen planus is rare.
List Of Cutaneous (Skin) Conditions - Lichenoid Eruptions