MELASMA AND ITS AYURVEDIC MANAGEMENT

DEFINITION:

Melasma is a skin disorder which is characterized by brown or gray patches on skin. This disease can appear as flat patches or freckle like spots. Melasma is also known as mask of pregnancy. It cause changes in normal skin pigmentation. Melasma  getting worse in summer and better in winter.

CAUSES OF MELASMA :

1. Exposure to intense heat.
2. Excessive sun exposure
3. Hormonal imbalances
4. Chronic liver disorders
5. Family history
6. Use of birth control pills
7. Deficiency of vitamin B12.

TYPES OF MELASMA:

1. Epidermal melasma: It has a dark brown color and well-defined border.
2. Dermal melasma : It has a light brown color and ill-defined border.
3. Mixed melasma : It is the most common type which has both bluish and brown patches.

SIGNS OF MELASMA:

• Patches of varying shades of brown or black color.
• Brown color patches
• Firstly discoloration is seen after that inflammation or injury appears on skin.
• It appears in 6 location :

Brachial: It appears on shoulders and upper arms.

Centro facial : It appears on forehead ,cheeks, nose and upper lips.

Lateral cheek pattern: It appears on both skins.

Mandibular: It appears on jawline.

Neck: It appears on all sides of neck.

DIFFERENTIAL DIAGNOSIS:

• Lichen planus
• Drug induced photosensitivity
• Mastocytosis
• Dermatitis
• Acanthosis nigricans

GOOD FOOD IN MELASMA:

• Kiwis
• Almonds
• Brightly colored vegetables.
• Citrus fruits
• Sweet potatoes
• Pumpkin
• Papaya
• Beetroot
• Flax seeds

 FOODS TO BE AVOIDED  IN MELASMA:

• Eggs
• Milk and dairy products.
• Soy products
• Marine fish
• Shellfish
• Peanuts

PREVENTION IN MELASMA:

• Avoiding sun exposure.
• Tanning beds
• LED screens
• Irritating soaps

AYURVEDIC APPROACH OF MELASMA:

In Ayurveda it can be correlated with vyanga which can be caused by vitiation of pitta and vata dosha than it affects the rakta dhatu. Vataja, pittaja, kaphaja raktaja are the types of vyanga.

FEATURES :

1. Vataja : Skin appear rough with bluish, black patches
2. Pittaja : Edges are coppery red.
3. Kaphaja: Edges are white and associated with itching.
4. Raktaja: Edges are red and coppery in center and associated with tingling or burning sensation.

CAUSATIVE FACTORS IN AYURVEDA:

• Suppression of vomiting
• Heavy facial exercises
• Day sleep
• Wrong food combinations.
• More intake of pungent sour salty food.
• Exposure to intense heat.

PANCHKARMA PROCEDURES:

1. Rakatmokshana
2. Pralepa
3. Abhyanga
4. Nasya

HERBS USED IN MELASMA:

• Cardamom(Ellettaria cardamomum)
• Sariva (hemidesmus indicus )
• Manjista (Rubia cordifolia)
• Chandna (Santalum album)
• Turmeric (Curcuma longa)
• Lodhra (Symplocos racemosa)
• Amla (Emblica offcinalis)
• Daruharidra (berberis aristata )

CHANDIGARH AYURVED CENTRE MEDICATION FOR THE TREATMENT OF MELASMA:

1. Detox Premium Powder

The sachet includes all the natural ingredients which help to detoxify the body and maintain the natural luster and glow in the skin.  This herbal sachet contain various ingredients mentioned below:

1. Parwal Pishti – It is an Ayurvedic medication based on Coral Calcium. Parwal pishti acts as an anti-inflammatory. It prevents from sunburn and pricking sensation in the skin after burning, etc.
2. Shukta Pishti – It is prepared from the pearl oyster shell. Shukta Pishti is used in acne and skin allergy. It mainly helps to remove the patches.
3. Giloy Satva – Giloy satva is ayurvedic preparation that reduces the signs of aging, dark spots, pimples, etc.
4. Gandhak Rasayana– This is a classical preparation used in itching, burning sensation, urticaria, eczema, scabies, pimples, etc.
5. Kamdudha Rasa – Kamdudha Ras is an herbal-mineral ayurvedic classical medicine having SHEETA VIRYA properties. It is used in burning sensation, excessive sweating, hot flashes, heat sensation, etc.
6. Sudh Yog Powder -It helps to remove patches, acne. Sudh Yog Powder helps in nourishing and moisturizing the skin. This powder promotes detoxification and rejuvenation. It helps in engender vibrant, which makes the skin healthy.
7. Jahar Mohra Pishti – Jahar mohra pishti is an Ayurvedic mineral based formulation. In Ayurveda, it mainly works on pitta dosha. The main work of Jahar Mohra Pishti is to detoxify the body and maintain the luster on the face.

Recommended Dosage –Take 1 Sachet twice a day with normal water.

2. Panchatikta Ghrita Guggulu: 

Panchatikta Ghrita Guggulu is an ayurvedic preparation mainly used for skin diseases. This tablet contains pure herbal ingredients such as Nimba(Azadirachta indica), Patola(Cucumis acutangulus), Guduchi(Tinospora cordifolia), Vasa(Adhatoda vasica), etc. This tablet promotes detoxification and rejuvenation. Panchatikta Ghrita Guggulu tablet is a natural source of anti –oxidant. It promotes engender vibrant and healthy skin.
Recommended Dosage – Take 1 tablets twice a day with normal water.

3. Skin Glow Kadha :

This herbal decoction gently and deeply cleanses the skin. It makes your skin fair and bright. The decoction is composed of dalchini, giloy, tulsi, chirata, haldi, mahaguni, bahera, etc. Skin Glow Decoction reduces spots, marks, and blemishes. It contains saffron which reduces the Melanin pigment in the skin. This decoction is suitable for all skin types.
Recommended Dosage – Take 10 mL twice a daily with normal water.

4. Twak Churana :

This herbal powder is prepared from two herbs Manjistha (Rubia cordifolia) & Chopchini(Smilax malabarica) that in combination reduces uneven pigmentation. Manjishtha mainly helps in deep detoxification and blood purification. It can also be used for hand lotion to treat dry, cracked hands, or feet. This herbal powder is good for dry skin, rashes, acne. It has been used in psoriasis. Skin Glow powder removes toxins and impurities of blood. This powder helps to rejuvenate and promote the longevity. It helps to open the blocked sweat pores. This powder is used in infectious conditions like, eczema, pimples, and chronic skin disorders.
Recommended Dosage – Take 1 teaspoonful twice a day with normal water.

5. Panchsakar Churna :

Panchsakar Churna is an ayurvedic formulation that consists of five ingredients named as – Saindhav Lavana (Rock Salt), Swarnapatri (Cassia angustifolia), Shatapushpa (Anethum sowa), Shunti – (Zingiber officinale), Balaharitaki (Unripe fruits of Terminalia chebula). Panchsakar Churna is naturally detoxifying, thus it removes the toxins from the body. It relieves inflammation and
useful in all types of skin problems.The powder has an anti – inflammatory properties due to which it can reduces the swelling.
Recommended Dosage – Take 1 teaspoonful with lukewarm water at bedtime.

6. Orange Face Cream :

Orange Face Cream makes your skin look beautiful, softer, and healthier for long duration. Oranges are rich in calcium, fibre and vitamin C which aid in skin exfoliation and help to dry out acne, improving the overall look of your skin. Orange face cream helps in drawing out all the impurities leaving a beautiful healthy glow. Natural oils present in Oranges help to moisturise skin.

Recommended Dosage – Gently apply on your face twice daily.

7. Aloe Vera Gel :

Aloe Vera herb is well known for its medicinal properties and has multiple benefits in case of skin problems. The gel is made up of pure extract of aloe vera that has a mixture of rose petals in it. The gel has anti-inflammatory, anti-oxidant, anti-fungal, anti-bacterial properties and also provides a
coolant effect to the skin. This gel provides good result in Acne or Pimples, Dry Skin, Hyper- Pigmentation, Provides natural glow to the skin.
Method of Application – Gently apply over the affected area of the skin.

8. Skin Care Plus Tablet: :

Skin care is a blood purifying tablet. It cools and detoxifies the blood, removes stagnant blood and dissolves obstructions in the blood flow that further increase blood circulation of the skin. It minimises the blemishes, lighten sun tan, delay ageing of skin and heal skin problems.

Recommended Dosage – Take 1 tablets twice a day with normal water.