Bullous Pemphigoid – Symptoms, Causes, Prevention & Ayurvedic Treatment
ABSTRACT
Bullous pemphigoid is an autoimmune disease that causes blisters on the skin. It is also known as subepidermal blistering disease. It is a rare skin disorder that causes fluid-filled blisters on the skin. Bullous pemphigoid affects elderly patients mostly between the ages of 60 to 80 years. This article reviews the causes, symptoms, and Treatment of Bullous Pemphigoid in both Ayurvedic and modern aspects.
INTRODUCTION
It is the most common autoimmune disorder of the skin that causes blisters on the skin. It is characterized by tense bullae and intense pruritus. While in some atypical cases, bullous lesions are absent. Bullous pemphigoid occurs when the immune system attacks a thin layer of tissue below the outer layer of skin. It usually affects older people. It starts with itching and rashes on the skin. On the white skin, these patches look red or pink. Moreover, on brown and black skin they may look dark reddish-brown. Bullous pemphigoid mostly affects the larger areas of the body or limbs. Blisters may appear on the skin after a few weeks. These blisters can grow big and may also contain blood sometimes. It is a chronic disease that lasts for longer than six weeks.
CAUSES OF BULLOUS PEMPHIGOID
The cause in most cases of bullous pemphigoid is unidentified. One of the causes may include exposure to ultraviolet light and radiation therapy. Some drugs are also responsible for bullous pemphigoid-like non-steroidal anti-inflammatory agents and antibiotics.
SYMPTOMS OF BULLOUS PEMPHIGOID
- Severe itching
- Large, tense bullae (blisters)
- Rashes before the blisters appear
- Urticaria
- Ring-shaped lesions
- Small blisters
- Blister fluid (bloodstained, clear, or cloudy fluid)
- Pigmentation
- It mostly involves the flexor aspects of the limbs. It may be restricted to one area or spread on the trunk and proximal limbs.
DIAGNOSIS OF BULLOUS PEMPHIGOID
- Blood tests
- Skin biopsy
TREATMENT OF BULLOUS PEMPHIGOID
- The main treatment includes systemic corticosteroids. Usually, the treatment depends on the extent of the disease.
- Immunosuppressive Therapy is also included in the treatment of the Bullous pemphigoid.
- Topical steroids to relieve itching and dryness on the skin.
- Antibiotics for infections
HOME REMEDIES FOR BULLOUS PEMPHIGOID
- Wear loose-fitting and soft clothes
- Avoid spending more time in the sunlight
- Wash the sores and ulcers with antibacterial soap and water. This will prevent further infection.
- The antibiotic ointments are also helpful in tolerating the symptoms.
- Always moisturize the skin with lotions, coconut oil, or some creams.
COMPLICATIONS OF BULLOUS PEMPHIGOID
- Viral infections like herpes zoster, varicella, etc.
- Bacterial staphylococcal skin infection and sepsis.
PREVENTIONS OF BULLOUS PEMPHIGOID
- Refrain from scraping
- Maintain hydrated skin
- Bring the vibe in the home down
- Paying close attention to the diaper region
- Observe proper hygiene, etc
AYURVEDIC VIEW ON BULLOUS PEMPHIGOID
In Ayurveda, it is associated with Visphot. It was one of Acharya Charak’s literary works, Kshudra Kustha. The long-term illness known as kustha is brought on by Mycobacterium leprae. The environment is often home to this bacterium.
CAUSES OF BULLOUS PEMPHIGOID/ VISPHOT
कटु अम्ल तीक्ष्णोष्ण विदाही रुक्ष क्षार अजीर्ण अध्यशनातपैश्च |
तथर्तुदोषेण विपर्ययेण कुप्यन्ति दोषा: पवनादयास्तु || (मा नि ५३/१ )
- Through eating foods that are hot, laxative, protective, alkaline, bitter, and astringent.
- Resuming the same diet after the initial meal that has not been fully digested (adhyshan)
- Seasonal illnesses, seasonal variations, vata flaws, etc. become worse as a result of prolonged sun exposure.
SAMPRAPTI OF VISPHOT
Visphot with fever is caused by the vitiated doshas hiding in the epidermis, which then infect the blood (Rakta), flesh (Mansa), and bones (Asthi) dhatu.
SAMPRAPTI GHATAK OF VISPHOT
- Doshas: Vata, Pitta
- Dushya: Twak (skin), Rakta (blood), Mamsa (flesh), and Lasika (lymph).
- Adhisthana: Twaka (skin).
TYPES OF VISPHOT
- Vataj: The patient in this instance has headaches, body pains in various areas, fever, thirst, joint rupture pain, and body darkness.
- Pittaj: Patients suffering from pittaj visphot had a high fever, searing pain, ulceration, frequent thirst, and yellowing and reddening of the skin.
- Kaphaj: In this, patients have reduced pain, numbness, itching, hardness, yellowing, and delayed ripening of ulcers in addition to vaman (vomiting) and aruchi (disinterest in eating).
- Vatapitabitaj: The sufferer is in excruciating discomfort.
- Kaphvataj: It involves sensations of heaviness, dampness, and itching throughout the body.
- Kaphvataj: These patients have burning and itching feelings, nausea, and fever.
- Tridoshaj: All the doshas are vitiated, which results in this. Blisters have elevated and buried edges that are difficult to touch, less ripe, and may cause pain, fever, fainting, redness, burning sensations, and ascending thirst. These symptoms characterize Troidoshaj Visphot.
- Rakataj: This kind of blister has a crimson hue. The vitiation of rakta and pitta is the cause of it.
MANAGEMENT OF VISPHOT
- Fasting, or Langhan
- Vaman (poisoning by induction)
- Induced purgation, or virechan.
HERBAL REMEDIES BY PLANET AYURVEDA FOR BULLOUS PEMPHIGOID
The greatest herbal products are produced by the herbal pharmaceutical firm Planet Ayurveda. It is a GMP-certified firm. Pure and herbal goods are offered by Planet Ayurveda. The items are free of pollutants and impurities. The most notable aspect of Planet Ayurveda’s products is their efficacy. The following are some of Planet Ayurveda’s products for bullous pemphigoid:
- MANJISHTHA CAPSULES
- PITTA BALANCE
- GANDHAK RASAYAN
- DERMO PLAN SYRUP
- NIRGUNDI OIL
- REVIVIFY MANDARIN ORANGE NATURAL HANDMADE BAR
- GLEAMING SKIN, HAIR, NAILS FORMULA
PRODUCT DESCRIPTION
1. MANJISHTHA CAPSULES
This is the manufacturing of Planet Ayurveda which consists of Manjistha (Rubia cordifolia) as the main ingredient. Rubia cordifolia has anti-bacterial, antioxidant, and anti-inflammatory properties which are beneficial in skin disorders. It also has blood-purifying properties. Manjishtha capsules are useful in balancing pitta dosha also.
Dosage: One capsule twice daily after meals.
2. PITTA BALANCE
This is an amazing formulation by Planet Ayurveda which consists of JaharMohra Pishti (an Ayurvedic calcium compound), Kaharwa pishti, Mukta pishti (Pearl calcium), Giloy satva (extract of Tinospora cordifolia), and Akik pishti (Agate calcium). These capsules are beneficial in balancing pitta dosha, enhancing skin texture, promoting the immune system, and purifying blood.
Dosage: One capsule twice daily after meals.
3. GANDHAK RASAYAN
This wonderful mixture, which contains Purified sulphur (Shuddha gandhak), comes from Planet Ayurveda. It lessens discomfort and irritation. The antibacterial properties of Gandhak Rasayan help treat scabies, infections, allergies, and a variety of other skin conditions. Its antiviral and antibacterial properties are equally remarkable. The vata, pitta, and kapha tridoshas are balanced by these tablets.
Dosage: 2 tablets twice daily after meals.
4. DERMO PLAN SYRUP
The components used in the production of Planet Ayurveda include Sariva (Hemidesmus indicus), Giloy (Tinospora cordifolia), Chopchini (Smilax china), Manjistha (Rubia cordifolia), and many more. It serves as an organic skin toner. It is used to support healthy skin, cleanse blood, and lessen inflammation. In addition to clearing the body of impurities, it helps with skin conditions.
Dosage: 2 teaspoons twice daily after meals.
5. NIRGUNDI OIL
Haridra (Curcuma longa), Nirgundi (Vitex negundo), Manjistha (Rubia cordifolia), Kalahari (Gloriosa superba), and tila oil (Sesamum indicum) are some of the natural plants that are used to make this herbal oil. It aids in strengthening the body’s ability to digest food and keeps the body from producing ama dosha, or amyloid. Enhancing blood circulation is another benefit that will aid bullous pemphigus extremely well.
Dosage: Locally applied on the affected areas.
6. REVIVIFY MANDARIN ORANGE NATURAL HANDMADE BAR
Ingredients in this herbal bar include coconut nucifera oil, citrus nobilis oil, aloe barbadensis, and citrus sinensis oil. By enhancing the way skin tissues work, it contributes to the maintenance of clean, healthy skin. Because it contains more vitamin C, which promotes good wound healing, it is highly effective for treating all skin conditions, including bullous pemphigus.
Dosage: Apply locally.
7. GLEAMING SKIN, HAIR, NAILS FORMULA
Ingredients such as Sariva (Hemidesmus indicus), Ghrit kumari (Aloe barbadensis), Pita papda (Fumaria officinalis), and Manjistha (Rubia cordifolia) are produced by Planet Ayurveda. This mixture supports strong, healthy nails, hair, and skin. Additionally, it has blood-cleansing properties that promote healthy skin, hair, and nails by assisting the body in eliminating pollutants and maintaining appropriate, cleansed blood flow throughout the body.
Dosage: One capsule twice daily
CONCLUSION
Therefore, we may now draw the conclusion that, by adhering to the straightforward protocol outlined in our classic work, we can significantly lower the prevalence rate of conditions like bullous pemphigoid, an autoimmune illness. This article highlights the main topics regarding Bullous Pemphigoid in both aspects of modern and Ayurveda.