Skin is the largest tissue of the body and is the body’s covering which is soft, flexible, and elastic and helps in protecting the underlying tissues, blood vessels and nerves from the blunt trauma, corrosive liquids, effects of harmful radiations. The skin consists of multiple layers that include epidermis (the outermost covering), followed by basement membrane which overlies above dermis and subcutaneous fat. Further, there is the presence of few other associated structures that include pilosebaceous unit which comprises hair follicle along with hair shaft, the arrector pili muscle and the sebaceous gland, along with eccrine and apocrine glands. Under the influence of some hereditary or environmental triggering factors there is the formation of the lesions or benign tumors that arise from these pilosebaceous structures and apocrine and eccrine glands. One of such tumors is Syringioma. In this article we are going to discuss a specific variety of syringoma i.e. eruptive syringoma along with its possible causes, clinical features and best possible Ayurvedic formulations for its management.
Syringoma is a benign adnexal tumor which is derived from acrosyringium i.e. the intraepidermal eccrine sweat ducts.The transitional potion of the dermal duct and lower acrosyringium is believed to be the origin. These benign lesions are more frequent in young women predominantly during puberty or during the 3rd or 4th decade of their life. Eruptive syringoma is a rare variant of the syringoma and was first described in 1887 by Jacquet and Darier. This disease is characterized by small, reddish lesions that occur in successive crops on the anterior body surface particularly over the anterior chest, neck region, upper abdomen, axillae, and around the umbilical region.
Sign and Symptoms
Few common clinical manifestations of Eruptive syringoma include the appearance of multiple small, disseminated yellowish lesions in atypical sites, there is bilateral symmetrical distribution of papules on the affected sites, there is pain, intense itchiness and redness in the affected areas of the skin.
The exact cause of this disease is not known but the overproduction of sweat from the sweat glands is the main reason for the disease. In rare cases, there are hereditary factors associated with the syringoma formation that are triggered by any environmental factor or disease such as diabetes, marfan’s syndrome, down syndrome or Ehlers-Danlos syndrome. Any such activity which aggravates the productivity of the sweat glands, can lead to the growth of these benign tumors.
Various skin diseases in Ayurveda came under a broad term of kushtarog (skin disorder) and these diseases are believed to be caused due to vitiation of tridosha with the predominance of pitta dosha vitiation. The main body tissue involved in this is rakta dhatu (blood tissue). This disease i.e. Eruptive Syringoma is considered as the kshudra kushta arised due to the vitiation of microchannels/ ducts associated with sweat (sved vaha srotas dushti).
(Reference- Charka Samhita Vimana sthana 5/7)
meda (subcutaneous fat) and lomkoop (sweat glands/ducts) according to Acharya Charka. This vitiation of sved vaha srotas due to underlying cause will lead to the deformities in meda and lomkoop, and will lead to the formation of these benign tumors/lesions under the influence of vitiated tridosha.
Planet ayurveda is a globally emerging herbal manufacturing unit that manufacture the herbal or herbomineral medications with strict adherence to ayurvedic principles and texts. The products made here are made by ancient time tested formulas in the strict supervision and guidance of the expert team doctors.
Herbal remedies as suggested by Planet Ayurveda experts for the management of Eruptive syringomas, includes-
- Gandhak Rasayan
- Arogyavardhini Vati
- Kanchnaar Guggul
- Manjishtha Capsules
- Epiderm oil mixed with Nirgundi oil
1. Gandhak Rasayan
This formulation consists of the detoxified form of sulphur as the sole ingredient. Gandhak is well known for its digestive stimulant and beneficial effects in skin ailments. This mineral is the best medicine for calming the aggravated pitta condition. Also regular use of gandhak rasayan will help in the purification of blood (as pitta dosha is having direct relation with the blood tissue). Thus is very much useful in Eruptive syringoma conditions.
Dosage- Two tablets twice daily, with water after meals.
2. Arogyavardhini Vati
This is the classical poly herbomineral preparation which is indicated in promoting the generalised health conditions and is very much beneficial in liver & skin disorders. The ingredients of this tablet formulation include katuki (Picrorhiza kurroa) along with shuddha shilajit (detoxified Asphaltum), shuddha Guggulu (Commiphora mukul), Bibhitaki (Terminalia bellerica), haritaki (Terminalia chebula) and other metal bhasma such as clax of mica (abhrak bhasma), ash of iron (Loha bhasma), Tamra bhasma (ash of copper). These ingredients specially Katuki have the bhedan property (breaking down the accumulated toxins), and then the Haritaki, Bibhitaki will aid in clearing out these toxins from the body. And the other ingredients enhance the body’s immunity and provide nourishment to the damaged or depleted dhatus (body tissues). Thus by detoxifying liver, blood and the whole body system it helps in treating the Eruptive syringoma.
Dosage- One tablet twice daily, with water after meals.
3. Kanchnaar Guggul
This tablet formulation is the classical polyherbal Ayurvedic medicine having best anti-inflammatory properties, due to the presence of herbs like Guggulu (Commiphora mukul), Kachnaar (Bauhinia variegata), Ginger (Zingiber officinale), Amalaki (Emblica officinalis), Pippali (Piper longum), Black pepper (Piper nigrum) and Varuna (Crataeva nurvala). These herbal ingredients are very much potent and used for cleansing the blood and reducing inflammations and lesions in the patients of Eruptive syringoma.
Dosage- One tablet twice daily, with water after meals.
4. Manjishtha Capsules
Manjishtha which is well known for its immunity enhancer, blood purifying properties, anti-inflammatory properties. This capsular formulation made by Planet Ayurveda contains the standardised extracts of Manjishtha (Rubia cordifolia). This is having very much beneficial results in Eruptive Syringoma by removing toxins, managing adequate blood supply and pacifying the pitta dosha.
Dosage- One capsule twice daily, after meals with water.
5. Epiderm Oil Mixed with Nirgundi Oil
- Epiderm Oil is the best anti-itching poly herbal remedy. It contains Chakramarda (Cassia tora), Nimba patra (leaves of Azadirachta indica), Chirayta (Swertia chirata), Haridra (Curcuma longa), Daru haridra (Berberis aristata), etc. in vegetable oil base. These herbs help in relieving the intense itching in the eruptive syringoma.
- Nirgundi Oil is oil based formulation made by planet Ayurveda’s experts for the local application in the various painful and inflammation related disorders. This polyherbal oil based formulation contains Tila taila as the base along with Nirgundi (Vitex negundo), Neem, Manjishtha, Haridra and Langli (Gloriosa superba). This oil relieves the excess swelling of these lesions and also helps in reducing the pain.
Method of Application: Take small amounts of both the oils and mix them and apply a little quantity on affected parts and rub gently for skin deep penetration of medicine. Repeat after every eight hours.
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As mentioned earlier, Eruptive syringoma is a rare disease. And there is no exact treatment of it with the Allopathic medicines, they just rely on steroid based topical applications or oral steroidal medications for the management of the disease which on long term use can damage the skin and other body tissues or have hazardous side effects on the multiple systems of the body. Whereas the Ayurveda focus on treating the disease from its root cause with the use of herbal medications along with life and dietary modifications. Ayurveda is the best holistic approach for the treatment of patients suffering from eruptive syringoma in a relatively more effective and safer way.