Views shared by several Ayurveda professionals and non-Ayurveda people in discussion group:
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Next topic for discussion: Understanding of keloids in Ayurveda
Dr. P S. Desai: Keloid is excessive growth of fibrous tissue after trauma or surgical wound or burns and radiation injury. Pain and itching are main symptoms.
Vd. Pritam Bharat Veer: Keloid kashta sadhya or asadhya
Dr. P S. Desai: Yapya We can manage Can't cure
Vd. Pritam Bharat Veer: Yes we can maintain but can't cure. I was also treating the same 1 yr ago. But of no use. The pt herself faid up of treatment
Dr. P S. Desai: Yes we can give symptomatic relief
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Vd. Pritam Bharat Veer: Mostly on chest , shoulder, cheeks
Dr. P S. Desai: Excision of keloid is controversial But I have done in one patient who have large pedunculated keloid on pubic region After one year follow up its ok till now But it may re occurs
Gary Yuen: Looking at the research, it seems it can be greatly reduced or possibly prevented. Some say they exhibit behavior similar to tumors. There are several studies relating diet and keloid formation. Fat type intake is covered in a few studies, with fat composition in the keloids themselves mentioned. Higher omega-3 intake and lower omega 6 to 3 ratio seems to have some correlation. That means reducing all types of oil, meat and dairy intake and increasing walnuts, flax (uma), and hemp seed. Phytochemicals from plant foods also have a role. One study also covers use of onion on the skin.
Croatia Branko Markovic: In surgery they have heavy book technique. If it on the arm or some place where you can hit it then it is better to try to hit it hard to burst. They say it is better chance like that to heal naturally without recurring, as with surgery it is very often to rescuers..it is painful procedure..
Gary Yuen: Studies on wound healing and skin pigmentation mention amalaki haritaki mandukaparni and tamarind. Even if no one has tried, i think they may help. Lycopene in red foods like tomato and chili is said to be the best known skin antioxidant for protection against sun damage. It goes directly to the skin. That might have an effect. May be also why tomato and chili became widely used in India.
Croatia Branko Markovic: Amalaki I Rasayana doses is working on skin diseases for sure. What about cayenne pepper. Some dr from west use it in treating cancer and other pitta related diseases. And it is specifically cayenne. What is you opinion please? And what abt Virya of it?
Gary Yuen: Capsaicin seems to have several studies showing anti-cancer effects. If keloids share some properties with tumors, it may have some effect. No harm to try it in some amount? If oxidative stress and inflammation have some role in all disorders, possible any antioxidants and anti-inflamatory food and herbs may be beneficial. That is it seems all plants, merely many such as what is now common are less effective than classical foods and herbs.
There is a study of antioxidants of 3100+ foods. Cayenne appears to be better than some chilis but not necessarily best, maybe varying by source, soil quality, country, etc. Within that study, an Amazonian tree sap is no 1, triphala is 2, amalaki 3. 4 is lavanga, other cooking spices also in top 10. Haritaki is possibly the strongest antioxidant out of the 3 in triphala. Maybe worth a try. Khare lists almost 200 herbs used in skin diseases, unknown which are most common.
Dr.Piyush Dodiwadiya: Generally no needs for treatment Only if it pain or other symptoms Or for cosmetic purpose I think surgical excision is the only effective treatment
Ayulink: Even surgery is not permanent solution. It can reoccur.
Dr.Piyush Dodiwadiya: Can we apply kshar?
Dr.Chattwani: Yes, again tendency for Keloid at incision site. Intralesional steroids help to reduce it. Silicon sheet gives some result.
Dr. P S. Desai: No
Dr. Vikas Sharma : Use of shubhra powder as dusting after incision give good result.i am using in 5 patient 100% result no reoccurrence.
Dr Jayesh Patel: Shubhra powder?? Contain??
Dr. Arvind Shahane: Sftika bhasm
Dr Anzil Eramangalath: Any way to get Samudra Phena
Gary Yuen: It may be poorly understood although I would not conclude that something is incurable; we only lack sufficient knowledge. Some studies of the mechanism of how they form:
In the process of healing, some influences are growth factors such as epidermal growth factor (EGF), insulinlike growth factor (IGF-I), platelet-derived growth factor (PDGF) and transforming growth factor β (TGF-β). Looking a bit at each of them, eating excess meat, fat, dairy, salt, protein, etc. have a large influence on their mechanisms.
It seems anything that helps scar healing may be beneficial. People do report lower incidence with onion (on the keloid), increased omega-3 fat (flax, walnuts), and there is one mention of a vaidya through herbs and diet curing a chest keloid within 2 months.
A protein active as part of the immune response, tumor necrosis factor (TNF) has also been mentioned. I think a principle area of investigation is examination of the immune and inflammatory process, and any factors that influence it. The body will generate such proteins as needed although there are likely many factors that cause abnormality in their process. For TNF, inflammation even the amount from being overweight, a state of constant chronic inflammation, has been implicated, any source of inflammation (potatoes are common), high glycemic foods (refined flour/maida, white rice), etc. have some effect. Turmeric, cloves, rosemary & ginger are said to reduce TNF. While there may be multiple factors, does it seem that excess kapha tends to increase keloid incidence?
Dr. Samir Suneri: I m treating keloids as a kafaj granthi. Recently I m doing treatment of keloid. 1st a fall I did vaman and than vasti. After that I m giving all medicine for kafaj granthi And now pt found result. 1st size of keloid reduced And roughness is also reducing And colour of keloid is also changed with in a month
Dr. Sachin Bali: In Keloid, of khafa and vaat dosh are vitiated. Agnikarma at the base of keloid helps
Dr.Krishna: i have given shivagutika with gomutra for external application..it gives me good result
Nitin Shah: Pratisharniya apamarga kshara application
Manoj Advaith: Ksharataila application will give good results
Vd Ashvin Gajera: Kafaj granthi. Agnikarm
Vd Ashish Kumar: मेरे कई मित्रों ने जलौका से किलोइड में सफलता हासिल की है।
Vd.Rahul Doke: We had used following therapy for keloids with some success in reducing the size.A combination of mans pachak & Ras pachak yog, Sukshma triphala Punarnavastak ghan for intake along with jalouka on the borders for 3-4 months helps to reduce the size to some extent. It was observed that jalouka never attached to the central part of keloid. Dietary restrictions were given as usual.
Compiled by - Dr. Dhruti Kagrana
Compiled by - Dr. Dhruti Kagrana