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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:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3022978/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5197049/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3639020/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2922716/
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
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