An exploratory analysis of probable role of Pathya and Apathya in skin disease

Amit Choudhary; Minu Yadav; Sunita Dudi; Sachin Sharma; Chandan Singh; Manoj Kumar Adlakha

doi:10.21760/jaims.8.5.29

Amit Choudhary PhD Scholar, PG Department of Dravyaguna, Dr. Sarvepalli Radhakrishnan Rajasthan Ayurved University, Jodhpur, Rajasthan, India.
Minu Yadav Assistant Professor, Department of Panchkarma, Shekhawati Ayurvedic Medical college, Pilani, Jhunjhunu, Rajasthan, India.
Sunita Dudi PhD Scholar, PG Department of Rachana Sharir, University College of Ayurveda, DSRRAU, Jodhpur, Rajasthan, India.
Sachin Sharma Ayurvedic Medical Officer, District Ayurveda Hospital, Chamba, Himachal Pradesh, India.
Chandan Singh Professor, PG Department of Dravyaguna, Dr. Sarvepalli Radhakrishnan Rajasthan Ayurved University, Jodhpur, Rajasthan, India
Manoj Kumar Adlakha Associate Professor, PG Department of Dravyaguna, University College of Ayurveda, DSRRAU, Jodhpur, Rajasthan, India.

DOI: https://doi.org/10.21760/jaims.8.5.29

Keywords: Pathya, Apathya, Skin disease, Viruddhahara, Kushtha

Abstract

Every living and non-living being in this universe is composed of five basic elements, the Pancha Mahabhuta. The Panch

Every living and non-living being in this universe is composed of five basic elements, the Pancha Mahabhuta. The Pancha Mahabhuta components of the ingested food nourishes their respective tissue elements in the body. Ahara is the best of all medicines and is considered one among the Trayopsthamba. The main idea of Pathya Ahara and Vihara serves as the foundation for both the preventive and therapeutic components of Ayurveda. Ayurveda places a strong emphasis on fundamental dietary principles, or Ashtavidha Ahara Vidhi Visheshayatana. Skin is given due importance since time immemorial owning to the aesthetic value conferred upon it. Skin diseases are mainly described under the spectrum of Kushtha. Dietary modifications have hitherto received little attention in dermatological therapy. However, recent studies have discovered a strong link between various dermatological conditions and food. Ayurveda describes a wide range of etiological factors for dermatological disorders. Consumption of Ahara such as Ati-Lavana, Ati-Amla, Viruddhahara, Guru-Snigdha Annapana, Ajeernahara plays a significant role in the development of skin disease. Excessive intake of food items like Dadhi, fish with milk, Masha, Mulaka, Tila, Madya further contribute to Kushtha. In this article an attempt is made to highlight the probable role of Apathya and emphasize the scope of Pathya Ahara in the management of skin disease.

a Mahabhuta components of the ingested food nourishes their respective tissue elements in the body. Ahara is the best of all medicines and is considered one among the Trayopsthamba. The main idea of Pathya Ahara and Vihara serves as the foundation for both the preventive and therapeutic components of Ayurveda. Ayurveda places a strong emphasis on fundamental dietary principles, or Ashtavidha Ahara Vidhi Visheshayatana. Skin is given due importance since time immemorial owning to the aesthetic value conferred upon it. Skin diseases are mainly described under the spectrum of Kushtha. Dietary modifications have hitherto received little attention in dermatological therapy. However, recent studies have discovered a strong link between various dermatological conditions and food. Ayurveda describes a wide range of etiological factors for dermatological disorders. Consumption of Ahara such as Ati-Lavana, Ati-Amla, Viruddhahara, Guru-Snigdha Annapana, Ajeernahara plays a significant role in the development of skin disease. Excessive intake of food items like Dadhi, fish with milk, Masha, Mulaka, Tila, Madya further contribute to Kushtha. In this article an attempt is made to highlight the probable role of Apathya and emphasize the scope of Pathya Ahara in the management of skin disease.

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References

Kavita A, Thakur JS, Narang T. The burden of skin diseases in India: Global Burden of Disease Study 2017. Indian J Dermatol Venereol Leprol. 2021 Oct 30:1-5. doi: 10.25259/IJDVL_978_20. Epub ahead of print. PMID: 34877854.

Narayana A. Historical perspectives of the twak rogas (Kushtha). Bull Indian Inst Hist Med Hyderabad. 1997 Jan;27(1):15-24. PMID: 12575685.

Vora RV, Khusboo MH, Shah AJ, Patel DR, Patel TB. Diet in dermatology: a review. Egypt J Dermatol Venerol 2020;40-69-75

Pona A, Haidari W, Kolli SS, Feldman SR. Diet and psoriasis. Dermatol Online J.2019;25(2):13030/qt1p37435s. Published 2019 Feb 15.

Harish Chandra Singh Kushwaha, editor. Charak Samhita. 1st edition. Vol 2., Varanasi. Chaukhama Orientalia 2018, Chikitsha Sthana, Chapter 7, Verse 13-14, p. 197.

Jensen P, Skov L. Psoriasis and obesity. Dermatology. 2016;232(6):633-9.

Harish Chandra Singh Kushwaha, editor. Charak Samhita. 1st edition. Vol 2., Varanasi. Chaukhama Orientalia 2018, Sutra Sthana, Chapter 26, Verse 43.

Harish Chandra Singh Kushwaha, editor. Charak Samhita. 1st edition. Vol 1., Varanasi. Chaukhama Orientalia 2018, Sutra Sthana, Chapter 25, Verse 40-41, p.352.

Harish Chandra Singh Kushwaha, editor. Charak Samhita. 1st edition. Vol 1., Varanasi. Chaukhama Orientalia 2018, Sutra Sthana, Chapter 26, Verse 42(2), p. 384.

Harish Chandra Singh Kushwaha, editor. Charak Samhita. 1st edition. Vol. 1, Varanasi. Chaukhama Orientalia 2018, Sutra Sthana, Chapter 5, Verse 6, p. 558.

Kuchekar AB, Pujari RR, Kuchekar SB, Dhole SN, Mule PM. Psoriasis: A comprehensive review. International Journal of pharmacy & life sciences. 2011 Jun 1;2(6)

Smith RN, Mann NJ, Braue A, et al. The effect of a high-protein, low glycemic-load diet versus a conventional, high glycemic-load diet on biochemical parameters associated with acne vulgaris: a randomized, investigator-masked, controlled trial. J Am Acad Dermatol. 2007;57(2):247–256.

Farkas A, Kemény L. Psoriasis and alcohol; is cutaneous ethanol one of the missing links. Br J Dermatol. 2010;162(4):711–716. doi:10.1111/j.1365-2133.2009.09595.

Harish Chandra Singh Kushwaha, editor. Charak Samhita. 1st edition. Vol 1., Varanasi. Chaukhama Orientalia 2018, Sutra Sthana, Chapter 27, Verse 56-58, p.416.

Harish Chandra Singh Kushwaha, editor. Charak Samhita. 1st edition. Vol 2., Varanasi. Chaukhama Orientalia 2018, Chikitsha Sthana, Chapter 1, Pada 1, Verse 3.

Vishwanath pranit, Bramhanand Tripathi, Pathyapathya Vinirnaya, 2nd edition, Chaukhambha Sanskrit Pratisansthan, 2008; Shloka No.6, Page No.70-71.

Pandit Hemaraja Sharma, editor Kashyap Samhita, revised edition, Chaukhamba Sanskrit series office, Banaras, Khila Sthana, Chapter 4, Verse 5-6, p. 249.

Wolters M. Diet and psoriasis: experimental data and clinical evidence. Br J Dermatol. 2005 Oct;153(4):706-14. doi: 10.1111/j.1365-2133.2005.06781. PMID: 16181450.

Fraser DA, Thoen J, Reseland JE et al. Decreased CD4+ lymphocyte activation and increased interleukin production in peripheral blood of rheumatoid arthritis patients after acute starvation. Clin Rheumatol 1999; 18: 394–401.

Briganti S, Picardo M. Antioxidant activity, lipid peroxidation and skin disease. What's new. J Eur Acad Dermatol Venereol 2003; 17: 663–9.

Rocha‐Pereira P, Santos‐Silva A, Rebelo I et al. Dislipidemia and oxidative stress in mild and in severe psoriasis as a risk for cardiovascular disease. Clin Chim Acta 2001; 303: 33–9.

Jensen P, Skov L. Psoriasis and obesity. Dermatology. 2016;232(6):633-9.

Rezaie, P.; Bitarafan, V.; Horowitz, M.; Feinle-Bisset, C. Effect of Bitter Substances on GI Function, Energy Intake and Glycaemia-Do Preclinical Findings Translate to Outcomes in Humans? Nutrients 2021, 13, 1317. https://doi.org/10.3390/nu13041317

Albert G. Wu, MS; Jeffrey M. Weinberg, MD, The Impact of Diet on Psoriasis; Cutis. 2019;104(suppl 2):7-10.

Katta R, Desai SP. Diet and dermatology: the role of dietary intervention in skin disease. J Clin Aesthet Dermatol. 2014 Jul;7(7):46-51. PMID: 25053983; PMCID: PMC4106357.