Psoriasis

Definition

Psoriasis is an non infectious, auto immune , inflammatory disease that affects the skin. Its occurs when the immune system mistakes the skin cells as pathogen ans sends out faulty signals that speed up the growth cycle of skin cells. 

Skin disease affecting about 2 to 3 % of the population. Very comIt is characterized  by well defines reddish plaques with large adherent silvery scales. The main abnormality in psoriasis is an increased proliferation of skin layers due to excessive divison of the cell in the basal layer of the skin. Severe itching may associated with the plaques.

Psoriasis is a common mon in Europeans and north americans.

Acharya charak has described the involvement of vata and kapha in ekkushtha ( psoriasis).

150000 to 260000 cases of psoriasis are diagnosed each year.

The immune system is involved and appears to be hyper active in away that causes inflamation specifically there is excessive production of Th I cytokines , particularly TNF

Size may very from a few mm to several cms in diameter.

These have many effects , including growth of extra blood vessels within the skin causing the red colour, scaling and thikning of the skin.

Its marked by pathes of thick red skin covered with silvery scales that occur primarily on the knees, elbows, lower back, sclap mostly . It can be painful and cause pschychological & emotional distress.

Psoriasis devlops when the ordinary life cycle of skin accelerates. Normally skin usually die and flake off in weeks but in people with psoriasis this process happens within days. 

  

Ayurveda view 

According to ayurveda, Psoriasis  appears due to imbalance and the vitiation of vata and kapha dosha ( two basic energies/ humors which maintain our body equilibrium).

Vata and kapha doshas manifest in the skin and cause accumulation of toxins , these accumulation of low potency toxins ( dooshi vishas) are the basic pathological changes taking place in the system.

These toxins accumulate in deep tissuses like Rasa ( nutrient plasma) , Rakta (blood) , Mansa ( muscles) and lasika ( lymphatic) . These tissues cause contamination of deeper tissues leading to Psoriasis.

The vitiated doshas affect the skin and blood tissues. They also influence water element of the affected region of skin . Thus the skin which is influenced by affected doshas becomes discolored , scaly and thin with new mature skin  cells. But the regions of skin affected by psoriasis the skin replace itself within 3-4 days with plenty of immature skin  cells forming thick psoriatic patches. According to ayurveda principles the vitiated vata dries the water element of skin and also intiate rapid growth of skin tissue. The vitiated kapha dosha causes itching on the affected skin . The blood which is affect by vata and kapha aduersely influences healing process.

Causes of Psoriasis

 

Ayurveda describe well the causative factors of develop psoriasis in human body. According No one know exatly what causes Psoriasis. However it is understood that the immune system and genetics play major roles in its devlopment. Most scientist agree that the immune system is somehow mistakenly triggered , which causes a series of events, including acceleration of skin cell growth. A normal skin cell matures and falls off the body in 28 to 30 days. A skin cell in patient with psoriasis takes only 3 to 4 days to mature and instead of falling off ( shedding) , the cells pile up on the surface of the skin, forming psorisis lessions.

Psoriasis is caused due to imbalance developed between doshas within body due to increased level of toxins.When three energies ( vata, pitta, kapha) are balanced , the human body is healthy. According to ayurveda , Psoriasis appears when vata and kapha are corrupted  due to various reasons, from diet to toxins in the body. 

Some causes of accumulation and vitiation of doshas include

⦁ Consumptions of opposite foods ( fish & milk together)

⦁ Suppression of natural urges

⦁ Exposure to severe climatic conditions

⦁ Skin trauma like cuts and burns 

⦁ Consumptions of excessive salty, sour or heavy food

⦁ Mental stress

⦁ Overeating

⦁ Sleeping during the afternoon

⦁ Excessive smoking & alchohol consumption

⦁ Taking a bath in cold water after excercising and other physical activities

⦁ Such medications and skin irritants

⦁ Irregular food habbits

⦁ Phcychological trauma

⦁ Heredity can be crucial

Skin is a site of action for any kushtha ( skin disease ). This is because it is most commonly exposed area to the infections, illness or injuries.

Today' s world hurry, curry and worry  are the major factors for the major diseases. Foods habits have been changed, Level of stress has been increased. Faulty food habits are one of the leading cause of Psoriasis. In ayurved Food for one might be aand body functioning ( pachan kriya) of people from different countries .

Intake of Virruddha  ahar ( combinations of opposite foods) can also be one the reasons for such disease like psoriasis. Making a faulty mixing of food like fruits and curd, fish and milk or meat and honey. All these are examples of viruddha ahar which again changes the balance of doshas of the body.

Dadhi / Curd - excess consumption of curd and others abhishyandi foods ( sticky items) also harmful for body and it closes the opening of ' Shrotas' ( circulations systems  of body ) do vitation of doshas leading to devlop skin diseases like Psoriasis and others chronic problems.

Sleeping at odd times can also be one of cause of Psoriasis common in today' s world  espially in IT profession and BPO ( night time jobs in various field) companies. Due to the work schedule , you tend to sleep either in the day time or you stay awake at night ( unhealthy sleeping patterns) . This will create an imbalance in doshas of the body thus inviting chronic skin problems like Psoriasis.

Irregular  eating timings of your primary foods like lunch and dinner is also the reason and also eating food just after workout or other physical activities is not good for the body .

Avastha virruddha taking foods which are not suitable to our body and ur doshas like if u suffering  from any kapha disease and if u consume food that aggravated the kapha dosha , it term avastha viruddha.

People suffering from auto immune disorders are more prone to psoriasis  like AIDS  and other immunity related problems. Stress and excess exposure to the ultraviolet rays can aggravate the symptoms of Psoriasis. People suffering from chronic disease like blood pressure and diabetes are more prone to psoriasis. 

Knowing ur Agni or power of digestion and eating food according to it is very important. If this is not maintained indigestion take place which leads to various diseases. Ayurveds insits you take food according ur agni or  digestion power. If you eat more food or opposites food as per ur agni level then only a part of your food will be digested while the rest will keep on getting stored in the digestive system and that too undigested . This undigested food or deposition will convert into ' AAMA' and act as dooshi vishas . This will invite various diseases like Psoriasis.

All the above factors can be the cause of Psoriasis or only one of the factor can lead to this scaly condition . The cause which triggers psoriasis in one person may not affect another person at all. 

Symptoms-

⦁ Red and scaly patches on skin

⦁ Excess dryness of the skin

⦁ Itching or burning sensation on affected areas

⦁ Bleeding skin patches

⦁ Cracked / fissure skin

⦁ Pitting and discolaration of the nails

⦁ Emotional distress

⦁ Inflammation and pain in the joints

⦁ Scaly plaques on the scalp, Face, Elbows, Knees, Palms and soles of foot

Types of Psoriasis-

1. Plaque psoriasis ( Psoriasis Vulgaris)

This is the most common form of the disease . About 8 in 10 people with psoriasis have this kind . It appears raised ,inflamed, red skin covered silvery white scales buildup of dead skin cells.

These patches or plaques most offten show up on the scalp, knees , elbows and lower back. They are often itchy and painful and they can crack and bleed. 

2. Guttate Psoriasis

Psoriasis that appears as small, dot like lesions. It often starts in childhood or young adulthood, and can be triggered by a strep throat infection or tonsilitis , stress and skin injury. This is the second most common type of psoriasis , after plaque psoriasis. About 10% of people who get psoriasis devlop guttate Psoriasis.

3. Inverse Psoriasis



Skin folds around the genitals and buttocks. It may appear smooth and shiny. Many people have another type of Psoriasis elsewhere on the body at the same time. It may worsen with sweating and rubbing. A build of yeast may trigger it.

4. Pustular Psoriasis 

 This kind of Psoriasis is  uncommon and mostly appears in adults. It characterized by white pustules (blisters of non  infectious pus) surrounded by red skin . The pus consists of white blood cells. It is not an infection , nor is it contagious. It can occur on any part of body , but occurs most offten on the hands or feet. Sometimes it covers most of your body , which is called ' generalized pustular Psoriasis. When this happens it can can be very serious , so get immediate medical attentiom and can be trigger by topical medicine, suddenly stopping strong topical steroids , getting too much UV light without using sunscreen, pregnacy, infection , stress and exposure to certain chemicals.

5. Erytrhrodermic Psoriasis

It is a particularly severe form of Psoriasis that leads to widespread fiery redness over most of body. It can cause severe itching, pain, changes in body temperature and make the skin come off in sheets. It is rare, occuring 3% of people who have psoriasis during thier life time. It generally appears on people who have unstable plaque psoriasis. This type pf Psoriasis can cause severe illness from protein and fluid loss and can be trigger by suddenly stopping your systemic psoriasis treatment, an allergic drug reaction, severe sunburn, infection, medications such as lithium, anti malarial drugs, cortisone or strong coal tar products.

6. Nail Psoriasis

 Up to half of those with Psoriasis have nail changes. This is even more common in people who have psoriatic arthritis which effects your joints. It produce changes in nails like pitting, thickning, tender nails, discoloration , chalk like material under ur nails , painful nails and lossening of the nails from the bed.

7. Scalp psoriasis

This type is localized to scalp only. It is common skin disoder that makes raised , reddish, often scaly patches. It can pop up as a single patch or several and can even affect your entire scalp. It can also spread to your forehead, the back of your neck or behind your ears. Scalp psoriasis can be mild and almost unnoticable . But it can also be severe, last a long time, and cause thick , crusted sores. Intense itching can affect your sleep and everyday life, and scratching a lot can lead to skin infectioins and hair loss. Symptoms of scalp Psoriasis are- scaly red bumpy patches , silvery white scales, dandruff with falking , dry scalp with severe itching or burning and hair loss with dry hair .

8. Palmoplantar pustulosis ( Psoriasis)

It is localized type of pustulosis psoriasis that appears on hands and feet. It appaers as tiny blisters or cracks on the palms of your hands or soles of your feet.Eventually , these turn brown and become scaly. PPP can also cause painful cracks in your skin. The blisters and sores can make it hard for you to walk comfortably or to use hands without pain. Any adult can get condition but more women have it than men. About 10-25% of people with palmoplantar pustulosis also have plaque psoriasis. palms and soles affected by psoriasis tend to be partially or completely red, dry and thickned , often with deep painful fissures. The skin changes tend to have a sharp border , and are often similar distribution on both palms and or both soles. PPP tends to be a chronic condition and it is more commonly associated with psoriatic nail dystrophy and psoriatic arthritis.

It is triggered by an injury to the skin , an infection or another skin condition such as hand dermatitis, during a period of psychosocial stress and certain medications particularly lithium. It is more common , often more severe and sometimes difficult to treat in patients thar are obese, have metabolic syndrome, that drink excessive alcohol or smoke tobacco.

9. Psoriatic Arthritis

This is the condition where you have both psoriasis and arthritis ( joint inflamation ) . The most common symptoms are - painful stiff joints that worse in the morning and after rest, sweling of fingers and toes and warm joints that may be discolored







Some Common Triggers For Psoriasis

⦁ Infections ( e.g streptococcal, viral ) has been shown to exacebrate  Psoriasis , Other infective 

        foci from sinus, tonsil, gall bladder ans oral cavity may be the cause for exaberation

⦁ Pshychological stress : The disease itself could produce a reactive depression , which could 

        further exaberate the disease

⦁ Over exposure to sun ( sunburn)

⦁ Hormonal factors

⦁ Skin trauma

⦁ Drugs like lithium, Beta blockers, NSAID, Anti depressant, Corticosteroid withdrawal, 

        alchoholic beverages, chloroquine . ACE inhibitors- can trigger the disease , worsen symptoms 

        or cause a flare up

⦁ Metabolic factors

Risks Factors For Psoriasis

Any one can devlop Psoriasis,  but thsese factors can increase the risk of devloping the disease;

Family  History Perhaps the most significant risk factor for psoriasis is having a family history of the disease. About 40 percent of people with psoriasis have a family member with the disease, although this may be underestimate.

Stress

stress can impact on our body immune system and lowering our immunity , so high stress level may increase the risk of psoriasis

Viral and Bacterial infections

People with HIV or others infections are prone to devlop psoriasis then people with healthy immune system . Children and young adults with recurrence of infections like strep throat or tonsilitis , also may be at incresed risk

Obesity

Excess weight increases the risk of inverse psoriasis . In addition plaque associated with all types of psoriasis often devlop in skin creases and skin folds.

Smoking and Alchohol

Smoking , chewing tobacco and consumption of alchohol not only increases the risk of psoriasis but also may increase the severity of the disease.

Complications Of Psoriasis

Depending on the type and location of the psoriasis and how widespread the disease is , psoriasis can cause complications . these include ;

⦁ Thickened skin and bacterial skin infections caused by scratcching in an attempt to reliave 

        severe itching

⦁ Fluid and electrocyte imbalance in the case of severe pustular psoriasis

⦁ Strerss, depression and anxiety

⦁ Social isolation

⦁ If one has psoriasis , he or she is at greater risk of developing certain disease like metabolic 

        syndrome, a cluster of conditions that include high blood pressure and elevated insulin levels , 

        inflammatory bowel disease, cardiovascular disease and possibly cancer

⦁ In addition psoriatic arthritis can be debilitating and painful , making it difficult to go  about 

        ones daily routine . Despite medications , psoriatic arthritis can cause joint damage.

Dietary and Lifestyle  restrictions for psoriasis

⦁ Avoid acidic ( sour) foods , citrus fruits ( orange, lemon ) , apple, mango, grapes, tomato,        

        pineapple, pickels, curd, buttermilk

⦁ Avoid consuming opposite foods ( curd, salt, mushrooms, bamboo shoots, sour fruits,meat, 

       prawn, pork, should not be consumed with milk. Sprouts, honey and milk shoul not be consumed       with meat and fish , fish and milk, fish and sugarcane juice, jaggery & pork, honey & pork, milk

       & banana, milk and mango are opposite foods)

⦁ Avoid frozen food, packaged food, refined flour food, non veg ,alchohol as considered acidic or 

         hot in nature.

⦁ Avoid soft drinks as they contain co2 , which is another toxin for the body. The lungs in the 

       body are working all the time to throw away co2 away from the body and by drinking soft drinks         we put in more of it inside. So avoid carbonated drinks which is acidic in nature.

⦁ Avoid all fermented food and all bakery items

⦁ Avoid ice cream, cold drinks, fast foods , sauce, ketchup, fruit jams, choclates, paneer, sweets, tobacco, alchohol, salt, preserved foods and juices, red chilles, green chilles, garlic, onion, milk shakes, fruit salad, pizzas, non veg, dairy products, chinese food, heavy meal, oily food, mixed foods.

⦁ say no to radish, sesame, jaggery,curds,fish and sea foods

⦁ Avoid sleeping afternoons

⦁ Do not control natural urges like vomiting, urination, bowels.

⦁ Take care not to consume foods which cause indigestion

⦁ Do not take cold water bath immedietaly after heavy workout , travelling, excercises or a long walk

⦁ Avoid pricking, peeling or scratching your skin

⦁ Make sure to pat your skin dry after washing and avoid rubbing vigorously with towel or any rough cloth

⦁ Avoid artificial cleansers

⦁ Avoid harsh  body soaps or body wash strip the natural oil from the skin . This make skin dry and susceptible to infections.

⦁ Avoid skin injuries like scratches, sun burn, or irritation can flare up psoriasis. Avoid over exposure to sun , skin irritants like hair dye, skin bleatch etc. Even chhoping few vegetables like onion, radish, garlic etc can harm your skin.

⦁ Avoid use of air conditioners because continuous exposure to cold surroundings can cause dry skin and flare up psoriasis.

Lifestyle & Dieatary Advice For Psoriasis

⦁ Apply the Jiuce of black nightshade leaves on plaque. This helps subside the inflammation and control scaling and itching

⦁ Eat a few cloves of raw garlic on an empty stomach. Garlic is a natural blood purifier and can effectively help remove toxins from your body.

⦁  A paste from crushed jasmine flowers can be applied to the affected skin for immediate relief

⦁ Gugglu , an ayurvedic herb should be consume regularly . The herb is an natural pacifier of the vata-kapha imbalances , bring by absolute relief from the condition

⦁ Neem leaves and turmeric can be ground to a paste and applied on affected skin for long term relief from itching and inflammation

⦁ Apply plenty of of moisturizer on the skin. Smear coocnut oil and seasame oil on the body before taking bath. Gently remove dried skin flakes without hurting the underlying the skin. Use moisturizer agents which are thick and greasy. Avoid drying of skin. Dry skin leads to cracks which may bleed leading to infections

⦁ Maintain skin hygiene by keeping the body skin clean.  Take care to keep the affected area clean. Infections exaggerate psoriasis

⦁ Do not forgot to use humidifier if you are using room heater. Humidifiers increase moisture level of surrounding and prevent drying of skin

⦁ Few medications can exaggerate the psoriasis. Discuss with your family physician before starting any medications

⦁ It is difficult to control psoriasis in obese persons. Hence reduce body weight

⦁ Stress worsens psoriasis. Practice yoga and meditation to reduce stress. Excecise regularly

⦁ Choose ur skin products carefully. Psoriasis make ur skin very sensitive, any cosmetics may irritate your skin and make the disease worse.

⦁ To reduce the  inflammation and scaling on your skin expose the affected area of the skin to the morning sun.

⦁ If you are having the urge of natural phenomenon like vomiting, urination or bowel cleaning the avoid controlling.

⦁ Always wear clean , dry preferbly cotton wear

⦁ These are simple and self care steps that will help psoriasis calmer and less irritating

Psoriasis can be handled and taken control of only by strict diet restriction and lifestle practices.

Rudraksha Ayurveda

Treatment For Psoriasis

Rudraksha ayurveda is an ayurvedic psoriasis treatment center that provides the best ancient treatment of Poriasis and other skin disease . Treatment of psoriasis and eczema requires most care and therefore we recommended beginning your treatment program after the consultation with our ayurveda physician Dr kiran cahudhari.

Ayurveda considered one of the oldest healing and life science . Ayurveda is a holistic system of dietary guidelines, herbal remedies and lifestyle habits intended to treat and prevent disease by promoting proper energy balance in the body. Ayurvedic philosophy teaches that psoriasis and other skin diseases are caused by energy imbalance which can be remedied with detoxification therapy and ayurveda herbal treatment

Psoriasis is best treated in Ayurveda. Ayurveda recommends a comprehensive treatment strategy that involves strenthning your digestion and detoxifying amd eliminating toxins from the body and addressing your diet and not only how you eat, but also when and what is important . Herbal formulations support digestion and aid in the detoxifying process.

Ayurveda treatment of psoriasis include counselling as per ayurveda methods , lifestyle and diet management, stress mangement with medhya rasayans and mind rejuvenating herbs like brahmi, ashwagandha , Panchakarma- the main detoxification of the body and mind, oral ayurvedic medicines , immunomodulators for enhance immunity, topical ayurvedic oils and ointments, topical ayurvedic shampoo for scalp psoriasis, regular follow up appointments and yoga & meditation to relive mental stress and psoriasis and many chronic skin disease. It is important to maintain a healthy lifestyle in order to adapt to this condition.

As per the causes , psoriasis is caused due to the imbalance in doshas of the body due to the toxins presents in the body. So if you want to cure psoriasis of its roots , the only thing that can help you is by cleansing the body of all  toxins. By doing this balance between doshas will be created inside the body and immune system will restore its correct functions.

Ayurveda treatment of psoriasis aims to rid the body of accumulated toxins. Ayurveda primary purification and detoxification method is a process known as Panchakarma , which use a combianation therapies to cleanse the body and balance the doshas.

Rudraksha ayurveda treatment includes-

1. Detoxification

Panchakarma - the most effective treatment of psoriasis, a process of cleansing and rejuvenating the body through five actions.

      1. Vamana ( drug induced vomiting )

It is panchakarma treatment which carried out when there is a kapha imbalance in body to remove  kapha toxins are eliminated from the body. In vamana these toxins are made to loosen themselves so that they can finally be removed.

      2. Virechana ( drug induced purgation)

It is a panchakarma treatment which carried out when there is pitta imbalance in the body to remove pitta toxins from the liver and gall bladder. It cleanses the GI tract. It is done to cure disease like diebetus, psoriasis and any digestive disorder or chronic constipation.

     3. Basti

This is one of the leading therapy which is carried out to regain the balance between all three doshas - vata, kapha and pitta . It removes the accumulated toxins through the colon.

      4. Nasya

In this , the kapha toxins accumulated in the head and neck area is eliminated through the nose. It helps in improving eyesight, memory increase, migraines and headche, early graying of hair or any head and neck releted problems

        5. Raktamokshana

It is therapy to cleanse the blood. It is very less prescribed by the doctors because of the risk of infectionduring the cleansing the blood.

2. Immunomodulators

The reason of psoriasis is also immuno deficiency so in ayurveda we are offering immunomodulators herbs to enhance the immunity to conqure psoriasis successfully.

3. External Applications

Hebal oils, ointments, shampoos, creams, lotions and soaps are used for local application to skin relives the symptoms.

At Rudraksha Ayurveda , We have establish our research based result oriented products for external application like sorea oil and sorea shmpoo for scalp psoriasis through this we are getting excellent results which include

Sorea oil

⦁ Decreases the aggresive multification of skincells ( keratinocytes) in psoriasis

⦁ Reduce itching, scaling , redness and thicking of skin

⦁ Anti inflammatory properties

⦁ moisturizes the skin

⦁ very safe for long period of use and ensures prolonged period of remission from psoriatic symptoms

Sorea shampoo

⦁ an instant remedy for scalp psoriasis and dandruff specially formulated with safe and effective herbs .

⦁ Reduce scaling, itching and inflammation from the very first application

⦁ It acts against the fungus associated with dandruff and thereby offers complete relief

⦁ It facilitates the removal of dead skin cells and and control scalp psoriasis effectively

⦁ It is highly effective in the treatment of seborrheic dermatitis and scalp psoriasis

4. Oral Ayurveda medicines

Rudraksha Ayurveda believe if your dosha are out of balance , you may feel stressed or become sick. The goal of ayurveda is to keep your doshas balanced for optimal health.

For that method we have  established very best ayurveda herbs formulations which are very useful in psoriais as per condtion of doshas in your body .  which include sorea tablet, stresmox tablet, swatsha tablet and sorea capsule .

Sorea tablet

⦁ Acts as an immunomodulator thus preventing recuurence along with providing symptomatic relief

⦁ Reduce the inflammation of skin and itching associated with psoriasis

⦁ Provides last long remmission and does not cause any seroius adverse affects

⦁ Retards cell cycle turnover

⦁ Unique herbal formulation

⦁ Non steroidal hence safe for long term use

⦁ Relives stress and anxiety

Swastha tablet

⦁ It improves digestion power , clears waste products from the body

⦁ It corrects metabolic activities in the body

⦁ It also cures constipation and prevent the disease

⦁ Helps to maintain healthy liver functions

⦁ Improve good health and is used to balance all three doshas

⦁ It enhance the natural immunity of the body and prevents reccurnce signs and symptoms of psoriasis

⦁ Helps to maintain and supports skin health and very useful in chronic skin disease like psoriasis, eczema, lichen planus, vitiligo and fungal infections

Stresmox tablet

⦁ Reduce stress and anxiety

⦁ Tone up the weak nerves

⦁ Fightning the depression and elevating the depressed mood

⦁ Enhances cognitive perfomance ( medhya)  and improve memory

⦁ Used for the managment of various neurological and psychiatric disorders

5. Shirodhara

Shirodhara is an amazing, unique body therapy from the ancient natural medical system Ayurveda . Shirodhara has a profound impact on the nervous system . That means , the treatment directly and immedietly calms, relaxes and has a cleansing effect on the mind and nerves.

Shirodhara is an ancient Ayurvedic therapy. Warm oil ( or other liquid) pours in a continous steam over the forehead or ' ajna marma' an area where nerves are highly connected. The pressure of the oil onto the forehead creates a vibration. The oil saturates the forehead and scalp and penetrates into nervous system.

The gentle pressure and soothing warmth of the oil allow body, mind and nervous system to experience a deep state of rest, similar to meditation.

According to ayurveda , shirodhara is beneficial for vata and pitta dosha. When out of balance , vata dosha exhibits as fear, insecurity, worry, racing thoughts. Out of balance pitta dosha exhibits anger , irritability, frustration, judgement.

The action and qualities of the liquid used in shirodhara counters the qualities of the out of balance doshas. It soothes, nourishes and pacifies the doshas through the applicationof the liquid to the forehead, scalp and nervous system.

Stress, according to Ayurveda , is a state of imbalance of prana vayu, sadhaka pitta and tarpaka kapha. Shirodhara reestablishes the functional integrity between three doshic subtypes and thus hepls alleviate stress.

        To get complete results all above mentioned treatment is essential, and we treated lots of patients in 9 years of our practice, and lots of patients getting excellent results of our treatment from all over the world.

To control and cure your psoriasis you must contact our clinic.

We offer researched based result oriented ayurveda treatment for this disease which are supposed to taken strictly under medical supervision of Dr . Kiran Chaudhari .

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Rudraksha Ayurveda psoriasis Results