Acne is the classic stigma of adolescence and has been viewed as a normal physiologic reaction in the skin. The increase in size of the sebaceous glands and the concomitant increased amount of sebum secretion during adolescence are physiologic, but the inflammatory changes of true acne represent a disease which may be extraordinarily chronic and sometimes produce severe residual physical and psychological scarring which may be lifelong.
The basic cause of acne is still unknown but four major pathogenetic factors are :
1.Increased sebum production 2.Abnormality of the microbial flora 3.Hyperkeratinisation of the pilosebaceous duct and inflammation 4.Genetic and racial factors also play a role in the development of acne
Acne vulgaris is most common during the second and third decades of life. Boys tend to have more severe acne and a little later in life as compared to girls. Both the incidence and severity of the disease decline in about 80% of the patients by their mid 20s. Acne Is a polymorphic disease characterised by comedones, papules, pustules, nodules and cysts occurring predominantly on the face and less so on the back and chest (see colour atlas). Nodules and cysts are particularly disfiguring and are often associated with scarring.
Various foods like chocolates, ice cream, pork fat, etc. have been implicated to make acne worse, without any scientific proof. Mental stress and menstruation have been known to produce flare-up of the lesions.
It is a chronic disorder of the face in middle-aged and older persons, characterised by a vascular component with or without an acneiform component. The disease is more common in women, but men have more severe disease.
Many factors have been alleged to initiate or aggravate rosacea, e.g. overindulgence in tea, coffee, other drinks, tobacco, alcoholic beverages, spiced food, etc. The same may be said for focal infection, avitaminosis, disease of the digestive system and endocrine abnormalities.
Clinically, rosacea may begin with a prominent flush limited to the lower half of the nose or may include the blush area of the face, then chin and the central forehead. Later on, telangiectasia appear. In the more advanced state the skin is oily; there are papules, pustules, nodules and cysts but no comedones. The eruption is usually restricted to the central one-third of the face. Rhinophyma, which represents the thickened, lobulated overgrowth of sebaceous gland, may be the only expression in some cases. Ocular involvement is the most serious complication. Blepharitis, conjunctivitis, episcleritis, iritis and keratitis may occur.
The course of rosacea is one of chronicity and gradual progression; spontaneous remission is uncommon. Treatment consists of avoidance of factors that cause flushing and vasodilatation, topical antiacne medications, systemic tetracyclines, metronidazole, etc. Electrolysis or superficial electrodesiccation for large telangiectatic vessels and surgical treatment of rhinophyma are other therapeutic modalities.
Ayurveda Treatment of Melasma or Chloasma or Blemishes or Pigmentation
Treatment of melasma or chloasma or blemishes or pigmentation in allopathy or conventional medicine
The treatment of melasma or chloasma or blemishes or pigmentation in allopathy includes the following :
Skin lightening creams and their side effects : There are many skin lightening agents in the market and the most commonly used is hydroquinone. The patient may suffer with the following mentioned problems :
Phototoxic reactions with secondary post inflammatory hyper pigmentation.
Irreversible exogenous ochronosis (reported even with long-term use of 2% HQ).
Monobenzyl ether of HQ (Benoquin) causes an irreversible localized and generalized vitiligo like leukoderma.
Chemical peels and their side effects : The most commonly used acid compounds to remove melasma or Chloasma or blemishes or pigmentation include trichloroacetic acid, azelaic acid, glycolic acid, lactic acid and various fruit extracts. Stronger peeling agents tend to have a higher effectiveness rate than lighter strength peeling agents. The patient may suffer with the following mentioned problems :
Burning of the skin..
Worsening the pigmentation.
Laser resurfacing : This treatment do not necessarily cure the cause of melasma or chloasma or blemishes or pigmentation and may even worsen the condition.
Melasma or chloasma or blemishes or pigmentation and Ayurveda Ayurveda medicines have shown great results in cases of melasma or chloasma or blemishes or pigmentation. Homeopathy helps to get rid of the problem from its root.
Ayurveda believes that the use of creams and ointments in skin disorders leads to the suppression (temporary removal) of the main symptoms of the internal disease which is done in the conventional or allopathic treatment of melasma or chloasma or blemishes or pigmentation.
In allopathic treatment of melasma or chloasma or blemishes or pigmentation only creams are used to treat the condition and the internal problem is overlooked. The melasma spots may become lighter temporarily but they come back and can be even worse with these creams and lotions.
Homeopathy believes that skin disorders are to be treated from within. A well-prescribed homeopathic treatment not only takes care of hyper pigmentation but also treats as a whole and improves general health as well.
How Ayurveda works on melasma or chloasma or blemishes or pigmentation Ayurveda considers melasma or chloasma or blemishes or pigmentation as a local expression of a systemic / internal disturbance. Homeopathy believes that skin disorders are a reflection of an internal imbalance and needs to be treated from within. The homeopathic medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution, genetic predisposition and so on.
While choosing homeopathic remedies the cause of melasma or chloasma or blemishes or pigmentation is evaluated, for example, mental stress, hormonal imbalances, sun exposure, nutritional deficiency, poor immune system and so on.
Ayurveda treatment, which gets to the root of the problem will reinforce the immune system and gradually restore the pigmented spots to the normal skin color. Homeopathic medicines restore the hormonal imbalance and control the excessive production of melanin. Homeopathy will not inhibit the natural process of the skin's melanin production. It will act on melanocytes to produce less melanin naturally thus strengthening the skin cells to stay healthy and remove excessive melanin in the skin. This improves the quality (texture) of skin, blemishes disappear and further discoloration of skin stops.
Ayurveda medicines cure melasma or chloasma or blemishes or pigmentation from the root cause and assuring the patient of not facing the similar problem in future.
Anyone can easily get rid of the ugly spots of melasma or chloasma or blemishes or pigmentation with miraculous homeopathic treatment.
There are 27 Ayurvedic medicines which give great relief in melasma or chloasma or blemishes or pigmentation. However, the correct choice and the resulting relief is a matter of experience and right judgment on the part of the homeopathy doctor. The treatment is decided after thorough case taking of the patient. Thus homeopathic remedies of melasma or chloasma or blemishes or pigmentation are tailor made unlike allopathy in which all patients receive the same procedure or drugs although trade name may be different.
What is Melasma or Chloasma or Blemishes or Pigmentation
Melasma also called blemishes or chloasma or Pigmentation is a tan or dark facial skin discoloration. It is a dark mask like discoloration that covers the cheeks and bridge of the nose; it also called "the mask of pregnancy."
Although not a dangerous condition, melasma or chloasma or blemishes or Pigmentation can be distressing for the sufferer and seriously undermine self-confidence.
Although it can affect anyone, melasma or chloasma is particularly common in women, especially pregnant women and those who are taking oral contraceptives pills (ocps) or hormone replacement therapy medications and is particularly common in women between the ages of 20 and 40.
The areas most commonly affected are the cheeks, forehead, upper lip, and chin. Different types of melasma or chloasma or blemishes or pigmentation occur depending on the location of the excess melanin, in the epidermis or the dermis.
Melasma or chloasma or blemishes or pigmentation is thought to be caused by elevated levels of estrogen, progesterone, and melanocyte stimulating hormone (a hormone that causes melanin cells to make more melanin).
Pregnancy induced melasma or chloasma or blemishes or pigmentation may or may not resolves after delivery, but may return with subsequent pregnancies or with oral contraceptive pills. But there are cases which do not improve after delivery and become even more worse.
Melasma or chloasma or blemishes or pigmentation is a harmless disorder. It is not related to cancer and it does not involve internal organs.
The condition is universal and seen in women of all cultures and ethnicities. However, it is far more common in Orientals, Hispanics, Arabs and North African women. Individuals with fair skin usually have a very lighter shade of melasma or chloasma or blemishes or pigmentation which is not always recognized.
Sometimes melasma or chloasma or blemishes or pigmentation is mistaken for freckles or age-spots, which are essentially the same thing, however, melasma or chloasma or pigmentation spots can be larger and much darker.
What Causes Melasma or Chloasma or Blemishes or Pigmentation
There are many factors that can cause melasma or chloasma or blemishes or pigmentation; whether it is a mild or severe form it is usually associated with one or a combination of the below :
Pregnancy â€“ the pigment may or may not fade after the delivery.
Hormonal contraceptives, including oral contraceptive pills and injected progesterone.
Sun exposure is also a very strong risk factor.
Scented or deodorant soaps, toiletries and cosmetics â€“ a phototoxic reaction.
Poor immune system.
Ovarian or thyroid disorder.
Sometimes cause can be unidentified.
Symptoms of Melasma or Chloasma or Blemishes or Pigmentation
Melasma or chloasma or blemishes or pigmentation usually affects women; only one in twenty affected individuals are male. It generally starts between the age of 30 and 40. It is more common in people that tan well or have naturally dark skin compared with those who have fair skin.
Melasma or chloasma or blemishes or pigmentation affects the forehead, cheeks and upper lips resulting in macules (freckle like spots) and larger patches. Occasionally it spreads to involve the sides of the neck, and a similar condition may affect the shoulders and upper arms. Melasma or chloasma is sometimes separated into epidermal (skin surface), dermal (deeper), mixed and inapparent types.
Types of Melasma or Chloasma or Blemishes or Pigmentation
There are four types of melasma of chloasma or blemishes or pigmentation based on Wood's (ultraviolet) light examination which shows the depth of the pigmentation :
Epidermal : The most common type shows enhancement of the color contrast between normal and affected skin.
Dermal : Does not show enhancement of the color contrast between normal and affected skin.
Mixed Epidermal and Dermal : Shows enhancement of the color contrast between some of the affected skin but not others.
Inapparent : Seen in very dark-skinned people, affected lesions are not seen under Wood's light.
How is Melasma or Chloasam or Blemishes or Pigmentation Diagnosed
Melasma or chloasma or blemishes or pigmentation is usually diagnosed visually or with assistance of a Wood's lamp (340 - 400 nm wavelengths). Under Wood's lamp, excess melanin in the epidermis can be distinguished from that of the dermis.
How to Prevent Melasma or Chloasam or Blemishes or Pigmentation
Wear sunscreen with an SPF of 30 or higher, with a broad spectrum that protects the skin from both UVA rays ('A' for aging) and UVB rays ('B' for burn).
Discontinue any make-ups, facial cleansers or creams that irritate the skin.
Avoid oral contraceptive pills (OCPs) as far as possible.
Avoid stress. Exercise and meditation helps fighting stress.
Have balanced diet to avoid nutritional deficiencies.
Home Remedies for Melasma or Chloasma or Blemishes or Pigmentation
Home remedies to avoid / cure melasma or chloasma or blemishes or pigmentation are :
Cosmetics are a way to hide the brown areas.
Before and after showering apply coconut or neem oil on your body.
The use of body lotions have helped to fade these areas as well in some women.
Add 20 drops lavender and chamomile essential oil for a cool and soothing bath.
Apply / rub lemon on your face and wash your face after 15 minutes.
Add 20 drops of urtica urens tincture in four ounces of water and bathe the bruised area.
Apply cold aloe vera gel, apple cider vinegar, or plantain to help heal sunburn.
Apply thin paste of sandalwood on the affected and wash your face with cold water 15 minutes.
Apply olive oil at the affected area
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