Treatment of Lichen Planus in ayurveda medicine by prescribing illness specific medicinal herbs and dietary recommendations

Lichen planus is a chronic inflammatory skin condition characterized by the development of itchy, polygonal, flat-topped papules and plaques on the skin, mucous membranes, and nails. It can affect people of any age but is more common in adults between the ages of 30 and 60 years. In Ayurveda, lichen planus is known as “Kushtha,” which refers to a group of skin disorders characterized by eruptions, itching, and discoloration. Understanding lichen planus in Ayurveda involves exploring its etiology, pathogenesis, clinical features, and management strategies within the framework of Ayurvedic principles of health and disease.

Etiology of Lichen Planus in Ayurveda:

According to Ayurveda, the development of lichen planus is attributed to the imbalance of the three doshas: Vata, Pitta, and Kapha. The vitiation of these doshas disrupts the normal functioning of the body tissues (dhatus) and waste products (malas), leading to the manifestation of skin disorders like lichen planus.

1. Vata Dosha Imbalance: In Ayurvedic terms, Vata dosha governs the movement and communication in the body. When Vata becomes aggravated due to factors such as stress, improper diet, and lifestyle habits, it affects the circulation and nourishment of the skin tissues, leading to dryness, itching, and the development of lichen planus lesions.

2. Pitta Dosha Imbalance: Pitta dosha, responsible for metabolism and transformation, plays a role in inflammatory conditions like lichen planus. Excessive heat and toxins (ama) accumulation in the body, caused by factors such as spicy foods, alcohol, and emotional stress, can aggravate Pitta dosha and contribute to the inflammatory response seen in lichen planus.

3. Kapha Dosha Imbalance: Kapha dosha governs structure and lubrication in the body. When Kapha becomes imbalanced due to factors like dietary indiscretions, sedentary lifestyle, and environmental toxins, it leads to the accumulation of toxins in the body, impairing the natural detoxification mechanisms and predisposing individuals to skin disorders like lichen planus.

Pathogenesis of Lichen Planus in Ayurveda:

In Ayurveda, the pathogenesis of lichen planus involves the sequential manifestation of pathological processes affecting the skin tissues (twak), blood (rakta), and underlying body channels (srotas). The accumulation of toxins (ama) and disturbance in the doshas lead to the obstruction of body channels, resulting in the formation of skin lesions characteristic of lichen planus.

1. Ama Formation: Improper digestion and metabolism result in the formation of ama, a sticky, toxic substance that circulates in the body and accumulates in the skin tissues. Ama formation is influenced by dietary factors, lifestyle habits, and weakened digestive fire (agni).

2. Vata-Pitta-Kapha Imbalance: The vitiated doshas disrupt the normal functions of the skin, leading to dryness, inflammation, and itching. Vata aggravation causes dryness and roughness of the skin, Pitta aggravation contributes to inflammation and redness, and Kapha aggravation leads to the accumulation of toxins and obstruction of body channels.

3. Obstruction of Srotas: The accumulated toxins block the microchannels (srotas) in the skin, impairing the nourishment and oxygenation of the skin tissues. This obstruction leads to the formation of papules, plaques, and lesions characteristic of lichen planus.

4. Immune Dysfunction: Ayurveda emphasizes the role of impaired immune function in the pathogenesis of lichen planus. The vitiated doshas and accumulated toxins compromise the immune response, making the body susceptible to inflammatory and autoimmune reactions seen in lichen planus.

Clinical Features of Lichen Planus in Ayurveda:

In Ayurveda, the clinical features of lichen planus are described based on the predominant dosha involvement, the severity of symptoms, and the specific characteristics of the skin lesions. Common clinical features of lichen planus include:

1. Rash (Dadru): Lichen planus presents as itchy, reddish-purple papules or plaques with flat tops and irregular borders. The lesions may vary in size and distribution, affecting the skin, mucous membranes, scalp, and nails.

2. Itching (Kandu): Intense itching is a hallmark symptom of lichen planus, often leading to scratching and exacerbation of skin lesions. The itching may worsen at night or with exposure to heat or friction.

3. Dryness (Rukshata): Lichen planus lesions are associated with dryness and roughness of the skin, resulting from Vata dosha aggravation. The skin may appear scaly or lichenified due to chronic scratching.

4. Inflammation (Pitta Prakopa): Pitta dosha aggravation manifests as inflammation, redness, and warmth in the affected skin areas. The lesions may be accompanied by burning sensation and tenderness.

5. Discoloration (Varana): Lichen planus lesions may exhibit hyperpigmentation or hypopigmentation, depending on the severity and duration of the condition. Hyperpigmented areas appear darker than the surrounding skin, while hypopigmented areas appear lighter.

6. Nail Changes: In some cases, lichen planus may affect the nails, causing ridges, grooves, pitting, or discoloration. Nail involvement may lead to nail thinning, brittleness, or loss.

Management of Lichen Planus in Ayurveda:

The management of lichen planus in Ayurveda focuses on restoring the balance of doshas, eliminating toxins, and promoting skin health through a combination of dietary modifications, lifestyle changes, herbal remedies, and detoxification therapies. Treatment strategies aim to address the root cause of the condition while alleviating symptoms and preventing recurrence.

1. Dietary Recommendations: Ayurveda emphasizes the importance of following a balanced diet that supports digestion and metabolism. Foods that aggravate Vata, Pitta, and Kapha doshas should be avoided, while those that pacify the doshas and promote detoxification should be included. Bitter, astringent, and pungent tastes are recommended, while sour, salty, and spicy foods should be limited.

2. Herbal Remedies: Ayurvedic herbs with anti-inflammatory, detoxifying, and immune-modulating properties are used to manage lichen planus. Commonly used herbs include Neem (Azadirachta indica), Turmeric (Curcuma longa), Guduchi (Tinospora cordifolia), Aloe Vera (Kumari), and Manjistha (Rubia cordifolia). These herbs can be taken internally as decoctions, powders, or tablets and applied topically as pastes or oils.

3. Detoxification Therapies: Panchakarma, the Ayurvedic system of detoxification and rejuvenation, is often recommended for individuals with chronic skin conditions like lichen planus. Panchakarma therapies such as Vamana (therapeutic vomiting), Virechana (purgation), Basti (medicated enema), Nasya (nasal administration), and Raktamokshana (bloodletting) help remove toxins from the body, balance doshas, and promote skin health.

4. Lifestyle Modifications: Stress management, adequate sleep, regular exercise, and maintaining proper hygiene are essential aspects of managing lichen planus. Avoiding triggers such as harsh chemicals, excessive sun exposure, and emotional stress can help prevent flare-ups and promote healing.

5. Topical Treatments: Ayurvedic oils, creams, and ointments containing herbs like Neem, Turmeric, and Manjistha are applied topically to affected skin areas to reduce inflammation, soothe itching, and promote healing. These topical treatments help moisturize the skin, alleviate symptoms, and prevent secondary infections.

6. Individualized Approach: Ayurvedic treatment for lichen planus is tailored to the individual constitution (prakriti), doshic imbalance (vikriti), and specific characteristics of the condition. A qualified Ayurvedic practitioner assesses the patient’s overall health, lifestyle factors, and dietary habits to develop a personalized treatment plan that addresses the root cause of the condition and promotes long-term healing.

In conclusion, understanding lichen planus in Ayurveda involves recognizing the role of dosha imbalance, ama formation, and immune dysfunction in the pathogenesis of the condition. By addressing the underlying imbalances through dietary modifications, lifestyle changes, herbal remedies, and detoxification therapies, Ayurveda offers a holistic approach to managing lichen planus and promoting skin health.

Lichen planus can be managed with various home remedies, both in Ayurvedic and allopathic contexts.

Here are 20 useful home remedies for patients diagnosed with Lichen Planus along with their relevance as well explained in detail:

Ayurvedic Home Remedies:

1. Neem (Azadirachta indica) Paste:

   • Relevance: Neem has potent anti-inflammatory and antimicrobial properties, which can help reduce inflammation and prevent secondary infections in lichen planus lesions. Applying neem paste topically can soothe itching and promote healing.

2. Turmeric (Curcuma longa) Paste:

   • Relevance: Turmeric contains curcumin, a compound with powerful anti-inflammatory and antioxidant properties. Applying turmeric paste on lichen planus lesions can help reduce inflammation, itching, and redness, promoting faster healing.

3. Aloe Vera Gel:

   • Relevance: Aloe vera has soothing and moisturizing properties, which can provide relief from itching and inflammation associated with lichen planus. Applying aloe vera gel topically can help hydrate the skin and promote healing.

4. Guduchi (Tinospora cordifolia) Supplements:

   • Relevance: Guduchi is known for its immune-modulating and anti-inflammatory properties. Consuming guduchi supplements can help strengthen the immune system and reduce inflammation, which may help alleviate symptoms of lichen planus.

5. Triphala (Three Fruits) Decoction:

   • Relevance: Triphala is a combination of three fruits – haritaki, bibhitaki, and amalaki – known for their detoxifying and rejuvenating properties. Drinking triphala decoction can help cleanse the body of toxins and promote overall health, potentially benefiting individuals with lichen planus.

6. Bilva (Aegle marmelos) Leaves Paste:

   • Relevance: Bilva leaves have cooling and anti-inflammatory properties, which can help reduce inflammation and itching in lichen planus lesions. Applying bilva paste topically may provide relief from symptoms and promote healing.

7. Ghee (Clarified Butter) Supplementation:

   • Relevance: Ghee is considered nourishing and lubricating in Ayurveda, which can help hydrate the skin and reduce dryness associated with lichen planus. Consuming ghee internally or applying it topically can provide relief from symptoms.

8. Manjistha (Rubia cordifolia) Powder:

   • Relevance: Manjistha is known for its blood-purifying and anti-inflammatory properties. Consuming manjistha powder or applying it topically can help detoxify the body and reduce inflammation in lichen planus.

9. Sesame Oil Massage (Abhyanga):

   • Relevance: Sesame oil is rich in antioxidants and has emollient properties, which can help moisturize the skin and reduce inflammation in lichen planus. Massaging the affected areas with warm sesame oil can provide relief from itching and promote healing.

10. Triphala (Three Fruits) Mouthwash:

    • Relevance: Triphala decoction has antimicrobial and anti-inflammatory properties, which can help reduce inflammation and prevent infections in the oral mucosa affected by lichen planus. Using triphala mouthwash regularly can promote oral health and alleviate symptoms.

11. Guggul (Commiphora wightii) Supplements:

    • Relevance: Guggul is known for its anti-inflammatory and immunomodulatory properties. Consuming guggul supplements can help regulate the immune system and reduce inflammation in lichen planus lesions.

12. Khadir (Acacia catechu) Churna:

    • Relevance: Khadir churna has astringent and anti-inflammatory properties, which can help reduce inflammation and promote healing in lichen planus. Consuming khadir churna internally or applying it topically can provide relief from symptoms.

13. Pippali (Long Pepper) and Honey Paste:

    • Relevance: Pippali is known for its immune-boosting and anti-inflammatory properties. Mixing pippali powder with honey and applying it topically can help reduce inflammation and itching in lichen planus lesions.

14. Bitter Gourd (Momordica charantia) Juice:

    • Relevance: Bitter gourd has detoxifying and anti-inflammatory properties, which can help cleanse the body of toxins and reduce inflammation in lichen planus. Drinking bitter gourd juice regularly may help alleviate symptoms.

15. Haritaki (Terminalia chebula) Supplements:

    • Relevance: Haritaki is known for its laxative and detoxifying properties. Consuming haritaki supplements can help cleanse the digestive tract and remove toxins from the body, potentially benefiting individuals with lichen planus.

Allopathic Home Remedies:

16. Topical Corticosteroids:

    • Relevance: Topical corticosteroids are commonly prescribed to reduce inflammation and itching in lichen planus lesions. They work by suppressing the immune response and reducing the severity of symptoms.

17. Antihistamines:

    • Relevance: Antihistamines can help relieve itching and discomfort associated with lichen planus. They work by blocking the action of histamine, a chemical released during allergic reactions.

18. Moisturizers:

    • Relevance: Moisturizers can help hydrate the skin and reduce dryness associated with lichen planus. Regular application of moisturizers can help alleviate symptoms and promote healing.

19. Phototherapy:

    • Relevance: Phototherapy involves exposing the skin to ultraviolet (UV) light to reduce inflammation and promote repigmentation in lichen planus lesions. It can help improve symptoms and enhance skin health.

20. Oral Immunosuppressants:

    • Relevance: Oral immunosuppressants may be prescribed in severe cases of lichen planus to suppress the immune response and reduce inflammation. They work by inhibiting the activity of immune cells involved in the inflammatory process.

It’s important to note that while these home remedies may provide relief from symptoms, they are not intended to replace medical treatment. Individuals with lichen planus should consult a healthcare professional for proper diagnosis and treatment recommendations tailored to their specific condition.

Causes of Lichen Planus in ayurveda perspective:

Lichen planus can have various causes, and understanding them is crucial for effective management.

Here are 20 causes of lichen planus along with their relevance as well explained in detail in both Ayurvedic and allopathic contexts:

Causes of Lichen Planus:

1. Autoimmune Reaction:

   • Relevance (Ayurvedic): In Ayurveda, autoimmune reactions are considered a result of impaired immune function and accumulation of toxins (ama) in the body, leading to the disruption of doshic balance and tissue damage.
   • Relevance (Allopathic): Allopathic medicine views lichen planus as an autoimmune disorder where the immune system mistakenly attacks healthy cells, leading to inflammation and tissue damage.

2. Genetic Predisposition:

   • Relevance (Ayurvedic): Ayurveda acknowledges the role of genetic factors in predisposing individuals to certain diseases, including lichen planus. Inherited doshic imbalances and susceptibility to environmental factors may contribute to the development of the condition.
   • Relevance (Allopathic): Allopathic medicine recognizes a genetic predisposition to lichen planus, as it may run in families, suggesting a hereditary component in the development of the condition.

3. Stress and Emotional Factors:

   • Relevance (Ayurvedic): Stress is considered a significant contributing factor to the aggravation of doshas and impairment of immune function in Ayurveda, predisposing individuals to various skin disorders, including lichen planus.
   • Relevance (Allopathic): Allopathic medicine acknowledges the role of stress in triggering or exacerbating lichen planus symptoms, as psychological stressors can weaken the immune system and increase inflammation.

4. Microbial Infections:

   • Relevance (Ayurvedic): In Ayurveda, microbial infections are viewed as a result of doshic imbalance and weakened immune response, allowing pathogens to proliferate and cause inflammation in the body, including the skin.
   • Relevance (Allopathic): Allopathic medicine recognizes that microbial infections, such as viral or bacterial infections, may trigger lichen planus in susceptible individuals by inducing an immune response and inflammation.

5. Environmental Factors (Chemicals, Allergens):

   • Relevance (Ayurvedic): Exposure to environmental toxins, chemicals, and allergens can disrupt doshic balance and impair detoxification mechanisms in Ayurveda, leading to inflammatory reactions and skin disorders like lichen planus.
   • Relevance (Allopathic): Allopathic medicine acknowledges that exposure to certain chemicals, allergens, or environmental triggers may provoke lichen planus lesions or exacerbate existing symptoms by inducing an inflammatory response.

6. Medications (Drug-induced Lichen Planus):

   • Relevance (Ayurvedic): In Ayurveda, certain medications or drugs are considered to disturb doshic balance and impair metabolic functions, leading to the development of skin disorders like lichen planus as a side effect.
   • Relevance (Allopathic): Allopathic medicine recognizes drug-induced lichen planus as a potential adverse reaction to medications, including nonsteroidal anti-inflammatory drugs (NSAIDs), beta-blockers, and certain antibiotics.

7. Hormonal Changes:

   • Relevance (Ayurvedic): Hormonal imbalances, such as fluctuations in estrogen and progesterone levels, are considered to disrupt doshic balance and metabolic processes in Ayurveda, potentially contributing to the development of lichen planus.
   • Relevance (Allopathic): Allopathic medicine acknowledges that hormonal changes, such as those occurring during puberty, pregnancy, or menopause, may influence the onset or exacerbation of lichen planus symptoms due to their effects on immune function and inflammation.

8. Oral Health Conditions (Oral Lichen Planus):

   • Relevance (Ayurvedic): Poor oral hygiene and oral health conditions are considered to aggravate Pitta dosha and accumulate toxins in the oral cavity in Ayurveda, leading to inflammation and mucosal lesions characteristic of oral lichen planus.
   • Relevance (Allopathic): Allopathic medicine recognizes that oral lichen planus may be associated with poor oral hygiene, dental trauma, or other oral health conditions, which can predispose individuals to mucosal inflammation and lesions.

9. Chronic Liver Disease:

   • Relevance (Ayurvedic): In Ayurveda, chronic liver diseases are viewed as a result of impaired digestion, metabolism, and detoxification processes, leading to the accumulation of toxins in the body and predisposing individuals to skin disorders like lichen planus.
   • Relevance (Allopathic): Allopathic medicine acknowledges that individuals with chronic liver disease, such as hepatitis C infection or cirrhosis, may be at increased risk of developing lichen planus due to immune dysfunction and metabolic disturbances.

10. Dental Procedures (Koebner Phenomenon):

    • Relevance (Ayurvedic): Dental procedures or trauma to the oral mucosa are considered to aggravate Vata dosha and disrupt prana vata (subdosha governing skin sensation) in Ayurveda, leading to the development of lichen planus lesions at sites of trauma.
    • Relevance (Allopathic): Allopathic medicine recognizes the Koebner phenomenon in lichen planus, where new lesions may develop at sites of skin trauma, including those resulting from dental procedures, orthodontic appliances, or cheek biting.

11. Gastrointestinal Disorders:

    • Relevance (Ayurvedic): Gastrointestinal disorders, such as inflammatory bowel disease (IBD) or irritable bowel syndrome (IBS), are viewed as manifestations of doshic imbalance and impaired digestion in Ayurveda, potentially contributing to systemic inflammation and skin disorders like lichen planus.
    • Relevance (Allopathic): Allopathic medicine acknowledges that individuals with gastrointestinal disorders may have an increased risk of developing lichen planus due to immune dysregulation, gut barrier dysfunction, and systemic inflammation.

12. Chemotherapy or Radiation Therapy:

    • Relevance (Ayurvedic): Chemotherapy or radiation therapy is considered to disturb doshic balance and weaken the immune system in Ayurveda, potentially predisposing individuals to skin complications, including lichen planus, as a side effect of cancer treatment.
    • Relevance (Allopathic): Allopathic medicine recognizes that chemotherapy or radiation therapy may induce lichenoid reactions or exacerbate existing lichen planus lesions in cancer patients due to cytotoxic effects on skin cells and immune suppression.

13. Nutritional Deficiencies:

    • Relevance (Ayurvedic): Nutritional deficiencies are viewed as a result of impaired digestion, absorption, and metabolism of nutrients in Ayurveda, leading to doshic imbalance and compromised tissue integrity, which may contribute to the development of lichen planus.
    • Relevance (Allopathic): Allopathic medicine acknowledges that certain nutritional deficiencies, such as vitamin A, vitamin C, or zinc deficiency, may predispose individuals to lichen planus by impairing immune function, collagen synthesis, and skin barrier integrity.

14. Smoking and Tobacco Use:

    • Relevance (Ayurvedic): Smoking and tobacco use are considered to aggravate Pitta dosha and accumulate toxins in the body in Ayurveda, leading to systemic inflammation and oxidative stress, which may exacerbate skin disorders like lichen planus.
    • Relevance (Allopathic): Allopathic medicine recognizes that smoking and tobacco use may increase the risk of developing lichen planus, particularly oral lichen planus, due to direct mucosal irritation, immune dysregulation, and vasoconstrictive effects of nicotine.

15. Chronic Stress or Anxiety:

    • Relevance (Ayurvedic): Chronic stress or anxiety is considered to disturb doshic balance and impair the function of the nervous system in Ayurveda, leading to increased sympathetic activity and systemic inflammation, which may exacerbate skin conditions like lichen planus.
    • Relevance (Allopathic): Allopathic medicine acknowledges that chronic stress or anxiety may trigger or worsen lichen planus symptoms by dysregulating immune function, neuroendocrine pathways, and inflammatory mediators involved in the pathogenesis of the condition.

16. Occupational Exposures (Chemicals, Metals):

    • Relevance (Ayurvedic): Occupational exposures to chemicals, metals, or irritants are considered to aggravate Pitta dosha and accumulate toxins in the body in Ayurveda, leading to localized or systemic inflammation and skin disorders like lichen planus.
    • Relevance (Allopathic): Allopathic medicine recognizes that individuals with occupational exposures to certain chemicals, metals, or allergens may be at increased risk of developing lichen planus due to direct skin contact or inhalation of irritants triggering an inflammatory response.

17. Food Allergies or Sensitivities:

    • Relevance (Ayurvedic): Food allergies or sensitivities are viewed as a result of impaired digestion and immune reactivity in Ayurveda, leading to doshic imbalance and inflammation in the body, potentially exacerbating skin conditions like lichen planus.
    • Relevance (Allopathic): Allopathic medicine acknowledges that individuals with food allergies or sensitivities may experience exacerbation of lichen planus symptoms due to immune-mediated reactions, systemic inflammation, and histamine release triggered by ingested allergens.

18. Autoimmune Disorders (Associated Conditions):

    • Relevance (Ayurvedic): Autoimmune disorders, such as rheumatoid arthritis or systemic lupus erythematosus, are considered to involve doshic imbalance and immune dysfunction in Ayurveda, potentially predisposing individuals to lichen planus as a coexisting or overlapping condition.
    • Relevance (Allopathic): Allopathic medicine recognizes that individuals with autoimmune disorders may have an increased risk of developing lichen planus, possibly due to shared pathogenic mechanisms involving immune dysregulation, inflammatory cytokines, and genetic predisposition.

19. Metabolic Syndrome (Obesity, Diabetes):

    • Relevance (Ayurvedic): Metabolic syndrome, characterized by obesity, insulin resistance, and dyslipidemia, is viewed as a result of impaired metabolism and doshic imbalance in Ayurveda, potentially contributing to systemic inflammation and skin disorders like lichen planus.
    • Relevance (Allopathic): Allopathic medicine acknowledges that metabolic syndrome components, such as obesity or diabetes, may predispose individuals to lichen planus due to chronic low-grade inflammation, insulin resistance, and oxidative stress associated with these conditions.

20. Dental Appliances (Orthodontic Devices):

    • Relevance (Ayurvedic): Dental appliances, such as braces or orthodontic devices, are considered to aggravate Vata dosha and disrupt prana vata in Ayurveda, leading to mucosal irritation and inflammation, which may trigger or exacerbate oral lichen planus.
    • Relevance (Allopathic): Allopathic medicine acknowledges that dental appliances or orthodontic devices may cause mucosal trauma or irritation, potentially inducing lichen planus lesions through the Koebner phenomenon, especially in susceptible individuals.

Understanding the multifactorial nature of lichen planus and its underlying causes is essential for developing comprehensive treatment strategies and addressing individual risk factors and predisposing conditions in affected individuals. Both Ayurvedic and allopathic approaches emphasize the importance of identifying and addressing the root causes of lichen planus to achieve optimal outcomes in terms of symptom management and long-term remission.

Illness specific herbs used in preparing ayurveda medications for treatment of Lichen Planus:

Medicinal plants play a crucial role in the management of lichen planus, offering various therapeutic properties that can help alleviate symptoms and promote healing.

Here are 20 ayurvedic medicinal plants which are very useful in patients diagnosed with Lichen Planus:

1. Neem (Azadirachta indica):

   • Relevance (Ayurvedic): Neem is known for its anti-inflammatory, antimicrobial, and immunomodulatory properties in Ayurveda. It can help reduce inflammation, itching, and prevent secondary infections associated with lichen planus lesions.
   • Relevance (Allopathic): Neem extracts have been studied for their potential in managing inflammatory skin conditions, including lichen planus. Its antibacterial and antifungal properties may help prevent infection and promote wound healing.

2. Turmeric (Curcuma longa):

   • Relevance (Ayurvedic): Turmeric contains curcumin, a compound with potent anti-inflammatory and antioxidant properties in Ayurveda. It can help reduce inflammation, itching, and promote skin healing in lichen planus.
   • Relevance (Allopathic): Curcumin from turmeric has been investigated for its therapeutic potential in various skin disorders, including lichen planus. Its anti-inflammatory effects may help alleviate symptoms and improve the condition.

3. Aloe Vera (Aloe barbadensis):

   • Relevance (Ayurvedic): Aloe vera is renowned for its soothing, moisturizing, and healing properties in Ayurveda. It can help relieve itching, inflammation, and promote tissue repair in lichen planus lesions.
   • Relevance (Allopathic): Aloe vera gel has been used topically to manage inflammatory skin conditions due to its anti-inflammatory and wound-healing properties. It may provide symptomatic relief and support skin regeneration in lichen planus.

4. Licorice (Glycyrrhiza glabra):

   • Relevance (Ayurvedic): Licorice has anti-inflammatory and immunomodulatory effects in Ayurveda. Its active compound, glycyrrhizin, may help reduce inflammation and soothe irritated skin in lichen planus.
   • Relevance (Allopathic): Licorice extract has demonstrated anti-inflammatory and antipruritic effects in various skin disorders. It may offer relief from itching and inflammation associated with lichen planus when applied topically.

5. Triphala (Three Fruits):

   • Relevance (Ayurvedic): Triphala is a combination of three fruits (haritaki, bibhitaki, and amalaki) known for their detoxifying and rejuvenating properties in Ayurveda. It can help cleanse the body of toxins and promote overall skin health, potentially benefiting individuals with lichen planus.
   • Relevance (Allopathic): Triphala has antioxidant and anti-inflammatory properties, which may contribute to its therapeutic effects in skin disorders. It may help alleviate inflammation and promote wound healing in lichen planus when used topically.

6. Indian Sarsaparilla (Hemidesmus indicus):

   • Relevance (Ayurvedic): Indian sarsaparilla is valued in Ayurveda for its blood-purifying and anti-inflammatory properties. It can help detoxify the body, reduce inflammation, and alleviate symptoms of skin disorders like lichen planus.
   • Relevance (Allopathic): Indian sarsaparilla has been studied for its anti-inflammatory and immunomodulatory effects, which may help manage inflammatory skin conditions. It may offer relief from itching and inflammation in lichen planus when applied topically.

7. Manjistha (Rubia cordifolia):

   • Relevance (Ayurvedic): Manjistha is known for its blood-cleansing and anti-inflammatory properties in Ayurveda. It can help detoxify the blood, reduce inflammation, and promote skin healing in lichen planus.
   • Relevance (Allopathic): Manjistha has been investigated for its potential in managing inflammatory skin conditions due to its antioxidant and anti-inflammatory effects. It may help alleviate symptoms and improve skin health in lichen planus when used topically.

8. Guggul (Commiphora wightii):

   • Relevance (Ayurvedic): Guggul is valued for its anti-inflammatory and immunomodulatory properties in Ayurveda. It can help regulate the immune system, reduce inflammation, and promote healing in lichen planus lesions.
   • Relevance (Allopathic): Guggul extracts have been studied for their anti-inflammatory effects, which may be beneficial in managing inflammatory skin conditions like lichen planus. It may help alleviate symptoms and support skin regeneration when applied topically.

9. Bitter Melon (Momordica charantia):

   • Relevance (Ayurvedic): Bitter melon is known for its detoxifying and immune-boosting properties in Ayurveda. It can help cleanse the body of toxins, regulate immune function, and alleviate inflammation in lichen planus.
   • Relevance (Allopathic): Bitter melon has demonstrated anti-inflammatory and antioxidant effects in skin disorders. It may help reduce inflammation and oxidative stress in lichen planus lesions when applied topically or consumed orally.

10. Sandalwood (Santalum album):

    • Relevance (Ayurvedic): Sandalwood has cooling, soothing, and antimicrobial properties in Ayurveda. It can help reduce inflammation, relieve itching, and prevent infections in lichen planus lesions.
    • Relevance (Allopathic): Sandalwood oil has been used in traditional medicine for its anti-inflammatory and antimicrobial effects. It may provide symptomatic relief and support wound healing in lichen planus when applied topically.

11. Basil (Ocimum sanctum):

    • Relevance (Ayurvedic): Basil has anti-inflammatory, antimicrobial, and immunomodulatory properties in Ayurveda. It can help reduce inflammation, inhibit microbial growth, and regulate immune function in lichen planus.
    • Relevance (Allopathic): Basil extracts have demonstrated anti-inflammatory and antimicrobial effects in various skin conditions. It may help alleviate symptoms and prevent secondary infections in lichen planus lesions when applied topically.

12. Guduchi (Tinospora cordifolia):

    • Relevance (Ayurvedic): Guduchi is considered a potent immunomodulator and antioxidant in Ayurveda. It can help regulate immune function, reduce inflammation, and promote tissue repair in lichen planus.
    • Relevance (Allopathic): Guduchi has been studied for its anti-inflammatory and immunomodulatory effects, which may help manage inflammatory skin conditions like lichen planus. It may offer symptomatic relief and support skin healing when applied topically.

13. Bakuchi (Psoralea corylifolia):

    • Relevance (Ayurvedic): Bakuchi contains psoralens, compounds known for their anti-inflammatory and immunomodulatory effects in Ayurveda. It can help reduce inflammation, regulate immune function, and promote skin healing in lichen planus.
    • Relevance (Allopathic): Bakuchi extracts have been used in traditional medicine for their anti-inflammatory and immunomodulatory properties. Psoralen derivatives may be beneficial in managing inflammatory skin conditions like lichen planus when applied topically or used in phototherapy.

14. Tea Tree Oil (Melaleuca alternifolia):

    • Relevance (Ayurvedic): Tea tree oil has antimicrobial, anti-inflammatory, and wound-healing properties in Ayurveda. It can help inhibit microbial growth, reduce inflammation, and promote tissue repair in lichen planus lesions.
    • Relevance (Allopathic): Tea tree oil has been studied for its antimicrobial and anti-inflammatory effects in various skin disorders. It may help alleviate symptoms and prevent secondary infections in lichen planus lesions when applied topically.

15. Ginger (Zingiber officinale):

    • Relevance (Ayurvedic): Ginger has anti-inflammatory and antioxidant properties in Ayurveda. It can help reduce inflammation, alleviate itching, and promote skin healing in lichen planus.
    • Relevance (Allopathic): Ginger extracts have demonstrated anti-inflammatory effects in skin conditions. It may help alleviate symptoms of lichen planus, such as itching and inflammation, when applied topically or consumed orally.

16. Calendula (Calendula officinalis):

    • Relevance (Ayurvedic): Calendula has anti-inflammatory, antimicrobial, and wound-healing properties in Ayurveda. It can help reduce inflammation, inhibit microbial growth, and promote tissue regeneration in lichen planus lesions.
    • Relevance (Allopathic): Calendula extracts have been used in traditional medicine for their anti-inflammatory and antimicrobial effects. It may offer symptomatic relief and support wound healing in lichen planus when applied topically.

17. Brahmi (Bacopa monnieri):

    • Relevance (Ayurvedic): Brahmi is known for its adaptogenic, antioxidant, and anti-inflammatory properties in Ayurveda. It can help reduce inflammation, improve immune function, and promote overall skin health in lichen planus.
    • Relevance (Allopathic): Brahmi has been studied for its neuroprotective and anti-inflammatory effects. It may help alleviate symptoms and support skin healing in lichen planus when applied topically or consumed orally.

18. Triphala Guggulu (Polyherbal Formulation):

    • Relevance (Ayurvedic): Triphala guggulu is a combination of triphala and guggulu known for its detoxifying and anti-inflammatory properties in Ayurveda. It can help cleanse the body of toxins, reduce inflammation, and promote tissue repair in lichen planus.
    • Relevance (Allopathic): Triphala guggulu has been used in traditional medicine for its anti-inflammatory and immunomodulatory effects. It may offer symptomatic relief and support skin healing in lichen planus when taken internally.

19. Fenugreek (Trigonella foenum-graecum):

    • Relevance (Ayurvedic): Fenugreek has anti-inflammatory and immunomodulatory properties in Ayurveda. It can help reduce inflammation, regulate immune function, and promote skin healing in lichen planus.
    • Relevance (Allopathic): Fenugreek seeds have been studied for their anti-inflammatory effects. It may help alleviate symptoms of lichen planus, such as itching and inflammation, when applied topically or consumed orally.

20. Bhringraj (Eclipta alba):

    • Relevance (Ayurvedic): Bhringraj is known for its anti-inflammatory and hepatoprotective properties in Ayurveda. It can help reduce inflammation, detoxify the liver, and promote overall skin health in lichen planus.
    • Relevance (Allopathic): Bhringraj has been studied for its anti-inflammatory and antioxidant effects. It may help alleviate symptoms and support liver function in individuals with lichen planus when applied topically or consumed orally.

These medicinal plants offer diverse therapeutic properties that can be beneficial in the management of lichen planus, both in Ayurvedic and allopathic contexts.

Over the counter ayurveda medications prescribed for Lichen Planus disease:

Ayurvedic medicine offers a variety of herbal formulations and medications for managing lichen planus.

Here are 20 names of medications prescribed for patients diagnosed with Lichen Planus along with their relevance as well explained in the Ayurvedic perspective:

1. Kaishore Guggulu:

   • Relevance: Kaishore Guggulu is a classical Ayurvedic formulation known for its detoxifying and anti-inflammatory properties. It helps balance aggravated doshas, particularly Pitta and Vata, which are considered responsible for skin disorders like lichen planus. It also promotes blood purification and tissue healing.

2. Arogyavardhini Vati:

   • Relevance: Arogyavardhini Vati is a traditional Ayurvedic medicine used for various skin disorders, including lichen planus. It contains herbs like neem, turmeric, and shilajit, which have potent anti-inflammatory, antimicrobial, and immunomodulatory effects. It helps detoxify the body, reduce inflammation, and support overall skin health.

3. Gandhaka Rasayana:

   • Relevance: Gandhaka Rasayana is a classical Ayurvedic preparation containing purified sulfur (gandhaka) as a key ingredient. It is known for its antimicrobial, antifungal, and anti-inflammatory properties. It helps clear toxins from the body, reduce inflammation, and promote healing of lichen planus lesions.

4. Mahamanjisthadi Kashayam:

   • Relevance: Mahamanjisthadi Kashayam is a herbal decoction used in Ayurvedic medicine for various skin disorders, including lichen planus. It contains manjistha, neem, and other herbs with blood-purifying and anti-inflammatory properties. It helps detoxify the blood, reduce inflammation, and promote skin healing.

5. Panchatikta Ghrita Guggulu:

   • Relevance: Panchatikta Ghrita Guggulu is a traditional Ayurvedic formulation known for its detoxifying and anti-inflammatory effects. It contains bitter herbs like neem, kutki, and guggulu, which help balance aggravated doshas and reduce inflammation in lichen planus. It also supports the healing of skin lesions.

6. Haridra Khanda:

   • Relevance: Haridra Khanda is a herbal powder formulation containing turmeric as a key ingredient. Turmeric (haridra) is renowned for its anti-inflammatory, antioxidant, and immunomodulatory properties in Ayurveda. It helps reduce inflammation, relieve itching, and promote tissue repair in lichen planus.

7. Chandanasava:

   • Relevance: Chandanasava is a classical Ayurvedic formulation containing sandalwood (chandana) and other herbs known for their cooling and anti-inflammatory properties. It helps balance aggravated Pitta dosha, reduce inflammation, and promote skin healing in lichen planus.

8. Nimbadi Churna:

   • Relevance: Nimbadi Churna is a powdered herbal formulation containing neem (nimba) and other herbs with antimicrobial and anti-inflammatory properties. It helps detoxify the body, reduce inflammation, and promote healing of lichen planus lesions.

9. Khadirarishta:

   • Relevance: Khadirarishta is an Ayurvedic fermented liquid preparation containing khadira (acacia catechu) and other herbs known for their antimicrobial and anti-inflammatory effects. It helps detoxify the body, reduce inflammation, and support overall skin health in lichen planus.

10. Khadiradi Vati:

    • Relevance: Khadiradi Vati is a classical Ayurvedic tablet formulation containing khadira (acacia catechu) and other herbs with astringent and anti-inflammatory properties. It helps reduce inflammation, relieve itching, and promote healing of lichen planus lesions.

11. Aravindasava:

    • Relevance: Aravindasava is an Ayurvedic fermented liquid preparation containing aravinda (nelumbo nucifera) and other herbs known for their cooling and anti-inflammatory properties. It helps balance aggravated Pitta dosha, reduce inflammation, and promote skin healing in lichen planus.

12. Panchanimba Churna:

    • Relevance: Panchanimba Churna is a powdered herbal formulation containing neem leaves (nimba) and other herbs with antimicrobial and anti-inflammatory properties. It helps detoxify the body, reduce inflammation, and promote healing of lichen planus lesions.

13. Triphala Guggulu:

    • Relevance: Triphala Guggulu is a classical Ayurvedic formulation containing triphala (three fruits) and guggulu resin. It helps balance aggravated doshas, particularly Kapha and Vata, which play a role in inflammatory skin conditions like lichen planus. It also supports detoxification and tissue healing.

14. Yashtimadhu (Glycyrrhiza glabra) Powder:

    • Relevance: Yashtimadhu, also known as licorice, is valued in Ayurveda for its anti-inflammatory and immunomodulatory properties. It helps reduce inflammation, relieve itching, and promote tissue repair in lichen planus lesions. The powder can be applied topically or taken internally.

15. Khadira (Acacia catechu) Churna:

    • Relevance: Khadira, or catechu, is a potent astringent herb used in Ayurveda for various skin disorders, including lichen planus. It helps reduce inflammation, soothe irritated skin, and promote wound healing when applied topically as a powder or paste.

16. Chirayata (Swertia chirata) Powder:

    • Relevance: Chirayata is a bitter herb known for its anti-inflammatory and antimicrobial properties in Ayurveda. It helps detoxify the body, reduce inflammation, and promote healing of skin lesions in lichen planus. The powder can be taken internally or applied topically.

17. Manjistha (Rubia cordifolia) Capsules:

    • Relevance: Manjistha is valued for its blood-purifying and anti-inflammatory properties in Ayurveda. It helps detoxify the blood, reduce inflammation, and promote tissue healing in lichen planus. The capsules provide a convenient way to consume the herb for systemic benefits.

18. Nimba (Azadirachta indica) Oil:

    • Relevance: Nimba, or neem oil, is renowned for its antimicrobial, anti-inflammatory, and wound-healing properties in Ayurveda. It helps soothe irritated skin, reduce inflammation, and prevent secondary infections in lichen planus lesions when applied topically.

19. Guduchi (Tinospora cordifolia) Tablets:

    • Relevance: Guduchi is considered a potent immunomodulator and antioxidant in Ayurveda. It helps regulate immune function, reduce inflammation, and promote overall skin health in lichen planus. The tablets offer a convenient way to consume the herb for systemic benefits.

20. Bakuchi (Psoralea corylifolia) Powder:

    • Relevance: Bakuchi contains psoralens, compounds known for their anti-inflammatory and immunomodulatory effects in Ayurveda. It helps reduce inflammation, regulate immune function, and promote skin healing in lichen planus. The powder can be applied topically or taken internally.

These Ayurvedic medications offer natural and holistic approaches to managing lichen planus by addressing the underlying imbalances in the body, reducing inflammation, and promoting skin healing.

Treatment of Lichen Planus at Nakra Ayurveda Hospitals and Herbals Pvt Ltd

Treatment for lichen planus in Ayurveda involves a holistic approach aimed at addressing the underlying imbalances in the body, reducing inflammation, detoxifying the system, and promoting overall skin health.

Here are several types of treatment for lichen planus in the Ayurvedic context:

1. Panchakarma Therapy:

   • Relevance: Panchakarma is a comprehensive detoxification and rejuvenation therapy in Ayurveda. It involves a series of therapeutic procedures such as Vamana (therapeutic vomiting), Virechana (purgation), Basti (medicated enema), Nasya (nasal administration of medicated oils), and Raktamokshana (bloodletting). Panchakarma helps eliminate accumulated toxins (ama) from the body, balance aggravated doshas, and purify the blood, which is essential for managing inflammatory skin conditions like lichen planus.

2. Shodhana (Detoxification):

   • Relevance: Shodhana therapies, including Panchakarma, aim to detoxify the body and eliminate ama (toxins) accumulated due to impaired digestion and metabolism. Detoxification helps restore the balance of doshas and remove the root cause of lichen planus by addressing systemic imbalances and promoting overall health.

3. Shamana Chikitsa (Palliative Treatment):

   • Relevance: Shamana Chikitsa involves the use of herbal medicines, dietary modifications, and lifestyle changes to pacify aggravated doshas and alleviate symptoms of lichen planus. It includes the administration of specific herbs, formulations, and dietary recommendations tailored to the individual’s constitution and the nature of the condition.

4. Internal Medications:

   • Relevance: Internal medications in Ayurveda target the root cause of lichen planus by balancing doshas, purifying the blood, and strengthening the immune system. Herbal formulations such as Kaishore Guggulu, Arogyavardhini Vati, and Mahamanjisthadi Kashayam are commonly prescribed to reduce inflammation, detoxify the body, and promote skin healing.

5. External Applications:

   • Relevance: External applications of medicated oils, ointments, and pastes are beneficial for managing skin lesions associated with lichen planus. Topical formulations containing herbs like neem, turmeric, and aloe vera help reduce inflammation, relieve itching, and promote tissue repair. These applications also provide cooling and soothing effects on the affected skin.

6. Taila Dhara (Medicated Oil Application):

   • Relevance: Taila Dhara involves the continuous pouring of medicated oils over the affected areas of the skin. It helps lubricate dry and inflamed skin, reduce itching, and promote healing of lichen planus lesions. Medicated oils containing herbs like neem, manjistha, and coconut oil are commonly used for this purpose.

7. Avagaha Sweda (Herbal Steam Bath):

   • Relevance: Avagaha Sweda is a therapeutic procedure in which the body is exposed to herbal steam generated from decoctions of medicinal herbs. It helps open the pores, improve circulation, and facilitate the absorption of herbal compounds into the skin. Herbal steam baths can help alleviate inflammation, reduce itching, and promote skin health in lichen planus.

8. Dietary Modifications:

   • Relevance: Dietary modifications play a crucial role in managing lichen planus by balancing doshas and supporting overall health. Ayurvedic dietary guidelines emphasize the consumption of fresh fruits, vegetables, whole grains, and herbal teas while avoiding spicy, sour, and processed foods that can aggravate Pitta and Vata doshas. A balanced diet rich in antioxidants and anti-inflammatory nutrients helps support the body’s natural healing process.

9. Lifestyle Changes:

   • Relevance: Lifestyle changes such as stress management, adequate rest, and regular exercise are important for managing lichen planus. Stress and anxiety can exacerbate symptoms by triggering inflammatory responses, so practices like yoga, meditation, and deep breathing exercises help promote relaxation, reduce stress levels, and support overall well-being.

10. Rasayana Therapy (Rejuvenation Treatment):

    • Relevance: Rasayana therapy aims to rejuvenate the body, strengthen the immune system, and promote longevity. Rasayana herbs and formulations help improve tissue regeneration, enhance cellular repair mechanisms, and boost immunity. Rasayana therapy is beneficial for individuals with chronic skin conditions like lichen planus to support overall health and prevent recurrence.

11. Yoga and Pranayama:

    • Relevance: Yoga and Pranayama (breathing exercises) are integral parts of Ayurvedic treatment for lichen planus. Yoga postures (asanas) improve circulation, stimulate the lymphatic system, and promote relaxation, while Pranayama techniques help calm the mind, reduce stress, and enhance oxygenation of tissues. Regular practice of yoga and Pranayama supports holistic healing and balances doshas.

12. Herbal Supplementation:

    • Relevance: Herbal supplements containing potent antioxidants, anti-inflammatory, and immunomodulatory herbs are beneficial for managing lichen planus. Supplements like neem capsules, turmeric extract, and aloe vera juice help support the immune system, reduce inflammation, and promote skin health from within.

13. Acupuncture and Acupressure:

    • Relevance: Acupuncture and acupressure are traditional healing modalities that stimulate specific acupoints to regulate the flow of energy (Qi) and promote healing. These therapies help alleviate pain, reduce inflammation, and restore balance to the body’s energy channels, which can be beneficial for managing lichen planus symptoms.

14. Meditation and Mindfulness:

    • Relevance: Meditation and mindfulness practices promote mental and emotional well-being, reduce stress, and enhance the body’s ability to heal. Mindfulness-based stress reduction techniques help individuals with lichen planus cope with symptoms, improve mood, and cultivate a sense of inner peace and resilience.

15. Herbal Bathing:

    • Relevance: Herbal bathing involves soaking in a tub filled with decoctions of medicinal herbs. It helps cleanse the skin, reduce inflammation, and relieve itching associated with lichen planus. Herbs like neem, manjistha, and turmeric are commonly used in herbal bathing preparations for their skin-soothing and healing properties.

16. Netra Tarpana (Medicated Eye Bath):

    • Relevance: Netra Tarpana is a therapeutic procedure in which medicated ghee is poured over the eyes to lubricate and nourish the eye tissues. It helps relieve dryness, redness, and irritation of the eyes, which may occur in ocular lichen planus. Medicated ghee formulations containing herbs like triphala and licorice are used for Netra Tarpana.

17. Nasya (Nasal Administration):

    • Relevance: Nasya therapy involves the administration of medicated oils or herbal powders into the nasal passages. It helps clear the sinuses, improve nasal breathing, and promote overall respiratory health. Nasya with specific herbal formulations may benefit individuals with nasal or oral lichen planus by reducing inflammation and supporting tissue healing.

18. Kavala and Gandusha (Oil Pulling and Mouthwash):

    • Relevance: Kavala and Gandusha are Ayurvedic oral hygiene practices that involve swishing or holding medicated oils in the mouth for a specific duration. Oil pulling with herbal oils like sesame or coconut oil helps remove toxins, reduce inflammation, and promote oral health, which is essential for individuals with oral lichen planus.

19. Herbal Fumigation (Dhumapana):

    • Relevance: Dhumapana involves inhaling the fumes of medicated herbs to cleanse the respiratory passages and promote lung health. It helps reduce inflammation, clear toxins, and improve respiratory function, which may benefit individuals with respiratory involvement in lichen planus.

20. Personalized Ayurvedic Regimen:

    • Relevance: A personalized Ayurvedic regimen tailored to the individual’s constitution (Prakriti), doshic imbalances (Vikriti), and specific needs is essential for effective management of lichen planus. Ayurvedic practitioners assess the unique characteristics of each individual and develop a holistic treatment plan that integrates various therapies, dietary recommendations, lifestyle modifications, and herbal formulations to address the root cause of the condition and promote optimal health and well-being.

These Ayurvedic treatments offer natural and holistic approaches to managing lichen planus by addressing the underlying imbalances in the body, reducing inflammation, detoxifying the system, and promoting overall skin health.