Bullous Disorders (Visarpa) – Causes, Symptoms & Ayurvedic Treatment

स्याद्विसर्पोऽभिघातान्तैदोषेर्दूष्यश्चशोफवत्।
त्र्यधिष्ठानंचतंप्राहुर्बाह्यान्तरुभयाश्रयात्॥

Fluid filled skin blisters measuring greater than 10mm are referred to as bullae. Skin disease characterized by appearance of bullae falls under the category of bullous disorders. Bullous pemphigoid, epidermolysis bullosa, dermatitis herpetiformis, pemphigus foliaceaus, varicella infection are some of the common bullous disorders.

Etiology of Bullous Disorders

Many of the bullous skin disorders are autoimmune while some can be caused due to adverse drug reaction, hypersensitive reaction, exposure to light, radiations, medical conditions like lichen planus, diabetes, rheumatoid arthritis, ulcerative colitis, psoriasis, multiple sclerosis etc.

Diagnosis of Bullous Disorders

Acute bullous conditions should be investigated through bacterial and viral culture. Skin biopsy should be taken before making diagnosis. Haematological investigation should also be accompanied.

Mitigation Techniques

  • Avoid exposure to sun, light, radiation etc.
  • Wear loose fitting cotton clothes
  • Take proper case of wounds by regular dressing and applying of antiseptic medication.

Symptoms of Bullous Disorders

  • Fluid filled blisters usually greater than 5mm 
  • Large blisters along skin folds that does not rupture easily
  • Itchy skin
  • Skin around bullae appear normal or darker in color
  • Reddish or yellowish discoloration on blisters
  • Eczema or hive like rash

Types of Visarpa

  • Agni visarpa
  • Kardama visarpa
  • Granthi visarpa
  • Kshataja visarpa

Ayurvedic Management of Bullous Disorder

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Treatment of Bullous Disorders

  • Shita (cold potency), snigdha (unctous) for internal and  external administration.
  • Sarpi pana (intake of ghee) is considered the most beneficial therapy for visarpa.

Internal Medicines for Bullous Disorders

  • Guduchyadi kasayam
  • Trayantadi kasayam
  • Patoladi kasayam
  • Chandanasava
  • Usheerasava
  • Mustadi kasaya
  • Laghupanchamuladi kasaya
  • Bhunimbadi kasaya
  • Visarpahara kasaya
  • Shrestadi kasaya
  • Kulakadi kasaya

External Application for Bullous Disorders

  • Lepam
  • Panchatwagadi churna
  • Shaddouta grita
  • Nyagrodadi churna
  • Shireeshatwagadi churna
  • Seka 
  • Nyagrodadi kasaya

Purifactory Therapy for Bullous Disorders

  • Raktamoksha (blood letting)
  • Vamana (Therapeutic emesis)
  • Virechana (purgation)

Single Drugs Used in Bullous Disorders

  • Chandana (Santalum album)
  • Usheera (Vetiveria zizanoids)
  • Raktachandana (Pterocarpus santalinum)
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Diet in Bullous Disorders

Pathya (Do’s)

  • Proper hygiene of the area containing blisters.
  • Low carbohydrate easy to digest vegetarian diet.

Apathya (Don’ts)

  • Avoid day sleep
  • Avoid Vidahi ahara 
  • Avoid Yougurt, masha, oily, spicy, non vegetarian, deep fried food

Yoga Asanas that are Helpful in Bullous Disorders

  • Utthanasana
  • Trikonasana
  • Bhujangasana 
  • Ustrasana
  • Tadasana 

Pranyama

  • Kapalbati 
  • Nadishodana
  • Anuloma viloma pranayama

Mudra Therapy

  • Prithvi mudra
  • Prana mudra 
  • Varun mudra 

Conclusion

Bullous disorders of the skin can be due to simple allergic reaction or life threatening like the pemphigus type. It takes prolonged periods to heel completely and recurrence due to ahitha ahara vihara acharana is also a common feature of these disorders. It is of prime importance to seek medical help at the earliest and take necessary treatment to prevent complications. Following Ayurveda will help in better healing and recovery through safe and complete nature friendly treatment modalities.

Frequently Asked Questions

Question) What are Bullous Disorders?

Answer) Skin diseases which are characterized by appearance of bullae falls under the category of bullous disorders.

Question) What are the Symptoms of Bullous Disorders?

Answer) Fluid filled blisters usually greater than 5mm, Large blisters along skin folds that does not rupture easily and Itchy skin are the major symptoms of bullous disorders.

Question) Is there any Ayurvedic Remedy for Bullous Disorders?

Answer) Yes, Ayurveda has successful treatment for bullous disorders through natural friendly measures.

Question) Is Ayurvedic treatment effective in bullous disorders?

Answer) Ayurvedic treatment is found to be effective in bullous disorder. It involves medicines for internal use, external application and purificatory therapies.

Question) What is the Ayurvedic treatment of Bullous Disorders?

Answer) It involves medications that are cold in potency and unctuous in nature. Intake of cow ghee is most beneficial in bullous disease.

Question) Is yoga therapy effective in bullous disorders?

Answer) Yes, pranayama such as Nadi Shodhan Pranayam, kapalbhati are quite effective and yoga asanas such as Bhujangasana, Tadasana, Utthanasana etc. are quite effective.

References

  1. Shloka No. 43, Chapter 13, Pandurogasophavisarpa Nidanam, Nidanasthanam, Ashtangahrudayam by Acharaya Vagbhata.
  2. Chunekar KC, editor. Bhava Mishra, Bhava Pralasha Nighantu, Vaatadi Varga 15. Revised Edition. Varanasi: Chaukhambha Bharati Academy; 2010. p. 507.
  3. Anonymous. The Ayurvedic Pharmacopeia of India, Part I. Reprint. 1/76. New Delhi: Ministry of Health and Family Welfare, Govt. of India; 2001. p. 70.

Dr. Gupta’s IAFA is the best Ayurveda center for curing skin ailments including bullous disorders.

Reach Institute of Applied Food Allergy® for a natural friendly and Ayurvedic skin rejuvenation!!!

Dr. Sahil Gupta completed his Bachelor of Ayurveda in Medicine and Surgery (B.A.M.S.) and Master’s Degree in Health Administration (MHA) India. He is Registered Ayurvedic Doctor & Vaidya in India having Registration No. 23780. He is the CEO and founder of IAFA. After completing BAMS, Dr. Sahil Gupta started practicing Ayruveda by giving prime importance to allergic disorders management. He became the first Ayurvedic doctor to cure Food Allergies through Ayurveda. Read More About Dr. Sahil Gupta.

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