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Ayurvedic Management of Prurigo nodularis at scalp: A case report

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Journal name: Journal of Ayurveda and Integrative Medicine
Original article title: Ayurvedic Management of Prurigo nodularis at scalp: A case report
The Journal of Ayurveda and Integrative Medicine (JAIM) is an open-access publication promoting collaboration between Ayurveda, traditional medicine, and biomedicine, publishing research on integrative health sciences
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Original source:

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Author:

Danish Javed


Journal of Ayurveda and Integrative Medicine:

(A monthly peer-reviewed publication)

Full text available for: Ayurvedic Management of Prurigo nodularis at scalp: A case report

Year: 2022 | Doi: 10.1016/j.jaim.2022.100668

Copyright (license): CC BY-NC-ND 4.0


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Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Ayurvedic Management of Prurigo nodularis at scalp: A case report�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Table:
In clinical studies, tables are critical for organizing data and summarizing findings in a clear manner. They help visualize patient outcomes, treatment responses, or demographic details, making complex information accessible for quick comparison and analysis. In this report, tables track changes in subjective and objective scores for patients with Prurigo nodularis.

2) Itching:
Itching, known medically as pruritus, is a key symptom of Prurigo nodularis, characterized by intense discomfort and constant desire to scratch. It can lead to skin damage, inflammation, and secondary infections. Understanding its mechanisms is essential for effective treatment, often involving antihistamines or alternative approaches like Ayurveda, which enhance patient quality of life.

3) Ayurveda (Ayus-veda):
Ayurveda, an ancient Indian system of medicine, focuses on holistic healing through individualized treatments based on balancing bodily energies (doshas). It employs natural remedies, dietary adjustments, and lifestyle changes aimed at restoring harmony. In this case study, Ayurveda's efficacy was explored in managing chronic skin conditions like Prurigo nodularis, emphasizing its relevance.

4) Karma (Karman):
In Ayurvedic context, 'karma' refers to therapeutic actions taken to rid the body of toxins and restore balance. 'Virechana' is a prominent method involving purgation. During this study, karma was crucial as a concept guiding treatment strategies, representing both methodology and philosophy essential for addressing dosha imbalances in skin disorders.

5) Kushtha (Kustha):
Kustha refers to skin diseases in Ayurveda, encompassing a wide range of dermatological conditions. Understanding Kustha is essential for practitioners to diagnose and treat skin-related ailments effectively, as illustrated in the examination and treatment of Prurigo nodularis. The approach also emphasizes the necessity of addressing underlying dosha imbalances.

6) Vata:
Vata is one of the three doshas in Ayurveda, associated with air and space. It governs motion, communication, and bodily functions. Imbalances in Vata can lead to various health issues, including skin disorders like Prurigo nodularis. Assessment of Vata's role in disease pathology is vital for effective Ayurvedic treatment strategies.

7) Medicine:
Medicine encompasses all practices aimed at promoting health and treating ailments through diagnosis, prevention, and treatment. This case highlights Ayurvedic medicine as an alternative approach, utilizing herbal formulations, dietary changes, and holistic practices to improve bodily functions, particularly for chronic conditions like Prurigo nodularis, emphasizing patient-centered care.

8) Kapha:
Kapha is another dosha in Ayurveda, linked with earth and water elements. It represents structure and stability in the body. An imbalance in Kapha can contribute to skin disorders, affecting moisture and resilience. Understanding Kapha's characteristics is crucial in treating conditions like Prurigo nodularis, where excess Kapha manifests as symptoms.

9) Maha (Maha°):
Maha translates to 'great' in Sanskrit, used to denote the significance or potency of Ayurvedic formulations. 'Maha' precedes certain herbal preparations, indicating higher concentrations or improved efficacy. In the context of the report, products like 'Maha manjishthadi' showcase the importance of potent medicines in addressing chronic conditions effectively.

10) Alasaka:
Alasaka is the Ayurvedic term for a specific type of skin disorder resembling Prurigo nodularis. Understanding Alasaka’s characteristics helps practitioners grasp the disease's manifestation and origin, facilitating accurate treatment strategies within Ayurveda. The case highlights its relevance in understanding the relationship between traditional practices and modern dermatological conditions.

11) Guggulu:
Guggulu refers to a resin obtained from the Commiphora mukul tree, used extensively in Ayurveda for various therapeutic purposes. It's recognized for its anti-inflammatory and lipid-reducing properties, particularly beneficial in skin ailments. The inclusion of formulations like 'Amritadi Guggulu' plays a significant role in managing chronic skin conditions like Prurigo nodularis.

12) Dosha (Dosa):
Doshas represent the three fundamental energies within Ayurveda: Vata, Pitta, and Kapha. They govern physiological functions and contribute to individual health profiles. Imbalances in doshas lead to various health issues, including skin diseases. This case illustrates how understanding dosha dynamics can guide effective personalized treatment plans in Ayurveda.

13) Depression:
Depression is a significant psychological condition affecting emotional well-being, often intertwining with physical ailments. In dermatology, chronic skin disorders can exacerbate or lead to depressive symptoms, as seen in Prurigo nodularis. Addressing mental health alongside physical symptoms is crucial for comprehensive treatment, particularly in an integrated care approach.

14) Pitta:
Pitta is the dosha responsible for transformation, metabolism, and bodily functions associated with heat. Its imbalance can lead to skin disorders characterized by inflammation and irritation, such as Prurigo nodularis. Understanding Pitta is critical in Ayurveda for developing targeted therapies that restore homeostasis and promote skin health.

15) Triphala (Tri-phala):
Triphala refers to a traditional herbal formula consisting of three fruits: Amalaki, Bibhitaki, and Haritaki. Renowned for its detoxifying, digestive, and rejuvenating properties, Triphala is often used in Ayurvedic treatments. In this case, it played a supportive role in enhancing the body’s healing processes and addressing skin disorders effectively.

16) Amritadi (Amrtadi):
Amritadi is an Ayurvedic formulation known for its health-enhancing and rejuvenating properties. It often contains various herbs that promote vitality and support bodily functions. In the context of the case report, utilization of Amritadi Guggulu illustrates the choice of specific formulations aimed at addressing chronic skin conditions effectively.

17) Quality:
Quality in healthcare refers to the standard of care and the effectiveness of treatments provided to patients. Assessing quality in treatment is vital for ensuring better health outcomes. In this report, improvement in quality of life associated with skin conditions like Prurigo nodularis is measured using validated scales, highlighting the importance of holistic care.

18) Disease:
Disease denotes a pathological condition that disrupts normal bodily functions. Prurigo nodularis represents one such chronic skin disease characterized by intense itching and the formation of nodules. Recognizing the disease's nature, causes, and treatment options is crucial in medical practice, especially when integrating traditional and modern approaches.

19) Line:
In a medical context, 'line' refers to the approach or methodology used in treating diseases. This case study delineates a line of treatment within Ayurveda for Prurigo nodularis. Understanding the therapeutic line helps practitioners develop effective management strategies for chronic diseases, ensuring personalized and context-sensitive interventions.

20) Pain:
Pain is an unpleasant sensory and emotional experience often accompanying various health conditions, including chronic skin diseases. In the context of Prurigo nodularis, pain may arise from persistent itching and soreness due to skin lesions. Addressing pain through appropriate therapies is vital for improving patient comfort and overall well-being.

21) Life:
Life represents the holistic essence of living organisms, emphasizing physical, mental, and emotional health. In medical practice, enhancing the quality of life is paramount, especially for chronic diseases like Prurigo nodularis. Effective treatment strategies must consider the multidimensional nature of life to ensure holistic healing and patient satisfaction.

22) Mahamanjishthadi (Mahamanjisthadi, Maha-manjishthadi):
Maha-manjishthadi kwath is an Ayurvedic decoction containing potent herbs known for their medicinal properties. It is utilized in dermatological treatments due to its anti-inflammatory and blood-purifying effects. In this case, its inclusion signifies the importance of combining effective herbal formulations in treating chronic skin conditions like Prurigo nodularis.

23) Manjishthadi (Manjisthadi):
Manjishthadi refers to a specific Ayurvedic formulation primarily composed of the herb manjishtha, recognized for its blood-purifying and cooling properties. Used in skin treatments, this formulation aids in alleviating conditions characterized by inflammation. Including Manjishthadi in therapy exemplifies the focus on targeted herbal approaches in Ayurveda.

24) Kshudra (Ksudra):
Kshudra typically refers to minor or less severe ailments in Ayurvedic terminology. Despite being minor, Kshudra rog (skin ailments) can nonetheless cause significant discomfort. Understanding their classification aids in distinguishing between varying severity levels of skin diseases, like Prurigo nodularis, which assists in determining appropriate therapeutic strategies.

25) Burning (Burn, Burned, Burnt):
Burning refers to a painful sensation often experienced in skin disorders. In Prurigo nodularis, patients may experience burning sensations accompanying itching and irritation, impacting quality of life. Addressing burning sensations effectively through appropriate medications and therapies is crucial in comprehensive management of chronic skin conditions.

26) Anxiety:
Anxiety is a psychological state characterized by feelings of tension and worry, impacting mental and emotional well-being. In patients with chronic skin conditions like Prurigo nodularis, anxiety often exacerbates symptoms due to the stress of visible skin issues. Holistic treatment approaches should simultaneously address psychological and physical symptoms for effective care.

27) Rakta:
Rakta, meaning blood in Ayurveda, is considered one of the seven dhatus (tissues) and plays a crucial role in maintaining health. Its quality and balance contribute to skin health and vitality. In this study, understanding the significance of Rakta aids in developing effective Ayurvedic strategies targeting various skin disorders.

28) Water:
Water is essential for life, playing a critical role in maintaining bodily functions, hydration, and regulation of temperature. In Ayurveda, water is integral for formulations and treatments. This case emphasizes the importance of proper hydration and the role of herbal infusions, like Ushnodaka, in therapeutic practices.

29) Diet:
Diet is a fundamental aspect of Ayurveda, emphasizing the consumption of appropriate foods to maintain health and balance the doshas. Dietary recommendations are tailored to individual needs, helping manage symptoms, especially in chronic conditions like Prurigo nodularis. This approach reinforces the notion that food influences health and healing.

30) Samhita:
Samhita refers to classical texts in Ayurveda documenting various medical knowledge, therapies, and philosophies. Understanding Samhita is essential for practitioners to apply traditional wisdom to modern cases. The case study utilizes concepts from ancient texts, thus connecting historical practices with contemporary treatment methodologies in managing conditions such as Prurigo nodularis.

31) Snehana:
Snehana is an Ayurvedic therapy involving the application of oils or ghee to nourish the body and promote healing. It acts as a preparatory procedure for Panchakarma. In this report, Snehana's role is highlighted in the treatment of Prurigo nodularis, showcasing its significance in enhancing therapeutic outcomes.

32) Ghrita (Ghrta):
Ghrita, or medicated ghee, is an important substance in Ayurveda used for its nourishing and therapeutic properties. It plays a role in detoxification and is often part of treatment protocols for various conditions. In this case, Ghrita's use illustrates Ayurveda's emphasis on integrating dietary elements into therapeutic interventions.

33) Ulcer:
An ulcer is a sore that develops on the skin or mucous membranes, often resulting from chronic irritation or inflammation. In the context of Prurigo nodularis, excessive scratching may lead to ulcerations, complicating treatment. Understanding ulcer formation is crucial in managing skin conditions effectively through appropriate therapeutic measures.

34) Rules:
Rules or guidelines are essential for ensuring consistency and effectiveness in treatment. In medical practice, established protocols guide healthcare practitioners in managing diseases like Prurigo nodularis. Adhering to correctly structured treatment rules enhances patient outcomes, safety, and satisfaction, allowing for systematic evaluation of therapeutic strategies.

35) Study (Studying):
The term study denotes systematic examination and analysis aimed at acquiring new knowledge. In medical contexts, studies serve as the foundation for evidence-based medicine, contributing to understanding diseases and developing effective treatment protocols. This case study provides insights into managing Prurigo nodularis through Ayurvedic interventions, validating their effectiveness.

36) Vati:
Vati refers to various Ayurvedic herbal formulations in tablet form, used for their therapeutic effects. These preparations combine multiple herbs that synergistically act in managing specific health conditions. In the report, Vati is highlighted for its application in treating chronic skin ailments, facilitating easier administration and patient compliance.

37) Aha (Ahan, Ahar):
Ahar, meaning food or diet in Ayurveda, emphasizes the importance of consuming nourishing and balanced meals for maintaining health. The nature of Ahar profoundly influences bodily functions, impacting the doshas and overall well-being. Diet recommendations in managing conditions like Prurigo nodularis are vital for achieving optimal health.

38) Drug:
In medical contexts, a drug refers to any substance used for diagnosis, treatment, or prevention of disease. The report discusses Ayurvedic approaches where herbal drugs replace conventional pharmaceuticals. Understanding the integration of traditional herbal remedies alongside modern medication can improve treatment outcomes, particularly in chronic conditions like Prurigo nodularis.

39) Burning sensation:
Burning sensation is a distressing symptom often associated with various health conditions, including skin disorders. Patients with Prurigo nodularis frequently report burning alongside intense itching. Management strategies addressing this sensation are critical since they can significantly affect a patient’s quality of life, making effective treatment paramount for soothing discomfort.

40) Practising (Practicing):
Practicing refers to the application of theoretical knowledge in real-world settings, particularly in healthcare. In this context, it embodies how Ayurvedic practitioners apply principles from ancient texts to treat contemporary diseases. The study's focus on Ayurvedic management of Prurigo nodularis exemplifies the implementation and adaptation of traditional practices.

41) Suffering:
Suffering highlights the negative emotional and physical impact of chronic health conditions on individuals. In skin disorders like Prurigo nodularis, intense suffering arises from debilitating symptoms. Recognizing and addressing suffering is crucial in patient care, guiding healthcare providers to develop compassionate and effective treatment plans that alleviate discomfort and restore wellness.

42) Lakshana (Laksana):
Lakshana refers to symptoms or clinical features indicative of a specific condition in Ayurveda. Identifying Lakshana assists practitioners in diagnosing and understanding diseases. In this case of Prurigo nodularis, recognizing its unique Lakshana is pivotal for devising effective treatment strategies that align with individual patient profiles and dosha imbalances.

43) Aushadhi (Ausadhi, Aushadhin, Ausadhin):
Aushadhi translates to medicine or herbal preparations in Ayurveda. It emphasizes using natural substances for healing and therapeutic purposes. Aushadhi serves as the foundation of Ayurvedic practice, where practitioners employ specific formulations tailored to treat various conditions, showcasing the importance of traditional herbal knowledge in contemporary medical care.

44) Bleeding:
Bleeding is an alarming symptom often indicating underlying injury or inflammation. In the context of Prurigo nodularis, scratching can cause skin lesions to bleed, complicating healing processes. Evaluating the causes and managing bleeding through appropriate treatments is essential to prevent infection and support effective recovery in cases of chronic skin conditions.

45) Snigdha:
Snigdha refers to qualities associated with being oily or unctuous, important in Ayurvedic definitions of health. In treatments, promoting Snigdha qualities, especially through dietary choices and herbal preparations, plays a role in nurturing the skin and restoring balance. The concept emphasizes the need for hydration and nourishment in managing skin conditions effectively.

46) Anupana:
Anupana means the medium through which herbal medicines are delivered, often enhancing their therapeutic effects. In Ayurvedic practice, the choice of Anupana is tailored to improve absorption and efficacy of treatments. This concept is exemplified in this study, showing how Anupana contributes to better management of chronic conditions like Prurigo nodularis.

47) Sthana:
Sthana refers to a place or location, particularly within the context of disease manifestations in Ayurveda. Understanding where a disease resides in the body helps in devising treatment strategies. In skin disorders like Prurigo nodularis, identifying Sthana aids practitioners in focusing therapies that target specific areas effectively.

48) Ananta (Anamta):
Ananta signifies 'infinite' or 'endless' and may be used metaphorically in Ayurveda to describe the unlimited potential of healing through comprehensive treatment approaches. This concept stresses the importance of holistic care in chronic disease management, suggesting that with suitable interventions, long-lasting health improvements are attainable, even in complex conditions like Prurigo nodularis.

49) Sharman (Sarma, Sharma, Sarman):
Sharma is a surname that may represent practitioners or researchers in Ayurveda. In the context of this case, individuals like Sharma play roles in the development and application of Ayurvedic practices. Acknowledging contributors reinforces the cultural and professional lineage of Ayurvedic traditions in addressing contemporary health challenges.

50) Katta:
Katta is another surname associated with individuals contributing to Ayurvedic knowledge or practices. It underscores the collaborative nature of traditional medicine, where practitioners work together to improve patient outcomes. Understanding Katta’s contributions highlights the importance of collective expertise in addressing complex health issues like Prurigo nodularis.

51) Vrana:
Vrana denotes a wound or sore in Sanskrit. In Ayurvedic context, understanding Vrana is crucial since it informs treatment strategies focused on healing and regeneration. In cases of chronic skin disorders like Prurigo nodularis, addressing Vrana effectively aids in restoring skin integrity and functionality, essential for overall healing.

52) Dushta (Dusta):
Dusta implies 'corrupted' or 'tainted', often used to describe more severe or complicated pathological conditions. In Ayurveda, distinguishing between Dusta and non-Dusta conditions helps practitioners determine therapeutic approaches. This concept is relevant in managing chronic and refractory cases, providing a framework for tailored treatments in clinical practice.

53) India:
India, the birthplace of Ayurveda, presents a rich historical and cultural context for traditional medicine. The integration of ancient wisdom with modern healthcare challenges is invaluable. The practices and methodologies explored in the case highlight Ayurveda's significance in contemporary healthcare, particularly in treating chronic skin disorders amidst evolving medical paradigms.

54) Patel:
Patel is a common surname, often associated with healthcare providers or researchers, especially in Indian contexts. Acknowledging practitioners like Patel emphasizes the contributions of individuals to the field of Ayurveda, enhancing the understanding and application of Ayurvedic principles in managing chronic ailments and fostering a deeper connection to cultural practices.

55) Ayus (Ayush):
Ayush refers to the traditional systems of healthcare in India, encompassing Ayurveda, Yoga, Unani, Siddha, and Homeopathy. It plays a vital role in promoting holistic health and wellness. The case reported showcases the integration of Ayush principles, particularly Ayurveda, in managing chronic conditions like Prurigo nodularis effectively.

56) Visit:
Visit denotes the act of consulting healthcare providers for assessment and treatment. In this context, patient visits play an essential role in monitoring health conditions, facilitating communication between practitioners and patients. Regular visits help ensure effective management and adjustment of treatment plans, thereby improving health outcomes in chronic conditions.

57) Vega:
Vega refers to the natural urges of the body, including the urge to eliminate waste. In Ayurveda, maintaining balanced Vega is crucial for overall health. Recognizing and responding to these urges appropriately is essential in managing chronic diseases, as neglect may lead to complications or exacerbate existing conditions, including skin disorders.

58) Neem:
Neem is a well-known herbal plant valued in Ayurveda for its antiseptic, anti-inflammatory, and therapeutic properties. It is widely used in treating skin ailments due to its ability to soothe irritation and promote healing. The case report highlights Neem’s application in treating Prurigo nodularis, showcasing its traditional importance and efficacy.

59) Food:
Food encompasses nutritional intake crucial for maintaining health and supporting therapeutic practices. In Ayurveda, dietary choices directly influence bodily functions and the balance of doshas. This case emphasizes the relevance of food as both medicine and nourishment, illustrating how proper dietary habits are fundamental in managing chronic conditions like Prurigo nodularis.

60) Ghi (Ghee):
Ghee, or clarified butter, is a staple in Ayurvedic diets recognized for its nourishing and therapeutic qualities. It is used in formulations to enhance absorption and efficacy of herbal remedies. In this case, the incorporation of Ghee exemplifies the role of traditional dietary practices in promoting healing and wellness.

61) Wolf:
Wolf, as referenced in the report, likely represents a figure or concept in Ayurvedic literature or research. The mention underscores the collaborative aspect of healthcare, where various authoritative voices contribute to knowledge. Recognizing individuals aids in contextualizing the application of traditional medicine in dealing with contemporary health challenges.

62) Male:
The term male denotes the gender of the patient in the case study. Gender can impact health conditions and treatment responses. Understanding gender-specific influences is essential for personalizing healthcare approaches, ensuring that treatments address the unique needs and challenges faced by individuals, including those with chronic skin diseases.

63) Saussurea lappa:
Saussurea lappa, commonly known as costus, is an Ayurvedic herb known for its medicinal properties. It's utilized for various ailments, including skin conditions. In the report, it emphasizes the role of Saussurea lappa as part of a compound treatment strategy for chronic conditions like Prurigo nodularis, aligning with traditional healing practices.

64) Peer review:
Peer review is a quality control process in academic publishing where experts evaluate research to ensure validity and credibility. It upholds the integrity of scientific literature. In this study, peer review signifies the importance of scrutiny in validating the findings regarding the effectiveness of Ayurvedic treatments for chronic skin disorders.

65) Ashtangasamgraha (Astangasamgraha, Astangasangraha, Ashtanga-samgraha, Ashtanga-sangraha, Ashtangasangraha):
Astanga-sangraha is a classical Ayurvedic text that compiles comprehensive knowledge on the eight branches of Ayurveda. Its teachings serve as a foundational reference for practitioners. In the case, principles from Astanga-sangraha provide background and authority, demonstrating the interconnection between ancient wisdom and contemporary clinical practice for managing skin diseases.

66) Raktamokshana (Raktamoksana, Rakta-mokshana):
Rakta-mokshana refers to bloodletting, a therapeutic procedure in Ayurveda aimed at detoxifying the body by removing impure blood. It plays a critical role in managing conditions characterized by toxicity or stagnation. Understanding Rakta-mokshana enhances treatment options in Ayurvedic practice, especially for chronic inflammatory skin diseases like Prurigo nodularis.

67) Kshudraroga (Kshudra-roga, Ksudraroga):
Kshudra-roga refers to minor or less severe diseases, particularly skin disorders in Ayurveda. Recognizing conditions classified as Kshudra helps practitioners devise targeted therapeutic approaches. This classification framework aids in distinguishing between various skin ailments, facilitating a nuanced understanding of chronic conditions like Prurigo nodularis and their management.

68) Sutrasthana (Sutra-sthana):
Sutra-sthana refers to the section in classical Ayurvedic texts that outlines surgical and procedural guidelines. It serves as a reference for practitioners to understand treatment protocols thoroughly. This context highlights the foundational principles that shape contemporary Ayurvedic practices, aligning traditional wisdom with modern clinical applications in managing skin diseases.

69) Purification:
Purification in Ayurveda refers to processes aimed at detoxifying the body to restore health and balance. Techniques such as Panchakarma embody the concept of purification, emphasizing the importance of removing toxins. This case illustrates how purification methods are integral to Ayurvedic treatment, particularly in managing chronic skin disorders like Prurigo nodularis.

70) Dushtavrana (Dustavrana, Dusta-vrana, Dushta-vrana):
Dusta-vrana refers to ulcers or wounds that are complicated or severely infected. In Ayurveda, managing Dusta-vrana requires targeted treatment approaches to promote healing. Understanding this category is essential in addressing chronic skin conditions effectively, emphasizing the need for comprehensive care to ensure patient recovery and prevent complications.

71) Daruharidra (Daru-haridra):
Daruharidra is an Ayurvedic herb recognized for its therapeutic properties, particularly in treating skin ailments and promoting wound healing. Its application in Ayurvedic formulations showcases traditional healing practices. In this case, Daruharidra emphasizes the importance of herbal medicine in managing chronic skin conditions, highlighting its relevance in comprehensive treatment strategies.

72) Prakshalana (Praksalana):
Prakshalana refers to a cleansing process, often involving purgation techniques in Ayurveda to detoxify the gastrointestinal system. This method is critical in achieving overall wellness and can play a significant role in treating chronic conditions. In this study, Prakshalana demonstrates its relevance in the management of skin diseases.

73) Pittadosha (Pittadosa, Pitta-dosha):
Pitta-dosha signifies one of the three doshas in Ayurveda, associated with heat and transformation. Imbalances in Pitta can lead to skin disorders with inflammatory characteristics. Understanding Pitta-dosha's role is crucial for effectively managing chronic skin conditions like Prurigo nodularis through tailored Ayurvedic interventions that restore dosha balance.

74) Antibiotic (Antibacterial):
Antibiotic refers to substances used to treat bacterial infections, critical in modern medicine. Although not traditionally associated with Ayurvedic practices, understanding their role is essential when managing chronic skin conditions like Prurigo nodularis, especially if secondary infections develop. This emphasizes the importance of integrating modern and traditional medical approaches.

75) Observation:
Observation in clinical practice involves monitoring patients� conditions and responses to treatments. It is essential for modifying therapeutic approaches based on individual progress. In this case report, careful observation of symptoms and treatment efficacy underpins the success of Ayurvedic interventions for managing chronic skin diseases like Prurigo nodularis.

[Note: The above list is limited to 75. Total glossary definitions available: 132]

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