Rejuvenation Therapy (Rasaayana) - Ayurvedic Rejuvenation Therapy

A person, who takes suitable diet and practises self-control, lives a full span of 100 years of 36,000 nights, without illness, says Ayurveda. The idea is to add life to years, not merely years to life. This concept is embodied in 'Rasaayana (rejuvenation) and Vaajeekarna (Verilization) of Ayurveda. Charaka Samhita, the ancient ayurvedic classic of our country claims that it is possible by a special course of rejuvenation of six .months duration, to transform entirely an aged and diseased body into a fresh and youthful one.
Many have sought the secrets of longevity but they remain mostly hidden. On the other hand, agents for' shortevity' and 'dejuvenation' seem to be better understood. It is generally agreed that longevity and vitality have genetic and hereditary factors. Again certain factors like climate, air, soil or water are conducive to longer life.
In experimental animals, three factors are known to affect the life span-heredity, diet and ionising radiation. Recent reports by the Atom Bomb Casuality Commission reveal that the atom bomb survivors of Hiroshima and Nagasaki (1945) are now showing signs of ageing at a much earlier age than is usual in Japan.

Changes Due to Ageing

Ayurveda divides human life into:
1) Childhood, which extends up to the age of 16
2) Youth and middle age, which extends from 16 to 60 years
3) Old age, "wherein, after 60 to 70 years the body elements, sense organs, strength, energy, manhood, memory, understanding, speech and discrimination begin to decay".
In old age the organs and virility become weak. Hair turns silvery white, skin looks dried and wrinkled, and marks or dots termed as crow's footmarks appear. The skin sags down and becomes flabby. The hair begins to fall off. Respiration becomes laboured and painful. The body gets worn-out like an old building and shakes with bouts of distressing cough. Such man is incapable of all acts, and all his bodily functions are imperfect." Twenty centuries after these words were written in Ayurvedic texts, the changes in physiological ageing are exactly the same as described!

Theoretical Premise For Rejuvenation

Based on our current understanding of cell injury and its repair, it is theoretically possible to postulate mechanisms, which will prevent cell injury and facilitate its repair, and form the basis of rejuvenation. Quenching of free radicals, using membrane stabilizing agents; using Lathyrogens-which are capable of inhibiting cross-linkage of collagen in the connective tissue; and in certain autoimmune conditions, using immuno­suppressants-all these can delay ageing and prolong the life. Interestingly the drugs, which are the main ingredients of certain ayurvedic preparations, contain most of the above properties.
Rasaayana, meaning rejuvenation therapy has two words: The phrase Rasa+aayana. Rasa means biologically transformable liquid nutrient of all the tissues in the body and aayana means a pathway. Thus, Rasaayana bestows the strength of all dhaatus of the body! Rasaayana chikitsa helps slowing down the ageing process, enhances memory, improves the functioning of vital organs, increases the ojus (the immunity factor) and nourishes all the tissues.

Rasaayana (Rejuvenation therapy) can be of three types according to the methods adopted. They are:

Kuti Pravesika: Strictly indoor management with specific diet and rasaayana drugs in a specially constructed house (kuti).
Vaataatapika: Outdoor management, which is suitable to all.
Aachaara Rasaayana: Management without drugs, based on the mode of living, behaviour, conduct etc.

Rasaayana (Rejuvenation therapy) can also be classified into three types according to its utility.

Kaamya Rasaayana: Meant for a healthy person for long life, good vision, improvement of memory or intelligence etc.
Naimittika Rasaayana: It is useful in curing diseases and strengthening the body while preventing a relapse.
Ajasrika Rasaayana: Regular use of cow milk, ghee, and honey throughout the year helps facilitate the maintenance of health and keeps the body free from disease.
The qualifications of a person suitable for rejuvenation, according to Charaka Samhita are as follows: A man who has fortified himself with resolution and purpose, full of faith and single-mindedness, having cast off all evils and nurturing goodwill for all creatures. No man who has not rid himself of the evils both of mind and body, beginning with the gross ones, can ever expect to get the benefits resulting from vitalization.
source:ayurvedic-medicines.org

FASTING

Fasting - How can Fasting be beneficial?

For many philosophers, scientists and physicians, fasting is an essential part of life and the healing process needed to maintain good health. Intellectuals like Socrates, Plato, Aristotle, Charaka and others used and believed in fasting therapy. Ayurveda discourages long-term fasting because the sense of deprivation created by a long-term fasting encourages the person to follow it up with a spell of indulgence in overeating. While fasting, you should follow the restrictions applicable to your constitution:

1. Vaata people should never fast on water or any other severely restricted diet for more than a day or two. They should select a single food, like curd rice on which they can live for a month or more, at a time.
2. Pitta people can fast on liquids, like fruits or vegetable juices or on raw fruits and vegetables, but not on water alone. They should avoid all sour juices, as they tend to aggravate pitta.
3. Kapha people may indulge in a prolonged water fast if they so desire. Kapha people especially need regular weekly fasting to maintain strong digestion. During fasting, they should avoid intensely sweet and sour juices.
4. For mixed constitutions, juice fasting is commonly used (rather than water alone) as a mild and effective cleansing plan.

Conditions in which Fasting is beneficial

1. Whatever the conditions may be, during the fever, and such other illnesses, one needs more liquids than usual, due to the high temperatures and sweating and should fast as long as there is no real desire for food.
2. Some cases of fatigue will respond well to fasting, particularly when it results from congested organs and energy.
3. Back pains that are due to muscular tightness and stress rather than from bone disease or osteoporosis are usually alleviated with a lighter diet or juice fasting.
4. Many patients with mental illness, from anxiety to schizophrenia, have relief by fasting. The purpose of fasting in the case, however, is not to cure these problems but to help understand the relationship of foods, chemicals, or drugs to the mental difficulties.
5. Obesity may be remedied by some degree of fasting.
6. Colds, atheroclerosis, coronary artery disease, bronchitis, angina-pectoris, headaches, hypertension, constipation, diabetes, indigestion, diarrhoea, fatigue, food allergies, back pains, environmental allergies, asthma, insomnia, skin conditions and epilepsy-in all these conditions, fasting may be advocated.
   source:ayurvedic-medicines.org

PNEUMONIA

Ayurvedic Treatment, Herbal and Home Remedies for treatment of Pneumonia

Here are some of the recommended ayurvedic, herbal and home remedies for the treatment of pneumonia:

Ayurvedic Medicine I

Ingredients:
- Shringa bhasma
- Rasa Sindoor
- Shirngrabhra
- Narsar
Directions:
Take about 125 mg of each Shringa bhasma, Rasa Sindoor, Shirngrabhra, Narsar and about 240mg of narsar. Mix all these items properly. Take this dose three times in a day with juice of ginger.

Ayurvedic Medicine II

Ashtadashang Quath - A good ayurvedic remedy for treating pneumonia. Take about 15ml of Ashtadashang quath daily in morning.

Ayurvedic Medicine III

Ingredients:
- Chintamani Ras
- Bhasma of Mayura Pichha
- Pippali Churna
- Rock Salt
- ApamargaKashra
- Churna of Kakarasinghi
Directions:
Take 125mg each of Chintamani Ras, Bhasma of Mayura Pichha, Pippali churna, Rock salt ApamargaKashra and 5 mg of Churna of Kakarasinghi. Mix all these medicines properly and make them into a single dose. This must be taken in the intervals of 3 hours, with honey.

Some Herbal and Home Remedies for Pneumonia

Turmeric - Take a thick cloth and make four folds of it. Between the third and fourth fold, spread a layer of turmeric. Now mix this turmeric in lukewarm water and sprinkle over the cloth to make it partially wet. Now put this cloth on the chest of the patient, heat a brick and put it over the chest of the patient to stimulate his chest, when the heat from the brick reaches the chest, it would nullify the pneumonia effect.
Also take 1 gm of black pepper, five cloves and 1 gm of edible soda. Boil it in 15 ml of water. When it is drinkable, make the patient drink it by sipping, for early relief.
Garlic - Another good herbal remedy for pneumonia. The main thing that it does is that it brings down the body temperature, thereby helping you to cure pneumonia. A paste of garlic can also be applied externally on the chest, which will do the same work as taking orally.
Sesame Seeds - Sesame seeds can also act as a good herbal treatment for pneumonia. Take out an extract of sesame seeds, by steeping 15 gm of seeds in 250 ml of water. A mixture of this extract, a tablespoon of linseed, a pinch of common salt and a dessertspoon of honey, can be given to the suffering patient everyday. This will help him in treating pneumonia fast.
Turpentine Oil - The pain of pneumonia can be relieved by applying turpentine oil over the rib cage and wrapping a warm cotton wool over it
Ayurvedic-medicines.org.

MEASLES

Ayurvedic Treatment for Measles

Alternative Name: Rubeola
Antibiotics are not used to treat measles (Rubeola). However, complications from the illness such as pneumonia or an ear infection, may need antibiotic treatment.

Ayurvedic Medicine I

Ingredients

• 125 mg of Shringa Bhasma.
• 125 mg of Swarn Amakhshik Bhasma.
• 120 mg of Kasturi Bhairava.
• 250 mg of Saubhagyavati.

Directions

Mix all the above ingredients properly. Now you can take this dose and repeat it after an interval of 4 hours.

Some Tips for the Period when you are Suffering from Measles

• When you are suffering from rubeola, you must avoid going outside, as you may spread the infection to person's who are not properly immunized. The infection can be spread to others from 5 days before the rash breaks out to 4 days after the rash disappears.

• When the measles is suspected, patient should wear warm garments.

• Keep the Lights Low - With measles, the eyes generally become very irritated and sensitive to light. Keep the lights dim in your child's room, or give him sunglasses to wear

Chicken Pox

Ayurvedic Name: Laghu Masurika
Medical Name : Varicella

What is the Chicken Pox?

Chicken Pox is the commonly known name for varicella disease. Chickenpox is an acute contagious disease. Chicken Pox is very common in children mainly of age group between 1 to 10 years. Often it is mistaken for measles due to its apparent. It is a viral disease. You may identify the disease with fever. The virus even after the cure of disease remains hidden in the body and can later again cause disease such as shingles.

What are the causes of chicken Pox ?

Chicken Pox may caused by at least two factors:
1) Contact irritation,
2) Local skin infection due to overgrowth of various bacteria.
Chickenpox is mainly caused by the varicella-zoster virus. It is also known as human herpes virus 3. Causes of chickenpox usually not apparent but may be associated with hunger, swallowed air, overfeeding, and foods with high carbohydrate content.

Other Causes of chickenpox, may include:

• You may have a Sensitive skin.
• You may have used a Strong soap or taken a long bubble bath.
• Long Illnesses.
• Changes in diet such as weaning or changing from breast milk to formula.

What are the symptoms of chicken Pox?

Chicken pox mainly starts with slight feverishness and pain in the back and legs. Within 24 hours of its onset small red papules appear on the back and chest and sometimes on the forehead too. After that pimples turn into vesicles but within a day or two, these vesicles dry up with a brown crust appearing on them. You may see eruptions also after some days.

The symptoms which usually occur before 24 to 48 of appearing of spots on the body, are given below:

• The person has runny nose/stuffy nose.
• Slight cough is accounted.
• Decrease in Appetite
• Sometimes severe headache also starts.
• The person may feel very tired.
• Vomiting

The following symptoms may occur after 10 to 21 days of appearing of chicken pox. They may appear in the following order:

• Mild low grade fever with cold-like symptoms.
• Rash, mostly on trunk or covered areas of the body.
• Fluid-filled blisters.
• Crusts.

Chicken pox is so common disease that already 80% of adults have already have it. It is still more common in children. Nowadays a new vaccine has been discovered for the treatment of chicken pox and which I think will be made mandatory at some time in the near future.

What are the treatments of chicken Pox ?

Available Medicines & Prescriptions of chickenpox are given below :
1) Swarnamakshika Bhasma - 120 mg of Swarnamaksnika Bhasma to he taken morning and evening with decoction of Kanchnar tree bark.
2) Eladyarishta - 20 ml of Eladyarishta to he taken after meals with water.
3) During the 2nd week, you may take 125mg of Indukala vati with water in the morning and evening.

What are the home remedies of chicken Pox ?

Haridra powder one grain may be given with juice of Karela leaves, two times in a day mainly at noon and in the evening.

PILES

What are anal fissures?

An anal fissure is a cut or tear occuring in the anus (the opening through which stool passes out of the body) that extends upwards into the anal canal. Fissures are a common condition of the anus and anal canal and are responsible for 6-15% of the visits to a colonic and rectal (colorectal) surgeon. They affect men and women equally and both the young and the old. Fissures usually cause pain during bowel movements that often is severe. Anal fissure is the most common cause of rectal bleeding in infancy.
Anal fissures occur in the specialized tissue that lines the anus and anal canal, called anoderm. At a line just inside the anus--referred to as the anal verge or intersphincteric groove--the skin (dermis) of the inner buttocks changes to anoderm. Unlike skin, anoderm has no hairs, sweat glands, or sebaceous (oil) glands and contains a larger number of somatic sensory nerves that sense light touch and pain. (The abundance of nerves explains why anal fissures are so painful.) The hairless, gland-less, extremely sensitive anoderm continues for the entire length of the anal canal until it meets the demarcating line for the rectum, called the dentate line. (The rectum is the distal 15 cm of the colon that lies just above the anus and rectum and just below the sigmoid colon.)

What causes anal fissures?

Anal fissures are caused by trauma to the anus and anal canal. The cause of the trauma usually is a bowel movement, and many patients can remember the exact bowel movement during which their pain began. The fissure may be caused by a hard stool or repeated episodes of diarrhea. Occasionally, the insertion of a rectal thermometer, enema tip, endoscope, or ultrasound probe (for examining the prostate gland) can result in sufficient trauma to produce a fissure. During childbirth, trauma to the perineum (the skin between the posterior vagina and the anus) may cause a tear that extends into the anoderm.
The most common location for an anal fissure in both men and women (90% of all fissures) is the midline posteriorly in the anal canal, the part of the anus nearest the spine. Fissures are more common posteriorly because of the configuration of the muscle that surrounds the anus. This muscle complex, referred to as the external and internal anal sphincters, underlies and supports the anal canal. The sphincters are oval-shaped and are best supported at their sides and weakest posteriorly. When tears occur in the anoderm, therefore, they are more likely to be posterior. In women, there also is weak support for the anterior anal canal due to the presence of the vagina anterior to the anus. For this reason, 10% of fissures in women are anterior, while only 1% are anterior in men. At the lower end of fissures a tag of skin may form, called a sentinal pile.
When fissures occur in locations other than the midline posteriorly or anteriorly, they should raise the suspicion that a problem other than trauma is the cause. Other causes of fissures are anal cancer, Crohn's disease, leukemia as well as many infectious diseases including tuberculosis, viral infections (cytomegalovirus or herpes), syphilis, gonorrhea, chlamydia , chancroid (Hemophilus ducreyi), and human immunodeficiency virus (HIV). Among patients with Crohn's disease, 4% will have an anal fissure as the first manifestation of their Crohn's disease, and half of all patients with Crohn's disease eventually will develop an anal ulceration that may look like a fissure.
Studies of the anal canal in patients with anal fissures consistently show that the muscles surrounding the anal canal are contracting too strongly (they are in spasm), thereby generating a pressure in the canal that is abnormally high. The two muscles that surround the anal canal are the external anal sphincter and the internal anal sphincter (already discussed). The external anal sphincter is a voluntary (striated) muscle, that is, it can be controlled consciously. Thus, when we need to have a bowel movement we can either tighten the external sphincter and prevent the bowel movement, or we can relax it and allow the bowel movement. On the other hand, the internal anal sphincter is an involuntary (smooth) muscle, that is, a muscle we cannot control. The internal sphincter is constantly contracted and normally prevents small amounts of stool from leaking from the rectum. When a substantial load of stool reaches the rectum, as it does just prior to a bowel movement, the internal anal sphincter relaxes automatically to let the stool pass (that is, unless the external anal sphincter is consciously tightened).
When an anal fissure is present, the internal anal sphincter is in spasm. In addition, after the sphincter finally does relax to allow a bowel movement to pass, instead of going back to its resting level of contraction and pressure, the internal anal sphincter contracts even more vigorously for a few seconds before it goes back to its elevated resting level of contraction. It is thought that the high resting pressure and the "overshoot" contraction of the internal anal sphincter following a bowel movement pull the edges of the fissure apart and prevent the fissure from healing.
The supply of blood to the anus and anal canal also may play a role in the poor healing of anal fissures. Anatomic and microscopic studies of the anal canal on cadavers found that in 85% of individuals that the posterior part of the anal canal (where most fissures occur) has less blood flowing to it than the other parts of the anal canal. Moreover, ultrasound studies that measure the flow of blood showed that the posterior anal canal had less than half of the blood flow of other parts of the canal. This relatively poor flow of blood may be a factor in preventing fissures from healing. It also is possible that the increased pressure in the anal canal due to spasm of the internal anal sphincter may compress the blood vessels of the anal canal and further reduce the flow of blood

PilWhat are the symptoms of anal fissures?

Patients with anal fissures almost always experience anal pain that worsens with bowel movements. The pain following a bowel movement may be brief or long lasting; however, the pain usually subsides between bowel movements. The pain can be so severe that patients are unwilling to have a bowel movement, resulting in constipation and even fecal impaction. Moreover, constipation can result in the passage of a larger, harder stool that causes further trauma and makes the fissure worse. The pain also can affect urination by causing discomfort when urinating (dysuria), frequent urination, or the inability to urinate. Bleeding in small amounts, itching (pruritus ani), and a malodorous discharge may occur due to the discharge of pus from the fissure. As previously mentioned, anal fissures commonly bleed in infants.
How are anal fissures diagnosed and evaluated?
A careful history usually suggests that an anal fissure is present, and gentle inspection of the anus can confirm the presence of a fissure. If gentle eversion (pulling apart) the edges of the anus by separating the buttocks does not reveal a fissure, a more vigorous examination following the application of an anesthetic to the anus and anal canal may be necessary. An cotton-tipped swab may be inserted into the anus to gently localize the source of the pain.
An acute anal fissure looks like a linear tear. A chronic anal fissure frequently is associated with a triad of findings that includes a tag of skin at the edge of the anus (sentinel pile), thickened edges of the fissure with muscle fibers of the internal sphincter visible at the base of the fissure, and an enlarged anal papilla at the upper end of the fissure in the anal canal.

If rectal bleeding is present, an endoscopic evaluation using a rigid or flexible viewing tube is necessary to exclude the possibility of a more serious disease of the anus and rectum. A sigmoidoscopy that examines only the distal part of the colon may be reasonable in patients younger than 50 years of age who have a typical anal fissure. In patients with a family history of colon cancer or age greater than 50 (and, therefore, at higher risk for colon cancer), a colonoscopy that examines the entire colon is recommended. Atypical fissures that suggest the presence of other diseases, as discussed previously, require other diagnostic studies including colonoscopy and upper gastrointestinal (UGI) and small bowel x-rays.

How are anal fissures treated?
Thegoal of treatment for anal fissures is to break the cycle of spasm of the anal sphincter and its repeated tearing of the anoderm.
General treatment. In acute fissures, medical (nonoperative) therapy is successful in the majority of patients. Of acute fissures, 80-90% will heal with conservative measures as compared with chronic (recurrent) fissures, which show only a 40% rate of healing. Initial treatment involves adding bulk to the stool and softening the stool with psyllium or methylcellulose preparations and a high fiber diet. Additionally, patients are advised to avoid "sharp" foods that may not be well-digested (i.e., nuts, popcorn, tortilla chips), increase their liquid intake, and, at times, take stool softeners (docusate or mineral oil preparations). Sitz baths (essentially soaking in a tub of warm water) are encouraged, particularly after bowel movements, to relax the spasm, to increase the flow of blood to the anus, and to clean the anus without rubbing the irritated anoderm.
Anesthetics and steroids. Topical anesthetics (e.g., Xylocaine, lidocaine, tetracaine, pramoxine) are recommended especially prior to a bowel movement to reduce the pain of defecation. Often, a small amount of a steroid is combined in the anesthetic cream to reduce inflammation. The use of steroids should be limited to two weeks because longer use will result in thinning of the anoderm (atrophy), which makes it more susceptible to trauma. Oral medications to relax the smooth muscle of the internal sphincter have not been shown to aid healing.
Nitroglycerin. Because of the possibility that spasm of the internal sphincter and reduced flow of blood to the sphincter play roles in the formation and healing of anal fissures, ointments with the muscle relaxant, nitroglycerin (glyceryl trinitrate), have been tried and found to be effective in healing anal fissures. Glycerin trinitrate (nitroglycerin) has been shown to cause relaxation of the internal anal sphincter and to decrease the anal resting pressure. When ointments containing nitroglycerin are applied to the anal canal, the nitroglycerin diffuses across the anoderm and relaxes the internal sphincter and reduces the pressure in the anal canal. This relieves spasm of the muscle and also may increase the flow of blood, both of which promote healing of fissures. Unlike Nitropaste, a 2.0% concentration of nitroglycerin that is used on the skin for patients with heart disease and angina, the nitroglycerin ointment used for treating anal fissures contains a concentration of nitroglycerin of only 0.2%. One randomized, controlled trial has demonstrated the healing of anal fissures in 68% of patients with nitroglycerin as compared to 8% of patients treated with placebo (inactive treatment). Other studies have shown a 33-47% recurrence rate of fissures following treatment with nitroglycerin. The presence of a sentinel pile is associated with a lower healing rate with nitroglycerin treatment.
The dose of nitroglycerin often is limited by side effects. The usual side effects are headache (due to dilation of blood vessels in the head) or light-headedness (due to a drop in blood pressure). This author recommends that a small amount of ointment be applied to a cotton-tipped swab with the swab then inserted into the anus only for the depth of the cotton-tipped portion of the swab. Smearing ointment around the outside of the anus does not allow the ointment to reach the anoderm where its effects are important, yet the nitroglycerin will be absorbed and produce side effects.
Nitroglycerin is more rapidly absorbed if blood flow in the anoderm is high. For this reason, it is recommended that nitroglycerin not be applied within 30 minutes of a bath since the warm water of the bath enlarges (dilates) the blood vessels in the skin and anoderm and increases their flow of blood. Additionally, the first application of nitroglycerin should be at bedtime while the patient is lying down in order to prevent falls due to light-headedness.
The side effects of nitroglycerin often are self-limited, that is, they become less with repeated use. Caffeine can help reduce or prevent headaches. However, if side effects are pronounced, nitroglycerin should be discontinued. Drugs for impotence (e.g., sildenafil (Viagra)), should not be used together with nitroglycerin since they increase the risk of developing low blood pressure.
Calcium channel blocking drugs. As is the case with nitroglycerin, ointments containing calcium channel blocking drugs (e.g., nifedipine (Adalat) or diltiazem (Cardizem)) relax the muscles of the internal sphincter. They also expand the blood vessels of the anoderm and increase the flow of blood. Nifedipine ointment (2%) is applied in a manner similar to nitroglycerin ointment, but seems to produce fewer side effects. Although healing of chronic fissures has been reported in up to 67% of patients treated with calcium channel blockers, they are most effective with acute fissures.
Botulinum toxin. Botulinum toxin (Botox) relaxes (actually paralyzes) muscles by preventing the release of acetylcholine from the nerves that normally causes muscle cells to contract. It has been used successfully to treat a variety of disorders in which there is spasm of muscles, including anal fissures. The toxin is injected into the external sphincter, the internal sphincter, the intersphincteric groove (an indentation just inside the anus that demarcates the dividing line between external and internal sphincters), or into the fissure itself. The dose is not standardized and has varied from 2.5 to 20 units of toxin in two locations (usually on either side of the fissure). The cost of a 100 unit vial of toxin is several hundred dollars and unused toxin cannot be saved. Thus, the expense for a single injection of toxin is high. In some series of patients but not all, the frequency of healing of fissures with botulinum toxin is high. When fissures recur after treatment, they usually heal again with a second injection. One representative study found that fissures healed in 87% of patients by six months after treatment with botulinum toxin. By 12 months, however, the healing rate had fallen to 75% and by 42 months to 60%. The primary side effect of botulinum toxin is weakness of the sphincters with varying degrees of incontinence (leakage of stool) that usually is transient. Other side effects are not common.
There is a great variability in the medical literature with respect to the effectiveness of drugs and botulinum toxin in the healing of anal fissures. Healing may be temporary and fissures may return with a hard bowel movement. Recurrent fissures often require a change to another form of treatment. Patients need to balance the effectiveness of treatment, short and long-term side effects, convenience, and expense in choosing their treatment. When patients are intolerant or unresponsive to non-surgical treatments, surgery becomes necessary.
Surgical treatment. The Standard Task Force of the American Society of Colon and Rectal Surgeons has recommended a surgical procedure called partial lateral internal sphincterotomy as the technique of choice for the treatment of anal fissures. In this procedure, the internal anal sphincter is cut starting at its distal most end at the anal verge and extending into the anal canal for a distance equal to that of the fissure. The cut may extend to the dentate line, but not farther. The sphincter can be divided in a closed (percutaneous ) fashion by tunneling under the anoderm or in an open fashion by cutting through the anoderm. The cut is made on the left or right side of the anus, hence the name "partial lateral internal sphincterotomy." The posterior midline, where the fissure usually is located, is avoided for fear of accentuating the posterior weakness of the muscle surrounding the anal canal. (Additional weakness posteriorly can lead to what is called a keyhole deformity, so called because the resulting anal canal resembles an old fashioned skeleton key. This deformity promotes soilage and leakage of stool.)
Although many surgeons decline to cut out the fissure itself during lateral sphincterotomy, this author feels that this reluctance to remove the fissure is not always appropriate, and characteristics of the fissure itself should be taken into account. If the fissure is hard and irregular, suggesting anal cancer, the fissure should be biopsied. If the edges and base of the fissure are heavily scarred, there may be a problem after surgery with anal stenosis, a condition in which additional scarring narrows the anal canal and interferes with the passage of stool. In this case, it may be better to cut out the scarred fissure so that there is a chance for the wound to heal with less scarring and chance of stenosis. Finally, an associated large anal papilla or a large hemorrhoidal tag may interfere physically with wound healing, and removing them may promote healing.
Following surgery, 93-97% of fissures heal. In one representative study, healing following surgery occurred in 98% of patients by two months. At 42 months following surgery, 94% of patients were still healed. Recurrence rates after this type of surgery are low, 0-3%.
Failure to heal following surgery often is attributed to reluctance on the part of the surgeon to adequately divide the internal anal sphincter; however, other reasons for failure to heal, such as Crohn's disease should be considered as well. The risk of incontinence (leakage) of stool following surgery is low. It is important to distinguish between short-term and long-term incontinence. In the short-term (under six weeks), the sphincter is weakened by the surgery, so leakage of stool is not unexpected. Long-term incontinence should not occur after partial lateral internal sphincterotomy because the internal sphincter is less important than the external sphincter (which is not cut) in controlling the passage of stool. It is important to distinguish between incontinence to gas, a minimal amount of stool that, at most, stains the underwear (soiling), and loss of stool that requires an immediate change in underwear. In a large series of patients followed for a mean of five years after surgery, 6% were incontinent of gas, 8% had minor soiling, and 1% experienced loss of stool.
Anal surgical stretch. Several surgeons have described procedures that stretch and tear the anal sphincters for the treatment of anal fissures. Though anal stretching often is successful in alleviating pain and healing the fissure, it is a traumatic, uncontrolled disruption of the sphincter. Ultrasonograms of the anal sphincters following stretching demonstrate trauma that extends beyond the desired area. Because only 72% of fissures heal and there is a 20% incidence of incontinence of stool, stretching has fallen out of favor.
Source:medicinenet.com

piles

Piles are either dry or bleeding and often caused by chronic constipation, hard and knotty slots, intake of spices, wines, meats and also by poor or absent physical activity. Dry piles is more painful, while bleeding piles render a person weaker. Pregnant ladies, elderly persons, sedentary persons who eat enormously and quite often but do no exercise, or the person taking above-mentioned dietary items, are more prone to piles. Persistant complaint may cause other complications also, such as fissures, cancerous growths, pain, swelling, smarting etc.

Types of Piles

• Dry piles - In dry piles there is inflammation of the external piles, continuous pain and become unbearable while voiding the bowels.
• Bleeding piles - In bleeding piles, the internal piles start bleeding and there may be excessive bleeding which lead to anaemia and consequent emaciation.

Causes

A person suffers from piles when the anal region veins become varicosed. The prime causes of piles are -

• Constipation
• Sedentary way of life
• Lack of exercise
• Some morbid conditions of the liver.

Ayurvedic Home Remedies

• Use oil of Cypress or Juniper in the bath or using some drops of either to a bowl of cold water for improving circulation. Abdomen should be massaged with a 2% oil dilution, to any vegetable oil used as a base oil of Rosemary or Marjoram.
• Apply locally commercial creams processed from the extracts of -
  
  (i) Morse chestmt (Aescutus hippocastanum)
  (ii) Pilecort (Ranunculus ficaria) or Marigold (Calendula officinalis).
• Tincture of distilled witch Hazel (Hamamelis Virginiana) is astringent and can be safely used as a compress. It will also provide relief in prolonged bleeding which can also be prevented by using tea prepared from Nettle (Urtica Deocca).
• All the ointments or cream are available from homeopath pharmacists retailers. Remember, frequent and profuse bleeding is liable to cause general weakness and anaemia also, hence don't let it prolong.
• Use of caster oil with milk or 1 TSP with a warm cup of tea or, still better, Isabghole Husk (1 TSP) with warm milk will help in softening stool and thus, cause easy and almost painless passage thereof.
• Alternative being to take a TSP of Triphala with water at bed-time. It show its effects.

Precaution

The patient should be advised not to use a hard seat or ride horses during the course of treatment. He should not indulge in too much sex, nor suppress the urge to void the stools for fear of pain which accompanies dry piles
Source:ayurvedic-medicines.org

ACNE( PIMPLES ON FACE)

What is acne?

Acne (acne vulgaris, common acne) is a disease of the hair follicles of the face, chest, and back that affects almost all males and females during puberty; the only exception being teenage members of a few primitive isolated tribes living in Neolithic societies. It is not caused by bacteria, although bacteria play a role in its development. It is not unusual for some women to develop acne in their mid- to late-20s.
Acne appears on the skin as...

• congested pores ("comedones"), also known as blackheads or whiteheads,



• tender red bumps also known as pimples or zits,



• pustules, and occasionally as



• cysts (deep pimples, boils).

You can do a lot to treat your acne using products available at a drugstore or cosmetic counter that do not require a prescription. However, for tougher cases of acne, you should consult a physician for treatment options.

What causes acne?

No one factor causes acne. Acne happens when sebaceous (oil) glands attached to the hair follicles are stimulated at the time of puberty by elevated levels of male hormones. Sebum (oil) is a natural substance which lubricates and protects the skin. Associated with increased oil production is a change in the manner in which the skin cells mature so that they are predisposed to clog the follicular openings or pores. The clogged hair follicle gradually enlarges, producing a bump. As the follicle enlarges, the wall may rupture, allowing irritating substances and normal skin bacteria access into the deeper layers of the skin, ultimately producing inflammation.
Inflammation near the skin's surface produces a pustule; deeper inflammation results in a papule (pimple); deeper still and it's a cyst. If the oil breaks though to the surface, the result is a "whitehead." If the oil accumulates melanin pigment or becomes oxidized, the oil changes from white to black, and the result is a "blackhead." Blackheads are therefore not dirt and do not reflect poor hygiene.
Here are some factors that don't usually play a role in acne:

• Heredity: With the exception of very severe acne, most people do not have the problem exactly as their parents did. Almost everyone has some acne at some point in their life.



• Food: Parents often tell teens to avoid pizza, chocolate, greasy and fried foods, and junk food. While these foods may not be good for overall health, they don't cause acne or make it worse. Although some recent studies have implicated milk and pure chocolate in aggravating acne, these findings are very far from established.



• Dirt: As mentioned above, "blackheads" are oxidized oil, not dirt. Sweat does not cause acne, therefore, it is not necessary to shower instantly after exercise for fear that sweat will clog pores. On the other hand, excessive washing can dry and irritate the skin.



• Stress: Some people get so upset by their pimples that they pick at them and make them last longer. Stress, however, does not play much of a direct role in causing acne.

In occasional patients, the following may be contributing factors:

• Pressure: In some patients, pressure from helmets, chin straps, collars, suspenders, and the like can aggravate acne.



• Drugs: Some medications may cause or worsen acne, such as those containing iodides, bromides, or oral or injected steroids (either the medically prescribed prednisone [Deltasone, Orasone, Prednicen-M, Liquid Pred] or the steroids that bodybuilders or athletes take). Other drugs that can cause or aggravate acne are anticonvulsant medications and lithium (Eskalith, Lithobid), which is used to treat bipolar disorder. Most cases of acne, however, are not drug related.



• Occupations: In some jobs, exposure to industrial products like cutting oils may produce acne.



• Cosmetics: Some cosmetics and skin-care products are pore clogging ("comedogenic"). Of the many available brands of skin-care products, it is important to read the list of ingredients and choose those which have water listed first or second if you are concerned about acne. These "water-based" products are usually safe
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Acne

What other skin conditions can mimic acne?

• Rosacea: This condition is characterized by pimples but not comedones and occurs in the middle third of the face, along with redness, flushing, and superficial blood vessels. It generally affects people in their 30s and 40s and older.



• Pseudofolliculitis: This is sometimes called "razor bumps" or "razor rash." When cut close to the skin, curly neck hairs bend under the skin and produce pimples. This is a mechanical problem, and treatment involves shaving less (growing a beard, laser hair removal). Pseudofolliculitis can, of course, occur in patients who have acne, too.



• Folliculitis: Pimples can occur on other parts of the body, such as the abdomen, buttocks, or legs. These represent not acne but inflamed follicles. If these don't go away on their own, doctors can prescribe oral or external antibiotics, generally not the same ones used for acne.



• Gram-negative folliculitis: Some patients who have been treated with oral antibiotics for long periods develop pustules filled with bacteria resistant to the antibiotics which have previously been used. Bacterial culture tests can identify these germs, leading the doctor to prescribe different antibiotics or other forms of treatment.

When should you start acne treatment?

Since everyone gets acne at some time, the right time to treat it is when it bothers you or when the potential for scarring develops. This can be when severe acne flares suddenly, for mild acne that just won't go away, or even when a single pimple decides to show up the week before your prom or wedding. The decision is yours.

What can you do about acne on your own?

Think back to the three basic causes of acne and you can understand why the focus of both home treatment and prescription therapy is to (1) unclog pores, (2) kill bacteria, and (3) minimize oil. But first a word about...
Lifestyle: Moderation and regularity are good things, but not everyone can sleep eight hours, eat three good meals, and drink eight glasses of water a day. You can, however, still control your acne even if your routine is frantic and unpredictable. Probably the most useful lifestyle changes you can make are to never to pick or squeeze pimples. Playing with or popping pimples, no matter how careful and clean you are, nearly always makes bumps stay redder and bumpier longer. People often refer to redness as "scarring," but fortunately it usually isn't in the permanent sense. It's just a mark that takes months to fade if left entirely alone.
Open the pores
Cleansing and skin care: Despite what you read in popular style and fashion magazines, there is no magic product or regimen that is right for every person and situation.

• Mild cleansers: Washing once or twice a day with a mild cleansing bar or liquid (for example, Dove, Neutrogena, Basis, Purpose, and Cetaphil are all inexpensive and popular) will keep the skin clean and minimize sensitivity and irritation.



• Exfoliating cleansers and masques: A variety of mild scrubs, exfoliants, and masks can be used. These products contain either fine granules or salicylic acid in a concentration that makes it a very mild peeling agent. These products remove the outer layer of the skin and thus open pores. Products containing glycolic or alpha hydroxy acids are also gentle skin exfoliants.



• Retinol: Not to be confused with the prescription medication Retin-A, this derivative of vitamin A can help promote skin peeling.

Kill the bacteria

• Antibacterial cleansers: The most popular ingredient in over-the-counter antibacterial cleansers is benzoyl peroxide.



• Topical (external) applications: These products come in the form of gels, creams, and lotions, which are applied to the affected area. The active ingredients that kill surface bacteria include benzoyl peroxide, sulfur, and resorcinol. Some brands promoted on the Internet and cable TV (such as ProActiv) are much more costly than identical products you can buy in the drugstore.

Benzoyl peroxide causes red and scaly skin irritation in a small number of people, which goes away as soon as you stop using the product. Keep in mind that benzoyl peroxide is a bleach, so do not let products containing benzoyl peroxide leave unsightly blotching on colored clothes, shirts, towels, and carpets.
Reduce the oil
You cannot stop your oil glands from producing oil (unless you mess with your hormones or metabolism in ways you shouldn't). Even isotretinoin (Accutane, see below) only slows down oil glands for a while; they come back to life later. What you can do is to get rid of oil on the surface of the skin and reduce the embarrassing shine.

• Use a gentle astringent/toner to wipe away oil. (There are many brands available in pharmacies, as well as from manufacturers of cosmetic lines.)



• Products containing glycolic acid or one of the other alpha hydroxy acids are also mildly helpful in clearing the skin by causing the superficial layer of the skin to peel (exfoliate).



• Masks containing sulfur and other ingredients draw out facial oil.



• Antibacterial pads containing benzoyl peroxide have the additional benefit of helping you wipe away oil
• 
  

What are other things you can do for acne?

• Cosmetics: Don't be afraid to hide blemishes with flesh-tinted coverups or even foundation, as long at it is water-based (which makes it noncomedogenic). There are many quality products available.



• Facials: While not absolutely essential, steaming and "deep-cleaning" pores is useful, both alone and in addition to medical treatment, especially for people with "whiteheads" or "blackheads." Having these pores unclogged by a professional also reduces the temptation to do it yourself.



• Pore strips: Pharmacies now carry, under a variety of brand names, strips which you put on your nose, forehead, chin, etc., to "pull out" oil from your pores. These are, in effect, a do-it-yourself facial. They are inexpensive, safe, and work reasonably well if used properly.



• Toothpaste? One popular home remedy is to put toothpaste on zits. There is no medical basis for this. Ditto for vinegar.

What is a good basic skin regimen?

These are all good basic skin regimens that may help with the acne battle:

1. Cleanse twice daily with a 5% benzoyl peroxide wash. An alternative for those who are allergic to benzoyl peroxide is 2% salicylic acid.



2. Apply a gel or cream containing 5% benzoyl peroxide; an alternative is sulfur or resorcinol.



3. At night, apply a spot cream containing sulfur to the affected areas.



4. Use a light skin moisturizer and water-based oil-free makeup.

What can the doctor do for acne?

If you haven't been able to control your acne adequately, you may want to consult a primary-care physician or dermatologist. The goal of treatment should be the prevention of scarring (not a flawless complexion) so that after the condition spontaneously resolves there is no lasting sign of the affliction. Here are some of the options available:

• Topical (externally applied) antibiotics and antibacterials: These include erythromycin (E-Mycin, Eryc, Ery-Tab, PCE, Pediazole, Ilosone), clindamycin (BenzaClin, Duac), sulfacetamide (Klaron), and azelaic acid (Azelex or Finacea).



• Retinoids: Retin-A (tretinoin) has been around for years, and preparations have become milder and gentler while still maintaining its effectiveness. Newer retinoids include adapalene (Differin) and tazarotene (Tazorac). These medications are especially helpful for unclogging pores. Side effects may include irritation and a mild increase in sensitivity to the sun. With proper sun protection, however, they can be used even during sunny periods. In December 2008, the U.S. FDA approved the combination medication known as Epiduo gel, which contains the retinoid adapalene along with the antibacterial cleanser benzoyl peroxide. This once-daily prescription treatment was approved for use in patients 12 years of age and older.



• Oral antibiotics: Doctors may start treatment with tetracycline (Sumycin) or one of the related "cyclines," such as doxycycline (Vibramycin, Oracea, Adoxa, Atridox and others) and minocycline (Dynacin, Minocin). Other oral antibiotics that are useful for treating acne are cefadroxil (Duricef), amoxicillin (Amoxil, DisperMox, Trimox), and the sulfa drugs.



• Problems with these drugs can include allergic reactions (especially sulfa), gastrointestinal upset, and increased sun sensitivity. Doxycycline, in particular, is generally safe but can sometime cause esophagitis (irritation of the esophagus, producing discomfort when swallowing) and an increased tendency to sunburn.



• Despite many people's concerns about using oral antibiotics for several months or longer, such use does not "weaken the immune system" and make them more susceptible to infections or unable to use other antibiotics when necessary.



• Recently published reports that long-term antibiotic use may increase the risk of breast cancer will require further study, but at present they are not substantiated. In general, doctors prescribe oral antibiotic therapy for acne only when necessary and for as short a time as possible.


• Oral contraceptives: Oral contraceptives, which are low in estrogen to promote safety, have little effect on acne one way or the other. Some contraceptive pills have been to shown to have modest effectiveness in treating acne. Those FDA approved for treating acne are Estrostep, Ortho Tri-Cyclen, and Yaz. Most dermatologists work together with primary physicians or gynecologists when recommending these medications.



• Spironolactone (Aldactone): This drug blocks androgen (hormone) receptors. It can cause breast tenderness, menstrual irregularities, and increased potassium levels in the bloodstream. It can help some women with resistant acne, however, and is generally well-tolerated in the young women who need it.



• Cortisone injections: To make large pimples and cysts flatten out fast, doctors inject them with a form of cortisone.



• Isotretinoin: (Accutane was the original brand name; there are now several generic versions in common use, including Sotret, Claravis, and Amnesteem.) Isotretinoin is an excellent treatment for severe, resistant acne and has been used on millions of patients since it was introduced in Europe in 1971 and in the U.S. in 1982. It should be used for people with severe acne, chiefly of the cystic variety, which has been unresponsive to conventional therapies like those listed above. The drug has many potential serious side effects and requires a number of unique controls before it is prescribed. This means that isotretinoin is not a good choice for people whose acne is not that bad but who are frustrated and want "something that will knock acne out once and for all."



• Used properly, isotretinoin is safe and produces few side effects beyond dry lips and occasional muscle aches. This drug is prescribed for five to six months. Fasting blood tests are monitored monthly to check liver function and the level of triglycerides, substances related to cholesterol, which often rise a bit during treatment, but rarely to the point where treatment has to be modified or stopped.



• Even though isotretinoin does not remain in the body after therapy is stopped, improvement is often long-lasting. It is safe to take two or three courses of the drug if unresponsive acne makes a comeback. It is, however, best to wait at least several months and to try other methods before using isotretinoin again.



• Isotretinoin has a high risk of inducing birth defects if taken by pregnant women. Women of childbearing age who take isotretinoin need two negative pregnancy tests (blood or urine) before starting the drug, monthly tests while they take it, and another after they are done. Those who are sexually active must use two forms of contraception, one of which is usually the oral contraceptive pill. Isotretinoin leaves the body completely when treatment is done; women must be sure to avoid pregnancy for one month after therapy is stopped. There is, however, no risk to childbearing after that time.



• Other concerns include inflammatory bowel disease and the risk of depression and suicide in patients taking isotretinoin. Government oversight has resulted in a highly publicized and very burdensome national registration system for those taking the drug. This has reinforced concerns in many patients and their families have that isotretinoin is dangerous. In fact, large-scale studies so far have shown no convincing evidence of increased risk for those taking isotretinoin compared with the general population. It is important for those taking this drug to report changes in mood or bowel habits (or any other symptoms) to their doctors. Even patients who are being treated for depression are not barred from taking isotretinoin, whose striking success often improves the mood and outlook of patients with severe disease.


• Laser treatments: Recent years have brought reports of success in treating acne using lasers and similar devices, alone or in conjunction with photosensitizing dyes. It appears that these treatments are safe and can be effective, but it is not clear that their success is lasting. At this point, laser treatment of acne is best thought of as an adjunct to conventional therapy, rather than as a substitute.



• Chemical peels: Whether the superficial peels (like glycolic acid) performed by aestheticians or deeper ones performed in the doctor's office, chemical peels are of modest, supportive benefit only, and in general, they do not substitute for regular therapy.



• Treatment of acne scars: For those patients whose acne has gone away but left them with permanent scarring, several options are available. These include surgical procedures to elevate deep, depressed acne scars and laser resurfacing to smooth out shallow acne scars. Newer forms of laser resurfacing ("fractional resurfacing") are less invasive and heal faster than older methods, although results are less complete and they may need to be repeated three or more times. These treatments can help, but they are never completely successful at eliminating acne scars

• How would you sum up current-day acne treatment?

  
  Treating acne requires patience and perseverance. Any of the treatments listed above may take two or three months to start working (even isotretinoin). Unless there are side effects such as dryness or allergy, it is important to give each regimen or drug enough time to work before giving up on it and moving on to other methods. Using modern methods, doctors can help clear up the skin of just about everyone
  source:medicinenet.com

 (Pimples on Face)

It is the most disturbing problem at puberty when the young persons of both sexes, see pimples appearing on their face. If plucked/broken, blood/pus out from pimply eruptions which leave back black scars on the face. Skin's sebaceous glands get activated due to hormonal activity. If skin is too much oily more lubricant is released due to hyperactivity of glands, which, in turn, infects and blocks hair follicles. The young persons arc advised not to break/squeeze the erupted spots, otherwise the infection will spread to the surrounding areas (of tissues). If acne persists even beyond pubelty, professional help will be needed. Persons with oily skin are more likely to suffer from severe infection.

Ayurvedic Remedies

• Lemon, Lavender, Bergamot, Geramium are most effective herbs which should be used according to skin condition. Any one of the oils, depending on skin sensitivity of a person, should be used in some vegetable base oil. You can choose from coconut oil or grapeseed oils as base oils, If irritation persists or if there is some other reaction, at once stop further use of the oil. Only 1-2% essential oil should be used in a carrier oil.
• Infusion of herbs, such as Hazel, Marigold, Elder flower, Lavender will cleanse the skin and astringency. Bedrock is a great tissue cleanser, encourages removal of waste matter from the skin through the blood supply. Use its root in the decoction and leaves for infusion. Take 3 TBSP thrice a day, which will first stir up the skin, and then improve the condition.
• Red clover, Cone Flower or Dandalion may be used to aid resistance, immune stimulancy. If these herbs are used together, it will have multiple benefits but total quantity used must not exceed 3 TBSP a clay. Infusion of Red clover can also be applied locally over and then washed with water.

Precaution

An advice to the elders that they should not pass uncharitable and disturbing remarks or even negative comments to let the young adolescents feel inferior or slighted. Do not ever criticize them nor run them down. Nine out of ten adolescents pass through acne problem and there is nothing unusual in it. It should be taken in normal stride. In all cases, high standards of personal hygienic, balanced diet, congenial environs, gay and happy mood will go a long way in paving the way for quicker recovery. Use of alcohol, tobacco, drugs, strong spieces must be ensured. Keep the bowels clean, inhale natural fresh air and daily jogging, participate in games, keep away from tension and worries. If you can do this much, you will help yourself to quicker recovery, even with minimum medication
Source:Ayurvedic- medicines.org

How to Treat Acne

If you are looking for clear, smooth, acne-free skin, you have come to the right place! As the #1 source for finding a powerful and effective acne treatment, we have been helping people eliminate acne for more than 10 years.
We rate and test hundreds of acne treatments, but only the premier treatments get our recommendations after extensively researching and rating every acne treatment.
Our Criteria for Selecting Best Acne Treatments: Every Acne Treatment we sell goes through rigorous testing and analysis based on what we have determined as the 9 most important factors:

Top 5 Acne Treatments of 2012

#1 Acnexus

Acnexus is the #1 selling acne treatment on the Internet. It's a one step, all-natural acne treatment and reviewers are noticing clearer skin within 24 hours. Acnexus has helped clear up some of the worst cases of acne
The best part is that it's VERY easy and quick to use. In one step Acnexus exfoliates, penetrates, and hydrates your skin. No need for expensive, time consuming 3 step kits.The second best part is that it comes with a 100% 365 day money back guarantee (including S/H).

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#2 Biodermazen

Biodermazen is the top rated acne pill. How does a pill treat acne? It works from the inside out. Biodermazen rids your body of toxins, bacteria and oils that cause white heads, black heads and persistent acne.
Taking acne pills is by far the simplest way to fight your acne. It doesn't work as well as Acnexus, but it's a close second. Some reviewers noticed quicker results when Biodermazen was combined with Acnexus.
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#3 Bruunhause

Bruunhause was the only acne treatment to receive a 100/100 on acne fighting effectiveness. It's by far the most popular and effective spot treatment on the market. Bruunhause so unique is that it combines nature's most powerful herbal acne ingredients in an H3O hydronium based solution.
There are rumors that it may contain the prescription ingredient Adapalene (a topical retinoid approved by the U.S. Food and Drug Administration in 1996) which has one bad side effect of drying out the skin. We don't believe these rumors since Bruunhause works without drying skin. It's expected to be taken off the market so finding bottles in the U.S. is rare.
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#4 Pronexin

Pronexin is one of the most popular acne treatments on the market. It features 33 natural ingredients. Pronexin is one of the few all natural acne treatments and is actually good for your skin. Like the top rated Acnexus, it's a one step acne treatment. Acnexus ranks slightly higher due to more positive consumer reviews.
According to Pronexin, it contains a proven formula that allows users to experience 80%-90% less acne within ONLY 72 hours. This claim has yet to be independently verified, but taking the ingredients into consideration, it's quite possible.
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#5 Acnepril

Acnepril is the number two rated acne pill on the list. Although it's quite comparable to Biodermazen, Acnepril lacks the potency to compete with Biodermazen's effectiveness. If you've tried treating acne topically over and over again with no results, Acnepril is definitely worth trying.
Acnepril works from the inside out. It rids your body of toxins, bacteria and oils that cause white heads, black heads and persistent acne. While getting rid of these problems, it also shrinks your pores so that dirts, oils and bacterias don't find their way back in.