Scleroderma is a rare auto-immune disease that affect skin, connective tissue and muscles. in this disease the skin gets thick, tight and fibrous as the body creates more connective tissue that causes tightness and pain in skin and joints and there are possibilities of scar formation in the nternal organs. In modern medical science, cortico-steroids and biologics (an immuno-suppressive drugs / injections) are recommended and is a palliative measure through out the life. This condition is treatable with ayurvedic methods and principles. It is observed that after a month or two a significant changes are seen in the tightness of skin and the pain in joints, bones and fingers, and in the following days, it improves further at a slow pace that the patient finds a ray of hope in their life.

Ankylosing spondylitis is a chronic inflammatory disease of the skeletal system. Especially affecting the spine and Sacro-illiac joint. The early symptom starts with pain in either or both of the SI joint. Later the lower part of spine and /or the upper part of spine gets involved with pain and stiffness. Morning stiffness, mild feverishness are often complained by patients in the initial stage. Gradually it spreads to the other vertebral levels, intercostal joints on chest, resulting to limitted mobility with severe pain, postural abnormalities, buttock pain, hip pain, peripheral arthritis. This being an auto-immune disease and a systemic disease, any coexistence of other disorders involving other joints and systems cant be ruled out. Systemic inflammation is evident as the extra articular manifestations, like Irritable Bowel Syndrome, Acute Uvitis, Psoriasis, cardiovascular disease. In modern medicine the anti-inflammatory drugs, steroids and Biologics are being advised which may coverup the inflammation, pain but they suppress the immune function of the body as well. Patients with presenting complaints of pain in the sacro-iliac joint and stiffness in the spine are advised for tests like HLA B27, CRP to rule out AS. if they come up as positive, an effective treatment could be provided to arrest and reverse at an earier stage itself by observing the diet and lifestyle as practiced in ayurveda for the kind of disturbance in the bio-energies basically all the three dosha and dhatu like Asthi and Majja. The therapies and medications followed in ayurveda here are proven to be effective in reversing the disease. In the initial week, the anti-inflammatory medicines and steroids are withdrawn as the pain subsides and the flexibility in spine and joints improves to a good extent. Further, the posture and the general well being of the patient improves well. The systemic involvement also subsides and patient start leading a normal life without any support of pain killers.