DEPRESSION

Today mostly everybody knows what depression is. Over 5 crore people in India suffer from depression. Depression is mostly treated as a psychological disease, however it was recently established that it affects a person physically too. Depression is also known as “clinical depression”, “the blues” etc.  Depression is usually a result of emotional, mental or physical stress. A lot of times due to our societal taboos Depression go unattended and non-medicated. People suffering from depression often complain of heavy sadness, hopelessness, anger or feeling of loss. These feelings usually last for weeks and months altogether. This could on many occasions result in disorientation, disrupted sleeping patterns, loss or gain of appetite etc. Depression in layman words is caused when the brain’s feel good hormone also known as endorphins, serotonin and dopamine get imbalanced due to some external triggers.

CAUSES OF DEPRESSION:

Nobody knows the real cause of depression; there are some factors which might trigger depression:

  1. Genetics: Sometimes a person who has had a family history of depression may have increased chances of getting depression.
  2. Abuse: a history of sexual or physical abuse can cause vulnerability and thus causing depression
  3. Substance Abuse: Since substance abuse like alcohol, drugs etc affect the chemical balance of the body; it is one of the leading causes of depression.
  4. Illnesses: people who fall sick often or are suffering from chronic illnesses may be prone to depression.
  5. Other personal problems: any dispute with loved ones, family etc may cause chronic sadness in people. Death of any important person in life or loss of someone may cause depression too.
  6. Medication: some medications for example barbiturates, benzodiazepines etc have been linked to depression
  7. Sleep and Unhealthy Lifestyles: Loss of sleep or insomnia has often been causes of depression. Eating too much or too less can also sometimes cause depression.SYMPTOMS OF DEPRESSION:

No two people have the same symptoms of depression. What you might be suffering may not be what another person will be suffering. However here are some symptoms that might help you understand if what you have is depression or not:

  • Fatigue/ tiredness
  • Loss of energy or not being able to do regular day-to-day work.
  • Helplessness/ dissatisfaction/ low self-esteem
  • Physical pains like headache, stomach ache, etc
  • Sleeping disorders like insomnia or over-sleeping
  • Unusual appetite which includes overeating or under-eating
  • Withdrawal from society
  • Suicidal tendencies
  • Irritability, anxiety, agitation and anger

BIOLOGICAL BODY AND DEPRESSION: Researchers have found that a person’s brain who is suffering from depression and a person who is not suffering depression are very different. A depressed person’s hippocampus known for storing memories is smaller and a small hippocampus results in less serotonin (happy hormone) receptors.

TYPES OF DEPRESSION:

  1. Major Depression: this depression usually lasts for some days or weeks and is what usually known as Clinical Depression.
  2. Dysthymia: this depression usually lasts for less than two years.
  3. Seasonal Affect Disorder: this depression is caused due to some seasons.
  4. Pre Menstrual Syndrome: This kind of depression usually happens to women who are going to enter their period cycle.

AYURVEDIC APPROACH

In Ayurveda it is believed that the leading cause of mental disorders such as depression is the imbalance between the physical and psychic energies; the psychic energies being sattva (clarity), rajas (activity), and tamas (ignorance)and physical energies being vata, pitta, kapha.  It is also believed that a weakened ojas(essences of all dhatus)  is also a cause of depression. A weakened ojas also alters the proper functioning of the brain which is controlled by Prana Vayu.

These are the herbs which help you control and cure depression:

Ashwagandha– It strengthens the brain. This herb has the properties to remove negative thoughts.
• Sarpagandha. -Helps to control blood pressure and induce sleep.

  • Jatamansi-gives stability to the brain functioning. It also has calming effect on the mind.
    Vacha–  Memory enhancer; helps to increase recall a memory.
    • Brahmi-In Ayurveda it is called medyarasayana which increases concentration, revitalises brain cells and it sooths the nervous system. It is usually prescribed before a yogic session to bring the mind in a comfortable state.

The following Ayurvedic Medicines are available for curing depression

  1. Dabur Ashwagandharishta: this medicine is a unique combination of Ashwagandha, Mushali, Manjishtha, Haritaki and Nisha herbs. It helps treat depression & anxiety, improves memory, helps in calming nerves and strengthens digestive system.

Dosage: 15-30 m diluted with water and to be taken post meals or as suggested by the Vaidya.

  1. Kapiva Brahmi Capsules: This contains Brahmi which increases concentration, revitalises brain cells and it sooths the nervous system.

Dosage:  Consume two capsules at a time twice a day as a healthy addition

  1. Kapiva Ashwagnadha+ Destress Capsules: This contains Ashwagandha and Brahmi and both these herbs have been used for treating mental disorders and brain related problems.

Dosage: 1 capsule twice a day

Natural Remedies for curing Depression:

  1. Practice meditation: to cure your depression you need to start controlling your mind first. So meditation everyday will help you relieve stress and relax.
  2. Early to bed: Ayurveda believes that 10 pm is the last time you should be awake till.
  3. Early to rise: you should wake up with the sun, i.e. 6 am should be your waking hour.
  4. Walking: the old-school early morning walks, under the sun and breathing deeply help beating the depression faster.
  5. Routine bowel movements: Constipation can really affect your mood, so be sure that you relieve yourself each and every morning.
  6. Healthy eating: for a healthy mind you need a healthy body and a healthy body comes with eating a well-balanced diet of proteins, carbohydrates, fats, vitamins and minerals.
  7. Moderate exercises: practice yoga, it is specifically designed for both body and mind.

Drink water: water helps gets rid of toxins, so an average female should consume 2 and half litres of water and an average male should consume 3 litres of water

INDIGESTION


You know that feeling of burning sensation; stomach ache, excessive burping, passing of gas, excessive passing of stool or coming up of bitter tasting food while burping, that is indigestion. While surfing on Google we are sure you might have come across the word dyspepsia, which is the medical term for indigestion. Indigestion is the most common ailment these days and in most cases it is nothing to worry about. In India we tend to eat a lot of spicy and oily food and most of us are used to it. So if you wake up at night with your stomach burning and too much burping you probably had too much to drink or ate too spicy food. Another cause of indigestion could also be some medication that you are having. To make things clear indigestion is not supposed to be confused with heart burn. Indigestion is not independently a disease but it is a symptom of some underlying disease. It could be a symptom of Acid Reflux Disease (GERD), Gastric cancer, Pancreatic or bile duct ailments or peptic ulcers. However it may sometimes happen that your digestive system is weak and it could not digest the food you consumed and therefore it starts reacting.

WHAT CAUSES INDIGESTION?

  1. EATING HABITS: people who live a poor lifestyle and do not take care of their eating habits are often prone to indigestion. Eating too much junk or fatty food or not following a proper diet or skipping meals. Exercising immediately after a meal can also cause digestion
  2. OVEREATING: one of the leading causes of indigestion is overeating, because this doesn’t give ample time for the body to digest the food and therefore results in indigestion.
  3. MEDICATION: some particular medicines like Asprin, iBrufen or other painkillers, Thyroid medicines, hormonal pills like birth control, steroids, cholesterol and blood pressure medication or anti-inflammatory drugs can cause severe indigestion which is one of the main reasons doctors also prescribe digestion medication while prescribing certain medication.
  4. ANXIETY OR STRESS: Many people complain of indigestion if they are suffering with anxiety or under stress. Stress or anxiety causes Irritable Bowel syndrome or frequent motions too. Therefore students must have noticed that around their exam times there motions increase.
  5. LIFESTYLE: people who smoke, take drugs or consume alcohol often report with indigestion.

INDICATIONS OF INDIGESTION

Common indications of indigestion are

  1. Severe or sharp pain in abdomen.
  2. Excessive belching (burping)
  3. Vomiting (in severe cases)
  4. Bloating in the stomach area
  5. Burning sensation in stomach area
  6. Black tarry stool could also be a symptom in severe and untreated cases.

HOME REMEDIES FOR INDIGESTION

  1. Lime Juice with baking soda: consume this combination with a glass of warm water
  2. Lassi/buttermilk: this Indian drink, made through churning of curd and adding Rock Salt helps curing indigestion.
  3. Yoga: a simple and useful remedy for people who suffer with indigestion is practising yoga positions like: Virasana, Padmasana and Mayurasana.
  4. Breakfast: Never miss breakfast, since it is after almost 9-10 hours you are consuming food, acid levels in the stomach are high.
  5. Avoid eating if you feel full already; it could mean that your food isn’t digested and you will be unnecessarily burdening your digestive system with more food.

 

AYURVEDIC VIEW OF INDIGESTION

In Ayurveda, indigestion is known as Ajirna . Ajirna means undigested food or partially digested food. We believe that Pitta or inner fire imbalance causes indigestion. It is the heat energy in every cell and predominantly lies in the stomach area. So any food that you intake that has excessive heat like spicy foods, tomatoes, vinegar, citrus fruits and their juices, fried foods, onions and garlic etc are known as Pitta aggravating foods. These foods cause excessive acid in the stomach which results in burning, pain and indigestion in stomach.  Indigestion can also be cause by vata dosh and kapha dosh.

TYPES OF INDIGESTION UNDER AYURVEDA

  1. Amajirna – vitiated kapha dosha.
  2. Vidagdhajirna – vitiated pitta dosha.
  3. Vishtabdhajirna – vitiated vata dosha.

AYURVEDIC HOME REMEDIES FOR INDIGESTION:

  1. Ginger: chewing on a freshly cut piece of ginger after a meal will help digest food easily.
  2. Amla: Amla helps in balancing the pH value of the stomach
  3. Ajvain: you must have often been made to consume ajvain with a pinch of rock salt by your grandmother on case of stomach ache it is primarily a cure for indigestion and excessive flatulence.

 

DUODENAL ULCER

( PARINAMA SHOOLA)
A peptic ulcer is an erosion or sore in the stomach (gastric ulcer) or the first few  centimeter of the duodenum ( duodenal ulcer), that penetrates through the muscularis  mucosa .           

 Causes

1. Helicobacter pylori
2.Stress
3.Smoking                                                                                                                  4.Radiation therapy
5. Use of NSAIDs such as aspirin and ibuprofen .
6.Spicy foods do not cause ulcers, but can make them worse .

Symptoms

1.The pain is usually in the upper middle part of the abdomen .
2. The  pain can feels like burning or gnawing , and it may go through to the back  3.Nausea
4. Vomiting
5.Loss of appetite
6.Loss of weight .

Upashaya and Anupashaya

Samanya  Vishesa  Siddhanta  is applied in all fields of Ayurveda . The extension of this siddhanta in the form of Upashaya and Anupashaya  respectively is used for diagnosis of a disease as well as for  therapeutics . The avoidance of factors that aggeavate the Shula and Indulgence in those that relieve the Shula is advisable.                                                                                                                                                      Upashaya

Relieving factors for Parinama Shula are:
1. Immediately after Bhojana
2. Following vomiting
3. On completion of aharapachana
4.Vataja parinama shula : Shingdha, ushna annapana
5. Pittaja parinama shula : Sita annapana
6. Kaphaja parinama : Katu , tikta  annapana .                                                                                                                                                Anupashaya

The  aggravating factors for parinama shula are:
1. Pachyamanavastha of aharapachana
2. Sastika Sali ,vrihi odana
3. Pittaja parinama shula : Katu, Amla , lavana annapan.                                                                                                                                                      Investigations:

1. Inspect the stool , and test it for occult blood .
2. Fiberoptic   endoscopy or a double –contrast  barium  study of the upper GI tract.
3.  Test for the presence of H pylori infection .

Treatment

Principles of Treatment

Panchakarma

Vamana is indicated when the dosa is Amashayagata and is Kaphaja  Parinama Shoola.
Virechana  is indicated when the dosa are in the Pachyamanashya and in Pittaja Parinama Shoola.
Basti indicated in chronic stage
Pachana , Vataulomana.
1. Shamana  Snehapana – MTG 20 ml BD with milk
2. Avapeedaka Sneha with Dadima  Ghrita
3. Vamana is to be performed using Tikta and  Madhura dravya . The dravya to be  used are Madanpala  kvatha with ksira , kantakari rasa, Nimba kvatha or katutumbi rasa , Akanthaapana of any of the above is indicated.                                                                                                                4.Virechana with Trivrit , Danti or Eranda taila.
5. Yashtimadhu Ksheerabasti
6. Shirodhara, Takradhara.

Single drugs:
Amalaki , Yashtimadhu, Shatavari, Patola ,Mandoora Bhasma, Pravala Pisti.                                                                                                                                                                                                                               
Naimittika rasayana
Amalaki rasayana, Drakshamalaka leha,  Dhari Loha,  Saptamrita loha, Ksheera Mandoora, Shatavari Mandora.

Formulations
1. Sutashekara rasa – 1-2 tab with water thrice a day before meal
2. Kamadugha rasa – 1-2 tab with water thrice a day before meal                  3.Tiktaka Ghrita -1-2 tsf with warm water twice a day before meal
4.Avipattikara  churna -1-2 tsf with warm milk twice a day before meal          5.Shatavri ghrita- 1-2 tsf with milk twice a day before meal                        6.Shatavri –yashthimadhu ksheerapaka – 30 ml BD                                              7.Bhunimbadi kashaya – 20 ml TID                                                                 8.Saptamrita lauha – 250 -500 mg TID BF with milk                                         9.Shatavari Mandoora -250-500 mg TID BF with milk
10. Ksheera Mandoora -250-500mg TID with milk
11. Pravala panchamrita rasa -250-500  TID with milk
12. Syrup Himcocid – 1-2 tsf with water thrice a day before meal
13. Syrup  Amlapitta Mishrana  -2tsf TID before meal.                                                                                                                                                              Yoga Therapy

Asana
1. Vajrasana
2.Paschimottanasana
3. Bhujangasana
4.Ardha matsyendrasana
5.Sarvangasana
6. Padahasthasana
7.Shashankasana
8.Virasana
9.Viparita karni
10. Padmasana
11. Shavasana                             
12. Makaraasana
13. Pavanamuktasana                                                                                                Pranayama
Ujjayi , Kapalbharti
Yoga Nidra
Om Mantra Chanting
Diet and Lifestyle
Pathya :
Eating smaller meal , Drink water after 30 mint of the meal.             Apathya:  Avoid heavy, spicy ,sour, hot, too much oily food.                        Excessive or scanty and also taken too early or too late.
Avoid anxiety, worry ,anger, etc.
Avoid alcohol and acidic foods.
Avoid aspirin and other NSAIDs.
Don’t take anything in between meals except liquids.                                Suppression of the natural urges.

Prevention                                                            

Avoiding the Pitta  –aggravating diet , smoking, tobacco chewing ,alcohol.          Presons of Pitta Prakriti should take purgation therapy once in year.

Herbal Remedies for Hypertension, Ayurvedic Treatment – Causes & Symptoms

 

Our heart acts like a pumping organ and blood pressure can be experienced when blood exerts pressure against our blood vessels. Blood pressure is a changing phenomenon and is affected by a number of factors like activity, rest, exercise, temperature, cold, diet, emotional state, posture, medications etc. high blood pressure (Hypertension) is an indicative of many problems. Normal blood pressure of a healthy individual is 120mmHg systolic and 80mmHg diastolic.

CAUSES

  • Poor nutrition
  • Poor digestion
  • Stress and hectic lifestyle
  • Smoking
  • Excessive intake of intoxicants
  • Due to hardening of the arteries or abnormal condition of the blood vessels
  • Due to overweight
  • Due to metabolic disorders
  • Excessive intake of salt
  • Use of medicines for a long period of time
  • Use of steroids and birth control pills
  • Due to kidney problems
  • Insomnia
  • Hormonal disorders
  • Eating junk, fried, packed and processed foods in large quantity

SYMPTOMS

  • Loss of vision
  • Headache
  • Kidney failure
  • Heaviness in the body
  • Restlessness
  • Respiratory problems
  • Tiredness in the whole body
  • Sleeplessness or disturbed sleep
  • Increased heart beat and heart attack
  • Chest pain
  • Irritation and anger
  • Nose bleeding may also occur
  • Nausea and vomiting
  • Dizziness
  • Raised body temperature
  • Altered consciousness

AYURVEDIC VIEW AND TREATMENT ACCORDING TO CHANDIGARH AYURVED CENTRE

According to Ayurveda, Hypertension known as raktagata vata is defined as the elevated pressure of the blood in the arteries. The increase in blood pressure depends upon a person’s age, sex, physical and mental activities, family history and diet.

Ayurveda believes that most of the food that we eat contains preservatives and chemicals that create digestive problems. Impaired digestion leads to the accumulation of toxins in the body which then mixes with the plasma and makes it sama that is heavy. The subsequent rakta dhatu thus formed is heavy and sticky. This heavy blood circulates through various channels and toxins start accumulating in the channels of the body. When toxins get accumulated in these channels, they cause narrowing of the channels. The blood then has to exert more pressure to circulate within the srotas or the channels, leading to the condition of high blood pressure.

Ayurveda treatment for hypertension aims at:

  • Correcting the ama dosha in the body
  • Improving and strengthening the digestive power
  • Eliminating the toxins from the body
  • Practicing yoga and pranayama to make the mind relax and stable

Single herbs useful in case of hypertension are:

  • Ashwagandha
  • Triphala
  • Jatamansi
  • Arjun
  • Rudraksha
  • Tulsi
  • Cinnamon
  • Cardamom
  • Garlic
  • Ginger
  • Celery seeds

Ayurvedic formulations needed in this condition are:

  • Sarpagandha Vati
  • Arjuna Ksheer Pak
  • Arjunarishta
  • Rudra Pearl Capsules
  • Lashun Rasayan
  • Lashunadi Vati
  • Chandra Prabha Vati
  • Mukta Vati
  • Hingvadi vati
  • Chitrakadi Vati

DIET AND LIFESTYLE

  • Avoid meat, eggs and other non-vegetarian foods
  • Limit the intake of salt in your diet
  • Avoid consuming alcohol and caffeine
  • Avoid smoking
  • Prefer eating Indian gooseberry, grape fruit, watermelon, garlic, lemon, parsley in diet
  • Do regular exercises
  • Practice yoga asanas in case of hypertension.
  • Avoid anger, anxiety, stress, tension, frustration and irritability as these factors further increases the hypertension.

HERBAL REMEDIES

  • Prepare the juice containing 3-4 garlic cloves, 10-12 basil leaves and one fourth cup of wheat grass. Drink this once a day.
  • Mix one teaspoon of onion juice with an equal quantity of honey. Take this once a day atleast for one week.
  • Mix one gram of garlic paste with a glass of buttermilk. Drink this buttermilk two times a day.
  • Chew 2-3 garlic cloves every day as it slows down the pulse rate and hence reduces the blood pressure.
  • Take one teaspoon of dried watermelon seeds and add one teaspoon of cuscus powder. Crush the mixture and have this twice a day.
  • Crush 4-5 Indian gooseberries and place the paste on a sieve. Press the paste to extract the juice. Take two teaspoon of this juice and add one teaspoon of honey. Mix well and drink this every morning.

Can Ayurveda Really help to Treat Kidney Failure?

 


Chronic diabetes and blood pressure problem has become so common these days; no wonder renal failure and kidney diseases are now one of the main reasons behind increasing hospital bills and loss of life. This is where the real problem lies – people are unaware about the benefits of Ayurveda and how it can help to treat kidney diseases.

In fact, if the patient encounters the problem of from higher creatinine level, the family loses the hope and assumes dialysis to be the only short term solution! The truth is – kidney diseases can be cured and the patient can be saved from kidney failure if the consultation of an expert Ayurvedic Vaidya is taken at the right time. Simply because, Ayurveda has some really effective herbs and treatments that can save the patient’s life before options like dialysis or kidney transplant are considered.

Kidney failure is also called renal insufficiency and it is a disorder wherein the kidneys become incapable of functioning. They are unable to remove waste products and toxins from our body. When the kidneys are not able to eliminate unwanted materials, the balance in fluids and electrolytes is disrupted. There is no control over the production of red blood cells in the body and the problem occurs instantaneously with symptoms that are generally difficult to identify.

Some Symptoms of Kidney Related Diseases

  • Change in taste such as metallic or ammonia smell in their breath
  • Avoiding protein rich foods such as eggs, pulses, kidney beans, oats, meat, dairy products
  • Experiencing a shivering sensation
  • Increased or decreased urination
  • Passing out blood in urine
  • Foams or bubbles in urine due to protein in it
  • Feeling of nausea or vomiting
  • Experiencing mental confusion
  • Difficulty in concentrating
  • Loss of appetite
  • Pain in body
  • Itching
  • Shortened breath
  • Swelling in face, arms and legs

Causes of Kidney Failure

  • Reduced blood flow to kidneys – This reason hints at diabetes which results in reduced blood flow to kidneys.
  • Acute dehydration – It is very important to drink plenty of water. People who drink less water, most of the time, suffer from kidney stones and similar problems.
  • Heart diseases
  • Chronic burns
  • Liver malfunction – The functioning of Liver & Kidney is related. Liver disorder or Pitta dosha isn’t good for the kidney as well.
  • Prolonged use of medicine for blood pressure
  • Prolonged use of antibiotics and painkillers
  • Blood loss
  • Infection
  • Physical damage to kidneys
  • Blockage in urine drainage tube

Best Herbs for Ayurvedic Treatment of Kidney Failure

Ayurveda has a lot of herbs that are useful for patients of kidney failure.

1. Punarnava (Boerhavia diffusa)

It has great anti-inflammatory properties and is considered ideal for treating kidney failure. It also cures swelling in the feet and around your joints and further reduces accumulation of fluid in various parts of the body and while improving your appetite.

2. Kaasni (Cichorium intybus)

Kaasni is considered the best remedy for all types of kidney disorders and is highly recommended for healing respiratory problems as well. It also treats chronic constipation and increases haemoglobin in our blood stream. A rich source of Vitamin A, it improves eyesight and helps manage kidney failure complications.

3. Varun (Crataeva nurvala)

This herb is claimed to be the cure for kidney failure as it addresses the root of the condition. It strengthens the urinary tract and enhances the prostate function. This herb is also very effective in treating chronic migraines, kidney stones, intestinal bleeding and worms, renal calculi and more.

Ayurveda has many herbal treatments in its kitty for kidney failure and all of them have proven effective in most of the cases. If the patient’s condition has worsened beyond repair, then allopathic science has dialysis and/or kidney transplant as options.

We need to understand that healthy kidneys are important for a healthy life; a simple change like increasing the consumption of water everyday can restore the health of kidneys.

Similarly, it is important to note that if you have are experiencing some problem related to kidneys, avoid self-medication. It is always better to consult an experienced Ayurveda practitioner who will help you heal from within.

Moreover, Ayurveda promote a holistic approach to healing which means that one should make changes in lifestyle as well as eating habits to restore the healthy functioning of kidneys. Eating more fruits and salads will help. Doing yoga and pranayam every day will keep the creatinine levels low.

To know more about Ayurvedic treatments for kidney diseases and renal failure, book your appointment at Chandigarh Ayurved & Panchakarma Centre which is the most reputed Ayurvedic health destination in North India.

HAEMORRHOIDS ( ARSHA)

A haemorrhoid is a very common inflammatory ano-rectal disease. Haemorrhoids arise due to congestion of internal or external venous plexuses around the anal canal. It is pitta pradhan tridoshaj vyadhi. Ano-rectal diseases are very common in adults and the people who have sitting jobs.

 For example, in summer season person is consuming hot, salty, sour, sharp and spicy foodstuffs and following the lifestyle like exposing in sunlight and person is of Pitta prakruti then that person is prone to develop the disease Sometimes piles can be present by birth.

 CAUSES

  1. Diet (Aahar karana) – spicy, sour, salty, hot, pungent food stuffs
  2. Lifestyle (Vihara karana)- sedentary lifestyle, no physical exertion, exposure to sharp sunrays etc.
  3. Mental exertion (Mansik karana) – anger, grief etc.
  4. Hereditary diseases – it is quite clear that piles come under the category of hereditary ones and it will run in generations to generations.
  5. Pregnancy- Progesterone hormone is a vasodilator. As progesterone level is high in pregnancy, does dilatation of anal vessels.
  6. Occupational hazards – Individuals who are indulges in sitting jobs are prone for piles. Due to continuous pressure over anal region.
  7. Constipation and diarrhea.

   PATHOGENESIS

SYMPTOMS

  1. ‘Splash on pan’ is the cardinal sign of piles. Rectal bleeding occurs after defecation.
  2. Constipation – while passing hard stools, there will be tears on mucous layer.
  3. Pain- there will be cutting type of pain.
  4. Associated with burning sensation.
  5. Protruded mass.
  6. Mucous discharge will be seen during defecation.
  7. Redness around the anal canal.
  8. Itching around anus.
  9. There will be swelling.
  10. Person is anemic, due to gradual blood loss person feels fatigue and weak. 

TYPES

  1. A) There are 2 types of haemorrhoids depends on anatomical site-
  2. Internal haemorrhoids.
  3. External haemorrhoids.

         Internal haemorrhoids originate above the dentate line or pectinate line. And mostly associate with bleeding.

External piles which are present below the dentate line, usually it is painful and visible.

  1. B) depends on nature –
  2. Bleeding piles
  3. Non bleeding piles
  4. C) Depends on degree of Prolapsed
  5.   1st degree prolapsed – There will be a button like protrusion on anal canal.
  6. Second degree prolapsed – mass will protrude out during defecation n goes inside automatically.
  7. Third degree prolapsed – mass will protrude out during defecation and we have to insert manually.
  8. Fourth degree prolapsed – mass will remains hang down outside.               

 MANAGEMENT

As per Ayurveda, management includes-

  • Pain management is the prime one.
  • Reducing inflammation of vessels.
  • Correction of Hemoglobin level in our body.
  • Management to avoid Constipation. 

TREATMENT

The line of treatment includes –

1.Nidana parivarjan – First and the foremost thing is to cure any disease is obstinate the cause for production of disease.

  1. Shodhana Therapy – As it is pitta pradhana tridoshaja vyadhi it is better to advice virechana

Avgaha – person is advice to sit in a tub filled with medicated decoctions and has to contract and relax the anal sphincter.

  1. Shaman Therapy (internal medications) –

Arshokill sachetsOur “Chandigarh Ayurveda centre” has formulated excellent sachets with the combination of herbs like praval, giloy, haritaki, chitrak etc. which is very beneficial in treating piles, and associated problems. Very good results have been reported with this medicine.

Arsha kuthar Rasa – it is used in treatment of haemorrhoids. Strengthens veins and also helps in reduction of mass and swelling. Balance vata and kapha. 1-2 tablets should be taken, twice a day.

Pranda Gutika – it is a very effective medication for bleeding and non-bleeding haemorrhoids. Also improves digestion. 1- 2 tablets should be taken, twice a day.

Arshofit capsules – 2 capsules twice daily.

Panchsakar churan – this powder is very effective to evacuate out waste toxins from the body, and also it helps to relieve constipation. Take half to 1 tsp of powder with lukewarm water, at bed time.

Agni tundi vati – strengthens weak digestive power. 1-2 tablets should be taken before meal.

Triphala syrup or churan-it’s a laxative so helps to relieve constipation.

Trivrut avleha – a laxative.

Hingwadi and Chitrakadi vati.- treats mandagni.

Sheet dhara – as it is an appetizer, treats agnimandya. Increases digestive power along with that it helps in ease digestion. Add half to 1 tsp in 80 ml of water, it should be taken before meal, twice a day.

 

  1. Kshaar sutra– it is a specialized ayurvedic procedure. A thread (kshaar sutra) is legated around the pile mass, which will slowly cut down the mass and also heals wound side by side.

 

  1. Shalya chikitsa (Surgical procedure) – if the hemorrhoids are prolapsed one, then there is need to go for haemorrhoidectomy.

 

HOME REMEDIES –

  • Sitz baths (avgaha) – Add tablespoon of triphala powder in 3 liters of water, boil it. Cools it down till it remains lukewarm. Person is advice to sit in a tub filled with this decoction and has to contract and relax the anal sphincter. This helps to reduce swelling, itching and mass.                            
  • Add cow ghee in diet which helps to calm down pitta and acts as stool softener.        
  • Drink Buttermilk by adding pinch of saindhav lavan. It is very beneficial if consumes daily. It increases agni (digestive fire) ,cleanses the channels.
  • To avoid constipation add fibrous rich diet in daily routine. 
  • Take fruit juices like radish, watermelon, pomegranate etc. 
  • A teaspoon of Haritaki powder along with jaggery is administered at night.
  • Soak few raisins at night and consume it in morning.
  • Add Yoga and exercises in daily regimen. 

PRECAUTION –

  • Avoid prolonged sitting. Posture is a triggering factor.
  • Should follow exercises and yoga in daily routines.
  • Diet- consume soorana kanda (Elephants foot), takra (buttermilk), Yava(Barley), Godhuma(wheat),saindhav lavan, Ajadugda(Goat milk), Goghrita (cow’s ghee), Godugdha (cow’s milk), vegetable soups, juices, banana etc.

Avoid – Excessive spicy, salty, fried and oily foodstuffs.

 

 

 

 

 

 

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