ANGIOEDEMA AND ITS AYURVEDIC MANAGEMENT

Angioedema is an allergic reaction which affects parts of face like lips or eyes. It is a reaction to trigger causing swelling in dermis layer of skin or layer below a mucous membrane. It usually happens at the same time as urticaria and for same reasons. Both urticaria and angioedema occurs due to escape of liquid from small blood vessels and fill up tissues which cause swelling.

Mostly it comes on quickly and last for about a day or two usually affecting lips or eyes. However, It can be serious or even fatal if it affects airways.

WHAT ARE THE CAUSES OF ANGIOEDEMA ?

Causes mainly depends upon type of angioedema. Some common causes of angioedema are :

• Medications : Drugs like penicillin , sulfa drugs , NSAIDs and contrast media used in imaging tests may cause allergies.
• Venom : Venom released by stinging insects or spider bite may cause angioedema
• Food allergies : Milk, nuts , eggs and shellfish mainly contributes to the development of angioedema
• Natural rubber latex : Latex is commonly used to make balloons, gloves and catheters . Some individuals are allergic to latex and may develop angioedema if come in contact with it.

TYPES OF ANGIOEDEMA :

Generally angioedema is differentiated into :

• Acute Allergic angioedema :
• Usually happens as an allergic reaction to allergen individual comes in contact with.
• Trigger could be any food or beverage eaten or medications individual takes or items touched which are made with natural rubber latex
• It can also happen due to spider or insect bites
• It usually happens quickly within minutes to about 1-2 hours after individual made contact with allergens. Individuals have hives along with swelling.
• Non-allergic drug reaction :
  • Common group of medicines which causes non-allergic reaction are Angiotensin-converting enzyme inhibitors called as ACE inhibitors or ACEIs. These medicines relax blood vessels that treat heart failure and may lower blood pressure.
  • Non-steroidal anti-inflammatory medicines like naproxen and ibuprofen can also cause angioedema
  • It doesn’t necessarily happen as soon as individual takes medicine.
• Idiopathic angioedema :
• It has no known cause
• Swelling in this is mostly located in hands, face, trunk, arms and legs .
• Some individuals may have emotional issues and immune system conditions
• Hereditary angioedema :
  • It happens due to genetic inheritance.
  • Individual may inherit HAE if one parent carries gene or has the conditions
  • Some peoples also develop it due to spontaneous genetic mutations .
• Acquired C1 inhibitor deficiency:
• It happens due to acquired C1 inhibitor deficiency but is not inherited. It means you are not born with it but develop it during your life time
• B-cell lymphoma may contributes to acquired C1 inhibitor deficiency in individuals
• Vibratory angioedema :
• Swelling in this condition is due to repeated vibrations . It may happen while running, motorcycle ridding, vigorous massage, jogging or during other activities
• It is a form of rare and similar condition called chronic inducible urticaria . In this conditions hives appear due to outside forces like heat, pressure, cold ,water or vibrations
• Itchy hives happen repeatedly and last for about six weeks.

WHAT ARE THE SYMPTOMS OF ANGIOEDEMA ?

Some common symptoms are :

• Swollen or puffy face mostly mouth and eyes including tongue and lips
• Swollen feet, hands or genitals
• Digestive problem when intestine are inflamed are :
  • Diarrhea
  • Nausea
  • Abdominal pain
  • Vomiting
• Dizziness due to fluctuating blood pressure
• Swelling in mouth, airway or throat which make it harder to talk and breathe. It is a medical emergency.

AYURVEDIC APPROACH

In ayurveda it can be correlated with advanced stage of Sheetapitta . Due to nidan sevan like exposure to cold wind, insect bite, contact with cold substances etc leads to vitiation of vata and kapha dosha . The vitiated vata and kapha dosha in turn mixe up with pitta dosha and spreads all over the body lodging the external surface of body thus producing  various symptoms both outside and inside the body.

HERBS :

• Gambhari
• Guduchi
• Yastimadhu
• Ushira
• Haridra
• Chandana

PANCHKARMA

• Vaman
• Virechan
• Patra pottli pind swedan
• Lepana
• Takradhara
• Raktamoksha

CHANDIGARH AYURVEDIC CENTRE MEDICATION FOR THE TREATMENT OF ANGIOEDEMA

1. Curcumin Capsule:

It is a herbo-mineral capsule of size 500 MG which is 100% safe and is purely ayurvedic formulation. CAC Curcumin Capsules helps in pacifying all three doshas.  This Capsule contains standardized extract of the herb Curcumin (Curcuma longa). Curcumin is the active ingredient in Turmeric having powerful Anti-inflammatory, Antibacterial, Antifungal, Anti-microbial and Antioxidant  These Capsules lowers the risk of Heart Attack, prevents Cancer by reducing the growth of cancerous cells, helps in Anti-depressant property. These Capsules are very popular Anti-aging supplement and strengthen weaker immune system.

Recommended Dosage:Take two capsules twice daily.

2. Amrit Tulsi Ras

This herbal preparation is in drops form prepared from five types of Tulsi. Shama Tulsi (Ocimum sanctum), Rama Tulsi (Ocimum gratissimum), Kapoor Tulsi (Ocimum canum), Shwet Tulsi (Ocimum basilicum), Nimba Tulsi (Ocimum citriodorum) that provides good result in cough & cold problem.

Recommended Dosage: Take two to three drops twice daily.

3. Detox tablets:

This Tablet is herbo-mineral pure Ayurvedic preparation. It contains ingredients like Parwal Pishti, Shukta Pishti, Giloy Satav, Kamdudha Ras, Jahar Mohra, Akik Pishti, Gandhak Rasayan, Shankh Bhasma, Sutshekhar Ras, Sudhyog Tab, Shwet Parpati, Yavakshaar, etc. This tablet increases overall immunity, improves digestion, relieves acidity, helps in fever, nausea, vomiting, high blood pressure, mental diseases and eye diseases. It also helps in removing impurities and detoxifies the body.

Recommended Dosage: Take 1 tablet twice daily.

4. Trikatu Syrup:

Trikatu syrup is a purely herbal formula containing ingredients such as long pepper, black pepper, & dry ginger. This herbal syrup shows antioxidant, anti-inflammatory, analgesic, carminative, & immuno-modulator effects. These properties provide effective results in sign and symptoms related to corona virus.

Recommended dosage: Take 2 teaspoonful thrice daily before meals.

5. Kapha balance tablet:

Kapha tablet is a healthy blend of herbs formulated to balance Kapha doshas without aggravating Pitta and Vata doshas. It can also be used to alleviate any temporary Kapha imbalance. It is very effective in Kapha season that is late winter and spring. It consists of warming and astringent herbs that help to balance the system throughout the cold season. The main use of Kapha tablets is to remove excess Kapha doshas from the system and helps in the management of weight, healthy lungs, and the immune system

Recommended Dosage – Take 1 tablet twice a day with normal water.