SHOOLA {PAIN} AND ITS MANAGEMENT

According to Ayurveda shoola occurs due to vitiation of vata dosha. It causes obstruction of channels and depletion of tissues. Shoola and roga both have the same meaning i.e giving pain. It can appear as a symptom or complication of disease. It is classified as swatantra shoola and paratantra shoola. Swatantra shola as vyadhi itself  and paratantra shoola as a complication of disease. Types of shola are vataja, pitaja, kaphaja, sannipataja, dwandaja and amaja shola.

Definition of Pain:

Pain is a signal in nervous system that something wrong with body. It defines uncomfortable sensation in body. It is an unpleasant feeling such as prick, tingle, sting or ache.

Causes of pain:

1. Cuts, burns or strains
2. Traumatic injury
3. Wearing high heels
4. Kidney stones
5. Childbirth
6. Trigeminal neuralgia
7. Endometriosis
8. Shingles

Types of pain:

1. Acute pain: It occurs suddenly and for a short period of time. For example: Injuries such as cuts, burns or bone fractures, Illness such as food poisoning or appendicitis.

DIFFERENT TYPES OF ACUTE PAIN:

Somatic pain: Superficial pain on the skin or soft tissues just below the skin.

Visceral pain: Pain originates in internal organs and lining of cavities in the body.

Referred pain:  It is a type of pain that is perceived at a location other than the site of the painful stimulus.

2. Chronic pain: This pain occurs for a long time and cause severe diseases. Chronic pain can be mild or severe. It may result from various health conditions such as arthritis, Fibromyalgia, chronic migraine.
3. Nociceptive pain: It arises from tissue damaged by physical or chemical agents such as trauma, surgery or chemical burns.
4. Neuropathic pain: It is the type of pain i.e caused by a lesion or disease of the somatosensory nervous system. This pain may results from shingles, multiple sclerosis or cancer.
5. Functional pain: It is characterized by a subset of individuals who experience pain and related symptoms and disability without clear structural and disease etiology. For example: Irritable bowel syndrome cause abdominal pain, Temporomandibular dysfunction cause jaw pain.
6. Radicular pain: It is a type of pain that radiates from your back and hip to legs through the spine. For example trauma likes fall or car accidents.

SIGN AND SYMPTOMS OF PAIN:

1. Frowning, sad or frightened face
2. Grimacing, wincing, eye tightening or closing
3. Distorted facial expression
4. Rapid blinking.
5. Disturbed sleep
6. Anorexia

CHARACTERISTICS OF PAIN:

1. Location
2. Radiation
3. Mode of onset
4. Character
5. Temporal pattern
6. Exacerbating and Relieving factors
7. Intensity

STAGES OF PAIN:

1. Transduction: It is the process by which a painful physical or chemical stimulus is transformed into a signal that can be carried to the central nervous system and perceived as pain.
2. Transmission: A part of a survival response to prevent tissue damage and attend to and protect damaged tissue.
3. Modulation: It is the process by which body alters a pain signal as it is transmitted along the pain away.
4. Perception: It involves a number of psychological processes, including attentional orienting to the painful sensation and its source. In this phase individual becomes aware or conscious about pain.

Investigation:

1. Blood test, urine test, stool test, CSF test
2. Endoscopy
3. X-ray
4. CT scan
5. MRI scan
6. USG scan
7. Biopsy
8. Nerve function test

AYURVEDIC MANAGEMENT OF SHOOLA:

1. Langhana
2. Pachan
3. Swedan
4. Snehan
5. Lepan
6. Basti

PATHYA AHARA IN SHULA:

1. Drumstick
2. Sea salt
3. Hot water
4. Castor oil
5. Rice stored from 1 year
6. Gomutra (urine of cow)
7. Garlic
8. Bitter gourd
9. Abhyanga

APATHYA AHARA VIHARA IN SHULA:

1. Dry foods
2. Alcohol
3. Dicot
4. Food which are heavy to digest
5. Grief
6. Sorrow
7. Anger
8. Awakening till late night

CHANDIGARH AYURVED CENTRE MEDICATION FOR THE TREATMENT OF PAIN:

1. Pain-O-kill Tablets

As the name suggests these tablets will kill the pain naturally. The herbs present in the formation of these tablets are Ashwagandha, Hadjod, Punarnava, Nirgundi, Methi, Garlic, etc. These herbs in combination show antioxidant, analgesic, anti-inflammatory, immuno-modulator properties. The regular use of these tablets reduce body pain and acts on its root cause.

Recommended Dosage: Take 1 tablet twice daily with normal water.

2. Pain-O-kill Syrup

Pain-O-Kill herbal syrup is prepared from ingredients like Shunthi, Shudh Guggulu, Ashwagandha, Hadjod, Nirgundi, etc that reduces pain naturally. This herbal syrup helps to reduce body pain, muscle stiffness, inflammation, & swelling. The ingredients used for the preparation of the syrup possess antioxidant, analgesic, anti-inflammatory, etc properties.

Recommended Dosage: Take 2 teaspoonfuls twice daily.

3. Nerve up tablet

These tablets are pure ayurvedic formulation. Nerve up tablets help in balancing the vata doshas and kapha dosha. It acts as nervine stimulant. It shows effective results in improving the central nervous system. It contains natural ingredients like shudha kuchala, shudha shilajeet,  praval pishti, shankh bhasma etc. This tablet helps in Backache, knee pain, headache, bronchitis, depression.

Recommended Dosage– Take 1 tablet twice daily.

4. Nerve Plus tablet

Nerve plus tablets shows Anti-bacterial, Anti-inflammatory, Antioxidant, Analgesic and immune-modulator properties. It contains herbal ingredients Ghritkumari (Aloe barbadensis), Kali mirch (Piper nigrum), Giloy satav (Tinospora crdifolia), shudha kuchala, shudha shilajeet, shudha vatsnabh, shudh singraf. It is beneficial for migraine, lower back pain, rheumatoid arthritis, gout, stimulating nerves and appetite.

Recommended Dosage: Take 1 tablet twice daily with normal water.

5. Pain-O-Kill Oil

Pain-O-kill oil provides good results in body pain, swelling, stiffness, & inflammation. Massage with this oil relieves pain, stiffness, & swelling. Pain-O-Kill oil is prepared from herbal ingredients like Jyotishmati, Kustha, Devdaru, Vatsnabh, Rasna, etc. These all ingredients show anti-inflammatory, antioxidant, & analgesic properties. The antioxidant nature removes all toxins out from the body. Anti-inflammatory & analgesic properties reduce inflammation & pain in the body.

Method of Application: Take few drops of oil in your hands after that gently massage over the affected area of your body pain.