Author Archives: Dr. Vaidya Karanvir Singh

This churna is a herbo-mineral and purely ayurvedic formulation. This churna chiefly works on vata and pitta dosha of the body . It is helpful in curing Chronic constipation and also helps to relieve symptoms of conditions like acidity, belching, indigestion and colic pain. It has ingredients like shunthi, haritaki, saindhava lavan, svaran patri, shatapushpa which have anti-inflammatory, anti-oxidant and laxative properties. It acts as mild laxative and helps to reduce bloating. It also works effectively on disease named IBS (irritable bowel syndrome) which is very common disease now a days that tends to affect day to day life of the individual.

INGREDIENTS OF CAC PANCHASAKAR CHURNA :

•  Haritaki (Terminalia Chebula) : It has laxative property as it contain bio-active compound tannin thus act as natural laxative. It is loaded with fibers that helps to prevent constipation. It also exhibit carminative properties thus facilitate the breakdown of food into small particles along with increase in secretion of digestive juices thus improve essential nutrition absorption  in intestines.

• Svarna Patri (Cassia Angustifolia) : In ayurved constipation is a caused due to aggravation of pitta and vat doshas and svarna patri helps to pacify these doshas. It has natural laxative action that aids in treating constipation. The presence of active compound helps to loosen the stool and regularize the bowel movements.

• Shatapushpa (Foeniculum Vulgare) : It tends to stimulate the secretion of digestive juices and enzymes that helps to improve digestion. It has active compounds fenchone, estragole and anethole which exhibits anti-inflammatory and anti-spasmodic properties thus helps to manage indigestion, constipation, bloating etc. It also contain fiber that further improves the digestive health. It also allow the passage of bowels without excessive gas build up.

• Shunthi (Zingiber Officinale) : It has natural laxative properties thus helps to promote the bowel movement and treat constipation. It also stimulate saliva , bile production and suppress gastric contractions thus helps to facilitate the movement of fluids and food through the GI tract.

• Saindhava Lavana (Rock Salt) :  It has potent laxative properties thus aids in regular bowel movement after intake of heavy meals. It stimulates the digestion of particles, nutrients from food and effectively flushes out the waste and unwanted substances from intestines, stomach to improve gut health.

USES OF CAC PANCHASAKAR CHURNA :

• Constipation problems
• Abdominal pain
• Bloating
• Indigestion
• Intestinal disorders
• Hemorrhoids
• Loss of appetite
• Rheumatoid arthritis
• Headache
• Hyperacidity
• Colic pain
• Acidic belching
• Supports intestinal immunity

COMPARED TO CAC PANCHASAKAR CHURNA THE ALLOPATHIC COUNTERPART IS SENNA GLYCOSIDE

Senna glycoside also called as senna or sennoside is generally used in treatment of constipation. It comes under class of drugs called Stimulant laxatives. It is either taken by oral route or by anal route( as a suppositories). It start to work in around 30 minutes when given by rectum and within 12 hours when given by mouth.

Mechanism of Action :

It work by irritating the luminal sensory nerve endings therefore stimulates the colonic motility and reduce colonic water absorption thus improving the symptoms of constipation.

It is available in market by brand name :

• Glaxenna
• Pursennid-IN
• Senade
• Senasof

SIDE-EFFECTS :

• Cramps
• Excessive bowel activity
• Nausea
• Abdominal discomfort or pain
• Diarrhea
• Electrolyte imbalance
• Yellow-brown urine discoloration
• Melanosis coli
• Finger clubbing
• Kidney inflammation
• Heart function disorders
• Liver damage
• Muscle weakness

DRUG INTERACTION WITH OTHER DRUGS :

• Digoxin
• Deflazacort
• Dichlorphenamide
• Potassium sulfate
• Magnesium sulfate

CONTRA-INDICATION :

• Gastro-Intestinal Obstruction
• Fecal Impaction
• GI or Rectal Bleeding
• Hyper Sensitivity
• Ulcerative Colitis
• Acute Intestinal Inflammation

These tablets are purely herbal and Ayurvedic formulations. These tablets helps to boost platelet count thus helps to reverse thrombocytopenia associated with dengue. It also decreases the peripheral platelet destruction and strengthens host immune system. The tablets have ingredients like papaya and giloy which have anti-oxidant and anti-inflammatory properties . These tablets also helps to reduce fever and protect liver cells. These tablets improves mental and physical strength of individual and provide effective results for patients.

INGREDIENTS OF CAC PLATFER TABLET:

• PAPAYA (Carica papaya) : This helps to increase the production of platelets and lowers the fever. It also helps to prevent complications of dengue fever like body rashes , hemorrhages etc. It is a rich source of Vitamin C and E which helps to improve the immunity. It keeps body safe from several infections due to anti-bacterial properties. It exhibits hepato-protective properties thus heals many chronic liver diseases.
• GILOY (Tinospora cordifolia): It is called as universal herb to boost immunity as it has potent anti-oxidant properties which helps to fight free radical damage and keep body cells healthy. It has anti-inflammatory and anti-pyretic properties thus helps to improve immune system, increase platelet count and also manages the symptoms of dengue fever. It ensures the speedy recovery of individual from the dengue fever. It also exhibits pain relieving properties thus helps to relief generalized body pains.
• TULSI (Ocimum tenuiflorum ) : It is rich source of Vitamin C and zinc thus act as natural immunity booster and protect body against other infections. It helps to increase the natural killer cells and T helper cells in body. It also have anti-viral and anti-bacterial properties thus reduce fever.
• KIWI (Actinidia delicosa) : It has high vitamin C content thus helps to support heart health and immunity. It also exhibits anti-inflammatory properties.

USES OF CAC PLATFER TABLET:

• Helps to increase platelet count naturally
• Epistaxis (prevents bleeding from nose)
• Thrombocytopenia
• Balances pitta dosha
• Boost immune system
• Increase strength of body
• Dengue
• Immune Thrombocytopenic Purpura

COMPARED TO CAC PLATFER TABLET THE ALLOPATHIC COUNTERPART IS ROMIPLOSTIM :

Romiplostim comes under class of drugs called as Thrombopoietin receptor agonists. It is usually indicated in the treatment of chronic idiopathic thrombocytopenic purpura. It is usually administrated in injection form at weekly interval by subcutaneous route. Its half-life ranges in between 1 to 34 days.

MECHANISM OF ACTION :

It  activates inter-cellular transcriptional pathway through c-Mpl to increase the production of platelets in body. It also have similar work like an endogenous glycoprotein hormone which tends to regulates production of platelets in bone marrow.

It is available in market under the brand name of  :

• Augplat
• Romiset
• Romy
• Nplate

SIDE-EFFECTS :

• Chills
• Diarrhea
• Bloating or swelling of arms, face, hands, lower legs or feet
• Cough
• Body aches
• Sneezing
• Nausea
• Unusual weight loss or gain
• Loss of appetite
• Fever
• Sore throat
• Tingling of feet or hands
• Ear congestion
• Chest tightness
• Tenderness or pain around eyes and cheekbones
• Stomach pain
• Loss of voice
• Acidity
• Bruise
• Belching
• Indigestion
• Muscle pains, stiffness or cramps.
• Trouble sleeping
• Heart burn
• Change in hearing
• Shoulder Pain

CONTRA-INDICATIONS :

• Pregnancy
• Myelo-dysplastic syndrome
• Thrombo-embolic disease
• Hepatic disease
• Lactating females

CAC power blood syrup is a 100% natural and safe prepared from various extracts of herbs. It contains various herbs like Ashwagandha , Shatawari, Arjuna,Anjeer,Amla and Brahmi that woeks on the power of heart pumping the blood to various organs . The herbs used for formulation of this syrup have antioxidant, anti- inflammatory and immune modulator properties. It is best known for increasing the blood volume.

INGREDIENTS:

• Ashwagandha (Withania somnifera) :

 It contains chemicals that help in reducing stress and swelling, lower blood pressure. It improves the body defense against disease. The Chemical composition of ashwagandha is anaferine, cuseohygrine, Withaferins, saponins. It enhances the function of brain and nervous system and improves the memory

• Shatavar (Asparagus racemosa):

It is a ayurvedic herb which has many medicinal properties such as antioxidant, antiviral, boost immune system, support lactation, reduce symptoms of menopause.

• Vidari kand (Peuraria tuberose) :

It helps in managing stomach inflammation due to its analgesic, antiviral, antibacterial properties. It  contains puerarin, Stigmasterol and  Duidzein.

• Goksharu (Tribulus terrestris) :

This helps to increase urine secretion and reduce the swelling and burning sensation during urination. Gokshura have anti-obesity,anti-aging, hypotensive properties.

• Arjun (Terminale arjuna):

It has many pharmacological properties such as anti-ischemic, antioxidant, antiplatelet, hypolipidemic and anti-pyretic.

• Kaunch beej (Mucuna pruriens):

It works as an aphrodiasic and helps in increasing sexual desire. It helps to improve sperm quality and motility. It also increases the production and quantity of semen.

• Anjeer (Ficus carica) :

It helps to manage diabetes by increasing insulin due to its antioxidant and anti-inflammatory properties.

• Singhara (Trapa bispions):

It has good nutritional value and it is an excellent coolant for the body.  It has antibacterial or anti-oxidant properties.

• Munaka (Vitis vinifera):

Raisins are rich in iron and vitamin B-complex. It is a good source of copper which is required to produce new red blood cells.

• Seb (Pyrus malus):

It is known to have astringent and exfoliating properties that work together to clean the skin and tighten the pores.

• Palak (spinacia oleracea) :

It is very popular leafy vegetable that helps in preventing anaemia. It is a rich source of calcium,Vitamin-A, B9,E,C,minerals and pigments including potassium ,magnese,zinc,iron and beta carotene. It improves the overall health of your bodyand increases the blood in your body.It helps to create haemoglobin, which brings oxygen to body tissues.

• Brahmi (Bacopa monnire):

It contains powerful antioxidants, reduce inflammation, boost brain function,prevent anxiety and stress.

• Rasna (Pluchea lanceolate):

It is beneficial in arthritis as it reduces inflammation and joint pain due to anti-inflammatory and analgesic properties.

• Bhringraj (Eclipta alba):

It has anti-microbial, anti-fungal properties that can reduce skin problem. It helps to rejuvenate skin and helps to reduce wrinkles and dullness of skin.

• Yashimadhu (Glycyrrhiza gabra):

It is used to balance excessive gastric secreation and heal gastric and duodenal ulcers. It helps in boosting immunity,keeps your liver healthy and treats skin disorders.

• Bala (Sida cordifolia) :

It is a ayurvedic herb used to control the symptoms of respiratory system such as cough and cold.

• Bahera (Terminalia belerica):

It has  many antioxidants such as tannins, lignans and flavones and also  has many medicinal properties such as anti-microbial and anti-inflammatory that help to treat hair infection, itching. It provides  essential nutrients to the hair follicles, improves blood flow and strengthens the hair from the root to tips

• Harar (Terminalia chebula):

The Haritaki contains tannins such as chebulinic acid. It has Presence of 18 amino acids and little amount of phosphorus, succinic, quinic acid. It helps in digestion and therapeutic properties like cardio protective, diuretic, laxative,expectorant, astringent.

• Aamla (Emblica offcinale):

It is rich in vitamin –C, iron and vitamin –B complex. It provides strength to the body, 9increases the production of red blood cells and supplies the body with fresh oxygen.

• Kalimirch (Piper nigrum):

It contains a chemical called piperine . It reduces pain, improve breathing,reduce inflammation. It also improves brain function.

• Pipli (Piper longum):

It contains many phytochemicals including alkanoids as important secondary metabolites essential oil and steroids. It act as rejuvenate by increasing depleted dhatu. It is used to treat many diseases such as vomiting, cough, skin allergic condition. Inflammatory  condition. It also act as a carminative, digestant, appetizer, stimulant, diuretic.

• Shaunth (Zingiber officinalis):

 It is the dry form of ginger. The ginger spice comes from the root of plant.it is used as a food flavoring and medicine. It contains chemicals that reduce nausea and swelling. Ginger has anti-inflammatory, antibacterial, antiviral properties

USES:

1. Immune thrombocytopenia
2. Weakness
3. Anemia
4. Hypovolemia
5. Iron deficiency anemia

ALLOPATHIC COUNTERPART OF POWER BLOOD SYRUP ALONG WITH ITS SIDE EFFECTS:

HAEM UP SYRUP:

COMPOSITION: Ferric ammonium citrate (160mg) + Folic acid (0.5mg) + Cynocobalamin (7.5mg) +Copper sulphate(30mcg) + Manganese sulphate(30mcg)

DESCRIPTION:

Haem up liquid is an iron tonic fortified with folic acid and minerals that is used to treat anemia due to iron deficiency, lack of appetite, weakness. Haem up works by Replensihing the iron stores in body . It helps to improve the immunity, oxygen supply to muscles and build energy levels. Folic acid is essential to numerous body functions ranging from nucleotide biosynthesis to the remethylation of homocysteine. Copper and manganese are important for healthy bone, nerves and muscles. It promotes the maturation of blood cells.

MEDICINE INTERACTION:

1. Tetracycline
2. Levothyroxine
3. Omeprazole
4. Ranitidine
5. Chloramphenicol
6. Amlodipine
7. Valsartan

CONTRAINDICATION:

1. Allergy
2. Peptic ulcer
3. Gastritis
4. Pernicious anemia
5. Kidney disease
6. Liver disease

SIDE EFFECTS:

1. Nausea
2. Vomiting
3. Dark colored stool
4. Constipation

CAC Sheet Dhara is a herbo mineral and purely ayurvedic formulation. It helps in balancing the three dosha but mainly act on pitta dosha . It contains Ajwain, Kapur(Camphor)and mint leaves that reduce acidity and burning sensation in chest region with its cooling effects. It relaxes your mind also maintains blood pressure.It helps in controlling mood swings by which many women are affected nowdays. It also controls burping,nausea and bloating .

INGREDIENTS:

1. AJWAIN:

It contains antioxidant and anti-inflammatory properties. It helps in improving digestion and remove toxins from the body to resolve problems like constipation, acidity.

2. KAPUR:

It is a white crystalline substance .It is obtained by process of steam distillation, putrification . It contains component like linalool, eugenoland,   borneol. It has antiseptic, analgesic, anti-inflammatory, anti-cancer, antispasmodic, antifungal property.

3. MINT LEAVES:

It has carminative, antispasmodic, diuretic, antibacterial, anti-diarrheal, anti-asthmatic properties. It contains Eriocitrin, rosmarinic acid, hesperidin .It improves brain function and it contains good amount of vitamin-C, B12.

USES OF SHEET DHARA SYRUP:

1. Acid reflux
2. Burning sensation in chest
3. Nausea
4. Hiccups
5. Maintain blood pressure
6. Stomach ulcers
7. Improves appetite
8. Bloating

ALLOPATHIC COUNTERPART OF CAC SHEET DHARA SYRUP ALONG WITH ITS SIDE EFFECTS:

Digene

COMPOSITION: Aluminum hydroxide, Magnesium hydroxide, simethicone, Sodium carboxymethycellulose

Description:

It belongs to the group of antacids used to treat acidity, heartburn, indigestion, gastritis and stomach upset. It improves the symptoms of acidity such as abdominal pain and discomfort. It works by neutralizing the stomach acid in the body. Magnesium hydroxide is one of the active ingredients which is quicky dissolve in stomach and provide quick action. Aluminum hydroxide neutralizes the acid in stomach. It contains magnesium hydroxide 185mg, Simethicone 50 mg, Sodium carboxy methycellulose 100 mg, Dried aluminum hydroxide 830 mg.  Simethicone reduces the surface tension of gastrointestinal gas bubbles to facilitate their elimination. Sodium carboxymethylcellulose used as flocculating agent, thickening agent, sizing agent.

SIDE EFFECTS:

1. Confusion
2. Asthma
3. Black stools
4. Weakness
5. Diarrhea
6. Intestinal obstruction

DRUG INTERATIONS:

1. Aspirin
2. Doxycycline
3. Azithromycin
4. Ascorbic acid
5. Cholicalciferol

These tablets are purely herbal and Ayurvedic formulations. These tablets helps to maintain healthy blood circulation in the body  thus maintaining health veins and other blood vessels. In Ayurved imbalance of vata is said to be the main cause of Varicose veins which develop symptoms swelling of large veins that usually appears on legs and feet. These tablets has ingredients like sonth, dalchini, kanchnar , tulsi and lehsun which has vata pacifying properties thus tends to provide relief from its associated symptoms. These tablets also have anti-inflammatory, anti-oxidant , blood purifying properties.

INGREDIENTS OF CAC VARICOSE VEIN CARE TABLET :

• DALCHINI (Cinnamomum verum) : It has potent antioxidant and anti-inflammatory properties. It provide protection against free radical damage and also helps to improve the overall blood circulation in body.
• SONTH (Zingiber officinale ) : It has anti-inflammatory and antioxidant properties thus helps to increase the blood circulation and also dissolves fibrin in blood vessels which helps to lessen the symptoms of Varicose veins. It also helps reduce the pressure in veins thus provide relief from the swelling and ache in legs.
• KANCHNAR (Bauhinia variegata) : It has potent vata pacifying properties thus helps to balance the vitiated vata dosha and also improve overall health of the body.
• TULSI (Ocimun tenuiflorum) : It is rich sources of Vitamin C and antioxidant Eugenol that helps to prevent formation of Varicose veins in the body. It also helps to improve inner strength of the body.
• LEHSUN (Allium sativum) : It has compounds that helps to break down protein content and evenly distributes it. This increase the supply of protein in lower limb region thus helpful in prevention of Varicose vein condition.

USES OF CAC VARICOSE VEIN CARE TABLET :

• Maintain healthy Veins and other blood vessels
• Helps in Enlarged, swollen, and twisting veins
• Improves Blood Circulation
• Balances Vata Dosha

COMPARED TO VARICOSE VEIN CARE TABLETS  THE ALLOPATHIC COUNTERPART IS SODIUM TETRADECYL

Sodium tetradecyl sulfate is common Anionic surfactant which consist of sodium salt of micelle-forming sulfate ester. It is used in treatment of small uncomplicated varicose veins in lower limbs.

MECHANISM OF ACTION :

It act as toxin for endothelial cells. It acts on lipid molecules in cells of vein wall thus causes inflammatory destruction of internal lining of veins and thrombus formation which eventually leads to sclerosis of veins.

It is available in market with brand name :

• Sotradecol
• Tromboject
• Trombovar

SIDE-EFFECTS :

• Ulceration
• Hives
• Hay fever
• Pain
• Urticaria
• Headache
• Nausea
• Anaphylatic shock
• Chest pain
• Wheezing
• Skin sores
• Itching

CONTRA-INDICATION :

• Blood disorders
• Active tuberculosis
• Buerger’s disease
• Asthma

INTRODUCTION

Endometriosis is a painful medical condition which is characterized by the growth of endometrium in the areas other than the inside of uterus. Endometrium is the innermost lining of the uterus and responsible for menstrual cycle. This layer grows and becomes thick during each menstrual cycle. When the layer grows to its maximum, it sheds off causing bleeding. In endometriosis, this layer grows in other areas like ovaries, fallopian tubes and in the tissue lining the pelvis. This tissue normally grows during every menstrual cycle but the tissue in other areas doesn’t get any exit. It thus starts collecting there. This leads to irritation of the surrounding tissues and later formation of scar tissue and adhesions. Adhesions are the bands of fibrous tissue which cause sticking of pelvic tissue and organs.

Excessive pain during menstruation is one of the most common symptoms of endometriosis. Heavy bleeding and difficulty in conception are also the symptoms of endometriosis. With a balanced diet and healthy lifestyle, the symptoms of endometriosis can be managed. However, there are several types of treatments available.

WHAT ARE THE CAUSES OF ENDOMETRIOSIS?

The exact cause of endometriosis is unknown. But it is believed to be due to various reasons. Following are the different causes of endometriosis:

• Transformation of peritoneal cells into endometrial-like cells
• Retrograde menstruation – The menstrual blood flows back from the uterus into the fallopian tubes and then into the pelvic cavity.
• Transformation of embryonic cells
• Attachment of endometrial cells to the surgical incision
• Transportation of endometrial cells through blood vessels or lymphatic vessels to the other parts of body
• The cells of immune system become unable to recognize and starts destroying the endometrial tissue

RISK FACTORS OF ENDOMETRIOSIS

Some factors make a person more prone to endometriosis. Following are the risk factors of endometriosis:

• Starting of periods at an early age
• Having shorter menstrual cycles such as less than 27 days
• Never giving birth
• Heavy bleeding during menstruation
• Prolonged menstrual periods
• Increased levels of estrogen in blood
• Being underweight or overweight
• Having close relatives suffering from endometriosis
• Pelvic inflammatory disease
• Sexually transmitted diseases

WHAT ARE THE SIGNS AND SYMPTOMS OF ENDOMETRIOSIS?

The common signs and symptoms of endometriosis are:

• Pain in pelvis
• Abdominal cramps
• Pain in lower back
• Bloating
• Pain during sexual intercourse
• Severe pain during menstruation
• Heavy bleeding during periods or in between periods
• Painful urination
• Infertility
• Diarrhea or constipation
• Nausea
• Vomiting
• Migraine
• Body fatigue

WHAT ARE THE COMPLICATIONS WHICH ARISE WITH ENDOMETRIOSIS?

Endometriosis is associated with the following complications:

• Infertility
• Anxiety
• Depression
• Cancer of uterus, ovary, fallopian tubes and cervix

AYURVEDIC VIEWPOINT OF ENDOMETRIOSIS

In Ayurveda, endometriosis comes under the category of Yoni vyapad. It is caused due to the imbalance of vata and kapha doshas. Bad eating habits and lack of physical exercise are mainly responsible for endometriosis. The aggravated vata dosha reaches the female reproductive system and cause troublesome symptoms such as severe pain and discomfort in abdomen. Kapha dosha leads to excessive mucus formation and causes formation of cysts.

CHANDIGARH AYURVED CENTRE’S MEDICATIONS FOR THE TREATMENT OF ENDOMETRIOSIS

Here are some of the medications of Chandigarh Ayurved centre which are useful for the management of endometriosis:

1. Kachnaar Guggulu Tablets

Kanchnaar Guggulu is the best Ayurvedic herb which mainly helps in balancing the Apana Vata. The tablets are prepared from Kachnaar (Bauhinia variegata), Shunthi (Zingiber officinale), Maricha (Piper nigrum), Pippali (Piper longum), Haritaki (Terminalia chebula), Bibhitaki (Terminalia bellirica), Amalaki (Emblica officinalis), etc that shows anti-inflammatory, analgesic, antioxidant properties and enhances the female reproductive health. It is very beneficial in correcting the hormonal imbalance, strengthens the body, & improves circulation.

Recommended Dosage:Take 2 tablets twice daily with normal water.

2. Femine care tablet

It is a pure and natural remedy that contains various herbs extract that works on the female reproductive system and make it healthy. These tablets show antioxidant properties, anti inflammatory and immuno modulater properties. It contains Ghritkumari , Muramakki, Sonth. It works in various diseases like pcod, bulky uterus, endometriosis, general female health, irregular menses, and uterine fibroids. It affects on Tridosha- balances Vata and Kapha.

DOSE– 1-2 tablets two times a day or as directed by physician.

3. Women Power Plus Tablet

CAC woman power tablet is a complete health supplement for women which is best for female health and vital energy. It helps to build up the immunity. This is a pure herbo mineral product of the best quality herbs. The herbs used are Ashoka, Shatavari, anatmool, etc. These are herbs used since ancient times to maintain female health metabolism.

DOSE– Take 2 tablet twice a day or as directed by physician.

4. Women Champion Syrup

Woman Champion is purely herbal and ayurvedic formulation. It is a very effective tonic for women and help to maintain their health. It balances all the doshas of body and also maintain hormone levels . It contains herbs like Lodhra, Manjishta, Ashok chaal, Punarnava,Shatavar,Bala,Daruharidra,Nagarmotha that help women typically with mood changes, stress, headache and pain. CAC Women champion helps in leading a life of minimum discomfort during those difficult days every month.

Recommended Dosage: Take 2 tablespoon a day or as directed by physician.

5. Panchsakar Churna

Panchasakar Churna is a mixture of four herbs in powder form along with salt. It is a classical formula that is prepared from Shunti (Zingiber officinale), Haritaki (Terminalia chebula), Pippali (Piper longum), Trivrit (Operculina turpethum), and Sauvarchala lavana.This herbal churna relieves constipation that is a common problem in endometriosis patients. It helps in relieving the abdominal pain, flatulence, and loss of appetite.

Recommended dosage: Take 1 teaspoonful at bedtime with lukewarm water.

In Ayurvedic texts Amavata is considered a painful condition in which aggravation of Vata dosha is associated with Ama ( metabolic toxins) and generally affects joints. The main reason for development of this disorder is said to be deranged digestion and metabolism (agni). This condition is correlated with Rheumatoid arthritis due to same clinical features in modern day.

The diseased is seems to be simple but its prognosis is not so good. Concept of Ama is quite unique in Ayurveda. Ama is immature nutritional essence formed in stomach because of poor digestion of ingested food. The nutritional essence is quite immature and unprocessed which goes into circulation and is made available to all body tissues. As ama is unprocessed it is not metabolized by the tissues and gets accumulated there. The accumulated ama due to its sticky nature clogs all channels of nutrition in body leading to depletion of tissues and organs . This depletion leads to multiple tissue damage and manifestation of different conditions.

WHAT ARE THE CAUSES OF AMAVATA ?

• Viruddha Ahara – Consumption of incompatible combination of foods.
• Virruddha Chesta-Indulging unwholesome lifestyle practices
• Nischala – Leading sedentary life
• Mandagni – Low metabolism and slow digestion for longer period
• Snigdha bhojana, Vyayama – Indulging in exhausting activities immediately after consumption of heavy/ unctuous to digest food.

PATHOGENESIS :

• Due to above mentioned causes there is formation of plenty of ama in body.
• There is also vitiation of Vata dosha which pushes the already formed ama into different parts of the body through circulation
• The Vata pushes ama into Sites of Kapha i.e. bony joints and muscles.
• Ama on further vitiation by kapha and vata enters the circulation and gets associated with morbid Pitta which give corrosive nature to combination.
• The corrosive combination tends to destroy every organ and tissue which comes in contact with it .
• It gets lodged into various joints mostly pelvis, lower back and hips and produce stiffness and severe pain there.

SYMPTOMS OF AMAVATA :

In initial stages Amavata produce symptoms like :

• Aruchi- Decreased appetite
• Angamarda -General body aches
• Trishna-Increased thirst
• Alasya- Weakness or Lethargy
• Gaurava- Feeling of heaviness in body
• Jwara-Fever
• Shunata- Swelling in body parts
• Apaka- Indigestion

Symptoms manifested in later stages when it spreads to joints, tissues and organs are :

• Saruja shopha -Painful swelling of hands and feet.
• Agni dourbalya – weak digestive fire
• Vrishika damshavat peeda- Pain which mimicks the scorpion sting.
• Parseka- Excessive salivation.
• Aruchi-Anorexia
• Gaurava- Feeling of heaviness in body
• Utsaha Hani- Lack of enthusiasm
• Daaha- burning sensation.
• Varirasyam- Abnormal taste in mouth
• Bahumutrata-Increased urination
• Apakwa mala- Stools comprised of indigested food.
• Grahani Dosha- Contaminated intestines
• Kukshi kathinata- Hard abdominal muscles
• Chardi-Vomiting
• Hrid graham- Tightness of chest
• Anaha- Flatulence

MODERN CORRELATION OF AMAVATA WITH RHEUMATOID ARTHRITIS:

In modern Amavata is correlated with Rheumatoid arthritis due to similar clinical features. RA is an auto-immune disorder of the joints that causes swelling, stiffness, joint pain and decreased joint movements of the affected joints. In active Ra their presence of stiffness of affected joints in morning time which can last one to two hours and gradually subsides with movement of joints.

CAUSES OF RHEUMATOID ARTHRITIS :

As it is a auto-immune disease exact cause is not known but certain factors contributes increasing the development of RA. The factors includes:

• Obesity
• Weak immunity
• Family history of RA
• Old age
• Hormonal imbalance
• Women are more prone to RA than men.

SYMPTOMS OF RHEUMATOID ARTHRITIS :

Common symptoms that are experienced by most Rheumatoid arthritis patients includes:

• Morning stiffness in affected joints that last for 1to 2 hours
• Swelling, stiffness and tenderness in more than one joint
• Mild fever
• Stiffness and pain in same joints on both sides
• Fatigue
• Appetite loss
• Weight loss
• Decreased range of motion of affected joint.

MANAGEMENT OF AMAVATA THROUGH AYURVEDIC TREATMENT :

As Amavata is caused due to vitiation of tridosha along with formation  of Ama in body due to vitiated digestive fire , so the treatment should be done accordingly. The line of treatment for Amavata includes :

• Langhana(fasting)- It is first line of treatment which is used for the digestion already formed Ama dosha. It usually mean intake of light to digest food items than complete fasting.
• Swedana (Sudation therapy) – Swedana therapy is done externally on affected joints to provide relief from the symptoms like joint pain, stiffness and swelling. Most commonly Rooksha valuka sweda is recommended in Amavata condition as it not only helps to pacify vata thus reduce pain and swelling it is also helpful for removal ama accumulated in joints.
• Tikta and Katu Deepana – Use of medicienes having tikta (bitter) and katu(pungent) taste which helps to increase the digestive fire that in turn digest the ama .
• Virechana(purgation) – It helps to normalize the gati of vata thus reducing the symptoms it produce in amavata. It has direct effects on agnisthana thus improving the digestive fire also.
• Vasti(Enemas)- Vasti is the most effective treatment in panchakarma for vitiated vata dosha. Adminstration of panchamuladi vastu ,kshara vasti etc combats both vata and ama and leads to samprapti vighatana of amavata.

PATHYA AHARA :

• Red rice
• Shyamaka
• Kodrava
• Drunstick
• Pointed gourd
• Bitter gourd
• Ginger
• Hot water
• Barley
• Horse gram

APATHYA AHARA :

• Fish
• Curd
• Jaggery
• Contaminated water
• Unconducive foods
• Heavy to digest food items
• Milk
• Upodika

According to Ayurveda in PCOD the vitiation of kapha and vata which affects the process of ovulation in women. Kapha  Dosha affects the digestion, which leads to the poor metabolism of seven dhatus(tissue). In PCOD the affected dhatus are rasa, rakta, meda and artava. The ama enters the artava dhatu disturbing the pit Ahara agni leads to poor functioning of system.

DEFINITION OF PCOD:

Polycystic ovarian disease is a condition in which the ovaries generate immature or partially mature eggs in more number. These eggs  develops into cyst in the ovaries. Due to cyst ovaries become larger and secrete large amounts of male hormones

CAUSES OF PCOD:

1. More secretion of insulin hormone.
2. Genetics
3. Stress
4. Higher levels of male hormones
5. Wrong dietary choices

SYMPTOMS OF PCOD:

1. Irregular or missing periods.
2. Acne
3. Abnormal facial hair
4. Feeling fatigued
5. High testosterone levels
6. Skin discoloration
7. Thinning of hairs
8. Mood swings
9. Ovarian cysts
10. Weight gain or obesity .

COMPLICATIONS OF PCOD:

1. Difficulty in conceiving.
2. Miscarriage
3. Difficulty in breathing during sleep
4. Increased risk of heart diseases
5. Type 2 diabetes menstruation Depression, anxiety
6. Eating disorder
7. Non -alcoholic steatohepatitis.
8. High blood pressure
9. Cancer of Uterine lining.
10. Gestational diabetes

INVESTIGATION:

1. Blood test
2. Pelvic examination
3. Ultrasound

DIFFERENTIAL DIAGNOSIS:

1. Thyroid disease
2. Hyperprolactinemia
3. Congenital adrenal Hyperplasia
4. Cushing syndrome

AYURVEDIC APPROACH OF PCOD:

PCOD is a disorder of kapha dosha which blocks the artava vaha srotus and causing interrupted movement of apana vayu.

PANCHKARMA PROCEDURES:

Panchkarma helps in detoxifying, cleansing, restoring the hormone levels and helps in metabolism

1. Abhyanga
2. Basti
3. Vamana
4. Virechna

HERBS USED IN PCOD:

1. Varuna
2. Hareetaki
3. Pippali
4. Bilva
5. Guduchi
6. Punarnava
7. Sunthi
8. Chitraka

FOODS TO BE AVOID IN PCOD:

• White sugar in all forms
• Avoid tea and coffee
• White rice
• Potato
• Avoid milk and soya products
• Limit salt intake.

GOOD FOODS:

1. Green leafy vegetables
2. Ghee
3. Olive oil, corn oil
4. Beans
5. Tomato, Orange ,Spinach, Avocado, Soybeans, Peanuts
6. Cauliflower
7. Fish
8. Nuts and legumes

HEALTHY TIPS AND DIET FOR PCOS:

1. Drink low fat milk by adding a pinch of turmeric with it.
2. Eat more fruits like apples, papaya, grapes, pineapple, oranges.
3. Follow a good lifestyle.
4. Decrease the use of contraceptive pills.
5. Do daily exercise, yoga and pranayama.
6. Stop smoking, drinking alcohol.
7. Reduce the intake of refining glucose.

  CHANDIGARH AYURVED CENTRE MEDICATION FOR THE   TREATMENT OF PCOD:

1. Detox Premium Powder:

This is a herbo-mineral preparation that contains ingredients like Parwal Pishti, Giloy satv, Shukta Pishti, Kamdudha Ras, Gandhak Rasayan, etc.

Parwal Pishti: This Pishti reduces inflammation, flaking, itching of the skin. The Pishti is composed of natural coral calcium processed with rose water.

Shukta Pishti: It helps to balance the Pitta dosha in the body. All signs and symptoms related to Psoriasis patients are managed with this article.

Giloy Satv: This satv is prepared from the herb Giloy (Tinospora cordifolia). The anti-inflammatory, antioxidant, and analgesic properties of this herb deal with psoriasis easily.

Kamdudha Ras: This herbal-mineral classical preparation balances Pitta dosha in the body.

Gandhak Rasayana: This herbal preparation is used since ancient times for all types of skin disorders.

It contains ingredients like Shuddh parad, Aloe vera, Gandhak, etc that relieve redness in psoriasis patients.

Akik Pishti: This Pishti reduces all types of Pitta related disorder hence it gives good results in psoriasis.

Recommended Dosage: Take 1 sachet twice daily with plain water.

2. Women Champion Syrup

Woman Champion is purely herbal and ayurvedic formulation. It is a very effective tonic for women and help to maintain their health. It balances all the doshas of body and also maintain hormone levels. It contains herbs like Lodhra, Manjishta, Ashok chaal, Punarnava,Shatavar,Bala,Daruharidra,Nagarmotha that help women typically with mood changes, stress, headache and pain. CAC Women champion helps in leading a life of minimum discomfort during those difficult days every month. It act as antioxidant, anti-inflammatory, anti-spasmodic, uterine tonic and immunity booster.

Recommended Dosage–  Take 2 teaspoonful twice a day with normal water.

3. Kanchnaar Guggul

It is one of the very efficient Ayurvedic herbal medicine that contain ingredients like

• Kanchnaar (Bauhinia variegata)
• Shunti (Zingiber officinale)
• Maricha (Piper nigrum)
• Haritaki (Terminalia chebula)
• Ela (Elettaria cardamomum), etc.

Kanchnaar guggul is mainly administrated in the cysts.These tablet are used in the condition of dysmenorrhea, menorrhagia. It is the best medicine for the Rakta – Shodaka.These tablets are very beneficial for hormonal imbalance. It enhances female reproductive health and infertility.

Recommended Dosage –Take 2 tablets twice a day with normal water.

4. Woman power tablet

It is a complete health supplement for women who are best for female health and vital energy. It helps to build up the immunity. This is a pure herbo mineral product of the best quality herbs. The herbs used are Ashoka, Shatavari, anatmool, etc. These are herbs used since ancient times to maintain female health metabolism. It works well in the reproductive system and other health-related disorders. The extract of these herbs is used which provides multiple health benefits. These herbs have the potential to improve female health and libido. The main Ingredients Rajah pravarthini vati, Femine care tablet, Shatavar extract, Ashoka chall extract, Ashwagandha extract, Giloy extract. It shows a great effect on menopausal women. It works well in hot flushes and mood swings. It regulates the female menstrual cycle, relieve menstrual pain, Used in leucorrhea is excessive discharge from the vagina, excessive menstruation, painful menstruation and delayed menstruation the herbs can alleviate almost every female problem when used for a long, regular period.

Dosage – 1 tab twice daily after meal.

5. Cyst Heal Tablet

CAC Cyst heal tablet is a pure ayurvedic medicine that contains various herbs extract that works on the any kind of abnormal growth like cyst, myoma, polyp, lipoma, lumps in breast, benign or malignant tumor. Cyst heal tablet helps in reducing any kind of abnormal growth in the body and reducing overall body weight. It treats menstrual irregularity, increases ovulation and follicular maturity, PCOS and treats female infertility as well.

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

6. Femine Care Tablet

Femine care tablet is a pure and natural remedy that contains various herbs extract that works on the female reproductive system and make it healthy. These tablets show antioxidant properties, anti inflamatory and immuno modulater properties.

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

Pakshaghat is a neurological disorder in which inability to move the group of muscles of either left or right side of body. Paksavadha and Ekanga roga are the synonyms of Pakshaghata. It is a vata-nanatmaja vyadhi in which impairement of karmendriyas,gyanendrias and manas. This disease affects the madhyama rog marga and disrupts the function of sira, snayu, kandara.

CAUSES :

1. Excessive Intake of ruksha, sheeta, laghu anna .
2. Awakening at night
3. Excessive swimming
4. Excessive fasting
5. Weakening due to excess stress, grief and worries
6. Suppression of natural urges.
7. Riding over horse

DIFFERENT STAGES:

1. PAKSAVADHA: When the aggravated vata dosha paralyzes one side of body and it causes immobility of that side along with pain, loss of speech.
2. EKANG ROGA: When the aggravates vata affects half side of body and it cause constriction of vesels and ligaments either on one leg or one hand along with aching or piercing pain .
3. SARVANG ROGA: Aggravated vata affects the entire body.

SYMPTOMS:

1. Loss of function in affected parts of body
2. Difficulty in speaking
3. Lock jaw
4. Severe pain in affected parts
5. Hyperpyrexia
6. Cold extremities
7. Edema or heaviness

FACTORS INVOLVED IN PATHOGENESIS:

1. Dosha : Vata (Prana,Udana )

Pitta(Pachak,Ranjak)

Kapha(Shleshak or Avlambaka)

2. Dushya: Rasa ,rakta, mamsa, medha,manas.
3. Agni : Jatharagni,Dhatavagni
4. Strotasa: rasavaha ,raktavaha ,Mamsavaha
5. Strodushti: Atipravrutti, sanga
6. Udbhava sthana : Pakwaashya
7. Sanchara sthana: Urdhwa,Adhah,Tiryak Dhamanis
8. Adhisthana:Shira
9. Rogamarga: Madhyam Roga marga

GOOD HERBS FOR PAKSHAGHATA:

1. Ashwagandha
2. Brahmi
3. Rasona
4. Eranda
5. Nirgundi
6. Shunthi

PANCHAKRMA CHIKITSA:

• Snehana:

Snehana karma leads to liquefaction, oleation, increased fluidity and softening that further leads to soften the channels so that toxins can get detached and eliminated easily during main sodhana  (detoxification process).

• Swedana

Swedana relieves stiffness, heaviness and coldness of the body as it induces sweating

• Nasya

Nasya karma refers to as instillation of herbal oils, juices or powder through nasal route.It strengthens the nervous system .

• Basti

Basti is the most effective treatment for vata disorders.

Basti expell the body toxins and vititated doshas by introducing medicated liquids or liquids through anal route, urethra or vaginal canal.

• Mridu Virechna

It flushes out the toxins and excess  mucus from GI tract through anal Route.

Clear congestion from the Liver and improves metabolism.

• Shirodhara

Shirodhara has relaxing, soothing, calming effects in the body and mind.

• PARISHEKA:
• Pacifies the morbidity of vata, pitta and rakta in the skin, afflicted joints, muscles and soft tissues.
• Strengthens the muscle tissues
• Relieves pain, stiffness and swelling
• Rejuvenate and energizes the body.

PATHYA AHARA AND VIHARA:

• Kulthi
• Mash
• Godhooma
• Draksha
• Dadima
• Jambira
• Til tail
• Ghrita
• Gramya and anup mamsa.
• Nirvata sthana
• Basti
• Swedana
• Shirobasti
• Woolen clothes
• Parisheka

     APATHYA AHARA AND VIHARA:

• Rajmasha
• Yava
• Jaambu
• Tinduk
• Shuska mamsa
• Kshara pdartha
• Dushita jala
• Vyayama
• Vyavaya
• Atbramana
• Ratri jagran

MODERN CORRELATION OF PAKSHAGHATA WITH PARALYSIS:

Paralysis is the loss of ability to move some or all part of body. Paralysis can cause problems with blood flow, breathing, how well your organ work.

PATTERNS OF PARALYSIS:

1. HEMIPLAGIA: Paralysis affects one side of body i.e Upper or lower limb of same side or opposite side.
2. MONOPLEGIA: It is the paralysis of single limb or single group of muscles.
3. PARAPLEGIA: It is the paralysis of both the lower limb.
4. QUADRIPLEGIA: It can affect all four limbs sometimes along with organs.

CAUSES OF PARALYSIS:

1. Vascular changes such as thrombosis, Embolism, Haemorrhage.
2. Intracranial infection such as Encephalitis, Meningitis.
3. Systemic diseases of cord.
4. Peripheral neuritis
5. Cervical lesions.
6. Muscle diseases such as Myasthenia gravis

SYMPTOMS :

1. Numbness
2. Tingling sensation
3. Pain
4. Changes in vision
5. Slurred speech
6. Coma
7. Seizures
8. Problems with balance
9. Difficulties in breathing.
10. Lethargy
11. Neck rigidity
12. Excessive salivation or lacrimation.
13. Tongue protruded out.

INVESTIGATION:

1. T scan
2. MRI
3. ECG
4. Complete blood cells
5. X-ray chest
6. Dopplers studies of neck
7. CSF examination

PREVENTION OF PARALYSIS:

1. Consume low fat or high fiber diet.
2. Control cholesterol level and weight
3. Maintain healthy body weight.
4. Avoid smoking or alcohol consumption
5. Avoid excessive starvation, Excess exercises , suppression of natural urges.
6. Take balanced diet .
7. Limit salt intake and fat in diet.