Author Archives: Dr. Vaidya Karanvir Singh

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.

It is a common skin disorder which usually affects facial skin. This condition cause redness on chin, nose, cheeks and forehead and it can become more intense over period of time taking on ruddy appearance. Small blood vessels can become visible in this condition.

In some cases it can appear on ears, neck, chest or scalp. If not managed properly in time red solid bumps and pus-filled pimples tends to develop. Flare-ups usually occur in cycles and individual may experience symptoms for weeks or months where symptoms go away and then return. Proper cure for this is not there but symptoms can be managed with good treatment.

WHAT ARE THE CAUSES OF ROSACEA ?

Main cause of rosacea is not known but combination of certain environmental and hereditary factors can contribute in development of this condition. Some things tends to worsen the symptoms of rosacea which includes :

• Consuming food items with cinnam-aldehyde like chocolate, tomatoes, citrus, cinnamon etc.
• Intake of spice foods
• Skin mite called demodex and bacterium it carries Bacillus oleronius.
• Intestinal bacteria pylori.
• Drinking hot tea or coffee
• Presence of Cathelicidin protein

WHAT ARE THE TYPES OF ROSACEA ?

• Subtype One : It is also called as Erythematotelangiectatice rosacea and is associated with facial flushing, redness and visible blood vessels.
• Subtype Two : It is known as Papulopustular rosacea which has symptoms such as acne like breakouts that tends to effect middle aged women.
• Subtype Three : Also known as Rhinophyma it is a rare type where there is skin thickening on nose. It is usually accompained by other subtypes and mostly affect males.
• Subtype Four : It is known as Ocular rosacea and affects eyes causing irritation and bloodshot or watery eyes.

WHAT ARE THE SYMPTOMS OF ROSACEA ?

Rosacea symptoms usually differs according to its types.

Symptoms of  Erythematotelangiectatice rosacea :

• Visible broken blood vesels
• Sensitized skin
• Redness and flushing in centre of face.
• Burning and stinging skin
• Swollen skin
• Rough, dry and scaly skin

Symptoms of Papulopustular rosacea :

• Oily skin
• Acne like breakouts and skin redness
• Raised patches of skin
• Sensitive skin
• Broken visible blood vessels

Symptoms of Rhinophyma rosacea :

• Thick skin on nose
• Large pores
• Bumpy skin texture
• Thick skin forehead, cheeks, chins and ears.
• Broken visible blood vessels

Symptoms of Ocular rosacea :

• Dry, itchy eyes
• Bloodshot and watery eyes
• Diminished vision
• Stinging or burning sensation in eyes
• Gritty feeling in eyes
• Cysts on eyes
• Sensitivity to light
• Broken blood vessels on eyelids

AYURVED APPROACH :

In Ayurved it is classified under Kushta Roga. Due to nidan sevan like spicy food intake, hot drinks, tridosha vitiating factors etc leads to vitiation of Tridosha i.e Vata, pitta and Kapha mainly pitta and vata. The vitiated doshas in turn contaminate Rakta( blood), mamsa(flesh), twak(skin) and ambu(body fluids ) leads to formation of the condition.

HERBS:

• Khadir
• Haridra
• Neem
• Kumkuma
• Raktachandana
• Manjistha
• Sariba
• Patol

PANCHAKARMA :

• Vaman
• Virechan
• Nasya
• Raktamokshan
• Lepam
• Utsadan
• Parishek

CHANDIGARH AYURVED CENTRE MEDICATION FOR TREATMENT OF ROSACEA:

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.

Tal Sindoor: 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. Blood Purifier Syrup :

It is ayurvedic syrup that consists of various natural ingredients such as Khadir Chall (Acacia catechu), Manjistha (Rubia cordifolia), Neem (Azadirachta indica), Giloy (Tinospora cordifolia), Harad (Terminalia bellirica), Baheda (Terminalia chebula), Amla (Emblica officinalis), etc. As the syrup purifies the blood by removing excess toxins it is very beneficial in maintaining proper circulation and improves the skin naturally.

Recommended Dosage – Take 2 teaspoonful twice daily.

3. Skin Care Plus tablet:

skin care tablet is a pure ayurvedic formulation. It help to maintain the texture of your skin depending on the type of skin you have. It contains various herbs like Haridra khand, Panchnimb churna, Khadir chahal, Chirayta, Mulethi, Chopchini, Gandhak, Ajmoda that work very effectively on all skin types. Skin care is a blood purifying tablet. It cools and detoxifies the blood, increase blood circulation of the skin. It minimizes the blemishes, lighten sun tan, delay ageing of skin and heal skin problems.

Recommended Dosage: Take 1 tablet twice daily.

4. Panchatikta Ghrita Guggulu:

Panchatikta Ghrita Guggulu is an ayurvedic preparation mainly used for skin diseases. This tablet contains pure herbal ingredients such as Nimba(Azadirachta indica), Patola(Cucumis acutangulus), Guduchi(Tinospora cordifolia), Vasa(Adhatoda vasica), etc. This tablet promotes detoxification and rejuvenation. Panchatikta Ghrita Guggulu tablet is a natural source of anti – oxidant. It promotes engender vibrant and healthy skin.

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

5. Kiwi Face Cream:

Kiwi cream is selected potent Ayurvedic herbs, to provide smoothness, suppleness and radiance to the skin. Wheat germ oil is used as a carrier for herbs because of its supreme penetrating qualities and ability to carry actives of herbs, deep into the skin. This rich textured massage balm comes in an eco-friendly, reusable glass jar. Use this emollient emulsion as a massage balm on the face, to deeply nourish dehydrated skin.

Recommended Dosage– Apply to the affected area twice daily.

It is purely herbal and Ayurvedic formulation. These tablets have ingredients like kalimirch, giloy satva, shudha shilajeet, shudha kuchala, shudha vatsnabh etc. These ingredients have anti-inflammatory, analgesic, aphrodisiac, nerve stimulating properties thus helps to relieve symptoms like pain, stiffness associated with rheumatism along with improving overall wellness of central nervous system. These tablets are also beneficial in appetite by improving intestinal mobility as well as gastro-intestinal functions. These tablets have calming and soothing affect on the nerves thus improving the sleep quality and managing insomnia.

INGREDIENTS OF CAC NERVE PLUS TABLET:

• GHRITKUMARI( Aloe barbadensis) : It has anti-oxidant and anti-inflammatory properties thus helps to improve learning and memory. It also helps to improve the inflammation in the body . It also decrease the damage caused by free radicals in the body.
• KALIMIRCH (Piper nigrum) : It has anti-inflammatory and antioxidant properties thus helps to improve the nerve pain. It also protect the nerve cells and prevent early death of the cells. It also regulates the serotonin and melatonin functioning thus provide relief from stress, anxiety and fatigue.
• GILOY SATAV (Tinospora cordifolia) : It contain anti-inflammatory properties that helps to relieve the symptoms of arthritis. It also have analgesic properties that are beneficial in reducing joint and muscle pain.
• SHUDHA SHILAJEET( Asphaltum) : It has bioactive compound called fulvic acid which contributes to cognitive health by prevention of accumulation of Tau protein which is useful for nervous system but excessive accumulation can cause damage to brain cell.
• VISHMUSTYADI VATI : It contain ingredients like shudh kuchla, jaipala , lauh bhasm etc that helps to relieve symptoms nervous system disorders ,, abdominal pain, sciatica, rheumatic pain etc.
• HINGULESHWAR RASA : It has excellent result in management of Vata disorders. It provide relief from symptoms like pain, inflammation, stiffness and also remove toxic materials from the body.

USES OF CAC NERVE PLUS TABLET :

• Stimulate the nervous system.
• In insomnia
• In rheumatism
• Acts as aphrodisiac
• In Inflammation
• Improve appetite

COMPARED TO CAC NERVE PLUS TABLETS ITS ALLOPATHIC COUNTERPART IS PREGABALIN

Pregabalin comes under the class of drugs called Anti-convulsants.  It has anxiolytic, analgesic, anti-allodynic and anti-convulsant properties. When taken orally it reach peak plasma concentration within 1.5 hours.

MECHANISM OF ACTION :

It inhibits certain calcium channels in central nervous system and modulates the release of several neurotransmitters which send pain signal across nervous system.

It is available in market under brand name :

• Maxgalin
• Pregaba
• Pbren
• Peg
• Lyrica
• Pregalin
• Gabawin
• Neugaba
• Pregabid
• Pregeb

SIDE-EFFECT :

• Dizziness
• Vertigo
• Tremor
• Chest pain
• Hypotension
• Peripheral edema
• Confusion
• Nervousness
• Amnesia
• Pruritius
• Dry skin
• Urticaria
• Nausea
• Dry mouth
• Gastritis
• Back pain
• Leg cramps

WITHDRAWAL SYMPTOMS :

• Anxiety
• Nervousness
• Pain
• Insomnia
• Diarrhea
• Flu like symptoms
• Convulsions
• Hyper-hidrosis

Kutaj ghanvati is a classical Ayurvedic formulation which is pure herbal consists of stem bark of Kutaja as the main ingredient. The meaning of Ghan is dried powder or liquid or decoction and Vati is termed pills or tablets. The dried decoction of Kutaj in tablet form is kutaj ghan vati. Kutaj is an herb that is especially useful in loose motions, dysentery, and other digestive diseases. The botanical name of Kutaj is Holarrhena antidysenterica (Family: Apocynaceae).

INGREDIENTS:

1. Kutaja ( Holarrhena antidysenterica):

It is also known as Kurchi. It is a small deciduous tree with rough brown bark .It helps in removing the excess fire energy. It has tikta and kashaya rasa shows laghu or ruksha properties. It also shows cold potency which helps to pacify vata and pitta dosha. It is useful in treating diarrhea and dysentery, promotes digestion,

2. Ativisha (Aconitum heterophyllum):

This plant contains aconitic acid, tannic acid, starch, oleic acid,stearicglycerides .It helps in digestion of indigested food or increase secreation of digestive juices , removes warm infestation, purifies blood .It has tikta or katu rasa, laghu or ruksha guna and it also shows cold potency . It has beem purified by swedana process than it is consumed by human beings.

MEDICINAL PROPERTIES:

• Antimicrobial
• Antidiarrheal
• Anti -dysenteric
• Astringent
• Anthelmintic
• Detoxifier
• Hemostatic
• Anti-amoebic

 THERAPEUTIC INDICATION:

• Diarrhea
• Dysentery
• Amoebiasis
• Irritable Bowel Syndrome (IBS)
• Abdominal Pain/cramps due to Diarrhea

ALLOPATHIC COUNTERPART OF KUTAJ GHAN VATI ALONG WITH ITS SIDE EFFECTS:

LOPERAMIDE

BRAND NAME: IMODIUM

This medication is used to treat sudden diarrhea. It works by slowing down the movement of gut. This allows more time for reabsorption of fluids and nutrients make the stool more solid and less frequent. It belongs to the class of drugs called anti-diarrheal. The chemical formula of loperamide is C₂₉H₃₃ClN₂O_2.

SIDE EFFECTS:

1. Dizziness
2. Drowsiness
3. Dry mouth
4. Gas
5. Headache
6. Nausea
7. Vomiting
8. Tiredness

INTERACTION WITH OTHER MEDICATION:

• Alcohol
• Antifungal such as fluconazole
• Barbiturates such as Phenobarbital
• Carbamazepine
• Domperidone
• Mifepristone
• Tetrabenazine
• Nortriptyline
• _Ondasetron

CONTRAINDICATION:

• _{Age less than 10 years.}
• _{Liver problems}
• _{Bloody diarrhoea}
• _{Paralysis of intestines}
• _{Infectious diarrhoea}