Author Archives: Dr. Vaidya Karanvir Singh

Myasthenia Gravis is a chronic autoimmune disorder in which antibodies destroy the communication between nerves and muscle resulting in weakness of the skeletal muscles. It affects the voluntary muscles of the body, mainly those muscles that control the eyes, mouth, throat and limbs.

CAUSES OF MYASTHENIA GRAVIS:

1. The causative factor is unknown, but the disorder may have a genetic link
2. In myasthenia gravis, the receptors at the muscle surface are destroyed or deformed by antibodies that prevent a normal muscular reaction from occurring.
3. Autoantibodies that destroys acetylcholine receptors
4. Thymus tumors

SYMPTOMS OF MYASTHENIA GRAVIS:

1. In eyes

• Diplopia
• Drooping of one or both eyelids.

2. Face and throat muscles

• Difficulty in swallowing
• Impaired speech
• Changes facial expression
• Laryngeal involvement produces dysphonia.
• Bulbar muscle weakness cause nasal regurgitation.

3. Chest

• Respiratory failure is caused by weakness in the diaphragm and chest muscles that may lead to myasthenia crisis.

4. Arms and legs

• Myasthenia gravis affects the muscles of arms and legs leading to the symptoms such as
• Weakness in finger, hands, legs and arms.
• Problem in lifting objects and climbing stairs.

INVESTIGATION:

1. History and physical examination.
2. Blood test
3. Anti MuSK (Muscle Specific Kinase) antibody.
4. Tensilon test (edraphonium test).
5. Electromyography
6. CT scan
7. MRI scan

RISK FACTORS:

• Women at the age of 20-40 years and Men between the ages of 60-70years.
• Neonates with mothers who have abnormal antibodies that have entered in the body via placenta during pregnancy.
• Smoking
• Insufficient diet
• Lack of Physical inactivity
• Having undergone extensive surgeries in the past.
• People who have rheumatoid arthritis or lupus.

PREVENTIVE MEASURES:

1. Intake more amount of water
2. Avoid strenuous or exhausting activities
3. Avoid excessive heat and cold
4. Avoid emotional stress

WHOLESOME DIET IN MYASTHENIA GRAVIS:

1. Bananas
2. White rice
3. Eggs
4. Chicken
5. Orange
6. Avocados
7. Apricots

AYURVEDIC APPROACH OF MYASTHENIA GRAVIS:

It is caused due to vitiation of vata and kapha dosha at the sites of muscles. It  is also caused due to impairment of the metabolic fire-Agni,which leads to the accumulation of ama in the body.Thus suppression of Agni leads to the aggravation of dosha.

PANCHKARMA PROCEDURES:

Panchkarma is a cleansing therapy in Ayurveda that involves a series of treatments to purify the body and eliminate toxins It is believed to help with various health problems.including neurological disorders.

1. Abhyanga:

It increases circulation to massaged area bringing more oxygenated nutrients and blood to the area which in turn reduces muscle fatigue and soreness.

2. Nasya:

It prevents skin diseases,cures nasal congestion  and strengthens sensory nervous system

3. Kizhi Swedan:

It improves circulation and reduce body stiffness and pain

4. Shalishastika swedana:

 It is used to improve muscle strength,rehuvenate and re-energize body.  It maintains the thermoregulation system of the body by maintain Equlibrium between core temperature.

5. Basti:

Basti expel the body toxins and vitiated dosha by introducing medicated liquids or liquid through anal route, urethra or vaginal canal.

SINGLE HERBS USED IN MYASTHENIA GRAVIS:

1. Brahmi
2. Ashwagandha
3. Mulethi
4. Guduchi
5. Bala

CHANDIGARH AYURVED CENTRE MEDICATION FOR THE TREATMENT OF MYASTHENIA GRAVIS:

1. Detox Premium Powder:

Detox premium powder of CAC are specially formulated for ulcerative collitis. The various ingredients used for the formation of these sachets are Prawal pishti, Shukta pishti, Giloy satv, Kehrva pishti, Jahar Mohra pishti, Sutshekhar ras, Kamdudha ras that in combination provide good relief on the signs and symptoms of ulcerative colitis patients.
– Shukta pishti: This is prepared from pearl oyster shell calcium. This pishti shows antioxidant & anti-inflammatory properties that treat the fever and reduces ankle swelling.
– Prawal pishti: It is made from coral calcium that provides cooling effect and also reduces vitiated pitta doshas.
– Giloy satv: This herbal satv remove all toxins from the body. It reduces excessive Pitta from the body. It increases the RBC, WBC or platelets associated with SLE patients.
– Akik pishti: It is a mineral-based medicine that reduces excessive heat, weakness, & general debility.
Recommended Dosage – Take 1 tablet twice a day with normal water.

Method of Application – Apply over the affected area of the skin.

2. Nerve Up Tablet:

It is pure herbo-mineral formulation which helps to balance the vata dosha. It act as nervine stimulator and also reduces Kapha doshas. It mainly acts on central nervous system. It contains natural ingredients like Shudha kuchala, Shudha shilajeet, Praval pishti etc. These contain natural Vatahar properties and helps in curing vata diseases. It speeds up physical and mental processes. It helps in painful joints, stiffness , inflammation, swelling and general weakness.
Dosage – Take 1 tablet twice daily with normal water after meal.

3. Curcumin Capsule

Curcumin Capsule helps in pacifying all three doshas. Curcumin Capsule is beneficial for variety of skin conditions like Acne, Eczema, Psoriasis, and Dermatitis. 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 properties.
Recommended Dosage: Take 2 capsules twice daily.

4. Rasayan vati:

CAC Rasayan vati is herbo-mineral ayurvedic formulation, which is 100% natural. Rasayan vati contains various herbs such as Aswagandha, Shilajeet, Amla, Kesar, Musali, Shatavar, Brahmi , Mukta pisti, Praval pisti, Jaiphal, Vang Bhasam, Dalchini, Javitri, Gokhru, Kaunch Beej, Saunth, Mirch, Pipli, Amla, Kesar, Manjith, Anant Mool, Brahmi, Musali, Swarn Vang, etc. These ingredients show antioxidant, aphrodisiac, anti-inflammatory, antipyretic, analgesic, immuno-modulator properties.  These tablets provide good results in General debility, Psychological disorders, and improve immunity.

Recommended Dosage – Take 1 tablet twice daily

5.  Immuno Booster Tablet

It is a pure herbal combination that helps to build up immunity. It consists of effective levels of antioxidants. Vitamin C and E circulate in the body to protect it against the damage caused by free radicals. It has natural immunity-boosting properties to prevent and ease cough, cold, headache, and infections. It provides quick relief from early signs of running nose, itching throat, body ache, and weakness.

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

OVERVIEW :-

According to the Ayurveda ,the best time to wake up before sunrise and sleep before 10pm .when the kapha period has induced dullness in the body. It’s also important to have a gap of at least 2 hours between dinner and sleep time. The three types of dosha in ayurveda :- vata,pitta, kapha.these three dosha are responsible for good health. the dosha determine various function include sleeping. sleep is caused by increased kapha, insomnia is caused by vata and pitta dosha. In ayurveda sleep is compared with nidra .nidra is one among the three upstambha. It is also important as ahara.  sleep is considered as a basic instinct of life which is essential for all living beings.

DEFINITION OF SLEEP:

When the mind gets exhausted or becomes inactive and the sensory , motor organs also becomes inactive then the individual sleep. During sleep our body enters into anabolic state that restores the body critical functions like immunity .

TYPES OF SLEEP :-

ACCORDING TO ACHARYA CHARAK :

1 . TAMOBHAVA :-

It is a type of sleep which is caused by increase in tamas guna .when tamas guna increase person will feel inside the shell of darkness .it can be natural when it occurs at night time .

2. SHLESHMA SAMUDHBHAVA  NIDRA :-

It is a type of sleep  which is caused by kapha dosha . kapha is said to be predominant in childhood. Children sleep more than a adult .

3. MANAH SHARIRA SHRAMA SAMBHAVA NIDRA :-

It is a type of sleep which occurs when there is exhaustion of mind and body.

4. AGANTUKI NIDRA :-

It is caused by the externally such as  effect of some medicines , injury etc.

5. VYADHYANUVARTINI NIDRA :-

It is a type of disease which is caused by complication of some disease such as sannipataj jwar

6. RATRI SWABHAVA PRABHAVA NIDRA :-

It is a type of sleep comes naturally at night time and it is healthy kind of sleep .

EFFECT OF DOSHA ON SLEEP :-

6-10 AM, PM :- KAPHA DOSHA  is dominant . In which prithvi (earth) and jal (water) elements is involved . In stomach food gets mixed with digestive juices and initial stage of digestion sets in it. There is heaviness in head ,eyes and wole part of body which makes sleep easier. Most part of relaxation happened this time .

11-2 AM,PM: – PITTA DOSHA  is dominant  in which agni (Fire)  and jal (water) elements is involved. Most part of the digestion and metabolism occurs at this stage .

3-6 AM, PM:- VATA DOSHA is dominant in which air (air) and space(akash) elements is involved . 3-6 am stool and urine formation happens more at this stage mind becomes more and more active at this time .

HOW MUCH SLEEP IS ENOUGH ACCORDING TO AYURVEDA :-

Sleep according to ayurveda  varies as per  the prakriti of person. vata prakriti person requires more sleep.pitt prakriti person require moderate sleep. kapha prakriti person will require less time for sleep . In addition the mental status of person , health condition, age , determine how much sleep require for a person . 6-8 hours of sleep require for a healthy person.

BENEFITS OF SLEEP:-

• It provides nourishment and strength .
• It can helpful in improving concentration.
• It can provide good health and happiness to the body.
• Reduced focus on negative things.

WHY DAYTIME SLEEP IS CONTRAINDICATED:-

Day time sleep is good in summer season because nights are shorter during summer and vata dosha increases . In other season if  person sleep in day time they will suffer from ajirna roga (indigestion) .

INDICATION FOR SLEEP IN DAY TIME :-

• If someone has been suffering from any injury or disease can sleep during the day time .
• People with weakness.
• People who work at night time.
• Elder or young children

AYURVEDIC TIPS FOR A GOOD SLEEP :-

• Fix your times to wake and sleep .
• Increase kapha food( which are sweet in taste) intake at bedtime if suffer from insomnia .
• Padabhyanga (massaging your feet).
• Listening to gentle and calming sounds .
• Eat boiled rice with yoghurt.
• Sleeping area is a comfortable clean and free from noise.
• Taking a hot shower or a relaxing bath.
• Make lunch is biggest meal of the day :-
• At noon when the sun is highest in the sky , the agni is also higher at that time and it is better to process a big meal.
• At evening, agni is weaker the problem will that is when the people is eating a big meal in the evening .agni can not digest the food easily or cause sleep disturbance .
• Night time is the best time to rest , recharge and repair. If people take a big meal at dinner time the the body needs more work hard to digest the food .so, that aim for bigger lunch and lighter dinner abd finishing a minimum time of 3 hours before bedtime.
• Avoid caffeine , alcohol and nicotine late in the day.
• Avoid bright light in the evening and expose yourself to sunlight in the morning.
• exercise 20-30 minutes a day.

GOOD FOODS TO EAT BEFORE SLEEP :-

1. Almonds are a good source of the sleep which regulates the melatonin hormone .
2. Kiwi fruit are rich in serotonin and antioxidants they help to improve sleep quality .
3. Wallnuts are also improve sleep quality .
4. Milk contains melatonin and tryptophan which provides good sleep when drink at bed time.