INTRODUCTION    

Folliculitis is a skin condition which is characterized by the infection of hair follicles with bacteria. The hair follicles get inflamed and red. The skin will develop small red bumps which will look like acne. The infection occurs in the tiny pockets of the hair follicles and the infection can spread further. Pain in the sores, itching and discomfort are the most common symptoms of folliculitis. It mostly occurs in arms, face, back or legs. It is caused due to excessive sweating during exercise, shaving, etc.

When folliculitis is mild, with some of the self-care measures, it gets healed. But when the condition is severe or repetitive, then medications are required. It can lead to hair loss and scarring of the affected part.

WHAT ARE THE CAUSES OF FOLLICULITIS?

Folliculitis is the inflammation of the hair follicles. Body is completely covered with hairs. Hair is good for providing insulator purpose to the body. It is present in a pit called hair follicle. When the bacteria or any micro-organism resides in this hair follicle, this leads to infection and is thus known as folliculitis. Staphylococcus aureus is mainly responsible for folliculitis.

WHAT ARE THE RISK FACTORS OF FOLLICULITIS?

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

• Soaking in an unhygienic public pool or a hot tub
• Regularly wearing synthetic clothes, rubber gloves or high boots
• Wearing tight clothing
• Doing shaving, plucking or waxing
• Excessive sweating
• Suffering from dermatitis
• Weakened immune system
• Skin care products which leads to blockage of pores in skin
• AIDS
• Diabetes
• Having ingrown hairs
• Certain medications such as steroids, antibiotics or chemotherapy

WHAT ARE THE SIGNS AND SYMPTOMS OF FOLLICULITIS?

The common signs and symptoms of folliculitis are:

• Clusters of acne around hair follicles
• Itching and burning sensation in the skin
• Tenderness
• Presence of pus-filled blisters
• Inflammation in the whole area
• Blisters get break down and ooze, then they become crusty

HOW THE PREVENTION OF FOLLICULITIS IS DONE?

Folliculitis can be prevented by taking some simple steps. Following are the preventive measures which are found to be very beneficial for folliculitis:

• Washing the skin regularly
• Using a clean towel
• Do not share towels or clothes with the other person
• Washing clothes regularly
• Wearing loose clothes
• Avoid pressure or friction on the affected parts
• Do not shave the infected area
• Use depilatories that suits the skin
• Do not use public pools

WHAT ARE THE COMPLICATIONS OF FOLLICULITIS?

The complications which are associated with folliculitis are:

• Recurrent infection
• Dark or light patches
• Permanent scarring
• Permanent hair loss

CHANDIGARH AYURVED CENTRE’S MEDICATIONS FOR THE TREATMENT OF FOLLICULITIS

Here are some of the medications of Chandigarh Ayurved centre which are used for the treatment of folliculitis:

1. Twak Tailam

Twak tailam is used for those who have acne-prone skin, skin discoloration and equally good for all skin types. It includes – Wrightia tinctoria, Coconut oil. This oil has been subjected to less intense refining, lower temperature with no chemicals. It has pacifying or cooling properties which further beneficial for improving the skin’s elasticity. In one single step, the skin is deeply cleansed as well as moisturized. It seeps into the pores and hydrates deeply and the molecules present in the oil ensuring the repair of the collagen layer.

Recommended Dosage: For external application over the affected area.

2. Aloe Vera Gel

Aloe Vera Gel is formed with the pure extract of herb Aloe Vera and the mixture of rose petals. Thus this wonderful composition provides a cooling effect on the skin that relieves from burning sensation, itchiness, etc. The gel helps in maintaining healthy skin and repairing skin damage.

Recommended Dosage – Gently apply over the affected area of the skin.

3. Panchatikta Ghrita Guggulu

The tablets are very beneficial in curing skin diseases as it contains the Pitta pacifying ingredients such as Shuddh guggulu (Commiphora mukul), Neem (Azadirachta indica), Amrita (Tinospora cordifolia), Gajapippali (Piper chaba), Shunthi (Zingiber officinalis), etc. The tablet is Tridoshahara, thus is very effective in maintaining the hormonal level in the body.

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

4. Skin Care tablet

Skin care tablet is herbo mineral and purely ayurvedic formulation. It contains various herbs like Haridra khand, Panchnimba churna, Panchatikta guggulu, Patol patra, Ajmoda, Khadir chhal, Chirayta, Mulethi, Manjistha, Chopchini, Gandhak, etc. Skin care tablet is a blood purifying. It cools and detoxifies the blood, dissolves obstructions in the blood flow that further increase blood circulation of the skin. It minimises the blemishes, lighten sun tan, delay ageing of skin and heal skin problems. These tablet also act as a skin moistuirizer, Improves blood circulation, Remove blemishes, Reduce itching and burning sensation of skin, Prevent acne and pimples, Relieves leucoderma.

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

5. 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.

Chandigarh Ayurved Centre Hair Live Oil is 100% natural & safe prepared from various extracts of herbs & oil. It is used in various kinds of hair related issues like Baldness, Greying of hairs etc. It contains very good herbs that work on your hair and roots of hair in your scalp. It makes your hair shiny and thick. The herbs used for formulation of this oil shows antioxidant, anti-dandruff, anti-inflammatory properties. This product is herbal and natural formula for maintaining hair health.

INGREDIENTS:

1. Sesame oil:

 It has antibacterial or antifungal properties. It contains unsaturated fatty acids, oleic acid, stearic acid and trace amount of linolenic acid.

2. Almond oil:

 It promotes heart health, stabilize blood sugar level, prevent free radical damage and help you maintain a healthy weight. It consists of oleic acid, linoleic acid, palmitic acid and stearic acid. Using almomnd oil in hair gives soft texture. Regular use of almond oil may help to reduce hairfall.

3. Jotismati oil:

This oil is beneficial for hair and is often used as hair tonic. Application of Jotismati on the scalp helps to reduce dandruff due to its antifungal property and healthy hair growth

4. Amla :

It has antibacterial, anti-oxidant and anti-inflammatory properties. 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.

5. Bhringraj :

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.

6. Manjistha :

It is commonly used as blood purifier. It has many properties like anti- stress, anti -platelet and anti-diabetic.

7. Jatamansi:

It acts as anti-fungal agents which revives roots of hair and also help in fighting scalp infection. It penetrates deep into the follicles of hair and makes the hair root and strands more stronger.

8. Neem patta:

 Neem leaves condition your hair from root to tip and makes it healthy looking and visibly soft. It has anti-bacterial properties.

9. Brahmi:

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

USES:

• Hairfall
• Greying of hairs
• Dandruff
• Dry scalp
• Thinning of hairs
• Baldness
• Alopecia
• Loss of lusterless

ALLOPATHIC COUNTERPART OF HAIR LIVE OIL ALONG WITH ITS SIDE EFFECTS:

MINOXIDIL

It contains Minoxidil, a potassium channel opener. Minoxidil belongs to the class of drugs known as vasodilators. It dilates the blood vessels to promote blood flow and reduce blood pressure. It is an anti-hypertensive vasodilator that is used to treat hypertension. Hypertension is a condition in which blood pressure elevates persistently in the arteries.

SIDE EFFECTS OF MINOXIDIL:

• Dizziness
• Breast pain
• Tachycardia
• Fluid retention
• Nausea
• Vomiting
• Itching
• Rash

CONTRAINDICATION:

1. Psoriasis
2. Hypertension
3. Shaved scalp
4. During pregnancy or breastfeeding

DRUG INTERACTION:

• Drugs used to treat high blood pressure (guanethidine)
• Drugs used to treat impotence (tadalafil)

DRUG DISEASE INTERACTION:

1. Adrenal gland tumor
2. Angina
3. Asthma
4. Seizures
5. Pulmonary hypertension
6. Migraine
7. Liver and kidney diseases

The traids of health are Aahara(Diet), Nidra(sleep), Bramhacharya(Abstinence). According to Ayurveda an optimum state of health can be achieved by when there is proper balance of “Three sub pillars of life”. One who manages three pillars properly is guaranteed a full life span that will not be short by disease.

THREE SUB PILLARS OF HEALTH ARE:

1. ahara
2. Nidra
3. Brahmhacharya

 AHARA :

Food which is consumed with the help of tongue or mouth and throat is called as ahara. Food is the most important source to achieve nutrition and good health.

DIFFERENT  VARIETIES OF FOOD:

1. Sukadhanya (corn with bristles)
2. Samidhanya(pulses)
3. Mamsa(meat)
4. Saka(vegetables)consisting of leaves, tubers etc.
5. Phala(ripe fruits)
6. Harita (salads)
7. Madya(wines)
8. Jala (water)
9. Gorasa (milk and milk products)
10. Ikshuvikara(products of sugarcane)
11. Krtanna(food preparation) such as peya(gruel), Vilepi(thick gruel),manda etc.
12. Aharayogi (accessory food articles) such as oils, condiments, spices, salts etc.

TIME FOR TAKING FOOD

Two aharakala: Morning and evening is recommended for the basic meals and food in between is not recommended at all.  Meal is taken after proper digestion of previous food which can be known for the symptoms like proper evacuation of bowels, lightness in body, hunger and thirst.

Food is not taken within the yama (3 hours) after the previous meal because in this period rasa dhatu development process is occurred.

EIGHT FACTORS OF DIET AND DIETICS:

1. Prakriti: Natural qualities are the innate properties of substances. Presence of qualities lik coldness, heaviness etc.
2. Karana: It is the preparation of food to modify the natural properties.
3. Samyoga: It is the combination of two or more substances.
4. Rasi: It is of two types saragraha(total measurements of whole food) and parigraha (Detailed measurement of each substance of diet )
5. Desa: desa means habitat. It indicates that the qualities of substance growing in which region,climate or soil. Substance which grows in watery region having the qualities of ushna or ruksha and the substance growing in desert or sandy regions having qualities of sheeta and snigdha.
6. Kala: Two types of kala are nityaga and avasthika.
7. Upayoga samstha: procedure in diet consists of dietic rules and it is determined by strength of digestion.
8. Upayokta (User): user is he/she who makes to use food. Rules for taking food are hot, unctuous, neither too hurriedly, without talking or laughing, with full concentration, after digestion of previous meal etc.

HEALTH BENEFITS OF AHARA:

1. Enhances strength and immunity
2. Improves memory
3. Help in sustenance of life
4. Provide good complexion and color
5. Provide longevity of life
6. It provides good nutrition of all the cells and organs
7. Provide nourishment
8. Enhances strength and vigor
9. Enhances intellect
10. Provide happiness and pleasure.

NITYA SEVANIYA AHARA:

1. Rice
2. Wheat
3. Barley
4. Haritaki
5. Mridwika
6. Honey
7. Saidhava

NITYA ASEVANEEYA AHARA:

1. Dadhi (curd)
2. Shaluka(edible lotus root)
3. Masha
4. Pasted starch
5. Small barley
6. Dried vegetables

NIDRA

It is nothing but temporary loss of contact with jannendriya and karmendriya.the natural condition of rest when your eyes are closed and mind and body are not active.

TYPES OF NIDRA:

• TAMOBHAVA :-

Tamobhava nidra is due to increase in tamas guna .when this guna is increased person will feel inside the shell of darkness. It can be natural if it is occurs at night time.

• SHLESHMA SAMUDHBHAVA NIDRA :-

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

• MANAH SHARIRA SHRAMA SAMBHAVA NIDRA :-

This sleep is occurs when there is exhaustion of mind and body.

• AGANTUKI NIDRA :-

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

• VYADHYANUVARTINI NIDRA :-

It is a type of disease which is due to complication of some disease such as sannipataj jwar.

• RATRI SWABHAVA PRABHAVA NIDRA :-

This sleep comes naturally at night time and it is healthy kind of sleep.

EFFECTS OF LESS SLEEP:

1. Unhappiness
2. Emaciation
3. Weakness
4. Unwise
5. Destroys the life

BENEFITS OF NIDRA:

• 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.
• Helps you make better decision.

INDICATION FOR DAY SLEEP:

One who is tired due to

• Singing
• Studying
• Ksheena
• Bala
• Weightlifting
• Atisara
• Shwasa
• Patita(fallen)
• In greeshma ritu

CONTRAINDICATION OF DAY SLEEP:

1. Medaswi
2. Kapha prakriti
3. Snehnitya
4. Dushee visha
5. Kaphavyadhi

DISEASES CAUSED BY DAY SLEEP:

• Haleemaka
• Shopha
• Kandu
• Kasa
• Agni nasha
• Obstruction in channels
• Diseases of throat
• Migraine

TREATMENTS FOR NIDRA NASHA(INSOMIA)

1. Abhyanga
2. Medicated oil application on head
3. Rubbing the body with medicated powder
4. Draksha
5. Ikshu and its various preparation.

ATINIDRA CHIKITSA:

• Vamana
• Langhana
• Rakta mokshana
• Sadness of mind

INDICATION FOR RATRIJAGRAN:

1. Kaphaja vyadhi
2. Meda vikara
3. One who is affected by visha.

BRAHMACHARYA:

It is the third component of traya upstambha.It is composed of two words brahma and charya. Brahma means self, ultimate unchanging reality; absolute consciousness .Charya means occupation with engaging, behavior, conduct, to follow. Brahmacharya promotes life and preserves health. Sexual energy called sukra .it is needed to build ojas the energy that provides stability to body and mind and underlines the strength of immune system. When sukra is depleted ojas is depleted as well. if ojas is not sufficient the mind and body are more susceptible to disease. Indulgence is advised in winter and spring season and it is less advised during monsoon and summer. The person avoided sex who is physically stressed, mentally not prepared, worried, suffering from fever; surroundings are not good, suffering from prolonged systemic disease etc.

CLASSIFICATION OF BRAHMACHARYA:

1. Naishthika brahmachraya: It is defined as the regulated activity of body, mind and speech in all times and situations.
2. Vaivahika brahmacharya: It is followed during married life with all disciplines.
3. Ashtanga brahmacharya: It is defined as the regulated activity of sense organs and mind when they come in contact with their objects.

This Kadha is herbal and purely Ayurvedic formulation. This kadha helps to control blood sugar levels and normalize them. This kadha helps to balance out all three doshas Vata, Pitta and Kapha in body but mainly Kapha dosha. This kadha contain various ingredients like haldi, kalizeeri, ashwagandha, tulsi and dalchini which have anti-glycemic properties thus helps to reduce symptoms associated with Diabetes. This kadha has natural anti-bacterial, anti-microbial, anti-oxidant and immuno-modulator properties.

INGREDIENTS OF CAC DIABO CARE KADHA:

• Dalchini (Cinnamomum verum) : It helps to regulate the production of insulin thereby reducing the blood sugar levels in body. It also slow down the breakdown of carbohydrates in digestive tract that results in reduced glucose entry amount in circulation.

• Tulsi (Ocimum tenuiflorum ) : It promotes the function of β-cells of pancreas that in turn boost the glucose uptake by body cells. It also tends to regulate the cortisol levels in the body thus relieve stress and fatigue. It also improve  the overall immunity due to its anti-oxidant, anti-inflammatory and anti-septic properties.

• Haldi (Curcuma longa ) : It has strong anti-diabetic properties . It stimulates the β-cells of pancreas  that improve the production of insulin. It also reduce breakdown of starch into glucose that in turn lowers the blood glucose levels in body.

• Ashwagandha (Withania somnifera ) : It has hypo-glycaemic property that plays significant role in regulating the blood sugar levels. It also helps to reduce the breakdown of starch into glucose that leads to lowering of blood glucose levels.

• Kaliziri (Nigella sativa) : It prevents the sudden spike in blood sugar levels  and also prevent other associated symptoms of diabetes like fatigue, thirst and confusion.

USES OF CAC DIABO CARE KADHA:

• Diabetic neuropathy
• Diabetes
• Obesity
• Anti septic
• Maintain over all immune system health
• Rejuvenation

COMPARED TO CAC DIABO CARE KADHA THE ALLOPATHIC COUNTERPART IS GLIMEPIRIDE

Glimepiride comes under the class of drugs known as sulfonylurea.  It is an anti-diabetic medication which is administrated orally to treat type-2 diabetes. It take up to 3 hours for maximum effects and the effect last for about a day. It is not used for the treatment of type-1 diabetes.

MECHANISM OF ACTION :

It  as an insulin secretagogue. It lowers the blood sugar by stimulating release of insulin by β-cells of pancreas and also increase activity of intra-cellular insulin receptors.

Available in market with brand name :

• Accuglim
• Abepride
• Adride
• Amaryl
• Axylim
• Asoride
• Azulix
• athgim
• Diaglim
• Daoryl

SIDE-EFFECTS :

• Nausea
• Palpitations
• Fatigue
• Weakness
• Dizziness
• Unexplained weight gain
• Irritability
• Trembling
• Sweating
• Blurred vision
• Confusion
• Lack of coordination
• Stubbornness
• Mood swings like impatience, anger, sadness etc
• Itchy skin
• Easy bruising
• Stomach pain
• cholestasis
• thrombocytopenia

CONTRA-INDICATION :

• Hypersensitivity
• Thyroid disease
• Liver disorders
• Kidney diseases

OTHER DRUG INTERACTION :

• Ethanol
• Methyl amino-levulinate
• Amino-levulinic acid
• Ivacaftor

It is a condition caused by pressure on median nerve .Carpal tunnel is an opening in wrist that is formed by the carpal bones on the bottom of wrist and the transverse carpal ligament is located at the top of wrist. Median nerves provide sensory and motor function to the thumb and 3 middle fingers. It is a progressive condition that can worsen without proper treatment.

WHAT ARE THE CAUSES OF CARPAL TUNNEL SYNDROME?

1. Family history
2. Thyroid dysfunction
3. Joint or bone disease
4. Diabetes mellitus
5. Fluid retention from pregnancy or menopause
6. Fracture or trauma to the wrist
7. High blood pressure
8. Amyloidosis
9. Overweight

SYMPTOMS OF CARPAL TUNNEL SYNDROME:

1. Tingling sensation
2. Numbness
3. Pain in fingers and wrist.
4. Difficulty in moving the hands like holding a book to read, writing or using a computer keyboard.
5. Weakness in muscles of hand
6. Swelling

HOW IS CARPAL TUNNEL SYNDROME DIAGNOSED?

1. Tinel’s sign:

In this test the doctor taps over the median nerve at the wrist and it produces a tingling sensation in the fingers. It means this test is positive.

2. Phalen’s maneuverTest:

It is positive when flexing the wrist to 90 degrees for 1 minute elicits symptoms in the median nerve distribution.

3. X-Rays.
4. Electromyography: Nerve conduction study two electrodes are taped to the skin. A small shock is given through the median nerve to see if the electrical impulses are slowed in the carpal tunnel. It shows median nerve working and how well it controls muscle movement.
5. MRI scan.

DIFFERENTIAL DIAGNOSIS:

1. Pronator teres syndrome:

It is caused by compression of median nerve by the pronator teres muscle in the forearm.

2. Cervicobrachial syndrome :

Neck pain associated with tingling, numbness or discomfort in the arm, upper back and upper chest with or without an associated headache

3. Anterior interosseous nerve syndrome:

It is an associated palsy of flexor pollicus longus, the index and long fingers of the flexor digitorum profundus and the pronator quadratus muscles of the forearm.

RISK FACTORS OF CARPAL TUNNEL SYNDROME:

1. Sex: It is more common in women because the carpal tunnel area is small in women than in men.
2. Chronic illness: Diabetes increases the risk of nerve damage.
3. Obesity
4. Medical conditions such as menopause, thyroid disorders, kidney failure increase the chances of carpal tunnel syndrome.
5. Anatomic factors: Fracture, Dislocation, Arthritis the deforms the small bones in the wrist, can alter the space within the carpal tunnel and put pressure on the median nerve.

PREVENTION OF CARPAL TUNNEL SYNDROME:

1. Keep hands warm
2. Take short and frequent breaks
3. Keep your wrist straight when using tools.
4. Decrease repetitive or strong grasping with wrist in flexed position.
5. While sleeping keep wrist straight.
6. Mild exercise should be done
7. Consume balanced diet
8. Maintain healthy body weight

AYURVEDIC APPROACH OF CARPAL TUNNEL SYNDROME:

This condition is included under vata vyadhi in which vata dosha gets vitiated it cause symptoms like pain, numbness, swelling and restricted movements of joints. The causative factors of vata are excess intake of bitter, pungent and astringent food, very cold food, night awakening, and excessive exercise.

PANCHAKRMA PROCEDURE:

1. Lepan
2. Upnah
3. Pichu (Keeping cotton soaking in warm oil)
4. Basti
5. Bandana
6. Dhara (Pouring of warm medicated oil)

GOOD FOODS:

1. Berries
2. Spinach
3. Walnuts
4. Fatty fish
5. Banana, soyabean, Potatoes

FOODS TO AVOID IN CARPAL TUNNEL SYNDROME:

1. Refined sugar
2. White bread
3. Pasta
4. Cookies
5. Candies
6. Food high in saturated fat and trans fat

CHANDIGARH AYURVED CENTRE MEDICATION FOR THE TREATMENT OF CARPAL TUNNEL SYNDROME:

1. Detox Premium Powder:

Detox premium powder are herbo-mineral sachets which are purely Ayurvedic formulation. These sachets mainly detox the body and eliminate toxic substances and helps in proper metabolism of all the functions. These sachets have anti-inflammatory, antioxidant, and anti-bacterial, anti-fungal, and immune-modulator. The ingredients present in it are moti pishti, parwal pishti, shukta pishti, Giloy satv, kamdudha ras, Jahar Mohra, akik pishti, gandhak rasayan, sutshekhar ras, etc. These ingredients balance all the three doshas (Vata, Pitta & Kapha) and help in blood purification, reduce burning sensation, weakness, and hot flashes in patients. It reduces the level of high uric acid in the body and is beneficial in relieving discomfort, numbness, muscle ache, and reduces swelling. It is very beneficial in reducing the redness, stiffness, improves the movements of joint, Ulcerative colitis, Vomiting, Psoriasis, Eczema, Cramps, Dysuria, Psychosis, Insomnia, and Schizophrenia.

Recommended dosage: Take 1 sachet twice daily.

2. Nerve Plus tablet:

These tablets show Anti-inflammatory, Antioxidant, and immune- modulator properties. It contains herbal ingredients Ghritkumari (Aloe barbadensis), Kali mirch (Piper nigrum), Giloy satav (Tinospora cordifolia), shudha kuchala, shudha shilajeet, shudha vatsnabh, shudh singraf. These herbs help in balancing Vata dosha. It is beneficial for diseases of stomach, kidney, stimulates nerves and appetite, and promotes the level of testosterone naturally. It also reduces inflammation, general weakness, shortness of breath, and pain.

Recommended Dosage – Take 1 tablet twice daily.

3. Trikatu Tablet:

Trikatu means 3 most essential species –Maricha (Piper nigrum), Pippali (Piper longum), and Sonth (Zingiber officinale). It is an herbal formulation used in Ayurveda for enhancing effects and increasing the absorption of ayurvedic medicines. It has hot potency, which means its intake results in the production of heat in the body and increases digestive juices and bile salt secretion. Trikatu tablet promotes the bioavailability of nutrients and increases the absorption of drugs in the bloodstream.

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

4. Panchasakar Churna:

The churna has best results in the detoxification of excess toxins from the body and maintains the proper metabolism. It is made up of a total of 5 ingredients – Shunthi (Zingiber officinale), Haritaki (Terminalia chebula), Svaran patri (Cassia angustifolia), Shatapushpa (Foeniculum vulgare),Sauvarchala lavana (Rock salt). The powder reduces the inflammation, redness, relieves constipation, abdominal discomfort and also prevents it from re-occurring.

Recommended Dosage – Take 1 teaspoonful at bedtime with lukewarm water.

5. Makar rasayan:

It contains natural ingredients like shudha kuchla, guduchi satva, shudha shilajeet, ras sindoor, moonga bhasma, shankh bhasma, praval pishti etc. These ingredients show antioxidant, aphrodisiac, analgesic and immune modulator properties. It helps to rejuvenate body tissues and act as an immune modulator, Immunity booster, Improves vitality, improves the overall health of an individual, Acts on Central Nervous System, Help reduces stress, anxiety and cures Vata dosha related disorders.

Recommended Dosage – Take 1 tablet twice daily.

6. Giloy Capsules:

Giloy Capsules are herbo mineral and purely ayurvedic formulation. Giloy has been used in ayurvedic medicine since ages. These capsules are made up pure extract of Giloy ( Tinosporia Cordifolia ), which is also known as AMRITA which translates to root of immortality because of its abundant medicinal properties.  Giloy capsules are highly efficient as they contain required amount of Giloy in them and are 100% natural and safe. It is one of the best Rasayan of ayurveda that help Rejuvinate your body in all aspects. It is a very good anti-oxidant, anti-bacterial, anti-fungal and anti-microbial herb and also helps in pacifying Vata dosha. Giloy capsules support normal kidney functions, have blood purifying properties, treat liver disorders, skin diseases, general weakness and boost your immune system to fight against infections.

Recommended Dosage:  Take 1-2 capsules twice daily after meals.

7. Vata Balance Tablet:

Vata balance tablet is a rejuvenating blend of herbs is specially formulated to balance Vata doshas without aggravating Pitta or Kapha doshas. It may be used to support overall health and well-being by Vata constitutions with or without food. For those with a dual constitution that includes Vata or a tridoshic constitution, it is an excellent formula for the Vata season, which in most parts of the world is autumn and early winter. This is the time when Vata gets aggravated. Healthy Vata contains herbs that help the system remain balanced throughout the season. The main ingredients are trikatu, triphla, giloy, nirgundi, and vatsnabh.

Recommended Dosage – Take 1 tablet twice daily.

INTRODUCTION

Dry eye disease is a medical condition which is characterized by inability to produce tears by the eyes. Tears are produced by lacrimal glands present within the eye orbit above the lateral side of eye. They help in lubrication of the eyes. When there are no tears, then there is stinging or burning sensation in eyes. A person has itching and gritty feeling in his/her eyes. Normally, there are three layers of tear film that cover the eye and protect it. It makes the surface smooth and stable. But in dry eye syndrome, there occurs disruptions in the tear film, thereby causing numerous symptoms.

The diagnosis of dry eye syndrome is difficult as there are various factors responsible for it. The treatment includes certain oral medications and eye drops. Good eating habits and healthy lifestyle can help a lot in management of dry eye syndrome.

WHAT ARE THE CAUSES OF DRY EYE SYNDROME?

Dry eyes occur due to variety of reasons that lead to disruption of the tear film. The tear film consists of three layers – fatty oils, aqueous layer and mucus. This combination helps in keeping the surface of eye smooth, clear and lubricated. When any of these layers is not produced, it leads to dry eye syndrome.

Following are the reasons for decreased production of tears by the lacrimal glands:

• Blepharitis
• Ectropion and entropion
• Allergic eye disease
• Autoimmune disorders such as rheumatoid arthritis, lupus, scleroderma, sarcoidosis
• Hyperthyroidism or hypothyroidism
• Deficiency of vitamin A
• Parkinson’s disease
• Nerve damage
• Laser eye surgery
• Dry air
• Certain medicines such as hormones, antidepressants, blood pressure medicines, decongestants, etc

WHAT ARE THE RISK FACTORS OF DRY EYE SYNDROME?

Some factors increase the risk of a person developing dry eyes. Following are the risk factors of dry eye syndrome:

• Age above 50 years
• Women are more prone as compared to men
• Eating diet low in vitamin A
• Regularly wearing contact lenses
• Having a history of refractive surgery
• Menopause

WHAT ARE THE SIGNS AND SYMPTOMS OF DRY EYE SYNDROME?

The common signs and symptoms of dry eye syndrome are:

• Grittiness in eyes
• Stinging or burning sensation in eyes
• Increased sensitivity to eyes
• Redness in eyes
• Itching in eyes
• Blurred vision
• Eye fatigue
• Watery eyes
• Stringy mucus in eyes

WHAT ARE THE COMPLICATIONS OF DRY EYES?

Following are the complications which are associated with dry eyes:

• Corneal ulcers
• Abrasion of cornea
• Inflammation of eyes
• Poor quality of life as a person gets difficulty in performing day to day activities
• Loss of vision

HOW PREVENTION OF DRY EYES CAN BE DONE?

By following some of the steps, dry eyes can be kept at bay. Following are the precautions:

• Avoid direct air blowing in the eyes such as car heaters, hair dryers, air conditioners
• Wearing sunglasses
• Taking periodic eye breaks
• Quit smoking
• Use artificial tears regularly

CHANDIGARH AYRUVED CENTRE’S MEDICATIONS FOR THE TREATMENT OF DRY EYE SYNDROME

Here are some of the medications of Chandigarh Ayurved centre which are used for the treatment of dry eye syndrome:

1. Nerve Up Tablet

Nerve up tablet is a herbo-mineral tablet and is purely ayurvedic formulation. CAC Nerve up tablets help in balancing the vata doshas. It reduces kapha dosha, and acts as nervine stimulant. It shows effective results in improving the central nervous system. It contains natural ingredients like shudha kuchala, shudha shilajeet,  praval pishti, shankh bhasma etc. These contains natural vatahar properties and helps in curing vata diseases.

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

2. Detox tablets

It optimizes the balance of Bacteria in the Digestive tract. Detox tablets are 100% natural & safe containing 1gm herbs extract. The herbs used for formulation of these tablets show antioxidant, anti-inflammatory, anti-stress, & immuno-modulator properties. The herbs & minerals used for preparation of this churna shows antioxidant, anti-inflammatory, immuno-modulator properties. It consist of Parwal Pishti, Shukta Pishti, Giloy Satav, Kamdudha Ras, Jahar Mohra, Akik Pishti, Gandhak Rasayan, Shankh Bhasma, Sutshekhar Ras, Sudhyog Tab, Shwet Parpati, Yavakshaar.

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

3. Vata Tablet

Vata balance tablet is a rejuvenating blend of herbs is specially formulated to balance Vata doshas without aggravating Pitta or Kapha doshas. It may be used to support overall health and well-being by Vata constitutions with or without food. For those with a dual constitution that includes Vata or a tridoshic constitution, it is an excellent formula for the Vata season, which in most parts of the world is autumn and early winter.

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

4. Roshani Eye Drop

Roshani Eye Drop is pure Ayurvedic formulation used in problems like frequent travel, work on a computer, and lack of sleep. This eye drops contains herbal ingredients like Nimba (Azadirachta indica), Bhringraj (Eclipta alba), Punarnava (Boerhavia diffusa), Haritaki (Terminalia chebula), Shwet Chandan, Rakta chandan, Tulsi (Ocimum sanctum), Haridra( Curcuma longa), Gulab (Rosa damascena), Adrak (Zingiber officinale), Bahera (Terminalia bellirica), Pudina (Mentha spicata), Saindhavan lavan, Phitakari, etc. This eye drop soothes up the eyes, prevents infections and clears off particles in the eyes, improves vision.

Dosage: Put one drop in each eye in the morning and at bed time.

5. Triphla Syrup

Triphala Syrup ancient herbal remedy contains equal parts of three herbs like T. Chebula, T.bellirica rox, and E. officinalis. These ingredients are very beneficial for digestive system, maintain bowel wellness, helps in abdominal bloating, and flatulence. Triphala Syrup is tridosha hara. It is used to detoxify the body and support the immune system. It is known for its antibacterial, antioxidant, and antiviral abilities. It is prescribed for treating fatigue and gastric distress, pneumonia, constipation, vaginal infections, piles and eye problems.

Recommended Dosage– Take 1 tablespoon twice a day.

It is one of best herbal multivitamin supplement which naturally provides benefits of a multivitamin. It is rich in Vitamin D whose only best source is sunlight but Ayuvita has same potency as we get from sun rays. It helps to strengthen bones and muscles. It has vitamin B that supports your memory. This makes our body’s nerve function properly. Vitamins are needed for proper development of the body. Vitamin A, C, D, E and K play an important role in the development of the body. Vitamin ‘E’ is often eaten for skin beauty. But excess of it in the body causes internal bleeding. Multivitamin Tablet is used for Skin diseases, Baldness, Supplements, Migraine headache, White hair, Heart problem, Cell damage, Alzheimer’s disease, Arthritis, Vitamin D deficiency and other conditions.

Ingredients:

1. Moringa :

It is also called drumstick tree. It contains a variety of proteins, vitamins and minerals. It has many medicinal properties such as anti-diabetic,anti-inflammatory,anti-cancer,anti-ulcer,anti-allergic, wound healing, analgesic. It protects cells from damage

1. Tulsi:

It contains oleanolic acid, ursolic acid, Eugenol and beta caryophllene. It has a unique combination of actions that include anti- microbial, anti-malarial, anti-diarrheal, antioxidant, anti- inflammatory properties.

1. Spirulina:

It is a potent source of nutrients. It contains a plant based protein called phycocyanin. It has antioxidant, analgesic, anti-inflammatory and brain protective properties. It inhibits the release of histamine by mast cells.

1. Mushroom extract:

It has many medicinal properties such as antioxidant, anticancer, antidiabetic, anti-allergic and immunomodulating , cardiovascular protector, antiviral, antiparasitic, hepatoprotective effects. The main carbohydrates are chitin, glycogen, trehalose and mannitol.

1. Orange extract:

It is produced from citrus sinensis fruits. It also prevents anxiety and depression. Orange has antioxidant activity due to its flavonoids, anthocyans and vitamin-C.

USES:

• Multivitamins remove the deficiency of essential nutrients in our body. Can prevent many types of diseases.
• If our body is not getting the necessary vitamins, then our body starts spending more and more energy even in light tasks. Due to which we can get tired and many kinds of disease. By taking multivitamins, our body gets energy and we remain fit.
• It also reduces stress and anxiety levels. Our body uses vitamin B to convert food into energy. This makes our body’s nerve function properly. In addition, Stress produces hormones.
• It has been found that vitamin B supports your memory. In this study, people who were given vitamin B12 supplements were found to be much better than those who did not take their memory test supplements.
• It also helps to increase muscle capacity. Regular multivitamins can reduce the effect of free radicals. Free radicals are mainly age related problems.

ALLOPATHIC COUNTERPART OF AYUVITA MULTIVITAMIN ALONG WITH ITS SIDE EFFECTS:

ZINCOVIT:

DESCRIPTION:

It is a multimineral or multivitamin supplement. Vitamins present in zincovit tablet are essential for normal and healthy growth .It helps in development of body and involved in proper functioning of heart, nervous system and immune system. It is good for speedy recovery after surgery and pregnancy; it maintains a healthy metabolism and improves appetite. It has antioxidant properties reducing the cell damage by free radicals. It provides strength to immune system and ensures good bone health.

COMPOSITION:

Vitamins (A,C,E,B1,B2,B3,B5,B6,B7,B9,B12 ,D3)

Minerals such as zinc, magnesium,iodine,copper, selenium, chromium

Grape seed extract.

SIDE EFFECTS:  

1. Hot flushes
2. Difficulty in urination.
3. Allergy and itching
4. Seizures
5. Constipation
6. Dry mouth
7. Metallic taste in mouth.
8. Nausea

INTERACTIONS:

• Ciprofloxacin
• Levothyroxine
• Antacids
• Alendronate
• Corticosteroids

It is a common neurological disease which produce various symptoms, most notably pulsing, throbbing headache on one side of the head. This disease is getting quite common in today’s world. Light, sound, movement or other triggers may worsen the symptoms of migraine. Migraine in some individuals interfere in their day to day activities and leave them in bed for days.

WHAT ARE THE RISK FACTORS OF MIGRAINE?

There are certain factors which can make an individual more vulnerable to develop migraine. The factors includes :

• Gender : Females are more prone to migraine then males especially between the age of 15 to 55 years because of influence of hormones.
• Genetics : Having family history of migraine can increase the risk of developing migraine in individuals.
• Stress levels : Stress can act as a trigger and also increase the risk  of developing the migraine.
• Smoking

WHAT ARE THE STAGES OF MIGRAINE?

There are four stages of migraine. The phases includes :

1. Pro-drome : This is a first stage which lasts a few hours or it can last days. Individual may or may not experience it as it may not happen every time. It is also called as Pre-headache or Premonitory phase.
2. Aura : This phase can last for maximum 60 minutes or minimum for five minutes. Most individuals do not experience an aura and some may have both aura and headache at same time.
3. Headache : In this stage headache last for 4 to 72 hours. Headache is described as throbbing, drilling or individual may feel the sensation of an ice-pick in head. It usually starts on one side of head and then spreads to other side.
4. Post-drome :  This stage usually goes on for a day or two. 80% individuals with migraine have experienced this and it is often called as Migraine “hangover”.

WHAT ARE THE SYMPTOMS OF MIGRAINE?

Individuals with migraine experience symptoms according to the stages and these symptoms  varies in every individual.

Pro-drome Symptoms includes :

• Nausea
• Fatigue
• Sensitivity to light and sound
• Difficulty in concentration
• Sensitivity to sound and light
• Difficulty in sleeping
• Depression or irritability.
• Muscle stiffness
• Food cravings
• Increased urination

Aura Symptoms includes :

• Visual disturbances
• Weakness on one side of body
• Tingling and numbness
• Temporary loss of sight
• Speech changes

Headache Symptoms includes :

• Depression, anxiety or giddiness
• Nasal congestion
• Neck stiffness, pain
• Nausea and vomiting
• Sensitivity to smell, light and sound
• Insomnia

Post-drome Symptoms includes :

• Lack of comprehension
• Depressed mood
• Fatigue
• Inability to concentrate
• Euphoric mood

WHAT ARE THE TRIGGERS OF MIGRAINE?

Various factors acts as trigger for migraine. Some common factors includes :

• Stress
• Certain foods
• Hormonal changes
• Caffeine
• Senses
• Skipping meals
• Changes in weather
• Loud noises, Strong smells or Bright lights
• Certain medications

AYURVED APPROACH

In Ayurved it can be correlated with Ardhavabhedak. Ardha mean half side of head and Avabhedaka means splitting, bursting, penetration pain. Exposure to etiological factors like excessive intake of dry food,  exposure to breeze and mist, suppressing the natural urges, excessive indulgence in physical activities etc leads to the vitiation of Vata dosha. The Aggravated vata dosha either individually or along with vitiated kapha gets lodged into half portion of head. The lodged doshas causes severe and intolerable pain which leads to development of the condition.

HERBS :

• Kumari
• Bala
• Sariva
• Yastimadhu
• Hareetaki
• Mallika
• Amalaki

PANCHAKARMA:

• Shiro Dhara
• Nasyam
• Shiro Lepam
• Kavala Graha
• Shiro Vasti

CHANDIGARH AYURVED CENTRE MEDICATION FOR TREATMENT OF MIGRAINE :

1. Nerve up tablet

CAC Nerve up tablet is a herbo-mineral tablet and is purely ayurvedic formulation.  CAC Nerve up tablets help in balancing the vata doshas. It reduces kapha dosha, and acts as nervine stimulant. It shows effective results in improving the central nervous system. It contains natural ingredients like shudha kuchala, shudha shilajeet, praval pishti, shankh bhasma etc. These contains natural vatahar properties and helps in curing vata diseases.

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

2. Panchasakar Churna

This churna is specially made to remove the toxins from the body on a regular basis. This herbal remedy is made up of ingredients such as Haritaki (Terminalia chebula), Swarna patri (Cassia angustifolia), Shatapushpa (Foeniculum vulgare), Shunthi (Zingiber officinale), and Saindhavan lavana (Rock salt). It balances all the doshas and reduces the symptoms of associated diseases.

Recommended Dosage– Take 1 tablespoon with Lukewarm water at bedtime.

3. Sheet Dhara Syrup

Sheet Dhara is herbo mineral and purely ayurvedic formulation. It works on all the three doshas of body but mainly act on pitta dosha. It contains Ajwaion, Kapur (camphor) and Mint leaves that help reduce Acidity and burning sensation in chest region with its cooling effects. It relaxes your mind also maintains Bloodpressure. CAC Sheet dhara help in controlling mood swings by which many women are affected nowadays. It also controls burping ,nausea and bloating.

Recommended Dosage – Take 1/2 or 1 teaspoon of sheet dhara twice daily empty stomach.

4. Digestion Support tablet

This tablet is unique blend of best digestive herbs like kutaz chal, bilav, dhania, mustak, shankh bhasm, piper mint, and dadim that maintain natural Ph balance in the stomach and aid digestion of all types of food. The herbs present in this control acidity, gas, flatulence and constipation. These all complex problems are root cause of all diseases. If digestive system is proper it leads to proper assimilation of the nutrients in the body. As per Ayurveda digestive disorders are due to imbalance of Pitta doshas. The Ama formation leads to digestive disorders.

Dosage– 1 tablet twice daily with plain water

5. Mann Mitra tablet

Mann Mitra tablet is herbal and purely ayurvedic medicine. It is used in Ayurvedic treatment for psychiatric conditions and help to balance all the three doshas of body i.e vata, pitta, kapha. CAC Mann Mitra tablet improves intelligence and speech problems. It is helpful for making the nervous system strong and nerves as well. It contains various herbs like Bala, Vacha, Shankhpushpi, Nagkeshar etc that help you fight insomnia, anxiety, and stress.

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

6. Anu Tail

Anu tail is herbo mineral and purely ayurvedic formulation. It is used for ayurvedic treatment procedure known as Nasya treatment in most of the disease involving Ear, Nose and Throat involving pain. It has Tridosha balancing properties but mainly help to balance your Kapha dosha that cause Headache, running Nose or Sinusitis. It strengthens Ear, Eyes, Nose, Tongue and Throat.

Recommended Dosage– 2 drops twice a day in both nostrils

INTRODUCTION

Avascular necrosis is defined as the death of bone tissue due to loss of blood supply to it. It is also known as osteonecrosis or ischemic bone necrosis. Due to lack of blood supply, the bone tissue does not get nutrition and starts deteriorating. There occur cracks in the bone and with time the bone collapse. The bone death takes either in some months or a few years. Fracture of bone or dislocation of any joint can lead to stoppage of blood flow to a section of bone. Also prolonged use of steroids is also responsible for avascular necrosis. Avascular necrosis mostly affects hip joint. However, other possible areas can be knees, ankles and shoulder. People of all age groups are affected but people between the age group of 30 to 50 years are more commonly affected. In most of the cases, treatment involves surgery, that is, joint replacement.

WHAT ARE THE CAUSES OF AVASCULAR NECROSIS?

Avascular necrosis occurs when there is reduced blood flow or no blood flow at all to the bony tissue. The body makes new bony tissue to replace the aging old bone tissue. The old bony tissue breaks down and eventually dies. This cycle helps in keeping the bones strong and healthy. Blood helps in giving required nutrients to the bones and also provides them oxygen. When the blood supply is blocked, the tissue doesn’t get proper nutrition and it starts dying. With time, the bone crumbles and collapses. The reasons which are responsible for avascular necrosis are:

Any physical trauma leading to fracture or dislocation of bone

• Osteomyelitis
• Osteoporosis
• Deposition of fat along the walls of blood vessels
• Radiation therapy
• Sickle cell anemia
• Paget’s disease
• Pancreatitis
• AIDS
• Systemic lupus erythematosus
• Blood cancer

WHAT ARE THE RISK FACTORS OF AVASCULAR NECROSIS?

Some factors increase the risk of a person developing avascular necrosis. Following are the risk factors of avascular necrosis:

• Excessive alcohol intake
• Organ transplants
• Use of bisphosphonate drugs
• Prolonged use of steroids
• Diabetes
• Inflammation of blood vessels
• Cancer treatment

WHAT ARE THE SIGNS AND SYMPTOMS OF AVASCULAR NECROSIS?

In the early stages, there is no appearance of symptoms. But as time passes, the affected bone damages leading to appearance of symptoms. Following are the common signs and symptoms of avascular necrosis:

• Pain when there is increased pressure on the bone
• Swelling and joint stiffness
• Decreased range of motion
• Difficulty in standing and walking
• Difficulty in climbing stairs
• Limping if hip or knee joint is affected

HOW AVASCULAR NECROSIS CAN BE PREVENTED?

Avascular necrosis cannot be prevented but by following some of the steps, it can be kept at bay. Following are the steps which are beneficial for prevention of avascular necrosis:

• Say no to alcohol
• Do regular physical exercise
• Maintain healthy body weight
• Keep a check on steroids
• Avoid smoking
• Maintain blood cholesterol level

MANAGEMENT OF AVASCULAR NECROSIS WITH THE MEDICINES OF AVASCULAR NECROSIS

Here are some of the medicines of Chandigarh Ayurved centre which are used for the treatment of avascular necrosis:

1. Detox Premium Powder

The powder is very beneficial to cure any body pain as it removes excess toxins from the body and balances the aggravated pitta and vata dosha. It consists of several herbs and bhasmas such as shukta pishti, giloy satv, parwal pishti, kamdudha rasa, moti pishti, gandhak rasayan, akik pishti, etc. The ingredients help in reducing swelling, redness, shrinkage of tear lining in the anus, burning sensation, etc.

Recommended Dosage: Take one sachet twice daily.

2. Makar Rasayan Tablet

Makar Rasayan tablet is a herbo-mineral tablet and is purely Ayurvedic formulation. CAC MAKAR RASAYAN tablet help in balancing all the three doshas. It helps to rejuvenate body tissues and act as an immuno modulator. It helps in proper blood circulation. It prevents the skin from dryness. It contains natural ingredients like shudha kuchla, guduchi satva, shudha shilajeet,  ras sindoor, moonga bhasma, shankh bhasma, praval pishti etc. Herbs and minerals used for the formulation of these tablets show antioxidant, aphrodiasic, analgesic and immuno modulator properties.

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

3. Nerve Up Tablet

Nerve up tablet is a herbo-mineral tablet and is purely ayurvedic formulation. CAC Nerve up tablets help in balancing the vata doshas. It reduces kapha dosha, and acts as nervine stimulant. It shows effective results in improving the central nervous system. It contains natural ingredients like shudha kuchala, shudha shilajeet,  praval pishti, shankh bhasma etc. These contains natural vatahar properties and helps in curing vata diseases.

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

4. Pain-O-kill Tablets

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

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

5. Pain-O-kill Syrup

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

Recommended Dosage: Take 2 teaspoonfuls twice daily.