Anal fissure  is a tear  in the lining of anus or anal canal . the fissure can be painful and bleed during bowel movements .

CAUSES OF ANAL FISSURE :

• Long term constipation.
• Chronic diarrhea.
• Anal sex , anal stretching
• Insertion of Foreign items into the anus .
• Obesity
• Longstanding terrible bowel habits .
• Decreased blood flow to the anorectal area .
• Medical health problem such as Crohn’s disease ,Ulcerative colitis ,Leukaemia , STD’s such as syphilis, gonorrhea , chancroid , HIV .

SIGNS AND SYMPTOMS OF ANAL FISSURE:

• Pain during defecation
• Foul smelling discharge .
• Hard stool
• Bright red Blood with stool or after stool
• Pricking type of pain in anus .
• Burning or itching sensation .
• Skin break that is clearly apparent around the anus .

PREVENTION OF ANAL FISSURES:

1. Eat a high fibre diet .
2. Drink plenty of fluids.
3. Wipe gently after going to toilet .
4. Exercise regularly .
5. Don’t ignore the feeling of passing stool .

RISK FACTORS:

1. Constipation : Straining during bowel movements and passing hard stools increase the risk of tearing .
2. Childbirth: It is more common in women after pregnancy.
3. Crohn’s disease : It is the inflammatory bowel disease causes chronic inflammation of the intestinal tract . It makes lining of anal canal more vulnerable to tearing .
4. Age : It can occur in any age But more common in infants and middle age people .
5. Anal intercourse

COMPLICATION OF ANAL FISSURES:

• Failure to heal : a fissure may failure to heal because of scarring or muscle of the internal anal sphincter muscle .
• Recurrence : Fissure can reoccur after a hard bowel movement or injury .
• Anal stenosis : It is narrowing of the anal canal that makes it difficult to pass stool .

AYURVEDIC APPROACH OF ANAL FISSURE:

In Ayurveda  it  is compared with parikartika in which vitiation of pitta and kapha dosha which leads to agnimandya and malasanchya which leads to vitiation of apanavayu and it will cause a disease parikartika.

DIET AND LIFESTYLE CHANGES:

• Wheat
• Green vegetables
• Avoid chillies , fried meal
• Take Sitz bath
• Avoid constant sitting .

CHANDIGARH AYURVED CENTRE MEDICATION FOR THE TREATMENT OF ANAL FISSURE:

1. Detox Premium Powder –

The powder is very beneficial to cure anal fissure 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 1 sachet twice daily with normal water.

2. Arsh Care Tablet –

Arsh care tablet are pure Ayurvedic formulation. These tablets contains pure extract of Reetha Chhilka (Sapindus mukorossi) purified in Cow’s milk. The herb used for formulation of these tablets show antioxidant, anti-inflammatory, laxative properties. It makes your stool soft and help prevent constipation. It is effective against bleeding piles and reduce the pain, burning sensation,irritation while defaecation, treat Fissures, Fistula.

Recommended Dosage – Take 2 tablets twice daily.

3. Piles Soft Tablet –

The symptoms of anal fissure became more severe when a patient passes a hard stool. Thus to provide relief from such condition piles soft tablets are widely used. The tablet is made up of Reetha chhilka (Sapindus mukorossi) that further purified in Cow’s milk. It acts as a laxative, anti-inflammatory, anti-oxidants, etc.

Recommended Dosage – Take 2-3 tablets twice daily with normal water.

4. Triphala Syrup –

Triphala syrup is very effective as it helps in maintaining the digestive fire and prevents the formation of ama. The syrup balances the Tridosha and provides relief from itchiness, burning sensation, excessive pain, discomfort, bleeding, etc. The syrup is composed of Haritaki, Bibhitaki, and Amalaki, which further enhances the immunity of a patient.

Recommended Dosage – Take 2 teaspoonfuls twice daily.

5. Panchasakar Churna –

As the name suggested the churna is made up of five ingredients – Shunti, Haritaki, Pippali, Trivrit, and Sauvarchala lavana. The ingredients act as a Vata-Anuloman and prevent the formation of ama. It helps in eliminating excess toxins from the body and regulates all the secretions normally.

Recommended Dosage – Take 1 teaspoonful daily with lukewarm water at bed time.

6. Satadhauta Ghrutham –

Satadhauta ghrutham is an ayurvedic cream used for local application in wounds, burns, chickenpox, scars, herpes and other skin ailments. It is made up of Nyagrodh, Plaksha, Udumbara, Aswatha, etc. The ghrutham is prepared by washing 100 times purified ghee with water. As it provides instant relief in inflammation, skin irritation, burning sensation, helps in healing fissure, etc.

Method of Application – Gently apply over the affected area.

7. Stop Bleeding tablets –

Stop Bleeding tablet is a pure herbal formulation that works as an anticoagulant. It helps to stop or reduce heavy bleeding and thus reduce the excessive unwanted bleeding. These tablets have anti-inflammatory, Analgesic, anticoagulant properties. It also pacifies pitta doshas and helps in detoxification of rakta dhatu (blood tissue). The Ingredients present in these tablets are Nagkesar, Laksha , Moch ras, Swarn gairic, Kehrwa pisthri. These tablets Helps to stop bleeding from nose and mouth, used in thrombocytopenic purpura, Bleeding disorder, Heavy menstrual bleeding, Ulcerative colitis, Peptic ulcers, Wounds& cuts.

Recommended Dosage – Take 1 tablet twice daily.

It is a condition which is caused by the paralysis of 7^th cranial nerve .when a facial nerve   is not receiving  the signals properly it results in  paralysis of affected part of face and there is temporary weakness of facial muscle .

CAUSES OF FACIAL PALSY:

• HIV which damage to the immune system .
• Injury to the vital points ( marma ).
• Respiratory illness
• Multiple sclerosis.
• Sarcoidosis which causes organ inflammation.
• Mumps
• Measles
• Lyme disease
• Otitis media .

SYMPTOMS OF FACIAL PALSY:

• Inability to close eyes
• Loss of nasolabial fold.
• Headache
• Tinnitus
• Dribbling of saliva
• Loss of taste.
• Loss of sensation in face
• Sensitivity to sounds .
• Difficulity in speaking .
• Disordered movements of muscle such as smiling , blinking, closing the eyelid .
• Difficulity in eating or drinking.
• Jaw or neck stiffness
• Numbness in nose ,lips, eyes etc.
• Impairment of hearing
• Asymmetrical facial muscle tone .

RISK FACTORS FOR FACIAL PALSY:

• In pregnant ladies.
• Diabetic person.
• Lung infection.
• Family history

INVESTIGATION:

• Blood test
• Electromyography
• MRI scan
• CT scan .

AYURVEDIC APPROACH OF FACIAL PALSY:

In Ayurveda Facial palsy is compared with ardita  in which vitiation of   vata dosha and is situated in near by nerves , arteries , and veins and declines these functions . this condition is resulted as ardita .

FACTORS RESPONSIBLE FOR FACIAL PALSY:

• Loudly speak
• Chewing hard food items .
• Laughing, sneezing , yawning excessively
• Use too high or low pillows.
• Anemia
• Intake of excess amount of alcohol.
• Long standing ulcers.
• Injury to marma .
• Improper posture .

HERBS GOOD FOR FACIAL PALSY:

• Garlic
• Nirgundi
• ERANDA
• LAVANGA
• ASWAGANDHA
• BALA
• RASNA

PANCHKARMA PROCEDURE:

1. Snehan
2. Swedan
3. Nasya

PATHYA AHARA :

• Lukewarm water and milk .
• Garlic
• Red rice
• Drumstick

APATHYA AHARA :

• Bitter or dry substances
• Fried items

CAC MEDICATION FOR THE TREATMENT OF FACIAL PALSY :

1. Detox Premium Powder:

These are the herbo-mineral sachets which help in detoxification and maintain proper metabolism of all the functions. This formulation acts at the level of the nervous system and facilitate the proper conduction of signal impulse from the nerves to the muscles. These sachets have anti-inflammatory, antioxidant, 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. It is very beneficial in reducing the swelling, redness, stiffness, and improves the movements of joints.
Recommended Dosage – Take 1 sachet twice daily with normal water.

2. Nerve up tablet:

These tablets are pure ayurvedic formulation. Nerve up tablets help in balancing the vata and kapha dosha. It acts as a 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. It is beneficial in the Bell’s palsy.
Recommended Dosage – Take 1 tablet twice daily.

3. 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 and anxiety.
Recommended Dosage – Take 1 tablet twice daily.

4. 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.

5. Panchsakar Churna:

This churna is very effective for acidity patients as it shows antioxidant, anti- inflammatory, laxative, & analgesic properties. It is a classical herbal churna prepared from ingredients like Shatapushpa, Balaharitaki, Shunthi, Swarnapatri, & Saindhav lavana. It helps in removing all toxins from the body & provides good results in acidity. All signs & symptoms related to acidity are treated with the regular use of this churna.
Recommended Dosage – Take 1 teaspoonful at bedtime with warm water.

6. Trikatu Syrup:

Trikatu Syrup helps to eliminate excess Kapha or mucous from the body, supports the respiratory system, manages weight, helps to take out impurities or ama from the body, supports healthy detoxification. It shows anti-inflammatory, analgesic, expectorant, antioxidant properties. This syrup is made up of equal parts of three herbs such as Pippali (Piper longum), Shunthi (Zingiber officinale), & Marich (Piper nigrum). It is an Appetizer and improves digestion, supports normal gastric function, and normal circulation.
Recommended Dosage – Take 2 teaspoonful twice or thrice daily before meals.

The condition in which kidneys excrete excessive amount of protein in urine . It is generally because of problem in Glomeruli. Glomeruli are small blood vessels in kidneys that help to remove excessive fluids and wastes from the blood and send them to bladder as urine to excrete it out of the body.

Waste products commonly includes muscle waste (creatinine), nitrogen waste (urea) and acids.  Damaged Glomeruli cause leaking of blood protein into pee which includes albumin also. It is a serious health issue that can affect the life expectancy if not managed properly .

WHAT ARE THE CAUSES OF NEPHROTIC SYNDROME ?

Damage to glomeruli is commonly due to other kidney diseases. These diseases are :

• Diabetes related nephropathy : In this condition diabetes leads to dysfunction or damage to one or more nerves of kidney thus causing Nephrotic syndrome.
• Lupus : It is an autoimmune condition which causes swelling, pain and inflammation throughout the body including kidneys.
• Amyloidosis : There is amyloid proteins build up in vital organs in this conditions .This disease commonly occurs in kidney thus affecting ability to filter.
• Membranous Nephropathy : The body own immune system attacks the filtering membranes of kidney in this condition.
• Focal Segmental Glomerulo-Sclerosis : There scarring that affects small areas of some of glomeruli. It can lead to swelling, loss of protein in urine and kidney failure.
• Minimal Change Disease : There is no proper functioning of kidney in this condition but mostly there is little or no damage in glomeruli. It can develop in individuals of any age group but most commonly develop in children.

WHAT ARE THE SYMPTOMS OF NEPHROTIC SYNDROME?

The individual with Nephrotic syndrome usually experience symptoms like :

• Swelling commonly in feet, legs or ankles and can also occur in face or hands
• Feeling sick or unwell
• High amount of protein albumin greater than 3.5grams in urine
• Low level of albumin protein in blood
• High cholesterol and fat in blood.
• Abdominal pain
• Loss of appetite
• Foamy urine

AYURVED APPROACH :

In ayurved  it caused due to blockage of body channels or srotas by vitiated doshas . Due to exposure to causes that leads to vitiation of tridoshas Vata, Pitta and Kapha. These vitiated doshas in turn contaminate Rasa, udaka, mutra and ojas and leads to obstruction of mutravaha and udakavaha srotas.  This obstruction leads to development of the disease.

HERBS :

• Rakta Chandana
• Punarnava
• Palaash
• Devdaru
• Kutki
• Giloy
• Chirayata

PANCHAKARMA :

• Vaman
• Virechana
• Swedan
• Vasti

CHANDIGARH AYURVED CENTRE MEDICATIONS FOR NEPHROTIC SYNDOME

1. Gokshura Capsules:

Gokshuru capsules are pure ayurvedic medicine which is very effective in kidney disorders as it has anti-inflammatory properties that reduce the swelling of the abdomen. It also acts as diuretic which causes increased urine secretion from the body and removal of all the toxins. These capsules contain pure extract of Gokshura (Tribulus terrestris). It provides effective result in acute & chronic kidney disease, chronic renal failure, cystitis, and urethritis, nephropathy, and urinary tract infections.

Recommended Dosage: Take one capsule twice daily with normal water.

2. Kidney Care Tablet:

kidney plays an important role in keeping the whole body clean, well-fueled, strong and functioning properly. Kidney failure puts the body at risk, allowing waste to accumulate and damage the kidneys from inside. It is a good idea to do a kidney cleansing and keep a check on the health of the kidneys in your middle and old age. The toxins that buildup results in nausea or feeling sick to the stomach, lack of concentration and blood pressure changes are all symptoms of kidney failure.

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

3. Kidney Care Churna:

The kidney care churna is prepared from herbs like Bhumiamla (Phyllanthus niruri), Manjistha (Rubia cordifolia), & Punarnava (Boerhavia diffusa). These herbs in combination show anti-inflammatory, diuretic, antioxidant, analgesic, etc properties. Kidney care churna keep all kidney function tests (serum creatinine, urea, sodium, potassium, chlorine, & uric acid), etc in normal range. The use of this churna reduces swelling in the body, remove kidney stones, deal with urinary tract infection, general weakness, & fatigue, etc related to kidney patients.

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

4. UTI Care Tablet:

UTI Care Tablets helps to treat Urinary tract infections along with the diseases related to kidney, ureters, urinary bladder, and urethra. This tablet contains pure herbal ingredients which are Yavakshar (Hordeum vulgare), kalmi Shora (Pottasium nitrate), Naushadar (Ammonium chloride), Swarna Gairik (Red ochre), etc. UTI Care Tablets are also beneficial in kidney stones, chronic kidney disease, renal colic, burning sensation or pain during micturition, and Hypertension.

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

5. Detox Premium Powder:

The powder contains all the Ayurvedic herbs which strengthen the immune system of the body and prevents the various complications by potentiating immune system. The powder includes :

Parwal Pishti – Parwal pishti is prepared from Coral calcium. It is mainly used in Pitta related disorders and helpful in bleeding disorders. This pishti relieves Ama dosha and improves the digestion power. It also improves the strength and immunity.

Shukta Pishti – It is prepared from Pearl oyster shell. Shukta pishti pacifies Pitta and Kapha dosha. It is the best ant-acid and relieves the abdominal distention. Shukta pishti reduces the rashes on the arms and legs.

Giloy Satva–Giloy satva includes water-soluble extract of Giloy/Guduchi (Tinospora Cordifolia). It balances the aggravated pitta and acts as a mild-antipyretic, antacid, and immuno-modulator. It also reduces burning sensation in the hands, feet, and body.

Kamdudha Ras–According to Ayurveda principles, Kamdudha Ras has Sheeta Virya thus it is beneficial in every Pitta Roga classified in Ayurveda. It is beneficial in the symptoms like burning sensation, restlessness, bleeding tendencies, excessive thirst, and hot flashes, vomiting with yellowish or sour water.

Akik Pishti – Akik bhasma contains Silicon Dioxide and some herbal extracts derived into in during processing with Aloe vera and Rose water. It is used in General debility, Restlessness. It works well in loss of appetite, weight loss, and feeling of excessive heat in the body.

Gandhak Rasayan – Gandhak Rasayan is a great antibacterial, antiviral ayurvedic medicine. It acts as an anti-pyretic, analgesic, & blood purifier.

Sutshekhar Ras–It is an important medicine used in Ayurveda, which acts on Pitta dosha and reduces the symptoms like nausea, vomiting, fever, headache, sour taste of mouth, restlessness, etc.

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

Formation of cluster of bumps on skin which are either yellow or same color as natural skin tone. These bumps appears most often on face and they are mostly the result of over-growth of sweat glands. These bumps do not cause any harm to body.  Many times these bumps are confused with Milia as they have similar symptoms but milia are filled with skin protein called Keratin and usually form on newborn’s skin.

WHAT ARE THE TYPES OF SYRINGOMA ?

They are further classified into four types. These types are :

• Localized : The bumps tends to appear only at one area of body. These types of bumps are most common types and are not associated with any underlying health condition.
• Associated with down syndrome : The genetic changes in individual diagnosed with down syndrome cause formation of Syringoma.
• Generalized : The appearance of bumps in multiple areas of body and they are most common in adults
• Familial : These type of syringoma  are inherited by individual  from the biological parents .

WHAT ARE THE RISK FACTORS FOR SYRINGOMA?

Some factors that increase the risk of development of syringoma includes :

• People diagnosed with marfan syndrome, diabetes or down syndrome
• Adolescents going through the puberty stage
• Women are greater risk of developing syringoma
• People having fair skin tone.
• Adults between ages of 40 to 60 years

WHAT ARE THE CAUSES OF SYRINGOMA?

The overgrowth of cells present in sweat glands also called as eccrine glands causes the formation of syringoma. Several environmental and physical factors that cause overworking and overgrowth in sweat glands includes :

• High temperatures
• Stress
• Exercise or physical activity
• Symptom of Medical condition

WHAT ARE THE SYMPTOMS OF SYRINGOMA ?

Some common symptoms includes :

• Round bump of 1 to 3 millimeter diameter
• Bumps are yellow , translucent or of same color as natural skin tone of individual.
• Bumps are firm
• Papule occur in group or cluster with similar shape, size and color.

AREAS MOST COMMONLY AFFECTED BY SYRINGOMA :

The most common areas affected by Syringoma includes :

• Face
• Armpits
• Around or On genitals
• Under or around eyes or on eyelids
• Abdomen
• Chest
• Forehead

AYURVED APPROACH :

In Ayurved it comes under Twak vikaras . Due to intake unwholesome food, Intake of heavy and oily food, excessive physical exercise etc leads to vitiation of the doshas .The aggravated doshas along with rakte dhatu cause obstruction of sweda vaha srotus and causing dushti of swedavaha sroras.This leads to development of the Syringoma.

HERBS :

• Turmeric
• Amla
• Lodhra
• Manjista
• Shimshapa
• Kumkuma

PANCHAKARMA :

• Vaman
• Raktamokshan with leech
• Virechan
• Snehan
• Swedan
• Nasya

CHANDIGARH AYURVEDIC CENTRE MEDICATION FOR THE TREATMENT OF SYRINGOMA

1. Detox Premium Powder

The sachet includes all the natural ingredients which help to detoxify the body and maintain the natural luster and glow in the skin.  This herbal sachet contain various ingredients mentioned below:

Parwal Pishti– It is an Ayurvedic medication based on Coral Calcium. Parwal pishti acts as an anti-inflammatory. It prevents from sunburn and pricking sensation in the skin after burning, etc.

Shukta Pishti– It is prepared from the pearl oyster shell. Shukta Pishti is used in acne and skin allergy. It mainly helps to remove the patches.

Giloy Satva– Giloy satva is ayurvedic preparation that reduces the signs of aging, dark spots, pimples, etc.

Gandhak Rasayana– This is a classical preparation used in itching, burning sensation, urticaria, eczema, scabies, pimples, etc.

Kamdudha Rasa– Kamdudha Ras is an herbal-mineral ayurvedic classical medicine having SHEETA VIRYA properties. It is used in burning sensation, excessive sweating, hot flashes, heat sensation, etc.

Sudh Yog Powder-It helps to remove patches, acne. Sudh Yog Powder helps in nourishing and moisturizing the skin. This powder promotes detoxification and rejuvenation. It helps in engender vibrant, which makes the skin healthy.

Jahar Mohra Pishti– Jahar mohra pishti is an Ayurvedic mineral based formulation. In Ayurveda, it mainly works on pitta dosha. The main work of Jahar Mohra Pishti is to detoxify the body and maintain the luster on the face.

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

2. 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.

3. Skin Glow Kadha :

This herbal decoction gently and deeply cleanses the skin. It makes your skin fair and bright. The decoction is composed of dalchini, giloy, tulsi, chirata, haldi, mahaguni, bahera, etc. Skin Glow Decoction reduces spots, marks, and blemishes. It contains saffron which reduces the Melanin pigment in the skin. This decoction is suitable for all skin types.
Recommended Dosage – Take 10 mL twice a daily with normal water.

4. Twak Churana :

This herbal powder is prepared from two herbs Manjistha (Rubia cordifolia) & Chopchini(Smilax malabarica) that in combination reduces uneven pigmentation. Manjishtha mainly helps in deep detoxification and blood purification. It can also be used for hand lotion to treat dry, cracked hands, or feet. This herbal powder is good for dry skin, rashes, acne. It has been used in psoriasis. Skin Glow powder removes toxins and impurities of blood. This powder helps to rejuvenate and promote the longevity. It helps to open the blocked sweat pores. This powder is used in infectious conditions like, eczema, pimples, and chronic skin disorders.
Recommended Dosage – Take 1 teaspoonful twice a day with normal water.

5. Panchsakar Churna :

Panchsakar Churna is an ayurvedic formulation that consists of five ingredients named as – Saindhav Lavana (Rock Salt), Swarnapatri (Cassia angustifolia), Shatapushpa (Anethum sowa), Shunti – (Zingiber officinale), Balaharitaki (Unripe fruits of Terminalia chebula). Panchsakar Churna is naturally detoxifying, thus it removes the toxins from the body. It relieves inflammation and
useful in all types of skin problems.The powder has an anti – inflammatory properties due to which it can reduces the swelling.
Recommended Dosage – Take 1 teaspoonful with lukewarm water at bedtime.

6. Aloe Vera Gel :

Aloe Vera herb is well known for its medicinal properties and has multiple benefits in case of skin problems. The gel is made up of pure extract of aloe vera that has a mixture of rose petals in it. The gel has anti-inflammatory, anti-oxidant, anti-fungal, anti-bacterial properties and also provides a
coolant effect to the skin. This gel provides good result in Acne or Pimples, Dry Skin, Hyper- Pigmentation, Provides natural glow to the skin.
Method of Application – Gently apply over the affected area of the skin.

7. Skin Care Plus Tablet:

Skin care is a blood purifying tablet. It cools and detoxifies the blood, removes stagnant blood and dissolves obstructions in the blood flow that further increase blood circulation of the skin. It minimise the blemishes, lighten sun tan, delay ageing of skin and heal skin problems.

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

Stroke is defined as when a blood vessels in the brain rupture or bleed. It is caused by when there is blockage in the blood supply to the brain. Without oxygen brain cells and tissue become damaged and begin to die within minutes.

TYPES OF STROKE:

1. TRANSIENT ISCHAEMIC ATTACK : It is caused by a temporary disruption in the blood supply to part of the brain . It usually last for few minutes.
2. ISCHEMIC STROKE : It is caused by when a blood clot blocks or narrows an artery leading to brain a blood clot is formed in arteries damaged by build up of plaques.
3. HEMORRHAGIC STROKE : It occurs when a blood vessels in  the brain or on the surface of brain leak or breaks that cause  bleeding in or around the brain .and this will lead  to swelling and pressure which can damage cells and tissue in the brain.

ANOTHER CLASSIFICATION:

1.EMBOLIC STROKE:  It is caused by a blood clot that forms elsewhere in the body and travels through the bloodstream to the brain.
2. SUBARACHNOID STROKE: Bleeding in the space  that surrounds around the  brain.
3. INTRACEREBRAL STROKE: When blood suddenly burst into brain tissue causing damage to brain
4. THROMBOTIC STROKE:  Stroke caused by thrombus  that develop in the arteries supplying blood into brain

CAUSES OF STROKE:

• High blood pressure.
• Heart diseases
• Diabetes
• Physical in activity and obesity
• High cholesterol level.
• Excessive alcohol intake
• Lack of exercise
• Stress.

SYMPTOMS OF STROKE:

• Sudden lack of imbalance
• Temporary loss of basic muscle movement.
• Memory loss.
• Changes in mood and personality.
• Trouble walking.
• Slurred speech.
• Dizziness
• Aphasia
• Visual field defect.
• Vertigo
• Weakness in tongue
• Numbness of face, arm, leg.
• Headache
• Emotional problems.

PREVENTION OF STROKE:

1. Control Blood pressure.
2. Quitting tobacco use.
3. Eat a healthy diet
4. Exercise regularly
5. Avoid smoking and drinking too much alcohol.
6. Control diabetes.

RISK FACTORS FOR STROKE:

1. DIET : An unbalanced diet can increase the risk of stroke. It includes salt, saturated fats, transfat, cholesterol.
2. NO PHYSICAL ACTIVITY : Lack of exercise can increase the risk of stroke.
3. MORE INTAKE OF ALCOHOL : More intake of alcohol can lead to increase blood pressure levels. It can increase triglyceride level which can cause artherosclerosis.
4. USE OF TOBACCO : Nicotine increases the blood pressure and it damage the blood vessels.
5. FAMILY HISTORY : if someone in our family suffer from this disease, high blood pressure than it will increase the risk of stroke disease.
6. AGE : When older you are more likely to prone this disease.
7. SEX : It is more common in women as compare to men.

COMPLICATION OF STROKE:

• Loss of bladder control and bowel control.
• Pain in shoulder.
• Deep vein thrombosis
• Vasospasm
• Pneumonia
• Depression
• Dementia
• Reduced mobility , range of motion
• Bed sores.
• Sensory or sensation changes.
• Loss of muscle movement.
• Breathing difficulities.

AYURVEDIC APPROACH OF STROKE:

According to Ayurveda stroke is called as pakshaghata. It is caused by  the vitiation of vata dosha, which control the motor and sensory activities in body.

PANCHKARMA PROCEDURES :

1. Snehan (oleation)
2. Swedan (fomentation)
3. Shirodhara
4. Virechan (Purgation)
5. Basti
6. Nasya

HERBS GOOD FOR STROKE ARE:

• Ashwagandha
• Garlic
• Arjun
• Turmeric
• Gotu kola
• Bilberry

CHANDIGARH AYURVED CENTRE MEDICATION FOR THE TREATMENT OF STROKE:

1. Active Plus Tablet:

CAC active plus Tablet is a pure herbo-mineral formulation prepared from best quality of herbs. This tablet is best for person mental and physical health, also helps to boost up the immunity. The herbal ingredients present in these tablets are used to maintain person’s health and refreshes the mind and body. These tablets improves digestion, eliminates constipation, stress, nourishes brain,  acts as antioxidant, analgesic, anti-inflammatory, etc.

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

2. Heart Up Tablet:

Heart Up Tablet is a unique formulation and is very effective in the treatment of heart diseases and related symptoms. It acts as a cardioprotective and anti-arrhythmic medicine providing strength to the heart muscles and maintains heart rate. This medicine is very useful in relieving pain and maintains blood optimum viscosity.

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

3. Noni Capsule:

Noni capsule contain standardized extract of herb Noni (Morinda citrifolia) that is good for overall health of heart. These capsule deals with the blocked arteries of the heart. The formation of plaque is overcome with the use of these herbal capsules.

Recommended dosage: Take 1 capsule twice daily with normal water.

4. 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.

5. Kapha Balance tablet:

CAC Kapha tablet is a healthy blend of herbs formulated to balance Kapha doshas without aggravating Pitta and Vata doshas. It can also be used to alleviate any temporary Kapha imbalance. It is very effective in Kapha season that is late winter and spring. It consists of warming and astringent herbs that help to balance the system throughout the cold season. The main use of Kapha tablets is to remove excess Kapha doshas from the system and helps in the management of weight, healthy lungs, and the immune system.

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

The word dincharya is made up of two words dina + acharya. Dina means day and acharya means activity.  It is defined as an daily schedule  that promotes healthier life through daily activities.

BENEFITS OF DINCHARYA :

• It helps in balancing tridosha.
• It helps in digestion.
• It helps in to maintain discipline .
• It promotes healthier life , happiness, peace.

DOSHA CYCLE ACCORDING TO AYURVEDA:

1. 6-10 AM/PM : Kapha dosha
2. 10-2 AM/PM : Pitta dosha
3. 2-6 AM/PM : Vata dosha

ACTIVITIES FOLLOWED IN AYURVEDA:

1. BRAHMA MUHURTA :

Awakening in brahma muhurta kala it is approximately 96 minutes before sunrise when environment is calm and rich in oxygen supply . This is the time considered best for study purposes and increase the freshness of person. after awakening look at your hands and gently move on the face and chest. Brahma  chintan is done.

2. FACE WASHING :

It is done with fresh cool water to remove dirt’s from eyes , nose , mouth and face . It also relieves morning dullness. In winter luke warm water can be used.

3. USHNA JAL PAANA ( TAKING WATER ) :

1- 4 glasses of luke warm intake in the morning because it enhances peristalsis movement and flush the toxins and free radicals  from the kidney.

4. EXCREATION ( SOUCH NIVRITTI) :
   • Face towards the north direction.
   • should not speak .
   • Cover up head.Neither suppress nor initiate the urge.
   • .Wash and clean the anal region properly . and than wash the hands properly.
5. DANTADHAVAN ( BRUSHING TEETH AND TONGUE CLEAN ) :

Teeth should be cleaned with twigs that have bitter , pungent or astringent taste such as karanja, karavira , ark, neem, apamarga etc.

It should be done twice a day i.e Morning and before going to bed.

Toothbrush – 12 angulas , Tongue cleaner : 10 angulas.

Tongue cleaner is made up of gold ,silver ,copper, brass, zinc, tin or tree branches.

BENEFITS:

• Removal of vitiated kapha and bad breathe.
• Freshness and lightness in body.
• Appetite increase.

CONTRAINDICATION :

Indigestion , Vomiting , cough, fever, thirst, headache, hiccough, facial paralysis.

6. GARGLING( KAVALA AND GANDUSHA) :

It is defined as substance with bitter essence boiled in water are good for gargling . When it is moved in all direction is known as kavala and when it is not movable it is known as gandusha. It also help in drying of throat and chapping of lips., improve voice. It also increases appetite.

7. ANJANA ( COLLYRIUM) :

It should be used in morning and night time never used at night. It applies in lower lid of eye. After applying anjana close the eyes and rotate eye wall. Eye become clear and bright and it improve eyesight and cure eye diseases.

CONTRAINDICATION:

• After taking food or vamana and virechna procedures.
• Who has urge to urinate or stool .
• After taking head wash or bath .
• Who is suffering from grief , anger, sorrow .
• When there is cloudy weather or hot sun rays .

8. NASYA :

2-3 drops of medicated oil should be dropped in both nostrils in supine position with head slightly tilted backwards .

CONTRAINDICATION:

• pregnant women
• Virechna
• After taking food and water .

BENEFITS OF NASYA :

It helps in prevention of greying of hair , promote hair growth , locked jaw, migraine, pharyngitis, laryngitis, voice becomes soft and stable.

9. DHOOMAPANA :

It should be inhaled from mouth  and nostrils but exhale from mouth . it should be taken after brushing teeth, nasya karma , defecation and urination ,sneezing and vomiting.

BENEFITS: It strengthens the sense organs , make mind stable and teeth become strong .

CONTRAINDICATION:

• After virechna and basti karma.
• After sleepless night.
• When there is indigestion
• during anger grief or sorrow .

10. OIL MASSAGE:
    • Massage helps body stronger and soothens the skin. It pacifies the vitiated vata dosha .
    • It destroys premature aging , fatigue, wrinkles , roughness and dryness .
    • It induces sound sleep .
    • It induces calmness in mind .
11. VYAYAMA ( EXERCISE):

It should be continued when half of the strength is exhausted. Itleady strength and stability of body .

BENEFITS:

• Remove laziness
• Prevent obesity
• Feeling of lightness in body
• Increase the work efficiency.
• Increase appetite.

CONTRAINDICATION:

• children , old person and the person who hava vata dosha dominant.
• During hunger or thirst
• Heavy health workers
• Who are suffering from diseases like jwara , raktapitta, swasa , bhrama, tuberculosis .

12. UBATAN:

Medicated oil or powder is rubbed on skin is known as ubatan . It stimulates bhrajak pitta, enhance skin glow, remove wrinkles , face eyes become relaxed , ensure caqlmness in mind.

13. NAIL AND HAIR CARE:

Trimming the nail and hair at proper time. It ensures hygiene and freshness.

14. SNANA ( BATHING):
    • In lower body hot water bath is good
    • It is harmful for the eyes and hair if it is poured on head.
    • In winter season warm water is used.
    • Don’t go for bath after taking food.

BENEFITS:

• Remove body impurities
• Increase appetite
• Purifies blood
• Enhance energy and body strength.

15. CLOTHING :

• Dress must be clean and have descent look.
• Make the person personality.
• It promotes fame and happiness.
• White or light colored clothes in summer and dark or heavy clothes in summer .

16. GEMS AND ORNAMENTS:

• It provide nourishment
• It promotes life and provides energy and enthusiasm.
• Mind becomes cheerful and beautiful.
• Gems such as manikya, mukta, coral, emerald , zircon , neelam , vaidurya etc.

17. DIET:

It is important for maintain health . It should be taken in adequate quantity at appropriate tuime . Light easily digested food should be used according to season . half stomach filled with solid food , 1/4^th with liquids ,and rest 1/4^th is empty for air . contain all  six types of rasa .Take warm food in proper quantity . don’t take food very slowly or very fast.

18. RATRICHARYA:

• Avoid food , sex, study in the evening.
• Take light easily digestable food.
• After taking food walk for 100 steps
• Pray god before going to bed. Sleep in comfortable position.
• The direction of head in south or east.
• Go to sleep after 3 hours of sunset.