MYASTHENIA GRAVIS AND ITS AYURVEDIC MANAGEMENT

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.