The ever increasing trend of gadgets, limited life in the walls of home and office, lack of physical activity and increasing trend of junk foods are affecting not only our physical and mental health but also the health of our eyes. According to the World Health Organization, cases of myopia are increasing rapidly around the world, today one billion four billion people worldwide have myopia, by 2050 this figure will increase to five billion. About ten percent of these people will have myopia so severe that their risk of blindness will be greatly increased.

What is myopia?

Myopia in medical language is called myopia, it makes it difficult to see distant things clearly. In myopia, as the pupil (eye ball) increases in size, the reflection is made slightly further than it is on the retina. This causes distant objects to appear blurred and unclear, but there is no problem in seeing nearby objects. It is estimated that 20–30 percent of India’s population suffers from myopia.

Myopia occurs when the pupil of the eye becomes too long or the curvature of the cornea (the outermost protective layer of the eye) increases greatly. This causes the light that enters the eyes to not focus properly, causing the reflection to focus slightly ahead of the retina. This causes the eyes to blur. When the problem of myopia increases greatly, the risk of getting cataract and glaucoma increases.

Myopia may develop slowly or rapidly. This problem increases rapidly in children as their body and eyes are developing. Increasing the size of the eyes can cause a sharp stretch in the cornea and retina. However, children who have myopia become stable until they reach the age of eighteen.

According to a study conducted by the All India Institute of Medical Sciences (AIIMS), Delhi-based, 17 percent of children aged 5–15 in India suffer from myopia.

Due to myopia

• Myopia is the leading cause of vision loss worldwide. Genetic causes, environmental conditions and lifestyle play an important role in this.
• It runs in the family. If either of your parents has this problem, then there is an increased risk for you. If both parents have myopia, the risk increases.
• Spend more time in front of the screen (TV, computer, mobile).
• Not having the necessary distance from books or screens increases the risk of myopia.
• Some studies have shown that spending less time in natural light increases the risk of myopia.

Identify with these symptoms

The most prominent symptom of myopia is the lack of clear vision, in addition to the following symptoms;

• Blink eyes repeatedly.
• Eye strain and fatigue when viewing distant things.
• Having trouble with driving, especially at night.
• Headache.
• Shrinking eyelids.
• Watery eyes.

In children, the following symptoms may also appear;

• Black board or white board not appearing properly in the classroom.
• Constantly rubbing eyes.
• Not being able to focus on studies.

Treatment

The aim of treatment is to improve vision. For this, both surgical and non-surgical treatments are available.

• Non-surgical
• Non-surgical treatment of myopia requires negative number glasses or contact lenses. The higher the number, the more serious your myopia is.

• The glasses
• It is a common and safe way to clear and sharpen vision. The eye glass lenses used in these are of many types such as single vision, bi-focal, tri-focal and progressive multi-focal.

• Contact lenses
• These lenses are applied directly to the eyes. They are made from a wide variety of materials and have varying designs, including soft and rigid, toric and multi-focal designs.

• Refractive surgery
• Myopia is called refractive eraser, so surgery to remove it is called refractive surgery. Refractive surgery reduces dependence on eyeglasses and contact lenses. The surgeon uses a laser beam to reshape the cornea. This improves myopia. Many people do not need glasses or contact lenses after surgery, while many people may need them. Refractive surgery is not recommended until your lens number has stabilized.

• Lesic and photo-refractive keratectomy (PRK) are the most common refractive surgeries. In both, the cornea is resized so that light can be better focused on the retina.

Prevention

It is not possible to stop myopia, but there are several measures by which you can slow its development. You can take the following steps to protect your eyes and vision.

• Get your eyes checked at regular intervals.
• If you have diabetes and high blood pressure, then get your treatment done, because they can affect your vision.
• To protect your eyes from the harmful effects of the sun’s violet rays, go for a goggle whenever you get out of the house.
• Include colorful fruits and vegetables and fish in your diet chart.
• To read and work on the computer

Home Remedies, Diet and Diet

Diet to eat

• Fresh green vegetables.
• Lean Meat and Liver.
• Citrus fruits – Vitamin C is required for absorption of Vitamin A. Lack of this makes it more difficult to recover swollen or injured eyes.
• Zinc is essential for good eyesight, as it helps in the absorption of other substances necessary for the eyes such as vitamin A. Milk, cheese, curd, red meat etc. contain rich amounts of these minerals.

Avoid them

• High amounts of carbohydrates and sugars (these catalyze the generation of insulin-like growth factors that cause excessive growth of the eyeball as it develops).
• Home remedies
• Get your eyes tested regularly (no matter how well you see them).
• Protect your eyes from sunlight.
• Eat healthy foods.
• Use of appropriate glass and proper lighting for glasses.

1) Triphala Capsule:

• Triphala capsules are pure ayurvedic formulation composed of three herbs Amalaki, Haritaki, Bibhitaki that help in treating myopia. It helps to increase the eyesight & deal with blur vision. The herbs used for the formulation of capsules show antioxidant, anti-inflammatory, immuno-modulator, etc properties. These properties deal with the signs & symptoms related to myopia patients.

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

2) Detox premium powder:

Detox premium powder is a herbo-mineral preparation containing moti pishti, parwal pishti, shukta pishti, giloy satav, gandhak rasayan, shankh bhasam, sutshekhar ras, shwet parpati, yavakshaar, etc. The antioxidant, analgesic, anti-inflammatory, immuno-modulator, etc properties of this powder provide effective & good results to myopia patients. It naturally deals with blurred vision when seeing distant objects, headache due to strain in eyes, difficulty in seeing while driving at night time, excessive blinking of eyes, etc.

• Recommended dosage: Take 1 sachet twice daily with normal water.

3) Jivantiyadi Ghrita:

Jivantiyadi Ghrita is herbal ghee containing ingredients such as pippali, lodhra, kakoli, jivanti, saindhavalavana, draksha, sita, daruharidra, triphala, etc.  This medicated ghee is used in all types of eye diseases. The regular use of this ghee balances the three doshas (vata, pitta, & kapha) in the eyes.

• Recommended dosage: Take quarter to a half teaspoon of this ghee before meal with water once or twice daily.

4) Roshni Eye Drops:

• Roshni eye drops contain ingredients like Haridra, Neem, Tulsipatra, Haritaki, Amalaki, Bibhitaki, Pudina, Madhu, Alum, Gulab jal, etc. This herbal eye drops deal with the watering of eyes, decreased vision, dryness in eyes, blurred vision, burning sensation of eyes, eye strains, etc. associated with myopia patients.

• Recommended dosage: Put two drops in your eyes twice or thrice daily.

5) Triphala Churna:

• Triphala churna is a classical herbal churna prepared from three herbs Amla (Emblica officinalis), Baheda (Terminalia bellirica), Harad (Terminalia chebula). These ingredients show antioxidant, anti-inflammatory, immuno-modulator properties. The use of this churna gives effective results in all signs & symptoms related to myopia patients.

• Recommended dosage: Take 1 teaspoonful twice daily with normal water.

Neurodermatitis is a skin condition that starts with an itchy patch of skin. Scratching makes it even itchier. This itch-scratch cycle causes the affected skin to become leathery and thick . You may develop several itchy spots specially on the forearm, anal region ,neck, legs and wrists.

Neurodermatitis also known as lichen simplex chronicus . But the itching can be so intense or recurrent that it disrupts your sleep, sexual function and quality of life.

Treatment success depends on resisting the urge to rub or scratch the affected areas. After controlling the itching habit or the medication may help to solve the problem .  There is a need to identify factors and eliminate them which may be aggravating the problem.

AYURVEDIC CONCEPT

According to ayurveda Neurodermatitis is known as “Vicharchika ” . It occur because of lack of proper lifestyle and dietary habits .The Pitta dosha often get aggravated .  This vitiates other Dhatus and Doshas like Mansa , Twacha and Rakta . All these lead to formation of toxins known as Ama . This goes deep inside the skin and tissues known as Dhatus .  

SIGNS AND SYMPTOMS

Sign and Symptoms of this disease include :- 

1 An itchy skin patch or patches

2 A raised , rough patch / patches that are red or darker than the rest of skin 

3 Leathery or scaly texture on the affected areas

4 In this condition scratching involves that can be reached like neck , forearms , scrotum , vulva , neck , head , wrists , ankles and anus .  

5 Hair loss if itching and scratching occurs on the scalp.

6 Open sores and bleeding, due to repeated scratching.

7 Infection, which is indicated by sores with yellow-colored crusts, fluid discharge and/or pus-filled bumps.

CAUSES

The cause of this disease is unknown .In some cases, neurodermatitis is associated with chronic skin conditions  which include :- Dry skin, Psoriasis and eczema . Stress and anxiety can trigger itching too.

• RISK FACTORS :-
• 1 ANXIETY DISORDER :- Anxiety and stress can trigger the itching of neurodermatitis .
• 2 AGE and  SEX :-  Women are more likely to develop neurodermatitis than are men. The condition is most common between ages 30 and 50.
• 3 OTHER CONDITIONS INCLUDE :- People with a personal or family history of eczema ,dermatitis, psoriasis or similar skin conditions are more likely to develop neurodermatitis.

COMPLICATIONS

1 Persistent scratching can lead to a wound or permanent scar / change in skin color .

2 Bacterial skin infection  

3 The itch of neurodermatitis can affect quality of life , sleep and sexual function .

TREATMENT

1 ANTI -ANXIETY DRUGS :-  Anti-anxiety drugs may help prevent the itching because Anxiety and Stress increase itching .

2 ANTI-ITCH Medicated Creams :- If over-the-counter corticosteroid cream isn’t helping, your doctor may prescribe a stronger corticosteroid or a nonsteroidal anti-itch product. A calcineurin inhibitor (tacrolimus) ointment may help if the vulva is involved.

3 Medicine To Ease Itching :- Antihistamines help relieve itching in many people with neurodermatitis. 

4 Corticosteroid Injections :- May help skin to heal 

5 Light Therapy :- Exposing the affected skin to light sometimes helpful .

6 Medicated Patches :- Topical Lidocaine 5% or Capsaicin 8% patches are applied at the part of itching .  

7 Psychotherapy :- It can help to learn how behaviors and emotions can fuel or prevent scratching and itching .

SOME THERAPIES

1 BOTOX (OnabotulinumtoxinA) Injection :- This may reduce Itching and clear up rough skin patches .

2 An Oral Drug :- N -acetylcysteine has shown to help people with scratching and itching disorder . 

CAC APRROACH TO THE TREATMENT 

1 IMMUNO- UP SATCHET :-

CAC Immuno up sachet is pure herbal formulation. The importance of working on your immunity is now on an all-time high. If a person fall ill easily, it means their body’s immunity is low. This pacifies tridosha (Vata, pitta and Kapha), strengthen your immunity, keeps your digestive system fit and also detox your body. it also works in cold, fever and flu conditions. It consists of effective levels of antioxidants, Vitamin C and E which circulate in the body to protect it against the damage caused by free radicals. it is a natural immune-modulator properties to prevent and ease coughing, sneezing, etc. It provides quick relief from early signs of running nose, Sore throat, body pains, and weakness.

2 SKIN CARE TABLET :-

CAC  Skin care tablet is herbo mineral and purely ayurvedic formulation. It help to maintain the texture of your skin depending on the type of skin you have. It contains various herbs like Haridra khand, Panchnimb churna, Khadir chahal, Chirayta, Mulethi, Chopchini, Gandhak, Ajmoda that work very effectively on all skin types. Skin care is a blood purifying tablet. It cools and detoxifies the blood, removes stagnant blood and 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.

3 ITCH CARE TABLET :-

It is pure herbal combination which is purely natural. Skin primarily protect our body from toxins present in environment. Itching is related to various skin problems like dermatitis or irritates such as nickel in jewelry, infected cut. Chronic skin condition like psoriasis, acne and due to internal conditions like blood, lungs, and liver. Mainly toxins in skin arises due to excess rakta dhatu and rasa or  plasma nourishes the skin. Itch cure tablet has cooling herbs which provide cooling effects to patients by pacifying pitta doshas. This tablet helps to purify blood as wells as cleanses and rejuvenates the body.

4 TWAK TAILAM :-

CAC TWAK TAILAM is the herbal oil and is purely Ayurvedic preparation. CAC Twak Tailam provides relief from various skin problems such as pimples, blemishes, scars, ulcers, wounds, skin rashes, dry patches, itching, skin irritation, reduces redness, etc. It is composed of natural herbs that pacifies all three doshas and provides healthy skin. This oil is made up of pure herbs such as yashtimadhu (Glycyrrhiza glabra), manjistha (Rubia cordifolia). Twak tailam supports skin health, helps in reducing uneven pigments, delays the process of ageing, improves complexion, and helps in deep detoxification, blood purification without any side effects. This oil moisturises your skin, and makes your skin spotless and glowing naturallly.

5 PANCHTIKTA 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.

What is hyponatremia?

Blood sodium levels decrease abnormally in what is known as hyponatremia. The amount of water in the cells and surrounding cells is regulated by an electrolyte called sodium. One of the many factors is the dilution of sodium in the body with hyponatremia. When this happens, the level of water in the body increases and the cells start swelling. This can result in quite a few health problems, from moderate to almost fatal. Treatment is aimed at solving the underlying problem.

Depending on the reasons, you may have to reduce fluid intake. In other cases, you may need intravenous medications and fluids. Sodium is very important in the body. Sodium helps maintain regular blood pressure, regulates fluid balance in the body and supports the functioning of muscles and nerves. Regular sodium levels range between 135 and 145 mEq / L. When it falls below this limit, the problem occurs.

What are the symptoms of hyponatremia?

Symptoms of hyponatremia include the following:

• Head ache
• Confusion
• Nausea
• Vomiting
• Fatigue
• Energy loss
• Coma
• Muscle weakness
• Twitch
• Restlessness
• Irritability
• Caesar

What are the causes of Hyponatremia?

These are the conditions and causes that cause hyponatremia:

The main reason is low sodium levels in a person’s body and the level falls below 135 mEq / L.

Heart, kidney and liver problems: Some diseases and congestive heart failure sometimes affect the kidneys and liver so badly that fluid starts accumulating in your body and lowered sodium levels due to the accumulation of this fluid it happens.

Some medicines: Some antidepressants and pain medications interfere with the normal hormonal levels of the body and also affect the kidney process which maintains the normal sodium levels in the body.

Drinking plenty of water: Drinking too much water leads to hyponatremia as it can reduce sodium levels by increasing kidney function by emitting too much water.

How to diagnose hyponatremia?

The doctor asks about the patient’s medical history and asks for some physical tests. But most of the time, it is impossible to diagnose hyponatremia symptoms with only a physical test. The doctor recommends urine and blood tests to check sodium levels in the body.

What is the treatment of hyponatremia?

If hyponatremia occurs due to taking too much water, drugs, or diet, doctors recommend reducing fluid intake levels and certain medications or drugs are prescribed to increase the level of sodium in the blood. If the level of hyponatremia becomes rapid or severe, treatment is required as soon as possible:

Medications: If there is headache, fatigue or any other signs and symptoms, then the medicines prescribed by the doctor should be taken.

Intravenous Fluid: Sodium solution is recommended to increase the level of sodium in the blood. The level of sodium is monitored in the body because very rapid corrections of sodium are also dangerous.

What are the conditions at increased risk of hyponatremia?

Age: Older people are at greater risk of hyponatremia, such as age-based changes. Older people can also take some medicines and are more likely to have chronic diseases that affect the sodium balance in the body.

Some medicines: Many drugs such as thiazide diuretics, painkillers and certain types of antidepressants may increase the risk. In addition, ecstasy has also been closely associated with excessive hyponatremia, which can lead to fatal consequences.

Conditions that reduce your body’s water emissions. Medical conditions include kidney disease, improper anti-diuretic hormone syndrome, and heart failure may increase your risk.

What are the home remedies for hyponatremia?

Drinks that contain sodium can be made at home such as ORS, fresh orange juice, or coconut water can also be drunk to maintain sodium levels in the body and blood.

What is the best diet for hyponatremia?

Foods to avoid in hyponatremia:

Many people have high blood pressure problems with increasing age. Therefore, they should start removing salt from their food. Also stop eating processed or packaged food as it contains a lot of sodium. Processed meats like ham, pork, hot dog, sausage should be avoided. The best way to avoid sodium is to eat uncooked or whole foods.

Food to eat in hyponatremia

These are foods that have low sodium levels in blood. Foods like shrimp, ham, instant pudding, cheese, vegetable juice, pizza, sandwiches, processed cheeses, pickles, sauces, biscuits should be eaten.

Ayurvedic treatment by CAC

1.Detox Premium Powder

These are herbal-mineral sachet especially designed for the ulcerative colitis patients. The various ingredients used for the formation of these sachets are prawal pishti, shukta pishti, Giloy satv, kehrva pishti, Jahar Mohra pishti, sutshekhar ras, shankh bhasma, kamdudha ras, moti bhasma that in combination provide good relief on the signs and symptoms of ulcerative colitis patients.

• Shukta pishti: The bhasma is prepared from pearl oyster shell calcium. This pishti shows antioxidant & anti-inflammatory properties that give deal with the ulcerative colitis patients.
• Prawal pishti: It is made from coral calcium that reduces bleeding associated with ulcerative colitis patients.
• Giloy satv: This herbal satv remove all toxins from the body. It reduces excessive Pitta from the body associated with ulcerative colitis.
• Jahar Mohra pishti: The antidiarrheal property of this pishti stops loose stools that are the main symptoms in ulcerative colitis patient.
• Kehrva pishti: This pishti provides good results in rectal bleeding, diarrhea, rectal bleeding, and abdominal inflammation related to ulcerative colitis patients.
• Sutshekhar ras: This preparation reduces bloating & gastritis. It provides calming effect on the body.
• Akik pishti: It is a mineral-based medicine that reduces excessive heat, weakness, & general debility.
• Kamdudha ras: This ras is beneficial in burning sensation, loose stools, bleeding tendencies related to ulcerative colitis patients.
• Moti bhasma: The anti-inflammatory property of this herb reduces inflammation in the body.

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

2.Trikatu Syrup

Trikatu syrup is a purely herbal formula containing ingredients such as long pepper, black pepper, & dry ginger. This herbal syrup shows antioxidant, anti-inflammatory, analgesic, carminative, & immuno-modulator effects. These properties provide effective results in appendicitis conditions.

Recommended dosage: Take 2 teaspoonful thrice daily before meals.

3.Sheet Dhara Syrup

This herbal syrup is prepared from ingredients such as ajwain satav, mushak kapoor, peppermint, etc that naturally relieve the symptoms like bloating, blenching, nausea, vomiting, feeling of discomfort, etc. The regular use of this herbal syrup neutralizes the high acid content, reduces
abdominal pain, & cramps.
Recommended dosage: Take half teaspoonful of this syrup in half a cup of water. Drink this mixture twice daily on an empty stomach.

4.Makar Rasayan tablet: 

It 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 immunomodulator. It helps in proper blood circulation. It prevents the skin from dryness. It contains natural ingredients like shudha kuchla, guduchi satva, shudha shilajeet, abhrak bhasma, ras sindoor, moonga bhasma, shankh bhasma, praval pishti etc. Herbs and minerals used for the formulation of these tablets show antioxidant, aphrodisiac, analgesic and immunomodulator properties.

Juvenile arthritis is a disease in which synovium inflammation (inflammation) occurs in children 16 or younger. The synovium is a tissue within the joints that helps them function properly. Juvenile arthritis is an autoimmune disease. That is, the immune system present in the body that prevents the attack of external bacteria. The reason for this and the possibility of treatment also depends on the immune system present within the body. 

Juvenile arthritis cases are increasing worldwide. Tragically, doctors and researchers are yet to know the reason for this. Therefore, in order to spread awareness about it, July has been declared as Juvenile Arthritis Awareness Month. 

So far no clear reason has been revealed. Researchers have termed it as idiopathic disease, the cause of which has not yet been explained to them. Some genetic, some infection and some environmental causes are responsible for this.

Rheumatologists identified mainly three types of Juvenile idiopathic arthritis

1. Oligoarticular
2. Polyarticular 
3. Systemic onset 

The international league of association for rheumatology (ILAR) classification for JA also includes 3 other types like enthesitis-related JIA, Juvenile psoriatic arthritis, and differentiated arthritis. The evaluation rules out other causes of arthritis including post-infectious arthritis, Lyme arthritis, Septic arthritis, reactive arthritis, and others. JA subtypes can be done with respect to clinical, demographic, and genetic features. Systemic JA is considered an autoinflammatory disease, but other types of JA are considered autoimmune diseases.

1. Oligoarticular JA: Children with Oligoarticular JA are at increased risk of developing Uveitis (chronic eye inflammation), which is gradual, insidious, and often only found when especially looked for an eye examination. Sometimes, the adolescents will present with overt eye symptoms such as eye redness, pain, photophobia and change in vision. Children with a positive test for antinuclear antibody (ANA) are at highest risk of developing eye inflammation.
2. Polyarticular JA:In polyarticular JA, the joint swelling is found in five or more joints especially small joints of hands along with weight-bearing joint, and disease onset should be six months of age. Polyarticular JIA has two classic age ranges: 1-6 years of age and 6-11 years of age. Polyarthritis can be rheumatoid factor-positive or negative. Rheumatoid factor-positive polyarticular, JIA directly resembles adult rheumatoid arthritis and can be a more severe disease than the RF-negative patients.
3. Systemic JA: Systemic JA, there is arthritis in one or more joints that develops or is preceded by high-grade fever with high spikes of two weeks or more duration, which is classically daily for three days or more 19. Other possible presentation of systemic JIA inflammation of the heart, lungs and enlarged lymph nodes, liver or spleen.

Symptoms

No distinct symptoms of Juvenile Arthritis have been seen so far. Symptoms seen in it may also be symptoms of other diseases. Therefore, it is necessary to be very cautious. Stiffness in the joints usually in juvenile arthritis, especially in the morning. Joint pain, swelling, and tenderness; Reduction in motor skills in young children is also seen. Frequent fever, Red rash.

Investigation is necessary

There is still confusion about the symptoms and causes of juvenile arthritis. Do not get confused with the symptoms of bone disorders or diseases such as breaks, fibromyalgia, infection, Lyme disease, lupus or cancer, so it is better to get a medical examination immediately if you feel something like this.

The treatment

Treatment of juvenile arthritis usually involves both exercise and medication. Treatment plans are based on the type of juvenile arthritis. For instance, children who have polyarticular juvenile arthritis and who have positive results on the rheumatoid factor test have a greater joint damage potential and may require more aggressive treatment.

Ayurvedic view

Juvenile Arthiritis

The symptoms present in JA are more comparable with features of Aamavata Vyadhi mentioned in Ayurvedic classics. JA can be treated by Shodhana and Shaman therapy of Ayurveda which is free from any side effects.

ALL PRODUCTS DESCRIPTION IN DETAIL

1. Detox Premium Powder

Detox premium powder is a composition of herbal ingredients that detox your body by removing the toxins naturally. It contains ingredients like jahar mohra, akik pishti, gandhak rasayan, shankh bhasma, moti pishti, kamdudha ras, etc. It is the best medicine in reducing the redness, tenderness, stiffness, swelling in the case of juvenile rheumatoid arthritis.

Recommended Dosage – Take 1/2 sachet twice daily with normal water.

2. Trikatu Syrup:

Trikatu combines the goodness of Black pepper, Ginger and, Long pepper to create an herbal remedy for digestive ailments, sluggish metabolism, obesity, and high cholesterol. This syrup has best results in anti-inflammatory, pain-relieving, and expectorant. It also help to tackle the weight problems or obesity. It can modulate your body’s immune response while cutting the characteristic inflammation associated with the rheumatoid arthritis.

Recommended Dosage –Take 1 teaspoonful twice a day before meal with normal water.

3. Swarna Guggulu

Swarna guggulu is one of the best and effective medicine to cure Arthritis, Sciatica, Joints pain, and other physical weakness. The main key ingredients of this tablet are Ashwagandha, Kumkum, and Swarna bhasma. These ingredients reduce stiffness, pain, cure difficulty in walking, and provide strength to the joints.

Recommended Dosage – Take 1/2 tablet twice daily with normal water.

4. Nerve up tablets:

Nerve up tablets help in balancing the vata doshas and kapha dosha, and acts as nervine stimulant. It shows effective results in improving the central nervous system. It contains natural ingredients like shudha kuchla, shudha shilajeet, abhrak bhasma, praval pishti, shankh bhasma etc. These contains natural vatahar properties and helps in curing vata disorders, speed up physical and mental processes. It act as Respiratory stimulant, helps in Joint pain, Inflammation, Stiffness, Gout, Arthritis, Bodyache, Erectile dysfunction, and Body weakness.

Recommended Dosage: Take 1/2 tablet twice daily.

5. Sheet dhara syrup:

It works on all the three doshas of body but mainly act on pitta dosha. It contains Ajwain, Kapur (camphor) and Mint leaves that help reduce Acidityand 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. Acid Reflux, Burning sensation in chest region, Bloating, Nausea, Burping, Hiccups, Maintain blood pressure, Control mood swings, Stomach ulcers, Improves Appetite.

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

7. 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 1/2 tablet twice daily with normal water.

Role of Shodhana Therapy in Juvenile Idiopathic Arthritis (JIA): In Shodhana therapy mainly 4 procedures are very effective in the treatment of Juvenile idiopathic arthritis (JIA) –

• Sarvanga Snehana or Abhyanga (Full body massage with medicated oil).
• Nadi Swedana (Steam bath).
• Valuka Swedana (fomentation by sand pack).
• Vaitarana Basti (a type of medicated enema).

1.Sarvanga Abhyanga (Full Body Massage with Medicated Oil): The application of oil to the skin followed by massage in specific directions and postures is called Abhyanga. The importance of Abhyanga and its benefits are clearly described in Ayurveda classics.

Material Required: Sarvanga Abhyanga (massage) of the body including limbs, is done by:

• Mahanarayana oil.
• Bala oil.

 2.Nadi Swedana (Steam Bath): Sweating is induced by means of steam coming from the fluid which may contain many Vata shamak herbs.

The Swedana (sudation) karma is considered as the main treatment of Vata roga; due to its Ushna guna overcomes the sheeta guna of Vata. Swedana (sudation) karma relieved in Sheeta (cold), Shoola (pain), and Sthamba (stiffness) in JIA. Nadi Swedana with Abhyanga facilitates in removal of Aavarana and Srotorodha. Nadi Swedana is very helpful in JIA by relieves spasticity, improves joint mobility or range of motion (ROM) 34.

3.Valuka Swedana: This is typical Ruksha Swedana in which bolus of sand is used. In Valuka Swedana sand can be fried in dhanyamula along with Saindhava lavana. Valuka Swedana is very effective in relieving the signs and symptoms of Amavata. Sukshma and Tikshna properties of Saindhava lavana helps to pass the drug molecule in systemic circulation through the mucosa. Valuka Swedana helps the Vasti Dravya to reach up to the molecular level 35. Much care should be focus mainly on heat of the bolus, mainly moderate heat should be taken.

4.Vaitarana Basti (Type of Medicated Enema): Vaitarana Basti is a specific type of Basti that is manlily indicated in the treatment of Amavata. Vaitarana Basti has very dominant cleansing action 36. Vaitarana Basti done cleansing therapy which can cleanse the closed channels and renovate its normal function. It is a kind of Niruha basti and it got its name due to the specific ability to cure disease 37.

According to modern sciences, the rectum has a rich supply of blood and lymph vessels. Drugs can cross the rectal mucosa like other lipid membranes and entering in general blood circulation so effect of Basti seen on whole body.

Chest irritation is a common problem related to the digestive system. It can also be dangerous to ignore.

In medical terms, heart burn is called ‘peptic acid disease’. If you have occasional heartburn, you are not alone. There are millions of people in the world who complain of heart burn every day. Gastro esophageal reflux disease (GERD) is also commonly referred to as heart burn. It is a common problem related to the digestive system.

In this disease, the acidic contents of the stomach (acidic elements) start flowing back into the food pipe (esophagus or food pipe). The inner layer of the food pipe is not made to tolerate acid. Therefore, the presence of acid in the food pipe causes wound (ulcer) in its inner layer.

This condition is called heart burn. Constant chest irritation and ignoring it can lead to many problems.

It causes chest pain and severe burning sensation. Heart burn causes pain, tightness, and discomfort in the middle of the chest. This is when the inner lining of the esophagus is destroyed. Often, acid starts forming due to empty stomach and overeating. Due to this, there is also a burning sensation in the chest.

Not being physically active, eating food, sleeping immediately after eating, spicy food, soft drinks, preservatives, junk food, consumption of acidic things and smoking also increase acidity. Do not consume them if there is burning sensation in the chest. Make a change in lifestyle. Eat papaya, curd, orange, aloe vera juice, banana, apple, fish etc.

Causes of GERD

• Excessive consumption of oily substances.
• Stress, depression, irritability
• Flax
• Go to sleep
• Drink a lot of water
• Irregular intake of food
• Not getting enough sleep at night
• Excess intake of tea and coffee
• Possession
• carbonated soft drinks
• Excess consumption of alcohol, smoking
• Consumption of high-fat and caloric foods such as chocolate, high intake of milk products
• Not eating on time, especially not having breakfast in the morning
• Pregnancy, old age in some women.
• Eating more processed junk food.

Symptoms of GERD

• Irritation and pain in the upper abdomen immediately after meals
• Vomana, ukai and indigestion and the option of not taking food, which lasts for 1-2 days.
• Stomach bloating,
• Gases, sour belts, indigestion, nausea or bleeding in stools
• There is also an anemia of long-term indigestion.

Diet to be taken in GERD

• Use old shali or rice in food.
• Also eat barley, wheat, rice etc.
• Consuming cucumber, torai, loser bananas, pumpkin, pomegranate and cow’s milk is absolutely appropriate.
• Eat a balanced diet. Gradually discard spices from food.

Diet Not To Be Taken In GERD

Sacrifice the following food:

• Oily material
• Fine flour
• Fried Old Rancid
• Eat morning, afternoon and evening meals at the same time.
• Do not consume foods that produce excess acid in the stomach
• Tea and Coffees more PN
• Do not consume sour substances like tamarind, vinegar, yogurt
• Do not consume water after eating food.
• Material made from refined flour and milk should also not be consumed.
• Do not consume excessively cold substances.
• Keep in mind the following things to avoid acidity
• Fresh vegetables, fruits should be consumed
• Cook with love while cooking
• While eating, keep full attention in it.
• Should be eaten only during the period of bile, that is, eat it between 10 am to 2 pm. By consuming food at other times, the body has to spend more energy to digest it.
• Don’t sleep late at night
• Do not sleep immediately after a meal, whether it is lunch or dinner, but take a walk for 15-20 minutes after eating.
• Do not keep feelings of anger and malice in mind.

Home Remedies For GERD

• Consuming coconut water is the best medicine. Drink coconut water 2 times a day.
• Consuming 30-40 grams of amla powder or acid is capable of soliciting bile. Take it 2 times a day with 1 glass of water.
• Make raw porridge of maize and rice and mix raw sugar and honey in it. It is necessary to take it twice a day with 100-200 ml of water. By this, a preservative layer is formed on the edema of the food pipe and the pancreatic membrane, so that they are not destroyed by acidity.
• Mix equal quantity of powders of haratki and bhringraj (useful for liver or liver disease) and mix it 4 times. Drink this mixture with lukewarm water every day and take 16 grams every day.
• Take equal quantity of Chichinda leaves, Guduchi, Neem fruit and Triphala. And make tea. Drink 20-30 ml of this tea twice a day. Only after making tea, add sugar as per taste, not before.