If your stomach in upset in winters, then you can overcome your problem with the things present in the house. Abdominal pain and cramps in winter are the symptoms of cold, These 7 home remedies will help you to get rid of these symptoms.
Let us know about those things-
The winter season is very pleasant. Many people like the winter season very much, but for some people this season is very bad. Especially for those with a weak immune system, the winter season can be very painful.
At the same time, even a little carelessness in this season can be dangerous for you. Many times in winter, you must have seen that when some people complain of vomiting and diarrhea, the elders say, it has got cold. At that time our elders meant to say that he got cold in the stomach. Coming under the grip of cold wave causes abdominal pain, cramps and loose motions. This problem is called cold in the stomach or stomach flu.
You can take the help of Ayurvedic remedies to overcome the problem.
In winter there are many problems in the body. The problem of abdominal pain is also prominent in this. Especially when your food is not right, cold can cause stomach related problems.
Apart from this, if you are a little careless due to weak immunity, then your problem can increase further. So boost your immunity during this time. Avoid eating cold things in winter. During this time, eat hot things. You can get a lot of benefits from this.
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Fenugreek seeds and hot water
If you are feeling stomach ache or restlessness during the cold season, then fenugreek seeds can be very beneficial for you.
Method of use-
To consume it, roast half a teaspoon of fenugreek seeds.
Now add 1/4th salt to it and consume it with hot water.
In Ayurveda, fenugreek has a warming effect, which can help you get relief from the stomach issues during winter season.
Irrigate the stomach with warm water
In cold weather, if you complain of stomach pain, compress your stomach with warm water.
This will give you a lot of relief.
To compress the stomach, fill a bag or bottle with hot water.
Now compress your stomach with this. This can make you feel very relaxed.
Consume Honey
Consuming honey can be beneficial for you to avoid cold.
Honey has hidden properties to remove bacteria and viruses.
Method of use-
For this take 1 teaspoon lemon juice.
Add 2 teaspoons of honey to it.
By consuming this mixture, you will be able to avoid the problem of cold in the stomach.
Ajwain and Asafoetida
Consuming asafetida and carom seeds can also be beneficial for you to get relief from stomach cramps and pain in cold.
Method of use-
Take some asafetida for this. Now add half a teaspoon of ajwain to it.
After this, prepare a powder by mixing half a teaspoon of black salt in it.
Taking this powder with lukewarm water will give relief from stomachache. Also, you can store this powder and keep it.
Digestive power is strengthened by eating this powder regularly.
Consume Saffron and Shilajit
Consumption of saffron and shilajit can be beneficial for you to get relief from stomach pain in cold.
Method of use-
Take a pan for this.
Now add 4 to 5 saffron fibers, 1 teaspoon shilajit and 1 glass of water and boil it well.
After that sieve it in a cup.
Now add 1 teaspoon of honey and drink it.
Consuming this drink 2 to 3 times a day can give relief from the problem of cold.
With this your body temperature will also be normal.
Basil and Black Pepper
A decoction of basil and black pepper can also be beneficial for you to balance the body temperature in cold.
Method of use-
For this, boil basil, ginger, black pepper, turmeric and clove together in water.
Now filter it and drink it.
This is very beneficial in winter time for your stomach.
Along with this, the body temperature will also be balanced.
Coriander and Fenugreek Seed Mixture
The spices kept in the kitchen can be very beneficial for you when you feel cold in the stomach.
Method of use-
For this, take roasted coriander seeds.
Now add cumin seeds and fenugreek seeds and grind them.
After this, add this mixture to 1 cup of water and boil it.
Now mix some sugar candy in it and drink it.
This masala tea can keep you away from the troubles of cold.
When there is feeling of cold in stomach, you should consume some hot things. So, that the problems happening in the stomach can be removed.
Apart from this, do not consume cold things during this time.
This may increase your trouble. At the same time, if your problem is increasing more, then contact the doctor. So , that you can be treated on time.
Best Neck Pain Treatment Doctor in Chandigarh | Canada
In Ayurveda, neck pain is described as Manyastambha, which is one of the vatavyadhi (Vata dosha related conditions) caused due to increased state of vata dosha. When the vitiated vata invades the muscles of neck, it leads muscle stiffness, fixedness of the neck, and intense ache in the neck muscles.
Neck pain is incredibly common in middle-aged and elderly people causing spinal disks dehydration and shrinkage affecting the flexibility of the neck joint movement.
Ayurveda, the treatment method that has an indelible connection with India, has herbal medicines available for almost all of the ailments. The thousands of years old ayurvedic scriptures have solutions for neck pain (Manyastambha) as well.
Symptoms of neck pain-
Headaches
Stiffness in neck
Tightness in neck
Dull, ache in muscles
Loss of balance
Tingling in arms
Weakness in hands
Weakness in grip
Shoulder blade pain
Unable to control bladder or bowels
CAUSES OF NECK PAIN:
Neck Pain can be caused by
An activity that harms the neck.
An injury.
A medical condition.
PANCHAKARMA FOR NECK PAIN
Panchakarma therapies such as Greeva basti, Abhyanga swedam, Nasyam, Shirovasti or shirodhara, Sarvangadhara and pathra pinda sweda etc are usually done based on the persons presentation and severity of the neck pain.
GREEVA BASTI-
Greeva basti is a specialized treatment for neck pain and diseases related to cervical spine.
A ring of dough is placed on the neck to act as a reservoir.
Medicated Luke warm oil is poured there for some time.
Medicated oil is poured into the reservoir and retained there for some time.
When oils cools down it is squeezed out with a cotton gauze or a sponge.
This procedure is repeated a couple of times.
The treatment lasts 30 to 45 minutes.
Greeva basti is helpful for conditions such as cervical spondylitis, stiff neck, shoulder and upper back pain, tension headache and many others.
ABHYANGAM:
In this procedure whole body massage with specific medicated oils, achieves deepest healing effects by naturally harmonizing Body, Mind, Soul and the Senses.
NADI SWEDANAM:
Nadi swedana is a type of Ayurvedic medicated steam bath.
PATHRA PINDA POTTALI SWEDA:
Materials required
Leaves
Arka pathra-Calotrpis gigantean
Chinchapathra Tamarindus indicus
Eranda pathra- Ricinus communis
Sigru pathra-Moringa oleifera
Nirgundi pathra-Vitex negundo
Vatagna pathra-Justicia gendarussa
Dathura pathra-Datura alba
Grated coconut – 100 gm
Sliced lemon-2
Saindhava Lavana 10gms
Oil
For Frying leaf – 100 ml Nimba Taila
For heating potali – 250 ml oil
Cotton cloth (45 x 45 cms), 4 pieces.
Procedure- The oil is heated and the potali is dipped in to the warm oil and rotated 2 to 3 times. The pottli is removed and the excess oil sticking to the sides are wiped out and hot pottali is applied to the affected part. The treatment lasts 30 to 45 minutes. After that Oil in the body should be wiped off and the body should be covered with blanket for 5 to 10 minutes.
SHIRODHARA:
In this panchkarma procedure stream of medicated oil is allowed to flow over the forehead of patient and then a gentle and soothing head massage is done.
Nasyam:
Administration of hearbaliazed oil in both nostrils, cleanses accumulated kapha toxins from the head and neck region.
AYURVEDIC TREATMENT FOR NECK PAIN
Ayurveda recommends herbal medications, panchkarma therapy and Yoga exercises for the management of neck pain. The right combination of these treatments not only reduces pain but also ensure that there is no further recurrence of neck pain.
These tablets are pure ayurvedic formulation. Nerve up tablets help in balancing the vata doshas and kapha dosha. It acts as nervine stimulant. It shows effective results in improving the central nervous system. This tablet helps in Backache, knee pain, headache, bronchitis, depression.
Recommended Dosage- Take 1 tablet twice daily.
RASAYAN VATI:
Rasayan vati is herbo-mineral Ayurvedic formulation which contains various natural herbs. These herbs i show antioxidant, anti-inflammatory, antipyretic, analgesic, immune-modulator properties. rasayan vati provides good results in General debility, Psychological disorders, and improves immunity and helps in cervical pain.
Recommended Dosage: Take 1 tablet twice daily.
PAIN-O-KILL OIL:
This herbal oil provides good results in body pain, swelling, stiffness, & inflammation. Massage with this oil relieves pain, stiffness, & swelling. Its anti-inflammatory & analgesic properties reduce inflammation & pain in the body.
Method of Application: Take few drops of oil in your hands after that gently massage over the affected area of your body pain.
PAIN–O-KILL SYRUP:
It is an herbal remedy that helps to get relief from the severe pain which is associated with cervical spondylitis. This syrup helps in reducing the stiffness & rejuvenates the body tissues. It helps to improve muscle tone. This syrup has a good result in reducing the inflammation.
Recommended Dosage – Take 2 teaspoonfuls twice a day before meal with normal water.
PANCHSAKAR CHURNA:
Panchsakar Churna is an Ayurvedic formulation that consists of five ingredients named as – Saindhav Lavana, Swarnapatri, Shatapushpa, Shunti, and Balaharitaki. It is naturally detoxifying, thus it removes the toxins from the body. Panchsakar churna helps to relax the muscles around the neck and also reduces the inflammation.
Recommended Dosage – Take 1 teaspoonful once a day with Luke warm water at bedtime.
PREMIUM DETOX POWDER:
Detox herbal sachets are prepared from ingredients such as Shankh bhasma, Sutshekhar ras, Parwal pishti, Sukta pishti, Giloy, Kamdudha ras, Shwet parpati that gives calming effect on the stomach. These sachets have anti-inflammatory, antioxidant, and antacid like properties. It mainly affects in lowering the pitta dosha of the body and maintains proper digestion of the body.
Recommended Dosage: Take one sachet twice daily with normal water.
PANCHKARMA THERAPIES-
Abhyangam
Nadi Swedana
Pathra pinda pottali swedana
Greeva vasti
Shirodhara
Nasyam
DIET PLAN FOR NECK PAIN:
Eat Plenty of Green leafy vegetables
Eat seasonal fruits.
Having a powder of ginger reduces inflammation.
Sesame seeds, Pumpkin seeds and Flax seeds can be included in the diet.
Junk Food should be avoided
YOGASANAS FOR NECK PAIN
Shavasana
Supta vajrasana
Bhujangasana
Matsyasana
Purvottanasana
BEST PANCHKARMA FOR NECK PAIN
Grreva basti is best ayurvedic panchakarma treatment for neck pain.
Greeva Basti:
Greeva basti is a specialized treatment for neck pain and diseases related to cervical spine. In this procedure a ring of dough is placed on the neck and medicated Luke warm oil is poured into it. This procedure is repeated a couple of times. It is helpful for conditions such as cervical spondylitis, stiff neck, shoulder and upper back pain, tension headache and many others.
Imbalance in the Vata is considered as the main cause of any kind of irregularity in the body’s vital functions affecting the daily routines.
At Chandigarh Ayurvedic center specialist diagnoses and finds out the abnormality in the body caused and tailors treatment plans that help to pacify the aggravated Vata.
Along with the treatment plan, proper meal plans and physical activities are also incorporated for faster and better treatment results.
In cases of cervical spondylitis, the Ayurveda specialist tailors customized treatment plans according to the health condition of the patient.
The aggravated vata are balanced through various combinations of Ayurvedic decoctions and with a proper and adequate diet plan to improve digestion and enhance the digestive fire.
The administration of herbal medicines fastens the body tissue rejuvenation followed by panchakarma abhayanga therapy to help the body get back to a state of balance and harmony.
Ayurveda Panchakarma therapies for treating cervical spondylosis include Abhyanga swedam, nadi swedana, Nasyam, Shirovasti or shirodhara, Sarvangadhara, Greeva vasti, patra pinda pottli swedana, etc. to relieve pain, inflammation of muscles and ligaments and to improve the flexibility of neck bone joints.
All treatment therapies are managed to depend upon the condition of the patient and severity of the disease.
Who does not want to have flawless, glowing and beautiful skin. But in the hectic life, sometimes we do not feel it necessary to pay attention to our skin.
We take care of our skin, but due to stress and pollution, our skin starts becoming lifeless from inside. The effect of which we see on our skin and this is also the reason for having freckles on the face, which looks like light black and brown spots.
Due to which it is inevitable to reduce the beauty of the face. This problem can be due to many reasons. Which can be got rid of by taking the right treatment at the right time. So, that you get spotless and freckle free skin. Black and brown spots (freckles) on the skin of the face spoil your beauty.
These can be got rid of by adopting some easy home remedies.
If you want to get rid of facial freckles soon, then follow these 5 effective home remedies
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What are the causes of freckles?
You must have often seen freckles in your own or many people’s face and neck.
It is mostly caused by exposure to the sun due to excessive production of melanin in the skin.
The place where there is an excess of melanin in the skin becomes the cause of freckles.
It can also be a sign of dangerous skin cancer. You must consult a doctor to get the right treatment at the right time.
You can lighten the freckles with the help of home remedies. What are these remedies, let us know.
1. Use Of Apple Cider Vinegar for freckles
The malic acid present in apple vinegar exfoliates the dark skin cells. It helps to lighten the freckles.
You have to mix one spoon of honey in one spoon of apple vinegar and apply it on your face.
Wash off with lukewarm water after sometime.
You can apply it every day.
2. Lemon Juice Fade Age Spots
Lemon is rich in Vitamin C.
Vitamin C protects the skin from the harmful rays of the sun.
It also prevents the accumulation of melanin in one place.
Apply lemon juice on your face with the help of cotton, and wash after drying.
You can try this process twice a week.
3 Use of Aloe Vera for Freckles
Aloe vera is considered very good for the skin.
It protects the skin from getting damaged by the rays of the sun.
It also prevents the accumulation of melanin.
Massage the aloe vera gel on the face for two to three minutes and wash it off after 10 to 15 minutes.
If you want, you can even leave it without washing it.
You can do this process daily.
4. Use of Yoghurt for Freckles
Yogurt rich in lactic acid reduces the accumulation of melanin in the skin.
This helps in reducing freckles.
Massage by applying two tablespoons of curd to the area where there is a problem of freckles.
Wash it off after 15 to 20 minutes of massage.
You can repeat this process every day.
5. Use of Honey
Honey contains phenolic and flavonoid compounds that can help reduce tyrosinase activity.
This can help get rid of blemishes by controlling the excess production of melanin in your skin.
How to defend? (Precautions)
With the help of home remedies, you can get help in reducing your freckles. These remedies are also effective.
If you want that you do not have to face the problem of freckles, then you can protect yourself in some special ways. like-
Make a habit of cleansing the skin with a good toner.
Make sure to apply sunscreen before going out in the sun.
Keep your face and rest of the body covered in the sun.
You use an umbrella.
Avoid being in the sun for a long time.
These are some of the remedies, with the help of which you can get rid of the problem of freckles. If you are also facing the problem of freckles, then you must try our given tips. If still you do not get relief, then definitely consult a good skincare specialist.
What is the treatment for Freckles?
You can take the help of light weighted cream, pigment laser to reduce or get rid of the problem of freckles. Keep in mind that this problem depends on your genetics.
CAC SPECIAL SKIN CARE KIT
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.
Blood Purifier Syrup :
It is ayurvedic syrup that consists of various natural ingredients such as Khadir Chall (Acacia catechu), Manjistha (Rubia cordifolia), Neem (Azadirachta indica), Giloy (Tinospora cordifolia), Harad (Terminalia bellirica), Baheda (Terminalia chebula), Amla (Emblica officinalis), etc. As the syrup purifies the blood by removing excess toxins it is very beneficial in maintaining proper circulation and improves the skin naturally.
Recommended Dosage – Take 2 teaspoonful twice daily.
Skin Care Plus tablet:
skin care tablet is a pure 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, increase blood circulation of the skin. It minimizes the blemishes, lighten sun tan, delay ageing of skin and heal skin problems.
Recommended Dosage: Take 1 tablet twice daily.
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 tablet twice a day with normal water.
Strawberry Face Cream:
Strawberry face cream is pure herbal cream which gives you glowing complexion without any side effects. This face cream Delays ageing, eliminates dead skin cells, cleanses the skin, improves complexion, and even tones your skin. The antioxidants present in strawberries delay the signs of aging like wrinkles and sagging skin. The Vitamin C fights free radicals that cause damage to cells and collagen resulting in fine lines. Vitamin C in strawberries is essential for the production of collagen, which improves the skin’s elasticity.
Recommended Dosage – Apply to the affected area twice daily.
Khas is commonly called as KhasKhas, which is originally from Poaceae family. Its botanical name is Vetiveria zizanioides. Although it is popular in most places by the name of poppy, but in English it is known as khus khus or vetiver grass, khus or poppy in Hindi, Mudival in Kannada, Ushiram in Tamil, Venar origin in Bengal, etc. Is known.
You will be surprised to know that the description of poppy seeds is found in ancient Ayurvedic scriptures. Poppy grass has special importance in Ayurveda. That is to say, it has been cultivated for more than 3000 years.
Perhaps you do not know that apart from India, it is also cultivated in European countries, Australia, Turk.
In India it is basically found in South India, Rajasthan, Bengal, Chota Nagpur.
The medicinal and ayurvedic properties of poppy seed are numerous. It is also beneficial in cold-cough, heart disease, vomiting, skin diseases, fever, metal defects, headache, blood disorders, burning of urine, respiratory diseases, bile diseases, muscle spasms, hormonal problems.
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Nutrients found in Poppy Seeds
Nutrients of poppy grass are unlimited. Resin, volatile vegetable oil, beta-vetivone, khasinol, khasilal, zizonoic acid, calcium, azulene and ferrous oxide are found in poppy grass.
Medicinal Properties of Poppy Seeds
Seeing the list of nutrients of poppy seeds, you must have understood that its medicinal properties will also be many. That is, the health benefits of poppy seeds are innumerable.
Poppy seeds have many medicinal properties such as antibacterial, antifungal, anticataleptic, analgesic, anti-inflammatory, rheumatic, antioxidant, antiarrhythmic, stimulant, diuretic or diuretic, antispasmodic, emmenagogue.
Method of Consumption of Poppy Seeds
A special thing about poppy grass is that it has a fixed dosage, about which it is important to be aware of because consuming more than the quantity is harmful for health.
For this, it would be better to consume it only after consulting an Ayurvedic doctor.
But a special thing about poppy is that it can be used externally and internally.
That is, consume poppy seeds or apply it on the skin, the method of its use is different in both.
Benefits of poppy seeds
According to Ayurvedic medicine, poppy seeds have a cooling effect, due to which the benefits of poppy seeds in stomach related diseases are innumerable. Along with this, there are many other benefits of poppy seeds, which are as follows-
Khus Khus for analgesic effect-
Poppy seed oil is commonly used to relieve pain because of its anti-inflammatory properties that help reduce inflammation of the muscles and strengthen bones.
Khus Khus for mouth ulcer-
In Ayurveda, it is believed that due to excessive amount of pitta in the body, there are blisters in the mouth.
As mentioned earlier, it helps in getting relief from mouth ulcers due to cooling effect of poppy seeds.
Get relief when burnt by fire –
What do you do when a fire burns?
You wash the burn area with water, but your condition is troubled by the burning. At that time poppy grass will give you relief from irritation.
Because the antibacterial and cooling properties of poppy seeds act like a panacea at that time.
How to use poppy seeds-
You can also apply by grinding poppy grass.
Or mix poppy seeds in coconut oil and apply it on the affected area, it will reduce the inflammation.
Khus Khus for Insomnia-
If you have trouble sleeping or insomnia and you want to get relief from it naturally, then consumption of poppy seeds will help you.
Because the compounds contained in poppy seeds are helpful in the production of neurotransmitters, which help the brain to function optimally.
And this reduces the problem of sleeplessness.
Use of poppy seeds for insomnia
Before sleeping, take a bath by adding 5-10 drops of poppy seed oil in the bath water.
This gives coolness to the body.
The smell of poppy seeds helps to calm the mind and body.
That is, its smell and the feeling of coolness helps in sleeping.
Poppy seeds for Depression
Just as poppy seeds work in insomnia, in the same way, due to the production of neuro-transmitters, it helps the brain to function smoothly and reduces depression and stress.
Use of poppy seeds to get relief from depression
Put 5-10 drops of poppy seed oil in the bath water and take a bath with it.
The smell and cooling effect of poppy seeds helps to calm down the brain and thereby relieves stress and depression to some extent.
Khus Khus for fever
Perhaps you do not know how many benefits of poppy seeds are there in fever, which you are unaware of.
The cooling effect of poppy grass and its antibacterial properties help in reducing or relieving fever.
Dosage and method of intake- After lunch, 1-2 grams powder of poppy seeds can be taken with honey or water.
Nails are made of dead cells, just like the hair. They are key part of the body and more useful. It would be hard to pick up tiny objects or scratch if you didn’t have nails. They protect fingers and toes. Due to its social and aesthetic importance, healthy and beautiful nails are a billion dollar industry today. Nail disorders can affect any part of the nail. Some disorders affect multiple parts at the same time. Some diseases affect only one or two nails, while some affect all twenty nails. Fingernails that fall off normally grow back in 3-6 months. Toenails can 12-18 months to grow.
Nail changes can appear in various skin diseases. Some of the common diseases with specific nail changes are described below. Nail psoriasis can be diagnosed by examining the nail and other affected skin patches.
PSORIASIS
Psoriasis is a chronic autoimmune disease. Nail changes appear in about 10-55% of patients with psoriasis. Nail psoriasis symptoms depends on its rapidity and part of nail affected.
It appears as:
Pitting
Onycholysis
Crumbling nail
Yellow or brown discoloration of the nail bed
Nail psoriasis treatment is usually dissatisfactory. More than one treatment options may be combined to get better outcomes. They are:
Steroid ointments like clobetasol
ointment (Calcipotriol)
gel (Tazarotene)
cream (5-fluorouracil)
Oral Immunosuppressive drugs ( apremilast, methotrexate and cyclosporine)
Intralesional injections (methotrexate and triamcinolone)
Biological injections (Etanercept, Secukinumab)
Ultraviolet light therapy
Nail removal (in severe disease)
LICHEN PLANUS
It is an itchy rash that is not contagious. Lichen planus triggered by the immune system. The nails are infrequently affected. It may also appear without any skin involvement.
It often affects the nail matrix. The nail changes are:
A skin disease that causes sudden, patchy hair loss on the scalp is known as Alopecia areata. It can infrequently affect other parts of the body, including the nails.
The nail changes in alopecia areata include:
Pitting
Trachyonychia
Onychorrhexis
Red lunula
Spotted lunula
This is temporary, therefore treatment is not required. Severe nail involvement is treated with intralesional injections (Triamcinolone).
ECZEMA
Eczema is a skin disease that is caused due to irritants or allergens. Nails are most often affected due to wet work (such as dishwashers and cleaners). Frequent and prolonged contact with water itself can cause irritant damage over a period of time. Occupational exposure to chemicals like acids, oils and solvents can affect the nails. Some ingredients in cosmetics like nail polish and hand creams can cause allergic eczema.
The nail changes seen in eczema include:
Onychorrhexis
Onychoschizia
Onycholysis
Nail dystrophy
Trachyonychia
Pitting
Paronychia
Treatment of nail eczema includes:
The causative factors should be avoided
Use Petrolatum based moisturizers
Use Steroidal ointments
If there is secondary infection Antibiotics or antifungals should be use.
NAIL INFECTIONS
ONYCHOMYCOSIS
Onychomycosis is a fungal infection in your toenails or fingernails. It is common in adults who live in hot, humid environments. The fungi enter through minor cuts or cracks in the skin next to the nail. It may be contagious.
The factors that cause onychomycosis include:
Onychomycosis Injury to the nail
Weak immune (diabetes, AIDS, etc.)
fungal skin infection (Athlete’s foot)
Tight fitting shoes or gloves
Frequent and prolonged contact with water (hand washing, dishwashers, cleaners, etc.)
Symptoms
Usually painless
Any lifting from the nail bed
No longer firmly attached
Nail thickening may occur
Nail discoloration can be yellow, white, or brown
Your doctor will be able to diagnose fungal nail infection by looking at it. A part of the affected area will be clipped and scraped. The type of fungus is identified by laboratory tests.
Fingernail infections get cured far more quickly than the infections of your toenails. To cure them, there is requirement to combine the topical and oral medications for better results. Whereas, in some of the severe cases, there might be required to remove the affected nail. Treatment options include:
Topical Medications (treatment that you apply to the skin)
Amorolfine
Ciclopirox
Efinaconazole
Tavaborole
Oral Medications (treatment that you take by mouth)
Fluconazole
Itraconazole
Ketoconazole
Terbinafine
Griseofulvin
Other Treatments
Surgical nail removal
Non-surgical nail removal
Laser therapy
PARONYCHIA
Paronychia is a common infection of the nail folds. There are two kinds of paronychia, acute and chronic. Infection that persists for more than 6 weeks is termed as chronic paronychia. It happens due to a break in the skin, caused by:
Biting or chewing nails
Injuries
Skin diseases like eczema
Excessive manicures or pedicures
Ingrown nails
Prolonged wet work (dishwashers, bartenders, cleaners, etc.)
The germs that cause paronychia can be bacteria or fungi, or both. Herpes viruses can also cause this. The common organisms involved are:
Staphylococcus
Streptococcus
Pseudomonas
Candida
Herpes simplex virus (whitlow)
The symptoms of paronychia include:
Pain and Swelling
Affects nail wall
Red swollen appearance
fluid discharge or pus may be present
Thick and discolored nails
Absence of cuticle
Fever may be present
Your doctor will be able to diagnose paronychia simply by looking at it. The affected area will be swabbed to determine the causative organism. Antibiotic or antifungal creams and pills are usually prescribed in acute paronychia. Mild steroid creams are used to treat chronic paronychia. Surgical removal of the nail plate may help to drain the pus. Proper nail care, protective gloves and avoidance of wet work will prevent this from reappearing.
PERIUNGUAL WARTS
Warts are small, rough, grainy or fleshy growths that appear on the skin. They are caused by infection with the human papilloma virus (HPV). They appear when the virus infects the top layer of the skin through cuts or scrapes. Periungual warts grow under the nail and along the nail folds. It is contagious. A person may get it from contact with infected skin, or items such as towels and toys.
Some people are more prone to getting periungual warts. These people are:
Children and teens
People who bite their nails or pick their skin
People with a weak body defense system (like diabetics, chemotherapy, AIDS)
SYMPTOMS
Rough, grainy bumps
Black dots may be present on the surface
Pain (if large or infected)
Your doctor will be able to diagnose periungual warts by looking at it. They may also scrape the wart to look for tiny dots.
You can treat warts at home by applying salicylic acid. It comes as a gel, liquid, or plaster (pad). You should carefully apply salicylic acid to the wart every day. It can take many weeks of treatment to have good results.
Covering the wart with duct tape is useful. It prevents the spread of infection. Changing the tape every few days helps to peel away the layers of the wart. Application of raw garlic or tea tree oil may help in a few cases.
A skin tumor (dome-shaped) that can occur on sun-exposed areas
The lesion may appear similar to squamous cell cancer (SCC), which is a more solemn skin condition.
develops in the hair follicles epithelium above the sebaceous glands
Symptoms include a raised, dome-shaped lesion with a central area of depression on a sun-exposed area such as the face, ears or hands.
Treatment often includes surgical removal to rule out a more serious condition
If you catch the problem early, treatment usually works well
RISK FACTORS OF KERATOACONTHOMA
Sunlight and chemical carcinogens have been implicated.
Long-term suppression of the immune system, like organ transplant recipients
Long term presence of scars, such as from a gasoline burn
Chronic ulcers
Presence of particular strains of the wart virus (human papillomavirus)
Previous skin cancer
Trauma, genetic factors and immune compromised status have also been associated
Industrial workers long term exposure to pitch and tar
People who are addicted to chewing tobacco or smoking have a higher risk for keratoaconthoma.
CLINICAL FEATURES
Typically intense growth over a few weeks to months, followed by a slow spontaneous resolution over 4-6 months
Most occur on sun- exposed areas, e.g the face, neck, and dorsum of hands and forearms.
They are usually solitary and begin as firm, round, skin colored or red color papule
Rapidly progress to dome- shaped nodules with a smooth shiny surface.
A central crater of ulceration may develop a keratin plug that may project like a horn.
It leaves a residual scar if not excised
sometimes presents as multiple tumors
COMMON SITES
keratoacanthoma commonly found on the :
Centre of the face
Dorsum of hands
Forearms
Ears
Scalp
Lower legs, especially in women
DIAGNOSIS OF KERATOACANTHOMA
Tissue biopsy or excision
Because this lesion cannot be relied on to involute, biopsy or excision is recommended.
TREATMENT OF KERATOACANTHOMA
REMOVAL (SURGERY) TREATMENTS
Treatment options depend on the site and size of the lesion, patient’s health history. A minor surgery is the most common treatment, under a local anesthetic, to remove the tumor.
Some Other treatments include:
Cryosurgery- in this procedure used liquid nitrogen to freeze or destroy the lesion.
Electrodesiccation (curettage) – this procedure used to scrap or burn off the growth.
Used radiation or X-ray therapy for people who are unable to have a surgical procedure.
MEDICATIONAL TREATMENT
Medications are used if patients are unable for surgery and have numerous lesions.
The medical treatments are:
Intralesional methotrexate
Injecting a folic acid that halts dna synthesis and kills cancer cells
Intralesional 5-fluorouracil
Topical 5-fluorouracil
Bleomycin,
A 25 % solution of podophyllin
Oral acitretin
Chemical vitamin a
Oral isotretinoin (accutane)
Steroids
These medications can reduce the number and size of lesions, making the removal treatments or surgeries easier and less aggressive. They aren’t a substitute for actual surgery or other removal.
AYURVEDIC POINT OF VIEW
In Ayurveda, keratoacanthoma may be considered under Charma Kushtha, a type of Kshudra Kushtha (minor skin diseases), due to the similarity in signs and symptoms with HLP. Charma Kushtha is dominant of Vata Dosha and Kapha Dosha. In this condition, the skin over the patch becomes thick like the skin of an elephant.
AYURVEDIC TREATMENT OF KERATOACANTHOMA AT CHANDIGARH AYURVEDIC CENTRE
Ayurvedic treatment of keratoacanthoma involves a comprehensive treatment strategy which involves strengthening of the digestive system, detoxification of the body and rejuvenation.
Detoxification of the body with Panchakarma:
Detoxing the body is a significant and crucial part of most Ayurvedic treatments, to expel out toxins that have accumulated in the body.
After assessing the patient’s condition, the treatment may involve Virechana (induced purgation), Basti (enema) and Nasya (purifying nasal therapy).
Correcting functioning of Agni and preventing further generation of Ama(Toxin)
This involves diet modifications to boost the digestive fire.
Pacifying the symptoms:
In order to then control the symptoms of gargling (Kavala), medicated oil/decoction pouring (Dhara), medicines for external application (Lepa), herbal oil massage (Abhyanga) are useful.
Rasayana or Rejuvenating Medicines:
The treatment procedures to rejuvenate and restore the body tissues along with some herbal formulation to reduce the symptoms of keratoacanthoma.
SELF-CARE GUIDELINES FOR KERATOACANTHOMA
Keep yourself away from pollution and chemicals.
Avoid excessive ultraviolet light which may damage your immunity system.
Lowering stress and aiming for good mental health is crucial to tackle this condition.
Include practice of meditation and yoga in your daily routine.
Wear wide-brimmed hats and long-sleeved shirts.
Avoid artificial tanning devices.
Limit intake of spicy, fried, sour, oily, heavy, processed and fermented food, curd, fast food, refined sugar and sour foods.
Turmeric, cumin, bitter vegetables, ginger, holy basil and cardamom should be consumed.
These all are effective for dealing with keratoacanthoma.
Muscle is contractile tissue of the human body which primarily functions as a source of power. Muscles’ contractile movements help us to move. The muscular system is composed of muscle fiber, connective tissues, blood vessels, and nerves.
Many people, especially sportsmen and women, require lots of energy to earn in their living. The same with kind bodybuilders as they need lots of muscle strength. This form reason to use Ayurveda supplements that not only boosts health it also increases body muscle strength. Ayurveda herbs are natural and safe for use. Therewith, it is a most emphatic way to strengthen muscles naturally.
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Kinds of Muscle
Muscle-skeletal
Cardiac muscle
Smooth muscle
Functions of Muscle
Mobility
Posture
Stability
Circulation
Respiration
Digestion
Urination
Temperature regulation
CAUSES OF MUSCLE WEAKNESS
Following factors can cause muscle weakness, include-
In muscle building requires not only the use of a balanced diet, but one can add Ayurveda herbs for better results. Most herbs used in muscle strengthening include.
ASHWAGANDHA (Withania somnifera)
Ashwangandha also known as Indian ginseng.
It has been most significant component of Ayurvedic medical practices for a long time.
It is highly potent and increases the muscles and enhances its strength.
Ashwagandha has therapeutic properties and is used as supplements.
This is a most relevant factor for increasing stamina and muscles strength.
It promotes heart health that supplies the essential nutrients in muscles and recovers from any injuries.
It nourishes the body system, especially the muscles, by giving much energy.
It is known to reduces body fat percentage, increasing muscle mass.
Other advantages are reducing blood sugar levels, anxiety disorders and chronic stress that are not found in other synthetic protein powders.
SHATAVARI (Asparagus racemosus)
This herb has been used in ayurvedic herbs for centuries.
Due to its potent antioxidant and adaptogenic effect removes toxins and free radicals.
Shatawari helps the muscular system, leading to a healthy build-up of a pleasing physique
It is high in nutrients that have proprieties in the synthesis of proteins that promotes muscle growth.
It is belongs to the asparagus family.
it contains strong antioxidants and can also provide anti-inflammatory benefits.
Synthetic protein powders are produced to focus mainly on muscle gain and are devoid of any such profits.
Researcher suggests that it increases the capability of muscles to utilize glycogen and free fatty acids accordingly delaying exhaustion by a whopping.
If you wanting adequate nourishment and improve muscle heath, one teaspoon of shatavari powder should be consumed with food or hot water at least once daily.
GOKSHURA (Tribulus terrestris)
It is a healing and immunity boosting natural medicinal herb, found in the sub-Himalayan forests of India.
It is used in building muscles and nourishes the body.
Bodybuilder and athletes have used this herb to boost muscles as conventional medicine have been raised an issue in anti-doping.
Gokshura has been used in the reduction of fatigue experienced by athletes and also increases muscle strength.
It also Useful in the management of Urinary Disorders, Beneficial for Eye Health and strengthen the respiratory System.
Gokshura reduces athletic fatigue significantly and increases muscle strength.
It has also been used to cure cough and asthama by increasing the supply of oxygen during the circulation of blood which makes usage of muscles effective and efficient.
This is the excellent herb for athletes and individuals going to the gym because it increases muscle strain tolerance.
SAFED MUSLI (Chlorophytum borivilianum)
Safed Musli is considered as one of the essential herbs with adaptogenic qualities that helps the human body adapt to stressful situations.
safed Musli is a rare herb that grows in the Indian Subcontinent.
Safed musli has been known to surge growth hormone production and is the norm herb to obtain large muscles.
In addition, studies have shown that safed musli enhances testosterone harmone levels too.
Muscle protein powders are known to aid muscle growth but safed musli provides dual benefits by assisting muscle growth as well as recovery.
TREATMENTS IN AYURVEDA
Ayurveda described various treatments for muscle health. The treatments include abhyangam (oil massage), Pottalies and Panchakarma (purification) procedure, mainly basti (medicated enema)
Oil Massage (Abhyangam)
Oil massage is explained in daily routine practices. Massage with Mahanarayana tail, Tailam, Ksheerabala Tailam, Karpooradi Tailam and Chinchadi Tailam preferred. Oil massage keeps the skin and muscles healthy.
Pottali Application
Different types of pottalies are explained in Ayurveda. For bone and muscle health, usually, pottali is made with meat and sashitk shali rice is indicated. Both have proven effects on muscle diseases.
Panchakarma (bio-purification) procedure
Basti (medicated enema)
Ayurveda described Many varieties of drugs for Basti (medicated enema). Rajayapana Basti is selected for promote muscle health because of its beneficial Sadhyo Balajanana and Rasayana effects.
Headache is one of the common diseases. This disease can happen to any person of any nature due to any reason.
But have you ever thought that what is the reason behind frequent headaches?
Table of Contents
Can a headache be relieved?
Lifestyle and diet have become the biggest cause of headache, desire to get more in less time, poor lifestyle and excessive use of technology are giving rise to headache.
Generally, to get relief from headache, first of all, people adopt home remedies for headache, so that they can get relief quickly and easily.
Some Ayurveda remedies for headache are also effective and if they are consumed properly and in balanced quantity, then their side effects are also less and it is easy to get rid of headache.
That’s why people resort to home or ayurvedic remedies to get relief from headache before going to the doctor.
What is headache?
The sensation of pain in the head due to any reason is called headache. When the pain in the head starts mild and gradually increases when it reaches into an unbearable state, then that pain should be considered as a headache.
Headache is pain occurring in any part of the head. Headaches can occur on one or both sides of the head. It starts from a point in the head and spreads to the whole head or starts happening at a certain place. This pain can appear as a sharp or mild pain producing a sensation in the head, headaches can arise gradually or suddenly and can last from an hour to several days.
Causes of Headache
Headache is a common disease, but there are many reasons behind its occurrence. So to understand the cause of headache in a simple way, let us divide it into two parts, one common cause and the other due to some disease.
Common causes of headache are-
Our unhealthy habits and irregularity in eating habits are the main reasons for headache.
1- Due to diet
Eating a lot of chili and spicy food, not being able to eat anything from breakfast, lunch or dinner, that is, being hungry for a long time or eating junk food causes irritation and gas formation in the stomach.
If you stay empty stomach for a long time, more gas is formed, they increase the problem of headache, should avoid such food which makes acid, lying down immediately after eating food causes gastric problem.
To get rid of headache, it is necessary to take care of diet.
2- Due to the fragrance
There can be an allergy to strong smells or any fragrance, one should try to stay away from the type of fragrance that is troublesome.
To get rid of headache, it is also important to pay attention to the fragrance.
3- Caffeine overdose
Consumption of certain foods increases the amount of caffeine in the body which becomes the cause of headache, such as cold drinks, coffee, liquor etc.
Apart from this, excessive consumption of liquids that contain mono sodium glutamate, such as processed meat, fermented food, red wine, citrus fruits, etc., increases the headache.
To get rid of headache, it is important to take care of the amount of caffeine.
4- Consumption of more cold food
Headache can also be caused by the consumption of too cold foods.
Due to the consumption of too cold substances, the blood flow in the body is not able to flow properly.
Due to the cold, the nerves of the head get constricted which becomes the cause of headache.
To get rid of headache, one should not eat very cold food.
5- Consumption of water in small amounts
When the amount of water in the body decreases, then the toxic elements inside the body are not able to get out of the body, due to which headache starts.
Adequate amount of water should be drunk to get rid of headache.
6- By taking the contraceptive pill
Taking the contraceptive pill causes headache due to changes in hormones within the body.
To get rid of headache, attention should be paid to the side effects caused by these pills.
Headache caused by diseases:
The problem of headache bothers some people again and again. There are generally two types of headache, primary and secondary.
The real cause of headache in primary is not known. In the same secondary pain occurs due to some physical problem. If this type of pain is ignored, then it can lead to a major disease. Therefore, it would be better to recognize its signs well.
Some signs, due to which headache can be caused are mentioned below-
Stroke- If there is sudden headache and one part of the body stops working then it can be a sign of stroke.
Brain Tumor- If the headache starts continuously for no reason and does not take the name of its easy recovery, then it can be a sign of brain tumor. Therefore, do not ignore such pain, rather consult a doctor immediately.
Brain Injury- If you often have pain in your head, then this type of headache can occur due to some kind of injury in the brain.
Fever- When there is fever, there is headache along with phlegm and ear pain. It is easily cured with fever medicine.
Infection of the tooth or ear- Infection in the area around the head such as ear or teeth can also cause headache.
Stress- Being under constant stress increases the blood circulation of the body.
Instant Ayurveda Remedies for Headache
Headache is a very common problem but sometimes it is so severe that it becomes difficult to tolerate. These remedies will help you to get rid of headache in a few minutes.
Various medicines are available in the market which are taken for relief in headache. But, taking too much medicine can be harmful to health. In such a situation, you can adopt Ayurveda remedies to drive away the headache.
But one thing which is most important is that you remove all the bad thoughts from your mind and try to remain calm. This will not cause frequent headaches.
Get rid of headache by adopting these 7 home remedies
Cure headache with acupressure
Since ancient period of time, people have been using acupressure for getting relief from headache.
In case of headache, bring both your palms in front.
After this, lightly massage the space between the thumb and index finger of the other hand with one hand.
Repeat this process for 2 to 4 minutes in both hands for getting relief from headache.
Drink lemon and hot water
If you are short on time or you are out somewhere and you suddenly get a severe headache, then this quick recipe can be very useful for you.
All you have to do in this is to take warm water in a glass and drink lemon juice in it.
This gives relief in headache. Sometimes the gas formation in the stomach also causes headache.
From reducing weight to keeping eyes healthy, raspberry is effective, know other benefits
Eat apple with salt
If even after many efforts, you are not taking the name of headache, then cut an apple and eat it by adding salt.
This is a very effective remedy to get relief from headache.
Sniff a bundle of cloves
Take a pan and Heat some clove buds in it. Tie these hot cloves in a handkerchief or a piece of cloth.
Keep smelling this bundle after sometime.
You will find that the headache has subsided.
Basil and Ginger Juice
Headache can also be relieved by the use of basil and ginger.
For this, mix the juice of basil leaves and ginger together.
After that apply it on the forehead. At the same time, this juice can also be given to a person suffering from headache.
This will give great relief in headache.
Clove oil massage
Headache can also be removed by the use of cloves. Cloves have pain-relieving properties. Massaging the forehead with clove oil can relieve headache.
Drink lemon in tea
Headache can also be relieved by adding lemon to tea.
For this, lemon should be squeezed in tea and drunk.
It is mainly transmitted to people by the bite of an infected mosquito (Aedes aegypti and Aedes albopictus).
The illness usually lasts for a week.
People have only mild symptoms or sometimes have no symptoms.
Zika virus during pregnancy can cause serious birth defects and also cause serious brain defects.
HOW DO PEOPLE GET INFECTED WITH ZIKA VIRUS
Zika is mainly transmitted through the bite of infected Aedes aegypti mosquito and Aedes albopictus mosquito.
Virus also can be passed from a pregnant woman to a fetus during pregnancy or at birth.
A person infected with Zika virus can pass the infection to their partner.
HEALING PERIOD The incubation period of infection is 3–14 days.
WHAT KIND OF HEALTH PROBLEMS CAN BE CAUSED BY ZIKA VIRUS
Many people infected with Zika show no symptoms or show mild symptoms.
These symptoms persist for a few days to a week. |
It also cause infection during pregnancy and cause serious birth infections.
Some studies show that Guillain-Barré syndrome is associated with Zika infection.
Once infected with Zika, it is possible that that person will not get this infection in the future.
There is no evidence that Zika infection in the past increases the risk of birth defects in future.
SYMPTOMS
Fever
Rash,
Headache
Joint pain
Red eyes
Muscle aches
People infected with Zika virus do not show any symptoms or have shown mild symptoms which is similar to dengue, last from several days to a week.
WHAT CAN PEOPLE DO TO PREVENT ZIKA VIRUS?
The best way to prevent with Zika virus is to protect yourself and your family from mosquito bites.
Use insect repellant.
Wear a full-sleeved shirt and full pants.
Use a mosquito during sleep in the open.
HOW IS ZIKA DIAGNOSED?
To diagnose Zika, doctor will ask about people recent travels and present symptoms.
Also collect blood or urine to test for Zika virus or similar virus.
HOW DANGEROUS IS ZIKA TO LIFE?
The symptoms of Zika are mild.
In such a situation, the possibility of death of the infected person is very less.
Hospital admission is required only in severe cases
MODE OF TRANSMISSION
The Zika virus is mainly spread to humans by the bite of an infected Aedes mosquito.
Aedes is the most important carriers for transmission.
Other Aedes mosquito species is also a potential vector.
Zika virus also present in human semen and transmissed by sexual contact.
Other modes of transmission such as transfusions and synchronous transmission is possible.
CAC TREATMENT FOR ZIKA VIRUS
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. Dosage– 1 tab twice daily with plain water after a meal.
Amrit tulsi ras – Holy basil (Ocimum sanctum) or tulsi is a powerful herb that has been used in Ayurveda and other traditional medical treatments in India for thousands of years. The small holy basil shrub with tiny flowers is considered a sacred plant in India. It was believed that the holy basil leaves had potent powers to flush out toxins from the body. People have tulsi water (water which has tulsi leaves soaked overnight) or chew on a tulsi leaf to improve overall health. Several health products are available with tulsi extracts to help treat cold, cough, and the flu. Dosage – Take 1 DROP of CAC Amrit tulsi ras in a glass of water/tea 4-5 times a day.
Giloy Capsules – these are herbo mineral and purely ayurvedic formulation. Giloy has been used in ayurvedic medicine since ages. It is also known as AMRITA which translates to root of immortality because of its abundant medicinal properties. It can be used in the form of capsules, juice and powder. But CAC capsules are highly effiecient 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. 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. Dosage – Take 1-2 capsules twice daily after meals.
Liver care syrup– this is a herbo-mineral Syrup which is purely ayurvedic formulation. CAC Liver Care syrup helps in balancing Pitta dosha. This Syrup enhances regeneration of liver cells, promote functions of liver, and improve blood flow from the liver. It helps in the treatment of fatty liver, liver cirrhosis, Hepatitis, hepatomegaly, and obstructive Jaundice. CAC Liver Care syrup contains Ingredients like Kalmegh (Andrographis paniculata), Kutaki(Picrorhiza kurroa), Bhumi amla( phyllanthus niruri), Giloy(Tinopora Cordifolia), Yavakshar( Hordeum vulgare), Imli Kshar( Tamarindus indica), Mukta Shukta pisti etc. These herbs shows Antioxidant, anti-inflammatory, Hepato-protective, properties. This syrup improves digestion, enhances appetite. Dosage – Take two teaspoonful twice daily with normal water.
Trikatu tablet – this is a hebo-mineral tablet of 650 MG and is purely Ayurvedic formulation. CAC Trikatu Tablet helps to eliminate excess Kapha or mucous from the body, supports respiratory system, manages weight, helps to take out impurities or ama from the body, supports healthy detoxification, reduces swelling. It shows anti-inflammatory, analgesic, expectorant, antioxidant properties. This tablet is made up of equal parts of three herbs such as Pippali (Piper longum), Shunthi (Zingiber officinale), & Marich (Piper nigrum) that maintains the metabolism in the body. The regular use of this tablet balances the thyroxine hormone and treats hyperthyroidism naturally. It is an Appetizer and it improves digestion, supports normal gastric function, and normal circulation. Dosage – Take 1 tablet twice daily or as directed by the physician.