Archive for January, 2010

Use of “PINAK” in the treatment of Scorpion Stings

Friday, January 15th, 2010

Use of “PINAK” in the treatment of Scorpion Stings

Dr. R.G.RAUT

Medical officer, PHc Dimbhe,Pune District

 

Dr.HANAMANTRAO CHAVAN

District Health Officer,Pune District

 

Dr. P.S. PAWAR

Medical Superintendent,

Sassoon General Hospital, Pune

 

Dr. S.P. GAIKWAD

Head of the Department of Ayurveda,

Sassoon General Hospital, Pune

 

Pinak is an ayurvedic antivenin used for snake bite cases. Feedback from patients of scorpion stings stimulated us for this study. Now we have concluded that a single table of Pinak is able to cure scorpion stings cases completely. More tables may be required in few selected cases of scorpion stings.

Scorpion stings are a major public health problem in many under developed tropical countries. Every year more than 1,25,000 cases of scorpion stings are reported in India and a few unlucky ones loose their life due to it. Most of these cases occurs in the rural areas.

Out of 1500 scorpion species, 50 are dangerous to humans. The lethal scorpion found in the Asia continent belong to Megobuthus.

The scorpion’s venom is composed of varying concentrations of neurotoxin, cardiotoxin, nephrotoxin, hemolytic toxin, hyaluronidases, phosphodiesterases, phospholipases, histamine, serotonin, tryptophan and cytokine reieasers.    Scorpion stings cause a wide range of contributions, from severe local skin reactions to neurologic, respiratory and cardiovascular collapse. Most deaths occur during the first 24 hours after the scorpion sting and are due to respiratory or caddiovascular failure. Further more, patients in rural areas tend to fare worse than patients in urban areas because of the delay in getting medical helo due to a longer travel time to medical centres.

Treatment generally consists of moving the patients’ airway and vital signs, follwed by administration of antivenin and institution of symptomatic and local treatment.

It may be noted that scorpion toxins do not induce abtibodies that cross-react against toxins of other scorpion species. Thus, no universal antivenin is available. Instead, 22 different types of scorpion antivenins exist. It does not prevent or protect the victim from cardiovascular manifestitaions. Moreover, it is not free from cardiovascular manifestations; also it is not free from anaphylaxis. It takes 45 minutes to reach peak tissue concentrations. In animals no beneficial effects of antivenin are observed if, it is injected more than 15 minutes after envenomation.

A majority of the victims go to ‘vaidu’ for treatment. Very few patients of scorpion stings come to State hospitals, because of lack of availability of treatment for scorpion bite in the State hospitals.Antivenom although available in the market, is very costly. It is beyond the reach of the rural folk. The treatment given by the doctors in the hospitals consists of a local xylocaine injection.

Pinak tablet has been in use in the area i.e.  Satara, Solapur, Pune districts in India for quite some time. People store these tablets in their household and administer themselves as and when required i.e.any bite. There have been encouraging reports from people regarding Pinak use for scorpion stings. And, there have been no untoward incidents so far.If the Pinak tablet is made available to all in the area and then across the country, a large menace troubling the people can be effectively tackled there by reducing the morbidity and preventing mortality.

Oral toxicity of Pinak tablets were studied by the Indian Institute of Toxicology, Pune (a NAbL accredited laboratory) which concluded that LD50 in rats was found to be greater than 2000mg/kg body weight.

The Pinak tablet is purely of herbal origin. It is polyvalent.The contents are:

i)Erythrina Indica

ii)Mangifera Indica

iii)Eugenia Jambolana

iv)Jasminum Sombac

The heavy metal content of the Pinak preparation is well below the permissible levels i.e.0-6 ppm.

All the patients were given single Pinak tablet sublingually and observed for a minimum of 30 minutes.

Hence, the present study was taken the effect of yhe Pinak used in scorpion sting cases.

Case Definition:

Any person irrespective of age, coming with a history of scorpion sting or symptoms suggestive of scorpion stings were considered for study.

 

Material and Methods:

The  study was conducted from 01.02.2008 to 25.03.2009 in a little over one year. Cases were more during May, June, July and August months. However, a clear cut seasonal association was not observed. Also there was no diurnal variation observed.

All the patients were treated in dimbhe PHC of Pune District. 25 Patients were referred by MPW/ANM while rest of the patients i.e. 35 patients came to PHC on their own and seen by the Medical Officer In charge of PHC. A detailed history was taken so as to confirm  the scorpion stings and type of scorpion species involved. All the patients were given single Pinak tablet sublingually and observed for a minimum of 30 minutes. After stabilization of their clinical condition and relief of pain, the patients were allowed to go home. A home visit was paid to these patients, the next day by the ANM/MPW of the PHC area to enqyire about the condition of the patient. 

 

After giving Pinak tablets sublingually, they were assessed for relief of pain and the effects on their CNS status by a visual analogue scale.

 

Results of the study:

A total of 30 patients of scorpion sting were included in the present study. Table I shows the age wise distribution of these patients.

Table I. Age wise distribution of scorpion sting cases

                          

Age (in years)

Male

Female

Total

Less than 5

0(0.0)

0(0.0)

0(0.0)

5-9

0(0.0)

1(3.3)

1(3.3)

10-19

3(10.0)

2(6.7)

5(16.7)

20-29

5(16.7)

3(10.0)

8((26.7)

30-39

4(13.3)

3(10.0)

7(23.3)

40-49

3(10.0)

1(3.3)

4(13.3)

50-59

2(6.7)

0(0.0)

2(6.7)

60~

0(0.0)

3(10.0)

3(10.0)

All

17(56.7)

13(43.3)

30(100.0)

 

Note: Figures in bracket indicate percentages in under five age group. Except that, there were patients from all other age groups. A large proportion of patients were in 20-29 years (26.7%) and 30-39 years (23.3%). There were fewer cases from extreme age groups. The 20-40 years is an active age group involved in field work and is naturally exposed to scorpion stings more.

 

 

 

 

Table II. Site of scorpion bite

 

Body part involved

Number

Percentage

1.Lower Limbs

16

53.34

2.Upper Limbs

13

43.33

3.Abdomen

0

0.0

4.Head and Neck

0

0.0

5.back

1

3.33

All

30

100.00

 

 

Lower limbs were the most commonly involved (53.34%) followed by upper limbs (43.33%)since these are the peripheral parts involved in field work,they were exposed to Scorpion stings.

 

Table III. Swelling at the site of scorpion bites:

 

Swelling

Number

Percentage

Present

16

53.33

Absent 14

46.67

 

Tatal

30

100.00

 

A little over half of the patients (53.33%) had swelling at the site of the bite.

Most of the patients i.e 25 (83.33%) had a burning sensation at the site of bite, while 2(6.67%) had tingling sensation. Also, in 26 (86.67%) redness was observed around the site of sting. One patient had oedema around the site of sting.

On examination, it was observed that all the patients were conscious, afebrile and palpitation out of the 30 patients. 20(66.67%) out of the 30, complained of sweating.

 

 

 

 

 

Table IV. Pulse rate of patients

 

Pulse rate per minute

Number

Percentage

Up to 69

0

0.0

70-79

3

10.00

80-89

15

50.00

90-99

8

26.67

100-110

4

13.33

All

30

100.00

 

In 4 patients (13.33%) tachycardia was observed while in 8 patients (26.67%), an increased pulse rate of 90-99 per minute was observed. Usually in scorpion stings, an increased pulse rate is observed.

 

Table v.Diastolic blood pressure of patients:

 

Blood pressure (in mm Hg)

Number

Percentage

Up to 60

0

0.0

60-69

5

16.67

70-79

15

50.00

80-89

10

33.33

90-99

0

0.0

100~

0

0.0

All

30

100.00

 

 

 

 

 

 

Table VI. Respiratory Rate of patients:

Respiratory rate per minute

Number

Percentage

14-15

9

30.00

16-17

18

60.00

18-19

3

10.00

All

30

100.00

 

In 9 (30%) patients the respiratory rate was 14 or 15 per minute.

Table VII.Time gap from scorpion bite to administration of Pinak tablets

Time Gap

Number

Percentage

Up to 30 min

9

30.00

31-60 min

10

33.33

61- 90 min

3

10.00

91-120 min

3

10.00

151-180 min

1

3.33

181 min~

1

3.33

 

30

3.33


 

Table VIII. Blood pressure (Hypertension) in patients:

Systolic BP(in mm Hg)

Number

Percentage

Less than 90

0

00.00

91-120

23

76.67

121~-140

7

23.33

141~

0

00.00

All

30

100.00


None of the patients had hypotension or hypertension. Majority i.e.(76.67%) had a systolic blood pressure between 91 to 120 mm Hg.

 

Table Ix. Evaluation of CNS effects

CNS effects

Upto 20%

21-40

41-60

61-80

81-100

1.Depressed to Euphoric

0

(0.0)

4

(13.3)

14

(46.67)

11

(36.67)

1

(3.33)

2.Passive to Active

0

(0.00

0

(0.0)

7

(23.33)

13

(43.33)

10

(33.33)

3.Tired to alert

0

(0.0)

4

(13.3)

9

(30.00)

11

(36.67)

6

(20.00)

4.Relaxed to tense

6

(20.00)

7

(23.33)

5

(16.67)

11

(36.67)

1

(3.33)

5.Anxious to confident

0

(0.0)

3

(10.00)

6

(20.00)

11

(36.67)

10

(33.33)

 

Note: Figures in parentheses indicate percentages.

When the effects of Pinak in CNS were evaluated, it was observed that, 4 (13.3%) were depressed as opposed to 12 (40%) patients with euphoric state. While in the remaining 14 (46.67%), it was neither depressed nor euphoric.

Majority of the patients i.e. 23 (77%) were active with none in passive state.

Majority i.e.17 (56.67%) were alert. However 4 patients (13.3%) felt tiredness.

Almost equal number of patients were found to be relaxed 13 (43.33%) as compared to tense patients 12(40%).

While 3 patients (10%) were found to be anxious, 21 (70%) felt that they were confident.

The patients were evaluated on a visual analogue scale of 1 to 10 for assessment of pain before and after administration of Pinak tablets.

Table X: Mean visual analogue score of pain

Before Pinak

After Pinak

Mean Reduction in Score

7.47

1.9

5.57

      Paired                        P<0.001             Highly Significant

t-test=19.17          

Table XI: Change in visual analogue score level of pain after Pinak

Pinak

administration

Visual  Analogue Score Level

0-3                 4 to 6            7 & above

Before Pinak

Nil                  6(20.0)       24 &above

After Pinak administration

27(90.0)         2(6.67)       1(3.33)

 

Z test for score 7+ =9-58        P<0.001 Highly significant

Majority of the patients came with severe pain i.e., 24 (80%) had pain score of more than 7 while 20 (20%) were in 4-6 pain score. After Pinak administration an overwhelming proportion i.e., 27 (90%) were in 0-3 scale while only one individual had a pain score of more than 7 and above. In the absence of any active international treatment, the pain due to scorpion sting takes many hours to come down. It may be noted that the assessment in reduction of pain was done after 30 minutes. Hence, this reduction of pain can be attributed to the effect of Pinak administration (Table XI).

From table x, we can compare the mean visual analogue score of pain assessment before and after Pinak Administration. The main pain score which was 7.47 before Pinak reduced to just 1.9 after Pinak administration, which was highly significant statistically calso.

Clinically, we noted swelling and redness followed the same fate as pain.

Summary and Conclusion:

A total of 30 cases of scorpion stings were considered in the present study. They were all administered Pinak tablets orally. Only one patient needed lignocaine injection locally. No serious untoward reactions were noted to Pinak administration. None of the patients experienced the serious effects of scorpion evvenomation. The severity of pain came down rapidly after Pinak administration. In fact in 5 patients there was no pain at all after Pinak intake. It is worthwhile noting that 80% of the patients had a severe pain i.e a pain visual analogue score of 7 and above before Pinak administration; and which came down to just 3.3% after Pinak intake. 90% of the patients had little or no pain at all. Thus the present study demonstrates the effectiveness of Pinak in scorpion stings cases.

The high cost of the present antivenom, non-availability of antivenom in most of the rural areas, the non-specific antivenom that is available today; all these factors compared with the easy availability, storage and administration of Pinak, relatively it’s low cost and high effectiveness of Pinak make it a good alternative choice for consideration in the treatment of scorpion stings cases.

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BOON OR BANE

Friday, January 15th, 2010

 

 

 

Use Of Herbo Mineral Formulation In ayurveda:

BOON OR BANE

Dr Anand Chaudhary

Converting toxic materials like minerals, metals and heavy metals in to medicinal forms to eradicate many diseases which cannot be properly treated with the help of other drugs, is an art in Ayurveda.

Since last two decades,Ayurveda, the complete system of medicine and a way of living in positive renovation of human health in all stages of life, is creating its own space on global canvas of wellbeing, effectively.The basic rationale and explanation for this is its doctrine of pharmaceutics, diagnostics, therapeutics and over all attention on mental health through spirituality and learning processes to cope up stress and build up individual psychosoma to the grade of enlightenment.

The material- medica of Ayurvedic system of medicine comprised of resources of three different origin viz herbal, mineral-metal and animal. More than six hundred herbs are addressed in writings of Ayurveda from 2000 BC to 2000AD.These herbs have been attended by scholars to explore their pharmacological and therapeutic area.Pharmacognosy and pharmaceutics of these herbs are taken care of by concerned personnel to provide best exclusive dosage forms of Ayurvedic medicaments of herbal origin.

A big boom was felt in Ayurvedic pharmaceutics in 15th century AD and onwards when material-medica of mineral and metal origins started taking over on exclusive herbal phenomenon of Ayurvedic formulations. Substantial incorporation of these medicines of mineral-metallic origins as single drug or in combination of herbs which may be termed as Herbo mineral formulations are visible from the classics of Ayurveda since 11 century AD with palpable prominence from 14 century AD to 18 century AD. Fascinating inventions were made during that period for proper assimilation and absorption of these drugs which eventually showed extensive variety of pharmacological and therapeutic results on specific disorders with better palatability, greater shelf life period and less dose pattern.

The essence of substances of animals origin are also viable in Ayurvedic formulations as application of milk, ghee, urine and other materials are added in specific medicaments for purpose of potentiating or purifying of different substances.

In present global scenario very optimistic attitude is prevailing for Ayurvedic system of medicine not only to cure and prevent ailments but for adding unconstrained quality in life. This created fear and jealousy among managers of giant allopathic manufacturing concerns because any progress in Ayurvedic system of medicine would affect directly their income. And their combined efforts are very much targeting Ayurveda by means of TV shows radio talks and up to my surprise with some so called designated research papers. Although the Gove of India challenged the methodology of these papers it remains unanswered, And in the end of the game when these medicines were banned by some European Government, we had done some research into it. But the findings were presented in media in misleading form. In fact we invite Indian stakeholders of Ayurveda to collaborate with us in this regard.

Ayurvedic Pharmaceutics

All substances of any origin are first treated with many pharmaceutical processes for their conversion from raw material to remedies for treatment diseases and strengthening normal physiology to enhance immune culture of body.

 

 

 

The herbal dosage forms are prepared by applying techniques to prepare particularized formula which have been depicted in table 1

 

 

Table  No.1

Sr no

Dosage forms

Formulation

Indication

 

01

Swarasa (self expressed juises)

Tulsi swarasa

Mild respiratory disorders

 

02

Kalka (mass/paste)

Nimba Kalka

Wound healing

 

03

Kwath (decoction)

Rasna saptak kwath

Anti inflammatory and analgesic effects

 

04

Churna (fine powder)

Hinguastak churna

Digestive disorders(appetizer)

 

05

Vati (Pills)

Rasona Vati

Anti arthritis remedy

 

06

Avaleha (confectionaries)

Chavyan prash

Immuno modulator

 

07

Ghee & Thaila (medicated oleogenous product)

Brahami ghrita

Memory enhancer and stress releaser

 

08

Asav & Arishta (fermented products)

Dashmularishta

Gynecological disorders

 

These all exclusive herbal dosage forms are privileged with their unique method of preparation which is described very systematically in Sharangdhar samhita of  13 century AD.

 

 

 

 

 

The ranges of dosage forms of herbo mineral formulations are also full of illustrations which are summarized in table no 2

Table no.2

Sr no

Dosage forms

Formulation

Indication

01

Bhasma (Incinerated/calcined form)

a.Metallic

b.Minerallic

c.Non metals

 

 

Swarna Bhasma

Makshila Bhasma

Shankha Bhasma

 

 

 

 

Rejuvenator

Haematinic

Osteoporosis

02

Kajjali (a triturated product of Parad and Gandhak)

In combination of many other ingredients

As per indication of formulations

03

Parpati (a specially designed product of Parada and Gandhak)

Panchamrita parpati

Digestive disorders

04

Kupi Pakwa rasa (a Spacially designed product of Parada and gandhak)

Rasa Sindoor

Potency enhancer of many formulations when mixed with them and alone esed as anti geriatric agent

05

Pottali (a specially designed product of Parada and Gandhak)

Abhra garbha pottali

A wide range of respiratorty disorders

 

The processes responsible for transformation of these industrially toxic materials of mineral and metallic origin to medicinal form for eliminating various kinds of acute and chronic diseases are as follows:

*Shodhan of Raw material (purification and potentiation)

*Maran of Shodita Material(incineration/calcinations)

*Jaran of Shodita material (intermediary process of polling)

*Sanskar of Parad (spacially designed process for purification and potentiating of mercury)

*Miscellaneous other procedures

*Completion test of Bhasma

Shodhan of Raw materials

These first two pharmaceutical processes namely Shodhan and Maran are basically credited fpr all good qualities of all minerals and metals used in practice of Ayurveda in general and in Rasa Shastra in particular. It is very interesting to know that Swarana (Gold), Rajat (Silver), Tamra (Copper), Loha (Iron), nag (Lead), vanga (Tin), Yashad (Zinc), Abharak (Mica), Makshika (Chalcopyrite), gairika (Hematite) kasisa (Green vitriol), Hartal (Orpiment), Hingula (cinnabar), Cowry (Sheepi), shankh (Conch shell) and many more are used in practice of Ayurveda as single ingredients or as multi component compounds with other drugs oh gerbil origin and even with other drugs of mineral or animal origin.

We are overwhelmed when we informed the world that these processes which were invented back in 08 to 10 century AD to purify and potentiate these metals and minerals and facilitate their use as medicine. These processes are very individualized in nature, for each and every substance there is unique process which consist of a specially designed instrument and very selective herbal media or any other liquid media is indicated there. No random interchange with any vision is permissible here. It was established by researchers of Ayurveda that if media of reaction or processes are not as per indications of classics, then there may be chances of very harmful effects  on administration. Even in classics of rasa Shastra it has been clearly mentioned that untoward effects are possible if Shodhan process was not followed with high degree of alertness.

The selection of process and media for Shodhan of individual substances are absolutely in accordance of their physicochemical properties. Such as for hard substances like Mica, Chalcopyrite, Copper and Iron the process of Nirvap (Heating and quenching in liquid media of different nature and pH0 have been advocated with certain number of repetition of process to ensure complete purification and to achieve a requisite physical form necessary for next step of Maran.

Where as for substances like Hartal and Shankh only swooning in Dola yantra (a designer instrument) with some specific herbal juices are indicated for certain period in one set and there also repetition of process is indicated for desired characters.

It may be perceived with soundness that one has to follow compulsorily the indicated process in literature in totality to avoid any untoward effects of these substances of mineral and metallic origin.

Maran of Shodita Material

In fact the process of maran is developed of Maran is developed for application of desired quantum of heat to shodhita material for their conversion in form of Bhasma. The scientific explanation of Bhasma is that it is a unique chemical constituent of individual material used in practice of Ayurveda which is obtained by treating them with very precise liquid herbal juice in process of Bhawana (impregnation) and ther after discs are formed which are exposed for heating under controlled temperature range for a definite duration. Here also repetition of process is specified in classics to achieve an accurate colour and particle size which facilitate therapeutic effect of the particular bhasma. If any one is compromising on color of bhasma means patients have to develop unwanted effects because that particular powder is not the desired bhasma of the substances but that is a different chemical entity may be not advocated for therapeutic purposes.

Certain colors of bhasma are accepted for therapeutic purpose viz; Swarana bhasma-chamapak color means an yellowish tint, Loha Bhasma-pakwajambuphal chayam means deep brownish color shade, Naga Bhasma-kapota varnameans a grayish appearance tone, Vanga Bhasma-shweta varna white color streak etc. This distinctiveness in color of bhasma of different minerals and metals ensures formation of that meticulous chemical constituent which would act as drug after administration.

This heart business in Ayurveda is controlled by certain measures collectively termed as ‘Puta’ means the knowledge of application of specific quantum of heat needed for individual substances in which heat is produced by fuels like wood, coal and cow dung in pits of different dimensions. There are variety of Puta viz maha Puta, Gaja Puta, Lavaka Puta which guarantee a temperature range of 800 degree C to 1000 degree C for shorter duration and shorter shelf cooling period suitable for incineration of Loha, Tamra, Abharak etc or a range of 400 degree C with longer duration and longer shelf cooling period suitable for incineration of Hartal etc which provides better opportunities for preparation of drugs. How ever, the current situation is in favour of replacement of all old methods by furnaces which are eco friendly and capable to provide desired amount of heat with all specifications needed for the formation of a compound.

Jaran of Shodhita Material

This is the process which is applied for those metals which posses low melting point like Naga, Vanga and Yashad who do not bear heat of higher range. These are powdered by a specia process called Jaran which is very nearer to the process of polling in which melted metals are rubbed with green alkaline wood under temperature till it solidified. Thus finely obtained poeders are further processed in puta to have perfect bhasma of these materials. This is again a very vital example of vision of saga of Ayurveda which ensures toxicity free preparation of bhasma of high therapeutic efficacy.

Sanskar of Parada

Parada (Mercury) is always centre of attraction in both cultures of east and west but with different reasons. East is crazy with unparallel alchemical and therapeutic properties )metallic transformation) i.e conversion of lower value metals to metals of higher value viz Gold and metabolic transformation i.e strengthening of body tissue for healthy longevity of life) of Parada where as west is afraid of all hazardous effects of Mercury. The classics of Ayurveda have prominently elucidated eight specialized procedures termed as Parada Sanskar which ultimately turns Mercury free from its toxicity and further specially designed procedures in which temperature range of 100 to 150 C for preparation of Parpati.

200 to 600 C temperature with intermittent heating for specific duration ranges from 24 hrs to 72 hrs for preparation of Kupi pakwa rasa and sulphur bath at the temperature range of 400 degree C. For products of Pottali dosage forms are given for standard production of medicines which free from toxicity. In all these formulations other substances have been used with basic material of Kajjali.

All these pharmaceutical processes are serving only one object in service of human civilization that they are converting toxic materials like minerals, metals and heavy metals in to medicinal forms to eradicate many diseases which cannot be properly treated with the help of other drugs, is an art in Ayurveda.                  

 

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Say Goodbye To Constipation

Friday, January 15th, 2010

Say Goodbye To Constipation

Constipation is a very common problem these days.Our lives of hectic schedules, late night awakenings and junky food habits have turned this problem into epidemic proportion.A person normally has to pass stools once every twenty-four hours, or else he is considered to be suffering from constipation.

The main factor involved in the etiology of constipation is imbalance of vata spacifically the apana vata.The other causes associated with this are inadequate food intake, low fibre diet, intake of less fluids,excessive intake of beverages like coffee and alcohol, inactivity or weakness leading to decreased bowel movements, cultivation of wrong toilet habits, improves use of laxatives e.g senna, castor oil and certain other herbs.Use of medications like opioids or diuratics which lead constipation, some conditions like malignancy even leads to this problem.

Although treating a case of constipation seems to be a tedious job as the diagnosis of the exact cause is very difficult.The treatment depends on the cause, severity and duration of the constipation, but in most cases dietary and lifestyle changes, relieve the symptoms to a much greater extent.

Simple measures like regularizing food and sleeping habits,not suppressing urge for defecation, simple exercises like jogging outdoors, simple stretching, swimming, yoga are best ways to get rid of this problem forever.

Prevention of constipation is easier when a person develops regular habits since childhood.Practicing daily regimen of waking early, following dinacharya-vyayama(suitable exercises), abhayanga(application of oils & proper body massage), dhyana(meditation), eating the food with respect to ones appetite or agni, ones health condition and season regularizes the digestive and bowel habits.

Panchakarma as per season helps a lot.One should consult an ayurvedic physician before undergoing any panchakarma procedure.Since vata prakriti people are more prone to constipation & basti is the main treatment of vata, it can be considered as the important panchakarma for constipation.

Including more fruits in the daily diet helps a lot.Fruits like grapes, apple, oranges, lemon, chicko and vegetables which have ample amount of roughage show dramatic results in case hard stools.

Avoid eating lot of fried foods, spicy and frozen food and food with preservatives.

There are around 500 herbs given in Ayurveda which prove to be very efficient in this condition, but consulting a physician is very important and especially, diagnosing the exact cause.

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AYURVEDA AND INSOMIA

Friday, January 15th, 2010

Dr. K.C. Thriveni,BAMS

AYURVEDA  AND INSOMIA

As an irish provobe says:”A good laugh and sleep are best cures in the doctor’ book.”A restless mind is never a happy place.They will hardly ever adorn a smile on their faces and become rather grim and glum personalities.Lack of sleep causes mental fatigue which does not let them concerntrate on what they practically become unwilling persons.

Sleeo is a natural periodic state of rest for the mind and body’in which the eyes usually close and consciousness is completely or partially lost,so that there is a decrease in bodily movement and responsiveness to external stimuli.During sleep the brain in humans and other mammals undergoes a characteristic cycle of brainwave activity that includes intervals of dreaming.

Almost everyone has occasional sleepless nights.Most individuals just experience a night or two of poor sleep,but sometimes the sleep disturbance can last for weeks,months, oreven yerars.Insomniacs typically complain pf being unable to close their eyes or”rest their mind” for morethan a few minutes at a time.Insomnia can occur in people of all ages.Insomnia is most common among women and older adults.

An estimated 30%-50% of the general populations are affected by insomnia,and 10% hane chronic insomnia.

Stages of Sleep:

Usually sleepers pass through five stages:1,2,3,4 and REM (rapid eye movement)sleep.These stages progess cyclically from 1 through REM then begin again with stage1.A complete sleep cycle takes an average of 90 to 110 minutes.The first sleep cycles each night have relatively short REm sleeps and long periods of deep sleep but later in the night,REM periods lengthen and deep sleep time decreases.

Stage 1- is light sleep where you dift in and out of sleep and can be awakened easily.In this stage the eyes moves slowely and muscle activity slows.During this stage, many people experience sudden muscle contractions preceded by a sensation of falling.

Stage 2 -eye movement stops and brain waves become slower with only an occasional burst of rapid brain waves.

Stage 3 –When a person enters stage 3, extremely slow brain waves called delta waves are smaller, faster waves.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          

In Stage 4, the brain produces delta waves almost exclusively.Stages 3 and 4 are referred to as Deep sleep, and it is very difficult to wake someone from them.In deep sleep,there is no eye movement pr muscle activity.

In the REM period ,breathing becomes more rapid.irregular and shallow,eyes jerk rapidly and limb muscles are temporarily paralyzed.Brain waves during this stage increase to levels expience when a person is awake.Also,heart rate increases,blood pressure rises,males develop erections and body loses some of the aility to regulate its temperature.This is the time when most dreams occur, and if awoken during REm sleep, a person can remember the dreams.Most people experience three to five intervals of REM sleep eachnight.

Causes: About half of all insomnia cases are caused by psychological or emotional problems such as Stress,Anxiety,Depression,Pain,Again and changes in sleep patterns(insomnia occurs more frequently in those over age 60),Caffeine,Irregular Schedule of sleep such as sleeping during day time & working during nights.

Prescription drugs include some antidepressant,high blood pressure and corticosteroid mrdications, can interfere with sleep.Many over-the-counter(OTC)medications, including some pain medication combinations,decongestants and weight-loss products,contain caffeine and other stimulants.

Doctors generally recommend using sleepjng pills for no more than four weeks, or until you notice benefits from self-help measures.If you need sleep medications for longer,take them no more than two to four tomes a week,so they don’t become habit-forming.Sleeping pills often become less effective over times.

Short term insomnia can be linked to events and factors that are often temporary, such as adjustment sleep disorder,jet lag,working the night shift or long shifts medications, overuse of caffeine and alcohol,environmental noise, extreme temperatures or a change in a person’s surrounding environmemt.

Apart from that, lack of a good night’s sleep can create psychological problems.Another factor which can cause insomnia is decrease as the person grows older.This is a hormone that helps control sleep.By the time a person reaches the age of 60, the body produces very little melatonin.

Complications:

*Increased risks for depression.

*Impaired concentration,slowed reaction time andpoorer work performance

*Impatience $ irritable

*Higher incidence of accidents

*Insomnia can lead to severe fatigue, anxiety, depression and lack of concentration.

*Chronic insomnia more likely can develop psychiatric problems such as depression and anxiety disorders.

*Long-term sleep deprivation may increase  the severity of the chronic diseases, such as high blood pressure and diabetes.

*Insufficient sleep can also lead to serious or even fatal accidents.Accordingly to the National Highway Traffic Safety Administration, more than 100,000 crashes each year are due to drivers falling asleep at the wheel.

Treatment

Commonly doctors recommend sleeping pills to promote relaxation or sleep but,avoid prescribing it for the long term because they may cause side effects.In addition,sleeping pills can become less effective after a while.

In Ayurveda Charakha explains that happiness, sadness,nourishment, emaciation, strength, strength-lessness, libido or infertility, concioussness or insanity, all depends on sleep itself.

Therefore sleep is a very important component for existence.

*Frequent oil massage(full body)using medicated oils as Mahabhringaraj taila etc followedby warm water bath may relax the mental state.

*Medication such as ashwagandha ksherapaka, brahmi ghruta etc help to combat the stress.

*Avoid sleep during day time as it makes harder to fall asleep at night.

*Avoid or limit your use of caffeine(coffee, tea, sodas chocolate),decongestants, alcohol and tobacco, instead drink milk.

*Avoid drinking alcohol and smoking as these are also stimulants.

*In chronic insomnia patients panchakarma treatment such as-virechana followed by application of oil on head are found very effective.

Daily application of oil on head relieves headache, balding or graying of hair, makes the roots strong thick & dark,Oiling head strengthens the nerves in head, sharpens the sense organs, improves the scalp & enchaces good sleep.

Shiro abhyanga:

Soothing or relaxing Massage of the head, neck & shoulder for 15 minutes using warm herbal oils is called shiro abhyanga.

Massage is very helpful for the whole body as it relieves stress  and improves blood circulation.Body massage is a great way to heal the body.There are different tyoes of massages and the most preferred one is oil massage.

Oil massage is the best way of relaxation for the whole body.There are different types of oils used for massaging the body.each oil has its own properties to heal, relax. And strengthen the body and immune system.

Massage techniques have been practiced for thousands of years in many cultures.There are references to massage in ancient records of Chinese, Japanese,Arabic Egyptian,Indian,Greek and Roman nations.

People were also using abhyanga as a way to iprove well-being, help with relaxation, relieve stress relief, and enhance sleep and quality-of-life.

Practitioners may use their hands, forearms, elbows, or feet with oils to improve the smoothness of massage strokes. Touch is central to Massage. It allows therapists to locate painful or tense areas, to determine how much pressure to apply, and to establish a therapeutic relationship with clients.

In a proactive role, Massage treatments are performed on regular basis to help the body and mind maintain an optimal leval of relaxation and stress-relief.Massage therapy also reduces the chancesof migraine attacks and tension headaches significantly by relaxing muscle spasms and trigger points.Massage also switches the nervous system from the sympathetic (fight or flight) mode to the parasympathetic (rest and digest).This change enables the recipient to sleep uninterrupted and wake uo refreshed and rested.Massage is performed to ease the pressure brought on during a migraine or tension related headache.By focusing on the neck,shoulders, and head, massage can decrease the pain and discomfort brought on by migraine or stress.

A recent study showed that massage therapy recipients exhibited fewer migraines and better sleep quality during the weeks they received massage, and the three weeks following, that did participants that did not receive massage therapy.Another study found that in adults with migraine headaches massage theraphy decreased the occurrences of headaches, sleep disturbances and distress symptoms. It also increased serotonin levels, believed to play an important role in the regulation of mood, sleep and appetite.

Shirovasti:

This is the most important of all external use of Snehana(oil application).Certain lukewarm Ayurvedic/herbal oils are poured into a cap fit on the head for 15 to 60 minutes per day according to the patient’s conditions for a period of 7 days.

Shirovasti is considered more of a palliative (Shamana)treatment of of ayurveda than an eliminative (Shodhana) one.As usual the treatment is preceded by oleation and sudation.

A leather sleeve about six to eight inches high is placed on shaven head of the patient and band (Vasti) tied around the forehead to secure it in place.The inside bottom edge of this sleeve is lined tight with kneaded dough to prevent leakage.Mediacated oil is then poured into the sleeve and allowed to remain for a while.The oils commonly used are Ksheerabala or Dhanwantaram.The length of the time for the oil to be kept on the head is determined by the severity of the illness.Usually it is upto fifty minutes for diseases caused by severs Vata disorders.

Shirovasti is found very effective in diseases like facial paralysis,insomnia and disorders of the cranial nerves.

It is believed that the warm oil when retained in this manner actually clears the blockage of blood vessels (if any) & also relaxes the muscles.

Shiro dhara:

Dhara is a method of pouring warm herbal oil/herbal decoctions/medicated milk/ buttermilk in a thin & slow continuous stream into the forehead for about 45 to 50 minutes.This procedure pften induces a mental state similar to a trance, which creates profound relaxation of the mind and body.It deeply relaxes and revitalizes the central nervous system.Shirodhara gives the best results when taken after an Abhyangam.Dhara is good for all ailments.Selection of the liquid used is done on the base of the status of the Dosha,Body constitution(prakruti) & the disease condition wirh necessary alterations in the procedure.

Shirodhara has been used to treat variety of conditions including eye diseases, sinusitis,allergic rhinitis,graying of hair, neurological disorders, memory loss, insomnia, hearing impairment, tinnitus , vertigo, and certain types of skin diseses like psoeiasis.It is also used non-medicinally for its relaxing properties.

Recent research studies have shown that Shiro dhara results in Vaso Dilation(dilation of blood vessels) in the brain enabling increased supply of oxygen to the blood cells.

Researchers have conducted two human clinical trials on the psycgoneuroimmunologic effects of shiro dhara.In the first study a group of healthy females were randomly assigned to receive a shiro dhara treatment (with plain sesame oil) or remain in a supine position(control group), while being monitored for numerous physiologic, biochemical,parameters.The second study had a similar design, with the addition of the third group that received shiro dhara with a medicated sesame oil containing essential oil of lavender.Both shiro dhara treatments resulted in decreased anxiety and promoted ASC(altered state of consciousness).After the plain sesame oil treatment there was a significant decrease in plasma noradrenaline and urinary serotonin excretion vs. the control group.Significant Anxiolytic effect within the shiro dhara group was also obsereved.

Takra dhara:

Takra means buttermilk and Dhara milk means pouring.This therapy calms the individual down by using medicated buttermilk, which is poured onto the forehead to relieve insomnia, depression and stress related problems.

 

 

 

Paada abhyanga

(foot massage):

Massage theraphy is known method to reduce stress and tension, but can it really help you sleep better?The research shows that Massage theraphy can help you sleep.

All of us have autonomic nervous system comprised of two parts:the parasympathetic and sympathetic.The parasympathetic balances the sympathetic.When you have a massage, the parasympathetic is activated and thus allows your body to relax.When you are stressed, the sympathetic is activated and you will feel the urge to fight or flight.So if stress and tension are the reasons why you are not sleeping very well, you might be relieved to know that benefits of Massage theraphy is improved sleep patterns.Some people even fall asleep whle having a professional Massage.

In one of the study aimed to investigate the effect of foot Massage on sleep, vital signs and fatigue in the elderly who live in their Home.Tried foot massage theraphy on 20 elderly who live in the Seoul-Kyunggi province area.

Change of sleep and sleep satisfaction, vital signs(pulse, respiration, systolic and diasystolic blood pressure) and general fatigue between pre and post foot massage were analyzed using Paired t-test at 0.05 of the significance level.There were very significant difference in the sleep and fatigue between pre and post foot Massage.

Authentic Thai Foot Massage originated in the Thailand about 2000 years ago & is a Massage of the lower legs,feet and hands.It is practiced as a routine & a common procedure there.

The theraphy involves gentle the manipulation and Massage of the hands, legs and feet.This is believed to open energy lines stimulating reflex points on the feet which correspond to the internal organs of the body.

A truly relaxing experience as the toes, feet ankles & lower legs are manipulated, stretched & loosened.

Thai Foot Massage benefiys:

Improve circulation

Improve flexibility

Improve sleep patterns

Reduce stiffness in joints

Reduces stress

Stimulate the mind.

 

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HOW TO CONTROL YOUR WEIGHT

Friday, January 15th, 2010

Dr.Ajay Kumar M.D.

Dr.Tina Singhal M.D.

Prof.Dr.B N UpadhyayM.D.

HOW TO CONTROL YOUR WEIGHT

Obesity Can result from increased energy intake, decreased energy expenditure, or a combination of both.

Obesity is one of the most common disorders in medical practice and among the most frustrating and difficult situation to manage.Obesity is a state of excess adipose tissue mass.Obesity should not be defined by body weight alone, as muscular individuals may be overweight by arbitrary standards without having increased adiposity.The most widely used method to gauge obesity is the body mass index(BMI), which is equal to weight/height2 in kgs/m2.A BMI between 19-25 kg/m2 is considered an appropriate weight for most individuals.

Overweight is defined as a BMI between 25 and 30kgs/m2, and obesity is defined as a BMI e” 30kg/m2.

In Ayurveda, obesity is described as a most undesirable trait with special reference to treatment.In Charaka Samhita, obesity is described as athoulya under the title ‘Asthoninditiya Purusha’. The main causative factor in pathogenesis of obesity is tikshnaagni.Due to excessive accumulation of Medo dhatu, all Srotas obstruct resulting in vitiation of Vata dosha.Then aggravated Vata increases the Jatharagni.Tikshna Jatharagni causes excessive consumption of food and excess production of Medo and Mamsa dhatu resulting in excess weight gain & obesity.

Obesity can result from increased energy intake, decreased energy expenditure, or a combination of both.Excess accumulation of body fat is the consequence of environmental and genetic factors, social factors and economic  conditions.Some of the features of overweight or obesity include:

*Clothings feel tight andneedings a larger size.

*The scale showing that you’ve gained weight.

*Extra fat deposition around the waist.

*A higher than normal body mass index and waist circumference.

*Excess adipose tissue resulting in BMI greater >30.

Grading of obesity:

In practical settings, obesity is typically evaluated in obsolute terms by measuring BMi(body mass index), but also in terms of its distributionthrough waist circumference or waist-hip circumference ratio measurements.BMI is a simple and widely used method for estimating body fat.BMI was developed by the Belgian statistician and anthropometrist Adolphe Quetelet.It is calculated by dividing the subject’s weight by the square of his or her height, typically expressed either in metric or US “customary” units:

The current definitions commonly in use establish the following values, agreed in 1997 and published in 2000:

*BMI less than 18.5 is underweight

*BMI of 18.5-24.9 is normal weight

*BMI of 25.0-29.9 is overweight

*BMI of 30.0-39.9 os obese

*BMI of 40.0 or higher is severely (or morbidly) obese

A BMI of 35.0 or higher in the presence of atleast one other significant comorbidity is also classified by some bodies as morbid obesity.

Overweight and Obesity associated Risks:

Overweight or obesity raises the risks in adults for many diseases and conditions.Overweight and obesity also increases the health risks for childrens and teens.Overweight and Obesity related health problems are following-

*Heart Disease*Hypertension

*Type 2 Diabetes

*Abnormal blood Fats

*Cancer *Osteorthristis

*Sleep Apnea

*Reproductive Problems

*Gallstones

Guidelines to control your weight:

Obesity is a chronic medical condition that requires ongoing treatment and life-style modifications.Treatment is important and early control over obesity becomes necessary because of associated health risks.The urgency and selection of treatment modalities should be based on the BMI and a risk assessment.

Successful treatment for weight loss include setting goals and making lifestyle changes such as eating fewer calories and being more physically active.Drug therapy and weight loss surgery are also options for some people if lifestyle changes don’t work.Following are the line of management-

1)Lifestyle Changes:

For long term weight control, it’s important for you to make lifestyle changes:

*Keep Attention on energy intake (calories from food/drinks) and energy consumed(physical activity)

*Always follow healthy eating plans & adopt more healthful lifestyle habits over time, these changes will become part of your everyday life.

 

 

2)Calories

One should try to take low calories by cutting the food intake.Cutting back on calories(energy intake) will help you lose weight.To lose 1to 2 pounds a week, adults should  cut back their intake by 500 to 1000 calories/day.

*In general, 1000 to 1200 calories a day will help most women lose weight safely.While in men, 1200 to 1600 calories a day will help lose weight safely.Very low-calorie diets of less than 800 calories a day shouldn’t be used unless your doctor is monitoring you.For overweight children or teens, it’s important to slow the rate of weight gain.

3)Healthy Eating Plan

A healthy eating plan gives your body the nutrients it needs every day.It should have enough calories for good health, but not so many that you gain weight.A healthy eating plan also will lower your risk for heart disease and other conditions.Cutting down on fats and added sugars also can help you eat fewer calories and lose weight.

Healthful foods include:

*Fat-free milk and milk products such as yogurt, cheese and milk.

*Lean meat, fish and poultry.

*Whole grain foods such as whole bread, oatmeal, brown rice cooked, beans and peas.Other grain foods like pasta, cereal, bagels, bread and crackers.

*Fruits, vegetables which can be canned fresh, frozen or dried.

*Coconut, and palm oils found in many processed foods.

4)Portion size

A portion is the amount of food that you choose to eat for a meal or snack.It’s different from a serving, which is measured amount of food and is noted on the nutririon label on food packages.Cutting back on portion size is a good way to help you eat fewer calories and balance your energy intake.

5)Food Weight

Various studies have shown that we all tend to eat a constant”weight” of food.Weight by weight, our food intake is fairly constant.Knowing this, you can lose weight if you eat foods that are lower in calories and fat for a given measure of food. For example, replacing a full-fat food product that weighs 200gm with one that’s the same weight but lower in fat helps you cut back on calories.Another helpful practice is to eat foods that contain a lot of water like vegetables, fruits, and soups.

6)Physical Activity

More physically active and eating low calories will help us to lose weight and keep the weight off over time.Physical activity also will benefit us in other ways.It can be:

*Lower the risk of heart disease, diabetes and cancer.

*Strengthen our lungs and help them to work better.

*Strengthen our muscles and keep our joints in good condition.

Helps us to relax and cope better with stress.

*Allow us to fall asleep more quickly and sleep more soundly

To maintain weight loss, we should do physical activity daily for at least 60 to 90 minutes of moderate intensity.

7)Behavioral Changes

Changing your behaviors or habits towards food and physical activity is important for losing weight.The first step is to understand the things that lead us to overeat or have an inactive lifestyle.The next step is to change these habits.

 

8)Over-the-Counter Products

Over-the-counter (OTC) products often claim that a person taking them will lose weight.The FDA doesn’t regulate these products because they’re considered dietary supplements, not medicines.However, many of these products have serious side effects and aren,t generally recommended.

 

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Good Bye to Allergy

Friday, January 15th, 2010

    Ayurvedic  Approach to say

Good Bye to Allergy

                               Dr.Archana Rai

Shree Dhanwantry Ayurvedic College, Chandigarh

Life is ever-changing. Today’s busy life standards has not created only a harmful lifestyle but also a polluted environment. Due to all these major changes with a negative and imbalanced impact, a lots of problems including health hazards such as Allergies etc had attacked the people.

Allergy=allos(other) + generon(to produce)

Allergies are typically a form of hypersensitivity reactions against allergens.It is an acquired abnormal responses to a substance.

In this process, sensitization or an initial exposure to allergen is required, subsequent contact with allergen results in broad range of inflammatory response known as hypersensitivity or allergy.

ALLERGEN CONTACT = PRIMARY DOSE = SHOCKING DOSE = ALLERGY

In Ayurveda it is termed as Anurjata. Anurja=an+urja dhatu.

According to Amarkosha urja deals with vitality and immunity. Therefore absence of urja bhav is anurja i.e. loss of immunity and vitality with weakness. Immunity may be compared with Vyadikshmatva , which is described in classics of Ayurveda. This also includes Oja, bala and Prakrit Sleshma etc.

Allergen

Allergen are the substance that causes manifestations of allergy. Some common allergens are-

·        Inhalants = dust, pollen fungi, smoke perfume, odor

·        Foods = egg, milk, chocolate, strawberries, wheat etc.

·        Drugs = Aspirin, antibiotics etc.

·        Infectious agent = Bacteria, fungi, virus, parasites.

·        Contactants = chemicals, plants, animals etc.

·        Physical agents = heat, cold, light, pressure, radiation etc.

These allergens and their response differ from person to person. In Ayurveda some bhavas are termed, which can be compared with allergens and allergy are – Apathya / Ahita /Asatmya Anupsaya /Adhyasana / Psychological Factors etc.

Samprapti Ghatak of Allergy:

Dosha=Vata & Kapha Sannipata

Dushya= rasa & Rakta dhatu

Srota= Rasavaha srotasa – skin allergy

      Pranavaha srotasa –allergic asthma

     Annavaha srotasa – food allergy etc

Adhisthana = Sarva sharer

Agni = Agnimandya

General Cause:

Ama vs Free Radicals

Prime causative factor of allergy is a byproduct of improperly digested food,a toxic substance known as AMA. This ama is produced in digestive system and then absorbed in circulatory system. After entering in circulatory system, ama can block and clog the channels of circulation (called srotas) Being circulated in whole body it produces symptoms according to samprati.

Ama = ‘Aa’ means near to or toward + ‘Ma’ means poison.

Hence the word Ama denotes a substance or group of substance near to poison or which acts like poison. This is raw, indigested, immature, oxidized combusted food particles. This abberated metabolite (ama) is hazardous and injurious to the tissues of the body.

Ama of Ayurveda may be compared with Free radicals of western side. With unpaired unstable molecules Free radicles  are lacking appropriate electron to be stable. They always lookout to swap electron from the other molecules as DNA, Protein, Fat etc.

In this endeavor of gaining stability, they kill cells, destroy enzymes and produce toxic agents that damages cellular function. Free radicles are most threating factor for health. That is exactly what ama does in body and it is also very difficult to remove or correct this enemy.

Psychological distress factors, Mental and emotional stress are other common contributing factors in a hypersensitive allergic response.

Factors Producing Ama and Free Radicals

·        Cooked food, animal products, metabolic waste products contained in animal tissues and organs.

·        Refined food as white sugar, white flour, hydrogenated oil etc.

·        Preservatives, coloring agent, food additives, cold storage vegetables etc.

·        Aireated drinks, Alcohol etc.

·        Pollution – air, water, pesticide residue.

·        Polyster, plastics.

·        Electronmagnetic radiation- television,computer etc.

·        Breathing smoke, lack or overdue of exercise etc.

Therefore by just avoiding above told factors one can get rid of the fear of   ama and free radicles production that are the contributing factors in allergy and other disorders.

 

 

 

Allergy Symptoms as per Body Constitution:

Depending on the body type, the underlying cause and symptoms of allergic hypersensitivities varies.

Vatabody Type

The vata body type is susceptible to various hypersensitivity reactions. The vata imbalance causes excessive dryness in the body. When this dryness finds its way to the respiratory system and sinuses, the protective mucous lining dry up. This natural protection acts as a filter, temperature buffer, and first line of allergic immunity. When this layer of mucous dries up, the airborne allergens of dust, pollen and pollution act as irritants in the sinuses, evoking an immediate hypersensitivity response. The body’s natural response to these irritants is to lay down mucous as a means of protection. The dryness alone will also trigger the body to produce mucous, making allergic symptoms a common vata condition. In this instance, allergic symptoms can be chronic and constant due to a deep mucosal dryness rather than a particular allergen. For the vata body type, precautions during the beginning and end of vata season (fall and spring) must be made to prevent against vata-based allergic symptoms. The vata body type is also particularly sensitive to lifestyle and daily routine. Most important with regard to allergens and distractions, that aggravate the vata aspects of digestion, producing ama and hypersensitivity reactions.

Pitta Body Type

The Pitta type is identified with excess of heat and burning sensation in the body. The heat is produced as a result of a physiological hypermetabolic state needed to burn off the excess ama in the blood. This heat, as does all heat, will rise in the body. When this heat rises up onto the sinuses, the effect is one of dryness along with the accumulation of impurities (ama) in the blood. The result of the dryness aggravates vata as we mentioned previously, and the axcess blood ama aggravates pitta. The sinuses respond by acting as organs of excretion rather than secretion.

The treatment for pitta-based allergic response os twofold. The blood must be purified with pitta-pacifying herbs and thr dryness must be dealt with, as in the case of vata.

Kapha Body Typa

The Kapha body type is classically the most susceptible to allergies, and Kapha imbalance is often the causative factor in most allergic conditions. It is the nature of kapha to-produce and hold more water, congestion, and ama, however, and the treatment of kapha in all allergies is a common mistake.

Congestion, Sputum Production, Fatigue, Malaise, Heaviness and Dullness in Body are some common symptoms.

In this regard, the treatment is straightforward with the focus on pacifying kapha with bitter, astringent, and pungent herbs and spices.

Allergy treatments can become more complicated when multuiple causes are present. Imbalances in vata and kapha, for example, can easily create chronic allergic symptoms. Treatment for each are opposite in nature, and care must be given to balance both kapha and vata at the same time.

Management

Ama Treatment: To treat the produced Ama and prevents its further production is the first line of treatment. Ama can be neutralized by following guidelines-

·        Sip plain hot water every half-hour for one month.

·        Drink eight to ten glasses of warm lemon water each day.

·        Avoid dairy and wheat and favour fruits and vegetables.

·        Avoid having heavy food in dinner.

·        Have a mild and relaxing walk after meal.

Different Types of Allergy and their Treatment:

Manifestation of Allergic reactions depend upon the site of its production. As Ayurveda states that the place where Khavaigunya is present vyadhi and its symptoms appear. In the same manner allergic hypersensitivity reactions also depends upon khavaigunya. So many different forms of allergy is possible. Such as-

Skin Allergy-Skin is the first and foremost layer for defence. Therefore it is most susceptible for allergen attack. Commonly seen in four forms-

1.     Contact dermatitis with inflamed skin and rashes etc.

2.     Prickly heat in warm weather due to trapped sweat.

3.     Bites and sting

4.     Urticaria also known as Udarda and Shitapitta.

Treatment

v Herbs – Neem, giloy, manjistha, Haridra, Sariva, Chandana, Lodhra, Aamalka etc.

v Pharmaceutical Preparations- Sarivasava, Manjisthadya kwatha, Lodhrasava, Trifaladya churna etc.

v Diet- Dring plenty of water/ Intake of tikta substances regularly/ Avoid extra amount of protein and fat/ Avoid heavy and difficult to digest food.

v Life Style- Clean body regularly/ Wash skin with herbal gentle soap/ Use cotton garments/ Exercise regularly / Avoid excess sunrays/ avoid chemical contacts/ Avoid polluted water air surroundings etc.

v Yoga – Try Sarvangasana/ Pranayama/ Jalaneti/ Kapalbhati.

v Preparation – Try following prapations

1.     Take Trikatu + Basil leaves +Cloves + Camphor + Coriander = make powder of all. Have three times in a day with luke warm water.

2.     Make herbal tea with Mulethi, Cardamom, Camphor, Clove, Chandana.

3.     Inhale medicated vapour made by mixing Basil leaves with Eucalyptus oil in water.

Food Allergy –It is a term applied to a group of disorders characterized by abnormal or exaggerated immunological response to specific proteins present in food resulting in a variety of symptoms. It is most common in children, It is very difficult to diagnose and treat as well. Food items implicated in allergy are- Cow’s milk, eggs, Shell fish, Soyabean, Chocolates etc.

Ayurveda states that prakriti of a person, climate variation, place, doshas condition, agni, bal etc are key factors for allergy or any kind of disorder to appear.

Symptoms –GIT disorder, lip swelling, urticaria, angioedema, eczema, allergic tension fatigue syndrome etc.

Treatment

1.     Avoid that food

2.     Follow the ritucharya and dincharya as told by ayurveda i.e. lifestyle.

3.     Have the foods in accordance with one’s prakriti or body type.

4.     Avoid curd at night.

5.     Start use of rasayanas such as – Ashwagandha, basil, shatavari, Brahmi, amalaki etc.

6.     Use of Panchakarma if needed.

 Allergic Rhinitis –It is the most common type of allergy seen in children as well as adults.

Cause – Pollution, Temperature fluctuation, Chemicals and tixins, Seasonal variations, Canned frozen processed food, Dust, Pollengrains, unusual odour etc.

Symptoms – Running nose, Headache, Mailaise, Sneezing, Redness in eyes, Fever etc.

Treatment

1.     Use immunity enhancer rasayanas as told above.

2.     Herbs – Turmeric, Basil, Shirisha, Vasa, Guduchi etc.

3.     Try mixture of Haritki + Kutuki to eliminate tixins present in body.

4.     Nasya of Shadbindu tail – two times a day.

5.     Medical Yoga – Chitraka Haritki, Vasawaleha, Haridra khanda, Sitopaladi churna, Vyoshadi vati, Marichadi vati, Abhraka prep. etc.

6.     Home Remedy – 3 parts of Turmeric +6 parts Fennel + 6 parts Coriander + 1 part Black pepper + 1 part Ginger = Fry it in ghee. Have it two times a day.

7.     Yoga - Practice  Asanas, Pranayam, Kapalbhati etc daily.

Some other forms of allergy are allergic Asthma, allergic Conjuctivities, IVDye allergy etc.

Treatment According to Doshawastha-

Vata Dosha: vata dosha can be treated with Dashamoola kwatha, Panchmoda, til taila, triphala, shunthi, Garlic pills etc.

Pitta Treatment: Triphala powder, Neem churna, jirak churna, Haridra khand etc. can treat pitta type of allergy.

Kapha Dosha: Trikatu churna, Sitopladi churna, Mulethi (licorice) churna, etc. are useful for pacifying Kapha.

Line of Treatment for all types of Allergy:

1.     Ama reduction and removal by Srotosodhan and Improve Digestion is the primary management of allergy.

2.     Use of Rasayanas as immunity enhancer and rejuvenation.

3.     To follow properly the life style and ahar vihar as told by classics of Ayurveda.

4.     Use fresh and seasonal fruits-vegetables.

5.     Try to use natural vegetables and fruits since natural coloring agents i.e. phytochemicals are known to be excellent antioxidants and act as scavenger to free radicles. Vit. C, Vit. E, selenium, B Carotene, Lycopene, Zeaxanthein are antioxidants present in fruits and vegetables.

6.     Exercise daily.

7.     Practice Yogic Asanas, Pranayam etc.

8.     Daily Morning walk in fresh air.

9.     Avoid unusual stress and strain, be always happy and enjoy the precious life.

10.                  Practice meditation.

 

 

 

 

 

 

                                        

 

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