Archive for November, 2011

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Thursday, November 24th, 2011

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The Management of High Blood Pressure

Thursday, November 3rd, 2011

The Management of
High Blood Pressure
Through Indigenous Method
Dr. Anita Sharma
Dr. Vinod Kumar Gothecha
Dr. Sunita Godara
(National Institute Of Ayurveda, Jaipur)

Hypertension or high blood pressure is the leading cause of death in the world today
The bigger danger with hypertension is that the person suffering from this condition may not even realize that he is suffering from this condition until it may become too late.
Hypertension itself is a very dangerous condition. It can cause serious damage to the liver, brains, kidneys and the heart. The damage to these vital organs is the most important cause of death.
The human heart beat has two distinct phases – the systole when the heart is at rest. During both the times, the heart exerts pressure on the blood vessels
Hypertension is a situation in which the blood pressure is elevated. It is also referred to as high blood pressure or shortened to HT, HTN or HPN. The word “hypertension”, by itself, normally refers to systemic, arterial hypertension.
Hypertension can be classified as either essential (primary) or secondary. Essential or primary hypertension means that no medical cause can be found to explain the raised blood pressure. It is common. About 90-95% of hypertension is essential hypertension. Secondary hypertension indicates that the high blood pressure is a result of (i.e., secondary to) another condition, such as kidney disease or tumours (adrenal adenoma).
Persistent hypertension is one of the risk factors for strokes, heart attacks, heart failure and arterial aneurysm, and is leading cause of chronic renal failure
Hypertension In Ayurveda
Ayurvedic texts does not explain hypertension as it is, probably because hypertension was not a major disease at that time. To find out the correlation of Hypertension in ayurveda we should first identify the factors of hypertension like symptoms and progression land structural and functional factors that got imbalanced in the diseased patients.
Secondly when these factors are correlated with diseases already mentioned in the Ayurveda texts, thus helping them to apply the treatment & medicines of correlated diseases in anew unexplained condition. Now, Ayurveda sees hypertension as a dysfunction of all the doshas, viz. vata, pitta and kapha. In Ayurveda, Hypertension is referred to as Rakta gata vata and it sees the vitiation of vata and pitta doshas as the main cause. People with Pitta and Vata predominant constitution and Pitta and Vata imbalance, are more prone to hypertension than any other.
Classification
A recent classification recommends blood pressure criteria for defining normal blood pressure, prehypertension, hypertension(stages I and II), and isolated systolic hypertension, which is a common occurrence among the elderly. These readings are based on the average of seated blood pressure readings that were properly measured during 2 or more office visits. In individuals older than 50years, hypertension is considered to be present when a person’s blood pressure is consistently at least 140 mmHg systolic or 90 mmHg diastolic
Systolic pressure diastolic pressure
mmHg kPa (kN/m2) mmHg kPa (kN/m2)

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Systolic pressure Diastolic pressure
mmHg kPa (kN/m2) mmHg kPa (kN/m2)
Normal 90 -119 12 – 15 .9 60 – 79 8.0 – 10.5
Prehypertension 120 – 139 16.0 – 18.5 80 – 89 10.7 -11.9
Stage 1 140 – 159 18.7 – 21.2 90 – 99 12.0 – 13.2
Stage 2

Herbal Hair Care – How it Works?

Thursday, November 3rd, 2011

A
s many people experience the effects of increasing pollution and ill health, hair can thin out, lose its color and become brittle and dull.
Mehendi (henna)
Henna represents a natural material derived from dried leaves of the plant Lawsonia inermis. It is mainly used as a hair dye in Europe, based on the staining properties of the main active ingredient Lawsone, 2 – hydrixy – 1,4 –naphtoquinone (CAS no.83 -72 – 7). Lawsone is known to be a natural part of Henna.
Popular as Henna, Lawsonia Inermis can actually enrich, color and enhance your hair. Henna is a powerful and natural hair condition that can help heal the hair shaft by repairing and sealing the cuticle, protecting hair against breakage and loss of shine. Henna is excellent for the maintainance of the health hair.
Henna is a small tree which grows upto a height of 6 meters. It is glabrous, muiltibranched with spine tipped branchlets. Leaves are opposite, entire, glabrous, sub – sessile, elliptical and broadly lanceolate. Henna plant has lateral branches with leaves that grow in pairs, around 2 to 4 centimeters in length. Henna leaves have a red – orange dye, lawsone, and the hight dye, concentration is in the petiole (the central vein). Young leaves have the highest petiole dye content. The dye content reduces as leaves grow older. Lawsone has an affinity for bonding with protein, and thus has been used to dye skin and wool. Henna body art is made by appling henna paste to the skin: the lawsone in the paste migrates into the outermost layer of the skin and makes a redbrown stain.
Henna also imparts excellent conditioning affect as well as thickness to the hair. The henna works more efficiently when the extract of some plants like amla (Indian gooseberry), reetha (soap nuts),shikakai (Acacia Concinna) etc. are mixed added to it. Henna can be used in any type of hair. However, the darker hair produce excellent result when henna is applied on it. When used as a conditioner, Henna imparts following benefits:
? Prevents hair loss
? Strengthens hair
? Controls dandruff
? Conditions hair
? Tones and promotes healthy scalp
? Removes excess oil from the scalp
? Relives headaches and scalp tension
In the early Ayurvedic texts, Henna is being mentioned as a cure for number of skin and hair problems. It is used to manufacture natural and herbal hair oils and shampoos.
Henna has Lawsone, tannin dye molecule, in its leaves. You can’t see it chlorophull. When you pulverize the leaves and mix them with a slightly acidic liquid such as lemon juice, the dye molecule becomes available as the cell wall’s cellulose dissolves. The dye molecule can then migrate out of the past, breach cuticle cell walls in the hair shaft, and bind with the keratin.
If the idea of Lawsone “migrating” from henna paste into keratin seems confusing, compared it to this: if you put a wet teabag on a white table cloth, the tannin in the tea “migrates” from the teabag into the cloth fibers, binds with those fibers, and leaves a stain. And, the darker the stain.
To release Lawsone efficiently, while preserving the hydrogen atoms necessary to bin the molecule to the keratin, mix henna powder with an acidic liquid, and lave it at room temperature overnight.
Youtr gray hair is special. There is no melanin in the middle of gray hair!
When your hair no longer produces melanins, Only the keratin hair shaft remains. Since keratin is the same stuff your fingernails are made of, your gray hair is the same color as your fingernails. Your gray hair may be slightly yellowish or grayish, or pure white. These variations are from the structure of the keratins scale, and wether they reflect more or less light, and from minerals in the water you drink and bathe with.
Since your hair follicle isn’t busy producing melanin, your gray hair grows much faster then rest of your hair ! Your gray hair may also be a different texture from the rest of your hair.
If you henna hair that has no melanin, the only color you see from henna is the Lawsone red-orange color. If the lawsone content is high, the color will be dark red-orange, oxidizing to deep auburn (hair color that is somewhere between brown hair and red hair).
Henna has been used to treat skin infections such as tinea and it is known to have antibacterial properties which have been attributed to naphthoquinones, including lawsone (wren RC. 1988 Potter’s new cyclopaedia botanical drugs and preparations. Revised edition. Saffron Walden : CW Daniel Co. Ltd. P 143.)
As per the studies it is identified that lawsonia inermis contains – Alkaloids, quinines, Tanins & Flavanoids, out of which flavanoids are 25.5+0.18mg/g.
The study in vitro showed antibacterial activity of Lawsonia inermis. The antibacterial activity was expressed at varying degress with the activity being of both strain and does dependent. Five bacterias were used for antibacterial studies.
Medicinal plants are being used by the larger proportion of Indian population. The reason for this include a)True improvement of diseases condition after herbal treatment b)Harmful side effect and high cost of the other forms of treatment.
This study, the result were encouraging, as the Lawsonia inermis appeared to contain substances that had antimicrobial properties because of the methanolic extract of the lawsonia inermis leaves were active against five different bacteria’s. Plants showing significant activity may be due to the presence of alkaloids, flavonoids, tannins and quinines. Among the various microorganisms, the methanolic extract of lawsonia inermis was more active against Staphylococcus aureus.
Indian gooseberry:
Amla (Indian gooseberry) is a proven hair toinc and is used in all or polyherbal ayurvedic preparation for hair loss. It enriches hair growth and hair pigmentation. Amla is also excellent for strengthening the roots of the hair, maintaining color and luster. Ayurvedic medition has used Amla oil as a topical solution to give additional nutrition to the scalp and hair in order to prevent scalp infection and controls premature graying of hair.
Many recipes using amla (gooseberry) are used in various parts of the asian countries to prevent premature graying of hair, as a conditioner, to prevent hair – loss,
The berries are very nutritious, containing vital amino acids, larger amount of proteins and vitamin C, and minerals. Hair requires proteins and amino acids to grow and flourish in a healthy way. Amala contains more amino acides than even apples. It contain glutamine, proline, aspartic acid, lysine, alanine, tannin, gallic acid and albumin. It also contains high levels of needed copper, zinc and chromium.
The berries boost calcium absorption which is vital to the production of healthy hair. It preserves the color of the haor and delays the onset of gray hair, even well into old age. It provides one of the best supporting mechanisms for strengthening the hair follicles, reducing the thinning and possible baldness that could eventually occur.
A fixed oil obtained from the berries that is used to strengthen and promote the growth of the hair. The dried fruits have a good effect on hair hygiene and have long been respected as an ingredient of shampoo hair oil.
Indian gooseberry is an accepted hair tonic in traditional recipes for enriching hair growth and also pigmentation. A fixed oil obtained from the berries strengthens and promotes the growth of hair. The fruit, cut into pieces, is dried, preferably in shade and then boiled in coconut oil, the resulting oil is said to be excellent for preventing hair graying – in Ayurvedic terms, a classic sign of excess pitta dosha. The water in which dried amala pieces are soaked overnight is also said to be nourishing to the hair.
Shoe flower (Hibiscus Rose sinensis) – Commonly known as Japa pushpa or Chembarathi, Hibiscus belongs to the Malvaceae family has a showy petals usually flowering in red colors. The women from ancient times are using the combination of hibiscus flower with herbal oils have proved to have amazing effects in hair care. It is one of the most luxurious and exotic way to pamper the health of your hair.
The topical application of the formulated herbal hair oil on the denuded skins of experimental animals showed excellent hair growth completion, which was comparable to observed that in hair oil treated group that texture of hair was coarse, rough and hard as compared to the hair of minoxidil 2% treated group which were short and silky. However the exact mechanism of hair growth stimulation is still not known and further studies are a perquisite in order to evaluate the extra mechanism behind hair growth stimulation. Literature survey reveals that minoxidil is accompanied by some unwanted side effects like withdrawal alopecia, headache & dizziness etc, which limits its extensive usage or its suitability for commercial exploitation, hence along with the mechanism of action and compound showing bioactive properties in formulated hair oil, futher research work is desirable to isolate and develop compound exhibiting properties similar to minoxidil, but with lesser or mild side effects.
Much likely the hibiscus has gained a huge popularity throughout Indian and have achieved a holy platform sharing with tulsi – Basil leaves. They are usually used in all kinds of rituals and festivals in India which display all the benefits.
According to Ayurveda these leaves consist of numerous elements that benefits hair and scalp. It is widely used for the treatment of dandruff and hair fall.
Be it the world of Ayurveda or the traditional Chinese herbal medicines the concoction of herbal oil with the hibiscus flower show a great effect on the scalp posses good amount of properties which helps to restore the health of our skin and hair.
The flowers help if used regularly . The extracted juices of the flowers are blended with hair dyes like henna and indigo. The properties of hibiscus have gained world wide acknowledgement because of the astounding result it showed on the hair scalp and hair fall troubles.
Hibiscuses have soothing and cooling effect on the scalp. Usually dandruff creates rashes in scalps and worsens the condition of the scalp. When hibiscus extraction is mixed scalp it produces a very soothing effect and also repairs the damage that is created due to dandruff. Undoubtedly it also helps in eliminating the dandruff from the scalp.
It has proven of great benefits in seborrhea conditions on the scalp. During seborrhea over activity of the sebaceous glands causes the skin to become oily which is treated with the help of the hibiscus. It also reduces excess oiliness that damages your hair.
Hibiscus aids to eradicate and lessen pore clogging which improves the general look and condition of hair. It also abridges extreme scaling, itching and redness of the scalp.
According to tradition texts (Nadkarni, 1954;kumar et al., 1994), it is well accepted that the leaves and flowers of Hibiscus rosa-sinensis have hair growth promoting and anti- greying properties. Moreover, in India the herbal products in the growth including the extract of various part of Hibiscus.
The main other benefits of hibiscus have proved to give greater effect on the health of the heir. At the very bottom line it helps in eliminating the toxins from the body but at the same time it also bushels the normal acid alkaline. While massaging it already improves the blood circulation and when combine it with hibiscus it gives essential nutrients to the follicles. All the elements that are needed to counter fights the pollutants that reside in the scalp due to the pollution are eradication with the help of hibiscus.
There are many ways to use hibiscus flowers and get benefited through it. Hot and cold infusion both are very helpful in treating the hair. In a hot infusion the flower and the leaves are added to boiling water and allowed to keep it for 10 to 12 hours and then strained it before using it on the scalp. While in the cold infusion are made to stand in cold water with a ratio of is to six and then flowers are squeezed, strained and then then used. Any if this infusion can be used as last rinse after washing the hair thoroughly.
Not necessary that you have to use these infusions just after washing your hair but this mixture can also be used to wash the hair or apply on the scalp with the help with the help of the cotton wool. Blend this extracts or juice of the flowers with henna paste and place it on the hair nourishments and helps in amazing growth of the hair.
Now a days Hibiscus extract is also added to brahmi, bhringaraj, amla, henna and other such extracts, to formulate products for hair care, like cleansers, hair tonics, anti-dandruff preparations, hair conditioners and rinses.
Hibiscus Hair oil Recipe
Shikakai: Acacia concinna is a tree native to Asia, common in the warm, plains of central & south Indian. Alkaloids are found in abundance in the fruit.
Acacia concinna has been used traditionally for hair care in the Indian subcontinent since ancient times. It is one of the Ayurvedic meditional plants. The fruits is known in India as shikakai. The word shikakai, means “fruits for hair”, it is a traditional shampoo used in India In order to prepared it the fruit pods, leaves and bark of Acacia concinna are dried, powdered and made into a paste.
While this traditional shampoo does not produce the normal amount of lather that a sulfate – containing shampoo would, it is a good cleanser. It is mild, having a naturally low pH, and doesn’t strip hair of natural oils. Usually no conditioner is needed, for shikakai also acts as a detangler.
Acacia concinna extracts are used in natural shampoos or hair powders and the tree is now grown commercially in India and Far East Asisa. The plant parts used for the dry powdered or the extract are the bark, leaves or pods. The bark contains high levels of saponins, which are foaming agents that are found in several other plant species. Saponin – containing plants have a long history of use as mid cleaning agents. Saponins from the plant’s ponds have been traditionally used as a detergent.
The name “shikakai” literally means “fruit for hair”. The powdered pods, leaves and bark of the shikakai shrub (Acacia concinna) have been used for cleansing hair and in Ayurvedic medicine for centuries. Shikakai is reputed to get rid of dandruff, reduce shedding and help strengthen hair.

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How Shikakai Works as a Shampoo
Shikakai’s pods contain saponins, compounds which produce lather when mixed with water and shaken. These saponins help to clean oil off the shikakai helps to condition the hair powder is finely – ground, medium browh and has has a pleasant smell reminiscent of fruit tea.
Unlike commercial shampoos, shikakai does not produce mountains of lather. It is a milder cleanser than other natural shampoo substitutes such as baking soda. Due to its conditioning properties shikakai can be used alone: it can also be followed by a natural condition such as a hair treatment package with other herbs such as henna and fenugreek (methi). Another popular practice and let it soak for a few hours, before applying the shikakai to soak up the excess oil and cleanse the scalp.
Coconut oil:
Coconut oil is very popular and the most preferred among the hair oil worldwide. Let us find out why. If you ever visit coastal parts of India, like West Bengal, Kerala, Coastal Tamil Nadu etc, you will be surprised to see lots and lots of old men and women, in their 70s and 80s, still having thick jet black hair. Thanks to the coastal climate, the rice and fish meal and of course, to the pure coconut oil they use on hair. Since their childhood, people living in most of the coastal areas of the world, more specifically in the area where coconut grows in abundance, such as in the Indian Subcontinent, Sri Lanka, Indonesia, Malaysia, Burma, Philippines etc., known the one and the only, the sweet smelling coconut oil as their only hair oil. Coconut oil has been in use as hair oil for ages and it has shown remarkable results. Certain vitalized, nourished and protected from effects of ageing. Let us see those components and their effects on hair.
Lauric Acid:
One of the most responsible reason behind hair fall and hair loss is microbial action on the scalp and hair roots. So, to protect hair against them, what we need is an antimicrobial agent. Lauric Acid present in coconut oil is one of them. It is basically a triglyceride which yields a monoglyceride called Monolaurin when acted breaks the glycerol bonds. This monolaurin has excellent antimicrobial properties.

Capric Acid:
This is yet another triglyceride present in coconut oil, which, like Lauric Acid, yields another monoglyceride called Monocaprin due to bacterial action, having antimicrobial properties similar to that of monolaurin.
Vitamin – E:
Almost every aptly educated person knows the importance of vitamin – E for skin and hair. It keeps scalp and skin healthy and hair rejuvenated.
Moisture Retaining Capacity:
Coconut oil has high moisture retaining capacity, since it is not broken down easily nor evaporated, being very stable. It does not let moisture escape thus keeping hair moistened and soft. This prevents breakage of hair. Coconut oil is a far better conditioner for hair than any synthetic one available in the market.
Anti – Dandruff:
The various fatty acids present in coconut oil serve as very good anti dandruff shampoo. A regular application can help you get rid of dandruff for ever.
Styling:
Coconut oil can be good styling oil for hair too, as it melts on heating and then condenses on cooling. So when you apply it on your hair, it thins and spreads evenly due to heat of the scalp. Soon afterwards, as the hair comes in condenses on cooling and thus works as a styling gel or cream.

Joint Rejuvenation Through Ayurveda

Thursday, November 3rd, 2011

O
steo arthritis or joint degeneration is crippling Indian population.
Patients suffering with this condition are increasing alarmingly. A
recent pan-Indian health survey reveals that osteoarthritis has
emerged as the numero uno ailment in India, even trouncing traditional heavyweights like AIDS , diabetes ,cancer and hypertension.
The survey – titled ‘TNS Arogya 2006-07 The Heath Monitor’ –
Conduct by TNS, an ISO-accredited market research agency in Delhi, in
October 2007, was carried out across 15 cities – Delhi, Lucknow , Ludhiana, Jaipur, Varanasi, Chennai, Bangalore, Hyderabad, Cochin, Kolkata, Patna, Mumbai, Ahmedabad, Nagpur and Indore. According to the study, in the age band of 25 to 35 years, osteoarthritis is the second most prevalent disease in
India after diabetes. Despite this, reports the study, awareness amongst
Indians about the bone aliment is almost nil as compared to high profile
Diseases like cancer, AIDS and diabetes.
Osteoarthritis – or degenerative join diseases (DJD) – is a common rheumatological disorder .
The World Health Organization (WHO) estimates that 70 million Indians are its victims, nearly 80per cent of them above 75 tears
The objectives of the TNS annual survey are to map the state prevalence rates of important diseases in India and to calculate the stated incidence rates for commonly occurring aliments in the country. This research is a point to the healthcare habits of Indians – their attitudes towards well-being and preferences for over –the-counter (OTC) medicines for common ailments.
Osteoarthritis – or degenerative joint disease (DJD) – is a common rheumatological disorder. The World Health Organization (WHO) estimates that 70 million Indians are its victims, early 80 per cent of them about 75 years. Although the symptoms occur earlier in women, the prevalence of osteoarthritis among men and women is at par, say experts.
Osteo arthritis has become a common phenomenon in the urban population. It is also steadily growing in the rural popution. Once thought as old man’s disease is striking young generation.
Often called “wear and tear” arthritis, osteoarthistist (OA) is the most common form of arthitist in the world over. In most case, over time, symptoms being to occur. OA is the most commonly found in the:
Knees
Hips
Hands and fingers
Spine
Wrists, elbows, shoulders, and ankles can also be affected by OA, but this occurs less frequency. When OA is been a history of injury or stress to that joint.
Symptoms
Typically, OA comes on slowly. For many, the first signs are joints that ache after physical work or exercise. As the disease progresses, other most common symptoms include:
• Pain in joint
• Swelling or tenderness in one or more joints
• Stiffness after periods of inactivity, such as sleeping or sitting
• Flare –ups of pain and inflammation after use of the affected joint
• Crunching feelings or sounds of bone rubbing on bone (called crepitus) when the joints is used.
If you are experiencing any of these symptoms, it’s important to talk to your doctor to find out if you have OA. It most often occurs in the following areas:

knees
Because knees are primarily weight-bearing joints, they are very commonly affected by OA. If you have OA in your knees, you may feel that these joints are stiff, swollen, and painful, making it hard to walk, climb, and get in and out of chairs and bathtubs.
Hips
OA in the hip can cause pain, stiffness, and severe disability. hips both support the weight of the body and enable movement of your lower body. when you have OA in your hips, you may also feel the pain in your groin, inner thigh, or knees. OA in the hip can lead to difficulty moving, bending and walking.

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Fingers and Hands
When OA occurs in hands and fingers, the base of the thumbs joint is commonly affected and people experience stiffness, numbness, and aching. Other symptoms of hand and finger OA include:
• Heberden’ s nodes: small bony knobs that appear on the end joints of fingers
• Bouchard’s nodes: small bony knobs that appear on the middle joints of fingers
Spine
If you have OA of the spine, you may experience stiffness and pain in the neck or in the iower back. Sometimes arthritis-related changes in the spine can put pressure on the nerves, causing weakness or numbness in your arms or legs.
What causes osteoarthritis?
While the exact cause of OA is unknown, joint damage can be due to repetitive movement (also known as “wear and tear”). It can also begin as the result of an injury. Either way, with OA there’s erosion of the cartilage, the part of the joint that covers the ends of the bones.
• Cartilage acts as a shock absorber, allowing the joint to move smoothly.
• As cartilage breaks down, the ends of the bones thicken and the joint may lose its normal shape.
• With further cartilage breakdown, the ends of the bones may begin to rub together, causing pain.
• In addition, damaged joint tissue can cause the release of certain substances called prostaglandins, which can also contribute to the pain and swelling characteristic of the disease.
Here are some factors that may increase your risk of developing OA.
Age
Age is the strongest risk factor for OA. Although OA can start in young adulthood, in these case, it is often due to join injury.
Gender
OA affects both men and women. However , before age 45, OA occurs more frequently in men; after age 45, OA is more common in women.
Joints injury or overuse caused by physical labor or sports
Traumatic injury to a joint increases your risk of developing OA in that joint. Joints that are used repeatedly in certain jobs may be more likely to develop OA because of injury or overuse.
Obesity
The chances of getting OA generally increase with the amount of weight the body’s joints have to bear. The knee is particularly affected because it is a major weight-bearing joint.
Joint Alignment
People with joints that don’t move or fit together correctly, like bowlegs, dislocated hips, or double- jointedness, are more likely to develop OA in these joints.

Heredity
An inherited defect in one of the genes responsible for manufacturing cartilage may be a contributing factor in developing OA.
Osteoarthritis diagnosis
If you experience joint pain, stiffness, and / or swelling that won’t go away, you should make an appointment to see your doctor. Your doctor . your doctor will be able to determine if you have arthritis and ,if so, what type.

When you see your doctor about your symptoms, he or she may ask questions about when and how you started experiencing them. The doctor will probably give you a physical examination to check your general health, and examine the joints that joints that are bothering you.

You may also need other tests to help confirm the diagnosis of OA and determine the extent and severity of joint damage. Some of these may include:

x-rays
x-rays can helps the doctor determine weather you have OA or rheumatoid arthritis (RA). A series of x-ray obtain over time can show how fast joint damage is progressing. X-ray of the affected joints can show cartilages loss, bone damage, and extra bone growth (known as bone spurs) that can develop on the surface of normal bones.

Joint Aspiration
If your doctor is still uncertain about the diagnosis or suspects that you may have an infection, he or she may perform joint aspiration. In this procedure, your doctor , your doctor withdraws and examines synovial fluid (a liquid that lubricates the joint) from affected joints using a needle.
If you are experiencing some of these symptoms, the sooner you talk to your doctor, the sooner you may get diagnosed and get treatment.

What’s behind the OA scenario?
India, a place of work and worship, is crippling due to over exposure of foreign culture. It does not mean that we should oppose foreign culture but we should not leave our tradition. Our tradition. Our traditions are scientific, intend for healthy living.
Globalization is turning out to be the major destructor of health. More and more sophistication and comforts are leading us to become more and more sedentary. Unhealthy food and food that does not suit our lifestyle and environment is invading our kitchens. All these factors are the major causative factor that are making Indian population suffer not only with osteoarthritis but with many other lifestyle diseases like coronary Artery diseases (CAD), Hypertension (high blood pressure) Diabetes Mellitus (DM) and so on.

Osteo arthritis and Ayurveda
Ayurveda clearly described osteo arthritis as “sandhigate vata”, a disease caused by the vata dosha. Joint or sandhi in Sanskrit , is nurtured by sleshmaka kapha or the synovial fluid and the joint is kept intact by the mamsa (muscles), kandara (tendons)and snaya (ligaments). These structures will be maintained in normalcy by the proper food and activities of the individual. Hyper and hypo activities, injury and improper food habits will give rise to imbalance of the structures and resulting in detangement of the doshas leading to degeneration of the joint.
Vata dosha, a primordial factor related to the functional aspect of the body , maintains the sensory and functional aspects of the body. Vata dosha governs all movement in the physiology, from the subtle, fleeting movement of a though flitting across your mind to the coursing of blood through your arteries and veins.
When deranged/ aggrevated vata dosha lodges in the joint / sandhi it induces its specific qualities like dryness, roughness of the joint and thus produce degeneration of the joint.

Management
The management of the dieases is
A)Generalized approach
B)Individual specific approach

Generalized approach:
Here common procedures explained for vata dosha like sneha (internal and external oleation) and sveda (fomentation procedures), vasti (medicated enema), rakta mokshana (bloodletting through venesection and leech), agni karma (thermal cauterization) and other medicines and diet prescribed are used. The severity will determine the course of the treatment.

Individual Specific Approach:
According to the Prakruti (nature of the individual) and his strength the treatment is determined specific. It is more effective treatment. For example- For a lean person who is suffering with knee OA he should be prescribed fresh Guggulu (gum resin of commiphora mukul) and obese patient should be prescribed old guggulu.

Joint Rejuvenation:
Joint rejuvenation is possible with Rasayana therapy, a unique therapeutic procedure having inscrutable results. Rasayana therapy should be strictly taken under the therapy regenerates almost all the types of cells like blood, bone, bone marrow etc. along with Rasayan therapy, the other procedures aimed at rejuvenation of the joint includes Vasti (medicated enema), the top most therapeutic procedure having enigmatic results. But before starting therapies primary treatments should be done to make body fit for undergoing those procedures. These primary procedures will any how stop the degeneration of the joint and relieve the pain and stiffness immediately. These primary therapies are
a)Upakarmas – sneha (oil therapy), sveda (fomentation therapy)
b)Lepa – Ubtans
c)Bandhana – knee cap and other fixtures
d)Bheshaja kalpa – medicinis

Sneha:
External and internal oil application is the basic step in reducing the aggrevated vata dosha and soothes the chennels of the dosha and soothes the channels of the body. Sneha , fat in general, has the properties to reduce the vata dosha. Vasa (muscle fat) and majja (bone marrow) are said to be specific fat for joint disease. These two fats i.e. vasa (muscle fat) and majja(bone marrow) should be given internally and also to be applied externally.
For consuming internally and for external application the fats should be cooked (sneha paka) accordingly with or without specific herbs. These fats can be given in small doses for internal administration for longer period. For panchakarma purpose the internal administration is very specific and should be done by an expert ayurvedic physician .
Different kinds of external application to be carried depending upon the severity of the disease like abhyanga (smearing, in the early conditions), seka (pouring lukewarm/hot oil), pichu (applying cotton soaked oil on the affected and vasti (retaining oil on the affected site and enema). These procedures are very effective vasti is the most effective among the procedures.
Sveda/Fomentation:
Fomentation of different joints will ease the stiffness and provides much relaxation for the joints. It enhances the blood circulation by dilatation of the local blood vessels thus enhancing the clearance of the local toxins and wastes.
There are different types of formentation procedures explained in ayurveda like panda sveda (bolus formentation), avagaha sveda (dipping type fomentation), Nadi sveda (fumigating type formentation) etc. the selection of the sveda depends upon the condition of the disease as well as the patient.
Lepa/Ubatans:
External application of different kinds of pastes / ubtans also ease thejoint stiffness and reduces pain and inflammation. Herbal powders prepared from the herbs like Rasna (Alpine galaga), kusta (sausurea leppa), kulatha (Dolichos biflorus), kola (zizypus jujube) etc applied with kanji (fermented rice washed water) or lima juice or specific decoctions will be more useful.

Bandhana/Bandage:
External bandaging of the affected known as bandhana can be the present day knee support and lumbar support. They restrict the movement of the joint and support the muscle of the joint and thus avoiding futher damage of the joint. These supports are meant for alternate support of the joint and as such these are not main stream theyapy.
Medicine:
There are number of medicines available for Osteo arthritis. Don’t limit the treatment with calcium supply only. Out of 80 percent people who suffer with osteoarthritis will have a normal serum calcium level normal. So its not that they are deprived of calcium but the channels supplying calcium are blocked. Also it should be noted that the synovial membrane covering the joints is the part which is torn and it is this torn synovial membrane and leading to the degeneration of the bone. So the synovial membrane , which is made up medicines containing glucosamine, chondratin will be of much benefit rather than simply stuffing the body with calcium.
Ayurveda has understood the very basics of this physiology and thus we come across a very few calcium preparations for the treatment of osteoarthritis. Medicines aiming in improving calcium channel clearance and medicines which regenerate cartilage were given much importance.
Some of the is useful preparations for Osteo arthritis.
Internal medication
Rasnadi Kashayam, Gandharva hastadi Kashayam,
Yoga raja guggulu, maha yoga raja guggulu, saptavimshati guggulu, simhanada guggulu, rasnadi guggulu
Vatavidhamsini ras, amavatari as, vatachintamsini ras,
Kukkutanda bhasma, pravala bhasma, mukta pisti
Ksheerabala 101 avarti drops, dhanwantaram 101 avarti drops, gandha tailam

External medication
Kottam chukkadi choornam, kola kulathadi choornam
Dhanvantaram tailam, Narayana tailam, Maha Masha tailam, Kebukadi tailam
Panchakarma
Ksheera vasti – it has been proved very effective in the cases of osteoarthritis and osteo porosis.
Virechna – virechana clears the Pureesha dhara kala/asthi dhara kala i.e the layer responsible for the absorption of precursors of bone (bone forming elements).virechana clears the toxins and waste material that is logged in this layer and enhances absorption of bone precursors.
Diet:
Old wheat, red rice, brown rice, moong dal, lentils, cows milk, ghee, bone marrow, fish, chicken, mutton are very good.
Food that which enhances the formation of collagen is highly beneficial. Foods which are rich in fibre and vitamin C will help to produce collagen.
Exercise
Patients suffering with Osteo arthritis should do exercises depending upon the severity of the disease. Doctor’s advice is a must. Physiotherapy is very promising in recovering from Osteo arthritis clubbed with Ayurvedic treatments.