Archive for June, 2015

Pregnancy planning- a right choice -Dr.Madhulika Priya (M.D-AYU)

Tuesday, June 16th, 2015

Pregnancy planning allows individuals and couples to anticipate and attain their desired number of children and the spacing and timing of their births. It is achieved through use of contraceptive methods and the treatment of involuntary infertility.
There are certain aspects of pregnancy to be considered in a planning:
1. Appropriate Number of children
2. Healthy sperm and ovum
3. Preparation to have proper conception
4. Improving reproductive, maternal & newborn child health

? Appropriate number of children
A woman’s ability to space and limit her pregnancies has a direct impact on her health and well being as well as on the outcome of each pregnancy.
Therefore more importance is given to minimum number of child to ensure the maternal and child health. As per W.H.O the required number of children in each family is two.

? Healthy sperm and ovum
Ovum and sperm are the result of the deepest level of nutritional transformation. All that we eat and drink gets continually refined until it is transformed into the most vital essence, the potential of life, known as shukra in Sanskrit. This is the seed of life. They must possess all necessary qualities leading to successful pregnancy.
? Sperm: In ayurveda healthy semen which is more fertile is described as the semen which is grayish white, heavy, sticky, sweet and more in quantity. This fertile semen may have the shades of ghee, honey or oil.”

a. Quantity of Semen
The normal quantity of semen will be 2- 5 ml. Each ml of semen consists of millions of sperms. Semen acts as a vehicle to carry spermatozoa or sperms. The quantity of ejaculated semen will be more when there is a prolonged abstinence. The quantity of semen will be less when there are very frequent ejaculations.
b. Color of Semen
The normal semen is grey or white in color. If the color of semen is yellowish or red or pink, it suggests the presence of some pathology in urinogenital system. Hence men with red or yellowish semen should immediately seek the advice of family physician.

• Semen Clotting and Liquefaction Time
Semen clots immediately after ejaculation. It will liquefy again in 5 – 40 minutes. When semen fails to clot and liquefy subsequently, then it indicates fertility problems.
Tips to Increase Fertility
• Refrain from habits like smoking, alcohol consumption etc
• Keep your mind and body healthy by regular practice of YOGA and MEDITATION
• Exercise regularly
• Maintain a gap of 3 days between two consecutive ejaculations
• Favor sweets, milk and milk products
• Add recipes which contain urad dal (Black gram)
• Add little ghee to your food before consuming
• Avoid bitter, astringent and spicy foods
• Massage body with herbal oil, which improves blood circulation

? Ovum: Fertility decreases with a woman’s age. This is because every woman has millions of eggs or, more specifically, follicles that mature into eggs inside her body when she is born.
By the time she reaches puberty, though, the number of these follicles drops down to about 300,000 to 400,000. During the monthly menstrual cycles, approximately 20 eggs start the journey to maturity but only one or two are finally able to complete this journey and are fit enough to be fertilized. These are the ‘good’ eggs.
Therefore, as woman start aging, the number of eggs inside her body (egg quantity) and the number of good eggs that could have been fertilized (egg quality) keep depleting. Consequently, over time the chance of fertilization also drops.
Egg quality and quantity are together known as the ovarian reserve But, in general, it has been found that the pregnancy rate begins to decline when people reach their the early 30s while the percentage of infertile couples starts increasing as follows:
• By age 30, 7%
• By age 35, 11%
• By age 40, 33%
• And at age 45, 87% of couples are infertile
a) Egg Quality
An egg is said to be of good quality if it has good normal chromosomes and it can easily combine with sperm to develop into an embryo.
In order to fertilize the egg, sperm need to be healthy enough to travel and reach the fallopian tube (and yes, the quality of sperm also goes down as a man ages, the change is just more subtle and gradual).

? Preparation to have proper conception
Ayurveda recommends suitable purificatory measures known as panchakarma procedures for both male and female to ensure healthy child. In Ayurveda it is believed that if there are any obstructions in the body channels then the reproductive system becomes deficient and it is necessary to undergo purificatory measures to re-establish the health of the reproductive tissues.

It includes oleation and fomentation procedures proceeded by Vamana (vomiting), Virechana (purgation). Later the couples are brought to normal food after following suitable diets. Further they are subjected to Asthapana and Anuvasana basti ie decoction enema and oil enema.

Next to these procedures, man is advised to take the foods processed with sweet herbs, milk and ghee. The woman is advised to take the foods processed with black gram and sesame.
Herbs good for fertility – women – Shatavari, men – Ashwagandha, Kapikacchu

Woman after her detoxification of body made to follow the asceticism for the 1st three days of menstruation. On the 4th day of her menstrual cycle she should take proper bath, wear white cloth and have the intercourse with her husband.
The couple to wish for male child can go for intercourse on even days ie on 4th/ 6th/8th day of woman menstrual cycle and for the willing of female child on uneven days like on 5th/7th/9th day of woman menstrual cycle.
There is description of monthly wise diets in Ayurvedic classics to be followed by a pregnant woman:
1. 1ST month – boiled and cooled plain milk frequently
2. 2nd month – milk processed with herbs ( kakoli, sweet herbs etc )
3. 3rd month – milk +honey + ghee
4. 4th month – milk+ butter
5. 5th month- milk +ghee
6. 6th month- milk processed with herbs+ ghee
7. 7th month – same like in 6th month
8. 8th month – gruel+milk+ghee
9. 9th month – Anuvasana basti with oil processed with herbs
Post pregnancy diet should be light to digest, free from fat, rich in nutrients.
? Improving reproductive, maternal & newborn child health
Poor maternal, newborn and child health remains a significant problem in developing countries. Worldwide, 358 000 women die during pregnancy and childbirth every year and an estimated 7.6 million children die under the age of five. The majority of maternal deaths occur during or immediately after childbirth.
The common medical causes for maternal death include bleeding, high blood pressure, prolonged and obstructed labour, infections and unsafe abortions. A child’s risk of dying is highest during the first 28 days of life when about 40% of under-five deaths take place, translating into three million deaths.
Up to one half of all newborn deaths occur within the first 24 hours of life and 75% occur in the first week. Globally, the main causes of neonatal death are preterm birth, severe infections and asphyxia. Children in low-income countries are nearly 18 times more likely to die before the age of five than children in high-income countries.
Good maternal health and nutrition are important contributors to child survival. Simply meeting the need for family planning with following points could prevent around a third of maternal deaths and a fifth of newborn deaths:
? Girls and women should be given the ability to choose whether and when to have children and how many children to have,
? Make sure pregnancy and child birth are safe. In many low income countries, the poorest people do not have access to health services.
? When people are ill with malaria, tuberculosis, HIV or pneumonia they should be able to get the lifesaving medication they need.
? Access to family planning services, safe childbirth and vaccinations.

SHWASA – Ashtma

Tuesday, June 16th, 2015

The word Shwas means “difficulty in breathing”. Normally shwasa word represents to Tamak shwas described in Ayurvedic texts. The feature of this disease is very similar to the disease ‘Bronchial Asthma’ mentioned in allopathic books. It is characterized by difficulty in breathing, increased breathing rate, cough with thick sputum.



A] Factors related to diet:

Vata propak (vitiating) aahar (diet) vihar (activities)
Ruksha(dry),guru(heavy) diet, excessive intake of cold water and cold drinks, intake of meals much more than the digesting capacity.

Kapha prakopak (vitiating) Aahar (diet) Vihar( activities)
Diet including urad (black grams),til,guru(heavy),abhishandi (kapha producing) food, living in cold areas, exposure to cold air, bathing with cold water.

B] Factors related to work :
Excessive exposure to dust and smoke.
Excessive wind, cold, cold bath or excessive heat, sun bath.
Exhaustive exercise, walking, excessive sexual activities.
Suppression of natural urges
Psychological factors

C) Internal reasons
Suppression of urges, weakness, respiratory disease, inflammation of respiratory system, lung disorders.

D) External reasons
Injury of throat or chest, residing in dust and smoke, excess of sex and journey.

E) Localised reasons
Inflammation of upper part of trachea ,inflammation of any organ of chest.


F] Other Factors :

Asthma may be as a sequel in other diseases like -
Fever, Long standing common cold, Tuberculosis , Anemia, Heart disease, Poisoning etc



According to Ayurveda the vitiated Pranvayu combines with deranged kapha dosha in the lungs causing obstruction in the pranavaha srotasa (respiratory tract).This results in gasping, labored breathing and respiratory distress. This condition is called Swasa roga.
Types of Asthma :

Five types of ‘Swas Roga’ are described in Ayurvedic texts
1] Maha-shwas
2] Urdhva-shwas
3] Chinna-shwas
4] Tamak-shwas
5] Kshudra-shwas


PURVAROOPA: ( pre symptoms )

Pain in region of heart
Pain in region of flanks
Upward movement of prana(respiration)
Sweet less taste of mouth
Splitting pain in the temples (sides of the forehead)
ROOPA (symptoms)

Heavy breathing
Helplessness (unable to withstand the trouble)
Respiration is accompanied with sounds resembling those of high pitch sounds from the nose, resembling that of a bull in heat
Common sense§ & intelligence are lost
Eyes§ & face are unsteady
Obstruction of urine§ & faeces
Broken voice
Dryness of throat
Frequent delusions
Severe pain in ears, temples§ & head

Prolonged upward breathings (expiration) but difficult respiration
Obstructed movement of vata
An upward gaze
Rolling eye balls
Terrified look
Severe pain as though his vital organs are being cut
Speech choked

Patient breathes with interruptions
Cutting pain in the vital organs
Burning sensation
Obstruction in the urinary bladder
Eyes are unsteady ( full of tears)
Delusion (or coma)
Dryness of mouth
Irrelevant talks
Feeling of helplessness (inability to do anything)
Loss of chhaya (complexion)
Loss of consciousness

Pain in head, neck, chest§& flanks, cough accompanied with cracking sound
Loss of taste, appetite
Running nose
Thirst, Forceful bouts of respiration
Feeling of going into darkness (i.e.losing conciouseness of the surrounding) momentary comfort after expectoration
Inability to breathe on lying
Comfortable on sitting
Eyes wide open
Perspiration on forehead
Dry mouth
Desire for hot comforts

Vata dosha  on being aggravated by exertion & overeating, produces Kshudra Shwasa which subsides by itself (without any medication) i.e. heavy breathing on exertion, passes of soon by rest & is thus not very troublesome.

Among these five types first three are not curable. ‘Tamak-shwas is ‘yapya’(Controllable) and is difficult to cure. The last one is curable. More than 75% of the cases belong to last two catagories.

Preventive Tips for Asthma : 

Avoid cold and damp places.

Go for morning or evening walk, do yoga mainly ‘Pranayama’

Avoid over eating. Take light dinner one hour before going to bed

Avoid Tobacco, wine and smoking

Keep rooms well ventilated. Avoid air conditioners, coolers and direct air of fan

Avoid perfumes, Agarbatti. Mosquito repellents

Drink boiled water in plenty

Avoid over exercise and over indulgence in sex


All types of swasa roga are not described according to doshas infact they have been differentiated according to symptoms. All types of swasa roga are vatakaphaj so all of them are treated in same manner.

1. Find reasons and eliminate them
2. Diet, liquids and medicines should have properties of reducing vataj and kaphaj doshas.

3. If patient is healthy then sodhan chikitsa should be done with vaman, virechan and then shaman chikitsa should be done with advised diet and medicines.

4. In weak and lean patients vata nashak Ayurvedic preprations should be given with suitable anupan.

5. In healthy patients sanehan and swedan(oleation and sudation)should be done.

Pathya-apathya (dos and don’ts)






Yava (barley), kulattha (horse gram),raktashali (rice), flour of mash (black gram), sweets
vastuk, shigru (drum sticks), punarnava, karvellak (bitter gourd), parawarardrak (ginger) Fast food, uncooked food, salty, spicy, oily food
rasona or ginger (shodhit with takra)  
 jangal mansa (meat). Fish
 hot water Cold water, Curd, , jaggery, milk, cold beverages ,ice creams
Behaviour Pranayam, yoga, meditation Daytime sleeping, vegavadharan (suppression of natural urges); exposure to cold, wind, A.C.; excess of stress.



Tuesday, June 16th, 2015

When the vitiated doshas (vata , pittaand kapha) causes vitiation of color or complexion of the skin and produces the degeneration of tissue. This disease is known as kustha (mahakusta). Although all the disorders of skin are included in the word ‘kustha’
There are two main type of kustha depending on the dhatugatavastha (involvement of the tissues) are explained in ayurvedic classical texts.
1. Mahakustha
2. Shuhudrakustha.
The seven dhatus (tissues) are rasa (plasma, extracellular fluids), rakta (blood), mansa (flesh), meda(fats), asthi (bones), majja (bone marrow) & shukra (sperm or ovum).
The skin disease which shows more sympioms, more difficulty in treatment & (dhatugatava (involvement of tissues) & hence severe are labeled as mahakustha and the other skin disorders are called as kshudrakustha. Even shwitra (leucoderma) which actually not a contagious disease can be included in these. Kustha is a chronic, contagious & severs disease.

Etiological factors:
-Improper combinations of food, excessive intake of liquid, unctous, heavy food, heavy exercise.
-Exposed to heat for a long time.
-Eating before the digestion of the earlier food.
-Controlling natural urges like vomiting, defecation etc.
-Exercise just after taking the food.
-Exertion & fear.
-Improper panchakarma (vaman & virechan)
-Day sleep
-Sexual intercourse during indigestion
-Indulging in sinful activities.

The excessive intake of the etiolgical factors leads to the there dosha vitiation. then it spread to whole body and brings laxity & vitiation of skin, blood flesh & cellular fluids, plasma. This leads to the kledotpatti( increased moisture) . Due to the kledopatti, it leads to the skin discolouration, itching in different parts of body leads to kustha.
POORVAROOPA(Prodormal symptoms)-
-No sweat or excessive sweating.
-Very soft or very dry skin.
-Burning sensation on the skin.
-Itching/scratching sensation on the skin.
-Pain in the wound with there quick
-Origin and delayed healing.

ROOPASymptoms: –
skin discolouration
blister formation
burning sensation on the skin,
itching, secretions ,and numbness.of the skin


1.kapala kustha :- blackish on reddish colour
The skin is dry, rough, and extensive
Get ulcer fast and worm formation is also fast.
The edges are dry, rough, and raised
Secretions are less.
Spread is fast.
Dosha involvement – vata dominant .
2.Audumbar: – reddish colour
Thick, secretions of pus & blood.
Pain, burning sensations, itching is more
Burst open fast, & worm infestation is fast
Spread is fast
Dosha involvement- Pitta dominant
3.Mandala: – circular patches – white or reddish
Stable, unctuous, doesn’t spread easily & doesn’t get freat easily
Patches join with each other & are raised
Ihtensive itching
Dosha involvement – kapha dominant
4.Hrishyajivha: – red margin with blackish
Hard touch
Small blisters on the skin raised at the centre & small at the edges.
Pain, burning sensation,
Warm infestation
Less itching, less secretions
Spread is faster
Dosha involvement: – vata pitta dominent
5.Pundarik: – red at margins and white at centre
Middle part is raised
Itching, burning sensation, warm infestation painful
Secretions: – pf pus, blood, watery discharge
Spead is faster
Dosha involvent: – kapha – pitta dominant
6.Sidhma: – whitish or reddish
Looks externally by, but internally unctuous
Touch- rough
No itching
No pain, no buining sensction, no formation, no secretions
Dosha involvent – vata – kapha dominant.
7.Kakanak: – reddish & blackish as with different severs pain, severe buring sensation
Dosha involvent – 3 doshas

Shudrakustha: – 11 in number

1.Ekakustha: – no sweating, reddish colour
Scales like fish on skin
Modern science correlation- erythrodermias
Dosha dominance- vata-kapha
Modern science correlation – xerodermia pigmentosa it is extensie, dry and rough skin
Itching present
Dosha dominances – vata – kapha
3.Kitibh :- Modern science correlation – psoriasis
Blackish discolouration,
Dry & rough skin,
Scale on the skin,itching.
Dosha dominences – vata – kapha.
4.Vipadika Modern science correlation – rhageades
Eruptions on palm & soles
Little itching
Reddish blisters
5.Vicharchika :Modern science correlation – eczema
Itching, many blisters, more secretions colour is whitish.
Dosha dominence- kaphaja
6.Alasak:- Modern science correlation – lichen
Reddish blisters
Dosha dominence – vata-kaphaja
7.Dadru:- Modern science correlation – ringworm or tinea reddish blisters, raised vasaular patches itching is more.
Dosha dominence- pitta-kapha
8.Charmadala:- Modern science correlation -excoriation
Reddish colour
Tenderness with itching & burning sense
This blisters with burst fast & produces eruptions on skin
Dosha dominances – pitta – kaphaja
9.Pama:- Modern science correlation – scabies
Small sized blisters
Pus formation faster & more secretions
Itching, burning sensation
Dosha dominences- pitta kaphaja
10.Visphotak:- Modern science correlation -bullae
Whitish a reddish colour
Dosha dominance- pitta kaphaja
11.Shataru:- multiple boils
Pain,sticky secretions from the ulcos,
Present especially or joints
Doshe domince- pitta- kaphaja
Symptom of kustha according to the dosha dominances:

Vataja kustha :-
skin dryness
Skin atrophy
Pain is present
Skin colour blackish,
Hallucinations are pusent
Nummbess, tremors, stiffness is also pusent
Pittaja kustha:-
burning sensation, pain, reddish colour & secretions are present pus formation, bad odour, loss of body parts.
Kaphaja kustha:-
skin itching, cool touch, heaviness of body, colour whitish, swelling is present worm infestation, secretions


As stated in the pathogenesis, kustha is tridoshaja, so depending on the dominance of doshas, different type are there and so treatment also differs.
In vatapradhan kutha :- ghritapan
Pitta pradhan kustha :- purgation & blood letting.
kapha pradhan kustha:- medicated emetics are the treatment of choice.
The general line of treatment of kustha can be arranged like this:-
*Snehapan (internal oleation)
*Medicated emetis, purgation
*Blood letting.
*Medicines Internaly ;
*Externally oils and paste

Since kustha is a chronic disease repeatation of panchakarmq are required panchakarma depends on the dosha involvement & involovement of the deeper tissues.
Vaman can be done after every 15 days
Virechan can be done after every 1 months
Shirovirechan nasya can be done after every 3 days
Raktamokshan can be done after every 6 months.
Strong lepa can be done after every 3 days

For internal oleation;- khadis ghrita, neem ghrita, darwi ghrita, patola ghrita, tiktak ghrita mahatiktak ghita, panchatiktak ghrita, etc.

In the internal medicines :-
Single herbs like :-
Tuvasak, khaddar neem
Karanja patola bakuchi
Chakramarda manjista sariva
Haridra, etc

Medicinal preparations:-
Arogyavasdhini, gandhak rasayan, swayambha guggula nimba gandhak choorn,
Sarvang sundar vati,sukshmatriphala sarivadhyasav, manjisthadi kwath, khadisarista, etc

Externally :-
Lepa:- karanja beejadi lepa, karaveeradi lepa, eldi lepa, manashiladi leepa etc.

Creams/oils:- sudarsham malam, shatadhouta ghritam, neem oil, karanja oil, brihat masichyadi oil, bakuchi oil.

GRAHANI-(Irritable bowel syndrome)

Tuesday, June 16th, 2015

Irritable Bowel Syndrome (IBS) is also known as irritable colon. It is a gastrointestinal (GI) motility disorder for which there is no organic or structural cause.
The disease condition is called Grahani, which indicates the pathological state of function and integrity of the intestinal tract (mostly small intestine), a particular part of the GI system known as grahani in Sanskrit.Grahani is the seat of enzymes (agni). Normally, it holds up the food (until it is digested) and releases it from the side after it is digested. But when it is deranged due to weak digestive enzymes, it releases the ingested material even in undigested conditions.
A disorder characterized by abnormally increased motility of the small and large intestines, producing abdominal pain, constipation, or diarrhea, is also known as irritable colon, spasticcolon, or mucous colitis.
Food moves through the intestinal tract by synchronized wave like contractions called peristalsis. Irritable bowel syndrome occurs when these peristaltic movements become disturbed affecting the digestive process. It is not known what exactly causes peristalsis to become irregular however some of the reasons said to cause IBS are:
*Stress is said to be the primary cause of IBS
*Food sensitivities can cause digestive problems
*Overeating or binge eating can cause abdominal cramps
*Too much fat in the diet
*Lactose intolerance
*Sugar substitutes such as sorbitol and aspartame can cause diarrhea
*Tricyclic antidepressants can cause constipation
*Antipsychotics and sedatives can also cause constipation
*Antacids, morphine and codeine can cause stomach upsets

Sympoms of IBS (Grahani):
Ayurveda characterizes the disease by the passage of stools alternated with constipation or diarrhea and with undigested food particles. This disease is also associated with thirst, distaste, blackouts, pedal edema, pain in the bone, fever, and vomiting. It is a motility disorder involving the entire GI tract, causing recurring upper and lower GI symptoms, including variable degrees of abdominal pain, constipation and diarrhea, and abdominal bloating.
IBS is also associated with non gastrointestinal conditions such as headache, low back pain, arthritis, non cardiac chest pain, difficult urination, and fibromyalgia.

Types of IBS (Grahani):
Ayurveda indicates that there are four different types of IBS. They are
1] Constipation- predominant IBS (vata grahani),
2] Diarrhea-predominant IBS (pitta grahani),
3] Dysentery-predominant IBS (kapha grahani), and 4]Complex IBS (tridosha grahani).
4) All three dosas are involved (vata,pitta, andkapha).

Clinical features of IBS (Grahani):
1. Constipation-predominant IBS – This type of IBS presents the clinical features of dryness in skin, mouth, or throat; more constipation or alternating constipation and diarrhea; thirst; bloating; flatulence; and a cold feeling. It is also associated with back or groin pain, weight loss, debility, anal fissures, insomnia, and anxiety.

2. Diarrhea-predominant IBS – This type of IBS clinically shows the presence of heartburn, thirst, feeling hot, irritable or angry, inflammation, sweating and fever, fluid, and foul smelling stools and eructation.

3. Dysentery-predominant IBS – This type of IBS exhibits the presence of nausea, indigestion, and excess sputum in the pharyngeal region, heaviness in the chest and abdomen, bad-smelling eructation, lethargy, sluggish bowels, and mucus in the stools.

4. Complex IBS – This type reveals the combined signs and symptoms of all the above types. 5. Accrual IBS – This type of IBS presents the combined features of all the tridosas and is more chronic. It is specially diagnosed with clinical features of borborygmi, diurnal changes that the bowel movements are increased in the daytime and stop at night. The nature of the stool will be pastier and slimy, have undigested food particles, and be eliminated with pain. The pattern of the bowel movement will be accumulation of stools for some days followed by passage of loose stools for several days.

6. Tympanites-predominant IBS – In this type of IBS, the clinical symptoms are rumbling sounds heard in abdomen and increased bowel movements with lots of undigested food particles.

Prognosis of IBS (Grahani): According to Ayurveda, IBS is curable in children, difficult to treat in middle age, and incurable in older patients. The chronic accrual IBS is difficult to cure whereas tympanites-predominant IBS is incurable
* Cut fat consumption and include fibre in your diet
* Exercise regularly – Brisk walking for 20 to 30 minutes stimulates the digestive tract. Yoga also helps tone and condition internal organs including the digestive tract
* Stress relief – Exercise, yoga, meditation and hobbies are good ways to relieve stress and help prevent IBS vigorous exercise Exercising, even walking for about 30 minutes outside in the fresh air and sunlight will add to physical and mental well being.
* Herbal remedies – Herbal remedies such as Triphala are excellent for digestive tract disorders such as IBS. Boswellia helps in reducing inflammation and Ashwagandha helps in stress relief.


The Ayurvedic principle of the involvement of dosas is very helpful because it provides an understanding of the symptoms and how they vary from one type to another. It also provides a system of treatment specific to that particular dosa imbalance. Ayurveda utilizes not only diet and herbs, but also lifestyle advice so that treatment of IBS can be more specific and more successful.
Ayurvedic treatment is based on the nature of the stool with (sama) or without (nirama) enterotoxin stool.
The therapy process is highlighted as follows:
1. According to Ayurveda, dyspepsia and enterotoxin in IBS are important pathological processes that have to be treated effectively along with consideration of bowel movements with respect of stools with or without mucus discharge. When enterotoxin dominates this stage, it is treated with fasting and administration of digestives and carminatives. Use of warm water is highly recommended.
2. In constipation-predominant IBS, the first line of treatment is administration of digestives like chitrakadi vati and shankha vati to eliminate enterotoxin. It is recommended to follow the digestive with an administration of medicinal ghee preparations such as dashmuladi ghrita and thryushanadi ghrita.
3. Emesis (vamana) is the first line of treatment in diarrhea-predominant IBS, followed by the herbal bitters.
4. The first line of treatment for dysentery-predominant IBS is laxatives (virechana) followed by the administration of herbs with spicy and sour tastes.
5. Complex IBS is treated with the panchakarma line of treatment and supported by digestives and carminative preparations.

Diet in IBS (Grahani):
In general, a normal diet should be followed. Patients with abdominal distention and increased flatulence may benefit from dietary reduction or elimination of beans, cabbage, and other foods containing fermentable carbohydrates. Reduced intake of apple and grape juice, bananas, nuts, and raisins may also lessen the incidence of flatulence. Patients with evidence of lactose intolerance should reduce their intake of milk and dairy products. Bowel function may also be disturbed by artificial sweeteners like Sorbitol and mannitol
Generally, in the treatment of IBS, the use of Buttermilk (takra) is emphasized. The patient has to be kept on the diet of buttermilk, which is the treatment and nutrition in IBS. Buttermilk is digestive, astringent, and light to digest and helps in improving the consistency of the stool. Buttermilk is given along with asafetida, cumin, and rock-salt powder to control the bowel movements. It contains a good amount of lactobacillus bacteria, which helps restore the normal flora of the intestines.
When treating IBS, a light diet is advised. Indigestible foods such as bread; cheese; red meat; and cold, hard, and raw foods should be avoided. A light fast can be helpful taking only vegetable soups and a little basmati rice and green gram beans. Herbs like ginger, fennel, and cumin that stimulate enzyme secretions will improve digestion, absorption, and clear ama from the digestive tract.
Preferred food items are Eat old rice, jawar, gourd, coriander leaves, lentil, green grams soup, black pepper, dried ginger, wood apple, Pomegranate, nutmeg, skimmed milk, buttermilk, hot water.
Avoid foods items such as maize, barley, pigeon pea, pea, cow pea, spiked dolichos, black gram, gram, Soya bean, saga, kidney bean, potato, sweet potato, navalkoal, onion, coconut, groundnut, chili, oily food, chicken, red meat, crabs, prawns, fish, leafy vegetable like sorrel, drum stick etc, mango, pineapple, apple, watermelon, cashew, pumpkin gourd, papaya, fig, jack fruit
Lifestyle Changes
The following changes in lifestyle help to control IBS:
1. Identify and remove food intolerances — Because grains are a common culprit, an elimination diet should be tried.
2. Improve gut motility – Soluble fiber increases bowel transit, stools, and relieves constipation. Psyllium(Isabgol) is a good source of soluble fiber and is readily available. Sufficient water should be taken or fiber can have the opposite effect and result in greater constipation.
3. Restore a healthy balance of bacteria in the gut -Use of buttermilk ( takra) is emphasized.
4. Pancreatic enzymes – These enzymes help inhibit the growth of b acteria in the small intestine. They help improve protein digestion.
5. Mind–body therapy — To attain a balanced mind which indirectly helps to fight IBS, Ashwagandha churna, Brahmi churna, Aswagandharishta is helpful. Complete rest, adequate sleep is advisable and day sleep, awakening at night, tension, suppression of urges should be avoided.

Goiter Treatment | Enlarged Thyroid Treatment

Tuesday, June 16th, 2015

A goiter is an abnormal enlargement of the thyroid gland. The thyroid is a small gland inside the neck and just below Adam’s apple. The thyroid gland produces hormones which control the body’s metabolism. The presence of an enlarged goiter indicates that the thyroid gland is not functioning normally. The main cause of goiter includes an imbalance in the thyroid gland. Over production of hormones by the thyroid gland is referred to as ‘hyperthyroidism’ and less production is the ‘hypothyroidism’. The enlarged thyroid gland due to goiter puts pressure on other parts of the neck such as the trachea and esophagus. It may make an individual difficult to breathe and swallow. Goiter is more commonly reported in women and the elder people.

The main symptom of goiter includes a swelling, ranging in size from a small nodule to a massive lump in the front of the neck. There is a feeling of tightness in the throat area. Other symptoms may include difficulty in breathing, coughing, wheezing, difficulty in swallowing, hoarseness, neck vein distention, an increased resting pulse rate, rapid heartbeat, diarrhea, nausea, vomiting, sweating and agitation.

Iodine is essential for the production of thyroid hormone. It is found in fish products, drinking water and table salt. Lack of iodine makes an individual suffer from hypothyroidism. In an effort to produce more thyroid hormone, the thyroid gland is over stimulated and enlarges to form goiter. Deficiency of iodine is very common in most under-developed countries.


Graves’ disease is an autoimmune disorder which causes the thyroid gland to be overactive. The antibodies produced by the immune system stimulate the thyroid gland. It enlarges and results in an enlarged goiter and produces excess thyroid hormone. In multinodular goiter, many nodules develop inside the thyroid which causes an enlarged thyroid. In some cases, thyroid cancer may be detected as a lump or nodule in the thyroid gland.

Goiter may not need treatment if it is small and not growing. But in severe cases, it may need treatment as a result of its size which may inhibit function of parts of the neck. It has been observed that enlarged thyroid gland is enough to press on the swallowing tube, breathing tube and nerve to the voice box. The best treatment for a goiter is a subtotal thyroidectomy. In this type of surgery, most of the thyroid gland is removed. Medication involving even a mild overdose of thyroid hormone and regularly taken for many years, can result in osteoporosis and may put older people at risk for abnormal heart problems.

Vitamin A is necessary for iodine and enough to cure goiter. Vitamin B complexes nourish the thyroid gland and also help to utilize the iodine. Doctors recommend intake of enough Vitamin B complex to prevent thyroid malfunctioning. For a child, mother’s milk is the best natural remedy for preventing the thyroid malfunction. Daily intake of oats and bananas also helps to stimulate thyroid gland.

Ayurvedic treatment especially ‘Panchakarma’ is also useful treating the thyroid problem and goiter. Some ayurvedic physicians believe that goiter can be treated with special massage techniques. Specific some herbs and their oils can be massaged on the affected area with extreme precaution.

Some of the natural herbs like ‘Kanchanar’ have been used in Ayurvedic since years to treat thyroid related problems. It is used as a natural cure for goiter.

Kachnaar Guggul

Kachnaar is a beautiful tree growing in plains of India. The bark of this tree has been found to be useful in blockages in lymphatic channels, inflammation of lymph nodes. It has been found to be very effective in tumors of all kinds, especially Hodgkin’s lymphoma type condtions.Infact there is an excellent role of Kachanaar Gugugl in Hodgkin’s lymphoma and other types of benign as well as malignant cancers.

It is also useful in uterine fibroids, ovarian cysts and goiter. It is also recommended in chronic gangrene, fistula in anus. It gives excellent results in adenoids and tonsillitis in children.

The ingredients of Kachnaar Guggul are:
The main ingredient of Kachnaar Guggul is Guggul and Kachnaar. Other herbs like Triphala are detoxifying for the whole system, Trikatu (& other spices) is a combination of hot herbs, useful for generation heat and improving the penetration of the medicine into the cells and the system. Varun is another detox herb, which works as a urinary and system alkalizer. It detoxifies through the kidneys.


Change of Diet: One who is inflicted with goitre should consume plenty of the following foods: Old rice, barley, moong dal, patola, drumstick, cucumber, sugarcane juice, milk and milk products. Also, one should refrain from heavy foods such as meats or breads that are more difficult to swallow, and will cause pain.

Also, beverages such as coffee, alcoholic drinks, and sodas should be avoided, as well as foods with excess salt and sugar in them. The reason why sugar and salt is can make a person cough, and coughing while inflicted with goitre can be painful. In addition, caffeinated substances can aggravate a viral infection in the throat.

Besides knowing what to eat, one should also know how to eat. When deciding to eat, one should make sure to eat 4-5 smaller meals in a day rather than 2-3 larger meals in a day. This will help the body digest more foods more thoroughly, so the body will be more likely to absorb necessary nutrients. This should aid in the curing of goitre.

Exercise Regularly: One should do neck stretches and exercises daily to help stretch the muscles attached to the thyroid glands. Also, when possible, a person affected with goitre should partake in a moderate aerobic activity such as walking or jogging for at least 30 minutes a day.

Along with exercising regularly, one should be sure to live a balanced life as much as possible. A balanced life includes making time for all important activities, such as time with friends and family, work, and hobbies. If a person cannot work due to goitre, then at least doing some creative activities or working on logic problems can keep the person’s mind off the goitre problem until it is cured.

In addition to a balance life, a person who has goitre should get plenty of rest, lying primarily on the back at least twice a day. This will help rebuild the body’s ability to fight off future attacks.

Anaemia – PANDU ROGA. Dr. Shital Desai, BAMS

Tuesday, June 16th, 2015

Anemia or anemia is defined as a decrease in the amount of red blood cells (RBCs) or hemoglobin in the blood.[1][2] It can also be defined as a lowered ability of the blood to carry oxygen.[
Nearly half the blood flowing in our vein sand arteries consists of red blood cells which carry oxygen to the tissues. Approximately 100 million new blood cells are formed daily in the bone marrow. The raw materials required in the production of these cells are iron, proteins, and vitamins, especially folic acid and B12. Of these, iron and proteins are essential in building up the red coloring matter called hemoglobin. A red cell has a lifespan of approximately 120 days and is then destroyed and replaced. Each person should have about 15 gm of hemoglobin per 100 ml of blood, and a blood count of approximately five million red cells per millimetre of blood.
In Ayurveda, anemia is known as Pandu Roga. It is one of the most important and very common dietary deficiency diseases. . In Sanskrit pandu word means pale or swetapeet varna. So the disease in which, due to rakta alpata( deficiency of blood) whole body becomes pale (skin, nails, eyes) is called panduroga.. It is pitta dominant Tridoshaja vyadhi

Causes of anemia:
• Iron is required to produce haemoglobin. The deficiency of iron is the main reason to cause anemia.
• Anemia may be caused due to loss of blood through heavy menstruation, child birth, injury, bleeding from the gastro-intestinal tract,
• Deficiency of iron and vitamins in the body
• Defect in the formation of the blood in the body due to drugs, toxins and infections.
• Lack of hydrochloric acid in the stomach
• Worm can be a major cause for anemia.
• Worms can be a major cause for anemia.

Causes of Pandu roga are related to Ahara (dietietic habits), vihar (daily regimen) and nidanarthkar vyadhi ( some diseases which leads to pandu.)
Ahara—Food which contains more sour, bitter, salt taste, less sleep during night, more sleep during day time, excessive exercises, suppression of natural urges, excessive thinking, sadness and angerness.
Nidanarthkar rogas for e.g. Krimi Roga (Worm infestation), Amlapitta (Gastric ulcer), Menorrhegia /Metrorrhogia (Mensotrual disorders) lead to Pandu roga directly.


1. Pandu roga caused by vata
2. Pandu roga caused by pitta
3. Pandu roga caused by Kapha
4. Pandu roga caused by the simultaneous aggravation of all the three doshas ( Sannipatik)
5.Pandu roga caused by eating clay (Mrtika bhakshan janya pandu roga)
1) Due to diminished production of normal red cells
i) Deficiency of Iron
• Nutritional
• Post-hemorrhagic
• Malabsorption
• A failure of iron utilization rather than deficiency
ii) Deficiency of B12 or Foliate
• Pernicious anemia
• Nutritional
• Due to disease of gastrointestinal tract
• Anemia in pregnancy
• Anemia in infancy
• Due to various drugs
iii) Due to vitamin C
iv) Deficiency of Thyroxine
v) Aplastic Anemia

2) Due to excessive blood destruction (Hemolytic Anemia)
i) Hereditary spherocytosis
• G6PD deficiency
• Sickle cell anemia
• Thalassemia
ii) Due to infective or toxic factors
iii) Due to Erythrocyte Antibodies
• Hemolytic disease of newborn
• Autoimmune hemolytic anemia
• Symptomatic Hemolytic anemia

3) Anemia of uncertain origin
• Anemia associated with chronic infection
• Uremia
• Rheumatoid arthritis
• Liver disease
• Malignant disease
PATHOGENESIS IN GENERAL (According to ayurveda)

1.Practicing pitta aggravating factors.
2. Predominantly pitta and all doshas get aggravated.
3. They produce Raktadusti, rakta alpata and nisaarta(blood affliction, decreased amount)
4.Hence Skin becomes pale/yellowish/whitish in color which is the sign of Pandu roga.

Poorvarupa (Premonitory sign and symptoms)

1. Palpitation
2. Loss of appetite
3. Absence of sweating
4. Fatigue

Roopa (Sign and symptoms of Pandu roga in general)

1. Tinnitus
2. General weakness and debility
3. Fatigue, giddiness, body pain, dyspnoea, heaviness, anorexia.
4. Swelling of orbital region.
5. Paleness, loss of body lustre
6. Brittle nails
7. Hairfall
8. Behavioral changes like irritation, getting angry often, speaking less, etc.
9. Always feels sleepy
10. Cramps in calf region

11. Headache
12. Oedema


If there is bleeding anywhere in the body, the reason for this should be found first and the bleeding should be stopped.

Diet related insufficiency: iron rich food should be taken. Particularly those with green leaves (sting netle, parsley, green onion, coriander, spinach, rocket leaf…), dried organic fruit (apricot, figs, grapes), almonds, molasses, honey, fat free red meat. Consumption of these foods can be increased at times of illness.

Adding black cumin (very high in iron) to deserts made of sugar obtained from sugarcane help (especially in liver patients).

Fresh apple juice, pomegranate juice (which has high vitamin c levels and increases iron intake) should be taken. Fruit juices should be consumed on an empty stomach and you shouldn’t eat anything for the next 1-1.5 hours.

Fresh carrot and red beetroot can be sliced and taken with lemon juice on it. (ladies can take it more at times of menstruation)

When you are sick:

1. Wet 10-12 blackcurrents in water and take it with water for 2 weeks
2. Take a teaspoon of polen for 2-3 weeks
3. Take 100 ml of spinach juice for 2 weeks

Punarvana Mandura is a herbal combination of 22 different substances used in Ayurveda to cure anemia. The mostly effective plant in this combination is a vine called punarvana (boerhaavia diffusa) that grows in India. One gram of this dust should be mixed with honey and taken 3-4 times a day. Unfortunately, this plant isn’t found in Turkey or sold here either.

Fried food and sour food like dry cottage cheese shouldn’t be consumed in anemia. Tea and coffee shouldn’t be taken during meals and intake must be reduced.

Washing your hands before meals, eating peacefully and slowly, eating without leaving the table and eating at early hours, sleeping early (between 9-11) and waking up early (between 4-6) all help the liver and spleen function in a balanced way.

According to Ayurveda, the body comes down with anemia when the Pitta is disturbed (combination of fire and water / related with digestion). The best way to cure pitta is to clear out the intestines. There are a few ways to do this: running down a glass of milk with water, boiling it and drinking it lukewarm before going to sleep (you can add sugar if you wish) or coconut juice on an empty stomach are very good.

Even Herbs Have Side Effects

Tuesday, June 2nd, 2015

In the last few years, traditional systems of medicine are being looked upon with more acceptance in the Western world. Current estimates suggest that a large proportion of the population relies heavily on traditional practitioners and medicinal plants to meet primary health care needs. In our country, though modern medicine enjoys immense acceptance, herbal medicines have maintained their popularity for historical and cultural reasons. Concurrently, many people in developed countries have begun to turn to alternative or complementary therapies, including medicinal herbs.
Unless diagnosis and the appropriate treatment is done with all the modalities of ayurvedic treatment-diet, deeds and drugs-it is very likely to backfire. Here we shall discuss a few medicinal plants from exhaustive list on ayurvedic materia medica with their side-effects:
Licorice Root
Prolonged use of it i.e. more than 50 grams per day may increase water accumulation causing swelling of the hands and feet, which is a warning sign that you are retaining too much sodium and excreting too much potassium. Under no circumstances should a person try to fast while using licorice root. Also, licorice should not be used in conditions such as low serum potassium; high blood pressure; cardiovascular disease, particularly illnesses involving abnormalities of heart rhythm; gall bladder disease; kidney disease; pheochromocytoma and other adrenal tumours; diseases that cause low serum potassium levels, such as primary and secondary aldosternoism and severe chronic alcohol abuse; diseases that may result from low potassium levels such as certain kinds of flaccid paralysis or limb disorders; fasting or anorexia/bulimia; untreated hypothyroidism.
Garlic Bulb
Consumption of large amounts of garlic may increase the risk of post-operative bleeding. Garlic bas also been reported to evoke occasional allergic reactions such as contact dermatitis and asthmatic attacks after inhalation of the powdered drug. Those sensitive to garlic may also have a reaction to onion. Ingestion of fresh garlic bulbs, extracts, or oil on an empty stomach, may occasionally cause heartburn, nausea, vomiting, and diarrhoea. Garlic odour from breath and skin may be perceptible.
Aloe Juice
Major symptoms of overdose are griping and severe diarrhoea with consequent loss of fluid and electrolytes. Aloe should not be used in patients with intestinal obstruction or stenosis, atony, severe dehydration with electrolyte depletion, or chronic constipation. Aloe should not be administered to patients with inflammatory intestinal diseases, such as appendicitis, Crohn’s disease, ulcerative colitis, irritable bowel syndrome, or diverticulitis, or to children less than 10 years of age. It should not be used during pregnancy or lactation except under medical supervision. The herb is also contraindicated in patients with cramps, colic, haemorrhoids, nephritis, or any undiagnosed abdominal symptoms such as pain, nausea or vomiting. As it contains laxatives, it should be used only if no effect can be obtained through a change of diet or use of bulk-forming products.
Isabgul products should always be taken with sufficient amounts of liquid and at least half an hour after other medication or supplements such as calcium, vitamins, to prevent delayed absorption.
Rauwolfia (Sarpagandha)
Its products are contraindicated in patients with a history of mental depression, epilepsy, decreased renal function and in patients receiving electroconvulsive therapy. As Rauwolfia preparations increase gastro-intestinal motility and secretion, they should be used cautiously in persons with a history of peptic ulcer, ulcerative colitis, or gallstones.

Mental Health and Yoga

Tuesday, June 2nd, 2015

Throughout Yoga’s long history, there have been many misconceptions which shrouded it in my stery until proper scientific research begin in the beginning of 20th century. In India, people become aware of the need to revive old traditions and sciences which might otherwise die out and scientific research into yoga was one of the areas which generated a lot of interest. Many western scholars too realized the utility of yoga and made effort to study its significance from scientific point of view. Yoga stands out distinctly from others approach for attaining health and happiness in our life. It accepts one’s own responsibility in attaining this state of health and happiness

Positive Health through Rasayana Theraphy

Tuesday, June 2nd, 2015

Every man want to live long & healthy, for this there are prayers to promote reguvenation and healing and regenration of living tissues ie, Dhatus in the body.For this there is rasayana theraphy in Ayurveda.
Rasayana is one of the eight clinical specialities of classical Ayurveda. Rasayana is not a drug theraphy but is a specialized procedure practised in the from of reguvenative recipes, dietary regimen and special health promoting conduct and behaviour ie, Achara-Rasayan.
Labhopayo hi Sastanam rasadinam Rasayanam.( 1/8)
Rasayana means the way for attaining excellent rasa ie, one attains lonevity, memory, intelligence, freedom from disorder, youthful age, excellence of lusture, complexion & voice, optimum strength of physique and sense organs, successful words, respectability and brilliance.
Historical Aspects – Rasayana is described elaborately in the four padas of the 1st chapter in charaka’s cikisthasthana of charak samitha. In Susruthasamitha it is found in 27-29 chapter of chikistasthana & Astangahrdya of Vagbhata of utteratantra.
The effect of Rasayana – Considering the Ayurvedic concepts of physiology Rasayana agent promotes nutrition trough one of the folling three modes :
• By direct enrichment of the nutritional quality of rasa (nutritional plasma) – Satavarai, milk, ghee etc.
• By promoting nutrition through impromving agni (digestion & metabolism) – Bhallataka, pippali etc.
• By promoting the competence of srotas (microcirculatory channels in the body)-Guggulu.
Classification Of Rasayana – The rasayanas may be classified as below :
A – As per scope of use -
1. Kamaya Rasayana – Promotor of normal health.
a. Pranakamya – Promotor of vitality & longevity of life.
b. Medhakamya – Promotor of intellengence.
c.Srikamya – Promotor of complexion.
2. Naimittika Rasayana – Promotes the vitality in specific diseases.
B – As per method of use –
1.Vatatapika Rasayana – Outdoor theraphy.
2. Kutipravesika Rasayana – Indoor theraphy.
C – As per content of Rasayana -
1. Ausadha Rasayana – Drug Rasayana.
2. Ahara Rasayana – Dietary Rasayana.
3. Achara Rasayana – Conduct of Rasayana.
Method of use – Before the use of rasayana theraphy it is very essential that samsodhanna karma is done as a preparatory procedure. Similarly the the patient needs mental purification as well.

By – Dr. Amit Yadav

Concept of ‘AMA’ in Ayurveda

Tuesday, June 2nd, 2015

Ama is a peculiar concept in Ayurveda (for which modern chemistry has no correlate). It is an important factor in a cause of disease and in modification of disease process.
Role of Ama –
Ama originates from improperly digested toxic particles that clog the channels in your body. Some of these channels are physical and include the intestines, lymphatic system, arteries and veins, capillaries, and genitourinary tract. Others are nonphysical channels called nadis through which your energy flows. Ama toxicity accumulates wherever there is a weakness in the body, and this will result in disease
Causes of ‘Ama’ production :
• Agnimandya -Low digestive fire
• Dhatu-agnimandya – Low tissue fire
• Mala Sanchaya – Accumulation of waste products
• Dosha sammurcchana – Interaction or amalgamation between vitiated doshas
• Krimi visha -Bacterial toxins
Properties of ama :
• It is always in the form of incompletely digested substance
• Hence it is non-homogenous, has a very bad or foul odor ….
• It is very sticky.
• it produces lethargy in the body.
Symptoms of ama :
• Srotorodha -Obstruction- This can occur in any large, small, or minute channel….
• Weakness or reduced working power in any part or organ is due to the difficulty produced by ama in the contraction and relaxation of the musculature of the part….
• Heaviness and Lethargy.
• tongue is coated especially upon awaking in the morning
• Metabolic disturbance. Due to various diseases such as obesity, diabetes, etc….
Signs of Ama :
Feeling heavy, muzzy headed, unclear thinking, aches and pains, bloating, gas, skin blemishes, fever, lack of energy, stickiness, foul smells (breath, sweat, urine, stools, phlegm), sinking stool, mucous in stool, turbid urine, lack of appetite or taste, indigestion, sticky/sweet taste in the mouth, copious phlegm……
Effects of ama :
Ayurveda attributes cause of any disease to an imbalance in one or all of the doshas and for successful treatment of a particular disease physician has to determine, weather the imbalanced dosha is ‘Sam’ or ‘Niram’
Treatment of ama :
Fresh Ginger, Linseed, Nutmeg, Garlic, Asafoetida, Cumin, Black Pepper, Fennel,
Specific Therapies: – Sweating, fasting, hot water, wind and sun therapy, vigorous exercise, Panchakarma.
Anti-ama Diet: Emphasise pungent, bitter, astringent flavors….