FLASH

Ayur Info

Ayur Info
Sharing- Health, Ayurveda, Yoga, Naturopathy, etc..
Showing posts with label Disease. Show all posts
Showing posts with label Disease. Show all posts

Friday, December 23, 2011

20. Amlapitta (Hyperacidity) in Ayurveda

Introduction:
Vitiation of agni in Amashaya (stomach) region due to various causes Amlapitta. Some of the common causes are - fasting, eating between meals, worry, hurry, spicy foods etc. are some pitta vitiating factors etc. These factors derange the pachaka pitta (digestive enzymes etc.) and as a result pachaka pitta vitiates. Thus developed condition is called Amlapitta.
Hydrochloric acid (HCl) when not utilized well, or when produced in large quantity in the stomach region causes inflammation of stomach (gastric = related to stomach), that is called gastritis. This can derange the digestive procedures. The increased or normal level of HCl can destroy the soft tissue (epithelium) lining of oesophagus, stomach,duodenum etc. If not managed on time this can give rise to ulceration (breech in tissue).
Usually the esophageal sphincter muscle contracts thus preventing the stomach acid from shooting  up into the esophagus, but if this muscle is not functioning properly, the acid can slip past it and this is when heartburn symptoms start, which is called Gastroesophageal reflux.


Classification:
    •    Adhoga Amlapitta (downward)
    •    Urdhwaga Amlapitta (upward)
    •    Vata predominant Amlapitt
    •    Pitta predominant Amlapitta
    •    Kapha predominant Amlapitta

Symptoms:
 

Symptoms of Adhoga Amlapita:
    •    Thirst
    •    Burning sensation
    •    Fainting
    •    Giddiness
    •    Dellusion
    •    Rashes on skin
    •    Poor digestion
    •    Perspiration

Symptoms of Urdhwaga Amlapitta:
    •    Vomiting of green, yellow, blue, black, slightly red or of bright red color having sour material
    •    Belching of similar nature
    •    Burning sensation in the throat, chest and upper abdomen
    •    Headache
    •    Burning sensation in the palms and soles
    •    Loss of appetite

Symptoms of Vata predominant Amlapitta
    •    Tremors
    •    Delirium
    •    Fainting
    •    Feeling of pins and needles
    •    Weakness of body parts
    •    Pain and darkness before eyes

Symptoms of Pitta Predominant Amlapitta
    •    Feeling of heaviness
    •    Weakness
    •    Coldness
    •    Vomiting
    •    Coating on tongue
    •    Burning sensation
    •    Itching of skin

Symptoms of Kapha predominant Amlapitta
    •    Fainting
    •    Loss of apetite
    •    Headache
    •    Salivation
    •    Sweet taste in the mouth

Causes:
    •    Eating of spicy and highly seasoned food like chilly, pickles, etc.
    •    Improper eating habits
    •    Prolonged ingestion of aspirin or some anti-inflammatory drugs
    •    Prolonged alcohol ingestion
    •    Heavy smoking
    •    Stress is also an important cause for hyperacidity
    •    Idiopathic etc.

Symptoms:
    •    Nausea, vomiting, and loss of desire to eat which may persist for 1-2 days
    •    Heartburn or sour belching
    •    A sense of abdominal distension
    •    Flatulence
    •    Vomiting of blood or blood in stools
    •    If gastritis persists there may be eventual development of anaemia etc.

Therapies:
    •    Home remedies
    •    Ayurvedic remedies
    •    Yoga asanas

Home Remedies
    •    Abstinence from smoking and alcohol is a must.
    •    Avoid stress.
    •    Papaya chewable tablets can be purchase in health stores and they are helpful reducing heartburn.
    •    Drink a large glass of water at the first sign of heartburn, if the symptoms are not too strong this will help. 
    •    Make a juice using raw potatoes. Wash the potato very well do not peel it, just place it in the juicer, mix it with some other juice for taste and drink immediately after juicing.
    •    Chew a few Tulsi leaves to get relief of the symptoms.
    •    Keep a small piece of gur in your mouth and suck it slowly. Repeat it every hour till the symptoms subside.
    •    Eat Watermelon, Banana or Cucumber every hour.
    •    Eat a few Almonds when symptoms are present.
    •    Drink Coconut water 4 – 5 times a day.
    •    Drink a glass of cold milk for fast relief.
    •    Keep a small piece of Harad in your mouth and chew it after every meals.
    •    Take one piece of Clove and suck it slowly.
    •    Sleep with your head and shoulder on a high pillow for elevation.
                                                        
 Ayurvedic Remedies : 
    •    Take 1 – 2 tablets of Amlapittantak Lauh with honey twice a day.
    •    Take 1 – 2 teaspoons of Avipattikar Churna ( powder ) with milk or water twice a day.
    •    Take 1 teaspoon ful of Dadim Avaleha with honey or water twice a day.
    •    Take 125 – 250 mg of Panchamrit Parpati with honey, curd or butter milk twice a day.
>> Other useful preparations are: Yastimadhu churna, Guduchi churna, Guduchi sattva, Aamalaki churna, Aamalaki tablet, Suta Shekhar Ras, Laghu Sutashekhar Ras,  Kamdudha Ras, Shankha Bhasma, Kapardak Bhasma, Mahashankha vati, etc.
 
Yoga Asanas
    •    Vajra Asana
    •    Yoga mudra
    •    Shitali Pranayama
-----------------------------------------------------------------------------------

Amlapita in terms of Modern Medicine
    •    Gastritis
    •    Peptic Ulcers

Gastritis:
Gastritis is a type of Amlapitta. In this disease, inflammation of the epithelial lining of stomach takes place. Hydrochloric acid and some other digestive enzymes are secreted by the glands of the stomach. Inflammation of the stomach thus results in the impairment of these secretions leading to indigestion. It is a very troublesome condition which needs immediate treatment.

Causes:
    •    Over eating, fasting, spicy foods
    •    H. Pylori infection
    •    Excessive intake of alcohol, smoking, carbonated drinks
    •    Stress, hurry, worry
    •    Food poisoning
    •    Swallowing of acids and alkalies etc.

Symptoms:
    •    Loss of appetite
    •    Nausea
    •    Headache
    •    Giddiness
    •    Discomfort in stomach
    •    Sour eructations
    •    Frequent vomiting
    •    If chronic, then Anemia
    •    Coated tongue
    •    Foul breath
    •    Increased flow of saliva
    •    Scanty urine etc.

Food Plan:
    •    Fast for two or three days or more, depending on the severity of the condition.
    •    Drink only warm water during this period. This will give rest to the stomach and allow the toxic condition causing the inflammation to subside.
    •    After the acute symptoms subside, adopt an all fruit diet for the next three days and take juicy fruits like apples, pears, grapes, grapefruit, oranges, pineapple, peaches and melons.
    •   Thereafter gradually come to a balanced diet consisting of seeds, nuts, grains, vegetables and fruit.
    •   Avoid the use of alcohol, tobacco, spices, meat, red pepper, sour foods, pickles, strong tea and coffee. S/He should also avoid sweets, pastries, rich cakes and aerated waters.
    •    Avoid hot drinks and foods.
    •    It's better not to take spicy and oily foods.
    •    Curds and cottage cheese should be used freely.

Life Style:
    •    Avoid exposure to hard mental or physical work.
    •    Avoid anxiety, worry and anger.
    •    Take complete rest.
    •    A walk in the early morning for about a mile is very useful.

Peptic Ulcer:
Ayurveda considers this as another type of Amlapitta. This disorder is more generally classified as a grahani disorder, which is a disorder in the seat of agni in the stomach.  The actual ulceration of the stomach wall which is the classic description of a peptic ulcer is clearly due to an excessive amount of heat or agni or Pitta in the body. The question to ask before treating the increased Pitta is, why the Pitta is excessive. In the West we often relate gastric ulcers with stress and anxiety. This factor is not overlooked in Ayurveda and is properly handled with the eating and lifestyle changes.

Causes:
    •    Fasting
    •    Chronic or long time gastritis
    •    Eating during indigestion
    •    Over eating Irregular eating
    •    Intake of unsuitable food
    •    Faulty place, time and preparation of food
    •    Hereditary
    •    Smoking
    •    Alcohol consumption
    •    Certain drugs, long time illness
    •    Stress etc.

Symptoms:
    •    Epigastric pain: Pain is referred to the epigastrium and is often so sharply localized that the patient can indicate its site with two or three fingers-the ‘pointing sign’.
    •    Hunger pain: Pain occurs intermittently during the day, often when the stomach is empty, so that the patient identifies it as ‘hunger pain’ and obtains relief by eating.
    •    Night pain: Pain wakes the patient from sleep and may be relieved by food, a drink of milk, or antacids.
    •    Water brash: This is a sudden filling of mouth with saliva which is produced as a reflex response to a variety of symptoms from the upper GIT, e.g., peptic ulcer pain
    •    Burning during, after and between meals
    •    Gastric reflux, fatigue, increased stress, loose stools or constipation.

Food Plan:
    •    When condition is acute patient should be given a liquid diet of liquefied cooked vegetables and Khichari.
    •    Barley water can be taken throughout the day. Boil 1 cup of barley with 3 cups of water and boil down to 2 cups of water and drink as tea 3 times per day.
    •    Avoid onions, garlic and pungent, salty and sour foods.
    •    Increase consumption of bitter foods.

Amlapitta though a serious disease can be healed by the simple home remedies, Ayurvedic remedies, yoga asanas, diet plan and by doing some changes in normal lifestyle. So, one should adopt these things in life not only to heal Amlapitta but for every disease.

Reference:

Saturday, December 10, 2011

18. Obesity- An Invitation of Disease


Dr. Shiva Narayan Gupta

Obesity means deposition of excess fat in the body. It is a result of some dietary imbalance, over nutrition and some diseases. In obesity there is excess accumulation or storage of adipose tissue in the subcutaneous tissues, skeletal muscles and internal organs such as the kidney, heart, liver and omentum. A body weight of 20% excess over ideal weight for age, sex, and height is considered as obesity. It is one of the Jaldobaldo health problems in the world. Similarly it is one of the main causes of non-communicable disease.

Obesity can be classified:-
1. On the basis of cause:
            1. Primary obesity- this obesity is result from dietary imbalance and over nutrition.
            2. Secondary obesity- This obesity results following a number of underlying diseases such as Cushing’s disease, insulinoma, hypothalamic disorders and hypothyroidism.

2. On the basis of Clinical feature:
            1. Mild obesity: 20-40 % over weight
            2. MOderate obesity: 41-100 % over weight
            3. Severe obesity: >100 % over weight
Obesity can be measured by Body Mass Index (BMI): BMI = Weight in kg/Height in m2. Value more than 25+ signifies nearing Obesity.

Etiology of Obesity:
  1. over nutrition or over Eating
  2. Inactivity and sedentary life style i.e. decreased physical activity
  3. Genetic factor e.g. inherited nature
  4. Psychological factor e.g. over eating or abnormal feeding behavior due to emotionally upset condition.
  5. Endocrine and metabolic factors e.g. hyper adrenocorticism
  6. Childhood over nutrition
  7. Greater energy intake than energy expenditure
  8. Developmental factors- e.g. hypertrophic obesity, Hyperplastic obesity, Hypertrophic-hyperplastic obesity.
  9. Neurogenic abnormaities
  10. Hypothalamus injury
  11. Excessive intake of sweet substances, cold and unctuous food
  12. Lack of exercise and day sleep
  13. Lack of thinking
  14. Certain therapeutic measures like santarpana, brimhna
  15. Some drugs such as tricyclic antidepressant drugs, sulphonyl urea drug, oral contraceptive pills, and corticosteroids
  16. A number of diseases such as hypothyroidism,Cushing’s disease, Insolinoma and hypothalamic disorders

Clinical sign and symptoms of Obesity:
  1. An increase in body weight and evident mass of fatty tissue
  2. Inability to work
  3. Mal dour in body
  4. Hypertension
  6. Amenorrhea and other menstrual disturbances in female
  7. Excessive perspiration and skin disorders
  8. Excessive hunger
  9. Cardiovascular related abnormalities are seen

Complications of Obesity (Invited diseases by Obesity)
   1. Related to Cardiology:
     -Ischemic heart diseases: Angina and Myocardial Infarction
     -Congenital heart failure
     -High blood pressure
     -Abnormal cholesterol levels
     -Deep vein thrombosis and pulmonary embolism
   2. Related to Endocrine and Reproductive:
     -Diabetes Mellitus
     -Polycystic ovarian syndrome
     -Menstrual disorders
     -Infertility
     -Complication during pregnancy
     -Birth defects
     -Intrauterine fetal death
  3. Related to Neurology:
     -Stroke
     -Meralgia peresthetica
     -Migraines
     -Carpel tunnel syndrome
     -Dementia
     -Idiopathic intracranial hypertension
     -Multiple sclerosis
  4. Related to Psychology:
     -Depression in women
     -Social stigmatization
  5. Related to Rheumatology and Orthopedics:
     -Gout
     -Poor mobility
     -Osteoarthritis
     -low back pain
  6. Related to Dermatology:
     -Stretch marks
     -Acanthosis nigricans
     -Lymphoedema
     -Cellulitis
     -Hirsutism
     -Intertrigo
  7. Related to Gastrointestinal:
     -Gastroesophageal reflux disease
     -Fatty liver disease
     -Cholelithiasis
  8. Related to Respirology:
     -Obstructive sleep apnea
     -Obesity hypoventilation syndrome
     -Asthma
     -Increased complication during general anaesthesia
  9. Related to Urology and Nephrology:
     -Erectile dysfunction
     -Urinary incontinence
     -Chronic renal failure
     -Hypogonadism
10. Related to Onchology:
     -Breast, ovarian
     -Oesophageal, colorectal
     -Liver, stomach
     -Endometrial, cervical
     -Prostate, Kidney, Non-Hodgkin’s lymphoma, Multiple myeloma

Preventive and Some Curative Measures:
  1. Weight management by yoga and pranayam, aerobics etc.
  2. Risk factor management such as substitute intake of junk food by natural healthy diet
  3. Adopt one day water dietary fasting per week (as recommended by physician, vaidya, or naturopath)
  4. Manage obesity caused diseases
  5. BMI assessment helps the person to undergo weight reduction therapy
  6. Screening of High Risk People to obesity
  7. Modification in lifestyle and reduction of calorie intake and increase physical activity
  8. Use of Tikta ans Katu rasa dravya such as Maricha, Pippali, Vidanga etc.
  9. Use of some drugs such as Amphetamine, Sibutramine
  10. Surgery

For the management of obesity, low calorie diet, regular yoga, pranayam or suitable physical exercise are the best choices.  

Thursday, November 17, 2011

12. Jaundice (Kamala) in Ayurveda

Most of the people prefer Ayurvedic treatment for jaundice condition. The therapy has been well accepted by many studies. In Ayurveda it is a problem related to Pitta, one of the three major dynamic factors concerned with human physiology in health and disease.


Kamala ( Jaundice in Ayurveda) 
It is a condition characterized by the yellowish staining of the skin, whites of eyes, mucous membranes and body fluids along with the excessive secretion of bile pigments in urine, faeces, and another body secretion due to various Pre Hepatic, Hepatocellular, and post hepatic causative factors. It may be easily curable (or self limiting on simple diet and rest), or severe cases like that of liver failure. Most of the cases can be treated using simple medication, suitable diet, some sorts of restriction to foods and habits, and rest. So timely consultation with the registered doctor or health worker nearby is very much required. (See the notice below).

Hetu and Lakshan (Causes and Symptoms) 
Causes may be varied. Infected water, infected food, chronic alcohol use, hemolysis or other conditions, and other sorts of problems in liver or associated tissue/organ may be the cause. Jaundice is the condition in which liver becomes inflamed known as hepatitis. In infection or obstructed bile duct due to cirrhosis, gall stone, pancreatic tumor etc., the liver cells fail to neutralize bile pigments (bilirubin, bilverdine ) . Then these pigments reach in the various part of the body through blood circulation and stain them.

The yellow colour first appears in the white of the eyes (sclera) and then spreads to the whole skin. Excess of bile pigment circulating in the blood gives the skin in Yellow colour. The bile does not go into the intestine as it should and so the stools of the jaundice patient lose their typical brownish colour and become clay white, in severe cases are almost whitish. There is loss of appetite and impairment of digestion. The liver is unable to digest fat and there may be sense of fullness at the time. Nausea may also be present in certain cases because of defective digestion. If the liver is inflamed, there is also pain in the region of the organ and it is tender to touch.

Diagnosis done by physician/doctor by:
1. History taking and physical examination by doctor. a. History: symptoms, events of symptoms,occupation, food and water, sanitation, alcohol, drugs, blood transfusion, other problems, family history, medical/surgical history etc. b. Physical Examination: General appearance, conscious level, eye, tongue, abdomen, legs etc. Temperature, Blood pressure, pulse, respiratory rate, chest etc.
2. Investigation: Ayurvedic doctors can also take support of laboratory or radiological investigation for proper scrutiny of the problem. Depending on the condition, doctor may ask for common lab investigation of blood profile, liver function test etc. If doctor suspects of gall stone or other liver pathology etc., s/he may ask for ultra sonogram of liver and whole abdomen. Depending upon the condition s/he may ask few other examinations.

After diagnosis, doctor will tell you the nature of problem and the nature of treatment: i.e. self limiting on rest and normal diet, or requiring medical or surgical support. If the doctor can not treat in the set up, s/he may refer you to a proper place.

Chikitsa (Treatment for Jaundice) Kamala:
Since liver is the largest gland, main site of metabolism and detoxification, the diet should be easily digestible, and waste materials are better removed from the intestine earlier during jaundiced condition. So Ayurvedic treatment contains those medicine that facilitate removal of waste substances from the gut and kidney, and provide instant energy.

The Treatment of Kamala (Jaundice) must start with purgation. The basic theory is that no burden be placed on the liver and for that, a daily purgative is recommended. Reduction of nitrogenous waste enables one to stay away from probable hepatic coma. A diuretic may also be administered to encourage the flow of urine, which will expel most of the bile from the system.

Probable Medication: (The doctor choses the combination of medication, not all the medicine will be used at a time, but only the required ones. In few condition medication is not required, just rest and few supplement will be sufficient. In some condition medical treatment is said not to work, surgical help may be required.)
  • Daily consumption of Triphala powder (10gm) Soaked in water overnight. (equivalent to Lactulose)
  • Regular intake of Guduchi Juice 10gm twice or thrice a day.
  • Daily intake of neem juice is also useful for jaundice. (If one is hypoglycemic and hypotensive, better not take it.)
  • Mix equal quantity of kutaki and chirayata and take about he 10gm of mixture soaked in water with sugar or mishri. 
  • Take regularly alum powder and sugar twice or thrice a day as a diuretic in jaundice.
  • Regular intake of Avipattikar churna about one- teaspoonful twice a day with hot water. 
  • Arogyavardhani vati 2-2 tablets regularly with hot water twice a day.
  • Rohitakyadi, Punarnava, Phalatrikyadi kwath, Dhatri Lauha… etc. may also be used. 
  • Some other well-accepted herbal medication may also be suggested. 
[Modern/Allopathic doctors may use antibiotics, antiprotozoal, anthelmintic, laxatives e.g. lactulose,  diuretics, IV fluids, Dextrose, Vit B, Vit K etc. or/and other measures e.g. surgery depending on the need.]
Duration of treatment: Depending on the condition 1-2 weeks to 1-2 months, in general.

Pathya ( Diet for the liver disorder )
  • Food should be Non oily and non spicy. 
  • It should be easy to digest. · Wheat , rice, java, green gram, redgram, is use full for jaundice. 
  • Green leaves of raddish are beneficial in the treatment of jaundice, the leaves should be Pounded and there juice expressed out through a piece of thin cloth. 
  • Lemon juice and water, beets tops and beet juice and dandelion or black radish extract are good for rebuilding and cleansing the liver. 
  • Coconut water, buttermilk with cumin seeds are also advisable in jaundice. 
  • Sugar cane Juice, Fruit Juice and dry grapes are also useful. 
  • Complete bed rest is also essential for the patient. 
Apathya (Diet restriction )
  • Avoid food items difficult to digest e.g. meat items. It is because during this condition liver, the largest gland, may have trouble to support proper metabolic activities in the body.
  • One should avoid maize, pearl millet, Bengal gram, black gram. 
  • The vegetables like potato, cauliflowers, brinjal. 
  • Fruits like Papaya, Guava, rose Apple and mango should be avoided. 
  • Curd coffee and tea should be restricted. 
Care: (Proper- Hygiene, Nutrition, Rest, Fluid etc.)
  • Always take Time to time food. 
  • Food should be non – oily and non spicy food.
  • Always have food, which is easy to digest. 
  • Have lots of green vegetables and fruits, be careful to wash them thoroughly.
  • Have plenty of water regularly, water should be clean. So purify by boiling and then take it when it cools to an tolerable temperature. 
  • Have small meals, many times a day, say 3-4 times. 
  • Have water in 2-3 glass quantity, many times, about 8-14 times a day. (According to the capacity). Don’t drink just after meal, rather after 30 minutes. 
Note:- This treatment is defined for very normal and average condition / symptoms, if the person with jaundice won’t get relief in quick time then there are other preparations of Ras/minerals and herbs in Ayurveda science.

Notice:
  • This is aimed to provide people with information in simple language. 
  • This is not to replace the professional checkup, investigation, and treatment. 
  • Take medication under the supervision of a registered doctor or health worker, to avoid improper medication. 
  • If you want to suggest or ask, write us at: ayurinfo11@gmail.com 
Reference:

Monday, September 5, 2011

2. Excellence of Ksharsutra for the Management of Fistula-in-ano over various Treatments available in Modern Surgery

Dr. Ramadhar Yadav, Lecturer
Ayurveda Campus, Ayurveda Teaching Hospital, TU/IOM

Fistula-in-ano is one of the common disorders in ano-rectal region. Once fistula-in-ano is formed, it fails to heal simply that affects the patient physically and mentally.
Basically, there are three line of treatments available in modern science to treat fistula-in-ano: 1) Conservative treatment or Non-operative 2) Operative treatment 3) Para surgical treatment 1) Non-operative or

1) Conservative treatment
 
Copyright © 2014 Ayur Info: Learn, Practice, Simplify | Ayurveda, Health, Yoga, Naturopathy. Designed by OddThemes