Psoriasis

Psoriasis is also a non-contagious common skin condition that causes rapid somatic cell reproduction leading to red, dry patches of thickened skin. Psoriasis commonly affects on elbows, knees, and scalp. Once thought to be a disease of the skin , psoriasis is now understood to be a condition originating within the system . Psoriasis is seen worldwide, altogether races, and both sexes. Although psoriasis are often seen in people of any age, from babies to seniors, commonly patients are first diagnosed in their early adult years. Patients with more severe psoriasis may have social embarrassment, job stress, emotional distress, and other personal issues due to the looks of their skin.

Causes

Psoriasis can be caused by a range of reasons. Heredity may be crucial. If one parent is affected, then there’s 15% of chances for the kid to suffer from psoriasis. If both the oldsters are affected then the likelihood of kid getting the psoriasis is 60%. Consumption of opposite foods (eg. fish and milk together, fish and curd etc.), trauma on skin like cuts, bruises or burns, some medicines or skin irritants, excessive smoking, alcohol consumption and mental stress or psychological trauma also can be liable for causing it. Psoriasis occurs more in dry skin than oily or well-moisturized skin. Excessive alcohol consumption, obesity, lack of or overexposure to sunlight, stress, cold climate, physical illness, streptococcal or HIV infection, superficial wounds, or taking certain drugs like lithium, beta-blockers like propranolol, anti-malarial medications and generally poor health leads to flaring from psoriasis.

Classification

Different types of psoriasis exhibit different characteristics which can change over time. One form may change to a special , or several forms may exist at the same time.

• Plaque psoriasis: this is often often the foremost common kind of psoriasis. it’s characterized by raised, red lesions covered with silvery white scales.

• Guttate psoriasis: it’s characterized by numerous small red dots of psoriasis. The lesions may have some scaling. These numerous spots of psoriasis appear over large areas of the body, just like the trunk, limbs, and scalp.

• Inverse psoriasis: Usually found within the folds of the skin within the armpits, groin, under an overweight stomach or under the breasts. It appears as smooth, red lesions without scaling and will cause irritation because of rubbing and sweating.

• Pustular psoriasis: it’s characterized by blisters full of pus on the skin. The blisters aren’t infectious. It could even be found on the hands and feet or could also be spread everywhere . The skin around the  pustules looks  red and tender.

• Psoriatic arthritis: About 10% to 30% of the patients with psoriasis may develop a sort of arthritis called rheumatoid arthritis . this might cause redness and swelling, totally on the hands, feet, knees, hips, elbows and spine. it’s going to cause stiffness, pain and joint damage.

• Nail psoriasis: produces a selection of changes within the looks of finger and toe nails like  discolouring under the nail plate, pitting of the nails, lines going across the nails, thickening of the skin under the nail, and thus the loosening and crumbling of the nail.

• Erythrodermic psoriasis: involves the widespread inflammation and exfoliation of the heal most of the body surface. it’s going to be amid severe itching, swelling and pain.

Symptoms

• Loose silvery scales

• Itching or burning skin

• Raised pus-filled skin bumps

• Skin redness around pustules

• Restricted joint motion

• Emotional distress

• Skin pain and inflammation

• Skin blisters

• Dry skin patches

• Bleeding skin patches

Ayurvedic Treatment

According to Ayurveda, Psoriasis appears because of imbalance of two doshas – Vata and Kapha . Vata and Kapha doshas manifest within the skin and cause accumulation of poisons . These toxins assemble in deep tissues like rasa (nutrient plasma), rakta (blood), mansa (muscles), and lasika (lymphatic). These toxins cause contamination of deeper tissues, resulting in Psoriasis. The Vata predominance causes pain, dryness and scaling of skin. Pitha vitiation results in burning sensation, redness, inflammation etc which of kapha causes rashes, itching, discharge, thickening of skin etc. From these signs and symptoms, the doshic involvement is analyzed carefully in each patient, which is of utmost importance within the management of this disease.

The vitiated doshas affect the skin and blood tissues and  also influence water element on the affected region on skin. Thus due to the influence of vitiated doshas the skin becomes discolored (white or copper colored), scaly and thin.

Purification of blood and tissues is that the first aim of Ayurvedic treatment in cases of Psoriasis. Toxins are cleansed from the body and thus the digestion restored to prevent further accumulation. Nourishing herbs are then administered to strengthen and tone the tissues to plug complete healing of the skin.

Diet & Lifestyle Advice

• Avoid consuming opposite foods.

• don’t control natural urges like vomiting, urination, bowels, etc.

• don’t take cold water bath immediately after a crucial workout, traveling, an extended walk, etc.

• lookout to not consume foods which cause indigestion.

• Absolutely don’t eat an excessive amount of of salty, sour or acidic foods.

• Avoid sleeping in afternoons.

• Avoid  radish, sesame, jaggery (gur), curds, fish and other sour foods.

At Apthasree

Our treatment primarily focuses on blood purification and balancing the vitiated Doshas. Treatment of Psoriasis comprises of:

• Detoxification treatments (Shodhana chikitsa):  done through Panchakarma therapies like Vamana, Virechana, Rakta mokshna etc & an exclusive therapy called Thakra dhara.

• Palliative treatments (Shamana chikitsa): through administration of internal medication and external applications

•Rejuvenation therapy (Rasayana chikitsa):  through kayakalpa

• Very strict Diet regime

• Lifestyle changes

• Stress management

Psoriasis is totally curable with none recurrence if the patient can implement all the instructions as advised and completely follows the diet regime & healthy lifestyle.

AYURVEDIC DIET

The Ayurvedic diet is an eating pattern that’s been around for thousands of years.

It’s based on the principles of Ayurvedic medicine and focuses on balancing different types of energy within your body, which is said to improve health.

Unlike several different diets, the Ayurvedic diet provides personalized recommendations about which foods to eat and avoid based on your body type.

It’s also popular because it’s not only said to promote better health for your body but also your mind.

What is the Ayurvedic diet?

Ayurveda is a form of holistic medicine that’s focused on promoting balance between your body and mind.

According to piece of writing, five elements make up the universe — vayu (air), jala (water), akash (space), teja (fire), and prithvi (earth).

These elements are believed to form three different doshas, which are defined as types of energy that circulate within your body. Each dosha is responsible for specific physiological functions.

For example, the pitta dosha controls hunger, thirst, and body temperature. Meanwhile, the vata dosha maintains electrolyte balance and movement, while the kapha dosha promotes joint function. The Ayurvedic diet is a component of Ayurveda and has been practiced for thousands of years. It’s based on determining your dominant dosha and eating specific foods to promote balance between all three doshas.

How does it work?

Here are some of the main characteristics for each dosha to help you determine which type matches you best:

Pitta (fire + water)

Intelligent, hard-working, and decisive. This dosha generally has a medium physical build, short temper, and may suffer from conditions like indigestion, heart disease, or high blood pressure.

Vata (air + space)

Creative, energetic, and lively. People with this dosha are usually thin with a light frame and may struggle with digestive issues, fatigue, or anxiety when out of balance.

Kapha (earth + water).

Naturally calm, grounded, and loyal. Those with a kapha dosha often have a sturdier frame and may have issues with weight gain, asthma, depression, or diabetes.

According to this diet, your dosha determines which foods you should eat to promote inner balance. For example, the pitta dosha focuses on cooling, energizing foods and limits spices, nuts, and seeds. Meanwhile, the vata dosha favors warm, moist, and grounding foods while restricting dried fruits, bitter herbs, and raw veggies. Finally, the kapha dosha limits heavy foods like nuts, seeds, and oils in favor of fruits, veggies, and legumes.

Red meat, artificial sweeteners, and processed ingredients are limited for all three doshas. Instead, the Ayurvedic diet encourages consumption healthy whole foods.

Benefits

Here are a few of the potential benefits of the Ayurvedic Diet.

Encourages whole foods

Although the Ayurvedic diet has specific pointers for every dosha, the diet as a whole encourages eating whole foods like fruits, vegetables, grains, and legumes.  This can profit your health greatly, as these foods are rich in many essential nutrients. The diet conjointly minimizes processed foods, which often lack fiber and important vitamins and minerals. Studies show that eating higher amounts of processed foods may be associated with a higher risk of heart disease, cancer, and even death. Thus, the Ayurvedic diet may help protect against chronic disease and promote better health.

Could promote weight loss

Given that the Ayurvedic diet emphasizes nutrient-rich whole foods, it’d boost weight loss. While limited research is available on the Ayurvedic diet and weight loss, some studies have found that it may be effective in this regard. For example, one study in 200 people with pitta or kapha doshas showed that following the Ayurvedic diet for three months led to significant weight loss. These people supposedly tend to be heavier than those with vata doshas .

Promotes mindfulness

In addition to what foods you eat, mindfulness is another major part of the Ayurvedic diet. Mindfulness is a practice that involves paying close attention to how you feel in the present. In particular, mindful eating emphasizes minimizing distractions during meals to focus on the taste, texture, and smell of your food.

Downsides

Although there are several benefits associated with the Ayurvedic diet, there are drawbacks to consider. Here are a few of the potential downsides of the Ayurvedic diet.

Can be confusing

One of the major issues with the Ayurvedic diet is that it can be confusing and difficult to follow. Not only are there specific food lists for each dosha but also many additional rules to follow. For example, the recommendations regarding which foods you should eat and avoid change throughout the year based on the season. There are also suggestions for when, how often, and how much you should eat, which can be challenging — especially for those just getting started on the diet.

May feel overly restrictive

On the Ayurvedic diet, there are extensive lists of foods that you are advised to eat or avoid depending on your dosha. This can mean cutting out healthy, whole foods or entire food groups that are thought to aggravate specific doshas.  Other ingredients like red meat or processed foods are also left out, which may require you to make significant modifications to your current diet. This can feel overly restrictive and less flexible than other meal plans and may make it difficult to stick to the diet long term.

Often subjective

Another issue with the Ayurvedic diet is that it’s subjective. The diet is centered around determining your dominant dosha, which is based on a set of physical and mental traits. Although there are plenty of guidelines and online quizzes available to help ease the process, figuring out your dosha is not fool proof. As the recommendations for the diet are tailored to each dosha, choosing the incorrect dosha could negatively impact your results. Furthermore, no evidence currently supports the concept of doshas or the claim that your personality traits determine which foods you should eat and avoid. Therefore, it’s unclear how beneficial the diet is, even if you correctly determine your dosha.

Foods to eat

In Ayurveda, foods are categorized based on their physical qualities and the way they are said to affect your body. This helps determine which ingredients work best for different doshas

Below are some of the foods you should eat based on your specific dosha.
Pitta
• Protein: poultry in small amounts, egg whites, tofu
• Dairy: milk, ghee, butter
• Fruits: sweet, fully ripe fruits like oranges, pears, pineapples, bananas, melons, and mangoes
• Vegetables: sweet and bitter veggies, including cabbage, cauliflower, celery, cucumber, zucchini, leafy greens, sweet potatoes, carrots, squash, and Brussels sprouts
• Legumes: chickpeas, lentils, mung beans, lima beans, black beans, kidney beans
• Grains: barley, oats, basmati rice, wheat
• Nuts and seeds: small amounts of pumpkin seeds, flax seeds, sunflower seeds, coconut
• Herbs and spices: small amounts of black pepper, cumin, cinnamon, cilantro, dill, turmeric
Vata
• Protein: small amounts of poultry, seafood, tofu
• Dairy: milk, butter, yogurt, cheese, ghee
• Fruits: fully ripe, sweet, and heavy fruits, such as bananas, blueberries, strawberries, grapefruit, mangoes, peaches, and plums
• Vegetables: cooked vegetables, including beets, sweet potatoes, onions, radishes, turnips, carrots, and green beans
• Legumes: chickpeas, lentils, mung beans
• Grains: cooked oats, cooked rice
• Nuts and seeds: any, including almonds, walnuts, pistachios, chia seeds, flax seeds, and sunflower seeds
• Herbs and spices: cardamom, ginger, cumin, basil, cloves, oregano, thyme, black pepper
Kapha
• Protein: poultry in small amounts, seafood, egg whites
• Dairy: skim milk, goat milk, soy milk
• Fruits: apples, blueberries, pears, pomegranates, cherries, and dried fruit like raisins, figs, and prunes
• Vegetables: asparagus, leafy greens, onions, potatoes, mushrooms, radishes, okra
• Legumes: any, including black beans, chickpeas, lentils, and navy beans
• Grains: oats, rye, buckwheat, barley, corn, millet
• Nuts and seeds: small amounts of pumpkin seeds, sunflower seeds, flax seeds
• Herbs and spices: any, including cumin, black pepper, turmeric, ginger, cinnamon, basil, oregano, and thyme
Foods to avoid
Here are some of the foods you should limit or avoid based on your dosha.
Pitta
• Proteins: red meat, seafood, egg yolks
• Dairy: sour cream, cheese, buttermilk
• Fruits: sour or unripe fruits, such as grapes, apricots, papaya, grapefruit, and sour cherries
• Vegetables: chili peppers, beets, tomatoes, onions, eggplant
• Grains: brown rice, millet, corn, rye
• Nuts and seeds: almonds, cashews, peanuts, pine nuts, pistachios, walnuts, sesame seeds
• Herbs and spices: any spices not included in the list above
Vata
• Proteins: red meat
• Fruits: dried, unripe, or light fruits, such as raisins, cranberries, pomegranates, and pears
• Vegetables: any raw vegetables, as well as cooked broccoli, cabbage, cauliflower, mushrooms, potatoes, and tomatoes
• Legumes: beans, such as black beans, kidney beans, and navy beans
• Grains: buckwheat, barley, rye, wheat, corn, quinoa, millet
• Herbs and spices: bitter or astringent herbs like parsley, thyme, and coriander seed
Kapha
• Proteins: red meat, shrimp, egg yolks
• Fruits: bananas, coconuts, mangoes, fresh figs
• Vegetables: sweet potatoes, tomatoes, zucchini, cucumbers
• Legumes: soybeans, kidney beans, miso
• Grains: rice, wheat, cooked cereal
• Nuts and seeds: cashews, pecans, pine nuts, Brazil nuts, sesame seeds, walnuts
The Ayurvedic diet involves eating or restricting certain foods based on your dosha, or body type, which is claimed to boost weight loss and support mindfulness. However, it can be confusing and restrictive, and it’s based on subjective assumptions about your personality and body type.

Ayurveda Treatments during Monsoon (Karkidaka Chikitsa)

The Monsoons, though known to be one of the most romantic seasons, is also the harbinger of several diseases. Ayurveda believes that the monsoons tend to worsen the practical energy or ‘Pitta’ within the physique. Therefore, whereas chronic ailments like inflammatory disease and internal organ issues worsen, newer menaces like skin infections, sinusitis, asthma, indigestion and also diarrhea appear to trouble us.

Moreover, it’s conjointly the time once the best proportion of wetness within the air tends to empty out Ojas or the important fluid from our systems resulting in breathlessness and weakness.  Along with physical discomfort, it will be a cause for  mental agony also. The best cure in these times of distress is to seem for a holistic approach that may act as a balm to our worries. Ayurveda is the obvious choice in this season  with its natural healing system.

Ayurveda for the “Varsha Rithu” (Monsoon Season)

Ayurveda identifies a defined timeline, i.e. mid-June to Mid-August, to counter the Monsoon diseases. According to ancient Ayurvedic texts, this is the time when the healing touch of Ayurveda’s medicinal herbs is the most sought after. Though environmental changes have caused overhauling of the defined timelines for the onset of monsoons, however, the treatment methodology in Ayurveda for diseases contracted during that season remains the same.For the overall well-being of the body, Ayurveda suggests Panchkarma during the monsoons.

Some of the common Panchkarma therapies that you can practice during this season include the following:

* Abhyanga – The observe of massaging medicated oils to extend blood circulation within the body and facilitate to relax, nourish and rejuvenate the body cells.

* Shirodhara – The observe of running oil, milk or medicated butter milk on the forehead for a specified period. This helps to cut back headaches, minimize stress, improve memory and eliminates disturbances during sleep.

* Swedanam – The observe wherever the patient is created to sweat by employing a steam made up of boiling herbs.

* Pizhichil – The observe of running oil everywhere the body before a massage to cut back status, minimize fatigue and cure all neurological disorders.

* Virechana – The observe that clears all toxins or tyrannid dosha from the patient’s system.

Ayurveda’s dietary recommendations for the Monsoon

Along with medical care sessions ayurveda has some diet reccomendations also.

* Eat moderately but drink lots of water.Moreover, water must always be poached and cooled before drinking.

* All fruits and vegetables ought to be washed with quandary before consumption.

* Take regular oil massages to stay feeling recent and rejuvenated.

* Avoid curds or all other food or drinks that are cold

* Avoid raw vegetables or salads

* embrace applicable quantities of ginger in your diet therefore on facilitate in straightforward digestion

* Avoid spicy and salty foods like pickles, chutneys, chilies and curries as they lead to indigestion, hyperacidity and bloating.

* Avoid junk foods that are heavy and deep fried

* Eat vegetables that square measure light-weight and simply edible like pumpkin, zucchini, squash.Also include fruits, Moong dal,  khichree,  corn, chickpea flour, and oatmeal which are good to eat and yet light on the stomach.

We at Apthasree

We recommend a set of treatments to help you alleviate the monsoon illnesses. The monsoon ayurvedic treatments provided by Apthasree Ayurvedic Hospital are helpful to keep the mind and body revitalized throughout the year. Through the healing power of Karkidaka Chikitsa, we aim at the complete revival of your physical and mental health. This package can be divided in courses of   7, 14, 21 and 28 days which include almost all panchakarma treatments along with Rasayana and Vajeekarana Chikitsa. Initially you will have a detailed consultation with the the doctor who will then advice the type of treatment suitable for your health condition.

Following are some of the benefits of Karkidaka Chikitsa/treatment

  • Detoxifies the body
  • Boost the immunity
  • Prevent monsoon illnesses
  • Alleviating current diseases and infections
  • Energizing body and mind

If you have plans for Ayurveda treatments this is the right time.  Enjoy Beauty of Monsoon through ayurveda.

Miracles of Ayurveda – Treatments for Bone Sarcoma

Today I am writing about a case of thigh grade bone sarcoma. This is a case of a 20 years old young man. Mr. Salman Muhammed of Kozhikode, Kerala. Let me first give you some idea about this climate and its treatment by modern science. A sarcoma is a cancer that arises from transformid cells of connective tissue. Osteo sarcoma is most common form of bone cancer. In this tumour the cancerous cells produce bone. This form of bone cancer happens most frequently in youngsters and young adults, within the bones of the leg or arm.

Symptoms of bone sarcoma

Most people with osteosarcoma do not feel sick. Patients may have a history of pain in the affected area and may have developed a limb. Often the pain is thought to be related to muscle soreness or growing pain, but it does not go away with rest. Many patients only see a doctor when there is some sort of injury to the area or when the tumour weakens the bone so much that it break.

Diagnosis

Imaging tests can help determine the location and size of bone tumour. The tests like X-ray, CT, MRI etc. can help to diagnosis the tumour.

Treatment

Osteo Sarcoma is often treated with a combination of therapies that include surgery, chemotherapy and radiation.
So, Mr. Salman was apparently well and very active until one day he got hit on his thigh in the corner of the table. After that he was having a continuous pain for a week. Then he consulted an orthopedic surgeon. When x-ray was taken he was diagnosed with thigh grade sarcoma in the left prominal femur on 5th May 2017.
As it was high grade Sarcoma he was advised to undergo surgery as soon as possible.
So surgery of left provisional femur with hip replacement was done on June 21st 2017. And as a further line of treatment he was advised to do chemotherapy.
But the patient refused chemo regimen. This was the time when salman came to our hospital, he was having pain, difficulty in standing, walking and doing his day to day works. He was weak mentally and physically.
He came to us with a lot of hope as he was referred by a patient who was already treated by us for for similar disease.
As the patient was mentally , physically weak we first started with the oral medicines and counselling to increase the mental and physical health.
According to his present condition we prescribed him: Indukantham kashayam, Amruthotharam kahayam, vilwadi gulika, kanchanara guggulu.
Along with he was adviced to follow strict pathya.
Pathya is the diet and regimen which is beneficial to the body and gives the happiness to the mind is known as pathya and opposit to that is known as apathya.
The purpose of following pathya (wholesome diet) is to maintain normal health and alternate the varius diseases.


Within the four weeks of internal medicines itself the patient got very good result. He got relief from all symptoms, he was able to do his all works and was able to do all works and was able to walk with walking stick. His confidence level was high. Now he was ready for further treatments. Further treatment was the panchakarma detoxification. Panchakarma is the purificatory or detoxification treatment in Ayurveda. It contains five purificatory procedures.
For that first the preparation of the patient is required and after procedure the pathya following is very important.
For Salman we selected virechana procedure. As a prepatory procedure we planned snehapana with Indukantham Ghritham and gugguluthikthaka ghritham.
Indukantham ghritham is very good for improving immunity and Gugguluthikthaka is very good for bones and blood purification.


Snehapana is the pre-operating procedure done before panchakarma or de-toxification. In this procedure intake of medicated ghee is done for 3 days, 5 days or 7 days depending on the disease and until the appearance of proper oilation signs.


Snehapana was given to salman for 7 days in the following order.
1st day – Indukantham Ghritham + gugguluthikthaka ghritham – 60 ml
2nd day – Indukantham Ghritham + gugguluthikthaka ghritham – 80 ml
3rd day – Indukantham Ghritham + gugguluthikthaka ghritham – 100 ml
4th day – Indukantham Ghritham + gugguluthikthaka ghritham – 120 ml
5th day – Indukantham Ghritham + gugguluthikthaka ghritham – 150 ml
6th day – Indukantham Ghritham + gugguluthikthaka ghritham – 170 ml
7th day – Indukantham Ghritham + gugguluthikthaka ghritham – 180 ml

8th day abhyangam + steam was done to bring the doshas to the kosta and 9th day virechana was done to expel doshas toxins out.
Then he was discharged with an advice for regular following and given internal medication for 2 weeks.
When he went to Vellur Medical College for Checkup, on taking x-ray doctors found a miraculous result, and certified that no chemo therapy or radiation is required. Now he is living a normal life.

Diabetes

 

Diabetes can be described as a group of metabolic disease in which there are high blood sugar levels over a prolonged period. Diabetes occurs due to either the pancreas not producing enough insulin or due to body’s inability to respond to insulin, which eventually leads to abnormal metabolism of carbohydrates leading to high blood sugar levels.

Common types

There are three main types

  1. Type 1 DM- The conditioning which the body (pancreas) fail to produce enough insulin. This was also referred as (IDDM) insulin dependent diabetes mellitus .
  2.  Type 2   DM  the condition in which body (cells) fails to respond to insulin properly. As the disease progresses lack of insulin may also develop. It begins with insulin resistance .
  3. Gestational Diabetes –the third main form of diabetes , it occurs when pregnant woman without previous history of diabetes develop high blood sugar level .

Common symptoms

The common symptoms which can be seen in diabetes are frequent urination ,increased hunger, fatigue, weight gain , unusual weight loss , numbness and tingling in hands and feet.

Complications 

Acute complications can include diabetic  keto acidosis,  heart diseases , stroke , chronic kidney failure, foot ulcers.

Ayurvedic view

Diabetes  in Ayurveda is explained as the Prameha  Roga.  According to Ayurveda Prameha is described as metabolic disorder in which  doshas (vata, pitta, kapha) are vitiated due to our food and lifestyle disorder, which in turn vitiate the dhatus (tissues) like meda(fat),  mamsa (muscle), majja (marrow) etc. these vitiated doshas and dhatus reach the urinary system and vitiate it leading to different types of Prameha.

Causative  factors

Asya sukham( excessive consumption of food especially, the meat of domesticated /aquatic animals, curd, milk, newly harvested grains, jaggery/ sweets. Foods and drinks that increases the kapha dosha. Swapna sukham (over indulgence in sleep),  living a sedentary  life,  laziness.

Types of  Prameha

According to ayurveda  prameha is classified in many categories  based on the following factors.

I. Based upon cause.

  • Sahaja prameha (By birth or congenital)
  • Kulaja prameha (Heriditary)
  • Apathyaja prameha (Acquired)

II. Based on body type (Prakrithi)

  • Sthoola pramehi (Obese patient)
  •  Krisha prameshi (lean patient)

III. Based on Urinary symptoms

  • Kaphaja prameha  (10 sub types)
  • Pithaja prameha  (6 subtypes)
  • Vataja prameha  (4 subtypes)

Ayurvedic treatment for diabetes

According to ayurveda the line of treatment of prameha strictly  depends on the following factors.

  1. The prakrithi of the patient
  2. Dosha predominance of disease
  3. Dooshya vishesham
  4. Obstruction in srotas
  5. Manasika prakrithi
  6. Ahara and vihara
  7. Hereditary factors

In ayurveda  the first line of treatment for all the disease is ‘Nidana parivarjanam chikithsa’ which means that elimination  of the causative factors  is the one main step in treating a disease.  Then based on the above mention factors  the further line of treatment  like purificatory therapies (Panchakarma therapies)  and rejuvenating therapies are adopted.

Ayurvedic medicines for diabetes

There are wide range of classical and patent ayurvedic medicines for diabetes.  Many single herbs, herbal combinations and herbo mineral combinations  are there which are very effective in controlling, curing and maintaining the sugar levels. Single herbs like  Haridra  (turmeric), Amlaki (Indian Goosberry), Guduchi (giloy), Nimba (Neem), Jambu (Black plum) etc. are very effective.

Classical preparation like Chandraprabha vati, Nishamalaka choornam, Nishakathakadi Kashayam  etc. are also very effective in treating diabetes.

Home remedies for diabetes

There are several home remedies that can be taken for lowering the blood sugar levels.  Daily use of these home remedies can even prevent from getting diabetes  if you are prone to. Not only as a treatment for diabetes these also can help in maintaining the balance of  doshas.

  1. Intake of 10 ml of  amla  juice with 10 ml of honey in the morning and evening.
  2. Intake of a glass of bitter guard juice mixed with amla juice added with half teaspoon of turmeric powder  daily  morning on empty stomach.
  3. Dried and powdered seeds of  jamun  (Black Plum) to be taken in a dose of one teaspoon twice daily with warm water.
  4. 1 spoon  of  amla powder added with half teaspoon of turmeric powder taken twice daily before food.
  5. Ladies finger cut and soaked in water over night and drinking in the morning empty stomach is very effective.

Ways to reduce Insulin Resistance

Consumption of fish oil  which is rich in Omega 3 fatty acids helps to improve insulin sensitivity  and also  to reduce body fat.

Intake of the diet containing high fiber, whole grains, leafy green and fresh vegetables, fresh fruits  and legumes  help to balance insulin.

Intake of 10 gm guiloy powder with honey helps to reduce insulin resistance.

Diet for diabetes management

Diet management is the key factor which is very important for complete cure of diabetes. Healthy diet  plays  a vital role in management of diabetes.

  • First most important point for a diabetic patient is never skip meals – take proper meals on time.
  • Control  the diet, eat 1/4 th less than your normal quantity.
  • Fruits including goo berry, Black plum and apples,  vegetables like spinach, carrot, bitter guards, squashes, banana stem can be taken.
  • Avoid underground vegetables like potato, sweet potato, tapioca  etc.
  • Avoid more of fried and grilled foods, non vegetarian foods.

Life style modifications for diabetes management

Diabetes is one of the disease which is also caused by lifestyle disorders. Some lifestyle changes can bring  a great difference in the ife of diabetic patients.

  • Avoid day sleep completely
  • Walk 2 kilometers daily
  • walk on green grass bare foot
  • Do regular exercises, yoga and walking which reduces  kapha and meda.
  • Avoid of all kinds of junk foods, processed foods and canned foods.
  • Yoga postures like soorya namaskara, Dhanurasana, Bhujangasana, Paschimothanasana are very helpful in stimulating pancreas.
  • Daily practice of nadisodhana pranayama itself can help a lot.

Apthasree ayurvedic hospital and kit for diabetes
We at apthasree feel that the basic cause for all the diseases is physical and mental imbalance which is caused by our food and lifestyle.

Apthasree gives a complete package of ayurvedic medicines, panchakarma therapies, yoga and awareness about important lifestyles and foods  for diabetes.

Apthasree gives a complete solution  for prevention and cure of diabetes and its complications.

 

Prenatal Yoga for each trimester

Getting pregnant is such a stage of life that when we have to take all the patience, prayers and  will power.  It is no doubt that it is the most irreversible transition  that you make in your life time from being a child to becoming a parent. It is truly like a rebirth.

For a woman it is great  experience  when life grows inside you.

It is the time when your schedules thinking and experiences  influences the life inside you. So you should be very careful about this.

This is the time when instead of get worried  you can enjoy it a very beautiful and pleasant experience  of carrying a life inside you. You can observe all the day to day changes inside you and enjoy the pregnancy.

Here are some lifestyles, yoga  which can make you life heaven in this precious stage.

There is a common misconception  that once you are pregnant you cannot do yoga . It is precisely at this stage that you need the yoga more. The most essential part of yoga  which can help you at this stage are like  pranayama, om chanting and meditation.

The following schedule can help you during pregnancy and the duration of pregnancy  of nine months can be divided as

  • The first trimester
  • Second trimester
  • Third trimester

 

The first trimester schedule

First  trimester means the starting three months of pregnancy which is very difficult for the new pregnants.

This is the time when you start  with the symptoms of nausea, morning sickness, vomiting and  hormonal imbalances. The schedules which can help you during these months or the days when you can do is

 

Step 1

 

Pranayama

Start with cleansing the nasal passage with the ‘moon pranayama’  wherein you sit in any comfortable position with your spine straight. If it is tough to sit on the floor, then you can even sit on the bed or a chair. Keep your hands in the anulome-vilome mudra, that is first two fingers in under the thumb.  Close your right nasal passage with your thumb and begin breathing nice and easy only through the left. Repeat the inhaling-exhaling set about 4 times and relax.

Benefits: The benefit is that since  the left nasal passage carries the cooling energy by activating it, the entire system also cools down. Being cool, calm and collected is all that really matters at this stage.

After relaxing sometime start the ‘sun pranayama‘. Continue to sit in the same position, the only difference this time over is that you have to keep the left nasal passage closed and only breathe in and out through the right. Repeat the cleansing 4 times and then relax.

Benefits: The benefit this time around is that since the right passage carries the heat energy (pingala), it activates the heat energy, enhancing your rate of metabolism, breaking down and flushing out all blockages and congestion.

Once both the nadis are balanced, then we have to reach the precision state of sushumna – where all imbalances cease to exist. All you have to do is perform  4 sets of anulom-vilom pranayama (alternate breathing). You may refer to this pranayama (Alternate breathing).

 

Step 2

 

Om Chanting

You can sit in any  comfortable  posture. Sit with crossing one foot on the opposite  thigh  and the other foot placed on the other thigh.  If you cannot manage both, then even one foot would do.  Slowly  take a deep breath and say  ‘om’.

Om possesses  the innate ability of piercing through all the layers reaching your core, your true self, thereby helping you reconnect with your soul. So repeat it as many times as you like with faith, belief and conviction. You will literally  feel as  if you have reached  a floating, weightless state of existence. I am sure you would not mind reaching cloud nine.

Step 3

 

Meditation

Make it a regular habit to meditate for a little while every single day. You could start with just a few minutes and build it up to at least an hour or so over a period of time. This will help to maintain balance in your physical, mental and emotional transformation.

To be able to make this serene connection, you must ensure that first put your mind out from the external world out the clutter, this relaxed physical level you can meditate.

There are no efforts or forceful tactics required, once you have  made peace  with what you are what you believe in.   Contrary to the popular  belief, where  meditation is considered the art of focus and concentration, I believe that it is mastering  the art of being free and fluid  that defines the true purpose and essence of meditation.

It all depends on how much time you can devote to just being with yourself.  So the first step is to make peace with yourself.

Step 4

 

Stretch out

Stretch  out every now and then, especially while lying down, out your hands on top, toes in front and breathe nice and deep as you stretch through the length of your body. It helps in reducing out all the stiffness, tension knots and strain. As these mothers are very sensitive  strictly  follow your comfort level.

Step 5

 

Massage your feet and hands

Follow the regular regime of massaging your feet and hands with special focus on your soles  and palms, because this is where the roots of all your organs are located. Each part of your soles and palms correspond to an organ in your body. These highly sensitive nerve endings, if massaged regularly, boost your blood circulation which in turn activates your energy level and mobilizes your digestion. it also relieves undue stress or strain  which is bound to build  up along your spinal channel or neck muscles.

Second Trimester

Once you have crossed the first three months, now you enter into the safe sound zone.

Even though consistent care is always needed but it is the time that you can enhance your activities gradually. To make the second trimester comfortable and healing continue following schedule of the first trimester and add the following steps to make your regime.

Steps 1-5

As mentioned in the 5 point schedule of the First Trimester Schedule.

Leisure Walk

The middle three months are the months when you are allowed to move around relatively more than the first and the last. Make sure you go for a walk, depending upon your ease.  Do not stick to a hard and fast regime, first  walk  whenever you get time and try to feel the beauty of nature and free your mind.

This daily small walk is an excellent remedy for sugar problem  and liver disorders that might grow up during this period.

Third  trimester    

The last trimester  is again becomes a challenge. This is the time where the real patience began.  As there will be physical, mental and hormonal imbalance.

As performing asanas is not possible in this trimester but you need to focus more on the aspect of prayer, ohm chanting and meditation all of which you have been  performing in the first trimester stage. These all are the key factors which play a key role in balancing you.

Deep Breathing

To keep your cool and battle all those nasty cramps  and contractions, here is the  perfect remedy.  Sit  in any comfortable  position with straight. Keep your eyes closed and  only orient  your energies  towards  the rhythm of  your breathing.

As you take a  deep  and long  breath  in through the nasal passage  and release  ith through  the mouth. Your mouth should be in a funnel shape  as you  release the breath with a little  bit of force  so as to flush  out  the hypersensitive, clogged up heat energy  from your system.  By the end of it, you will be a feeling  this soothing  cool sensation  through  your  breathing passage  right from the base of your abdomen till the top of your head.

Body massage

At this stage, it is not enough to only keep up the hands and feet massage routine but it is your entire  body that needs to de-stress. So oil massage from head to toe is  good.   Just make sure that the massage is soft and gentle and not the usual power-pressure. You could top it up with a  hot water soak in the tub or a hot water shower.

By now you are  wondering  how all these steps  measure up to being  part of a yoga-based schedule. It is pretty  simple  if you understand, that all this schedule is to give you a lifestyle by refining all those small yet significant  aspects of your daily routine that can make your life heaven or hell in this precarious stage that you are in. Coming up next as part of this lifestyle refinement programme are the ideal postures that you need to incorporate consciously  into your routine specially while resting or sleeping.

Sleeping or resting postures

First of all, always  keep your feet  and lower legs at slightly raised level, while you are lying down  or even sitting for long hours by placing 1 or 2 cushions or pillows underneath. This simple measure, if followed religiously, can be greatly beneficial in enhancing your blood circulation and avoiding the swelling syndrome. Combine this with drinking 8-10 glasses of water to avoid excessive water retention, which is a common phenomenon at this stage.

Secondly, make it a point to lie down on your left side most of the times by keeping your left leg straight and overlapping it by the right leg straight and overlapping it by the right leg as you bend it a bit. Not only is this posture ideal to drain out the stiffness and tension from the spine but at the same time, it is excellent to mobilize your digestive machinery. There is no perfect or easy way to go through this nine-month marathon. But the least that you can do is to make the ride smoother and more enjoyable and that is precisely where these schedules fit in.

IRRITABLE BOWEL SYNDROME

 

Introduction

According to Ayurveda  Irritable bowel syndrome  is the similar condition  explained in the name of grahani or samgrahani. The name is given so because grahana(retaining) is the function of grahani organ (small intestine) as this  function is significantly altered and bowel loses its control to retain for stipulated period of time according to ones requirement of absorption this condition is called grahani.

Allopathic concept

IBS  is a condition of  combination of abdominal discomfort or pain and altered bowel habits: either altered frequency (diarrhea or constipation) or altered stool form (thin, hard, or soft and liquid). There is no clear picture  what IBs or what causes IBS. But it is a medical condition with collection of symptoms  that has been ongoing for at least six months. As per treatment is concerned nearly all people with IBS  can get help but no single treatment  works for everyone.  Some of the medicines like antispasmodic, antidiarrhoel drugs, laxatives  and antidepressants  can be advised  depending upon the cause. All these can give  the temporary relief but also have some side effects.

AYURVEDA CONCEPT

The food we ingest is broken down in to the constituents that nourish the tissues and supports our everyday functions. When the digestive fire – Agni, which burns within our stomach, is affected by incorrect lifestyle and eating habits this ultimately affects the digestive process causing food to be either partially digested or over digested leading to the formation of Ama- toxins. Not only does incorrect digestive fire give rise to toxins but it weakens the function behind the digestive process itself.

All the three doshas ie. vata, pita and kahpa  play a role in the digestive process.  Pachaka pitta as the essence behind the digestive fire Jathara Agni is responsible for the transformation of solid food into smaller particles as it passes into the small intestine. The partially digested food particles are further broken down by the continued presence of Jathara Agni in the small intestine into components which will be absorbed across the wall of the small intestine. Kledaka kapha functions as the protective mucosa layer lining the stomach protecting stomach tissue from the hydrochloric acid and pepsin which are nothing more than aspects of Jathara Agni. Kledaka Kapha is also responsible for moisture in the GI tract, and in the stomach mucus excreted by the mucosa cells mixes with the food substance forming chyme enabling the food to flow as liquid from the stomach to the small intestine. The movement of food particles  across the intestinal wall and the movement of the chime throughout the small intestinal tract are done with the help of  Samana Vayu. Apana Vayu whose seat is the colon is responsible for the elimination of the waste material that passes from the small intestine into the colon. Vyana vayu is responsible for the movement of nutrients to the peripheral tissue via the flow of lymph – rasa and blood – rakta.

Hence digestion is ruled by Jathara Agni but supported by the three doshas. As each doshas supports digestion an imbalance of any one of the doshas will affect the role of that dosha in the digestive process and ultimately affect the function of the other doshas in digestion.

When the digestive system is affected by one or more of the doshas leading to incomplete digestion, diseases arise in the Annavaha srota – GI Tract. Grahani is due to chronic imbalance of the one or more of the doshas affecting Jathara Agni leading to weakness in the duodenum. According to Ayurveda the function of the duodenum is not only to digest the food but to “hold” on to the food until it is digested, it then releases the food allowing it to pass into the colon where it is excreted under the influence of Apana Vayu. Due to weak digestive fire – Agni, the duodenum becomes weakened and its function is inhibited, it will then either release its contents early than normal into the colon with the food being “uncooked” or it will retain its contents for longer periods releasing the food into the colon that is “overcooked.” Due to this factor one of the main symptom of  grahani ( IBS)  is alternating loose bowel motions with constipation.

 Causes

Eating habits are the the primary cause of grahani which are  directly affect Jathara Agni leading to a weakness in the small intestine. Aggravation of any one of the three doshas can be responsible for the alteration of digestion and it will depend on the aggravating factors that lead to the manifestation of disease. The causative factors that lead to the alteration of normal digestive fire known as Sama Agni are those same factors that cause the three types of deranged Agni.   Vishama Agni (due to aggravated Vata) , Tikshna Agni (due to aggravated Pitta), and Manda Agni (due to aggravated Kapha).  Untreated chronic diarrhoea which is itself caused by doshas affecting the process of digestion is also a cause of Grahani.

  • The exact cause of irritable bowel syndrome (IBS) is unknown and may be due to multiple factors.
  • Too fast or slow movements of the colon and small intestines.
  • Hypersensitivity to pain from a full bowel or gas
  • Gastroenteritis  may trigger IBS symptoms
  • Anxiety  or depression are observed in many people with IBS
  • Reproductive hormones or neurotransmitters may be off-balance in people with IBS.
  • Small intestinal bacterial overgrowth

TYPES

According to  Ayurveda the different types of  grahani  (IBS) are following (based on the predominance  of vitiated  dosha.)

  1. vataja
  2. pittaja
  3. kaphaja
  4. sannipathaja

PREMONITORY SYMPTOMS

There will be pre-signs and symptoms indicating the development of the disease. One may experience slower digestion of food, hyperacidity, bad taste in the mouth, anorexia, increased thirst, gastric reflux, tinnitus and the noise of gurgling in the abdomen. One may also fee

l lightheaded and notice a decrease in energy levels as Rasa dhatu is not properly nourished due to inadequate absorption of nutrients across the intestinal wall and inferior quality of nutrient due to improper digestion. As the disease progresses one may lose weight, experience dyspnoea, notice the retention of food in the stomach and start to experience fainting, headache and oedema in the extremities.

SYMPTOMS

The following are the symptoms  usually  seen in a person suffering from grahani  caused by vata aggrevation – Dryness of the palate, noise in the ears – tinnitus, cough, dyspnoea all caused by Prana vayu aggravation. Aggrevated Apana vayu  leads to constipation, increased frequency of motion, flatulence, passing gas on passing bowel, frothy loose stools, painful bowel motions due to intestinal cramps, dry feces, and pain in the rectum. Samana vayu  causes loose bowel motions due to increased peristalsis in the small intestine. Aggrevation  of Vyana vayu   leads to cardiac pain,   pain in the sides of the abdomen, thighs, groin and neck. The individual craves all types of food and feels satisfied when they have eaten.

 

IBS caused by Pitta  aggrevation  produces  discoloration of the faeces ( bluish or yellow colour due to ranjaka pitta variation), the body odor of the individual is fetid, aggravation of  Pachaka pitta causes hyperacidity resulting in heart burn and sour belching, also affecting the quality of stool so that it is liquid in consistency. Loss of thirst  and  anorexia are also present.

In grahani caused by aggrevation  of  kapha – increase in  Kledaka kapha  causes  Manda Agni which leads to heaviness in the stomach,  nausea and vomiting, retention of undigested food in the stomach leading to fermentation and burping with bad smell and loss of appetite. Avalambaka kapha that is aggravated causes cough with mucus.  Aggravation of Bodhaka kapha causing excess salivation and mucus in the mouth and loss of taste due to saturation. Excessive Kledaka kapha passes into the colon and is passed in the stools that are broken and may be considerable in quantity. Due to excessive kapha in the body one may feel lethargic and weak yet does not appear by physical observation to be showing signs of tissue weakness.

 

When Grahani is  caused by  combination of two or three doshas  it may present the following symptoms.

  • diarrheaor constipation
  • Constipation alternating with diarrhea.
  • Symptoms of IBStend to worsen with stress.
  • increased gas
  • abdominal swelling or bloating
  • cramping pain after eating certain foods
  • nausea
  • mucous or foamy stool
  • relieve in the symptoms  by bowel movements
  • symptoms of menstrual periods gets aggrevated in women with IBS
  • Unexplained weight loss.

We  at Apthasree

For any disease dosha imbalance  is the main cause.  We at Apthasree mainly  aim at balancing  the physical  and mental doshas.  First we have to do the mental and physical detoxification.  For de-toxification panchakarma therapies like snehapana, virechana, vamana, vasthi, thakradara, tailadara  etc.  can be done  depending upon the predominant  vitiated dosha.  Once the detoxification is done  it is very important to maintain the balance  in doshas.  The balance can be  maintained by following proper diet, routines and internal  medication.

The following  diet can be adviced in case of IBS  which helps  to maintain the doshas.

  • Eat smaller, more frequent meals; Instead of 3 meals, try 5 or 6 regularly scheduled small meals.
  • Eat at regular times.To regulate bowel  function  try to maintain proper timings of food each day.
  • Slow down; don’t rush through meals.
  • Avoid meals that over-stimulate everyone’sgut, like large meals or high fat foods. Like black gram, soya bean, coconut, chicken, chilly, prawns , mango, pine apple, cashew , papaya, fig, jack fruit.
  • Try to drink plenty of fluids every day. Water is best.
  • Take care with dairy products.If you’re lactose intolerant, try substituting yogurt for milk.
  • If you are constipated, try to make sure you have breakfast, as this is the meal that is most likely to stimulate the colon and give you a bowel movement.
  • If you think a certain food is a problem, try cutting it out of your dietThe foods most likely to cause problems are: Insoluble (cereal) fiber, Coffee/caffeine, Chocolate, Nuts
  • Fiber rich items like whole grains, fruits, vegetables and beans helps to reduce constipation, it can also make gas and cramping worse. So  the amount of finer in your diet should be increased slowly  over a period of weeks.

Along  with food the following activities can help in getting relief from symptoms and maintaining balance.

  • quit smoking
  • Regular exercises-  helps to relieve depression and stress  and also stimulates normal contractions of your intestines, and can help you feel better about yourself
  • To Avoid  gas and stimulation of intestinal intake of  Alcohol and beverages that contain caffeine and carbonated drinks should be avoided.
  • Use stress management and relaxation techniques.

Conclusion

Treatment of the grahani (IBS) is mainly treating the vitiated  dosha or doshas; however treatment will be focused ultimately on correcting Agni and strengthening the small intestine. As IBS  is  not a disease  but a group of symptoms seen together  due to imbalance  mental and physical doshas  the ultimate  remedy is only through  ayurveda  by which both detoxification of doshas  and maintaining the balance of doshas and  correcting the agni can be done.

Infertility and ayurveda

 

Infertility  is the inability of a person, animal or plant to reproduce by natural means for all of us to continue our lineage in the world we need to produce our own mankind, our on offspring.  The disturbance of to this process of producing children is called infertility. Infertility is a social taboo today, which brings a drastic effect on couples both physically, emotionally and socially.  Infertility as such is not an independent disease, rather it is a cardinal feature which may arise due to a number of  diseases.  Our society have their own unchanging habits, they find it amusing to discuss about married couples with no children.  They consider a childless mother as inauspicious, and is usually not allowed to participate in religious and auspicious ceremonies. Often she is ignored, insulted and laughed at.   Although there are number of vast thinking people today  our society still has patches of narrow minded people which is more than enough to destroy our happiness.

Allopathic view

There are several treatments available in allopathic medicine for both men and women to help conceive and maintain healthy pregnancy. Treatments are in the form of oral medication, injections and treatment cycles. Depending upon the cause many other techniques are also used. These techniques work best when the woman has a healthy uterus and the man has healthy sperm.  Most of the time the treatments  are extremely expensive and even though they use high-end-state-of-the-art technologies, they do not always work. In addition, these procedures have complications and strong psychological impact on most couples undergoing them.

Ayurvedic view
According to Ayurveda, infertility exists when a healthy couple is unable to achieve pregnancy after two or more years or fail to conceive for several years after the first delivery.  Ayurveda has been treated the cases of  infertility  with its medicines and therapies since  thousand years  before even discoveries of modern equipments and medicines. Ayurvedic  physicians have had to explore the human system in different ways without any tools. They closely watched what the human body did naturally and applied this accordingly coming up with different reasons as to why a woman got pregnant and why she could not become pregnant.  Ayurveda gives infertile women or couples the ability through treatment to become fertile and to improve the overall health to be able to conceive naturally without the use of Western modalities or in co ordinance with Western medicine.

In Ayurveda infertility is given under the following headings

  1. Vandya (Absolute inability to become pregnant at all.)
  2. Apraja (Primary infertility.)
  3. Sapraja (Secondary infertility)

Causes of infertility

The important factor for a garbha are Ksetra,  Bija, Ritu  and Ambu.

  1. Ksetra :-

Here ksetra refers to a healthy yoni or uterus. It is not only refers to the uterus but also to the other selected reproductive organs. It is very important that each female should know about the health of their reproductive system.

Following can cause infertility

  1. Congenital or acquires diseases of vagina, cervix, uterus or fallopian tube
  2. Injury to the artava vaha stroses (those organ through which ovum travels).
  3. Injury due to some local surgery.
  4. Prolapsed uterus, cervical erosion
  5. Deep lacerations during previous labors
  6. Also due to faulty male systems, like dryness of penis etc.

II Bija:-

Refers to the healthy sperm, ovum also the ovarian hormones.  Unhealthy male semen on analysis shows faults in the count, motility and the health of the sperms. Destruction of the health of eggs in PCOD, Cervicitis and other menstrual problems. Also refuse to the hormonal balance, which is very essential in building a strong garbha.

III Ritu:-

It refers to the kala or time period – ie. Fertile period. This can be described under theheadings of age and menstrual cycle.   When it refers to age – a woman can not conceive during her childhood or old age and also does not conceive during puerparium and to a certain extent during lactation. Also the ritu refers to the proper working of menstrual cycle. Her menstrual cycle should have proper dates every month and should have proper amount of blood flow. Any disturbance in her datus can cause infertility.

  1. Ambu

Refers to the proper nutrient fluids. This refers to the abnormal diet. Imbalanced diet, unhealthy  food  substance,  feeding on fast food to satisfy hunger causes loss of datus (tissues). The conversion of food to shukra  (sperm & ovum) passes through a series of processes, so it is proven that healthy shukra  is  directly  related  to  food. Also  unhealthy  food influences the normal secretion of hormones and many inhibit pregnancy.  Also after pregnancy, if fertilized egg do not get enough nutrients or if the mother’s diet is incomplete the garbha fails to develop after implantation.

Other factors includes

  1. Hridaya or manas

The calmness of manas is very important for a better pregnancy and motherhood. This may sound irrelevant in the past, but now it plays a significant role. Coitus with a woman who is hungry, or sorrow stricken cannot result in a healthy pregnancy. Another dreadful factor & stress, this is a fast growing mind disease. Couples rarely find time for each other, and the time find too is stressful with home and work disturbances. This too should be overcome by self adjusting and stress management treatment.

  1. Loss of bala or strength

There is rare, but still relevant. Child marriage can result in the loss of physical strength and the capacity to become pregnant, so it is essential to follow diet, which strengthens the uterus and related organs.

  1. Daiva or causes of God

There is an Ayurvedic factor, but still believed many of us. In short is a decision made to God that a particular couple becomes childless.  Much is not said about this in classical texts.

We at Apthasree

Here  we at apthasree believe that  to get a child  is a blessing of the god. Here  we  work  in this field to make this blessing more fruitful.  To conceive  is the desire of all parents but more important to have a physically and mentally  healthy child.  For this the pregnancy  should be  properly planned.  Properly planned in the sense the purification of egg and sperm along with purification and strengthening of the uterus has to be done for proper implantation.

For male we do treatments treatments to increase the quality and quantity  of sperm  by panchakarma treatments and internal medicines.  There  are special procedures like snehapana, vamana, virechana, vasthi  which can be done according to the person  for detoxifying and rejuvenating sperm. It is scientifically proved that  after these panchakarma and internal medicines there is an increase in the quality and quantity of  sperm which are ready for fertilization.  Similarly for mother also the strength of the uterus and For female also the strength of the uterus and balance of hormones can be obtained by internal medicines and also by panchakarma treatments.  Even after conception  the diet, medicines and therapies   can be advised to maintain the pregnancy.

The antinatal care plan can be adopted  in the plan of monthly routines  of diet, medicines and suitable therapies can be planned which will help in proper growth  & development of the fetus and easy and safe delivery.

Not only antinatal care, but post natal care  of the mother and baby can be planned.  The diet, routine and ayurvedic therapies, yoga for mother can be planned which will  help to regain the health completely. The care of the baby from first day  itself can be planned.

Conclusion

Being childless is not an illness, it is a slow growing tenour of the mind. When Ayurveda can give a number of answers with its medicine and special treatment it is time we put this problem aside and bring happy mothers in to this world. Apthasree ayurveda here it is with its authentic ayurvedic principles to help and treat the couple with infertility  by physically, mentally and spiritually detox therapies  to get a healthy child.

Lumbar Spondylosis

The simplest  definition of Lumbar spondylosis is low back pain.  Although  the definition sounds  simple, it is  actually a serious disorder  relating  to the back.  Medical  professionals relate  this term  to common  age  related  degeneration in the lower back where the lumbar  spine  vertebra and lumbar disc are involved.

Definition

It is the arthritis of the lumbar vertebra, where there is degeneration of the inter vertebral disk with advancing age and with passage of time. Here the space between the two adjacent vertebra narrows.

Prevalence

  • Affects 60-80% of adults
  • Affects women more than men

Causes

  1. Over weight
  2. Aging – causes bone degeneration

Loss of bone density causing the exposure of nerves which may cause inflammation.

  1. Genetic cause – if inherited from family
  2. Life style – use of tobacco, riding bike for a longer period can increase the risk of lumbar spondylosis
  3. Occupation – sitting in front of a computer for long hours, labors having hard work, lifting heavy objects.
  4. Injury – In gymnastics, athletics

Clinical features

  1. Low back pain : Pain can range from mild to chronic pain. Mild pain subside on their own. Sometimes this can act as an indication of any abdominal condition.  Pain may radiate from back to buttock then to  thigh to the lower leg.
  2. Stiffness and numbness of limbs and toes
  3. Loss of touch sensation
  4. Weakness and sometimes tingling in lower part of the body.
  5. Constipation
  6. Pain may increase by changing positions and movements
  7. Difficulty in walking
  8. Loss of bladder or bowel control in rare cases.

Ayurvedic concept

Ayurveda describes L. S. under 2 headings. As kateegraha or Gridrasi.

  • Kateegraham – is the stiffness of the low back area. It is due to increase in vata dosha here.
  • Gridrasi – It is due to the increase of vata or vata and kapha together causing pain along the low back area which may radiate along the thigh (left or right) and reach the ankle and toes.

Treatment

Aim of treatment – Aims at reducing vata and kapha dosha and inducing  brimhana treatment.

Medicines

Internally

  1. Rasna saptakam kashayam
  2. Rasnairandadi kashayam
  3. Dhanwantharam kashayam
  4. Balarishtam
  5. Punarvasavam
  6. Kankayana gulika
  7. Trayodasanga guggulu
  8. Marma sevyam

Panchakarma treatment

  • Abhyangam & Sudation – using dhanwanthara tailam
  • Kateevasti
  • Patrapotali swedam
  • Pizhichil
  • Kashayavasti
  • Anuvasanavasti

Exercise and yoga

  • Surya namaskaram
  • Bhujangasanam
  • Dhanurasanam
  • Shavasanam
  • Vajrasanam

Leech Therapy

Panchakarma is a globally known term today, and it has grown into a super specialty of Ayurveda. Panchakarma aims at the complete  cure of the disease  from its root so that any chance of reoccurrence does not occur.

According to Acharya Susrutha the 5 karmas are Vamana (Emetic), Virechanam (purgative),  Vasti (Enema), Nasyam (Instilling medicines through nose) and rakthamoshana (bloodletting).

Among these five, that involved with the renewal of dushta raktha (bad blood) ie. Rakthamoksha (Bloodletting).

Rakthamoksha is divided into two.

1)         Those using shastra (ie. Using surgical instruments)

2)         Those without using shastra (ie. Without surgical instruments)

According to the 3 doshas it is classified as

  1. For vata dosha – Remove blood using horns of deer or bull
  2. For pitta dosha – Remove blood using leeches
  3. For kapha doshas – Remove blood using  ghatiyanthram (an instrument prepared using fruit of cucurbit variety)

The practice of Raktamoksha later back to ancient  time, and it is still practiced  today. The remarkable  outcome from this has actually  given a boost to the ayuvedic system of medicine.

Jaluka or Leech Therapy

Jaluka or leeches are found in cold and damp places. They are of cold potency organisms (Sheeta veerya), so used to pittaja vikara (diseases).

Types of leeches :  Devided in to two main groups.

Savisha – that with visha   and  Nirvisha – that without visha

Savisham is of 6 types  (Poisonous leeches)

  1. Krishna: It is black with long head
  2. Karbura: It is similar to rohita matsya
  3. Alagarda: This has hair and small tumors all over the body
  4. Indrayudha: Withmany colours, like a rainbow
  5. Samudrika: It is yellow and black colour. Its body is covered with many spots.
  6. Gochandana: Similar to cow’s male organ.

Savisha (poisonous) leeches have poison in them. They are not used. If these bites they cause raktha ashudhi (impurities to blood), itching and wounds which do not heal very fast.

Nirvisha (Non poisonous leeches)

It is of 6 types

  1. Kapila: Brown colour
  2. Pingala: Red colour of round shape
  3. Shankamukhi: Similar to colour of liver. It can drink blood fast.
  4. Mushika: Colour and smell of rats
  5. Pundarikamukhi: face similar to lotus
  6. Savarika : 18 finger breadth (18 angulam)

Specialty of leeches

Leeches  have the ability  to  suck blood  through  its special  orifices  present  in the front and back of its body.  Its mouth has 3 sharp teeth.  A leech  can  suck  blood  for about  30 minutes to 6 hrs.  And it  can  suck from  5ml. to 50 ml.  The sucked blood can  be stored in its digestive system for months and months.  To digest this sucked blood, it takes about 6 months to 1 year.

Process of blood digestion by leeches

Like all animals the saliva of leeches have many enzymes.  One such enzyme is hirudin.  The special quality  of hirudin  is that  it can  prevent blood coagulation, ie. Acts as an anti-coagulant.

Leech biting

The process of leech therapy  is done under 3 headings

  1. Pre operative procedure (Poorvakarma)
  2. Operative procedure (Pradhana karma)
  3. Post-operative procedure (Paschat karma)

Pre operative procedure (Poorvakarma)

  • Good leeches should be collected from fields and marshy areas.
  • The leech should be  kept in water  containing paste of turmeric for a while.
  • This cleanses the digestive tract of the leech.
  • The place to be bitten by leach should also be washed with turmeric.

Operative procedure (Pradhana karma)

  • Place the leech over the place to be bitten.
  • If it is not biting that area – apply honey or butter or prick the area with a small sterilized needle.
  • When the leech  has started sucking blood, place a wet cotton over its body.
  • Simultaneously drop a few beads of water frequently  over its mouth.  This process  increases the blood sucking speed of the leech.
  • Once the patient feels itching or pain at the site of bite, then the leech should be removed.
  • This can help us understand that the bad blood is sucked fully and the leech  is sucking the good blood, so leeches removed from the area.

Post operative (Paschat karma)

  • The leeches are made to vomit the drunken blood by dropping turmeric powder over its mouth.
  • Sometimes it should be made to vomit manually by rubbing leeches body from its tail side to head side (ie. In opposite direction of sucking) this removes the sucked blood.

Care of site of bite

  • The area bitten by the leech should be cleaned and washed.
  • It should be bandaged with shatadhauta ghrita or with honey and turmeric.

Cure of leech after bite

  • The leech should be checked if proper vomiting of blood is done, or else it will become weak or even may die.
  • If proper vomiting by the leech, it regains its early mobility and strength.
  • It should then be transferred to separate jars filled with good water (avoid chlorinated water) and stored for further use.

Disease where Leech therapy is done

  1. Arthritis
  2. Vascular and venous diseases
  3. Varicose vein ulcer
  4. Heart and lungs problems
  5. Skin conditions like psoriasis, eczema etc.
  6. Disease of the eye
  7. Genitourinary diseases
  8. Gynecological disorders