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Chronic Disease
 
Common Disease
FEMALE INFERTILITY EPILEPSY   INSOMNIA
SKIN DISORDERS DIARRHOEA, DYSENTERY AND COLITIS   MIGRAINE
PREGNANCY CENTRAL NERVOUS SYSTEM (CNS) DISORDER   PITYRIASIS VERSICOLOR
ASTHAMA (SHWAS) DIABETES    
BRONCHITIS (KASA) IMMUNITY  
HAIRFALL AND ALOPECIA BLOOD PRESSURE  
HEADACHES INDIGESTION  
UROLOGICAL DISORDERS CONSTIPATION  
MALE INFERTILITY ACIDITY  
GYNAECOLOGICAL DISORDER APPENDICITIS  
FEVER   WORMS  
ASCITES      
 
 
FEMALE INFERTILITY

Introduction:
(a) Type: Primary and Secondary

(b) Etiology:
     Dietary Causes:
     Intake of prohibited food like extreme hot, cold, spicy, fermented food, stale food, food increasing Vata Dosha like dry pulses, beans and egg-plant, fish, heavy and undigestable food.
     Habit and life style causes:
     Moving in extreme hot, cold, windy and humid climates, suppression of natural urges, external cuases like acidents, mental and psychological causes and congenital and gentic causes (beej dosha), improper metabolism lading to abnormal growth (over or under growth) of body.


(c) Pathology:
¨To understand the pathology of ovarian dysfunction, please refer to 'Pathology" in Gynaec disorders.
¨When sour, pungent, fermented, chilly food is taken in excess, Pitta is inceased.  Since Pitta is hot and acidic, it causes burning sensation and acidity in the vagina.  Due to this, sperms, sensitive to heat, their life after coitus becomes very short resulting in poor post-coital test.  Thus, they cannot live to reach the fallopian tubes and fertilise the ovum.
¨Due to excessive intake of sweet and heavy food, Aam and Kapha is produced which is sticky and mucus.  They form a outer coating around the ovaries making the ovarian wall thicker.  This prevents the rupture of matured folicle.  It can also create cyst.
¨For Fibroids, please refer to gynaecological disorders.
¨Aam, being sticky, blocks all channels, including fallopian tubes.  Violated Vata creates stiffness in the fibrous tissues.  Tissues get entangled. Fallopian tubes get blocked due to fibrosis.


(d) Symptoms and Signs:
     Menstrual disturbances:
     Heavy or scanty bleeding, delayed menses, dysmenorrhea, amenorrhea, oligomenorrhea, menorrhagea, abnormal bleeding disfunctional uterine bleeding, hormonal imbalance, fallopian tubal block, salphingitis, ovarian disfunction anovulatory cycles, ovarian cysts, post coital toxicity, toxoplasma, anatomical disorders under developed or small uterus overies and other reproductive organs and uterine fibroids.


(e) Line of treatment:
     Oral medicine, Panchakarma treatment and guidance for diet and life style.
     Oral Medicine:
¨Chandrapadha bati - 2 tabs twice a day
¨Ashokarishta - take along with equal water, one teaspoons after meal
¨To remove Fibroid, cyst and fallopian tubal blocks, KHANCHNAR GUGGLE, TRIPHLA GUGGLE in oral medicine and panchkarm is given.
    

(f) Guidance for diet and life style:
     To take food which is nutrient and nourishing like rice, wheat, nachani, vegatables like snake gourd, white pumpkin, marrow, milk and milk products, old home-made butter.

 
 
 
SKIN DISORDERS

a)Introduction
Skin diseases, referred to as ‘Kushtha’ or ‘Twatcha Rog’ in Ayureda, include a variety of skin afflictions enlisting from general rashes-urticaria to varied skin eruptions, Acne/pimples and psoriasis.  The deranged doshas produce symptoms in the skin area and if neglected go to deper tissue layers of muscles and nervous system.


(b)Division and Types:
Urticaria, Denmatitis, Psoriasis.


(c)Etiology:
Dietary Causes:
Taking extremely hot, spicy, pungent, fermented, sour, stale, incompatible or opposite food (wrong combinations) overeating, eating when there is no appetite and food causing constipation and producing Aam.
Habit and Lifestyle:
Exposure to extreme climate like very hot, humid and dry climate, exposure to chemicals, pollution, unhygienic conditions and use of unsuitable external applications.


(d)Pathology (Samprapti):
¨When the violated doshas, Vata, Pitta and Kapha, are deranged due to the causative factors, they are absorbed in the chyle and travel through plasma and blood to the whole body.  They make the dhatus loose affecting the kleda or water constituent which produce different skin diseases. 
¨Usually, Pitta and heat is also increased and their pathway is blocked by Aam.  So it is directed towards the skin layers through plasma blood and lymph producing skin disorders in skin and related tissues.


(e)Symptoms and Signs:
¨Urticaria - Pruritis - followed by appearance of small eruptions on skin which tend to grow, itching, redness of the skin, local oedema swelling seen.
¨Dermatitis - Superficial inflammation of skin, with resides, redness, oedema, itching, oozing, crusting, scaling, local or distributed itching, swelling creacks and dandruff.
¨Psoriasis - Scaling of superficial skin from scalp, rather the whole of the body gradually, there are leisions or eruptions that are sharply demarcated, usually erythymatous pagule or plagues covered with overlapping silvery white scales, papules coalesce producing large plague of thickened skin, severe itching, heat burn, acidity, constipation and also psoriatic arthritis.


(f)Line of treatment:
Oral medicines and guidance for diet and life style:
Oral Medicine:
¨GANDHAK RASAYAN, KAISHORE GUGGLE, PANCHTIKTA DHANBATI - 2 tabs each thrice a day with water.
¨MAHAMANDISTHADI QUATH - 1 teaspoon along with equal water after meal both time.


(g)Guidance for diet and Life style:
¨Do not take spicy, salty and stale food.
¨Do not take food made from wheat and gram.
¨Use “glycerin” soap for bathing.
¨Do exercise regularly.
¨Do not take much salt in meal.

 
 
 
PREGNANCY

(a) Introduction:
In a pregnant woman, different symptoms are presented throughout the pregnancy period.  In Ayurveda, different medicines and treatments are given for a normal pregnant woman for the foetal growth, her conditions and for natural delivery of the child.  In abnormal conditions of pregnancy, there are different treatments and medicines to be given to the pregnant woman for the survival and growth of foetus and to remove the causes of symptoms seen in such pregnancies.


(b) Types:
Normal and Abnormal pregnancies.


(c) Etiology:
Dietary Causes:
Intake of food which increases Vata like dry pulses, beans, fried food, Pita - increasing food like hot spicy, fermented and salty and sour food, stale food, overeating for fasting, fatty, oily, indigestible food and eating incompatible foods, intake of drum stick, papaya or pineapple.
Habit and Lifestyle causes:
Moving in hot and cold climate, dry windy weather, exposure to infections and pollutions, over work and strain, accidents, trauma and other external factors, suppression of natural urges like sneezing, coughing, burping, etc., physical and psychological torture.


(d) Pathology:
¨ During pregnancy, Kapha and Oja should be in excess compared to Pitta and vata,. 
¨ Kapha, being cool, promotes growth and stamina, making it essential for the growth of foetus. 
¨ Due to intake of hot, spicy, fermented and pungent food, hot fruits like papaya and pineapple, Pitta increases inducing excessive bleeding when mixed with blood.  This results in spontaneous abortion. 
¨ If Vata increases, due to intake of foods like heavy beans, stale food and dry pulses, being catabolic in nature, the growth of foetus is inhibited after a few week of gestation.  This results in missed abortion or abnormality of foetal organs.


(e) Symptoms and Signs:
¨ During the first trimester in normal pregnancy, symptoms of morning sickness like nausea, vomiting, malaise, fatigue, giddiness, loss of appetite, constipation, fullness in abdomen and frequency of micturition is seen. 
¨ In the second and third trimester, oedema on the feet, increase in weight, heaviness in abdomen and frequency of mictrution is seen. 
¨ In abnormal pregnancy, there are symptoms of abdominal pain, cramps, bleeding, excessive white discharge, under developed and retarted foetal growth, malnourished physical and mental conditions, abnormalities in placenta and cervix.


(f) Line of treatment:
Oral medicine and guidance for diet and lifestyle.
Medicines are prescribed for increasing foetal and mother’s weight.  Medicines are given up to the 8th month for their development, both physical and mental, and for a natural delivery.


(g) Guidance for diet and Lifestyle:
¨ Prohibited food and causative factors mentioned above must be avoided. 
¨ A pregnant woman should take only light cooked and easily digestible food. 
¨ She should avoid exposure to extreme hot, cold, windy or dry climates, physical and mental trauma, travelling on rough roads in uncomfortable vehicles, overwork and exercising, lifting heavy articles, intercourse and unhygienic conditions.
Side effects: NIL
Contra Indications: NIL
Follow-up: As and when required.

 
 
 
ASTHAMA (SHWAS)

(a) Introduction:
A person suffering from Asthma has difficulty in breathing, pain in the cheat and back, etc.


(b) Types:
According to modern science - Asthama is divided in to four types -
¨ Bronchial Asthama
¨ Cardiac Asthama
¨ Occupational and Allergy Asthama
¨ Asthama associated with upper respiratory tract infections.


(c) Etiology:
Dietary Causes:
Food which is fried, fatty, spicy, sour, stale, cold, frozen and fermented, dry peas, pulses, heavy milk products, curds and chilled foods.
Habit and Life style causes:
Roaming in heat, dust, dry, damp, humid, cloudy weather and cold climate, exposure to polluted air and working in wet and cool plaes, over exercising and unnecessary control of natural urges like sneezing, coughing and burping.


(d) Pathology:
¨ Due to excessive intake of heavy ad greasy food and deficient Agni (Digestive Fire), digestion is affected creating Aam ( mucus).  This Aam, which is very sticky and in mucus form, blocks the movement of Vata located in the abdomen.  Due to the block, the Vata does not move in its normal circular and downward direction.  Instead, it goes in an upward direction preventing the movement of Prana vata (Breath) located in the respiratory track.
¨ The violated ‘Vata’ destroys the natural  softness and lubrication in the respiratory tract making it rough, dry and strictured.  There is dryness of the mouth.  The Kapha, normally located below the diaphragm in the gastric region, is pushed upwards towards the respiratory tract along with the violated Vata and Aam, previously formed.  The Kapha and Aam, pushed upwards, gets stuck to the walls of the respiratory track and blocks the channels of respiratory tract like bronchials, bronchi, etc.  This block and the strictured path ways make it difficult to inhale and exhale.  Thus, breathing becomes difficult, painful and noisy.
¨ Since the Vata from the lower abdomen is pushed upwards from it’s normal path, the normal functions in the lower abdomen gets disturbed and results in constipation and, in some cases, there is reduced frequency of urination.  Moreover, when the Prana Vata is pushed upwards or backwards, it results in distortion of the eye balls, stiffness of the neck and back, etc.


(e) Symptoms and Signs:
¨ There is loss of appetite and indigestion producing Aam, difficult and painful breathing, breathlessness, palpitations, sweating, weakness, suffocation, cough and cold and mucus expectoration. 
¨ The patient reports with severe weakness, strenuous respiration, pain in respiratory tract, darkness before and below eyes and anemia. 
¨ These symptoms are clearer and more intense as the ailment becomes chronic.


(f) Line of treatment:
Oral medicine, Panchakarma treatment and guidance for diet and life style.
Oral Medicine:
BHAGOTTAR DHANBATI, SHWASHKUTHAR RASA, HARIDRA KHAND TABLET, two tablets of each twice a day with water or pure honey.
In some cases dose increased as per required.


(g) Guidance for diet and life style:
¨ Food to be avoided - ‘Vata’ and ‘Kapha’ increasing (causative foods).
¨ Restricted diet consisting of roasted, light, cooked rice, vegetables like raddish, snake gourd, melons, white pumpkin, marrow.  Non-vegetarian foods - meat of light birds like sparrows and pigeons. 
¨ Drink fresh boiled water, milk, old home-made butter and old honey.
¨ Avoid cold, windy weather and humid, damp climate.


(h) Specialty of Treatment:
Pulse of patients was checked for Vata, Pitta, Kapha and Aam Dosha.  Generally, Kapha and Vata are found to be elevated.  There is also increased Aam.  To balance the causative factors, the treatment is basically Aam, Kapha and Vata-reducing.

 
 
 
BRONCHITIS (KASA)

(a) Introduction:
Constant coughing with Phlegm and mucus


(b) Etiology:
Dietary causes:
Excessive intake of sour food, curds, ice, ice cream, cold drinks, cold water, friend food.  In fruits, banana, orange, cucumber and lemon. 
Habit and Lifestyle causes:
Late awaking hours, roaming in dry, cold weather, working in air conditioned or dusty environment, allergic food, indigestion, smoking and exposure to infection and chemicals.


(c) Pathology:
¨ Heavy beans, fried foods, cold drinks and cold foods create indigestion, gas and Aam (mucus - a kind of tokin) or Kapha.  This Aam or Kapha blocks the normal circular path or Apan Vata (vital air located in the lower abdomen) pushing it in an upward direction.  Vata takes along with it Aam, Kapha or Pitta, whichever present in excess in the abdomen. 
¨ The Prana Vayu (breath) is normally circulated in a downward direction.  Vata from the abdomen which is pushed upwards hinders the path of prana.  Prana is pushed upwards and comes out through the mouth and nostrils along with a sound which is coughing.  Prana also throws out the dosha which is brought along from the abdomen.  Thus, mucus and phlegm comes out of the mouth or nostrils.


(d) Symptoms and Signs:
Constant emission of a sound through the mouth that resembles the noise made by striking a vessel made out of white brass with a stick.
¨ Vata-born: Piercing pains are felt in the chest, forehead, sides, stomach and head, dry mouth, reduced strength, constant urge to cough, hoarseness of the voice, dry cough not followed by expectoration of kapha.
¨ Pitta-born: Burning sensation in the chest, fever, dryness of the mouth, bitter taste in the mouth, thirst, vomiting, the matter thrown out, being generally yellow and pungent taste.
¨ Kapha-born: Mouth of the patients is always filled with phlegm.  The body becomes languid.  The other symptoms are headache, disgust for food, heaviness of all the limbs, itching, a constant urge to cough and ekpectoration of thick, phlegmonous matter while coughing.  The whole body seems to be full of phlegmonous matter.
¨ Born of ulceration of the lungs: Discharge of blood followed by severe pain in the throat.  The patient feels a sensation in his chest as if it were broken and pierced with a thousand needles, intolerable pain, fever, difficulty of breathing, thirst, hoarseness of voice, noise like cooing of pigeon.
¨ Born of degeneration of system: Pains in every part of the body, weakness, reduction of flesh and expectoration of blood and puss while coughing.


(e) Line of Treatment:
Oral medicine:
¨ TRIBHUVANKRITI RAS - 2,0,2 twice a day with water
¨ KANKASAVA - 1,0,1 teaspoon along with equal water


(f) Guidance for diet and Lifestyle:
The patient must avoid causative factors like heavy beans, fried, oily, chilled food, exposure to cold wind dust and damp weather, chemicals and infections.  Hair must not be kept wet and must take only light cooked diet.

 
 
 
HAIRFALL  AND ALOPECIA

(a)Etiology:
Dietary Cause:
Excessive intake of oily, fatty, hot, fermented, pungent and sour food, food low in nutrition.
Habit and Life style causes:
Synthetic hair oils, shampoos and other applications, improper hygiene, inadequate sleep, irregular eating habits, eating without appetite, suppression of natural urges such as sneezing, burping, etc., excessive exposure to sun, heat, wind, dust, etc., anger, stress, anxiety, etc.


(b)Pathology:
¨Due to heavy food, mental and emotional disturbances, digestion is affected.  Over a period of time, the intensity of digestive fire reduces producing excess of Vata (vital air), Pitta (heat) and Aam (mucus). 
¨Vata (vital air), present in the abdomen, normally, moves in a circular motion.  The Aam, being sticky and thick, blocks the movement of Vata thus thrusting Vata, which is degenerating in nature, in an upward direction towards the head taking along with it Pitta.  Excess Pitta burns down the tissues and excess Vata degenerates the tissues, particularly, those which promote hair growth.  The root hair follicle gets damaged thus terminating new hair growth as wel as inducing rapid hair falling and graying of hair.
¨The Aam, created due to the above causes, when absorbed in the blood, affects regeneration of tissues (Dhatus) including Asthi dhatu (Bone tissue). 
¨Within the metabolism cycle, on transformation of the nutrient plasma into Asthi Dhatu, the resultant residue gets converted into Nail and Hair tissue.  The metabolic process thus disturbed by Aam affects the nourishment of Asthi Dhatu ultimately diminishing the residue responsible for hair growth.


(c)Line of treatment:
Oral medicine:
¨SUKESHA TAB - 2,0,2 twice a day with water
¨BHRIGRAJ DHANBATI - 2,0,2 twice a day with water


(d)Guidance for diet and Lifestyle:
To avoid oily, fried, spicy, hot, fermented and stale food.  To avoid excess exposure to heat, dry and windy climate.  To avoid Synthetic hair applications.

 
 
 
HEADACHE

a) Introduction:
It is termed as “Shirshool’ in Ayurveda.  It is mainly caused due to Vata dosha.


(b) Division and Types:
According to Ayurveda, there are 11 types of Headaches.


(c) Etiology:
Dietary Cause:
Intake of fatty, oily, hot, spicy, cold, fermented, stale, dry, sour, overeating, cold chilled and heavy food.
Habit and Life style causes:
Exposure to hot, dry, cool and windy weather, late night sleeping, repressing hunger and improper eating habits.


(d) Pathology:
¨ Due to heavy as well as indigested food and low agni (digestive fire).
¨ Aam is produced which blocks normal movement of Apan vata (vital air located in the lower abdomen).  Hence, Apan Vata starts moving in an upward direction towards the head shifting Pitta and Kapha from their normal site to the head.  This results in headache.
¨ During night time, the atmosphere being cool, the chances of Vata getting diverted upwards towards the head is more resulting in headache.  If the headache is caused due to excess ofVata, there is emptiness in the head and tightness in the neck and normally the headache is in the night.
¨ If Pitta is shifted from its normal site along with Vata to head, the head becomes hot and the nose and eyes start burning.  Headache is severe and the pain is throbbing in day time.
¨ If Kapha is shifted to the head, then there is a lot of fluid in the sinuses which is thick, the nose is blocked, there is heaviness and tightness in the head and eyes are sunken.
¨ Excess of Vata, being catabolic in nature, degenerates the tissues in the head causing pain.
¨ Vata, if going into the neck region, degenerates the vertebra and cartilage between the vertebra.  Nerves get depressed and pain starts from neck and radiates to the temple region, eyebrows and eyes.  This results in distortion of eye balls affecting vision.  Sometimes there is pain in half of the head (unilateral), migraine or all over the head.
¨ Most of the headaches are caused due to excess Pitta and Vata.


(e) Symptoms and Signs:
¨ Pain in head region - frontal, occipital, sinuses, temporal, pariental, uneasiness, nausea, insomnia, acidity, problem of eyesight.
¨ Change in number and other facial structures causing radiating pains to head, injury, migraines, anorexia, vomiting, irritability, photophobia, headaches on unilateral or bilateral slides, the person cannot withstand noises and light.


(f) Line of Treatment:
Oral medicine:
¨ If patient gets headache due to common cold, MAHALAXMIVILAS RASA - 2,0,2 tabs twice a day with water.
¨ If patient gets headache due to excessive heat (Pitta), MAHASUTSHEKHAR RASA - 2,0,2 tabs twice a day with water.
¨ If patient gets headache due to Vata problem, BHRITVATCHINTAMANI RASA - 2,0,2 tabs twice a day with water.
¨ Common medicine for al types of headache -
o SAPTAMRUTA LOHA - 2,0,2 tabs twice a day with water.
o PATHYADI QUATH - 1,0,1 teaspoon along with equal water.
o SHADBINDU TAILO can be used for nasal drops under doctor supervision.


(g) Guidance for diet and Life style:
To avoid sour, fermented, hilly foods and heavy beans. To avoid exposure to extreme climatic conditions like too hot, too cold or dry and windy weather.  To avoid stress and suppression of urges.  To follow a restricted diet of easily digestible and light but nourishing food.  Head should be protected while moving out and should not be kept wet.

 
 
 
UROLOGICAL DISORDERS

a) Introduction:
Diseases related to urinary tract is termed as urological disorders.


(b) Division and Types:
According to modern science, kidney failure, nephritis, kidney stone, calculus, urinary tract infections.


(c) Etiology:
Dietary causes:
Eating heavy indigestible food sweet, cold, fermented, sour, starchy food, newly harvested food grains, curds, yogurt, mat products and overeating and vegetables like tomatoes, brinjal and dry pulses, heavy beans.
Habit and Life style causes:
Sedantory life, being idle, immediately going to sleep after meals, exposure to infections, chemicals, working in hot and dry climate, drinking very less water, suppression of natural urges like passing urine.


(d) Pathology (samprapti):
Renal failure and obstructed micturation (Mutraaghat):
¨ Foods like heavy pulses and heavy beans when eaten cause excess of Apan Vata (vital air located in the lower abdomen).  Vata, being dry and degenerative in nature, dry the cells of the urinary tract and become strictured.  There is contraction of the urinary tract inhibiting urination.
¨ Aam blocks the urethra and due to the presence of vata, there is contraction of the urethra.  This inhibits the flow of urine causing enlargement of the prostrate.
¨ Suppression of passing urine over a long time creates imbalance of Vata.  Vata, being responsible for movement within the body, affects the flow of urine whereby there is intermittent urination with pain.
¨ Increased Vata causes atrophy of cells, necrosis and glomerular derangement in the kidney since Vata is dry and degenerative in nature.  Filtration in the kidney is affected an the necessary amount of urine is not produced.  Aam when produced blocks the Mutravaha strotas (Channels producing and carrying urine) and blocks glomerular filtration.  Thus, all the toxins get accumulated in the nephorns causing nephritis and inflammatory cell infiltration.
¨ Excess of Kapha and Pitta after digestion gets accumulation in the urinary tract through blood circulation and mixes with urine causing difficulty in urination.  Excess Vata weaken the bladder muscles inhibiting contraction and expansion of the bladder resulting atonic condition of the bladder.  Excess Vata creates stiffness in the muscles of urethra causing entanglement of the muscles.  Profuse entanglement leads to fibriosis and tumor obstructing urination.
Mutrakuchha (Painful micturation or Dysuria):
¨ When excess Vata, Kapha, Pitta or Aam, either individually or collectively, come into the urinary tract, there is obstruction causing Dysuria. 
¨ When, due to Vata, there is degeneration and contraction of the urinary tract.  Urine is passed intermittently and in pain making the bladder and urethra painful.  When Pitta enters the urinary tract, urine is yellowish, reddish and burning which is termed as ‘Hyperacidity of urine’. 
¨ When Kapha or Aam blocks the urinary tract, there is heaviness and the urine passed is turboid.  When renal calculus obstructs the urinary tract or there is krumi (infection), there could be internal wounds causing bleeding and puss during micturition.  Aam blocks the urethra and due to the presence of Vata, there is contraction of the urethra.  This inhibits the flow of urine causing accumulation in the prostrate gland and enlargement of the prostrate.
Mutrashmari (Renal Calculus):
If, Aam and exess Kapha produced, either individually or collectively, after digestion, mixes with Chyle (Nutrient Plasma) and enters into the Rasa Dhatu ( Plasma tissue), obstructing further metabolism of other tissues.  When rasa dhatu becomes excess, it, along with Kapha and Aam, enters the urinary tract through blood filtration releasing excess of toxins in the urinary tract.  The toxins, when get dried up due to Vata, cause renal calculus.


(e) Symptoms and Signs:
Renal (Kidney) failure:
Obstruction - caezing urine output, painful and diminished micturition, oedema, arteritis on skin and retina, sudden weakness and acute conditions lead to coma, tenderness in region of kidneys, renal venous thrombosis, fever, sweating profusely, anxiety, anorexia, and severe weakness.
Nephritis:
Fever, pain and burning micturition, pain and tenderness in renal area, sometimes puss or blood discharge through urine, oedema, skin rash.
Kidney stone:
Renal calculus - Back pain or renal colics occurs when calculi obstruct calyces, urinary tract pelvis, ureter or bladder - causing suprapubic pain, pain is intermittent - originating from kidney and radiating across the abdomen to urinary tract and genitalia; symptoms of GIT like nausea, vomiting, abdominal distension, chills, fever, haematurea - blood through urine and frequency and difficulty (drop by drop) of micturition is seen, if stone passes down, there is pain down the tract.
Urinary tract infections:
Painful micturition, frequency increased and not satisfactory, burning micturition, heat, haematurea and pyurea (puss and blood in urine) renal colick or ureteric colics, fever, nausea, anorexia, abdominal and urinary tract pain - radiating down the tract, albuminurea.


(f) Line of Treatment:
Oral medicine:
Common medicines are:
¨ CHANDRAPRABHA BATI - 2,0,2 tabs twice a day with water
¨ GOKHSURADI GUGGAL - 2,0,2 tabs twice a day with water
Chandraprabha bati and Gokhsuradi gugal are diuretic, reduce Vata and Pitta in the urinary tract.  Chandraphrabha nourishes the urinary tract and reduce Vata.


(g) Guidance for diet and Life style:
To avoid causative food and prohibited food.  Proper exercise is essential and the diet must include light digestive foods like Old grains, roasted and cooked rice, puffed rice, grains like Barley or quinoa, Moong, black lentils, leafy vegetables and soups.  To avoid new heavy grains, sweet indigestible food, being idle and exposure to hot dry climate, infections and chemicals.

 
 
 
MALE INFERTILITY

a) Introduction:
The incapability of conception is called infertility.  If the causes are due to male disorders, they are treated according to anatomical or physiological factors.  According to Ayurveda, it is termed as ‘Vandhyatva’.  It is due to the violated Tridoshas and improper “shukradhatu” and “oja” which is the end product of metabolism of all Dhatus and responsible for reproduction.


(b) Types:
Azoospermia and Oligospermia.


(c) Etiology:
Dietary causes:
Foods like hot, spicy, oily, fermented, stale , sour, dry and chilled which increase Vata, Pitta, Aam and heat in the body.
Habit and Life style causes:
Exposure to extreme heat, cold, dry, damp weather, chemical pollution, history of infectious diseases (viral) like mumps, accident and trauma, addictions like smoking, drinking alcohol and drugs which increase toxicity and sexual abuse, weak and undernourished body.


(d) Pathology:
¨ During pregnancy, on consuming any of the foods mentioned above, Vata (air) is increased.  If she delivers a male infant, there are chances that the infant will be born with atrophy of the male reproductive organs since Vata inhibits growth.  Subsequently, his reproductive organs remain atrophic, to e precise, testicular atrophy.
¨ Excess intake of fried, heavy foods, and heavy beans, etc. creates Aam (mucus and toxins) and Vata. When Aam gets mixed in the plasma and circulates throughout the body, it affects Rasa Dhatu (which regulates hormone and enzyme secretion in the body).  Hormonal imbalance leads to different gonado trophic deficiency and results in Oligospermia or Azoospermia.
¨ When Aam, within the metabolic cycle, affects Agni (metabolic fire) at Shukra Dhatu (Rproductive tissues) level, sperm generation is affected and there is Oligospermia or Azoospermia. Aam, being sticky and mucus, blocks the reproductive channels.  The minute channels involved in spermatogenesis, if blocked, results in arrest of spermatogenesis.  If the vas defrance or veinsget blocked, there is vericocele.  According to Ayurveda, Shukra (semen) is very sensitive to heat and cool in nature.  Excessive intake of hot, sour, fermented and chilly food increases Pitta.  Pitta,being hot in nature, either reduces sperm-count or eliminates them completely.
¨ Situations like malnutrition and weakness of all Dhatus lead to weakening of Shukra (Reproductory tissue).  This further causes infertility since the tissues are incapable of generating a new life.


(e) Symptoms and Signs:
Azoospermia:
Sperm count is nil.  Anatomical defecs like underdeveloped testes, varicocele, scrotal swelling, undecended testes, weakness, lack of sexual desire, tiredness, lethargy, loss of appetite, hyperacidity, heat burn in GIT, psychological disturbances and hormonal imbalance, impotency are seen.
Oligospermia:
Sperm count is less than required. Testes function abnormal, hormone levels high or low acidity, addictions like smoking and drinking alcohol, toxicity, insomnia, weakness, weak body, low sexual desire, impotency are seen.


(f) Guidance for diet and Life style:
Consuming a restricted diet consisting of light cooked nourishing cereals, vegetables, sweet fruits, milk, old home-made butter, digestable milk products and meat soup for nourishment of dhatus.
To avoid exposure to heat, cold, damp dry weather, chemicals, radiations, addictions to alcohol, smoking, drugs and other toxic matters, over exercising and lethargy.
Side Effects: NIL
Contra Indications: NIL
Follow up: Follow-up of issue was done.  Issue was observed for 1 year no physical or mental abnormality detected

 
 
 
GYNAECOLOGICAL DISORDER

a) Introduction:
Derangement of doshas leads to gynecological disorders and menstrual disorders in females.  The complaints and symptoms shown vary according to the active dosha.


(b) Division and Types:
Oligomennorhea, Dysmennorhea, Menorrhagea and abnormal meno pausal symptoms.


(c) Etiology:
Dietary causes:
Excessive intake of prohibited foods like oily, spicy, hot, chilled, stale, fermented and sour food, heavy beans like garbanzo, black beans, kidney beans and pulses.
Habit and Life style causes:
Residing in areas having climates like extreme heat and cold, dry, cloudy weather, suppression of natural urges like sneezing, coughing during coitus, using uneven bed during coitus, excessive intake of the above mentioned foods and excessive travelling during menstruation, sexual abuse through artificial means, etc.


(d) Pathology:
¨ During pregnancy, on consuming any of the foods mentioned above, Vata (air) is increased.  If she delivers a female infant, there are chances that the infant will e born with atrophy of the female reproductive organs since Vata inhibits growth.  Subsequently, her reproductive organs remain atrophic leading to Primary Amennorhea.
¨ Excessive intake of fried, heavy foods, and heavy beans etc., creates Aam (Mucus and toxins) and Vata.  When Aam gets mixed in the plasma and circulates throughout the body, it affects Rasa Dhatu (which regulates hormone and enzyme secretion in the body).  Hormonal imbalance leads to different menstrual disorders like Amennorhea, Oligomennorhea and Menorrhagea.  When Aam, within the metabolic cycle, affects Agni (metabolic fire) at Shukra Dhatu ( Reproductive tissues) level, follicle generation is affected and there is Amennorhea or Oligomennorhea.
¨ Due to accumulation of excess Vata in the pelvic region, there is bulging of the abdomen as well as of the thighs.  Vata begins to degenerate causing atrophy of the reproductive organs.  Ovaries and uterus shrink below normal.  The follicles within the ovaries get dried up due to Vata and the ovaries become corrugated and results in premature menopause.  Excess Vata creates dryness of the vagina resulting in painful coitus and frigidity.  Due to successive operations on uterus and pelvic region and multiple dilation and curettage, there is over-exposure of the internal organs to the external climatic conditions causing increase in Vata and dryness of the organs.  This results in premature menopause or irregular menstruation.
¨ Formation of Aam blocks the ARTAVAVAHA STROTAS.  (Channels through which there is flow of menstrual bleeding), hindering the flow of menstrual bleeding.  This results in scanty menstruation and pain.
¨ Excess of Vata creates a lot of pain and discomfort in the pelvic region during menstruation resulting in Dysmennorhea.
¨ Excess intake of fermented, sour, pungent and chilly food increases Pitta.  When Pitta mixes with blood, the bleeding, caused due to any reason, does not stop easily and results in mennorhagia.
¨ Vata regulates the general movement within the body.  Increased Aam, being sticky obstructs the flow of Vata.  Violated Vata pushes the flow of the menstrual bleeding sideways into the soft muscular tissues of the uterus and gets clogged.  This leads to formation of tumors, fibroids and vesicular mole.


(e) Symptoms and Signs:
Menstrual Disorders:
1. Amenorrhoea:
Lack of monthly menstrual blood flow.  It can be either primary, i.e. no menses till 18 years of age or secondary, i.e. sudden stoppage of menses due to various reasons.  Associated symptoms are obesity, heaviness in abdomen, abdominal bulge, acidity, increase of weight, lethargy, psychological disturbances, hirsutism, pallor and anaemia, weakness or under developed mainourished body and hormonal disturbances.
2. Oligomenorrhea:
Scanty menstrual bleeding, delayed menstrual period, irregular cycles, bleeding only for a short time.
3. Dysmenorrhea:
Menstrual bleeding, lower abdominal or region lower back, thighs and legs. Sometimes clots and heavy bleeding after cramps urination frequency, nausea, vomiting, pelvic soreness, diarrhea, headache abdominal distension, premenstrual tension, depression and irritability seen.
4. Menorrhagea:
Heavy bleeding with or without clots, pain in abdomen, cramps, menses with heavy flow or bleeding even in between menses, prolonged menses-bleeding weakness, pain in legs, anaemia, pallor, headaches.
5. Menopausal Symptoms:
Hot Flushes, sweating, irregular menstrual cycles, nervousness, mental disturbances like depression and irritability, insomnia, palpitation, frequency of urination, obesity, back pain and various digestive disturbances.


(f) Line of Treatment:
Oral medicine:
Very common medicines for all types of gynaeocological disorders:
¨ KANYALOHADI BATI - 2,0,2 tabs twice a day with warm water
¨ ASHOKARISHTA QUATH - 1,0,1 teaspoon along with equal water
Sometime medicines change due to conditions of disorders.
Panchakarma and Rasayan Chikitsa is also given to some patients.


(g) Guidance for diet and Life style:
To avoid prohibited food and life style. To restrict the diet containing nourishing and easily digestible food.  Diet to include light and cooked cereals, vegetables, milk and old home-made butter should be taken. To avoid exposure to extreme climates and any kind of trauma.


(h) Specialty of Treatment:
Pule was checked for Vata, Pitta, Kapha and Aam doshas.  Pitta and heat was found to be excessive in most of the patients and Vata was found in downward direction.  The treatment was therefore basically Pitta and heat reducing and correcting the direction of Vata

 
 
 
FEVER

a) Introduction:
The rise in body temperature or fever is termed as “Jwara” in Ayurveda. There are 8 types of fever.


(b) Etiology:
Dietary Cause:
Intake of heavy indigestible food creating Aam, cold, hot, spicy, stale, fermented and sour food.
Habit and Life style causes:
Moving in cold, heat and dry climate, exposure to infections, suppression of natural urges like sneezing, coughing and burping, etc., overeating, overwork and strain.


(c) Pathology:
¨ Excess of Vata, Pitt and Kapha produced after meals, damage the digestive fire (agni) in the small intestine.  Whatever food eaten, Aam is produced due to indigestion.  Aam, being undigested food particles, gets acidic within the small intestine due to fermentation.  This becomes a vicious cycle.  Thus, it increases Pitta and Aam in the intestine.  This Pitta and Aam when mixed with the Chyle (Nutrient plasma) circulates throughout the body. 
¨ Aam blocks the Rasavaha strotas ( Channels which carry the Sweat and Sebacious system).  Thus, the flow of Rasa Dhatu (Plasma) is obstructed and gets accumulated in various parts of the body.  The Pitta, being mixed with the plasma and being hot in nature, generates excess heat causing fever.  Moreover, the sebaceous system being blocked prevents sweating and causing fever. 
¨ Different kinds of fever depend on the excess of the respective Doshas or Krumi (Viral or bacterial infection).


(d) Symptoms and Signs:
Raise in body temperature, weakness, fatigue, loss of appetite, cough, cold, headache, acidity, constipation, diminishing resistance power, chills, infections, tachycardia, stoppage of perspiration, pain in whole of the body.


(e) Line of Treatment:
Oral Medicine:
SUDARSHAN GHAN - 2 tablets twice a day.
If needed, Sudarshan Ghan can be taken upto 5 times a day.  Sudarshan Ghan reduces Aam, Pitta and releases the block in the Svedavaha Strotas promoting sweating.


(f) Guidance for diet and Life style:
To avoid the causative and prohibited food.  To take only light cooked, easily digestable food like rice, mung, leafy vegetables, home-made and nutritious diet.
During fever, fasting is essential.  Herbal tea including dry ginger, cumin seeds and coriander seeds to be given every 2 hours during fever

 
 
 
EPILEPSY

a) Introduction:
The disease in which there is loss of control of actions of body by the mind is called epilepsy.  The patient does vague movements and may fall down unconscious.  These come as attacks of epilepsy.


(b) Etiology:
If the demands of mind are not fulfilled, there is violation in its actions leading to non-controllable movements of body, irrelevant actions, violation of feelings like anger, emotions, etc. The mind gets disturbed and distracted.  Dietary and habitual causes like intake of prohibited food, roaming in sun, heat, dry wind, cold, etc.


(c) Patholgoy:
¨ Due to low Agni (digestive fire) and over intake of heavy and non compatible foods, Aam is produced.  This Aam block the path of Vata and it starts going to the head and neck affecting the nervous system.  Manovah Strotas (the channel which nourishes the psychological system and mind) being blocked by Vata, Pitta or Aam creates lots of emotional disturbances like anger, anxiety and adamancy, etc.  If the wishes and demands are not fulfilled, the patient becomes furious and hysteric.
¨ Viciated Vata in the head, being catabolic in nature, de-generates the tissues in the head.  This leads to localized or general atrophy of the brain resulting in convulsions.
¨ Due to Krumi (Bacteria or Virus), infection on brain tissues are created which damages tissues and leads to convulsions.
¨ Whenever Aam, Kapha, or Pitta shifts to the head with Vata they create a block in the path of the nerve impulse and affects the secretion of enzymes which transfer the nerve impulses resulting in convulsions and uncontrolled irrelevant movements.


(d) Symptoms and Signs:
¨ Partial for focal seizures with specific sensory, psychomotor or motor phenomenon, loss of consciousness during attacks and generalized convulsive movements, there is strange behavior likes tagger, automatic purposeless movements, utters illegible sounds and expressions, mental confusion unable to understand surroundings, prior to attack.  In long standing patients, there are symptoms of less memory and diminished drooping.
¨ In between the attacks, the patient is otherwise normal except for psychological disturbances, loss of concentration, loss of memory and grasping capacity.


(e) Line of Treatment:
Oral medicine:
¨ SARSHWATA POWDER - 1,1,1 teaspoon thrice a day with water
¨ SARSHWASTARISHTA - 0,1,1 teaspoon along with equal water twice a day after meal
¨ APAKTANTRAK BATI - 1,0,1 tablet twice a day with water
¨ LASUNADI BATI - 2 tabs after the meal with water, to reduce gas from the body.


(f) Guidance for diet and Life style:
To avoid prohibited food, late awaking hours, avoid stress, drinking alcohol and smoking.
To eat more of rice, mung, soups, old home-made, vegetables like white pumpkin, marrow, gooseberry, milk, puffed rice, raisins, and pomegranate

 
 
 
DIARRHOEA, DYSENTERY AND COLITIS

a) Introduction:
The disease in which colon (intestine) is affected and its function is despaired (i.e of separating digested food and faecal matter) is disturbed is called ‘Grahani’ in Ayurveda and Colitis or inflammation of colon mucus in modern science.  In Diarrhoea, there is frequent excretion of liquid or watery stools and in dysentery, there is defaecation with mucus and colicky pains.


(b) Division and Types:
Diarrohea, Dysentery, Colitis, Ulcerative Colitis - irritable bowel syndrome.  All divided as acute and chronic.


(c) Dysentery and Diarrohea
Etiology:
Dietary Cause:
Intake of too heavy indigestible food, oily dry, liquid, stale, fermented, sour and spicy food, taking food when earlier food is not digested, taking contaminated food, taking prohibited food in different seasons, taking incompatible food, i.e. wrong combinations like milk and salty food together.
Habit and Life style causes:
Exposure to polluted food and water, suppression of natural urges like passing urine and stool, stress, alcoholism, emotional and mental disturbances, unhygienic surroundings.


(d) Pathology (samprapti):
If a person, having excessive Vata (air), eats excess of foods like heavy beans, dry foods like raw salads, food without gravy and dry fruits, it leads to an increase in Vata.  Vata dries the faeces making it difficult to pass stool.  The various fluids of the body enter into the large intestine and rectum to liquidate the faeces.  Excessive fluids mixed with faeces severely liquidates them resulting in diarrohea.
Due to indigestion, if Aam (mucus) is created, a block is created in the passage of Vata as Aam is sticky and blocks the channels.  There  is a lot of disturbances within the abdomen resulting in flatulence, abdominal colic, back pain and abdominal cramps.  Stool is very foamy and sticky coming out frequently in pain. This is termed as dysentery.
If a person, with excess Pitta, eats more of sour, salty, spicy and hot substances, due to over active Agni (Digestive Fire), excessive solar heat and hot wind, his body becomes hot with flaring emotions like anger and jealousy.  His Pitta increases which is always hot, liquid and sharp.  The Pitta, being sharp and liquid, breaks and increases the volume of the faeces causing diarrohea.   The stool is hot, yellow or greenish in colour and of bad odour.  Excess of Pitta also creates ulcers in the colon and occasionally blood and puss passes through the stool.  If Aam is present, stool is very sticky, hot and is discharged frequently in pain.
Thus, diarrohea and dysentery is basically a disease caused due to an imbalance in Agni (Digestive Fire) and Dosha.


(e) Symptoms and Signs:
Acidity, indigestion, belching, gas trouble, loose motions, stools with mucus, occasional constipation and irregular loose motions.  There is nausea, vomiting, weakness, anorexia, foul smell from the stool, belching, motions, fever and pain in abdomen.  The body becomes weak as the ‘dhatus’ are not formed due to indigestion.  There is dehydration due to a loss of water from body and giddiness.
Diarrhoea:
Increased volume of fluidity and frequency of bowel movements causing more motions than usual, changes in stool consistency, stools with blood, puss, mucus, water, excess fatty material like oil, grease or film, pain in abdomen, colic, pain during and after stools, flatulence, irregular bowel movements with regurgitation.  During chronic dehydration there is loss of weight, appetite and pallor.
Dysentery:
Frequent semi solid stools with mucus and blood, loss of appetite, slight fever, pain and cramps in abdomen, in case of, intermittent diarrhea and constipation during ameobic dysentery, flatulence, coated tongue, nausea, heaviness in abdomen and dullness is seen.


(f) Colitis, Ulcerative Colitis and Irritable Bowel Movement:
Etiology:
Dietary Cause:
Dry foods, raw salads, sour, fermented and chilly foods, heavy foods like meat, fatty and fried foods.
Habit and Life style causes:
Over eating as well as eating less thean required, alcoholism, sleeping immediately after meals.


(g) Pathology:
¨ Extremely low agni and excess intake of the above mentioned foods inhibit proper digestion.  Indigested food particles stay in the intestinal colon and begin to get fermented.  Due to this fermentation, the food particles turn acidic.  If those food particles remain deposited and gets added onto for a prolonged period of time, acidity increases and the intestinal colon starts deteriorating.  Gradually, the lining of the intestinal colon begins to get distorted causing ulcer.  Due to low digestive power and under nourishment of the dhatus, the person becomes very weak and thin.  Excess Aam leads to heaviness, lethargy, irritability, temper, etc.  Normally, this disease is caused over quite a long period of time and likewise takes a long time to cure. 
¨ The stool is passed out in pain, is irregular, sticky and in small quantities over a period of time, occasionally, along with blood and mucus.


(h) Symptoms and Signs:
Colitis:
Abdominal pain, fever, chronic diarrhea, anorexia, weight loss, abdominal and colonic inflammation, pain and tenderness, abdominal distensions, flatulence, severe colic, vomiting, constipation and allergy to certain food.
Ulcerative Colitis: 
Irritable bowel syndrome - Diarrhoea with blood and mucus in stools, fever, peritonitis, frequency and urgency of defaecation, motion unsatisfactory, anorexia, abdominal cramps, rectal tenesmus, in long standing patients, loss of weight, weakness, aneamia and malabsorbtion leading to mainourishment and weak body.


(i) Line of Treatment:
Oral medicine:
¨ AAMPACHAK - 2 tablets twice a day
¨ PITTA SHAMAK - 1 tablet twice a day
¨ AAMNA - 2 tablets in the morning and 1 at night
¨ PRAVAL MOTI POWDER - 300 to 500 mg. twice per day


(j) Guidance for diet and life style:
Instructions:
¨ Avoid wheat, heavy beans, fatty, oily, heavy food, sour, spicy, hot and stale fermented food.  Over eating or fasting to be prevented.
¨ To eat only restricted diet consisting of old grains (roasted and cooked), liquid soups, mung, rice, red lentil, fruits like wild berry and pomegranate, preserved (not freshly made) ghee, buttermilk and easily digestable food like puffed rice and vegetable soups.  When digestion is improved, mutton soup can be taken for restoration of energy in the body.
¨ In extreme conditions of indigestions and excessive Aam, it is better to keep stomach empty for digestion of collected Aam

 
 
 
CENTRAL NERVOUS SYSTEM (CNS) DISORDER

a) Introduction:
The diseases related with central Nervous System and Brain functions come under CNS Disorders.  According to Ayurveda, they are the “Manas Vikruti” or Psychological disorders related with mind.


(b) Types:
Mental depression, Anxiety and Hysteria.


(c) Etiology:
Dietary Cause:
Food which increases Vata, Aam and Pitta like heavy indigestible food, spicy, hot , fermented, sour, stale food, over eating and in improper mood and circumstances.
Habit and Life style causes:
Mental shock, tensions, worries, late night awaking, smoking and drinking alcohol, psychological disturbances and infections.


(d) Pathology:
¨ The mind is basically composed of 3 Gunas or Attributes, Satva, Rajas and Tamas.  People dominated by ‘Satva Guna’ are sincere, commited, honest, truthful, have control over the senses, are self-disciplined, humble, trustworthy and trust others easily, etc.
¨ People dominated by ‘Rajas Guna’ are hot-tempered, sharp, precise, adamant, jealous, excess craving for authority, power and prestige, etc.
¨ People dominated by ‘Tamas Guna’ are skeptical, insecure, pessimistic, devoid of excitement, unsteady, lack of direction, servile, stagnant, etc.
¨ The mind has to be essentially consisting of ‘Satva Guna’ and less of the other 2 Gunas or Attributes. Dominance of ‘Rajas Guna’ and ‘tamas Guna’ lead to physical as well as psychological disturbances.
¨ Different people react to the same situation in different ways.  Any sensation felt is carried to the intellect by the relevant sense organ is evaluated upon by the intellect according to it’s own capacity.
¨ Consequently, the mind reacts on being affected by the intellect.
¨ Due to intake of heavy indigested food, Aam is produced which blocks the pathway of Vata and violates it affecting the ‘Manovaha Srotas’ (Channels which connect the senses and intellect with the mind).  The intellect gets corrupted an ddue to delinking of the mind and intellect, the person does not behave appropriately according to the intellect.  For example, in a situation where the intellect suggests that the individual should not be getting annoyed, he does so, being influenced by the mind.  This results due to the block in the Manovaha strotas. Excess Vata inceases the ‘Tamas Guna’ resulting in depression, phobias, suspicious nature, anxiety, feeling of loneliness, lost in world and thoughts of suicide and death, straying from the point while speaking, etc. 
¨ Excess Vata also affects the nerves degenerating or weakening them.  Whenever, the violated doshas shift in the head region they block the way of nerve impulse affecting the secretion of enzymes which transfer nerve impulses.  This breaks the link between the sense organs and intellect.  Infections also lead to damage of the brain tissue.
¨ Fermented, sour, chilly, pungent and spicy food creates excess of Pitta. 
¨ Pitta basically increases ‘Rajas Guna’ resulting in anger, jealousy, worry, violene, thirst for power and authority and using manipulative tactics to achieve them, etc.
¨ Prolonged occurrence of the above mentioned causes lead to Hysteria.


(e) Symptoms and Signs:
Depression:
Mood is depressed, irritable and anxious, various complaints of aches, pain, instability, changing thoughts, fears, situations like insanity, weeping, sometimes tears dry up, severe emotional stress, feeling of loneliness, lost in world and thoughts of suicide and death.
Hysteria:
Awareness of generalized tension, nervousness, uneasiness at work and in socializing, vague, hagging and uncertain actions, fatigue, lethargy and loss of memory, diminished memory, etc.


(f) Line of Treatment:
Oral medicine:
¨ BHRAMI DHANBATI - 2,0,2 tabs twice a day with water
¨ MASYADI QUATH - 0,1,1 teaspoon along with equal water


(g) Guidance for diet and Life style:
To avoid prohibited food which violates the doshas, mental stress, tensions, worries and habits of smoking, drinking and drugs

 
 
 
DIABETES

India’s one leading insurance company launched newly health insurance policy named “DIABETES CARE”.  And this company provides free of cost tests a year through diagnostic laboratories.
On this issue, you can think how diabetes patients are increasing in India.  Diabetes has affected more then two crore Indians.  The number is expected to be double by 2010.  Do you know, India has the largest diabetic patients in the world and every fourth diabetic is an Indian.
At present Diabetes is called a “silent killer”, an unknown enemy.   Health experts warn that diabetes is on its way to becoming Asia’s biggest scariest health crisis.  The World Health Organization (WHO) estimates that 177 million people worldwide have diabetes, a figure that is expected to surpass 300 million by 2025.  Health experts also say that half the people with diabetes don’t know they have got diabetes.
Diabetes is more common in men than women.  In the human body Insulin is secreted by pancreas gland which is connected with the digestive system.  Insulin helps the blood to convert sugar into energy.  The pancreas gland retains as much sugar as is required by the body and burns the rest of it.  But if pancreas gland stops secreting insulin or its quality is reduced or there is some obstruction due to some reason it leads to DIABETES.  In theses circumstances, sugar gets into the blood and does not get converted into energy and is expelled out of the body through urine.
In short, Diabetes is disorder of assimilation when the pancreas become Inactive or atrophied and lease to produce insulin. The body is unable to convert the sugar into energy for the muscles.
The first type is called DIABETES INSIPIDIUS ( in ayurveda “PRAMEH”) and the other is DIABETES MULLITES (in ayurveda “MADHUMEH”)

According to allopathy, the two main types of diabetes are type 1 and type 2.

(1)Type 1 : Insulin Dependent Diabetes Mellitus (IDDM) (sometime called “JUVENILE DIABETES”)
(a)Occurs in only 10-15% of all cases.
(b)Onset is normally sudden and dramatic.
(c)Tends to occur in people under age of 30.
(d)Environmental factor may also the trigger.
(e)Insulin producing cells in the pancreas are damaged so insulin most be injected keep the patient alive.

(2)Type 2:  Non Insulin Dependent Diabetes Mellitus (NIDDM) (sometime called “ADULT ONSET DIABETES)
(a)Most common form of diabetes.
(b)Onset is slow due to a gradual build up of glucose in the blood stream.
(c)Know as a life style related condition caused by excessive weight, physical inactivity and stress.  There might also be a genetic link.  It often runs in families.
(d)Usually occurs in people over 40 but it is now becoming more prevalent in children and teenagers.
(e)He body produces insulin, but it may not be sufficient or extra fat may inhibit it effectiveness.

Diabetes affects nearly every major organ in the body viz. Hearts, Nerves, Eyes and Kidneys.
People with diabetes can develop many foot related problems especially where there is nerve damage in the feet or when the blood supply is affected.  Kidney damage due to severe diabetes leads to swollen ankles, feet, hands and anemia.  Severe damage can lead to kidney failure or irreversible end stage kidney diseases requiring dialysis or a transplant.  Kidney diseases shown up 5 to 15 years after diabetes is diagnosed.  Diabetes can lead to cataracts and greater risk of glaucoma.  It is leading cause of blindness among adults between the ages 20 to 74.  Diabetes increase risk of various cardio vascular problems, including coronary artery disease with angina (chest pain), heart attack, stroke, atheroscterosis (narrowing of the arteries) and high blood pressure. It may also raise blood levels of triglycerides, a type of blood fat and lower levels of HDL (high density lipoprotein), cholesterol.  High blood sugar impairs your immune system and increases your risk of infections.


Symptoms:


(a)Gradual loss of weight
(b)Weakness and feel tired
(c)Frequent urination, particularly at night
(d)Great thirst and hunger
(e)Sometime various appetite but patient gradually become more and more emaciated and weight loss
(f)Frequent infections and slow healing of wounds or sores, gangrene
(g)Blurred vision and weak eye sight
(h)Sexual weakness
(i)Red swollen tender gums
(j)Pain all over body, particularly in legs
(k)Dry skin
(l)Itching
(m)Headache


Causes:


(a)Overweight
(b)Sedentary life style
(c)Family history (heredity)
(d)Lack of exercise
(e)Depression
(f)Anxiety
(g)Alcohol consumption in excess
(h)Excessive intake of carbohydrates like food grains sugar in any form



Do and Don’t :


(a)First, maintain a healthy and well balanced diet.
(b)Do not take swell food.
(c)Do not take stale food.
(d)Do not take heavy food.
(e)Do not take miscellaneous food.
(f)Do not take liquor.
(g)Do not take fruits like apple, chikoo, ripe mango, custard apple, etc.
(h)Take bitter, medium spicy food and astringent food are most beneficial.
(i)Cutting down on saturated dairy and animal fat.
(j)Fruit and leaves of drumsticks and Kantola are very useful.
(k)Fenugreek (methi) seeds, when given in varying doses of 25 gm to 100 gm daily diminish reactive HYPERGLYCEMIA in a diabetic patient.
(l)A spoonful of fenugreek (methi) powder with low fat milk daily, for at least 2 months will help keep the blood sugar levels under control.
(m)Do not take rice.
(n)Do not take products made of fine flour (maida).
(o)In weakness, eat raw or tender coconut to gain energy.  Also take cashews, groundnuts and walnuts soaked in water.  Taking curd, butter milk and soyabean are also beneficial.
(p)Patient should observe fast on every seventh day.  On the day of fast, should take only fruits, vegetables and lemon without sugar.  Patient should not eat anything else.
(q)Products made of besan is beneficial.
(r)Patient may take dates replaced of sugar, but in small quantity.
(s)In short, foods that may be beneficial are Onions, Garlic, Cinnamon, High fiber containing foods, beans, lentils, fenugreek seeds, fish, arrots, amla, rose apple, bitter gourd, lady finger, turnip, turmeric, honey, dates, products made of besan.
 


Other remedies to control Diabetes:


(a)Do not smoke or chew tobacco.
(b)Get a medical check up once a year.
(c)Get a yearly eye examination to catch problems early.
(d)Get a dental check up twice a year, your gums provide a common site for infection.
(e)Take care of your feet.  Wiping your feet dry, applying moisturizer, castor oil and wearing socks are the few precautions that can be taken care of.  Special footwear is also available for diabetic patients.
(f)Manage stress, get plenty of exercise particular meditation, yoga, walking.
(g)Keep weight under control.
(h)Monitor your blood sugar levels regularly.  Write down the chart of diabetes mellitus in your diary and notebook.

The below is the measure to check your diabetes level (FHB):


Blood sugar level at empty stomach 
(< 100) BEST
(100 - 125) UNABLE TO CONTROL BLOOD SUGAR LEVEL
(126 > ) DIABETES MELLITUS

(PP2BS):
After 2 hours (75 gms glucose products)
(< 140) BEST
(140 - 200) UNABLE TO CONROL BLOOD SUGAR LEVEL
(200 >) DIABETES MELLITUS

Monitor your Blood pressure ( age - above 18 years):
BP Stage                          Systolic BP (mm)            Diastolic BP (mm)
Best                                              < 120                                 < 80
Pre hypertention                         120 - 139                         80 - 89
First stage                                   140 - 159                         90 - 99
Second stage                                160 >                                100 >
Common BP                                  120                                     80
 


Medicines:


When on allopathic medicines for diabetes the first question that comes to mind is should allopathic medication be stopped while starting with ayurveda?  Most diabetes is dependent on their oral anti diabetic medicines and Insulin.  A sudden withdrawal of these medicines can have adverse effects on the patient including going into coma.  Patient should not suddenly stop allopathic medicines and should gradually taper them off while regularly checking their blood sugar levels.

(a)VASANTA KUSUMARAK RASA - 1,0,1 tabs twice a day with honey.
(b)CHANDRAPRABHA BATI  with shilajit - 2,0,2 tabs twice a day with water.
(c)SUDOL - 2,0,2 tabs twice a day with water.
(d)TIKATA - 2,0,2 tabs twice a day with water.
(e)HALDI POWDER (turmeric powder) and AMLA POWDER (embic myrobalan) should be mixed and should be taken teaspoon twice a day.
(f)GOKHSURADI GUGGAL - twice a day with water.
(None of the above suggested medicines have any side effects)

 
 
 
IMMUNITY

a) Introduction
'Rasayan Chikitsa', in Ayurveda, is practised to increase immunity or resistance power, stamina, vigour and vitality.


(b) Types:
Treatment given to people with normal health as well as people suffering from HIV Positive and ohter immune deficiency diseases.


(c) Etiology:
Dietary Causes:
Excessive intake of Caffeine, Alcohol, Fermented, Fried, Sour, Pungent, Non-compatible foods like milk and fish, milk and eggs, milk and fruits, milk and salted fod, indigestible foods and food without nutrition.
Habit and Lifestyle causes:
Inadequate sleep, stress, worry, breakdown in intimate relationships, negative mental attitude, a feeling of dissatisfaction due to one's job, lack of clarity in purpose of life, excessive intake of antibiotics, anger, over indulgence of sex, over exercise, suppression of natural urges, drug addiction, exposure to organisms (causative factors).


(d) Pathology:
¨ Ojakshaya (Immune Deficiency): The causes due to Diet, Habit and Lifestyle affect the digestive cycle, resulting in situations of heaviness after meals, regurgitation, flatulence, etc.  If prolonged, there is formation of Aam and excess of Vata and Pitta.  This leads to aggravation of certain symptoms such as inadequate sleep, stress, worry, negative mental attitude and lack of clarity in purpose of life, which in turn, affect the digestion and metabolism.
¨ Aam (mucus - a kind of toxin) present in the body hinders the various levels of metabolism whereby the nutrition is not allowed to be transferred smoothly from one tissue to another is explained in Ayurveda as formation of Dhatus.  The residue, as a result of the transfer, is converted into Oja which promotes vitality, radiance, enthusiasm, immunity, etc.  Alternatively, due to indigestion, there is prolonged situation of diarrohea, dysentery and vomiting whereby there is heavy wear and tear of the various tissues (Dhatus).  Therefore, Oja diminishes.  Consequently, immunity reduces.
¨ Each cell in the body carries along with it a memory of pleasure or pain.  Pleasure promotes regeneration and Agony, mental, emotional and physical, leads to degeneration of cells (Dhatus).  Malnourishment of the Dhatus, due to the above mentioned factors, leads to deficiency of Ojas, thereby diminishing immunity.


(e) Symptoms and Signs:
Patient shows a weak body, loss of resistance power, loss of immunity, loss of weight, poor appetite and nourishment, allergy to various conditions, body is underdeveloped and prone to infections, frequent attacks of fever, cough, cold, diarrohea, indigestion, insomnia, mental depression and loss of memory, different kinds of phobias, brooding, diminishing of overall lusture or radiance, etc.


(f) Line of treatment:
Oral Medicine:
¨ RASAYAN POWDER - 1,0,1 teaspoon twice a day or as directed by a physician,
¨ CHYAVANPRASHAVLEH - 1 teaspoon with luke warm milk,
¨ CHANDRAPRABHA BATI - 2,0,2 tabs twice a day with water

 
 
 
BLOOD PRESSURE

a) Introduction:
Blood pressure is a condition seen in various diseases related to heart and nervous system.  In Ayurveda, it is said to be caused mainly due to Aam and Pitta in the body which increases the pressure and flow of blood circulation in the body.


(b) Etiology:
Dietary Causes:
Fluid, fatty, salty, sour and pungent, chilly food, heavy beans like chickpea, kidney beans, black beans, etc.
Habit and Lifestyle causes:
Stress, anxiety, insomnia, emotional disturbances, mental shock, suppression of natural urges like sneezing, coughing and burping, etc. and exposure to extreme climatic conditions.


(c) Pathology:
¨ Basically, this ailment is related to Pitta.  Whenever due to sour, pungent, salty and chilly food, Pitta increases in chyle (Nutrient post digestive plasma), over a period of time, the overall volume of blood increases as Pitta is itself a fluid.  Hence, the blood vessels get pressurized due to increased volume and flow of blood.
¨ Due to heavy and undigested food and low Agni (digestive fire), Aam is produced which gets into the blood stream.  Aam is sticky and thick creating a block in the circulation of blood resulting in high blood pressure.
¨ Due to Aam produced in abdomen, Vata is blocked and goes in an upward direction to the head.  This creates emotional and mental imbalance and insomnia.  The person’s need of tranquility to handle situations calmly is reduced and gets stress even with small causes leading to high blood pressure.  When Vata degenerate the walls of the blood vessels, they become strictured causing contraction of blood vessels.  Vata, when affecting the muscles of the blood vessels, become entangled.  Prolonged and excess entanglement leads to fibrosis resulting in Atherosclerosis.


(d) Symptoms and Signs:
Generally non specific but usually represent as dizziness or giddiness, flushed face, headache, fatigue, epistaxis, nervousness, hyperacidity, emotional stress and anxiety, insomnia.  In severe cases hypertension causes vascular constriction leading to cerebro, cardiac renal or retinal vascular failure.


(e) Line of Treatment:
Oral Medicine and guidance for lifestyle and diet.
Oral Medicine:
¨ SARPAGANDHA DHANBATI - 2,0,2 tabs twice a day with water
¨ BRAHMI DHANBATI - 2,0,2 tabs twice a day with water

 
 
 
INDIGESTION

Indigestion is one of the digestive disorder diseases.  Indigestion is common among people.  80% of population has indigestion at sometimes.  Most of cases of Indigestion are caused by stuffs patient has eaten, whatever though allergic reaction and mixing of different foods and eatable what have rotten.  Since most cases of indigestion are not caused by serious disorders.


Symptoms


(1) Loss of appetite,
(2) Anorexia,
(3) Uneasiness after eating,
(4) Rumbling noises of bowls,
(5) Pain in the region of the stomach,
(6) Sometimes vomits,
(7) Stools of such persons contain large amounts of indigested matter.


Treatment


(1) The cardinal remedy for indigestion is light food.  It would be better if the patient takes to fasting for 24 hours or 48 hours and then takes to easily digestible food, natural food.
(2) Drink Luke warm water during fast,
(3) Stop smoking, chewing tobacco,
(4) Cutting down on or eliminating alcohol, tea, coffee,
(5) Avoid food that highly spicy and loaded with fat,
(6) Don’t eat stale, heavy, fried food,
(7) Eating slowly,
(8) Do exercises regularly.  Do yoga and meditation for the best results.


Medicines


(1) CHITRAKADI BATI or RASUNADI BATI - 2 tabs twice or thrice a day with Luke warm water.
HINGASTAIC CHURNA or SHIVAKSHAR PACHAN CHURNA - 6 gms twice a day with Luke warm water

 
 
 
CONSTIPATION

Constipation is number one digestive complaint.  Constipation is a condition in which the bowels are opened too seldom or incompletely.  It is a common complaint and a large number of people depend on laxatives and even purgatives to clear their bowels.  We read daily newspapers advertisements of remedies to relieve constipation.
Constipation is common in the elderly possible due to immobility and poor diet.


Symptoms


(1) Straining to pass feces, hard and dry stools.
(2) Inability to defecate when desired,
(3) Abdominal discomfort surrounding bowel movement and infrequently usually three times a week,
(4) Stools black, hard and foul smell,
(5) Headache,
(6) Heaviness in stomach after eating


Treatment


Most people simply require reassurance and dietary advice.
(1) A glass of water taken in morning immediately after waking up and go to walking for 1-2 miles,
(2) Do fast, drink Luke warm water during fast,
(3) Do yoga especially PAVAN MUKTA ASAN or PASCHIMOTASAN and belly exercise,
(4) Eat the wheat flour without passing it through a sieve; un milled and unpolished rice is best.
(5) Drink plenty of water.  The water intake should be three to four liters in summer and one to two liters in winter.
(6) Eat seasonal fruits especially Papaya, Apple, etc.,
(7) Avoid heavy, stale, rotten foods,
(8) Avoid fried, spicy and full of fat,
(9) Must eat leafy vegetable at the dinner time,
(10) In Chronic constipation, eat more of Cucumber, Tomatoes, Spinach and Cabbage,
(11) Do not often use any purgatives and laxatives without physician permission or advice.


Medicines


(1) HARDE POWDER - 6 mgs at bed time with Luke warm water,
(2) THRIFLA CHURNA - 6 mgs at bed time with Luke warm water

 
 
edicinal dosage of ingredients punched in to tablet is termed pills or bati.  Most of tablets are prepared by wet grinding medicines with appropriate liquids, punched into tablet form. Tablets are consumed after grinding with suitable vehicle into a fine suspension. They may also be chewed slowly but they are not to be swallowed as it is.
 
 
 
ACIDITY
Acidity refers to a set of symptoms caused by imbalance between acid secreting mechanism of the stomach and proximal intestinal and the protective mechanisms that ensure their safety.  The stomach normally secretes acid that is essential in the digestive process.  This acid helps in the breaking down the food during digestion.  When there is excess production of acid by the gastric glands of the stomach condition knows as Acidity.
Acidity tends to have a much higher incidence in highly emotional and nervous individuals.
In this condition which gives rise to gastritis (Inflammation of the mucous of the stomach) and ulcers - gastric, peptics and duodenal.  Almost all these diseases present some difficulty in diagnosis because of confused symptoms unless there is a bleeding ulcer. 

Generally the symptoms of dyspepsia are:


Symptoms


(1) Loss of Appetite,
(2) Debility,
(3) Heart burn,
(4) Feeling of indigestion,
(5) Nausea,
(6) Belching,
(7) Sometimes headache,
(8) Burning sensation in whole body.


Treatment


(1) Avoid spicy, acidic and salty foods,
(2) Smoking and alcohol consumption must be stopped,
(3) Avoid non vegetarian diet,
(4) Don’t take drugs like NSAID’S and Steroids,
(5) Patient with highly nervous and emotional disposition and those involved in high stress job must be given psychological treatment,
(6) Can take coconut water,
(7) Can drink milk as possible as,
(8) Do not skip light breakfast.


Medicine


(1) AVIPATTIKER CHURNA - 3 mgs twice a day with water,
(2) SHUTSHEKHAR RASA or KAMDUDHA RASA - 2,2 tablets thrice a day with Luke warm water

 
 
 
APPENDICITIS

Appendicitis is an inflammation of Appendix.
Appendix is a small tube like structure attached to the first part of the large intestine, also called COLON.  The Appendix is located in the lower right position of the abdomen.  Removal of the appendix appears to cause no change in digestive function.
In most cases, the specific reason for the inflammation is not known, but it is sometimes caused by small pieces of hardened stool (Faecaliths) that get stuck in the appendix.


Symptoms


(1) Loss of Appetite,
(2) Vomiting,
(3) May get constipation or diarrhea,
(4) Inability to pass gas,
(5) Pain in abdomen.  The first symptom of acute appendicitis is usually abdominal pain which initially is vague and central around navel (umbilicus).  After a few hours the pain moves to the right and constant located over the area where appendix lies.
(6) On examination, there is an area of tenderness over the area of the appendix and the muscles tend to become tight in that region.


Treatment
 

(1) Apply hot water bag on region of pain,
(2) Do not rub abdomen (belly),
(3) Do not massage on region of pain,
(4) Complete bed rest,
(5) Do not take heavy, spicy and stale food,
(6) Drink often Luke warm water,
(7) In food, use more dry Ginger, Ginger root, Cetery fruit, Garlic.
(8) Appendicectomy - Surgical removal of the appendix is most common procedure.  3 to 6 cm horizontal incision is made in the lower part of the abdomen on the right side through which is appendix is removed.  It is performed under general anesthesia.
 

Medicines


(1) CHIRAKADI BATI - 2 tabs every half hour with Luke warm water,
(2) SHIVAKHSAR PANCHAN POWDER - 3 mgs twice a day with Luke warm water

 
 
 
WORMS

Worms are found in intestines.  Sometime they come close to the rectum can be seen or come out with the stools.  Worms by themselves are not causes of diseases as is general supposed but condition is improper living worms are caused by accumulation of stools in the intestines and also caused by eating too much of sugar or sweets such as when children are allowed to eat too much sugar, cakes and similar articles of a harmful nature are the real causes which promote of worms in large numbers so proper method of removing what are termed worm symptoms is not mere expulsion of the worm powders or purgatives which is favorable for development and support of worms.  There are main four types of worms.  (1) Tapeworm, (2) Ringworm, (3) Hookworm, (4) Whipworm.


Symptoms


(1) Changing colour of feces,
(2) Tongue coated with mouth full of tough mucus,
(3) Poor appetite,
(4) Dark circle around eyes,
(5) Bloated abdomen,
(6) Constipation or Loose Evacuation,
(7) Grineling of teeth in sleep,
(8) Itching of the anus,
(9) Colic abdominal pain around umbilicus.


Treatment


(1) Do not have indigestion,
(2) Do not have constipation,
(3) Essential to keep the bowls clears, sometimes enema can be taken,
(4) Take clarified butter mixed with black pepper powder.  It allows the stools to swell and makes the intestines soft,
(5) Grind ten papaya seeds in water, mix in cup of water and drink it.  Take it regularly for seven days.


Medicines


(1) KRIMIKUTHAR RASA - 2,0,2 tabs twice a day with water,
VIDANGARISHTA - 0,1,1 teaspoon (about 20  ml)  twice a day with equal water after dinner and lunch

 
 
 
ASCITES

It is a condition in which fluids accumulate in the abdominal cavity.  The stomach of the patients gets swollen.  Everybody can decide that patient has ascites disease on his large belly.  According to ayurveda it is caused by MANDAGINI.


Symptoms
 

(1) Stomach gets large and swollen too,
(2) The legs also gets swollen,
(3) Loss of appetite,
(4) Weakness,
(5) Breathing becomes difficult,
(6) The population becomes rapid,
(7) Reduce output of urine.
 

Treatment
 

(1) As soon as patient realize that he has ascites, he should stop to take any food immediately,
(2) Do not drink water too because in this disease water is very harmful and like poise for patient,
(3) Must take only goat milk.  Goat milk is beneficial for patient,
(4) If patient gets hungry, he may take salt less, spice less, very light and in small quantity meal,
(5) Take complete bed rest,
(6) Avoid Sex,
(7) PARACENTESIS - Draining of fluid from cavity inside the body, using a hollow needle, eighter for diagnostic purpose.
 

Medicines
 

(1) JALODARARI RAS - 2 tabs twice a day with water,
(2) AROGYAVARDHINI RAS - 2,0,2  tabs twice a day with water,
(3) KUMARI ASAV - 1,0,1 teaspoons twice a day with equal water

 
 
 
Common Disease
 
 
INSOMNIA
Insomnia is difficulty in falling asleep or staying asleep or a disturbance in sleep seem inadequate.  Insomnia is not a disease.  It is a symptom that can have many different causes including stress, irregular routine life, depression, fear, nervousness, etc.  Difficulty in falling asleep is common in young and old people.
According to Ayurveda, Insomnia is due to 'disorders of vata'.

Treatment:
1) ASHWAGANDHARISHTA - 0,1,1 teaspoon along with equal water
2) NIDRUDAYA RASA - 2,0,2 tabs twice a day with water

Insomnia in other languages:
1) Unetus (in Estonian)
2) Insomnie (in French)
3) Die Schlaflosigkeit (in German)
4) Insonnia (in Italian)
5) Insomnio (in Spanish)
 
 
 
MIGRAINE
Migraine is one type of headache.  Migraine means recurrent headaches associated with visual and gastrointestinal disturbance.  Migraine is neurological disorder.  The main symptom of Migraine is one side and pulsating headache.

Treatment:
1) SAPTAMRUT LAUH TABS - 2,0,2 with Luke warm water twice a day
2) PATHYADI QUATH - 2,0,2 tablespoon along with equal water twice a day

The word MIGRAIN is a french word. It evolved from the Greek word HEMICRANIA means "half head".
 
 
 
PITYRIASIS VERSICOLOR
This is a very common skin disease.  Some patient afraid because of Leucoderma.  Only colour is same like Leucoderma.

Treatment:
1) External use of Coconut Oil on affected area,
2) Maridyadi Oil or Karanj Oil may be used,
3) KAISHORE GUGGAL - 2,0,2 tabs twice a day with water
4) MAHAMANJISTADI QUATH - 2,0,2 teaspoon along with water twice a day
Action: Expectorant, Cough, Haematinic, Anti pyretic, Appetizer
Indication: Anaemia, Feverish condition, Cough, Asthma, Debility, Hiccup, Tuberculosis, Leucorrhoea, Loss of Appetite, Brain weakness.
To take with: Normally 2 tabs twice a day along with water by chewing
 
 
 
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