Recurrent Allergies: An Ayurvedic Approach; Case Study 

 

Client Presentation: 12-year old girl present for follow up consultation for severe grass allergy, fruit allergy presenting as a rash and tingling in and around the mouth, recurrent hay fever, and mild eczema around the mouth and a constant cough. Since her last consultation the client no longer has a rash or tingling in and around the mouth, and her mother is now slowly introducing small quantities of certain organic foods back into her diet.

 

HISTORY OF PRESENTING COMPLAINTS

  • Severe grass allergies
  • Hay fever
  • Mild eczema
  • Common respiratory infections
  • Colds and viruses

 

PAST MEDICAL HISTORY

  • Seasonal asthma
  • Recurrent steroids – oral and external
  • Eats non-vegetatian food mostly at home.
  • Tonsilitis – used Ayurvedic septillion immunity herbs to clear this.

SURGICAL HISTORY

  • None

MEDICATIONS

  • Septillin – Ayurvedic immune booster
  • Bristol
  • ViitC Nature’s own gummy
  • Vit D3 drops Ostelin kids liquid
  • Inner health probiotic powder
  • Haridra khadam 1 tsp —1tsp
  • Pippalie and khadira 10ml —- 10m l with warm water.

 

FAMILY HISTORY

  • Brother with similar issues. Family as well.

 

SOCIAL HISTORY

  • N/A

 

PHYSICAL EXAMINATION

Nadi Pariksha (Pulse Examination)

  • Not assessed video consultation with mother

 

Mutra Pariksha (Examination of Urine)

  • Normal

Mala Pariksha (Stool Examination)

  • No constipation

Jihwa Pariksha (Tongue Examination)

  • Not assessed video consultation with mother

 

Shabda Pariksha (Voice Examination)

  • Not assessed video consultation with mother

Sparsha Pariksha (Touch Examination)

  • Not assessed video consultation with mother

Drik Pariksha (Eye Examination)

  • Not assessed video consultation

 

Akrti Pariksha (Physical Appearance Examination)

  • Not assessed video consultation

 

Akruti (volume and tension of pulse)

  • Not assessed video consultation with mother

 

INVESTIGATION

 

Prakruthi:            V

Vikruthi:              VPK (dominant Vata)

Agni:                     Manda agni (allergies).

 

Sub dosha Vata (Prana, Udana, Samana, Vyana, Apana):

Vyana vayu (toxic build up skin)

Prana vayu (respiratory disorders)

 

Sub dosha Pitta (Sadhaka, Alochaka, Pachaka, Bhrajaka, Ranjaka):

Bhrajaka pitta (skin rashes)

 

Sub dosha Kapha (Tarpaka, Bodhaka, Kledaka, Sleshaka, Avalambaka):

Bodhaka kapha(sinus disorders)

Tarpaka kapha (upper respiratory cough)

 

Dhatus (Rasa, Rakta, Mamsa, Meda, Asti, Majja, Shukra):

Rasa dhatu dushti (previous tonsillitis, cough)

Rasa vruddhi (repeated colds, cough or sinus congestion)

Rakta dhatu vruddhi (rash, eczema)

Rakta dhati dushti (eczema)

 

Srotas (Annavaha {Digestive}, Pranavaha {Respiratory}, Udakavaha {Fluid}, Rasavaha, Raktavaha, Mamsavaha, Asthivaha, Majjavaha, Sukravaha, Swedavaha, Purishsvaha, Mutravaha, Manovavaha, Arthavavaha {Menstruation}, Stanyavaha {Lactation}: 

Rakta vaha sroto dushti (eczema)

Mamsa vaha sroto dushti (allergies)

 

 

Prana, Tejas, Ojas:

Ojas Kshyaya (repeated allergy attacks)

 

Pathway (Internal, external, middle): Middle and external

 

Kriyakala (Accumulation (Sanchaya); Aggravation (Prakopa); Overflow (Prasara); Relocation (Sthyana Samsraya); Manifestation (Vyakti);  Complications (Bheda): Manifestation

 

Dosha gati (Direction): Urdhava pitta (tonsilitis)

Tiryag pitta (eczema)

Urdhva kapha (sinus congestion)

 

Purvaroopa (Prodormal Signs and symptoms): Colds, flu, hay fever, cough

 

Roopa (Disease Manifest Signs and symptoms): Allergies. Eczema

 

Samprapti:

 

Ayurvedic Pathogenesis (Asatmya):  

Dosha vriddhi of unknown etiological factors, but with a genetic hypersensitivity disposition has led to a decrease in digestive Fire (Agni), thus leading to doshic vitiation and a subsequent build-up of Ama in the digestive track. This has then overflowed out of the GI tract and then led to the vitiation of rasa, rakta and mamsa dhatus. From here, this has then progressed to further vitiating the doshas, and leading to doshic accumulation at the sites of weakness in the body via the dhatus, and leading to more ill-defined signs and symptoms. Finally, this has manifested in the skin as kusta – dadru or vicharchika ( eczema, allergies ) and associated low immune system

 

Conventional Perspective:

Allergies develop when the immune system has an overreaction to substances that are usually harmless. It occurs when person is exposed to an allergen. The first time, they do not usually experience a reaction, but over time the immune system to builds up a sensitivity to the substance, and learns to recognize and remember the allergen. As such, it makes antibodies to attack the substance when exposure occurs, which is referred toas sensitisation. In addition, ongoing allergy symptoms tend to cause congestion, allowing viruses or bacteria to get stuck in the upper respiratory tract, leading to respirator and sinus infections.

 

 

Ayurvedic Differential Diagnosis

 

Kusta ?

Dadru kushta ?

Vicharchika ?

 

Ayurvedic herbs:

 

We started treting chis patient as the classical advise of Charaka under – Skin Disease – Kusta

 

PRESCRIBED HERBS FOR THIS CLIENT:

  • Flora care for Kids
  • C Ultrasorb
  • Vitamin D drops continue
  • Mahatiktam ghritam cream
  • Mustarishtam 5 ml: 2 x daily
  • Septillin 5ml: 2 x daily
  • Agastya rasayanam or Gudurakam 1 tsp per day

 

IN ADDTION, BENEFICIAL AYURVEDIC HERBS FOR ALLERGIES:

 

Vata Pitta Balancing: Guduchi, turmeric, triphala, amalaki, gokshura, tulsi,

Vata Kapha Balancing: Guduchi, turmeric, triphala, amalaki, gokshura, tulsi, ashwaganda, trikatu, devadaru, rasna, cardamom, nurgundi

Pitta Vata Balancing: Guduchi, turmeric, triphala, amalaki, gokshura, tulsi,

Pitta Kapha Balancing: Guduchi, turmeric, triphala, amalaki, gokshura, tulsi, neem, manjista, sandalwood,

Kapha Vata Balancing: Guduchi, turmeric, triphala, amalaki, gokshura, tulsi, ashwaganda, trikatu, devadaru, rasna, cardmom,

Kapha Pitta Balancing: Guduchi, turmeric, triphala, amalaki, gokshura, tulsi, manjista, sandalwood, nirgundi

 

Traditional Ayurvedic Treatment(s) for these conditions:

  • The recommended follow-up treatment for this client is diet and herbs as prescribed, and very carefully introducing very small quantities of new foods into her diet.

 

Ayurvedic treatment approach for allergies:

– Avoid causative factors

– Balance Jataragni

– Remove ama

– Balance doshic imbalances and each according to allergenic food type

– Clean, wholefood, organic eating as much as possible

– Build immunity

– Bastis as/if required for Vata allergies.

– Nasya as/if required

– Panchakarma when deemed appropriate.

 

 

Ayurvedic Diet for this client:

–              Client needs to eat the foods that she does not react to.

–              Avoid sour fruits (and also tamarind), milk except ghee and buttermilk, eggplant, radish, pickles, leftover foods, newly cultivated cereals.

–              AVOID ALSO: Cold foods, raw foods, leftover foods (24 hours), frozen foods, cold water, processed and packaged foods, soft drinks, high fat foods, greasy foods.

–              (Allow 6 hours between meals and snack 3 hours after a meal, and only if hungry).

–              Within the scope of specific food allergens, eat as much Ojas increasing foods as possible

 

Ayurvedic Lifestyle advice for this client:

–              Get sufficient rest and sleep. Go to bed regular time each day.

–              Keep to a routine as much as possible.

–              Get sufficient daily activity and exercise

–              Avoids stress

 

REVIEW: 4 weeks

 

Note: It is always advised to continue any and all prescribed conventional medicine as advised by one’s healthcare practitioner. Should one use Ayurvedic herbs alongside conventional medicines, be sure to consult with your GP and/or medical specialist and your qualified Ayurvedic practitioner about any possible drug interactions and potential side effects.

 

 

CASE 5 Anovaginal Fistula: A case presentation and Ayurvedic Approach

 

BACKGROUND

32 yo female [presenting with ongoing tinnitus since 2018, ongoing attacks of vertigo since 2016,

ongoing rectovaginal fistula, where is 2018 she had a Bartholian cyst which progressed into an anovaginal fistula in the last year. Currently she has had a half fistulotomy done on the vaginal side. There is seton in place and the area has a white discharge (not every day). The client has suffered from constipation for many years. Recent colonoscopy has revealed ulceration on the intestine and colon with initial tests indicating Crohn’s disease. In 2019 client suffered from depression for which she visited a hypnotherapist and is currently working on herself to overcome this. Client also complains of joint pain on her left wrist. Client occasionally suffers from a racy heartbeat (not seen a GP for this).

 

 

HISTORY OF PRESENTING COMPLAINTS

  • Admin worker – sits for long periods
  • Married 7 years
  • Moved to Aust 7 years ago (before this history of anaemia).

 

  • In last 2 years had tinnitis. Ignored for a while. Then visited GP after some hearing loss.
  • 2018 Bartholian cyst. Had incision and drained. Returned later on. Surgery undertaken where specialist noticed the fistula tunnel. Only half fistulotomy done (vaginal side), so not to cut into sphincter muscles.
  • Colonoscopy done. Ulcers in sm. and lge. intestine. Indicated Crohn’s disease. Currently referred to gastroenterologist.
  • No rectal bleeding.

 

  • Vertigo attacks (4 in last 3 years). Head spinning and vomiting. Eventual stomach ulcer from vomiting.
  • First onset of Vertigo GP thought only food poisoning.
  • Stemitil only medication that worked to alleviate.

 

  • Lost 11 kg in 2020. Much of this was deliberate. Recent 3kg weight loss appears to be attributed to diet recommended by another Ayurvedic physician (not eating enough???).

 

  • Had depression 2019 (diagnosed??) visited hypnotherapist on India at time. Working on herself to improve from this.
  • Used to be vegetarian. Now back on meat.
  • Menses regular. Since this year period pain with more constipation during ovulation.
  • Previous PCOS diagnosis
  • Never been pregnant
  • Never been on pill
  • Scared of having sex – pain -pain is on entry, not when penis fully inserted.
  • Wants to conceive one day

 

  • Gets racy heartbeat every now and then.

 

PAST MEDICAL HISTORY

  • No hospitalisations

 

SURGICAL HISTORY

  • Half fistulotomy. See above

 

MEDICATIONS

  • None at present.

 

FAMILY HISTORY

  • Cholesterol father and recent sugar issues
  • Thyroid mother

 

SOCIAL HISTORY

  • Smoker 2 x day started last year Cannabis
  • Alcohol stopped 18 months ago. Before this 1 x beer week (4-5 years)

 

PHYSICAL EXAMINATION

Nadi Pariksha (Pulse Examination)

  • Not on client notes

 

Mutra Pariksha (Examination of Urine)

  • NAD

Mala Pariksha (Stool Examination)

  • Constipated

Jihwa Pariksha (Tongue Examination)

  • Coated

Shabda Pariksha (Voice Examination)

  • NAD

Sparsha Pariksha (Touch Examination)

  • NAD

Drik Pariksha (Eye Examination)

  • NAD

Akrti Pariksha (Physical Appearance Examination)

  • NAD

Akruti (volume and tension of pulse)

  • Not on client notes

 

Abdominal examination: Possible faeces blocked up in intestine in right hypochondriac region. Client advised to check this following day after next passing of stools. If still there after this, then need to go to GP ASAP to arrange ultrasound.

 

INVESTIGATION

  • Ensure to get colonoscopy done with specialist to confirm conventional diagnosis.

 

 

Prakruthi:            VP

Vikruthi:              VP

Agni:                     Imbalanced/Vishama

 

Sub dosha Vata (Prana, Udana, Samana, Vyana, Apana):

Apana vata (constipation, fistula, IBS)

Prana vayu (tinnitus, vertigo, depression

Samana vayu (constipation)

Vyana vayu (joint pain in wrist)

 

Sub dosha Pitta (Sadhaka, Alochaka, Pachaka, Bhrajaka, Ranjaka):

Bhrajaka pitta (ulcers)

Sadhaka pitta (depression)

 

Sub dosha Kapha (Tarpaka, Bodhaka, Kledaka, Sleshaka, Avalambaka):

Sleshaka kapha (joint pain in wrist)

Tarpaka Kapha (Vertigo)

 

Dhatus (Rasa, Rakta, Mamsa, Meda, Asti, Majja, Shukra):

Rasa kshaya (dizziness, tachycardia)

Rakta vruddhi (vertigo)

Majja kshaya (dizziness)

Majja dushti (dizziness)

Shukra kshaya (dizziness)

Artava kshaya (desire for marijuana)

Purisha vruddhi (constipation)

Purisha dushti (constipation, fistula)

 

Srotas (Annavaha {Digestive}, Pranavaha {Respiratory}, Udakavaha {Fluid}, Rasavaha, Raktavaha, Mamsavaha, Asthivaha, Majjavaha, Sukravaha, Swedavaha, Purishsvaha, Mutravaha, Manovavaha, Arthavavaha {Menstruation}, Stanyavaha {Lactation}: 

Annavaha sroto dushti (constipation, potential Crohn’s disease)

Rasa vaha sroto dushti (sensitivity to sound, palpitations)

Purisha vaha sroto dushti (constipation, fistula)
Mamsavaha sroto dushti (abscesses)

 

Prana, Tejas, Ojas:

Ojas kshaya (chronic vata disorders, palpitations)

Tejo vruddhi (ulcers)

Prana Kshaya (depression)

Prana vruddhi (dizziness, conditions of excess vata)

Majja vaha sroto dushti (pain in wrist, dizziness)

 

Pathway (Internal, external, middle): Internal and middle

 

Kriyakala (Accumulation (Sanchaya); Aggravation (Prakopa); Overflow (Prasara); Relocation (Sthyana Samsraya); Manifestation (Vyakti);  Complications (Bheda): Manifestation

 

Dosha gati (Direction): Adho downward vata, urdhava vata, Adho pitta.

 

 

Purvaroopa (Prodormal Signs and symptoms): Tinnitus, constipation, cyst, ulceration, palpitations, vertigo, cyst.

 

Roopa (Disease Manifest Signs and symptoms): Anovaginal fistula, depression.

 

Ayurvedic Pathogenesis:  This is actually got two directions


Inappropriate Vata aggravating lifestyle & food habits including potentially eating too fast and without proper chewing of food have led to Apana Vata aggravation in the anal canal causing chronic constipation. Pitta aggravating diet and lifetstyle factors have then more recently led to vitiation of Pitta leading to Brahma (vertigo), and Pana Vaya which has led to tinnitus. This has then further led to depression.  Further, the aggravation of Apana Vayu has led to vitiatation the muscle & blood, giving rise to a Bartolian cyst, which has progressed to complications of leading to an anovaginal fistula. Inappropraite diet and lifestyle habilts have also led to to poor agnia nd the development of ama in the colon whcihh has also ledto the development of ulvers in the intestine.

 

 

Conventional Perspective:

Anovaginal fistula: Anal fissures are an acute longitudinal tear or a chronic ovoid ulcer in the squamous epithelium of the anal canal. It causes severe pain, sometimes with bleeding, particularly with defecation. Thought to result from laceration by a hard or large stool, or frequent loose bowel movements. Fissures may cause internal sphincter spasming, thus decreasing the blood supply and worsening the chronic nature of the condition.

 

Tinnitus: Tinnitus is a person hearing noise or ringing in the ears, and affects about 15 to 20 percent of people. Tinnitus isn’t a condition within itself, rather it is a symptom of an underlying condition, which could include age-related hearing loss, ear injury or a disporder of the circulatory system.

 

Intestinal ulceration: It is not known why the ulcers in the large intestine and colon occur, but it is thought that continued inflammation through bacteria in the colon, as well as genetic factors that affect the immune system. Normally the immune system can suppress the inflammation, however in some cases this is not achieved, resulting in ulcers of the large intestine. One of the first diagnostic signs of Crohn’s disease is ulceration of the large intestine and colon.

 

Vertigo: Vertigo is a form of dizziness where one feels that they are spinning, or that the world is spinning around hen, especially that they change position. The condition is often the result of an inner ear problem, such as paroxysmal positional vertigo, which happens when calcium particles clump together in the inner ear. Vertigo can also be caused by Meniere’s disease which leads tp tinnitus and subsequent hearing loss, swelling or infection of the inner ear, and vestibular neuronitis and labyrinthitis.

 

Depression: Depression is associated with the lowering of a persona’ mood for a period of two weeks or more. Here, one may feel tired, sick and run down, have sleep issues, overwhelmed, disappointed, miserable, irritable, sad, and lose interest in life. One may prefer to stay home, not get work done, withdraw from friends of family, not enjoy social activities and be unable to concentrate. It can be caused by stress, life events, genetic history, medical illnesses, drug and alcohol abuse, trauma, and a number of other factors.

 

Constipation: Constipation is referred to as the passing of hard, dry stools that may be infrequent or difficult to pass. Common causes include changes in routine, not enough daily fibre intake, lack of exercise and decreased fluid intake. https://www.jeevahealth.com.au/ayurvedic-glossary/constipation-gut-health-ayurvedic-management/

 

 

 

 

Ayurvedic herbs:

 

Its been advised that fistula is a surgical conditions that needs surgery as per Ayurvedic Medicine, however the herbs may be used to reduce the inflammation .https://www.jeevahealth.com.au/ayurvedic-glossary/ayurveda-health/

 

IN ADDTION, AYURVEDIC HERBS FOR THE FOLLOWING INCLUDE: (as per the texts) 

 

ANOVAGINAL FISTULAS (Bhagandara):

Vata Pitta Balancing: Aloe vera juice, Triphala

Vata Kapha Balancing: Turmeric, Cinnamon  Ashwganda, Guggulu, Triphala

Pitta Vata Balancing: Turmeric – not in excess,  Guduchi, Aloe vera juice, Licorice, Triphala

Pitta Kapha Balancing: Turmeric – not in excess, Chitraka, Triphala, Kanchanara

Kapha Vata Balancing: Turmeric, Cinnamon, Guggulu, Triphala

Kapha Pitta Balancing: Turmeric, Kutaja, Chitraka, Kanchanara, Triphala https://www.jeevahealth.com.au/benefits-of-turmeric-as-an-anti-inflammatory-ayurvedic-medicine/

 

Jatyadhi ghee (external application) – heals external wounds including anal wounds. Soothes anal sphincter and increases speeds of healing process.

Nirgundi oil (external application) – analgesic

 

VERTIGO (BRAHMA):

Vata Pitta Balancing: Brahmi, guduchi, sariva, coriander, shankapushpi, shilajat, licorice,

Vata Kapha Balancing: Brahmi, guduchi, sariva, coriander, shankapushpi, shilajat, vacha, ginger, sarpaganda

Pitta Vata Balancing: Brahmi, guduchi, sariva, coriander, shankapushpi, shilajat, licorice,

Pitta Kapha Balancing: Brahmi, guduchi, sariva, coriander, shankapushpi, shilajat, gingo biloba,

Kapha Vata Balancing: Brahmi, guduchi, sariva, coriander, shankapushpi, shilajat, vacha, ginger, gingko biloba, sarpaganda

Kapha Pitta Balancing: Brahmi, guduchi, sariva, coriander, shankapushpi, shilajat, gingko biloba,

 

TINNITUS (KANANADA):

Vata Pitta Balancing: Guduchi, Bala, Sariva, amalaka, gokshura, jatamansi, licorice

Vata Kapha Balancing: Guduchi, Bala, Sariva, amalaka, gokshura, jatamansi, rasna, fenugreek, vacha

Pitta Vata Balancing: Guduchi, Bala, Sariva, amalaka, gokshura, jatamansi, locorice

Pitta Kapha Balancing: Guduchi, Bala, Sariva, amalaka, gokshura, jatamansi

Kapha Vata Balancing: Guduchi, Bala, Sariva, amalaka, gokshura, jatamansi, rasna, fenugreek, vacha

Kapha Pitta Balancing: Guduchi, Bala, Sariva, amalaka, gokshura, jatamansi

 

INTESTINAL ULCERATION/CHROHN’S (GRAHANI):

Vata Pitta Balancing: Shatavari, Bilwa, Turmeric, Aloe vera juice, Licorice

Vata Kapha Balancing: Turmeric, Cinnamon, Ashwaganda

Pitta Vata Balancing: Turmeric – not in excess, Guduchi,  Aloe vera juice, Licorice

Pitta Kapha Balancing: Turmeric – not in excess, Aloe vera juice, Daruharidra, Musta

Kapha Vata Balancing: Turmeric, Cimnnamon

Kapha Pitta Balancing: Turmeric, Musta, Kutaja

DEPRESSION (UNMADA):

Vata Pitta Balancing: Shatavari, Turmeric, Licorice, Brahmi, Haritaki, Licorice, Jatamamsi, Mandukaparni, Ginseng, Shatavari

Vata Kapha Balancing: Turmeric, Ashwaganda, Brahmi,  Jatamamsi, Guduchi, Ashwaganda, Shankapushpi, Bhringaraja, Tulsi,

Pitta Vata Balancing: Turmeric – not in excess , Guduchi, Licorice, Brahmi, Licorice, Jatamamsi, Mandukaparni, Ginseng, Shatavari

Pitta Kapha Balancing: Turmeric – not in excess, Brahmi, Haritaki, St John’s Wort, Jatamamsi,

Kapha Vata Balancing: Turmeric, Brahmi, Ashwaganda, Bhringaraja, Guduchi, Tulsi, Jatamamsi, Jyostismathi,

Kapha Pitta Balancing: Turmeric, Brahmi, Shankapushpi, St John’s Wort, Jatamamsi,

 

CONSTIPATION (VIBHANDA):

Vata Pitta Balancing: Triphala, katuka, psyllium, dashamoola, Castor oil, flax, licorice

Vata Kapha Balancing: Triphala, katuka, psyllium, dashamoola, flax, vasa,

Pitta Vata Balancing: Triphala, katuka, psyllium, dashamoola, castor oil, vasa, licorice

Pitta Kapha Balancing: Triphala, katuka, psyllium, dashamoola, dandelion root,

Kapha Vata Balancing: Triphala, katuka, psyllium, dashamoola,

Kapha Pitta Balancing: Triphala, katuka, psyllium, dashamoola, dandelion root,

 

 

Traditional Ayurvedic Treatment(s):

 

Bhagandara/Anal Fistula:

  • Avoidance of causative factor, Diet and lifestyle changes, Increase Agni, abhyanga, avagaha sweda, dhumapana, Ayurvedic herbs, Kshara sutra.
  • Eleven Measures are described in Dvivraniyeadhyaye for   management: Aptarpana, Alepa,  Parisheka, Abhyanga, Swedana, Vimlapana, Upnaha, Pachana, Vishravana, Snehana, Vamanaand Virechana.
  • The current gold standard for the treatment of the condition is Kshar Sutra treatment (medicated caustic thread) – a minimal invasive Ayurvedic Parasurgical procedure. It is not Available in Australia. Patients need to go to an experienced Ayurvedic physician in India for treatment.

 

VERTIGO/TINNITUS/ INTESTINAL ULCERATION/DEPRESSION/CONSTIPATION treatment options for this patient:

– Avoidance or eradication of causative factors and increase Ojas.

– Increase Mandagni and remove ama.

– Vata and Pitta pacifying herbs, lifestyle and dietary advice for the physical body, prana and senses balancing on a subtle level and meditation and mantra on a mind level.

– Abhyanga, shirodara, shirobasti, basto, Navara khizi, nasya, karana purnana, kalawa and gandush.

– Yoga, exercise, mantra, counselling, pranayama.

 

Ayurvedic Diet for this client:

–              Client needs to be on a Pitta Vata balancing/pacifying diet.

–              See the general diet chart at the end of this advice form – taking onto consideration any contraindicated food that is listed here.

–              In general, you need to eat on time, keep eating healthy food, eat warm food, wholefoods, cooked food, steamed veggies, boiled eggs or whites, lamb bone broth, goat bone broth, soaked almonds, soaked walnuts. Keep aggravating spices to a minimum and do not over-spice meals. Keep food combinations and preparation methods simple and nutritious. Add lots of buttermilk to you diet and use ghee in your cooking.

 

–              Pomegranate – 1 per day (or pomegranate juice)

–              Coconut water 200-300ml per day

–              Use ghee in cooking.

–              Upon waking: Drink a glass of warm water with aloe vera juice, or lemon, fenugreek and fresh ginger.

–              (Allow 6 hours between meals and snack 3 hours after a meal).

–              Few times per week it is recommended that you eat meat (chicken, lamb)

 

–              Breakfast: Continue with current breakfast but add in oats, soaked almonds and chia seeds.

–              Lunch: Stop fruit or fruit juice. Eat chapati with curry and some rice and buttermilk.

–              4pm: Fruit juice with apple, pear, ginger, and some carrot or beetroot.

–              Dinner: Kitchari or soup.

 

–              AVOID: Cold foods, raw foods, leftover foods (24 hours), frozen foods, cold water, processed and packaged foods, soft drinks, alcohol, coffee, wine, high fat foods, greasy foods, potatoes.

–              WATER INTAKE: Drink warm water during the day. This will also help to keep system clear of toxins and help avoid constipation.

–              Use all of the five senses at mealtimes. Create a ritual of eating to bring back the sacredness of eating.

–              Eat in a pleasant environment. Eat seated. No TV, no electronic devices.

–              Eat slowly, eat with respect/reverence for what you are eating, chew thoroughly. Savour the food. This helps prevent overeating and helps to retrain the brains wrings in relationship to food.

–              Creating a loving relationship with food is very important. Eating meditations can be of great benefit.

 

Ayurvedic Lifestyle advice for this client:

–              Regular daily routines are essential – and stick to them.

–              Daily exercise is important (yoga, swimming, walking, tai chi etc.)

–              Develop practices that centre around self-care and self-love.

–              Yoga, meditation, pranayama and chanting are highly beneficial activities.

–              Mandala colouring can be of great benefit for stress and anxiety.

–              Positive affirmations and gratitude journaling can be beneficial.

–              Aim to establish a more solid support system for yourself.

–              Work on your social life and spend time around nurturing and supportive people who foster healthy relationships.

–              Limit screen time on electronic devices and establish a regular sleeping pattern.

–              Listen to music, meditate, practice yoga, talk walks in nature.

–              Work on your sleep patterns. Aim to be in bed by 10pm and wake by 6am to 6.30 am.

–              Try to avoid the use of electronic devices after 6-7pm in the evening and allow time to wind down and relax.

–              Decrease or try to eliminate addictions over time

 

REVIEW: 4 WEEKS

 

 

Note: It is always advised to continue any and all prescribed conventional medicine as advised by one’s healthcare practitioner. Should one use Ayurvedic herbs alongside conventional medicines, be sure to consult with your GP and/or medical specialist and your qualified Ayurvedic practitioner about any possible drug interactions and potential side effects.

 

 

VATA PITTA FOOD CHART

 

USE THIS CHART AS A GUIDE.

 

PLEASE BE SURE TO AVOID FOODS THAT YOU ARE AWARE OF THAT AGGRAVATE YOUR CONDITION(S). PLEASE ALSO REFER TO THE SPECIFIC DIET ADVICE IN THE ABOVE SECTIONS.

 

VEGETABLES

Use mostly cooked vegetables. Use bitter vegetables in small amounts.

Try to eat in season with fresh produce and eat local produce whenever possible.

 

MAJOR (These are the foods to have the most often)

ArtichokeLandcressSummer Squash
AsparagusMustard GreensSweet potatoes
Bok ChoyOkraSprouts
CarrotParsnipsWinter Squash
CollardsPumpkinJerusalem Artichoke
Green BeansRutabaga

 

MODERATE (These are the foods you can have in moderation)

ArugulaDandelion GreensPapaya, Green
BeetsEndivePeas
Bell PeppersGourd SquashPlantain
Broccoli RabeJicamaPotatoes, White
Burdock RootKaleRadicchio
CabbageKarelaRadishes, Cooked
CauliflowerKohlrabiSpinach
CeleryLambsquarterSprouts
Corn, FreshLettuceWatercress
CucumberLotus Root
BroccoliOnion, Cooked

 

SELDOM (These are the foods you have on occasion)

Brussel SproutsShitake MushroomsTomatoes
EggplantPungent vegetables in excessTurnips
MushroomsSwiss ChardTurnip Greens
Onion, rawTaro Root

 

 

FRUITS

Use mostly sweet fruits, with a small amount of sour ones.

 

MAJOR (These are the foods to have the most often)

ApricotLimesGrapes
CoconutMangoPrunes
DatesOranges, sweetQuince, sweet
Figs, FreshLemonsPlums, sweet
AvocadoPineapple, sweetTangerines, sweet

 

 

MODERATE (These are the foods you can have in moderation)

ApplesKiwiRaisins
Cherries, sweetPapayaSoursop
BananasPeachesStrawberries
Berries, sweetPearsWatermelon
Grapefruit, sweetPomegranatePrunes

 

SELDOM (These are the foods you have on occasion)

CranberriesPersimmonSour fruits in excess

 

 

 

GRAINS

Since most grains are available all year round, grains are categorised by season for the dual types.

 

WINTER/SPRING

MajorMinorSeldom
BarleyBrown rice, long or sweetAmaranth
Basmati Rice, Brown or WhiteQuinoaBuckwheat
Oats, whole cookedWild riceCorn
WheatMillet
SpeltOat Bran
Rye

 

SPRING/SUMMER

MajorMinorSeldom
BarleyBrown rice, long or sweetAmaranth
Basmati Rice, Brown or WhiteWild riceBuckwheat
Oats, whole cookedCorn
WheatMillet
SpeltQuinoa
Rye

 

AUTUMN

MajorMinorSeldom
Basmati Rice, BrownBrown rice, long or sweetAmaranth
Oats, whole cookedQuinoaBuckwheat
SpeltBarleyCorn
WheatBasmati Rice, white or brownMillet
Rye

 

 

PROCESSED GRAINS (ALL YEAR)

 

MAJOR (These are the foods to have the most often)

BulgurOats, rolled, or steel cut cookedUdon Noodles
CouscousPasta, Whole WheatUnbleached White Flour
Mochi (pounded sweet rice)Rice FlourWhole Wheat Flour

LEGUMES, BEANS, AND SOYBEAN DERIVATIVES

 

MAJOR (These are the foods to have the most often)

Aduki BeansMung Dahl, Split of WholeUrad Dahl

 

MODERATE (These are the foods you can have in moderation)

Black BeansToor DahlSoybeans
Chickpeas, Black or YellowLentil, Brown and RedTempeh
Kidney BeansMuth BeansTofu

 

SELDOM (These are the foods you have on occasion)

Black-eyed PeasPinto BeansWhite Beans
Lima BeansSplit Peas, Green or YellowNavy Beans

 

 

 

NUTS AND SEEDS

 

MAJOR (These are the foods to have the in moderation)

CoconutPumpkin seedsWater Chestnuts
Poppy SeedsSunflower seedsAlmonds
Flax SeedsChia

 

All other nuts can be used occasionally.

 

 

DAIRY

 

MAJOR (These are the foods to have the most often)

Butter, unsaltedCow’s Milk (Organic) Full CreamYoghurt
Cottage CheeseGheeGoat’s Milk

 

MODERATE (These are the foods you can have in moderation)

Butter, saltedCheese, Mild and SaltedIce Cream, Homemade
Sour Cream

 

SELDOM (These are the foods you have on occasion)

Dairy Products, Commercial or PowderedIce Cream, Homemade

 

 

ANIMAL PRODUCTS

 

MODERATE (These are the foods you can have in moderation)

Fish (Freshwater)EggsChicken, White

 

SELDOM (These are the foods you have on occasion)

TurkeySeafoodBeef
TunaLambSalmon
Chicken, DarkSeafoodTurkey, Dark

 

OILS

 

MAJOR (These are the foods to have the most often)

CanolaSafflowerSunflower
CoconutSesame, Dark or Light

 

MODERATE (These are the foods you can have in moderation)

AlmondCornSoy
AvocadoOliveWalnut

 

SELDOM (These are the foods you have on occasion)

Animal Oils or LardCornVegetable Oil, Mixed

 

 

SWEETENERS

 

MAJOR (These are the foods to have the most often)

Amasake (made from rice)DatesSucanat
Barley MaltFruit Juice ConcentrateSugarcane Juice
Brown Rice SyrupMaple SyrupSweet Fruits
Brown Sugar, Unrefined

 

MODERATE (These are the foods you can have in moderation)

FructoseHoney, Raw and Uncooked

 

SELDOM (These are the foods you have on occasion)

Honey, cookedSugar SubstitutesWhite Sugar
Molasses

 

 

HERBS, SPICES AND FLAVOURINGS

 

MAJOR (These are the foods to have the most often)

Basil, FreshDillSaffron
Black CuminFennelSandalwood Chips
CarawayGaram MasalaSpearmint
CardamomKudzuTumeric
CorianderMintVanilla
CuminOrange PeelWintergreen
PeppermintTamarind

 

MODERATE (These are the foods you can have in moderation)

AjwainGinger, Dried or FreshOregano
Almond ExtractLicoricePaprika
Bay LeafMango PowderParsley
CayenneMustard SeedsRosemary
CinnamonNeem LeavesSage
ClovesNutmegSavory
Curry Powder, MildOnion, DriedTarragon
Dill Seed or LeavesOrange ExtractThyme
Garlic, CookedChilli Peppers, MildOregano
Black PepperPaprika

 

SELDOM (These are the foods you have on occasion)

Asafoetida/HingGarlic, RawMarjoram
Chilli Pepper, HotMaceOnion, Raw
Fenugreek

 

 

CONDIMENTS

 

MODERATE (These are the foods you can have in moderation)

CilantroLime JuiceSea Salt
Coconut MilkMayonnaise, Non-commercialTamari
Coconut, RoastedOlivesVinegar, Herbal/Brown Rice
Daikon, GratedPickles, Ginger or LimeWasabi
Gomasio, MildRock SaltYoghurt, Spiced
HorseradishRose WaterSesame Seeds, White
Lemon JuicePumpkin Seeds

 

SELDOM (These are the foods you have on occasion)

Ketchup/Tomato SaucePreservativesSalt, Iodised
Mayonnaise, CommercialAdditivesVinegar, Commercial
Mustard, CommercialMiso

 

 

SEAWEEDS

 

MODERATE (These are the foods you can have in moderation)

Agar-AgarHijikiSeaware
ArameKelpWakame
DulseKombu

 

 

BREWS AND BEVERAGES

 

MAJOR (These are the foods to have the most often)

Apricot JuiceDate and Fig ShakesSweet fruit Juices
Chicory BlendsLassi (Sweet Yoghurt Drink)Spelt Milk
Coconut MilkSoy MilkAlmond Milk
Cow’s Milk or Drinks, SweetRice MilkChai, Hot and Spiced

 

MODERATE (These are the foods you can have in moderation)

Aloe Vera Juice or DrinkMixed Vegetable JuicePrune Juice
Apple JuiceCow’s Milk or Drinks, Hot/SpicedPapaya Juice
Carrot JuiceGrapefruit JuicePear Juice
Carob DrinksMildly Salty or Sour BrewsHomemade Lemonade
Vegetable BoullionMixed Vegetable Juice

 

SELDOM (These are the foods you have on occasion)

AlcoholCarbonated DrinksPungent Beverages
Caffeinated DrinksChocolate DrinksTomato Juice

 

 

TEAS

 

MAJOR (These are the foods to have the most often)

Bancha (Twig)HopsPeppermint
CardamomLavenderRose Flowers
ChamomileLemon BalmRosehips
Elder FlowersLemongrassSpearmint
Fennel

 

MODERATE (These are the foods you can have in moderation)

AjwainClovesJasmine
Barley (grain tea)ComfreyMexican Bark
BlackberryEucalyptusPassionflower
BorageGingerRed Clover
ChrysanthemumHibiscusStrawberry
Cinnamon

 

 

The information provided in this article is for strictly for educational purpose only: prepared by the clinical ayurvedic students at the Jeeva Health, under the supervision of Mr Kumar – Principle Ayurvedic Practitioner. For professional help kindly contact, us at 0399399474

PCOS is a common endocrine disorder in reproductive age females. In this the ovary have various cysts which impairs the ovarian function. It is a syndrome thus a combination of various symptoms like amenorrhea (artava kshaya), irregular menstrual bleeding (yonivyapad- uterine disorders), and sub-fertility (Vandhyata), Obesity (stholya). Persistent acne, hair loss, unwanted facial hair and dark pigmentation of skin especially around the neck i.e. acanthosis nigricans as well. Underlying hormone resistance, high level of male hormone testosterone i.e. Hyperandrogenism; imbalance of LH- Luteinizing hormone and FSH- follicle stimulating hormone, make PCOS a very complex metabolic disorder.
PCOS in Ayurveda is correlated to Granthibhuta aartava dushti which has symptoms like artavakshaya, vandhyta, sthaulya, kashtartava etc.

As per Ayurveda the cause is – When the deranged vata (esp Apana vata) etc. vitiates the mamsa, shonita and meda mixed up with Kapha; thus they produce circular, raised and knotted inflammatory swelling called ‘Granthi’. This type of glandular swelling has been compared with the modern terminology ‘cyst’ which means an abnormal closed epithelium- lined cavity in the body, containing liquid or semisolid material. It is also due to jathragnia and dhatvagni dysfunction.

To summarize the pathology in PCOS is an obstruction in the pelvic cavity (Apana Kshetra) causing disorders in the flow of Vata. This in turn leads to an accumulation of Kapha and Pitta.

In PCOS, development of follicles has been arrested at one or any level and remained as it is. The cysts are follicles at varying stages of maturation and atresia. So, these cysts are not destined to ovum. Thus, this pathology is compared with Granthibhuta artava dushti i.e. cyst, as in PCOS, the follicles becomes cysts instead of developing up to mature ovum.

The main aim of Ayurvedic therapy in women with PCOS are:

  • Detoxification of body
  • Strengthening and revitalizing the female reproductive system and regularizing menstrual cycles.
    Rectifying hormonal imbalance
  • Ayurvedic therapies also help in gradual and wholesome weight loss, reduce hair, facial hair growth and reduces acne.

Thus the treatment principle is to clear obstruction in the pelvis, normalize metabolism and regulate the menstrual system (Aartava Dhatu). Kapha reducing, insulin enhancing and hormone rebalancing drugs help to the relieve symptoms of Poly Cystic Ovarian Syndrome.

Few Herbs and their action

Triphala Kwatha, Chandraprabha Vati and manibhadra churna help to clear obstruction and normalize the srotas. Especially Triphala and Guggulu are very useful for reducing excess weight.

Powder of Asparagus racemosus brings balance and strength to the menstrual system and it helps to regulate Aartva Dhatu. Sehachara removes unwanted follicles.

Powder of Guduchchadiya enhances the overall immunity

Powder of Atibala has properties of Prajasthapana, Garbhasya Daurbaly, Ahara, Balya, Brunhana and Ojo Vardhana. Therefore it helps to get conceived and avoid miscarriage.

Therapy

Uttara Vasti with 5ml of oil of Shatapushpa two consecutive days per month from the day which is completely cessation of the menstrual flow in between 4th to 10th day of the cycle is the most effective treatment in gynaecological disorders. It helps to purify and clear the Aartava Vaha Srotas, pacifies vitiated Apana Vata and improve follicular maturity.

Diet and lifestyle for PCOS

PCOS being lifestyle disorder is caused due to unhealthy diets, smoking, lack of exercise and stress. Such habits result in Obesity which is responsible for faulty ovulation in females due to PCOS which in turn causes infertility. It can happen in non-obese females too but incidences are higher in obese females. It can be controlled and prevented if PCOS patient follows certain diet and lifestyle changes as per Ayurveda.

  1. Avoid excessive sleep in the afternoon and sedentary lifestyle. Increased physical activity by exercising, yoga- suryanamaskara, and pranayama. For this at least 30minutes of exercise per day is important like brisk walk etc.
  2. Avoid stress, anxiety. Take adequate sleep at night.
  3. Avoid fried fatty food, alcohol, and smoking.
  4. Avoid cold and raw food, white bread, pasta, white rice, sugary food and drinks, fast food, processed & canned food, frozen food, overuse of corn-flakes and breakfast cereals etc.
  5. Fruits to be eaten are- oranges, lemon, sweet lime, pineapple, papaya, apple, blueberries and strawberries, red grapes, pear.
    • Grains- Oats, millets, barley.
    • Vegetables- Green leafy- spinach, kale, seasonal veggies. Avoid potato, corn and peas too much.
    • Nuts- Almonds, walnuts
    • Dairy- Buttermilk, ghee.
    • Spices- Cumin, cardamom, cinnamon, nutmeg, coriander, fennel, fenugreek.
    • Sweetener- Honey is best. Reduce intake of sugar products, which increases the Kapha in the body.
    • Beans are recommended. Nuts should be avoided.
  6. Sleep at regular time and go to bed 2-3 hrs after dinner.
  7. Take next food only when the previous food has been digested or 4-5 hrs after the previous food. Avoid eating without hunger.
  8. Drink warm water with lemon in the morning. Drink warm water all through the day.
  9. Don’t take large amount of food at once as it exerts a pressure on liver. Divide them into 5-6 smaller meals through the day.
  10. Low-fat milk is recommended. Boil milk before drinking. Drink it warm. This makes it easier to digest. Do not take milk with a full meal or with sour or salty foods. Add a pinch of turmeric or ginger to the milk before boiling it. This helps to reduce the kapha increasing qualities of the milk.
  11. Negative feelings like stress and tension should be avoided. Do not undertake physical or mental work beyond your capacity.
  12. Limit the use of contraceptives
  13. Follow an active lifestyle, yet the exercises should be according to one’s capacity. Both, excessive fasting and overeating are harmful.
  14. Smoking, drinking alcohol and using narcotics aggravates menstrual disorders.
31 Jan 2020 News

Ingredients:

  • 1 cup mung dhal (washed)
  • Vegetables – 2-4 (Optional)
  • 1 teaspoon turmeric powder
  • 1 teaspoon cumin seeds
  • 1 piece of ginger, finely chopped
  • 1 very small pinch of asafoetida
  • 1 teaspoon ground coriander
  • 2 tablespoons ghee
  • 1 teaspoon mustard seeds
  • 1 teasp. lemon juice
  • 1 teasp. Salt
  • 1 teaspoon fennel seeds

Preparation:

 

Wash rice and mung dhal in cold water 7 times and keep ready.

Heat up the ghee in a heavy bottom pan and add the mustard seeds. Fry on medium heat till they start to pop up. Add the rest of the spices and fry till they turn golden brown and give an aromatic smell (approximately 30 sec – 1 min). Do not allow them to burn. Add the vegetables and mung dhal, stir for a few seconds so that the mixture is coated with ghee, then add 4 cups boiling water. Cook with occasional stirring till its soft consistency. Serves 4 people.

 

Did you know globally, every minute, a man dies by suicide? In Australia itself, 75% of suicides are men but now it’s time to change these statistics. It’s time to have an honest conversation about mental health. The following details may be extremely shocking but they are true

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Pain Management

What is Pain,

pain is an unpleasant sensory an emotional experience caused by actual or potential tissue damage.

Acute pain refers to the tissue injury

chronic pain is persistent refers to disease usually for more than 3 months.

Type of pain:

  • Nociceptive: usually somatic, like arthritis, post-surgical, endometrial or IBS
  • Neuropathic: peripheral ex: phantom limb
  • Mixed: inflammatory

Pain management is commonly done though medication physical therapy, psychological and interventional methods.

Physiology of pain: activation of nociceptors in the skin due to damage, these signals travels up to the spinal cord and cross at the spinal cord to other side then finally to cerebral cortex.

Endogenous mediators will be released with inflammation like prostaglandins, histamine, bradykinin, serotonin, acetylcholine, lactic acid etc.

Multimodal pain management: synaptic transmission and central sensitization the medications like – Anticonvulsants, Opioids, Alpha adrenergic agonists, NMDA blockers like Ketamine, morphine etc

Different medications at the different sites of the neuronal pathways to block the pain stimulation.

Opioid receptors: inhibit the neurons at the dorsal horn and stop the release of Substance P and reduces the pain.

Poor postoperative pain management which leads to the slower recovery times, patient satisfaction, poor rehabilitation participation and outcomes, compromised patient functional outcomes, physical pain and discomfort, psychological distress, increases post-operative complications, and poor sleep hygiene.

Postoperative pain management approaches may include pharmacological, physical and psychological therapies. It’s better to avoid the narcotic medication doses, hence reduced side effects.

Mc Donald’s et al study conducted in New York introduced multimodal pain management among study group and in comparison, with the control group mentioned that by using the multi-model pain management protocol and significantly decreased a number of IV opioids doses and pain better controlled, and patients are more mobile and quickly.

What Ayurveda can offer:

Ayurveda the pain means “SOOLA”, ayurvedic treatments are affective in the management of the chronic pain. Most of the conventional remedies are not successful in the management of chronic pain, moreover, leads to the dependency and long-term side effects.

In Ayurveda the management of pain is done through herbal combination medicines along with external rejuvenation therapies like shirodhara, kativasti, dhara, potali swedam etc.

If you want to know what suits to you, or if you want to find a qualified Ayurvedic Practitioner Melbourne or  check with your practitioner or if you want to make an appointment with our practitioners, please email info@jeevahealth.com.au or ring us at 03 9939 9474.

Gastric Ulcers

Consider under Peptic Ulcer Disease (PUD). PUD mainly refers to the presence of one or more ulcerative lesion in the stomach or in the duodenum.

Causes: Chronic Helicobacter pylori infection, long term use of NSAIDS, excess acid secretions and stress.

Epidemiology;

More than 6 million cases per year in US, in Australia the annual ulcer incidence per 1000 population was 3.8 for duodenal ulcer and 0.7 for gastric ulcer. Approximately 70 000 Australians appear to receive initial treatment for a peptic ulcer each year.

It is estimated that more than 50% of the world’s population is infected with H. pylori, it increases with age. This infection invariably causes the active chronic gastritis. Pylori infection increases the risk of ulceration and bleeding in patients taking NSAIDS.

Classification: PUD is classified as

Gastric ulcers: Most often appears at the lesser curvature and gastric antrum
Duodenal ulcers: Occurs at the duodenal bulb.
Erosive gastritis: this is an acute mucosal inflammation of the stomach that does not extend beyond the muscualris mucosa.

Causes and risk factors: one of the major risk factors is Helicobacter pylori infection and second important one was chronic use of NSAIDS, glucocorticoids in combination with NSAIDS, other causes may include idiopathic, incompetent pylorus, lower oesophageal sphincter, impaired proximal duodenal bicarbonate secretion, gastrinoma. The common risk factors may include age, male sex, family history and smoking and alcohol consumption.

Diagnosis: the preliminary diagnosis is based on the history and examination which should be supported by the supper endoscopy – which remains the test of choice in this patient, which we did and confirmed that his presentation to ED due to upper GI bleeding is the ulcers in gastric antral region.

The standard care for PUD is to test for the H. pylori. However, we don’t have this facility at the hospital. Once the confirmation of the Pylori is done, which needs to be proceeded with standard treatment for Pylori infection.

Other diagnostic procedures along with upper GI endoscopy are:

  • Direct visualisation of the GI tract using video gastroscope (Contraindication if the acute perforation)
  • Biopsy of the tissue obtained during the procedure to exclude malignancy or identification of H. pylori infection

One of the differentials in this case is Upper GI carcinoma or Malignancy: which can be ruled our using this method.

Treatment:

The goal of the treatment should be to provide the symptom relief and encourage the ulcer healing.

Criteria for ICU admission: Patients who are hemodynamically unbale because of the uncontrolled GI bleeding.
Recommendation for the specialist referral such as Gastroenterologist and surgical consultation

Treatment options:

In our patient the main reason was suspected to be the use of NSAIDS, hence recommendation to stop the use of NASIDS and initiate the Proton Pump Inhibitors.

Standard care: For patients at high risk but require NSAIDS, better to use COX – 2 Selective NSAIDS and a proton pump inhibitor are recommended. They seem to reduce the incidence of NSAIDS induced peptic ulcers and subsequently the bleeding.

Misoprostol or sucralfate may be also useful in patients who must continue to take NSAIDS.

Standard treatment if of 2 antibiotics and a PPI for 10-14 days.

Triple therapy:

Most commonly used combination is: Amoxicillin + Clarithromycin + PPI (Omeprazole or lansoprazole).

Quadruple therapy: In case of triple therapy fails

  1. PPI+ Bismuth subsalicylate + Metronidazole+ Tetracycline
  2. PPI+ Bismuth sub citrate potassium + Metronidazole+ Tetracycline

PPI or H2 receptor antagonist can used before being referral to gastroenterologist.

Which needs to be followed by eradication therapy:

Combination therapy is recommended due to increased resistance of Pylori to antibiotics.

Which can be either triple or quadruple therapy plus PPI for 10-14 days as per NICE 2014 guidelines recommended for 7 days trice daily.
Prognosis

  • After adequate treatment, outcomes are typically excellent
  • Disease-associated mortality depends on general condition of patient; factors associated with increased mortality include significant blood loss, major medical comorbidities, advanced age, and endoscopic stigmata of recent haemorrhage

Prevention

  • Limit NSAID use; NSAIDs should be taken for brief courses at the lowest effective dose to control acute inflammation
    Patients anticipating long-term use may switch from a nonselective NSAID to a selective cyclooxygenase-2 inhibitor
  • Advise smoking cessation

What Ayurveda can Offer?

Ayurveda consider this condition under AMLA PITTA, one of the most common condition in the society affects all ages, classes and race. The main reason according to Ayurveda is predicted to me eating excess PITTA aggravating food such as spices, curries (CURRY) and worrying (WORRY) too much and eating too fast (HURRY).

Ayurveda recommendations:

Avoid eating excess spicy foods
Avoid eating late at night
Avoid eating deep fried foods
Avoid eating fast foods
Avoid eating fast
Take more water
Drink coconut water
Pomegranate juice
Do not skip meals
Avoid alcohol and smoking
Do not distract while eating such as watching TV or talking while eating or watching phone
Do not eat incompatible foods like fruit yoghurt at night times, pizza followed by milk shakes etc

Home remedies:

  • Use the pomegranate skin – dry powder mix it with buttermilk drink two times before food
  • Use Yasti madhu (Liquorice) powder – 1tsp with milk two times a day after food.

If symptoms persist consult your healthcare practitioner, the information provided in this article is strictly for education purpose only. If you are looking for a professional Ayurvedic practitioner to help with our health condition kindly contact us at info@jeevahealth.com.au or Ph: 03 9399474.

Drug combinations in Ayurveda

It’s been observed that the activity, the main action of the drug is activated or catalysed or accelerated by means of combination of herbs in Ayurveda, which is called as YOGA.

Explained as YOGA PRABHAVA means the formulation is getting a higher potency.

The main reason for the combination drugs or classical principle medicines is due to the combination of number of drugs commonly given  during the one episode of illness tends to increase the potency and its action, along with above mentioned reason the action of one drug combination is influences or modified or balanced with the other herbs in the combination.

Some of the uses of combinations formulas are:

  1. Increases the potency of the formula
  2. Avoid severe side effects or drug reactions
  3. To save time and money
  4. When single herb fail to meet the needs
  5. Double benefits
  6. Increases absorbability
  7. Sometimes useful in confused differential diagnosis or unidentified doshic imbalance.
  8. Useful in disease predominant in two doshas and three doshas.

Mostly the Ayurevdic formulations are named with the first ingredient mentioned in it. Other principles are main ingredient, method of preparation etc.

Based on the first ingredient

  • Sitopaladi Churna
  • Talisadi Churna
  • Nisamalaki Churna
  • Chandraprabha Vati
  • Khadiradi Vati
  • Bilwadi Gutika

Based on the main ingredient

  • Dasamularista
  • Amrita Bhallataki Lehyam
  • Kanchanara Guggulu
  • Triphala Guggulu
  • Hingvashtaka Churna

Based on therapeutic efficacy

  • Arogyavardhini Vati
  • Arshogna Vati
  • Ashmaribheda Kwatha

Based on method of preparation

  • Satadhouta Ghrita
  • Sahasradhouta Ghrita
  • Vasapatra Putapaka Swarasa
  • Ksheerabala 101 Avarti

Based on dosage and quantity of drug used

  • Shadbindu Taila
  • Ashtakatvara Taila
  • Shatpala Ghrita

Based on name of Acharya who profound

  • Chavanaprasya Lehyam
  • Agastya Hareetaki Rasayanam

Interaction of herbs and synergism in the body

Two or more herbs given at same time for two different reasons, one is to counter the action or side effect of others- which is called as antagonism the other reason is to act on the same system or location – is denoted as synergism.

Synergism:

There are various ways the drugs act in concert

  • Summation or addition: Similar in action
  • Potentiating: enhance the activity
  • Stability: preservation

Pharmaceutical process of Ayurveda

Mainly works on

  1. Easy administration
  2. Tasteful
  3. Digestible and easy elimination and assimilation
  4. More tolerable
  5. More preservable

All the above mentioned process are mentioned under the Ausadha Kalapana (medicinal formulations)

Ayurvedic Dosage form:

  1. Solid dosage forms – tablets (Gutika and vatika)
  2. Semi solid form – Jams and Ghee (Avaleha and Gritham)
  3. Liquid form – Self fermented drinks (Asavam and Aristam ) in Oil form, drvakam, swarasam, panaka, phantam etc
  4. Powder form – Dry herbal powders

Most of the combinations are made from herbs but may also contain animal, mineral sources as well.

Any questions about your personal health will directed to info@jeevahealth.com.au, the contents covered in this article are for strictly educational purpose only, for the more comprehensive help, please contact our practitioners at 03 99399474

Fibromyalgia

Chronic wide spread pain for more than 3 months along with fatigue and disruption to the sleep with or without an association with a disease (Medical or neurological) condition is considered as fibromyalgia. Often associated with co-morbidities such as anxiety and depression.

Fibromyalgia is a diagnosed as diagnosis of exclusion, means rule out other conditions are co-existed or leading up to fibromyalgia. However, it can be diagnosed predominantly though clinical diagnosis only, one among the many criteria’s are 1990 American College of Rheumatology fibromyalgia Diagnostic Criteria, which states that having more than 11 tender points of 18 fibromyalgia associated localized areas of pain, pain- affected areas among all four regions of the body and the axial skeleton for more than 3 months duration can be diagnosed with fibromyalgia.

Exact cause for the fibromyalgia is still unknown, its been predicted that alterations in the pattern of sleep and changes in neuroendocrine transmitters such as serotonin, substance P, growth hormone and cortisol suggest the regulation of the autonomic, neuro-endocrine system appears to the basis of the syndrome.

It is divided in to two different types, primary and secondary. Primary is not associated with any identifiable underlying condition, secondary associated with an underlying condition may have triggered the disordered pain, which does not explain the patients symptoms.

Central disorder of pain sensation, increases with age, predominantly happens in women. Presented along with symptoms of TMJ and IBD, increase levels of substance P in CSF, gene alterations serotonin and catecholamine’s.

“Waste basket diagnosis” is the perfect term we can use in finding the diagnosis of fibromyalgia.

Clinical Symptoms:

  • Pain
  • Paraesthesias
  • Headache
  • Fatigue
  • Morning stiffness
  • Autonomic dysfunction
  • Foggy brain (Fibro fog)

The role of HPA axis (Hypothalamic pituitary axis) is critical in stress adoption, in fibromyalgia this response is disturbed and leads to increased stress and pain. Hence, it is presented with psychiatric co-morbidities.

Nevertheless, the approach to manage this condition needs a multidisciplinary approach.

What Ayurveda can offer?

Ayurveda is a traditional system of medicine that is bases eternal concepts of health and wellbeing. It advises to follow a healthy lifestyle, diet, herbs and regular cleansing process to maintain the healthy balanced state.

Fibromyalgia is Vata Disorder, Aggrvated vata accumulates in the MAMSA (muscle, nervous and fibrous tissue) and cause the srotoavaraodha, (blockage of cannels) the information spread to central nervous system or over stimulation of CNS and leads increased secretions of Substance P in CSF, which indicated the aggravated VATA stimulation leads to the improper secretion of neuropeptides in central nervous system and causes the sensitivity and excess pain stimuli all over the body.

Available Ayurveda Treatments:

The best possible approach for the treatment of VATA disorders in Ayurvedic Medicines is: Medicated Enema (panchakarma ), five cleansing therapies need to be adopted based on the doshic imbalance and prakriti.

Following, a full spectrum of diet and lifestyle modifications along with herbs will be of great use to control the day-to-day symptoms

Finally, regular treatments from Authentic Ayurvedic Medical center- Jeeva health will offer the regular body- rejuvenating treatments like – Abhyngam, shirodhara, valuka swedam, navar khizi, podi khizi pinda swedam and kativati.

The ultimate treatment goal in fibromyalgia is chronic persistent pain and lethargy, unique Ayurvedic tretaments can provide a relief for both the chronic and acute pain and provide a natural approach for the elimination or balancing of the root cause.

For professional suggestions, please contact Jeeva health, one of our qualifies and registered Ayurveda practitioners will be able to help with diet, life style and therapeutics.

inflammation-bursa

Bursitis:

Inflammation of bursa,.

What is Bursa?

Bursa is a fluid filled sac that reduces the friction between two surfaces, such as bone and ligament or tendon and bone.

It is expected to have more than 160 bursas in the human body.

What causes the inflammation of bursa?

Most common cause for bursitis are local trauma (Direct Injury), fall on the joint, overuse injury, sports injury, excessive kneeling, leaning on the elbows for longer period of time while working at a desk.

Other systemic diseases such as RA, SLE and Gout will cause chronic and recurrent bursitis.

Infections are another important cause for the acute and chronic bursitis, can be from haematogenous spread infections from Staphylococcus aureus or other pathogens, most commonly happens due to puncture (transcutaneous) or micro trauma , less commonly due to haematogenous spread which is called as septic bursitis.

Crystalline deposits will cause bursitis in Gout.

Different types of bursitis

Most common type of bursitis is Sub acromion bursitis, which occurs at the shoulder joint, involves supra supinates muscle.

Other types of bursitis are:

Pre-patellar Bursitis (House maids knee) occurs just above the knee due to the inflammation of patellar bursa.

Infra-patellar Bursitis (clergyman’s knee) inflammation of one or more infra patellar tendons due to repetitive strain injuries

Trochanteric Bursitis causes pain on the lateral aspect of hip.

Olecranon Bursitis (Students Elbow) pain in the posterior aspect of elbow, due to constant kneeling on the joint, also happens in most computer bound sitting jobs.

Pes Anserine Bursitis happened between skin and patella, most often occurs in Obese people or in severe degenerative arthritis condition.

Most of the times the inflammation occurs due to recued subcutaneous fat and increased susceptible for direct injury.

Pathophysiology

Due to the above-mentioned reasons, there will be increased fluid secretions from synoviocytes or increased inflammation.

With the persistent inflammation there will be increase in the inflammatory cytokines, proteases, cyclooxygenases, or sodium or ureate crystals deposits may occur at the site.

Diagnosis:

Predominantly the diagnosis happens clinically by physical examination.

Physical examination may reveals that pain, swelling, local redness, aberrations, contusion, and reduced range of motion.

In septic bursitis is suspected with systemic issues such as fever or altered inflammatory markers, need for arthrocentesis / aspiration for the identification of specific bacteria is warranted most commonly performed in shoulder and knee joints.

Treatment:

Most common treatments include RICE

  • Rest
  • Ice application
  • Compression
  • Elevation
  • NSAIDS
  • Local Steroid Injections
  • Finally surgical correction may include bursectomy.

Ayurvedic Treatments:

Bursitis can be treated as generalized inflammation  by using some of the treatments such as valuka swedam or lepam or Dhara based on the presentation.

If there is reduction of subcutaneous fat; need for local Dhara treatment will be very effective.

If the Burs is intact with increased inflammation need for upanaha and lepa treatments.

Clinically best treatment for bursitis is valuka swedam., where we use herbs as such as rasandhi with sand- made in in to poultice, warm poultice will be applied gently on the joint for a period of time will give significant changes in pain and inflammation.

Some of the anti-inflammatory herbs such as Turmeric,  Boswellia, Moringa and aswgandha and Pippali (Piper Longum) will be useful in reducing some of the symptoms.

For further information please contact your healthcare practitioner or logon to jeevahealth.com.au to consult one of our practitioners based in Melbourne or Canberra.

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