National, May 22022: In a bid to promote scientific evidence-based Ayurveda across the country, a four-day National Ayurved Cardiology Symposium – first of its kind in India, was held to present and share various case studies supported with clinical data about Ayurveda’s success in treating and reversing cardiac diseases. Madhavbaug, brand of Vaidya Sane Ayurved Laboratories Ltd, a specialist in treating and reversing cardiac related ailments through their Ayurvedic treatment and therapies brought together about 5,000 doctors from across India for this virtual conference, which saw even wide participation from the practitioners of modern medicines.

The Symposium was powered by Medemy.in and MIPC chair of Maharashtra University of Health Sciences was the knowledge partner. Addressing the participants, Dr Rohit Madhav Sane, MD & CEO of Madhavbaug underscored the need for scientific evidence based practice of Ayurveda to unleash its real potential. “A major concern about Ayurveda is the lack of evidence based approach in its treatment procedure. Any treatment method to stand the test of time should be scientifically proven. We have taken a major initiative in that direction by developing a standard treatment protocol for over 100 disorders based on clinically validated data,” Dr Sane added.

In her inaugural speech, Dr Madhuri Kanitkar, Lt. Gen (Retd), Vice Chancellor of Maharashtra University of Health Sciences (MUHA) made a strong pitch for the proper documentation of Ayurveda’s success in treating various illnesses.

Echoing a similar thought, Dr Jagdish Hiremath, Chair Professor of Madhavbaug Institute of Preventive Cardiology chair by Maharashtra University of Health Sciences, said proper scientific record of various Ayurvedic treatment therapies and drugs will help the industry to make a major mark at the global level.

1510 Ayurveda Doctors participated on virtual platform of ZOOM, FB, LinkedIn etc, The four day virtual event witnessed around 82 ayurvedic cardiac specialists from Maharashtra, Gujrat, MP, UP, Karnataka, Goa presenting their extra-ordinary and challenging case studies supported by clinical data about ayurvedic management of various cardio metabolic disorders. Some of the major case studies presented during the symposium include role of Pranayama in Chronic stable angina, role of sasneha virechana in hypertension, role of vrana upkrama in diabetic wound management, role of set of asanas in primary prevention of CHF, effect of Langhan in fluid retention in known case chronic heart failure, obesity management in patients with comorbidities and role of 800 cal low carbohydrate diet and herbal medicines in diabetes patients among others.  

Dr Omkar Chaudhari, Dr Aman Kapoor, Dr Nilesh Kulthe, Dr Saadik Khan, Dr Ranjit Narang and Dr Pravin with Team of technical support Organised the complete Event.

The event assumes significance in the backdrop of sharp increase in deaths due to cardiovascular ailments, witnessed even in younger population. According to various industry reports, incidence of death due to cardio vascular disease has increased by 32 per cent in last 25 years. Interestingly, cardio related ailments remained a prime cause of hospitalisation, often a major drain on families saving and premature deaths in India. With modern medicine unable to reduce high incidence of deaths on account of cardiac illness, evidence-based success stories from Scientific Ayurveda – spearheaded by Madhavbaug is expected to make cardiac treatment affordable and accessible to many individuals across India.

Madhavbaug, has published over 150 research reports in peer reviewed allopathic medical journals – nationally and globally highlighting its success in treating and reversing lifestyle disorders like diabetes, cardio-vascular disease, hypertension and obesity.

The post Ayurveda industry set to enter cardiac department appeared first on Health Vision.

 A clinical case report

ABSTRACT

PCOS, Fallopian Tubal Blockage, Repeated Spontaneous Abortions are some of the causes of female infertility.  Hormonal treatment or drilling of ovaries, micro-surgery of fallopian tubes, IVF are some of the treatment. In Ayurveda it is named as Vandhyatva. Garbhasrava, Beeja Dushti and Mithya Ahara Vihara are some of the causes mentioned by our Acharyas. We are reporting a case of infertility due to PCOS with a surgical history of emergency laparoscopic right sided salpingectomy for ectopic pregnancy. And medical history of tab methotrixate for left side ectopic pregnancy, consequently for second time & left sided hydrosalpinx. As per the classical reference treatment was planned for four- karma (virechana karma, kala basthi and marsha nasya karma, and Uttara basthi karma) along with music therapy and yoga chikitsa, accompanied by rasayana chikitsa, to achieve shuddha garbha sambhava samagri (pure factors of fertilization & conception). Treatment plan was successful with intra uterine pregnancy and she has delivered a healthy female baby through caesarian section.

 INTRODUCTION

According to the World Health Organization (WHO), infertility can be described as the inability to become pregnant, maintain a pregnancy, or carry a pregnancy to live birth.⁽¹⁾ A clinical definition of infertility by the WHO and ICMART is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.” ⁽²⁾ Infertility can further be broken down into primary and secondary infertility. Primary infertility refers to the inability to give birth either because of not being able to become pregnant, or carry a child to live birth, which may include miscarriage or a stillborn child. ⁽³⁾⁽⁴⁾

PCOS – Poly Cystic Ovarian Syndrome is a set of symptoms due to elevated androgens (male hormones) in females.⁽⁵⁾⁽⁶⁾ Signs and symptoms of PCOS include irregular or no  menstrual periods, heavy periods, excess body and facial hair, acne, pelvic pain, difficulty getting pregnant, and patches of thick, darker, mood disorders, velvety skin.⁽⁷⁾

PCOS is the most common endocrine disorder among women between the ages of 18 and 44.⁽⁸⁾ It affects approximately 2% to 20% of this age group depending on how it is defined.^(9)(10) When someone is infertile due to lack of ovulation, PCOS is the most common cause.⁽⁵⁾

PCOS is due to a combination of genetic and environmental factors .^(11)(12)(13) Risk factors include obesity, a lack of physical exercise, and a family history of someone with the condition.⁽¹⁴⁾ Diagnosis is based on two of the following three findings: no ovulation, high androgen levels, and ovarian cysts.⁽¹⁵⁾ Cysts may be detectable by ultrasound.⁽¹⁶⁾

 Figure of pcod

PCOS has no cure.⁽¹⁷⁾ Treatment may involve lifestyle changes such as weight loss and exercise.^(18)(19) Birth control pills may help with improving the regularity of periods, excess hair growth, and acne.⁽²⁰⁾ Metformin and anti-androgens may also help.⁽²⁰⁾ Other typical acne treatments and hair removal techniques may be used.⁽²⁰⁾ Efforts to improve fertility include weight loss, clomiphene, or metformin.⁽²¹⁾ In vitro fertilization is used by some in whom other measures are not effective.⁽²¹⁾

Ectopic pregnancy is a complication of pregnancy in which the embryo attaches outside the uterus.⁽²²⁾.

Causes of tubal pregnancy

Any sexually active woman of childbearing age is at risk of an ectopic pregnancy and often the reason for the ectopic pregnancy will never be determined. Tubal pregnancy is when the egg is implanted in the fallopian tubes. Hair-like cilia located on the internal surface of the fallopian tubes carry the fertilized egg to the uterus. Fallopian cilia are sometimes seen in reduced numbers subsequent to an ectopic pregnancy, leading to a hypothesis that cilia damage in the fallopian tubes is likely to lead to an ectopic pregnancy.⁽²³⁾ Women who smoke have a higher chance of an ectopic pregnancy in the fallopian tubes. Smoking leads to risk factors of damaging and killing cilia.⁽²³⁾ As cilia degenerate, the amount of time it takes for the fertilized egg to reach the uterus will increase. The fertilized egg, if it doesn’t reach the uterus in time, will hatch from the non-adhesive zona pellucida and implant itself inside the fallopian tube, thus causing the pregnancy.⁽²³⁾ Women with pelvic inflammatory disease (PID) have a high occurrence of ectopic pregnancy.⁽²⁴⁾ This results from the build-up of scar tissue in the fallopian tubes, causing damage to cilia ⁽²⁵⁾.  If however both tubes were completely blocked, so that sperm and egg were physically unable to meet, then fertilization of the egg would naturally be impossible, and neither normal pregnancy nor ectopic pregnancy could occur.⁽²⁵⁾

A history of a tubal pregnancy increases the risk of future occurrences to about 10%.⁽²⁵⁾ This risk is not reduced by removing the affected tube, even if the other tube appears normal.  Fertility following ectopic pregnancy depends upon several factors, the most important of which is a prior history of infertility.

CASE PRESENTATION

A lady with married life of 6yrs from Bidadi in Banglore, presented with amenorrhoea -1 & ½ month, with history of irregular, scanty, painful menstruation. Her past medical history revealed twice tubal ectopic pregnancy.

Timeline

Lady had developed irregular, scanty, painful menstruation after undergoing IVF (In-Vitro-Fertilization) in one of the Hospital at Banglore in 2017. However, IVF was not successful. Ultra-sonography of the abdomen & pelvis revealed bilateral PCOD (Poly Cystic Ovarian Disease). She was treated with oral hormonal pills for 6moths. During the course of oral hormonal treatment she had regular but painful menstruation. But she did not conceive. Later she visited Ayurveda clinic in Mysore for her problems. Later in June 2018 she consulted our hospital. She underwent ultra-sonography of abdomen & pelvis (August 2018). This report also revealed as bilateral PCOD.

In 2013, she had undergone emergency laparoscopic right sided salpingectomy under spinal anaesthesia, as she was diagnosed very late with right sided ruptured tubal ectopic pregnancy.

In 2015, she had conceived second time, however, again it was left tubal pregnancy, as it was diagnosed early at 5wks, it was terminated by oral pills & was treated with medicine Methotrixate.

After that she underwent HSG (Hystero-Salpingography) & the report showed,

Left tube –hydrosalpinx in ampullary region, fimbrial end clumped. However, free spill was seen.

After this event she did not conceive.

In 2017, once she underwent IVF (In-Vitro-Fertilization) in Milan Hospital Banglore. However, it was not successful. Since then she developed irregular menstruation & diagnosed with PCOD (Poly Cystic Ovarian Disease) in ultrasonography report.

In June 2018, she came to SDM Institute of Ayurveda & Hospital Banglore. From august 2018 she was regular in taking medicine and councelling.

Menstruation was found to be irregular (50- 90 days usually gets after taking hormonal pills she used to get her menstruation), scanty, painful, 3 – 4 days -dark blackish red, more clots than liquid bleeding & required 1 pad/day, but she changed 2pads/day to maintain hygiene. Her inner garment used to get stained during menstruation.

 Diagnostic focus and Assessment

Per Vaginal Examination revealed – Uterus- AVNS, vagina was bathed in yellowish – white discharge.

Per Speculum Examination revealed – Cervical erosions all over the cervix with severe yellowish- white discharge adhered to the cervix & vagina.

HSG (Hystero-Salpingography) in 2015 – Left tube –hydrosalpinx in ampullary region, fimbrial end clumped. However, free spill was seen.

After analyzing, with the ayurvedic principles, it was diagnosed as,

‘Vandhyatva’ ‘Secondary Infertility’ due to PCOS ( PCOD, Pimples, Hair loss)

In this case, the six causative factors (Ashuddha garbha sambhava samagri (impure factors of fertilization & conception) & manasika shalyas ) for vandhyatva are explained as follows,

• Beeja dushti – Anovulation due to PCOD,
• Rutu dushti – Irregular menstrual cycle,
• Kshetra dushti – Hydrosalpinx in the ampullary region of the left fallopian tube, right sided – salpingectomy done, cervical erosion.
• Arthava dushti (Arthavakshaya,Athyarthava,Kashtarthava) – irregular menstruation, sometimes amenorhoea and other time meno-metrorrhgia/oligomenorrhoea, dysmenorrhoea.
• Ambu dushti – Body fluids -All the doshas vitiated (in bhedhavastha of shad kriyakala) and ama (free radicals) produced also vitiates body fluids. Her vyadhi kshamatva (immunity) decreased (often she gets rhinitis, cough). Homeostasis was disturbed in the body.
•  Shalyas – Stressful factors (manaha shareera bhadhakarani iti shalyani.) were present in her. As she was, physically, mentally, emotionally & socially stressed out, due to medical history. This leads to disturbance in homeostasis. Lady had entered into flight mode due to stress.

Therapeutic focus and Assessment

Chikitsa was aimed at objectives ‘A’ and ‘B’

Objectives ‘A’

1. Ashuddh garbha sambhava samagri – impure factors of fertilization & conception-rutu (ovulation & menstruation), kshetra (female reproductive system), ambu (body fluids), beeja (ovum, sperm & zygote), in order to achieve shuddha garbha sambhava samagri (pure factors of fertilization & conception).
2.  Arthava dushti irregular menstruation, sometimes amenorhoea and other time meno-metrorrhgia/oligomenorrhoea, dysmenorrhoea, in order to achieve shuddha arthava (purity & alignment in menstrual cycle & endocrinal co-ordination).
3. Shalyas -Physical, Mental, Emotional & social Stressful factors, in order to attain prassannatmendriya mana (satiation of body, mind & spiritual).

 Objectives ‘B’

1.  To attain health in mother at all levels (physical, mental, emotional, spiritual and social).
2. To obtain healthy progeny.

The chikitsa (treatment) schedule planned as below,

Deepana Pachana chikitsa – digestive & assimilative medicine-is given prior to shodhana chikitsa.

Shodhana chikitsa – detoxification treatment

Virechana karma (detoxification- Medical purgation treatment),

Sarvanga Abhyanga & Swedana (medicated oil massage & steam).

Kala basthi karma (medicated enema),

Nasya karma (medicated nasal drops),

Uttara basthi (medicated intra-uterine treatment),

Music therapy councelling and yoga – mohana raga, surya namaskara, chinmudra pranayama & meditation, omkara recitation

Oral medicines

For cervical erosion –

Sthanika chikitsa per-vaginal treatment as follows,

Yoni prakshalana- medicated vaginal wash (vaginal douch)

Yoni dhoopana – medicated vaginal fumigation  

Yoni pichchu dharana- medicted vaginal tampoon

Regular councelling was planned as per the changes & feedback from the lady and her husband.

The treatments were carried out as scheduled in the Table 1,2,3,4.

 TREATMENT SCHEDULED.

From August 2018 to October 2018

Deepana – Pachana was done with Tablet Trikatu 1-1-1 continuously for 6months.

Councelling was done daily 1hour for 10 days, then once in week for 1month- 1hr, followed by once in a week for 1month-15min.

Yoga –Surya namaskara 6times 5days in a week, Chinmudra pranayam, Meditation & Omkara recitation for 15min twice daily.

Music therapy – Mohan raga music was done for 2hours, once in a week for 3months.

Prayer –Universal Prayer shloka was given in writing & advised to recite twice daily accompanied by her husband.

 Table 1 Oral medicine

 From last week of October 2018 to first week of November 2018

Table 2 Virechana karma  Sthanika chikitsa Sarvadaihika chikitsa

SP-Sneha Pana, SAAS-Sarvanga abhyanga and swedana, VK-Virechana karma, YP-Yoni prakshalana, YD – Yoni dhoopana, YPD – Yoni pichchu dharana, C – Councelling, Music therapy.

 From last week of November 2018 to first week of December 2018

Table 3 Kala Basthi karma Sarvadaihika chikitsa

ABK – Anuvasana Basthi Karma, NBK – Niruha Basthi Karma, SAAS-Sarvanga abhyanga and swedana, SN – Surya Namaskara, CM – Chin Mudra, MT – Music Therapy, C – Councelling.

 In first week of January 2019

Table 4 Nasya karma chikitsa

MNK – Marsha Nasya Karma, C – Councelling, MT – Music Therapy

 RESULTS

 After the virechana karma followed by kala basthi, she had her menstruation on 28/12/2018 (after 6 months of amenorrhoea). Menstruation was uneventful, that is she did not suffer with any pains and liquid part was more than the clots in menstrual bleeding. Color of menstrual bleeding was light blackish red. Her inner garments were not stained.  5 Days bleeding with less small clots was observed by the patient.  Her weight also increased by 2kg after the kala basthi (from 58kg to 60kg). By this time, pimples had reduced completely. She was happy as her face was clear & chubby cheeks.

After the sthanika chikitsa (local per-vaginal treatment) through vaginal route, cervical erosion healed and healthy cervix noted.

The two follow up examination showed- P/V- uterus –AVNS, no white discharge was seen. P/S- Cx –healthy.

She missed her menstruation on 28^thJanuary 2019. On 22^nd February 2019 urine test for pregnancy was positive.

It was confirmed as intra-uterine pregnancy with gestation sac & yolk sac, in ultra-sonography of abdomen & pelvis.

Repeat scan was done on 14/03/19 which showed CRL-1.95cm, yolk sac was seen, fetal heart pulsation seen 178beats/min. Intra-uterine pregnancy of 8wks 4days.

 Discussion:

Discussion is a detailed treatment of a topic in speech or writing, in order to reach a decision or to exchange ideas. Herewith I have tried to analyse the ayurvedic samprapthi & treatments for the infertility due to PCOS & ectopic pregnancy, with the help of our proud Acharya’s principles.

It has been explained in our samhitas, the purity of arthava (menstrual flow) is the primary unit for garbhotpatti (fertilization & conception). Our acharyas have highlighted that the menstrual blood does not leave any stain on the cloth. ⁽²⁶⁾ This is the sign of purity in menstrual blood & indicates the forthcoming ovulation.

It was noted that, after course of deepana, pachana,virechana karma & kala basthi karma, menstruation was uneventful, that is she did not suffer with any pains and liquid part was more than the clots in menstrual bleeding. Color of menstrual bleeding was light blackish red. Her inner garments were not stained.  5 Days bleeding with less small clots was observed by the patient.  This indicates the purity of the arthava menstrual bleeding.

Her weight also increased by 2kg after the kala basthi (from 58kg to 60kg). By this time, pimples had reduced completely. She was happy as her face was clear & chubby cheeks.

In Charaka Samhita Shareera Sthana 4^th chapter named Mahati garbhavakranthi, commentator of Charaka Samhitha, Acharya Chakrapani has explained that, garbha gradually enters garbhashaya. However, if there is vikara in garbha, by the time it reaches kukshi or garbhashaya, it may get destroyed (kukshau jayamana; kukshau vinasham prapnoti) & brings in death (katsnyernavinashyan iti marana gachchan) ⁽²⁷⁾.

Our Acharyas have written in sutra form. While explaining the early growth of fertilized ovum, Acharya Charaka has used the term kheta bhuta which means shleshma sadrashya- slippery in nature⁽²⁸⁾, which is quiet similar to Zona pellucida-outer layer of the zygote. This layer helps the zygote, to slide down with its slippery nature, from fallopian tube to the intra-uterine cavity of the uterus for the implantation. One of the etiological factors for the tubal pregnancy is pre-mature loss of the layer zona-pellucida, loss of kheta bhuta can be compared to sthanika shleshma ksheena, when the fertilized ovum is in the ampulla part of the fallopian tube, as the fertilization occurs in the ampulla. Thus the zygote gets fixed to the fallopian tube, leading to rupture of the tube & destruction of the zygote if goes unnoticed by the medical faculty. Thus tubal pregnancy gets destroyed & increases the mortality rate of the mother.

Subserosa layer of the fallopian tube is composed of loose adventitious tissue, blood vessels, lymphatics, an outer longitudinal and inner circular smooth muscle coats. This layer is responsible for the peristaltic action of the fallopian tubes. In turn this peristaltic movement helps in the gliding movements of zygote towards the intra-uterine cavity of the uterus. These movements can be compared to apana-vata, which is present in shroni pradesh & is responsible for all the movements in the shroni. There is apana vata vigunata (improper function of apana vata). This is exhibited in the form of, irregular menstruation, sometimes meno-metrorragia other time oligomenorrhoea, dysmenorrhoea.

The inner layer of fallopian tube is a single layer of simple columnar epithelium. The columnar cells have microscopic hair-like filaments (cilia) predominantly throughout the tube, but are most numerous in the infundibulum and ampulla. Estrogen increases the production of cilia on these cells. Between the ciliated cells are peg cells, which contain apical granules and produce the tubular fluid. This fluid contains nutrients for spermatozoa, oocytes, and zygotes. This can be compared to shleshma, rasadhatu. Tubal fluid flows against the action of the cilia, toward the fimbrial end. The fertilized ovum, now a zygote, travels towards the uterus aided by activity of tubal cilia and activity of the tubal muscle. Again these movements are responsibility of apana-vata.

The early embryo requires critical development in the fallopian tube. After about five days the new embryo enters the uterine cavity and on about the sixth day implants on the wall of the uterus, which is again co-ordinate activity of vata-kapha-pitta in shroni & minute srotas in shroni.

Fallopian tube obstruction is associated with infertility and ectopic pregnancy. Risk factors for ectopic pregnancy include: pelvic inflammatory disease, often due to chlamydia infection, tobacco smoking, prior tubal surgery, a history of infertility, and the use of assisted reproductive technology. Those who have previously had an ectopic pregnancy are at much higher risk of having another one. Most ectopic pregnancies (90%) occur in the fallopian tube, which are known as tubal pregnancies (29).

Presence of multiple pimples, heavy perspiration in palms and soles, often suffering from cold, constipation, irregular menstruation (more often amenorrhoea), anxiety and depression indicates the reduced immunity, accumulation of free-radicals in the body, disturbances at mental, emotional, spiritual and social levels due to loss of zygote in twice ectopic tubal pregnancies and unsuccessful IVF.

Our acharyas have highlighted the importance of shuddh garbha sambhava samagri (pure sperm, ovum, uterus and bod fluids) to obtain a healthy garbha. And shuddhata of shareera & manas (pure body & mind) is also equally important.

Acharya Sushruta while explaining swastha laxana, has given equal importance to equilibrium at physical level-shareera (samadhosha, samagni, samadhatu, sama mala & kriyas of dosha-agni-dhatu-mala), spiritual level -prasannata of atma (satiation or brahmananda), mental level -prasannata of mana (happiness in all situations), emotional level -prasannata of indriyas (liveliness jnyanendriyas & karmendriyas).

In jathaharini adhyaya, it has been mentioned that, to get a healthy progeny, the couple have to follow ‘Dharma palana ( Dharanath dharmaha)’that is good conduct to maintain health at physical, mental, emotional, spiritual and social levels.

By considering the above mentioned etiological factors, the exclusive treatment schedule was planned to target health at physical, mental, emotional, spiritual and social level. The plan is shown in the following table 5.

Table 5 Treatment plan

      After the Deepana Pachana for 2months, virechana karma was done after the samyak snigdha laxana with trivruth leha & gandharva hasthadi taila respectively on 9^th & 10^th day.

On 15^th day follow up after the virechana karma, her pimples had subsided. Sweating in palms and soles had reduced completely. Sneezing, running nose, cold had been subsided completely. Up to 1month same health was maintained.

In second course, kala basthi karma as follows,

Anuvasana basthi- was done with Phala ghrita 75ml- for 9 days. On 6^th 12^th day of kala basthi karma, Gandharva hasthadi taila 50 ml- for 2days was used for Anuvasana basthi karma.

Niruha basthi- was done with Honey 50ml+ Saindhava lavana10gms+ Shatapushpa churna10gms+ Phala ghrita75ml+ Eranda mula churna kashaya-300ml-for 5days.

After the completion of kala basthi karma, lady had her menstruation (after 6months of amenorrhoea) on 28^th December 2018.  Lady reported that, her menstruation was uneventful, without any pains. Consistency wise liquid part was more than the clots in menstrual bleeding. The colour of menstrual bleeding was light blackish red. 5 Days bleeding with less small clots was observed by the patient. 3pads/day changed by the lady. Arthava (menstrual bleeding) highlights about homeostasis in the body, as arthava is the upadhatu (sub-part) of rasa dhatu. Homeostasis was attained. It also indicates the forthcoming ovulation.

Activeness, good healthy raport with family and friends, involvement in her daily chores and smiling face throughout the day in lady (observed by her husband, friend and in follow up check-up). This indicates the stress free body, mind, emotions, spiritual and social well being in lady. Music therapy, surya namaskara, chinmudra pranayama are the parts of rasayana chikitsa. They have succeeded in returning her regular dinacharya. Music and yoga are the part and parcel of our daily work. For manasika shalya harsha chikitsa is indicated.

From 8^th day of menstruation that is on 5^th January 2019, marsha nasya karma was started with anu-taila. The nasya treatment was done up to 11^th January 2019. Councelling and music therapy were carried out on 5^th and 11^th January 2019.

She missed her menstruation in January 2019. On 22^nd February 2019 urine test for pregnancy was done at home by patient herself, which was positive for pregnancy. It was confirmed as intra-uterine pregnancy with gestation sac & yolk sac, in ultra-sonography of abdomen & pelvis.

Repeat scan was done on 14/03/19 which showed CRL-1.95cm, yolk sac was seen, fetal heart pulsation seen 178beats/min. Intra-uterine pregnancy of 8wks 4days.

 Patient consent:

 Informed consent regarding documentation and publication of the case study was obtained from the lady & her husband. Her husband has written about this case in review column in SDMIAH.   

Conclusion:

Quality of life was hampered in lady due to irregularity in consuming food, sleep pattern, stress in day today life.

Emotional stress had taken over her completely. Hampered quality life had negative effect on shuddha garbha sambhava samagri, leading to ashuddha garbha sambhava samagri (impure factors of fertilization), irregular menstrual cycles & irregular flow, scanty flow.

She was unable to conceive child. She had history of bilateral ectopic tubal pregnancy & losing one tube in salpingectomy and the other tube with hydrosalpinx.

Ayuveda has played very impotant role through dinacharya, virechana karma, kala basthi and marsha nasya karma, music therapy, yoga and pranayama, in obtaining shuddha garbha sambhava samagri (pure factors of fertilization) in the form of delivering a healthy female child through elective caesarian section. The aim and objects which was planned before starting the treatment, has been reached successfully.

So, the term has been used as ‘tapas by the couple’ to get a healthy child.

So the saying ‘Child by choice & not by chance’ should be taught to our people.

Aviruddhe Dhruvam Daive Kale Yukthasya Karmanaha.

 Financial support & sponsorship

Lady and her husband have taken care of financial situation. No other support or sponsorship was given for this case throughout the treatment courses.

Conflicts of Interest

Author has no competing interest, as this case study was done with exclusive interest to make the lady to conceive naturally and healthy progeny.

 SARVESHAM AROGYAM BHAVATU

Dr. Bharathi D. Anvekar BAMS, MS, PhD
Professor and Consultant,
Dept of Shalya tantra, Prasuthi Tantra & Stree-Roga
S. D. M. Institute of Ayurveda & Hospital,
Banglore-74 Ph:080-22718025 Mob:98864 10690 

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REFERENCES

1. World Health Organization 2013. “Health Topics: Infertility”. Available http://www.who.int/topics/infertility/en/. Retrieved November 5, 2013.
2. Zegers-Hochschild F.; Adamson G.D.; de Mouzon J.; Ishihara O.; Mansour R.; Nygren K.; Sullivan E.; van der Poel S. (2009). “The International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) Revised Glossary on ART Terminology, 2009”. Human Reproduction. 24 (11): 2683–2687. doi:10.1093/humrep/dep343. PMID 19801627.
3. World Health Organization 2013.”Sexual and reproductive health: Infertility definitions and terminology”. Available http://www.who.int/reproductivehealth/topics/infertility/definitions/en/. Retrieved November 5, 2013.
4. Rutstein, Shea O., and Iqbal H. Shah. “Infecundity, Infertility, and Childlessness in Developing Countries.” DHS Comparative Reports No. 9 (2004): 1-57.
5. “Polycystic Ovary Syndrome (PCOS): Condition Information”. National Institute of Child Health and Human Development. January 31, 2017. Retrieved 19 November 2018.
6. “Polycystic ovary syndrome (PCOS) fact sheet”. Women’s Health. December 23, 2014. Archived from the original on 12 August 2016. Retrieved 11 August 2016.
7.  “What are the symptoms of PCOS?” (05/23/2013). National Institute of Child Health and Human Development (NICHD). Archived from the original on 3 March 2015. Retrieved 13 March 2015.
8. Teede H, Deeks A, Moran L (2010). “Polycystic ovary syndrome: a complex condition with psychological, reproductive and metabolic manifestations that impacts on health across the lifespan”. BMC Med. 8 (1): 41. doi:10.1186/1741-7015-8-41. PMC 2909929. PMID 20591140.
9. “How many people are affected or at risk for PCOS?”. Eunice Kennedy Shriver National Institute of Child Health and Human Development. 2013-05-23. Archived from the original on 4 March 2015. Retrieved 13 March 2015.
10. Editor, Lubna Pal (2013). “Diagnostic Criteria and Epidemiology of PCOS”. Polycystic Ovary Syndrome Current and Emerging Concepts. Dordrecht: Springer. p. 7. ISBN 9781461483946. Archived from the original on 2017-09-10.
11. De Leo V, Musacchio MC, Cappelli V, Massaro MG, Morgante G, Petraglia F (2016). “Genetic, hormonal and metabolic aspects of PCOS: an update”. Reproductive Biology and Endocrinology (Review). 14 (1): 38. doi:10.1186/s12958-016-0173-x. PMC 4947298. PMID 27423183.
12. ^ Jump up to:^{a b c d e} Diamanti-Kandarakis E, Kandarakis H (2006). “The role of genes and environment in the etiology of PCOS”. Endocrine. 30 (1): 19–26. doi:10.1385/ENDO:30:1:19. PMID 17185788.
13. Dumesic DA, Oberfield SE, Stener-Victorin E, Marshall JC, Laven JS, Legro RS (2015). “Scientific Statement on the Diagnostic Criteria, Epidemiology, Pathophysiology, and Molecular Genetics of Polycystic Ovary Syndrome”. Endocrine Reviews (Review). 36 (5): 487–525. doi:10.1210/er.2015-1018. PMC 4591526. PMID 26426951.
14. “How many people are affected or at risk for PCOS?”. Eunice Kennedy Shriver National Institute of Child Health and Human Development. 2013-05-23. Archived from the original on 4 March 2015. Retrieved 13 March 2015.
15. “Polycystic Ovary Syndrome (PCOS): Condition Information”. National Institute of Child Health and Human Development. January 31, 2017. Retrieved 19 November 2018.
16.  “How do health care providers diagnose PCOS?”. Eunice Kennedy Shriver National Institute of Child Health and Human Development. 2013-05-23. Archived from the original on 2 April 2015. Retrieved 13 March 2015.
17.  “Is there a cure for PCOS?”. US Department of Health and Human Services, National Institutes of Health. 2013-05-23. Archived from the original on 5 April 2015. Retrieved 13 March 2015.
18. Mortada R, Williams T (2015). “Metabolic Syndrome: Polycystic Ovary Syndrome”. FP Essentials (Review). 435: 30–42. PMID 26280343.
19. ^ Jump up to:^a b Giallauria F, Palomba S, Vigorito C, Tafuri MG, Colao A, Lombardi G, Orio F (2009). “Androgens in polycystic ovary syndrome: the role of exercise and diet”. Seminars in Reproductive Medicine (Review). 27 (4): 306–15. doi:10.1055/s-0029-1225258. PMID 19530064.
20.  National Institutes of Health (NIH) (2014-07-14). “Treatments to Relieve Symptoms of PCOS”. Archived from the original on 2 April 2015. Retrieved 13 March 2015.
21.   National Institutes of Health (NIH) (2014-07-14). “Treatments for Infertility Resulting from PCOS”. Archived from the original on 2 April 2015. Retrieved 13 March 2015.
22. Kirk E, Bottomley C, Bourne T (2014). “Diagnosing ectopic pregnancy and current concepts in the management of pregnancy of unknown location”. Human Reproduction Update. 20 (2): 250–61. doi:10.1093/humupd/dmt047. PMID 24101604.
23. Lyons RA, Saridogan E, Djahanbakhch O (2006). “The reproductive significance of human Fallopian tube cilia”. Human Reproduction Update. 12 (4): 363–72. doi:10.1093/humupd/dml012. PMID 16565155.
24. Tay JI, Moore J, Walker JJ (2000). “Ectopic pregnancy”. Western Journal of Medicine. 173 (2): 131–4. doi:10.1136/ewjm.173.2.131. PMC 1071024. PMID 10924442.
25. ^ Jump up to:^a b c d Speroff L, Glass RH, Kase NG (1999). Clinical Gynecological Endocrinology and Infertility, 6th Ed. Lippincott Williams & Wilkins (1999). p. 1149ff. ISBN 978-0-683-30379-7.
26. शुक्रशोणितशुद्धिशारीरं तत्र शुक्रशोणितयोः शुद्धयोरेव शुद्धिर्दुष्टदोषासम्पर्कता||१-२|| यदार्तवं वासः- स्थितं शुष्कमुदकप्रक्षालितं वासो न विरञ्जयेत् रागोपेतं वस्त्रं न कुर्यात् तत् प्रशंसन्ति, ‘गर्भजननाय’ इति शेषः||१७||
27. शारीरस्थानम् – २. शुक्रशोणितशुद्धिशारीरम् निबन्धसङ्ग्रह व्याख्या (डल्हण कृत )
28. Charaka samhitha shareera sthana 4^th chapter kukshau jayamana; kukshau vinasham prapnoti) & brings in death (katsnyernavinashyan iti marana gachchan) यतश्च जायमानःकुक्षौ विनाशं प्राप्नोति, यतश्च कार्त्स्न्येनाविनश्यन् विकृतिमापद्यते, तदनुव्याख्यास्यामः||३|| 
29. स सर्वगुणवान् गर्भत्वमापन्नः प्रथमे मासि सम्मूर्च्छितः सर्वधातुकलुषीकृतः  खेटभूतो भवत्यव्यक्तविग्रहः सदसद्भूताङ्गावयवः||९|| खेटः श्लेष्मा; तेन खेटभूत इति श्लेष्मसदृश इत्यर्थः
30. Cecchino GN, Araujo Júnior E, Elito Júnior J (September 2014). “Methotrexate for ectopic pregnancy: when and how”. Archives of Gynecology and Obstetrics. 290 (3): 417–23. doi:10.1007/s00404-014-3266-9. PMID 24791968.

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The declared COVID-19 pandemic has brought in so many aberrations as well as certain compulsions for everyone to adhere to. The deadly pandemic has not just led to a global lockdown, but has also forced us to reboot our lives, our approach to health, our thoughts, the way we function and a red card cautioning us to respect and revere the laws of nature.

The role of Ayurveda Rasayana:

On a personal level, the pandemic has made mankind refocus on health, forcing many to create a new template for health & wellness. The focus is on holistic health where the driving force is the need to shore up one’s immune system. In a way, this was what India’s ancient traditional system of health — Ayurveda worked on – to prevent the onset of diseases by strengthening the immune system rather than waiting for diseases to step in. More so, to strengthen the immune system, the role of Ayurveda Rasayana (rejuvenation) herbs and in modern times Super  has been found instrumental.

Whether it is COVID-19 or no COVID-19, the virus has sent a direct message loud and clear – rework on your immune system; rethink the way you work, your food and sleep habits and, more importantly, to write these messages in our DNA for the future too. This is because – if one were to look at the run of the pandemic across the globe, populations that had weak immune system suffered the most.

Pathogens can evolve naturally or artificially and become resistant to various medicines, in fact there is no medicine for viral infection any way. The novel coronavirus is such an evolved pathogen of coronavirus group, which has brought catastrophe to mankind. To prevent such cataclysm in future and to survive in post COVID-19 times, we need to rely on the old dictum — ‘prevention is better than cure’ and build enough strong immunity — the new normal, as it is immunity alone, which has the ability to eliminate the virus. In this regard, Ayurveda also provides ways for evolving physiological responses to build immunity. Recently, we have seen how people with impaired immunity are found to be more susceptible to COVID-19 and thus immunity turns out as an important preventing as well as curing factor.

Ayurveda Rasayana (rejuvenating anti-oxidant and immunomodulatory) herbs, Yoga Asanas, Pranayama (special breathing exercise), Transcendental Meditation to be added in daily regimens and personal hygiene guidelines can be helpful strategies in controlling the spread of COVID-19. The role of immuno-modulator herbs (Rasayanas) — the significant gift of Ayurveda to increase the immunity especially in the current pandemic situation has been found instrumental. Rasayana herbs can be a strong effective tool in avoiding as well as fighting the ongoing and the post-COVID-19 pandemic.

Now with emphasis on immunity-boosting, one thing brings us to the question – how to fine-tune our immune system. Neither is there a quick-fix solution nor magic pills. Routine precautions and healthy lifestyle mantras are the basic templates, but, besides all these, the role of Ayurvedic Rasayanas has been also found to be pivotal in adding ‘muscles’ to one’s immunity levels. Let’s see how the Rasayanas unfold its lion’s share in boosting immunity.

Rasayana and Immunity: An Intrinsic Look

Ayurveda enunciates the characteristics features of Rasayanas, which have a vital impact on the immune system. These are key to prevent any illness. It is obvious that if the defence mechanism of an individual is enhanced with any effective Ayurvedic Rasayana, then he or she will be able to firstly prevent the infection and if somehow infected, cope with the infection faster and with much fewer damages. The role of Rasayanas in strengthening the immune system is immense at all levels —preventing COVID, during COVID and post COVID.

Of several Rasayanas galore, Maharishi Amrit Kalash with its niche characteristics features stands out superb. It is enriched with the goodness and synergistic combination of 53 time-tested natural herbs. It is proven through about 100 scientific studies conducted internationally to nurture mind, body and spirit for enduring youthfulness, boosting immunity and re-enlivening the innate intelligence of all the organs collectively as compared to other Rasayanas which work only on targeted organs. Besides its cascading effect on health and longevity, its role in immunity-boosting is squarely steely and categorically immense.

To boost immunity, it is vital to strengthen holistic health with a well-researched Rasayana. A well-researched Rasayana can also work in a multi-directional manner to help the bodily processes regain stability and maintain it for the long-term. It also helps maintain and guard mental bliss and physical balance with utmost care and sincerity to avoid mental stress, physical imbalances and to maintain immunity. Its role is ever-green in restoring holistic health whether it is COVID or post-COVID.

Ayurveda offers simple natural ways (daily regimens), herbal combinations, herbo-mineral formulations and Yogic practices for prevention of COVID-19. The curative role of Ayurveda needs to be realised and appreciated. Based on the comprehensive knowledge and precision in Ayurveda principles, it can be claimed that Ayurveda should have a cure for COVID-19 and there is a great need to find and establish it. Moreover, the development of vaccine may be the answer for COVID-19 virus, but what about the possibility of new viruses with entirely different properties? Ayurveda can prepare the humanity to handle any future recurrence of such pandemic without loss of millions of lives.

Mr Anand Shrivastava

Chairman, Maharishi Ayurveda.

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Sports has become the next big thing for masses to enjoy and adore. Warrior heroes at Coliseums are no more to make crowds fall from their feet, replaced by these great sports athletes who perform their best at sports field to inspire us and entertain us. To keep up with the high standards of performances athletes are in this race to get better and faster each day. Most of the times the methods are great but there are some not good examples who have gone for quick, chemical based and instant gratification method.

We at WE R Wellness bring a solution to help athletes be at their best using Ayurveda. We use body workouts, herbs detox and other natural elements to bring the best in athletes so they perform well at the highest levels. All these modalities are natural and chemical free. Use of natural herbs, oils and natural products to make this magic for performance enhancement, faster recovery and for injury rehab and post hub.

We need to use Ayurveda life style

Ayurveda can impact body work, nutrition, rehab program, faster recovery program all for the better performance of the athletes. It’s the lack of knowledge and awareness which keeps it way from the mainstream industry. But present pandemic also in its own way sensitised the world for the importance of the natural healing system. Acceptance of Ayurveda by individual athletes and the administrative authorities is the key for this industry to grow.

Ayurveda can help to maintain the body at its best possible biological existence. We in chemical age tend to age fast just losing the edge to have a younger body though we are chronologically aging. Stress, no good nutrition, not right diet habits, no right rest, are reason fast deterioration of the body’s biology and physiology. We need to use Ayurveda life style, detox, and herbs to make body younger from with in.

Gut health is key for well-being

Ayurveda Gut care programs are best designed to achieve this. Strengthening bones to enhancing strength and endurance all can be achieved with this. Gut health is key for absorption of nutrition. It’s best to heal the body from with in. Good health means healthy mind as neurotransmitters can give you unbiased suggestion for the stress events. So gut is key for good mind and body.

We age as the time passes but during that time how we treat our body and what we place in it will determine how this body shapes up in future. For athlete body and mind are even more sacred as it is directly linked to a great performance in future. Ayurveda as a life style and a healing modality can influence the athlete’s life at various levels to make an impact felt for the betterment of sports industry at whole.

There is this huge lacuna in terms of organised natural evidence based effective system which can deliver faster recovery, non invasive injury management and better integrated rehab program for making the athletes more healthy and stronger from with in. Ayurveda will make India an unique offering global market for sports performance enhancement, recovery program and injury management.

Dr Onkar Rajiv Bilgi
Co-founder – We R Wellness

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What is Parkinsonism?

Parkinsonism is a clinical syndrome characterised by tremor at rest, rigidity, postural an gait abnormality due to distinctive pathology of brain, where there is degenerative changes in brain stem nuclei including dopaminergic substantia nigra, pars compacta with presence of lewy bodies in the remaining cells. This disease is commonly known to affect the older age group i.e., over the age of 65 yrs. Early onset features can occur before the age of 40 years. It is said to be more common in men than in women in most populations.

Causes for parkinsonism

The exact cause for the disease Parkinsonism is unknown. It is believed that combination of several factors are involved in the development of Parkinsonism such as aging, environmental toxins such as exposure to pesticides and genetic predisposition.  There is an high risk in people who are exposed to some pesticides and also among those who have had earlier head injuries.

Pathology involved

The actual pathology involved in Parkinsonism disease is degeneration of substantia nigra (Present in brain), loss of dopaminergic neurons; which in turn lead to deficiency of dopamine leading to manifestations such as abnormal movements, tremors, impaired balance and posture; which are said to be the characteristic feature of Parkinsonism.

Diagnosis

More often the diagnosis of Parkinsonism is based on the clinical observations, the presenting signs and symptoms and detailed history. Other diagnostic aids such as CT and MRI brain can be used to rule out other disease.

Clinical Presentation of Parkinsonism

The most obvious early symptoms are tremor, rigidity, slowness of movement, and difficulty with walking. Parkinson’s disease dementia becomes common in the advanced stages of the disease. Depression and anxiety are common. Other symptoms include sensory, sleep, and emotional problems.

Treatment 

There is no cure for Parkinson’s disease. It’s just treating the actual symptoms with drugs useful for treating motor symptoms are levodopa, dopamine agonists and MAO-B inhibitors. Other rehabilitative therapy like exercise programs are recommended in people with Parkinson’s disease

Understanding Parkinsonism in Ayurveda

In Ayurveda each and every disease is understood in terms of Doshas Vata, Pitta, Kapha and this Parkinsonism disease based on its clinical features can be compared with that of Kampa Vata where predominantly there is impairment of Vata Dosha in the body. Literally the term Kampa Vata means, a disease caused by Vata Dosha having Kampa (Tremors) as a characteristic feature. Bench mark of Ayurveda specifies Karapadatale Kampa (shake in hands and feet), Dehabhramana (Instability in Postur), Mati Kshaya (Dementia), Stambha (Stiffness), Nidrabhanga (Distressed sleep), Chesta Hani (Slow movement), Vinamana (Bent Posture), and Vakvikruti (Speech chaos) as the clinical structures of Kampa Vata which accurately resembles with that of Parkinsonism Disease.

Treatment in Ayurveda

As the disease is mainly caused due to Vata Dosha Snehana (Oleation) and Swedana (Sudation) line of treatment would be beneficial. The specific line of treatment mentioned for Kampa Vata is Abyanaga (Oil Massage), Swedana (Sudation), Virechana (Purgation), Anuvasana-Niruha Basti (Enema Therapy) and Siro Basti (Retension of oil on head). Based on the intensity of Dosha Vitiation one can plan permutation and combination of these therapy according to the patient presentation.

Success case story

A Parkinsonism diagnosed; non-diabetic and non-hypertensive, male patient of age 68yrs hailing from Bangalore visited our OPD with complaints of bilateral shaking of hands and legs, postural disability, dementia, short step gait and unable to perform his day to day activities without any support. Suffering with these complaints since from last 4yrs. History revealed; no members in the family suffered from similar complaints, no history of trauma.

The course of disease onset was gradual starting with shaking of extremities, difficulty in movements especially walking, sometimes suffered from constipation and increased frequency of urine.

Treatment given

• Sarvanga Churna Pinda Sweda (Powder hot poultices therapy) with Jadamayadi and Kottamchukkadi Churna for 7days.
• Sadhyo Virechana (Purgative therapy) – Gandharva Hastyadi Taila – 40ml + Milk – 40ml
• Sarvanga Abhyanga (Oil Massage) + Patra Pinda Sweda (hot poultices therapy with leaves having medicinal properties)
• Eranda Mooladi Qwatha Basti (Enema therapy)
• Internally – Kapikachu Churna – 1tsp twice a day; with ½ glass of warm milk for 1 month

As it is a degenerative neurological disease there is necessity of treatments to be followed for multiple sittings for better and promising results.  Hence forth on 2^nd visit; patient was treated with

• Sarvanga Churna Pinda Sweda (Powder hot poultices therapy) with Jadamayadi and Kottamchukkadi Churna for 7days.
• Sadhyo Virechana (Purgative therapy) – Gandharva Hastyadi Taila – 40ml + Milk – 40 ml
• Sarvanga Abhyanga (Oil Massage) + Patra Pinda Sweda (hot poultices therapy with leaves having medicinal properties)
• Rajayapana Basti
• Internally – Ashwagandha Churna 1tsp; twice daily with ½ glass of warm milk for 1 month.

The signs and symptoms were markedly reduced and patient felt better by about   60-70%. Based on the clinical assessment on the next follow up treatment course will be decided.

Probable mode of action 

Abyanga and Swedana treatment would counter act on Vata Dosha thereby reducing the symptoms such as tremors, rigidity, improving the posture and daily routine. (Pakvashaya) Large intestine is the main seat of Vata. Vata is one which controls all the neurological activities, Basti is the treatment applied directly to the main seat of Vata. Dhatukshaya abnormalities of Vata can be treated through Basti Karma.

Vata is the chief cause of Kampavata when Vayu is controlled by the action of Basti all other disturbed body elements fall into almighty and equilibrium. Basti helps to strengthen the joints, soft tissue and rejuvenate the health.

Last but not the least I would like to say Ayurveda in right hands can be preventive, curative and front line treatment for many such aliments than just an alternative therapy.

“Ayurvedo Amrutanam”

Dr Midhun Mohan
Pancha Karma Consultant
Adichunchangiri Ayurvedic Medical College
Nagarur, Bangalore
Mob: 8197430761

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In the present era, filled with stress, cruelty, insecurities, deviation in health (like PCOD, Hypertension and Diabetes Mellitus), humans have forgotten compassion & perseverance or rather all positive emotions. Observing this the questions comes to every mind, as,

• Can’t we live healthy & happily?
• Can’t we leave behind healthy society & environment?
• Can’t we reproduce quality progeny?

The answer is ‘Yes’ to all the three questions.  

Theoretically positive answer is easy to recite. Practical application is also easy. However, the difficulty lies in practise by the people. Doctor/Vaidya plays an important role in all aspects. Especially ayurvedic doctors have more responsibilities.

Answer to all the above mentioned 3 questions is explained as follows:

In order to live happily, Ayurveda has contributed dinacharya, rutucharya and achara rasayanas to reach the goal, which is explained in the following shloka sutra:

Samadosha samagnischa samadhatu malakriyaha I

Prassannatmendriya manaha swastha ityabhidheeyate II

Loka desham idam deha desham I

The meaning & applied aspect of this sutra is, human is an epitome of this vast nature that is universe. Human physical body primarily is made up of tridosha (vata, pitta, kapha), or agnis (jataragni, dhatwagni, panchabhutagni), dhatus (rasa, raktha, mamsa, medas, asthi, majja & shukra) & malas (pureesha, mutra & sweda). In every nook & corner of the body dosha dhatu, agni & mala should be maintained anatomically and physiologically.

 Humans need to maintain peace & satiation deep from the inner core of visible and invisible body so as to keep oneself in tune with the universal peace & satiation. This will create sukhayu.

As human is an epitome of this universe, they need to be in par excellence with nature along with its other living & non living things. Going in this track in parallel to everything in nature will create hithayu. This is the answer for the first & second question. For the third question answer is explained in following paragraph:

Through Ayurveda it is possible to have, quality reproduction.

In Ayurveda it has been mentioned by our acharyas that in order to have a healthy progeny, four essential substances are required, called as garbha sambhava samagri. They are as follows:

• Shuddha arthava
• Shuddha shukra
• Shuddha kshetra
• Shuddha ambu

To attain this shuddhata, couple need to undergo certain ayurvedic treatment procedures in hospital. Along with this Couple need to maintain health at 5 levels. They are,

Level one – Physical

Level two – Mental

Level three – Emotional

Level four – Spiritual

Level five – Social

If people follow dinacharya, rutucharya and maintain health at five levels under the guidance of a doctor, they can lead a healthy happy life. Thus Ayurveda can contribute to attain health for all, so as to be healthy, happy, to leave behind healthy society & environment and to reproduce healthy progeny.

Dr Bharathi D. Anvekar

Consultant & Professor

Dept of Prasuthi Tantra Stree-Roga & Shalya Tantra

SDM Institute of Ayurveda & Hospital

Bengaluru 560096

Ph : 080 -23241888

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Coriander is aromatic and is popularly used as afresh herb to flavour vegetables and curries. It is a stimulant, carminative, stomachic, used in sore throat, fever, thirst and other common ailments.

Coriander is an aromatic herbaceous plant grown for its fruit and leaves in kitchen gardens as well as a commercial crop. The seeds (fruit) of this crop are used as condiment and as a major constituent of curry powder. The seeds and leaves contain essential oil rich in “linalool’ which accounts for the aromatic character of the plant. The leaves are used as salad and are rich source of vitamins C and A. Used in the ailments like dyspepsia, flatulence and piles.

The oil is in good demand in other countries for flavouring liquors like gin and beverages and a variety of food products. Coriander can be cultivated on almost all types ot soils provided sufficient organic manure is applied under irrigated conditions. Unirrigated crop may be cultivated on heavy soils which have better water retention capacity. Generally, it could be grown effectively on both light sandy and heavy loam soils.

PARTS USED: Leaves, stem and seeds.

CHEMICAL COMPOSITION: Moisture — 86.3 gms, Protein — 3.3 gms, Fat — 0.6 gm, Carbohydrate — 6.3 gms, Calcium —140 mgs, Phosphorus—60 mgs, Iron—8 mgs, Vitamin A — 8645 – 1, 35,807, IU Vitamin El — 49 meg, Vitamin B2 — 60 meg, Niacin — 0.7 mgs, Vitamin C — 131 mgs, Potassium — 453 mgs, Oxalic acid — 5 mgs,

 MEDICINAL PROPERTIES

1. Gargling the leaf juice or chewing the leaves is good for stomatitis.

2. Vomiting with indigestion- two spoons of the juice mixed with buttermilk is to be taken twice daily.

3. As it contains Iron, if taken with honey, the juice of the leaves improves the haemoglobin in anaemic patients.

4. In nasal bleeding, the juice of the leaf can be used as nasal drop.

5. Juice with   candy,   if   taken   controls   the   undiagnosed giddiness.

6. A glass of buttermilk mixed with fresh leaf is very good for digestion. It is to be taken after meal.

7. Chewing habit of the leaf prevents dental caries.

8. Honey with the leaf juice, if taken daily early morning improves immunity.

How to use Coriander in your diet – click here for details

Dr.Vasundhara Bhupathi
No 222, 2nd E cross, 3rd Block
3rd Stage Basaweswara nagar
Bangaluru 79
Mob: 9480334750

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Ayurveda for a stress-free childhood

• When was the last time you had a good laugh with your children?? Playing their favourite game, forgetting all your pending works, meetings and deadlines?
• Is your child having any recreational activity every day? Or are they hyper scheduled with school, tuition and coaching classes not getting enough time to inculcate their passion?
• Is stress playing a bigger role in your kid’s life than you imagined it to be?

For most of us, the answer to this question is a resounding “YES”. Stress is the greatest threat in today’s era affecting mostly the urban population, distressing the adults and children equally.

More often then we intend to, we find it difficult to give time for our children and family. Meeting the deadlines, keeping up with the schedule, keeps us on our toes rendering us demanding.

With the examination flu in the air, stress is taking away the happiness from the children and with that their productivity.

Stress starts in the child from the moment they wake up to school, to make it on time for their classes, to get the calculations right, to ace in exams, for choosing the right career when they grow up etc.

Sometimes we consciously overlook the stress of our children in their path to excellence. It could be because we too are in the virtual rat race. When the parents are stressed out it reflects on the kids as well.

With the growing need for the future minds to ace in their subject of interest, more responsibilities lie on the shoulders of parents. For which it is utmost important that primarily the parents are keeping their inner peace. Through this article an attempt is made to share few health tips advises and lifestyle correction to parents to follow and instill in their children for a stress-free life.

Too much stress compromises our health physically, mentally and emotionally causing a plethora of symptoms like anxiety, anger, fatigue, headache, depression, insomnia.

Luckily for us, our Indian medical science has answers to all these maladies. Ayurveda shines in its capacity to distill a host of complex ailments into three basic bio elements called the ‘doshas’. This distinction helps to illuminate the path towards healing for everyone.

Ayurveda at home

Ayurveda offers a beautiful perspective for combating the stress in children. It starts with the time they wake up

Brahma muhurthauttishte.

It is said that the best time to wake up is in the brahma muhurtha which is from 3-am to 6-am. This is the best time to acquire “brahma” (knowledge). Researchers also agree that human brain cells tend to be more receptive during early part of the dawn. Fresh morning air helps to bring the mind in the positive frame, resulting in stress free study.

Yoga

The practice of yoga involves stretching the body and forming different poses, while keeping breathing slow and controlled. There are multiple ways that yoga can minimise the stress levels. Studies show that the most effective way in which yoga targets stress is by lifting one’s mood and bringing positivity; simultaneously getting us into better moods, enabling us to be more focused on the present moment. Yoga has psychological and spiritual benefits. It is a very effective stress reliever; it improves concentration to deal with situations with a calm mind. It also helps to maintain body fitness and increases the immunity. Practice of yoga from childhood is going to benefit the child on the long run.

Pranayama

“Breathing the prana ”PRANAYAMA

Haven’t we all thought of a dream vacation? To escape into the woods or a hill station, probably even a beach!

What most of us do not realize is that we have an effective inexpensive and safe remedy for anxiety and stress right in their hands. It is our Breath!!!

PRANAYAMA consists of two words, prana breath, ayama extension. It simply means extension of breath and thus the life through breath. Taking the attention to the breath can help free the mind of unnecessary clutter of thoughts that breed anxiety.

The other regimes mentioned in this article for de-stressing requires practice for a long term, but pranayama is the only one which gives instantaneous effect. There are different types of pranayama like the nadishuddhipranayama, sheetali, sheetakari and brahmari. Among these, brahmari benefits a lot for anxiety. Brahmari, when practised immediately alleviates anger, anxiety and helps for self-healing. The vibration of the humming sound creates a soothing effect on the mind and nervous system. You can get started right now.

To practice the Brahmari Pranayama just follow these simple steps:

1. Sit in a comfortable meditation asana, preferably padmasana or siddha asana (sitting on the ground with folded legs) with hands resting on the knees in chin mudra(index finger tucked under thumb, other three fingers extended and palm facing upwards)

2. Close the eyes and relax the whole body.

3. The lips should remain gently closed with the teeth slightly separated throughout the practice. This allows the sound vibration to be heard and felt more distinctly.

4. Raise the arms sideways and bend the elbows, bringing the hands to the ears. Use the thumb finger to plug the ears or the flaps of the ears may be pressed without inserting the fingers.

5. Cover the eyes with remaining four fingers.

6. Bring awareness to the centre of the head, where ajna chakra is located, and keep the body still. Inhale through the nose.

7. Exhale slowly and in a controlled manner while making a deep, steady humming sound like a bee. The humming should be smooth, even and continuous for the duration of the exhalation. The sound should be soft and mellow, making the front of the skull reverberate. At the end of exhalation, the hands can be kept steady or returned to the knee and then raised again for the next round.

This is brahmari pranayama which leaves one totally mesmerised by its effect. Meditation is also an incredibly powerful tool for relaxing and slowing down the mind. But it is too much to ask the child to do meditation. Adults can follow it for relaxation.

Abyanga

Application of oil and self-massage is the best way to remove the tension. It relaxes the mind and body, relieves stress meanwhile nourishing the skin and hair. Abyanga should be resorted to daily. It wards off old age, exertion, bestows good vision and promotes good sleep. Parents or grand-parents can help younger children with abyanga. Older kids and teenagers can be trained how to self-massage before bathing.

Snana

Taking bath gives an instant zeal. It removes the tiredness from body and mind. It is rejuvenating and should be indulged every day. Whenever stressed, a bath again relaxes the nervous system, release tension and calms the mind.

Padabyanga

Padabyanga is massaging the feet and legs with medicated Sneha (oil or ghee) focusing on the reflex points. Massage to the foot calms the mind, relaxes and revitalises the body. It removes fatigue, promotes sleep and one of the best remedy for stress. Massaging the foot before bed gives the desired effects. Padabyanga can be done by self in older kids once trained, in young children parents can help in the massage.

Dr. Chaitra.S
Associate Professor (Kayachikitsa)
SDM Institute of Ayurveda and Hospital,
Bengaluru
Ph: 8971-564-998
Email:ayur.chytra@gmail.com

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So common among women, yet the cause is unknown to us. And we are still creating theories, doing experiments in laboratories and fighting with this unknown bull. It just to women with no cause what so ever, and then your life change for forever. Form one doctor to another, from one medicine to another, the struggle continues.  You got me right; I am talking about the Polycystic Ovarian Syndrome (PCOS) – the puzzle of the century.  For some women it is like a lifelong curse where they experience all the worst symptoms. Managing problems such as Irregular periods, or diabetes, or obesity, hair fall, acne and hirsutism (unwanted body hairs) is itself difficult and takes a whole life to manage them. Think about a person who has got it all at once. Many PCOS women say to me, ‘I do not know how many births I need to take to overcome such difficult issues’. Well, in this article I am going to talk about hirsutism in PCOS and how Ayurvedic medicines can help you.

Neither all women with unwanted hairs have PCOS, nor do all the PCOS women suffer with these unwanted hairs on their body. Studies says, almost 80% of women with high levels of androgens (male hormones) have PCOS. By the name PCOS women generally believe there is serious problem only in their ovaries. They don’t see the doctor unless the symptoms of PCOS start troubling them especially if it is something to do with their external beauty. Irregular cycles do not bother them as much as this particular symptom take over their self-esteem, make them depressed and anxious. And that troublesome symptom is ‘Hirsutism- unwanted excess growth of hairs over face, chest and tummy’. Hirsutism is medically defined as the presence of terminal coarse hairs in females in a male-like distribution due to excess androgen activity.

Let me tell you a story of one of my patients named Neela (imaginary name). Neela was in in her early 20’s when she visited me couple of months back. She was covering her head with a pink color silk scarf. I asked her, what brought you here to see me? Neela removed her scarf and showed me her chin and jaw line. ‘Look at this doctor, I have done it all to stop it but nothing is helping me to overcome these excess facial hairs. I feel terrible and ashamed’. I enquired in bit detail about Neela’s issue. She was not obese but definitely she had lot of fat around her tummy. I asked if she has been diagnosed with any medical issues, such as diabetes or PCOS?

She promptly said, ‘yes, I was diagnosed with PCOD (age of 15) right after one year I had my first cycle. My cycle was irregular with very less flow. I was told that it takes time for a cycle to settle due to hormonal changes in my body. I did not care about that as my cycle became regular slowly however, flow was anyway less only. But one day, I was shocked to see 2-3 long thick hairs on my chin. Also, I started visiting parlor for threading and waxing frequently than ever. I was sure something was not right. I went to a nearby doctor with the complaint of thick and dark hairs on my upper lips, side of the cheeks and over chin area, she said anxiously’.   These were only visible hairs. She also had such masculine hairs over her other body parts, which were easy to hide.

I was given some pills to regularize my hormones and asked to do some diet and exercises, although I was not fat at all. I took those hormonal pills (OCP) for one year. I was hoping to recover as I could see some flow during cycles and that heavy hair growth were thinning down. It was time to celebrate. I thought I am out of this curse and I will get my beautiful face back. But, good things never last long.   As soon as I discontinued the pills, my skin broke down. I got much thicker and heavier hairs over my chin and this time they spreaded although my jaw line. My mother took me to another doctor who diagnosed me with PCOS. I did not know what it initially. My mother thought I have got some serious problem. I was confused. Google came to help me understand it better. I remember, I had spent almost 1 week or two just reading about PCOS on internet. I was continuously asking myself, how on earth how got this problem. No one in my family had this. I accepted it as my bad karma and took medications given by the new doctor for 6 months. I was even bullied in my college for having such unnatural hair growth. I stopped all the medication and finally learned that there is no end to this. I concentrated on my carrier and forgot about PCOS. I even took some anti-androgen for 6 months with no better results.  I will never forget those days. Leela stooped taking after saying this. She appeared frustrated and sad.

Looked like, Leela had finally accepted her defeat with PCOS. She just wanted some cosmetic relief with her facial hairs. I talked her about Ayurvedic concepts of looking at her health issues. I informed that Ayurveda does not look at an issue as a separate entity rather it takes a holistic approach considering you have got this issue and not just your body parts. You need healing and not just your face or ovaries. I asked, do you trust that Ayurvedic medicines would be helpful to you? She nodded quite positively. She said, I don’t have any other option. At least I will not have any side effects with these’.  I asked her to come back tomorrow on empty stomach to check her nadi and then I can provide her remedies for her health issues. She was wondering why I need to check her nadi when she just wants to get rid of facial hairs and not PCOS. She asked doctor please give me some ointments or powders so I don t see theses hairs ever again. The quick solution is what everyone wants. Who wants to suffer from an illness for so long? Fair enough but there is a way to heal and not just to fix, I firmly advised her.

She agreed and came to me next day morning 9 am. I thought she would not come back considering I may take long time to heal her. Leela said, the only thing that bothers me more than anything is these facial hairs. I go to beauty parlor twice-thrice in a month to get a wax done. It is very shame full some times when my friends points towards to my chin and get curious  to know if there is any wrong with me. I have also taken laser treatment but that did not help me to get my feminine face back, moreover I cannot afford laser, electrolysis and expensive hormones.  Because of this facial hairs my relations friends and family is challenged due to myself low self-esteem. More over who will marry a girl with a beard and mustache. Please help me with Ayurveda.  I have read all your articles and have full trust in you, she said with confident.

I do not know what was changed in Leela in one day. I checked her Nadi and examined her as per Ayurvedic parameters. History taking is always important which describe both how the patients is and how the disease is. For Leela, it was severe Kapha and Vata imbalance. Her Pitta was too low, Agni was weak and lot of Ama (toxins) was collected in her gut. Leela was opened for the treatment. I explained her that she needs Panchakaram. This will help her to clean her body with abnormal toxins (AMA), support her Agni though Deepana and Pachana and then will start internal medication. After 45 days of cleansing (Panchakarma) , I gave her medicines which contained herbs such as harida, tulasi, ashwagandha, shatavari, yastimadhu, sharapunkha, Jatamansi, tankana, Cinamon, fenugreek and tulasi , Yasti , Shatavari , Gokshura, Varuna and guggulu. I also prepared a powder and oil for her to apply externally on her hair follicles of chin and jaw line after she waxes them which helped to reduce the thickness and growth of hairs. She took the treatment for 1 year with satisfied results, slowly I discontinued few herbs and she was able to manage her symptoms effectively than before with more positive outlook towards PCOS.

This is not the only story I have. Many young girls are now suffering with this issue. At times, I have seen them complaining about such abnormal facial hairs since they get mature. Well, that is serious agony. Also think about a young hard working professional who just got a high profile job in a reputed company is struggling to keep her face ‘hair free’. And it seems her life will almost end if she does not wax or thread those long hairs over her chin. No one to blame!

You may already know is that this is all because of high levels of Androgens (Male hormone) in your body or so called ‘too much active’ testosterone. Androgens are known to be responsible for promoting hair cycles among men and women. Males generally have high levels of androgen and thus have larger hair follicles- mustache and beards etc.  Every woman needs male hormone in their body to trigger their female hormone – estrogen to work efficiently. But if this male hormone is excess then that is where women start feeling symptoms of being  ‘masculine’ – belly fat, hard skin, hair fall, growth of men like hairs over body and evens some develop deep voice like men.

For most women with PCOS this male hormone levels are higher than normal.  Doctor may recommend a simple blood test and may find that your free testosterone levels are high in your blood. However, hirsutism can be present with normal ovulatory function and normal androgens level. High levels of free testosterone in your body prevent ovulation and that’s why you may not be getting pregnant if you are trying.  If you are diabetic then you have got to work on that too as insulin too worsen the male hormone levels.

How to reduce androgens in female naturally in ayurveda – Ayurvedic Management

Ayurveda talks about Atiloma and Pushpaghni Jatharani which have symptoms like Leela explained. Acharya Kashyapa has given very precise description of Pushpaghni Jatiharini, which is almost having the symptoms of PCOS as told by modern science. Well, I am not comparing the two distinct sciences but trying to find a bridge where you can come to an agreement with me. The reference goes like this-

“Vritha pushpam tu yo nri yathakal prapashyati. Sthulalomashganda vpushpaghni sa api revati” (Ka S.K.6/32-33)

It is curable. Woman menstruate in time but it is useless (vyathpushpa i.e anovulatory cycle). She has corpulent and hairy cheeks –hirsutism; may be due to hyperandrogenism.

So what you need to overcome these unwanted hairs is to look after your hormones. Balance your doshas and Agni.  The healthy diet will help you much extend. Use the anti-androgen that causes unwanted body hairs in PCOS. If you are obese then lose some weight. Check your blood sugar levels, if you are insulin resistance. Eat healthy food and excise’s to improve your insulin and glucose control. This will help your ovaries to reduce the male hormones’ secretion.

Let me talk more about Almonds here, research says that they tend to reduce the potency of male hormones-testosterone. Again, many women with PCOS have high levels of male hormones in their body. So, eat 5-6 almonds soaked the previous night and munch on them. For external application- apply haridra churna and chickpeas flour together on the hair follicles.

What your food should have- The best thing to start your day is to have Vata-Kapha balancing Ayurvedic herbal kashaya (tea).

• Your breakfast should have Kapha balancing foods, such as Barley or Horse gram soup, Whole wheat Roti, Ragi, and 1 handful of nuts/seeds. Avoid- fermented food items such as dosa, idli, vada and white rice early mornings.
• Kapha balancing snack- buttermilk is best with ginger, also can have 1 apple or papaya.
• Lunch- should have small portion of brow\n rice, lots of veggies or meat or sea food and salads.
• Vata balancing snack– in the evening it is best to the herbal tea again or handful of nuts/seeds or just 1 glass of milk.
• Dinner- should have lot of different vegetables and roti if required. Also can have cooked brown rice, quinoa, porridge, low sugar baked beans, red kidney beans, lentils or chick peas. Avoid having rice and heavy meals in the night.

Remember beauty doesn’t live in the physical appearance, it lies within you. It is more important to understand how do one feel rather then we look. 

Dr Vibhuti Rao
Amruth Ayurvedic Centre
66/3, Vanivillas Road, Basavanagudi
Bengaluru 560004
Ph 09739976069
Email –  drvibhutirao@gmail.com

The post The struggle with Hirsutism and its Ayurvedic Management appeared first on Health Vision.

Come on women!!! Let us regain and maintain our energy to keep our family positively energised. From the beginning of the mankind, in our country Bharath-Hindhustan, a woman has been respected in her different phases of life, from her childhood till her last breath. She represents positive energy. We find this in the form of Shiv-Shakthi representing power to celebrate life festival. This form indicates the happy & healthy rapport with everything and everyone on this universe. She is complimentary other half of a man. Universally she has been designated with ankha to depict feminine as a respect & reverence for a woman. This symbol represents generation/soul/life/eternity. Genetically she has two xx chromosomes. She has powerful, personal energy & instincts. As she represents energy/ agni tatva, she is named as fire. The reproductive organ uterus has important and powerful effect on mental life of a woman. No surgeon can successfully maneuver in this labyrinth of psychological & psychosexual emotions. Thus she plays multifaceted role single handedly.

In Ayurveda there is a principle called ‘Loka Desham Idam Deha Desham’ – which means humans are the epitome of this universe. In simple, the visible, non-visible materials/dravyas(matter)/things present in the universe is also present in non-living & living things including human beings. However, in miniature form universe is present in human body. Therefore, we need to be in good co-ordination with the universe or nature. As our acharya Sushruta has genueinly stated that swastha means balance of dosh, dhatu, mala, agni (physically & biologically) and prasannata ( liveliness/enthusism/satiation) of soul (Atma) mind (manas). In this present era, as the universe is being polluted, so also humans are polluted mentally, physically & biologically, leading to unhealthy conditions or situations, due to their food habits or living style. Due to this pollution and tensed environment, her thesaurus is increased. In playing & maintaining the different role, her energy is decreasing gradually & she feels defeated in her surroundings. However, her tasks are increasing day by day, along with this she has to maintain her pretty smiling face.

In this regard to regain energy/boost up energy-our ancient science from the beginning of the mankind – Ayurveda has provided ‘swasthasya swasthya rakshanam’ – that is maintaining the health of a healthy individual, as a primary principle of treatment. There are infinite number of treatments-samskaras to keep the woman in healthy conditions biologically & mentally, in her different phases of her life. In our S.D.M. Institute of Ayurveda & Hospital-Anchepalya, Kumbalgodu Post, Banglore-Mysore Highway, Banglore, these facilities of different treatments-samskaras are available. To begin with Pre-Menarche samskaras-for young girls (between 8-16yrs) before attaining menstruation- for a healthy beginning of reproductive life, Post-Menarche samskara- young girls (between 12-18yrs) after attaining menstruation- to regularize menstrual cycle & to prevent PCOD/PCOS condition, Garbhadana samskara- for a married couple to conceive a healthy child by choice & not by chance naturally just like sowing a healthy seed in fertile land with proper care and plan, Garbhini samskara- ante-natal care that is care during pregnancy to have healthy child and the mother, Sutika samskara- treatment and care after the birth of a child, along with beauty enhancing treatment modalities ( beauty care, yogasanas, mudra pranayama) & many more treatments, during all the phases of her life are available.

Dr. Bharathi.D.A.
HOD, Professor, Dept of Prasoothi Tantra & Stree-Roga,

S.D.M. INSTITUTE OF AYURVEDA & HOSPITAL, Bengaluru-560074,
ph: 080-22718025, Mob: +91 98864 10690

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