INTRODUCTION-

Due to change in the lifestyle and dietary pattern due to modernization has given a wide path to many Genealogical problems.

Nowadays, Uterine fibroids is becoming a main concern in Reproductive stage of life.

FIBROIDS are the Non-cancerous growths seen in uterine muscles that develops during childbearing years in women’s life.  It is a compact mass made up of dense fibrous tissue & smooth muscles that is found in uterus.

Other Names- Uterine Fibroids, myomas, and leiomyomas.

The cause of fibroids isn’t well understood. there are several Risk factors which includes  family history of the fibroids, obesity or early onset of puberty as described below.

Some symptoms includes heavy menstrual bleeding or prolonged periods also the pelvic pain. In some cases, there are no symptoms.

Treatments includes medication and removal of the fibroid.

TYPES OF FIBROIDS-

AYURVEDIC ASPECT OF FIBROIDS-

In Ayurveda it is known as Garbhashaya- gata Granthi

ETIOPATHOGENESIS-   Fibroid can be compared to Mamsa arbuda in Ayurveda. 

Doshik Involvement – Vata and Kapha

Vata is unstable and it tends to increase with the use of Apathya Aahar and Vihar(unwholesome diet and  lifestyle). 

• Increased Vata                        
• impaired ovarian hormone secretion                     
• creation of Kha-vaigunya 
• in Garbhashaya i.e. it makes Garbhashaya susceptible for Garbhashaya Arbuda.
• Increased Vata causes vitiation of Kapha
• Srotorodha and formation of Granthi
• Again vitiated Vata enhances  the rate of cell division which results in formation of GarbhashayagataArbuda. 

Another view regarding Samprapti is-

In the Samprati (pathogenesis) of Granthi

Dosha- Kapha

Dushya-  Mamsa (muscle fibers), Rakta and Medo Dhatu are vitiated. In some studies it is found that there is an association between obesity and an increased incidence of uterine leiomyomas

The  increase in Kapha (biological energy responsible for creating structures) production in body.

• It Weakens the powers of Pitta (biological energy that is responsible for transformations)
• Increased Kapha & weakened Pitta                 
• reaches reproductive system
• accelerates the excessive smooth muscle production in uterus
• Increased Kapha slows down egg production at ovary
• weak pitta(fails to rupture the egg on time)
• Cyst develops (of Fibroids)

CAUSES-

Signs and Symptoms – 

It Requires a medical diagnosis–

• It include heavy menstrual bleeding
• Prolonged periods and pelvic pain. In some cases, there are no symptoms.
• Pain in the areas:  abdomen, lower back, or pelvis
• Menstrual: Abnormal Menstruation, Heavy menstruation, irregular and painful menstruation, or spotting
• Abdominal distension or cramping
• Swelling present in lower Abdomen.
• Frequency of Urination(Pressure Symptom)
• Dull and continuous back pain.

Risk Factors for Fibroids –

• Age: It generally appear after in women’s 30s and 40s (fibroids usually shrink after the menopausal transition).
• Race: African American women are two to three times more succeptable than the women of other races/ethnicities.
• Family history: women with a mother or sister who had fibroids are more prone to develop fibroids.
• Obesity: women who are overweight or obese are more likely to develop fibroids than healthy weighted women.
• Diet: consuming a lot of red meats like beef and pork is linked to higher fibroid risk on the other hand consuming a diet that is rich in green vegetables lowers the risk.
• Early menstruation: women who started menstruating before the age 10 are at a higher risk than women who started menstruating after age 10.

 TREATMENT-

Ayurveda is very effective in the treatment of Fiboids.

There is promising results observed in several studies in ayurveda.

CAC Treatment comprises of Oral Medication with the herbs which are 100% natural and very effective with no side effects.  This formulation is enriched with several herbs which act to shrink the fibroids, along with balancing the hormone levels thus keeping your uterus healthy.

Treatment comprises of-

1. Femine care tablets
2. Kanchnaar Guggul Tablets
3. Trikatu Syrup
4. Women Champion Syrup
5. Women power plus tablet

Detailed description of medicines is given on the Website below-

Uterine Fibroid Care Kit 

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 DIET AND LIFESTYLE

Shriveling up  Fibroids with diet and lifestyle possible??

Daily Diet and lifestyle plays an important role in reducing risk of Fibroids.

• Add Plenty of Fresh fruits and green leafy vegetables, legumes to your diet cut off the junk food habits.
• Eating red meats like lamb, muton, beef, Pork, veal,goat etc increases the risk of fiboids.
• Cut of alcoholic beverages as alcohol raises the level of hormones that are needed for the growth of the fibroids. It may also trigger inflammation.

• Estrogen is a hormone important for healthy fertility in both women and men. Avoid or limit coming into contact with chemicals  fertilizers such as pesticides, plastic( BPA), nonstick coatings on cookware, fire retardants, dyes, paints and some personal care products.

Balance the Blood pressure by the following tips- 

• Added salt should be avoided.
• Try to Flavor food with herbs and other spices instead.
• Limit high-sodium processed and packaged foods.
• Check your blood pressure daily with a home monitor.
• Exercise regularly.
• Lose weight, especially around the waist.
• Avoid or limit alcohol.
• Increase potassium by eating a majority of plants at each meal.
• Quit smoking and avoid secondhand smoke.
• If you have high blood pressure, take medication as prescribed.

Get enough Vitamin D or Sunshine hormone

• egg yolks
• fortified milk, cheese, and dairy products
• fortified cereals
• fortified orange juice
• fatty fish such as salmon, tuna, and mackerel
• cod liver oil

 Drink Herbal teas– red raspberry and teas containing milk thistle, dandelion root, and nettle at Evening tea time. Green tea is especially helpful in treating fibroids. 

The goal is to promote healthy circulation and detoxify the tissues in the uterus.

Ayurvedic Aspect – 

The disease Amavata is compared to Rheumatoid Arthritis. There is similarity in signs and symptoms of both diseases. Aama Vata is found in All the four Vedas. Aacharya Madhava was the first Physician who described the Disease Aama Vata. It really seems to be simple disease but on the other hand its prognosis is not so good. The concept of Ama is totally unique in Ayurvedic science and this Ama is produced by the undigested food and it is the main cause of the various disorders.

Amavata is disease of Rasavaha strotasa. It is caused due to Agnidushti, Formation of Aama leading to Sandhi vikruti (Joint deformity). The People are unaware about disease and its complications thus leading to lifelong joint deformities. Many Ayurvedic preparations and herbs are mentioned in the classics which are proved to be effective remedy in Amavata.

Changing lifestyle of human being or Modernization has created several disharmonies in biological system because of globalization, busy professional and social life, dietary habits have changed to a big extent which disturbs the normal metabolism and produce several toxins referred to as “Ama” in Ayurveda. 

People first take steroids for a long period of time which give relief for some time but after that causing many side effects like Acne, blurred vision, Cataracts or glaucoma, difficulty in sleeping, High Bp etc.  then they approach to Ayurveda and still getting positive results without any side effects. Instead of this if they would have approach firstly to Ayurveda there would be no complication and disease would have been treated at early stage with minimal amount of medication and promising results.

Nidana (Causitive factors) –

1) Viruddha Ahara – Incompatible food

 2) Viruddha Chesta – Improper physical 

 3) Nischalata- Lack of physical activity 

4) Snigndhama bhuktavato vyayamam :- To  Perform physical exercise soon after intake of heavy food causes Ama in the body. 

It is very difficult to elicit the very exact cause of Aamavata. 

When we see according to modern science  also stated that the exact etiopathogenesis of Rheumatoid Arthritis is not known. 

Symptoms(Samanya Lakshan) of Amavata-

• Angamarda – Body ache
• Aruchi – Anorexia 
• Trushna – Thirsty 
• Gourav – Heaviness in the body 
• Aalasya – Lethargy 
• Angashunata – Swelling in the body 
• Jwara – Pyrexia 
• Apaki – Indigestion  

Pratyatma lakshana of Amavata 

1) Sandhi shotha – Swelling in multiple joints 

2) Sandhi shoola – Pain in the joints 

3) Gatra stabdhata – Stiffness in the body 

Clinical features –

• Hasta sandhi shotha & shoola – Inflammation & severe pain in metacarpo-phalangeal joints & proximal inter-phalangeal joints are mostly affected
• Paad sandhi shotha & shoola – The feet are often involved especially the metatarso phalangeal joints & subtalar joints are affected
• Jaanu gulfa sandhi shotha – It involves firstly smaller joints of hands & feet after that symmetrically it affects the joints of wrist, elbow, ankle & knee.
• Angagaurav – Feeling of heaviness in the body.
• Stabdhata – In R.A. stiffness of joints, particularly observed in morning hours
• Jaadhya – Due to deformity limited movements in the joints, weakness in grip or triggering of fingers occurs in R.A.
• Angavaikalya – Deformity in joints
• Sankocha – Contractures
• Vikunchana – This can be compared to volar subluxation, ulnar deviation that occurs at metatarsophalangeal joints and bilateral flexion contractures of the elbow.
• Angamarda – Body ache, myalgia

Joints Commonly Involved In R.A.

 1) Finger joints (40%) – MCP & PIP joints 

2) Shoulder joints (20%) 

3) Foot joints (20%) 

4) Wrist joints (15%) 

Other joints that are involved in Chronic Rheumatoid Arthritis Joint Deformity –

1) Swan neck deformity in interphalangeal joint. 

2) Boutonniere (flexion at proximal interphalangeal joint & hyperextension at distal interphalangeal joint).

 3) Z deformity in the thumb. 

4) Volar subluxation along with ulnar deviation occurs at metacarpophalangeal joint.

 5) Bilateral flexion contractures of the elbow.

 6) Synovitis at wrist can cause carpel tunnel syndrome. 

Treatment and Management of Rheumatoid Arthritis

When disease becomes chronic and the patient develops deformity in the joints such as Sandhisankoch (Joint stiffness) , Akarmanyata (Limited movements) etc. cannot be corrected with medicines alone. 

Effective Herbs-

• Drug of Choice- Guggulu
• Other metallic preparations-

• Suvarna Bhasma
• Tamra Bhasma
• Loha Bhasma
• Parada
• Gandhaka

 Chikitsa of Amavata 

• Langhana: – Langhana is the 1st line of treatment to digest Ama. langhana does not means complete fasting but there is intake of light food items.
• Swedana: – Swedana is sudation therapy; in this disease swedana is done externally on affected joints. Ruksha swedan – (Sudation without oil/fat)- rooksha sweda valuka (sand) is recommended.
• Snehana is contraindicated in amavata
• Katu, Tikta & Pachak aahar & aushadhi :- The drug are decided on the basis of these fators i.e. Katu (pungent), Tikta (bitter) & acts as deepana, pachana or an appetizer.
• These drugs, by virtue of their qualities does Aamapachana, hence may help in relieving shotha & shoola. 
• Virechana: – Erandataila and Haritaki are used
• Basti chikitsa: – ksharabasti and anuvasanabasti in amavata. Following tailas are used in anuvasana and nirooha basti –  Prasarani taila∙  Bruhat saindhavadi taila∙  Dashmooladi taila∙ Eranda taila is used as base in preparation of these tailas 

• Shamanaushadhi-

• Kwath yoga –

∙  Rasna panchak kwatha

∙  Rasna dwadashak kwatha

∙  Shunthi gokshur kwatha

∙  Dashmooladi yoga

∙  Shattyadi kwatha

∙  Rasonadi kashaya

• Choorna yoga- 

∙  Pippalyadi choorna

∙  Amrutadi choorna

∙  Panchasama choorna

∙  Alambushadi choorna

• Lepa in Amavata – Shatapushpadi lepa

∙  Himsradi lepa 

• Guggulu in Amavata – Simhanada guggulu

∙  Yogaraja guggulu

• Ghrita in Amavata – Nagaradi ghrita

∙  Shringaveradya ghrita

• Shoola shamanartha(Pain Releiving) taila

• Vishgarbha taila

∙  Panchaguna taila

∙  Prasarini taila 

Rasaushadhi in Amavata  

Amavata vidhwamsa rasa

∙  Amavatarirasa

∙  Amavatadri vajra rasa

∙  Suvarna bhasma

Our Medication is given below-

Rheumatoid Arthritis Care Kit

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Introduction

Ayurveda  has successfully been treating inflammatory and degenerative conditions of the spine from Centuries based on the concept of Trayo Doshas. 

In Ayurveda Samhitas salient features of Ankylosing Spondylitis is compared withAsthi-majjagata Vata.  It   is caused due to Vata dosha i.e. Vatik disorder.

It is found in both male and females because of the Current life Scenario like unsuitable sitting, sleeping, riding bicycle or bike, prolonged standing and eating low nutritional value food as the junk food.

It is mainly because of the imbalance of Vata and Kapha Doshas but sometimes can be because imbalance of  the three Doshas as well.

Ayurveda offers amazing guidelines, medicines and various therapies for treating Ankylosing spondylitis. Since Ayurveda addresses the root cause of the problem, so getting fantastic. The strength of Ayurveda in the area of spine and joint treatments appreciated globally.

In the modern aspects for this disease analgesics and steroids are used and causing side effects hampering the physiology of the body. 

Ayurvedic aspect of disease

Nidana (Etiology) :

According to AcharyaCharaka, The following factors aggravates theVata –

• Intake of dry, cold, scanty, light food

• Excessive sexual indulgence

• Ratrijagrana[waking up at night]

•  Inappropriate therapeutic measures

• Langhana(Fasting)

•  Swimming in excess

• Exercise and other physical activities in excess causing loss of dhatus.

•  Worry, grief and affliction by disease causing Excessive emaciation

• Sleeping over uncomfortable bedding and seats

• Excessive anger

• Sleep during day time

• Suppressing of natural urges leading to formation of Aama

•  After Traumatic incidence 

• Marma Injury 

• Abstinence from food

• Rides of Animal like Camel, Elephant,horse or fast moving vehicles and falling down from the seats of these animals and vehicles.

Rupa: (Symptoms) :

• Bhedanavatpida at Asthi and parva (Pricking pain in bone and small joints)
• Sandhishool  (joint pain)
•  Mansa BalaKshaya(Emaciation),
• NidranashaAswpna (Loss of sleep)
• SantataRuk (Continuous pain) 

Samprapti: (EtioPathogenesis):

Hetusewana causes

Vata vitiation

vitiated Vata travels in different parts of body

Rukshata (dryness) ,Parushata , Kharata (roughness) in Strotasa

Sthanasanshraya at Asthi and Majjadhatu

Asthimajjagatavata

(Ankylosing Spondylitis)

Management of Ankylosing Spondylitis

At our Chandigarh Ayurveda centre (CAC)  with our Ancient knowledge and good clinical approach we are providing the treatment which is very effective treatment and based on the classical  texts . Treatment is on long term basis and requires regular follow-ups. It comprises of Panchakarma procedures which helps in Purifying and detoxifying the imbalanced doshas and Dhatus for healthy well being along with medicines.

Panchakarma procedures usually requires around 30 to 90days on the basis of chronicity and how severity of the disease. Diet charts are also advised along with modification of lifestylehelps in recovering fast and also in prevents further worsening of the condition.

Total Cure of the disease is possible if the patient comes in early stages. 

Shaman Chikitsa-

1. Pain – O – Kill tablet –

Ingredients-

• Jyotishmati (Celastruspaniculatus) 
• Devdaru (Cedrusdeodara)
• Rasna (Pluchealanceolata), etc.

 The herbal tablet is gives promising effect in reducing stiffness, pain, tenderness, etc. based purely on herbs.

It help to relax your muscles and muscles cramps thus relieving pain. It maintains Proper blood circulation and thus giving soothing effect by pacifying tryo doshas. 

Dose – Take 1 tablet twice daily with normal water. 

2. Nerve up tablet –

Nerve up tablets help in balancing the vata dosha and reduces kaphadosha, and acts as nervine stimulant. It Improves the central nervous system. 

Ingredients –

• shudhakuchala
• shudhashilajeet
• abhrakbhasma
• pravalpishti
• shankhbhasma etc. 

This tablet is effective in ankylosis spondylitis and overall Strength.

Dose – Take 1 tablet twice daily. 

3. Pain – O – Kill Oil –

It is a medicated oil which is for External use only

It pacifies severe pain, tenderness, redness, swelling, etc.

Ingredients-

• Rasna (Pluchealanceolata) 
• Kushtha (Saussurealappa), 
• Vatsnabh (Aconitum ferox), etc. 

It  relaxes the muscular cramps and helps in relieving severe pain. 

Method of application – Apply over the affected area twice daily.

Detailed description about the Medicinal Kit Available at our website link is given below- 

Ankylosing Spondylitis Care Kit

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Single Drugs

Some Useful drugs are given below regading the disease-

• Jivanti
• Musta
• Usheer
• Bilwa
• Shatavri
• Kantakari
• Guduchi
• Turmeric
• Guggulu
• Ginger
• Myrrh

ShodhanChikitsa –

Panchakarma Procedures Proved to be very effective for the management of the disease.

• ShalishastikaPindaSvedana

• Abhyanga

•  AnuvasanaBasti

• MustadiYapanaBasti

• PratimarshaNasya with AnuTaila

Diet-

Patients suffering from spinal conditions and thus vata gets aggravated.

• Add warm foods to the diet. 
• Avoid Oily and too much of Spicy food items.
• High fibrous diet with low fat content.
• Avoid Vata Aggravating diet For example – Cauliflower, Cabbage, Mushrooms, Beans and Citrus Food items.

YOGA

Yoga helps in providing efficient pain relief and core strengthening Through Pranayama and 

Postures –

Pranayama (Yogic breathing) exercises 

• Ujjayi Pranayama (Conqueror Breath)
• Kumbhaka Pranayama (Breath Retention) 
• Ashwini mudra

Postures- 

• Padmasana (Lotus Pose)
• Naukasana (Boat Pose)
• Marjaryasana (Cat Pose)
• Gomukhasana (Cow Pose)
• SetuBandhaSarvāṅgāsana (Bridge Pose)
• Salabhasana (Locust Pose)
• Bhujangasana (Cobra Pose)
• Tadasana (Mountain Pose)
• Balasana (Child’s Pose)

Yoga does promote health and overall wellness of the spine and helps in treating Ankylosing Spondylitis Flare-ups.