According to Ayurveda in PCOD the vitiation of kapha and vata which affects the process of ovulation in women. Kapha  Dosha affects the digestion, which leads to the poor metabolism of seven dhatus(tissue). In PCOD the affected dhatus are rasa, rakta, meda and artava. The ama enters the artava dhatu disturbing the pit Ahara agni leads to poor functioning of system.

DEFINITION OF PCOD:

Polycystic ovarian disease is a condition in which the ovaries generate immature or partially mature eggs in more number. These eggs  develops into cyst in the ovaries. Due to cyst ovaries become larger and secrete large amounts of male hormones

CAUSES OF PCOD:

1. More secretion of insulin hormone.
2. Genetics
3. Stress
4. Higher levels of male hormones
5. Wrong dietary choices

SYMPTOMS OF PCOD:

1. Irregular or missing periods.
2. Acne
3. Abnormal facial hair
4. Feeling fatigued
5. High testosterone levels
6. Skin discoloration
7. Thinning of hairs
8. Mood swings
9. Ovarian cysts
10. Weight gain or obesity .

COMPLICATIONS OF PCOD:

1. Difficulty in conceiving.
2. Miscarriage
3. Difficulty in breathing during sleep
4. Increased risk of heart diseases
5. Type 2 diabetes menstruation Depression, anxiety
6. Eating disorder
7. Non -alcoholic steatohepatitis.
8. High blood pressure
9. Cancer of Uterine lining.
10. Gestational diabetes

INVESTIGATION:

1. Blood test
2. Pelvic examination
3. Ultrasound

DIFFERENTIAL DIAGNOSIS:

1. Thyroid disease
2. Hyperprolactinemia
3. Congenital adrenal Hyperplasia
4. Cushing syndrome

AYURVEDIC APPROACH OF PCOD:

PCOD is a disorder of kapha dosha which blocks the artava vaha srotus and causing interrupted movement of apana vayu.

PANCHKARMA PROCEDURES:

Panchkarma helps in detoxifying, cleansing, restoring the hormone levels and helps in metabolism

1. Abhyanga
2. Basti
3. Vamana
4. Virechna

HERBS USED IN PCOD:

1. Varuna
2. Hareetaki
3. Pippali
4. Bilva
5. Guduchi
6. Punarnava
7. Sunthi
8. Chitraka

FOODS TO BE AVOID IN PCOD:

• White sugar in all forms
• Avoid tea and coffee
• White rice
• Potato
• Avoid milk and soya products
• Limit salt intake.

GOOD FOODS:

1. Green leafy vegetables
2. Ghee
3. Olive oil, corn oil
4. Beans
5. Tomato, Orange ,Spinach, Avocado, Soybeans, Peanuts
6. Cauliflower
7. Fish
8. Nuts and legumes

HEALTHY TIPS AND DIET FOR PCOS:

1. Drink low fat milk by adding a pinch of turmeric with it.
2. Eat more fruits like apples, papaya, grapes, pineapple, oranges.
3. Follow a good lifestyle.
4. Decrease the use of contraceptive pills.
5. Do daily exercise, yoga and pranayama.
6. Stop smoking, drinking alcohol.
7. Reduce the intake of refining glucose.

  CHANDIGARH AYURVED CENTRE MEDICATION FOR THE   TREATMENT OF PCOD:

1. Detox Premium Powder:

This is a herbo-mineral preparation that contains ingredients like Parwal Pishti, Giloy satv, Shukta Pishti, Kamdudha Ras, Gandhak Rasayan, etc.

Parwal Pishti: This Pishti reduces inflammation, flaking, itching of the skin. The Pishti is composed of natural coral calcium processed with rose water.

Shukta Pishti: It helps to balance the Pitta dosha in the body. All signs and symptoms related to Psoriasis patients are managed with this article.

Giloy Satv: This satv is prepared from the herb Giloy (Tinospora cordifolia). The anti-inflammatory, antioxidant, and analgesic properties of this herb deal with psoriasis easily.

Kamdudha Ras: This herbal-mineral classical preparation balances Pitta dosha in the body.

Gandhak Rasayana: This herbal preparation is used since ancient times for all types of skin disorders.

It contains ingredients like Shuddh parad, Aloe vera, Gandhak, etc that relieve redness in psoriasis patients.

Akik Pishti: This Pishti reduces all types of Pitta related disorder hence it gives good results in psoriasis.

Recommended Dosage: Take 1 sachet twice daily with plain water.

2. Women Champion Syrup

Woman Champion is purely herbal and ayurvedic formulation. It is a very effective tonic for women and help to maintain their health. It balances all the doshas of body and also maintain hormone levels. It contains herbs like Lodhra, Manjishta, Ashok chaal, Punarnava,Shatavar,Bala,Daruharidra,Nagarmotha that help women typically with mood changes, stress, headache and pain. CAC Women champion helps in leading a life of minimum discomfort during those difficult days every month. It act as antioxidant, anti-inflammatory, anti-spasmodic, uterine tonic and immunity booster.

Recommended Dosage–  Take 2 teaspoonful twice a day with normal water.

3. Kanchnaar Guggul

It is one of the very efficient Ayurvedic herbal medicine that contain ingredients like

• Kanchnaar (Bauhinia variegata)
• Shunti (Zingiber officinale)
• Maricha (Piper nigrum)
• Haritaki (Terminalia chebula)
• Ela (Elettaria cardamomum), etc.

Kanchnaar guggul is mainly administrated in the cysts.These tablet are used in the condition of dysmenorrhea, menorrhagia. It is the best medicine for the Rakta – Shodaka.These tablets are very beneficial for hormonal imbalance. It enhances female reproductive health and infertility.

Recommended Dosage –Take 2 tablets twice a day with normal water.

4. Woman power tablet

It is a complete health supplement for women who are best for female health and vital energy. It helps to build up the immunity. This is a pure herbo mineral product of the best quality herbs. The herbs used are Ashoka, Shatavari, anatmool, etc. These are herbs used since ancient times to maintain female health metabolism. It works well in the reproductive system and other health-related disorders. The extract of these herbs is used which provides multiple health benefits. These herbs have the potential to improve female health and libido. The main Ingredients Rajah pravarthini vati, Femine care tablet, Shatavar extract, Ashoka chall extract, Ashwagandha extract, Giloy extract. It shows a great effect on menopausal women. It works well in hot flushes and mood swings. It regulates the female menstrual cycle, relieve menstrual pain, Used in leucorrhea is excessive discharge from the vagina, excessive menstruation, painful menstruation and delayed menstruation the herbs can alleviate almost every female problem when used for a long, regular period.

Dosage – 1 tab twice daily after meal.

5. Cyst Heal Tablet

CAC Cyst heal tablet is a pure ayurvedic medicine that contains various herbs extract that works on the any kind of abnormal growth like cyst, myoma, polyp, lipoma, lumps in breast, benign or malignant tumor. Cyst heal tablet helps in reducing any kind of abnormal growth in the body and reducing overall body weight. It treats menstrual irregularity, increases ovulation and follicular maturity, PCOS and treats female infertility as well.

Recommended Dosage: Take 1 tablet twice daily with normal water.

6. Femine Care Tablet

Femine care tablet is a pure and natural remedy that contains various herbs extract that works on the female reproductive system and make it healthy. These tablets show antioxidant properties, anti inflamatory and immuno modulater properties.

Recommended Dosage: Take 1 tablet twice daily with normal water.

Pakshaghat is a neurological disorder in which inability to move the group of muscles of either left or right side of body. Paksavadha and Ekanga roga are the synonyms of Pakshaghata. It is a vata-nanatmaja vyadhi in which impairement of karmendriyas,gyanendrias and manas. This disease affects the madhyama rog marga and disrupts the function of sira, snayu, kandara.

CAUSES :

1. Excessive Intake of ruksha, sheeta, laghu anna .
2. Awakening at night
3. Excessive swimming
4. Excessive fasting
5. Weakening due to excess stress, grief and worries
6. Suppression of natural urges.
7. Riding over horse

DIFFERENT STAGES:

1. PAKSAVADHA: When the aggravated vata dosha paralyzes one side of body and it causes immobility of that side along with pain, loss of speech.
2. EKANG ROGA: When the aggravates vata affects half side of body and it cause constriction of vesels and ligaments either on one leg or one hand along with aching or piercing pain .
3. SARVANG ROGA: Aggravated vata affects the entire body.

SYMPTOMS:

1. Loss of function in affected parts of body
2. Difficulty in speaking
3. Lock jaw
4. Severe pain in affected parts
5. Hyperpyrexia
6. Cold extremities
7. Edema or heaviness

FACTORS INVOLVED IN PATHOGENESIS:

1. Dosha : Vata (Prana,Udana )

Pitta(Pachak,Ranjak)

Kapha(Shleshak or Avlambaka)

2. Dushya: Rasa ,rakta, mamsa, medha,manas.
3. Agni : Jatharagni,Dhatavagni
4. Strotasa: rasavaha ,raktavaha ,Mamsavaha
5. Strodushti: Atipravrutti, sanga
6. Udbhava sthana : Pakwaashya
7. Sanchara sthana: Urdhwa,Adhah,Tiryak Dhamanis
8. Adhisthana:Shira
9. Rogamarga: Madhyam Roga marga

GOOD HERBS FOR PAKSHAGHATA:

1. Ashwagandha
2. Brahmi
3. Rasona
4. Eranda
5. Nirgundi
6. Shunthi

PANCHAKRMA CHIKITSA:

• Snehana:

Snehana karma leads to liquefaction, oleation, increased fluidity and softening that further leads to soften the channels so that toxins can get detached and eliminated easily during main sodhana  (detoxification process).

• Swedana

Swedana relieves stiffness, heaviness and coldness of the body as it induces sweating

• Nasya

Nasya karma refers to as instillation of herbal oils, juices or powder through nasal route.It strengthens the nervous system .

• Basti

Basti is the most effective treatment for vata disorders.

Basti expell the body toxins and vititated doshas by introducing medicated liquids or liquids through anal route, urethra or vaginal canal.

• Mridu Virechna

It flushes out the toxins and excess  mucus from GI tract through anal Route.

Clear congestion from the Liver and improves metabolism.

• Shirodhara

Shirodhara has relaxing, soothing, calming effects in the body and mind.

• PARISHEKA:
• Pacifies the morbidity of vata, pitta and rakta in the skin, afflicted joints, muscles and soft tissues.
• Strengthens the muscle tissues
• Relieves pain, stiffness and swelling
• Rejuvenate and energizes the body.

PATHYA AHARA AND VIHARA:

• Kulthi
• Mash
• Godhooma
• Draksha
• Dadima
• Jambira
• Til tail
• Ghrita
• Gramya and anup mamsa.
• Nirvata sthana
• Basti
• Swedana
• Shirobasti
• Woolen clothes
• Parisheka

     APATHYA AHARA AND VIHARA:

• Rajmasha
• Yava
• Jaambu
• Tinduk
• Shuska mamsa
• Kshara pdartha
• Dushita jala
• Vyayama
• Vyavaya
• Atbramana
• Ratri jagran

MODERN CORRELATION OF PAKSHAGHATA WITH PARALYSIS:

Paralysis is the loss of ability to move some or all part of body. Paralysis can cause problems with blood flow, breathing, how well your organ work.

PATTERNS OF PARALYSIS:

1. HEMIPLAGIA: Paralysis affects one side of body i.e Upper or lower limb of same side or opposite side.
2. MONOPLEGIA: It is the paralysis of single limb or single group of muscles.
3. PARAPLEGIA: It is the paralysis of both the lower limb.
4. QUADRIPLEGIA: It can affect all four limbs sometimes along with organs.

CAUSES OF PARALYSIS:

1. Vascular changes such as thrombosis, Embolism, Haemorrhage.
2. Intracranial infection such as Encephalitis, Meningitis.
3. Systemic diseases of cord.
4. Peripheral neuritis
5. Cervical lesions.
6. Muscle diseases such as Myasthenia gravis

SYMPTOMS :

1. Numbness
2. Tingling sensation
3. Pain
4. Changes in vision
5. Slurred speech
6. Coma
7. Seizures
8. Problems with balance
9. Difficulties in breathing.
10. Lethargy
11. Neck rigidity
12. Excessive salivation or lacrimation.
13. Tongue protruded out.

INVESTIGATION:

1. T scan
2. MRI
3. ECG
4. Complete blood cells
5. X-ray chest
6. Dopplers studies of neck
7. CSF examination

PREVENTION OF PARALYSIS:

1. Consume low fat or high fiber diet.
2. Control cholesterol level and weight
3. Maintain healthy body weight.
4. Avoid smoking or alcohol consumption
5. Avoid excessive starvation, Excess exercises , suppression of natural urges.
6. Take balanced diet .
7. Limit salt intake and fat in diet.

It is a common skin disorder which usually affects facial skin. This condition cause redness on chin, nose, cheeks and forehead and it can become more intense over period of time taking on ruddy appearance. Small blood vessels can become visible in this condition.

In some cases it can appear on ears, neck, chest or scalp. If not managed properly in time red solid bumps and pus-filled pimples tends to develop. Flare-ups usually occur in cycles and individual may experience symptoms for weeks or months where symptoms go away and then return. Proper cure for this is not there but symptoms can be managed with good treatment.

WHAT ARE THE CAUSES OF ROSACEA ?

Main cause of rosacea is not known but combination of certain environmental and hereditary factors can contribute in development of this condition. Some things tends to worsen the symptoms of rosacea which includes :

• Consuming food items with cinnam-aldehyde like chocolate, tomatoes, citrus, cinnamon etc.
• Intake of spice foods
• Skin mite called demodex and bacterium it carries Bacillus oleronius.
• Intestinal bacteria pylori.
• Drinking hot tea or coffee
• Presence of Cathelicidin protein

WHAT ARE THE TYPES OF ROSACEA ?

• Subtype One : It is also called as Erythematotelangiectatice rosacea and is associated with facial flushing, redness and visible blood vessels.
• Subtype Two : It is known as Papulopustular rosacea which has symptoms such as acne like breakouts that tends to effect middle aged women.
• Subtype Three : Also known as Rhinophyma it is a rare type where there is skin thickening on nose. It is usually accompained by other subtypes and mostly affect males.
• Subtype Four : It is known as Ocular rosacea and affects eyes causing irritation and bloodshot or watery eyes.

WHAT ARE THE SYMPTOMS OF ROSACEA ?

Rosacea symptoms usually differs according to its types.

Symptoms of  Erythematotelangiectatice rosacea :

• Visible broken blood vesels
• Sensitized skin
• Redness and flushing in centre of face.
• Burning and stinging skin
• Swollen skin
• Rough, dry and scaly skin

Symptoms of Papulopustular rosacea :

• Oily skin
• Acne like breakouts and skin redness
• Raised patches of skin
• Sensitive skin
• Broken visible blood vessels

Symptoms of Rhinophyma rosacea :

• Thick skin on nose
• Large pores
• Bumpy skin texture
• Thick skin forehead, cheeks, chins and ears.
• Broken visible blood vessels

Symptoms of Ocular rosacea :

• Dry, itchy eyes
• Bloodshot and watery eyes
• Diminished vision
• Stinging or burning sensation in eyes
• Gritty feeling in eyes
• Cysts on eyes
• Sensitivity to light
• Broken blood vessels on eyelids

AYURVED APPROACH :

In Ayurved it is classified under Kushta Roga. Due to nidan sevan like spicy food intake, hot drinks, tridosha vitiating factors etc leads to vitiation of Tridosha i.e Vata, pitta and Kapha mainly pitta and vata. The vitiated doshas in turn contaminate Rakta( blood), mamsa(flesh), twak(skin) and ambu(body fluids ) leads to formation of the condition.

HERBS:

• Khadir
• Haridra
• Neem
• Kumkuma
• Raktachandana
• Manjistha
• Sariba
• Patol

PANCHAKARMA :

• Vaman
• Virechan
• Nasya
• Raktamokshan
• Lepam
• Utsadan
• Parishek

CHANDIGARH AYURVED CENTRE MEDICATION FOR TREATMENT OF ROSACEA:

1. Detox Premium Powder:

This is a herbo-mineral preparation that contains ingredients like Parwal Pishti, Giloy satv, Shukta Pishti, Kamdudha Ras, Gandhak Rasayan, etc.

Parwal Pishti: This Pishti reduces inflammation, flaking, itching of the skin. The Pishti is composed of natural coral calcium processed with rose water.

Shukta Pishti: It helps to balance the Pitta dosha in the body. All signs and symptoms related to Psoriasis patients are managed with this article.

Giloy Satv: This satv is prepared from the herb Giloy (Tinospora cordifolia). The anti-inflammatory, antioxidant, and analgesic properties of this herb deal with psoriasis easily.

Kamdudha Ras: This herbal-mineral classical preparation balances Pitta dosha in the body.

Gandhak Rasayana: This herbal preparation is used since ancient times for all types of skin disorders.

Tal Sindoor: It contains ingredients like Shuddh parad, Aloe vera, Gandhak, etc that relieve redness in psoriasis patients.

Akik Pishti: This Pishti reduces all types of Pitta related disorder hence it gives good results in psoriasis.

Recommended Dosage: Take 1 sachet twice daily with plain water.

2. Blood Purifier Syrup :

It is ayurvedic syrup that consists of various natural ingredients such as Khadir Chall (Acacia catechu), Manjistha (Rubia cordifolia), Neem (Azadirachta indica), Giloy (Tinospora cordifolia), Harad (Terminalia bellirica), Baheda (Terminalia chebula), Amla (Emblica officinalis), etc. As the syrup purifies the blood by removing excess toxins it is very beneficial in maintaining proper circulation and improves the skin naturally.

Recommended Dosage – Take 2 teaspoonful twice daily.

3. Skin Care Plus tablet:

skin care tablet is a pure ayurvedic formulation. It help to maintain the texture of your skin depending on the type of skin you have. It contains various herbs like Haridra khand, Panchnimb churna, Khadir chahal, Chirayta, Mulethi, Chopchini, Gandhak, Ajmoda that work very effectively on all skin types. Skin care is a blood purifying tablet. It cools and detoxifies the blood, increase blood circulation of the skin. It minimizes the blemishes, lighten sun tan, delay ageing of skin and heal skin problems.

Recommended Dosage: Take 1 tablet twice daily.

4. Panchatikta Ghrita Guggulu:

Panchatikta Ghrita Guggulu is an ayurvedic preparation mainly used for skin diseases. This tablet contains pure herbal ingredients such as Nimba(Azadirachta indica), Patola(Cucumis acutangulus), Guduchi(Tinospora cordifolia), Vasa(Adhatoda vasica), etc. This tablet promotes detoxification and rejuvenation. Panchatikta Ghrita Guggulu tablet is a natural source of anti – oxidant. It promotes engender vibrant and healthy skin.

Recommended Dosage–Take 1 tablets twice a day with normal water.

5. Kiwi Face Cream:

Kiwi cream is selected potent Ayurvedic herbs, to provide smoothness, suppleness and radiance to the skin. Wheat germ oil is used as a carrier for herbs because of its supreme penetrating qualities and ability to carry actives of herbs, deep into the skin. This rich textured massage balm comes in an eco-friendly, reusable glass jar. Use this emollient emulsion as a massage balm on the face, to deeply nourish dehydrated skin.

Recommended Dosage– Apply to the affected area twice daily.

It is purely herbal and Ayurvedic formulation. These tablets have ingredients like kalimirch, giloy satva, shudha shilajeet, shudha kuchala, shudha vatsnabh etc. These ingredients have anti-inflammatory, analgesic, aphrodisiac, nerve stimulating properties thus helps to relieve symptoms like pain, stiffness associated with rheumatism along with improving overall wellness of central nervous system. These tablets are also beneficial in appetite by improving intestinal mobility as well as gastro-intestinal functions. These tablets have calming and soothing affect on the nerves thus improving the sleep quality and managing insomnia.

INGREDIENTS OF CAC NERVE PLUS TABLET:

• GHRITKUMARI( Aloe barbadensis) : It has anti-oxidant and anti-inflammatory properties thus helps to improve learning and memory. It also helps to improve the inflammation in the body . It also decrease the damage caused by free radicals in the body.
• KALIMIRCH (Piper nigrum) : It has anti-inflammatory and antioxidant properties thus helps to improve the nerve pain. It also protect the nerve cells and prevent early death of the cells. It also regulates the serotonin and melatonin functioning thus provide relief from stress, anxiety and fatigue.
• GILOY SATAV (Tinospora cordifolia) : It contain anti-inflammatory properties that helps to relieve the symptoms of arthritis. It also have analgesic properties that are beneficial in reducing joint and muscle pain.
• SHUDHA SHILAJEET( Asphaltum) : It has bioactive compound called fulvic acid which contributes to cognitive health by prevention of accumulation of Tau protein which is useful for nervous system but excessive accumulation can cause damage to brain cell.
• VISHMUSTYADI VATI : It contain ingredients like shudh kuchla, jaipala , lauh bhasm etc that helps to relieve symptoms nervous system disorders ,, abdominal pain, sciatica, rheumatic pain etc.
• HINGULESHWAR RASA : It has excellent result in management of Vata disorders. It provide relief from symptoms like pain, inflammation, stiffness and also remove toxic materials from the body.

USES OF CAC NERVE PLUS TABLET :

• Stimulate the nervous system.
• In insomnia
• In rheumatism
• Acts as aphrodisiac
• In Inflammation
• Improve appetite

COMPARED TO CAC NERVE PLUS TABLETS ITS ALLOPATHIC COUNTERPART IS PREGABALIN

Pregabalin comes under the class of drugs called Anti-convulsants.  It has anxiolytic, analgesic, anti-allodynic and anti-convulsant properties. When taken orally it reach peak plasma concentration within 1.5 hours.

MECHANISM OF ACTION :

It inhibits certain calcium channels in central nervous system and modulates the release of several neurotransmitters which send pain signal across nervous system.

It is available in market under brand name :

• Maxgalin
• Pregaba
• Pbren
• Peg
• Lyrica
• Pregalin
• Gabawin
• Neugaba
• Pregabid
• Pregeb

SIDE-EFFECT :

• Dizziness
• Vertigo
• Tremor
• Chest pain
• Hypotension
• Peripheral edema
• Confusion
• Nervousness
• Amnesia
• Pruritius
• Dry skin
• Urticaria
• Nausea
• Dry mouth
• Gastritis
• Back pain
• Leg cramps

WITHDRAWAL SYMPTOMS :

• Anxiety
• Nervousness
• Pain
• Insomnia
• Diarrhea
• Flu like symptoms
• Convulsions
• Hyper-hidrosis

Kutaj ghanvati is a classical Ayurvedic formulation which is pure herbal consists of stem bark of Kutaja as the main ingredient. The meaning of Ghan is dried powder or liquid or decoction and Vati is termed pills or tablets. The dried decoction of Kutaj in tablet form is kutaj ghan vati. Kutaj is an herb that is especially useful in loose motions, dysentery, and other digestive diseases. The botanical name of Kutaj is Holarrhena antidysenterica (Family: Apocynaceae).

INGREDIENTS:

1. Kutaja ( Holarrhena antidysenterica):

It is also known as Kurchi. It is a small deciduous tree with rough brown bark .It helps in removing the excess fire energy. It has tikta and kashaya rasa shows laghu or ruksha properties. It also shows cold potency which helps to pacify vata and pitta dosha. It is useful in treating diarrhea and dysentery, promotes digestion,

2. Ativisha (Aconitum heterophyllum):

This plant contains aconitic acid, tannic acid, starch, oleic acid,stearicglycerides .It helps in digestion of indigested food or increase secreation of digestive juices , removes warm infestation, purifies blood .It has tikta or katu rasa, laghu or ruksha guna and it also shows cold potency . It has beem purified by swedana process than it is consumed by human beings.

MEDICINAL PROPERTIES:

• Antimicrobial
• Antidiarrheal
• Anti -dysenteric
• Astringent
• Anthelmintic
• Detoxifier
• Hemostatic
• Anti-amoebic

 THERAPEUTIC INDICATION:

• Diarrhea
• Dysentery
• Amoebiasis
• Irritable Bowel Syndrome (IBS)
• Abdominal Pain/cramps due to Diarrhea

ALLOPATHIC COUNTERPART OF KUTAJ GHAN VATI ALONG WITH ITS SIDE EFFECTS:

LOPERAMIDE

BRAND NAME: IMODIUM

This medication is used to treat sudden diarrhea. It works by slowing down the movement of gut. This allows more time for reabsorption of fluids and nutrients make the stool more solid and less frequent. It belongs to the class of drugs called anti-diarrheal. The chemical formula of loperamide is C₂₉H₃₃ClN₂O_2.

SIDE EFFECTS:

1. Dizziness
2. Drowsiness
3. Dry mouth
4. Gas
5. Headache
6. Nausea
7. Vomiting
8. Tiredness

INTERACTION WITH OTHER MEDICATION:

• Alcohol
• Antifungal such as fluconazole
• Barbiturates such as Phenobarbital
• Carbamazepine
• Domperidone
• Mifepristone
• Tetrabenazine
• Nortriptyline
• _Ondasetron

CONTRAINDICATION:

• _{Age less than 10 years.}
• _{Liver problems}
• _{Bloody diarrhoea}
• _{Paralysis of intestines}
• _{Infectious diarrhoea}

INTRODUCTION:

It is defined as a pus filled mass in the liver that can develop from injury to the liver or an intrabdominal infection disseminated from the portal circulation. It is caused due to formation of germs like bacteria, parasites and fungus. Liver abscess can cause serious problem if left untreated. Infection can spread TO the liver through biliary tree, hepatic vein, portal vein or as a result of trauma.

CAUSES OF LIVER ABSCESS:

1. Abdominal infection such as appendicitis, perforated bowel and diverticulitis.
2. Infection in the blood
3. Injury to the liver.
4. Bacterial causes of liver abscess are streptococcus, Escherichia, Klebsiella species.
5. Infection in the bile duct.
6. Endoscopy of the bile draining tubes.

TYPES OF LIVER ABSCESS:

1. Pyogenic liver abscess: Pyogenic means pus.It is a pus filled pocket of fluid within the liver.
2. Amoebic liver abscess: It is the collection of pus in the liver in response to an intestinal parasite caused by Entamoeba histolytica.
3. Fungal abscess: It is due to the candida albicans and occur in person who have prolonged exposure of congenital and acquired immunodeficiency
4. Iatrogenic abscess: It is a complication of hepatic artery ligation for tumor.

SYMPTOMS OF LIVER ABSCESS:

1. Chest pain
2. Pain in right upper abdomen
3. Clay colored stools
4. Dark urine
5. Nausea
6. Vomiting
7. Jaundice
8. Fever
9. Night sweats
10. Decreased appetite
11. Weight loss
12. Pain radiating to right shoulder.

INVESTIGATION:

1. CT-scan
2. USG
3. Complete blood count
4. Liver biopsy
5. Liver function Tests

RISK FACTORS:

1. More intake of alcohol
2. Obesity
3. Type 2 Diabetes mellitus.`
4. Biliary tract disease
5. Age more than 50 years

DIFFERENTIAL DIAGNOSIS:

1. Viral hepatitis
2. Cholecystitis
3. Cholangitis
4. Necrotic liver masses

AYURVEDIC APPROACH OF LIVER ABSCESS:

In Ayurveda it is compared with Yakrit Vidradi. The dosha located around the organ or bone tissue it gets vitiated and affects the twak, rakta, mamsa and meda and will produce swelling and gradually develops into bigger size and pus is formed inside the cavity. Vidradhi are deep located and associated with pain.

GOOD HERBS IN YAKRIT VIDRADHI:

1. Kutki
2. Giloy
3. Yava
4. Bhumi amalaki
5. Shunthi
6. Turmeric
7. Garlic
8. Astragalus
9. Cardamom
10. Liquorice

PATHYA AHARA:

• Horse gram
• Garlic
• Drumstick
• Bitter gourd
• Honey
• Bilwa

APATHYA AHAR:

1. Old red rice
2. Banana
3. Ice water

CHANDIGARH AYURVED CENTRE MEDICATION FOR THE TREATMENT OF LIVER ABSCESS:

1. Kutki Capsule

These herbal capsules are prepared from the standardized extract of Picrorhiza kurroa. The herb used in this capsule show anti-inflammatory and antioxidant properties. These properties help in treating liver cirrhosis naturally.

Recommended Dosage: Take two capsules twice a day with normal water.

2. Detox Premium Powder

This is a herbo-mineral preparation that contains following ingredients: Moti pishti, Parwal pishti, Shukta pishti, Giloy satav, Kamdudha ras, Jahar Mohra pishti, Akik pishti, Gandhak rasayan, Shankh bhasam, Sutshekhar ras, Sudhyog tab, Shwet parpati, Yavakshaar. Premium detox powder keeps your liver cell healthy. It clears away the toxins from the body and stimulates the function of the liver and increases the flow of bile

Recommended Dosage: Take one sachet twice a day with normal water.

3. Liver Care Syrup

It is a herbo-mineral Syrup which is purely ayurvedic formulation. CAC Liver Care syrup helps in balancing Pitta dosha. This Syrup enhances regeneration of liver cells, promote functions of liver, and improve blood flow from the liver. It helps in the treatment of fatty liver, Liver cirrhosis, Hepatitis, hepatomegaly, and obstructive Jaundice. CAC Liver Care syrup contains Ingredients like Kalmegh (Andrographis paniculata), Kutaki(Picrorhiza kurroa), Bhumi amla( phyllanthus niruri), Giloy(Tinopora Cordifolia), Yavakshar( Hordeum vulgare), Imli Kshar( Tamarindus indica), Mukta Shukta pisti etc. These herbs show Antioxidant, anti-inflammatory, Hepato-protective, properties. This syrup improves digestion, enhances appetite.

It shows results in Fatty Liver, Liver Cirrhosis, Hepatitis A, Hepatitis B, Hepatitis C, Liver Cancer, Hepatomegaly, Inherited diseases- Hemochromatosis and Wilson’s disease, and Jaundice.

DOSAGE– Take 2 tablespoon twice daily

4. Liver Care Tablet

It is a herbo-mineral tablet of size 650 MG and is a purely ayurvedic formulation. CAC Liver Care tablets help in balancing Pitta dosha. These tablets stimulate the growth of new liver cells, promote functions of liver, and improve blood flow from the liver. It helps in the treatment of fatty liver, Liver cirrhosis, Hepatitis, hepatomegaly, and obstructive Jaundice. CAC Liver Care Tablets contains Ingredients like Kalmegh (Andrographis paniculata), Kutaki(Picrorhiza kurroa), Bhumi amla( phyllanthus niruri), Giloy(Tinopora Cordifolia), Yavakshar( Hordeum vulgare), Imli Kshar( Tamarindus indica), Mukta Shukta pisti etc. it shows results in Hepatomegaly, Inherited diseases- Hemochromatosis and Wilson’s disease, Jaundice and Obstructive jaundice

DOSAGE: Take one tablet twice a day with normal water.

5. Panchsakar Churna

It is a herbo mineral and purely ayurvedic formulation. It mainly works on your Vata and pitta dosha of your body. It can cure Chronic Constipation and help relieve symptoms of Acidity, indigestion, Belching and colic pain. It acts as a mild Laxative and reduces Bloating. It works very efficiently on a disease named IBS (Irritable bowel syndrome) which is very common nowadays that affects your day to day activities. CAC Panchsakar churna is 100% natural and pure. It is prepared from various herbs like Haritaki, Shunthi, Swaran Patri, Shatapushpa, and Saindhav Lavan that show antioxidant, anti-inflammatory and laxative properties.PANCHSAKAR CHURNA contains Haritaki (Terminalia Chebula), Shunthi (Zingiber Officinale), Saindhava Lavana (Rock Salt), Svarna Patri (Cassia Angustifolia), Shatapushpa (Foeniculum Vulgare)

DOSAGE: Take one tablespoon at night with normal water.

It is a herbo-mineral tablet of 650 MG and is purely Ayurvedic formulation. It helps in reducing excess Kapha or mucous from the body, supports respiratory system, manages weight, helps to take out impurities or ama from the body, supports healthy detoxification, reduces swelling. It has many properties such as anti-inflammatory, analgesic, expectorant, and antioxidant. It is made up of equal parts of three herbs such as Pippali (Piper longum), Shunthi (Zingiber officinale), & Marich (Piper nigrum) that maintains the metabolism of body. The regular use of this tablet maintains the balance of thyroxine hormone and prevents hyperthyroidism naturally. It act as an Appetizer and it improves digestion, supports normal gastric function, and normal circulation.

INGREDIENTS OF  CAC TRIKATU TABLET ARE:

1. Pippali (Piper longum)
2. Shunthi (Zingiber officinale)
3. Marich (Piper nigrum)

DESCRIPTION OF INGREDIENTS:

• Sunthi

It helps in balancing vata dosha and effective remedy for pain relief. It is also called as universal medicine because it has many medicinal properties like analgesic, antioxidant, anti-microbial, hepato protective, immune modulatory nephron protective, neuroprotective. Due to its properties the herb can be used to treat multiple health issues such as joint pain, cramps, sore throat, heartburn, muscle pain, vomiting and hypertension. It is rich in essential oil, pungent constituents such as gingerol and shogaol.

• Pippali

It is an effective herb in managing cough and cold. It acts as bronchodilator, Decongestant and expectorant effects due to its kapha balancing properties. Pippali contains many phytochemicals piperine and piper longumine, flavonoids and steroids. Other names of pippali are Magadhi, Chapala,kana,Ushna,Teeksna . It promotes digestive fire because it pacifies vata and kapha .

• Marich:

Piper nigrum contain many medicinal properties such as anti-inflammatory, anti-cancer, anti-oxidant, anti-microbial, antidiarrheal, anthelmintic, antispasmodic, anti-stress and It is widely used in digestive disorders. Piperine possesses inhibition of prostaglandins release that helps to relieve joint and muscular pain.

USES OF TRIKATU TABLET:

1. Promotes appetite
2. Enhances cardiac Functioning
3. Boost metabolism
4. Help in weight loss
5. Reduce pain and inflammation
6. Treats hyperthyroidism.
7. Supports respiratory function.
8. Flatulence
9. Helps in Detoxification.
10. Belching
11. Gastritis
12. Expectorant

ALLOPATHIC COUNTERPART OF TRIKATU TABLET ALONG WITH ITS SIDE EFFECTS :

Papain and Fungal Diastase

This tablet contains Papain and Fungal Diastase as main ingredients. Diastase is a potent, powerful hydrolyzing enzyme complex obtained from controlled fermentation of fungi. It is a digestive enzyme that helps in breakdown of carbohydrates and transforms into sugar. Papain is also known as papaya proteinase I and it is extracted from raw papaya. It is a cysteine protease enzyme present in papaya, has proteolytic activity and helps in breakdown of proteins into smaller fragments called peptides and amino acids. This tablet is used as digestant to easy digestion, prevents pancreatitis and promotes the digestion of carbohydrates, fats, and proteins and helps in absorb the essential nutrients in intestine.

SIDE EFFECTS:

1. Abdominal pain
2. Nausea
3. Vomiting
4. Diarrhea
5. Stomach upset
6. Pain while urinating