Hemorrhoids , Piles ( Bleeding )

Hemorrhoids , Piles  ( Bleeding )

Hemorrhoids are painful . swollen veins in the lower portion of the rectum or anus .

Causes

1 Straining during bowel movements.

2 During pregnancy.

3 Sitting for long periods of time.

4 In some diseases . Such as liver cirrhosis

5 After delivery.

6 Constipation.

Symptoms

1 Anal pain . Especially sitting.

2 Pain during bowel movements.

3 Bright red blood on toilet tissue . Stool .or toilet bowel .

4 Anal itching .

5 One or more tender mass near the anus.

Different Diagnosis .

* Features

1 Bleeding

2 PR examination

3 Pain

4 Stool

5 Food mixed with blood given to dog

6 quantity and fre quency.

*Raktarsha.

1 Per Rectum.

2 Presence of piles mass.

3 Before and defecation.

4 Hard and Constipation

5 Eats

6 less

* Adhoga Raktapitta .

1 Per rectum . Urethra vagina .

2 No . Piles mass

3 May occurs without defecation.

4 No Hard .

5 Hard / Liquid stools .

6 Not eats

7 Very large.

 * Raktaatisara

1 Blood mixed stool

2 No piles mass

3 No pain.

4 Liquid stool

5 Eats.

6 More.

Principal of Treatment

Shushka Arsha

1 Abhyanga , Svedana , dhuma , lepa ,raktamokshana , dipana , Vatanulomana. Malanulomana . Shamana

2 Arsha having stabdhata , Shoola and shopha , Seka , Avagaha ,Dhoopana ,lepa ,and Abhobhanga.

3 If Not relieved by sheeta , Ushna , Snigdha , Ruksha , then it indicates that visitation of rakta . In this condition raktamokshana Should be carried out .

4 In Vata - Shleshmaja Arsha ,Takra Prayoga is regarded as best treatment

Raktarsha / Ardra Arsha

1 In Vatanubandha - Snigdha and sheeta , in Kaphaanubandha - Ruksha and Sheeta .

2 Pitta and Kaphadhika Raktarsha - Shodhana , Langhana.

3 Bleeding should not be stopped at the begging . If stambhna is done then it lead to vata and rakta vikara.

4 Tikta drug for agnideepana , raktasangraha and doshapachana .

5 Ghrita Prayoga - In Rakta Atipravritti vata prakopa and Shoola

6 Sheeta kriya - Sheeta Seka lepa _ Avagaha ,  sahasradhouta. Ghirtha Abhobhanga , Picchu in rakta pitta predominantly and alpa vata and kapha .

Rx.

Shoshana Chikitsa

1 Abhyanga- Jatyadi Ghirtha

2 Parisheka - Panchavalkala kawtha

3 Avagaha - Panchavalkala + sphatika jala

4 Dashamula Niruha ( Samutra kshira ) in shushkarsha

5 Anuvasana - Changeri Ghirtha in prolapse of rectum , Pippalyadi Taila

6 Jaloukavacharana - In thrombosed piles

7 Piccha basti - Ati raktasrva in Raktarsha .

8 Pichu - Jatyadi Ghirtha / Kasisadi Taila / Padmakadi Taila .

Shamana Chikitsa

Sushkaarsha ( Non - Bleeding piles )

1 Takraristha 20 ml with equal water after meals BD

2 Arshakuthar ras 250 mg TID with warm water after meals

3 Tilabhallataka leha 1 tsf with milk before meals BD

4 Kankayana vati 2 BD before meals warm water

5 Kasisadi Taila -For Pichu

6 Changeri Ghirtha 20 ml with water after meals BD.

Raktarsha ( Bleeding piles )

1 Kutaja Ghana vati 2 BD Before meals with warm water

2 Bahushala guda 2 tsf with milk before meals BD

3 Suranadi vati 250 mg TID with warm water BD

4 Bola Parpati 250mg TID with warm water before meals

5 Pushyangu  Churna 1tsf with milk before meals BD

6 Padmakadi Taila - External for Pichu.

Pranayama

Rhythmic breathing that revitalizes the nervous system.

Diet and lifestyle

Pathya ( indications )

1 Rest  ,foot end elevation

2 Drink plenty of fluids  , at least eight glass per day .

3 Eat a high - Fiber diet of fruits , vegetables  and whole grains.

4 Use stool softeners to prevent straining.

Apthya ( Contraindications)

1 Hot , Spicy , diet , Constipating food .

2

Udavarta

Udavarta ( Dysmenorrhoea )

This includes congestive dysmenorrhoea as well as other types [1]. According to Ayurveda, the clinical entity characterized by pain, difficult expulsion of menstrual blood due to upward movement of rajas (menstrual blood) propelled by vitiated vata.

Symptoms

1 Basti - Kukahi - Udara - Hirdaya Ruju

2 Prushta - Parshva Ati Vedana.

3 Adhaman.

4 Malavarodha.

5 Hrillasa.

6 Vikartika

7 Avipaka.

8 Bastishotha

9Shushka Sakashta mala

10 Udavatajanya Roga.

Principal of Treatment

1 Abhyanga

2 Sevda

3 Varti

4 Nituha

5 Anuvasana

6 Virechana

7 Vatanulomana
Dravya.

Rx

Panchakarma

1 Vartiprayoga - Shyamadi  . Pippalyadi

2 Pradhamana Churna - Shyamadi . Rakshoghnadi Churna.

3 Niruha Basti - if No mala and vata anulomana by Varti and Churna Pradhamana  . Than niruha with urdhva and Abhobhanga - harayukta should be given.

4 Virechana - If udavarta presists even after Niruha . Virechana ( Tikhshna ) with Gomutra . Prasanna and shukta ..

Udavartahara Yoga

Shamana Chikitsa

1 Dviruttarahingvadi Churna.
1/2 tfs with warm water after meals BD

2 Vachadi Churna 1/2 tsf with warm water before meals

3 Sthiradi Ghirtha 10 gm with warm water after meals BD

4 Hingu - ugragandhadi  Churna 1 tsf with warm water before meals BD

Diet and lifestyle

Pathya ( indications )

1Dry fruits like raisins . Dates or figs to be soaked overnight and eaten in the morning.

2 eat a steamed Fresh vegetables.

3 Eating papaya before or after meals in helpful in relieving constipation.

4 Drink a glass of water upon walking . Just after visiting bathroom.

5 Take plenty of leafy vegetables and salads.

6 proper chewing of food is very important.

Apthya ( contraindications)

1Cooked egg

2 Overcooked meals.

3 Refined starch

4 Avoiding eating lots of spices fried food . Frozen food and food / drink with preservatives don't Suppression natural urges.

5 pasteurized milk.

of

Adhmana ( Flatulence )

Adhmana ( Flatulence )

Normally everyone has gas . In Ayurveda it is called Apana Vata passing of gas through the mouth is called belching and through the rectum is called flatulence . Usually the gas does not have any odor ..

Causes .

1 Cold , dry , soild foods..

2 Excessive intake of pulses.

3 impaired digestion.

4 Excess fatty foods.

5 Milk Products

6 Bakery products , junk food , fast food .

7 Cold drinks , ice cream..

Symptoms

1Distension of Abdomen.

2 Urdhvavata .

3 Abdominal pain.

4 Heaviness of Abdomen .

Chikitsa Sutra

Panchakarma

1Vatanulomana

2 Svedana - Nadi Sveda

3 Abhyanga - Hingu vachadi Taila

4 Lepa - Darushatka Lepa

5Varti - Shyamadi Varti .

Rx

Shamana  Chikitsa

1 Lashoonadi vati 2 BD with warm water before meals

2 Chitrakadi vati 2 BD with warm water After meals

3 Mahashankha vati 2 with warm water before meals

4 Hinguvachadi Churna 1/2 tsf with warm water BD after meals

5 Lavanbhaskara Churna 1/2 tsf with warm water after meals.

Diet and lifestyle

Pathya ( Indications)

1 Planning of diet is most essential in Dyspepsia because the root cause is faulty intake of diet.

2 old rice , munga dal , rice gruel , buttermilk , lemon juice , cow ghee
, Fresh ginger , fresh garlic , black salt

3 Light food in moderate quantity

4 Take fresh food in warm conditions

5 Drink warm water or medicated water after the meal , helps digestion.

6 Give at least 3 hours of gap between two meals.

6 Regular exercise.

Apthya ( Contraindications)

1Avoid heavy , cold , too much oily food.

2 Avoid drinking of water just before meals.

3 Avoid day sleep after meals.

4 Avoid heavy meals at night time.

5 Don't take anything in between except liquid

6 Suppression of the natural urges.

Constipation

Constipation

Constipation refer to infrequent bowel movements .but it may also refer to a decrease in the volume of stool .the need to stain a sense of incomplete evacuation . Or the need for laxatives . suppositories or enemas in order to maintain regular bowel .

Causes

1 Lake of fiber in the diet

2 Lack of physical activity

3 Suppression of urges of defecation.

4 Cold , dry and Astringent rich.

5 junk food . Bakery products

6 irritable bowel syndrome

7 dehydration

8 medications

9 abuse of laxatives

10 specific diseases such as stroke

11 chronic idiopathic constipation.

Symptoms

Many people falsely believe that daily defecation is essential and complain of constipation if stool occurs less frequently. Sometimes the complain in non - defecation with the act of defecation

Widespread belief . Such as the presumption that all should have a bowel movement at least once daily have led to excess use and abuse of laxatives.

According to Ayurveda. the following are general types of imbalances at the source of most chronic conditions including constipation.

1 Toxin accumulation in tissue and blocking circulation.

2 Poor nutrition leading to weakness . fatigue . burning sensation in eyes etc..

3 Poor digestion leading to chest burn flatulence etc.

4 Lowering of natural resistance and immunity

5 Disruption of natural biological rhythms.

Principal of Treatment

1Abhyanga - Hingu Tel

2 Svedana - Nadi Sveda

3 Varti

4 Niruha  - Erandamuladi Basti

5 Anuvasana - Sukumara Ghirtha for 8 days .

6 Virechana

7 Vatanulomana Dravya .

8 Matrabasti - Gandharvahastadi taila 70 ml + Hinguvachadi Kalka 5 gm + Saindhva 3gm..

9Matrabasti - Pippalyadi Tel 70 ml + Hinguvachadi Kalka 5 gm + Saindhva 3gm.

Rx..

Shamana Chikitsa

1 Panchasakara Churna 1/2 tsf with warm water bed time

2 Haritaki Churna 1/2 tsf with warm water bed time

3 Shad darana Churna 1 tsf with warm water bed time

4 Sukumara Ghirtha 1/2 tsf with warm water bed time

5 Gandharvahastadi eranda Tel 10 - 20 ml with warm water before meals....

Diet and lifestyle
 

Pathya ( Indications)

1 Take 500ml of water ealry morning and walk for 10 minutes to relieve gas and stimulating vata to induced urges to pass stool .

2 eating freshly cooked food in helpful . Spices like cumin seeds . Coriander . Turmeric powder . fennel and asafetida  are good as they make the food easily
 digestive

3 Proper chewing of food is very important

4 Take plenty of leafy vegetables and salads.

5 Drinking a glass of warm milk at the time of going to bed helps in evacuation the next morning . In case of severe constipation mix two tsf castor oil in the milk is very helpful ..

6 Drink a glass of water upon waking just after visiting bathroom .

7 Eat steamed fresh vegetables.

8 Gree leafy veggies may be balanced for vayu dosha by cooking with ginger . Cumin. Coriander and asafetida

9 Regular exercise .

Apthya ( Contraindications)

1 pasteurization milk

2 cooked eggs

3 Overcooked meats

4 Refined attach .

5 Avoiding eating lot of spices , fried food , forzen food and food / drink with preservatives don't support natural urges..

Chronic pancreatitis

Chronic Pancreatitis

Chronic pancreatitis in inflammation of the pancreas that does not heal or improve . Get worse over time and lead to permanent damage .

Causes
The condition is most often caused by alcohol abused over many years repeated episodes of acute pancreatitis can lead to Chronic pancreatitis .

Other Causes

1 Autoimmune problem ( when the immune system attack the body)

2Blockage of the pancreatic duct or common bile duct  . The tube that drain enzymes from the pancreas.

3 High level of a fat called triglycerides in the blood ( hypertriglyceridemia)

4 Hyperparathyroidism

5 Use of certain medications ( especially sulfonamide . Thiazides and azathioprine)

Chronic pancreatitis occurs more often in men than in women the condition often develops in people aged  30 to 40.

Symptoms

1 Abdominal pain

* More in the upper abdomen

* May last from Hours to days

* Eventually may be continuous

* May get  worse from eating or drinking

* May get worse from drinking alcohol

* May also be felt in the back

2 Digestive Problems.

* Chronic weight loss . Even when eating habits and amount are normal .

* Diarrhoea . Nausea .and Vomiting

* Fatty or oil stool

* Pale or clay - colored stools.

The symptoms may become more frequently as the condition gets worse .the symptoms may pancreatic cancer . Sitting up and leaning forward may sometimes relieve the abdominal pain of pancreatitis..

Investigation

1 Fecal fat test

2 Serum amylase , lipase , trypsinogen

3 Serum IgG4 ( for diagnosing of the pancreas or change to the duct of the pancreas may be seen on.
.
4 abdominal CT Scan

5 Abdominal Ultrasound.

6 Magnetic resonance cholangiopancreatography ( MRCP)

Principal of Treatment

Kapha Grahani Samana

Rx..

Shamana Chikitsa

1 Karvyada Rasa 250 - 500 mg TID with nimbu svarasa  after meals

2 Bilvadi Gulika 250 - 500 TID with Takra after meals

3 Agnitundi vati 250 - 500 mg BD with warm water before meals

4 Rasaparpati 125 - 250 mg BD with Honey After meals

Prevention

Determining the causes of acute pancreatitis and treating it quickly may help prevent chronic pancreatitis . Not drinking a lot of alcohol reduce the risk of developing the condition .

Diet and lifestyle

Pathya ( indications)

1 Drinking plenty of liquid

2 Eating a low fat diet

3 eating small , frequent meals ( this helps digestive symptoms)

Apthya ( Contraindications)

1 Avoid Smoking and drinking alcohol beverage

2 Getting enough vitamin s and calcium's in the diet or as etxra supplement

3 Limiting caffeine......

Amalapitta ( Hyperacidity )

Amlapitta ( Hyperacidity )

Causes-

1 Faulty
2 Bakery diet
3 Stress
4 Excessive oily
5 Irregular meals....

Symptoms.

1vomiting
2indigestion
3anorexia
4headache
5fatigue
6 constipation
7 Nausea
8 cheat burn

Dosha.

Ayurveda - pittapradhana
 

Shamana Chikitsa..


1 kamadugha ras 2 vati before meals BD

2 Muktishukti pisthi 250 mg TID after meals

3Guduchyadi kwath 20 ml BD before meals...

Indications (Pathya)

1Drink water after meals


Apthya ( contraindications)

1 spicy , sour , to hot ,too  much oily

2alcohol

3 avoid drinking of water before meals

4avoid aspirin and Pain killers tablets (NSAID) ......

5 Acidic food.

Ajeerna ( indigestion )

Ajeerna ( Indigestion, Dyspepsia)

Indigestion is a undefined feeling of discomfort or acute , chronic or recurrent pain in upper part of abdomen during or after food intake.......

Causes -

1 Irregular eating
2eating too much
3eating spicy , fatty or greasy food
4 Drinking too much alcohol
5 eating too fast
6 heavy meals
7 high fiber food
8tabacco smoking

Other causes of Indigestion are ..

1Gastritis
2 pancreatitis
3use of NSAID
4 Gallstones
5Ulcers

 Symptoms

1Excessive salivation
2vomiting
3weakness
4Nausea
5 Vertigo..

Dosha -
Kapha ( amjeerna)
Pitta ( vidagdha jeerna)
Vata ( Vishtabdhajeerna)

Chikitsa -

Kapha - Langhana , pitta - vamana ,

 Vata - svedana ..

Rx..........

1 Sanjivani vati 2 vati with warm water BD
2Rasona Vati 2 vati before meals BD
3 Bhunimbadi kawth 20 ml BD
4Hinguvachadi churna 3gm TID warm water  after food ........


Pathya ( indications)

1 old rice ,mung dal, lemon juice, black salt ..
2light food
3 take fresh food warm conditions
4 Drinking a warm water
5 Chew food carefully and complete
6 regular exercise

Apthya ( contraindications)

1 avoid heavy , cold ,too much oily food
2Avoid drinking of water just before meals
3 avoid day sleeping
4 Avoid heavy meals
5 Avoid Anxiety ,worry .......