Tropical Eoisinophilia

Tropical Eoisinophilia

Tropical Eoisinophilia is caused by wuchereia Bancroft a filarial infections

Symptoms

A persistent or recurrent cough that gets aggravated at night

1 Dyspnoea

2 Wheezing

3 Weight loss

4 Low fever

5 weakness

Principal of Treatment

1 Shavsa roga needs emergency treatment due to its fatal natural

2 Ekanta Chikitsa such as kaphahara and vatakara or Vatahara and kaphakara should be not done however among these vatanashaka Chikitsa is better

3 in all cases for brumhana Chikitsa there is little and manageable risk for Shamana Chikitsa the risk is not too much and for karshana Chikitsa the risk is high and unmanageable hence the patients of shvasa roga should be managed with brumhana or samna Chikitsa

4 Shvasahara dravya guna - kapha _ vataguna , ushna , Vatanulomana .

5 Ghirtha Pana yogya avastha - dryness of throat , chest , palate , and body .

6 Svedana - In Shvasa associated with raktapitta in grabhini , rukshna dhatu , Kashaya , pitta prakruti Svedana is contraindicated . In such cases mild fomentations with utkarika should be given .

Panchakarma

1 Abhyanga -  Saindhava Taila

2 Svedana - Dashamula Nadi Sveda

3 Sadyo Vamana - Vacha , Saindhava and Madhutailika with honey.

Shamana Chikitsa

1 Mallasindoora 30 - 60 mg TID with honey after meals

2 Talasindoora 60 mg BD with warm water after meals

3 Haridra Khanda 1 tsf BD with warm water after meals.

4 Chyavana prasha Leha 1 tsf BD with warm milk after meals.

5 Sameerapannaga Rasa 125 mg BD with warm water after meals.

6 Svarna Sameerapannaga Rasa 65mg BD with warm water after meals

7 Shvasa kasa chintamani 65 mg BD with honey after meals.

8 Pushkaramoolasava 2 to 3 TID with water after meals.

Pathya ( indications )

Low fat , hot diet

Apathya ( contraindications )

Irritating , oily , curd , sour , talking during meals , taking food in hurry.

Chronic Bronchitis

Chronic Bronchitis

Bronchitis is an inflammation of the bronchial tubes . and causes cough with expectorant .

Causes

1 Cigarette smoking is the most common cause.

Symptoms

1 Difficulty in breathing

2 Productive cough

3 Yellowish or greenish sputum with bad odor .

4 fever

Principal of Treatment

1 Kashyaja kasa Shamana Chikitsa.

2 Use of srotoshodhana . deepan and Brimahana Chikitsa alternative .

 Shoshana Chikitsa

*Panchakarma

1 Abhyanga - Saindhava Taila

2 Svedana - Dashamula Nadi Sveda

3 Sadyo Vamana -Vacha , Saindhava and Madhutailika with honey

Or

Ghirtha Pana - Pippalyadi Ghirtha / PTG / Murchita Taila.

4 Virechana - Icchabhedi Rasa Vati 250mg with Decoction of Trivrit + Triphala 50ml + Gomutra 50 ml

Shamana Chikitsa

Recommended Classical Formulation

1 Shvasakuthara Rasa 125 mg BD with 10 ml Nagavali Savarasa and honey after meals.

2 Chandramrita Rasa 250 mg BD with honey after meals

3 Agastya Haritaki Leha 1 tsf BD with warm milk after meals

4 Vasavaleha 1 tsf BD with warm milk after meals

5 Dashamula Rasayana 1 tsf BD with warm milk after meals

6 Talisadi Churna 1/2 tsf with honey TID after meals

7 Shringyadi Churna 1/2 tsf with honey TID after meals.

8 Vasarishta 2 tsf BD with warm water after meals .

9 Pippalyadi asava 2 tsf TID  with warm water after meals.

Yoga Therapy

1  Bhujangasana

2 Shalabhasana

3 Dahnurasana

4 Ushtrasana

5 Chakraasan

6 Shavasana

*Pranayama ..

1 Anuloma - Viloma Deep Breath ( 15 minutes )

2 Ujjayi Pranayama with out kumbhaka ( 10 minutes)

3 Right Nostrils Purak followed by Bhramari Rechaka ( 21 round )

* Meditation for 15 to 30 minutes.

Diet and lifestyle

Pathya ( indications )

1 low fat , light , hot diet , not too oily , not too dry.

Apathya ( Contraindications )

1 Cold

2 irritating oily

3 sour

4 curd , avoid milk and milk products.

5 Avoid gas forming foods.

Bandhyatva ( Female Infertility )

Bandhyatva ( Female Infertility )

Infertility is the term used for women who are unable to conceive after at least one year of regular unprotected coitus .

Causes

1 Physical problem with the uterine wall

2 Uterine fibroid

3 Poor diet

4 Smoking drug and alcohol

5 Hormonal imbalance

6 Stress

7 Being overweight or underweight

8 Blocked Fallopian tube the endometriosis , PID , Or Surgery

9 Other health problems such as STD..

Treatment

Panchakarma.

1 Snehana - Phala Ghirtha

2 Bashpa Sveda

3 Virechana - Trivirt Leha 30gm Gandharvahastadi Taila 30 ml with warm water.

4 Garbhashyagata Uttra basti with Shatpushpa

Taila 5 ml ( reference Kashyap Samhita )

5 Madhutailika Basti ( Sneh Phala Ghirtha) × 8days

6 Yoni Picchu - Dashamula Taila

Regular oil massage and steam .

Simple Remedies

1 Take 3 tsf powder prepared from Asparagus recemosus , Anethum graveolens and Saraca Ashoka 2 time a day .

2 Take a 20 ml decoction of asparagus recemosus and Saraca Ashoka 2 time day.

Lab Investigation

1 Haemogram

2 Urine routine micro

3 Serum estrogen , progesterone , FSH, LH

4 Serum prolactin

5 Thyroid Profile

6 Semen Analysis ( Husband. )

7 USG for ovulation study .

8 HSG for tubal patency

9 Endometrial biopsy

10 Laproscopy - hysteroscopy Husband -.  Scrotal sonography.

Diagnosis

1 Anovulatory cycle by USG

2 Block tubes by HSG

3 EB for endometrial tuberculosis

4 Laproscopy - Endometriosis

5 Scrotal sonography - Varicocele

6 Serum FSH level for premature ovarian failure .

7 Progesterone - Corpus luteum insufficient

8 Prolactin - Prolactinoma.

Principal of Treatment

Uterine tonic , restoration of normal physiology , Vatanulomana.

Recommended Classical Formulation

Saman Chikitsa
Rx

1 Nashtapushpantaka rasa 125 mg - 250 mg TID with honey after meals

2 Pushpadhanva Rasa 125 mg - 250 mg BD with honey after meals

3 Phalaghrita 10 - 20ml BD before meals.

4 Phala Kalyanka sarpi 10 ml BD after meals

5 Sukumara Kashaya 20 ml BD after meals

6 Shatavari Leha 1 tsf OD after meals

7 Rasa panchkyoga 20 ml BD after meals

8 Shatavari Shatpushpa Churna 3 gm TID after meals.

Yoga and Pranayama

1 Saravangasan

2 Shavasana

3 Padmasana

4 Setubandhasana

5 Viparitakarni Asana

Pranayama

1 Anuloma

Viloma Bhastrika

Meditation

Pathya - Mudga , shali , godhuma , tila , fruits and green vegetables .

Apathya - Abhishyandi , Guru , Viruddha Ahara , Fish , Curd , heavy , fried food , stress .

Svarabheda ( Hoarseness of Voice )

Svarabheda ( Hoarseness of Voice )

Hoarseness refers to a difficulty making sounds when trying to speak vocal sounds may be weak . breathy .scratchy or husky and the pitch or quality of the voice may change.

Hoarseness is most often caused by a problem with the vocal cords which are part of your voice box ( lyrynx) in the throat when the vocal cords become inflamed or infections they swell   . This can cause Hoarseness.

The most common cause of hoarseness is a cold or sinus infections which usually goes away on it own within 2 weeks.

Causes

1 Acid reflux

2 Allergy

3 Breathing in irritating substance .

4 Cancer

5 Chronic Cough

6 Smoking . Tabecoo . Drinking

7 Overuse or abuse of the voice ( as in shouting or singing )

Lab Investigation

1 Laryngoscope

2CT

3 Throat culture

4 CBC

Line of Treatment

1 Vatahara

2 Kasahara

Drug of choice- Yasthimadhu

Main Drug's- Gunjapatra , Lavanga , Ela , Jatiphala.

Shamana Chikitsa
Classical Formulation

1 Chandramrita Rasa 125 mg TID with warm water after meals.

2 Vyosadi  Vati 250 mg BD with warm water after meals.

3 Kantakaryavaleha 1 tsf BD with warm water after meals.

4 Lavangadi vati 250 mg BD with warm water after meals.

5 Eladi Gutika 250mg 5 -6 times chewing.

Diet and lifestyle

Pathya ( indications )

1 Talk only when you need to until hoarseness  goes away.

2 Drink pelnty of fluids to help keep your airway moist ( Gargling does not help )

3 Use a vaporiser to add moisture to the air you  breathe.

4 Take medicine to reduce Stomach acid .

Apthya ( Contraindications )

1 Avoid action that strain the vocal cords such as whispered shouting . crying . and
singing .

2 Do not use decongestant which can dry out vocal cords.

Kasa ( Cough )

Coughing is a reflex that clear the throat and airways.

Causes

1 COPD ( chronic obstructive pulmonary diseases)

2 GERD ( Gastoesophageal reflux diseases )

3 Smoking

4 Throat disorders .such as croup in young children.

Chronic Cough

1 One of the most common reasons for seeking medical attention.

2'Defined as a cough persisting for at least 4 weeks.

Types

1 Vata ( Dry Cough )

2 Pitta . Kapha ( Productive cough )

3 Kshataja Kashayajanya

( Chronic bronchitis )

Diagnosis

1 Chest ausultation for wheezing . nasal and oral examination for sings of Postnasal drip
( Eg - cobblestone appearance or erythema of mucous )

2 chest x ray to exclude specific  praenchymal lung diseases .

3 Consider spirometry before and after bronchodilator metha - choline challenges . sinus CT scan and 24 hour Esophageal pH monitoring

4 Bronchoscopy.

Principal of Treatment

Shodhana Chikitsa  ( Panchakarma )

1 Snehana

2 Svedana

3 Vatanulomana.

Shamana Chikitsa

Drugs of choice - Kanthakari

Main Drug's - Vasa . Pippali , Bharangi , Yasthimadhu , Shringa.

Naimittika Rasayana - Vardhamana Rasayana , Dashamula Rasayana.

Recommended Classical Formulation

1 Chandramrita Rasa 125 mg TID with honey after meals.

2 Lakhshmivilasa Rasa 250 mg BD with warm water after meals.

3 Talisadi Churna 3 gm with honey TID after meals.

4 Sitopaladi Churna 3 gm TID with honey after meals.

5 Karpuradi churna 3 gm BD with warm water after meals.

6 Pippalyadi asava 20 ml TID with warm water after meals.

7 Kanakaasava ( Vata + Kapha  cough ) 10 ml BD with warm water after meals.

Diet and lifestyle

Pathya ( indications )

1 Low fat , hot diet

Apathya ( Contraindications )

1Cold , irritating , oily , curd , sour , speech .

Don't use mosquito repellant and pesticides if it causing cough.

Tundikeri ( Tonsillitis )

The disease Tundikeri described in Ayurvedic classics has close similarity with tonsillitis. Tonsillitis is a very common illness found in childhood. Tundikeri is described as Kapha-Raktaja dominant condition. Here, Ayurvedic treatment has a specific utility in the management of Tundikeri.

Causes

1 Bacterial infections

2 Viral infections

3 Decreased immunity

Symptoms

1 Throat pain

2 Dysphagia

3 Malaise

4 Enlargement of lymph nodes

5 Sore throat

6 Fever

7 Headaches

Different Diagnosis

Tonsillitis

Featured

Definition - inflammation of the tonsils of pharynx

Jugulo - Diagastric lymph node enlargement.

* Present

Age - common in child

Symptoms

* Swollen tonsils that project from between the pillars of the fauces and exude white or yellow follicles.

Discharge

* Purulent drainage when pressure is applied to the tonsillar pillars.

2 Adenoiditis

Definition - inflammation of adenoid.

Jugulo Diagastric lymph nodes enlargement

* Absent

Age - common in infants

Symptoms - Swollen adenoids

Discharge - NO

Principal of Treatment

Shodhana Chikitsa ( Panchakarma )

1 Shodhana

2 Pratishyayahara

3 Shothahara

4 Raktaprasadana Chikitsa.

Shamana Chikitsa

Recommended Classical Formulation

1 Tribhuvanakirti Rasa 125 mg TID with warm water after meals.

2 Lakhshmivilasa Rasa 125 mg TID with warm water after meals.

3 Shvasakuthara Rasa 125 mg TID with warm water after meals.

4 Amritarishta 20 ml TID with warm water after meals.

5 Sudharshana Churna 3 gm TID with warm water after meals.

Diet and lifestyle

Pathya ( indications )

1 Rest .light diet .hot fomentations.

Apthya ( Contraindications )

1Cold .oily .sweet and sour food .curd.

Snoring

Snoring

Snoring occurs when something block the flow of air through Mouth and nose.

Causes

1 Throat weakness . causing the throat to close during sleep.

2 Obstruction in the nasal passageway .

3 Deposition of fat in and around the throat .

4 The tissue at the top of airways touching each causing vibration

5 Relaxants such as alcohol or drugs relaxing throat muscle.

6 sleeping on back . Which may result in the drooping of tounge into the back of mouth .

Principal of Treatment

Shodhana Chikitsa ( Panchakarma )

1 Kaphavatahara

2 Vatanulomana

3 Pratimarsha Nasya with Anu Taila BD Day.

4 Prayogika Dhumapana BD Day

Shamana Chikitsa

Recommended Classical Formulation

1 Mrityunjaya Rasa 250 mg TID with warm water after meals.

2 Sudharshana Churna 3 gm BD with warm water after meals.

3 Shvasakuthara Rasa 125 mg BD with warm water after meals.

4 Godanti Bhasma 250 mg BD with warm water before meals.

5 Laghu Sutshekhar Rasa 500mg TID with warm water after meals.

Diet and lifestyle

Pathya ( indications )

1 light diet at night

Sleep on your side not on your back .

Apthya ( contraindications )

1 Obesity

2 recurrent respiratory infections

3 sleeping immediately after meals.

4 Day sleeping.