Friday, 27 January 2012

SINUSITIS


Inflammatory diseases, mostly in the form of common cold are the most common disorders of the nose and accessory air sinuses. Most of these inflammatory conditions are viral in origin, but often they are complicated by superimposed bacterial infections having considerably greater significance.

INFLAMMATIONS
RHINITIS- The more elegant way of saying “common cold”. Most commonly caused by viral infection. They evoke a profuse thick phlegm or mucus discharge, thickened nasal mucosa, edematous, nasal cavities are narrowed and the turbinate are enlarge. These infections soon clear up, usually in a week if appropriately treated but only after 7 days if ignored.

ALLERGIC RHINITIS- It is initiated by sensitivity reactions to one of a large group of allergens perhaps most commonly the plant pollens. The allergic reaction is characterized by marked mucosal oedema, redness and mucous secretion. Recurrent attacks of non specific or allergic rhinitis eventually lead to focal protrusions of the mucosa producing so –called nasal polyps which may reach 3 to 4cm in length.

CHRONIC RHINITIS- is a sequel of repeated attacks of acute rhinitis. Most cases of common cold, inflame sinuses associated (bacterial infection) with systemic upset caused sinusitis.
Sinuses are hollow air spaces in the human body. They usually are referring to symptoms in one or more of 4 pairs of cavities or sinuses known as Para nasal sinuses.

These cavities located within the skull or bones of head surrounding the nose including-
• FRONTAL SINUS
• MAXILLARY SINUS
• ETHMOID SINUS
• SPHENOID SINUS

Each sinus has an opening into the nose for the free exchange of air and mucus and each is joined with nasal passages by continues mucous membrane lining.
Symptoms- location of sinus pain depends on which sinus is affected.
Maxillary sinusitis – can cause pain or pressure in the cheek and upper jaw area e.g. tooth ache, headache.
Frontal sinusitis- can cause pain or pressure in forehead, headache,
Ethmoid sinusitis- can cause pain or pressure between or behind eyes, headache.
Sphenoid sinusitis- can cause pain or pressure at the top of the head, earaches, neck pain Other symptoms are- fever, weakness, tiredness, cough that may be more severe at night, runny nose or nasal congestion, sore throat, bad breath, decrease sense of smell.

TYPES OF SINUSITIS
• ACUTE
• CHRONIC

Acute condition starts with common cold, which is caused by a virus – cold can inflame the sinuses, in chronic condition- the membranes of Para nasal sinuses and nose are thickened because they are constantly inflamed.
If a child having common cold with a clear runny nose does not mean this is sinusitis. If other symptoms can include a fever, cough, headache bad breath, sore throat, irritability, loss of appetite and less active, although facial pain and facial swelling is not always present. If these symptoms persist from a few days upto a month it is called acute sinusitis. If the problem lasting 3 months or more it is termed chronic sinusitis. Chronic sinusitis is relatively rare in children. If it is untreated then it can cause Asthma.
According to Ayurveda- Respiratory tract infection like pratishyaya, Peenasa (sinusitis), Kasa, swasa is produced as a result of vitiation of kapha dosha. The root of RT problems is digestive system especially related to stomach and small intestine. When ingested food is not properly digested due to mandagani (disturbance metabolic process), so undigested substances (AMA) contributes to an increase in phlegm, not only to mucus but also thickened fluids generally, because of vitiated kapha dosha, immunity of the body will get effect, so Ayurvedic treatment(Oral and Therapy) will help to increased the resistance power of the body.

TREATMENT- According to modern medicine
• antibiotics
• analgesics,
• corticosteroids
• antimicrobial nasal spray s
• surgical

ACCORDING TO AYURVEDA-Panch karma and Kerala therapy with oral medication is quite effective in sinusitis.
• Head massage with medicated oil is effective to prevent kapha from accumulating in head.
• Apply karproradi thailam on face, add 4-5 drops of this thailam into boiled water and take good steam.
• Nasyam-with Anu thailam is very effective to clear the sinuses.
• Sirodhara- continuous stream of medicated butter milk on forehead is very effective treatment.

ORAL MEDICINES-some of them are:-
• Dasamulakatutriyadi kashayam
• Indukantam kashayam
• Pathyaksha dhatriayadi kashayam
• Vasakadhyarishtam
• Allerkhand
• Agastya rasayan
• Dasamula rasayan

PREVENTION-
Avoid exposure to irritants e.g. Cigarette, and strong ordure from chemicals
Avoid exposure to anything from which you are allergic.
Avoid dry indoor environment and use a humidifier.
Keep your nose as moist as possible with use of saline sprays.

Do’s
• Vit A and Vit C rich food and fruits are very effective to treat sinusitis. Mango, pumpkin, tomatoes, carrot, papaya, leafy vegetables, milk contain Vitamin A. Amla, orange, lemon contain Vit C.

Don’t
• Fried, freezed, heavy food should be avoided.

Tuesday, 17 January 2012

Symptoms and treatment of Thyroid disease

Thyroid gland is situated in the neck and produces a hormone called thyroxine, which helps in regulating body metabolism. While deficiency of thyroxine hormone causes Myxoedema in adults and cretinism in children, excess of thyroxine levels could lead to exophthalmic goitre, Grave’s disease or Thyrotoxicosis.
thyroidglandHyperthyroidism or thyrotoxicosis is a condition which is more common in women of age group 30 to 50 years. Such individuals show symptoms of irritation, over-anxiety, rapid heart rate, deep shallow respiration, diarrhea, heat intolerance, flushing, menstrual disturbance, fatigue and bulging of eyes. Though all of the said thyroid symptoms may not be present a few of such symptoms could be due to hyperthyroidism.
Hypothyroidism is a condition caused due to inactivity of thyroxine. This condition can be caused due to deficiency of iodine or thyroid failure or pituitary dysfunction. Symptoms include fatigue, loss of vitality and overall hormonal imbalance. When hypothyroidism is left untreated for a long time it could result in myxodema which is distinguished by swollen skin and tissues.
According to Ayurveda, taking adequate quantities of milk can help in preventing goitre. Also rice, barley, Bengal gram, moong dal and cucumber are recommended for patients suffering from goitre. They should of course avoid heavy and sour foods. Herb that are found useful in treatment of thyroid disorders include Kanchanara, Jatamansi, Shilajita, Brahmi guggulu, gokshura, and punarnava.
As a home remedy, a fine paste of vegetable jalakumbhi can be applied over the affected area and the juice of jalakumbi can be given a few times in a day. This has a high content of iodine, the deficiency of which causes goitre.
Coconut oil which contains medium chain fatty acids which help in improving body metabolism,   is good for those suffering from thyroid disorders. The medicines used in Ayurveda for treating thyroid disorders include Kanchanar Guggulu, Ashwagandharishta, Amritadhaya taila and Mahayogaraj guggulu.
Apart from all this, yogic asanas like Sarvangasana, Halasana, Suryanamaskara, Suptavajrasana are found helpful, though Pranayama is the most effective for curing thyroid problems.

Dr Aravind T.V
Medical Officer
Sanjeevanam Ayurveda Therapy Centre
Bangaloru
vdaravind@gmail.com
9008115952


LATEST TRENDS IN THE MANAGEMANT OF PSORIASIS

Psoriasis is a non-infectious, inflammatory disease of the skin. It is characterized by well-defined erythematous (reddish) plaques with large adherent silvery scales. The main abnormality in psoriasis is an increased proliferation of the skin layers due to excessive division of the cell in the basal layers of the skin. Severe itching may associate with the plaques. Dryness of the skin and silvery scaling are characteristics of this condition.

1% to 3% of the most population has Psoriasis. It is very common among Europeans and North Americans. It is often seen between 15 to 40 yrs of age.

The exact reason behind Psoriasis is unknown. There is frequently a genetic predisposition. A child with one affected parent has a 15% chance of developing the disease and this rises to 50% if both the parents are affected. Streptococcal infection of the upper respiratory tract may exacerbate the condition. Deprivation of sunlight influences this condition and mental stress plays an important role in aggravating the condition. Certain drugs like chloroquine, chlorpropamide, lithium and practaol may aggravate this condition.

The peculiar lesions will be raised and red with dry, silvery-white scaling. Size may vary from a few millimeters to several centimeters in diameter. Common sites are scalp elbows knees and lower back. Pitting of the nails is very common. Involvements of palm is not uncommon. Many may develop sero-negative inflammatory arthritis, which is characterized by multiple involvements of joints and pitting on nails.


Ayurvedic view:
Psoriasis Causes: Many basic Ayurvedic texts have explained skin diseases, which resembles Psoriasis. According these references, Psoriasis can be considered as the vitiation of Vata and Kapha. (Two of the basic energies/humors, which maintains our body equilibrium) Accumulation of low potency poisons (Dooshi vishas), are the basic pathological changes taking place in the system. Irregular food habits, consumption of foodstuffs that cannot be eaten together (Eg: diary products with fish), excessive intake of yogurt, black gram, seafood, sour and salted items etc can activate the pathogenesis. Alcohol and tobacco consumption will act as a catalyst here. Ayurveda do emphasize on the effect of stress in the pathogenesis of Psoriasis.

Psoriasis Treatment: Coming to the treatment aspects of Psoriasis according to Ayurveda, it aims at the detoxification of the body or elimination of toxins from the body fluids. It is achieved by "Panchakarma" treatments.
Current schedule, comprising various treatment aspects of Ayurveda is aiming at a better control of Psoriasis. This includes internal and external medications purely of plant origin. Rough out line of this schedule is as follows. (i) Consumption of medicated ghee, considering the Dosha type of the Psoriasis and the person, for 5 to 7 days. (ii) Detoxifying, by inducing vomiting (Vamana) and purgation (Virechana). This is followed by medicated buttermilk dripping overhead (Dahara) and pasting the entire body with a paste of medicines and mud. (iii) Basthies (medicated enemas) are being done for 8 days and internal medicines like herbal concoctions; medicated ghee has to be consumed for at least 90 days.
Psoriasis Diet: A strict diet regime has to be followed during the entire treatment period and it is better to continue as vegetarian. Yogurt, black gram, chilies and salted thing have to be restricted. It is better to avoid refrigerated/chilled foods. Psoriatic must keep a state of mental calmness
Useful Herbs in the Treatment of Psoriasis :
  • Black Nightshade (Solanum nigrum)- Kakmachi - The juice of the leaves of the black nightshade can be applied locally on the affected regions. It helps in reducing the inflammation of the skin, and also has beneficial properties in allaying the pain and the itch.


  • Garlic (Allium sativum) - Garlic is a blood purifier. Eating a few cloves of garlic every morning on an empty stomach filters the toxins out of the blood and provides protection against psoriasis.


  • Jasmine (Jasminum polyanthum) - The flowers of the jasmine have good effects in the treatment of psoriasis. The flowers are crushed, made into a paste and are directly applied on the inflamed parts. This application reduces the pain and the itchiness of psoriatic inflammations.


  • Guggul is an Ayurvedic herb from a resin of a small tree, which grows in northwestern India, its useful in treating psoriasis. It has anti-inflammatory and lipid-lowering actions, helps remove fat, excess fluids from the body and penetrates deep into the tissues. It is a effective Kapha- and Vata-pacifying supplement.


  • Neem is one among the best blood purifier and detoxifier known to Ayurveda. It enhances immune system and neem oil is an antiseptic in itself. Leaf extracts are used in antiseptics and can be effectively used in treating psoriasis. It destroys fungus and bacteria and is best for almost all kinds of skin diseases including redness of skin and itching.


  • Turmeric – the spice has a long history in Ayurveda, and is a primary component for cooking. The powdered form can be used with food, or is available as capsules as a dietary supplement. Due to the antibacterial and anti-inflammatory properties of turmeric, it relieves the pain, swelling and inflammation associated with psoriasis, arthritis etc.



    • Dr Aravind T.V
    • Senior Medical officer
    • Cholayil Sanjeevanam Ayurveda Therapy Centre
    • Bangaloru
    • Karnataka
    • 9008115952

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