Ayurvedic Herbal Treatment of Acute Intermittent Porphyria (AIP)

Acute Intermittent Porphyria (AIP) is an acute manifestation pf porphyria, which is an inherited metabolic disorder. Deficiency of enzymes leads to deficient conversion into heme and thereby accumulation in the body of porphyrins. This causes neurological, visceral, psychiatric, or cutaneous manifestations of symptoms including severe abdominal pain, constipation, vomiting, muscular pain, convulsions, tingling, weakness, confusion, hallucinations, high blood pressure, tachycardia, itching and rash.

Urine in the acute presentation is typically red colored, and contains high amounts of porphobilinogen, which is diagnostic of this condition. Treatment is with intravenous glucose, simple pain killers, and oral or intravenous hematin. Medications, fasting, smoking, infections, surgery, stress, alcohol use, menstrual hormones, and exposure to sun are known to precipitate symptoms of this condition.

The pathology suggests disturbed metabolism and creation of unhealthy blood tissue and vitiated pitta. Features are indicative of Raktapitta disease moving in the downward direction. Depending upon the exact pathophysiology, skin, brain and kidneys are also liable to be affected.

Treatment involves correction of faulty pitta and normalization of blood tissue, correction of metabolism, along with control of a disturbed vata. Other symptoms can be concurrently treated with Ayurvedic medicines. Most patients can be well controlled with Ayurvedic therapy of a few weeks to a few months. Recurrent attacks of pain can be well controlled, provided the patient meticulously avoids all known aggravating causes. Patients having severe neuropsychiatric symptoms may require prolonged treatment of about 6-10 months.

After the initial treatment, once all symptoms have gone in complete remission, it is usually sufficient to just observe the patient for any signs of recurrence or relapse. Most day to day medical issues can be easily handled with Ayurvedic medication, and the patients as well as caretakers quickly learn to manage the situation on their own. It is fortunate that most Ayurvedic medications are well tolerated by patients suffering from porphyria, and so affected individuals need not get intimidated by the long list of Allopathic medications which they cannot take.

The writer, Dr A A Mundewadi, is available as an online consultant at  https://www.mundewadiayurvedicclinic.com  and www.ayurvedaphysician.com  For Ayurvedic herbal treatment of AIP, kindly click on this link https://www.mundewadiayurvedicclinic.com/product-page/porphyria-aip  For Ayurvedic herbal treatment of porphyria with nervous system involvement or with motor neuron disease, kindly click on this link https://www.mundewadiayurvedicclinic.com/product-page/porphyria-cns-mnd  

Ayurvedic Herbal Treatment of Age Related Macular Degeneration (ARMD)

Age Related Macular Degeneration, also known as ARMD or AMD, is an age related eye condition which gradually results in diminished central vision. The risk factors for this condition are age over 60, female gender, a positive family history, faulty diet (reduced intake of omega fatty acids and dark green vegetables) , excessive exposure to the sun, smoking, cardiovascular disease, hypertension, and obesity.

AMD is of two types, wet and dry. Dry AMD is more common, and nearly 80-85% patients have this type of AMD.  In this type, the macula gradually gets thinner, and toxic deposits cause tiny clumps of protein known as drusen. There is a gradual and slow loss of central vision, which usually occurs in both eyes. Dietary supplements may help reduce or stabilize this condition.

The wet type of AMD is present in only about 15 % of affected individuals; however, this type is more serious and is responsible for nearly 80% of vision loss occurring from this condition. New, abnormal blood vessels grow beneath the retina; these cause leakage of blood and fluid, eventually leading to scarring of the macula. This type of vision loss may be faster- often occurring in a few days to a few weeks- and more extensive. Vision loss typically affects one eye. Treatment includes dietary supplementation, injection of antivascular endothelial growth factor drugs, laser photocoagulation, photodynamic therapy, and use of low vision devices.

Dry AMD can be treated with Ayurvedic medicines using the Rasayan (rejuvenating) herbs. Use of Triphala and Mahatriphala Ghrut is beneficial, as well as the prolonged use of Netra Tarpan procedure. Medicines which help remove toxic deposits and strengthen the retina are very useful, but need to be given for prolonged periods in order to get good benefit. Associated risk factors and concurrent medical conditions need to be treated in order to give the patient the full benefit of Ayurvedic treatment.  Treated in this way, most affected individuals can retain a decent vision for more than three decades.

For patients with the wet type of AMD, the use of leeches can avert sudden and drastic vision loss. Mild and repeated purgation helps in reducing fluid build up beneath the retina. Medicines can then be given to remove toxic collection from the eyes, as well as to help reduce the abnormal vessel growth and frequent leakages. Vision can be gradually restored fully or partially (depending upon the stage at which treatment has been commenced), and further loss of vision can be prevented.

Ayurvedic herbal treatment can thus be judiciously used to effectively treat both the dry and wet types of AMD.

The writer, Dr. A. A. Mundewadi, is available as an online Ayurvedic Consultant at https://www.mundewadiayurvedicclinic.com and  www.ayurvedaphysician.com For Ayurvedic herbal treatment of ARMD, kindly click here