Autoimmune Diseases – Ayurvedic Herbal Treatment

A human being has inborn immunity to protect from infections to which the body is exposed at every living moment. This immunity is of two types; natural and the acquired type. The natural, innate, or inborn immune system is the more primitive one, and it activates white blood cells to destroy invaders without producing antibodies. The acquired or adaptive immune system is more complex, and is develops over time, as the body is exposed to more and more foreign elements. This system learns to remember invaders, and activates immune cells to produce proteins called antibodies, which attach to invaders so that they can be recognized and destroyed.

            Autoimmune diseases result when the immune system fails to recognize the body parts as its own and starts targeting and destroying them, by creating auto-antibodies.  Almost any body part can be affected, either singly or several together. Symptoms depend upon the affected parts. Morbidity and mortality depend upon the severity of damage and the body systems affected. Inflammation is the hallmark of autoimmune diseases. Currently, more than eighty autoimmune disorders are known and include mainly rheumatoid arthritis, type 1 diabetes, SLE, multiple sclerosis, psoriasis, inflammatory bowel disease, Addison’s disease, Grave’s disease, Sjogren syndrome, Hashimoto’s thyroiditis and myasthenia gravis.

            Currently, it is not clear what exactly causes autoimmune diseases; however, there could be a combination of causative and aggravating factors such as a hereditary predisposition, chronic infection, exposure to toxic chemicals, faulty diet, high and sustained stress, reduced immunity, lack of exposure to exercise and sunlight,  etc.

            Ayurvedic herbal treatment can be judiciously utilized for the comprehensive management and treatment of autoimmune disorders. Accumulation of toxins within the body can be eliminated using general and cellular level detoxifying herbs. Herbal medicines are very efficient in treating chronic infection and residual chronic inflammation. Normalization of the metabolic process and strengthening of weak or damaged organs and body systems is an important part of treatment with the use of herbal medicines.

            Patients need to adopt a healthy diet with a mix of different fruits and vegetables, nuts, healthy oils, ghee (clarified butter) and bone broth. Regular exposure to sunlight, deep breathing, exercises, and relation techniques, in addition to avoiding known trigger factors, help a lot in reducing symptoms, and improving immunity. Rejuvenating herbs are used to improve strength and vitality. Specific treatment is also given for affected body parts and systems.

            Ayurvedic herbal treatment when given on a long term basis using the above mentioned principles gradually helps modulate the body immunity so that it starts helping the body instead of fighting against it. Severity of symptoms and frequent recurrence gradually subside , and the patient is able to lead a normal or near normal life without a fear of relapse. Adopting healthy practices and avoiding harmful factors can go a long way in preventing recurrence. Special Ayurvedic Rasayan medicines can be used at this stage for a short period to further strengthen body systems so as to improve the quality of life.

Ayurvedic herbal medicines can thus provide a successful and comprehensive treatment of autoimmune disorders.

The writer, Dr A A Mundewadi is available as an Ayurvedic Consultant at https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com

Bone Marrow Failure Syndromes – Ayurvedic Herbal Treatment

Bone Marrow Failure Syndromes (BMFS) are a group of medical disorders in which there is a paucity of RBCs, WBCs and Platelets in the blood either singly or all together (pancytopenia). These conditions may be either hereditary or acquired. Syndromes that result in pancytopenia include the following: Fanconi Anemia and Dyskeratosis Congenita. Syndromes usually limited to single hematopoietic lineage include the following: Severe Congenital Neutropenia (SCN), including Kostmann syndrome, Diamond-Blackfan Anemia, Shwachman-Diamond Syndrome, Congenital Amegakaryocytic Thrombocytopenia (CAMT), and Thrombocytopenia Absent Radii (TAR) syndrome.

BMFS are usually caused by dysfunctional stem cell production, defective growth factors, a dysfunctional environment, defective nutrition, accelerated cell death, and in the case of acquired aplastic anemia, immune-mediated abnormalities. Severe anemia can cause fatigue and cardiac failure; low leukocyte count can increase susceptibility to infections; and low platelet count can cause spontaneous bleeding.  Several inherited BMFS are associated with a high risk of leukemia and solid tumours.

Diamond-Blackfan anemia is a pure red cell aplasia, usually diagnosed in the first year. Physical abnormalities may or may not be present. Most patients improve with corticosteroid treatment, failing which, red cell transfusions with iron chelation, and lastly, stem cell transplant may be tried. Shwachman–Diamond syndrome (SDS), or Shwachman–Bodian–Diamond syndrome, is a rare congenital disorder characterized by exocrine pancreatic insufficiency, bone marrow dysfunction, skeletal abnormalities and short stature.Treatment of SDS includes pancreatic enzyme replacement, intravenous antibiotics, transfusions of RBCs, platelets and granulocyte colony stimulating factor (G-CSF), and orthopedic surgery as required.

TAR is diagnosed exclusively in the neonatal period. Treatment is with platelet transfusions. Surgery and stem cell transplantation are used as required. CAMT presents with isolated thrombocytopenia in infancy and develops into pancytopenia in later childhood. It has tendency to transform into Myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML). The primary treatment is bone marrow transplantation. SCN is defined as early onset severe neutropenia, with most patients developing MDS or AML. Patients often improve when treated with G-CSF; however, annual bone marrow assessment is mandatory to check for serious side effects.

            Fanconi anemia is one of the most common inherited BMFSs, with nearly 75% patients exhibiting some physical abnormalities. Standard treatment consists of need based transfusion with RBC and platelets, antibiotics, HLA-matched donor stem cell transplant, and treatment with androgens. Patients in the long run may develop leukemia, MDF and solid tumours. Dyskeratosis congenita is a rare and progressive congenital disorder with characteristic features of skin hyperpigmentation, nail dystrophy and oral leukoplakia. Treatment is with androgens, with the addition of erythropoietin, and G-CSF. The overall results of bone marrow transplant are poor. About 15 % of patients are likely to develop cancer.

            Acquired aplastic anemia is a BMFS which can be life threatening if left untreated. Exposure to chemicals and drugs, pregnancy, immune dysfunction, and a genetic predisposition are believed to cause this condition. It can lead to other disorders like paroxysmal nocturnal hemoglobinuria (PNH), MDS, and AML. Treatment options include immune suppressive therapy with antithymocyte globulin (ATG) and cyclosporine (CsA) or high–dose cyclophosphamide. With the availability of a suitable donor, hematopoietic stem-cell transplantation offers an opportunity for cure.

            Almost all BMFS have a serious prognosis, with a magnified long term risk for malignancies. Specific treatments are available which may positively impact the course of the disease; however, most are associated with serious long term side effects. In this scenario, Ayurvedic herbal medicines offer an alternative treatment option which can be safely used for long periods both in children as well as adults and helps keep the blood counts stable at acceptable levels.

            The therapeutic action of Ayurvedic herbal medicines in BMFS is at multiple levels. Some medicines stimulate the bone marrow and help accelerate the proliferation and differentiation of the hematopoietic system. Some medicines help normalize specific and general tissue metabolism as well as metabolite nutrition channels. Herbal medicines and herbomineral compounds help provide an optimum environment which gradually helps dilute the deleterious effect of dysfunctional genes and slows down the death rate of healthy cells. Ayurvedic herbal medicines also help optimize a faulty immune system so that it gradually starts working in favor of the body systems and not against them.

            Depending upon the type of BMFS and the presenting severity, different permutations and combinations of Ayurvedic herbal medicines may be required for effective treatment and lasting results. Modifications in the medical protocol and dosage may also be required as per patient feedback and observed clinical effects.  An average of six to twelve months of regular treatment may be required to stabilize the blood picture in a typical adult patient; further treatment decisions need to be taken on an individual case-to-case basis.

            Ayurvedic treatment can thus help stabilize and maintain patients with BMFS, both in adults as well as in children. In addition to a very low risk profile for side effects, Ayurvedic herbal treatment can cost just a fraction of the cost of modern treatment. Because of the serious nature and poor long term prognosis of BMFS, with the potential for long term complications and high probability of cancer, all patients taking Ayurvedic herbal treatment should be under the concurrent regular supervision  of several health professionals, including a hematologist, and a general physician.

The writer, Dr A A Mundewadi, is available as an Ayurvedic consultant at https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com

Successful Ayurvedic Herbal Treatment of Hepatorenal Syndrome

Hepatorenal syndrome is a medical condition characterized by the development of kidney failure in patients having advanced, chronic liver disease. Nearly 40 % of patients having liver cirrhosis and ascites (fluid collection in the abdominal cavity) stand a risk of developing this condition. The resulting damage in the kidneys is functional, not structural, and is believed to result from constriction of the renal arteries, with concurrent vasodilatation in the body periphery. Type 1 hepatorenal syndrome has an average survival of 2-10 weeks, while type 2 has a median survival of 3-6 months. Liver transplantation is currently the only mode of treatment in modern medicine, which can improve long term survival; however, this procedure is prohibitively costly, involves a long waiting period, and has the potential for serious complications.

Blood and urine tests as well as other tests like abdominal ultrasonography may help diagnose other causes of kidney failure, since hepatorenal syndrome is primarily a diagnosis of exclusion. No specific modern medicine is currently known to be useful in the treatment of this condition. It is important to look for precipitating factors like infection and obstruction, which can be potentially treated completely, with chances of reversing the condition. Paracentesis (removal of accumulated water from the abdominal cavity) can relieve symptoms and may also help partially reverse the condition.

Hepatorenal syndrome is one medical condition where the timely institution of Ayurvedic herbal treatment can dramatically change the characteristically poor prognosis of this disease. Treated with high doses of herbal medicines, ascites can be virtually cleared up within one to two months.  Depending upon the severity of liver and kidney damage, liver and kidney parameters return to near normal levels within three to six months. It is important to commence treatment at the earliest in order to get maximum beneficial results.

It is equally important to maintain the morale of the patient, since modern medicine has little to offer other than liver transplantation, and most patients can be devastated on receiving this information. Regular monitoring of the patient is essential by different health professionals, including the nephrologist, general physician, and nutritionist. This can help maintain the patient’s health and day-to-day care, and detect any new or unforeseen medical situations.

          Ayurvedic herbal medicines are usually continued in high doses till the patient is completely asymptomatic, with stable liver and kidney parameters for at least three to four months. After this, the dosage of medicines may be gradually tapered with careful monitoring. In order to prevent a relapse, in most patients, it is advisable to continue a few medicines for the kidney and liver on a long term basis, or possibly, lifelong.

            Most patients can lead near normal lives with a good quality of life, and with the minimum possible medication. Ayurvedic herbal medicines can thus be utilized in the successful and comprehensive management of hepatorenal syndrome.

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

Ayurvedic Herbal Treatment of Meniere Disease

Meniere disease, also known as idiopathic endolymphatic hydrops, is a disease of the inner ear involving increased pressure within the inner ear endolymphatic system. This causes the typical symptoms of episodic vertigo, fluctuating hearing loss, tinnitus, and a sensation of fullness in the ear, known as aural fullness. When there is no known cause for this condition, it is known as meniere disease; with a known cause responsible for the condition, it is termed as meniere syndrome.

Metabolic disturbances, hormonal imbalance, trauma, autoimmune disorders, allergy, and various infections can cause this condition. Severe attacks of vertigo can be debilitating. The disease runs a chronic course with remissions and exacerbations. Most patients eventually stabilize; however, with long term hearing loss and imbalance as permanent features.

Modern treatment is aimed at giving symptomatic relief from the episodic vertigo, which is the most distressing symptom in this condition. There are specific medicines which are used for this on a short term basis. In addition, medicines like steroids and diuretics reduce inflammation and fluid pressure in the inner ear.

Ayurvedic treatment can be used on a more comprehensive basis to treat all the symptoms associated with meniere disease. Herbal medicines reduce the inflammation and swelling in the inner ear both on a short term as well as long term basis. Other herbs help reduce the inner ear damage and provide nutrition to the sensitive components of the inner ear so as to help reduce hearing loss, and improve hearing to the maximum extent possible. There are also some herbs which have a specific action of treating tinnitus in the ears.

While acute, severe vertigo is best treated with modern medicines, moderate level and mild vertigo, as well as chronic and recurrent vertigo, can be treated more effectively with the help of Ayurvedic herbal medicines. Depending upon the severity of symptoms, patients affected with this condition may require treatment for about 4-8 months. Rasayan (tonification) level Ayurvedic medicines are also available which can help to improve immunity, remove chronic inflammation, and prevent recurrence of meniere disease.

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

Successful Ayurvedic Herbal Treatment of Irritable Bowel Syndrome

Irritable bowel syndrome (IBS) is a chronic disease of the gastrointestinal tract characterized by abdominal pain and a change in bowel movement. Abdominal bloating or distension is also present. Altered bowel habits include diarrhea, constipation, or both in an alternating manner. In spite of the chronicity, affected individuals do not lose weight. In fact, weight loss, blood in stools, acute onset, late age onset, progressive symptoms, nocturnal symptoms, fever, and painless diarrhea are symptoms which may point to some other organic causes.

The management of this condition consists primarily in providing psychological support, dietary advice, and the use of medicines for troublesome symptoms. While this condition is chronic, with a relapsing and remitting nature, life expectancy remains unaffected, and most patients learn to manage their symptoms well enough by paying attention to dietary triggers. Psychological interventions are effective, and include cognitive-behavioural therapy, dynamic psychotherapy, and hypnotherapy.

IBS is primarily believed to be a functional disorder, with the absence of a specific and unique organic pathology. Increase or a change in bowel motility, increased pain sensitivity of the bowels, and increased psychological disturbance are associated with this condition. In recent times, some patients’ medical work-up has demonstrated the presence of organic pathology such as increased microscopic inflammation in some parts of the bowels, and a change in the bacterial population in the intestines. Some patients report onset of IBS after a chronic infection or after an episode of chronic diarrhea.

The Ayurvedic herbal treatment of IBS depends upon the history and presentation of the disease and its symptoms. It is important to look for organic causes which may mimic the symptoms. Herbal medicines which improve digestion and treat distension are important in the treatment of IBS. Medicines which increase or decrease bowel movement are used as required. Ayurvedic medicines also significantly reduce inflammation in the intestines, and therefore bring about remission on a long term basis.

Herbal medicines are also used to strengthen the nervous system and bring into harmony the psychological status of affected individuals. Reassurance, appropriate medicines, and simple dietary changes form the mainstay of IBS treatment. Along with the digestive treatment mentioned in the previous paragraph, these measures help immensely in reducing the hyperalgesia and disturbed intestinal motility, which are the hall marks of this condition. Medicines may also be required to treat chronic infection, or the after-effects of severe infection, if the history documents commencement of IBS after an infection.

Depending upon the severity of symptoms and the psychological status of affected individuals, Ayurvedic herbal treatment may be required for periods ranging from a few months to a few years.  However, a majority of affected individuals are able to live near normal lives, with a few modifications in lifestyle and food habits.

The writer, Dr A A Mundewadi is available as an Ayurvedic Consultant at www.mundewadiayurvedicclinic.com     and www.ayurvedaphysician.com  To start treatment for this condition, click here

Ayurvedic Herbal Treatment of Eczema

Eczema is an eruption of the skin, usually preceded by intense itching. The eruptions, which are actually fluid filled vesicles, usually rupture with the leakage of fluid, following by crusting of the rash. Most individuals have a hereditary component, and are also usually susceptible to asthma, and hay fever. Most individuals gradually outgrow the tendency to eczema by 5 years of age; those who do not, may have chronic and persistent affliction. Environmental factors are also responsible, like excessive dryness. Rough, tight clothes, harsh chemicals, sweating, rubber or plastic gloves, and frequent washing can also cause or aggravate the condition.

Diagnosis is usually made by looking at the characteristic appearance and distribution of the rash, along with a detailed history of its appearance and trigger factors. Rarely, a biopsy may be required for a confirmed diagnosis. Treatment is usually with anti-inflammatory and anti-itch creams as well as steroid applications. Emollient creams help preserve moisture in the skin and are helpful. Antibiotic applications or oral medicines are sometimes required to treat secondary infection. Individuals are advised to keep the skin clean, avoid known irritants, and wear loose, soft clothing.

There is always some element of hypersensitivity or allergy in the manifestation of eczema. While steroid and antihistamine applications suppress this sensitivity, Ayurvedic herbal medicines work directly on the skin, the subcutaneous tissue, and the vascular apparatus, to reduce sensitivity, treat inflammation, remove accumulated toxins and damaged tissue, reduce hyperpigmentation and strengthen the affected skin parts. Medicines are also given to heal the lesions and modulate overall immunity so that the tendency to recurrence subsides gradually.

For patients who have extensive lesions all over the body, or have intractable eczema not responding to standard oral treatment, generalized detoxification is done using Ayurvedic Panchkarma procedures. These include induced emesis, induced purgation, and bloodletting. A systematic course - or courses - of these detoxification procedures are done and followed up with oral treatment for helping the skin lesions subside fully, without recurrence. For limited, localized, and long-standing eczema, sometimes just simple bloodletting from a nearby vein does wonders as a standalone treatment.

From the point of view of Ayurved, dietary advice is an important part of treatment, both for early and complete healing, as well as for preventing recurrence. Dietary recommendations for eczema – and for all skin diseases in general – include avoiding excess of salt, curds (yogurt), sweets; fermented, fried or acidic food items; and fruit salads prepared in milk. Other than these, even other food items known to aggravate the condition, should be avoided. Breathing and relaxation techniques help in reducing stress. Clothing and lifestyle choices which act as triggers should also be avoided.

For most people affected with eczema, Ayurvedic herbal treatment of about 6-8 months usually suffices to bring about a complete remission. Further treatment at tapering doses, or dietary advice, suffices in bringing about a recurrence. Ayurvedic herbal treatment can thus be judiciously used in the comprehensive management and treatment of chronic eczema.

The writer, Dr A A Mundewadi, is available as an Ayurvedic consultant at www.mundewadiayurvedicclinic.com    and www.ayurvedaphysician.com  You can start treatment for this condition here

Behcet Disease – Successful Ayurvedic Herbal Treatment

Behcet disease consists of the classical triad symptoms of recurrent oral ulcers, genital ulcers, and inflammation in the eyes. It is a rare autoimmune disease caused by generalized inflammation of arteries; most probably arising from an autoimmune response triggered by an exposure to an infectious agent, especially in genetically predisposed individuals. Inflammation of arteries (vasculitis), clot formation (thrombosis), and ballooning of artery walls (aneurysms) are the mechanisms which cause the symptoms and damage to the body systems in this disease.

The onset of symptoms is usually in the age from 20-40 years. In addition to mucocutaneous involvement, multiple systems in the body may be involved. Usually, involvement of only skin and mucous membranes denotes a mild course of disease, whereas serious manifestation may occur with involvement of the eyes, nervous system, heart, lungs, intestines and kidneys. Symptoms usually exhibit a relapsing and remitting course. There are no specific diagnostic tests for this condition, though the pathergy needle prick test may help with the diagnosis.

The Ayurvedic herbal treatment of Behcet disease commences with cellular detoxification as well as healing treatment of the affected parts of the body. Since inflammation of arteries is the hallmark pathology of this condition, the mainstay of treatment revolves around treating this inflammation aggressively as well giving herbal medicines for gradually bringing about immune modulation. If important organs are affected, these are treated on a priority basis to prevent serious damage and reduce mortality from this disease. Those individuals who have access to Ayurvedic Panchkarma treatment can opt for a course of raktamokshan (bloodletting) and tikta-ksheer basti (medicated enema).

Once the patient starts improving with treatment, other treatment to normalize metabolism and bring about a rejuvenation of the body systems, is started. This facilitates gradual tapering of medicines and prevents relapse of symptoms in the long run. Depending upon the severity of symptoms and response to treatment, most affected individuals require treatment for periods ranging from 6 – 18 months for a complete remission of symptoms and cessation of therapy after gradual tapering of medicines. Ayurvedic herbal treatment can significantly reduce the morbidity and mortality resulting from this disease.

It is equally important to avoid known trigger factors, reduce or manage stress, adapt relaxation techniques, bring about positive lifestyle modifications, and consume healing foods, mostly in the form of fresh vegetables and fruits.

The writer, Dr A A Mundewadi, is available as an Ayurvedic consultant at https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com

Spondylosis – Ayurvedic Herbal Treatment

Degenerative or osteoarthritic changes in the spine are known as spondylosis.  This is characterized by the presence of bone outgrowths known as bone spurs, and degenerative changes in the intervertebral discs. Spondylosis can occur in any part of the spine, but cervical and lumbar spondylosis tends to have more symptoms. This condition is different from spondylitis which involves inflammation, physical non-development (spondylolysis), and physical dislocation either forward or backward (spondylolisthesis). Spondylosis and a herniated disc can cause compression of the sciatic nerve causing symptoms of sciatica.

Ageing, genetics, and trauma are risk factors for spondylosis. Chronic pain is the commonest symptom of spondylosis; if a nerve is affected, symptoms like numbness and tingling can also occur. Treatment involves the use of medications, self-care, exercise and physical therapy, adjunctive therapies (chiropractics and acupuncture), and minimally invasive procedures such as injections, and surgery.

Ayurvedic herbal medicines have a special role to play in the long term management and treatment of spondylosis. Since spondylosis is said to be associated with age related degeneration, it is generally believed that no particular medicines can influence the long term outlook of this condition, since modern medicines only reduce swelling, inflammation and pain. However, Ayurvedic herbal medicines can reverse the ageing process in the spine to a significant degree.

When given in high doses for long durations, Ayurvedic herbal medicines can reduce the damage in the spine, make the vertebral bones strong and healthy, and reduce the swelling due to osteoporosis. In addition, the medicines also help to make the tendons and muscles attached to the spine very strong and healthy. This helps to reduce and eliminate chronic pain, which is the hallmark of spondylosis. In addition, pressure on sensitive nerves is also removed, thereby treating nerve related symptoms like pain, numbness, and impending paralysis.

A judicious combination of oral Ayurvedic herbs, local application of Ayurvedic medicated oils, hot fomentation, and regular exercise, can help most people suffering from spondylosis recover completely even from very chronic and severe affectations. That said, it is always advisable to get examined, investigated, diagnosed, and treated with Ayurvedic herbal medicines at the earliest possible in order to get the maximum possible benefit from treatment.

The writer, Dr A A Mundewadi, is available as an Ayurvedic Consultant at www.mundewadiayurvedicclinic.com and     www.ayurvedaphysician.com  You can start treatment for this condition here

Ayurvedic Herbal Treatment and Long-term Management of Mitral Regurgitation

Mitral regurgitation (MR) is a medical condition in which blood flows abnormally in a reverse direction from the left ventricle of the heart to the left atrium. Mitral valve prolapse (MVP), rheumatic heart disease, infective endocarditis, annular calcification, cardiomyopathy, and ischemic heart disease are the common causes for this condition. In the initial stages of this condition, there may be no, or minimal symptoms; as the disease progresses, affected individuals may experience breathlessness, lung congestion, and heart failure. Clinical history, physical examination, chest X-ray, ECG, 2-d echo, and cardiac catheterization may be required for an accurate diagnosis of this condition.

Conservative therapy includes diuretics, medicines to improve heart function, blood thinning drugs, and regular medication for prevention of infection. Surgical options include repair or replacement of the damaged valve; with repair being the preferred option for most patients. Ayurvedic herbal treatment can be added in the long term management of MR patients to improve quality of life, reduce symptoms, and postpone the requirement for surgical intervention, which has its own inherent risks.

It is important to use herbal medicines which improve heart efficiency and function, and reduce inflammation and prevent infection. However, the use of Ayurvedic medicines which act on the mitral valve, especially on the tendon chords and muscle attached to it, is of greater importance and relevance in treating MR, since the efficacy of these medicines determines the overall success and utility of the treatment.

Treatment is usually given for a period of about 6-8 months. Further treatment decisions will depend upon the response of the patient to the treatment given thus far. Maintenance therapy, in the form of a few medicines, may be required in patients with severe mitral regurgitation. Most patients with moderate mitral regurgitation may be safely managed on a long term basis with the help of Ayurvedic herbal medicines.

The writer, Dr A A Mundewadi, is available as an Ayurvedic Consultant at https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com

Ayurvedic Herbal Treatment and Long Term Management of Mitral Stenosis

Mitral Stenosis is a medical condition caused due to narrowing of the mitral valve opening from the left atrium into the left ventricle. This condition is usually caused due to rheumatic fever, congenital causes, and chronic autoimmune diseases. The inflammation and resulting damage to the mitral valves may become apparent several decades after the actual infection has occurred. While there may be no symptoms with mild stenosis, as the condition progresses and the mitral valve orifice becomes less than 1cm ², symptoms of breathlessness, lung congestion, and heart failure become apparent. Atrial fibrillation may also develop gradually.

Conservative treatment includes medicines to prevent infection, reduce lung congestion, treat atrial fibrillation, and prevent embolism. Surgical treatment includes mitral valvotomy or mitral valve replacement. Ayurvedic treatment can be successfully included in the long term management of mitral stenosis. The goal of this additional treatment is to increase the symptom free period by at least another decade or so, reduce the need for surgical treatment, improve quality of life, reduce the risk of complications, and help improve overall long term survival.

Ayurvedic herbal medicines improve heart function and efficiency, reduce the load on the heart, reduce lung congestion, treat fibrillation, and help reduce inflammation and calcium deposits on the valve, thereby making the valve leaflets more pliable. Herbal medicines act on heart muscle, as well as on the tiny tendon chords attached to the valves, thereby improving the valve functional efficiency and delaying further stenosis.

Once symptoms are brought under control, other medicines are used to increase heart performance and endurance, so that the overall symptom free period is increased and overall life span of the patient too increases. The medicines required for each individual patient may differ, and the dosages required too may be different, depending upon the overall medical status of each affected individual, the response to treatment, and associated medical history and complications. Initial treatment may be for about 6-8 months, while a few medicines for maintenance may be required for another 6 months. Some patients with severe valve disease and declared unsuitable for surgery may require a few Ayurvedic herbal medicines on a lifelong basis.

Ayurvedic herbal treatment can thus be judiciously utilized in the long term management of mitral stenosis.

The writer, Dr A A Mundewadi, is available as an Ayurvedic Consultant at https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com

Ayurvedic Herbal Treatment and Management of Aortic Regurgitation

Aortic regurgitation is a medical condition in which the aortic valve does not close fully and causes some blood flow leakage back into the left ventricle while it should be pumped fully into the aorta. While aortic regurgitation may not cause symptoms initially and for a long time, eventually, affected individuals develop symptoms such as fatigue and fainting due to less oxygen supply, as well as breathlessness and heart failure due to enlargement of the left ventricle. Individuals suffering from this condition are also more at risk of getting endocarditis. Congenital causes such as a two leaflet valve instead of the normal three leaves, old age, infections like rheumatic fever and endocarditis, high blood pressure, and aortic stenosis are known causes for this condition.

A clinical history, clinical examination, and tests like ECG, 2d echo and chest X-ray are usually sufficient for a diagnosis of this condition; rarely, cardiac catheterization may be required. Conservative treatment is given in the form of regular monitoring, lifestyle changes like regular exercise, weight control and quitting smoking, and medications to reduce high blood pressure. Surgical procedures involve valve replacement using open heart surgery or by a catheter procedure known as TAVR which is less invasive.

Ayurvedic herbal treatment can be judiciously used in the successful long term management of aortic regurgitation. Herbal medicines are used to control blood pressure, reduce obesity, reduce calcium deposition and thereby reduce thickening, hardening and scarring of valve leaflets, use specific medicines to make the aortic valve and adjoining tendon chords more pliable and efficient, improve heart muscle strength, elasticity and efficiency, and improve cardiac output. If required, herbal medicines can also be given to treat or prevent long term infection and inflammation.

Most patients with mild to moderate aortic valve regurgitation can be managed very well using Ayurvedic herbal medicines. Treatment is usually required for about 8-10 months. For patients with moderately severe regurgitation, some medicines to maintain heart efficiency and normalize blood pressure may be required on a long term or lifelong basis. Patients with very severe aortic regurgitation are best treated surgically; however, those who are not fit for surgery - for various reasons - may still be managed well with Ayurvedic herbal treatment.

The writer, Dr A A Mundewadi is available as an Ayurvedic Consultant at https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com

Ayurvedic Herbal Treatment and Management of Aortic Stenosis

Aortic stenosis is a medical condition in which the aortic valve is narrower than normal and causes less blood flow into the aorta from the left ventricle of the heart. This can cause fatigue and fainting due to less oxygen supply, as well as breathlessness and heart failure due to enlargement of the left ventricle. Increased blood pressure and abnormal heart rhythm can also be caused due to this condition. Congenital causes such as a two leaflet valve instead of the normal three-leaved one, high blood pressure, obesity, old age, and infection and inflammation are known causes for this condition.

A clinical history, clinical examination, and tests like ECG, 2d echo and stress test are usually sufficient for a diagnosis of this condition; rarely, cardiac catheterization may be required. Conservative treatment is given in the form of medications to reduce high blood pressure, reduce abnormal heart rhythm, improve heart efficiency, and reduce obesity. Surgical procedures involve dilatation of the valve (balloon valvuloplasty) – usually done in children - and valve replacement using open heart surgery or by a catheter procedure known as TAVR which is less invasive.

Ayurvedic herbal treatment can be judiciously used in the successful long term management of aortic stenosis. Herbal medicines are used to control blood pressure, reduce obesity, reduce calcium deposition and thereby reduce thickening, hardening and scarring of valve leaflets, use specific medicines to make the aortic valve more pliable, improve heart muscle strength and efficiency, improve cardiac output, and treat or reduce abnormal heart rhythm. If required, herbal medicines can also be given to treat long term infection and inflammation.

Most patients with mild to moderate aortic valve stenosis can be managed very well using Ayurvedic herbal medicines. Treatment is usually required for about 8-10 months. For patients with moderately severe stenosis, some medicines to maintain heart efficiency and normalize blood pressure may be required on a long term or lifelong basis. Patients with very severe aortic stenosis are best treated surgically; however, those who are not fit for surgery - for various reasons - may still be managed well with Ayurvedic herbal treatment.

The writer, Dr A A Mundewadi is available as an Ayurvedic Consultant at https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com

Successful Ayurvedic Herbal Treatment of Chronic and Recurrent Pancreatitis

Pancreatitis is a medical condition in which there is inflammation and damage to the pancreas due to gall stones, or alcohol binges along with fatty food consumption. The pancreatic juices which are responsible for the digestion of food can cause auto-digestion of the pancreas due to the inflammation process. An acute attack can be dangerous, with the potential for serious complications like infection, peritonitis, abdominal rupture and septicaemia.

An acute attack is best treated in an intensive care unit of a well equipped hospital. However, recurrent attacks of pancreatitis can be effectively treated with Ayurvedic herbal medicines. Ayurvedic treatment can also reverse the damage and inflammation to the pancreas and prevent recurrence of attacks. Early commencement of Ayurvedic treatment can bring about a full recovery and prevent permanent damage.

Ayurvedic treatment is equally effective in both adults as well as children. An average of about 6 months of treatment is required for most patients. It is important to reduce weight and avoid intake of alcohol, tobacco, and fatty foods. Patients with gall stones need to be treated aggressively with Ayurvedic medicines.

The writer, Dr A A Mundewadi, is available as an Ayurvedic Consultant at https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com

Ayurvedic Herbal Treatment of Psoriasis

Psoriasis is a chronic and recurrent skin disease characterized by itchy, inflamed, scaly patches which may cover a major part of the skin. This disease is believed to be an autoimmune disorder, in which the body’s immune system itself targets some specific organs or systems in the body, causing inflammation and damage. Inflammation, itching and recurrent breakout of skin rash can cause serious psychological stress, which can further aggravate and fuel the condition.

Ayurvedic herbal treatment can tame and gradually cure this condition using a systematic approach of detoxification, rejuvenation, and specifically targeting the skin and subcutaneous tissues with healing herbs. Chronic infection, inflammation, heavy metal toxicity, high levels of stress, and faulty diet and damaging lifestyles are important concerns which need to be addressed aggressively. While treating the condition with appropriate herbs, physicians advise patients about the daily food intake and dos and don’ts.

Recurrence is common with this condition and stress is a major contributing factor. This needs to be treated both by taking adequate medications as well as modifying attitudes, work styles, long term goals, and adopting a spiritual outlook. Exposure to adequate sunlight and fresh air is also very important for long term health.

Depending upon severity, patient compliance and response to medicines, average treatment time ranges from about 4 to 12 months.

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

Ayurvedic Herbal Treatment of Pulmonary Arterial Hypertension (PAH)

Pulmonary arterial hypertension (PAH) is a rare disease which involves increased pressure in the pulmonary arteries, which can in the long run cause right sided heart failure and death. Weakness, breathlessness, and occasional giddiness and falls are vague symptoms; signs and symptoms of right sided heart failure usually present in advanced cases or in those without treatment. 2-d echo tests, along with a clinical history, a possible family history, and other supporting tests can help in a diagnosis.

Congenital heart disease, valvular heart disease, left ventricular failure, connective tissue disease, infections, drug toxicity, chronic lung disease, high altitude disease, tumors; and disorders related to metabolic disease, blood clotting diseases, and systemic diseases,  are all possible causes for PAH. When no specific cause can be located for the condition, it is termed as idiopathic PAH.

Treatment of PAH is with drugs which bring about smooth muscle relaxation of arteries thereby causing vasodilatation and reduction in pressure of pulmonary arteries. Calcium channel blockers and derivatives of prostacycline form the mainstay of this treatment. With the use of these medications, the overall prognosis of patients with PAH has improved considerably, along with increased survival rates. Patients who do not tolerate these drugs or do not respond satisfactorily to these medications can be started on Ayurvedic treatment.

Ayurvedic herbal medicines reduce inflammation, reduce blockage, bring about vessel dilatation, and reduce resistance. Herbal medicines which act on blood, blood vessels, lung tissue, as well as the gastrointestinal system are used in combinations to bring about maximum benefit to patients. It is also important to treat the known causes of PAH. Multi pronged herbal therapy which acts on several tissues has a much better clinical effect and the patient gets sustained benefit even after cessation of therapy.

Most patients with mild to moderate severity of PAH get significant relief with about 8-12 months of treatment and maintain themselves well even without drugs for several years. Adequate life style modifications are required so that the chances for recurrence are completely avoided or minimized. Ayurvedic herbal treatment can thus be judiciously utilized in the comprehensive management of PAH.

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

Ayurvedic Herbal Treatment of Polyarteritis Nodosa (PAN)

Polyarteritis nodosa (PAN) is a rare autoimmune disorder which involves generalized inflammation of small arteries in the body affecting mostly the skin, joints, peripheral nerves, intestines and kidneys, though the lings are usually spared. Common symptoms include fever, night sweats, weight loss, skin ulcerations or tender nodules, and severe muscle and joint pains, developing over weeks or months. PAN may be related to Hepatitis B and C infections, as also to genetic mutations. This disease can have serious long-term complications, especially if associated with intestinal, renal, heart or brain damage.

Conservative treatment is usually with steroids and immune suppressant drugs. The overall outlook can be considerably improved with these medicines; however, the long term prognosis still remains grim. Since multiple organs and body systems may get involved, this condition may require comprehensive management by a group of multispecialty physicians.

Ayurvedic herbal treatment is very effective in comprehensively treating PAN including the inflammation and damage to arteries, as well as treating and preventing long term complications. Herbal medicines can treat inflamed arteries, reduce the formation of micro aneurysms, and prevent long term damage, blockage and infarct, which cause long term damage to the organs they supply. Herbal medicines can also induce healing in inflamed arteries without compromising on immunity. Associated symptoms, or known causes, such as hepatitis, and chronic infections, need to be treated separately with appropriate herbs.

For a complete remission and to prevent long term relapses, the full spectrum of Ayurvedic treatment needs to be given, including detoxification, rejuvenation, and immune modulation. The various stages of these treatments need different medicines, while the herbs for the presenting symptoms and PAN pathology are continued concurrently.

Depending upon the type of presentation, the severity of presenting symptoms, and the stage at which treatment has been commenced; Ayurvedic herbal treatment needs to be given from periods ranging from 8 months to nearly 18 months, in order to be able to fully treat all the clinical presentations of PAN. Judiciously used, Ayurvedic herbal treatment can successfully manage and treat PAN, and significantly reduce morbidity and mortality resulting from this disease. Early commencement of treatment ensures a more complete cure and reduces the chances for long term complications or relapse.

The writer, Dr A A Mundewadi, is available as an Ayurvedic consultant at  www.mundewadiayurvedicclinic.com  and www.ayurvedaphysician.com  You can start treatment for this condition here

Ayurvedic Herbal Treatment of Osteoarthritis (OA)

Osteoarthritis (OA) involves degeneration of the smooth cartilage which lines the long bones and forms joints. This can cause pain, swelling, stiffness and limitation of movement. The knee, hip, spine and hands are most commonly affected. OA is most commonly due to old age, obesity, trauma, occupational hazards, and genetic influences; it is more common in women. Treatment is with pain killers, physical activity, weight loss measures, local injections, and surgery to correct bone deformity or joint replacement. Most affected people do well with conservative treatment. Regular physical activity is important to maintain stability of the joint, strengthen supporting muscles, and reduce pain.

People usually try alternative treatment when they do not get satisfactory relief or get only temporary relief with modern medicines and conservative measures to treat OA. With moderate or advanced OA, the damage to cartilage as well as the associated symptoms keeps progressing. Ayurvedic herbal treatment is very effective in treating both moderate as well as advanced OA. Depending upon the severity of the condition, Ayurvedic medicines need to be given in high doses for about 3 to 6 months to get complete relief from pain, swelling and other symptoms related to OA.

Ayurvedic herbal treatment is also very effective in treating advanced OA, especially for those people who have been advised complete joint replacement. Aggressive treatment with herbal medicines, combined with local pain relief ointments, graded exercises, and weight loss measures have resulted in stabilizing affected individuals to such an extent that joint replacement is no longer required. Treatment duration for such patients is usually about 6 to 12 months. Side effects or unwanted effects of Ayurvedic medicines used for such patients are virtually nonexistent, even though high doses are required to effectively treat advanced OA.

Ayurvedic herbal treatment thus has a very important role to play in the treatment and management of OA.

The writer, Dr A A Mundewadi, is available as an Ayurvedic Consultant at  www.mundewadiayurvedicclinic.com   and      www.ayurvedaphysician.com    You can start treatment for this condition here

Ayurvedic Herbal Treatment of Mixed Connective Tissue Disease (MCTD)

Mixed connective tissue disease (MCTD) is a medical condition involving a mix of several autoimmune diseases. Patients typically complain of Reynaud’s phenomenon, swollen fingers, joint pain, hardening skin, pulmonary hypertension, difficulty in swallowing, and painful muscles. The presence of U1 RNP and snRNP antibodies is diagnostic of this condition. Women are affected more than men. The presence of pulmonary hypertension and other symptoms related to the cardiovascular system indicate an adverse prognosis.

Most patients are managed with drugs to treat pain and swelling, low dose steroids, and immune suppressing agents. Symptomatic treatment is given for difficulty in swallowing and acid reflux. Patients with pulmonary hypertension and interstitial lung disease as well as heart involvement require special attention.

The Ayurvedic treatment of MCTD involves detoxification, reduction of generalized inflammation, and special rejuvenation therapy for the cardiovascular system and musculoskeletal system. Once the symptoms gradually start subsiding, immune modulating herbs are introduced slowly. Special care is required since most patients are already on steroid and immune suppressant therapy. As inflammation decreases, the body gradually starts accepting immune modulation and immune strengthening treatment.

Treatment is continued till all symptoms are completely in remission; at this stage, modern medicines like steroids and immune suppressant drugs need to be tapered off gradually. This stage is highly sensitive, since the patient may experience an aggravation of symptoms for about 1-2 months.  Counseling and encouragement needs to be given to the patient at this stage to continue with the treatment. Once the aggravation subsides, then further treatment can be given to treat any residual symptoms and build up the immune system of the body so that it works to the patient’s advantage.

Treatment is then gradually reduced in dosage and frequency so that the patient can start living a life free of medication. Most patients with MCTD, or for that matter, any autoimmune disease, require regular treatment for a period of about 12 to 18 months for a complete remission of the disease with complete cessation of all modern drugs.   It is important to educate the patient to adopt a healthy life style and healthy eating habits, as well as avoid stress, so as to prevent a relapse of the condition.

Ayurvedic herbal treatment thus has a specific role to play in the successful management and treatment of MCTD.

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

Ayurvedic Herbal Treatment of Hearing Loss

Hearing loss and hearing impairment are conditions which can severely affect quality of life, confidence, academic performance as well as earning potential, in addition to increasing the risk to life and limb. Hearing loss can be present at birth, or present later on in life. It can be bilateral or unilateral; it can also happen suddenly or present gradually. Medically, hearing loss can be classified into three types: (1) Sensorineural (2) Conductive and (3) Mixed.  Causes include wax, eardrum perforation, chronic infection, trauma, exposure to loud sounds, diseases of the inner ear or middle ear, tumors, congenital defects, drugs and old age.

The treatment of hearing loss depends upon the known causes for the condition. Conservative management includes avoiding causes where possible, treating allergies and chronic infection, and providing nutrients which may help improve hearing. Such treatments help overcome mild to moderate hearing loss; however, severe hearing loss - both of the sensorineural and conductive types - requires more aggressive management in the form of using hearing aids and surgical implants.

Specific Ayurvedic treatment can be provided depending upon whether the hearing loss is of the sensorineural type or the conductive type. For conductive hearing loss, medicines which act on the bone tissue are used in addition to herbs which have a specific action on the ear and aid in hearing. For sensorineural hearing loss, herbal medicines are used which act specifically on the inner ear and strengthen the auditory nerve. Additionally, if there is a known cause for the hearing loss, it also helps to treat this cause separately. For mixed type of hearing loss, a combination treatment is invariably required.

The average treatment time for hearing loss is about six to eight months. With the availability of newer and better herbal and herbomineral combination medicines, improvement is possible in sensorineural hearing loss of about 70-90%, while the improvement for conductive hearing loss is in the range of 60-80%. Refractory patients may require longer periods of treatment. It also helps to adopt a healthy lifestyle, take adequate rest and nutrition, and avoid stress and exposure to loud sounds.

Ayurvedic herbal treatment thus has a unique role to play in the successful management and treatment of hearing loss.

The writer, Dr A A Mundewadi, is available as an Ayurvedic Consultant at https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com

Ayurvedic Herbal Treatment of Avascular Necrosis (AVN)

Loss of blood supply to the end part of long bones results in a gradual cellular death and collapse of bone, causing pain, limitation of movement, and destruction of the joint. This condition is known as avascular necrosis (AVN), and mostly involves the hip joint, though other long bones and even small bones may also be affected. Trauma and drugs like corticosteroids can cause AVN; organ transplant recipients are also more susceptible.

Modern treatment options for AVN bring about limited results. Reduction in weight bearing by restricting activity and using crutches; pain relieving drugs; medicines like biphosphonates and vasodilator drugs; and heat therapy, bring about some degree of improvement. Surgical options include core decompression, bone grafting, and total hip arthroplasty. Poor prognostic factors include age over 50 years, stage 3 or more disease progression  at the time of diagnosis, death of more than a third of the weight bearing area of the joint, and lateral involvement of the joint.

Ayurvedic herbal medicines can be judiciously used to bring about significant relief or even a complete cure in patients suffering from AVN. Herbs increase blood circulation to the affected bone, increase micro-circulation, reduce swelling, flush out dead tissue, and even help in bone remodeling. In the early stages of the disease, treatment of about 4-6 months is sufficient, while those having an advanced condition require treatment with high doses of herbs for about 6-8 months. Highly refractory patients also need medicated enemas in addition to the oral treatment.

Ayurvedic treatment can also be given in concurrence with surgical procedures to provide maximum benefit; it can also be offered as a treatment option for patients with failed surgeries.

Ayurvedic herbal treatment thus has a definite role to play in the treatment and management of AVN.

The writer, Dr A A Mundewadi, is available as an Ayurvedic Consultant at www.mundewadiayurvedicclinic.com    and       www.ayurvedaphysician.com 

You can start treatment for this condition here