Bullous Pemphigoid – Ayurvedic Herbal Treatment

Bullous Pemphigoid (BP) is a rare, autoimmune disease featuring inflammatory blisters in the sub-epidermal part of the skin. It is chronic in nature and can persist for months or years, with a tendency to spontaneous remissions and exacerbations.

It is not to be confused with another similar sounding disease, Pemphigus vulgaris (PV). While both are autoimmune diseases targeting the skin, PV is comparatively more common, is limited to the upper epidermis, involves the mucous membrane more often, blisters rupture easily, and it has a higher fatality rate. In comparison, BP is located between the dermis and epidermis, the tense blisters do not break easily, mucous membrane involvement is much lesser, and it is more amenable to treatment, though it too can be fatal in the elderly or debilitated people. The diagnosis can be confirmed in both diseases using skin biopsy for Direct Immunoflourescence test (DIF) and Indirect Immunoflourescence test (IDIF) using serum. While autoantibodies desmoglein 1 and 3 denote PV disease, the presence of anti-BPA 1 and 2 confirm a diagnosis of BP.

The standard treatment of BP includes the use of anti-inflammatory drugs and immune suppressants, to reduce and heal blisters and erosions and to prevent recurrence with continued use of the minimum possible dosage of medicines. Anti-inflammatory drugs include corticosteroids, tetracycline and dapsone, while immune suppressant drugs include azathioprine, methotrexate, mycophenolate mofetil and cyclophosphamide. Doxycycline has been found to be more effective and with lesser adverse effects as compared to prednisone. Most patients experience long term remission with about 6-60 months of treatment.

Most of the mortality associated with BP is due to the adverse effects of long term use of drugs used for treatment. Steroids can aggravate hypertension, heart disease, diabetes, peptic ulcer, and bone thinning. Since BP primarily affects elderly people, most patients already have such diseases as comorbidities. Localized skin involvement can be treated using potent topical corticosteroid ointments along with anti-inflammatory medicines so as to avoid the side effects of oral steroid therapy. Refractory patients may benefit from biological treatment with Rituximab.

Ayurvedic herbal medicines have a definite role to play in the management of BP since the treatment is safe for long term use, and can effectively provide prolonged or permanent remission from the disease. While it has been discussed above that BP is completely different from PV, since the part of skin involvement is different in both diseases, the Ayurvedic treatment guidelines and protocol for both diseases is more or less the same. This is because, till date, there is no different treatment approach based upon the different layers of affected skin.

Ayurvedic herbal treatment for BP involves the use of herbal medicines which have a direct action on skin, subcutaneous tissue, capillaries, blood, and blood vessels. Since this is an autoimmune disorder, treatment is aimed at managing inflammation, allergy, chronic infection, detoxification, strengthening and rejuvenation of faulty or dysfunctional tissue, and gradual modulation of immunity. As the disease gradually moves into a remission phase, follow up treatment includes the use of generalized rejuvenation of the full body, also known as Rasayana therapy. For better prevention, those herbomineral formulations are used which not only activate healthy body metabolism, but also simultaneously provide control for inflammation, allergy, and help gradually build up true body immunity.

Patients who do not respond adequately to simple oral herbal therapy, or those with severe involvement at presentation, are subjected to systematic detoxification plans known in Ayurveda as Panchkarma. These may be given singly or in combination, as per the discretion of the attending physicians. Caution needs to be exercised while doing detoxification procedures, since BP is mainly found in the elderly population. For recurrent, localized skin involvement, simple blood-letting from a vein near the affected parts, or leech application in several sittings may provide dramatic results at almost no risk.

Local application of herbal ointments along with a few oral herbs may provide benefit to most patients affected with BP. Ayurvedic herbal treatment for about 6-8 months is usually sufficient in providing long term remission to most patients who approach physicians for Ayurvedic treatment. Severe autoimmune involvement may require aggressive treatment for nearly 18- 24 months. The presence of comorbidities may additionally prolong treatment. Most affected people with BP usually get significant relief and lasting remission 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

Pemphigus Vulgaris (PV) – Ayurvedic Herbal Treatment

Pemphigus vulgaris (PV) is a rare autoimmune disease involving the formation of blisters on the skin and mucous membranes. This disease is quite significant since it is potentially life-threatening, with a high mortality rate of 5-15%, even though affecting only the skin and mucous membranes. Circulating antibodies are directed against the keratinocyte cell surfaces in the skin; this causes a loss of cell-to-cell adhesion, resulting in a breach of the skin epidermis, thereby causing blisters. These blisters are of varying size, and may appear on normal or inflamed skin. The blisters are fragile and rupture easily; these are painful and heal slowly, usually without scarring. Almost all patients present with oral cavity involvement; other mucous membranes which may be involved include the conjunctiva, esophagus, labia, vagina, cervix, vulva, penis, urethra, nasal mucosa, and anus.

Diagnosis is usually made by skin biopsy from the edge of a blister; direct immunoflourescence (DIF) on normal-appearing skin surrounding the blister or plucked hair sheaths; and indirect immunoflourescence (IDIF) using the patient’s serum. ELISA tests can detect the presence of antibodies and these titers correlate well with disease activity. While antidesmoglein 3 antibodies are present in patients having only mucosal involvement, the course of the disease correlates well to antidesmoglein 1 antibody levels. Reversion of DIF test to negative can be used as an indicator of remission and for monitoring while tapering medicines.

Treatment of PV is mainly with corticosteroids to reduce and stop the inflammation process. Immune suppressing medicines are sometimes used early on in the course of the disease as steroid-sparing medication. Fatalities are more common in the first 5 years of the disease, and are related to susceptibility to infection, as well as fluid and electrolyte imbalance. Morbidity and mortality is related to the severity and extent of the disease, the dosage of steroids required to induce remission, as well as the presence of co-morbidities. Elderly patients and patients with extensive disease have a more serious prognosis. The long term use of steroids and immune suppressants also contributes to the overall morbidity and mortality. Rituximab, sulfasalazine, pentoxyphylline, methotrexate and dapsone have been used as steroid-sparing drugs. Intravenous immunoglobin therapy and plasmapheresis have been used with some degree of success in refractory patients.

Because of the high mortality of this disease as well as the contributing toxicity of steroids and immune suppressants drugs, Ayurvedic herbal medicines have a significant role to play in the overall long term treatment and management of PV. This being an autoimmune disorder, the treatment protocol includes a multipronged approach of detoxification, proper nutrition, rejuvenation of body systems, immune modulation, as well as specific treatment for the actual systems or organs affected.

Special attention is focused on strengthening the integrity of the skin and mucous membranes. This involves the use of medicines which act specifically on the skin and mucous membranes as well as on blood vessels. Herbal medicines which have immune modulating properties as well as act specifically on skin and mucous membranes are very useful in this scenario. Medicines also need to be given to help in healing of ulcers, and for the prevention of secondary infection in the sores.

Detoxification for each patient needs to be tailor-made according to the severity and chronicity of PV lesions. While some patients may require just a few additional medicines to boost kidney and liver function, yet others may require an elaborate detoxification plan for induced emesis, induced purgation, and blood-letting. Known in Ayurveda as Panch-karma, these procedures may be used as standalone or as combination-procedures. These detoxification procedures may provide rapid remission of PV symptoms; however, patients need to be selected carefully, since most affected with PV are old or have concurrent comorbid conditions.

Depending upon the severity of the condition as well as the response of patients to treatment, Ayurvedic herbal medicines may need to be given for periods ranging from about 6 to 10 months. With regular treatment, most patients affected with PV respond well to Ayurvedic herbal treatment and more than 80 % achieve full remission. Gradual tapering of medicines, as well as suitable modifications in diet and lifestyle, can help prevent recurrence of the condition. Aggravating factors like stress and certain medications also need to be avoided. A judicious utilization of Ayurvedic herbal treatment can thus bring about significant improvement in PV and considerably minimize the mortality due to this condition.

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 PV, kindly click here

Chronic Urticaria – Ayurvedic Herbal Treatment

Urticaria, also known commonly as hives, is an allergic reaction of the skin with characteristic red, itchy patches of various size and shape. The individual patches usually subside within 24 hours, without any pigmentation or scaling. This condition is known as chronic urticaria if lesions recur for more than 6 weeks. A more serious variant of this condition is known as angioedema, in which the swelling goes much deeper and involves the mucous membrane, usually in areas like the eyelids, lips and tongue.

Chronic urticaria is usually diagnosed clinically with the help of a detailed medical history and physical examination. Further investigations may be required in case of a concurrent history of parasitic infection, thyroid disorder, or autoimmune disorder. Rarely, a skin biopsy may be required if the lesions persist for more than 24 hours at a time, or there are accompanying features of skin bleeds, autoimmunity, fever or arthritis.

Chronic urticaria is usually divided into three subsets: 1) Physical or inducible urticaria, also known as symptomatic dermatographism, cholinergic urticaria, and pressure urticaria. About 20 % of patients present with this subtype, in which the trigger is some consistent, identifiable factor such as mechanical stimuli (pressure, vibration), temperature changes, sweating, stress, sun exposure, and water contact.2) Chronic urticaria secondary to some underlying medical condition; however, this is very rare. 3) The largest subtype is known as chronic idiopathic urticaria or chronic spontaneous urticaria. No definite causative factor can be attributed to this subtype; however, in about 20-45 % of such patients, there may be an underlying autoimmune process driving the disease.

The standard management of chronic urticaria includes the use of anti-histamines to reduce the rash as well as itching. Most people with mild symptoms can be managed well with these medicines itself. For those with moderately severe symptoms, additional medicines like colchicine, dapsone, and steroids are given for a limited time period. Those with an autoimmune process may require immune modulating drugs, while a small percentage may require anti-thyroid medications.

It is equally important to avoid triggers like mental stress, overtiredness, tight fitting clothes, alcohol, aspirin and other non-steroidal anti-inflammatory drugs. Application of soothing ointments can help relieve itching; night time pruritis can be alleviated by lukewarm baths. Chronic urticaria may last from months to years; however, about 50 % patients experience remission within a year with proper treatment. With the exception of angioedema, this disease is not life threatening; however, it can significantly affect the quality of life.

Ayurvedic herbal medicines can be used with very good results in the treatment of chronic urticaria, especially in those patients who do not respond to conventional therapy. Herbal medicines can be used to reverse the basic pathology of the disease. Medicines which strengthen the skin tissue, treat allergy, and prevent recurrence, are used to reduce symptoms. Medicines useful in this condition are those which act on the skin, subcutaneous tissue, mucus membranes, capillaries, and blood.

Ayurveda also differentiates the treatment protocol for chronic urticaria based on the symptoms and specific causes. Urticaria with predominantly ‘Vata’ dosha symptoms is known as ‘Sheeta-pitta’;  with dominant ‘Pitta’ symptoms, it is known as “Utkotha”; while with dominant ‘Kapha’ symptoms, it is known as ‘Udarda’. Each of these types of urticaria is treated differently, according to the clinical presentation, causative factors, and severity. For patients with refractory symptoms, purification Panchkarma procedures like induced emesis, induced purgation, and bloodletting are utilized, either as stand-alone procedures, or as combinations, or even as repeat combination-procedures, if indicated.

Ayurvedic herbal medicines also need to be given to treat chronic gastro-intestinal symptoms, repeated worm infestations, thyroid disorders, chronic stress, latent infections, and chronic inflammation. For patients with an underlying autoimmune process driving chronic urticaria, an elaborate treatment needs to be planned, which includes detoxification; treatment of chronic inflammation; healing of damaged organs, tissues and body systems; rejuvenation using tonifying medicines; provision of specific nourishment; gradual immune modulation; and providing treatment for the specific type of chronic urticaria.

With proper and regular treatment, most patients having chronic urticaria can be fully treated in about 4-8 months. Before commencing treatment, it is important to do a thorough examination and accurate diagnosis, in order to achieve a quick remission. Depending upon the severity, patients with autoimmune disease may require treatment for longer periods. It is equally important to adopt suitable lifestyle modifications and avoid know triggers.

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 chronic urticaria, kindly click on this link https://www.mundewadiayurvedicclinic.com/product-page/urticaria-chronic 

Multiple Myeloma – Ayurvedic Herbal Treatment

Multiple myeloma, also known as myeloma or Kahler’s disease, is a cancer of the plasma cells in the bone marrow. Plasma cells are responsible for producing different antibodies against infections to which the body is exposed. Myeloma features an abnormal proliferation of plasma cells in the bone marrow, causing destructive bone lesions, and producing an abnormal protein known as monoclonal antibody or M protein. Common symptoms include anemia, fatigue, weight loss and weakness, unexplained fever, bleeding, bone pain and bone tenderness, hypercalcemia, fractures, kidney disease, nerve pains, enlarged tongue, skin lesions, and an increased susceptibility to infections.

The exact cause of multiple myeloma is as yet unknown; however, it is believed that exposure to chemicals, radiation, and viruses; immune disorders; and a family or genetic history, may cause or trigger the disease. This condition is usually seen in middle and old age. A detailed medical history and clinical examination, coupled with multiple blood and urine tests, along with x-ray and bone marrow tests may be required for a confirmed diagnosis of myeloma.

Based upon the severity, the disease is usually divided into three stages and has a median survival of about three years; however, there may be wide variations, depending upon the disease severity, immune status of the patient, and the response to treatment. Although there is presently no cure for this disease, a combination of treatments can help achieve a prolonged remission. Treatment includes immune-modulators, radiation, chemotherapy, surgery, stem cell transplant, blood transfusions, and plasmapheresis.

Ayurvedic herbal treatment can be used concurrently with modern treatment in order to bring about a complete remission of the disease and prevent a relapse. In order to reverse the basic pathophysiology of the disease, herbal medicines are given to neutralize and remove the malignant plasma cells and help the bone marrow produce normal blood precursors. The deposition of abnormal protein causes damage in various organs, and this needs to be treated separately. Kidney damage can be reversed completely if treated with herbs at early detection. Nerve damage and neuropathy has to be treated with herbal medicines which act on the central nervous system as well as on peripheral nerve endings. Medicines which act on the blood tissue need to be given on order to treat anemia, abnormal bleeding, and skin rashes.

Other herbs are added to help treat bone pain, reduce crowding of plasma cells in bone, prevent fractures, and bring about healing of bone lesions. Severe bone pain is a typical feature of advanced disease. Highly aggressive treatment is required in order to provide relief from bone pain, bone tenderness and prevent fractures. Sometimes, a special Ayurvedic Panchkarma procedure known as Tikta-Ksheer basti is needed. In this procedure, several courses of enemas of medicated oils and medicated milk are given to help ease off bone lesions.

Immune modulation is an important part of treatment to help prevent severe infections. For multiple myeloma, Ayurvedic herbo-mineral drugs, known as Rasayanas, are used judiciously with maximum impact in reversing most of the symptoms and signs of this condition. It is important to choose one or several Rasayanas which regulate blood and bone marrow metabolism, modulate immunity, reverse weakness and weight loss, and also treat anemia and low grade fever. At the same time, these medicines should be well tolerated by the patient and should not have any adverse effects on important body organs like the kidneys, liver and heart.

Once a patient achieves remission, it is important to gradually taper off the treatment while continuing a few important medicines so as to prevent a relapse. Blood and urine tests are used to monitor for a relapse. With a combination of modern and Ayurvedic treatment, most patients having multiple myeloma achieve remission within 12 to 18 months. In order to prevent a relapse, they need low dose medications and monitoring for at least 5 years.

Ayurvedic herbal treatment can thus be judiciously used in combination with modern treatment to successfully manage and treat multiple myeloma.

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

Tinnitus – Ayurvedic Herbal Treatment

Abnormal sounds in the ear are known as tinnitus; these can be of varying types such as ringing, buzzing, hissing, chirping or whistling. The sounds may be continuous or intermittent; and may vary in intensity from being mild – which may be just a nuisance – to severe or very severe, and may adversely affect interpersonal relations and quality of life. It may or may not be associated with hearing loss.

Tinnitus can be caused by excess accumulation of wax in ears; ear or sinus infections; sudden or prolonged exposure to loud sounds; Meniere disease (a disease of the inner ear), otosclerosis (hardening of the middle ear bones); neck and jaw problems; neck and head injury; certain diseases like high blood pressure, cardiovascular disease, allergies, anemia, underactive thyroid and diabetes; natural aging (due to hardening of arteries and degeneration of sensory hair in the inner ear); and drugs like aspirin, certain antibiotics, anti-inflammatory drugs, antidepressants, quinine medications, and some diuretics. Tinnitus may be aggravated by fatigue, stress, smoking, and consumption of alcohol or caffeinated drinks.

The standard management of tinnitus involves looking for and treating any known causes for the condition. This includes - as the case may be – wax removal; antibiotic drops and oral medication for infection; medical and surgical treatment for trauma, tumors and otosclerosis; specific treatment of unrelated medical issues which may be the cause for tinnitus; and avoidance of drugs which may be causing or aggravating this condition. Anti-anxiety and anti-depressant drugs in low doses are helpful in some people. Sound masking devices may be used to reduce exposure to loud sounds. Tinnitus training therapy, cognitive therapy and biofeedback may also be used to mitigate the effects of tinnitus. While tinnitus may resolve spontaneously in a few individuals, yet, in other affected people, it may not get eliminated or reduced in spite of removing all known causes as well as taking adequate treatment.

Ayurvedic herbal treatment can be given to those affected individuals who have tinnitus refractory to standard treatments and with poor quality of life due to its severity. The primary pathophysiology of tinnitus relates to degeneration and dysfunction of the sensory hair in the inner ears, and distorted auditory input being conveyed to the brain. Treatment is given to reverse or reduce this pathology by using herbal medicines which strengthen and tonify the inner ear components as well as modulate auditory nerve impulses. Most of these herbs also serve to reduce stress and fatigue, which are known to aggravate or amplify the effects of tinnitus.

Additional Ayurvedic treatment is also given to treat specific causes of tinnitus. For otosclerosis, herbal medicines are used which reduce calcification, and make the middle ear bones more pliable and responsive to sound waves. In the case of Meniere’s disease, Ayurvedic medicines are used which reduce the pressure and fluid overload in the inner ears. People with a known history of high blood pressure and cardiovascular disease are given herbal medicines which reduce atherosclerosis and stiffening of arteries, and make blood vessels more elastic. Some people with severe tinnitus have a history of serious allergies, and herbal treatment for this brings about significant amelioration of tinnitus symptoms.

Ayurvedic tonics known as Rasayanas are useful in several people with tinnitus; it is believed that these medicines improve digestion and tonify the metabolism of the body at the tissue level as well as at the cellular level. While the use of medicated oils as ear drops in tinnitus treatment is controversial – and especially contraindicated in people with perforated ear drums – this treatment does have a place in softening impacted wax; treating  hardened and over-sensitive eardrums; and as additional therapy in aged people. Some medicated oils are mild and have a soothing and strengthening effect, while others are strong and have an irritating or stimulant effect; these have to be selected and used on a case-to-case basis.

Depending upon the severity and cause of tinnitus, most affected people get significant relief or a cure from this condition with about 4 to 6 months of treatment. Ayurvedic herbal treatment can thus be judiciously utilized in the management and treatment of tinnitus.

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 tinnitus, kindly click here

Ayurvedic Herbal Treatment – Acute Intermittent Porphyria

Acute Intermittent Porphyria (AIP) is a medical condition which forms part of a rare group of hereditary conditions known as Porphyrias, which involve defects in heme metabolism, resulting in excessive secretion of porphyrins.  This causes intermittent episodes of acute abdominal pain, neuropathies, and constipation.  Heme is the iron part of hemoglobin in blood. Other porphyrias include skin and central nervous system involvement. Diagnosis is confirmed by elevated levels of urine porphobilinogen, and conservative treatment is with intravenous glucose infusion, which inhibits heme synthesis and helps reduce abdominal pain.  Patients having attacks of severe pain and those with neurological involvement usually require treatment with Hematin.

All individuals having this genetic defect have increased levels of porphyrins secretion, but all do not experience symptoms. It is stipulated that systemic inflammation brings about a reduction in kidney function as well as neurological damage, which in turn causes peripheral and autonomic neuropathies and psychiatric symptoms. AIP usually occurs in the age from 18 to 40, with women being more affected than men. Attacks of abdominal pain usually last from 3 to 7 days. Precipitating factors include unknown causes, fasting, alcohol, prolonged exposure to sun, stress, heavy exercises, and drugs like Phenobarbital, estrogens, and sulphonamides.

Individuals having AIP who have recurring attacks, severe incapacitating neuropathies, and those having severe neuropsychiatric manifestations are suitable candidates for Ayurvedic herbal treatment. Ayurvedic treatment not only provides good symptomatic relief, it also significantly reduces inflammation, which is the hallmark of severe symptoms and recurrence. Involvement of the skin and central nervous system has to be treated separately.

With the commencement of Ayurvedic treatment, most patients get relief from severe pain within 1 to 5 days. Further treatment is aimed at preventing a recurrence, and ensuring a good bowel movement. Patients need to be treated regularly for about 3 to 5 months in order to get lasting relief and freedom from recurrence of the symptoms. Treatment is then tapered off and stopped completely. For day to day medical issues, short courses of simple Ayurvedic medicines are given to treat symptoms. Ayurvedic medicines are tolerated quite well and have not been known to aggravate or precipitate AIP; however, patients should avoid self-medication, and take treatment from a qualified Ayurvedic practitioner. It is equally important to avoid all known precipitating factors.

Patients having skin involvement usually present with severe itching; this can be controlled very well with Ayurvedic herbs within a few weeks. Patients having neuropsychiatric symptoms or motor neuropathy need specialized treatment for longer periods – nearly 6 to 9 months. Along with oral medication, Ayurvedic Panchkarma procedures like full body massage, fomentations, medicated enemas and Shiro-bastis may be required. A few patients with severe involvement of the nervous system may even require medications for up to 2 years for a full remission of symptoms.

Ayurvedic herbal medicines can thus be judiciously utilized in the successful management and treatment of AIP as well as all porphyrias.

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

Migraine - Ayurvedic Herbal Treatment

Migraines are severe headaches that occur along with nausea, vomiting, and sensitivity to light. The age at onset is usually between 10 and 40 years, with women being 3 times as likely to suffer from migraine as compared to men.  Duration of an attack may be between 4 to 72 hours; in a few individuals, it may be longer. This medical condition is significant because of its incapacitating nature and high prevalence; nearly 1 in 7 persons are affected worldwide, and it is more common than diabetes, epilepsy, and asthma combined. Nearly I billion people worldwide are estimated to be suffering from this neurological disease. Migraines may aggravate with menstruation; some women find that this condition improves or disappears by the age of 50.

Migraines tend to run in families; even the trigger factors may be inherited. Stress, certain foods (such as aged cheese, chocolate, alcohol, and certain food additives), caffeine, changes in weather, bright light, menstruation, fatigue, skipping meals, and changes in sleep, can trigger migraines. Triggers activate the trigeminal nerve, which releases chemicals responsible for causing increased swelling in the blood vessels lining the brain. This releases neurotransmitters which cause pain and inflammation.  Typical migraine symptoms may also be accompanied by symptoms affecting the eyes and brain, which may be severe enough to warrant hospital admission and intensive care.

The conservative management of migraine includes over-the-counter pain killers, medicines to counter nausea and vomiting, preventive medications (medicines to control blood pressure, convulsions, antidepressants, and CGRP inhibitors), biofeedback, and transcranial magnetic stimulation. Avoiding the known trigger factors, stress management, relaxation training, regular meal schedule, and moderate exercise can also help reduce the severity and frequency of migraines. Other than those suffering from comorbid medical conditions, people affected with migraine usually have normal blood and imaging reports.

The Ayurvedic management of people with migraine involves taking a detailed medical history; including severity and frequency of symptoms, trigger factors, diet and lifestyle. Lifestyle and dietary modifications are suggested. Ayurvedic herbal medicines are given to provide symptomatic relief from symptoms as well as to treat the known causes, as determined by the clinical history. The treatment of hyperacidity, indigestion, constipation, and stress, go a long way in successfully treating migraine as well as preventing further episodes. It is important to treat inflammation in cranial blood vessels in order to reduce the tendency for recurrent migraine attacks, as well as to treat a hyper-reactive nervous system.

In addition to oral treatment, medicated nose drops are used to treat inflammation of blood vessels and involvement of the brain, which may – in individuals with severe migraine – mimic symptoms of stroke, blindness, and glaucoma.  Nose drops may be used both to alleviate an acute attack as well as to prevent migraine. Regular courses of medicated enemas are used to treat a hyper-reactive nervous system. A special treatment modality known as Shirobasti is used to treat severe forms of stress which may be causing recurrent attacks of migraine.

Refractory patients who do not respond well to simple oral treatment are given courses of Panchkarma detoxification treatments in the form of periodical blood-letting and induced purgation. The treatment response varies widely from patient to patient; some individuals with long-standing, severe symptoms respond dramatically to just one short course of treatment, while others with milder symptoms may require a protracted course of treatment with more medicines, that too, in higher doses.

Migraine is a chronic disease which significantly affects the quality of life of affected individuals, and is a public health issue with serious health and economic consequences. While modern medicine can reduce the severity and frequency of migraine episodes, it currently does not offer a cure. Ayurvedic herbal treatment can help provide significant improvement in patients with migraine, and can bring about a cure for most affected people.

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

Ayurvedic Herbal treatment of Cancer – An Overview

Cancer is defined as an uncontrolled growth of cells anywhere in the body. There are more than 200 types of cancer. Exposure to toxic chemicals, pollution, radiation and some pathogens, as well as chronic smoking, heavy alcohol abuse, and genetics, are known causes of cancer. The signs and symptoms of cancer include fatigue, unexplained weight loss, persistent low grade fever, severe or unusual body pain, nausea or vomiting, change in bowel habits, persistent sore throat or difficulty in swallowing, unusual bleeding or discharge, non-healing ulcer,  thickening or lump, and noticeable changes in a wart or mole.

            Cancer types include carcinomas (involving skin and coverings of internal organs), sarcomas (involving connective and supportive tissue like muscles, fat, bone, cartilage and blood vessels),  leukemias (involving bone marrow and blood tissue), lymphoma and myeloma (involving the immune system), and brain and spinal cord tumours. Physical examination, a detailed medical history, and tests like X-ray, blood tests, ultrasound, CT scan, MRI and radionuclide scan can help make a presumptive diagnosis of cancer; however, a biopsy is the best way of making a definite diagnosis of cancer and its type. Treatment is usually done with a combination of surgery, radiotherapy, and chemotherapy. Staging of the cancer helps identify the severity of spread and the overall prognosis, while helping to decide the most effective treatment protocol.

            Dealing with a diagnosis of cancer, and facing the prospect of costly, prolonged, and often harsh treatment procedures can be one of the most traumatic experiences of life. Most individuals may get confused about the future course of action. It is always best to take several expert opinions regarding the most suitable treatment protocol. If surgery, chemotherapy, and radiation therapy, or a combination of all three, can quickly reduce the tumor size significantly, then this is the most preferred first line of treatment.

            If the overall prognosis and cure rate are excellent with conventional treatment, then in most cases nothing more need be done. It is important to educate oneself about the type of cancer, its known causes, and take all possible steps – mainly lifestyle modifications - to prevent recurrence. Keeping body immunity at optimum levels, in all possible ways, is one of the best ways to prevent recurrence.

            If the cancer is known to be aggressive and has a grim prognosis, it is better to start alternative treatment concurrently with conventional treatment. The two treatments can work in synergy; conventional treatment can reduce the tumor quickly with a few sessions of treatment, while Ayurvedic herbal treatment can help boost long term immunity, as well as help reduce the cancer gradually and prevent it from spreading further or recurring later. Most individuals make the mistake of opting for alternative treatment when it is too late. Ayurvedic herbal treatment needs to be taken for at least 18-24 months in order to see significant improvement in cancer, help in complete remission, and also to prevent recurrence.

            Ayurvedic treatment for cancer is multi faceted. Herbs are given to improve immunity; to target the specific organs and tissues affected with cancer; to improve general and specific metabolic activity, and lastly, to provide rejuvenation in the form of Rasayan therapy. Detoxification is also required on a general level as well as specific organ, tissue or cellular level as required.

            As mentioned above, the individual needs to work on a holistic level to improve oneself at the physical, mental and spiritual level in order to achieve a complete cure and enjoy a good quality of life.

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

           

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 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