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