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Monday, 20 December 2021

Age Related Macular Degeneration (ARMD) – Modern (Allopathic) Versus Ayurvedic Herbal Treatment

One of the leading causes of blindness is a medical condition known as age related macular degeneration; known in short as AMD or ARMD. As the name suggests, this condition causes degeneration of the macula, the most important and functional part of the retina, usually leading to diminished central vision. There are multiple risk factors associated with this condition and include ageing, female gender, genetics, faulty diet, excessive sun exposure, smoking, cardiovascular disease, high blood pressure and obesity.

This disease is classified as either wet type or dry type. The dry type aka non-exudative or non-neovascular AMD, involves a gradual process of drusen (yellowish spots) deposits within the layers of the retina, causing a gradual thinning and leading to diminished central vision. Though the dry AMD affects nearly 90 % of affected individuals, this causes limited vision loss, as the process usually stabilizes after some time.

The same does not hold true for the wet type of AMD, which causes more than 80 % of the vision loss encountered in AMD patients, though it affects only about 10 % of affected individuals. Also known as exudative or neovascular AMD, it involves growth of abnormal blood vessels beneath the retina, leading to leakage of fluid and blood. Vision loss may be sudden, dramatic and progressive, often within a few days or weeks.

The symptoms of dry AMD may be prevented or slowed down with the help of food and diet supplements such as fish, dark green leafy vegetables, garlic and onion, soy, yellow fruits and vegetables, blueberries, grapes, wine, nuts, extra virgin olive oil, zinc, copper, magnesium, selenium, fatty acids, lutein, zeaxanthin, carotinoids, vitamins A, B,  C, and D, glutathione, flavinoids, amino acids, gingko biloba, sage, bilberry and milk thistle.

Treatment for wet AMD includes injection of antivascular endothelial growth factor (anti VEGF) drugs, laser photocoagulation, photodynamic therapy, and use of low vision devices. The anti VEGF intra-ocular injections are currently believed to be the most effective treatment for wet AMD; however, this treatment may have potentially serious short and long term side effects.

Dry AMD can be treated with Ayurvedic medicines using oral Rasayan (rejuvenating) herbs along with Triphala or Mahatriphala Ghrut (clarified butter) both orally and locally, especially in the form of a Panchkarma procedure known as Netra-Tarpan (eye lubrication). After Ayurvedic treatment, most affected individuals have been known to retain a decent vision since more than three decades.

To avert sudden and drastic vision loss in the wet type of AMD, the use of leeches on the forehead area - just outward of the eye margins – is a useful and effective treatment measure. Mild and repeated purgation helps in reducing fluid build-up beneath the retina. Medicines can then be given to remove toxic collection from the eyes, as well as to help reduce the abnormal vessel growth and frequent leakages. Alternating courses of Netra-Tarpan and Netra-anjan (application of herbomineral wet powders in the eyes) are required to reverse the process of neo-vascularization. For patients who still do not respond, additional treatment is given in the form of shiro-dhara (liquid medicine drip aimed at the forehead) and courses of basti (medicated enemas). In this way, vision can be gradually restored fully or partially (depending upon the stage at which treatment has been commenced), and further loss of vision can be prevented. The standard treatment time for this is usually 4-6 months.

Ayurvedic herbal treatment can thus be judiciously used to effectively treat both the dry and wet types of AMD, without the risk of serious long-term side effects.

The writer, Dr. A. A. Mundewadi, is available as an online Ayurvedic Consultant at https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com To start Ayurvedic herbal treatment for AMD, click here

 

Tuesday, 30 November 2021

Coronary Artery Disease (CAD) – Modern (Allopathic) Versus Ayurvedic Herbal Treatment

 Coronary artery disease, aka CAD is a disease of the heart, commonly regarded as “heart attack”, with the well known symptom of chest pain. The arteries of the heart (coronary arteries) are normally smooth and elastic, and supply oxygen-rich blood to the heart muscles, which work 24x7. CAD is a process in which a collection of inflammatory cells, cholesterol and calcium, known as atheromatous plaques, deposit in the inner wall of the coronaries, thereby gradually causing obstruction. The arteries gradually harden, and the lumen gets blocked, leading to ischemia or infarct. The plaques can also break off, and cause symptoms of a heart attack, stroke, or peripheral artery disease.

Chest pain is the commonest symptom and is diagnostic of CAD; however, people describe this symptom in different ways such as aching, burning, numbness, squeezing, tightness and heaviness. Indigestion and heartburn may have symptoms which overlap with those of CAD; hence a great degree of alertness is required to accurately diagnose CAD. It may be accompanied by associated factors such as sweating, nausea, fatigue, breathlessness, and palpitations. This condition is more common in the elderly, obese, male sex, and often linked to a family history, hypertension, diabetes, high stress, smoking, sedentary lifestyle, and unhealthy eating.

The diagnosis of CAD is made with a detailed medical history and physical examination, supported by blood tests, ECG, 2d-echo test, stress test and angiography. CAD treatment includes cessation of smoking and drinking alcohol, handling stress efficiently, exercising regularly, and controlling weight, blood pressure, and blood sugar. Adequate modifications need to be made in the diet by cutting down on salt, sugar, and fats, and increasing fresh fruits, vegetables, and whole grains. Unsaturated fats are recommended for use, while the use of saturated fats and trans-fats is discouraged.

The conventional treatment of CAD as per the modern (Allopathic) system of medicines is with the use of drugs like aspirin, cholesterol medicines, nitroglycerine and medications to lower and control high blood pressure. Balloon angioplasty, stent placement, and CABG are the known surgical procedures. Some new procedures introduced include stem cell use to induce angiogenesis, and enhanced external counter-pulsation.

The common complications of CAD include heart attack, heart failure, and arrhythmia. The process of CAD is unrelenting and may start as early as childhood; though actual symptoms may manifest much later on in adult life or old age. Fortunately, there are many modifiable factors which can be treated to keep this process in check and prevent an acute attack and long-term serious damage.

Ayurvedic herbal treatment can be judiciously utilised to significantly reverse this unrelenting CAD pathophysiology. Herbal medicines help to treat inflammation, and reduce or prevent atherosclerosis. Dietary advice is important in reducing weight. The arteries can be kept elastic and less prone to damage and rupture by invoking a right combination of herbal medicines, exercises, yogic asanas like shavasana; breathing techniques like “bhastrika” and “anulom” and “pratilom” techniques; and body massage and fomentation. Ayurveda advocates the right use of oils and medicated ghee (clarified butter) to treat CAD; these can be used both locally and orally with good results.

Herbal and herbo-mineral medications can be effectively used to treat heart disease right from the early, asymptomatic stage to the later stages of enlargement and failure. Panchkarma treatment modalities like medicated enemas (basti) and “hridaya-basti” (localized chest treatment) can help strengthen fatigued heart muscles and hardened arteries. Recurrent attacks of chest pain (angina) can be effectively treated using Ayurvedic medications; Ayurvedic medicines and treatment modalities are more effective than modern medicines in treating such episodes where no specific pathology can be detected using diagnostic methods. Confirmed heart vessel blocks can be effectively reversed using Ayurvedic treatment on a long term basis.

A judicious combination of modern diagnostic methods, basic modern medicines to control symptoms, and additional Ayurvedic treatment can be effectively utilized to completely cure CAD on a long term basis. Ayurvedic medicines can also effectively treat associated conditions like high blood pressure, high cholesterol, and diabetes. It is important to note that an acute attack of CAD should not be ignored or taken lightly, and all affected individuals should be referred to a hospital as soon as possible.

The writer, Dr A A Mundewadi, is available as an Ayurvedic Consultant at https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com To start treatment for CAD, kindly click here

Thursday, 16 September 2021

Huntington's Disease – Modern (Allopathic) Versus Ayurvedic Herbal Treatment

 Huntington’s disease (HD), also known as Huntington’s chorea, is a rare, degenerative neurological disease with a strong hereditary component. Children with one affected parent have a 50 percent chance of inheriting the disease. Symptoms are progressive in nature and include involuntary jerky movements, impaired muscular coordination, falls, slurred speech, difficulty in swallowing, mood changes, and dementia. Symptoms usually become apparent during middle age, and death may occur from between ten to thirty years. Rarely, children too may be affected with a juvenile form of the disease, which progresses much faster than the adult-onset disease.

 The basal ganglia and the brain cortex are the parts most affected by HD. The faulty HD gene produces abnormal triple nucleotide repeats, the sequence of which is repeated several times over. Patients with HD have 36 or more repeats (normal people have 26 or less); this causes formation of an unusually large Huntingtin protein, which is toxic and gradually causes degeneration of the brain. 

HD can currently be neither prevented nor cured; however, several medicines in the modern (Allopathic) system of medicine can help alleviate symptoms. Most of the medicines work by modulating neurotransmitters and include tetrabenazine and duetetrabenazine. Useful medicines also include antipsychotics like risperidone, olanzapine and haloperidol; antidepressants like citalopram, sertraline, fluoxetine and nortriptyline; and mood-stabilizers like lithium. In addition to medications, the long term management of people with HD includes graded physical exercise, proper nutrition, and planned care-giving.

 Ayurvedic treatment is especially useful in the treatment of Huntington's chorea, since Ayurvedic medicines are very useful in the treatment of nervous system disorders.  Ayurvedic medicines help to regenerate nerve cells, brain cells, and repair the damage to the nervous system.  Usually, degeneration of nerves involves damage to the outer covering of the nerves; this results in impaired functioning of the nerves, with a loss of nerve conduction and control of the limbs.  This results in severe impairment of the motor as well as sensory components of the nervous system. In this disease, there is a degeneration of the brain due to deposition of abnormal Hungtingtin protein. 

Ayurvedic treatment consists of oral medication as well as massage of the entire body with medicated oils, followed by fomentation; other procedures are also prescribed as required.  Panchkarma procedures help to reduce the number and dosage of oral medications, thereby reducing the chances of long term complications and bringing about increased compliance. Results are also faster and much more apparent; patients with moderate or advanced symptoms may see significant improvement with just 7-14 days of treatment! Once the symptoms are stabilized, further treatment can be planned as needed, while carefully monitoring the patient on a long term basis. This reduces the treatment free interval, thereby considerably reducing financial burden and emotional stress for patients as well as caregivers.

 Ayurvedic treatment can therefore improve or bring about a near cure in patients with Huntington's disease.  It is important to commence treatment at the earliest possible, in order to bring about maximum improvement.  Regular treatment is essential in order to obtain the required results.  To sum up, Ayurvedic treatment is very effective in the management of Huntington's disease or Huntington's chorea.

 The writer, Dr. A. A. Mundewadi, is available as an online Ayurvedic Consultant at https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com To start Ayurvedic herbal treatment for Huntington's disease, kindly click here