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