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Wednesday 16 June 2021

Cirrhosis of the Liver- Modern (Allopathic) Versus Ayurvedic Herbal Treatment

 Chronic damage to liver cells causes liver cell inflammation; this usually heals with scar tissue formation. This gradual degeneration and scarring of the liver is known as cirrhosis. This medical condition is mostly caused by chronic viral infections like hepatitis B and C, fatty liver, alcohol abuse, inherited metabolic disorders, exposure to environmental toxins, and strong reactions to medicines. Cirrhosis causes a gradual dysfunction of the liver as well as blockage of blood and fluids passing through the liver. Processing of nutrients, hormones, drugs, toxins, as well as production of proteins and other substances is seriously affected. 

Confirmed cirrhosis is designated as compensated – when the liver function is well maintained - and decompensated – when the liver can no longer carry on its normal function – thereby causing symptoms such as jaundice, ascites, bleeding varices, hepatic encephalopathy, liver cancer, and concurrent disease of the kidneys or lungs. In the early stages, there may be vague symptoms such as fatigue, loss of appetite, and weight loss, while in the late stages there may be symptoms like easy bruising, and severe itching. 

Modern (Allopathic) treatment consists of home care, medications and surgery. Treating or removing known causes such as drugs and alcohol consumption, and obesity, are essential to prevent further damage. Patients are advised to consume a low sodium and high protein diet, with adequate hydration. Routine vaccinations are recommended to be taken as per schedule. Medications are required mainly to reduce ascites, control hypertension, treat inflammation and infections, and for the specific treatment of hepatitis B and C. Abdominal tapping can be done as a temporary measure to remove excess of ascites fluid. Patients with advanced cirrhosis are recommended surgical liver transplant. 

Ayurvedic herbal treatment for cirrhosis of the liver is aimed at bringing about a reversal of degeneration and death of the liver cells, and an increase in the blood supply passing through the liver.  Ayurvedic herbal medicines which act on the liver cells and reduce inflammation and damage, and bring about a healing in the liver, are used in high doses.  In addition, other herbal medicines are also used which reduce fibrosis and remove dead cells and damaged tissue from the organ.  Toxins and unwanted material are removed through the kidneys and also the gastrointestinal tract.  Medicines are also given to remove inflammation and toxins present in the circulatory system. 

In addition, herbal medicines are also given to treat viral infections if present, and to reduce the effect of environmental toxins present in the blood.  Alcohol abuse is one of the commonest causes for cirrhosis of liver, and alcohol dependence or misuse also needs to be treated concurrently along with the treatment for cirrhosis of liver.  Most people affected with this condition need regular treatment for at least about eight to ten months, depending upon the severity of the condition.  If treatment is taken regularly, most people affected with cirrhosis of the liver benefit significantly from treatment, with a significant increase in lifespan as well as considerable improvement in the quality of life. 

Ayurvedic Herbal treatment can thus be judiciously utilised in the management and treatment of cirrhosis of the liver.

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

Thursday 10 June 2021

Hepatitis – Modern (Allopathic) Versus Ayurvedic Herbal Treatment

 Inflammation of the liver is known as hepatitis, which can be either acute, or chronic if lasting for more than six months. Causes for this condition include viral infection, drug reactions, drug abuse and overdose, exposure to chemicals, and chronic alcohol abuse. Jaundice is a direct and visible effect of acute hepatitis; this can be as a result of bile pigment overproduction (due to excessive breakdown of red blood cells as seen in malaria) or bile flow obstruction (due to bile duct blockage or actual liver cell inflammation). 

There is no specific medicine in the modern (Allopathic) system of medicine to treat hepatitis and actual liver damage. However, modern medicine does have antiviral medications to treat the various types of liver viral infections like Hepatitis B and C. In addition, modern hepatologists use immune modulating drugs like interferon to reduce inflammation in chronic liver damage and improve immunity. Most of these medicines need to be taken for prolonged periods or even life-long. These are mostly quite costly and toxic, and may potentially cause damage to blood cells and kidneys, and may even prove ineffective in the long run. On the positive side, modern medicine does have a highly effective preventive vaccine for Hepatitis B, and treatment for two months with antiviral medications can effectively cure hepatitis C. Patients with irreversible liver damage or liver cirrhosis can be offered an option for surgical liver transplant, though this can prove to be a very costly and potentially risky procedure.

 Ayurvedic herbal treatment for hepatitis is aimed at giving specific treatment for the inflammation and damage in the liver cells as well as treatment for any known causes for the condition.  Ayurvedic herbal medicines are considered to be very useful in the management and treatment of both acute as well as chronic hepatitis.  There are several well-known herbal medicines which specifically act on the liver and reduce inflammation and swelling of the liver cells, and bring about a reversal of the damage and dysfunction in the liver.  Herbal medicines also normalize the flow of bile through the liver as well as within the bile duct.

 Ayurvedic herbal medicines can also be given to treat and reverse damage due to drugs and chemicals as well as alcohol.  Herbal medicines which act on the liver as well as other vital organs such as the kidneys and heart need to be given in combination to treat such situations.  Chronic alcoholism also needs to be treated aggressively so as to help in an early remission of chronic hepatitis.  Acute or chronic hepatitis resulting from viral infection also need specific treatment with Ayurvedic anti-viral herbal medicines which are very useful in the treatment of viral hepatitis. 

Most individuals having chronic hepatitis also need treatment with herbal immunomodulatory agents so as to improve the overall immune status and to maintain the health and vitality of the patient.  Chronic hepatitis can lead to cirrhosis of the liver which results in permanent damage and long-term complications which can lead to significant morbidity and mortality.  Hence, early institution of Ayurvedic herbal treatment in the management of chronic hepatitis is very important so as to provide early remission from the condition and prevent long-term complications.

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 chronic hepatitis, kindly click here

Tuesday 1 June 2021

Chronic Urticaria – Comparison of Modern (Allopathic) and Ayurvedic Herbal Treatment

 Urticaria aka hives is an allergic skin reaction with characteristic red and itchy patches which usually subside within twenty-four hours without any pigmentation or scaling. When this condition persists for more than six weeks, it is known as chronic urticaria. While urticaria is usually not serious, a variant known as angioedema – involving the skin and mucous membranes, usually in the eyelids, lips, and tongue – is typically more serious and may prove to be life-threatening if not treated immediately.

A detailed medical history along with physical examination usually suffices to make a clinical diagnosis of chronic urticaria. Further investigations may be warranted with a concurrent history of parasitic infection, thyroid disorder, or autoimmune disorder. A skin biopsy may rarely be indicated with concurrent skin bleeds, autoimmune features, fever, arthritis, or if skin lesions persist for more than 24 hours at a time.

Chronic urticaria is usually idiopathic in nature; there is no definite cause which can be attributed to it, though it is now believed that an underlying autoimmune process may be one driving factor. A small subset is known as pressure urticaria, which may be caused or aggravated by pressure, vibrations, temperature changes, sweating, sun exposure and contact with water. Though rare, chronic urticaria may also be secondary to some underlying medical condition.

The modern (Allopathic) management of chronic urticaria is usually with the help of anti-histamine medications, which usually suffice to treat rash as well as itching in mild cases. For individuals with moderately severe symptoms, additional treatment with colchicine, dapsone, and steroids may be required for a limited duration. Immune modulating drugs may be required for patients who exhibit an autoimmune disease process, while a few may require thyroid medications.

In addition to a medication regime, it is also important to avoid triggers like stress, fatigue, tight-fitting clothes, alcohol, aspirin, and other non-steroid anti-inflammatory drugs. Soothing ointments can help relieve itching, while lukewarm baths can alleviate night-time itching. With a properly planned medication regime, nearly 50 percent patients undergo disease remission within a year, even though chronic urticaria is known to last from several months to several years. Though not serious or life threatening, this condition can adversely impact quality of life.

Ayurvedic herbal treatment is also very useful in treating chronic urticaria; this treatment can especially be put to good use in treating those patients who do not respond satisfactorily to modern medicines. While modern (Allopathic) medicines treat on a symptomatic basis, Ayurvedic medicines act to reverse the basis pathology of the disease. Ayurvedic herbs act on the skin, subcutaneous tissue, mucus membranes, capillaries, blood as well as the nervous system and thereby strengthen skin tissue, treat allergy, and prevent recurrence.

As per Ayurvedic pathophysiology, the diagnosis of chronic urticaria is further differentiated as follows: 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 is treated in a different way and with different herbal medicines, thereby making the Ayurvedic treatment more specific and further amenable to results, even in refractory patients. For patients with highly 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, along with oral medications. Since chronic urticaria may be related to hidden, underlying causes, it is equally important to look for and treat chronic gastro-intestinal symptoms, repeated worm infestations, thyroid disorders, chronic stress, latent infections, chronic inflammation, and autoimmune processes.

It is therefore very important to take a detailed medical history, do a thorough clinical examination and reach an accurate diagnosis before commencing treatment, in order to achieve a quick and complete remission. With proper and regular Ayurvedic herbal treatment, most patients having chronic urticaria can be fully treated in about 4-8 months. Depending upon the severity, patients with underlying 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 http://www.ayurvedaphysician.com  For Ayurvedic herbal treatment of chronic urticaria, kindly click here

Monday 24 May 2021

Porphyria – Modern (Allopathic) Versus Ayurvedic Herbal Treatment

 Porphyrias are a group of inherited metabolic disorders, in which deficiency of enzymes causes a buildup of porphyrins, which are required for the synthesis of hemoglobin in red blood cells. This abnormal buildup affects the skin, nerves, brain, and internal organs, causing symptoms like severe abdominal pain, constipation, vomiting, muscular pain, convulsions, tingling, weakness, confusion, hallucinations, high blood pressure, tachycardia, itching and rash. Acute intermittent porphyria (AIP) is an acute manifestation of this condition.

The abnormal buildup of porphyrins causes urine to be typically red colored with the excretion of porphobilinogen, and this is diagnostic of the condition. Symptoms are precipitated by medications, fasting, smoking, infections, surgery, stress, alcohol, menstrual hormones, and exposure to sun. Treatment in the modern (allopathic) system of medicine is with intravenous glucose, simple pain killers, and oral or intravenous Hematin. While the acute condition can be treated adequately in a well equipped hospital, modern medicine cannot prevent further episodes, other than by recommending avoidance of the precipitating factors as well as all unnecessary medications.

The pathology suggests disturbed metabolism and creation of unhealthy blood tissue and vitiated pitta. Features are indicative of Raktapitta disease moving in the downward direction. Depending upon the exact pathophysiology, skin, brain and kidneys are also liable to be affected.

Treatment involves correction of faulty pitta and normalization of blood tissue, correction of metabolism, along with control of a disturbed vata. Other symptoms can be concurrently treated with Ayurvedic medicines. Most patients can be well controlled with Ayurvedic therapy of a few weeks to a few months. Recurrent attacks of pain can be well controlled, provided the patient meticulously avoids all known aggravating causes. Patients having severe neuropsychiatric symptoms may require prolonged treatment of about 6-10 months.

After the initial treatment, once all symptoms have gone in complete remission, it is usually sufficient to just observe the patient for any signs of recurrence or relapse. Most day to day medical issues can be easily handled with Ayurvedic medication, and the patients as well as caretakers quickly learn to manage the situation on their own. It is fortunate that most Ayurvedic medications are well tolerated by patients suffering from porphyria, and so affected individuals need not get intimidated by the long list of Allopathic medications which they cannot take.

Porphyria patients can thus be comprehensively treated and managed on a long term basis with the help of Ayurvedic herbal medicines.

The writer, Dr A A Mundewadi, is available as an online consultant at https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com For Ayurvedic herbal treatment of recurrent porphyria episodes, click here For Ayurvedic herbal treatment of porphyria with neuropsychiatric involvement, kindly click here

Sunday 16 May 2021

Migraine – Modern (Allopathic) Versus Ayurvedic Herbal Treatment

 Migraine is a medical condition which affects mainly women and can prove incapacitating in nature, with symptoms such as severe headache, nausea, vomiting and light sensitivity, which may last from four to seventy-two hours. The onset is usually between ten and forty years of age; it may be aggravated with menstruation and may – in a few affected individuals – improve or disappear by the age of fifty. Nearly one billion people worldwide are estimated to be suffering from this condition, and it is believed to be more common than diabetes, epilepsy and asthma combined.

Migraine may be inherited, and triggered or aggravated by certain foods, caffeine, weather changes, bright light, menstruation, fatigue, stress, and irregular sleep and meals. While the exact mechanism of the disease is as yet not clear, it is believed that the triggers stimulate the trigeminal nerve and cause increased swelling in the blood vessels lining the brain.  This in turn releases neurotransmitters which cause pain and inflammation. Typically, this condition severely disrupts the quality of life of affected patients; in a few individuals, there may be additional symptoms related to 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 [which reduce nerve pain and inflammation]), 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 https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com For Ayurvedic herbal treatment of migraine, kindly click here 

Sunday 9 May 2021

Irritable Bowel Syndrome (IBS) – Modern (Allopathic) Versus Ayurvedic Herbal Treatment

 Irritable bowel syndrome (IBS) is a common medical condition which affects many individuals and is quite distressing, though it is largely benign in nature. Common symptoms include abdominal pain, discomfort, cramping, bloating, and loose motions or constipation. Symptoms vary from person to person and management may therefore vary considerably between affected individuals. A diagnosis is usually made on the basis of symptoms and by ruling out all possible organic causes. Typically, most patients have a chronic history but do not exhibit symptoms of weight loss or other serious symptoms like fever, rectal bleeding, or anemia. Stress and food allergies are believed to be important causative factors. This condition can usually be managed satisfactorily, with changes in diet and lifestyle. 

The modern management of IBS includes advice to avoid trigger factors, eat high fiber foods, drink plenty of water, exercise regularly, and get sufficient sleep. Treatment includes fiber supplements, laxatives, medications for diarrhea and abdominal pain, and antidepressants. Other medications to reduce intestinal spasm, hyper-motility, increased intestinal secretions, and antibiotics are also used as indicated. 

Ayurvedic herbal treatment is also aimed at specifically treating the causative factors. Herbal medicines which are used for IBS strengthen the intestinal walls, help in digestion and assimilation of food, reduce and normalize excessive movement of the intestines, regulate intestinal secretions and reduce allergy or sensitivity of the mucosal wall of the intestines. Ayurvedic treatment is also given to treat stress and anxiety, which are known causative factors of IBS. 

The successful, long term management of IBS patients requires not only symptomatic treatment but also medicines to improve the general immune status of the body as well as strengthening of all body tissues, especially blood and muscle tissues. The ultimate treatment goal for IBS is to create a sound mind along with a strong, healthy body. Modern treatment is usually required regularly or intermittently on a long term or even life-long basis, in order to satisfactorily control symptoms.  In contrast, with about six to eight months of Ayurvedic herbal treatment, patients with chronic or severe IBS improve dramatically, and most of them can learn to gradually live near normal lives without any major medication, though diet and lifestyle modifications may be required. After a complete remission of symptoms, the dose and frequency of medicines can be gradually reduced and then tapered off completely.

Ayurvedic herbal treatment thus has a significant role to play in the successful management and treatment of irritable bowel syndrome.

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 treatment for IBS, kindly click here

Thursday 22 April 2021

Eczema - Allopathic (Modern) Versus Ayurvedic Herbal Treatment

 Eczema is a skin condition characterized by skin rashes accompanied by intense itching. The rash is in the form of fluid filled blisters, which rupture and then gradually heal with crusting. Along with asthma and hay fever, eczema forms a triad of allergic diseases which have a hereditary component; these may exist singly or all combined in affected individuals. Most individuals outgrow the tendency to eczema by five years of age; others may go on to have chronic and recurrent disease. Eczema may also be caused or aggravated by frequent washing; excessive sweating; the frequent use of rough and tight clothes, harsh chemicals, and rubber or plastic gloves; as also environmental factors like excessive dryness.

The diagnosis of eczema is usually made on clinical grounds taking into consideration the characteristic appearance and distribution of the rash, and the history of its appearance and trigger factors; a biopsy may rarely be required for a confirmed diagnosis. Treatment in the modern system of medicine is with the regular application of anti-inflammatory, anti-itch and steroid creams. Moisturizers help alleviate symptoms, while antibiotic creams and oral medicines treat secondary infections. Patients 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 preventing 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 https://www.mundewadiayurvedicclinic.com and http://www.ayurvedaphysician.com To start Ayurvedic herbal treatment for eczema, kindly click here