Wednesday, October 22, 2008

Diet For Chronic fatigue Syndrome and Fibromyalgia.

Chronic Fatigue Syndrome and Fibromyalgia are diseases of acidosis or overly acidic systems. The aim therefore, is to bring the blood, organs and tissues of the body into an alkaline range primarily by dietary management.

3 Glasses of raw vegetable juice every day: whatever suits you and does not cause an adverse reaction like nausea, bloating or indigestion. Cucumber-carrot, and ash pumpkin-beetroot are good combinations. Start with smaller quantities, dilute with water as needed, but do not strain the juice. Juices must be prepared fresh each day and can be kept in the refrigerator until night. Bring to room temperature before drinking or add some warm water
3 bowls of raw vegetable salad at mealtimes every day.
Fruit whenever you feel like a snack

Avoid wheat, dairy products, coffee, tea, processed foods, vinegar, sugar and sweets, all of which are acid forming and will increase the pain and fatigue. Green herbal teas with limejuice and honey are good. You can have meat, fish and eggs in small quantity daily if you feel the need. They provide high quality proteins, B vitamins and help in detoxifying.
Use ragi, unpolished or parboiled rice, fresh steamed or roasted corn, sweet potatoes, tapioca as sources of carbohydrate.
Avoid dry pulses and legumes. If you are vegetarian and can digest them well, you can use green or sprouted beans and legumes, cooked according to your preference.
Soya paneer or tofu is available in many stores and an excellent protein source for vegetarians. However, soya products should not be used in excess.
You can have raw sprouts of moong, alfalfa, methi. Raw Sprouts are rich in vitamins and living enzymes and help to detoxify the body.
Potatoes are not acidic if cooked with skins, which may be peeled later if you don’t prefer to eat them that way.
Use fresh greens like spinach and lettuce in salads every day. Be sure to wash them thoroughly. Greens are rich in magnesium and folate apart from other minerals and vitamins, and highly alkalizing for the system.
Fruits and dry fruits like dates and raisins for that sweet tooth and for instant energy. Though very sweet, they are alkaline on digestion because of their high mineral content.
Raw flax seed, sesame seeds and nuts for essential fatty acids. These should be stored in the refrigerator. The seeds are to be dry-ground in a mixer, a few tablespoons at a time whenever needed. Mixed with cardamom and a little honey, they make a delicious dessert.
Use only unrefined oils for cooking. Coconut oil is best because it is heat stable, antifungal and boosts the metabolism. Never use refined or hydrogenated oils.
Meat, chicken and fish are best cooked without any added oils as soups and stews, or simply sautéed with ground masala and then simmered to make gravy.
By Ms Nevina Kamath

Sunday, August 24, 2008

Heart Failure

HEART FAILURE

Definition
Heart failure, also known as congestive heart failure (CHF), means your heart can't pump enough blood to meet your body's needs. Over time, conditions such as coronary artery disease or high blood pressure gradually leave your heart too weak or stiff to fill and pump efficiently.

You can't reverse many conditions that lead to heart failure, but heart failure can often be treated with good results. Medications can improve the signs and symptoms of heart failure and lead to improved survival. Lifestyle changes, such as exercising, reducing salt intake, managing stress, treating depression, and especially losing excess weight, also can help prevent fluid buildup and improve your quality of life.
The best way to prevent heart failure is to control risk factors and aggressively manage any underlying conditions such as coronary artery disease, high blood pressure, high cholesterol, diabetes or obesity.

Symptoms
Heart failure typically develops slowly and is a chronic, long-term condition, although you may experience a sudden onset of symptoms, known as acute heart failure. The term "congestive heart failure" comes from blood backing up into — or congesting — the liver, abdomen, lower extremities and lungs.

Some of the signs and symptoms for chronic and acute heart failure are

Type of heart failure Signs and symptoms
Chronic heart failure
(A long-term condition with signs and symptoms that persist.) Fatigue and weakness
Rapid or irregular heartbeat
Shortness of breath (dyspnea) when you exert yourself or when you lie down
Reduced ability to exercise
Persistent cough or wheezing with white or pink blood-tinged phlegm
Swelling (edema) in your legs, ankles and feet
Swelling of your abdomen (ascites)
Sudden weight gain from fluid retention
Lack of appetite and nausea
Difficulty concentrating or decreased alertness

Acute heart failure
(An emergency situation that occurs when something suddenly affects your heart's ability to function.) Signs and symptoms similar to those of chronic heart failure but more severe, and start or worsen suddenly
Sudden fluid buildup
Rapid or irregular heartbeat with palpitations that may cause the heart to stop beating
Sudden, severe shortness of breath and coughing up pink, foamy mucus
Chest pain if caused by a heart attack



In addition to characterizing whether your condition is chronic or acute, your doctor will need to know whether your heart fails to pump, or fills with blood, or a combination of both. Heart failure can involve the left side, right side or both sides of your heart. Typically, heart failure begins with the left side — specifically the left ventricle, your heart's main pumping chamber.

Part of your heart affected by heart failure Description
Left-sided heart failure Most common form of heart failure.
Fluid and blood may back up in your lungs, causing shortness of breath.

Right-sided heart failure Often occurs with left-sided heart failure.
Fluid and blood may back up into your abdomen, legs and feet, causing swelling.

Systolic heart failure The left ventricle can't contract vigorously, indicating a pumping problem.

Diastolic heart failure
(also called heart failure with normal ejection fraction) The left ventricle can't relax or fill fully, indicating a filling problem.



While systolic heart failure was once thought to be more common and less serious, recent studies have shown this to be incorrect. Isolated diastolic heart failure, now also termed "heart failure with normal ejection fraction," is just as common as systolic heart failure and has a similar prognosis. Identifying the type of heart failure, whether systolic, diastolic, or a combination, is important because the drug treatments for each type may

Causes


Heart failure often develops after other conditions have damaged or weakened your heart. Over time, the heart can no longer keep up with the normal demands placed on it. The ventricles may become stiff and not fill properly between beats. Also, the heart muscle may weaken, and the ventricles stretch (dilate) to the point that the heart can't pump blood efficiently throughout your body.

Any of the following conditions can cause heart failure, which can damage or weaken your heart over time. Some of these can be present without knowing it:
Coronary artery disease and heart attack. Coronary artery disease is the most common form of heart disease and the most common cause of heart failure. Over time, arteries that supply blood to your heart muscle narrow from a buildup of fatty deposits, a process called atherosclerosis. Blood moves slowly through narrowed arteries, leaving some areas of your heart muscle weak and chronically deprived of oxygen-rich blood. In many cases, the blood flow to the muscle is just enough to keep the muscle alive but not functioning well. A heart attack occurs if plaque formed by the fatty deposits in your arteries ruptures. This causes a blood clot to completely block blood flow to an area of the heart muscle, weakening the heart's pumping ability.

High blood pressure (hypertension) . Blood pressure is the force of blood pumped by your heart through your arteries. If your blood pressure is high, your heart has to work harder than it should to circulate blood throughout your body. Over time, the heart muscle may become thicker to compensate for the extra work it must perform, enlarging the heart. Eventually, your heart muscle may become either too stiff or too weak to effectively pump blood.

Faulty heart valves. The four valves of your heart keep blood flowing in the proper direction through the heart. A damaged valve forces your heart to work harder to keep blood flowing as it should. Over time, this extra work can weaken your heart. Faulty heart valves, however, can be fixed if detected in time.

Damage to the heart muscle (cardiomyopathy) . Some of the many causes of heart muscle damage, also called cardiomyopathy, include infections, alcohol abuse, and the toxic effect of drugs such as cocaine or some drugs used for chemotherapy. In addition, whole-body diseases, such as lupus, or thyroid problems also can damage heart muscle. If a specific cause can't be found, it's referred to as idiopathic dilated cardiomyopathy.

Myocarditis. Myocarditis is an inflammation of the heart muscle. It's most commonly caused by a virus and can lead to left-sided heart failure.

Heart defects present at birth (congenital heart defects). If your heart and its chambers or valves haven't formed correctly, the healthy parts of your heart have to work harder to compensate. Genetic defects contribute to the risk of certain types of heart disease, which in turn may lead to heart failure.

Abnormal heart rhythms (heart arrhythmias) . Abnormal heart rhythms may cause your heart to beat too fast. This creates extra work for your heart. Over time, your heart may weaken leading to heart failure. A slow heartbeat may prevent your heart from getting enough blood out to the body and may also lead to heart failure.

Other diseases. Chronic diseases such as diabetes, severe anemia, hyperthyroidism, hypothyroidism, emphysema, lupus, hemochromatosis and amyloidosis also may contribute to heart failure. Causes of acute heart failure include viruses that attack the heart muscle, severe infections, allergic reactions, blood clots in the lungs, the use of certain medications or any illness that affects the whole body.

Risk factors
A single risk factor may be enough to cause heart failure, but a combination of factors increases your risk.

Risk factors include:
High blood pressure. Your heart works harder than it has to if your blood pressure is high.

Coronary artery disease. Narrowed arteries may limit your heart's supply of oxygen-rich blood, resulting in weakened heart muscle.

Heart attack. Damage to your heart muscle from a heart attack may mean your heart can no longer pump as well as it should.

Irregular heartbeats. These abnormal rhythms can create extra work for your heart, weakening the heart muscle.

Diabetes. Having diabetes increases your risk of high blood pressure and coronary artery disease.

Some diabetes medications. The diabetes drugs rosiglitazone (Avandia) and pioglitazone (Actos) have been found to increase the risk of heart failure. Don't stop taking these medications on your own, though. If you're taking them, discuss with your doctor whether you need to make any changes.

Sleep apnea. The inability to breathe properly at night results in low blood oxygen levels and increased risk of abnormal heart rhythms. Both of these problems can weaken the heart.

Congenital heart defects. Some people who develop heart failure were born with structural heart defects.

Viruses. A viral infection may have damaged your heart muscle.

Alcohol use. Alcohol can weaken heart muscle and lead to heart failure.

Kidney conditions. These can contribute to heart failure because many can lead to high blood pressure and fluid retention.

When to seek medical advice
See your doctor if you experience any of the signs or symptoms associated with heart failure. These include:
Fatigue and weakness
Rapid or irregular heartbeat
Shortness of breath (dyspnea) when you exert yourself or when you lie down
Reduced ability to exercise
Persistent cough or wheezing with white or pink blood-tinged phlegm
Swelling in your abdomen, legs, ankles and feet
Difficulty concentrating or decreased alertness

You may first find out you have heart failure from an emergency room visit after worsening signs and symptoms. Other heart and lung problems can cause signs and symptoms that are similar to heart failure.

If you have a diagnosis of heart failure, and if any of the signs or symptoms suddenly become worse or you develop a new sign or symptom, it may mean that existing heart failure is getting worse or not responding to treatment. Contact your doctor promptly.


Compiled By
Dr Sandeep KM Delhi

Friday, August 1, 2008

panchakarma

Panchakarma
A healthy body and healthy mind is the aim of all medical systems. Ayurveda is one such system that prevailed since 5,000 years ago. It was considered the most advanced and scientifically proven in those days. It still continues to shine. The present millennium has shown us numerous disorders and we know that the changes in atmosphere and living conditions are among the causes. This results in serious disorders like cancer and AIDS. To handle these problems, Ayurveda shows the correct way. The word Ayurveda is composed of Ayu and Veda. Ayu means life, which is a proper combination of the body, mind, sense organs and the soul. Veda means knowledge.
Pizhichil, one of the purvakarmas.
The Vedas revealed the truth that all the living and non-living things are a combination of pancha bhoota (prithvi, ap, thejas, vayu, akasa). Ayurveda also agrees with this principle. To regulate the living body easily, the acharyas concised the pancha bhootas into tridoshas (vata, pitta, kapha). These tridoshas are the basic pavement for all ayurvedic theories. Along with tridoshas, datusamjna, malasamjna are given to certain constituents for the functioning concept of living things. Datus and malas are controlled by doshas. Samyavastha (well-being) is the condition when the doshas are in their natural rhythm. When this rhythm is lost it is called vaishamya (disease). The former means order, the latter, disorder.
Doshas cannot be identified separately in samyavastha. In diseased condition, the doshas manifest their particular symptoms. These symptoms denote malfunctioning of the doshas. The purpose of treatment of all diseases is to keep the doshas in equilibrium. In Ayurveda there are three steps in treating any diseases, they are samsodhana - cleansing process, samsamana - palliative measures and nidanaparivarjana - treating the causes.

Samsodhanam is considered a prominent process and should be administered with full care. Samsodhana is so important because the diseases treated by samsamana may occur again but those treated by the former will never recur or the chances of recurrance are very small.
Panchakarma is a synonym for samsodhana. Panchakarma actually is a group of treatments, five in number, all of which are not commonly practised in all diseases. The panchakarma are vamana, virechana, snehavasti, kashayavasti and nasya. Vamana is emesis, virechana is purging, vasti is enema, which of two kinds done with medicated oils and medicated decoctions and are called snehavasti and kashayavasti respectively. Nasya is instillation of medicines through nose. Susrutha, the father of surgery, gives stress to rakthamoksha (blood-letting) as one of the panchakarma, taking the two kinds of vasti as a single karma.
There are certain steps to be followed before doing panchakarma called poorvakarmas. They are snehana (oleation) and swedana (sudation). Snehana has to be done by two ways, application of snehadravyas internally and externally. Swedana is classified into four types to promote sweat. The purpose of poorvakarma is to liquefy and guide the provoked doshas to the mainstream to facilitate the sodhana karma.
The process of letting out the vitiated blood is termed Rakthamoksha.This is an illustration of Lord Dhanwanthri holding a leech in the right hand whichis extensively used in blood letting.
Vamana (Emesis)
The first in panchasodhana karma, this process requires good attention and skilled assistance. It induces expulsion of the stomach contents through the mouth. Kapha or kapha dominant diseases are selected for this procedure. Diseases like severe skin diseases (psoriasis, urticaria) bronchial asthma, mental disorders and so on. This process is not suggested for pregnant women, the aged, those suffering from cardiac problems and those who are not very strong. On the previous day, the patient, who has undergone sneha sweda is given kapha increasing foods. The next morning, after ablutions and a hot water bath, the patient should be asked to sit in a relaxed manner in an armchair. Milk is commonly used for this purpose. For those with milk intolerance, sugarcane juice can be used. The patient has to drink as much as milk as he can. Then a paste of madana phala (10 gms) along with yashtimadhu powder (5 gms), vacha (5 gms), rock salt (5 gms) and honey (5 ml) mixed with milk should be given. Within a short time, the patient will feel nauseous and starts vomiting. All impure accumulated kapha will come out. Normally eight bouts are seen. The attenders should hold the patient's forehead and massage his back and wipe away the sweat. Vomiting is stopped when the pitta or yellow colouration is seen, which is considered the correct symptom. If the bouts are less, vomiting should be by irritating the uvula by touching with the figers or a quill. Then allow the patient to wash his face and fingers with hot water. Then dhoomapana - inhalation of medicated fumes - is done. The smoke should be inhaled through one nostil and exhaled through the mouth and the other nostril. This should be done thrice.
Closer view of the image of Lord Dhanwantri depicting the leech.
After this, certain steps have to be necessarily followed called paschat-karma. These are mainly food restrictions, called samsarjana kriya. Just after vamana, if the patient is hungry, thin gruel is given. After ascertaining the digestive power, thick gruel, porridge, porridge with meat soup are given. The entire treatment takes 15 days.
Virechana (Purgation)
Pitta and pitta dominant diseases are cured by this process. By this the vitiated doshas are made to pass through the anus. Poorvakarma as noted in vamana are advocated here. Though several drugs are mentioned for virechana, trivrit is considered the best. Trivrit combinations, like avipathy churna, trivrileha are used. To give the medicine it should be ascertained whether the last meal has been digested. Medicine should be given after the kaphakala (about 9 a.m.) - 15 to 25 gms of Avipathy churna mixed with hot water. No food is given till virechana is over. In proper virechana, the patient passes urine, stool, pitta, medicine, kapha and vata in order. About 20 purges may be seen. This also depends on the patient's health.
A mild form of virechana is an unavoidable factor in ayurvedic therapy. It is commonly used to treat various kinds of ailments in which poorvakarma is not necessary. So virechana is also used for prevention. The paschat karma followed is similar to that of vamana except that dhoomapana is not administered.
Vasti (Enema)
This is a process of injecting fluid through the anal, urinary or vaginal canal. Vasti or the urinary bladder of animals is used and hence this term. Today, a bag of polyethene or leather is used. Vasti is for combating vata and vata dominant diseases. As vasti is important among the panchakarma, many consider vasti as half the entire range of treatment and some as the complete range. The equipment for vasti karma consists of a nozzle and a bag.
Nasya as a method of medicinal application was extant for a long period. The Valmiki Ramayana contains descriptions of Rama and other warriors who were restored to consciousness by using medicinal herbs as nasya. The famous physician Jivaka was said to have treated Lord Buddha by Nasya.
Snehavasti is Vasti with unctuous oils. This is not advised in patients suffering from diabetes, anaemia, diarrohea, obesity, filaria. After poorvakarma, the patient is advised to take a hot water bath and permitted to eat a light meal not more than three quarters of usual quantity, a suitable drink may follow. He should lie down in a cot on his left side (left lateral position) (i.e.: the left is stretched and right one is folded). The suitable oil is poured in the vasti bag which is connected with the nozzle. The nozzle end and anus are soothened with oil and enema is applied. Gentle pressure should be applied on the bag so that the fluid passes without interruption. The patient should now lie on his back. Certain methods are adopted to retain the oil inside the body such as raising the leg. The effectiveness of the vasti is indicated if the oil stays inside for the intended period and comes out with all faeces and air.
The quantity of oils is one quarter of kashaya vasti (10 ozs) mixed thoroughly with powdered rock salt, satahva (5 gm each), and warmed suitably before giving.
Kashaya vasti
Diseases like hemiplegia, IVDP, and disease due to vata are treated as well. Acute diarrhoea, chest lesions, piles, hiccups, are contraindicated. For kashaya vasti, honey, rock salt, sneham, paste of medicines are required and is mixed one by one in the above order. Total quantity is nearly 40 ozs. An emulsion is made by churning all and warming in a water bath. This should be taken on an empty stomach at about 10 a.m. Application is the same as snehavasti. When the bowels are clear the patient is allowed to take a hot water bath. This should be done after two or three snehavastis. Sneham, paste of medicines, kashayam noted above are selected as per disease and stage.
Nasya
Instillation through the nose is called nasya. It is the best and important procedure for the treatment of sirorogas i.e, sodhana of urdhvanga. Our body is compared to a tree, its root is the head and extremities are the branches. Head is also called uttamanga, as it is the seat of manas and panchendriyas, which gives a unique status of superiority. This is contraindicated in various manorogas, asthma, cough.

After suitably warmed oil is applied to the shoulder and neck of the patient, the patient should lie supine and tip his head back. Lightly warmed oil is dropped into each nostril. The patient should inhale deeply. The usual dose is 8 drops but this varies according to the disease and its nature. The timings are morning in kapha diseases, noon in pitta diseases and evening in vata diseases. After the nasya, the shoulder, face, palm and sole of limbs should be massaged briskly for few minutes. The percolated kapha will be spat. Dhoomapana and gargling with hotwater should be done afterwards. Nasya should not be done continuously for more than seven days.
Panchakarma should not be administered to those below seven years and those above 80 years. If it is done properly, healing of the disease treated, along with clear intelligence, alertness of the senses, stability of the body, efficacy of digestion and absorption, prolongation of youth are all achieved.

Monday, June 30, 2008

Chikungunya And Ayurveda

What is Chikungunya fever?
Chikungunya is a form of viral fever spread by the Aedes aegypti mosquito, a breed largely active during the day that lasts for 5-7 days. The virus is hardly life threatening, but frequently causes intense joint pain that persists for a long period of time.
Chikunguniya symptoms:
Common symptoms of the illness such as fever upto 102.2 °F, petechial rashes, spots on the trunk and limbs and arthritis affecting multiple joints are very common. Other nonspecific symptoms like headache, conjunctivitis, remote photophobia and insomnia etc may occur soon after the incubation period. While most symptoms usually last for 5 – 7 days, the fever rapidly subsides in two days.
Chikungunya history In India
Chikunguniya has emerged as a serious health threat in India. States such as Andhra Pradesh, Andaman & Nicobar Islands, Tamil Nadu, Karnataka, Maharashtra, Gujarat, Madhya Pradesh, Kerala and Delhi were the most affected parts of the country. Karnataka and Maharashtra recorded a staggering 752,245 and 258,998 numbers of cases, making these largest affected states in India. (Who: 2006)
Preventive Measures
There is no real vaccine for the virus, but the best method to prevent the virus is to avoid mosquito bites. It is absolutely necessary to take preventive measures to avoid or eliminate mosquito breeding friendly spot’s such as rain-filled containers, water storage units, open food containers, saucers under potted plants, drinking bowls for domestic animals and discarded tyres in the vicinity of the workplace and residential areas. (WHO: 2006).
Management of Chikun gunya – In Ayurveda:

Line Of Treatment is Like Amavata (Pachana,Deepana,Rookshana,Mridu ShodhanaBrihmana.)
In the acute phase of illness, the prime intent should be to control fever. Medicines such as Amrithothara kashaya, Shaddharana choorna, Sudarshana vati,Vettumaran gulika,Nimbamrithadi Eranda,Avipatti Choorna and Amritharishta have reflected effectiveness in combatting fever.

In the post fever phase, Chikungunya leads to arthralgia/arthritis that causes swelling & pain that could persist for a period of six months to a year. Therefore it becomes vital to control post-fever arthritis in the very early stage of symptoms. Ayurveda medications & therapies are found to be extremely effective in treating this condition.
Medication
Classical medicines such as Rasnaerandadi kashaya, Punarnavadi kashaya, Chandraprabha gulika and Punarnavasava, Kaishora guggulu,Raasnagugul ,Balaguloochyadi Kashaya have been found quite effective in managing post-fever pain & swelling.
Therapies combined with ingestible medication can give faster & effective result in treating the symptoms of Chikungunya.
The following therapies are used to treat the symptoms of Chikungunya.
1. Choorna Sweda
2. Valukasweda
3. Dhanyamla Dhara
4. Dasamoolam KashayaDhara
5. Lepana With Jadamayadi Choorna,Grihadhoomadi Choorna,Ellunishadi Choorna...

Wednesday, June 25, 2008

Sprouts

" The Hidden Power In Sprouts "

Seeds are life just waiting to be born.Sprouts are an "explosion of life".Srouted seeds are a staple diet of several oriental civilisations and are well known for their powerful nutritive and healing properties.
Sprouting is the practice of soaking,draining and then rinsing seeds at regular intervals till they germinate or sprout.
Nutrition facts:
Sprouts bear the largest relative amount of nutrients per unit of intake of any food known to amn.They have enough first quality proteins to be classified as a "Complete Food".Sproys are rich in Vitamins,Minerals and Proteins.But some legumes can contain toxins which can be reduced by soaking,sproyuting and cooking.
Many sprouted seeds such as those of Alfaalfa and sunflower contain all the essential amino acids in their Free state.which means that more nutrients reach the cells with less food.Sprouting increases the vitamins content of a seed dramatically.
Sprouts comtain more Vitamin C than oranges.Ina discovery the Vitamin Lactrile, known for its success in cancer therapy was found to increase over a 1000% in the sprouted seed.Enzymes,considered the key to logevity are greately activated in the sprouting process.
Sprouts are the best "Living Food".In fact they are so alive that they are still growing when you eat them.
By :
Dr Sandeep KM

NEVER SKIP YOUR BREAKFAST

“Breakfast is the most important meal of the day’

In Ayurveda Charakacharya, Sushruthachrya, and other Legends say we should not make upavasa with the morning breakfast.The modern science recently found that skipping a morning breakfast will cause the life taking diseases.
The frequency of heart attack ,sudden death and sroke peaks between 6 am and noon, with the highest evidence being between 8 am to 10 am .Platelets the tiny element in the blood that keep us from bleeding to death if we get a cut,can clump together inside our arteries due to cholesterol or laque buildup in the artery lining.It is in the morning hours that platelet become the most activated and tend to form these internal blood clots at the greatest frequence.However eating even a very light breakfast prevents the morning platelet activation that is associated with heart attacks and strokes.Eating a light very low-fat breakfast was found critical in modifying the morning platelet activation.
So having breakfast will keep your platelets from sticking together,keep blood clots from forming and perhaps head off a potential Heart attack or stroke .So never skip breakfast.

Monday, June 9, 2008

Food And Diabetes...!!

Diabetes....In Your Hand!!!

Diabetes Mellitus unlike debilitating disease tuberculosis was present among or confined to th4e so called well bread society. The recent increase in the incidence of diabetes even not so well –to-do sections of society is something to be viewed seriously.The current trend of the disease in India or else where attributed to the changing life styles and increased intake of processed food in daily life. When everything else fails mother nature doesn’t. Hence there has been an ever increasing demand for natural agents for the management of chronic elements as no ailment is no longer completely curable.
Insulin is a harmone produced by islets of Langerhans cells in pancreas and this harmone is implicated to play a vital role in the metabolism of carbohydrates and utilization of glucose.Diabetes is characterized by a defective synthesis of insulin.
Base on the mode of onset and the extent of damage to the insulin producing cells diabetes is clinically classified into 2 types.Type first is termed as DDM and NDDM second.
Purva roopa(prodormal symptoms)
Excessive sleep, fatigue, apathy, lack of pleasure, excessive growth of nails and hairs, sweet taste in the mouth, dryness of the palate and throat ,thirst, attraction to cold objects, greasiness of feet ,honey like urine
C S Ni 4/47, S S Ni 6/5 ,A H Ni 10/38-39

General Features
Excessive urination and turbidity

S S Ni 6/6, A H Ni 10/7
Complications
Reccurent infections,development of carbuncles,excessive thirst are some of the symptoms for which the disease person reports to a medical person.
Sushrutha --- Constipation as a commonly observed complication as the body of the diseased person is loaded with fatty tissue, hence they do not respond to common purgation is usual doses. Physiologists attribute this complication to the involvement of autonomous nervous system.
Charaka—Thirst diarrhea fever burning sensation debility anorexia indigestion abscess etc are complications.
Diabetic Diet
Diet plays very important role in the management of DM.A strict regimen of diet should be initiated to bring down body weight if obese. The first step is preparing dietary regimen, is to map out a time table of the patients routine including a description of usual meals. This is an essential step which is too often ignored. The total daily requirement of calories must next be decided.
The diet must be nutritionally adequate for the patients needs and it must therefore estimated for each individual patients.
Types of diet ---2

1.Measured –in which the amount of food to be eaten at each time of the day is specified.
2.Unmeasured-in which the patient is given a list of foods grouped in 3 categories.
Food with high sucrose content which is to be avoided altogether like sugar, sweets, jam ,cakes, fruits like mangoes ,grapes, jackfruit and dates etc.
Foods containing carbohydrates in the form of starch like bread, biscuits,custard ,milk ,potatoes ,peas, cereals ,pulses etc.
Foods to be eaten as desired like white meat, fish, boiled eggs ,lemon juice and tomato soup.
Vegetables which can be taken as desired are bitter guard ,fenugreek leaves and seeds, knolkol, beans ,cabbage ,Brussels, sprouts, broccoli, cauliflower ,spinach, pumpkin, French beans, onions, mushroom ,cucumber, tomato, onion raddish, barley, ladies finger ,mustard leaves ,coriander leaves.
Fruits like jambu, grape, goose berry, lemon ,melons, coo cuts, black bill berry ,strawberries, orange, papaya etc.

Cereals pulses which can be used are

Ragi –
Ragi kanji with butter milk in the morning is a diet in diabetes.
Ragi is very wholesome ,highly proteinious and nourishing.Ragi is said to be more nutritious than wheat

Masha/black gram
It is a demulcent and cooling as weel as nutritious of pulses.Blachgram baked on steam is a night diet for diabetes.

Mudga/Moomg

he ripe green coloured pulse is eaten boiled whole or split and used as dal.it is parched with butter and made into spice balls. It is given to relieve thirst. Soup made of is a good diet for diabetic patients with enlarged spleen and liver and after prolonged illness.

Chana/Bengal gram

The rise in insulin levels was decreased after Bengal gram dal(red beans),kidney beans,wheat and rice as compared with dextrose.Bengal gram being the most effective in this respect.More over Bengal gram decreased the mean peak insulin rise by 70.5%,red kidney being by 68.2%,wheat by 48.6%,rice by 47.4%
But potatoes increased the mean peak insulin rise by 33%

Bitter guard
It contains a fixed oil an insulin like peptide ,glycocides(mormordin and charantin),the peptide is known to lower sugar levels in the blood and urine.
25ml of bitter guard juice should be taken twice daily in empty stomach.
Dry powder of karela seeds 2-3grams taken twice daily.

Thingalavare/French beans
Powder acts as hypoglycemic,reducing blood glucose levels in the treatment of diabetes.

Gorikayi/Cyamopsis psoralioides
Pods and seeds stabilizes sugar levels in blood and is useful in prediabetic conditions and in the early stages of late onset diabetes.

Lasuna/Garlic
It reduces cholesterol,helps in circulatiry disorders such as high blood sugar level makes it a useful dietary addiction in late onset diabetes.

Palandu/onion
It boasts a long list of medicinal actions,diuretic ,antibiotic,anti inflammatory ,analgesic expectorant.It also has hypoglycemic actions(extract will increase insulin like activity of the plasma)

The effect of the juice of garlic and onion on glucose utilization was studied in rabbits by using the glucose tolerance test.The hypoglycemic effect was compared with that of tolbutamide and hypoglycemic effect of glucose feeding as assessed by the maximum percentage and fall in blood sugar.

Fenugreek/Curry leaves/Jamoon/Bamboo shoots
Fenugreek administration increases plasma insulin levels in- vivo,its major amino acid 4 hydroxy-insuline stimulates insulin secretion from perfused pancreas in in-vitro.
Blood sugar lowering effect of fenugreek in NIDD was seen after taking powdered fenugreek seeds when taken twice daily for 12 mionths continuiously showed significant blood sugar lowering effect in the established cases of NIDD.The powdered seeds soaked in water reduced the subsequent post prondial glucose levels.


Yava/Barley
Barley a good cholesterol- lowering source of fibre.
Manufacturers sell a “Green Food” supplement made of barley grass. They bill it as an immune system booster, an antioxidant,a chlorophyll source and a preventive agent and are for cancer,diabetes,arthritis,heart diseases and many other ailments.
The grains vitamin and amino acids rich husk polished to produce ‘pearl’ barley, the form in which most people consume it ( the husk fiber material remains in it,)

Draksha/Grapes
Taken orally as a dietary supplement for its active components(procyanidolicoligomars)PCO’s or pro-arthocyanidin can protect against tumor formation, improves circulation ,control peripheral vascular diseases, control diabetic retinopathy and fight the breakdown of collagen which can occur with aging and a number of inflammatory collagen diseases.

Monday, June 2, 2008

Eating??? ...no tension....!!!!

Antidotes for incompatible food combinations”

If the negative effects of food items are known, they can be made wholesome by combining them with appropriate counteracting food items or antidotes as given below.
1. Cheese increases congestion and mucous. It aggravates pitta and kapha.To counteract this, you can add black pepper.
2. Eggs in cooked form increases pitta and in raw form increases kapha.Termeric and onions are the antidotes.
3. Ice cream increases mucous and causes congestion. If taking ice cream is inevitable, then top it with clove and cardamom.
4. Curd increases mucous and causes congestion. Cumin and ginger will take care of the ill-effects of curd.
5. Fish increases pitta . Coconut, lime and lemon are the remedial measures to counteract the bad effects of fish.
6. Meat is heavy to digest. Cloves or pepper powder makes the digestion easier.
7. Alcohol has both stimulating and depressing effects. Chewing a pinch of cumin seeds or 1-2 cardamom seeds may minimize these undesirable effects.
8. The bad effects of tea can be lessened with ginger. In the same way ill effects of coffee can be kept at bay with nut mug powder.
9. It is a known fact that sweets increases congestion .Addition of dry ginger powder to the sweet meals will decrease the congestion.
10. Tobacco aggravates pitta and stimulates vata . Brahmi, Calamus most are used as antidotes to tobacco.
11. Rice and wheat increase kapha and fat. Clove and ginger are used to enhance the beneficial effects of these cereals.
12.Legumes produce gas and distention .Garlic , cloves , black pepper , ginger ,rock salt, or chilly powder are the antidotes.
13. Cabbage produces gas due to its sulpher content .Cook in sunflower oil adding turmeric and mustard seeds.
14. Garlic increases pitta. Grated coconut and lemon counteract this effect.
15.Green salad produces gas. Cooking reduces the gas formation but at the same time its therapeutic BENEFITS MAY ALSO BE LOST, If you want to have salad in raw form, add a little quantity of lemon juice to it.
16. Onion also produces gas .To prevent this either you should take it in cooked form or you should add salt,lemon,curd and mustard seed powder to it.
17.Potato, due to its high carbohydrate content, produces gas. This can be reduced with ghee and pepper.
18. Tomato increases kapha. Lime and cumin are the antidotes to it.
19.The ill-effects like increase in kapha of banana can be counteracting with cardamom.
20. Mango produces diarrhea. Adding ghee with cardamom in the remedy.
21.Melon causes water retention Grated coconut with coriander is the solution to this.
22. Almost all those who consume nuts and peanuts, experience gas and burning sensation in the stomach. As a remedial measure, either you should soak them overnight or cook them with sesame oil, ginger, roasted cumin powder and pepper.


References from Astanga hridaya...

Monday, May 26, 2008

Heel...Heal

‘AYURVEDIC MANAGEMENT OF PAIN IN HEEL’
* Dr. Sandeep K M. *


Introduction and extent of problem

Pain in heel is major cause for physical disability causing economical burden in terms of medical cost, work related sickness payment, time lost from the work. 80% of people suffering with OA are showing clear radiographic evidence of heel spur and 25% have symptoms. In India 10 million people are suffering with the same. 0.8 % of population
Suffering with RA annual incidence0.02% and is the Primary cause for physical disability in 1/3 of people.

Pain in heel in different conditions –

• Neurologic
• Traumatic
• Systemic inflammatory conditions

In systemic inflammatory condition
• RA
• Ankylosing spondylitis
• Psoriatic arthritis
• Reiter’s syndrome
• Gout
• Behcet’s syndrome
• SLE
• Gonorrhoea
• Tuberculosis


Causes
• Most common cause – plantar fasciatis
• Less common cause –
• Sciatica
• Tarsal tunnel syndrome
• Entrapment of lateral plantar nerve
• Plantar fascial rupture
• Calcaneal apophysitis




Ayurvedic prospective

Vatakantaka


Nija vyadhi –
• Sandhivata,
• Amavata
• Vatarakta
• Ashti vikara
• Gulphasandhi vikara
• Anya vikara

Agantuja vyadhi

Vata kantaka
• Khuddakavata
• Padakantaka(YR)
Parshnyashrita (D)

Vishama Pade –
vishama pade iti vishame sthane nikshipte pade ithyarthah-dalhana)
• Agantuja karana.
• Not only calcaneal spur rather it may be sprain, strain and acute suppurative arthritis
• If gulpha sandhi - ashraya stana for vata kantaka – sthanika chikitsa along with vata shamanopaya

Nidana
• Walking in an uneven surface / excessive walking / activities leads to high pressure over the heel
• Wearing high heeled & hard foot wears
• Exposure to excessive cold or working in water
• Vatavardhaka diet
• Over weight lifting /Overweight


Ruk Padee vishamany:
• Feet that flatten and roll inwardly
• Shoes with inadequate arch support
• Sudden turns that put great stress on the ligaments
• Running on hard surfaces or uphills



Shramath - RSI




Treatment principles to follow…
• Assessment of condition
• Acute pain management
• Local treatment
• Shodhana and shamana
• Proper follow up
• Surgical intervention

Before entering in to treatment….

• If Gulpha sandhi is considered as the Ashraya stana - Dosha nimittaja
• Agantuja karana - sprain, strain etc -karya karana sambandha for the Rakta mokshana.
• Adoption of Rakta mokshna as the major line of treatment should be re-thought on the basis of karya karana sambandha
• calcaneal spur- Agni karma is done routinely at the most tender points in the heel.

Samprapti Ghataka
• Dosha – Vata
• Dooshya – Gulpha sandhi, Parshni
• Agni – Asthidhatwagni
• Ama – Asthidhatwagnimandhyajanya
• Srotas – Asthivaha, Mamsavaha,
• Srotodusti prakara- Sanga
• Udbhava sthana -
• Sanchara stana – Gulpha sandhi, Parshni
• Vyakta stana – Gulpha sandhi, Parshni

Samanya Chikitsa

• Vatavyadhi samanya chikitsa
• Acute pain management

Bahya parimarjana-
• Snehana - Abhyanga
• Swedana – Isthika sweda
• Lepa – Haridra + Saindhava lepa
• Nimajjana - MN Taila (Shatavari, Laksha &
tila)
Abhyantara parimarjana -
• Shamana -
• Tab Rasnadi Guggulu
• Rasna Eranda Kwatha
2. Shodana

Shodhana Chikitsa


• Repeated Rakta mokshana
• Eranda taila pana
• Soochi dahana

A Case Report

Smt. Krishna Veni,
• 39/F,
• Weight – 65kg
• Pain in heel which aggravates in morning since 6 to 7 months
• No other systemic deformities
• Vitals – normal
Prescriptions on visits
First visit :
• GT Ghrita 5gm in E.stomach
• Tab Maha YRG 1 tid
• Cap KB 2bd
• MN taila
Second visit :
• Treatment continued
Third visit :
• Cap. Pavanam 1tid
• Tab Reosto 1tid
• Tab Rasnadi Guggulu 1bd
• MN taila for Ex application and nimajjana

Mode of action of Bahi Parimarjana chikitsa
(Padabhyanga, Lepa and nimajjana)

Multidimensional benefits
• Pressure electricity
• Counter irritant action
• Action over the skin
• Action over neural controls
* Drug absorption
01. Pressure electricity
* Dilutes the toxins accumulated.
* Due to rhythm a specific pressure is developed & creates magnetic field and electricity in the body.
02. Counter irritant action
• Pressure acts as an irritant - raising the peripheral vascularisation.
• Pain is relieved by the counter irritation produced by massage by the process of phagocytosis.
03. Action over the skin
• It induces softness in the external skin
• Soothens internal viscera and tissues.

04. Action over neural controls

• Blocking the transmission of impulse across the motor nerve
• Inhibiting the synthesis of acetylcholine in motor nerve

• Inhibiting the release of acetylcholine as with the toxin produced by the organism
• Modifying the motor end plate so that it does not respond to acetylcholine.

05. Drug absorption

* Percutaneous absorption is more in the inflammatory conditions and it enable better drug absorption
Drug absorption
• Permeation of the layers of skin can occur by diffusion via:
• transcellular penetration (across the cells)
• intercellular penetration (between the cells)
• transappendageal penetration (via hair follicles, sweat and sebum gland, and pilosebaceous apparatus)
• Factors Affecting Percutaneous Absorption
• Drug concentration
• Surface area
• Drug's attraction to the skin vs. attraction to the vehicle
• Vehicle
• Hydration of the skin
• Rubbing or inunction
• Statum corneum (thin vs. thick)
• Time of application
• Multiple application

Isthika Sweda
• Ushma sweda
Procedure :
• Preparation to patient - Snehana by Tila taila
• Hot isthika –pour (ganji /kanji /dashamoola kwatha)
• Others: lavana pinda sweda and kulatha sweda, Arka pushpa sweda
How it works?
• Regulates Vata
• Helps to discharge morbidity from micro channels and counteracts Vata
• Counteracts the stiffness, heaviness and coldness
• Relaxation of muscle and tendons
• Improves the circulation and activates the local metabolic process which may be responsible for most of relief in pain, swelling and stiffness
• Massage during sweda may cause displacement of exudates and thus may reduce the tension and the pain
Rakta mokshana
• Shonitavrita vata – Ardha chikitsa
• 2 angula above kshipra marma
• Raga, vedana, toda and daha – jalouka
• Chimchimayana, kandu, peeda, daha – shrunga and tumbi
• Prasarana sheela – prachhanana
• Vata pradhana – contraindicated
Agni karma
• In acute pain – potent analgesic effect
• At most tender point in heel - Direct or indirect
• KV shamaka due to Usna, Teekshna guna
• May increase local Dhatwagni and aid in Samprapti vighatana

How it helps??
• Blockage of pain impulses along nerve – analgesic
• Depression of cortical and thalamic centre
• Raises the pain threshold
• Sectioning of nerve pathway
Selection of specific Guggulu
• Simhanada - Amavata
• Yogaraja - Saama sandhivata
• MahaYRG - Nirama sandhivataja
• Kaishora – Vataraktaja
• Lakshadi – Abhighataja karana janya

How it acts??
• Resin of commiphora whighetti – acidic (4%) – anti inflammatory action

Selection of specific taila
• In OA - Nirgundi taila
• Burning, redness - Pinda taila
• Fractures and sprains – Gandha taila

• Rheumatic pain – GHC internally
• Niramavasta in amavata – MVG taila

Anubhoota yogas

• Fenugreek + cummin + pepper (100:50:05)
• Hot cow dung fomentation – spur – (Badami)
• Arka patra swedana in swollen joints

Common practices which may aid indirectly

• Bamboo shoots – Calcium oxalate – during monsoon
• Tamboola vidhi
• Taila Abhyanga in menarche
• Manipulation techniques
• Taila dana

In case of Sandhivata
• General line of treatment
Internally
• Shotaghna, brimhana, vatahara, rasayana and vedana shamaka
• Panchakarma
• Matra basti
• Adoption of sthanika basti
• Rasayana
Sthanika chikitsa :
• Abhyanga:
Amritadi, balashwagandadi, bala chinchadi, dhanwantari, pinda taila
• Swedana
• Sthanika Basti
• Lepana - Shothahara drvvya,
Vedana shaamaka
In case of Amavata
Jwaravasta:
• Deepana: pippali, amlavetas, hingu, jeeraka
• Pachaka: shunti, chitraka
• Langhana
Jwara jeernavastha:
Shodhana
• Virechana: eranda taila
• Basti: vaitarana basti
Shamana:Agni tundi vati, simhanada guggulu, rasona pinda, amavatari rasa
Sthanika chikitsa:
01. In amavasta
• Swedana
• Lepa: jatamayadi lepa with marmani vati
02. In jeernavastha
• Abhyanga – mahavishagarbha, saindava, kottamchukkadi tail
In case of Vata Rakta
General line of treatment
• Restoration of joint functions – Raktamokshana, vyayama, Rasayana and Pralepanadi yojana
• Bahya shodhana: Basti and Rakta mokshana
• Shamana: rasna, neeli, duralaba, palashapushpa, kokilaxa, shalmali
• Ashwatta twak kashaya with madhu
• Shatavari ghrita. Guda haritaki, Kaishora guggulu
Sthanika chikitsa
Abhyanga – pinda taila
Swedana –
• Dhanya sweda with amla kanji, jadamayadi/ghruha dhoomadi choorna pinda sweda with kanji
Lepa –
• Nimba patra kalka with kanjika lepa
• Shighru, varuna twak kalka with kanji lepa
• Ghrita, Godhuma choorna lepa with ajaksheera
In Anya vikara
S no
Anya vikara
Chikitsa
01
Mamsagata vata
Virechana
02
Medogata vata
Basti
03
Astimajjagata vata
Bahya and abhyantara sneha/maha sneha
04
Snayugata vata
Snehana,swedanand upanaha
05
Siragata kupita vata
Snehana, swedana and upanaha
06
Mamsavrita/medavrita/asthiavrita vata
Avarana hara chikitsa
07
Saama asthi dhatu janya vikara
Saama asthi dhatu janya vikara hara chikitsa??
08
Vipadika
Abhyanga, sweda and lepa

Rajo Nivritti kalaja
• Low level of estrogen – hampered calcium absorption – osteoporotic changes
• Drugs which contaion phyto-oestrogen such as amalaki, shigru, agasthya, kaidarya, shatavari- also vit C and calcium supplementation
• In acute condition – shunti, haridra and shallaki

In case of Gulpha Sandhi vikara
01.Sandhi moksha:

Parisheka-
• Nyagrodadi kashaya (p), pancha moola siddha ksheera(vp), chakra taila(vk)

Lepa-
• manjista, madhuka, rakta chandana, shatadhouta ghrita and shali pisti (su.chi 3/7)

02. Sandhigata vrana:
• Lepa - ghrita pradhana nyagrodadi kalka, barks of madhuka, udumbara, ashwattha, palasha, kakubha

• If sandhi doesn’t acquire shudda vrana lakshana – Agni karma
• Seevana - As vrana in chala sandhi
Bandhana – sadharana and shithila bandha


03. Sandhisthita shalya:

• Aharana with swastika yantra after bhedana karma
• If aharana is not possible – chedhana

04. Sandhimarma Abhigata:

• If Ruja- Rakta mokshana / if pain and deformity - Agni karma
• Chedhana at level of sandhi to stop bleeding
In case of Anukta vata vyadhi (RSI)?
• Rest
• Immobilization
• Hot and cold compresses
• Exercise and physical therapy
• Vedana shamaka dravya yojana
• Surgery


Prevention Swastha Vritta paripalana
· Dinacharya
§ Abhyanga & Udvartana
§ Vyayama
§ Vatasya Upakrama
· Sadvritta
· Ritucharya



01.Primordial prevention
• Child with strong family history of O.A. or R.A.
• Avoiding risk factors

02. Primary prevention
· Nidana parivarjana
· Sheegra ayana, atyadhwa, pradhavana, bharavahana, sahasa
· Dhukha asana, Ativa cheshta
· Ati vyayama


Non pharmoco therapeutic Interventions
· Self care
· Nutrition
· Weight reduction
· Exercise promotion
· Health education

What to avoid and how to avoid?
· Avoid standing more than 10 minute, instead use of high stools or take frequent rest
· Limit stair climbing, take elevator, escalator or ramp
· Avoid bending and squatting, keep items at waist level or use a reacher
· Avoid low beds, chairs, toilets and elevate them when possible
· Shoe orthotics with heel wedge for better alignment
03. Secondary prevention
· Early case detection, treatment
· Screening population

04. Tertiary prevention
· Physiotherapy
· Surgical interventions
Role of Yoga, Nature cure & Physiotherapy


Yoga
Nature cure
Physiotherapy
Acute
Pranayama,rest, shavasana
Rest cure, mud application
Vibroacoustic and shock wave therapy
chr
Plantar fasciatis – pawanmuktasana, uttana padasana, vajrasana, supta vajrasana

Spur -Sirshasana, sarvangasana, supta vajrasana, bekhasana, supta bekhasana

Flat foot – sirshasana, sarvangasana, supta vajrasana, bekhasana, gomukhasana
Massage, Affusions.
Hot and cold application
IRR,
Active exercise,
Stretch exercises
Wax therapy, moist heat therapy.
Chromotherapy




How Asanas help?
• Alternate the standing asanas with sitting, prone or supine postures based on the principle of stretch followed by rest.
• Improves blood flow and hastens healing.
• Excellent for calming nervous system, which aids in healing, anxiety and muscle spasm
• Regulates movement of prana (vata)
• Compression and elevation
• Puts pressure on the vajra nadi, the acupressure point to correct the prana imbalance.

Specific posture
How Exercises are going to benefit?
• Ligament becomes more flexible and can strengthen muscle that supports the arch, thereby reducing the stress on ligament
• Protect fascia from injury and inflammation by increasing the flexibility of fascia and calf muscles
Strengthens muscle of foot and ankle that support the arch

- Repeated movement exercises should be avoided
Stretching and Strengthening exercises
• Wall exercise
• Rolling over ball
• Towel pick ups
Calf stretches
Towel stretches
Wall exercises
Stretch exercises
Effect of heat and cold packs
Cold packs
• Reduces swelling following a traumatic injury
• Reduces inflammation
• Produces a numbing effect than can reduce pain
• Decreases blood flow to an area
• Decreases muscle spasms

Heat therapy
• Increased blood flow to an area
• Relief from tension or tightness in muscles
May reduce joint stiffness
• Optimizes healing/rehabilitation environment in tissues
• Provide pain relief
• Increase in flexibility
Recent advances in treatments
01. Vibroacoustic technology
• Moves more blood, increases production of synovial fluid
• Regenerate cartilage, remove cartilage byproducts
• Increases resistance of nerve fibres to pain electric impulses
• Increase production of somatic stem cells, needed to repair damaged cartilage
02. Shock wave therapy
• The high pressure is the "shock"
• Repeated applications - break down scar tissue & calcifications in the area.
• Body starts building up new tissue
• New blood vessels grow into the new tissue
• Stimulates the spontaneous healing process.
Plantar fasciitis
• Straining the ligament that supports arch.
• Repeated strain - tiny tears in ligament.
Risk factor
• Excessive pronation
• high arches or flat feet.
• Excessive activities on hard surfaces.
• overweight.
• Ill fitting shoes
Management
• Rest
• Correction of biomechanical factors - stretching and strengthening exercises
• Night splints and orthotics
• NSAIDs
• Surgical management

Management

Surgery
Heel spur
• Body tries to repair itself by building extra bone.
• It generally forms in response to pressure, rubbing, or stress that continues over a long period of time.
Treatment
• Do not require treatment unless they are causing pain or damaging other tissues.
• Treatment directed at the cause, symptoms and bone spur it self
• weight loss to take some pressure off the joints
• ultrasound or deep tissue massage may be helpful
Surgical intervention
Diet
• Rich in calcium & magnesium.
• Juices – Carrot, Beetroot, Spinach, Cabbage.
• Fruits – Guava, Pomegranate.
• Less carbohydrate, adequate vitamins, calcium, phosphorus & iron.
• Cabbage, carrot, onion, radish, tomato for salad.
• Beet, cauliflower, peas, mushrooms, spinach as cooked vegetables.
• Juice – Wheat grass apple, raw vegetables

In surgical conditions:

• Protein - proliferation of fibroblasts
• Vit C – ascorbic acid deficiency –
collagen formation affected
• Vit D
• Calcium – calcium phosphate
• Vit K – formation of pro-thrombin
• Neurological – vit B complex
• Minerals – potassium, phosphorus,
Zinc hastens the healing
Night splints
Immobilize and stretch fascia.allow passive stretching of the calf and plantar fascia during sleep
minimize stress on the inflamed area.
How the Shoes should be?
• Thicker
• Well cushioned mid soles – high density ethylene vinyl acetate
• Flat feet – better longitudinal arch support
Comfortable shoes
To conclude….
• Nidana and chikitsa of Gulpha sandhi vikara are identical in Ayurvedic and contemporary sciences

• Pain management principles are aimed at local or systemic based on etiological factors

• Kevala vatajanya vikara are asadhya but those due to secondary causes may be treated

• Prevention measures should aim at modifiable risk factors

FEEL LIGHTER

“WEIGHT LOSS DIET”

The following diet and health programme is conducted by Research and an Analysis wing from “Sandeepani Ayurveda Shala” .It will also improve your attitude and emotions because of its systemic cleansing effect. The effectiveness of this seven day plan is that the food eaten been more calories, than they give to the body in caloric value.

This plan can be used as often as you like to without any fear of complications. It is designed to fresh your system of and give you feeling of well being. After 7 days you will begin to feel lighter by at least 10 pounds. You will have an abundance of energy and an improve disposition. During the first 7 days you must drink 10 glasses of water each day.

DAY ONE

All fruits except BANANA. Your first day will consists of all fruits only.

Note: It is suggested you consume lots of melons the first day especially water melon.

You are preparing your system for the upcoming programme.Your only source of nutrition is fresh fruits.

DAY TWO

All vegetables you are encouraged to eat until you are stuffed with all the raw and cooked vegetables of your choice. There is no limit on the amount or type. Avoid oil and coconut while cooking vegetables. Have a large boiled potato on breakfast.

Starts with a fix of complex carbohydrates in the form of a boiled potato. This is taken for the energy and balance the rest of the day, consists of vegetables which are virtually calorie free provide essential nutrients and fiber.

DAY THREE

Any mixture of fruits and vegetables of your choice. Any amount any quantity. No banana, no potato today.

Eliminate the potato because because you get your carbohydrates from fruits. your system is now to start burning excess fats. You will still have cravings which would start to diminish by day four.

DAY FOUR

Today you will eat as many as eight bananas and drink three glasses of Milk. You can also have a bowl of vegetables soup.

Bananas and milk sound the least desirable. Today is the day you have coffee with milk. You probably not be able to eat all the bananas allowed but they are there for the potassium you have lost and the sodium you may have missed the last three days. You will notice a definite desire for sweets.

DAY FIVE

Rice and Tomatoes.The rice is for the carbohydrates and the tomatoes are for the digestion and the fiber. Lots and lots of water to purify your system. You should notice colorless urine today and do not fast you to eat one cup rice and you may eat less. But you must eat the 6 tomatoes.

You will eat one cup of rice you will have to eat 6 whole tomatoes. Drink 12 glasses of water today to cleanse your system of excess uric acid you will be producing.

DAY SIX

Similar to day five. Vitamins and fiber from the vegetables and the carbohydrates from the rice.

Today is another all vegetables day. You may eat one cup of rice today. Eat all the vegetables you want, cooked and uncooked to your wish.

DAY SEVEN

Today your food intake will consist of one cup of rice, fruit juices and all the vegetables you have to consume.



ADDITIONALLY

The most important element of the programme is having 10 tall glasses of water a day. You can also flavor the water with some lemon to make drinking easier.

While on this programme take only black coffee or black tea.

Never use more than 1 tea spoon of oil. Preferably do not use oil because of the high caloric content to fruit juice before day seven.

The key thing to remember is that if you are hungry at any time, then take raw or boiled vegetables.

Sunday, May 25, 2008

Ayurveda

AYURVEDA - HISTORY
Ayurveda, Ancient Indian System of Medicines deals with knowledge that can define the quality and quantum of social and personal health status and ways to restore, maintain and upgrade it based on the principles of Vedic metaphysics[charaka samhita].According to the Ayurvedavatarana (the "descent of Ayurveda"), the origin of Ayurveda is stated to be a divine revelation of the Hindu deity Brahmaas he awoke to recreate the universe. It was revealed to the gods through the means of the divine physician Dhanvantari who emerged from the churning of the celestial ocean. This knowledge was passed directly to Daksha Prajapati in the form of shloka sung by Lord Brahma, and this was in turn passed down through a successive chain of deities to Lord Indra, the protector of dharma. According to this account, the first human exponent of Ayurveda was Bharadvaja, who learned it directly from Indra. Bharadvaja in turn taught Ayurveda to a group of assembled sages, who then passed down different aspects of this knowledge to their students. According to tradition, Ayurveda was first described in text form by Agnivesha, in his book the Agnivesh tantra. The book was later redacted by Charaka, and became known as the Charaka Samhitā. Another early text of Ayurveda is the Sushruta Samhitā, which was compiled by Sushrut, the primary pupil of Dhanvantri, sometime around 1000 BC. Sushrut is known as the Father of Surgery, and in the Sushrut Samhita, the teachings and surgical techniques of Dhanvantri are compiled and complemented with additional findings and observations of Sushrut regarding topics ranging from obstetrics and orthopedics to ophthalmology. Sushrut Samhita together with Charaka Samhitā, served as the textual material within the ancient Universities of Takshashila and Nalanda.These texts are believed to have been written around the beginning of the Common Era, and are based on a holistic approach rooted in the philosophy of the Vedas and Vedic culture. Holism is central to ayurvedic philosophy and elements of holism is found in several aspects of ayurveda.