AYURVEDA: Heart disease and Ayurveda

AYURVEDA: Heart disease and Ayurveda: Ayurveda and Heart disease Heart disease is very common in this competitive stressful world. About 30 years back ‘Rheumatic heart dise...

Heart disease and Ayurveda

Ayurveda and Heart disease

Heart disease is very common in this competitive stressful world. About 30 years back ‘Rheumatic heart disease’ was more frequently seen due to the unhealthy living circumstances and poor socio economic status of the people globally. As the living condition has improved, the scenario has been changed and a merciless killer disease ‘ischemic heart disease’ dominates and it occurs more in younger generation.

In Ayurveda the term hridroga (diseases of heart) is clearly mentioned and several signs and symptoms are narrated in classical texts with different. For example in krimija hridroga cutting pain and thrombus like nodes in cardiac region will be manifested. Vatika hridroga produces symptoms like the tachycardia or palpitation, which creates stretching or splitting like pain in the heart. In kaphaja hridroga symptoms manifest as feeling of heaviness or bearing of weight in precordial region.

The etiology like consumption of improper and high caloric diet, lack of physical exercises and stressful environment and predisposing factors like hypertension, LDL cholesterol deposition in blood vessels, infection of cardiac muscles etc causes heart diseases. Along with this Ayurveda point out one more reason, the suppression of natural urges like urination, defecation etc. causing hridroga.

Acharya Sushrutha, the father of surgery mentioned  the etiology of hridroga thousands of years back in a more or less similar manner. Sushrutha samhita is the first among of medical texts to describe the types of heart disease and observes the main symptoms of it as circulatory defects and ‘hridsoola’ (cardiac pain, which is very relevant in this restless modern era.)

The causative factors of Ischemic Heart Disease, Myocardial Infarction and Pericarditis are the obstruction in the flow of blood that is ‘srotovaigunya’ which has been clearly emphasized by Acharya Sushrutha. So the aim of treatment should be to prevent the obstruction of blood flow. Comprehensive treatment in Ayurveda which includes medicines, specific food and suitable regime will help to achieve this.

The Terminalia Arjuna, and herbs like Comiphora mukul (guggulu) and Allium sativam (lasuna) are also very useful in atherosclerotic condition and it act as anti coagulant. Regular intake of Arjuna with milk will strengthen the heart muscles, guggulu and lasuna will dissolve the thrombus in heart vessels along with the intake of Inula racemosa (pushkaramoola) which acts as a coronary dilator.  

Formulations such as rasonadi kashaya, parthalasunadi tablet, partharishta, gulguluthikthaka kashaya/ grutha, Arjuna ksheerapana, lasuna ksheerapana, shilajit etc which will reckon as a complimentary medicine along with present medication for a better prognosis. These medicines along with external and internal purification therapy can yield good result in cardiac patients.  

               

In Kerala, the prevalence of cardio vascular disease is being increased dramatically due to the sedentary life style. Some of our traditional foods having proven hypo-lipidaemic activity have been noticeably decreased in our diets these days.

We can include the following items in our daily food regime that may help us to avoid bad cholesterol and atherosclerosis induced heart disease.

Allium sativam( lasuna), Dolicos biflonis (kulatha),  Murraya koenigi (kalasaka),  Allium cepa (palandu), Phaselous aurous (mudgam), Phaseolas mungo (masha) , Trigonella foenum (methi), Zingiber officinalis (ginger), Sesamum indicum (tilam) Emblica officianalis (amalaki), Ferula asafetida (hingu)   etc.

Ayurveda believes in a holistic approach towards healing, which eliminates the root cause of the disease. Healthy diet, moderate exercise and managing the stress are the simple way to maintain your heart healthy.

Dr. Syyed Mohammed Jalaludheen MS (Ay), PhD (Ay)

Asst. Professor,
RAJIV GANDHI AYURVEDA MEDICAL COLLEGE
MAHE
smjppt@gmail.com

www.researchayurveda.org  

Pragmatic concept of Marma (vital points)

Pragmatic concept of marma

‘Ayurveda’, the science of life is constituted by two words, ‘ayus’ and  ‘Veda’ meaning the science of ayus or the knowledge of life. ‘Ayus’ in this context denotes the continuity of consciousness or unified state of physical body, cognitive organs, mind, and soul. The physical body ‘sareera’ represents the gross structural and anatomical component of ‘ayu’ upon which the abnormalities of even the other subtle elements of ayus manifest.

            The body and cognitive organs are perceptible only in the combination of ‘ayus’. The father of general medicine in ayurveda, Acharya Charaka explains the body; the seat of  ‘chetana’ as an equilibrated combination of the modification of the five gross elements –‘Panchabhutavikara’. As per the principles of ayurveda, Panchamahabutas are involved right from the beginning of the development of fetus (fetal developments). the  tridoshãs  ‘vata’, ‘pitta’and ‘kapha’ performing the coordinating, transformative  and generative functions of the body are also made up of panchmahabhutas (five elements). The entire body is constituted by ‘Paŕmanus”; the minutest units of panċhabhutas according to the philosophy of vaisheshika. The theory of tridoshã explains the process of health and diseases. Vata is predominantly constituted by Akashabhuta and vayubhuţa, Pitha by Agni bhuţa and Kapha  by apbhuta and pŕthvibhuta. These somatic humors in a state of equilibrium work complimentary to each other, performing and controlling all physiological process of the body and mind to maintain health.

            The entire human body is constituted by panchabhutas. This fact has been asserted by all Acharyas of Ayurveda. However the on the basis of predominance of bhuta composition  the srothrendiya,  sabdha and the conducting system in the body has been attributed to akasha bhuta, the sparsanedriya, the tactile sensations and all  the  movements of the body to Vayubhuta, the chakshurindriya the perception of vision, luster and metabolism to agnibhuta, rasanendriya the nutritive faculty and the various fluids in the body to the apyabhuta and the ghranendriya, the faculty of smell and the still grosser components of body like asthi, mamsa etc to prithvibhuta. This clearly demonstrates that all the components of sareera that is dosha , dhathu, mala etc are fundamentally panchabhoutika in nature.

            Satwa, raja and thama are the trigunas. The satva guna predominance in human constitution leads to pure knowledge and health while the rajoguna and thamoguna predominance leads to ignorance, vitiation of  tridoshãs and illhealth.

Acharya Suśhruta, the father of Indian surgery has defined ‘maŕma’ as primary seat of trigunas , tridoshãs and prâna. He has stated that the fatality attributed to maŕmagata is due to the vitiation of the three factors leading to deadly manifestation or even death. 

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Dr.Syyed Mohammed Jalaludheen MS (Ay)PhD(Ay)
Associate Professor,
Rajiv Gandhi Ayurveda Medical College
Mahe
(Govt of Puduchery Institute)

AYURVEDA: Ksharasutra therapy for fistula in ano (bagandara)...

AYURVEDA: Ksharasutra therapy for fistula in ano (bagandara)...: "fistula in ano with ksharasutra Fistula-in-ano is a condition which has been recognized as a difficult surgical disease in all the..."

Ksharasutra therapy for fistula in ano (bagandara)

fistula in ano with ksharasutra

Time Tested Treatment for 
Fistula-in-Ano

Fistula-in-ano is a condition which has been recognized as a difficult surgical disease in all the ancient and modern medical sciences of the world. It is the recurrent nature of this disease which makes it difficult for treatment.

Fistuta-in-ano.- This is a track lined by granulation tissue which opens deeply in the anal canal or rectum and superficially on the skin around the anus. Sometimes the track does not open into the anal canal or rectum, when it should better be called a 'sinus'. Mostly these fistulae develop from ano-rectal abscess which burst spontaneously or was incised inadequately. An anal fistula may occur with or without symptoms. A history of intermittent swelling with pain, discomfort and discharge in the perianal region can often be obtained. Inspection and palpation usually delineate the course and nature of the fistula.

Ksharasutra treatment 

The Ksharsutra is a type of thread / medicated seton prepared by coating the thread  with the Kshara (the ash obtained by the burning of various herbs) like Apamarga kshar, Arka kshar etc  and Snuhi kshira. Apart from this, natural antibiotic like haridra powder, guggulu, etc are also used to make Ksharasutra. The thread is then sterilized by UV light. The mechanical action of the threads and the chemical action of the drugs coated , collectively do the work of cutting, curetting, draining, and cleaning the fistulous track, thus promoting healing of the track/ wound. This also acts both as the antiseptic and fibrotic agent to induce the healing. The process of healing starts from deeper tissues & travels towards periphery. This can be applied and changed periodically till the thread cuts the fistulous tract. Since the sphincter heals by fibrosis, there is no incontinence.

The various studies denots that Ksharasutra therapy is time tested treatment for fistula in ano because of its non recurrence. One study denoted that seton therapy is less  superior and less effective than the ayurvedic  caustic ligature. (Kshara sutra) 1997 Mohite JD   Seton therapy is effective than the modern surgical procedures like fistulectomy and fistulotomy 2002    A. Theerapol, BY in Singapore medical journal. So the only treatments that available now for fistula in ano is fistulectomy and fistulotomy, but it is less effective than ayurvedic ksharasutra therapy. The Ayurvedic kshara sutra is more effective than  seton, fistulotomy and fistulectomy because the following complications are never seen in any of the ksharsutra therapy given patients.

Dr. Syyed Mohammed Jalaludheen MS(Ay)PhD(Ay)

Associate Professor,
Rajiv Gandhi Ayurveda Medical College,
Mahe
(Govt of Puducherry institution)

After ksharasutra therapy

smjppt@gmail.com

www.researchayurveda.org

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