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            Chronic pancreatitis is inflammation of the pancreas that does not heal or improve, gets over time, and leads to permanent damage.

Causes

               The condition is most often caused by alcohol abuse over many years. Repeated episodes of acute pancreatitis can lead to chronic pancreatitis.

Other causes

  • Autoimmune problems (when the immune system attacks body).
  • Blockage of the pancreatic doctor the common bile duct, the tubes that drain enzymes from the pancreas.
  • High levels of a fat called triglycerides in the blood (hypertrigly-ceridemia).
  •  
  • Use of certain medications (especially sulfonamides, thiazides, and azathioprine)

        Chronic pancreatitis occurs more often in men than in women. The condition often         develops in people aged 30-40.

Symptoms

  • Abdominal pain
  • More in the upper abdomen.
  • May last from hours to days.
  • Eventually may be continuous.
  • May get worse from eating or drinking.
  • May get worse from drinking alcohol.
  • May also be felt in the back.
  • Digestive problems
  • Chronic weight loss, even when eating habits and amounts are normal.
  • Diarrhea, nausea, and
  • Fatty or oily stools.
  • Pale or clay colored stools.

     The symptoms may become more frequent as the condition gets worse. The symptoms may mimic pancreatic cancer. Sitting up and leaning forward may sometimes relieve the abdominal pain of pancreatitis.

Investigations:

  • Fecal fat test.
  • Serum amylase, Serum lipase, Serum trypsinogen.
  • Serum IgG4 (for diagnosing autoimmune pancreatitis).

      Inflammation or calcium deposits of the pancreas, or changes to the ducts of the pancreas may be seen on:

  • Abdominal CT scan, Abdominal ultrasound.
  • Magnetic resonance cholangiopancreatography (MRCP).

Principles of Treatment

Kaphaja Grahani Samana

Shamana

Prevention

             Determining the cause of acute pancreatitis and treating it quickly may help prevent chronic pancreatitis. Not drinking a lot of alcohol reduces the risk of developing this condition.

3.

Chitrakasava/Takrarishta-20 ml

BD, Adhobhakta

Water

Yoga Therapy:

   Asana

  • Bhujangasana (1 min.) – Shalbhasana (3 rounds)                             
  • Dhanurasana (30 sec.) – Makarasana (2 min)
  • Pavanamuktasana (2 min.) – Sarwangasana (3 minutes)
  • Halasana (1 min.)            –  Matsyasana (1 minute)
  • Ardhamatsyendrasana – Paschimottasana (1 minute) 

                    (2 minutes on each side)                                    

  • Akarna Dhanurasana                                           – Ushtrasana (2 minutes)

             (1 minute on each side)

  • Udarasanchalana (3 rounds) – Trikonasana (1 minute on each side)
  • Veerasana (1 minute on each side)                      – Shavasana (when needed)
  • Uttanapada Chakrasana 3 rounds

     Pranayama

     Suryabhedana Pranayama with Kumbhaka for 10 minutes.

     Bhastrika Pranayama with Kumbhaka for 10 minutes

    Diet and Lifestyle

    Pathya

  • Drinking plenty of liquids.
  • Eating a low-fat diet.
  • Eating small, frequent meals (this helps reduce digestive symptoms).

   Apathya

  • Avoid smoking and drinking alcoholic beverages.
  • Getting enough vitamins and calcium in the diet, or as extra supplements.
  • Limiting caffeine.

Cirrhosis is a consequence of chronic liver disease characterized by replacement of liver tissue by fibrosis leading to liver dysfunction.

          It is Vataja Yakrit Roga.

Causes

Alcoholism                                                                  Hepatitis B and C

Fatty liver disease                                                      Toxic drugs

Heavy metals                                                              Chronic Pesticide poisoning

Symptoms

  • Loss of appetite.
  • Impaired digestion worsens by fat intake.
  •  
  • Abdominal discomfort after meal.
  • Enlargement of the abdomen due to fluid collection.
  • Edema of legs.
  •  
  • Easy bleeding, or nosebleeds.

Investigations : LFT, Lipid profile, CBC, Prothrobine Time, USG, CT scan, MRI.

Principles of Treatment: Srotoshodhana, Mridushodhana, Yakrit Uttejaka, Pittavirechaka, Madhura-Tikta Rasa dravya.

                 At first when liver parameters high, give Pitta Virechana drugs and shaman medicines till they comes to near to normal and then treat like hepatitis B.

Treatment

Panchakarma

Snehapana

Sveda

Virechana

Punarnavadi or brihatyadi Yapana Basti

Diet and Lifestyle

Pathya: Light, less oily, easily digestible, fruits, green vegetables.

Apathya: Do not use nicotine, alcohol, caffeine, fish, fowl, meat, salt, soft drinks, sugar foods, tea, fat, and alcohol.

         Avoid foods which tend to constipate. When there is stagnation of toxins in colon, they are reabsorbed into the system, and liver tries to eliminate them.

Constipation refers to infrequent bowel movements, but it may also refer to a decrease in the volume of stool, the need to strain, a sense of incomplete evacuation, or the need of laxatives, suppositories, or enemas in order to maintain regular bowels.

                Constipation is caused by the abnormal Apana Vata.

Causes

  • Lack of fiber in the diet                               – Suppression of urge of defacation
  • Lack of physical activity                              – Hard, solid food having less liquid                                                                                                              (especially in the elderly)                               
  • Cold,dry and Astringent rich                      – Lack of activity                                                                                                              food                                                                
  • Junk food, bakery products – Medications
  • Change in lifestyle such as pregnancy,     –  Irritable bowel syndrome                                                                                 aging, and travel.
  • Abuse of laxatives                                       –  dehydration
  • Specific disease such as stroke – chronic idiopathic constipation                                                           (most common).

Symptoms

               Many people falsely believe that defecation is essential and complain of constipation if stools occur less frequently. Sometimes the complaint is non-satisfaction with the act of defecation.

              Widespread beliefs, such as the presumption that all should have a bowel movement at least once daily, have led to excess use and abuse of laxatives.

              According to Ayurveda, the following are the general types of imbalances at the source of most chronic conditions, including constipation:

  • Toxins accumulating in tissues and blocking circulation.
  • Poor nutrition leading to weakness, fatigue, burning sensation in eye, etc.
  • Poor digestion leading to chest burn, flatulence, etc.
  • Imbalance of the nervous system leading to sleep disturbances.
  • Accumulation of physical and mental stress.
  • Lowering of natural resistance and immunity.
  • Disruption of natural biological rhythms.

Treatment

Principles of treatment

           Abhyanga, Sveda, Varti, Niruha, Anuvasana, Virechana, Vatanulomana Dravya

Panchakarma

 For chronic constipation, panchakarma treatment should be adopted.                                                 Shyamadhi Varti or Phala Varti (dripped in Ghrita/taila)                                                                                                                            

Abhyanga

Erandamuladi Niruha and Sukumari Ghrita Anuvasana

Matrabasti

Matrabasti

Yoga Therapy:

   Asana

  • Bhujangasana (1 min.) – Shalbhasana (3 rounds)                              
  • Dhanurasana (30 sec.) – Makarasana (2 min)
  • Pavanamuktasana (2 min.) – Sarwangasana (3 minutes)
  • Halasana (1 min.)                                            –  Matsyasana (1 minute)
  • Ardhamatsyendrasana – Paschimottasana (1 minute) 

                    (2 minutes on each side)                                    

  • Akarna Dhanurasana – Ushtrasana (2 minutes)

             (1 minute on each side)

  • Udarasanchalana (3 rounds) – Trikonasana (1 minute on each side)
  • Veerasana (1 minute on each side) – Shavasana (when needed)
  • Uttanapada Chakrasana 3 rounds

     Pranayama

     Suryabhedana Pranayama with Kumbhaka for 10 minutes.

     Bhastrika Pranayama with Kumbhaka for 10 minutes

  Diet and Lifestyle

    Pathya

  • Take 500ml of water early morning and walk for 10 minutes to relieve gas and stimulate Vata to induce urge to pass stool.
  • Eating freshly cooked food is helpful. Spices like cumin seeds, coriander, turmeric powder, fennel and asafetida are good as they make the food easily digestive.
  • Proper chewing of food is very important.
  • Take plenty of leafy vegetables and salads.
  • Drinking a glass of warm milk at the time of going to bed helps in evacuation, the next morning. In case of severe constipation, mixing two tea spoonful of castor oil in the milk is very helpful.
  • Whole grain bread can be taken. Unpolished rice can be taken moderately.
  • Drink glass of water upon waking, just after visiting a bathroom.
  • Dry fruits like raisins, dates or figs to be soaked overnight and eaten in the morning.
  • Include more fruits in your daily diet helps (grapes-lemon-apples-banana-oranges, etc.)
  • Eat steamed fresh vegetables.
  • Green leafy veggies may be balanced for Vayu doshas by cooking with ginger, cumin, coriander and asafetida.
  • Eating papaya before or after meal is helpful in relieving constipation.
  • Regular physical exercise is also important for having clear bowels. One should try to have relaxed mind, free from anxiety, stress, etc

    Apathya

  • Pasteurized milk.
  • Cooked eggs.
  • Overcooked Meats.
  • Refined starch.
  • Avoid eating lots of spices, fried food, frozen food and food/drinks with preservatives, don’t suppress natural urges.

(GALL STONES AND CHRONIC CHOLECYSTITIS)

          Cholecystitis is inflammation of the gall bladder that cause severe abdominal pain.

Causes

Gallstones occur more often in women than men.

Obesity.

Above 40 age.

Symptoms

         The main symptom is the pain in the upper right side or upper middle of the abdomen. Pain may be sharp, cramping, or dull, spread to the back or below the right shoulder.

Clay colored stools.

Fever.

Nausea and vomiting.

Yellowing the skin and whites of the eyes (jaundice).

Investigations – CBC, Lipid Profile, USG, CT abdomen.

Diagnosis – Clinical- Murphy’s triad.

Principles of Treatment

Pitta rechaka, Vatanulomana, Kaphakara, Rakta Prasadaka.

Treatment

Panchakarma

Snehapana

Virechana

Shamana

 

Simple remedies

  1. Bitter gourd juice – 20 ml with honey twice a day.
  2. Decoction of Horsegram – 30 ml with honey twice a day.
  3. Decoction of Triphala – 20 ml with honey.

Yoga Therapy:

   Asana

  • Bhujangasana (1 min.)
  • Shalbhasana (3 rounds)                             
  • Dhanurasana (30 sec.)
  • Makarasana (2 min)
  • Pavanamuktasana (2 min.)                           
  • Sarwangasana (3 minutes)
  • Halasana (1 min.)
  • Matsyasana (1 minute)
  • Ardhamatsyendrasana(2 minutes on each side)   
  • Paschimottasana (1 minute) 
  • Akarna Dhanurasana (1 minute on each side)
  • Ushtrasana (2 minutes)
  • Udarasanchalana (3 rounds)
  • Trikonasana (1 minute on each side)
  • Veerasana (1 minute on each side)
  • Shavasana (when needed)
  • Uttanapada Chakrasana 3 rounds

     Pranayama

     Suryabhedana Pranayama with Kumbhaka for 10 minutes.

     Bhastrika Pranayama with Kumbhaka for 10 minutes

    Pathyapathya

    Pathya: Light food, fruits, vegetables.

    Apathya:

     Avoid all meat, grease, processed fats and oils (including margarine and butter).

    Avoid obesity.

Ayurveda considers  human body as Snehasara. This means that the major portion of the body is the contribution of Jala Mahabhootha. Sneha of Snigdha guna is the basic property of Jala Mahabhootha. Among Thridors, Kapha is sheetha snigdha and Pittha is ushna snigdha. The dependant dhaatus are also snigdha in property. Hence anatomically and physiologically Sneha guna plays a pivotal role in maintaining normal health even at celluar level. For the proper functioning of mind also snigdha guna is essential. Ayurveda explores ths basic principle and utilises scientifically in the treatment domain.

   This is why Snehana is one of the most importana treatment procedures in Ayurvedic science.

  “Snehanam – Sneha Vishyanda Maarddava Kleda kaarakam”

Snehan is the process by which Snehana (Unctuousness), Vishyandana (Fluidity), Maarddva (Softness) and Klenda (Moistness) of the body are brought about by the application of drvyas which are possessing snigdha guna.

Snehana can be done internally and externally depending upon the clinical conditions and requirments. Internal administration of Snehana is called Snehapaana. Snehana is also classified into three based on the mode of action. They includ Bruhmana Sneha, Shamana Sneha and Shodhana Sneha.

Charka has in addition detailed the importance of sneha as “Sneho animal hanthi Mrudu karothi Deham, Malaanam Vinihanthi sangam” – Sneha pacifies abnormal Vaatha, renders the body soft and clears the accumulated malas, which are obstructing the srothas.

Hence Shodhana poorva Abhyanthara Snehapaana indicates the internal adminisration of Sneha Dravyas before the sodhana procedures like Vamana and Virechana.

Pakka Bheda of Sneha​

Snehana

Charaka

Shshrutha

Vagbhata

Shaarngadhara

Abhyanga

Khara

Maddhyama

Khara

Maddhyama

Panna

Maddhyama

Mrudu

Chikkana

Maddhyama

Nasya

Mrudu

Maddhyama

Mrudu

Mrudu

Vasthi

Maddhyama

Khara

Chikana

Maddhyama

Karnnapoorana

Khara

Maddhyama

  Samyoga bheda

  • Yamka sneha:  The combination of any two Sneha is known as Yamka Sneha Example: Sappis + Vasa
  • Trivruth Sneha: The combination of any three Sneha is known as Trivruth Sneha Example: Sarppis+ Vasa  + Majja
  • Maha Sneha: The combination of all the Sneha is termed as Maha Sneha Example: Srappis + Thaila + Vasa + Majja

             These Sneha combinations are used both internally and externally in Samsarga and Sannipaathika conditions of Dosha.

Mathra bheda

  1. Hruseeyasi Maathra – The dose of Sneha that is digested within 3 hours
  2. Hruswa Maathra – The dose of Sneha that is digested within 6 hours
  3. Maddhyama Maathra – The dose of Sneha that is digested within 12 hours

Utthama Maathra- The dose of Sneha that is digested within 24 hours

        Prayoga bheda

                    Based on the method of administration, Snehana is of 2 types:

  1. Accha peya
  2. Vichaarana Sneha

       Karma bheda

                   Based on the action of Sneha, Snehana are of 3 types:

  1.  Shamana Snehana
  2. Brumhana Snehana
  3. Shodhana Snehana 
  1. Snehana Snehana

   Hemadri defines Shamana Snehana as the administration of Sneha in different disorders with an intentions to normalise the aggravated doshas without expelling them and disturbing the normal doshas.

Vagbhata pines that, Shamana Snehana is a procedure of administration of Maddhyama Mathra of Accha Sneha during meal-time or Annakaala when one feels hungry.

During Shamana Snehana, Pathya and Apathya regimen prescribed in connection with Virechana are to be followed.

  1. Brunhana Snehana

The administration of sneha along with Maams Rasa, Madya, Ksheera, etc. is known as Brumhana Snehana. The dose of Sneha is to be Alpa (even less than the quantity of Hruseeyasi Maathra).

Indication

     Brumhana Snehana is indicated for Baala, Vruddha, Pipaasaartha, Snnehadweshi, Madyasheela, Sthree – Sneha nithya, Mandaagni, Sukhochita, Krusha, Bheeru, Mrudu Koshta, Alpa Dosha and in Ushnakaala.

  1. Shodhana Snehana

            Snehapaana carried out as a proova karmma of Shodhana Karmma is considered as Shodhana Snehana.

Method of administration:

    The Utthama Maathra of Accha Sneha is administered in the morning hours after the complete digestion of the night food.

Shodhana Snehana is carried out using the following methods:

  1. a)Aarohana Snehapaana
  2. b)Maathraanusaara Snehapaana
  3. c)Pravichaarana Snehapaana
  4.  Aarochana Snehapaana

            Aarohana Snehapaana can be defined as the oral administration of sneha in the gradually increasing dosage. The clearcut reference of Arohana Snheapaana is available in Kalyaanakaaraka vidhi, where it is quoted that the individual who is posted for Sneapaana is to drink  Ghrutha or Thaila in the gradually increasing Dosage for 3,5 or 7 days. Achaarya Vangasena also describes the method of Aarohana Snehappana.

Opinion of Achaarya Vangasena regarding the Dosage of Aarohana Snehapaana:

Dosage

(Maathra)

Day

 

1

2

3

4

5

6

7

Utthama

12

karsha

14

Karsha

16

Karsha

18

Karsha

20

Karsha

22

Karsha

24

Karsha

Maddyama

6

Karsha

7

Karsha

8

Karsha

9

Karsha

10

Karsha

11

Karsha

12

Karsha

Hruswa

3

Karsha

3

Karsha

4

Karsha

4

Karsha

5

Karsha

5

Karsha

6

Karsha

b.Maathraanusaara Snehapaana

  I.         Hruseeyasi Maathra

  II.         Hruswa Maathra

 III.         Maddyama Maathra

 IV.         Utthama Maathra

c.Pravichaarana Snehana

The methodical administration of Sneha along with various preparations like Odana, Vilepi, etc. is known as Pravichaarana Snehana. This includes even external administration of snehas without any admixture.

     As an alternate technique to Accha Snehana, Pravichaarana Snehana can be practiced. Pravichaarana can be administered in the form of Odanadi (24 numbers) or Rasa Parivichaarana (63 + 1 numbers)

General Indications of Pravichaarana Snehana:

Baala, Sukumaara, Krusha, Vruddha, Sneha Dwesha, Madya nithya, Sneha nithya, Mrudu Koshta, Klesha asaha and Trushnaartha and also in Ushna Kaala

While summarizing the sammyak snigddha Laakshana sneha, vishyandana, maarddavatha and kleda are considered as cardinal features.

“Snehanam – Sneha Vishyanda Maarddava Kelda kaarakam” – Sneha is observed on Gaathra, Pureesha, and  Thwak. Vishyandana is observed in the excretion of sneha along with pureesha. Maarddavatha is observed through gaathramaarddavatha. Kleda is observed through asamahatha varcchas. Other feature like Agni deepthi, Klama and Shaithilya are also found under sammyak snigddha Laakshana, but not as cardinal features because they can also be brought about by other drugs.

Sushruthas Sthaavara Sneha Classification :

Action

Drava

Virechanopayogi

Lodhra, Eranda, Danthi

Vamanopayogi

Jeemoothaka, Kutaja, Madana

Shiro Virechanopayogi

Vidanga, Peelu, Jyotishmathi

Dushta Vrunopayogi

Karanja, Poothika, Kiraathathiktha

Maha Vyaadhi Upayogi

Thuvaraka, Kampillaka, Bhallaathaka

Moothra Sangopayogi

Thrapusha, Ervaaruka, Thumbi

Sharkara, Ashmari Upayogi

Hareethaki, Avalguja

Prameha Upayogi

Sarshapa, Kusumbha, Athasi

Pitthasamsrushta Vaayu Upyogi

Thaala, Panasa, Vilwa

Krushnikaarana Upayogi

Vibheethaki, Bhallaataki, Madana

Paandukaarana Upayogi

Nirgundi, Priyangu, Shyonaaka

Dadru, Kushta, Kitibha Upyogi

Sarala, Agaru, Peethadaaru

The  common Sodhanaanga Sneha Kalpana in Clinical Practice:

Name of Sneha                                                    

Aaaragwada  Mahaathikthaka ghrutha

Clinical Indications

Vaatha Kapha dominant skin diseases like Psoriasis

Panchagavya ghrutha

Maanasika roga

Mahaapaishaacika ghrutha

Maanasika roga

Kalyaanaka ghrutha

Paandu roga, Maanasika roga

Indukaantha ghrutha

Aamavaatha, Koshta roga

Thikthaka, Mahaathikthaka ghrutha

Pittha dominant skin diseases, Amlapittha

 Raasnaadashamoola ghrutha

Pakshaaghaatha

Thriphala grutha

Ophthalmic conditions (Thimira)

Varanadi ghrutha

Sirashoola, Abhyanthara vidradhi

Madhuyashtyaadi thaila

Vaatha raktha

Sahacharaadi thaila

Grudhrasi and Kateegraha

Vision & Mission: "Swathashya …."

To protect the Health of the healthy & to cure the diseased.

DAC has a specific vision & mission to serve the patient’s without any side effects. Ayurveda has a legacy of providing pure herbo-mineral effective medicines. Which is high demand & requirement of modern sciences.

There are many diseases which can hardly cured except Ayurvedic medicines … like in Swine-flue, Chikanguniya, Dengue, HIV, Cancer, Arthritis, Asthma and many more… Here we go into the root cause of diseases treat it and cure it; not only symptomatic treatment.

Clear diagnosis, Best & Honest advice and Best Quality treatments

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