Author: Dr. Vikram Chauhan

November 15, 2023

Cocoon Syndrome and Its Treatment with Herbal Remedies

ABSTRACT

A thick peritoneal membrane that encircles the intestine is a symptom of the rare condition known as cocoon syndrome. It could be the primary cause or a complication of other factors, such as prior abdominal surgery. The inflammatory process is the main cause of it. The primary signs and symptoms of cocoon syndrome are abdominal pain and intestinal blockage. A rare cause of small intestine obstruction, abdominal cocoon syndrome is described as the idiopathic encapsulation of the colon within a fibrocollagenous membrane. In this article, we discuss cocoon syndrome.

INTRODUCTION OF COCOON SYNDROME

A rare disorder called cocoon syndrome results in a minor intestinal blockage. It is also known as sclerosing encapsulating peritonitis or encapsulating peritoneal sclerosis (EPS), and it causes a fibro-collagenous peritoneal membrane to surround the small intestinal loops. Small intestine obstruction is an uncommon condition caused by the idiopathic partial or complete encapsulation of the bowel within a fibro collagenous membrane, known as abdominal cocoon syndrome (ACS).

COCOON SYNDROME

CAUSES OF COCOON SYNDROME

There are the following causes that are associated with cocoon syndrome:

  1. Peritoneal dialysis
  2. HIV
  3. Liver transplant
  4. IdiopathicTuberculosis
  5. Abdominal trauma
  6. Neuroendocrine tumours
  7. Generalised inflammation of the peritoneum
  8. Hemodialysis
  9. Drugs (beta blockers)
  10. Protein S deficiency

SYMPTOMS OF COCOON SYNDROME

  1. Fever
  2. Vomiting
  3. Loss of appetite
  4. Abdominal distension
  5. Fatigue
  6. Loss of weight
  7. Ascites with hypoproteinemia
  8. Constipation
  9. Abdominal pain
  10. Nausea

DIAGNOSIS OF COCOON SYNDROME

  1. Ultrasonography
  2. CT- scan
  3. X- ray
  4. MRI
  5. Laparotomy

TREATMENT OF COCOON SYNDROME

  1. Correction of the underlying cause
  2. Prevention of encapsulating peritoneal sclerosis
  3. Medical therapy
  4. Surgical treatment

AYURVEDIC ASPECT OF COCOON SYNDROME

In Ayurveda, cocoon syndrome is related to vata vyadhi. The vata dosha in this illness was merely made worse. In this, vata vitiated due to causative factors and increased vata dosha may result in inflammation of the membrane of the intestine and may result in cocoon syndrome.

CAUSATIVE FACTORS OF VATA VYADHI

  1. Falling from a certain height
  2. Excessive strain
  3. Injury due to fighting
  4. Carrying heavy loads
  5. Performing heavy exercise

SYMPTOMS OF VATA VRIDHI

  1. Jwara (Fever)
  2. Vaman (Vomiting)
  3. Alasya (Fatigue)
  4. Anaha (Abdominal distension)
  5. Aruchi (Loss of appetite)
  6. Mala avrodh (Constipation)
  7. Jalodhar (Ascites)
  8. Loss of weight
  9. Abdominal pain
  10. Nausea

TREATMENT

  1. Snehana (Oleation therapy)
  2. Swedana (Induced sweating)
  3. Abhyanga (Massage)

HERBAL REMEDIES BY PLANET AYURVEDA FOR COCOON SYNDROME

Planet Ayurveda is a GMP-certified Ayurvedic clinic that creates a variety of herbal treatments for the treatment of those who are ill as well as the prevention of various health problems. Every formulation created by Planet Ayurveda is free from any kind of resin, colour, or ingredient. These treatments are completely natural and were created under the supervision of M.D. Ayurvedic doctors, and the formulations had no negative side effects. Planet Ayurveda offers a variety of herbal remedies for the Treatment of Cocoon Syndrome, which we will discuss further in this article in detail.

PRODUCT LIST

  1. TRIPHALA CAPSULES
  2. PANCHSAKAR CHURNA
  3. DIGESTOPLAN SYRUP
  4. ACIDOPLAN SYRUP
  5. MAHASHANKH VATI

Herbal Remedies For Cocoon Syndrome

Herbal Supplements for cocoon syndrome

1. TRIPHALA CAPSULES

Triphala capsules are multi-herbal capsules that are formulated by Planet Ayurveda with the help of Terminalia chebula (Haritaki), Bibhitaki (Terminalia bellerica), and Emblica officinalis (Amalaki). It helps in the improvement of intestinal health and the removal of toxins from the body. It also strengthens the immune system and has antioxidant and rasayana qualities. Haritaki, which is incorporated into this capsule, helps to strengthen the digestive system and boost metabolism. Amalaki is a high source of vitamin C, which promotes liver health and immunity. Bibhitaki is well known for its liver health benefits. Triphala therefore helps digestion, eliminates toxins, and enhances immunity.

Dosage: Take 1 capsule twice daily.

2. PANCHSAKAR CHURNA

Panchsakar churna is a multi-herbal formulation that is formulated by Planet Ayurveda with the help of Zingiber officinale (Sonth), Senai (Cassia angustifolia), Foeniculum vulgare (Saunf), Saindhav lavan (Rock salt), and Choti Harad (Terminalia chebula). According to the Charak Samhita, harad is the best medication for treating sprue, indigestion, constipation, abdominal gas that rises, and loss of appetite. Saunf alleviates vata and kapha and is primarily used as a digestive, appetising, and stimulating aid. It is used in a number of digestion-related ailments such as diarrhoea, dysentery, gas trouble, nausea, and anorexia. It is also beneficial in conditions involving minor coughs and colds, burning urination and halitosis.

Dosage: Take ½ teaspoon twice daily.

3. DIGESTOPLAN SYRUP

Digestoplan syrup is a multi-herbal formulation that is formulated by Planet Ayurveda with the help of Foeniculum vulgare (Saunf), Pudina (Mentha piperita), Anethum sowa (Shatapushpa), Dhanayak (Coriandrum sativum), Cuminum cyminum (Jeerak), and some other ingredients. Pudina mainly pacifies kapha and vata. Pudina is acclaimed as a stimulant, expectorant, antispasmodic, murderer of intestinal worms, and moderately analgesic plant. It is well known for its carminative, digestive, fragrant, and antiemetic properties. Jeera is a wind repellent, anti-colic, and intestinal adsorbent agent. It alleviates anorexia, abdominal distension, motion sickness, indigestion, and intestinal worms.

Dosage: Take 2 teaspoons twice daily.

4. ACIDOPLAN SYRUP

Acidoplan syrup is a multi-herbal formulation that is formulated by Planet Ayurveda with the help of Aloe barbadensis (Ghrit Kumari), Sajjikshar (Soda-bi-carb), Garcinia indica (Kokum), Pittapapada (Fumaria indica), and some other ingredients. Aloe is a digestive, carminative, anti-inflammatory, and diuretic medicine. It acts as a purgative and kills intestinal worms when given in large doses. It is also beneficial for liver and spleen disorders. It has anti-bacterial and anti-fungal action, as well as wound healing properties. Sajjikshar helps with abdominal lumps, abdominal colic pain, and worm infestation.

Dosage: Take 2 teaspoons twice daily.

5. MAHASHANKH VATI

Mahashankh vati is a multi-herbal formulation that is formulated by Planet Ayurveda with the help of Shankha bhasma (Conch shell ash), Shunthi (Zingiber officinale), Pippali (Piper longum), Rock salt (Saindhav lavan), and other ingredients. This tablet is quite beneficial in the treatment of indigestion, abdominal pain, and irregular eating habits. This medication is particularly effective in removing gas from the stomach and relieving indigestion. It is helpful for abdominal colicky pain and headaches and balances vata dosha in the body.

Dosage: Take 2 tablets twice to be chewed 20 minutes before a meal.

Contact Planet Ayurveda Support Team to provide you the costing/ordering and delivery information at – costing.planetayurveda@gmail.com or Call at 0172-521-4040 (India), +91-172-521-4040 (Outside India) or Whatsapp at (+91) 842-749-4030.

CONCLUSION

A thick peritoneal membrane that encircles the intestine is a symptom of the rare condition known as cocoon syndrome. It could be the primary cause or a complication of other factors, such as prior abdominal surgery. A rare disorder called cocoon syndrome results in a minor intestinal blockage. It is also known as sclerosing encapsulating peritonitis or encapsulating peritoneal sclerosis (EPS), and it causes a fibro-collagenous peritoneal membrane to surround the small intestinal loops. In Ayurveda, cocoon syndrome is related to vata vyadhi. The vata dosha in this illness was merely made worse. Increased Vata dosha may result in aches and pains. Planet Ayurveda provides some herbal remedies for the management of cocoon syndrome without causing any side effects.

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October 17, 2023

Chikitsa Sutra and Management of Vridhi and Kshaya of Doshas

ABSTRACT

Our healthy state of mind and living depends on our healthy lifestyle, diet and equilibrium of Dosha , Dhatu and Mala.But today due to sedentary lifestyle changes , it also affects on our triad of Dosha-Dhatu-Mala which leads to severe diseases.(SU. UT.66/6-7). Daily intake of processed food, burgers, pizza ,oats, unhealthy snacks and not following the regimens i.e, dinacharya,ritucharya etc which causes vitation of doshas and leads to asadhya rogas.

According to modern science , an increase in levels of toxins in the body causes diseases but as the same in Ayurveda, vitiation of tridosha , interrupts the triad of our healthy living and causes rogas.This report aims to summarise and review Ayurvedic scholars’ accounts of the hypo and hyper functional states of Tridosha (Dosha Kshaya-Vriddhi), as well as propose some objective criteria to determine Tridoshas functional condition.

tridoshas

INTRODUCTION

Healthy and unhealthy state of a human being depends on normal and abnormal functional state of Tridosha i.e. Vata , Pitta, Kapha which plays an important role in maintaining the homeostasis of the body.Acco to Ayurveda “Dosha Dhatu mala Moolam Hi Shariram”. Means the whole body is created by Dosha, Dhatu and Mala. Imbalance in between these tridoshas, mal, dhatu causes various disorders. Tridosha remains in three state i.e Sama awstha (balanced state), Kshaya (hypo functional state), Vriddhi (hyper functional state).Tridosha are main entities formed from Panchmahabhuta(Ch.SU.26/11), responsible for regulation of all body functions.Excess of everything in body causes various disorders same as in ayurveda vitiation of doshas causes Kshaya ,Vriddhi in the body which leads to moderate and severe diseases. When tridosha are in prakruit avastha ,they maintain a healthy state and are called as Dhatu. When these doshas are in kshaya vriddhi state it vitiates the Mala in body and vitiates the whole dhatus and uppdhatu’s.

VATA PITTA KAPHA
KSHAYA Reasons- dried ans lesser food intake, intake of only one type of Rasa, overfasting, concentrated alcohol intake, senile degeneration, excessive exercise etc.
Symptoms–  Physical and mental illness,weakness,low appetite,lethargy ,loss of interest to talking to people (As.Hridya. 11/15)		 Symptoms- decreased body heat and digestive fire, loss of complexion,feeling of cold etc. Symptoms– Dryness, burning sensation inside the body, emptiness of kapha sites,looseness of joints, thirst,loss of sleep, vertigo and heart palpitation.(As.Hridya. 11/16)
VRIDDHI Reasons-
Dry,cold,light food intake, Night awakeness,day time sleeping,distressed, depressed, hyper aggressive, fasting, holding the urge, weakness, margavaran through ama, kapha etc.(ch.chi.28/15-18)Symptoms-hoarseness of voice,blackish discoloration of skin,tremors, desire of hot things, sleeplessness,, constipation, lack of strength,loss of sensory organs, delirium, vertigo.(As.Harid.11/5-6)		 Symptoms- yellow tone of skin, increased body temperature, unconsciousness, loss of strength, weakness of sense organs, yellow discoloration of stool,urine and eyes, excessive hunger and thirst, burning sensations in the body. (As.Harid.11) Symptoms– white tone of skin, feeling of cold, stability, heaviness, depression, stupor,excessive sleep, flabbiness of bone joint, suppression of digestive fire, nausea, laziness,dyspnoea and cough (As.Harid.11/7)

PATHOGENESIS

In decreased dosha, if there is kashaya of one dosha then simultaneously increase of other dosha with opposite properties to that of dosha. Eg. when Kapha decreases, vata increases their actions. Increased doshas do not always produce diseases,they might be cause some disturbances in the body. After following causative factors, the doshas initially undergo increase and accumulate in their dominant sites (Sanchaya- accumulation of doshas)

When not unfollowing causative factors which causes disturbances in body and sanchaya of doshas , then doshas gradually and slowly increases and get aggravated on their own sanchaya site (Prakopa- stage of vitiation of Doshas. Sanchaya and prakopa of doshas takes place normally until an impact of season not comes and shows different lakshana of dominant doshas

When ritucharya regimen are properly followed ,the doshas get settled down in next season or when causative factors are avoided (Shamana). When ritucharya regimen is not properly followed or continuously following causative factors , the doshas proceed through other stages of pathogenesis (Kriya kala )

MANAGEMENT

Dosha pareeksha by evaluation of different Lakshana in body which generate due to kshaya vriddhi of doshas.if doshas are in samaya awastha they do their functions properly but in abnormal stage of doshas their functions become improper and show different kshaya vriddhi lakshana.To examine Dosha , normal functions of doshas , kshaya vriddhi of doshas must be known.

Always follow Nidana Privarjana- means avoidance of causative factors

Follows 3D rules which are- Diet, Drugs, Disease.

  • Intake of that healthy diet which helps your doshas to remain in samaya stage -less intake of sugar ,salt etc.
  • SAY NO TO DRUGS which causes our triad of doshas which leads to further diseases such as obesity, diabetes,fatty liver Hep B etc.

Shodhana and Shamana chikitsa

Treatment of vitiated doshas should be carried by shodhana -expulsion of doshas through Panchakarma which mainly deals with vrddhi of doshas. In Shaman chikitsa – use of pacificatory medicines, balanced and nutritious diet,healthy lifestyle should be taken to prevent recurrence of diseases and to enhance immunity (by taking rasayans-zinc, shilajit, abhrak etc)

Samanya Siddhanta Chikitsa

1. Tridosha Kshaya chikitsa

  • In vata kshaya – intake of vata vardhak ahara vihara
  • Katu-tikata, kshaya rasa pradhan( pungent-astringent taste like)
  • Dry,minute,cold properties.
  • Intake of vata vardhak ahar until getting samaya stage.
  • In Pitta kshaya – intake of Agni mahabhoot pradhan food.
  • In kapha kashaya – intake of fatty substances
  • Prithvi and jala mahabhuta pradhan food.

2. Tridosha vriddhi chikits

  • Vata dosha vriddhi -oil massaging + fomentation –> purification of body
  • nirahua or anuvasana basti
  • Nasal insufflation
  • Intake of sweet,sour,salty Rasa +hot and delicious food.
  • Pitta dosha vriddhi-purgation or blood letting procedures with cold herbal paste for massaging sweet,bitter,astringent taste like food, milk or ghee can be used
  • Pitta shamak medicines can be used- chandana, mukta, praval etc

3. Kapha dosha vriddhi

  • Fomentation, emesis and by nasal administration of medicines to remove doshas from head
  • Fast acting purgation
  • Akash, vayu,or agni mahabhuta dominant medicines
  • Pungent,bitter,astringent taste food
  • Do exercise, dry massaging
  • Use of panchakola, Triphala, vallipanchmoola ingredients.

All with that you have to enhance your immunity or immune cells to easily cope up from diseases.Always follow Sadvritta behaviour( Code conduct for healthy life).

CONCLUSION

In the end we concluded that when doshas are in normal stages they do their functions properly. But in dosha vaishmayata (increased or decreased doshas) their functions become improper and show various lakshanas. Acc to Kriya kala if diseases properly not managed at proper stage causes chronic or asadhya rogas.so treatment and diagnosis of increased doshas should be carried out in an initial stage which gives better results.

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