Category: Rare Disease

Natural Cure For Achalasia Cardia

Achalasia-Cardia

ABSTRACT

In this article our main topic of discussion will be a very rare kind of disorder known as achalasia cardia. There are various kinds of health related ailments present in our surrounding some of them are very common about which everyone is well aware of, but there are some kind of ailments that occur very rarely, but carry great weightage in impairing our lifestyle. So let’s start putting some rays of limelight on how ayurveda deals with such ailments.

Achalasia Cardia

INTRODUCTION

Achalasia cardia is defined as difficulty in passing food and liquid into the stomach. It occurs due to the result of damage to the nerves present in the esophagus. It is characterized by the presence of impaired relaxation of the lower esophageal sphincter (LES) during the deglutition (swallowing) process leading to regurgitation of food back into the esophagus. The nerves of the esophagus become damaged and paralyzed; eventually they lose the ability to squeeze food down into the stomach. So it starts passing backward towards the mouth leading to the regurgitation of the food. As per ayurveda these kinds of disorders occur due to the presence of genetic deformity leading to generation of such ailments.

ETIOLOGICAL FACTORS

These are the main causes (nidan as per ayurveda) that results in formation of an ailment. Cause of achalasia cardia is not completely known, but various theories have been postulated, such as

  • Presence of infection.
  • Genetic involvement- Heredity is considered to play a major role in this.
  • Viral infections
  • Autoimmunity- Presence of an abnormality in the immune system, provoking it to cause damage to the own cells or particularly damage to esophageal muscles and nerves.

According to Ayurveda

  • There is an involvement of imbalance between the tridosha (three principle energies of our body- vata, pitta and kapha). Other important causes of such disorders are:
  • Presence of deformity in mother’s ovum and father’s sperm.
  • Intake of unwholesome diet by a pregnant lady.
  • Deformity in the beej bhaag (chromosomes) and beej bhag avyava (genes)

CLINICAL FEATURES

Most common characteristic feature seen in the patient of achalasia cardia is the regurgitation of the food into the throat.

Others are

  • Presence of pain in the chest region.
  • Weight loss.
  • Weakness
  • Fatigue and malaise
  • Inability to swallow (dysphasia)
  • Heartburn
  • Belching
  • Increased coughing at night time.
  • Vomiting.
  • Anorexia (loss of appetite)
  • Muscle loss.

DIAGNOSIS

  1. Through physical examination of the patient by using:
  2. Inspection
  3. Palpation
  4. Auscultation
  5. Percussion
  6. Radiation examination:
  7. Barium swallow test
    • In this barium in liquid form is given orally to the patient, and then the movement of this barium solution is seen through radiological investigation.
  8. Chest x ray: Shadow of the mass is seen clearly behind the sternum.
  9. Upper esophagogastroduodenoscopy.
  10. High resolution manometry (HRM) – to check rhythmic muscle contraction of esophagus when we swallow food.

According to Ayurveda

The two most preferred diagnostic procedures used by a physician are as follow

Trividh Pariksha (Group of 3 diagnostic procedures)

  • Darshan- Diagnosis is made by visual examination of the symptoms.
  • Sparshan- Physician uses tactile examination to evaluate whether skin is cold/hot
  • Prashan– Physicians ask direct questions from the patient, to evaluate the root cause of the disease i.e. history taking.

Asthavidh Pariksha (Set of 8 examination procedure)

  • Nadi pariksha– By palpating the pulse rate of the patient.
  • Mutra pariksha– By examining the urine of the patient.
  • Mal pariksha– By stool examination.
  • Jivha pariksha– By examining the tongue whether coated or not.
  • Shabad pariksha– By listening to the natural sounds within the body like intestinal sound (peristalsis) sounds of moving body fluids.
  • Sparsh pariksha– By observing the patient skin texture whether it is cool, wet or dry.
  • Drik pariksha– When a physician inspects patient symptoms through his/her eyes.
  • Akriti pariksha– When a physician evaluates the general appearance of a patient whether he/she looks dull, lethargic or fatigued etc.

MANAGEMENT

Our main focus will be on stretching the lower esophageal sphincter, so that food will move easily down from the esophagus to the stomach.

Medications

  • Muscle Relaxant- to relax the esophageal muscles.
  • Antacids- for associated symptoms such as heartburn and acidity.

Surgery

  • Heller myotomy- in this muscle at the lower end of the esophageal sphincter is removed surgically to allow food to pass more easily into the stomach.
  • Per oral endoscopic myotomy (POEM) – an endoscope inserted through mouth into the esophagus to create an incision in the inside lining of your esophagus.

As Per Ayurveda

We can manage such ailment by using below listed treatment modalities

A. Sanshodhan Chikitsa (detoxification and purification therapy)

  • In sanshodhan chikitsa we will purify the inner channels of our body (srotas) by using different procedures. Acharya charaka included five procedures in it, they are as follows- vaman (emesis), virechana (purgation), anuvasana basti (enema with medicated oil), niruha basti (enema with medicated decoction) and nasya karma (adding drops of medicated oil/ churna in the nostrils).
  • Before using sanshodhan chikitsa we need to use purva karma (foremost procedures) – they are the set of procedures that need to be done before main panchakarma procedures. They are very important as they help in preparing the body for the main purification procedures. It includes: deepan karma, pachana karma, snehana karma and swedana karma.
    • Deepan karma: In this we use deepaniya dravya to increase the digestive fire of the body.
    • Pachana karma: In this we use pachana dravya to digest the food substances.
    • Snehana karma (oleation therapy) Smoothing the body dosha’s by using herbal ghrit/oil.
    • Svedan karma (sudation therapy) – Semi-hot medicated kwath or other herbal solution is sprayed on the patient’s body by a specially made swedan yantra (instrument).
    • Vaman (emesis) – In this procedure we do elimination of toxins by using emetic herbs to take out vitiated kapha dosha from the body.
    • Virechana (purgation) – In this we use purgative herbs to take out vitiated pitta dosha from the anal route by purgation technique.

B. San Shaman Chikitsa (alleviating treatment)

  • In this treatment modality we use the herbal medicines by oral route to balance vitiated doshas within the body itself.
  • In this we can also use herbal formulation of planet ayurveda, as their products are made up of pure and standardized extract of herb and their products are also 100% organic and free from harmful chemicals and preservatives.

HERBAL REMEDIES OF PLANET AYURVEDA

Planet ayurveda is a leading herbal manufacturing unit serving people worldwide with their authentic approach of healing by using principles of ayurveda. They have various herbal formulations that will work very efficaciously in conditions like achalasia cardia, it includes

  1. Mahashankh Vati
  2. Pitta Balance
  3. Curcumin Capsules
  4. Acido Plan Syrup
  5. Kamdudha Ras

ACHALASIA-CARDIATreatment of Liver Hemangioma

Product Description

1. Mahashankh Vati

This herbal capsule contains herbs such as shunthi (Zingiber officinalis), pippali (Piper longum), shuddha vatsanabha (Aconitum ferox) etc. It works on the tridosha level by stimulating the digestive system in a healthy way. Herbs present in this possess good digestive property so it will help in maintaining healthy and sound digestion that will prevent the regurgitation of food back towards the throat.

Dosage: 1-2 tablets two times a day with plain water.

2. Pitta Balance

This potent formulation is an efficacious blend of praval pishti (coral calcium), akik pishti (Agate calcium), jawar mohra pishti (an ayurvedic calcium compound), giloy satva (stem extract of Tinospora cordifolia) etc. Minerals and herbs present in it have sheet virya (cold potency) thus works very well in reducing elevated pitta dosha within the body and elevated pitta dosha is considered as the main culprit of achalasia cardia.

Dosage: 1-2 capsules two times a day with plain water after meals.

3. Curcumin Capsules

This herbal capsule contains pure extract of haridra (Curcuma longa). Haridra is a natural herb that aids in wound healing excellently and also maintains immune system functions, increases the disease combating power of our body so assists in achalasia cardia profoundly.

Dosage: 1-2 capsules two times a day with plain water.

4. Acido Plan Syrup

This herbal syrup contain medicinal herbs such as patola (Trichosanthes dioica), ghrit kumari (Aloe barbadensis), saunf (Foeniculum vulgare), kokum (Garcinia indica), pitta papada (Fumaria indica), shatavari (Asparagus racemosus) etc. This formulation is very effective in digestion related ailments and mainly pacifies pitta dosha. It is a good appetizer also.

Dosage: 2 teaspoons twice a day.

5. Kamdudha Ras

This herbomineral formulation is a very efficacious blend of amrita satva (extract of giloy), abhrak bhasma (silica bhasma), praval pishti, shankh bhasma etc. This combination is made to balance the vitiated pitta dosha, as it is the main culprit behind achalasia cardia so this formulation works really well in Kamdudha Ras.

Dosage: 1-2 tablets twice daily with plain water after meal.

CONCLUSION

Now we can conclude that ayurvedic herbs are very effective in managing as well as preventing diseases like achalasia cardia. As ayurveda follow the treatment protocol of ‘nidan parivar jan chikitsa’ (avoiding the root cause of disease). In chronic venous insufficiency, the most common cause is prolonged standing. So with ayurveda, we can sustainably save ourselves from such ailments by following the ideal dietary and lifestyle regime of “dinacharya and ritucharya”. So do consider to opt for ayurvedic treatment by visiting planet ayurveda. They are serving mankind with their authentic approach of healing. In case of any query kindly visit www.PlanetAyurveda.com

Treatment of Afibrinogenemia in Ayurveda

Abstract

Fibrinogen is a soluble glycoprotein and a clotting factor (factor I) which is an essential component for clotting present in plasma. This plays an important role in the breaking down of fibrinogen to fibrin by the enzymatic action of thrombin. Inherited fibrinogen disorders can be divided into two types i.e. afibrinogenemia and hypofibrinogenemia. This condition can be fatal if not managed properly by the Ayurvedic medicine system.

What is Afibrinogenemia?

Afibrinogenemia is a rare coagulation disorder which is also referred to as congenital afibrinogenemia which is usually inherited as an autosomal recessive trait. This condition is generally characterized by the virtual absence of plasma immune-reactive fibrinogen (Factor I) which can be measured by antigenic or functional assays. The prevalence of this disease is estimated in one to 1,000,000 and male or females, both can get equally affected. (1)

Afibrinogenemia

What are the Possible Causes of Afibrinogenemia?

There are two factors which can trigger this condition –

1. Mutation Afibrinogenemia

It is generally caused by fibrinogen deficiency in plasma which is triggered by homozygous or heterozygous mutations; affecting any of the three fibrinogen genes i.e. FGA, FGB, and FGG). This mutation results in the partial or complete absence of fibrinogen. Each gene is responsible for making a part or subunit of protein.

2. Inheritance Afibrinogenemia

The parent of an affected infant with an autosomal recessive condition carries one copy of the mutated gene. These individuals are termed carriers and have abnormal levels of fibrinogen in the blood. (2)

How to Recognize Afibrinogenemia?

The fibrinogen levels below 0.1 g/L; represents bleeding abnormalities which may range from mild to severe. It was studied that if bleeding occurs from the umbilical cord just after pregnancy; this can be an early alert to afibrinogenemia.

Some of the other Symptoms Include

  • Nose bleeding which can be difficult to stop (Epistaxis)
  • Bleeding in the mucous membrane
  • Gastrointestinal bleeding
  • Postpartum hemorrhage and menorrhagia
  • Heavy bleeding after injury
  • Spleen rupture
  • Intracranial hemorrhage (rare)
  • Miscarriage
  • Prolonged menstruation in females
  • Swelling and inflammation in joints
  • Bleeding gums (Gingival bleeding) (3)

How Afibrinogenemia Can be Diagnosed?

Doctors usually look at a person’s medical history, physical examination and certain laboratory assays are performed for the confirmation. A person with afibrinogenemia the results are based on the fibrin which is a product of fibrinogen. The tests include Thrombin time (TT), Prothrombin time (PTT), Reptilase time and activated partial thromboplastin time (aPTT).

Beneficial Ayurvedic Herbs in Afibrinogenemia

1. Lodhra (Symplocos Racemosa

This traditional herb is beneficial in pacifying Kapha dosha and balancing Pitta dosha. Lodhra works effectively in bleeding disorders and is considered an amazing coagulant which reduces bleeding and effectively healing wounds.

2. Ashoka (Saraca Indica)

Ashoka is very helpful in controlling internal bleeding and hemorrhagic bleeding.

3. Lotus 

Lotus which is commonly known as Kamal kakdi has astringent properties so it is a proven natural remedy for bleeding disorders.

4. Priyangu

Priyangu (Callicarpa macrophylla) can effectively decrease the clotting time of blood.

Ayurvedic Aspect of Afibrinogenemia

According to Ayurvedic principles, afibrinogenemia is considered as sejvikaras or congenital which gets triggered when there is one or more raktadhatu is absent. This ultimately results in interference to raktastambhak action of blood.

Ayurvedic Treatment for Afibrinogenemia by Planet Ayurveda 

For Afibrinogenemia, Planet Ayurveda is offering 100% pure, natural and vegetarian herbal formulations which have been manufactured under the strict supervision of MD Ayurveda experts. Some of the herbal products include Pitta balance capsules, Cloto plan syrup, Kamdudha ras, and Mukta panchamrit ras. All these medicines will not result in any kind of side effects.

Product Description 

1. Pitta Balance Capsules

Pitta balance capsules are amazing herbal formulation by Planet Ayurveda which includes Mukta Pishti (Mukta Pishti) and Giloy (Tinospora cordifolia), Praval Pishti (Coral calcium), Akik pishti (Agate calcium), Jahar Mohra Pishti (Calcium compound) and Kamdudha Ras (Calcium compound). These herbs in combination effectively enhance healthy digestion and metabolism. Giloy is the combination that helps in enhancing immunity, detoxification of the blood and flushing out toxins out of the body. Akik Pishti and Parval Pishti are beneficial in balancing Vata and Pitta Dosha.

Dosage – 1-2 capsules two times a day with plain water after meals.

2. Cloto Plan Syrup 

This herbal syrup contains standardized extracts of Jhandu (Tagetes erecta), Priyangu (Callicarpa macrophylla), Doorva (Cynodon dactylon), Dhataki (Woodfordia fruticosa) and Sheesham leaves (Dalbergia sissoo). Sheesham leaves and Priyangu works tremendously in faster healing and decreasing clotting time of blood. Jhandu and Doorva help in blood purification and all aliments related to vitiation of blood or Rakta. Dhataki has done wonders in relieving inflammation and possess great healing qualities.

Dosage – 1-2 teaspoon two times a day

3. Kamdudha Ras Tablets 

Kamdudha Ras is a classical Ayurvedic formulation containing medicinally important herbs like Amrutha Satva or Giloy (Tinospora cordifolia), Swarna gairika, Praval pishti, Mukta pishti, Shankh bhasma, Shukti bhasma and Kapardak bhasma. Giloy (Guduchi) possesses anti-inflammatory, anti-bacterial, hepatoprotective and healing properties. Swarna gairika is considered as Pitta-Nashak (destroys Pitta dosha), Balya (Provides strength) and Kapha-hara (Pacify kapha dosha). Praval pishti and Mukta pishti are cooling agents that are beneficial in balancing vitiated Pitta and Rakta dosha. Shukti bhasma works effectively in treating various digestive ailments like gastritis, indigestion, etc.

Dosage – 1-2 tablets two times a day with plain water after meals.

4. Mukta Panchamrit Ras 

Mukta Panchamrit Ras is a classical preparation from Planet Ayurveda in tablet form containing metal ingredients. This formulation comprises of Mukta Bhasma (Pearl bhasma), Pravala bhasma (Coral bhasma), Vanga bhasma, Shankha bhasma (Conch shell bhasma), Shukti bhasma (Pearl Oyster bhasma), Shukti bhasma (Pearl oyster bhasma), Ikshurasa (Sugarcane juice), Godudghda (Cow’s milk) and juice extracts of Vidari (Pueraria tuberosa), Ghrit Kumari (Aloe vera), Shatavari (Asparagus racemosus), Tulsi (Ocimum sanctum) and Hamsapadi (Adiantum philippense). Mukta Panchamrit Ras has proved to be beneficial in managing various ailments related bleeding disorders.

Dosage250 mg 1-2 times a day before or after meals. It can be taken with honey, milk or Luke warm water.

Conclusion

In order to conclude with this information, it is crystal clear that this rare bleeding disorder can get managed naturally with Ayurvedic herbs and herbal supplements from Planet Ayurveda.

References

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4956798/
  2. https://pubmed.ncbi.nlm.nih.gov/27164460-congenital-afibrinogenemia-identification-and-characterization-of-two-novel-homozygous-fibrinogen-a-and-b-chain-mutations-in-two-tunisian-families/
  3. https://rarediseases.info.nih.gov/diseases/5761/afibrinogenemia