Category: Acne & Pimples

What is Encapsulating peritoneal sclerosis? – Causes, Symptoms, Classifications & Ayurvedic Treatment

Abstract

Encapsulating peritoneal sclerosis mostly occurs in patients who are undergoing peritoneal dialysis. Dialysis fluid is hyperosmotic , hyperglycemic and acidic which causes inflammation in the peritoneum with loss of mesothelium and extensive tissue fibrosis.  It can occur at any age. Encapsulating peritoneal sclerosis was first described in 1980. Here in this article we will learn encapsulating peritoneal sclerosis in detail and its ayurvedic management also.

Introduction

It is associated with thickening of the peritoneum that leads to formation of fibrous cocoons . The patients who are undergoing peritoneal dialysis from long  are mainly affected by this disease. It was originally termed an abdominal cocoon. It can be caused by autoimmune diseases, sarcoidosis, abdominal surgeries, endometriosis and beta blocker administration. Vomiting, abdominal mass, malnutrition and failure to drive and ultrafiltration problems are the major symptoms of encapsulating peritoneal sclerosis. It is divided into four stages i.e. pre eps stage, inflammatory disease, encapsulation, and chronic stage of ileus. Early diagnosis of this disease is important in order to achieve better prognosis. Let’s discuss in detail.

Causes of Encapsulating peritoneal sclerosis

Causes

  1. Autoimmune diseases
  2. Sarcoidosis
  3. Peritoneal and intra abdominal malignancies
  4. Chronic peritoneal chemotherapy
  5. Intraperitoneal exposure to particulate matter or disinfectant
  6. Abdominal surgeries
  7. Endometriosis
  8. Intra peritoneal infections
  9. Beta blocker administration

Risk factor

  1. Duration on peritoneal dialysis
  2. Glucose exposure
  3. Inflammation
  4. Chemical exposure
  5. Genetic factors

Classification

Following are the clinical stages of encapsulating peritoneal sclerosis are

Stage 1:- Pre-EPS stage:- In this stage the patient is asymptomatic with mild ascites and no inflammation

Stage 2:- Inflammatory disease:- This is the second stage of encapsulating peritoneal sclerosis in which patients are symptomatic. Nausea and diarrhea are the main symptoms of this stage

Stage 3:- Encapsulation:- In this stage inflammation can occur. Inflammation may be mild or severe.

Stage 4:- Chronic stage of ileus:- Due to thickening of encapsulating fibrous cocoon patients have absolute bowel obstruction. There is little inflammation at this stage.

Symptoms

  1. Vomiting
  2. Abdominal pain
  3. Abdominal mass
  4. Hemoperitoneum
  5. Malnutrition and failure to thrive
  6. Ultrafiltration problems
  7. Subacute bowel obstruction

Diagnosis

1. Physical Examination: In this examination abdominal mass and abdominal distension is mainly seen.

2. CT-scan: it shows dilated loops of bowel, loculated ascites, peritoneal calcifications and small bowel tethering on examination.

3. Plain radiograph: This test may show the gas-fluid levels similar to those in patients with any other cause of the small-bowel obstruction.

4. Ultrasound: In this test presence of ascites, clumped bowel loops and the appearance of hyperechoic membranes can be seen.

5. MRI: This will demonstrates the same features as CT scan, but MRI gives better image of thickened bowel and peritoneal membrane as compared to CT

scan

Treatment

1. Supportive therapy:- In this aggressive nutritional support is given to the patient.

2. Medical therapy:- Antifibrotic and antiinflammatory drugs given to the patients such as tamoxifen and immunosuppressive.

3. Surgical:- Partial or complete enterolysis and avoid enterotomy.

Prevention

  1. Preserve residual renal function.
  2. Minimum use of high glucose
  3. Prevention of peritoneal deterioration

Ayurvedic overview

Ayurveda is the vedic science which means “knowledge of life”. It treats humans as well as animals. Ayurveda tells us that the entire universe is made up of five elements i.e. aakash, vayu, agni , jal and prithvi. These five elements form the three basic humours of the human body i.e. vata, pitta and kapha. According to ayurveda, encapsulating peritoneal sclerosis can be correlated with anna vaha sroto dushti in which vata dosha is mainly aggravated. Due to aggravation of vata it results in abdominal pain, intestinal obstruction and constipation. Vata can be managed by some ayurvedic therapies such as snehana, swedana and shodhana. In snehana ghee, muscle fat, oil and bone marrow are given to the patient for the balancing of doshas. After snehan patients are given fomentation therapy such as nadi sweda, prastara sveda and sankara sveda etc. The herbs which are helpful in the management of encapsulating peritoneal sclerosis are varun, bhumiamla, gokshur, punarnava and triphala.

Herbal remedies for encapsulating peritoneal sclerosis by Planet Ayurveda

Planet Ayurveda is a worldwide company which treats humans as well as animals. This is a GMP certified company. All the medicines made by this company are natural and free from side effects. This company makes medicines under the observation of MD ayurveda doctors. Planet Ayurveda makes medicine in the form of tablets, syrup and churna. All the products are gluten free. In case of encapsulating peritoneal sclerosis  following products are offered by Planet ayurveda:-

Product list

  1. Mutrakrichantak churna
  2. Nephralka capsule
  3. Saral ghan vati
  4. Triphala capsule
  5. Avipattikar churna

Herbal Remedies for Encapsulating peritoneal sclerosis

Herbal Supplements for Encapsulating peritoneal sclerosis

Product Description

1. Mutrakrichantak Churna

Mutrakrichantak churna is made using only pure and wonderful herbs. The main ingredients of this churna are varun (Crataeva nurvala), bhumi amla (Phyllanthus niruri), gokshur (Tribulus terrestris), and kalmegh (Andrographis paniculata). This churna helps in bringing down creatinine and urea levels in a natural way. It is the best medicine for kidney health and prevents dialysis. This medicine mainly helps to normalize the filtering function of the kidneys. This herbal medicine is also useful to maintain creatinine levels, high uric acid, high urea, kidney stones and urinary tract infections.

Dose:- 1 tsp twice daily with water after meal.

2. Nephralka capsule

Nephralka capsule is an ayurvedic medicine that is primarily used for the management of kidney diseases. The main ingredients of this capsule are bhumi amla (Phyllanthus niruri), mooli satva (Raphanus sativus), revandchini (Rheum emodi), kalmegh (Andrographis paniculata), and punarnava (Boerhavia diffusa). These are the best capsules for the management of kidney functions.  Kalmegh present in this capsule  helps in stimulating appetite and is used in the treatment of anorexia. Punarnava is the best herb to reduce the symptoms of fever, pain, and inflammation. Bhumyamalaki is used for preventing cardiac disorders. Thus this capsule is very helpful in the management of  encapsulating peritoneal sclerosis.

Dose:- 1 capsule twice daily with plain water after meals

3. Saral Ghan vati

Planet Ayurveda’s saral ghan vati is one of the suitable ayurvedic formulations for removing toxins from the body. The main ingredient present in this tablet is saral (pinus roxburghii). It is used as a diuretic that flush out toxins from the body. It has antioxidant properties which helps in reducing inflammation. It also acts as a laxative and has antispasmodic actions (relieves from spasms).

Dose:- 2 tablets twice daily with lukewarm water after a meal.

4.Triphala Capsules

Triphala capsule is an ayurvedic medicine which is enriched with the power of three main ingredients such as haritaki (Terminalia chebula), amalaki (Emblica officinalis), and bibhitaki (Terminalia billerica). It helps to improve gut health and remove toxins from the body. It also boosts immunity and has antioxidant and rasayana properties. Haritaki present in this capsule strengthens the digestive system and improves metabolism. Amalki is a very rich source of vitamin C that helps in promoting liver health and boost immunity. Bibhitaki is well known for liver health. Thus triphala improves digestion, removes toxins and boosts immunity.

Dose:- 1 capsule twice daily with plain water after meals.

5. Avipattikar Churna

The main ingredients of avipattikar churna are pippali (Piper longum), sonth (Zingiber officinale), marich (Piper nigrum), amla (Emblica officinalis), haritaki (Terminalia chebula) and nagarmotha (Cyperus scariosus). All the ingredients used in this churna mainly work on the digestive system and improve digestion. Nagarmotha present in this churna manages the anorexia (loss of appetite). The symptoms caused by globus pharyngis are easily manageable by this churna. Thus, this churna is very useful to improve digestion.

Dosage:- ½ tsp twice daily with warm water after meals.

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

Encapsulating peritoneal sclerosis mostly occurs in patients who are undergoing peritoneal dialysis. Dialysis fluid is hyperosmotic , hyperglycemic and acidic which causes inflammation in the peritoneum with loss of mesothelium and extensive tissue fibrosis. According to ayurveda this disease can be correlated with aggravation of vata dosha. It can occur at any age. Here in this article we have learnt encapsulating peritoneal sclerosis in detail and its ayurvedic management also.

Ayurvedic Management of Lumpy Skin Disease in Cows and Buffaloes

Abstract

Pandemic and epidemics have become so common in today’s world. This impacts the human in a number of perspectives. These epidemics can affect certain living organisms such as chickens, ducks, buffaloes, cows and humans as well. All of us now have heard in the news about the lumpy skin disease that has been rapidly affecting the cows in almost every state. Lumpy skin disease left many cows skin pigmented and many of the cattle have died of this virus. In the following text, we shall discuss some details of lumpy skin disease and its management. Let’s see!!

Introduction

Lumpy skin disease is an infectious condition caused by a virus. Recently, in India almost twenty two states out of twenty nine have reported lumpy skin disease in cows. The disease was first observed in Zambia in 1929, which further spread to most African countries extensively, followed by West Asia, Southeastern Europe and central Asia and more recently spreading to South Asia and China in 2019. Lumpy skin disease is currently endemic in several countries across Africa, parts of West Asia and Turkey. In India over 16 lakh cattle have been affected so far. Nearly 75 thousand cattle have been killed so far by the disease.

Lumpy Skin Disease in Cows and Buffaloes

Causes of Lumpy Skin Disease

The causative virus is lumpy skin disease virus which belongs to the family of poxviridae. It is also known as Neethling virus.

Incubation period

Between 4 and 14 days post-infection

Signs and symptoms

  • Nodules in the skin
  • Pyrexia
  • Anorexia
  • Rhinitis
  • Depression
  • Conjunctivitis
  • Dysgalactia
  • Pneumonia
  • Lesions in mouth and upper respiratory tract
  • Emaciation
  • Reduced milk production

Transmission

  • The mode of transmission is not clearly understood.
  • Epizootiology strongly suggests the involvement of insect vectors such as mosquitoes and flies.
  • The virus can be spread through nasal discharge, lacrimal secretions,semen, blood and saliva.
  • The disease can also spread via infected milk.

Investigations

  • Antigen testing
  • Elisa (Enzyme linked immunosorbent assay)

Management of Lumpy Skin Disease

  • Goat Pox Vaccine.
  • Spread control measures.
  • Controlled movement and quarantining of bovine animals.
  • Implementing biosecurity through vector control by sanitising sheds and spraying insecticides.
  • Strengthening active and passive surveillance.

Ayurvedic aspect and Management of Lumpy Skin Disease

Lumpy skin disease is a condition that occurs due to lumpy skin disease virus (LSDV) which is a member of the capripoxvirus genus of the poxviridae family. In Ayurveda, there is no text available that refers to the lumpy skin disease in particular. Yejella Shri Ramulu Chaudari had written many books on various aspects of cattle and horses including etiopathogenesis and treatment with Ayurvedic drugs from the year 1928. The books included Pashuvaidyacintamani, Pashuvranachikitsa, Bheshajakalpamu, Svasthavrittamu, Pashuchikitsasaramu etc which are filled with great wisdom of ayurvedic veterinary knowledge.

As there is no direct correlation of the lumpy skin disease but we see this condition with the following view, there is mention of aupsargik (infectious) diseases and janpadodhwans (epidemic/pandemic), so as we see the spread of the disease we can establish its correlation with janpadodhwans.

As the condition is related to the skin therefore we can simply relate it with the rakta and pitta dushti. As the dushti leads to the inflammatory, itching and other skin related issues so the management protocol depends on cleansing the blood that will clear or remove the toxins from the bloodstream that would eventually clears the skin also.

The herbal management is based on killing the virus and pacifying the dosha or cleansing the toxins produced by the infective organisms.

Gandhak Rasayan, Punarnava Mandoor, Giloyghan Vati, Khadirarishta, Arogyavardhini vati, Mahamanjishthadi kwath etc are available formulations that effectively manage the lumpy skin disease.

Herbs including neem (Azadirachta indica), lashun (Allium sativum), tulsi (Ocimum sanctum), haridra (Curcuma longa), marich (Piper nigrum) etc are beneficial in cleansing the blood and fights the toxins produced by the infectious agents.

Herbal Remedies for Lumpy Skin Disease by Planet Ayurveda

Planet Ayurveda is a well known GMP certified, ISO 9001:2015 certified and US-FDA registered Ayurvedic Company, which adhered to the aim of manufacturing quality Ayurvedic products as mentioned in the various ancient texts of Ayurveda. formulations are manufactured without additives and preservatives and other kinds of chemicals or artificial flavouring agents which causes a number of side effects on the human body. Products prepared at Planet Ayurveda are pure and do not contain any kind of adulteration. The products are purely organic and vegetarian and gluten free. Planet Ayurveda presents its products which are beneficial in Lumpy Skin Disease.

Following is the list of products that are great in managing Lumpy Skin Disease

  1. GANDHAK RASAYAN
  2. GILOYGHAN VATI
  3. NEEM CAPSULES
  4. KAISHORE GUGGUL

Herbal Supplements for Lumpy Skin Disease

Herbal Supplements for Lumpy Skin Disease

Product Description

1. GANDHAK RASAYAN

Gandhak Rasayan is a classical formulation in tablet form and contains shuddha gandhak (purified sulphur). Gandhak Rasayan benefits the body in a number of conditions. It reduces fever, treats skin conditions such as rashes and blisters and acts as a potent antimicrobial, antiviral, antibacterial, anti inflammatory, anthelmintic, antioxidant and antipyretic agent. With all these properties Gandhak Rasayan is beneficial as it reduces lumps and inflammation of the skin by its anti-inflammatory properties. And also soothes the skin and provides a healthy skin. Therefore with these wonderful actions, Gandhak rasayan is a marvellous medicine that manages the lumpy skin disease to the maximum.

Dosage : Two tablets thrice a day after meal with plain water

2. GILOYGHAN VATI

Giloyghan vati is filled with the rasayana properties of herb giloy (Tinospora cordifolia) and it is ghan (concentrated part) of giloy. As giloy is rasayan it affects every system of the body positively. Furthermore, giloy cleanses the blood and removes toxins out of it. Giloy pacifies all the three dosha thus benefiting in the condition of lumpy skin disease. As it cleanses the blood and pacifies the pitta dosha thus overcomes the condition of lumpy skin disease.

Dosage : Two tablets thrice a day after meal with plain water

3. NEEM CAPSULES

Neem capsules is a miraculous ayurvedic herbal remedy for skin health consisting of pure herbal standardised extract of single herb neem (Azadirachta indica) . This formulation is rich in several properties such as tikta (bitter) and kshaya (astringent) taste and sheeta (cold) potency. The herbal remedy purifies the blood, prevents the growth of free radicals, flush out toxins and maintains healthy skin. As per ayurveda neem possesses various health benefits such as grahi (cleans moisture from the skin), pittahara (reduces pitta dosha), krumihara (alleviates worm infestation), vranahara (heals wounds). Due to anti-inflammatory properties and reducing the abnormal lumps and antiviral properties helps in management of lumpy skin disease.

Dosage : Two capsules twice a day after meal with plain water

4. KAISHORE GUGGUL

Kaishore Guggul is a classical ayurvedic formulation which is beneficial in a number of disorders. It possesses antiinflammatory, healing and blood purifying properties. The formulation contains a variety of herbs such as guggulu (Commiphora mukul), amalaki (Emblica officinale), bibhitaki (Terminalia bellirica), haritaki (Terminalia chebula), guduchi (Tinospora cordifolia), shunthi (Zingiber officinale), black pepper (Piper nigrum) etc. the herbs pacifies the vata, kapha and pitta dosha. Above mentioned properties makes kaishore guggul a must used remedy in the managing lumpy skin disease.

Dosage : Two tablets thrice a day after meal with plain water

Contact Planet Ayurveda to provide you the costing / ordering and delivery information at – costing.planetayurveda@gmail.com or call at +91-172-5214040 Or Check Website – www.PlanetAyurveda.com

Conclusion

Lumpy skin disease has become a topic of concern as it started affecting the  health of cattle and also its impact has started to appear on the economical aspect. So as it is spreading like wildfire, therefore the scenario needs to be taken seriously. And many cattle have died of lumpy skin disease, though the government is planning its containment at an authoritarian level. But the treatment and management of the lumpy skin disease is not offering much help. In this condition, Ayurveda promises to manage the condition perfectly and the above mentioned products of Planet Ayurveda are really beneficial in the condition of lumpy skin disease. Thus choosing ayurveda to take good care of cattle is necessary in the present times.