Atharva Multispeciality Ayurveda Hospital

An International Ayurveda Multispeciality Ayurveda Hospital providing the best Of Ayurveda treatment for all diseases under one roof.

Centres

• Panchkarma Centre
• Skin Disease Research Centre
• Cancer Research Centre

Atharva has the unique Ayurveda Research Centre to Provide incredible Ayurveda Treatment in

• Arthritis  
• Bronchial Asthma 
• Infertility 
• Obesity 
• Cancer Care
• And alot more....

Special Treatments At Atharva Ayurveda
 

• 100% sucessfull treatment of Leucoderma(Vitiligo) and Psoriasis
• State of the art Keralian Panchkarma treatment center.
• Cancer Diagnostic, Treatment & Diet information center.
• Special Ayurvedic Treatment in Cancer to combat the side effect of Radio Therapy and Chemotherapy.
• Immuno Therapy for all immunodeficient disorders.
• Skin Care : Leucoderma, Psoriasis, Eczema, Pimples and All Skin diseases.
• Obesity center : Weight loss and gain.
• Mental Care : Tension, Depression, Epilepsy, Mental Deformity care by Atharva's Special Ayurvedic Treatment.
• Hair Care : Special Ayurvedic treatment for Alopecia, White Hair, Dandruff and other hair problems.
• Ayurvedic Treatment for Chronic Cold, Asthama, Paralysis, Spondylytis, Osteo Rhematoid Arthritis,
• Diabetis Malitas, Abdominal Disorders and Liver Disorders.
• Special Ayurvedic Treatment for all types of Renal(Kidney) disorders including ARF(Acute Renal Failure), CRF(Chronic Renal Failure), Renal stones.
• And alot more under one roof..

Well qualified and experienced team of Ayurvedic Doctors including a full time resident doctor and visiting Ayurvedic Consultants.

Please Click Here to request more information about Atharva Multispeciality Ayurveda Hospital. 

"Atharva Multispeciality Ayurveda Hospital" is situated in Rajkot, the cultural city of Gujarat, India.

Atharva Ayurveda Is an International Ayurveda Multispeciality Ayurveda Hospital,The Aims and Object of this hospital is to provide the best Of Ayurveda treatment For All diseases under one roof.

Atharva has the unique Ayurveda Research Centre to Provide incredible Ayurveda Treatment In all Skin Diseases Specially Atharva Has Designed the Treatment For Psoriasis And Leucoderma(Vitiligo) to get rid of these complicated Skin Diseases.

Atharva Has International Standard Panchakarma Treatment Facilities to Detoxifies the body Naturally to Enhance the Immunity in all types of Acute and Chronic Diseases.

Atharva is the Only International Ayurveda Treatment Centre For the Most Deadly Disease Cancer. Atharva is the Only International Ayurveda Treatment Centre For the Most Deadly Disease Cancer.

Atharva Has Developed Its Unique Ayurveda Treatment to Reduce the Side effect of Radiotherapy And Chemotherapy in All Types Of Cancer.

"Atharva" is located in very posh & peaceful area of the city Rajkot, where u will feel absolutely homely atmosphere, peace & unfogetable loving approach by its founders, Dr.Gaurang Joshi & Dr. Bhavna Joshi, truely dedicated to Ayurveda & devoted to patients coming for their various problems.

Atharva is situated in the heart of city,Domestic Airport is Only 5 Minutes from Atharva,where Daily 4 Flights between Rajkot-Mumbai-Rajkot are available.Railway Station is situated just 10 minutes from Atharva.

Also there are 5 star and 3 star Hotels Are Here for the patients from Abroad And for NRI's Who can enjoy their India Visit and Panchakarma Treatment with lots of comfort at Atharva.

Uniques Features & Facilities Available At Atharva Ayurveda

• Well qualified and experienced team of Ayurvedic Doctors including a full time resident doctor and visiting Ayurvedic Consultants.
• Inhouse trained well experienced Male and Female PanchKarma Therapists with basic knowledge in Anatomy, Physiology and Ayurveda are available round the clock.
• Organic foods are served for indoor patients.
• Clean and fully equipped treatment rooms with post treatment facilities.
• Male and Female separate PanchKarma Theatres are provided with full facility for 40 treatments per day.
• Each theatre is provided with an attached bathroom with hot and cold water facility.
• Equipments provided inside the theatre includes Dhroni, Steam bath chamber, Dhara Pathi, Dhara Stand and Herbal bath tub.
• Facility for Yoga and Meditation under expert's guidance.
• Classes on Basics of Ayurveda, Spirituality, Indian Culture, Philosophy and also Ayurvedic Cooking.
• Communication facilities including Internet with broadband connection, telephone with ISD. 

Life Style 
In sanskrit the daily routine is called as "Dinacharya". It means to merge your daily cycle with the natural cycle of the Sun, Moon, Earth and the other planets in our Solar system. "Dinacharya" is one of the best things that you can do to stay in balance, prevent disease and treat almost any disease.

One way to describe the daily cycle is in terms of the "Doshas", "Vata",the air element:"Pitta", the fire element and "Kapha", the water element. "Vata" is dominant from 2 to 6 in the morning and afternoon. "Kapha" is from 6 to 10 in the morning and evening, and "Pitta" is during mid day and midnight. Keep in touch with these energies during the day and move with them, not against them.

Waking
From 2 to 6 the "Vata" element is dominant. The ideal time to aise is around 4:30 to 5. This is the time when there is the most "Sattva" in the air. It is the most fresh and pure time of the day. Some exceptions to this rule of rising are the very young, the old, parents with small children and people with fevers or diarrhea.

Realization
Take a moment to see your ture nature. Remember what your are. Fall into that.

Breathe
Take a short stroll outside and soak up the good vibes.

Elimination
As soon as possible empty your colon and bladder. If you wait until later in the morning or during the day you are slowly poisoning yourself and creating an opportunity for chronic conditions to arise.

Clean The Senses
Wash the eyes with rose water and "Triphala" to purify the sight. Wash your ears and apply a tiny amount of sesame or almond oil in them to purify your hearing. Brush your teeth and scrape your tongue with a tongue cleaner to purify your mouth and sense of taste. Gargle with warm water or herbal tea. Finally do "Jal-neti" and put a little oil in your nose to purify the sinuses and your sense of smell. The traditional "Dinacharya" also recommends that you inhale the smoke of medicinal herbs every morning to purify the mind, head, face, neck and lungs.

Oil Massage
A major part of aging is the drying out of tissue that results in slower transport of nutrients into the cell and body and toxic wastes out of the body. Oil massage removes this dryness, removes stangated flows and organs, and nurtures your mind and your body. It also makes your skin look great if you use the right oil.

Exercise
"Vyayama" is the name for physical exercise. This can be anything including "Yoga", walk, tai chi, a swim or whatever. This early morning exercise removes stangation in the body mind, strengthens the digestive fire, reduces fat and gives you an overall feeling of lightness and joy.

Bathing
After exercise bath to remove any excess oil and dirt. Usually warm water baths are suggested, but do not put very warm water o the neck and head, as this will throw you off balance. Bathing increases the digestive fire, especially if the water is a little cold. Put on clean clothing after the bath and apply essential oils as you wish.

Meditation
For a few minutes to an hour sit down and see who you really are, focus on focus, put your attention on awareness. See and be only conscious.Simply be quiet. Sit in peace for just a little while.

Breakfast
Take a light breakfast.Western science has studied the aging process for sometime and has come up with only one practice that is definitely anti-aging. This is to minimize calories while maximising nutrients.

Lunch (10:30 to 12:30)
This is the main meal of the day so eat a healthy nutritious meal that has moderate calories. After the meal it is good to take a little walk, a couple hundred steps only, to help the food digest.

Sundown
Sundown is a special time of balance between day and night. This is the time for evening prayers and meditations in many cultures around the world.

Dinner (6:00 to 7:00)
This meal should be lighter than lunch. After dinner take a peaceful walk with family and friends.

Ease
From dinner to bedtime just take it easy. Spend time with family, read, and relax.

Bedtime
Around 10:00 go to sleep so that you can get 6 to 7 hours of sleep before 4:30 am. A good practice is to massage the soles of your feet with calming ol before going to bed. This will calm your system and promote well being.  

Please Click Here to request more information about Atharva Multispeciality Ayurveda Hospital. 

Special Treatments At Atharva Ayurveda

• 100% sucessfull treatment of Leucoderma(Vitiligo) and Psoriasis
• State of the art Keralian Panchkarma treatment center.
• Cancer Diagnostic, Treatment & Diet information center.
• Special Ayurvedic Treatment in Cancer to combat the side effect of Radio Therapy and Chemotherapy.
• Immuno Therapy for all immunodeficient disorders.
• Skin Care : Leucoderma, Psoriasis, Eczema, Pimples and All Skin diseases.
• Obesity center : Weight loss and gain.
• Mental Care : Tension, Depression, Epilepsy, Mental Deformity care by Atharva's Special Ayurvedic Treatment.
• Hair Care : Special Ayurvedic treatment for Alopecia, White Hair, Dandruff and other hair problems.
• Ayurvedic Treatment for Chronic Cold, Asthama, Paralysis, Spondylytis, Osteo Rhematoid Arthritis, Diabetis Malitas, Abdominal Disorders and Liver Disorders.
• Special Ayurvedic Treatment for all types of Renal(Kidney) disorders including ARF(Acute Renal Failure), CRF(Chronic Renal Failure), Renal stones.
• "KshaarSutra" Therapy to cure Piles, Fisher and Fistula available.
• Infertility Treatment Center.
• Yoga Center.
• Special Paediatric treatment available for New Born Babies for their physical and mental growth.
• Special Ayurvedic Treatment for all types of chronic and acute diseases available at "Atharva".

TREATMENT PACKAGES
Deerghayu Kalpa
This is for rejuvenation of the patient. Panchakarma, Yoga and Kutipraveshika Rasayana are applied to make the individual to lead a long and healty life. During repeated cell division waste material gets accumulated that is known as Ama. It is essential to eliminate this in order to cleanse and condition the body which is a part of this Kalpa.
 
Madhumeha Kalpa
This section is exclusively meant for the management of diabetes. Patients of diabetes are made to lead a peaceful life by rregularly monitoring their blood sugar, treating with our popular research product Insol-N, counselling, Yoga, diet chart, etc.
 
Medohara Kalpa
This is exlusively meant for the management of obesity. Weight reduction, management of obesity related problems will be done by Panchkarma, Yoga and proper dietary advice.
 
Madatyaya Kalpa
This is the de-addiction clinic. Here, victims of addictions like alchohol, tobacco etc. are treated with the research product herbadict, counselling, Yoga, meditations etc.
 
Tvak Shuddhi Kalpa
This is mainly for the management of skin disorders by cleansing methods of Panchakarma, special medications, meditation etc.
 
Prajna Kalpa
This includes the management of psychological and psychosomatic problems. Treatment package is offered to manage anxiety disorders, depression, stress factors, mental retardation, epillepsy etc. This will be very useful for software engineers, students, intellectuals, scientists, teachers etc.
 
Marma Chikitsa Kalpa
This is specially designed for pain management in the conditions like musculo-skeletal disorders like arthritis and neurological diseases like sciatica, etc. Special techniques like Marma Chikitsa are used to relieve pain in last stage of Cancer.
 
Koshtha Shuddhi Kalpa
This treatment is for diseases pertaining to the gastro-intestinal tract like hyperacidity, peptic ulcer, indigestion, amoebic dysentery, mal absorption syndrome, liver diseases like hepatitis, cirrhosis etc.
 
Mutra Shuddhi Kalpa
This is specially designed for the management of renal disorders as per Ayurvedic principles, therapy helping to avoid dialysis. Here the conditions like prostate enlargement, urinary stone etc. will be treated effectively.
 
Hrdroga Kalpa
This is mainly designed to prevent the cardiac disorders, to strengthen cardiac muscles, to treat the conditions like cardiac arrhythmia, ischemia, hypertension etc. in Ayurvedic way.
 
Shvasahara Kalpa
This is the special treatment package for the diseases pertaining to the respiratory tract like allergic bronchitis, allergic rhintitis, bronchial, asthma, pulmonary tuberculosis etc.
 
Urdhvanga Kalpa
This is especially for the maintenance of health of ears, throat, nose and head. Special therapies like Nasya, Karna, Purana, Gandusha etc. are available for this purpose.
 
Sunayana Kalpa
This is specially designed for the prevention and treatment of eye disorders. It has been observed that the practice of eye exercises and judicial administration of special therapies like Tarpana, Putapaka etc. will prevent the use of heavy spectacles.
 
Kumara Kalpa
This section is mainly to manage the pediatric problems and to improve their physical and mental health.
 
Soundarya Kalpa
This is specially meant for the overall care of women. It includes the Ayurvedic way of enhancing the beauty and covers the skin care of face, hair care, management of gynecological problems etc.
 
Mahoushadha Kalpa
This is a special research section with integrated approach for the treatment of cancer. Early detection of cancer, administration of special research products meant for reducing the tumour mass, enhancing the immunity and also the remove the aftereffects of radiation and chemotherapy are some the the highlights.
 
Special PANCHKARMA Packages 
Fee structure for each PanchKarma Therapy

• Vamana  3000/INR 
• Virechan  3000/INR 
• Basti  2500/INR 
• Nasya  1500/INR 
• Rakta Mokshana  2000/INR 

Fee structure for each PanchKarma Therapy

• Body Massage & Steam  Rs.500/- per day 
• Udvartanam  Rs. 400/- per day 
• Shirodhara  Rs. 500/- per day 
• Shirobasti  Rs. 500/- per day 
• Herbal Bath  Rs. 300/- per day 
• Obesity Program  Rs. 300/- per day 
• Mud Therapy  Rs. 300/- per day 

* Above charges does not include Medicine charges.
* Whole "Panchakarma Package" for NRI'S and Foreigners in just 2000/US$ including 3-star acomodation 

Diseases Being Treated 
Leucoderma
Leucoderma is skin condition characterized by gradual of malanin pigment from the skin layers which results in white patches. The patches look ugly especially in whitish or dark complexioned persons. The condition doesn't cause any organic harm.
 
Psoriasis 
Psoriasis is a disease of the skin in which raised,rough,red areas appear,covered with fine silvery scales.Ayurveda believes that impurities in the blood associated with emotional factors are the cause of the disease.

Genetic predisposition is a common common factor in the etiology of psoriasis. Environmental factors also contribute in its attack. Trauma,sunlight ,infection, emotional stress, climatic changes may precipitate relapses. Patient with AIDS often present with severe psoriasis. In some persons, psoriasis appears repeatedly at a particular season, especially in spring and autumn, but it is not infectious.

The eruption always appears first round the back of elbow and the front of the knees. It begins as small pimples, each covered with a white cap of scale, which enlarge in breadth till they form patches. At the same time, patches appear on other parts of the body especially the scalp and the face.
 
Eczema
Eczema,in Ayuveda is a superficial disease of the skin and is of an inflammatory nature.It is more often known as dermatitis or inflammation of the skin.

Causes and Symptoms
The disease may be genetic in origin.Young adults of both the sexes are usually affected.It is more common in summers.
According to the symptoms it can be classified in three main types-acute,subacute and chronic.All the three phases may coexist simultaneously.
Accute :
Redness and swallowing usually with an ill-defined border.Papules,large blisters,vesicles and scaling is seen.
Subacute :
Redness and crusting are present without the extreme swelling.
Chronic :
Less vesicular, more scaly,skin pigmented and thickened and with fissures.
According to Ayurveda,eczema is a minor form of leprosy and is caused by the aggravation of kapha in addition to vata and pitta.
 
Paralysis
Paralysis are of different types partial,total,paralysis in grown ups and children.Paralysis or palsy means loss of muscular power due to some problem in the Nervous System.Various technical names are given to various forms of the disease.Hemiplegia is applied to paralysis affecting one part of the face along with the corresponding arm and leg.Diplegia means total paralysis.Monoplegia is the paralysis of single limb.Paraplegia means paralysis of both sides.In Ayurveda Paralysis is mainly due to imbalance of VATA.
 
Urticuria
Urticuria is a recurrent transient cutaneous swellings and erythema,sometimes caused by an allergy but often mediated by non-allergic methods.

Causes and Symptoms
Physical allergens are cold,heat and sun.Inherited allergens are hyper sensitivity and hereditary anguioedema.Pharmacological allergens include drugs,food,inhalants,pollens and animal dander. Besides this miscellaneous allergens like intestinal parasites, pregnancy,diabetes and hyper thyroidism.Lastly,there may be idiopathic allergy also.
Raised red and white patches occur in parts or over the whole surface of the body and are accompanied by severe itching and irritation.
Modern medicine believes allergy to be the causative factor of urticuria, but the real reason is the aggravation of kapha and vata in conjunction with vitiation of pitta.
 
Hair Care 
Special Ayurveda treatment for Alopecia(Hair Fall),White Hair,Dandruff and other Hair Problems.
Ayurveda texts mention that the skin is a rolling landscape called as keshabhumi and the hair(Kesh) as a grass growing on it.
For the proper growth of hair, the skin should be unctuous, clean, reddish and devoid of any wounds.

Ayurvedic hair care is a procedure which is fulfill in three steps- 

• Shiroabhyanga
• Gentle head massage with oil (According to dosha)
• Shiroswedana
• Herbal steam on hair roots and scalp.
• Kesholepa  

Applying herbal patste on scalp, hair roots nad whole hairs. After this procedure, when the paste becomes dry, rinse your hairs with plain water without using any shampoo or soap.

This treatment helps to remove dandruff, stop premature graying and falling of hair.
 
Baldness(Alopecia) and Alopacia Areata:
Hair loss or baldness is usually caused because of genetics (inherited tendency), disease, medications, stress, injury or damage to the hair. Generalized hair loss is termed Alopecia whereas small, circular bald patches are termed as Alopecia Areata. The two conditions have been clubbed here together because of similarity of symptoms, and the Ayurvedic principles of treatment for both are described here. It is noteworthy to mention here that treatment is usually effective for premature hair loss, and where the cause is amenable to treatment.

In Ayurveda:
Baldness is termed as "Khalitya" in Ayurveda. Alopecia areata is termed as "Indralupta". Ayurvedic herbal treatment is aimed at treating known causes, immunorestoration, treating the local scalp condition and reducing stress.

Ayurveda Treatment:
Local Treatment:
Medicated oils are used for local application. Some of the commonly used oils are: Vranashodhan oil, Bhrungraj (Eclipta alba) oil, Amalaki (Emblica officinalis) oil, Brahmi (Bacopa monnieri) oil, Jaswand (Hibiscus rosa-sinensis) oil, Vatajatadi oil and Bhallatak (Semicarpus anacardium) oil. Some Ayurvedic physicians use leech therapy at the bald spots before using the above mentioned local medications. Some advise a course of enemas of medicated milk (called as "Tikta-Ksheer Basti") in conditions of extensive hair loss.

Immunomodulators:
Some medicines which are used orally are: Arogya Vardhini, Gandhak Rasayan, Laxadi Guggulu, Rasayan [ a combination of Gokshur(Tribulus terrestris), Amalaki (Emblica officinalis) and Guduchi (Tinospora cordifolia)].

Ayurveda believes hair to originate from the "Asthi" or bone tissue, and therefore, to treat hair loss, medicines to strengthen bone are given orally on a long-term basis. Some medicines used for this purpose are: Pancha Tikta Ghruta, Mahatikta Ghruta, Praval Panchamruta, Laxa and Asthishrunkhla (Cissus quadrangularis). Milk and black gram are advised for consumption in large quantities.

Medicines like Brahmi (Bacopa monnieri), Jatamansi (Nardostachys jatamansi), Shankhapushpi (Convolvulus pluricaulis) and Vacha(Acorus calamus) are given orally to reduce stress.

Detoxification(Panchakarma) Treatment:
It is believed that regular application of medicated oils in the nose (a procedure called "Pratimarsha Nasya") has an important role to play in preventing premature baldness and graying of hair. Anu oil and Panchendriya Vardhan oil are usually used for this procedure.

MASSAGE 
Massage the word immediately brings into our mind relaxation in all spheres.

Massage is done in following ways-

Circulatory Massage
Circulatory massage includes systems such as Swedish and Esalen forms of massage. The emphasis is on strokes that enhance the movement and eliminations of toxins from the muscle tissues, lymph system and the blood. Most of the strokes are repeated numerous times.

Deep Tissue Massage
Deep tissue massage is a slow stroking of the muscles in specific area to allow deep pressure. This method utilizes compression and holding in addition to the stroking motion. Most of the massage will be at a localized area of the body. This method may open blocked energy channels, relieve muscle ache and strain and may release emotions.

Appart from the above mentioned types there are many methods or styles being practiced in different parts of the world like the Ayurvedic Kerala Massage, the Chinese Accupressure massage etc.

Benefits Of Massage
Mental Benefits
Massage helps to create a calm state of alertness while reducing mental stress. It can create calmer mind, and increases the capacity for clear thinking. It is relaxing and allows the body to release stored stress.

Physical Benefits
Massage improves circulation, improves joint flexibility, aids in healing scar tissue due to injury. It also releases chronic muscle tension and pain, reduces physical fatigue, releases muscle spasms and cramps, aids in the release and elimination of toxins, promotes deeper and easier breathing, reduces blood pressure, relieves tension related to headache and eye strain. Massage nourishes your skin, improves posture and body awareness. It has been proven to aid in fibromyalgia.

Emotional Benefits
Massage creates a feeling of well being while reducing anxiety. It creates awareness of body-mind connection, enhances a sense of harmony and energy flow at all levels.

Arthritis 
The ayurveda suggests that arthritis is caused primarily by an excess of ama and lack of agni. This can be caused by poor digestion and a weakened colon, resulting in the accumulation of undigested food and the buildup of waste matter. Poor digestion allows toxins to accumulate in the body, and problems with the colon allow the toxins to reach the joints.

So, the way to treat arthritis is to stimulate the digestive fire (agni) and to suppress the ama.
Ayurveda distinguishes three categories of arthritis, corresponding to vata, pitta, and kapha. To treat this condition properly, it is vital to carefully diagnose which type you have.

Types of Arthritis according to Ayurveda

i) Rhematoid Arthritis
Rheumatoid arthritis is a chronic disease which usually affects middle aged persons, and is seen more in women than in men. Children too, may get affected. In this disease, the synovial membrane, or the covering tissue of the joints gets swollen, resulting in stiffness, pain and limitation of movement. In severe conditions, the joints may ultimately become deformed. A disturbed immune function is believed to be responsible for this disease.

In Ayurveda
In Ayurveda, rheumatoid arthritis is known as "Sandhi Vata". This is not to be confused with "Aam Vata" which is the name given to Rheumatic Fever, or the fever which causes pain and swelling in joints and also affect the heart.

Management Of Rhematoid Arthritis
Rheumatoid arthritis of recent origin usually responds well to standard anti-inflammatory treatment. However, by nature this is a chronic disease, and while symptoms can be controlled, there is presently no cure. Standard modern medicine may not be very helpful once the condition becomes chronic, or treatment may have significant side effects. It is in such patients that Ayurvedic herbal treatment may be very useful and effective. One major advantage of Ayurvedic herbal medicines in such an affliction is that medicines may be taken for long periods without any serious side-effects.

Ayurveda Mangement
Ayurvedic treatment of rheumatoid arthritis consists of the following procedures:
(i) "Snehan" ( use of local and oral medicated lubricants)
(ii) "Swedan" (local fomentation)
(iii) "Lep" (Local application of medications)
(iv) "Anuloman" ( mild laxative treatment for prolonged periods)
(v) "Raktamokshan" (blood letting)
(vi) "Dahan" (local heat branding ) and
(vii) "Shaman" ( symptomatic oral treatment).

Mahanarayan oil( containing mainly Asparagus racemosus), Bala (Sida cordifolia) oil, Vishgarbha oil are some of the medications used for snehan procedures. While local application is quite simple, oral use of medicated lubricants is best done under the direct supervision of a qualified and experienced Ayurvedic practitioner.While local fomentation can be done in several ways, "Naadi swedan" is the most effective. In this procedure, a jet of medicated steam is directed at the affected joints, usually after the snehan procedure. A decoction of Nirgundi (Vitex negundo) is usually used for this procedure.

Local Application
Local medicated applications include Lepgoli, Dashang lep, and a mixture of Shrung, Daruharidra ( Berberis aristata), Alum, and Rakta Chandan (Santalum album). Several medicated herbal ointments are also available.

Local pain can be immediately reduced by blood-letting. This can be done by syringe or using leeches. About 50 ml. of blood is usually withdrawn from a vein near the affected joint. Local heat branding is used by some physicians to reduce acute tenderness of the joints. Various special metal instruments are used for this procedure.Castor oil and Haritaki (Terminalia chebula) treated with castor oil are used for mild, prolonged laxative treatment.

Oral Ayurveda Management
Oral medications include Maharasnadi decoction, Triphala Guggulu, Yograj Guggulu and Ashwagandharishta. Shallaki (Boswellia serrata) and Guggulu (Commiphora mukul) compounds are given for prolonged periods. Multiple herbal compounds containing Guggulu are available, which are used according to the presenting symptoms and the staging of the disease as done by the Ayurvedic practitioner.

Diet Management
It is advisable to avoid very sour, salty and cold (refrigerated) food products, as also fermented products. Using tolerable amounts of ginger and garlic in the daily diet is helpful. Some yogic asanas have been found to be useful in arthritis, and may be performed regularly under the supervision and advice of an expert in this field. Vata-If arthritis is due to vata, your joints will crack and pop. They become dry and are not swollen as they may be if excess vata is not the cause.

Pitta-The arthritis is characterized by inflammation. The joint becomes swollen and is painful even without movement. It often looks red and feels hot to the touch.

Kapha-In kapha-type arthritis, the joint also becomes stiff and swollen, but it feels cold and clammy rather than hot. A little movement, rather than aggravating the pain, tends to relieve it.

General Treatment of Arthritis
Depending on a person's lifestyle, diet, and emotional pattern, either vata, pitta, or kapha goes out of balance. Then that particular dosha slows down agni (digestive fire), resulting in the toxic, sticky by-product of inadequate digestion known as ama.

Vata, the main active dosha, brings the ama into the colon, and from there it travels through the system and lodges in the bone tissue and in the joints, giving rise to the stiffness and pain characteristic of arthritis.

Ayurveda attempts to remove the ama from the joint and bring it back to the colon, and then to eliminate it. To do this, we need to keep the colon clean. It is best to determine the type of arthritis and manage it for the remedies recommended for the specific type. If you do not know whether the arthritis is vata, pitta, or kapha arthritis, take 1 teaspoon triphala at night with 1/2 to 1 cup warm water.

If you know positively which type it is, you can use the following (1/2 to 1 teaspoon with warm water):

• Haritaki for vata-type arthritis
• Amalaki for pitta-type
• Bibbitaki for kapha-type arthritis

Ayurveda recommends general techniques for increasing the intensity of the digestive fire (agni) in order to burn up the toxins that are harming the body.

Hot, spicy foods and herbs, including galangal and cayenne are frequently used.

Detoxification diet
A three- to five-day detoxification diet is often prescribed. Vegetables, juices, spices and herbs are taken during the fast, which lasts until the body shows signs that the digestive fire is burning strong. These signs include a return of the appetite, a feeling of lightness and a clear coating to the tongue.
Enemas and other means of cleaning the colon are often used to help detoxify the body.
Ruby, garnet or other "hot" gems set in gold are used for all three types of arthritis.
Various oils may be applied to the skin in order to help the body clear toxins, relieve pain and restore mobility.

Mahanarayan oil improves flexibility, stiffness, muscle fatigue, and removes pain. It is mixed with sesame oil (1:1) and applied to the painful areas. This oil also breaks up blockages and begins to heal locally. After oil application, warm heat, yoga, bath, or mild exercise further improves this situation.

Narayan oil is good for muscle and joint pain, lower body circulation, and reversing imbalances caused by aging.

The patient may be asked to sit in a sauna, or may have steam applied directly to the afflicted areas.

A variety of herbs, spices and bitters are used in ayurveda. These are often applied externally or ingested. These are believed to cleanse the body and to relieve pain and stiffness. Mint, ephedra, golden seal, gentian, nirgundi, eucalyptus leaves, prasarini, quassia, coptis, scute, phellodendrom, aloe, guggul, du huo, ligusticum, Siberian ginseng, myrrh, and yucca are some of the herbs used.

Treating Vata-type arthritis

Diet-In addition to the general treatment, Vata-type arthritis responds well to a three- to five-day detoxification diet and an anti- Vata diet. This diet includes warm, heavy and moist foods that give one strength.

Herbs, Essential Oils-Take yogaraj guggulu, 1 tablet 3 times per day. it cleanses bone tissue, strengthens bones, and improves flexibility.

Take 1/2 to 1 teaspoon Haritaki with warm water Apply mahanarayan oil on the affected joint, followed by application of local moist heat. For example, apply the mahanarayan oil into the affected joint, rub it into the skin, and then soak your foot in warm to bearably hot water. Add a "teabag' of brown mustard seeds to the water. (Wrap 2 tablespoons of mustard > seeds in a handkerchief or cheesecloth to make the tea bag.)

Helpful yoga postures:

• Forward Bend
• Chest-Knee pose
• Maha Mudra
• Half Bridge pose

Treating Pitta-type arthritis
Pitta arthritis often has more pain and inflammation associated with it than other types.

In addition to the general treatment, Pitta-type arthritis responds well to a five- to seven-day detoxification diet and an anti-Pitta diet. Specific herbs for Pitta arthritis include guggul, sandalwood, aloe, saffron and chaparral. Apply ice packs on the inflammed part to quell the "fire."

Diet-The anti-Pitta diet consists of cool, slightly dry, and heavy foods.

Useful Ayurvedic Herbal Formulas

• Take 1 tablet of kaishore guggulu (350 mg.) 3 times a day.
• 1/2 teaspoon sudarsban twice a day, washed down with warm water.
• Brahmi and sandalwood oils (mixed together) are very beneficial.
• Musta and nirgundi relieve pain.
• Externally, apply cool castor oil or coconut oil to the painful area.

Apply a cooling substance, such as sandalwood powder paste to the affected part. Make the paste by taking 1 teaspoon of sandalwood powder and adding sufficient water to make a paste. Rub it gently onto the joint.
If the joint is hot and inflamed, put an ice-bag on it. This will help to ease the pain and inflammation.

Helpful yoga postures:

• Boat
• Bow
• Camel
• Cow
• Locust
• Moon Salutation

Treating Kapha-type arthritis
Arthritis is classified as kapha when the joint is painful, swollen, stiff, and feels cold and clammy to the touch.

Diet-In addition to the general treatment, Kapha-type arthritis responds well to a one- to two-week detoxification diet. The anti-Kapha diet is light, dry and warm. Avoid cold, oily, and heavy foods.

Herbs
Pure guggul is best for this condition.

Punarnava guggulu tablets (250 mg.). Take 1 tablet 3 times a day.

Apply a paste of vacha (calamus root) powder externally to the joint. To make the paste, add sufficient warm water to 1 teaspoon of powder to make a paste.

If the joint fills with fluid, make an paste of equal amounts of punarnava powder and ginger powder. Mix 1 teaspoon of each with enough warm water to form a paste, and apply on the joint.

Hot herbs are also helpful, such as cinnamon, dry ginger, turmeric, trikatu.
 
ii) Sciatica and Cervical Spodylosis
Sciatica is the name given to the disease in which there is pain, tingling or numbness due to irritation of the nerve roots that form the sciatic nerve, which originates in the lower back and extends down into both the legs till the feet. Cervical Spondylosis is the name given to the disease in which there is pain, tingling or numbness due to irritation of the nerve roots that form the brachial nerve, which originates in the neck and extends down into both the arms till the hands. Both diseases are discussed here together, since the causative factors, symptoms and the treatment required for both are very much similar, only the location of the pain is different. The pain of sciatica is in the lower back, radiating down to the leg and foot, whereas the pain of cervical spondylosis is in the neck and shoulder, radiating down to the arm and fingers. Sciatica pain has typically more of a dramatic onset, usually due to a ruptured or herniated disc which presses on the nerve roots and causes the pain. The pain can be severe enough to cause acute limitation of movement. This can happen in cervical spondylosis too, however, here it is more common to have a gradual onset of pain due to degeneration of the neck vertebrae.

In Ayurveda
In Ayurveda, sciatica is called as "Grudhraci" and cervical spondylosis is called as "Vishwachi".

Ayurvedic treatment of sciatica consists of the following procedures:

Panchakarma

(i) "Snehan" ( use of local medicated lubricants)
(ii) "Swedan" (local fomentation)
(iii) "Basti" (Medicated enema)
(iv) "Anuloman" ( mild laxative treatment for prolonged periods)
(v) "Dahan" (local heat branding ) and
(vi) "Shaman" ( symptomatic oral treatment).

Vishgarbha oil in acute condition, and Mahanarayan oil ( containing mainly Asparagus racemosus) for chronic pain is used for local snehan procedure. Local fomentation can be done mainly in two ways. The first is "Naadi swedan" in which, a jet of medicated steam is directed at the back and affected leg, usually after the snehan procedure. A decoction of Nirgundi (Vitex negundo) is usually used for this procedure. The second procedure is called as "Awagah swedan", in which the patient is made to recline in a tub filled with warm decoction of Nirgundi, Dashmool (Ten Roots) or ErandMool (Root of Ricinus communis). Medicated enemas are given using Vishgarbha oil, Mahasahachar oil and Mahanarayan oil. Castor oil and Haritaki (Terminalia chebula) treated with castor oil are used for mild, prolonged laxative treatment.

Ayurveda Medicine(Local)
Local heat branding is used by some physicians to reduce severe pain in the leg. The branding is usually done at the site of maximum tenderness in the lower back or buttock . Oral medications include Mahavat Vidhwans, Vata Gajankush, Maharasnadi decoction, Triphala Guggulu, and Yograj Guggulu. Guggulu (Commiphora mukul) compounds and other herbal combinations are given for prolonged periods depending upon the symptoms and severity of pain. Most patients respond well to these medicines and are usually cured in a period of 1- 3 months. For degeneration of the cartilage or bones, prolonged treatment may be required. Though rare, it is important to rule out other cause of sciatica, like tumor. If there is gross structural damage to the back-bone, this may have to be first treated surgically. Ayurvedic herbal medicines, given later, may help in recovery of nerve damage. The same treatment applies to cervical spondylosis, except that enema and laxative treatment may not be helpful here, and the heat branding is done on the shoulder blade. Fomentation is done using the "naadi swedan" procedure. A specialized form of enema, called "Tikta-ksheer basti" is used in severe cervical spondylosis, and the repeated use of this enema gives results where other treatments have failed. It is advisable to avoid cold (refrigerated) food products, as also foods which may cause abdominal bloating. It is also better to refrain from very vigorous and heavy work or exercise.

iii) Neuritis(Neuralgia)
Multiple Neuritis is a degeneration of peripheral nerves, and is also known as Peripheral Neuropathy or Polyneuritis. This is characterized by a slow onset of disturbed sensations, sensory loss, and weakness and shrinking of muscles in the hands and feet. There are various causes for this, including nutritional deficiencies, metabolic and inflammatory conditions and chronic intoxication due to alcohol, metals and drugs.

In Ayurveda
In Ayurveda, the above symptoms are believed to be due to disturbed "Vata" dosha. The disease process is believed to take place in two ways; one being a direct increase in the "Vata" dosha, usually due to quantitative decrease in the "Dhatus" or body tissues, and the other being a disorientation of the "Vata" dosha due to obstruction in the normal channel pathways. The first type of disease process is called as "Nir-upastambhit Vata-vyadhi" and the second type is termed as "Upastambhit Vata-vyadhi". The two can be differentiated by a detailed medical history and a careful observation of the symptoms.

Ayurveda Treatment :

Panchakarma
Vishgarbha oil in acute condition, and Mahanarayan oil ( containing mainly Asparagus racemosus) for chronic pain is used for local snehan procedure. Local fomentation can be done mainly in two ways. The first is "Naadi swedan" in which, a jet of medicated steam is directed at the back and affected leg, usually after the snehan procedure. A decoction of Nirgundi (Vitex negundo) is usually used for this procedure. The second procedure is called as "Awagah swedan", in which the patient is made to recline in a tub filled with warm decoction of Nirgundi, Dashmool (Ten Roots) or ErandMool (Root of Ricinus communis). Medicated enemas are given u

Ayurveda Medicine
The medicines used orally are: Ashwagandha (Withania somnifera), Shatavari (Asparagus racemosus), Masha (Phaseolus mungo), Kohla, Abhrak Bhasma, Raupya Bhasma, Suvarna Bhasma, Chandan-Bala-Laxadi Oil, Shatavari kalpa, Kushmand-avaleha, Mahayogaraj Guggulu and Vasant-kusumakar Rasa. Thus, the overall aim here is to build up and strengthen the body tissues. On the other hand, treatment for the Upa-stambhit vata is aimed at reducing or eliminating the blockage in the normal channel-pathways of the vata dosha, cutting down overgrowth of the body tissues, and causing "Anulomana", i.e., helping the vata dosha to circulate in a normal way. The medicines used orally are: Triphala Guggulu, Yogaraj Guggulu, Maharasnadi Qadha, Dashamool Qadha, Gandharva Haritaki, Lashunadi Vati, Mahavata Vidhvansa, Ekangaveer Rasa etc. Herbal medicines used are: Rasna(Pluchea lanceolata), Dashmool (Ten Roots), Guduchi (Tinospora cordifolia), Deodar (Cedrus deodara), Hinga (Ferula narthex), Bhallatak (Semicarpus anacardium), Triphala (Three fruits) and Trikatu (Three pungent herbs). A suitable diet and appropriate lifestyle is recommended in both the disease processes, which will help in reducing symptoms and preventing further deterioration. Needless to say, the treatment has to be tailor-made for each patient according to the presenting symptoms. Significantly, a carefully selected treatment regime, if followed faithfully, gives astounding results, even with very chronic and debilitating disease.

iv) Paralysis(Stroke)
Stroke is a medical emergency which results when the blood supply to a part of the brain is cut off or greatly reduced. An ischemic stroke is the most common type of stroke, occurring about 80 - 85 % of the time, and is due to a blood vessel in the brain getting blocked because of cholesterol deposits called atherosclerosis, or because of blood clots called emboli. A hemorrhagic stroke, resulting from a ruptured blood vessel in the brain, while not so commonly seen, is definitely more serious.

Depending upon what part of the brain and how much of the brain tissue is affected, stroke can cause symptoms like weakness or paralysis of the limbs, paralysis of the muscles of the face, difficulty in speaking, coordination problems, dizziness, vision problems, sudden headache, and loss of consciousness. This can result in monoplegia (paralysis of one limb), hemiplegia (paralysis of upper and lower limb in one side of the body), and paraplegia (paralysis of lower limbs). Stroke is known in Ayurveda as "Pakshaghaat". Ayurveda has mentioned facial paralysis as a separate disease entity called "Ardita". Acute stroke is a full-fledged medical emergency where immediate hospitalization and specialized medical care of the patient can be life saving and can minimize permanent disability. After a patient is discharged from hospital, it is imperative to start Ayurvedic treatment at the earliest possible, to get maximum benefit.

The ancient Ayurvedic texts mention mild purgation as a special form of treatment for stroke. This treatment modality is, surprisingly, not recommended in Ayurveda for any other neurological condition resulting from a disturbed "Vata" dosha. It is believed that this treatment helps to reverse the pathology in stroke, by normalizing the "Prana Vayu" (which regulates the functions of the brain) and bringing about normal functioning of the blood vessels, muscles and tendons. Castor oil, and Haritaki (Terminalia chebula), treated with castor oil, are recommended for this purpose. Massage of the entire body using medicated oils, followed by steam fomentation, is considered an important part of the treatment for stroke. Bala (Sida cordifolia) oil and Narayan (Asparagus racemosus) oil are commonly used for massage, while a decoction of Nirgundi( Vitex negundo), Dashmool (Ten roots), or Erandmool (Root of Ricinus communis) is used for medicated steam fomentation.

"Basti" or medicated enema is also a unique part of Ayurvedic treatment for stroke. Both the "Niruh" and "Anuvaasan" types of enemas are used in an alternating fashion. Dashmool decoction is usually recommended for Niruh Basti, and Til oil (Oil of Sesame) is recommended for Anuvaasan Basti.

Medicated nasal drops are used to stimulate and bring about early recovery of the special sense organs. This therapy is known as "Nasya". Anu Tel (oil), Shadbindu Tel, Panchendriya Vardhan Tel and medicated ghee are used for this purpose.

Traditional Ayurvedic formulations used in the treatment of stroke are: Yograj Guggulu, Mahayograj Guggulu, Vata Vidhvansa Ras, Tapyadi Loha, Sameerpannag Ras, Vata Gajankusha Ras, Ekangveer Ras and Bruhat Vata Chintamani. Herbal medicines useful in this condition are: Sarpagandha (Rauwolfia serpentina), Rasna (Pluchea lanceolata), Dashmool, Ashwagandha (Withania somnifera), Bala, Maash (Phaseolus mungo) and Nirgundi.

Results with treatment depend upon the amount of permanent damage resulting from stroke, the time of commencement of treatment, the presence of other complications like high blood pressure and diabetes, and the overall physical and mental conditioning of the patient.
 
v) Bell's Palsy(Facial Paralysis)
Bell's Palsy is a paralysis or weakness of the muscles of one side of the face, usually due to damage to the facial nerve. It may also affect the sense of taste, salivation and tear formation. Most patients improve spontaneously within a few weeks to a few months, however, a few may have permanent residual facial weakness.

Bell's palsy is known as "Ardit" in Ayurveda. However, the symptoms of Ardit may be a part of stroke, i.e., a complete paralysis of one half of the body, while Bell's palsy is usually considered to be self-limiting. Ayurvedic treatment of this facial paralysis consists of local application, oral intake of medicated oils, local fomentation, medicated nasal drops therapy, and oral medication in the form of tablets.

Medicated oils used for local application, oral intake and nasal therapy are: Bala (Sida cordifolia) oil, Narayan (Asparagus racemosus) oil and Chandan-Bala-Laxadi oil.

Mouth wash and gargling with luke-warm water is considered very effective in relieving symptoms. Local medicated steam fomentation is given of decoctions of Erand mool (root of Ricinus communis), Rasna (Pluchea lanceolata), Dashmool (Ten Herbal Roots) and Nirgundi (Vitex negundo). Dry fomentation is given by preparing a poultice (medicated packet) of wheat flour and oil.

Oral medications useful in facial paralysis are: Yograj Guggulu, Trayodashang Guggulu, Vata Vidhvansa Rasa, Sameerpannag Rasa, Brihat Vata Chintamani, Tapyadi Loha, Dashmoolarishta and Bhallatakasava. Single herbal medicines used are: Guggulu (Commiphora mukul), Nirgundi, Dashmool, Ashwagandha (Withania somnifera), Shatavari (Asparagus racemosus) and Kuchila (Purified Strychnos nuxvomica).

For refractory patients, some physicians advise blood-letting from a nearby vein or by leech therapy. Courses of medicated enemas are also advised in some patients. Milk, ghee, butter, mutton soup and black gram are advised in the diet in large quantities. It is best to avoid prolonged exposure to cold.

Chronic Bronchial Asthma(Svasa Roga)

A detailed description and differential diagnosis of a group of disorders involving respiratory distress (dyspnea) is given in all three of the major Ayurvedic compendiums. These diseases are collectively known as svasa roga , of which five varieties are described. These include: maha svasa, urdhva svasa, chinna svasa, ksudra svasa, and tamaka svasa. The last variety, tamaka svasa , corresponds to chronic persistent bronchial asthma of allopathic medicine.

In Ayurveda, it is considered the only type of respiratory distress which can be controlled, and then only with diligence on the part of the patient and physician. In striking similarity to the modern allopathic description, tamaka svasa is defined in Ayurveda as a chronic and recurring condition characterized by dyspnea, cough, airflow obstruction, and wheezing.

Although the concept of atopy and hyperactivity were unknown, Ayurveda was clear on its understanding of this condition as multifactorial, including environmental and emotional factors. 
 
Incidence/Prevalence
The prevalence of both adult and childhood asthma is reported to be increasing worldwide. Up to 10% of people have experienced a documented episode of asthma. In the United States, approximately 12 million individuals have been diagnosed with asthma. Between 1982 and 1992 the prevalence of asthma increased from 34.7 to 49.4 per 1000. In addition the death rate from this condition actually increased from 13.4 to 18.8 per million. The mortality rate was five times higher in African Americans than in Caucasians. 
 
Etiology/Risk Factors
Vagbhata gives a clear explanation of the causes and evolution of asthma. In all cases there is an antecedent period of aggravation of both Vata and Kapha doshas. A very great number of factors can be responsible for aggravating these two doshas, and to list them all would not be possible. However several vitiating factors are specifically mentioned by Vagbhata and therefore merit mention. He cites chronic diarrhea due to indigestion which goes untreated, excessive vomiting, poisons, anemia, fevers, excessive exposure to dust, smoke or strong wind, trauma to the vital organs, and drinking very cold water.

At this early stage in the disease process, if these signs and symptoms are recognized and properly treated by pacification and elimination of the aggravated doshas, the disease (asthma) will not appear. However, if left untreated and if further aggravated, Kapha will obstruct the movement of Vata in the chest area. Due to this obstruction, Vata spills out of its normal channels ( srotas ) and spreads in all directions, carrying with it the vitiated Kapha dosha. As a result, the three major channels in the chest region become blocked and, to a greater or lesser degree, dysfunctional. These channels are Prana Vaha Srota (governs respiration), Anna Vaha Srota (governs digestion of food), and Udaka Vaha Srota (governs water distribution). At this point the disease is no longer in its incipient stage and asthma --tamaka svasa-- has manifested.

The role of psychological stress in asthma is important but not yet completely understood. Not only is there emerging evidence that stress can precipitate asthmatic exacerbations but also that it may be an independent risk factor in the prevalence of the disease. The mechanisms involved in this association have not yet been fully defined and may involve increased production of proinflammatory cytokines.

Signs and Symptoms
The signs and symptoms of this disease are vividly enumerated in both the Caraka Samhita and the Astanga Hridayam and are worth noting:

• The breathing becomes very fast and audible
• The patient becomes tremulous on occasion
• There is chronic nasal discharge and stiffness of the head and neck
• There is excessive thirst
• The patient coughs constantly, sometimes to the point of senselessness
• If the obstructing phlegm does not come out during the cough, the patient becomes exceedingly miserable and after expectoration there is relief for some period of time.
• The throat becomes inflamed and he speaks only with great difficulty
• Due to his dyspnea (difficulty breathing), he does not sleep even after lying down in bed.
• Breathing is difficult while lying and there is some relief with sitting
• The patient desires to have hot things
• The eyeballs are gazing upwards (i.e. wide open) and perspiration appears on the forehead
• The mouth is dry
• There are periods of frequent attacks of dyspnea followed by periods of no attacks
• The condition is aggravated by the onset of clouds in the sky, rain, cold breeze, drinking cold water, wind coming from the east, and regimens and diets which are cold in quality.

Prognosis
Although a full description of the other four types of svasa roga (dyspnea, or difficult breathing) is beyond the scope of this paper, a few comments are in order. Ksudra svasa is the mildest form of svasa roga it roughly corresponds to mild intermittent asthma and is said to be curable. Tamaka svasa (asthma) is the next mildest form of svasa roga yet it is considered difficult to cure. It roughly corresponds to mild persistent asthma in the modern allopathic classification scheme. Cure is possible if the disease is of recent origin or if it occurs in an otherwise strong and health individual. In a weak individual only palliation (i.e. alleviation) should be attempted. The other three types of svasa roga, namely maha svasa, urdhva svasa, and chinna svasa loosely correspond to other more severe forms of obstructive pulmonary disease, are incurable, and in time result in the premature demise of the patient.
 
Treatment
While an individual's constitutional type must always be kept in mind when developing a treatment plan for any disease, asthma is nevertheless generally treated by pacifying Vata and Kapha doshas. The treatment will always include two main strategies:
* Purification therapies (panchakarma) to eliminate the vitiated doshas.
* Herbal therapies to help re-establish normal physiological function in the affected tissues and organs.

However asthma is highly variable in its course and clinicians need to tailor their treatment plans to the needs of each individual patient. The general Ayurvedic principle is to initially gain control of the disease as quickly possible with strong Vata and Kapha purification measures which are then followed with appropriate herbal therapies.
 
Oleation and Fomentation Procedures
Patients must first undergo oleation therapy ( snehana ) this includes both external and internal forms of oil treatment. External oleation by daily oil massage should be administered first, for 7-10 days. The best oils in tamaka svasa are: narayana oil, talispatra oil, amra oil (from mango seeds), or chandrabala oil. Next, patients undergo internal oleation with daily intake of an appropriate unctuous substance for 3-7 days this is usually pure or medicated cow's ghee which should be at least six months old. During this period, patients have simultaneous sweat, or fomentation, therapy ( swedana ). This usually includes both general "steam box" treatments as well as pinda sweda . The latter therapy involves the placement of hot boluses of rice and special herbs wrapped in a cloth over certain points of the body. These points are called marma sthula and are similar to the Chinese acupuncture points.
 
Laxative Procedure
Following snehana and swedana therapies, a one-time virechana , or laxative therapy, is administered. Castor oil ( Ricinis communis ) in a dose of 2-3 tablespoons is generally used for this.
 
Therapeutic Vomiting Procedure
Finally, vamana , or theraputic vomiting therapy should be initiated this is the most important therapy in diseases involving respiratory distress. This usually involves three consecutive mornings when, following a light breakfast, patients are given an emetic herb (i.e. madana phala) and then asked to fill the stomach with cool water or milk to induce vomiting. Correctly performed, this is not at all uncomfortable and does not produce nausea. Weaker, very elderly, acutely ill, or cardiac patients however should not be given vamana therapy.

After completing these purificatory treatments, patients are given herbal therapies. The most efficacious in my experience are the following.
 
Ayurvedic Herbal Medicines
TYLOPHORA ASTHMATICA or TYLOPHORA INDICA Tylophora asthmatica or Tylophora indica ( antamoola )is an Ayurvedic medicine claimed to treat respiratory disorders in which mucus accumulation is a symptom. The leaves are used for asthma, bronchitis, common cold, dysentery, and rheumatism. It is believed to have cathartic, diaphoretic, emetic, and expectorant effects. This indigenous plant is recognized as a bronchodilator.

Shivpuri et al. conducted several studies on the treatment of asthma with Tylophora indica. In the preliminary uncontrolled study there was a relief of symptoms lasting a few weeks in 4050% of patients who chewed 1 leaf /day for 36 days. Two followup crossover, controlled, doubleblinded studies were performed by Shivpuri et al. with leaves and an alcoholic extract of Tylophora . Results showed complete to moderate relief of symptoms as compared to placebo: 62% chewing leaves vs. 28% placebo and 58% alcohol extract vs. 31% placebo. Also, relief of symptoms lasted 812 weeks in some patients. Patients who chewed leaves experienced a high incidence of side effects: sore mouth, vomiting, and loss of taste. Side effects were less pronounced with use of the alcoholic extract. In a controlled, unblinded study, Shivpuri showed that 71% of asthmatics had increased bronchial tolerance to an inhaled antigen 2 days after treatment with leaves. On follow-up, nine patients continued to demonstrate protection against inhalation challenges from 9 to 48 days after stopping treatment.

In two crossover, double blind studies by Thiruvendagan et al., patients showed reduction in nocturnal dyspnea after receiving a powdered leaf capsule as compared to placebo, but none demonstrated significant difference in other symptoms as compared to placebo or a capsule of standard medication containing ephedrine, theophylline, and phenobarbitone. There was a steady increase in maximum breathing capacity (MBC), vital capacity (VC) and PEF over 7 days with the Tylophora capsule as compared to placebo. These effects also differed from those of the standard medication that produced quick but transient rises in values. However, Gupta et al. acquired opposite results to the above studies. In his double blind study, no statistically significant difference was noted in symptom scores and pulmonary function tests after patients took powdered Tylophora leaf or placebo.

In 1975, Haranath et al. studied the mode of action of aqueous extract of Tylophora asthmatica. Tylophora prevented anaphylaxis and reduced Schultz -Dale reactions in guinea pigs. Tylophora also produced an initial leukocytosis followed by a reduced lymphocyte and eosinophil count in dogs. It had mild, brief antispasmodic action on contractions in tissues induced by histamine, Ach, and serotonin (5HT). This suggests that its primary action is not the antagonism of histamine or choline. Also, it apparently has no betaagonist effects because it produced a fall in blood pressure despite addition of propranolol.

Gore et al. studied the physiological basis of Tylophora by comparing its effects to a known bronchodilator (isoprenaline). In asthmatic patients there was a significant improvement in lung function tests. There also was an increase in urinary 17ketosteroid levels and decreased absolute eosinophil count.

Udupa et al. examined the effects of extracts of Tylophora on adrenal gland and the pituitaryadrenal axis in rats. Extracts of Tylophora increased the weight of adrenals and decreased cholesterol and vitamin C contents. It also antagonized dexamethasone/hypophysectomy-induced suppression of pituitary on adrenal activity. These results indirectly suggest that Tylophora indica might act by direct a stimulation of adrenals.

The major ingredient in Tylophora is tylophorine, an alkaloid. Gopalakrishnan investigated this alkaloid for its antiinflammatory and immunological effects. The results showed that pre-treatment with tylophorine provided 70% protection against anaphylaxis in guinea pigs. It also inhibited SchultzDale reactions and immunocytoadherence. Immunocytoadherence or rosette formation is the method by which antigen is bound to red cells and these cells adhere in vitro to lymphoid cells with corresponding antibody. Tylophorine inhibited mast cell degranulation by diazoxide (an agent that produces mast cell rupture by reducing cAMP levels in cells), but did not affect histamine release in mast cells incubated with tylophorine alone. Gopalakrishnan suggested that tylophorine might act by increasing cAMP levels.
 
PICRORRHIZA KURROA
Picrorrhiza kurroa, or kutki, is a small herb with tuberous roots that is used in Ayurvedic medicine for the treatment of liver and lung diseases (asthma, bronchitis), fever, anemia, dyspepsia, chronic dysentery, and arthritic conditions. It is claimed to have antiperiodic, cathartic, and laxative effects. It contains phenol glycoside androsin, kutkin, Dmannitol, vanillic acid, kutkiol, kutkisterol, and apocynin. The powdered root is used in medication and potentially has immunomodulating activity in cellmediated and humoral immunity.

In one study, 10 asthmatics were given powdered Picrorrhiza kurroa root b.i.d. for 14 days. Shah et al. noted an improvement in asthma symptoms in six asthmatics and improved lung function changes (FEV,) in four patients. Four patients had side effects ranging from headaches, nausea, vomiting, and abdominal pain to insomnia and giddiness.

Mahajand et al. demonstrated that pre-treatment powdered root of Picrorrhiza kurroa decreased sensitivity to histamine in guinea pigs. The severity and duration of allergic bronchospasm was reduced. Also, total histamine content in lung tissue was reduced. Pretreatment with Picrorrhiza inhibited histamine and slow reacting substances of anaphylaxis (SRSA) release in chopped lungs. Picrorrhiza kurroa also enhanced isoprenaline and adrenaline bronchodilator effects in the animals.

In a random doubleblind trial, 72 asthmatics were treated t.i.d. with Picrorrhiza kurroa root powder and placebo. Doshi et al. noted some initial clinical benefit. Despite this, there was no significant evidence of reduction in clinical attacks, need for bronchodilators, or improvement in lung function.

Dorsch et al. identified androsin, a phenol glycoside, as the active compound in Picrorrhiza kurroa. In a randomized, controlled, crossover study, it prevented allergen and PAFinduced bronchial obstruction in guinea pigs. Other unknown compounds inhibited PMN leukocyte histamine release.
 
ALBIZZIA LEBBEK
Albizzia lebbek, or shirisha, is an indigenous tree used for bronchial asthma and bronchitis in Ayurvedic medicine. It contains saponins. Tripathi et al. studied asthmatic patients who were treated with this plant and showed reduced histamine levels and elevated cortisol levels. Treated guinea pigs also were protected from histamineinduced bronchospasm. As a consequence, Tripathi further explored the effects of histamine and Albizzia. In a 1979 controlled study, 18 guinea pigs were treated with distilled water, histamine, or histamine plus alcoholic extract of Albizzia lebbek bark. Plasma cortisol, catecholamine, and histaminase levels were measured and lungs and adrenals were examined. Histaminase levels were high in both groups but were highest in histaminetreated groups. The cortisol levels were high in the histamine group and highest in the Albizzia group. Catecholamine levels were highest in the histamine group, indicating stress. Histologically, the adrenals in the Albizziatreated group had larger cells and nuclei with many microvacuoles, indicating hyperactivity. Also, lung tissue in the Albizziatreated group appeared normal as compared to bronchospasm and luminal obstruction in the histamine group. Tripathi concluded that Albizzia counteracts the effects of histamine either by possibly neutralizing histamine directly or by causing increased cortisol production.

In 1981, Tripathi et al. examined the effect of histamine and Albizzia on catecholamines. Twentyfour guinea pigs were treated with control, histamine, or histamine plus Albizzia lebbek extract for 7 days. Adrenal glands were examined for medullary noradrenaline and adrenaline granules. Catecholamine levels were high in the histamine group and near control levels in Albizziatreated group. Also, granule and medullary size and number were increased in histaminetreated group and resembled the control group in the Albizzia treated group. In the previous study, plasma histaminase levels were increased in the Albizziatreated group. Tripathi stated that the reduction in catecholamine levels in Albizzia treated groups may be due to production of histaminase (see previous study) or a possible antihistaminic activity in the plant itself. Also, the previous study noted a rise in cortisol level with Albizzia that Tripathi believed might help in suppressing histamineinduced reactions such as the increase in catecholamines.

Johri et al. examined the effects of Albizzia seed extract and pure saponin fraction on rat peritoneal mast cells. Active and passive anaphylaxis were induced in rats and their mast cells were collected. Results showed that ruptured mast cell numbers were reduced with the Albizzia extract and fraction and with disodium cromoglycate (DSCG). Johri concluded that Albizzia and its saponin derivatives protected mast cells from allergeninduced degranulation similar to disodium cromoglycate, and may potentially have mast cell stabilizing activity similar to that of DSCG.
 
ADHATODA VASICA
Adhatoda vasica ( vasaka or malabar nut) is used in India for cough, bronchitis, bronchial asthma, glandular tumors, consumption, diarrhea, dysentery, cough, fever, jaundice, and tuberculosis. Its leaves were smoked. Its leaves and roots were prescribed by Ayurvedic practitioners as a mucolytic, antitussive, antispasmodic, and expectorant. In other cultures, the fruit is used for bronchitis and the root is used for asthma, bilious nausea, bronchitis, fever, gonorrhea, and sore eyes. The essential oil is claimed to have expectorant, antitubercular, and antihelmintic effects. Active chemicals are considered to be alkaloids, vasicine, vasicinone, and vasicinol.

The pharmacological action of the alkaloids in Adhatoda vasica were studied as early as 1959. Amin and Mehta studied vasicinone for its action on guinea pig trachea and perfused lung and on intact guinea pigs. Vasicinone antagonized histamineinduced constriction, but was less effective than adrenaline. A quinazol4one ring is found in vasicine and vasicinone and may be responsible for the action of Adhatoda. Vasicinone is the autooxidation product of vasicine.Cambridge et al. stated that in vitro tests showed relaxation of guinea pig trachea rings by vasicinone and quinazol4one at about 1/2000 the activity of adrenaline.Vasicinone was 1/700 and quinazol4one was 1/3800 as active as adrenaline against histamineinduced contraction. In in vivo studies of anesthetized guinea pigs, vasicine produced bronchoconstriction at high doses. Vasicine and vasicinone were found to have a weak antihistaminic effect which was of short duration. Vasicinone had less antihistaminic activity than vasicine and the effect decreased at higher doses.

Lahiri and Pradhan studied vasicinol, an alkaloid from the roots of Adhatoda vasica. The results were compared to those of vasicine and vasicinone. Vasicinol caused a transient fall in blood pressure in cats, guinea pigs, and rats and the effect was reversed by atropine in cats. It caused negative inotropic and chronotropic effects on guinea pig hearts that were blocked by atropine. Cat respiration was slightly increased and blocked by atropine. It also potentiated AChinduced bronchospasm but inhibited the action of histamine. No contraction in guinea pig tracheal chain was noted. Vasicinol contracted guinea pig ileum, enhanced the contraction caused by Ach, and was blocked by atropine. It also potentiated ACh contractions in frog rectus abdominus. No analgesic or toxic qualities were noted. Similar results were seen with vasicine except it had no effect on guinea pig ileum and relaxed the tracheal chain at low dose. Vasicinone had no effect on blood pressure and respiration in cats. It relaxed the tracheal chain and slightly contracted the ileum with potentiation of ACh and blockage by atropine. These results indicate that vasicinol has a cholinergic nature. The therapeutic effect of Adhatoda may be explained by vasicinol's antagonism of histamineinduced bronchoconstriction. Also, vasicinone acts as a bronchodilator, whereas vasicine bronchoconstricts at high dose. As discussed, Arvin attributes the beneficial effects of Adhatoda to the autooxidation of vasicine to vasicinone.

To clarify the action of vasicine and vasicinone, Gupta et al. studied their effects in vivo and in vitro.Vasicine reduced blood pressure in a dosedependent manner in dogs that remained unaltered by pressors, carotid denervation, or vagotomy. Vasicine had negative inotropic and chronotropic effects that were greater in combination with vasicinone. Vasicine also had direct vasodilatory effects. Vasicinone alone had no cardiovascular effects. Vasicine stimulated respiration in anesthetized dogs in a dosedependent manner. The respiratory effects were reduced in carotid sinus denervated, vagotomized, decerebrated, and atropinepretreated animals. Respiratory stimulation was also seen in rabbits. Vasicine increased ciliary movements when applied to frog esophagus and inhibited bronchial secretions in dog tracheas. Vasicinone had no effect. No antitussive activity was noted with either alkaloid.

Gupta concludes that the effects of Adhatoda vasica can be attributed to the bronchodilatory effects and increased ciliary movements by vasicine, and potentiation of bronchodilatory effects and antagonism of cardiac depression by vasicinone.27 By stimulating respiration, vasicine probably improves ventilation and helps expel tracheobronchial secretion, adding to the claims of expectorant activity in Adhatoda vasica.
 
COLEUS FORSKHOLI
Coleus forskholii isan Ayurvedic anti-asthmatic herb. It has bronchodilator effects. It is considered to be an antispasmodic, diaphoretic, sedative, anodyne, antidotal, antiseptic, antitussive, carminative, expectorant, febrifuge, pectoral, preventative (cold), and tonic. In Korea, leaves are used for colds, cough, and dyspepsia. It is claimed to increase intracellular cyclic adenosine monophosphate (cAMP) by acting directly on the catalytic subunit of the adenylate cyclase system. This may offer an advantage by bypassing psurface receptors and overcoming tachyphylaxis.

In a randomized, doubleblind, controlled, fourperiod, crossover study, Bauer et al. studied the effects of dry colforsin powder in 16 asthmatics. Colforsin or forskolin is a derivative of Coleus forskholii. Specific airway conductance was measured after exposure to fenoterol, a known betaagonist bronchodilator, and colforsin capsules. Fenoterol metered dose inhaler (MDI) showed a greater increase in airway conductance, followed by dry powdered fenoterol capsules, and then colforsin. The dry powdered colforsin (forskolin) showed measurable bronchodilation in asthmatics by elevated FEV-1 values. After 30 min, colforsin showed 16 ± 2% changes in FEV, as compared to fenoterol MDI and capsules (29 ± 3% and 30 ± 3%, respectively). After 120 min, fenoterol airway conductance and FEV, was unchanged, but colforsinaffected values returned to baseline. No serious side effects were observed in patients. Mild to moderate tremor, restlessness, and palpitations were reported after use of fenoterol MDI and fenoterol capsules. Colforsin capsule and placebo-treated groups experienced less severe side effects. A decrease in potassium levels was noted after fenoterol use but no change was observed in colforsin or placebotreated patients.

Kaik et al. demonstrated in a doubleblind crossover study that forskolin had bronchodilating effects that were initially as good as fenoterol in healthy nonsmokers.At 3 and 5 min, forskolin protected against AChinduced bronchoconstriction as effectively as fenoterol, but at 15 and 30 min, fenoterol was stronger.
 
SOLANUM XANTHOCARPUM
Solanuum xanthocarpum , or kantakari, is commonly used in Ayurveda as a bronchodilator, expectorant, and antitussive. The entire plant is used and contains saponin-like alkaloids

Bector and Puri treated a total of 60 patients with different types of chronic obstructive pulmonary disease with 2 grams bid of the powdered whole plant.In the 22 chronic bronchitis patients, improvement in cough frequency and severity was noted in 3-20 days. In 16 chronic asthmatics, 13 reported slight improvement in the severity of asthmatic attacks. Significant improvement was reported in 10 patients with unproductive nonspecific cough. No change was noted in status asthmaticus.

In another study by Bector, et al. 305 asthmatic patients were treated with a powdered form of the whole plant in a dose of 1 gram tid for one month. Fifty percent of the patients reported subjective improvement in their respiratory status without any reported adverse effects.
 
Infertility 
INFERTILITY is the inability to conceive after one year of unprotected intercourse. Women who are able to get pregnant but then have repeated miscarriages are also said to be infertile.

Infertility affects approximately 10% of people of reproductive age1, and 15% of couples. In 40% of infertility cases, the cause of infertility is the man; another 40% of cases involve a female factor; and 10% of the cases involve both sexes.
 
Male Infertility
Common male infertility factors include azoospermia (no sperm cells are produced), asthenozoospermia (decreased motility of sperm) and oligospermia (few sperm cells are produced). Sometimes, sperms are deformed or die before they reach the egg.

Many herbs have been shown to be beneficial in sperm production.
 
Kapikacchu (Mucuna Pruriens)
Kapikacchu (Mucuna pruriens) is potent antioxidants, and reduce oxidative damage to sperm by preventing disruption in the membrane integrity of sperms [2,3.] Kapikacchu has aphrodisiacal properties and is beneficial in oligozoospermia (insufficient sperm cells in the semen). Treatment with Kapikacchu has been shown to increase sperm count. L-dopa, a precursor of the neurotransmitter dopamine, isolated from Kapikacchu[4], has been shown to increase sperm production[5]. Kapikacchu also prevents male sterility and acts as a nervine tonic.
 
Gokshura (Tribulus Terrestris)
Protodioscin, an active principle from the herb Gokshura (Tribulus terrestris), is converted to DHEA (De-Hydro-Epi-Androsterone), which is a precursor of testosterone, and thus improves sexual desire and sperm production.

Studies show that adequate levels of testosterone stimulate the production of vasoactive substances like nitric oxide , resulting in satisfactory erection

A study showed that treatment with Gokshura (Tribulus Terrestris) increased the intracavernous pressure in the penis and enhanced sexual behaviour. This is possibly due to the herb's ability to increase androgen (testosterone) levels and the subsequent release of nitric oxide from the nerve endings innervating the corpus cavernosum, resulting in improved blood flow to the penis and in turn improvement in the functioning of the musculature in the penile region.
  
Many other herbs used in Ayurveda such as, Bala (Sida cordifolia) and Salammisri (Orchis mascula) have fertility enhancing functions

Sida cordifolia is mainly used in nervous disorders, general debility and sexual inadequacy. The tuberous root of Orchis mascula has good nutritional value and is used as a tonic and aphrodisiac.
 
Female Infertility
The most common female infertility problem is an ovulation disorder. Ovulation is necessary for the release of the egg from the ovary. Some signs that a woman is not ovulating normally include irregular or absent menstrual periods.

Other causes of infertility include blocked fallopian tubes (the tube through which the egg travels from the ovary to uterus), endocrine disorders, uterine fibroids, and anatomical defects of the uterus.

Several other factors such as age, stress, poor diet, athletic training, being overweight or underweight, tobacco smoking, alcohol, sexually transmitted diseases (STD), health problems that cause hormonal changes, can affect a woman's ability to have a baby.

Many herbs are used in Ayurveda for the treatment of female infertility.
 
Ashoka (Saraca Asoca)
Saraca asoca is a small evergreen tree. Its bark contains an oestrogenic compound and has a stimulating effect on the endometrium (inner layer of uterus) and ovarian tissue.

It is useful in menorrhagia (excessive menstrual bleeding) due to uterine fibroids, leukorrhoea (white discharge) and in internal bleeding. It is well established for its effectiveness in menorrhagia and dysmenorrhoea.

It also has a stimulatory effect on the ovarian tissue and may produce an oestrogen-like effect that enhances the repair of the endometrium and stops bleeding.
 
Lodhra (Symplocos Racemosa)
Symplocos racemosa is an evergreen tree, with white to yellowish flowers, and purplish black drupes. Its astringent bark is recommended in the treatment of menorrhagia and other uterine disorders. The stem bark has anti-inflammatory properties. S. racemosa is used in Ayurveda for various female disorders. Studies have reported that S. racemosa stimulates and increases the levels of reproductive hormo-nes, FSH (Follicular Stimulating Hormone) and LH (Luteinising Hormone). An increase in the ovary weig-ht was also found due to the observed FSH surge. These results are in concordance with the traditional use of this herb for female disorders.
 
Shatavari (Asparagus Racemosus)
Asparagus racemosus is a multi-branched, spinous under-shrub, bearing numerous succulent and tuberous roots. The plant contains triterpene saponins, which are phytoestrogen compounds.

The plant is demulcent, aphrodisiac and galactagogue (promotes secretion of milk). The results of a study suggests an oestrogenic effect of the herb on the female mammary gland and genital organs.

Racemosus is often used for infertility, threatened miscarriage, leukorrhoea and menopausal problems. It nourishes the ovum and increases fertility.
 
Kumari(Aloe Barbadensis)
Aloe barbadensis is a coarse-looking perennial plant with a short stem, with crowded leaves that have spiny teeth on the margins. Aloes have long been in use for a host of diseases such as, digestive, skin and liver ailments.

A study on Aloes showed that the in-vitro production of oestradiol and progesterone by ovarian cells was significantly increased.

Infertility is a cause for concern. Nevertheless, for a substantial percentage of men and women with reproductive disorders, adopting changes in lifestyle, healthy exercise and dietary habits, reducing stress levels along with appropriate herbal supplementation can help overcome infertility.

Obesity or Overweight 
Obesity is a condition in which individual is significantly overweight. Excessive body fat is accumulated on the belly, buttocks, breasts and thighs. This may lead to diabetes, hypertension and arthritis.

causes:
mainly due to absence of physical activity. Other causes may be sleeping during the day, intake of Kapha - increasing foods (heavy, sweet, cooling and unctuous food in excess). Over intake of food. Heredity and Pathology are rare causes.

Pathogenesis
Body is made of 7- Dhatus {Rasa (Lymph), Rakta (Blood), Maans (Muscle), Meda( Fat), Asthi (Bones), Majja (Nervous System) Shukra (Reproductive System)}. But in Obese fellow Meda is excessively nourished and remaining other Dhatus get malnourished. Kapha gets accumulated in between. Roll of medicines with dietary correction is to remove obstructed Kapha and let all Dhatus nourish equally. When Kapha increases in abnormal fashion, Fat metabolism gets hampered and person becomes Obese.

Three important points for loosing weight:

• Controlling eating habits.
• Regular exercise.
• Avoiding the causes of weight gain

A diet that helps to lose weight:

Early morning - A glass of warm water mixed with the juice of half a lemon. A teaspoonful of honey can be added if you like.
Breakfast - Wheat or Mung (green beans) sprouts and one cup skimmed milk.
Mid morning- A glass of orange, pineapple or carrot juice.
Lunch - Salad of raw vegetables such as carrot, beet, cucumber, cabbage, tomatoes. In case you can not digest raw vegetables, either steam or boil them. Whole grain bread or whole wheat chapatis (Indian recipe) and a glass of buttermilk. It will be good to add some roasted cumin seeds, green coriander leaves, a little salt and some grated ginger in the butter milk.
Mid afternoon - Coconut water or dry fruits or lemon tea or vegetable soup.
Dinner - Whole grain bread or chapatis, steamed vegetables and any seasonal fruit except banana and apple.

Diet and Regimen:

• Avoid cold drinks, fatty fried foods and chocolates.
• Fruits and green vegetables are low calorie foods, so over weight persons should use these more frequently include the green leafy vegetables, sprouted moong beans in your salad. Salad is to be taken without any dressing . If you want relish it, take it with lemon juice and salt. Salad should form a major part of meals.
• One should avoid intake of too much salt . Salt may be a factor for increasing the body weight.
• Milk products like cheese, butter should be avoided because these are rich in fat. Meat and non-vegetarian foods should also be avoided.
• Vegetables like bitter gourd (Karela), and bitter variety of drumstick are useful for loosing weight.
• Avoid red meat (lamb/pork/beef) but be on white meat (chicken/fish).
• Avoid Smoking/ drinking alcohol.
• Do not drink water immediately after meals. Drink it after half an hour. Try to drink warm water.
• 'Honey' - Taking honey is an excellent home remedy for obesity. It mobilizes the extra deposited fat in the body and puts it into circulation which is utilized as energy for normal functions. One should start with small quantity of about 10 GMs. or a tablespoonful to be taken with hot water. It is good to take it in early morning. A teaspoonful of fresh lemon juice may also be added.

Exercise
Exercise is an important part of weight reduction plan. It helps to use up calories stored in body as fat. In addition, it also relieves tension and tones up the muscles of the body. Walking daily for half an hour is the best exercise to begin with and may be followed by running, swimming and rowing. Increase physical activities in daily life.

Herbs
Herbs like amla (Emblica officinalis), Haritaki (Terminalia chebula), Bibhitaka (Terminalia belericia), Guggul are effective.
 
Skin Diseases
Lichen Planus 
Lichen Planus is an inflammatory skin condition in which flat lesions appear on the skin or mucous membrane, causing pain, redness and itching. It is neither infectious nor contagious, but it may persist for months or years, and may recur. The exact cause is unknown, but it may sometimes be triggered by an allergic or immune reaction to a medication or other substance.

In Ayurveda:
In Ayurveda, there is no clear-cut synonym for lichen planus. However, all skin diseases have been clubbed together as "Kushtha", and the general principles of treatment for kushtha can be applied to the treatment of lichen planus, with very good results. Treatment is aimed at reducing itching and inflammation, and gradually helping the causative immune reaction to subside. Patients having severe symptoms, or recurrence, may require several courses of treatment.

Ayurveda Treatment:
Some of the medicines usually used for the treatment of lichen planus are: Arogya Vardhini, Gandhak Rasayan, Nimba-Gandhak, Swayambhu Guggulu, Sukshma Triphala, Saarivadyasava, Mahamanjishthadi Qadha,and Khadirarishta. Single herbal medicines used for this disease are: Nimba (Azadirachta indica), Saariva (Hemidesmus indicus), Manjishtha (Rubia cordifolia), Karanj (Pongamia pinnata), Tulsi (Ocimum sanctum), Haridra (Curcuma longa), Daruharidra (Berberis aristata), Chirayta (Swertia chirata),Guduchi (Tinospora cordifolia), Khadeer (Acacia catechu) and Vacha (Acorus calamus). These medicines have the unique property of acting on the skin and blood tissue, and also bring about the desired immunomodulation. Medicines used for local application are: Shatadhout ghruta, honey, Neem-Karanj oil, Shodhan oil, Ropan oil, Chandan oil, Marichyadi oil and Bakuchi oil. Selection of the appropriate medicine is made according to the predominance of symptoms and the location of the lesions. Some physicians advocate cleansing of the body for the purpose of detoxification. This is advisable if the lesions are widespread or do not respond to standard oral medicines. Induced emesis, induced purgation, and periodical blood-letting are some of the procedures adopted for this purpose.
 
Chronic Eczema 
Eczema is a term for a group of afflictions that cause the skin to become inflamed, the most common type being atopic dermatitis. In Ayurveda, eczema is termed as "Vicharchika". This disease is described as a dark-coloured, raised rash, with profuse discharge, and accompanied by itching. It is believed to be mostly caused by disturbed "Vata" and "Kapha" doshas. The skin, stomach and blood tissue are believed to be closely associated with this disease. Eczema of recent origin usually responds well to standard treatment like antihistaminics and steroids. Chronic eczema is usually of much longer duration or is recurrent, and in most cases, the offending cause is not known. Standard modern medicine may not be very helpful here.

Ayurveda Management:
It is in such patients that Ayurvedic herbal treatment may be very useful and effective. One major advantage of Ayurvedic herbal medicines in such an affliction is that medicines may be taken for long periods without any serious side-effects.

For the sake of treatment, many Ayurvedic physicians divide this affliction into wet and dry types, depending upon the presentation of the patient. A detailed history for the symptoms, and a detailed study of the constitutional framework of the patient is essential in deciding the ideal combination of medicines for each patient, so as to get maximum results. Treatment for the impurities caused in the "Rakta" Dhatu, and treatment for stress, are two important principles of treatment which contribute significantly to the success of treatment. Known offending or aggravating causes should be avoided. Excessive salty and sour food products should be avoided.

Panchakarma:
1.Rakta Mokshan(Blood Letting) For treatment of the "Rakta" impurities in chronic eczema, blood letting, by syringe or leech, is considered most useful and effective. An area of skin or a vein near the affected part is chosen for this purpose. Even patients with very chronic eczema respond well to this therapy. Blood letting is effective in all types and stages of eczema, however, sometimes it is preferable to first treat the wet patches with medicines and local applications to relieve the oozing and itching. Some physicians advocate rubbing of dry patches with a soft, silk cloth. 2.Vaman And Virechan: Induced vomiting and induced purgation are beneficial, where symptoms are severe and very chronic, however, these procedures should be carried out by qualified and experienced physicians. Selection of patients is important, and these are best done as inpatient procedures (after admitting patients to a hospital).

Local Treatment:
Local application medications include Shatadhout Ghruta, Dashang lep, Saariva (Hemidesmus indicus), Chandan (Santalum album), Honey-Ghee mixture and Karanj- Kapur (Pongamia pinnata - Cinnamum camphora) oil.

Oral Ayurveda Medicine: Oral medications include Arogya-vardhini, Triphala Guggul, Manjishthadi qadha, Kamdudha, Gandhak Rasayan and Mahatikta Ghruta. Several single herbs like Saariva ( Hemidesmus indicus), Manjishtha (Rubia cordifolia), Neem (Azadirachta indica), Brahmi (Bacopa monnieri) , Jatamansi (Nardostachys jatamansi) and herbal combinations are available which are very effective, and can be given long-term. The overall aim is to normalize the skin and blood tissue, and also optimize the immune system of the body.

Chronic Urticaria 
Urticaria, commonly known as "hives" typically develops as rash on the skin, accompanied by severe itching. Acute urticaria is of short duration, up to six weeks, and is usually caused by certain food products, medicines, insect bites and infections. This usually responds well to standard treatment like antihistamines. Chronic urticaria is usually of much longer duration, and in most cases, the offending cause is not known. Standard modern medicine may not be very helpful here. It is in such patients that Ayurvedic herbal treatment may be very useful and effective. One major advantage of Ayurvedic herbal medicines in such an affliction is that medicines may be taken for long periods without any serious side-effects. I shall now discuss the different types of urticaria, from the point of view of Ayurveda, and mention their Ayurvedic treatment in brief.

Ayurveda Treatment:
When disturbed "Vata" dosha is mainly responsible for causing urticaria, a pricking sensation is predominant, and this type of urticaria is called "Sheetapitta". When disturbed "Kapha" dosha is mainly responsible, itching is the predominant symptom, and this type of urticaria is called ""Udarda". Impurities are formed in the "Rakta" dhatu due to improperly induced emesis (vomiting) , and the resulting urticaria is termed as "Kotha". When this kotha becomes recurrent, it is termed as "Utkotha".

Ayurveda Management:
For the treatment of urticaria, application of Indian mustard (Brassica juncea) oil and fomentation with hot water is beneficial.

Panchakarma(Vaman and Virechan):
Induced vomiting and induced mild purgation are beneficial, where symptoms are severe, however, these procedures should be carried out by qualified and experienced physicians.

All efforts should be made to try to avoid the offending cause, if known. Soda bicarbonate powder mixed in warm water, when applied to the hives, gives immediate relief from itching.

Ayurveda Oral Medicine:
Ayurvedic medications containing Trikatu or Marich(Piper nigrum) and Turmeric (e.g. Haridrakhand Yog) are useful in controlling urticaria. Other products like Sameerpannag, Sutshekhar, Arogyavardhini, and Gandhak Rasayan are also very useful. Medicines like Kamdudha, Mukta and Gairik are useful in reducing the burning sensation associated with itching in urticaria. Patients with chronic urticaria may not respond readily to the above mentioned treatment. A detailed history for the symptoms, and a detailed study of the constitutional framework of the patient is essential in deciding the ideal combination of medicines for each patient, so as to get maximum results.

Treatment for the impurities caused in the "Rakta" Dhatu, and treatment for stress, are two important principles of treatment which contribute significantly to the success of treatment. Therefore, medicines like Sariva ( Hemidesmus indicus), Manjishtha (Rubia cordifolia), Guduchi (Tinospora cordifolia), Neem (Azadirachta indica), Brahmi (Bacopa monnieri) , Jatamansi (Nardostachys jatamansi) and Shankhpushpi (Consecora decussata) are useful in chronic urticaria. Ultimately, treatment has to be tailor-made for each patient having chronic urticaria.

Acne Vulgaris (Pimples) 
Acne is called as "Yuvan Pidika" in Ayurveda, which means boils affecting the youth. Disturbed "kapha", "pitta" and "rakta" (blood) together produce boils, mostly on the face. As the Ayurvedic name suggests, these are present mostly in the age group of 15 - 25 years, and in some, may extend till 35 years of age. Some physicians believe that disturbed " meda" is also involved in the production of acne.

Causes:
For the sake of treatment, acne is considered to be of recent onset, chronic, and resulting from or coinciding with menstruation in females. Acne is believed to have a very close relation to the stomach, and therefore, it is believed that excessive salty, sour, sweet, oily and non-vegetarian food-stuffs aggravate, or cause acne. Stress, chronic constipation, menstruation, and obesity, all are believed to contribute to acne.

Ayurveda Treatment:
The main principles of treatment in acne are: treatment of "rakta" (blood) impurities ( this includes control of infection), reduction in stress, and proper regulation of bowel movement. As mentioned above, avoiding food products which aggravate acne is also very important. Use of irritating cosmetics is best avoided. For red boils, with burning sensation, Praval, Kamdudha, and Chandanadi vati are useful. Those with excessive "heat" in their bodies should take, in addition, Triphala and Saariva ( Hemidesmus indicus) at bed time. Those women with scanty or irregular menses should take compounds containing Kumari (Aloe vera). Obese patients with acne benefit from medicines like Triphala Guggulu and Gokshuradi Guggulu.

Local Treatment:
Local applications containing Shalmali (Bombax malabaricum), Lodhra (Symplocos racemosa), Kushtha (Saussurea lappa), Manjishtha (Rubia cordifolia), Turmeric (Curcuma longa), Vacha (Acorus calamus), Chandan (Santalum album), Dashanglep and Saariva ( Hemidesmus indicus) are beneficial in acne. Local application of Khas-Khas and Jayphal (Myristica fragrans) is believed to give very good results. For dry skin, application of Shatadhout Ghrut is beneficial. Ayurvedic combination medicines like Arogya-vardhini, Gandhak Rasayan, Sukshma Triphala, and Chandraprabha are good for internal use. Shankh Bhasma can be applied locally and taken orally too.

Detoxification(Panchakarma) Treatment:
Those who have very severe or cystic type of acne benefit from blood letting by leech, or induced vomiting (Vaman) or induced purgation (Virechan), however, these procedures are best done by qualified personnel in well-equipped clinics. Patient selection for these procedures is important.

Adequate sleep, a sensible diet, and breathing techniques like "Pranayam" are beneficial.
 
Renal(Kidney) Disorders
Protect Your Kidney with the help of Ayurveda 
The kidneys have important tasks to perform in the human system. These are (i) regulation of the volume of the body fluids, (ii) elimination of inorganic ions both cations (e.g. Na+, K+) or anions (e.g. Cl', phosphate, SO4) from the body, (iii) maintenance of appropriate plasma concentration of non-electrolytes such as glucose and urea, (iv) maintaining electrolyte balance by H+ and OH- ions and thus adidity or alkalinity of the blood, (v) elimination of waste products especially the nitrogen and sulphur containing substances as well as the toxic substances (e.g. drugs) which have entered the body, and (vi) retention of substances vital to body economy. These also have some more functions. Major diseases or Kidney disorders are Anuria or oliguria (complete to cessation or less formation of urine), polyuria (frequent passage of small quantities of urine), abnormal constituents in urine (e.g. blood, pus etc.), Nephritis, pyelitis (inflamanation of the parenchyma & pelvis of the Kidney) uraemia (i.e. renal failure causing retention of abnormal amounts of urea in the blood), renal colic due to calculus or such other condition, Dysuria (painfull passage of urine). A simple Urine test for Albumin and a Blood test for Serum Creatinine. The increased level of Albumin and Serum Creatinine will tell if the kidneys are getting effected. Other symptoms which show kidney problems are: High Blood Pressure, Decreased Hoemoglobin and High Blood Urea.

Causes of Kidney Damage :

Basically human health miseries could be attributed to

(i) abnormalities in anatomical and physiological level,
(ii) interaction or stress of biotic factors (various in fections),
(iii) Abiotic stress which includes Ahar, Vihar and Achar,
(iv) mental imbalance due to predominence of tamsik and rajsik bhavas rather than Sattvik and
(v) easy entry of microvita owing to suitability of mental and physical bodies.

Besides above a new dimension is added by adverse side effects of modern allopathic medicines. Most probably this is due to administering active ingredients in pure form. This certainly provides quick action but at the same time damages the system in other ways. The crude medication system of Ayurveda allows the human system to assimilate the active ingredient as well as some related compounds in a natural way and thus avoids any such bad effects on the system. One of the potent causes of increasing incidences of kidney disorders, today, is the side effects of modern medicines or wrong medication or over dosages in certain cases. Ayurvedic Care & Cure - Ayurveda provides the best treatments. Ayurveda adopts three approaches to tackle a human malady. These are (i) toning up the weak bodily system, (ii) prevention of disorder, and (iii) treating the disorder or disease through medicines or surgery. Useful herbs are:

A. Fruits:
Dry fruits : Pistachio, almonds and chilgoja are useful to tone up weak kidneys,
fresh fruits: Mango is beneficial to remove weakness of Kidneys. Fresh pine apple 60 g daily is useful for the cure of Kidney stone.
Flacourtia ramonohii L. (Governor's apple or Kantai) bark is astringent and diuretic.
Cordia myxa Roxb. (Lisora) fruits are poison antidote and diuretic, its decoction relieves painful micturition.
Coconut water is very efficacous in urinary troubles.
Eugenia jambolana Lamk : Stones of fruits are very useful to relieve diabetes and polyurea.
Punica granatum Linn. (Pomegranate): Outer fruit skin dried in shade, powdered and taken 4g with water twice a day for 10 days cures polyurea. Rice food must be avoided.
Banana (Musa sepientum) : Take a banana fruit and 25 ml juice of amla with sugar cures urinary and spleen troubles.
Phyllanthus emblica L.( Aunla or Amla) : Juice of green fruits 50 g with 20 g honey given 2-3 times during the day cures urinary troubles.
Bel : Take fresh pulp of ripe bel (Aegle marmelos L.) and mix with water, add some milk and sugar to it, drink after straining. This will relieve retention of urine in no time.
Grape (Vitis vinifera): Take three raisins and remove their seeds then enclose one black pepper in each of them. These should be taken at bed time for a few days continuously to cure strangury (urination by drops).

B. Vegetables:
Leafy : Punarnava (Borhavia diffusa), Palak (Spinacia oleracea L), Corchorus capsularis L., (calsak), Patua sak (Corchorus olitorius L.), Portulacar oleracea L. (Kulfa or Lona Sag), chuka (Rumex vesicarius L.), Ramdana (Amaranthus caudatus L.).
Fruits: Sanke cucumber (Cucumis utilissimus Roxb.) Seeds are efficacious in curing urinary and kidney diseases. Pumpkin (Cucurbita moschaxa L.) : Pulp is slightly warmed after crushing and then applied to relieve painful kidney problems. Similarly seeds of Cucumis melo Linn. (Muskmelon or Kharbuja) and Kheera (Cucumis sativus Linn.) are efficacious in urinary troubles. Water melon (Tarbuj) fruit juice with kalmisora and sugar placed overnight in glass tumbler in the moonlit night and taken first in the morning for about 7 days. It is very beneficial in urinary problems. Lauki (water gourd): Juice & pulp with Kalmisora very efficacious in relieving kidney and urinary troubles.

Root vegetables:
1. Carrot (Daucus carota L.) fruit juice cures kidney troubles.
2. Radish (Raphanus sativus L.): Leaves & small sized roots are efficacious to effect cure.
3. Alocasia indica (Roxb.) Schott. Mankand use of corms is beneficial in the form of vegetable.
4. Onion (Allium cepa L.) juice of bulb is beneficial.

Flowers of red variety of Moringa i.e. Sahanjan is highly efficacious as cure of kidney disorders.

Chronic Renal Failure ( C. R. F.) 
Chronic Renal Failure is a disease affecting the kidneys, in which there is a gradual decline in kidney function and urine output over time. Mild kidney disease can lead to increased blood pressure and frequent urination at night. Moderate disease can lead to mild anemia and increased risk of heart attacks, strokes and other diseases. However, severe decline in kidney function leads to excessive retention of waste products in the body (a condition called "uremia"), for which heamodialysis or peritoneal dialysis is necessary. Kidney failure is a serious disease, and all affected patients should be under the supervision and treatment of an experienced and qualified Urologist.

Chronic renal failure is known in Ayurveda as "Mutra-Kshaya". While the physiology of production of urine in Ayurveda is quite different from that of modern medicine, the ancient Ayurvedic texts recognized the importance of chronic kidney failure, and gave it due consideration and importance. Traditional Ayurvedic medicines which are useful in chronic renal failure are: Gokshuradi Guggulu, Punarnava Guggulu, Punarnavadi Qadha(decoction), Arogya Vardhini, Chandraprabha Vati, Gomutra Haritaki, Surya Kshar and Yava Kshar. Single herbal medicines useful in this condition are: Gokshur (Tribulus terrestris), Punarnava (Boerhaavia diffusa), Shilajit (Purified Bitumen), Varun (Crataeva nurvala), Manjishtha (Rubia cordifolia),Saariva (Hemidesmus indicus), Apamarg (Achyranthus aspera) and Haritaki (Terminalia chebula).

According to Ayurveda, the kidneys are made up of a combination of two tissues, "Rakta" and "Meda". It is believed that the medicines which act on these two tissues also act upon the kidneys and help to preserve and restore function. Some of these medicines are: Patol (Tricosanthe dioica), Saariva, Patha (Cissampelos pareira), Musta (Cyperus rotundus), Kutki (Picrorrhiza kurroa), Chirayta (Swertia chirata), Guduchi (Tinospora cordifolia), Chandan (Santalum album) and Shunthi (Zinziber officinalis).

Some Ayurvedic physicians recommend a soup made from the intestines of goat to improve kidney function and urine output. Yet others recommend rice and jowar, processed like popcorn, to be eaten in large quantities.

Multiple courses of "Basti" or medicated enemas, both the "Anuvasan" and "Niruh" types, are recommended. It is believed that this treatment modality acts upon the "Apana Vayu" which in turn acts upon the kidneys and improves kidney function. Ayurvedic treatment, taken regularly for prolonged periods, may help to reduce the frequency of dialysis and improve kidney function. However, the decision to reduce or stop dialysis should be taken by the attending Urologist, and not by the patient.
 
Nephrotic Syndrome and Nephritic Syndrome 
Nephrotic Syndrome is a disease seen more in children aged 18 months to 8 years and also in adults, and is characterized by high levels of protein in the urine, low levels of protein in the blood, and high cholesterol. This results from damage to the blood vessels in the kidneys, usually due to disease, infection, some cancers, medicines, or unknown causes. Treatment outcome is usually more favorable in younger children. Nephritic Syndrome, also known as Rapidly Progressive Glomerulonephritis, is seen more in adults. This is characterized by reduced urine output, presence of blood and protein in the urine, and swelling in the body. This disease also results from damage to the filtering mechanism in the kidneys. Mostly the cause is unknown, but it is also believed to result from a malfunction of the immune system of the body, resulting from viral infection or autoimmune disease. The treatment outcome in this disease may not be so favorable. It is important to note that symptoms for both the above syndromes may overlap with each other and with other diseases of the kidneys.

The commonest physical manifestation of kidney-related disease is swelling in the body, more so below the eyes and in the feet and ankles. This swelling is known as "Kaphaj Shoth" in Ayurveda. Diseases caused by disturbed kapha dosha present gradually, and the response to treatment is also slow. Hence, such disorders, incuding kidney-related diseases, need long-term treatment. Ayurvedic formulations useful in kidney disease are: Gomutra Haritaki, Chandraprabha, Arogya Vardhini, Punarnavadi Qadha, Gokshuradi Guggulu, Punarnavadi Guggulu, and Saarivadyasava. Herbal medicines used are: Punarnava (Boerhaavia diffusa), Shunthi (Zinziber officinalis), Deodar (Cedrus deodara) and Haritaki (Terminalia chebula).

A special combination of jaggery and ginger in equal proportion, called as "Gudardrak Yoga" is used in all kidney-related swelling with very good results. The dose is first increased gradually for the first ten days, and then gradually reduced for the next ten days till the starting dose is reached. A gap of a few days (usually a week) is given, after which the medicine is restarted. Several such courses are given. In refractory patients, special medicines are used which act on the tissues which make up the kidneys, with the aim of trying to repair the damage caused due to disease. Medicines like Amalaki (Emblica officinalis), Ashwagandha (Withania somnifera), Shatavari (Asparagus racemosus) and Punarnava are used to bring the immune system to normal.

Nephrotic Syndrome is a disease seen more in children aged 18 months to 8 years and also in adults, and is characterized by high levels of protein in the urine, low levels of protein in the blood, and high cholesterol. This results from damage to the blood vessels in the kidneys, usually due to disease, infection, some cancers, medicines, or unknown causes. Treatment outcome is usually more favorable in younger children. Nephritic Syndrome, also known as Rapidly Progressive Glomerulonephritis, is seen more in adults. This is characterized by reduced urine output, presence of blood and protein in the urine, and swelling in the body. This disease also results from damage to the filtering mechanism in the kidneys. Mostly the cause is unknown, but it is also believed to result from a malfunction of the immune system of the body, resulting from viral infection or autoimmune disease. The treatment outcome in this disease may not be so favorable. It is important to note that symptoms for both the above syndromes may overlap with each other and with other diseases of the kidneys.

The commonest physical manifestation of kidney-related disease is swelling in the body, more so below the eyes and in the feet and ankles. This swelling is known as "Kaphaj Shoth" in Ayurveda. Diseases caused by disturbed kapha dosha present gradually, and the response to treatment is also slow. Hence, such disorders, incuding kidney-related diseases, need long-term treatment. Ayurvedic formulations useful in kidney disease are: Gomutra Haritaki, Chandraprabha, Arogya Vardhini, Punarnavadi Qadha, Gokshuradi Guggulu, Punarnavadi Guggulu, and Saarivadyasava. Herbal medicines used are: Punarnava (Boerhaavia diffusa), Shunthi (Zinziber officinalis), Deodar (Cedrus deodara) and Haritaki (Terminalia chebula).

A special combination of jaggery and ginger in equal proportion, called as "Gudardrak Yoga" is used in all kidney-related swelling with very good results. The dose is first increased gradually for the first ten days, and then gradually reduced for the next ten days till the starting dose is reached. A gap of a few days (usually a week) is given, after which the medicine is restarted. Several such courses are given. In refractory patients, special medicines are used which act on the tissues which make up the kidneys, with the aim of trying to repair the damage caused due to disease. Medicines like Amalaki (Emblica officinalis), Ashwagandha (Withania somnifera), Shatavari (Asparagus racemosus) and Punarnava are used to bring the immune system to normal.

Nephrotic Syndrome is a disease seen more in children aged 18 months to 8 years and also in adults, and is characterized by high levels of protein in the urine, low levels of protein in the blood, and high cholesterol. This results from damage to the blood vessels in the kidneys, usually due to disease, infection, some cancers, medicines, or unknown causes. Treatment outcome is usually more favorable in younger children. Nephritic Syndrome, also known as Rapidly Progressive Glomerulonephritis, is seen more in adults. This is characterized by reduced urine output, presence of blood and protein in the urine, and swelling in the body. This disease also results from damage to the filtering mechanism in the kidneys. Mostly the cause is unknown, but it is also believed to result from a malfunction of the immune system of the body, resulting from viral infection or autoimmune disease. The treatment outcome in this disease may not be so favorable. It is important to note that symptoms for both the above syndromes may overlap with each other and with other diseases of the kidneys.

The commonest physical manifestation of kidney-related disease is swelling in the body, more so below the eyes and in the feet and ankles. This swelling is known as "Kaphaj Shoth" in Ayurveda. Diseases caused by disturbed kapha dosha present gradually, and the response to treatment is also slow. Hence, such disorders, incuding kidney-related diseases, need long-term treatment. Ayurvedic formulations useful in kidney disease are: Gomutra Haritaki, Chandraprabha, Arogya Vardhini, Punarnavadi Qadha, Gokshuradi Guggulu, Punarnavadi Guggulu, and Saarivadyasava. Herbal medicines used are: Punarnava (Boerhaavia diffusa), Shunthi (Zinziber officinalis), Deodar (Cedrus deodara) and Haritaki (Terminalia chebula).

A special combination of jaggery and ginger in equal proportion, called as "Gudardrak Yoga" is used in all kidney-related swelling with very good results. The dose is first increased gradually for the first ten days, and then gradually reduced for the next ten days till the starting dose is reached. A gap of a few days (usually a week) is given, after which the medicine is restarted. Several such courses are given. In refractory patients, special medicines are used which act on the tissues which make up the kidneys, with the aim of trying to repair the damage caused due to disease. Medicines like Amalaki (Emblica officinalis), Ashwagandha (Withania somnifera), Shatavari (Asparagus racemosus) and Punarnava are used to bring the immune system to normal.

Endocrinal Disorders
DIABETES 
In today's stressful modern living, incidence of Diabetes is definitely increasing. Every now and then we come across patients of Diabetes seeking Ayurvedic treatment and advice. Here is a brief description of Prameha (Diabetes) .

It is a chronic metabolic disorder in which the body is unable to make proper use of glucose resulting in hyperglycemia (high blood sugar) and glycosuria (sugar in urine).

Poorly managed diabetes can lead to a host of long-term complications like :-

• Heart attacks.
• Strokes.
• Blindness.
• Nerve damage.
• Amputation of Limb.
• Impotence in men.

Pruritus (Itching).
Recent studies in the USA have revealed that if we keep our 'blood sugar' close to normal, there is a chance to resist Diabetes and it's complications.

According to Ayurveda There are 20 forms of this disease: 4 are due to Vata, 6 result from Pitta, and 10 are caused by Kapha. But prameha is mainly kapha doshaja disease.

All forms of diabetes not treated to, eventually develop into Madhumeha (Diabetes Melitus).

Causes –

1] Diet increasing kapha dosha such as sugar, fats, potatoes, rice.
2] Lack of exercise.
3] Mental stress and strain.
4] Excessive sleep etc.

Symptoms –

1] Excessive urine formation & Frequent urination.
2] Burning of palms and soles.
3] Increased hunger
4]Excessive Thirst.
5]Sweet taste to mouth etc.
6]Weight Loss
7]Blurry Vision
8]Wounds that take time to heal
9]Skin Infections
10]Unexplained extreme fatigue

Remedies –

1] Diet planning- is the cornerstone of managing diabetes.The diabetic diet is an otherwise normal balanced diet, with a few modifications and proper spacing between food intakes. Avoid diet increasing kapha dosha such as sugar, fats, potatoes, rice. Avoid alcohol
2] Daily exercise- One of the methods to heal prameha include strenuous exercises. Regular exercise in any form is a must. In 'Yogasanas' -Forward bending asanas like 'Paschimottanasan','Halasan' etc. are effective
3]Restrict and reduce weight.
4] Avoid sleeping during daytime.
5] Avoid smoking.
6] Try to reduce stress by implimenting 'Yoga'practice.

Useful herbs –

1] Jambhul (Eugenia jambolana)Powder from jamun core is useful.
2]Gurmar(gymnema sylvestre).
3]Sagar gota (Ceasalpinia crista).
4]Bel (Aegle marmelos).
5]Shilájit.
6]Turmeric.
7]Neem.
8]Triphala

Useful drug formulations –

1]Chandrabrabha.
2]Arogyavardhini.
3]Asanad tablets
4] Shilajit Vati
5]Trivanga bhasma.
6]Vasant Kusumakar

Diet –
Use barly ,Varee, Mung, Kulittha, Chickpeas, old rice, bitter gourd, Dodaka, dudhee gourd in diet. Roasted rice and wheat are more useful . Include 'Tikta ras' items in diet.

In summation, diabetes is not just a lack of insulin. Its most probable cause is plain poor maintenance of your body. It 's cure will need to include all of these things discussed. By doing all, diet, herbs, exercise and stress management, we will be able to take care of a single problem Diabetis.

Cancer Care 
When your cancer was first diagnosed, your doctor talked to you about a treatment plan. This may have involved surgery, radiation therapy, chemotherapy, hormone therapy, and biologic immunotherapy or some combination of those treatments.

All of these methods of treating cancer kill cells. In the process of killing the cancer cells, some healthy cells are also damaged. That is what causes the side effects of cancer treatment like-

• Loss of appetite.
• Changes in weight (either losing or gaining weight).
• Sore mouth or throat.
• Dry mouth.
• Dental and gum problems.
• Changes in sense of taste or smell.
• Nausea/vomiting.
• Diarrhea.
• Lactose intolerance.
• Constipation.
• Fatigue and/or depression.

You may or may not have any of these side effects. Many factors determine whether you will have any and how severe they will be. These factors include the type of cancer you have, the part of your body being treated, the type and length of treatment, and the dose of treatment. The good news is that if you do have side effects they can often be well-controlled. Most side effects also go away after treatment ends.

Nutrition Recommendations :

Recommendations about food and eating for cancer patients can be very different from the usual suggestions for healthful eating. This can be confusing for many patients because these new suggestions may seem to be the opposite of what they've always heard. Nutrition recommendations usually stress eating lots of fruits, vegetables, and whole grain breads and cereals; including a moderate amount of meat and dairy products; and cutting back on fat, sugar, alcohol, and salt.

Nutrition recommendations for cancer patients may focus on helping you eat more higher calorie foods that emphasize protein. Recommendations might include eating or drinking more milk, cream, cheese, and cooked eggs. Other suggestions might include increasing your use of sauces and gravies, or changing your cooking methods to include more butter, margarine, or oil. Sometimes, nutrition recommendations for cancer patients suggest that you eat less of certain high- fiber foods because these foods can aggravate problems such as diarrhea or a sore mouth.

Nutrition recommendations for cancer patients are different because they are designed to help build up your strength and help you withstand the effects of your cancer and its treatment. When you are healthy, eating enough food to get the nutrients you need is usually not a problem. During cancer treatment, however, this can become a challenge, especially if you have side effects or simply don't feel well.

A healthy diet is vital for a person's body to work its best. This is even more important for cancer patients.
If you've been eating a healthy diet, you'll go into treatment with reserves to help keep up your strength, prevent body tissue from breaking down, rebuild tissue, and maintain your defenses against infection.
People who eat well are better able to cope with side effects. You may even be able to handle higher doses of certain treatments. For example, we know that some cancer treatments are actually much more effective if the patient is well-nourished and getting enough calories and protein in his or her diet.
Don't be afraid to try new foods. Some things you may never have liked before may taste good to you during treatment.
Stock the pantry and freezer with favorite foods so that you won't need to shop as often. Include foods you know you can eat even when you are sick.
Talk to a registered dietitian about your concerns and what you might expect. She or he can give you ideas and help you plan meals. Ask for help in developing a grocery list with foods that might help with potential side effects, such as constipation or nausea. Ask about what has worked for other patients.

What is chemotherapy?
Chemotherapy (also called Chemo) is a type of cancer treatment that uses drugs to destroy cancer cells.

How does chemotherapy work?
Chemotherapy works by stopping or slowing the growth of cancer cells, which grow and divide quickly. But it can also harm healthy cells that divide quickly, such as those that line your mouth and intestines or cause your hair to grow. Damage to healthy cells may cause side effects. Often, side effects get better or go away after chemotherapy is over.

What does chemotherapy do?
Depending on your type of cancer and how advanced it is, chemotherapy can:

Cure cancer - when chemotherapy destroys cancer cells to the point that your doctor can no longer detect them in your body and they will not grow back.

Control cancer - when chemotherapy keeps cancer from spreading, slows its growth, or destroys cancer cells that have spread to other parts of your body.

Ease cancer symptoms (also called palliative care) - when chemotherapy shrinks tumors that are causing pain or pressure.

How is chemotherapy used?
Sometimes, chemotherapy is used as the only cancer treatment. But more often, you will get chemotherapy along with surgery, radiation therapy, or biological therapy. Chemotherapy can:

Make a tumor smaller before surgery or radiation therapy. This is called neo-adjuvant chemotherapy.

Destroy cancer cells that may remain after surgery or radiation therapy. This is called adjuvant chemotherapy.

Help radiation therapy and biological therapy work better.

Destroy cancer cells that have come back (recurrent cancer) or spread to other parts of your body (metastatic cancer).

How does my doctor decide which chemotherapy drugs to use?
This choice depends on:

• The type of cancer you have. Some types of chemotherapy drugs are used for many types of cancer. Other drugs are used for just one or two types of cancer.
• Whether you have had chemotherapy before.
• Whether you have other health problems, such as diabetes or heart disease.

Where do I go for chemotherapy?
You may receive chemotherapy during a hospital stay, at home, or in a doctor's office, clinic, or outpatient unit in a hospital (which means you do not have to stay overnight). No matter where you go for chemotherapy, your doctor and nurse will watch for side effects and make any needed drug changes.

How often will I receive chemotherapy?
Treatment schedules for chemotherapy vary widely. How often and how long you get chemotherapy depends on:

• Your type of cancer and how advanced it is.
• The goals of treatment (whether chemotherapy is used to cure your cancer, control its growth, or ease the symptoms)
• The type of chemotherapy.
• How your body reacts to chemotherapy.

You may receive chemotherapy in cycles. A cycle is a period of chemotherapy treatment followed by a period of rest. For instance, you might receive 1 week of chemotherapy followed by 3 weeks of rest. These 4 weeks make up one cycle. The rest period gives your body a chance to build new healthy cells.

Can I miss a dose of chemotherapy?
It is not good to skip a chemotherapy treatment. But sometimes your doctor or nurse may change your chemotherapy schedule. This can be due to side effects you are having. If this happens, your doctor or nurse will explain what to do and when to start treatment again.

How is chemotherapy given?
Chemotherapy may be given in many ways.

Injection. The chemotherapy is given by a shot in a muscle in your arm, thigh, or hip or right under the skin in the fatty part of your arm, leg, or belly.
Intra-arterial (IA). The chemotherapy goes directly into the artery that is feeding the cancer.
Intraperitoneal (IP). The chemotherapy goes directly into the peritoneal cavity (the area that contains organs such as your intestines, stomach, liver, and ovaries).
Intravenous (IV). The chemotherapy goes directly into a vein.
Topically. The chemotherapy comes in a cream that you rub onto your skin.
Orally. The chemotherapy comes in pills, capsules, or liquids that you swallow.

How will I feel during chemotherapy?
Chemotherapy affects people in different ways. How you feel depends on how healthy you are before treatment, your type of cancer, how advanced it is, the kind of chemotherapy you are getting, and the dose. Doctors and nurses cannot know for certain how you will feel during chemotherapy.

Some people do not feel well right after chemotherapy. The most common side effect is fatigue, feeling exhausted and worn out. You can prepare for fatigue by:

• Asking someone to drive you to and from chemotherapy.
• Planning time to rest on the day of and day after chemotherapy.
• Getting help with meals and childcare the day of and at least 1 day after chemotherapy.

Can I work during chemotherapy?
Many people can work during chemotherapy, as long as they match their schedule to how they feel. Whether or not you can work may depend on what kind of work you do. If your job allows, you may want to see if you can work part-time or work from home on days you do not feel well.

Many employers are required by law to change your work schedule to meet your needs during cancer treatment. Talk with your employer about ways to adjust your work during chemotherapy. You can learn more about these laws by talking with a social worker.

Can I take over-the-counter and prescription drugs while I get chemotherapy?
This depends on the type of chemotherapy you get and the other types of drugs you plan to take. Take only drugs that are approved by your doctor or nurse. Tell your doctor or nurse about all the over-the-counter and prescription drugs you take, including laxatives, allergy medicines, cold medicines, pain relievers, aspirin, and ibuprofen.

Can I take vitamins, minerals, dietary supplements, or herbs while I get chemotherapy?
Some of these products can change how chemotherapy works. For this reason, it is important to tell your doctor or nurse about all the vitamins, minerals, dietary supplements, and herbs that you take before you start chemotherapy. During chemotherapy, talk with your doctor before you take any of these products.

How will I know if my chemotherapy is working?
Your doctor will give you physical exams and medical tests (such as blood tests and x-rays). He or she will also ask you how you feel.

You cannot tell if chemotherapy is working based on its side effects. Some people think that severe side effects mean that chemotherapy is working well. Or that no side effects mean that chemotherapy is not working. The truth is that side effects have nothing to do with how well chemotherapy is fighting your cancer.

How much does chemotherapy cost?
It is hard to say how much chemotherapy will cost. It depends on:

• The types and doses of chemotherapy used.
• How long and how often chemotherapy is given.
• Whether you get chemotherapy at home, in a clinic or office, or during a hospital stay.
• The part of the country where you live.

What are clinical trials and are they an option for me?
Cancer clinical trials (also called cancer treatment studies or research studies) test new treatments for people with cancer. These can be studies of new types of chemotherapy, other types of treatment, or new ways to combine treatments. The goal of all these clinical trials is to find better ways to help people with cancer.

Your doctor or nurse may suggest you take part in a clinical trial. You can also suggest the idea. Before you agree to be in a clinical trial, learn about:

Benefits. All clinical trials offer quality cancer care. Ask how this clinical trial could help you or others. For instance, you may be one of the first people to get a new treatment or drug.

Risks. New treatments are not always better or even as good as standard treatments. And even if this new treatment is good, it may not work well for you.

Payment. Your insurance company may or may not pay for treatment that is part of a clinical trial. Before you agree to be in a trial, check with your insurance company to make sure it will pay for this treatment.

Can I take vitamins, minerals, dietary supplements, or herbs while I get chemotherapy?
Some of these products can change how chemotherapy works. For this reason, it is important to tell your doctor or nurse about all the vitamins, minerals, dietary supplements, and herbs that you take before you start chemotherapy. During chemotherapy, talk with your doctor before you take any of these products.

Can I take vitamins, minerals, dietary supplements, or herbs while I get chemotherapy?
Some of these products can change how chemotherapy works. For this reason, it is important to tell your doctor or nurse about all the vitamins, minerals, dietary supplements, and herbs that you take before you start chemotherapy. During chemotherapy, talk with your doctor before you take any of these products. 

Please Click Here to request more information about Atharva Multispeciality Ayurveda Hospital.

Dr. Gaurang Joshi

• B.A.M.S. Gold Medalist
• Consulting Ayurvedic
• Immunologist
• Panchkarma Physician
• Skin Specialist

Qualification : 
B.A.M.S. : Bachelor of Ayurvedic Medicine & Surgery from Jamnagar Ayurveda University-April 1994 at Shri O.H.Nazar Ayurvedic Collage, Surat.

Internship : Dec-1994 at Jamnagar Ayurveda University.

M.E.T.C. : i.e. (Medical Emergency Treatment Course) from Civil Hospital, Surat.

Experience : 
Worked with super specialist Physicians, Surgeons, Gynecologist and Radiation Oncologist in various hospitals in South Gujarat.

Successfully treating the most complicated skin disease- Leucoderma(Vitiligo) and Psoriasis.

Professional :
Running an Exclusive Ayurveda PanchaKarma Treatment center.

Providing Ayurveda Consultations to diagnose & treat the patients of Obesity, Skin Disorder, Leucoderma, Mental Disorder, Diabetes, Arthritis, Hair Diseases, Hyperacidity, Spondyslysis, Backache, Bronchial Asthma & all types of chronic diseases by enhancing immunity.

Providing immunological treatment for all infectious diseases including prophylactic, palliative and supportive treatment in all types of cancer.

Research : 
Conducted a collaborative research project at Lions cancer detection center, surat entitled "Ayurvedic Medicinal Oils" as a complimentary treatment for colorectal cancer caused by chemo & radio therapy under direct super vision of Dr.S.P.Shrivastav(M.D.) Chief Radiation Oncologist & Medical Director) from 2004 to 2006.

Working on a collaborating research project to reduced the side effect of Radio Therapy & Chemotherapy in all types of cancer with Dr. Manisha David(M.D. Radiation Oncologist) at Gohil Cancer hospital, Navsari since 2005.

Also doing the research work on the effect of Panchakarma treatment on Molecule levels with Dr.Narayan Patel(Ph.D.) Director of I.H.P.,U.S.A. and Dr.Madhukant Pandya (M.D. Ayurveda) Ayurveda Center, U.S.A.

Current Area Of Research :

• Role of stress and injury in flare up of psoriasis.
• Role of cold drinks on psoriatic patients under stressful conditions.
• Role of sun light on psoriatic patients after applying different herbal applications.

Corelation between condition of tounge and type/severity of Psoriasis to develop the method for early detection :

• Role Of Vitiligo oil and Vitiligo cream in Leucoderma(Vitiligo)
• Role Of Panchakarma Treatment in the Management Of Psoriasis and Skin Diseases.
• Role of Panchakarma on Molecular level 

Area of specialization : 
Immunology, Panchakarma, Oncology, Skin Diseases

Dr. Bhavana Joshi (Kansara)

• M.D.(Ayu. Oncology) Gold Medalist
• Consultant Cancer Physician

Qualification : 
B.A.M.S. : Bachelor of Ayurvedic medicine & surgery from Jamnagar Ayurveda University-April 1994 at Arya Kanya College-Baroda.

Internship : Dec-1994 at Jamnagar Ayurveda University.

M.E.T.C. : i.e. (Medical Emergency Treatment Course) 1994 from Rajkot Civil Hospital.

M.D. : (Ayurveda in Oncology) from Jamnagar Ayurvedic University- Dec.1998 from Shalya Dept.(Ancient Surgery).

Yoga Education: Upto "Madhyama" at Baroda.

Experience : 
Technical :

• Develop innovative ways using state of the art technology to reanalyze exciting data sets containing information on AgniKrama (Hyperthermia) i.e. Cauterization in Head and Neck cancer and "Matra Basti"in Pelvic Tumors of male and female.
• The efficacy of mind-body techniques through Yoga and Medications on advanced cancer.
• Post operative rehabilitation in Breast cancer through Yogasanas.

Professional :

• Running private cancer care hospital at Rajkot with collaborative research projects at Surat Govt. Cancer Hospital.
• Provide Prophylactic, Palliative and Supportive treatment in all types of cancer.
• A collaborative research project of the thesis work was done at Rajkot cancer hospital and research center, which give me best experience regarding cancer in all aspects viz. Surgery, Radiotherapy, Chemotherapy, Brach therapy and combined modality of the treatment, palliative and preventive oncology. 

Research : 
Completed M.D. Research work at Nathalal Parekh Cancer Hospital & Research Center, Rajkot in 1997-1998, which was the collaborative center for the Jamnagar Ayurvedic University. Research work done for one and half year under guidance of Dr.V.K.Gupta-Medical Director and Chief Radiation Oncologist. The research project was on the "Role of Raudra Rasa in management of Arbuda" with special reference to cancer of head and neck.

Presently collaboration with Lion's Cancer Hospital and Research Center, Surat under guidance of Dr.S.P.Shrivastav (Medical Director & Chief Radiation Oncologist) for comparative study to combat the side effect of radiotherapy and to increase the effect of radiotherapy in advance head & neck cancer and cervical cancer with radiation and plant product. 

Paper Presentation and Publication :

• Gold medal in international seminar on Ayurveda and Cancer-1997 at pune
• National Seminar on Kaumarbhrutya(pediatrics)-1997 at Jamnagar Ayurvedic University.
• National Seminar on Ayurveda and Cancer-1998 at Delhi.
• National Seminal on better utilization of Ayurveda in health delivery program with special reference to primary health car-1998 at Gujarat Ayurved University, Jamnagar.
• National conference on Advances in oncology & meditation retreat-at Mount Abu-1999 by Global Hospital.
• National Seminar on Ayurveda and Cancer-1999 at Jamnagar.
• Gold medal in international seminal on cancer and Ayurveda at Jamnagar Ayurvedic University in Jan-2000.
• International seminar on Ayurveda at Jamnagar Ayurvedic University in Jan-2001.
• ASCO-PAN Asia conference at New Delhi in Feb-2002
• Poster presentation at GCRI-Ahmedabad in AROI National Conference Dec-2005.
• International conference on cancer at NCI- national cancer institute , betehesda, USA. Dec. 2007 

Special Achievement :

• One of the screening test member of the Panel of advisory committee all India panel for deputation
• Ayurveda expert abroad by Govt. Of India, Ministry of health, Delhi in 2001.
• Associate of Dr. Narayan Patel, Ph.D., USA.
• Conducted many Radio Talks, TV Talks including special program on Sanskar Channel, E-TV. 

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Dear Friends,

Myself Mr.Deepak Mehta very pleased to introduced as Patients of Psoriasis whole body in the Past, not right now? How? A Miracle Of Ayurveda Treatment By well known Ayurveda Skin Specialist Dr.Gaurang Joshi.

My story was i was suffering from whole Body Psoriasis since a long period, due to this disease i left USA and a very good Career and Came back to Mumbai.As you all know Allopathy and Homeopathy don't have any Cure for Psoriasis,I tried everything but no result was there,i was got depressed and Tired. Suddenly i heard the name Of Dr.Gaurang Joshi by his cured Patients, I found A Ray of Hope,I made contact of him and Strated his Ayurveda Panchakarma Based Treatment and miracle took Place and my Psoriasis started to disappear and after completion of the treatment Right now I Become Psoriasis, Thanks to Dr.Joshi and his treatment.

I went through his Panchakarma Treatment with full Internal as well as External Treatment for atleast 1.5 years.During the treatment Dr.Joshi's approach towards me was so loving and Carrying that also been an important part of his Success. All the Credit of Success goes to Dr.Gaurang Joshi and His Atharva Ayurveda Hospital.

This success story itself suggest that Psoraisis is Curable. I appeal all the Psoriasis Patients to Cure their Disease, Contact Dr.Gaurang Joshi and get rid of Psoriasis and make Life Happy.

Mr.Deepak Mehta,
Goregaon(East),
Mumbai.India.
Cell No.+91 9820720757

A Ray Of Hope For Leucoderma(Vitiligo):A Testimonial

Myself Miss Shweta Makwana,19year old girl,
I was Suffering from Leucoderma(Vitiligo),I had White Spot On my Both Hands and A Big White Spot On my Neck,
I had tried everything for this but no results,
Than I Consulted A Well Known Ayurveda Skin Specialist Dr.Gaurang Joshi And Started his Treatement
And A Miracle took place in My life,After 1.5 yrs.Of his treatment my all White Spots are Disappears and I become Leucoderma Free,

All the Credit to Cure My Leucoderma Goes to Dr.Gaurang Joshi and His Atharva Ayurveda Hospital,Rajkot,

He brings Lights in My Life,so i Appeals All the Patients of Leucoderma(Vitiligo) if they really want to Cure their Vitiligo,Must Contact Dr.Gaurang Joshi.

Atharva Ayurveda Skin Disease Research centre really A Hope Of Rays for the Young Girls like me who are Suffering From Leucoderma.

Miss Shweta Makwana,
Rajkot,Gujarat.
Cell No.+919825083835(Dhirubhai My Father)

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