SPINAL CANAL STENOSIS RECOVERY WITHOUT SURGERY

BODY TREATMENTS- SCIENTIFIC EXPLANATIONS

                                         What comes to our mind  When we hear  the word Ayurveda . Treatments with oil, massage, dara etc. Then comes the next question. Are these procedures scientific?

                                               Here am discussing some facts about Ayurvedic external treatments and its action on human body, i think after going through this topic some of you will get an idea of what impact these procedures can do.

SWEDANAM ( THERAPEUTIC HEATING)

1.  Conduction heat- Heating modalities which are in contact with the skin .In ayurveda different types of heat modalities are used raining from choorna pinda swedam (dry heat) to shashtika pinda swedam . In the above mentioned procedures different types of medicinal plants, leaves etc are powdered made into bolus, packs etc and the procedures are done by expert personals with at-most care, preventing the skin temperature rising above 45 degree C.

                                         Therapeutic effects are only achieved if tissue is heated to 40-45 degree C for at least 5mts. Effects of heating include circulatory changes, pain reduction, alteration of collagen extensibility and reduction in muscle spasm. For every one degree rise in tissue temperature there is 13% increase in metabolic rate, if temperature is too low ,tissue damage may again result as body fluids are frozen. For deep tissues therapeutic temperatures ranging from 5-6 degree above or below are recommended .  Joint stiffness is shown to reduce with deep heating, it reduces viscosity of joint fluid, but superficial heating will not affect .

     2.     Radiation heat- use of heat with out direct contact over skin surface.

ABHYANGAM (MASSAGE)

        In this procedure massage, mobilization and manipulation are incorporated with at most care. Massage techniques ranging from Effleurage to Tapotment are integrated with ayurvedic marma points and hand movements, which are done with medicinal oils and other medicinal liquids. Effects are mechanical, Physiological and Psychological. These procedures  will improve venous and lymphatic drainage, fresh blood will enter the area . Passive movements to increase joints range of motion.

        This is a  brief discussion regarding the two main procedures used in ayurveda for external  treatments. Normally in every case  SWEDANAM+ABHYANGAM are performed. This approach will give maximum results than individual methods. Ayurveda uses this approach in almost all musculoslkeletal conditions.
                                           

Written by,

Dr.Samson c Varghese

Cheif Research officer

Kottathil ayurveda

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kottathil ayurveda- trust care and cure

GERIATRIC MEDICINE- AYURVEDIC APPROACH

               In view of the rapidly rising population of old people in india and worldwide, the need of geriatric medicine is of added importance. This is an age when degenerative diseases become common and complications and sequelae of chronic long term diseases such as hypertension and diabetes make their presence. These factors commonly result in multiple pathology.
           

         During this period body reserves adversely affect absorption, detoxification and excretion of many drugs and medicnes, leading to an increased incidence of toxic side effects and hypersensitivity reactions. Some of the symptoms that old persons maybe complaining of, may actually be due to side effects of drug administered. In younger patients there will be single pathology, on the other hand in geriatric cases there will be multiple pathology and complicating factors.

        In elderly patients, disturbance of function in one system is more likely than patients to adversely affect the function of other organs, mainly heart and the brain.(eg: a heart already affected by years of hypertension but functioning normally may go into congestive heart failure, if diabetes uncontrolled and remains undetected and untreated.)
       
  Ayurvedic approach in geriatric care is of great significance, ayurveda always consider disease conditions us multiple pathologies, which includes both physical and mental. Almost all the preparations mentioned and used are combinations of different herbs which are having multiple actions, thus treating a major disease and caring multiple pathologies.

   In ayurveda there are multiple pharmacological formulations suiting different age groups. one of the important advantages of ayurveda is its approach to digestive fire( AGNI) and almost all medications  improve your digestion, absorption ,elimination. most of the geriatric conditions  can be corrected by maintaining AGNI, ayurveda will do wonders in managing chronic geriatric disorders.

 Ayurveda emphasis on external body treatments using oil and other liquids, the so called preparations for extenal body treatments are very good for musculoskeletal disoders affecting old age. As we all know aeging causes reduction in muscle bulk, loss of moisture , tissue damage, skin changes, lethargy, circulatory defects etc .

Here are some of the cases in which ayurveda had proven its benifits
     Osteoarthiritis,parkinsons diseae, depression,CVA, dementia,hypertension,chronic bronchitis, bronchiectasis,piles,enlarged prostate, chronic urinary tract infections, diabetes, hearing loss, glucoma etc.

Written by,

Dr.Samson c Varghese

Cheif Research officer

Kottathil ayurveda

NASAL POLYP- NON SURGICAL CURE

                                 This is again an effective treatment using ancient wisdom- Ayurveda. Lets go into the basics of the condition and its ayurvedic management.In this era most of the patients/people are aware of their disease conditions. Here we are giving a brief idea of the condition with its presentation, complication and treatment options.

                                                 Nasal polyps can be defined as mucosal overgrowths that frequently accompany with allergic rhinitis, asthma, recurring infections,drug sensitivity, inflammation, cystic fibrosis,immune disorders .

                                           
                                            Major symptoms  include: running nose, postnasal drip, recurrent cold, reduced smell and taste, facial pain, snoring, itching around eyes, difficulty in breathing etc..  

    

                                               If not managed properly it can lead to asthma, sleep apnea,  sinus infections, meningitis, aneurysm /clots.

       

                   According to ayurvedic  perspective the condition can be correlated to Nasarsas, most of the symptoms and explanation along with treatments are given in this context.

                           

                 According to ayurvedic perspective treatments mentioned are differentiated according to the stage of progression, starting from running nose to its complications. Different treatment regims starting with nasal medication to snehapana is mentioned. Difference in opinion regarding the stages of progression along with doshic classifications are mentioned.

                                   From our experience there are specific medicines and medicinal  preparations which have very good results in curing the condition in almost single session. Here we are mentioning the importance of a particular medicinal preparation  KSHARA

                          

                                   As mentioned in classics Nasya(nasal medication) is of prime importance in controlling this condition and its reccurance. Since most of the cases come with complications and associated symptoms,internal medicines are needed according to the presenting complaints.

                                          For removing the mechanical blockage KSHARA is the important medicine and the procedure called KSHARA KARMA. Medicines used for KSHARA preparation are from classics and almost all ayurveda doctors are well aware. Normally in minor mechanical blockages one session is needed. In chronic cases with severe blockages 2-3 sessions are needed. Results are quick and the person can feel the difference within few hours.

                                     From our experience this is an effective low cost management of NASAL POLYP without surgery. The advantages of this procedure are more if we compare it with surgery. You will be getting the same results of surgery . If we integrate panchakarma procedures as mentioned in classics, the recurrence rates are almost nil.

Written by,

Dr.Samson c Varghese

Cheif Research officer

Kottathil ayurveda

UNETHICAL AYURVEDA RESEARCH AND HERITAGE CENTRE

                 

                                                                                This is an article for future ayurveda doctors and medicine lovers.

As we all know kerala is famous for ayurveda medicine, I am asking few questions as a doctor and medicine lover…

1. What do you mean by ayurveda?
2. What do you mean by ayurveda treatment?
3. Is it a money making   butcher?
4. What do you mean by research?
5. What do you mean by heritage?

The above marked words are being used in almost all advertisements; it is really painful to see nothing under these words only pure business with hospitality features. It is the time for ayurveda doctors to be specific and passionate regarding there medical system.

At this present moment, ayurveda getting noticed internationally, in kerala private ayurveda is in the hands of money making butchers and immoral co-operates, there is not even a single association of doctors to oppose these unethical establishments.

For example if you are a doctor please go through one famous advertisement today in almost all daily newspapers in kerala, you will find an inauguration in the name of ayurveda.

Please go through the page you will find ayurveda mentioned in the top and then a 3 star hotel.

I am not against any business, only thing is don’t use the word ayurveda  research in 3star and 5 star hotels and hospitality layouts, there are thousands of doctors and ancient renowned physicians working hard to spread a medical language to this system, you can use any other name and then you can add the facility.

Why this happen? Can you even dream of such things in ALLOPATHY?

It’s the time of proud ayurveda doctors to respond. 

It’s the time of proud ayurveda associations to act.. 

If you can change the heading form AYURVEDA RESEARCH AND HERITAGE CENTRE to HERITAGE ONLY then we ayurveda doctors and genuine research centers won the match.

                       

Written by,

Dr.Samson c Varghese

Cheif Research officer

Kottathil ayurveda

MEDICATED GHEE VS CHOLESTEROL

                                           This is again most discussed and debated topic around the globe especially by the scientific evaluators of an ancient wisdom, its quiet natural when we think of ghee and its chances of hypercholestremia. Normal person, in this new generation, with sedantary activity, always suspect in oily and ghee preparations. As in ayurveda  major and key medication are oil and ghee preparations.Here am discussing one of the many cases we had in our hospital. This will raise many questions which needs to be  discussed and answered.                                                      
                                        This is a case of O. A Hip with stage 1 avascular necrosis affecting both femoral heads, the option for ayurvedic treatment was to limit and stop steroids and to continue  conservative treatments with ayurvedic medicines for short period.
                          we designed a protocol and ghee (medicated GUGGULUTIKTHAKA GHRITHA) was our first choice as it is "sandhyasthimajjagatha vata roga"(affecting deep bony structures). Patient was stout with 85kgs and 5foot 7 inch tall, unable to move due to pain even in rest, its again difficult to convince the patient regarding the medicne, he was always confused since his blood picture at the time of admission

s.cholesterol	205mg%
triglcerides	117mg%
HDL	43.8mg/dl
LDL	138.6mg/dl
VLDL	23.4mg/dl

  its his faith and determination not to use steroids made him to take this medication.
                                                        Probably all ayurveda doctors know there should be a processing period before intake of ghee(agni deepana-ayurvedic variable), we started ghee from the 4th day of admission and initial dose was 25ml(acchapana-only ghee)early morning without other medictions, he was asked to consume warm water untill he gets the desire for food. Once he felt hungry he was allowed to take hot water bath which was then followed by warm rice porridge. He was not allowed to take fruits,milk,tea,cofee,heavy food. The process continued as given below
                                 

DAY	QUANTITY OF GHEE	TIME OF ADMINISTRATION OF PORRIDGE
1 2 3 4 5 6 7 8 9	25ml 50ml 100ml 150ml 200ml 250ml 300ml 350ml 150ml	12 pm       2.30pm    1.30pm    2.00 pm    8.30pm    8.40pm    9.00pm    9.00pm    7.00pm
Days  9	Total 1575ml

Its clear form the above chart regarding the intake of ghee in 9 days . its the time, all waited for blood check, blood was collected on the 10 day and his lipid profile was evaluated, the reports

s.cholesterol	180mg%
triglcerides	160mg%
HDL	40.8mg/dl
LDL	103.6mg/dl
VLDL	35.6mg/dl

 Its clear from the reports regarding the level of lipids in blood, there is an increase in triglycerides but all the other parameters are clinically relevant.

Patient was feeling well and with reduced pain and was feeling better than steroids.

     Next course of treatment was muscle strengthening and supporting joints with the help of oil bandages, along with few decoctions. he was feeling much better. During the time of discharge after 21 days his serum cholesterol was 185mg%. 

                                          At the time of discharge he was feeling well and is on ghee (vicharana-along with food/medicnes).These are some of the few examples which will make people think ayurveda as scientific and evidence based.             

                            

                                                Please post your comments and valuable questions so that we will be able to propagate scientific ayurveda. This is a chronic degenerative case with long course of treatments needed. the study goes on .............      

Written by,

Dr.Samson c Varghese

Cheif Research officer

Kottathil ayurveda