Author: Dr. Vikram Chauhan

Stargardt Disease – An Ayurvedic View and Management

Abstract

There are many diseases which are termed as inherited. Stargardt disease is one of them. Vision loss is the main symptom of the same. As per the modern system of medicine the disease has no cure. In the following text, we will discuss What Ayurveda has to serve in the aforesaid disease. Let’s look into some details about the same.

Introduction

There are a lot of medical conditions which are termed as congenital and inherited which means the disease is passed from parents to their children. Stargardt disease is one of them. Stargadt disease is an eye disease which causes vision loss in children and adults. Stargadt disease is also known as juvenile macular dystrophy. In the people suffering from the disease, the light sensing cells which are called photoreceptors, shrinks. As a result, the vision becomes blurry or maybe has black/dark areas in the acuity. Colour vision may also be hampered.

Stargardt disease and Ayurveda!!

In Ayurveda, various Acharayas have mentioned netra rogas. Acharya Sushruta has mentioned 76 netra rogas. Acharya Charak has mentioned 4 netra rogas. Acharya Vagbhatta and Sharangdhar have mentioned 94 eye disorders.  In most cases in netra roga, pitta dosha is vitiated. They have mentioned the various eye parts and the diseases associated with them. Causes mentioned in ayurveda regarding netra rogas include abnormal sleeping habits, continuous weeping, excessive anger and grief, trauma, excessive exposure to smoke, excessive suppression of urges etc.

Stargardt disease

There are many eye disorders. Stargardt is one of them which has genetic origin. Mutations in ABCA4 followed by accumulation of lipofuscin in the retinal pigment epithelium is the main reason for Stargardt disease. The common clinical presentation is beaten bronze reflex or snail slime reflex from the macula.

symptoms of Stargardt Disease

What are the symptoms?

  1. The first symptom of the disease is blurry vision and the secondary symptom is distorted vision.
  2. The patient vision takes time to adjust itself while going from light to dark area and vice versa.
  3. Mainly central vision is lost, side vision may stay good in many patients.

The main symptoms are mainly avila darshana (blurred vision) and vyavidha darshana (distorted vision), thus it can be correlated with timira disease mentioned in Ayurveda texts as per its clinical manifestation.

Treatment

In contemporary medical science, there is no Treatment for Stargardt Disease. But gene therapy and stem cell therapy is there that can be done. But the procedure is so expensive. Wearing glasses may help in bright sun and photosensitivity of Stargardt disease. Glasses also help to prevent further damage from ultraviolet rays of the Sun. Studies have shown that overdose of Vitamin A can worsen the condition. Though Vitamin A in food is normal, supplements of Vit A should be avoided.

Ayurvedic management

There are several modalities like virechana, tarpan, nasya which can help in Stargardt disease.  There are herbal formulations prepared by Planet Ayurveda which are good for eye health and can help in the aforesaid disease.

Herbal remedies for Stargardt disease by Planet Ayurveda

Planet Ayurveda is a renowned GMP-certified, US-FDA registered and ISO 9001:2015 certified Ayurvedic Company, which adhered to the objective of manufacturing standard Ayurvedic medicines as described in the various ancient texts of Ayurveda. Medicines are prepared without preservatives and additives and other kinds of chemicals which cause many ill effects on the human body. Products manufactured at Planet Ayurveda are pure and devoid of any adulteration.

Herbal Supplements for Stargardt Disease

Herbal Supplements for Stargardt Disease

Let’s see some formulations prepared by Planet Ayurveda

1. Brahmi Ghrit

It balances tridosha. By pacifying the three doshas, it is helpful in managing Stargardt disease. It has Shankhpushpi (Convolvulus pluricaulis), Kutha (Saussurea lappa), Vacha (Acorus calamus) and of course cow ghee. All the herbs and cow ghee is chakushya which means beneficial for eye health. Thus Brahmi ghrita is useful.

Dosage :1 tsp twice a day after meals with warm water.

2. Angel eye vitale

It contains Amalaki (Emblica officinalis), Gotukola (Centella asiatica), Bhringaraj (Eclipta alba). Amalkai being a rasayana, rejuvenates eye cells. Gotukola and Bhringraj are chakushya thus also promote the health of the eyes. Thus are beneficial in Stargardt disease.

Dosage :  1-2 Capsules once or twice daily after meals with Plain water

3. Saptamrit Loha

It is a herbomineral formula and is the most indicated formulation in all eye anomalies. It contains Yastimadhu (Glycyrrhiza glabra), Amalaki (Emblica officianlis), Bibhitaki (Terminalia billerica), Haritki (Terminalia chebula),  loha bhasma (iron ash). It prevents immature cataract, night blindness and is also useful in relieving computer vision syndrome. Further it is also beneficial in myopia, glaucoma and dry eye. Moreover it is used in skin, hair and digestion related problems.

Dosage : 1 tablet twice a day after meals with Plain water.

4. Kamdudha ras (moti yukt)

It contains Mukta Pishti (Pearl), Praval Pishti (coral), Shukti Pishti oyster, Kapardak (Varatika) Bhasma (cowrie), Shankh Bhasma (conch shell calx), Shuddha Sonageru (Purified Hematite), Giloy Satva (Tinospora cordifolia).It balances pitta dosha. Thus helpful in pittaja disorders of eyes. It can be used in Stargardt disease.

Dosage : 1 tablet twice a day after meals with Plain water.

Amalaki Rasayan

Amalaki is described as rasayana in Ayurveda. Rasayana is basically an immune boosting or rejuvenating therapy in Ayurveda which also gives many other benefits. Rasayana helps in providing overall health benefits. Rasayana therapy replenishes vital bodily fluids and amplifies oja. It results in a powerful immune system so that the body can fight the various disease-causing agents.  Further rasayana prevents the effect of ageing, therefore provides long life. It improves intellectual competence and intelligence as well. As it is a rasayana, hence it has eye health promoting properties. It can be useful in Stargardt disease.

Dosage : 1-2 Capsules twice daily, with normal water, after meals.

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

Conclusion

From the above text, it is clear that the stargardt disease is not in the hands of a person to adopt methods of prevention. So  gene therapy is indicated in the modern medical system. Whereas in the context of Ayurveda, there are several formulations which are concerned about the welfare of human beings. And has been giving excellent results in the case of eye disorders. Planet Ayurveda is adhered to the motto of providing chemical free, additive free, preservative free medications. Therefore the results of the planet ayurveda’s formulations are providing fantastic results. Aforesaid formulations are beneficial in eye disorders as well as for other various ailments.

Oromandibular Dystonia with Its Ayurvedic Correlation

Abstact

Oromandibular is a rare neuromuscular disorder of oromandibular region  characterised by involuntary repetitive muscular contraction of oromandibular region. Its various physical manifestations can be dangerous for patient health and it can make patients socially disabled. Sometimes this can be misdiagnosed and patients get wrong treatment  There is no specific diagnostic criteria and treatment for this in modern medicine. In ayurveda there is proper treatment mentioned for diseases related to neuromuscular conditions. This can be correlated with the vata vyadhi as per Ayurveda and treatment of vata vyadhi is explained properly in ayurvedic medicinal textbooks. Ayurvedic medicine is helpful in detoxifying the body and it has the potency to treat this disease properly.

INTRODUCTION

Dystonia is the involuntary muscle contractions of different parts of the body.  Based on the anatomical  site of the dystonia, it can be categorised as focal, segmental, multifocal and generalised. It can also be categorised on the basis of causes. Primary dystonia is idiopathic and secondary dystonia mostly occurs due to trauma and medications. It is important to not ignore dystonia and treat well

Oromandibular dystonia is a focal dystonia in which masticatory spasm &  lingual muscles result in involuntary movement and pain in the jaw when opened, closed or deflected. It is sometimes referred to as cranial dystonia. Cranial dystonia is a condition in which the dystonia affects the region of the face and mouth. The symptoms come in later life after mid age (50 years and above) and appear to be more common in women.

Oromandibular Dystonia

PATHOPHYSIOLOGY

The specific reason for oro mandibular is unknown. After much discussion on the organic cause for this syndrome it is sometimes placed under adult onset torsion dystonia. However there is no significant sign for the pathogenesis of this disease. Because of this some scientist suggest that it is “psychogenic”

DIFFERENTIAL DIAGNOSIS

To diagnose oromandibular dystonia is difficult because its symptoms mimic other dental problems. Misdiagnosis can lead to harm to the patient and the progression of symptoms.

1. Dental mimics

Omd is present with dysfunction of both oral and facial musculature. It can be mimicked with the Temporo mandibular joint because in both the cases pain is present and bone dislocation occurs.

2. Medical Mimics

Neurological movement disorders can also be mimicked from omd if jaw tremor is present. There are many conditions like this for example parkinson’s disease  when tremor affects the jaw, chin and mouth. In progressive stages can also include depression & stress and because of this it can be misdiagnosed as a psychiatric disorder. Drugs like dopamine can induce omd and tardive dyskinesia so it is difficult to differentiate

SIGN AND SYMPTOMS

  1. Involuntary opening of mouth
  2. Jaw shifting towards one side or the back
  3. Involuntary movements in the face or lip
  4. Involuntary movements of tongue
  5. Slurred speech
  6. Difficulty in chewing
  7. Muscle contraction of jaw and face
  8. Pain in jaw and oral cavity

AYURVEDIC VIEW

It is considered to be vata vyadhi in Ayurveda which means this is occurred due to the vitiation of dosha (vata)  in the specific region oromandibular.  Vata vyadhi has some specific characteristic symptoms like: asthi bhanga (dislocation of bones), shotha (swelling), stambha (stiffness), gaatra suptataa (numbness of body), bheda(spitting pain).

For treating vata vyadhi several ayurvedic therapies and drugs work magnificently. Among them some therapies are as follows: Sneha, Sweda, Mridu shodhnam, Snigdhoshana vasti and seka etc.

HERBAL REMEDIES BY PLANET AYURVEDA FOR OROMANDIBULAR DYSTONIA

Planet ayurveda herbal medications are one of the certified medicines which are tested in the lab and they are ISO certified. These products are not using any additives, flavours or preservatives and they have no side effects. Planet ayurveda products are pure herbal medications in this disease many products can be used some of them are as follows: Dhanwantharam capsules, Boswelia curcumin and  yograj guggul etc

1. RASRAJ RAS

This formulation was used by many ayurvedic practitioners in treating disease. In ayurveda there is mentioned that not only a single substance on this earth which can not be used as drugs that’s why in ayurveda along with herbal medication minerals are also used in treating different diseases. The main ingredients are Parada (Purified mercury), Abhraka (Mica), Swarna (purified gold) etc.

Dosage: 1 tablet to be chewed with little milk after meals.

2. YOGRAJ GUGGUL

It contain many useful ingredient like: Guggul (commiphora mukul), Nagarmotha (cyperus rotundus), Chitrak (plumbago zeylanica) and Amla (emblica officinalis) etc They are very helpful in balancing the vitiation of vata disease. Many properties like antioxidant, anti inflammatory, anti bacterial, anti thrombotic which are useful in treating oromandibular dystonia.

Dosage: 2 tablets should be taken twice daily after meals.

3. VRIHAT VATCHINTAMANI RAS

It is highly recommended in the treatment of vata dosha vitiation disease such as paralysis, hemiplegia, facial palsy, tremors etc. It has excellent properties like anti ageing and rejuvenating properties.

Dosage: 1 tablet should be taken twice daily after meals

4. BOSWELLIA CURCUMIN

Its main ingredients are Shallaki (Boswellia serrata) and Curcumin (Curcuma longa) They together give a very beneficial result in anti inflammation. In oromandibular dystonia, shallaki works as a painkiller and specifically acts on muscular pain. Curcumin is the principal ingredient of  haridra which have antioxidant properties and useful for quick healing of wounds

Dosage: 1 capsule twice daily, after meals with plain water.

5. DHANWANTHARAM CAPSULES

These are basically a soft gel capsule of oil form which are derived from dhanwantaram tailam. It can be used for neurological disorders such as paralysis, tinnitus etc. Its indications are given for many diseases like: hemiplegia, paraplegia, neuromuscular disorder, trigeminal neuralgia etc. It can be mainly used in vatika disorder i.e it is recommended in oromandibular dystonia.

Dosage: 1 capsule should be taken two times daily.

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

CONCLUSION

Oromandibular dystonia as described earlier in focal dystonia involving the masticatory and tongue muscles. It can be suspected in people with involuntary repetitive muscular contractions of the oromandibular. Due to its presentation it is difficult to diagnose and sometimes patients can be misdiagnosed with other diseases. For proper management it should be diagnosed  correctly and treatment should be started according to that. In ayurveda there is proper mention of management of vatika disorders and they are treated well.