Author: Dr. Vikram Chauhan

Partial Empty Sella Syndrome Treatment By Herbal Remedies

ABSTRACT

Partial Empty Sella Syndrome is considered as a rare syndrome that is associated with sella turcica, a part of the skull. Skull is an important part of our body as it protects our head which includes one of the important organs of our body that is the brain. The main functions of the skull are supporting the face and protecting the soft tissues of the head. It is quite important to take care of the skull, as once the skull gets affected a person could face a lot of problems. It may lead to brain damage and result in fatal conditions. In this article we will study one of the conditions of the skull that is partial empty sella syndrome and how we can manage with the help of ayurvedic management.

Partial Empty Sella Syndrome

INTRODUCTION

Empty sella syndrome is one of the rarest disorders that includes the part of the skull named as sella turcica. The sella turcica is located at the base of the skull  in the sphenoid bone which holds on the pituitary gland. In case of partial empty sella syndrome the part of the skull sella turcica is partially filled by CSF (cerebral fluid). The pituitary gland gets smaller in size in case of partial empty sella syndrome. When there is some underlying condition the partial empty sella syndrome is known as the secondary empty sella syndrome and when there is no associated cause then it is known as primary empty sella syndrome. Further we will discuss the cause and symptoms of empty sella syndrome.

CAUSES

As we read earlier it is of two types primary and the secondary one so the causes are different for both the types. The causes for primary empty sella syndrome are not clear yet but it can be related to birth defect that is in the  diaphragma sellae which is a membrane covering the sella turcica. Some of the patients are born with a small tear in the covering of sella turcica that leads to CSF leakage in the sella turcica. And it is not clear that this is the exact cause of this syndrome but considered as one of the risk factors. Now let’s see the causes of secondary empty sella syndrome, these may includes head trauma, infection, pituitary tumours, radiation therapy, intracranial hypertension, sheehan syndrome, neurosarcoidosis- these all are the conditions of the brain and pituitary that may lead to empty sella syndrome.

SYMPTOMS

Empty sella syndrome although doesn’t show any symptoms but in case of secondary empty sella syndrome a person may experience symptoms associated with the particular condition. Most of the patients with this syndrome suffered from chronic headaches but nobody is sure if it is due to the empty sella syndrome or due to high blood pressure. Other symptoms associated with the pituitary gland as its shrinkage occur in this syndrome. Rarely the empty sella syndrome associated with the building up of pressure in sella tunica that leads to the following symptoms:

  • Leakage of spinal fluid from the nose
  • Problematic vision
  • Swelling of optic nerve in the eye
  • Low production of pituitary hormones
  • Increase in pressure of spinal fluid
  • Impotence in Men
  • Hampered menstruation in females

DIAGNOSIS

Empty sella syndrome is not easy to diagnose as it does not produce any specific symptoms. If there is a suspicion of the disorder in some cases then the case will be further diagnosed with physical examination and after that one review is taken on the medical history of the patient. For clear diagnosis CT Scan and MRI is to be done. This examination also helps in diagnosing if the empty sella syndrome is partial or total. One other thing is to be added in a clear diagnosis that is the examination of pituitary hormones such as Adrenocorticotropic hormone (ACTH), Thyroid-stimulating hormone (TSH), Luteinising hormone (LH), Follicle-stimulating hormone (FSH), Prolactin (PRL) and some other. So these are some steps of diagnosing the empty sella syndrome to be followed for clear diagnosis.

AYURVEDIC VIEW

As per ayurveda there is no direct correlation of Empty Sella Syndrome, there is the involvement of all the tridosha in thi syndrome. As the pathology of the disease is like there is the accumulation of CSF in sella turcica and then the size of the pituitary gets shrinked, at last there is depletion of pituitary hormones. So the flow of CSF into sella turcica is due to vitiation of vata dosha, the accumulation is due to increase in kapha dosha and the low secretion of pituitary hormones are due to vitiation of pitta dosha. So in the management of partial empty sella syndrome we have to keep regulating the tridosha. Below we are going to discuss the herbal remedies by Planet Ayurveda that helps in the management of Partial Empty Sella Syndrome.

HERBAL REMEDIES BY PLANET AYURVEDA FOR PARTIAL EMPTY SELLA SYNDROME

Planet Ayurveda is a GMP certified ayurvedic clinic which formulates their own ayurvedic formulations. All the formulations produced by Planet Ayurveda are free from any kind of additives, preservatives, color, fillers, resins, etc. The formulations are made under the strict guidance of M.D. Ayurveda practitioners. They ayurvedic supplements for managing almost all the health issues and for Partial Empty Sella Syndrome Planet Ayurveda listed 7 herbal remedies. Now we are going to discuss how all the herbal remedies work in managing Partial Empty Sella Syndrome below:

PRODUCT LIST

1. Brahmi Capsules

2. Gotukola Capsules

3. Ashwagandha Ghan Vati

4. Telomere Boost Up

5. Yogendra Ras

6. Jeevantiyadi Ghrit

7. Gandhak Rasayan
Herbal Remedies For Partial Empty Sella Syndrome

Herbal Remedies for Partial Empty Sella Syndrome

PRODUCTS DESCRIPTION

1. BRAHMI CAPSULES

Brahmi capsules by Planet Ayurveda are single herbal remedies which consist of standardized extract of Brahmi (Bacopa monnieri). Brahmi herb consists of antioxidant properties as well as medhya properties that make it effective in case of Empty Sella syndrome. It helps in preventing the degeneration of the pituitary gland due to its antioxidant properties and helps in regulating the pituitary functioning too. So by doing so Brahmi capsules alleviates the various symptoms of Partial Empty Sella Syndrome.

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

2. GOTU KOLA CAPSULES

Gotu Kola Capsules are formulated by Planet Ayurveda by the single herbal ingredient gotukola (Centella asiatica). This herb is considered as one of the medhya rasayana which means it has a miraculous effect on the nervous system. These capsules even consist of hypertensive properties that aid in lowering the high blood pressure levels which is one of the major symptoms of the Partial Empty Sella syndrome. So due to neuroprotective properties it assists in regulating the levels of pituitary hormones thus alleviates the associated symptoms of Empty Sella Syndrome.

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

3. ASHWAGANDHAGHAN VATI

Ashwagandhaghan vati is a formulation by Planet Ayurveda which is available in tablet form. These herbal tablets consist of Ashwagandha herb (Withania somnifera) that is an effective adaptogenic herb in nature. The adaptogenic properties of ashwagandha helps in reducing stress in the body which further prevents the damage at cellular level. As stress has a direct harmful effect on the endocrine system, the adaptogenic property of ashwagandha by reducing stress alleviates the symptoms  of empty sella syndrome by regulating the pituitary hormones.

Dosage: 2 tablets twice daily with plain water meals.

4. TELOMERE BOOSTUP

Telomere boostup is a herbal remedy formulated by Planet Ayurveda in capsule form. These capsules consist of standardized ingredients like Giloy (Tinospora cordifolia), Ashwagandha (withania somnifera), Grape seed (Vitis vinifera), Amla (Emblica officinalis) and some others. All the ingredients of these capsules help in boosting the immunity levels as well as being enriched with antioxidant properties initiates the functions of pituitary.

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

5. JEEVANTYADI GHRITA

Jeevantyadi ghrita is a classical ayurvedic formulation which is prepared by Planet Ayurveda as mentioned in classical texts. This ghrita is available in lehya (jam) form which consists of ingredients like jeevanti (Leptadenia reticulata), triphala (Emblica officinalis, Terminalia billerica, Terminalia chebula), lodhra (Symplocos racemosa), draksha (Vitis vinifera). This formulation helps in regulating the pitta dosha which further regulates the pituitary hormones and alleviates the associated symptoms.

Dosage: 1 tsp twice daily with plain water after meals.

6. YOGENDRA RAS

Yogendra ras is one of the best ayurvedic formulations for neurological and endocrine disorders. This is formulated by Planet Ayurveda as per mentioned in classical ayurvedic texts and is available in tablet form. It consists of ingredients like parad (purified mercury), loha bhasma (calyx of iron), gandhaka (purified sulphur), swarna bhasma (calyx of gold) and some others. This is a miraculous ayurvedic immunity booster and a nervine tonic. Yogendra ras consists of yogovahi properties due to which when any ayurvedic formulation is consumed along with yogendra ras then it boosts up the effect of that particular ayurvedic formulation after intake. So by consuming yogendra ras in case of partial empty sella syndrome you will definitely get good results.

Dosage: 1 tablet twice daily to be chewed.

7. GANDHAK RASAYAN

Gandhak rasayana by Planet Ayurveda is an ayurvedic formulation in tablet form. These ayurvedic tablets consist of shuddha gandhak (purified sulfur) that acts as a natural immune booster. The formulation consists of adaptogenic properties as well as acts as a natural antibiotic. It helps in reducing the stress in the body which in turn boost up the activity of the nervous as well as endocrine system. So with all the above ayurvedic formulations gandhak rasayana aids in the management of Partial Empty Sella Syndrome.

Dosage: 2 tablets twice daily with plain water after meals.

CONCLUSION

CONTACT PLANET AYURVEDA TO PROVIDE YOU THE COSTING / ORDERING AND DELIVERY INFORMATION AT – COSTING.PLANETAYURVEDA@GMAIL.COM OR CALL AT +91-172-5214040

Empty sella syndrome is one of the rarest disorders that includes the part of the skull named as sella turcica. The sella turcica is located at the base of the skull  in the sphenoid bone which holds on the pituitary gland. The pathology of the disease is like there is the accumulation of CSF in sella turcica and then the size of the pituitary gets shrinked, at last there is depletion of pituitary hormones. As per ayurveda the flow of CSF into sella turcica is due to vitiation of vata dosha, the accumulation is due to increase in kapha dosha and the low secretion of pituitary hormones are due to vitiation of pitta dosha.  The symptoms include hypertension and the various symptoms associated with pituitary gland. In this article there is mentioned the solution of this syndrome with the herbal remedy by Planet Ayurveda. All the formulations are free from any kind of additives and preservatives. So without any fail in the diet and lifestyle consume the herbal remedies and get rid of your health concerns. If you have any query while consuming these herbal remedies you can share your query on www.PlanetAyurveda.com

Treatment of Punctate Inner Choroidopathy Through Ayurveda

Abstract

Punctate inner choroidopathy is a very rarely diagnosed condition. It is basically an inflammatory condition of the eye which generally affects the myopic women. The condition is characterized by presence of multiple, small and well defined yellow white fundus lesions and usually intraocular inflammation is not associated. Punctate inner choroidopathy is often called PIC and is one of the so-called white dot syndromes. Punctate inner choroidopathy is only recognized as a distinct condition as recently as 1984. In this article we will mainly discuss Punctate inner choroidopathy along with its causes and how it can be managed using Ayurvedic formulations.

Introduction

Punctate inner choroidopathy is a specific form of posterior uveitis and most commonly affects myopic women. It is characterized by multifocal, well circumscribed yellow white choroidal lesions present at the posterior pole of retina. These lesions are present without anterior or vitreous inflammation. Sometimes subfoveal lesions can result in symptoms like blurred vision, scotoma, metamorphosis and photopsia. Due to punctate inner choroidopathy does not usually cause severe visual loss. But if there is development of choroidal neovascularization and it develops in around 70% of patients with PIC. In treatment generally oral corticosteroids are generally recommended along with several therapies.

Punctate inner choroidopathy

Causes of Punctate inner choroidopathy

  • There is some evidence that suggests that PIC is an Autoimmune condition which means the immune system starts attacking its own healthy cells.
  • Later due to significant inflammation, sometimes some new blood vessels also grow in through the inflamed spots thus may leak and cause central vision loss.

Signs and Symptoms of Punctate inner choroidopathy

As mentioned above the condition is quite common in myopic women (females who are short sighted). On an average the women with age between 27-30 years are at a risk of developing PIC. Patients are usually healthy, but still the autoimmune changes are triggered and precede.

The most common symptoms observed areas as follows

  • The inflammation is confined to the back of the eye or can be understood as the posterior part of the eye.
  • Generally both eyes are affected.
  • There is no inflammation in the anterior chamber or vitreous which is the clear jelly inside the eye. This is the most distinguishing feature of PIC.
  • Both of the eyes are affected.
  • There is the appearance of gray white or yellow punctuated or punched out areas. These areas can also be understood as the areas of lesion. These are present at the level of the inner choroid. These lesions are typically located centrally at the back of the eye which is called the posterior pole.

Symptoms of PIC

Symptoms include blurring of vision along with partial blind spots. These partial blind spots are called scotoma. These are basically the diminished or lost areas of the visual field and are typically near the centre of vision. But occasionally they can also be peripheral. These may be temporary or permanent. Even patients also complain about seeing flashing lights. The PIC lesions, which are responsible for scar formation, can be of  deep nature present  in the choroid layer of the eye. This  may result in new blood vessels forming. These can arise as the body’s attempts at repair, but these new blood vessels (neovascularization). If the neovascularization is observed then it is basically a sign that the situation has become difficult and the patient has landed in complications.

Diagnosis of PIC

The diagnosis of this condition is difficult and may appear similar to other conditions like posterior uveitis and other forms of so-called white dot syndromes. Mostly the tests which are performed in this condition includes:

  • Visual field testing
  • Fluorescein angiography, in which intravenous dye is used to show the blood vessels at the back of the eye. 

Treatment of PIC

Treatment firstly includes observation. Observation is very appropriate for the lesions, when they are found in the mom sight threatening areas which means they are not present centrally. But in case the patient lands in complications like CNV (choroidal neovascularization). Then the following treatment is generally guided:

  • Corticosteroids which can be  systemic or intraocular.
  • Secondly Immunosuppressants are recommended as there is evidence that combined therapies of steroids and second line immunosuppressants may be helpful.
  • Surgical excision can also be done of the affected area in well selected cases.
  • Intravitreal anti-VEGF agents. For Examples Bevacizumb (avastin) and ranibizumab. These relatively new drugs which are injected into the eye.
  • Photodynamic therapy (PDT) which is a  photosensitive drug and is ‘activated’ by strong light. Generally it is advised to give combined therapy of PDT and anti VEGF.
  • Laser photocoagulation: This is occasionally used unless the CNV is subfoveal (affecting the central or macular part of the vision). The laser treatment can damage the vision.

Herbal Formulations for Punctate Inner Choroidopathy by Planet Ayurveda

Planet Ayurveda is a leading Ayurvedic firm which deals with the manufacturing of herbal formulations. These formulations are prepared using potent herbs who are really effective in managing many conditions related to eyes. The formulations prepared by Planet Ayurveda do not contain any kind of adulterants, dyes, additives, fillers etc. These medications are really potent to manage various conditions related to eyes especially and are very fruitful hence giving positive noticeable results. The medication or formulations offered by Planet Ayurveda for the management of Punctate inner choroidopathy is as follows

  1. Angel Eye Vitale
  2. Kaishore Guggul
  3. Bilberry Capsules
  4. Triphala Ghrit
  5. Saptamrit loha
  6. Curcumin Capsules

PRODUCTS DESCRIPTION

1. Angel Eye Vitale

Angel eye vitale capsules have ingredients like pure extract of vitamin C, vitamin E, zinc, marigold, corn, carrot seed and bilberry. The formulation is very effective in various eye related disorders and also helps in enhancement of eye sight. In case of any irritation due to PIC the formulation can be given and is very effective in managing such conditions.

Dosage: One capsule twice a day after meals with lukewarm water.

2. Kaishore Guggul

Kaishore guggul has many ingredients like amalaki (Emblica officinalis), haritaki (Terminalia chebula), Guduchi (Tinospora cordifolia), Ginger (Zingiber officinale), black pepper (Piper nigrum) and many others. It is a classical preparation which is being used to remove toxins from the body and also supports healthy blood circulation. The formulation tends to show a rejuvenating effect on the body. This formulation is very popular for its fantastic effects.

Dosage: Two tablets twice a day after meals with lukewarm water.

3. Bilberry Capsules

Bilberry which is also called Vaccinium myrtillus.. This is a single herb formulation and is one of the best medications which is used in the treatment of eye disorders. These capsules are made from pure extract of bilberry.  It has antioxidant properties and is successfully used in treatment of disorders related to retina, cataracts, nearsightedness and glaucoma. Bilberry is also used to enhance night vision.

Dosage: One capsule twice a day after a meal with plain water.

4. Triphala Ghrit

The formulation is prepared using Amalaki (Emblica officinale), Bibhitaki (Terminalia bellirica), Haritaki (Terminalia chebula), madhuka (Glycyrrhiza glabra), Katukarohini (Picrorhiza kurroa), etc. This formulation relieves itching, discharge, strain or pains of eyes. This ayurvedic formulation is tridoshghan and is loaded with rasaynik properties of triphala for eyes. It helps in preventing onset of neovascularization.

Dosage: One tsp with warm water twice a day

5. Saptamrit loha

The saptamrit loha is also having Triphala as its main content along with Iron calx (Bhasma) and Licorice which boosts immunity by increasing the blood cells. This makes it an efficient anti pathogenic formulation and improves systemic wellbeing. It helps in enhancing the immunity and protects eyes against the damage.

Dosage: One  tablet twice a day with plain water after meals

6. Curcumin Capsules

Curcumin capsules contain standardized extract of Curcumin longa which is having anti bacterial, anti inflammatory and analgesic properties. It helps in  reducing the inflammation present in the PIC and also enhances overall immunity of the body.

Dosage: One capsule twice a day after meals.

Contact Planet Ayurveda Support Team to provide you the costing/ordering and delivery information at – costing.planetayurveda@gmail.com or Call at 0172-521-4040 (India), +91-172-521-4040 (Outside India) or Whatsapp at (+91) 842-749-4030.

Conclusion

In Ayurveda the chikitsa of each and every disorder or disease is possible whether it is systematic or pathological.  All we need to do is gather knowledge and have belief. A proper understanding of condition and body according to Ayurveda can help you in understanding the situation really well and can do miracles in managing a condition. After a deep understanding choosing Ayurvedic herbs wisely helps in treating disorders really well. Above mentioned products by Planet Ayurveda are totally herbal and organic. In addition they do not cause any kind of side effects.