Author: Dr. Vikram Chauhan

Treatment of Globus Pharyngis with Herbal Remedies

Abstract

It is a non-painful sensation of a lump in the throat or feeling of having something stuck in the throat. This condition is usually long lasting, difficult to treat and has a tendency to recur. Due to unknown etiology, it is very difficult to establish standard investigation and treatment strategies for affected patients. Here in this article we will discuss globus pharyngis in detail and its ayurvedic correlation also.

Introduction

Globus pharyngis is a non- painful sensation of a lump or foreign body in the throat. It is a common condition that is reported by upto 46% of apparently healthy individuals. It was first reported by hippocrates approximately 2500 years ago. It was also called “globus hystericus”. Gastroesophageal reflux disease, abnormalities of the upper esophageal sphincter, psychological and psychiatric disorders are the  major causes of globus pharyngis. Numerous other disorders such as esophageal motility disorders, structural head and neck diseases, and psychological factors are the potential causes of globus. Careful history taking is the first step for managing globus pharyngis. Muscle therapy, nasal therapy, proton pump inhibitors ,speech and language therapy can be helpful in patients whose symptoms persist despite negative investigations. This condition is equally present in both men and women. Let’s discuss in detail.

Globus Pharyngis

Facts

  1. It is a non painful sensation
  2. In this disease both men and women are equally affected
  3. Globus pharyngis has tendency to recur
  4. It can easily manageable by ayurvedic herbs

Causes

  1. Gastroesophageal reflux disease
  2. Esophageal motor disorders
  3. Upper aerodigestive malignancy
  4. Thyroid disease
  5. Cervical heterotopic gastric mucosa
  6. Rare laryngopharyngeal tumors
  7. Psychological factors and stress
  8. Retroverted epiglottis

Other Causes

  1. Muscle tension
  2. Acid reflux
  3. Postnasal drip
  4. Emotional reactions

Symptoms

  1. Tightness or pressure in the throat
  2. Itching in the throat
  3. Swelling of the throat
  4. Hoarseness
  5. Chronic cough

Diagnosis

  1. Reflux symptom index and reflux finding score- the symptoms of globus pharyngis can be confused with other laryngeal conditions caused by smoking, allergies, infections, vocal abuse,  or neurogenic mechanisms as well as non-pathological variations. So reflux symptom index is a self administered tool for assessing the symptoms of globus pharyngis.
  2. Barium swallow- barium swallow studies have been reported to identify benign lesions with globus in one-third of patients. Thus this test is useful for the investigation of patients with globus.
  3. Video fluoroscopy- this test is helpful to identify pharyngeal dysfunction in a substantial proportion of globus patients.
  4. Flexible esophagogastroscopy- this procedure enables full esophageal evolution and diagnosis of the cause of globus pharyngis.
  5. Manometry-it is a useful tool for assessing lower esophageal sphincter pressure and peristaltic sequence.

Treatment

1. Anti- reflux Treatment

Gastroesophageal reflux is the major cause of globus so anti-reflux treatment should be the first attempt method for managing patients with globus.

2. Speech and language therapy

This therapy includes neck and shoulder exercises, general relaxation techniques, voice exercises and voice hygiene to relieve vocal tract discomfort. This therapy is very useful to treat patients with globus pharyngis symptoms.

3. Cognitive-behavioral therapy

Cognitive behavioral therapy is the best treatment for a variety of somatoform disorders. In this therapy antidepressants have been found to be beneficial for globus patients.

Other treatments

  1. Proton pump inhibitors
  2. Muscle therapy
  3. Nasal spray therapy

Prevention

  1. Drink plenty of water
  2. Quit smoking
  3. Rest your voice when you have a cold.

Ayurvedic view

Ayurveda simply means knowledge of life which includes many therapies such as herbal medicines, oils, enemas, laxatives, massage, yoga and special diet etc. According to ayurveda our body is composed of three components such as dhatu, mal and doshas. According to ayurveda globus pharyngis can be correlated with imbalance of doshas. The doshas which are aggravated cause a feeling of something stuck in the throat. The imbalance doshas can be balanced by some ayurvedic therapies (panchkarma), reducing foods and lifestyle habits that aggravated them. Vatanulomana and udavarta chikitsa are also useful for the management of globus pharyngis. Tightness or pressure in the throat can be managed by turmeric and salt water gargles or with yashtimadhu. Drinking fluids and staying hydrated can be helpful in the itchy throat. You can take steam or clove powder with honey to reduce the swelling in the throat. The herbs which are useful for the management of globus pharyngis are yashtimadhu, mishri, pippali, amla, marich and sonth.

Herbal remedies for globus Pharyngis by Planet Ayurveda

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

Product list

  1. Yashtimadhu ghan vati
  2. Mahashankh vati
  3. Kaas Har churna
  4. Avipattikar churna

herbal supplements for Globus Pharyngis

Herbal Remedies for Granulomatous Meningoencephalitis

Product Description

1. Yashtimadhu ghan vati

Yashtimadhu is in the form of a tablet which contains natural herb yashtimadhu (Glycyrrhiza glabra). Yashtimadhu is very helpful to manage diseases of the upper respiratory tract. It is an effective expectorant that helps to liquefy mucus and facilitate its discharge from the body. The expectorant effect of yashtimadhu benefits people suffering from symptoms of globus pharyngis. Thus this tablet is very helpful in the management of globus pharyngitis.

Dose:– 2 tablets twice daily after meal with plain water

2. Mahashankh vati

Mahashankh vati is an ayurvedic formulation that consists of natural herbs. The main ingredients of this tablet are shunthi (Zingiber officinalis), pippali (Piper longum), shankha bhasma (Ash of conch shell), and shuddha vatsanabha (Purified aconitum ferox). This tablet is very helpful in the management of indigestion, abdominal pain, and irregular food habits. This medicine is very helpful to expel the gas from the stomach and relieve indigestion.

Dose:- 2 tablets twice daily to be chewed 20 minutes before meal.

3. Kaas Har churna

The main ingredients of this capsule are mishri (Crystallized sugar lumps), vanshlochan (Bambusa arundinacea), pippali (Piper longum), ela (Elettaria cardamomum) and dalchini (Cinnamomum zeylanica). It is very effective in all frequent attacks of cold and cough. It also increases the circulation of the lungs and encourages vasodilation. All the ingredients in this churna are natural and free from side effects.

Dose:- ½ tsp twice daily with plain water after meals

4. Avipattikar churna

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

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

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

Conclusion

Globus pharyngis  is a non-painful sensation of a lump in the throat or feeling of having something stuck in the throat. This condition is usually long lasting, difficult to treat and has a tendency to recur. Due to unknown aetiology, it is very difficult to establish standard investigation and treatment strategies for affected patients. Gastroesophageal reflux disease, abnormalities of the upper esophageal sphincter, psychological and psychiatric disorders are the  major causes of globus pharyngis. Here In this article we have learnt globus pharyngitis in detail and its Ayurvedic management also.

What are the indicators of Hemapheresis? How Ayurveda can be of help Relate with Rakta Shodhana in Ayurveda

Abstract

Hemapheresis is a process in which blood parts or blood components are removed by automated equipment. This process is very safe, in which plasma and platelets are removed from blood and the left part is sent back to the donor’s body. The donor should be ABO and Rh typing and must meet the criteria applicable as the donor for normal donation. All the process is based on the centrifugation principle. The Whole process takes two hours to complete.  In this article we will discuss this process in detail and its alternative in Ayurveda.

Hemapheresis

Introduction

This process has been used widely in clinical practice for removal of toxins from the blood. It includes cell depletion in which removal of platelets, red cells and leukocytes from the patient’s circulation. This process is also called therapeutic plasma exchange. It can be used in various diseases such as thrombocytosis, malaria, leukocytosis, aplastic anaemia and many other blood related disorders.  In ayurveda it can be correlated with raktamokshan and raktshodhan in which toxins from the blood are removed. Various methods used in this therapy are leech therapy, shrunga, alabu and sirovedha. In case of raktshodhan various herbs used in the purification of blood are manjistha, sariva, haridra, guduchi and neem. Let’s discuss in detail.

Process of Hemapheresis

Therapeutic plasma exchange is a process in which toxins are removed from blood by automated equipment. This is a highly advanced technique in which exchange, replace, or at least manipulate particular cellular or blood constituents in a broad panel of different diseases. Firstly blood is taken from donors through a needle after that it is mixed with anticoagulants and separated in separators. All this activity works on the centrifugation method.

The Components of Blood Which Involves in this Process are:-

  1. Plasmapheresis
  2. Plateletpheresis
  3. Leukapheresis
  4. Stem cell harvesting
  5. Donors hemapheresis

1. Plasmapheresis

In this plasma is removed from the blood that helps to reduce circulating antibodies and other complexes.

2. Plateletpheresis

In this condition platelet count is very high so platelets can be removed to avoid complications of thrombosis and bleeding.

3. Leukapheresis

If the patient is suffering from thrombosis then WBC are removed from the patient’s body.

4. Stem Cell Harvesting

In this stem cells can be harvested using the transplantation procedures.

5. Donors Hemapheresis

The process of hemapheresis is becoming popular day by day because in this process a person can donate blood to others.

Indicators of Hemapheresis

  • Wilson disease
  • Thrombocytosis
  • Systemic lupus erythematosus
  • Sickle cell disease
  • Myasthenia gravis
  • Multiple sclerosis
  • Malaria
  • Lung transplantation
  • Liver transplantation
  • Kidney transplantation
  • Inflammatory bowel disease
  • Immune thrombocytopenic purpura
  • Leukocytosis
  • Hemolytic uremic syndrome
  • Hemolytic disease of foetus
  • Familial cholesterolemia
  • Dermatomyositis
  • Dilated cardiomyopathy
  • Coagulation factor inhibitors
  • Burn with circulatory shock
  • Aplastic anaemia
  • Autoimmune hemolytic anaemia
  • Age related macular degeneration
  • Systemic amyloidosis
  • Amyotrophic lateral sclerosis
  • Acute liver failure

Ayurvedic Overview

According to ayurveda this process can be correlated with raktamokshan because in this procedure just like hemapheresis toxins are removed from the blood. According to acharya sushruta, rakta is considered as a fourth dosha. When the doshas are in normal limits maintain well being but when they aggravate or lower then causes many health problems. According to ayurveda when doshas are aggravated in blood then they cause blood disorders. In ayurveda these can be correlated with rakta pradoshaj vikara. Various rakt pradosha vikara are as follows:-

  • Pleeha
  • Mashaka
  • Asya paka
  • Vidradhi
  • Kamala
  • Neelika
  • Charamdala
  • Shvitra
  • Pama
  • Dadru
  • Visarpa
  • Vyanga
  • Tilkalka
  • Kotha
  • Vatashonita
  • Arsha
  • Angamarda
  • Indralupta
  • Arbuda
  • Medhra paka
  • Guda paka
  • Asru Dhara
  • Kushth
  • raktapitta

Now, we will discuss raktamokshan in detail.

Raktmokshan

It is a procedure in which toxins are removed from the blood by various methods. It is of two types:-

1. Shastra

It is a procedure in which sharp instruments are used. Prachana and siravedha are its types.

2. Anushastra

It is a procedure in which blood is let out without any instruments. In this jalauka, shrunga and alabu are mainly used

Indications

  • Swelling
  • Gonorrhea
  • Headache
  • Burning sensation
  • Sinusitis
  • Conjunctivitis
  • Heaviness of body
  • Debility
  • Mastitis
  • Tumour
  • Fibroid
  • Elephantiasis
  • Skin disease
  • Rashes
  • Swelling

Contraindications

  • Haemorrhoids
  • Anaemia
  • Pregnancy
  • Emaciated persson
  • Anasarca

Samyak Lakshan

  • Cheerfulness of mind
  • Severity of disease
  • Subsiding of pain
  • Feeling of lightness of body

Atiyog Lakshans

  • Deep puncturing
  • Puncturing in hot season
  • During excess sweating

Season for Raktmokshan

Autumn season is the best season for raktmokshan

Various methods of raktamokshan are as follows:-

1. Leech Therapy (Jalokavcharana)

Leeches are mainly found in water and in cold places. This therapy is considered very easy for removal of toxins from the blood. In this therapy non poisonous leeches are mainly used.

Types of Leech

There are two types of leech

  1. Poisonous leech
  2. Non-poisonous leech

1.Poisonous Leech

They are called savish jaloka and is of six types

  1. Krishna
  2. Karbura
  3. Alagarda
  4. Saamudrika
  5. Indra-yudha
  6. Go chandana

2. Non – Poisonous Leech

They are called nirvish jaloka and of six types

  1. Kapila
  2. Pingala
  3. shankh – mukhi
  4. Mushika
  5. Pundarika- mukhi
  6. Saavarika

Method of Application of Jaloka

First of all, the affected part is washed properly with an antiseptic solution. Then leech is applied to the affected area. When leech starts sucking the blood then it is covered with moist cloth. When it completes sucking the blood then turmeric powder is used to stop the bleeding.

1. Shrunga

This is the best method for removal of toxins from the blood and mainly used in vata dushti. In this method cow’s horn is used for blood letting. Cow’s horn should be open at both ends. In this method small incisions are made over the affected part. The larger part of the cow’s horn is kept over the incised area.

2. Alabu

In this method pitcher guard is used for bloodletting and this process is mainly used in kapha dushti. In this method firstly the pitcher is opened at the top. All the seeds and pulp are removed from the top of the pitcher guard. The length of alabu should be 12 angul.  After that it is dried under the sun till it is hard. In this affected part should be cleared with antiseptic solution and multiple incisions made over the site.

3. Siravedha

In this procedure a tourniquet is applied above the selected area. When the vein is prominent then it is punctured using a sharp needle. After the complete blood flow, the affected area is tightly bandaged to stop bleeding.

Raktashodhana

In this therapy blood can be purified by herbal medications. As we have studied that hemapheresis separates toxins and other unwanted components from the blood. Just like hemapheresis there are some herbs that purifies the blood such as manjishtha (Rubia cordifolia), sariva (Hemidesmus indicus), haridra (Curcuma longa), neem (Azadirachta indica) and guduchi (Tinospora  cordifolia). Let’s discuss in detail

1. Manjishtha

Manjistha (Rubia cordifolia) is a natural herb that is found in  India. It shows various properties such as anti-inflammatory, antipyretic, antiprotozoal, leprosy healing and wound healing etc. As we know leprosy is caused by vitiated blood and can be managed by raktshodhan. It works on the brain and is helpful in the management of  stress and anxiety. Herb paste can be applied directly to the affected parts in case of skin disorders, ulcers and inflammation. It is also useful in increasing menstrual flow and purifies breast milk. So we can say that it is the best herb for purification of blood.

2. Sariva

Sariva (Hemidesmus indicus) is a herb that grows everywhere in india. It mainly balances the three doshas. It is very helpful in increasing fertility. It shows antiinflammatory properties and also purifies the blood. So it can be used in blood related disorders such as soft chancre, chronic rheumatoid arthritis and gout etc. This herb is also useful for rejuvenating the skin.

3. Haridra

Haridra (Curcuma longa) is a herb that is usually grown all over India but mainly in Tamil naidu, Mumbai and Bengal. It balances the three doshas and is helpful in the management of various disorders such as syphilis and herpes. This herb is mainly used to  boost immunity and fight against various disorders. It has antioxidant properties which is very helpful in the proper functioning of blood elements.  It is also helpful in pittaja disorders.

4. Guduchi

Guduchi (Tinospora cordifolia) is found everywhere in India. This herb is very useful in boosting the immunity and also purifying the blood. It is also useful in the management of skin related disorders. This herb is used to maintain the health of the skin, lungs and immune system. Respiratory tract disorders are also manageable by this herb. Guduchi is also helpful in the management of dysentry, diarrhoea, skin disorders, urine disorders, dyspepsia, jaundice and diabetes.

5. Neem

Neem (Azadirachta indica) is a wonderful herb used in the purification of blood. The main property of this herb is to remove toxins from the blood. It shows amazing results in skin related diseases such as acne, itching etc. it also regulates blood circulation and shows best results in all blood related disorders.

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

Hemapheresis is a process in which blood parts or blood components are removed by automated equipment. It is also called therapeutic plasma exchange. This process is very safe, in which plasma and platelets are removed by blood and the left part is sent back to the donor’s body. All the process is based on the centrifugation principle. In ayurveda it can be correlated with raktamokshan and raktshodhan in which toxins from the blood are removed. Various methods used in this therapy are leech therapy, shrunga, alabu and sirovedha. In case of raktshodhan various herbs used in the purification of blood are manjistha, sariva, haridra, guduchi and neem. Here in this article we have discussed hemapheresis in detail and its ayurvedic correlation also.