Author: Dr. Vikram Chauhan

Ayurvedic Treatment for Scleroderma – Symptoms, Causes , Types & Herbal Remedies

Abstract

The word “scleroderma” is derived from the Greek word “sclero” (hard) and “derma” (skin), referring to the thickening of skin. Scleroderma, also known as Systemic Sclerosis, is a chronic autoimmune disease characterized by the abnormal growth of connective tissue, leading to thickening and scarring (fibrosis) of the skin and internal organs. The exact cause of scleroderma is still not fully understood, but it is believed to involve autoimmune mechanisms, abnormal collagen production and vasculopathy. It is a rare disease, with an estimated prevalence ranging from 30 to 400 cases per million people. It is more common in women, with a female-to-male ratio of approximately 3:1. Most people are diagnosed with scleroderma between the ages of 30 and 50, though the condition can develop at any age. Early diagnosis is a key to manage this disease effectively.

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Introduction

Scleroderma (systemic sclerosis) is a rare, chronic autoimmune disease characterized by the excessive production of collagen, resulting in the hardening and scarring (fibrosis) of the skin and internal organs. Scleroderma can range from mild to severe, and it can affect various parts of the body, including the skin, lungs, kidneys, heart, and digestive system. The symptoms and progression of the disease can vary widely between individuals, and its exact cause remains unclear, though genetic and environmental factors are believed to play a role. Early detection and proper management can help alleviate symptoms and improve quality of life.

Causes and Risk factors of Scleroderma (Systemic Sclerosis)

The exact cause of scleroderma is still not fully understood, but several factors are thought to contribute to its development, these include:

  1. Immune system dysfunction
  2. Family history of autoimmune diseases
  3. Abnormal Collagen Production
  4. Blood vessel damage
  5. Raynaud’s phenomenon
  6. Environmental triggers
  7. Women are more affected
  8. Medications

Types of Scleroderma

Scleroderma is primarily divided into two main types:

  1. Localized Scleroderma – It affects only the skin and sometimes underlying tissues. It includes Morphea, which causes round or oval patches of thickened skin; Linear Scleroderma, which creates bands of thickened skin, often on limbs or the face; and En coup de sabre, a form of linear scleroderma that affects the forehead, giving it a sword-like appearance. These types typically do not involve internal organs.
  2. Systemic Sclerosis (Systemic Scleroderma) – It is a more severe form of the disease that affects not only the skin but also a range of internal organs, including the heart, lungs, kidneys, and digestive system. The disease causes the immune system to attack connective tissue, resulting in fibrosis (scarring) and thickening in different parts of the body. It has two main types:
    • Limited Cutaneous Scleroderma – It is the most common type, affecting the skin on the fingers, hands, forearms, and face, with minimal internal organ damage. Most people have a normal life expectancy but may experience heartburn, severe Raynaud’s phenomenon, musculoskeletal pain, and in rare cases, pulmonary hypertension. One subtype of limited scleroderma is CREST syndrome, named after its main symptoms, including Calcinosis (calcium deposits), Raynaud’s phenomenon (color changes in fingers/toes), Esophageal dysmotility (heartburn), Sclerodactyly (skin thickening on fingers), and Telangiectasias (red spots from enlarged blood vessels).
    • Diffuse Cutaneous Scleroderma – It is a subtype where excessive collagen production leads to widespread skin thickening, typically on the fingers, hands, arms, trunk, legs, and face. This form can cause significant damage to organs such as the gastrointestinal tract, kidneys, lungs, and heart.

Symptoms of Scleroderma (Systemic Sclerosis)

Scleroderma symptoms vary between individuals, depending on the type of the disease and the organs involved. They are as follow:

  • Thickening and tightness of the skin
  • Joint pain or stiffness
  • Puffy hands (swelling of fingers or hands)
  • Raynaud’s phenomenon (cold, numb, or tingling fingers/toes)
  • Pulmonary hypertension
  • Digestive problems
  • Skin discoloration
  • Joint pain or stiffness
  • Heartburn or acid reflux
  • Difficulty swallowing
  • Muscles weakness or pain
  • Shortness of breath or difficulty breathing
  • Red spots on the skin (telangiectasias)

Pathology of Scleroderma (Systemic Sclerosis)

The pathological process in scleroderma involves overactive immune system that attacks the body’s connective tissues,causing inflammation and excessive collagen production.This leads to thickening and scarring (fibrosis) of the skin and internal organs, including the lungs, heart, kidneys, and digestive system. Blood vessels also get damaged, resulting in poor circulation and symptoms like Raynaud’s phenomenon (reduced blood flow to fingers and toes). This leads to the characteristic symptoms and organ complications such as difficulty breathing, heart problems, kidney damage, and digestive issues.

Diagnosis of Scleroderma (Systemic Sclerosis)

Diagnosis of scleroderma involves

  1. Clinical evaluation
    • Medical history
    • Family history
    • Assessment of symptoms
  2. Blood test
    • Antinuclear antibodies (ANA) – Elevated
    • Anti-Scl-70 (topoisomerase I)
    • Anti-centromere antibodies
  3. Imaging studies
    • X-Rays
    • CT scan
    • Echocardiogram
  4. Pulmonary function test – To evaluate lung capacity and function
  5. Esophageal Manometry – To assess oesophagus swelling
  6. Capillaroscopy – To examine blood vessels at the base of the fingernails

Management of Scleroderma (Systemic Sclerosis)

The management of scleroderma (systemic sclerosis) focuses on controlling symptoms,preventing complications, and improving quality of life, they are as follow:

  • Regular monitoring
  • Physical therapy
  • Medication
    • Immunosuppressants
    • Corticosteroids
    • Proton pump inhibitors (PPIs)
    • Calcium channel blockers
    • Angiotensin receptor blockers (ARBs)
    • ACE inhibitors
  • Management of Raynaud’s Phenomenon
  • Pulmonary Care
  • Gastrointestinal Care
  • Kidney Monitoring
  • Psychological Support

Complications of Scleroderma (Systemic Sclerosis)

The complications of scleroderma (systemic sclerosis) include:

  • Pulmonary Fibrosis
  • Pulmonary Hypertension
  • Kidney failure
  • Esophageal Dysmotility
  • Heart failure

Ayurvedic aspect

The Ayurvedic correlation of Scleroderma (Systemic Sclerosis) can be explained through Vata-dominant Uttana Vatarakta associated with twak gata vata, with a primary vitiation of Vata dosha affecting the rasa (plasma), Rakta (blood), and mamsa (muscle), leading to symptoms of dryness, inflammation, and stiffness, which resembles with the thickening and hardening of tissues seen in scleroderma. Vata dosha disrupts rasa dhatu, leading to twak parushyam (roughness of skin), twak-sankocha (stretching of skin) and nidra alpata (loss of appetite). Rakta dhatu impairment causes poor circulation and oxygenation, contributing to fibrosis and leading to symptoms such as twak karshnaya (blackening of skin), blisters on skin, kandu (itching), sarvanga shotha (swelling on body) and sira ayama (stretching in vessels). Mamsa dhatu disturbance results in hasta-anguli evum sandhi sankocha evum jadyam (fingers, joints stiffness, and rigidity) and sankocha janya ruja (pain on movement of joints).

स्वेदाभ्यङ्गावगाहाश्च हृद्यं चान्नं त्वगाश्रिते | शीताः प्रदेहा रक्तस्थे विरेको रक्तमोक्षणम् ||
विरेको मांसमेदःस्थे निरूहाः शमनानि च | बाह्याभ्यन्तरतः स्नेहैरस्थिमज्जगतं जयेत् || (Ch.chi. 28/92-93)

The verse describes the treatment principle of vata vitiated condition involving skin, blood, and tissues. In ayurveda, scleroderma (systemic sclerosis) is treated by addressing vata dosha imbalances, particularly in the rasa (plasma), rakta (blood), and mamsa (muscle) dhatus (tissue). The two main treatment approaches are Shamana (palliative care) and Shodhana (detoxification). Vata shamana therapies and Vatarakta shamaka medicines help reduce pain, stiffness, and inflammation, promoting overall healing and balance. Key therapies include

  • Snehana (oleation) to soften tissues
  • Abhyanga (oil massage) for circulation
  • Swedana (sudation) to remove toxins
  • Basti (medicated enemas) to balance vata
  • Raktamokshana (bloodletting) to detoxify blood

Herbal Remedies for Scleroderma by Planet Ayurveda

Planet Ayurveda offers high-quality herbal solutions, like the specially crafted Sclero Care Pack, designed to naturally support and aid in the healing of Scleroderma (Systemic Sclerosis). The remedies are made with carefully chosen ayurvedic herbs. Free from harmful chemicals, additives, and preservatives, these products are not only effective but also completely natural, vegetarian, and pure. With a strong commitment to quality and purity, Planet Ayurveda ensures each product provides a safe and holistic approach to improving health and overall well-being.

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Product description

1. Ashwagandha Capsules

These capsules are the herbal supplement made from the standardized extract of Ashwagandha (Withania somnifera), a renowned herb in Ayurvedic medicine. It is a versatile herb that works to balance all three doshas, though it is especially effective in pacifying vata and kapha doshas. With its bitter and astringent taste, warming potency, and pungent effect after digestion, it helps promote brain health, cognitive function, and overall neurological stability. This makes it valuable in conditions like Scleroderma (Systemic Sclerosis), supporting long-term health and vitality.

Dosage: 2 capsules two times a day with warm water.

2. Gotu Kola Capsules

These capsules are herbal supplements made from a standardized extract of Mandookparni (Centella asiatica). It helps balance both vata and kapha doshas. This herb is renowned for its medhya (intelligence-enhancing) properties, promoting mental clarity and cognitive function. It helps support a healthy nervous system and improves the transmission of nerve signals, which can be especially helpful for managing conditions like Scleroderma (Systemic Sclerosis).

Dosage: 2 capsules two times a day with warm water.

3. Boswellia-Curcumin

These capsules combine two powerful herbs known for their anti-inflammatory and antioxidant properties: Shallaki (Boswellia serrata) and Curcumin (Curcuma longa). Together, they help reduce inflammation in muscles, bones, tendons, and skin, while also supporting the management of allergic conditions. They help improve blood circulation, ensuring nutrients and oxygen are efficiently delivered to affected areas, while also offering powerful analgesic effects to relieve pain. These herbs are rich in antiseptic, anti-inflammatory, and antioxidant properties, which work together to promote healing and well-being.

Dosage: 2 capsules two times a day with warm water.

4. Sanjivani Vati

These tablets are crafted from a combination of herbs, including Pippali (Piper longum), Haritaki (Terminalia chebula), Vidanga (Embelia ribes), and Vacha (Acorus calamus) among others. These herbs are known for their primarily katu (pungent) and tikta (bitter) taste, as well as their laghu (light), tikshana (sharp), ruksha (dry), and hot potency. It works as an appetizer, promotes digestion, and assists in the elimination of ama (undigested toxins). These effects make it particularly helpful for managing conditions like Scleroderma (Systemic Sclerosis), where digestive support and toxin removal are key for improving overall health.

Dosage: 2 tablets two times a day with warm water.

4. Gandhak Rasayan

These tablets contain purified sulfur. This natural remedy is well-known for its powerful antimicrobial, anti-inflammatory, and detoxifying properties, which can be incredibly beneficial for addressing various skin concerns. These properties help soothe irritated skin, reduce itching, and ease inflammation linked to conditions like Scleroderma (Systemic Sclerosis), supporting the skin’s natural healing for improved comfort and health.

Dosage: 2 tablets two times a day with warm water.

6. Sinhnaad Guggul

It is an Ayurvedic formulation that includes powerful ingredients like Haritaki (Terminalia chebula), Bibhitaki (Terminalia bellerica), Shuddha Gandhak (purified sulfur), and several other herbs. In the case of conditions like Scleroderma (Systemic Sclerosis), Sinhnaad Guggul can help reduce inflammation, support the body’s natural detoxification process, and promote the health of the skin and joints. These herbs are known for their powerful healing properties that work together to support overall health.

Dosage: 2 tablets two times a day with warm water.

Conclusion

In this article I have concluded about scleroderma (systemic sclerosis). We discussed causes or risk factors, symptoms, types, pathology, diagnosis, management, complications, ayurvedic aspect and herbal remedies by planet ayurveda. Ayurvedic treatments focus on rebalancing the doshas, enhancing immune function, and supporting overall health and vitality.

Ayurvedic Treatment for Low Bone Density – Symptoms, Causes , Risk Factors & Herbal Remedies

Abstract

Low bone density, often referred to as osteoporosis in advanced cases. It is a condition where bones become weaker and more susceptible to fractures due to a reduction in bone mineral content. This condition typically develops without noticeable symptoms in its early stages, making it difficult to detect without medical testing. Several factors contribute to low bone density, such as aging, hormonal imbalances (especially after menopause), inadequate nutrition (low calcium or vitamin D intake), lack of physical activity, and certain medical conditions or medications. In this article we will discuss this in more and we will discuss its Ayurvedic overview and its management.

Low Bone Density

Introduction

Low bone density is a condition in which bones become less dense, weakening their structure and increasing the likelihood of fractures. It is typically identified through bone density tests. The condition is commonly categorized into two types: osteopenia and osteoporosis. Osteopenia is a less severe form of bone loss, while osteoporosis represents a more advanced stage, leading to significantly higher fracture risk. Osteoporosis is a widespread global health concern, particularly among the elderly, marked by a notable decrease in bone mass that results in fragile bones. In contrast, osteopenia refers to a condition where bone density is reduced but not to a level that severely compromises bone strength. Both conditions are more common with age, and women, especially those post-menopause, face a higher risk due to hormonal changes that impact bone health.

Causes

Low bone density can arise from various factors, which can be grouped into genetic, lifestyle, hormonal, and medical causes –

  • Age – As individuals age, the process of bone renewal slows down, leading to a gradual decrease in bone density. This becomes especially noticeable after the age of 30, as bones lose mass over time.
  • Hormonal Changes in Women – Women are more likely to develop low bone density due to lower peak bone density and accelerated loss after menopause.
  • Natural Lower Bone Density – Some individuals naturally have lower bone density without experiencing bone loss.
  • Peak Bone Density – Bone mass starts to decrease after the age of 30. Thicker bones at age 30 may delay low bone density or osteoporosis.
  • Eating Disorders / Metabolic Issues – These issues can hinder nutrient absorption, leading to low bone density.
  • Chemotherapy or Some Other Medications – Medications like steroids can weaken bones.
  • Radiation Exposure – Damages bone health.

 

Other Risk Factors

  • Family history
  • Thin body type
  • Low physical activity
  • Smoking
  • Alcohol

Symptoms

There are no as such symptoms of Low bone density, some of the Commonly seen sign and symptoms are –

Common Symptoms of Low Bone Density

  1. Frequent fractures
  2. Fractures from light impact
  3. Chronic back discomfort
  4. Height reduction
  5. Hunched posture
  6. Reduced movement
  7. Joint discomfort
  8. Weak grip strength
  9. Fatigue
  10. Difficulty in standing upright
  11. Decreased balance

Diagnosis

1. DEXA Scan (Bone Density Test)

A Dual-Energy X-ray Absorptiometry (DEXA) scan is the most common test used to assess bone density. This painless test measures the mineral content of bones, usually in the spine, hip, or wrist, and helps determine if the bones are weak or at risk for fractures.

2. X-Rays

X-rays may be employed to identify any existing fractures or changes in bone structure, particularly in the spine. However, X-rays are not effective for detecting early bone density loss.

3. Blood Tests

Blood work can help measure levels of calcium, vitamin D, and other factors that influence bone health. Abnormal results, such as low vitamin D or calcium deficiencies, can point to possible issues affecting bone density.

4. Physical Exam

A physical examination may be performed to evaluate posture, balance, and any physical signs of bone weakness or fractures. Doctors may also measure height to detect any reduction in stature due to spinal compression.

5. CT Scan (Quantitative CT Imaging)

In certain cases, a quantitative CT scan may be used to get detailed imaging of the bones. While not a routine procedure, it can offer more specific insights into bone density when necessary.

Treatment

Approaches to Treating Low Bone Density

  1. Medications
    • Bisphosphonates
    • Selective Estrogen Receptor Modulators (SERMs)
    • Hormone Replacement Therapy (HRT)
  2. Supplements
    • Calcium
    • Vitamin D
  3. Lifestyle Modifications
    • Physical Activity
    • Nutritional Adjustments
    • Smoking Cessation
    • Limit Alcohol

Ayurvedic Overview

Low bone density is a condition that leads to increased bone porosity. This condition in ayurveda can be correlated with Asthisoushirya (Weakening of bones). It is not classified as a distinct disease on its own in ayurvedic texts. It is described as a symptom of Majja kshaya. It can be understood as a condition where vitiated vata becomes localized in the Asthi dhatu (Bone tissue), leading to Asthigata Vata, which eventually results in Asthi kshaya (Bone loss). However, it’s important to note that not every instance of Asthigata vata progresses to osteoporosis. Chronic conditions that exhibit clear stages of Asthisaraheenata (Bone depletion) can eventually lead to Asthusushirata (Bone fragility or porosity).

Causes (Nidana)

In general, Vatavyadhi Nidana (causes of Vata disorders) can be considered relevant here, although specific Nidana for Asthigata Vata (Vata in bones) is not explicitly mentioned. When Vata becomes deranged, it settles in the Asthi (bones), leading to Asthi Kshaya (bone loss). Since the Asthi dhatu (bone tissue) is nourished by nutrients circulating through its own channels, and both the Asthi and Asthi Vaha srotas (bone and bone-carrying channels) share similar qualities, factors that disturb the Srotas also disturb the dhatu. Additionally, Asthi and Majja (bone marrow) are interconnected, as Charaka mentions a cooperative relationship between Dhatus, known as “Paraspara Upasamsthabdha Dhatu Sneha Parampara” (mutual nourishment of tissues through a continuous flow of fat). Hence, factors that affect the Asthi Vaha and Majja Vaha srotas contribute to Asthi Kshaya (bone loss).The causes (Nidanas) for Vatavyadhi (Vata disorders) and vata prakopa (Vata aggravation) can be classified as follow –

  1. Dietary factors (Aharaja)
  2. Lifestyle factors (Viharaj)
  3. Mental stress (Mansika)
  4. Trauma (Abhigataja)
  5. Other contributing factors (Anyat nidana)

Aharaj (dietary Factors)

Consuming food that is low in nutritional value, or not taking in enough food (Alpabhojana), can contribute to imbalances. Foods that specifically aggravate Vata (Vatala Ahara) also play a significant role. Overconsumption of foods and drinks that are predominantly Tikta, Katu, and Kashaya in taste, and have the qualities of Rooksha (dry), Laghu (light), and Sita (cold), can intensify Vata dosha. Additionally, prolonged consumption of Virudha Ahara (incompatible food combinations) and Mamsala Ahara (heavy, meat-based foods) disturb the Majja Vaha Srotas (bone marrow channels) and Manovaha Srotas (fat channels), which ultimately have a negative impact on the Asthi dhatu (bone tissue).

Viharaj (Lifestyle factors)

Viharaja (lifestyle factors) that contribute to imbalances include-

  • Excessive exercise (Vyayama) – Overexertion during physical activities can strain the body.
  • Overindulgence in sexual activity (Vyavaya) – Engaging in sexual intercourse excessively can weaken the body.
  • Staying awake at night (Prajagara) – Sleep deprivation or staying awake during nighttime hours disrupts bodily functions.
  • Improper regimen during treatment (Apathya regimen) – Failing to follow appropriate guidelines while undergoing treatment.
  • Excessive blood loss – Losing too much blood, either through injury or medical conditions, can harm the body’s vitality.
  • Suppression of natural urges (Vegadharana) – Holding back natural bodily functions such as urination, defecation, or sneezing can cause harm.
  • Continuous physical stress –Repetitive activities like long journeys, uncomfortable postures while traveling, walking long distances, wrestling with someone stronger, or carrying heavy loads can irritate the body tissues.
  • Lack of exercise, obesity, and daytime sleeping – Insufficient physical activity, excess body weight, and sleeping during the day are factors that disrupt the Medovaha Srotas (fat channels), leading to various health issues.

Symptoms (Roopa)

Manifestations of Asthigatavata (Vata in bones) include the following symptoms

Ayurvedic Symptoms Related to Low Bone Density

  1. Asthiparvanam Bheda – Sharp, breaking pain around bony joints, such as the interphalangeal joints, wrists, cervical spine, lumbar spine, and sacral joints.
  2. Sandhisoola – Pain in the joints, often occurring in various parts of the body.
  3. Mamsakshaya – Muscle wasting or loss of muscle mass.
  4. Balakshaya – Weakness or loss of physical strength.
  5. Asthi Bhagna – Increased susceptibility to bone fractures.

According to Bhela Samhita, when Vata becomes aggravated in the Asthi (bones) and Majja (bone marrow), it leads to a variety of disorders, including –

Complications Related to Bone Weakness and Vata Disorders

  • Fractures of bones due to weakened bone structure.
  • Shivering and wasting of the body.
  • Epilepsy or convulsions.
  • Lockjaw, where the jaw becomes stiff and immobile.
  • Lameness in one or both hands or legs.
  • Joint dislocation due to weakened joints.
  • Other Vata disorders affect various parts of the body.

Treatment

Line of treatment for Low bone density in Ayurveda is –

Panchkarma therapies

  • Sneha Basti (Enema with Ghee)
  • Ksheer Basti (Enema with milk)
  • Abhyanga (Massage with herbal oils)
  • Virechana (Therapeutic Purgation)

Single Drugs used

  • Ashwagandha
  • Vacha
  • Dadima
  • Madhuyashti
  • Vidarikanda
  • Parushak
  • Padam Bijak
  • Guggul

Medicines Used

  • Lakshadi Guggulu
  • Trayodashang Guggulu
  • Yograj Guggulu
  • Praval Pishti
  • Mukta Shuktibhasma
  • Kukkutandatvak Bhasma
  • Kapardika Bhasma
  • Trikatu Churna
  • Panchkol Churna
  • Pippalyadi Churna
  • Ardraka Ghrita

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Herbal Remedies for Low bone density by Planet Ayurveda

Planet Ayurveda is a GMP certified ayurvedic company. They provide a wide range of natural, herbal formulations to support health and manage chronic disease. Planet Ayurveda’s Formulations are 100% pure, natural, chemical free and safe to use. All their formulations are prepared under the supervision of MD (Ayurveda) scholars. Their products focus on holistic care, addressing the root cause of ailments through personalised treatment, and lifestyle modification.

Ayurvedic Supplements for Bone Health

1.Coral Calcium Complex

This capsule is a pure extract of Praval Pishti (Coral), Akik Pishti (Agate), Mukta Pishti (Pearl), Guduchi (Giloy Satva) etc. Coral Calcium Complex can help provide additional calcium, which is crucial for maintaining bone strength.

Dosage: 1 capsule two times a day, with warm water after a meal

2. Lakshadi Guggul

This tablet is a standardized pure extract of Laksha (Laccifer Lacca), Asthisamharaka (Cissus Quadrangularis), Arjuna (Terminalia Arjuna), Ashwagandha (Withania Somnifera), Nagbala (Grewia Populifolia) etc. These herbs help to strengthen bones and enhance calcium absorption, supporting overall joint health.

Dosage: 2 tablets two times a day with lukewarm water after a meal

3. Osteoplan Capsule

This capsule is a standardized pure extract of Ashwagandha (Withania Somnifera), Shatavari (Asparagus Racemosus), Hadjod (Cissus Quadrangularis), Arjuna (Terminalia Arjuna). These capsules help revitalize osteocytes, offer joint lubrication, and meet calcium requirements. They help alleviate joint pain, back pain, neck pain, ankle discomfort, and swelling.

Dosage: 1 capsule two times a day with warm water after a meal

4. Bone Support Capsule

This capsule contains standardized pure extracts of Shudh Laksha (Laccifer Lacca), Shuanjana Beej (Moringa Oleifera), Hadjod (Cissus Quadrangularis), Arjun (Terminalia Arjuna), Praval Pishti (Corallium Rubrum) etc. These herbs enhance calcium absorption, promote joint flexibility, and support overall bone health. They help maintain bone density, reduce fracture risk, and improve mobility.

Dosage: 1 capsule two times a day with warm water after a meal

Conclusion

Low bone density is a condition that affects bone health, and it’s important to approach its treatment in a well-rounded way. Early diagnosis, prevention, and timely treatment are key to managing it. Ayurveda offers a natural method for preventing low bone density by looking at the whole person, including factors like body type, strength, digestion, and lifestyle. Ayurvedic remedies can be used individually or together, based on the person’s specific needs, to help prevent the disease.