Author: Dr. Vikram Chauhan

Yoga and Pranayama: A Holistic Approach for Fatty Liver Treatment

Abstract

Non alcoholic fatty liver disease is a leading cause of worldwide liver disease. In today’s era pharmacological medications are ineffective and in this condition lifestyle changes and regular exercise is the effective and commonly used treatment for Nonalcoholic fatty liver disease. Regular practising of Yoga and pranayam can reduce liver inflammation and hepatic steatosis, changes body composition, increases cardio-respiratory fitness and also improves vascular endothelial functions. The role to evaluate the yoga and pranayam without medication. Daily practice of yoga and pranayam in fatty liver patients for some time provides very good results. Practising Kapalbhati pranayam, Dhanurasana, triangle pose are effective yoga interventions for the best and effective results in the patients of NAFLD.

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Introduction

Fatty liver is also known as steatotic liver disease and also hepatic steatosis is a condition where excess fat accumulates in liver cells. Diabetes, obesity, smoking, high triglycerides, and non alcoholic fatty liver disease is also a risk factor that cause liver cancer. NAFLD represents the spectrum of the disease which starts from simple stenosis to fibrosis and is commonly present in 70% of patients with obesity and type 2 diabetes are at higher risk.

Causes Of Fatty Liver

Fatty liver is also caused by various factors like Obesity: excessive weight can lead to a disproportionate fat muscle ratio:

  • Alcohol Consumption: For long term alcohol use can worsen the liver and increase liver disease and cancer.
  • Type 2 Diabetes Mellitus: High sugar level in the body can promote accumulation of liver. It can lead to inflammation or formation of scar tissue.
  • High Triglyceride Changes: High levels of triglycerides in the blood can cause fat build up in the liver.

Symptoms Of Fatty Liver

There may be some symptoms:

  • Abdominal discomfort
  • Tiredness, fatigue
  • Nausea
  • Loss of appetite
  • Dark urine
  • Itching
  • Jaundice (Yellowing of skin and eyes)

Stages Of Fatty Liver

  1. The first stage is Stenosis: A harmless buildup of fat in the liver.
  2. The second stage is Non Alcoholic Steatohepatitis: A more serious form of NAFLD where the liver may be inflamed.
  3. The third stage is Fibrosis: Persistent inflammation causes scar tissue around the liver and nearby blood vessels.
  4. The fourth stage is Cirrhosis: It will be the last and most severe stage of fatty liver. In it the liver will be most affected.

Investigations

  • USG
  • CT SCAN
  • MRI
  • LFT
  • CBC
  • Viral markers
  • Liver Biopsy

FATTY LIVER DISEASE CAN BE TREATED WITH LIFESTYLE CHANGES

  • Eat a healthy diet, limiting sugar and salt in diet, plus eating lots of vegetables, fruits and whole grains, Dark chocolate, blueberries, olives and plums. And must avoid a high protein diet, avoid dairy products and processed and packed food, sugary beverages etc.
  • Regular physical activities, aerobic exercises.
  • Avoid alcohol and quit smoking.

FATTY LIVER AYURVEDIC OVERVIEW

Fatty liver refers to accumulation of excessive fat in the liver. In ayurveda it is termed as Yakrit Roga (Liver disease), many conditions come into Yakrit Roga, from simple steatosis to hepatomegaly to liver disease. They may be due to an imbalance of Pitta dosha. It helps in digestion of food. So we need to balance pitta dosha by flushing out toxins from the body. In contrast with kapha dosha which is known to be its cold and heavy qualities, it can reduce pitta efficacy in the liver when present in excess amounts. Ayurvedic medications are best and effective. Regular practice of Yoga and Pranayam is preferable for preventive and curative management of NAFLD. Yoga and pranayam are interlinked with ayurveda. Yoga is one of the best philosophies that means for self improvement by gaining the full potential of one’s body, mind and soul. Pranayam (Breathing exercise), Asana (Yogic postures), Dhyana (Meditation) are the popular techniques. Yoga is preferably effective in obesity or to control your diabetes and also corrects liver functions. Surya namaskar on NAFLD is quite difficult so therefore other yogic practices like kapalbhati, dhanurasana, Bhujangasana are beneficials.

SYMPTOMS

  • Udarashoola (Pain in abdomen)
  • Aruchi (Loss of appetite)
  • Utklesha (Feeling of nausea and vomiting)
  • Hritkantahadaha (Heartburn)

MANAGEMENT AND TREATMENT

Maintaining a healthy lifestyle is the key to reversing the fatty liver. Plan a proper routine to practice yoga and pranayam in your day to day life. It may also help rejuvenate your liver and promote healthy functioning of the liver. Many people can follow this routine: yoga and pranayam, exercises and a balanced diet for fatty liver. Doing yoga for fatty liver may also build strength and boost blood flow also helps in improving digestion. It can also address underlying factors like stress and sedentary lifestyle.

IN YOGA YOU CAN PRACTICE THESE POSES TO REVERSE YOUR DISEASE

  • TRIANGLE POSE (Trikonasana): This is a standing pose which improves the blood flow of the body and targets the liver and also helps in detoxification.
  • SPINAX POSE (Salamba Bhujangasana): This asana helps in core strength, stimulates the abdominal muscle and helps in relaxation.
  • COBRA POSE (Bhujangasana): This asana helps with spinal flexibility, blood flow and also improves the core strength.
  • BOW POSE (Dhanurasana): This pose strengthens the abdomen and compresses the liver which helps in detoxification and enhance immune system.
  • HALF LORD OF FISHES (Ardha Matsyasana): This is a twisting pose which helps in massaging your abdominal organs and also livers.
  • PASCHIMOTTANASANA: This poses manage the spleen, liver, kidney and pancreas.

In Pranayam

  • Kapalbhati Pranayam: This asana enhances blood circulation and stimulates the liver and is very useful in liver disease.
  • Anulom Vilom: It is very beneficial and can help treat various liver issues. This involves alternating between inhaling one nostril and exhaling to the other one.

Procedure

  • Sit cross legged on the ground
  • Inhale deeply
  • Exhales forcefully through your nostrils

BENEFITS OF YOGA AND PRANAYAM IN FATTY LIVER

  • Reduces Fat Depositions: Yoga can help reduce fat deposition in liver by using them as a energy during yoga poses.
  • Improves Liver Functioning: Can stimulate liver enzymes and improves functioning.
  • Strengthen the Liver: The kapalbhati pranayam, bow pose, fish pose can strengthen the liver.
  • Improves Blood Flow: Yoga can improve blood flow and oxygenation which helps remove harmful substances from the body.
  • Helps in Digestion.

Conclusion

In this article we are studying about how yoga and pranayam are effective for treatment of fatty liver. In this we start from introduction then we study their causes, symptoms, investigation, treatment further we see the ayurvedic overview then symptoms according to ayurveda at last we study treatment and yoga and pranayam we do for fatty liver benefits of yoga and Pranayam in Fatty liver patients.

Ayurvedic Treatment for Glaucoma with Herbal Remedies

ABSTRACT

Glaucoma, a group of eye conditions characterized by irreversible damage to the optic nerve, is one of the leading causes of blindness worldwide. Affecting over 70 million people globally, Glaucoma is often referred to as the silent thief of sight due to its ability to progress undetected, causing permanent vision loss before symptoms become apparent. So in this article, we will discuss how Glaucoma is caused, its types, and symptoms, how to diagnose it, and how it is treated with Modern and Ayurvedic principles.

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INTRODUCTION

Glaucoma is a group of conditions that have a characterized optic neuropathy associated with visual field defects and elevated intraocular pressure. It is not a single disease process but a group of disorders characterized by progressive optic neuropathy resulting in a characteristic appearance of the disc and a specific pattern of irreversible visual field defects that are associated frequently but not invariably with raised intraocular pressure (IOP). Thus IOP is the most common risk factor but not the only risk factor for the development of Glaucoma. So simply we can say that Increased intraocular pressure which is created by the solid, liquid content of the eye and the elasticity of its coats is known as Glaucoma. The normal Intraocular pressure is 16 to 23 mm Hg.

FACTORS RESPONSIBLE FOR RISE OF IOP

  • Increased aqueous production
  • Decreased aqueous outflow due to obstruction of its drainage
  • External pressure on the eyeball

CAUSES

Glaucoma is a complex condition and its causes can be multifactorial. Here are some risk factors of glaucoma:

  • Age: Glaucoma risk increases especially after 40.
  • High BP: Hypertension can increase glaucoma.
  • Diabetes: Diabetes can also increase the risk of glaucoma.
  • Myopia: People with high myopia (nearsightedness) are at higher risk.
  • Eye Injuries: Traumatic eye injuries.
  • Steroid Use: Long-term use of steroids.

PATHOLOGICAL CAUSE

  • IOP is increased
  • Optic nerve damage
  • Aqueous humor dynamics

CLASSIFICATION

There are several types of Glaucoma each with distinct characteristics and causes:

1. OPEN-ANGLE GLAUCOMA

Open-angle glaucoma is the most common type, accounting for about 90% of all glaucoma cases. It is characterized by:

  • Gradual clogging of the drainage canal in the eye
  • Slow increase in IOP
  • Peripheral vision loss and blind spots in the advanced stages.

2. ANGLE CLOSURE GLAUCOMA

It is a less common but more severe type. It is characterized by:

  • Sudden blockage of the drainage canal in the eye
  • A rapid increase in IOP
  • Severe eye pain, Redness, and blurred vision.

3. CONGENITAL GLAUCOMA

Congenital glaucoma affects babies and is caused by:

  • Abnormal development of eye drainage
  • Increased IOP
  • Watering and sensitivity to light

4. SECONDARY GLAUCOMA

  • Eye injuries or Surgeries
  • Abnormal Eye Anatomy
  • Certain Medication

SYMPTOMS AND SIGNS OF GLAUCOMA

SYMPTOMS

  • Visual blurring
  • Haziness of vision
  • Rapid onset of severe eye pain
  • See halos around light
  • Headache
  • Vomiting

SIGNS

1. Primary Open-angle Glaucoma / Chronic Angle Closure Glaucoma

  • Elevate IOP (>21mmHg)
  • Visual field defects
  • Optic disc cupping

2. Acute Angle Closure Glaucoma

  • Red eyes and pupils may be large and non-reactive to light
  • High elevated IOP
  • Corneal swelling
  • Decrease visual acuity

DIAGNOSIS

  • Visual Acuity Test: To measure sharpness and clarity of vision.
  • Refraction Test: Determine the correct lens power for glasses or contact lenses.
  • Slit lamp Biomicroscopy: Examine the anterior segment of the eye including the cornea, iris, and lens.
  • Ophthalmoscopy: Examine the post segment of the eye including the Retina and Optic nerve.
  • Tonometry: To measure the IOP.
  • Gonioscopy: Examine the drainage angle of the eye.

TREATMENT

Its treatment aims to reduce the IOP slow disease progression and prevent vision loss.

  • Medication: Carbonic anhydrase inhibitors
  • Eye Drops: to reduce IOP
    • Prostaglandin analogs
    • Beta Blockers
    • Alpha agonist

AYURVEDIC APPROACH

According to Ayurveda, Glaucoma is correlated to ADHIMANTHA. According to Ayurveda, a severe pain in the eye is the prime symptom of Adhimantha. It is a disease of the eyes that mainly involves the vitiation of all doshas, with the dominance of Pitta and Rakta. It is characterized by symptoms such as itching, watering, and heaviness of the head which reflects the nature of the disease glaucoma. It is mainly caused by improper management or Neglect of the disease Abhishyanda which is mainly compared with ocular inflammation. This inflammation occurs due to the accumulation of Ama (Toxins) which mainly affects the channels of the eye.

CAUSES

  • Vataja: Pricking pain in eyes
  • Pitta: Burning pain in the eyes
  • Kaphaja: Heaviness and itching sensation in the eye
  • Rakhaja: Rakt prakopa vedna.

SAMANYA LAKSHAN

  • Severe pain in the eyes like scooping it from the orbit
  • Crushing type of pain or churning type of pain (Manthana vata shoola)
  • Half headache (Ardhav bhedk)
  • Vataja complication

BHED (TYPES)

1. VATIK ADIMANTHA (ACUTE CONGESTIVE GLAUCOMA)

  • It is a disease in which the patient has scooping type or breaking type or spastic type or pricking type or cutting type of pain in the eye.
  • Exudation
  • Foreign body sensation
  • Dirty appearance with Aadmana (increased tension in the eyeball)
  • Kampana (shivering)

2. PITTAJA ADIMANTHA (ACUTE CONGESTIVE GLAUCOMA)

  • Eye spread with red capillary net (Rakt rajechitham)
  • Watering of eyes (Netra srava)
  • Severe Burning sensation
  • Hyperemia of eyes like yakruth
  • Edema of eyelids (Varthma shopha)
  • Visualizes the things in yellow colour

3. KAPHAJA ADIMANTHA (SIMPLE CHRONIC GLAUCOMA OR CHRONIC CONGESTION GLAUCOMA)

  • Netra shoth (Oedema)
  • Srava (Lacrimation)
  • Kandu (Itching)
  • Shir ruja (Headache)
  • Difficulty in visualization and opening of eyelids

4. RAKTHAJ ADHIMANTHA (CONGESTIVE GLAUCOMA OR SECONDARY GLAUCOMA)

  • Eyes become red and discharge red secretion
  • Visualizes the objects in Red colour (Agnivath)
  • Severe pricking pain & burning sensation in eyes and head.

PROGNOSIS (According to Sushruta)

  • Vataj Adhimantha: Loss of vision in 6 Days
  • Pittaja Adhimantha: Loss of vision immediately
  • Kaphaj Adhimantha: Loss of vision in 7 days
  • Rakt Adhimantha: Loss of vision in 5 days

MANAGEMENT ACCORDING TO AYURVEDA

VATA

  • Snehpana with Acha ghrita, Purana ghrita
  • Nasya karma – Anutail, Ajadugdha boiled with mula, Kanda, and Patra of Erand used as eye drops
  • Swedana – Bashpa swedana

PITTA

  • Snehpan – Ghee mixed with Sarkara
  • Sramsana – With the decoction of Triphala, Trivrut
  • Parseka – Decoction of Lodhra, Yastimadhu

KAPHA

  • Ashyotan – Eye drops made with Nagr, Nimb, Triphala, Vasa, and Lodhra are used.
  • Rakt ashyotan – Churan of Kaseru and madhuka are wrapped in cloth and soaked in rainwater used as eye drops.

PROGNOSIS (According to Sushruta)

  • Vataj Adhimantha: Loss of vision in 6 Days
  • Pittaja Adhimantha: Loss of vision immediately
  • Kaphaj Adhimantha: Loss of vision in 7 days
  • Rakt Adhimantha: Loss of vision in 5 days

HERBAL REMEDIES FOR GLAUCOMA BY PLANET AYURVEDA

Planet Ayurveda is a GMP-certified company that offers a wide range of herbal medicines and supplements that cater to various health conditions and needs. Their products are made from natural and organic ingredients that are free from chemicals, preservatives, and additives. For Glaucoma, Planet Ayurveda has various products out of which we will discuss the prime ones.

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PRODUCTS DESCRIPTION

1. ANGEL EYE VITALE CAPSULES

Angel eye Vitale is a capsule formation formed by magical herbs which include Amla (Emblica officinalis), Gotukola (Centella asiatica), Bhringraj (Eclipta alba). The Amla acts as an anti-inflammatory and also relaxes the eye muscles to reduce the pressure on the optic nerves. Gotukola may help to improve blood flow to the body, promote healthy vision and also reduce the IOP, and Bhringraj helps to improve vision by enhancing the health of the retina and optic nerves.

Dosage: One capsule twice daily

2. BILBERRY CAPSULES

Bilberry capsule is a capsule formation that is formed by a standardized extract of a single herb Bilberry (Vaccinium myrtillus). It mainly contains flavonoids and anthocyanins which have anti-inflammatory properties. It also improves vision, particularly in low light conditions and also reduces eye fatigue, and improves eye health.

Dosage: One capsule twice daily

3. GREEN ESSENTIAL

Green essential is a capsule formation which is formed by Grape seed (Vitis vinifera), Wheatgrass (Triticum sativum), Spirulina (Arthrospira), Green Tea (Camellia sinensis), and Amla (Emblica officinalis). Grape seeds contain Proanthocyanidins which provide protection against free radicals. It also slows down glaucoma progression and reduces the risk of vision loss. Wheatgrass has a high level of antioxidants including vitamin C and E which reduce oxidative stress and protects the eye. Spirulina has neuroprotective effects protecting the optic nerve and retina from glaucoma damage and also helps to improve vision by enhancing retina and optic nerve health. Green tea has antioxidative and anti-inflammatory properties catechin in it ameliorates retinal ganglion and degeneration in glaucoma. Amla also acts as an anti-inflammatory.

Dosage: One capsule twice daily

4. AMALAKI RASAYAN

Amalaki rasayan is a capsule formulation and it is formed by the Standardized single herb Amalaki (Emblica officinalis). It gives numerous benefits to managing glaucoma like anti-inflammatory properties to reduce inflammation in the eyes alleviating glaucoma symptoms and also relax ciliary muscles reducing IOP and alleviating glaucoma symptoms.

Dosage: One capsule twice daily

CONCLUSION

In this article, we have discussed glaucoma which is a multifactorial eye disorder, By understanding the disease its cause, symptoms, diagnosis, and treatment through the lens of Modern and Ayurvedic principles. In which the Ayurveda can heal the disease from the root cause can reduce symptoms of the disease by its roots. By which the individual can adopt a holistic approach to reduce IOP, alleviate symptoms and promote eye health.