Category: Ayurveda

April 19, 2023

Ayurvedic Aspect And Management Of Bitemporal Hemianopia

Abstract

The eye is a complicated and delicate structure that enables a human being to see the world. The human eye is a precise system that is composed of various components that must be optimally maintained so that a clear image is seen. The eye is filled with aqueous and vitreous humor which supply nutrients to the eye and provide its shape. As an external organ, the eyes are prone to get harm from light or injury. The neurology of vision is more complicated in how the sensory impulses are carried by nerve fibers. This is done through a complicated visual pathway. Any discontinuity in the visual pathway can result in blind and other vision-related problems. In the text below, we will discuss Bitemporal Hemianopia. We will also have a look at the management of the same in the contemporary medicinal system and traditional Indian medicinal system of Ayurveda. Let’s get started !! 

Bitemporal Hemianopia

Introduction

Hemianopia denotes the loss of half of the field vision. It is sometimes also called hemianopsia. Bitemporal hemianopia means a person cannot see the outer half from both eyes. It is usually due to lesions or compression of the optic chiasma. This compression can have a number of causes such as tumors. This usually results in loss of vision in the vertical half of the visual acuity on the lateral sides. Along with this, there can be other associated irritability and symptoms. The condition can be temporary or permanent depending on the cause. Now let’s have a look at the causes, symptoms, investigation, and management of Bitemporal Hemianopia.

Causes

Compression of the optic chiasm affects the visual impulses from both nasal retinas and results in no view of the temporal or peripheral sides. The common causes of this compression are given below.

  • Tumors located at the mid chiasm
  • Pituitary adenomas
  • Craniopharyngiomas
  • Meningiomas
  • Aneurysm of the anterior communicating artery

 Other causes include

  • Stroke
  • Dementia
  • Alzheimer’s disease
  • Lymphoma
  • Multiple sclerosis
  • Epilepsy
  • Traumatic brain injury
  • Cortical and subcortical lesions

Symptoms

The main symptom remains the loss of vision in the half-vertical field. The other symptoms that may accompany bitemporal hemianopia are given below

  • Distorted vision
  • Difficulty in understanding things that a person sees
  • Decreased night vision
  • Visual hallucinations
  • Double vision
  • Moving the head or body from the affected side
  • Headache due to the eye strain
  • Vision appears dim

Investigation

  • Visual field examination
  • Slit lamp examination
  • X-Rays
  • CT Scan

Management

Bitemporal hemianopia can be permanent or go away on its own.

  • Wearing glasses that fix the distorted and double vision
  • Vision restoration therapy
  • Saccadic eye movement training
  • Visual field expander aid

Ayurvedic Aspect and Management of Bitemporal Hemianopia

Ayurveda is an ancient-age medicinal and life science that is continuously serving mankind. Ayurveda focuses on dietary as well as lifestyle management. Ayurveda has three basic principles/body humor/doshas/energies. When these doshas stay within the normal limits are called the status ‘Health’ whereas vitiation of the same gives rise to a disease.

In various Ayurveda textbooks, akshi rogas (eye disorders) are mentioned. The anatomy and physiology of the same have also been mentioned in the books. Ayurvedic acharyas were so experienced in eye disorders that they have mentioned a number of eye disorders and have well-defined the anatomy and physiology of the eye.

Coming to Bitemporal Hemianopia, there is no direct correlation between this condition with any of the eye diseases mentioned in Ayurveda. But as per the causes and symptoms, we can well establish the correlation of the same with tridoshaja dushti. According to the compression theory behind the occurrence of the condition, it can be correlated with the kapha dosha aggravation that can result in the formation of a tumor that compresses the optic chiasm. When the nerve is compressed it results in nerve irritation that reflects the involvement of the vata dosha and the symptoms such as distorted, double, and loss of visual acuity reflects the involvement of the kapha dosha. Hence, the involvement of all three doshas has been considered.

Another concept that appears to be of good relation with bitemporal hemianopia is Tritya Patalgaya Timira which is mentioned under drishtigata rogas and affects the visual pathway. The symptoms are generally the same but the patient witnesses bilateral horizontal half-vision loss.

The management can be based on the timer chikitsa mentioned in the classical Ayurvedic texts. Chikitsa sutra of timer includes snehapana, akshi tarpan, nasya, and chakshushya basti. (Based on a case report)

  • Snehapana with patoladi ghrita for seven consecutive days in increasing dosage
  • Sarvanga abhyanga with ksheerabala oil is followed by basha Sweda for three days.
  • Intake of trivet leha dosage 60 grams with hot water
  • Samsarjana krama for 7 days
  • Nasya with anu taila for 7 days
  • Shirodhara with ksheerbala taila for 7 days
  • Chashushya basti for 8 days

Tarpana with jeevantyadi ghrita for 7 days Bite

Ayurveda for Bitemporal Hemianopia

Internal medicines – saptamruta loha, triphala churna, vasaguluchyadi kashayam, etc are helpful in the management of bitemporal he Bite

Ayurveda for Bitemporal Hemianopia

Furthermore, we shall also discuss some more internal medications that effectively manage the condition of Bitemporal Hemianopia.

Herbal Remedies by Planet Ayurveda for Bitemporal Hemianopia

Planet Ayurveda is a leading GMP-certified Ayurvedic company. Planet Ayurveda’s motive is to spread Ayurveda around the globe. Planet Ayurveda is also a manufacturing unit of Ayurvedic medicines and products. Planet Ayurveda products are pure and trustworthy. They are made up of a pure and good variety of herbs. The formulations are available in various forms such as jams, capsules, tablets, and syrups. And patients can consume the medicines as per comfort. Furthermore, the products are gluten-free and halal-certified. The products are free of chemicals, artificial sweeteners, preservatives, fillers, binders, and colors. Planet Ayurveda presents its medicinal products that are effective in the management of Bitemporal Hemianopia.

Following are the products that manage Bitemporal Hemianopia

Product List

1. Angel Eye Vitale

2. Amalaki Rasayan

3. Jasnoor Eye Drops

4. Neurogenic Capsules

5. Saraswatarisht

6. Mahatriphala Ghrit

Product Description:

1.  Angel Eye Vitale

Angel Eye Vitale is a perfect remedy by Planet Ayurveda for clear vision and health of the eye. It contains Amalaki (Emblica officinalis), Gotukola (Centella asiatica), Bhringaraj (Eclipta alba). Amalaki is a rasayana, that rejuvenates eye cells and nerve cells. Gotukola and Bhringraj are chakshushya thus also promoting the health of the eyes. Angel Eye Vitale is good for eye health and manages bitemporal hemianopia as well.

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

2. Amalaki Rasayan

Amalaki Rasayan is a product of Planet Ayurveda. Amalaki is described as rasayana in Ayurveda. Rasayana is basically an immune boosting or rejuvenating therapy in Ayurveda which also gives a number of other benefits. Rasayana helps in providing overall health benefits. Rasayana therapy replenishes vital bodily fluids and boosts 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 aging and therefore provides long life. It improves intellectual competence and intelligence as well.  Amalaki Rasayan contains amla (Emblica officinalis). As it is a rasayana, hence it has eye health-promoting properties. Amalaki Rasayan promotes the health of the eye and clarifies vision. With its tridoshahar properties, it works efficiently in the management of Bitemporal Hemianopia.

Dosage: One capsule twice a day.

3. Jasnoor Eye Drops

Jasnoor Eye Drops is an ayurvedic eye drop for various eye disorders. It is made up of herbal plants such as neem (Azadirachta indica), tulsi (Ocimum sanctum), haritaki (Terminalia chebula), bibhitaki (Terminalia bellirica), Amalaki (Emblica officinalis), sheet Chandan (Santalum album) and others. All these have good results in eye disorders and balance all three doshas and clean the eye and promote healthy vision. Thus, Jasnoor Eye Drops is an effective remedy in the management of Bitemporal Hemianopia.

Dosage : 3 drops in each eye.

4. Neurogenic capsules 

Neurogenic capsules are a product of Planet Ayurveda for vata and neurological disorders. It contains the herbs Brahmi (Bacopa monnieri) and ashwagandha (Withania somnifera). Bitemporal Hemianopia being a neurological disorder can be well managed by Nerogenie capsules. These are helpful in the management of other associated symptoms of Bitemporal Hemianopia with its vata pacifying properties.

Dosage: Two capsules twice a day.

5. Saraswatarisht

Saraswatarisht is a classical Ayurvedic formulation that is composed of Brahmi (Bacopa monnieri), saunf (Foeniculum vulgare), adrak (Zingiber officinale), vidarikand (Pueraria tuberosa), shot (Operculina turpethum), pippali (Piper longum), vacha (Acorus calamus), Shatavari (Asparagus racemosus), harad (Terminalia chebula), etc. All these herbs provide strength to the nervous system and remove the condition that causes irritation and hamper the functions of the optic chiasm. With its vata pacifying and nervous system strengthening properties, Saraswatarisht is very good in the management of Bitemporal Hemianopia.

Dosage: 2 tsp twice a day after meals with plain water.

6. Mahatriphala Ghrit

Mahatriphala ghrit is a classical formulation for eye disorders. It is a ghrita formulation that is composed of various herbs such as Amalaki (Emblica officinalis), bibhitaki (Terminalia bellirica), haritaki (Terminalia chebula), bhringraj (Eclipta alba), vasa (Adhatoda vasica), giloy (Tinospora cordifolia), nilofer (Nymphaea alba), mulethi (Glycyrrhiza glabra), etc. All these herbs are chakshushya which means they are good for the health of the eye. Mahatriphala ghrit pacifies all three doshas. Being an eye and vision promoter as well as tridosha har, Maha Triphala Ghrit is one of the perfect remedies for the management of  Bitemporal Hemianopia. 

Dosage: 1 tsp with warm water at bedtime.

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

Conclusion

Bitemporal Hemianopia is the loss of half of the vision field vertically on the lateral sides of both eyes. This can result due to various causes such as an infection or compression of the optic chiasm. This results in a number of symptoms and the patient are generally irritated as one cannot see properly other symptoms such as double vision and distorted images hamper the concentration of the patient if one tries. This can be temporary and permanent. There is no perfect management available in the contemporary medicinal system but in Ayurveda, the condition can be well managed with the proper application of panchkarma and akshi tarpana. Some systemic medicine also helps a lot to treat the causative factor and corrects the condition of bitemporal hemianopia to the maximum.

 

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April 17, 2023

Abdominal Cocoon Syndrome – Symptoms And Treatment By Ayurveda

Abstract

Small bowel obstruction is one of the most common problems which surgeons encounter. Patients present with a number of complaints such as pain in the abdomen, nausea, vomiting, distension of the abdomen, gas, bloating, constipation, and many more. The bowel obstruction can be due to a number of reasons such as adhesions, hernias, carcinomas, abscesses, gallstones, enteroliths, foreign bodies, bezoars, strictures, abdominal cocoon syndrome, etc. Abdominal cocoon syndrome is one of the rarer causes of bowel obstruction. In the text below, we will discuss abdominal cocoon syndrome in detail and also have a look at the management protocol of the same in the contemporary medicinal system and in the traditional Indian medicinal system of Ayurveda. Let’s get it!! 

Abdominal Cocoon Syndrome

Introduction

Abdominal Cocoon Syndrome is a rare cause of intestinal obstruction in which small intestinal encapsulation is done by a fibrous-collagenous membrane. The encapsulation can be partial or total. This is given synonyms of sclerosing encapsulating peritonitis and peritonitis chronic fibrosis incapsulate. There is no cause known for the occurrence of the condition. Usually, patients report to the OPD with symptoms of partial bowel obstruction. In India and Pakistan, the endemic areas, the condition mimics intestinal tuberculosis. This is most common in adolescent young girls. In Ayurveda, this thing can be related to the buildup of ama (endotoxins) and aggravation of the kapha dosha that hampers the activity of the vata dosha. Now let’s have a look at the causes, signs, symptoms, investigations, and management of Abdominal Cocoon Syndrome !!

Causes

  • No known cause has been elucidated so far.
  • The condition is idiopathic. Though some of the theories have been put forth but no evidence has been established.

Signs and Symptoms

  • Nausea
  • Vomiting
  • Abdominal pain
  • Constipation
  • Indigestion
  • Gas
  • Bloating
  • Abdominal distension etc

Investigations

  • Abdominal ultrasound
  • CECT (Contrast-enhanced CT) scan
  • MRI (Magnetic resonance imaging)

Management

  • Supportive management
  • Surgery

Ayurvedic aspect and management of Abdominal Cocoon Syndrome 

Ayurveda is a life science based on three principles of doshas or three energies namely vata, pitta, and kapha. These three when in normal quantity define health whereas their altered condition is regarded as a state of disease. Ayurveda has been serving the mankind for ages. In Ayurveda, diseases are managed with certain procedures, therapies, and medications.

Coming to abdominal cocoon syndrome, this condition has no direct correlation with any of the disorders mentioned in Ayurvedic texts. But we are going to correlate it along the lines of dosha involved in the occurrence of abdominal cocoon syndrome.  Due to inappropriate food habits and deeds, the formation of ama (endotoxins) occurs. This also leads to the aggravation of the kapha dosha which abnormally enlarges the membrane that encapsulates the small intestine that results in small bowel obstruction. Small bowel obstruction gives rise to a number of symptoms. Obstruction of the bowel also leads to hampering the functions of other doshas such as altered pitta results in digestion-related problems and altered vata dosha results in constipation and other associated symptoms.

Management of abdominal cocoon syndrome is a multifold protocol. Correcting the kapha dosha and removing the ama is the first objective of the treatment and management of the symptoms simultaneously.

The medicines that are effective in the management are Triphala guggul, dashmoolarishta, kafketu ras, triphala churna, abhayadi guggul, kachnaar guggul, sanjivani vati, arogyavardhini vati, ajmodadi churna, amavatari ras, etc.

Herbal Remedies by Planet Ayurveda for Abdominal Cocoon Syndrome 

Planet Ayurveda is a GMP-certified, US-FDA, and ISO 9001:2015-certified Ayurvedic company. The objective of Planet Ayurveda is to spread Ayurveda across the globe and Planet Ayurveda also produces products as mentioned in the Ayurvedic pharmacopeia and other texts of Ayurveda. The products are available in various forms that can be taken according to the person’s comfort. The products are so pure and herbal that they do not contain any kind of adulterants or chemicals. The products are gluten-free and halal-certified. It doesn’t even contain synthetic and artificial sweeteners. Planet Ayurveda has a wide range of products for every health problem. Planet Ayurveda extends its variety of products that are beneficial in the management of Abdominal Cocoon Syndrome.

Given are the formulations that help in managing Abdominal Cocoon Syndrome

Product List  

1. Triphala Guggul

2. Vidangarisht

3. Kumaryasav

4.  Avipattikar Churna

5.  Sanjivani Vati

Herbal Remedies For Abdominal Cocoon Syndrome 

Herbal Remedies For Abdominal Cocoon Syndrome 

Product Description

1. Triphala Guggul

Triphala Guggul is a classical Ayurvedic formulation for various health problems. Triphala Guggul is composed of the herbs haritaki (Terminalia chebula), bibhitaki (Terminalia Billerica), Amalaki (Emblica officinalis), and guggul (Commiphora mukul). It is the best formulation for constipation and has anti-inflammatory properties.  As constipation is one of the symptoms of abdominal cocoon syndrome, thus it helps in relieving constipation in the condition. As it works one kapha dosha, it helps in diminishing the encapsulation and relieving the obstruction.

Dosage: Two tablets twice a day.

2. Vidangarisht

Vidangarisht is a classical Ayurvedic formulation for the digestive system. It has a number of health benefits and is used in a number of conditions. Vidangarisht is a fermented ayurvedic syrup that contains the goodness of herbs such as waiving (Embelia ribes), kutaj (Holarrhena antidysenterica), pippali mool (Piper longum), path (Cissampelos pareira), Lodha (Symplocos racemosa), dalchini (Cinnamomum zeylanicum), kachnaar (Bauhinia variegata) and others. Vidangarisht pacifies the kapha dosha and this helps in the scraping of fibrous encapsulation. This helps in setting the intestines free and the obstruction is automatically relieved. Therefore, Vidangarisht is of great help in the management of abdominal cocoon syndrome.

Dosage: Two tsp twice a day.

3. Kumaryasav

Kumaryasav is a classical herbomineral ayurvedic formulation. Kumaryasav is good for digestion-related problems. It contains various herbs such as gwar path (Aloe barbadensis), sonth (Zingiber officinale), pippali (Piper longum), dalchini (Cinnamomum zeylanicum), lung (Syzygium aromaticum), loha bhasma (calx of iron), dhania (Coriandrum sativum), vaividang (Embelia ribes) and various others. Kumaryasav has anti-inflammatory, detoxifying, antioxidant, mild laxative, and various properties. Kumaryasva promotes appetite and digestion which is hampered by the abdominal cocoon syndrome. Kumaryasav works of the kapha dosha thus help in the scrapping of the encapsulation. Therefore, it removes the encapsulation and also the symptoms associated with abdominal cocoon syndrome. 

Dosage: Two tsp twice a day.

4.  Avipattikar Churna

Avipattikar churna is a classical Ayurvedic formulation that helps in various disorders of the digestive system. Avipattikar churna is a blend of various ayurvedic herbs such as pippali (Piper longum), sonth (Zingiber officinale), Marich (Piper nigrum), amla (Emblica Officinalis), bibhitaki (Terminalia bellerica), shot (Operculina turpethum) and various others. Avipattikar churna clears the bowel very nicely and relieves constipation. With its laxative properties, it helps in the alleviation of abdominal cocoon syndrome. 

Dosage: One tsp twice a day.

5.  Sanjivani Vati

Sanjivani Vati is a classical Ayurvedic medicine with a number of health benefits. Sanjivani vati is composed of vidanga (Embelia ribes), sonth (Zingiber officinale), pippali(Piper longum), giloy (Tinospora cordifolia), shuddha vatsanabha (Aconitum ferox) and others. Sanjivani vati is a perfect remedy for the removal of endotoxins. As all the herbs in the formulation are of hot potency which arrests, reverses, and pacifies the alleviated kapha aggravation which eventually helps in the correction of abdominal cocoon syndrome and removes the bowel from the encapsulation.

Dosage: Two tablets twice a day.

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

Conclusion

Abdominal Cocoon Syndrome is a rare cause of intestinal obstruction. This is caused by an abnormal sac of fibrous collagenous membrane. The cause of the condition is unknown. Bowel obstruction results in a number of symptoms such as nausea, vomiting, constipation, etc. The management of the condition is totally surgical. The abnormal sac is removed through operation. Whereas the management in Ayurveda is based on the lines of dosha involved. The main dosha involved here in this condition is kapha. Thus correcting the vitiated kapha dosha leads to an easing of the condition where other medications are given to check the other symptoms associated with Abdominal Cocoon Syndrome. Thus, herbal medicines are of great help in the management of the above aid condition. The medicines above explained do an important role in the management of Abdominal Cocoon Syndrome. 

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