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August 24, 2022

Ayurvedic Management Of Whiplash Injury With Herbal Remedies

ABSTRACT

Whiplash injury is neck injury caused due to movement of neck like the cracking of whip. In this whiplash the intervertebral joints, discs muscles, and nerve roots may get damaged. Commonly known as neck strains, neck sprains. It is mainly caused by accidents, from falls and sudden distortion of neck and injury caused due to vehicle accidents, including bungee jumping and falls. So care must be taken properly during fun activities as it can lead to whiplash injury, so further we will discuss its causes, signs, symptoms, and treatment according to ayurveda in detail.

Whiplash Injury

INTRODUCTION

Whiplash injury is commonly caused by accidents, falls, or doing some fun activities which causes this disease. This is rapid backward movement of the neck which further leads to neck injury. It leads to neck damage completely. It can be due to poor posture due to continuous use of computers which leads to serious health problems, which is further followed by numbness or loss of strength in arms and legs. Osteoarthritis is the main cause of neck pain. Whiplash injury has risen sharply due to collisions of vehicles.

CAUSES OF WHIPLASH INJURY

  • Jerking movement of head due to car accidents
  • Football tackles, sports collisions causes whiplash
  • Injury to bones in spine, nerves, ligaments, intervertebral disc
  • Trauma
  • Impulsive retraction of spine which is tears as head moves forward and then move back causes injury
  • Whiplash injury can include injury to cerebrum known as coup contrecoup injury when the head part is hyperextended
  • Worn joints – As the age increases neck joints are torn out, as vertebrae deteriorate bone forms spur affect the joint and cause pain.
  • Meningitis, Rheumatoid arthritis causes neck pain

SYMPTOMS OF WHIPLASH INJURY

  • Headache
  • Muscle spasms
  • Pain gets worse if a patient holds on to one place for a period of time.
  • Referring to pain in the shoulder, there is disturbance in senses as it feels like pins and needles, to legs and arms.
  • Fatigue
  • Loss of movement in neck
  • Pain in neck, stiffness
  • Dizziness
  • Depression
  • Irritability
  • Tinnitus (ringing in ears)
  • Sleep is disturbed
  • Not able to concentrate
  • Low back ache
  • Numbness in arm and hand

DIAGNOSIS OF WHIPLASH INJURY

  • CT SCAN
  • MRI (magnetic resonance imaging)
  • The doctor may palpate the hand, movement, intensity, motion in neck and shoulders to see the cause which worsens the pain.
  • Quebec task force –
    1. Grade 0 – no neck pain, or any physical signs are noticed.
    2. Grade 1- neck complaints of pain, tenderness, no physical signs
    3. Grade 2- decreased range of movement and some tenderness in neck
    4. Grade 3- weakness, decreased tendon reflexes
    5. Grade 4- dislocations and injury to spinal cord

PREVENTION OF WHIPLASH INJURY

  • Use good posture – while sitting and standing shoulder should be in a straight line.
  • Smoking should be stopped
  • Avoid carrying heavy bag as weight can strain neck
  • Sleep in good posture – head and neck should be the same as body aligns. Use a small pillow under your neck.
  • Safety belts should be worn while driving and must sit in an upright position.

TREATMENT FOR WHIPLASH INJURY

The main goal should be to control the pain in whiplash injury, to restore the movement of the neck and maintain the normal range to perform normal activities. This will be achieved by medications, exercises, muscle relaxants.

  • Exercise such as rotation of neck in both directions, bending of neck towards chest, rolling of shoulder.
  • Exercise helps in stretching and in pain relief.
  • Physical therapy improves the posture and TENS (transcutaneous electrical nerve stimulation) is mild current applied to skin which eases neck pain and improves strength to muscles.
  • Foam collars (cervical collars eases the injuries as it limits the movement and reduces pain after injury, this tends people to sleep well at night.
  • Medications like ibuprofen, tractions, massage, naproxen (aleve).
  • According to the Quebec task force if a person suffers from grade1 and grade3 then medication included in treatment is non narcotic analgesics. Botulinum toxin A is used to treat involuntary muscle contractions and spasms.

AYURVEDIC MANAGEMENT ON WHIPLASH INJURY

In ayurveda the main cause of injury (abhigata) is aggravation of vata dosha, when vata dosha gets aggravated it causes pain and many other symptoms. Abhigata leads to vata aggravation and causes excessive pain and leads to many other symptoms like loss of range of neck movement, headache, dizziness, pain and tenderness in upper back and shoulder region, vision gets blurry and many more. Many therapies panchkarma treatment is effective in whiplash injury which provides relief to patients.

  • Snehan and Sweden – In snehan external and internal oleation is provided to patients. In external oleation snehadhara (pouring of medicated oil on neck regions), Abhyanga (oil massage with mahamasha tailam, lakshadi tail, prasarini thailam). In internal oleation snehapana (drinking of certain medicated oils), non nithya snehapana (oral consumption of fats).
  • Sudation therapy – In this patra pinda sweda is prepared with certain leaves, this is done with external oleation therapy.
  • Nasya – It is the pouring of medicated oils, and ghee. Nasya is done by masha tailam, Ksheerabala thailam, brmhana nasya (this is given in chronic and recurring symptoms).
  • The patient suffers from sleep disturbances so murdini tail nasya is indicated.
  • When a patient suffers from depression, problems related to memory than the patient is indicated with snehan, virechan, vasti, nasya (murdini tailam).

HERBAL FORMULATIONS FOR WHIPLASH INJURY BY PLANET AYURVEDA

Planet Ayurveda is a clinic which provides great treatment with many great results. The formulations provided by planet ayurveda are under great guidance of M.D AYURVEDA doctors, and all these formulations are free from any preservatives, resins, colors, and any synthetic material. For the management of this disease planet, ayurveda provides herbal remedies which provide great benefits to patients for healthy living and get relief from pain.

PRODUCTS LIST

  1. Lakshadi Guggul
  2. Yograj Guggul
  3. Boswellia Curcumin
  4. Neurogenie Capsules
  5. Aamvatantak Churna

Ayurvedic Treatment For Whiplash Injury, Herbal Formulations For Whiplash Injury

PRODUCTS DESCRIPTION

1. Lakshadi Guggul

Lakshadi guggul is the best classical formulation in tablet form used for healing purposes. This formulation is prepared by planet ayurveda under guidance and using various products such as Laksha (Laccifer lacca), Arjuna (Terminalia arjuna), Ashwagandha (Withania somnifera), Shuddha guggulu (purified Commiphora mukul). Lakshadi guggul promotes strength to bones and various joints, is an excellent anti-inflammatory and analgesics medicine. Useful in hypothyroidism, ankylosing spondylitis, avascular necrosis. Diet – Avoid deep fried foods, smoking, aerated drinks, as it increases tridosha.

Dosage: 1-2 tablets twice daily with lukewarm water.

2. Yograj Guggul

Yograj guggul is classical ayurvedic formulations which lower down vata dosha and has great healing property, is prepared in tablet form formulated by planet ayurveda using ingredients such as Guggul (Commiphora mukul), Nagkesar (Cyperus rotundus), Bibhitaki (Terminalia bellirica), Long pepper (Piper longum), Tejpatra (Cinnamomum tamala), Cardamom (Elettaria cardamomum), Vidang (Embelia ribes). Yograj Guggul is useful in neurological disease and when a patient complains of muscle and joint pain. Yograj guggul is very effective in coccyx pain. Balanced tridosha has anti-inflammatory properties.

Dosage: 1-2 tablets twice daily with lukewarm water.

3. Boswellia Curcumin

Boswellia curcumin is a capsule form which is formulated by planet Ayurveda with standardized effects of Shallaki (Boswellia serrata), Curcumin (Curcuma longa). Curcumin has antioxidant properties, which cleanses and detoxifies rasa and enables free circulations of nutrients to the whole body. The injury in whiplash is healed by antioxidant properties of these capsules and shows a very miraculous effect in case of whiplash injury.

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

4. Neurogenie Capsules

Neurogenie capsule is herbal formulation in capsule form which consists of standardized extract of Brahmi (Bacopa monnieri), Ashwagandha (Withania somnifera). Both herbs have neuroprotective properties, and is helpful in relieving stress which further prevents deterioration. Brahmi is useful in skin diseases, in panic attacks. Balances tridosha. Ashwangandha improves sexual function in women and boosts fertility and testosterone level in men.

Dosage: 1-2 capsules twice daily with plain water after meals.

5. Aamvatantak Churna

Aamvatantak churna is herbal formulation prepared by planet ayurveda in the form of powder consisting of Ashwagandha (Withania somnifera), Methi (Trigonella foenum), Gorakhmundi (Sphaeranthus indicus), Sonth (Zingiber officinale), Haridra (Curcumin longa) and many more. This churna consists of an adaptogenic property which reduces stress and prevents other diseases. Its neuroprotective property has healing of nerves and it regulates the function of nerves in the injured part.

Dosage: ½ to 1 teaspoon twice daily after meals with plain water.

CONCLUSION

Whiplash injury occurs when the head of a person moves backward and then forward with great force. This forceful movement leads to injury of spine, nerves, ligaments. The person suffering from whiplash injury feels more pain and stiffness in the neck region which worsens up on any movement. As per ayurveda it is correlated with abhigata which is mainly associated with vata dosha. So to maintain and for fast recovery of whiplash planet ayurveda provides 5 herbal remedies which are discussed and it has no side effects as they are free from any preservatives.

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August 10, 2022

ITP (Immune thrombocytopenia) – What is it, How is it Caused & Is it Treatable?

Abstract

Idiopathic thrombocytopenia purpura is characterised by persistent thrombocytopenia and is an auto-immune disorder. In this platelets are attacked in their premature stage by the reticuloendothelial system and particularly in the spleen. In most cases the cause is idiopathic but in some of them, particular conditions are involved. These secondary causes are like infections, accompanied by coexisting antibodies.

The environmental and genetic factors also impact platelet turnover and its response to ITP-directed therapy. A better understanding of the pathophysiology of these diseases helps in proper diagnosis and treatment which are patient-specific. In the modern system of medicine, steroids are used in patients with ITP. They do have side effects in the patients. But in Ayurveda, many useful herbal drugs have been used for many centuries in the treatment of bleeding disorders.

INTRODUCTION

Platelets are very important in the maintenance of normal hemostasis and vascular repair. Due to decreased platelets, it causes Bruising, Petechiae, and Immune-mediated thrombocytopenia purpura; it is one of the most common forms of autoimmune disease which affects both children and adults. Idiopathic thrombocytopenia is a condition in which platelet antibodies accelerate platelet destruction and inhibit their production. The main characteristic of this is bleeding which correlates generally with the severity of the thrombocytopenia.

Idiopathic thrombocytopenia purpura

There are two types of ITP

1. Acute Thrombocytopenia Purpura

Acute Thrombocytopenia Purpura-This is most commonly found in young children. The main symptoms of this are a viral illness. It completely disappears within 6 months and does not reoccur. It is the most common form of the disorder.

2. Chronic Thrombocytopenia Purpura

Chronic Thrombocytopenia Purpura– This disease can happen to anyone at any age, and symptoms can last from six months to several years. Adults have more tendency to suffer from this disease than children but it does affect adolescents. Females have more chances to develop than men. Chronic ITP can recur often and it requires continuous treatment with follow-up.

SYMPTOMS

  1. Purpura
  2. Petechiae
  3. Nose bleeds
  4. Bleeding in the mouth
  5. Blood in the vomit
  6. Bleeding in the head

TREATMENT OF ITP IN MODERN MEDICINE

Corticosteroids are the first line of therapy in the treatment of ITP.  But there develops a dependency on steroids within patients’ bodies after initial treatment with corticosteroids. And long-term use of steroids has side effects like osteoporosis, uncontrolled sugars and hormonal imbalance.

Azathioprine or revolade, danazol, dapsone etc are second-line agents but with limited efficacy. The patient’s condition is the main turning point in whether to choose second-line treatment or not. However sometimes it depends on the availability of the medicines. As immunosuppressants azathioprine/ revolade etc. have been used for treating ITP for many years. It is a cost-effective and ready-to-use drug in countries like India. Azathioprine is considered to be safe during pregnancy and for lactating mothers also.  But still, there are reports of their side effects and doubts about their efficacy.

Adverse Effects

Leukopenia is the most adverse effect of these drugs along with the anemia and also hepatobiliary laboratory dysfunction is noted in patients. Serious adverse notes like sepsis in the patients. Some patients show neutropenia which is resolved after cessation of azathioprine.

AYURVEDIC VIEW

Thrombocytopenia purpura treatments are available in modern science, namely, corticosteroids etc. which have lots of side effects and last when no options are left they do surgery. On another side, Ayurveda explains its causes, pathogenesis and management. It can be correlated with Raktapitta as mentioned in Ayurveda. The ayurvedic treatment for raktapitta was written in classical textbooks with medicated food for patients.

The term raktapitta means a collection of bleeding disorders such as nasal bleeding, bleeding through the vagina, ear, mouth, rectum and urethra. The main reason for Raktapitta is the vitiation of pitta dosha and pitta gets vitiated due to its causative factors such as diet having amal(sour), lavan(salt), katu(pungent)  rasa food in the diet. Gradually vitiated pitta ultimately vitiated rakta dhatu which have similar properties. Raktapitta disease mainly affects the Raktavaha srotas and its roots i.e liver and spleen.

In this condition vitiated blood reaches every part and bleeding from different parts occurs. Both kinds of treatment in Ayurveda were described as Shodhana and Shaman . It all depends on the patient’s strength and disease manifestation. Shodhan can be done by siravedh,  jalauka vachana etc in this vitiated blood is taken from the body. In shaman treatment various herbal remedies are recommended like: Durwa (Cynodon dactylon), Amalaki (Emblica officinialis), Shatavari (Asparagus racemosus), Ashwagandha (Withania somnifera) etc. They have anticoagulation and antineoplastic property which helps in the

HERBAL REMEDIES BY PLANET AYURVEDA FOR ITP

Planet Ayurveda is one of the leading companies in the field of Ayurvedic medicines. Planet Ayurveda has its own manufacturing that has taken reference for each formulation and medicine from classical medicinal textbooks. Planet Ayurveda products have GMP certified having no harmful contents. The herbal products do not contain any kind of preservatives, flavours or additives. For treating diseases like ITP which are chronic conditions they also provide herbal products like Ashwagandha capsules, Giloy capsules, Gandhaka Rasayana, Kumar Kalyan ras etc these all are included in the ITP care pack. The ITP care pack gives not only treatment but also helps in increasing the strength of the body in patients.

ITP CARE PACK

Herbal Remedies for Idiopathic thrombocytopenia purpura

Herbal Remedies for Idiopathic thrombocytopenia purpura

PRODUCTS DESCRIPTION

1. IMMUNE BOOSTER

In ITP patient immunity is very weak because this patient is prone to other diseases. For removing this weak immunity problem the immune booster capsule is used. Its main ingredients are: Grape seed(Vitis vinifera std. ext.), Go-Piyush(Bovine colostrums std. ext.), Bhumi amla(Phyllanthus niruri std. ext.), Amalaki (Emblica Officinalis)

Dosage: 2 capsule should be taken twice daily

2. ASHWAGANDHA CAPSULES

Ashwagandha (Withania somnifera) is helpful in patients with leucoderma, depression, insomnia, weight gain, immunity and muscle strength. It is used in ITP patients because it is known as shophahara (reduces inflammation), kshathara (useful in injury healing), vranan hanti (quick wound healing) etc. It improves overall health and gives better results in boosting immunity.

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

3. GILOY CAPSULES

Giloy (Tinospora cordifolia) is a well-known immunomodulatory herb which is used in treating autoimmunity. It balances tridosha (vata, pitta, kapha) i.e called doshatrayhara. These can also be used in the treatment of fever, diabetes, anaemia, jaundice, asthma etc. Giloy is also considered as effective in increasing platelets.

Dosage: 1 capsule twice daily after meals.

4. GANDHAK RASAYAN

Gandhaka Rasayana is a polyherbal formulation which uses shudha gandhak (sulphur). It is recommended in the treatment of skin diseases, itching, chronic fever, urinary tract disorders etc. It improves immunity, fertility, potency, nourishment, body strength, digestion improves, etc.

Dosage: 2 tablets twice daily with plain water

5. GREEN ESSENTIALS

It is made up of Grape seed (Vitis Vinifera), Wheatgrass (Triticulum Aestivum), Spirulina (Spirulina Platensis), and Green tea (Camellia Sinensis), Amla (Embllica Officinalis). These all contain chlorophyll and have antioxidant properties i.e it is used in ITP for purifying the blood. These capsules are also useful in balancing pitta doshas which get vitiated in ITP.

Dosage: 2 capsules (twice) daily after meals.

6. KUMAR KALYAN RASM.

It is a polyherbal formulation which is helpful in detoxifying the blood. It consists of Kumari rasa (Aloe vera juice ), Ras sindoor (purified mercury), Mukta bhasma(purified pearl), Swarna bhasma (purified gold bhasma), Abhrak bhasma (purified mica bhasma), Loh bhasma (bhasma prepared from the iron) etc. It is considered to be very effective in Rasayana and used in the treatment of many diseases.

Dosage: 1 tablet twice daily after meals.

7. BRAHMI CHYAWANPRASH

It is considered to be a very effective immunity and memory booster. Brahmi (Bacopa monnieri) is also an excellent anti-ageing, anti-diabetic and antioxidant herb.  It results in the cellular form; its active content, brahmin, is very effective as an antioxidant and also protects the blood vessels, and nerves.

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

8. SUVARNA BASANT MALTI RAS

Its main ingredients are Swarna bhasma (purified gold), Mukta bhasma (pure pearl), Maricha (Piper nigrum) and Gandhaka (pure sulphur) etc. This formulation has minerals in the purified form which are a rich source of zinc. Zinc is helpful in the formation of RBC which is a very important component of blood. This is also helpful in maintaining platelets number i.e it is used in ITP.

Dosage: 1 tablet twice daily after meal with plain water after meals.

CONCLUSION

ITP is believed to be heterogeneous disease with a relapsing-remitting course and various kinds of treatment can be used. Steroid drugs may show effects in the patients but they do have side effects which are discussed above. On the other hand, ayurvedic herbal medication gives benefits with no side effects. Ayurvedic herbal medicine gives safe results and now they have proven evidence also. In today’s times, Ayurveda attains the interest of individuals because in chronic conditions the body gives effective results using herbal medicine.

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