Tag: autoimmune disease

Effective and Safe Management of Rheumatoid Arthritis with Ayurveda

ABSTRACT

Rheumatoid arthritis is an autoimmune disease that causes pain, swelling and stiffness in the lining of joints (synovium). Joints inflammation over the time leads to destruction of Joints and loss of cartilages and bone erosion. RA with the symptoms duration of fewer than six months is considered as early RA and when the symptoms have been present for more than six months then it is considered as established RA. If RA is left untreated then it is progressive disease with morbidity and increased mortality. So, here we will discuss this more in detail with its ayurvedic point of view.

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Introduction

Rheumatoid arthritis is a Systemic Autoimmune disease. It is characterised by inflammatory arthritis and extra-articular involvement. It is a chronic inflammatory disease caused by many factors such as genetic factors, environmental factors. RA primarily involves synovial joints. It typically starts from small peripheral joints,it is usually symmetric and progresses to involve proximal joints and then skin, heart and kidney. Joint inflammation over the time leads to destruction of joints with loss of cartilages and bone erosion. RA is a progressive disease with morbidity and increases mortality.Onset of the disease is usually from 35 to 60 years of age with remission and exacerbation.It can affect young childrens even before the age of 16 years, this is known as juvenile RA (JRA).

Causes

There is no exact cause of RA as it is an autoimmune disease. Several factors are thought to contribute to its development. That includes Genetics and environmental factors.

  • Environmental factors: Cigarette smoking, Infections
  • Sex: It is two to three times more common in women than in men.
  • Weight: If a person is overweight, their BMI is more than 25, increasing their risk of RA.
  • Hormonal factors: RA is more common in women than in men. Hormones may play a role in its development. Hormonal changes such as during pregnancy and menopause.
  • Immune Defence Dysfunction: RA is an autoimmune disease. This immune system primarily targets the synovium, the lining of the joint that causes inflammation of joints.

Signs and Symptoms

The signs in RA are:

  1. Joint pain
  2. Joint swelling, redness and feeling of warmth
  3. Morning stiffness that lasts up to 30 minutes

Other symptoms may include:

  1. Fatigue
  2. Poor appetite
  3. Fever
  4. Weight loss
  5. Sweating
  6. Dry eyes (As a result of inflammation)
  7. Chest pain (As a result of inflammation)

Diagnosis

The diagnosis of RA is basically based on symptoms, physical examinations, blood scans and imaging tests.

There is a diagnostic criteria for Rheumatoid Arthritis. It includes 4 different domains, which are as follows:

2010 ACR/EULAR Classification Criteria for RA

  • Elevated acute phase reactant (Erythrocyte sedimentation rate [ESR] or C-reactive protein [CRP]): 1 point
  • Number and size of the involved joints:
    • 2-10 large joints = 1 point (Shoulders, elbows, hips, knees, and ankles)
    • 4-10 small joints = 3 points
    • 1-3 small joints = 2 points (Proximal interphalangeal joints, metacarpophalangeal joints, second through fifth metatarsophalangeal joints, thumb interphalangeal joints, and wrists)
    • Greater than 10 joints (including at least 1 small joint) = 5 points
  • Serological testing for rheumatoid factor or anti-citrullinated peptide/protein antibody:
    • High positive = 3 points
    • Low positive = 2 points
  • Symptom duration of at least six weeks: 1 point

A total score greater than or equal to 6 classifies the patient as having RA.

The Blood Tests and Imaging Tests Include

1. Blood Tests

In blood tests, we look for inflammation and blood proteins (Antibodies) that are linked with RA.

  • ESR (Erythrocyte Sedimentation Rate): Higher than normal value
  • CRP (C-reactive Protein) levels: Higher than normal value
  • Rheumatoid Factor: Antibody that is found in RA patients.

2. Imaging Tests

In X-rays, MRI, CT scans signs of erosions are found. If these signs don’t show up, that means RA is in early stage.

Treatment

Rheumatoid arthritis treatment includes one or more kinds of medications. And in some cases, surgery is recommended.

Medicines

  • Disease modifying antirheumatic drugs (DMARDs)
  • Non-steroidal anti-inflammatory drugs (NSAIDs)
  • Corticosteroids
  • Biologics

Surgery

  • Knee replacement
  • Hip replacement
  • Other surgeries to correct deformity

Ayurvedic Overview

According to Ayurveda, Rheumatoid Arthritis is correlated with Amavata. Amavata is vitiation of Vata and accumulation of Ama in joints. Amavata is not only a disorder of the locomotor system, but it is also a systemic disease. It is named after chief pathogenic constituents which are Ama and Vata. The main causative factor Ama is due to malfunctioning of the digestive and metabolic system.

Causes (Nidana)

  • Viruddha Ahara (Mutually Incompatible food)
  • Viruddha Chesta (Unwholesome lifetime practices)
  • Mandagani (Low digestive fire)
  • Nischala (Sedentary life activities)

Symptoms

Initially, symptoms are like indigestion and in this condition, the disease has just begun and morbidity did not reach joints. These symptoms include:

  • Angamarda (Generalized body ache)
  • Aruchi (Anorexia)
  • Trishna (Thirst)
  • Gawrav (Heaviness)
  • Jwara (Fever)
  • Apaka (Indigestion)
  • Shinata (Numbness in body parts)

The later stage when the disease spreads to the joints, tissues, and symptoms of multiple organ and tissue damage occurs. These symptoms include:

  • Saruja souph (Painful swelling in joints)
  • Vrischik Danshwat peeda (Pain mimicking the scorpion sting)
  • Agnidaurbalya (Sluggish digestion)
  • Aruchi (Anorexia)
  • Gauravam (Heaviness in body)
  • Utsah haani (Lack of enthusiasm)
  • Shool (Pain)
  • Trishna (Thirst)
  • Chardi (Vomiting)
  • Bhram (Giddiness)
  • Murcha (Fainting)
  • Antra kunjana (Gurgling sound in abdomen)
  • Anaha (Flatulence)

Treatment

According to Ayurveda, treatment of Amavata includes Shaman Chikitsa (Pacifying therapy) and Shodhana Chikitsa (Purifying therapy).

Shaman Chikitsa (Pacifying therapy)

  • Shunthyadi Kwath (Decoction)
  • Shatyadi Kwath
  • Pippalyadi Kwath
  • Dashmool Kwath
  • Shunti-guduchi Kwath
  • Shunthi Gudda
  • Bhallatakadi Churana
  • Phalatrikadi Churana
  • Panchkola Churana

Shodhan Chikitsa (Purification therapy)

  • Langhan (Fasting)
  • Sweden (Sweating therapy)
  • Tikta, Katu Deepan (Pungent and bitter digestion support medicines)
  • Virechana (Purgation)
  • Kshara Vasti (Enema)
  • Abhyanga (Massage)
  • Pinda Sweda (Medicated powder bolus)
  • Upanaha (Poultice)

Herbal Remedies of Rheumatoid Arthritis by Planet Ayurveda

Planet Ayurveda is a GMP-certified company. They always provide a combination of the best herbal remedies. They prepare these formulations by following proper Ayurvedic principles. All these herbal remedies are 100% pure and vegan. All these medications are prepared under the supervision of MD scholars. These medicines are safe to use as they have no side effects. Planet Ayurveda provides a combination of effective herbal remedies for rheumatoid arthritis such as RA Care Pack. This pack includes:

  1. Ashwagandha Capsules
  2. Boswellia Curcumin
  3. Aamvatantak Churna
  4. RumoGin 5 Capsules
  5. Joint Aid Plus
  6. Yograj Guggul
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Products Description

1. Ashwagandha Capsules

Ashwagandha capsules are standardized extract of pure herb Ashwagandha (Withania somnifera). As the name says – one that possesses the Gandha of Ashwa (smell of horse), it indicates that the herb imparts the strength of a horse. This herb helps to strengthen the immunity of the body. It is fruitful in neurological disorders and promotes overall wellness.

Dosage: 2 capsules twice a day with lukewarm water after meals.

2. Boswellia Curcumin

Boswellia Curcumin is a capsule blend of 2 herbs. It is a pure extract of Shallaki (Boswellia curcumin) and Haridra (Curcuma longa). Boswellia Curcumin is indicated in inflammatory and painful conditions and this works effectively in rheumatoid arthritis. It helps to relieve infection. It also helps to improve blood circulation and flexibility in joints.

Dosage: 2 capsules twice a day with lukewarm water after meals.

3. Aamvatantak Churna

Aamvatantak churna is a powerful powder that is a blend of herbs. The literal meaning of ‘Aam’ is endotoxins. This churna helps to digest ama (endotoxins/waste products) in the body. It contains the standardized extract of herbs – Ashwagandha (Withania somnifera), Haridra (Curcuma longa), Meth (Trigonella Foenum graecum), Suranjan (Colchicum autumnale), Gorakhmundi (Sphaeranthus indicus), Sonth (Zingiber officinale). It helps you to improve metabolism and corrects liver functions. It also reduces local pain, stiffness, and swelling. It improves the blood flow of the effective joints.

Dosage: 1 tsp with warm water before meals.

4. RumoGin 5 Capsules

It is a capsule with pure herbal formulation. It comprises Curcumin, Saunth (Zingiber officinale), Shallaki (Boswellia serrata), Maricha (Piper nigrum), and Pippali (Piper longum). It works as an anti-inflammatory. It aids in managing Rheumatoid arthritis and osteoarthritis. Shallaki (Boswellia serrata) due to its Vata balancing nature gives relief in joint pain.

Dosage: 1 capsule twice a day with lukewarm water after meals.

5. Joint Aid Plus

It is an herbal formulation in the form of a capsule. This is a powerful blend of many wonderful herbs. It is standardized pure extract of Nirgundi (Vitex negundo), Shallaki (Boswellia curcumin), Sonth (Zingiber officinale), Ashwagandha (Withania somnifera), Giloy (Tinospora cordifolia), Guggulu (Commiphora mukul). As Shallaki (Boswellia curcumin) has Vata balancing nature so it gives relief in joint pain.

Dosage: 2 capsules twice daily with warm water, after meals.

6. Yograj Guggul

It is an Ayurvedic formulation in the form of tablets. These tablets of Yograj guggul are prepared from the herbs like Guggul (Commiphora mukul), Amla (Emblica officinalis), Pippali (Piper longum), Chavya (Piper chaba), Musta (Cyperus rotundus), Chitrak (Plumbago zeylanica) etc. All these ingredients help in maintaining proper digestion by stimulating the digestive fire. Rheumatoid arthritis can occur because of digestive problems so these herbs are very useful in RA. These herbs also work as anti-inflammatory. This classical formulation is very effective in musculoskeletal disorders. It specifically works on Vata dosha.

Dosage: 2 tablets twice daily with lukewarm water after meals.

Conclusion

Rheumatoid arthritis can be taken parallel to the Amavata in Ayurveda. Ayurveda provides the best solution for this disease. When treated with an Ayurvedic treatment schedule as described in Ayurveda according to the condition of the patient and the state of the disease, it showed the best results. Planet Ayurveda’s RA care pack has shown amazing transformation in many patients as these medications are a pure combination of the best drugs.

Ayurvedic Treatment for Sarcoidosis with Herbal Remedies

ABSTRACT

Sarcoidosis is a granulomatous disorder which affects the multiple organs of the body. Where lungs and lymphatic system being the most affecting sites of the body, there are more patients in there initial stage remains asymptomatic and thus it makes the disease remain unnoticeable for prolonged period of time. Later after some years the disease may be diagnosed after witnessing patients being symptomatic or suffering from various organ failure. It could affect the middle age group also its clinical features are co-related with Tuberculosis. On histopathological and immunological examination it reveals non-caseating granuloma. Further research has to be done to know exact pathogenesis, early detection and plan for better treatment for sarcoidosis. In ayurveda we have to cure this with the help of some herbal medication which provides better results in the Sarcoidosis and improves the health of the patient. Also with medication diet and lifestyle modification plays a very important role in ayurveda. Regular exercise, yoga and breathing pranayama such as kapalbhati can help to open the blocked channel. So in ayurveda it can be managed. Let’s discuss it in detail!

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INTRODUCTION

Sarcoidosis is a condition which develops when a group of cells in your immune system form red and inflamed lumps called granulomas in various organs of the body. The inflammation that leads to granuloma can be caused due to infection or by other certain things you came into contact with. Sarcoidosis can affect any organ of your body. Most commonly it affects the lymph nodes of the chest and lungs. It also affects the eyes, heart, skin and various other organs.

CAUSES

The cause of sarcoidosis is not known. But a combination of genetic predisposition of disease may be triggered by bacteria or viruses or environmental factors are responsible. Some of various causes are chemicals, infectious agents, dust and potential abnormal reactions to own body proteins could be responsible for formation of granulomas.

SYMPTOMS

Sarcoidosis can be begin with these sign and symptoms like:

  • Swollen lymph nodes
  • Fatigue
  • Fever
  • Weight loss
  • Muscle ache and weakness
  • Pain and swelling of joints

Symptoms present in lungs

  • This disease most affects the lungs and may cause various lung problems
  • Shortness of breath
  • Dry Cough
  • Pain in chest
  • Wheezing sounds

Symptoms present in eyes are

  • Eye pain
  • Blurred vision
  • Burning and itching of eyes
  • Sensitivity to light

Heart symptoms

  • Fainting
  • Chest pain
  • Shortness of breath
  • Irregular heartbeat
  • Swelling caused by excess fluid
  • Rapid and fluttering heartbeat

Skin symptoms

  • Light or dark patches on skin
  • Red tender bumps present in your skin
  • Raised tender bumps on your skin
  • Lesions on nose, cheeks, and ears

Lymph node symptoms

  • Affects lymph nodes in your neck and around the lungs, but sometimes the lymph nodes in your armpit and under the chin
  • Tenderness and enlargement of lymph nodes

STAGES

  • Stage 0: (No Pulmonary) – In this stage, there are no signs of granulomas in the lungs or lymph nodes.
  • Stage 1: (Lymphadenopathy) – In this stage, granulomas are present in lymph nodes only.
  • Stage 2: (Lymphadenopathy and pulmonary infiltrates) – In this stage, granulomas are present in both the lymph nodes and lungs.
  • Stage 3: (Pulmonary infiltration) – In this stage, granulomas are present in the lungs only.
  • Stage 4: (Pulmonary fibrosis) – This is the last stage of scarring of lung tissues and permanent damage.

However, the stage of pulmonary scarring does not indicate the progress of the disease but the area affected by it. In 4 stages permanent lung damage. In this stage, the patient experiences symptoms of pulmonary fibrosis.

Lofgren syndrome

This sudden onset of sarcoidosis is defined by several groups of symptoms that affect various organs.

  • Fever
  • Arthritis of various organs
  • Swelling of lymph nodes in the chest
  • Red, tender bumps on the skin

Diagnosis

Sarcoidosis can be difficult to diagnose because it often produces very low signs and symptoms at early stages. Further on, we start with physical examination and discuss the symptoms.

  • Chest X-ray
  • Blood and Urine tests
  • Lung Pulmonary test
  • Eye exam to check for vision problems
  • Biopsy
  • Tuberculosis
  • Angiotensin receptor enzymes (ACE) level
  • Electrocardiogram
  • Echocardiogram
  • PET/CT-scan
  • Slit lamp examination

Treatment

Treatment of sarcoidosis is usually used for managing the symptoms and preventing organ damage. There is no need for treatment if you don’t have symptoms or have very mild symptoms.

Medications used for sarcoidosis are:

  • Corticosteroids
  • Anti-tumor necrosis factor-alpha antibodies (Anti-TNF-alpha antibodies)
  • Immunosuppressants
  • NSAIDs

RISK FACTORS

  • Age: This disease can occur at any age group but mostly occurs between 20 to 60 years of age.
  • Gender: Women are prone to this disease.
  • Family History: If you have a family history, you are more likely prone to the symptoms of sarcoidosis.

Ayurvedic Overview

Ayurveda is the talk of the town everywhere in the world. Ayurveda offers the holistic approach to treating Sarcoidosis by addressing the underlying imbalance in the body. This disease can be attributed to an imbalance of doshas which are the fundamental energies that govern the functioning of the body. In this the most important thing we need to have understanding of dosha involved in the disease for the treatment of the disease. Sarcoidosis primarily impacts lymph nodes. Where lymph are all about Kapha dosha. There is abundance in kapha reason-lungs. When the pitta starts affecting these lymph nodes these lymph nodes lose their nature and become hard. This is the basic pathological process of sarcoidosis. Because this place belongs to kapha dosha. As we know sarcoidosis is an autoimmune disease. Because no autoimmune condition can occur without tridoshas. The condition of lungs is all about Kapha and Vata dosha. As in case of low levels of kapha, vata causes dryness. Ayurveda also recommends improving the immune system. Improving your immune power by increasing the intake of medicinal herbs. Good quality of herbs and formulation strengthen the immunity and overall health of well being.

Diet

Diet also plays a very important and crucial role in sarcoidosis. Person should take a Satwik diet like green leafy vegetables, food with bitter and astringent taste in particular. A highly anti-inflammatory diet is very beneficial in sarcoidosis. In diet you should also avoid dairy products, citrus fruits, cold drinks, junk or packed food.

Lifestyle Alteration

Lifestyle alteration means practising regular exercise or yoga, pranayam may also help in managing the signs and symptoms of sarcoidosis.

Natural Treatment

  • Ashwagandha (Withania somnifera): This herb is very useful in breathing difficulty by controlling inflammation in the airways and lungs. Due to immune benefit properties.
  • Giloy (Tinospora cordifolia): Use of giloy can help to stimulate the regeneration of the tissues and organs affected.
  • Turmeric (Curcuma longa): It mainly helps to reduce the inflammation.

HERBAL REMEDIES FOR SARCOIDOSIS BY PLANET AYURVEDA

Planet Ayurveda is a US FDA Organic or GMP certified company. They provide the best combination of herbal remedies. Their medications are prepared by expert doctors. All the medication made naturally does not use any kind of chemicals and preservatives in their medication. They strictly follow the basic principles of ayurveda. They provide many medications for many diseases but in the treatment of Sarcoidosis they provide the best Sarco Care Pack.

  1. Kanchnaar Guggul
  2. Curcumin Capsules
  3. Aller-G-Care
  4. Chitrak Haritaki
  5. Punarnava Mandur
  6. Vasasav
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PRODUCTS DESCRIPTIONS

    1. Kanchnaar Guggul

    This is a herbal tablet which is formed of herbs like Kanchnaar (Bauhinia variegata) and Guggul (Commiphora mukul) and some other herbs which are good in handling the symptoms of Sarcoidosis. This is very useful and good for handling the pain, inflammation and cyst formation in bones and lymphatic blockage. This is a good product for carrying out normal and healthy functioning of cellular symptoms.

    Dosage: 2 tablets thrice a day with warm water after a meal.

    2. Curcumin Capsules

    These are in the form of capsules which are made up of single herb and standardised extract of Haridra (Curcuma longa). It has anti-inflammatory and anti oxidant properties also it helps in infection, reduces pain and improves swelling. As we know, inflammation of various organs is one of the major symptoms of sarcoidosis.

    Dosage: 2 capsules twice a day with warm water after meals.

    3. Aller-G-Care

    These are in the form of capsules which are formed of wonderful herbs like Haridra (Curcuma longa), Neem (Azadirachta indica) as the name indicates this is very profitable in allergies. It also helps to detoxify the body. These capsules are best for improving lung function and maintaining a healthy breathing pattern.

    Dosage: 2 capsules twice daily with warm water after meal.

    4. Chitrak Haritaki

    This is a classical preparation which is prepared with many wonderful herbs as this name suggests that this is made up of Chitrak (Plumbago zeylanica) and haritaki (Terminalia chebula), Pippali (Piper longum), Amla (Emblica officinalis), Maricha (Piper nigrum), Guduchi (Tinospora cordifolia), Tejpatra (Cinnamomum tamala), Ela (Elettaria cardamomum), Dalchini (Cinnamomum zeylanicum), Gud and Madha are some ingredients. It is very effective and useful. It has many wonderful properties like anti-inflammatory, and improves respiratory illness. This preparation is very useful in removal of mucus from the lungs and provides relaxation in the symptoms like breathlessness. It also has a cardiovascular supportive effect.

    Dosage: 1 tsp with warm water after a meal.

    5. Punarnava Mandur

    This is in the form of herbal tablets which are formed from the herb Punarnava (Boerhavia diffusa). This is one of the best herbal remedies for sarcoidosis. These tablets are used in swelling and inflammation of affected parts of the body. It also helps in eliminating the toxins from the body and clear the channels. It supports healthy cells functioning.

    Dosage: 2 tablets twice a day with warm water after a meal.

    6. Vasasav

    This is an ayurvedic Asav and Arishta are one of the best preparations which are prepared from the process of fermentation and also have self generated alcohol in this. This is prepared with many herbs but the key ingredient is Vasa (Justicia adhatoda), Choti Elaichi (Elettaria cardamomum), Pippali (Piper longum), Sonth (Zingiber officinalis), Dalchini (Cinnamomum zeylanicum), Shital Chini (Cubebae fructus), Tejpatra (Cinnamomum tamala), Nagkesar (Mesua ferra), water and gud etc which has many functional properties and is used in many conditions commonly used in bleeding disorder, bronchodilator or sinusitis. It helps in respiratory symptoms and melts the accumulation of kapha dosha. Kapha dosha is mainly the resulting blockage of Strotas. So this preparation is helpful in opening the blocked Strotas.

    Dosage: 2 tsp twice a day daily.

    CONCLUSION

    In this article we concluded a topic on Sarcoidosis here we start the topic with introduction further we discuss about causes, symptoms, stages, investigation and treatment protocol further we discuss about Ayurvedic overview, diet lifestyle and best ayurvedic treatment by Planet Ayurveda. Their Sarco Care Pack is super effective in this condition.