Health Naturally

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Health Naturally By Arya Publication All Rights Reserved 2011.

Edited by

:

Dr. Jitendra Arya

First Edition

:

Nov. 2011

Cover Designing & DTP

:

Jitendra Kolhe

Price

:

Rs.400/

This book is sold subject to the condition that it shall not by way of trade or otherwise, be lent, resold, hired out, or otherwise circulated without the publisher’s prior written consent in any form of binding or cover other than that in which it is published and without a similar condition including this condition being imposed on the subsequent purchaser and without limiting the rights under copyright reserved above, no part of this publication may be reproduced, stored in or introduced into a retrieval system, or transmitted, in any form, or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of both the copyright owner and the above-mentioned publisher of this book. Any person who does any unauthorized act in relation to this publication may be liable to criminal prosecution and civil claims for damages.

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2.

3.

INDEX 4.

1. 5.

6.

7.

8.

9.

NATUROPATHY

-6

FASTINGTHERAPY

- 17

MUDTHERAPY

-28

MASSAGETHERAPY

-39

ACCUPRESSURE

-55

REFLEXOLOGY

-62

MAGNETOTHERAPY

-66

NATURECUREANDYOGAFORSYMPTOMATICRELIEF

- 77

NATURECUREYOGAMANAGEMENTFORCOUGH

- 87

10. NATURECUREYOGAMANAGEMENTFORCOMMONCOLD

-95

11. NATURECUREYOGAMANAGEMENTFORBRONCHITIS

-101

12. NATURECUREYOGAMANAGEMENTFORASTHAMA

- 109

13. NATURECUREYOGAMANAGEMENTPNEUMONIA

- 118

14. NATURE CURE YOGA MANAGEMENT FOR RINGWORM

- 128

15. NATURECUREYOGAMANAGEMENTFORECZEMA CURE YOGA MANAGEMENT FOR ATOPIC DERMATITIS

-137

16.

-145

17. NATURECUREYOGAMANAGEMENTFORPSORIASIS

- 153

18. NATURE NATURECUREYOGAMANAGEMENTFORSCLERODERMA CURE YOGA MANAGEMENT FOR VITILIGO

- 160

19.

-172

20. NATURE NATURECUREYOGAMANAGEMENTFORCONSTIPATION CURE YOGA MANAGEMENT FOR MIGRAINE

- 182

21.

- 193

22. NATURECUREYOGAMANAGEMENTFORPILES

-202

23. NATURECUREYOGAMANAGEMENTFORIRRITABLEBOWELSYNDROME

- 207

24. NATURECUREYOGAMANAGEMENTFORGASTRITIS

-214

25. NATURE NATURECUREYOGAMANAGEMENTULCERATIVECOLLITIS CURE YOGA MANAGEMENT FOR PEPTIC ULCER

-222

26.

-228

27. NATURECUREYOGAMANAGEMENTFORJAUNDICE

-226

28. NATURECUREYOGAMANAGEMENTFORLIVERDISORDERS

-254

29. NATURE NATURECUREYOGAMANAGEMENTFORUNDERWEIGHT CURE YOGA MANAGEMENT FOR KIDNEY STONES

-255

30.

-274

31. NATURE NATURECUREYOGAMANAGEMENTFOROBESITY CURE YOGA MANAGEMENT FOR HYPERTHYROIDISM

-280

32.

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- 287

33. NATURE CURE YOGA MANAGEMENT FOR DIABETES MELLITUS

-299

34. NATURE CUREYOGA MANAGEMENT FOR HYPERCHOLESTEROLEMIA

-309

35. NATURE CURE YOGA MANAGEMENT FOR ISCHEMIC HEART DISEASE

- 318

36. NATURE CURE YOGA MANAGEMENT FOR CONGESTIVE CARDIAC FAILURE

-325

37.

- 335

CURE YOGA MANAGEMENT FOR MYOCARDIAL INFARCTION

38. NATURE CURE YOGA MANAGEMENT FOR STROKE

-343

39. NATURE CURE YOGA MANAGEMENT FOR PARALYSIS

- 351

40. NATURE CURE YOGA MANAGEMENT FOR CHRONIC RENAL FAILURE

- 356

41. NATURE CURE YOGA MANAGEMENT FOR OSTEOARTHRITIS

-368

42.

- 373

CURE YOGA MANAGEMENT FOR RHEUMATOID ARTHRITIS

43. NATURE CURE YOGA MANAGEMENT FOR LOW BACK PAIN

- 379

44. NATURE CURE YOGA MANAGEMENT FOR SCIATICA

- 389

45. NATURE CURE YOGA MANAGEMENT FOR LUMBAR SPONDYLOSIS

-394

46. NATURE CURE YOGA MANAGEMENT FROZEN SHOULDER

-399

47. NATURE CURE YOGA MANAGEMENT FOR CERVICAL SPONDILOSIS

- 407

48. NATURE CURE YOGA MANAGEMENT FOR OLIGOSPERMIA

- 417

49.

-423

CURE YOGA MANAGEMENT FOR PROSTATE ENLARGEMENT

50. NATURE CURE YOGA MANAGEMENT FOR INSOMNIA

-434

51. NATURE CURE YOGA MANAGEMENT FOR OBSESSIVE– COMPULSIVE DISORDER (OCD)

-441

52. NATURE CURE YOGA MANAGEMENT FOR DEPRESSION

- 452

53. NATURE CURE YOGA MANAGEMENT FOR SCHIZOPHRENIA

-460

54. NATURE CURE YOGA MANAGEMENT FORALZHEIMER’S DISEASE

-471

55.

-480

CURE YOGA MANAGEMENT FOR PARKINSON’S DISEASE

56. NATURE CURE YOGA MANAGEMENT FOR MND

- 488

57. NATURE CURE YOGA MANAGEMENT FOR LEUCORRHOEA

-500

58. NATURE CURE YOGA MANAGEMENT FOR PREMENSTRUAL SYNDROME

-511

59.

- 517

CURE YOGA MANAGEMENT FOR DYSMENORRHEA

60. NATURE CURE YOGA MANAGEMENT FOR PCOD

- 523

61. NATURE CURE YOGA MANAGEMENT FOR MENORRHAGIA

-531

62. NATURE CURE YOGA MANAGEMENT FOR FIBROIDS

-534

63. NATURE CURE YOGA MANAGEMENT FOR STERILITY

-540

64. NATURE CURE YOGA MANAGEMENT FOR MENAPAUSE

- 552

65. YOGA DARSHAN-I

-562

66. YOGA DARSHAN- II

-585

67. YOGA DARSHAN - III

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-593

PREFACE

Everything above clouds , horizons looks one , above skin layers physiology looks same, above materials structure energy seems same!!! Above mind everything is same! compartment,department and diseases seems different ,but in reality it is one. The impurity, the ignorance ,the clouds. Human mind has never tried to come out from the calculation and corruption , health , home, happiness , god also made commercial! Inspite of lots of words so called education, books, net, and fat knowledge of books , mind evolution has not got any big jerk. Jungle age truth “ might is right” has not shaken up .Only the mights definition and means and kinds has got evolved a lot . Diseases name has changed , its pathological description has got big lengths for big prescriptions .But disease free human being is not yet visible! Ancient rishis has rightly said “pragya paradham rog karanam” means Atrocity of intelligence is the cause of disease. Whenever we are living with body, mind, intellect and spirit, we are connected with wholeness. This is the harmonious state of the being. But whenever person is limited with his ego, belief, mind and past etc he gets disconnected from the nature,cosmos, the present tense en ergy and totality also. That time person starts damaging , discharging ownself , and that is atrocity of intelligence. All the meditation, knowledge, Vedas etc ultimately show the path of art of living. That is to be in present tense. Someone has rightly said that “past is history ,future is mystery and present is the gift .”Disease, division ,dirts, damage etc all due to avoidance of present and continuously dwelling upon past. Past is pain. Psychologically and emotionally, past is damaging process of mind . Once mind is damaged and depressed , it percolates all its garbage to each and every cell of the body. First and foremost thing is to live in the present tense. .....Health Naturally - 5.....

CHAPTER 1

NATUROPTUROPTUROPTUROPTUROPATHYTHYTHYTHYTHY

Naturopathy (also known as naturopathic medicine or natural medicine or nature cure) is an eclectic alternative medical system that focuses on natural remedies and the body’s vital ability to heal and maintain itself. Naturopathic philosophy favors a holistic approach and minimal use of surgery and drugs. Naturopathy is the drugless system of medicine. Nature helps in treating disorders. This is a very surprising matter, right? Naturopaths have opposed vaccination based in part in the early philosophies which shaped the profession. History Naturopathy has its origins in the Nature Cure movement of Europe. The term was coined in 1895 by John Scheel and popularized by Benedict Lust the “father of naturopathy”. Some see the ancient Greek “Father of Medicine”, Hippocrates, as the first advocate of naturopathic medicine, before the term existed. The modern practice of naturopathy has its roots in the Nature Cure movement of Europe. In Scotland, Thomas Allinson started advocating his “Hygienic Medicine” .....Health Naturally - 6.....

in the 1880s, promoting a natural diet and exercise with avoidance of tobacco and overwork. The term naturopathy was coined in 1895 by John Scheel,[ and purchased by Benedict Lust, the “father of naturopathy”. Lust had been schooled in hydrotherapy and other natural health practices in Germany by Father Sebastian Kneipp; Kneipp sent Lust to the United States to spread his drugless methods. Lust defined naturopathy as a broad discipline rather than a particular method, and included such techniques as hydrotherapy, herbal medicine, and homeopathy, as well as giving up overeating, tea, coffee, and alcohol. He described the body in spiritual and vitalistic terms with “absolute reliance upon the cosmic forces of man’s nature.” “Nature Cure is so simple, easy and cheap.....this system of treatment should be used.” -Mahatma Gandhi. Mahatma Gandhi laid foundation to the propagation and spread of nature cure in India. Well, the Basic elements i.e., Panchamahabutas of nature, Ether, Air, Water, Earth and Fire are used in the treatment of diseases. Also these panchamahabutas represent different organs of the body too. Hence nature and our body go hand in hand… The different parts of the body that represent these great elements of nature are, Ether : the hollow organs spaces in the human body like, Air

sinuses, or the spaces within the skull. : the lungs and parts within it.

Water : the blood, lymph and other secretions. Earth : the bones, muscles and the muscular organs like heart, stomach, liver, intestines. Fire : the digestive process or digestive fire. Even after death, the dead body disintegrates into the mother earth. Henceforth treatments using these elements will definitely cure the various ailments. Famous American Dr. Tol has said very significantly in his book, “The True Healing Art”, that, ‘The healing power of nature is inherent in .....Health Naturally - 7.....

the living organism. It is not special or unique power. It is ordinary vital power by which we live and grow’. BASIC PRINCIPLES OF NATURE CURE · ·

The primary cause of disease is violation of Nature’s law. The germs are the secondary cause of disease.

·

Unity of disease and unity of cure.

·

Acute diseases are the indications of some disturbance in the body Your food shall be your medicine and your medicine shall be your food.

· · ·

Chronic diseases are the outcome of the suppression of acute symptoms. Body has got a remarkable recuperative power

·

Holistic approach of the treatment

·

Nature heals, not the Physician

·

Digestive system is the main root of disease causation. In Naturopathy every disease can be cured but not every patient.

·

Naturopathy believes that all forms of disease are due to the same cause, that is, the accumulation of waste materials and toxins in our bodies that are steadily piling up. And cure is Elimination of morbid matter. Nature cure believes that disease is one, its cause is one and so its treatment is one. Germs are not the cause of disease. Toxins provide growth of these germs. To kill germs is not the remedy, but the toxins which provide congenial facilities, growth and abode to germs should be eliminated. How do the waste materials pile up? Natural means - Our body is made up of cells, some of which continuously die and are replaced by new ones. The old dead cells are foreign material to the body and need to be eliminated. In addition, processes of the living cells also generate toxic wastes due to metabolic reactions .....Health Naturally - 8.....

Unnatural means - Wrong ways of life also cause production of excess toxins When these toxins are not eliminated at a reasonably fast rate, a diseased condition is created Germs cause Disease- myth! Germs do not cause disease but are found breeding in the accumulating waste matter in the body. In a healthy body, having normal secretions and excretions, the germs cannot find a breeding ground and are destroyed by the antibodies present in the secretions. There have been extensive experiments to prove this. “Just as mud cannot stick to a smooth, oily surface, similarly, the germs cannot blemish a healthy body.” Germs are part of the result of disease and not the cause Nature Cure recognizes this. Instead of concentrating its energy on killing germs, the activity of which we cannot escape when the conditions are ripe, nature cure attempts to invigorate the system, to build up blood and lymph, and to purify the tissues so that germ activity is neglected. When improper unnatural, irregular food is consumed and the body runs under emotional pressures like, anger, lust, fear and worries etc, the digestive system is disturbed and hence digestive juices are not produced properly. The degenerated digestive juices secreted after being absorbed by liver mix with the blood. Blood gives nourishment to every part of the body and each cell. Thus harmful digestive elements reach to all parts the body. They get collected over a period of time called as toxins, and body tries to eliminate them through the eliminative organs like kidney, intestines, lungs, and skin. Though the organs eliminate these toxins and purify the body, some toxins which remain within the body, are eliminated in the form of acute disease. Cold, Cough, Fever, Headache, Acidity, Diarrhea, skin reactions are symptoms of body purification. These are not diseases

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or rather acute diseases. They are our Friends not Foe as they indicate the accumulation of toxins. These symptoms when suppressed through drugs, they without getting purified once again get collected in the body. Later gives rise to modified form of these as acute disease. Acute diseases can be cured. When the Acute disease too is suppressed in the long run it forms a chronic disease like, Asthma, Ulcers, Arthritis, Colitis, Psoriasis, constipation, cancer etc. UNITY OF HEALTH AND CAUSE, UNITY OF DISEASE AND CURE This was first bought to light by Jennings. “Prevention is better than cure” goes well with here. Prevention of disease is to maintain a healthy life style or reform the habits of living. The cure of disease is by elimination. Unity of cause, health, disease and cure simply means that, the disorder may be in any part of the body or any organ; it is due to toxemia or accumulation of toxins in the body. The only cure is elimination of toxins from the body. The body as an association of organs works as a single unit. If any one organ’s function reduces or fails to work, its function should be taken up by some other organ. It is this ability to do extra work that enables an organ to compensate deficiencies in other organs. But, no such work load of heart and lungs is taken up by any other organ in case of emergencies. Thus stronger organs of our body are constantly compensating for the failure of the weaker ones, so that disease appears only after the stronger organs are no longer able to perform the work of compensation. Enervation (weakness or loss of strength and vitality) lowers the functional vigor so that they do not perform their function as efficiently as they should. It not only lowers the function of weaker organs, but lowers the functional powers of stronger organs. The symptoms of this is first seen in the weaker organs but may not be noticed until it has affected some stronger organ. .....Health Naturally - 10.....

Elimination is a physiological process, not a mechanical one. We can easily wash out a sewage pipe by flooding it with water, but not kidney, bowels, skin or lungs. It cannot be forced. An increase in the amount of water eliminated if a patient drinks large amount of water is more but if solids are taken then water eliminated is less. Thus toxins eliminated too are less. But for bowels, overdrinking water improves its function and overeating may lead to constipation. As for sweat, can also be induced artificially by steam baths but, here elimination of toxins from skin is less, than one sweats naturally. Only the function of skin increases gradually, through artificial induction of sweat, no much waste is eliminated. So any symptoms of disease should be given a chance to eliminate waste or assist elimination than suppressing it by drugs. If a patient has cough, it must not be suppressed but assisted to eliminate more sputum, so that the lungs get clear. To suppress nature’s healing and purifying efforts; disease gets locked up in the body and gets worse giving rise to complications. Acute disease is converted to chronic. And repeated suppression of acute disease; makes the chronic disease to such a stage where returning to normal is impossible. Nature simply can’t work that way. She demands disturbing elements be removed. Give a chance to a organism to cleanse itself, and it will eliminate its wastes and free itself of toxins. BODY HEALS ITSELF The body is the supreme gift of Almighty. It is a marvelous, self-supporting, self- governing and self- ruling machine. Without seeking any foreign help or outward co-operation for fighting against any obstacles, the body functions entirely, naturally and easily. Body does important life work by itself, like, self protection, self purification rejuvenation, and regeneration. In unfavorable conditions, the mechanism of the body handles its own administration very smoothly, and governs its own system,

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with all available means and consumes all its potency to protect and save the mechanism of the body. Body is not a simple structure of bones, muscles, blood, flesh or marrow. It is a self operated lively organization. The body is made up of lakhs and crores of cells. And hence numerous reactions take place within the body. Each and every cell works towards maintaining good health. Even with so much of efficiency, self- operating body gets disordered. It recommends ‘Rest’. But only with proper rest body can recuperate itself. A person should rest physically, mentally, emotionally, socially and spiritually. Not understanding the language and harmony of the body man gets diseased. Rest helps body to heal itself. For instance, during fever, cold, or cough, diarrhea body compels to take rest. Because, during these simple diseases, the tongue loses it taste, body gets fatigued, one doesn’t feel hunger. It means body is demanding rest. Hence one should fast and give rest to digestive organs. When these organs are not loaded with food they get rest and all energy of the body helps in recovery. But we do not understand this indication of the body. For sake of satisfying our ego, temptations, and fulfilling our aims, we surrender our body to get healed by drugs. Drugs taken for these simple diseases, suppresses them and then gradually gets accumulated in the body. Toxemia in the body is shown up in various forms as, in joints- arthritis, lungs – bronchitis, stomach- gastritis, nerves- neuritis, etc. And finally breeds some incurable chronic disorder. Body has a capacity to heal any disorders that develop in it. The method of healing is by crisis. Now let’s see how body heals a simple wound, a cut, or a scratch. Whenever the skin is cut or the deeper tissue is broken, there is exudation of blood which coagulates and forms an air tight scab. Underneath the scab, blood is rushed to the injured part in large quantities. The tissues, nerves and muscle cells, etc on each side of the wound start multiplying rapidly, and build a cell-bridge across the gap until the edges of the wound are united. The newly formed cells of the blood vessels unite .....Health Naturally - 12.....

with the vessels on the other side, so that in an orderly and even manner the channels of circulation are re-established. Also the connective tissues reunite in the same manner. The nerve cells repair the broken line. Muscles and other tissues are repaired in the similar manner. The fact to observe is that, in this connecting process muscles do not connect with nerves or blood vessels or with connective tissues. But each tissue connects with its kind. After the wound is healed, when a new skin has been formed, there is no longer any need for the protecting scab, body proceeds to get rid of it. We got to know that the power and energy that body is made of, same power heals it. A still more wonderful of how body performs healing work is to observe a healing of a fractured bone. If an arm or leg is broken, the same healing power immediately sets in to repair a fractured bone. A liquid substance is secreted and deposited over the entire surface of the bone in each direction from the point of fracture. This secretion quickly hardens in to a bone-like substance and is firmly attached to the two sections of the bone. This ‘bone-ring’ is the chief support until the limb is healed. The process of cell multiplication unites the ends of the bone. The circulatory channels are re-established through the part. It is then the ‘bone-ring’ support is softened and absorbed except about an eighth to a quarter of an inch about the point of fracture. ACUTE DISEASES ARE OUR FRIENDS NOT THE ENEMIES The accumulation of toxins in the body causes disease. Elimination of toxins from the body is an acute disease. Body puts an effort to eliminate the toxins through various channels of elimination like skin, lungs, kidney, and intestines. Acute diseases are common cold, cough, fever, loose motions, nausea, vomiting, headache, burning sensation, swelling, itching, and conjunctivitis. Onset of fever, cold cough, headache etc, indicate our body that toxins are accumulated in the body and body is making an effort to eliminate these toxins by acute diseases. Hence acute diseases are our friends and not the enemies. .....Health Naturally - 13.....

From birth to death, there accumulates many kinds of toxins in the body. It may be from, food habits, lifestyle that we lead, bad thoughts that we think, etc. Body tries to get rid of these toxins throughout life. One should lead his life according to seasonal changes. There should be synchronization between food, lifestyle, thoughts, weather, atmosphere, emotions. But the life style that we lead nowadays accumulates many toxins in the body and elimination of these takes place through out life in the form of acute disease. But if acute disease is suppressed with drugs, then there appears a chronic disorder. For example, in monsoon digestion is weak. Hence we need to eat food accordingly. But due to cold rainy weather we feel like eating hot, spicy, oily eatables. This creates indigestion. This is how toxic elements get accumulated in the body. In any kind of acute disease, three symptoms are seen. Lack of appetite In cold, loose motion, itching, headache or fever, body has used all its energy in eliminating toxins. So body demands rest. So we should fast as there’s lack of appetite and loss of taste hence give rest to our digestive system. Increase in body temperature In all kind of acute diseases the temperature of the body increases. In cold or loose- motions, the temperature of the body increases by 1-2 degree F. due to this increase in temperature, the digestive juices stop temporarily. This indicates to give rest to digestion. Increase in pulse rate. When the elimination takes place, body tries to throw away the impurities of the blood by kidney and skin. During which the heart becomes over- active to support and co-operate with the process of elimination. Hence the pulse rate increases.

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If vitality is good then toxemia is dislodged easily. In children, as vitality is high, toxins get eliminated easily. Also children follow the natural way of living easily. Like they don’t eat, want to take rest. But comparatively, older people have less vitality, and hence toxins accumulated are more throughout their life. In all types of acute diseases, One should first fast by only taking water for 2-3 days. Rest is another important aspect. One should take physical and mental rest. One should avoid activities of sensitive organs like reading, watching TV, etc in order to store energy of the body for elimination of toxins. Enema is also very important to eliminate toxins. By fast, enema and rest an acute disease can be cured within 2-3 days, without taking medicines. Conclusion: Acute diseases indicate us that waste matter is accumulated in the body and body wants to get rid of it. So these are our friends. It is not advisable to get temporary relief by suppressing the elimination process of throwing toxins by taking medicines. Accumulated toxins can emerge as an acute disease or as chronic disease anytime. During the process of elimination to avoid healing crisis, one should not take medicines. This results in incurable chronic disease. Hence every person should help the process of elimination of toxins from the body by short fasting, light exercises, and rest and this is the best way to get cured from an acute disease. CHRONIC DISEASES ARE THE OUTCOME OF WRONG TREATMENT AND SUPPRESSION OF THE ACUTE DISEASES. Chronic diseases are considered to be incurable diseases. They are suppressed acute diseases. Acute disorders are the indicators of toxemia in the body. When the eliminative process of the body is assisted, the elimination of toxins gets completed and the acute disorder is cured. But if the diseases like cold, fever, cough, headache, indigestion, diarrhea, .....Health Naturally - 15.....

vomiting are cured with drugs repeatedly, the elimination process gets ceased and they are suppressed. The waste morbid matter gets accumulated in the body. Due to this the immunity and the resistance power of the body is reduced. Hence the body invites various incurable diseases. When the waste matter accumulates in the body, the resistance power of the body gets decreased. The function of all the organs of the body is also decreased. The blood gets impure. The toxins start getting stored up in the body parts. The channels of elimination get blocked. This gives rise to any of the diseases that cannot be cured. These disorders can be called as chronic diseases. The various types of chronic diseases are constipation, arthritis, obesity, asthma, high blood pressure, skin diseases, leucorrhea, fibroids, etc. Even in chronic diseases crisis is very common. They may be in the form of boils, eruptions, diarrhea, sweating, fever, bloody discharges, discolored urine, etc. Under natural living conditions, if the enervating influences are removed the strength of the body is increased and hence body eliminates toxins by itself. Crisis lasts until the disease producing factors have been reduced to the toleration point. This point varies with the individual and the conditions of the individual. Thus if the vitality is high, less morbid matter is accumulated. If a person with the chronic disease has high vitality his toleration point is raised and acute crisis arises.

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CHAPTER 2

ASTING THERAPY FASTING

Fasting in Sanskrit is ‘Upvasam’ literally means staying near (God). This word is derived from the English word ‘feastan’ which means to fast, observe and be strict. The complete abstinence from food for a short or long period is called Fasting. Or Fasting refers to complete abstinence from food for a particular period pertaining to a specific purpose. Fasting therapy is one of the most ancient customs. This is nature’s oldest, most effective and yet least expensive method of treating diseases, recognized as the achievement of natural healing. Throughout medical history, it has been regarded as one of the most dependable curative methods. The common cause of all diseases is the accumulation of waste and poisonous matter in the body which results from overeating. The majority of people eats too much and follows sedentary occupations which do not permit sufficient and proper exercise for utilization of this large quantity of food. This surplus overburdens the

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digestive organs and clogs up the system with impurities or poisons. Digestion and elimination become slow and the functional activity of the whole system gets deranged. Every disease can be healed by only one remedy - by doing just the opposite of what causes it, that is, by reducing the food intake or fasting. By depriving the body of food for a time ,the organs of elimination such as the bowels, kidneys, skin and lungs are given opportunity to expel, unhampered, the overload of accumulated waste from the system. Thus, fasting therapy is merely the process of purification and an effective and quick method of cure. Almost every religion follows the practice of fasting which is one of the most ancient customs. Great stress has been laid on fasting by the saints of medieval times. The Hindus, the Buddhists, the Muslims and many others have their periods of strict fasting. This can be considered as religious fasting.

TYPES OF FASTING There are 3 main categories: ·

According to duration Short fasting (fast for 3-4 days) Intermittent fasting (fast for 3-4 days, break the fast, then again fast for 3-4 days or more and break) Long fasting (fast for more than 7 days. Can fast up to 21 days)

·

According to type of liquid used Dry fasting (fast without taking anything) Water fasting (fast with water only) Juice fasting (fast with various juices) .....Health Naturally - 18.....

·

According to Religious fasting (fasts observed by various religions like Muslims fast during Ramadan, Christians during Easter, Hindus fast during navratri, ekadashi) Therapeutic fasting (fast to cure diseases) Political fasting (fast observed by politicians to fulfill their goals)

METHODS OF FASTING THERAPY To rejuvenate the body or eliminate toxins, therapeutic fasting must be done. One can fast for short period, long period or break in between. Also one can fast with juices, fruits, vegetables. 1) The best, safest and most effective method of fasting therapy is juice fasting. Fast for 2-3 days with any thin (juicy fruit/veg) juices. If suffering from any disorders, consult a Naturopath for specific juices. Drink lots of water, 2-3 liters a day. Vitamins, minerals, enzymes and trace elements in fresh, raw vegetable and fruit juices are extremely beneficial in normalizing all the body processes. They supply essential elements for the body’s own healing activity and cell regeneration and thus speeding the recovery. All juices should be prepared from fresh fruit immediately before drinking. The patient should get as much fresh air as possible and should drink plain lukewarm water when thirsty. Fresh juices may be diluted with pure water. The total liquid intake should be approximately six to eight glasses. .....Health Naturally - 19.....

Only very simple exercises, yoga and short walks may be undertaken during the fast. A warm water or neutral bath may be taken during the period. Cold baths are not advisable. Sun and air baths should be taken daily. Fasting sometimes produces a state of sleeplessness which can be overcome by a warm tub bath, immersing the legs in hot water And drinking one or two glasses of hot water. BREAKING THE FAST: One should break the fast with utmost care. The decision to terminate a fast is based on an evaluation of numerous factors, including the patient’s history, symptomatic presentation, examination results, as well as their psychological state and personal circumstances. There is a method to break the fast too. To get the desired effect by fasting, breaking of the fast is very important. To break the fast you cannot resume back to cooked food directly. Break the fast in an order. One of the characteristics of therapeutic fasting is the healing crisis. It is important to understand the healing crisis and avoid interfering with this necessary and productive process. We always try to terminate a fast during a period of stability. ·

If you have fasted with thin juices, break the fast with thick juices. ( if you have fasted with lime juice and honey break the fast with musumbi / sweet lime juice)

·

Then take fruits and raw salads and buttermilk.

·

Next go for soups and boiled vegs.

·

Finally resume to normal diet with less salt, spices and oil.

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CRISIS DURING FASTING: A fasting crisis is the manifestation of a symptom, or group of symptoms, during the course of the fast. Healing crises always occur after a period of marked improvement. As the vital force builds up during the healing process, the body decides it now has obtained enough energy to throw off some accumulated toxins, and forcefully pushes them out through a typical and usually previously used route of secondary elimination, such as the nose, lungs, stomach, intestines, skin, or perhaps produces a flu-like experience with fever chills, sweat, aches and pains, etc. Though unpleasant, this experience is to be encouraged; the body has merely accelerated its elimination process. Do not attempt to suppress any of these symptoms; don’t even try to moderate fever, which is the body’s effective way to burn out a virus or bacteria infection, unless it is a dangerously high fever (over 102° Fahrenheit). Fever can be lowered without drugs by putting the person into a cool/cold bath, or using cold towel wraps and cold water sponge baths. The good news is that healing crises usually do not last long, and when they are past you feel better than you did before the crisis. As our bodies store fat, the chemistry of the fat reflects the internal body conditions at the time the fat was stored. Each year, the illnesses that you caught left a small residue of the virus or bacteria in your fatty deposits. The toxins you ingested left their mark as well. As you cleanse and detoxify your body, you will be releasing the toxins, bacteria, and viruses that were built up in your fatty deposits. As they are released, you may experience symptoms that you experienced when you initially dealt with that particular malady or event – a bit in a milder form. You may get a runny nose, you may feel tired, you may develop body aches or you may even develop a fever, as your body works its way through years of toxins and disease. The common healing crisis is,

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Cold, fever, headache, weakness in the muscular system and the organs of locomotion, vomiting, diarrhea , pain in the body parts, skin eruptions, loss of hunger, Dizziness and fainting (Dr. Herbert M. Shelton says, “It seems that often (during the fast) there is a pooling of blood in the abdomen. There is less blood in the brain, although thinking is clear. Under these circumstances, to arise quickly from the horizontal position to the vertical, may result in dizziness and even fainting because the adjustment of the circulation in the head is not as rapid as the speed with which the change of position is made. To avoid possible fainting, which may occur in occasional cases (although it is of no consequence), one should arise slowly. Instead of forcing your organism, come slowly to a sitting position, sit on the side of the bed for a brief time, and then slowly rise to a standing position.) It is not advisable to break a fast while the patient is experiencing a crisis (a period of acute discomfort). It is important to let the crisis run its course before deciding whether it is time to terminate the fast. CRITERIA TO BREAK THE FAST Our body shows certain changes during fasting which helps us to know when to break the fast. The main changes are,

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Hunger invariably returns. The breath, which during all or most of the fast has been offensive, becomes sweet and clean. The tongue becomes clean. The thick coating which remained on it throughout most of the fast vanishes. The temperature, which may have been subnormal or above normal, returns to exactly normal, where it remains. The pulse becomes normal in time and rhythm. The skin reactions and other reactions become normal. The bad taste in the mouth ceases. Salivary secretion becomes normal. The eyes become bright and eye sight improves. The excreta lose its odor. The urine becomes light. ‘I learned that a man emerging from a long fast should not be in a hurry to regain lost strength and should also put a curb on his appetite. More caution and perhaps more restraint are necessary in breaking a fast than in keeping it’. —Mahatma Gandhi RULES AND REGULATIONS DURING A FAST Always fast under supervision of a Naturopath. Fast in a bright airy room, with exceptionally good ventilation, because fasters not only need a lot of fresh air; their bodies give off powerfully offensive odors. Sun bathe if possible in warm climates for 10 to 20 minutes in the morning before the sun gets too strong. Scrub/massage the skin with a dry brush, stroking toward the heart, followed by a warm water shower two to four times a day to assist the skin in eliminating toxins. If you are too weak to do this, have an assisted bed bath. .....Health Naturally - 23.....

Take enema daily during the fast Insure a harmonious environment with supportive people or else fast alone if you are experienced. Go for a short walk morning and night. Practice mild exercises. Drink water! At least three liters every day. Do not allow yourself to become dehydrated! Read good books on prayers and spirituality. Do not break the fast during healing crisis. Do not overeat after breaking the fast. Patient’s positive mental and emotional attitude is necessary. Complete rest – physical, mental and sensory is essential. All activities should be reduced to minimum. Crisis like headache, weakness, nausea should be handled with care. Long fasting should be done under expert’s guidance. BENEFITS OF FASTING THERAPY There are several benefits of fasting. Fasting helps the vital energy to remove the toxic matter from blood and purify the system. Give complete physical, physiological, mental and sensory rest. Improves and strengthens immune system. Repairs and rejuvenates the whole system. Prevents damaging changes in vital organs and improve their functional efficiency. Fasting awakens the mind, develops inner tranquility. BIOCHEMISTRY DURING FASTING During a long fast, the body feeds upon its reserves. Being deprived of needed nutrients, particularly of protein and fats, it will .....Health Naturally - 24.....

burn and digest its own tissues by the process of autolysis or self digestion. But it will not do so indiscriminately. The body will first decompose and burn those cells and tissues which are diseased, damaged, aged or dead. The essential tissues and vital organs, the glands, the nervous system and the brain are not damaged or digested in fasting . Here lies the secret of the effectiveness of fasting as a curative and rejuvenating method. During fasting, the building of new and healthy cells is speeded up by the amino acids released from the diseased cells. The capacity of the eliminative organs, that is, lungs, liver, kidneys and the skin is greatly increased as they are relieved of the usual burden of digesting food and eliminating the resultant wastes. They are, therefore, able to quickly expel old accumulated wastes and toxins. Fasting affords a physiological rest to the digestive, assimilative and protective organs. As a result, the digestion of food and the utilization of nutrients are greatly improved after fasting. There is a reduction in core body temperature. This is a direct result of the slower metabolic rate and general bodily functions. Following a drop in blood sugar level and using the reserves of glucose found in liver glycogen, the basal metabolic rate (BMR) is reduced in order to conserve as much energy within the body as can be provided. Growth hormones are also released during a fast, due to the greater efficiency in hormone production. The healing process during a fast is precipitated by the body’s search for energy sources.

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When one is fasting, the person is consciously diverting energy from the digestive system to the immune system. GLYCOGENOLYSIS Glucose is the body’s primary fuel source and is essential for the brain’s functioning. When denied glucose for more than 4–8 hours, the body turns to the liver for glycogen, a storage form of glucose, to be used for fuel. A process called glycogenolysis converts glycogen into a usable form of fuel. At this point, the body also uses small amounts of protein to supplement this fuel. This fuel will last for up to 12 hours before the body needs to turn to glycogen stored in muscles, lasting for a few more days. If glucose is still denied at this point, muscle wasting is prevented by temporarily switching to fat as the fuel source, meaning fat is converted into ketone through catabolism. Ketones, while not sugars, can be used by the brain as a fuel source as long as glucose is denied INDICATION Obesity, fever, constipation, skin disorders, asthma, headache, common cold, hypertension, sinusitis, gastric ulcer, stress, menstrual disorders, arthritis, anemia. CONTRA-INDICATIONS Kidney diseases, diabetes mellitus, weak patients with low blood pressure, Epilepsy, schizophrenia, pregnancy, lactation, protein-energy malnutrition (PEM) during antibiotic course. MISCONCEPTIONS ABOUT FASTING 1. Weight loss

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Losing weight is only one part of the picture but it can be and certainly important to maintain or restore good health. 2.

Starvation

People think food is the only source of energy for our body. If they fast, they will starve their body but fasting and starvation are two completely different concepts. As long as the body supports itself on the stored reserves within its tissue and body functions are running smoothly, it is fasting. When these stored reserves are used up or have dropped to a dangerously low level, it becomes starvation 3.

Weakness

We are creatures of habit. If we miss our meal, we feel giddiness, weakness during fasting. The fact is it just appears during cleansing process of body while fasting when cleansing is completed body gains a new vigor and vitality. You pay a dear price every time you make a ‘garbage can’ of your stomach. Do not be a slave to food. Keep clean inside and fasting is one and only method of cleansing. Nobody can do it for you, it is a personal matter. It costs you nothing but a strong positive will power. There are no short cuts to health. You cannot buy it; you have to build it through your good health habits. Fasting is a royal road to internal purity. Make it a habit to take a complete juice fast for 24-36 hours. Eat natural, un-poisoned food, use your common sense. Eat with intelligence and enjoy the glorious health with fasting therapy.

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CHAPTER 3

MUD THERAPY

‘Prithvi’ –Earth, the planet which life has capacity to sustain. Earth being one of the panchamahabutas is a part of human body. Solid organs and heavy organs in the body are related to element earth. The depletion of the earth qualities in the body is the cause of disease and its supplementation is the treatment in mud therapy. Mud procured for treatment purpose should be black cotton soil with greasiness and free from pollution and contamination.

Clays, mud, and sands – are different forms of earth all participate in the life giving and health restoring processes. Mud that imparts its qualities to the body is used externally as baths and packs.

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THE OLD HEALER: Earth was used extensively for remedial purposes in ancient times as well as middle ages. Mud treatment is generally used everywhere in India due to its climatic conditions. Mahatma Gandhi always used it on his forehead and abdomen. He was a staunch believer of nature cure. Water and mud treatments were his weapons. Once a calf which was kept under sun with tobacco paste application to kill lice, was saved by cold mud application for hours. Sun’s heat and toxicity of tobacco made him half dead and was saved by cold mud application on advice of Gandhiji. Mud therapy has been used four thousands years back in time by various people in different countries. Great naturopaths like Galen, Pliny, Kneipp, Kuhne, and Adolph Just used mud for therapy. In modern times, it again came into prominence as a valuable therapeutic agent through the efforts of Emanuel Felke; a German whose nick name was ‘Clay Pastor’. Felke found that earth’s forces have remarkable effects upon the human body, especially during night. These effects are described as refreshing, invigorating and vitalizing. Felke believed that for wounds and skin diseases, application of clay or moistened earth was the only true natural bandage. The body is thus repaired with the element from which it is assumed to be made. COMPOSITION AND MATURATION OF THE MUD: In general, mud is made of water and earth containing approximately one-thirds solids and two-thirds water. Either the mud itself may be plain mud usually without significant concentration of therapeutic substances, or it may naturally contain a variety of Minerals (such as sulphur) Decomposed vegetable matter (including fungi, micro flora, and algae) containing mineral and medicinal element.

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Prolonged contact between the earth and mineral water (a process known as maturation) can produce variety of chemical reactions within mud itself and then contribute to its therapeutic properties. As with the tremendous varieties of mineral waters found throughout the planet, the chemical composition of therapeutic mud varies from place to place. Bacterial activity, in the presence of specific flora, gives rise to a unique chemical composition with excellent therapeutic properties.

CHEMICAL CONENT OF MUD: The mud consists of micronutrients and macronutrients. The macronutrients are, Sulphur Phosphorous Potassium Carbon The micronutrients are Zinc Iron Copper Manganese Zinc can be absorbed by the skin. Skin is semi-permeable to zinc. Zinc present in the form of zinc oxide is easily absorbed. It has got antifungal activity also. Other constituents like copper, carbon, phosphorus, potassium, iron, manganese are heavy metals and cannot be absorbed by the skin. pH of the mud be near to that of the blood for maximum absorption. .....Health Naturally - 30.....

MATURATION OF MUD: The thermal mud is a solid mass made up of a clay component, a liquid component and an organic component. The mud becomes mature and has a beneficial effect on people due to the fact that it stays in contact with thermal water at a temperature of 87 degrees C for several years in special basins. During this period, an internal mixing between the solid clay component and the liquid component is carried out. Also the mud is progressively enriched with organic substances. TYPES OF MUD: There are several main sources of therapeutic mud. ·

Peats (composed primarily of vegetable residue from the peat bogs, or peat from the bottom of certain lakes.

·

Moors (composed of minute amounts of inorganic substances as well as sulfur, iron, and sulphates, Zinc {includes termite mud})

·

Bog Earths, (made up primarily of soil)

·

Clay

Types of clay: ·

Blue clay (most absorbing)

·

Green clay (most widely used)

·

Yellow clay

·

Red clay

·

Pink clay (ideal for cosmetics)

·

White clay (least absorbing)

PRELIMINARIES TO MUD THERAPY: Selection of mud: The mud samples having good nature of absorbing ability are .....Health Naturally - 31.....

selected, which implies that it absorbs more heat from the body. Collection of mud: ·

Collected from non contaminated area

·

Upper 3-6 feet deep mud should be left out

·

Then collected from 6 meter deep

Storing the mud: For storing clay in its initial condition, darkness is better. It will grow no older in dark container. Processing of mud: o

Separation of all roots, leaves, stones, etc

o

Dried under sun for 8 hours Then soak the mud for 1-2 days.

o o

If a large amount is needed then, water of 2-3 feet has to be at the surface level after mixing with it.

o

Then later this water has to be drained

o

This mud which is saturated with water is used for therapy

Mud temperature: o

Mud is used cold, tepid, or hot depending on the specific problem.

o

Each time used on feverish, warm organ it must be cold.

o

A few minutes after applying, should feel tepid. If cold sensation persists discontinue the treatment.

MODE OF APPLICATION: Mud is applied on the body in two ways. ·

·

Direct o

External application

o

Internal application

Indirect .....Health Naturally - 32.....

o

By covering cloth

o

By poultice

Direct external application: Directly apply mud on the desired part. This can also be a ‘Mud Bath’, a mode of treatment where mud is applied on the entire part of the body. Or a ‘face pack’ where mud is applied on the face etc.

Method:

·

Mud is made to smooth paste by mixing with water. It is then spread on a body part.

·

Mud may be applied in sitting or lying down position.

·

Patient should expose himself to sunlight.

· ·

Care should be taken to avoid catching of cold during the bath. Once dried, patient must be thoroughly washed with cold jet spray

·

If the patient feels chill use lukewarm water.

·

The patient is then dried quickly and transferred to a warm bed in case of full mud bath.

·

Once applied the mud should be discarded, cannot be used. It has to be composted.

·

Ideally mud baths should be taken of empty stomach. Allowing 3 -4 hours to pass since the last meal. One should conclude mud bath immediately if any discomfort such as chest pain or difficulty in breathing is felt.

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Duration: The duration of the bath should be from 30 minutes to one hour. Care should be taken to avoid patient catching cold /chill during bath. Direct internal application: This is in the form of internal mud application applied vaginally rectally, or to treat gynecological and Urological disorders respectively. Applied at a temperature of 45 degree C (113degree F – 126degree F) for 15 – 30 minutes. They are given 3-6 times a week over an average 4 weeks. Indirect application: Used in 2 ways. Hot mud bath: o

o

Mud is made into a smooth paste by mixing it with hot water Then it’s spread on a cloth sheet which is wrapped around the patient’s body.

o

One or two blankets are then wrapped over this, depending on the temperature of the room and pack.

o

This bath is followed with cleansing warm water bath and a short cold water bath. Duration: 30 minutes to 1 hr.

Mud poultice: o

o

Soaked mud is taken in a thin, wet muslin cloth and make it thin and flat to a size of the patient’s body part. To apply on abdomen, 10" x 6"x 1" thick pack is necessary for adults.

o

To apply on eyes, the size of mud packs are generally 8" x 4" x 1" for adults.

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o o

The duration of mud pack is 20 -30 minutes. When applied in cold weather, place a blanket over the pack and cover the body as well.

MECHANISM OF MUD BATH: Mud therapy is use of mud to prevent and cure a disease and maintain health. This is achieved thermal, chemical, mechanical and electrical effects of mud over skin. ·

Thermal effect: Is nothing but temperature sensation is carried by somato receptors i.e. thermoreceptives. Transfer of heat from body to mud causes thermal effect.

·

Chemical effect: The chemical in the mud which acts as irritants, over the surface and sensation is sent through pain sense i.e. chemical pain receptors.

·

Mechanical effect: o

Is due to the bulk or weight of the mud, i.e. application with pressure. This is carried out through tactile receptors, especially free nerve endings, meissener’s corpuscle and merkel’s disc.

·

o

Also when the mud dries off, redness is caused. This is due to the Action – Vasoconstriction on cold application and Reaction – Vasodilatation.

o

Hence mechanical effect is due to the type of application and pressure of mud on any part of the body.

Electrical effect: o

Of the mud is because of fast pain receptors i.e. a free nerve ending.

o

This effect is due to minerals in the mud. Minerals .....Health Naturally - 35.....

dissociate to ions n’ cling to the skin and the nerve endings which causes electricity. o

·

The magnetic property of the earth too causes electrical activity.

Magnetic effect: This effect is due to earth’s magnetic field imparted on the body.

BENEFITS OF MUD THERAPY: Mud has several therapeutic qualities because it is rich in organic content. o o

o

Removes excess heat from the body. It cools nervous system, activates different body organs and eliminates toxic matter from the body. It takes longer to get heated and can hold the heat for a long time.

o

o

Improves circulation of the whole body. Cures skin constipation there by improves the function of the skin. It retains water for longer time even more than cold water pack.

o

Restores proper skin pH.

o

o

The cold moistures in mud relax the pores of skin and helps in blood circulation in the surface area. Mud Therapy helps in acne repair and prevention.

o

The scrubbing effect of mud leaves skin smooth and rejuvenated.

o

It has also Anti-inflammatory effect.

o

Mud has anti -aging effect.

o o

It regenerates healthy skin Skin is toned by mud Therapy.

o

Mud has detoxifying and toning effect on skin.

o

Skin feels lighter after mud therapy.

o

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o

Mud has exfoliating action

o

It eliminates dead skin and refines skin structure. It helps to reduce spots and patches of skin, especially those formed after pox.

o

Besides skin, Mud therapy also has beneficial effects on body and various diseases, mainly problems related to pain. o It invigorates the body o

Mud Therapy reduces pain and aches

o

It reduces back aches and muscle aches.

o

Mud therapy relieves the body from stress related problem. Relieves internal congestion and pain.

o o o

It helps in natural hormone balancing of body. It eliminates the body toxins.

o

It provides relaxation to the eyes.

Indications: Mud Therapy helps to cure various diseases like – o It cures allergy, psoriasis and many other skin diseases even leprosy. o It reduces the irritation of eyes hence useful in the case of

o

conjunctivitis, itching of the eyes, allergic conditions, hemorrhage in the eyeball. Mud therapy is useful in cases of errors of refraction like shortsightedness, long-sightedness and especially in case of glaucoma.

o

General weakness, insomnia and nervous disorders are cured by mud therapy.

o

Stomach trouble, kidney disorders can be removed. Mud Therapy can cure gout, rheumatism, arthritis, asthma, bronchopneumonia, diabetes etc.

o

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o

o

Applying mud to the abdomen can cure indigestion, flatulence and intestinal obstructions. It is also helpful in amoebiasis, colitis, enteritis and other bacterial diseases. The cooling effect of mud packs can also bring down fever.

o

Mud also helps in clearing the dark spots on the face,

o

its good for patients suffering from heat or heart burn Mud therapy is useful in headache, constipation, diarrhea, piles, stomach ache, irregularity in menstruation, Leucoderma, burns, wounds, burning soles and palms.

o

Contraindications: Hot mud o

Pregnant

o

Skin infections

o

Malignant tumors

o

Severe hypertension

o

Heart disease

o

Kidney insuffiency

Cold mud o

Skin infections or allergy to mud.

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CHAPTER 4

GE THERAPY MASSAMASSAMASSAMASSAMASSAGE

Massage is the manipulation of superficial layers of muscle and connective tissue to enhance the function and promote relaxation and well-being. The word massage in Sanskrit is ‘makeh’, means to press softly. Massage involves acting on and manipulating the body with pressure, done manually or with mechanical aids. Target tissues may include muscles, tendons, ligaments, skin, joints, or other connective tissue, as well as lymphatic vessels, or organs of the gastrointestinal system. Massage can be applied with the hands, fingers, elbows, knees, forearm, and feet. Massage therapy improves circulation by bringing oxygen and other nutrients to body tissues. It relieves muscle tension and pain, increases flexibility and mobility, and helps

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clear lactic acid and other waste, which reduces pain and stiffness in muscles and joints. Massage therapy involves the patient being treated while lying on a massage table, sitting in a massage chair, or lying on a mat on the floor. The massage subject may be fully or partly unclothed. Parts of the body may be covered with towels or sheets. In naturopathy we practice Swedish massage. The person who massages is called as ‘Masseur’ or a Massage therapist. The term “Swedish Massage” refers to a variety of techniques specifically designed to relax muscles by applying pressure to them against deeper muscles and bones, and rubbing in the same direction as the flow of blood returning to the heart. Swedish massage was developed in the 1700’s by a Swedish doctor named Per Henrik Ling. The main purpose of Swedish massage is to increase the oxygen flow in the blood and release toxins from the muscles. TYPES OF MASSAGE: ·

Swedish massage Therapy This is the most common type of massage therapy. It is also known as Swedish massage or massage therapy. Massage therapists use long smooth strokes, kneading, and circular movements on superficial layers of muscle using massage oil. Swedish massage therapy can be very gentle and relaxing.

·

Aromatherapy Massage Aromatherapy massage is massage therapy with the addition of one or more scented plant oils called essential oils to address specific needs. .....Health Naturally - 40.....

The massage therapist can select oils that are relaxing, energizing, stress-reducing, and balancing, etc. One of the most common essential oils used in aromatherapy massage is lavender. Aromatherapy massage is particularly suited to stress-related conditions or conditions with an emotional component. ·

Hot Stone Massage Heated, smooth stones are placed on certain points on the body to warm and loosen tight muscles and balance energy centers in the body.

The massage therapist may also hold stones and apply gentle pressure with them. The warmth is comforting. Hot stone massage is good for people who have muscle tension but prefer lighter massage. ·

Deep Tissue Massage Deep tissue massage targets the deeper layers of muscle and connective tissue. The massage therapist uses slower strokes or friction techniques across the grain of the muscle. Deep tissue massage is used for chronically tight or painful muscles, repetitive strain, postural problems, or recovery from injury. People often feel sore for one to two days after deep tissue massage.

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·

Shiatsu Shiatsu is a form of Japanese bodywork that uses localized finger pressure in a rhythmic sequence on acupuncture meridians. Each point is held for two to eight seconds to improve the flow of energy and help the body regain balance. People are normally pleasantly surprised when they try shiatsu for the first time. It is relaxing yet the pressure is firm, and there is usually no soreness afterwards.

·

Thai Massage body using gentle energies pressure specific points. Like shiatsu, of Thai massage aligns the on the Thai

massage also includes compressions and stretches. You don’t just lie there—the therapist moves and stretches you into a sequence of postures. It’s like yoga without doing any work. Thai massage is more energizing than other forms of massage. It is also reduces stress and improves flexibility and range of motion. ·

Pregnancy Massage Also called as prenatal massage. Pregnancy massage is becoming increasingly popular with expectant mothers. Massage therapists who are certified in pregnancy massage know the proper way to position and support the woman’s body during the massage, and how to modify techniques. Pregnancy massage is used to reduce stress, decrease swelling, relieve aches and pains, and reduce anxiety and depression. The massage is customized to a woman’s individual needs. .....Health Naturally - 42.....

·

Reflexology Massage: Although reflexology is sometimes called foot massage, it is more than simple foot massage. Reflexology involves applying pressure to certain points on the foot that correspond to organs and systems in the body. Reflexology is very relaxing, especially for people who stand on their feet all day or just have tired, achy feet.

·

Sports Massage Sports massage is specifically designed for people who are involved in physical activity. But you don’t have to be a professional athlete to have one-it’s also used by people who are active and work out often. The focus isn’t on relaxation but on preventing and treating injury and enhancing athletic performance. Combinations of techniques are used. The strokes are generally faster than Swedish massage. Facilitated stretching is a common technique. It helps to loosen muscles and increase flexibility.

·

Back Massage Some massage clinics offer 30-minute back massages, you can also book a 30- or 40-minute massage and ask that the massage therapist to focus on your back

MASSAGE MOVEMENTS There are seven classical movements. o

Touch

o

Stroking .....Health Naturally - 43.....

o

Friction

o

Kneading

o

Vibration

o

Percussion

o

Joint movements

TOUCH: This is not an ordinary touch or contact of the hand with the body but skilled or professional touch applied with intelligence, with control and with purpose. Types of touch: Passive Touch: Simple and light touch. Physiological effects bring elevation of temperature of a part by communication of heat. It has subtle influence on nervous system. Benefit: Relieve Hyperesthesia, pain, numbness, Insomnia, Irritability etc., Pressure: It is lighter heavy touch with one or both hands over joint, head, swollen parts. Effect: Diminishes swelling, congestion, pain of joints by emptying the blood vessels. Toothache and headache will be relieved. Nerve Compression : Strong Pressure given over the nerve trunk. The spinal nerves are compressed by a finger on each side. Effects: Slight irritation due to pressure is transmitted through nerve centers gets excited. Deep pressure may even paralyze the nerve trunk giving a sedative effect. 2" apart from umbilicus over lumbar ganglion should be rubbed and pressed at intervals of 2 to 3 times. Useful in sciatica, neuralgia etc

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Effects: Pressure on Spinal Card: Anemia, Hyperplasia, Constipation, and Loss of tone in rectum or bladder. It improves enervation of muscles of extremities. STROKING: Simply touch combined with motion. The tips of 2-3 or all fingers, or palms, or both hands are moved gently over skin with light contact. Types of stroking: Digital, palmar, knuckle and reflex Digital: Tip of one of the fingers or all is used. Fingers will fall lightly in contact with the surface. Used for head and spine. Palmar: whole part of the palm of one hand or both hands is used. Used on broad areas like fleshy parts, joints and soles of the feet. Knuckle: hands closed, knuckles of the second joints of the fingers are applied on the surface. Used everywhere except massage of back. Reflex: this is given to those who are sensitive on the cutaneous or skin reflexes with fingernail, toothpick, pencil etc. By means of which are is capable of producing muscular contractions. Reflex Areas: 1) Inter scapular 1st dorsal 2) Epigastric - 6 & 7th dorsal 3) Abdominal - 8 and 12th dorsal 4) Cremastric - 1 & 3 lumbar 5) Gluteal - 4-5 lumber 6) Plantar - 5-6 Sacral.

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FRICTION: Whole or part of the hand moved over the surface with considerable degree of pressure. It’s used on different parts. Heavy friction over thick fleshy masses, and light over bony surfaces and thin tissues. Types of friction: Centripetal: movement in direction of blood current in the veins. Given to extremities with thumb or palmar surface. Centrifugal: movement opposite to that of the blood current. Spiral: Asort of spiral movement with combination of preceding, executed with one hand, progresses from lower to upper part. Circular: applicable to extremities. Limb grasped by both the hands. Alternate wringing and twisting movements begin from hand or foot, extend upwards. Rotatory: hands are made to move over the broad surface in elliptical, circular, semicircular direction, applicable to fleshy areas as hips and back. one hand supports the other executing the movements. KNEADING Alternate and intermittent compression by grasping the tissues or by compressing them against underlying bony surfaces. Types of kneading: Superficial: called as ‘fulling’. Skin is grasped between the thumb and the last 2 phalanges of the first fingers or where the skin is thick, terminal phalanges of 1st two fingers are used. It’s a pinching movement on the skin and cellular tissue. Deep: to act upon muscles.

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Types of deep kneading: o

Petrisage: Skilled massager employs, in this movement by grasping fleshy muscles between palmar surface and finger. By this method force will be spread out and the deeper parts are affected and prevent slipping of fingers from skin. Here parts are squeezed; lifted and rolled, grasp should be released when strain is maximum.

o

Rolling: Tissues are compressed against deep lying structures. Fingers extended and hold close. In broad area both hands may be used. It can be given over back, Hip, Limbs Thumb is constant. Face can be manipulated.

o

Wringing: Twisting movements by grasping limb with 2 hands placed opposite sides and close together movement executed simultaneously or alternatively. It is applicable to arms and legs.

o

Chucking: It can be performed by both hands. Bony surfaces are to be employed muscle should be lifted then press it and leave. One thumb is parallel to the other Index finger. It is C/I in chest, gluteal region and abdomen. Very effective in motor Neuron disease.

o

Palmar: movement with heel of the hand or whole palmar surface. Given on back, chest and abdomen. Palmar kneading o Fist: kneading to abdomen. Compression of deep tissues by knuckles of closed fist. Fist kneading o Digital: ends of fingers or thumb are used. Tissues are being rubbed and pressed against underlying bony surfaces.

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VIBRATION: Consists of fine vibratory movements or shaking movements communicated to the body through the hand of the masseur. Types of vibration: Superficial: one or both the palms are being placed on the surface, made to move slowly over area to be operated. Fine trembling movements are executed. Deep: palm of the hand or closed fist placed firmly on the surface of the on the part to be acted. Arm is held straight. Fine jarring or trembling movements are executed. Given to flexor and extensor muscles of upper arm. PERCUSSION Blows administered in various ways with varying degree of force. Both the hands are in alteration, movements from the wrist joint. Types of percussion: Tapping: tips of the fingers are employed. Given to head and chest Spatting: executed with palmar surface of extended fingers held rigid. Applicable to all parts. Clapping: whole hand is employed. A cup is made by hand explosive effect and a loud sound is heard, used on fleshy parts. Hacking: ulnar or little finger border of hand alone comes in contact with skin. Applicable to chest, spine, head or any part. Beating: body is struck by palmar surface of half closed fist. It stimulates genitourinary system.

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JOINT MOVEMENTS: Principal movements include flexion, distension, abduction, adduction, pronation, supination, circumduction, stretching. Joint movements are passive or resistive. Types of joint movements: Passive: simple motion of the joint, by manipulator without any effort on part of patient. Effect confined to joint. Resistive: not only joint but the muscles are acted upon. Both masseur and patient take part.

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BENEFITS OF MASSAGE: ·

Muscles - Massage reduces the tension in the muscles and relieves muscular pain. Strenuous exertion results in the accumulation of lactic acid in the muscles. Massage helps to rid the muscles of this acid and thus imparts a feeling of freshness and vigor.

·

The heart - Systematic massage will reduce the burden on the heart, and thus increase its efficiency.

·

Nerves - Slow and gentle massage with light pressure relieve tension of the nerves and soothe them. Vigorous massage stimulates lax nerves and increases their efficiency.

·

Skin - Massage has beneficial effects on the skin. The pores of the skin are opened up, thus helping of the elimination of toxins from the body through perspiration.

·

Circulation of the blood - The circulation of the blood in the part being massaged is speeded up, so that the part is supplied with more nutrients, and its healing powers are augmented. The accelerated circulation reduces swelling. There is an increase in the capacity of the blood to carry oxygen and to utilize it effectively.

·

The digestive system - Massaging the abdomen stimulates the digestive system, and promotes better elimination of wastes. The resistive powers of the body are strengthened due to the increase in the efficiency of the liver.

·

The urinary system - Massaging activates the urinary system. As a result the process of elimination of toxic substances from the body through the urine is accelerated by the formation of greater quantities of urine.

·

Alleviate low-back pain and improve range of motion.

·

Assist with shorter, easier labor for expectant mothers and shorten maternity hospital stays. .....Health Naturally - 50.....

·

Ease medication dependence.

·

Enhance immunity by stimulating lymph flow—the body’s natural defense system.

·

Exercise and stretch weak, tight, or atrophied muscles.

·

Help athletes of any level prepare for, and recover from, strenuous workouts.

·

Improve the condition of the body’s largest organ—the skin.

·

Increase joint flexibility.

·

Lessen depression and anxiety.

·

Promote tissue regeneration, reducing scar tissue and stretch marks.

·

Pump oxygen and nutrients into tissues and vital organs, improving circulation.

·

Reduce post-surgery adhesions and swelling.

·

Reduce spasms and cramping.

·

Relax and soften injured, tired, and overused muscles.

·

Release endorphins—amino acids that work as the body’s natural painkiller.

·

Relieve migraine pain.

MENTAL BENEFITS: ·

Fosters peace of mind

·

Promotes a relaxed state of mental alertness

·

Helps relieve mental stress

·

Improves ability to monitor stress signals and respond appropriately

·

Enhances capacity for calm thinking and creativity

·

Emotional Benefits .....Health Naturally - 51.....

·

Satisfies needs for caring nurturing touch

·

Fosters a feeling of well-being

·

Reduces levels of anxiety

·

Creates body awareness

·

Increases awareness of mind-body connection

CONTRAINDICATIONS: Cancer Blood clots Pregnancy with complications Unusual or undiagnosed pain Fractures of any bones Extreme cases of osteoporosis Open wounds or burns Rheumatoid arthritis PRECAUTIONS: Comfort of the masseur and the patients. Period of Massage - 20 to 30 minutes Deep breathing should be advised. Gap in between the massage should not be left (contact and continuity) Every manipulation has to be changed by giving stroking or effleurage Distance of the patient and masseur should be adjusted. Masseur should start by relaxing the patient doing exercise like finger stretching, wrist shaking.

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CHARACTERISTICS OF MASSEUR: o

A masseur should have warm hands and a sensitive body.

o

He should not have bad habits.

o

He should not have unnecessary discussions with patients.

o

Must have Tender feelings towards patients.

o

A male masseur should massage only male patient.

o

She/He should know about anatomical structure of the body

Precautions Massage therapy is not recommended for certain people: ·

People with infectious skin disease, rash, or open wounds

·

Immediately after surgery

·

Immediately after chemotherapy or radiation, unless recommended by your doctor

·

People prone to blood clots. There is a risk of blood clots being dislodged. If you have heart disease, check with your doctor before having a massage

·

Pregnant women should check with their doctor first if they are considering getting a massage. Massage in pregnant women should be done by massage therapists who are certified in pregnancy massage.

Massage should not be done directly over bruises, inflamed skin, unhealed wounds, tumors, abdominal hernia, or areas of recent fractures. Follow the following tips to make the best of a massage: ·

Comfort is the key word. Be sure that you feel comfortable with your therapist. You should feel free and relaxed when the .....Health Naturally - 53.....

therapist is massaging you. ·

Let the therapist know what you want. If your main goal is to relax, or is it to relieve a specific injury or pain, tell that to him and ask him for advice as to which type of massage will be best. How heavy or light should the pressure be?

·

Ask the therapist to avoid sensitive areas. There is no need to be shy or embarrassed about it.

·

Take off only the clothes you feel comfortable taking off. Massage therapists must respect your boundaries, such if you want to wear underwear during a massage

·

Prepare to relax. Take a nice shower and relax yourself. Please avoid eating a heavy meal right before a massage.

·

Speak up if something hurts or tickles. Sometimes a massage can cause temporary discomfort, especially if it involves working on sore, damaged, or tense areas. You may even feel sore in these areas for a day or two after a massage. So it is advisable to stop massage immediately and tell this to the therapist.

·

Speak up if you’re sensitive to the aroma of the oil or just can’t stand the music in the

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CHAPTER 5

ACCUPRESSURECCUPRESSURECCUPRESSURECCUPRESSURECCUPRESSURE

Acupressure, derived from traditional Chinese medicine, is a form of treatment for pain that involves pressure on particular points in the body known as “acupressure points”. Acupressure is an ancient healing art that uses the fingers to press key points on the surface of the skin to stimulate the body’s natural self-curative abilities. When these points are pressed, they release muscular tension and promote the circulation of blood and the body’s life force to aid healing. Acupuncture and acupressure use the same points, but acupuncture employs needles, while acupressure uses the gentle but firm pressure of hands (and even feet). There is a massive amount of scientific data that demonstrates why and how acupuncture is effective. But acupressure, the older of the two traditions, was neglected after the Chinese developed more technological methods for stimulating points with needles and electricity. .....Health Naturally - 55.....

Acupressure, however, continues to be the most effective method for self-treatment of tension-related ailments by using the power and sensitivity of the human hand. HEALING THROUGH ACUPRESSURE Acupressure is the art of identifying and releasing the congested energy centers making way for a symmetric flow of energy. It involves placing physical pressure, by hand, elbow, or with the aid of various devices, on different pressure points on the surface of the body, which may be far distant from the symptom, related by what is called the meridian system, to bring about relief through greater balance and circulation of energies in the body. While pressure is put in the body it helps in removing the blocks and creates energy through rubbing, vibration etc for 5-10 minutes. Acupressure is a very powerful technique and most of the ailments are relieved by it. Acupressure promotes calmness and relaxes the body. Don’t apply too much pressure during treatment. The healing process through Acupressure is quite quick and you can feel the energy flow in a matter of few minutes. The pressure applied on a certain position helps in removing the toxins and makes the blood flow smoothly. The pressure is applied using both the thumbs. The pressure is applied for a few seconds in a sequential order designed to awaken the meridians, an order which supported by stretching, breathing and quick is further depolarization / repolarisation. This technique helps in relaxing and .....Health Naturally - 56.....

increasing the energy levels in the mind and body. Besides relieving pain, Acupressure can help balance the body by dissolving tensions and stresses that keep it from functioning smoothly and inhibit the immune system. When the blood and bio-electrical energies circulate properly, we have a greater sense of harmony, health, and well being. There is a natural source of healing power in everyone. When this healing power is activated, it triggers a series of intricate internal processes, which produces a Healing Response. Pain or injury to your body alerts your body that help is needed. This is when the Healing Response begins by the unleashing of endorphins into your blood to help heal the affected area. The heart rate increases, blood pressure is altered and the delivery of endorphins and up the nutrients required accelerated. This speeds for repair is elimination of toxins from the damaged area, which also promotes healing. TECHNIQUES AND METHODS Various techniques applied in acupressure an treatment include pressing, rubbing, gentle stretching, and rolling, chafing, kneading, wiping and grasping, as well as corrective exercises. Varying levels of pressure are used, most often starting by applying light pressure and gradually working deeper. The practitioner may focus more energy or pressure on a specific point or series of points, depending on the individual’s chief complaint, or the entire course of a meridian may be addressed. Therapeutically, .....Health Naturally - 57.....

·

light touch is recognized as more effective for treating acute conditions

·

Deep touch is considered better for chronic conditions. Though deep touch may provide an intense sensation, it should always be within the client’s tolerance of discomfort.

·

Massage or rub the entire area, it is best just to hold the point steadily with direct finger pressure.

LIGHT TOUCH ·

The rule of thumb is to apply slow, firm pressure on the point at a 90 degree angle from the surface of the skin.

·

If you are pulling the skin, then the angle of pressure is incorrect. Consciously and gradually direct the pressure into the center of the part of the body you are working on.

·

It’s important to apply and release finger pressure gradually because this allows the tissues time to respond, promoting healing.

·

After repeated acupressure sessions using different degrees of pressure, you will begin to feel a pulse at the point.

·

This pulsation is a good sign - it means that circulation has increased. Pay attention to the type of pulse you feel.

·

If it’s very faint or throbbing, hold the point longer until the pulse balances.

·

If your hand gets tired, slowly withdraw pressure from the point, gently shake out your hand, and take a few deep breaths.

·

Each body - and each area of the body - requires a different amount of pressure. If it hurts a great deal when you apply pressure on a point, then use light touch instead of pressure. .....Health Naturally - 58.....

·

The calves, the face, and genital areas are sensitive.

·

The back, buttocks, and shoulders, especially if the musculature is developed, usually need deeper, firmer pressure.

·

This pulsation is a good sign - it means that circulation has increased. Pay attention to the type of pulse you feel.

DEEP TOUCH ·

By pin-pointing the deep touch technique on the relevant reflex points, a specialist in this unique treatment can encourage self healing to begin by channeling vital energy to flow to the most adversely affected areas.

·

Deep touch is considered better for chronic conditions.

·

Though deep touch may provide an intense sensation, it should always be within the client’s tolerance of discomfort.

·

A deep touch technique is used to find the tender and nodular areas in the feet and relate them to the relevant anatomical areas of the body. These nodules are treated by applying a precise deep touch technique, thereby helping the related the distant areas of the body to receive energy for healing. It is used to concentrate on the tender and nodular areas in the feet - those areas which are under the most stress - and relate them to specific areas of the body

·

Imbalances at particular points along the meridian lines and within the organs themselves can be perceived with a deep touch sensitivity and particular technique, equilibrium can be restored.

·

Holding tension points located on the face and body with a deep touch can help to relieve bodily aches and pains, reducing muscular and emotional stress and providing relaxation of both body and psyche

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GENTLE MASSAGE ·

Gentle massage has many benefits for those with arthritis.

·

Massage therapy can provide pain relief, soothe stiff sore muscles and reduce inflammation and swelling.

·

Massage and gentle stretching help maintain range of motion for your joints.

·

By applying gentle massage to your reflexes, this therapy improves circulation and relieves stress and tension.

·

When your body is in this natural state of relaxation, physical, emotional, mental and spiritual self-healing may occur.

BENEFITS OF ACUPRESSURE Acupressure is known to benefit patients suffering from spondylitis, arthritis, muscular pain in the arm and neck, frozen shoulders, unexplained backaches, slipped discs, osteoarthritis and other disorders of the tissues, bones, joints and muscles. The acupressure therapy is also known to relieve pain and discomfort caused by sports and athletics. Recent studies state that acupressure therapy shows remarkable effects in treating neurological disorders such as paralysis of the face, migraine headaches, partial paralysis, peripheral neurological disorders, epilepsy, vertigo, multiple sclerosis, muscular and diseases of the nervous system, and so on. The therapy also benefits partially disabled patients in easing their stressed and stiff limbs. Acupressure is highly beneficial to children, due to its usefulness in treating conditions such as stress,

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sleeplessness, congestion of the chest due to cold or flu, bed wetting and constipation. Acupressure helps women issues such as postmenstrual trauma, menopause and pregnancy by alleviating symptoms, like irritability, pains during periods, mood swings, hot flushes, back pain, nausea, sciatica, pubic symphysis dysfunction and much more. Stress is a common problem faced by men and women of all ages in today’s busy life. It gives rise to various symptoms ranging from headaches, fatigue, insomnia, muscle tension, irritable bowel syndrome, indigestion and nausea. Acupressure therapy effectively helps in relieving these stress related problems, and thereby ensuring a tension-free life. Acupressure is also known to cure respiratory diseases like asthma, sinusitis, bronchitis and common colds. It also effectively treats conjunctivitis, short sightedness and cataract. Tooth aches, pains caused after tooth extraction, gum problems like bleeding gums, kidney stones, liver disorders and heart related disorders are some other problems that are treated with acupressure. PRECAUTION In case you are on certain medications, you should consult your doctor before proceeding with acupressure therapy. Extreme care should be taken by pregnant women, since certain point can induce labor. This can turn out to be dangerous especially in the second trimester or early half of the third trimester. In case you are not well versed with the technique, it is always better to look out for well-trained and certified professionals to get acupressure performed.

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CHAPTER 6

REFLEXREFLEXREFLEXREFLEXREFLEXOLOLOLOLOLOGYOGYOGYOGYOGY

Reflexology is an ancient, natural, non-invasive therapy that is based on the principle that there are reflex areas in the hands and feet, which correspond to all glands, organs and parts of the body.

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Stimulation of these reflexes by applying gentle massage and specific pressure point techniques helps create a relaxed, healthy and harmonious state of being. By precise massaging, reflexology may stimulate circulation, induce relaxation and enable homeostasis. This encourages the person’s own healing systems to maintain wellbeing. Reflexology improves blood and nerve supply, removing congestion and blockages, restoring balance, improving energy and relieving stress and tension. Modern medicine agrees that over 75% of all health problems can be linked to nervous stress and tension. Reflexology can induce relaxation and clearing these nervous stress and tension. Reflexology is a treatment that can keep the body in balance and prevent congestion and toxin build up. DESCRIPTION OF THE REFLEXOLOGY CHART In a reflexology chart the body is reflected on the feet or hands. It serves a s a map for technique application to target health goals. Left foot or hand reflects the left side of the body and the right foot or hand the right side. The spine reflex area runs down the insides of the feet and hands with reflex areas for the arm and shoulder reflected toward the outside of the foot or hand. The toes and fingers mirror the head and neck as well as the parts of the body they encase. The ball of the foot mirrors the chest and upper back in addition the heart and lungs.

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Halfway down the foot at the base of the long bones of the foot is represented the waistline of the body. The parts of the body above the waistline are mirrored above this line and those below are represented below it. Internal organs lying above the body’s waistline are reflected by reflex areas above this line while those below the waistline are mirrored below this line. THE BENEFITS OF REFLEXOLOGY o

Relaxation

o

Pain reduction

o

Amelioration of symptoms for health concerns

o

Rejuvenation of tired feet

o

Improvement in blood flow

o

Impact on physiological measures (e. g. blood pressure and cholesterol; measurements by ECG, EEG, and MRI)

o

Beneficial for post-operative recovery and pain reduction

o

Enhancement of medical care (e. g. cancer, phantom limb pain, and hemodialysis patients)

o

Adjunct to mental health care (e. g. depression, anxiety, Post traumatic stress disorder)

o

Complement to cancer care (pain, nausea, vomiting, anxiety)

o

Easier birthing / delivery / post-partum recovery

o

Stress and stress-related conditions

o

Tension headaches

o

Digestive disorders

o

Arthritis

o

Insomnia

o

Hormonal imbalances .....Health Naturally - 64.....

o

Sports injuries

o

Menstrual disorders, such as premenstrual syndrome (PMS)

o

Digestive problems, such as constipation

o

Back pain

PRECAUTIONS If you’re pregnant, talk with your doctor first and let the reflexologist know. Be sure to give the reflexologist a complete and accurate health history. If you have foot ulcers, injury, or blood vessel disease such as blood clots, consult your doctor before having reflexology.

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CHAPTER 7

MAMAMAMAMAGNETGNETGNETGNETGNETOTHERAPYTHERAPYTHERAPYTHERAPYTHERAPY

Magnet therapy is a safe, non-invasive method of applying magnetic fields to the body for therapeutic purposes. It is claimed that subjecting certain parts of the body to magneto static fields produced by permanent magnets has beneficial health effects. Magnetic therapy utilizes the natural energy of magnetism that is important to human existence and overall health. A magnetic field provides a (natural) way to assist the body’s normal healing processes as it passes through all tissues and cells. Studies show that magnets can be an effective therapy for the relief of pain by blocking pain sensations. Applying magnetic fields to an injured area improves blood flow and oxygen to enhance the body’s natural healing process. The improved blood flow and fluid exchange to the injured tissue helps reduce pain and inflammation. The electromagnetic field is the basic premise on which Magnetic therapy is built. This magnetic field has a proclivity to fluctuate. It is mind boggling to note that organs like brain emit a peak magnetic field in

.....Health Naturally - 66.....

the region of 3,00,000 kilo-gauss! This is when the person sleeps. At normal hours, the value of magnetic field may differ. So, there is an average magnetic value of each organ of the body available. If any organ developed any ailment, immediately its magnetic field gets disturbed, which naturally tells upon its magnetic values. The beauty is that this bio-magnetic field can be induced to regain its normal value by the application of magnets on the affected organ. This is the essence of magnetic therapy. Magnetic Therapy is said to have soothing effect on the cells, tissues and nerves, when applied to an affected part and cause to lessen the pain, stiffness, soreness or swelling. Magnetic Therapy acts: o

To improve circulation

o

As a corollary of the above, increases the temperature, and

o

Relaxes the muscles

Magnetic therapy treatment is recommended for the relief of joint and muscle pain, inflammation and stiffness. Magnetic therapy treatment has been shown to help speed up the healing process, relieve sinus pain and improve the quality of sleep. Magnetic therapy treatment can be very effective without the adverse side effects experienced by pharmaceutical drugs. MAGNETS AND MAGNETISM Huge Magnet: Earth is a huge natural magnet and its influence on living beings on this planet helps to maintain health. Source of Earth’s Magnetism: There are different thoughts espoused by different thinkers. Some of them are: o

Has a perennial magnetic sphere with two poles at two ends

o

Sun’s flares have a direct effect on earth with magnetic storms

o

It is because of earth’s rotations

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Properties of Magnets: · Magnets have 2 Poles – North and South. If a magnet – let us take a bar shaped one – is tied in the middle with a string and suspended in a central location, one end of it invariably points towards North and the other end towards South. · If a large magnet is broken into two equal parts, both the magnets have the same power of the large one! And each will, now have North and South poles! ·

Like poles repel each other i.e. north – north and south - south

·

Unlike pole attract each other i.e. north –south or south – north

Magnetic line of force: Magnetic lines of force indicate the region in which the force of the magnet can be detected. This region is called the magnetic field. If an iron object is near a magnet, but is not within the magnetic field, the object will not be attracted to the magnet. When the object enters the magnetic field, the force of the magnet acts, and the object is attracted. The pattern of these lines of force tells us something about the characteristics of the forces caused by the magnet. The magnetic lines of force, or flux, leave the North Pole and enter the South Pole. PROPERTIES OF NORTH AND SOUTH POLE Properties of the South Pole: It is inhibitory and suppressive. It imparts coolness and peace.

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If kept in water for some time, it makes the water slightly alkaline. It decreases the acidity of fluids. It slows down the circulation in small blood-vessels and capillaries. It inhibits the activity of bacteria, controls infection and decreases inflammation (swelling). It arrests growth of boils, carbuncles and tumors. It checks the ripening of fruits and vegetables and acts to retain their freshness. It decreases pain. It brings down the body-temperature. Indications: o

South Pole is useful in infectious and inflammatory conditions.

o

It is commonly used in skin conditions,

o

Arthritis,

o

infectious diseases,

o

anxiety, convulsions,

o

Eye ailments, etc.

o

All kinds of pains, stiffness and weakness in fore limbs, arms, legs. Shoulders, hips, etc.-S.P. encourages & provides strength and life to the limbs.

o

Digestion poor, Gas formation-Due to more acidity in stomach.

o

Production of insulin is less.

o

Prostate enlargement (Fluid discharge is increased. M. W. every 2hours or earlier is a must).

o

Heart- We should ascertain the actual heart disease as there may be several types of complaints. For weak of pulse rate, and heart beats-apply South Pole. .....Health Naturally - 69.....

o

Neuralgia (Headache - the causes should be investigated and treated. S.P. works to remove it if applied also below the left side of the stomach, M.W, and diet should be advised.

o

Weak muscles- South Pole for 10-minute morning and 10 minutes in the evening again.

o

Weakness to walk-South Pole for a week or 10 days provides energy and strength

Properties of the North Pole: The North Pole possesses stimulatory or augmentative properties. It imparts warmth and energy. If placed in water for some time, it renders the water slightly acidic. It increases the acidity of fluids. It produces expansion of body-tissues. It speeds up the circulation in small blood vessels and capillaries. It encourages the activity and growth of bacteria, worsens infection and increases swelling. It stimulates the growth of boils and tumors. It hastens the ripening of fruits and vegetables. It has little effect on pain and sometimes makes it more acute. It increases the body temperature. Indications The energy, strength and warmth-giving properties of the North Pole can be utilized to treat paralysis, hernia, Leucoderma, baldness, muscle weakness, .....Health Naturally - 70.....

general weakness, unconsciousness Arthritis - calcium of joints is slowly dissolved by North Pole. Bleeding or hemorrhage - After birth or due to female weak organs. Bleeding of wounds, cuts, bruises due to weak tissues. Boils and Cancers Broken bones, broken joints, fractures - South Pole on the upper and North Pole on the lower portion ensures best healing. Burns - North Pole on the burnt portion - When the pain is less, South Pole to give strength to the tissue and to form flesh over the burnt part. Hypertension - N.P. under the right ear down the artery. Infections, pus, discharge due to any infection - (N.P. arrests it and nature heals). Kidney infection or stone (even partially lost kidneys may start functioning in some cases). Sprains in ankles, back, hips, legs and feet, etc. Teeth and gums - Decaying teeth, infection of gums, swellings, and pus deposits. Toothache with bad smell, bleeding & wounds METHOD OF APPLICATION OF MAGNETS There are two important methods of applying magnets: The uni-polar method: In this method, only one pole, either the south or the north is used at a time. The bipolar method: In this method both the poles are used simultaneously.

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General application: - A pair of magnets one for north and the other for South Pole - used for whole body or larger portion of the body ailments. It is better to use both North and South Pole magnets. Local application – for use in localized area, a single pole magnet is sufficient. E.g., Eye, nose, knee, feet etc. HOW DO MAGNETS WORK The human body is an electromagnetic organism. Electricity flows through the nerves in our bodies the same way electricity flows through a wire. All cells have two magnetic poles in their DNA. Magnetism in the body comes from two sources: 1. Magnetism produced through metabolism (oxidative remnant magnetism.) 2. Magnetism from the earth’s magnetic field. Your body produces small electromagnetic fields by the movement of charged particles called ions. As a result of the movement of these ions, our physical and mental processes are controlled, maintaining the electromagnetic balance within our bodies. When you are injured, the electromagnetic field is put out of balance and pain and swelling is the result. When applying magnetic therapy to an injured area, the capillary surrounding walls the muscles and connective oxygen tissues relax and increases blood flow. More and nutrients are then supplied to the affected area, resulting in normal ion concentrations. The result is normal ion concentrations being

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2. which in turn relieves pain and swelling, promoting restored, faster healing. DIFFERENT HEALING MAGNETS AND PRECAUTIONS IN 3. THE USE OF MAGNETS Healing magnets: Magnetic Healing is totally commercialized. 4. Different magnets are used for local as well as general applications. The normal types available are: 5. 1.

Magnetic bracelet Magnetic inserts

6.

Magnetic mattress inserts Pillow pads small large

7.

Mattress pads double bed and single bed Magnetic body wraps

8.

Magnetic bands Magnetic tubes

9.

Magnetic belts

10. Magnetic ankle wrap 11. Back belly belt 12. Cervical belt 13. Obesity belt. 14. Tonil belt 15. Eye belt 16. Knee cap 17. Magnetic necklace 18. Ent. Magnet 19. B.P. Watch, Bracelet. .....Health Naturally - 73.....

MAGNETIC WATER Magnetic Water: Water is transparent, colorless, odorless and tasteless. Water absorbs taste, odor and color if some other liquid or soluble solid is mixed with it. When we expose water to continuous contact with a Magnet, water assimilates the properties of magnet and becomes magnetized. Magnetic water has immense therapeutic values. If taken orally, for a length of time, it is believed to assist in the healing of many a chronic disease. Preparing Magnetized Water: The method is extremely simple. Requirements are: (1) Tightly closed glass bottle, glass jug, or, glass tumbler, with a capacity as per your requirements. (2) A strong North Pole magnet, roughly about 1500 to 2500 gauss capacity (3) to A strong 2500 gauss Southcapacity Pole magnet about 1500 (4) Boiled and cooled potable water as required. (Normal tap water is ok but boiled and cooled water is good). Keep the magnets on an even surface. Place the bottles (jugs, tumblers), as the case may be, on the magnets as shown in the illustration. Leave the arrangement undisturbed for about 12 hours. During this time magnetic field penetrates through the glass into the water, which absorbs the magnetic effects. Such magnetized water can be kept for at least 3 to 4 days without any letup in its therapeutic values. How to use magnetized water: We have 2 bottles, one on North Pole magnet and the other on South Pole magnet. .....Health Naturally - 74.....

You have to take one glass of Magnetic water taken from the bottle placed on North Pole Magnet in cases like infectious diseases, urinary infections, Typhoid etc. For general therapeutic uses and for improvement in digestion, proper bowel movement, clogged arteries, kidney problems, all kinds of fevers, pains, asthma, cold, cough, bronchitis, headaches, etc, mix water from both the bottles (North + South Pole) and drink. Dosage: Adults: About 50 ml each time, 3 times a day after breakfast, lunch and dinner Children: About 25 ml each time 3 times a day. SIDE EFFECTS: o

Some patients experience tingling sensation.

o

Some feel giddiness,

o

some others feel warmth,

o

some yawn frequently,

o

some feel drowsiness, and,

o

Still others feel perspiration on the area of application.

The side effects reported are very minor and need not be a cause for concern. PRECAUTIONS WHEN USING MAGNETS: 1. Never allow magnets to come in contact with watches which are not magnetic proof 2. Early morning is the best time for magnet therapy, before breakfast 3. No bathing for at-least 2 to 3 hours after magnets therapy 4. No strong magnet should be used immediately after a heavy meal. It is likely to produce a vomiting sensation, or in extreme cases actual vomiting itself .....Health Naturally - 75.....

5. No pregnant lady should be treated with strong magnets 6. No children should be treated with a strong magnet 7. No strong magnet to be applied directly on eyes, heart or brain 8. Application for extended period of strong magnet for a long time is likely to produce: o

Drowsiness.

o

Continue yawning

o

Tingling sensation in the nerves

o

Heaviness in the head.

o

Giddiness

o

Vomiting sensation

In such case discontinue the application immediately. The occurrence, of course, is very rare 9.

Do not use magnets or magnetic therapy if using a pacemaker, implanted medical device or insulin pump as they may interfere with the delicate electronic equipment.

10. Magnetic products are not recommended for use during pregnancy. They are not proven beneficial or detrimental. Be on the safe side, do not use. 11. Keep magnetic products at least six inches away from objects such as credit cards, computers, diskettes, audio and videotapes, and similar items, as loss of data may result.

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CHAPTER 8

TURE CURE AND Y NATURE YOGOGOGOGOGA FORAFORAFORAFORAFOR TIC RELIEF SYMPTSYMPTSYMPTSYMPTSYMPTOMAOMAOMAOMAOMATIC

FEVER Fever is a warning signal the body sends out indicating that something is wrong with the system. Fever is an acute condition, and all acute conditions are direct manifestations of the self–cleansing and health restoring activity of the body. Fever should be allowed to run its natural course in order to have better health once fever subsides on its own. If the fever is suppressed with antipyretics or antibiotics, then it will only lead to other chronic diseases. Hence, the best way to treat fever is not to interfere with the body’s self–healing process. Fever is generally accompanied by increased body pains, generalized fatigue, malaise and distaste in the mouth. Treatment: o

Warm water enemas early in the morning during the fasting period for the first 3 days, and thereafter, as per need till fasting is discontinued.

.....Health Naturally - 77.....

o

Mud packs for 15–20 minutes two or three times a day.

o

Chest pack and cold compresses on the forehead frequently.

o

Cold sponge baths or cold friction baths are invigorating, and bring down body temperature.

o

Rubbing the spine with ice also reduces temperature.

o

Adequate rest and relaxation with light clothing in a well ventilation room are essential.

o

Once the body temperature comes down and the coating on the tongue reduces, fasting should be discontinued.

DIET THERAPY: o

Only liquids such as lime juice, tender coconut water or orange juice should be given 3–4 times a day till the symptoms subside and the patient should be encouraged to drink plenty of water.

o

No solid food till fever subsides.

o

First fresh fruit juices and later on fresh juicy fruits, raw salads, sprouts and soups could be eaten.

o

Gradually, one should switch over to normal diet. 1ST DAY: hot lime and honey water as many times as required. 2ND DAY: apple and mosambi juices as many times as required 3RD DAY: fruits and boiled vegs 4TH DAY: normal diet

BRUISES, STRAINS, SPRAINS AND MUSCLE INJURIES No matter how healthy one is, it is absolutely impossible to avoid an occasional sprain or a bruise.

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Treatment for Sprain o

RICE Principle to be strictly followed. R

–

Rest. Complete rest for the first 24–48 hours.

I

–

Iced packs to the affected area for 20–30 minutes once in every 2 hours for 24-48 hours.

C

–

Cold compress–Frequently cold compress reduce bleeding and swelling by constricting the blood vessel.

E

–

Elevation of the sprained area reduces swelling.

o

Continuous use of cold compresses reduces the flow of blood and hence, delays healing. Therefore after 24–48 hours of ice– cold applications, hot applications to be employed on the affected area to restore blood circulation which will speed up the healing process.

o

Employ hot and cold baths frequently.

o

In case of bruises or abrasions, intake of foods, rich in Vitamin C should be recommended to speed up the healing. A cold pack applied to bruises and injured muscles are also

o

helpful in relieving pain o

An ice massage to bruises and injured muscles are also helpful in relieving the pain.

o

Hot water applications in the form of fomentations or affusions over the bruises and injured muscles, after first 24 hours of ice massage are often beneficial.

DIET THERAPY: 6am

:

black raisins water (soak overnight 30 raisins and grind and strain

7am

:

mosambi juice

8am

:

dahlia, milk

1pm

:

brown rice, boiled vegs, papaya

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4pm

:

6.30pm:

mosambi juice hot milk and isabgol

DIARRHEA Diarrhea is a condition where there is an increase in the frequency, (water fluidity content) and volume of stool. When the colon is unable to carry out its set job of absorbing water from undigested wastes, there occurs the common complaint of the excessive presence of water in stools and frequent passage of loose stools. The cause is either impairment in the absorptive capacity of the large intestine or a combined malfunctioning of the absorptive action of the small intestine and other digestive organs. From principles of Naturopathy, Diarrhea is a naturally induced phenomenon that calls for a rapid expulsion of waste. Treatment o o

Ice cold water enemas for first couple of days. Mud packs/Towel packs on the abdomen at an interval of every 2 hours.

o

Complete fasting on butter milk and tender coconuts water and drinking of plenty of water initially for 2–3 days. Drinking copious water is necessary to maintain water content in the body.

o

After 2–3 days of fast, diet comprising sabudana kheer, curd rice, well–ripened banana and butter milk should be taken till symptoms last.

DIET THERAPY: 1STDAY:

lime juice with salt and honey every ½ an hr

2NDDAY:

mosambi juice with salt every 2 hrs

3RDDAY:

rice and curds 3 times a day

4THDAY:

normal dietFever

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HYPERACIDITY Excessive consumption of sugar and starch leads to production of fermented acids in the digestive system. The excess acid flush into the blood stream making it hypo–alkaline. Another cause of hyperacidity is missing of a meal between or not taking it at fixed intervals resulting in hyper secretion of acid in the stomach, which burns the soft delicate mucosal lining. At times the acid regurgitates into the esophagus, resulting in burning sensation in the throat region (heart burn). Intake of spicy food, stimulants such as coffee, tea, alcohol, smoking, tobacco chewing and stress and strains, all directly result in hyper secretion of hydrochloric acid in the stomach. Treatment o

Routine treatments like mud packs or cold compresses on the abdomen twice a day or cold hip baths daily.

o

Hot and cold fomentations to abdomen once a while.

o

Cold abdominal pack every night.

o

Kidney pack once a while.

o

Well planned meals of fixed quantity at fixed timings.

o

Adequate intake of water.

o

Cold trunk pack once a while.

o

Taking enema for 3 days at the beginning of the treatment to cleanse the intestine of morbid matter.

DIET THERAPY: 1STDAY:

lime juice with honey and tender coconut water

2NDDAY:

tender coconut water and mosambi juice

3RDDAY:

fruits

4THDAY:

brown rice, boiled vegs and fruits

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COMMON COLD o

It is an exceedingly common respiratory infection. It is due to a virus which multiplies fast in a person whose vitality is low. The cold is, in fact, nature’s simplest mechanism of eliminating wastes accumulated in the system–popularly known as “Healing crisis”.

Treatment: o

Fast with limejuice and honey for 2-3 days

o

Drink plenty of water.

o

Take steam inhalation every 3-4 hours for 3-5 minutes.

o

Do warm water jal-neti twice a day

DIET THERAPY: 6am

: herbal tea

8am

: 2 carrot, 1 apple, 1 bowl sprouts

1pm

: jowar roti, boiled vegs and boiled moong

4pm

: 2 carrots, apple

6.30pm : moong sprouts, papaya, jowar roti 9.30pm : hot water with Triphala HEADACHE Affects people of all ages, occupation, caste, creed and race. It has become a part and parcel of one’s daily life. Headaches can be due to emotional disorders, head injuries, migraine, fever intracranial vascular disorders, dental diseases, diseases of the eyes, ears or nose or even sinuses. However, a majority of the headaches are due to modernization and a changed lifestyle, and habits such as an improper diet, tension, stress, sedentary lifestyle, smoking, alcohol, stimulants such as coffee and tea.Headaches in fact are a distress signal sent up by the body .....Health Naturally - 82.....

indicating that all is not well with the system. In fact, many headache sufferers do not think so and try to suppress it with analgesics while continuing with unhealthy lifestyle, resulting in the manifestation of another bout of headache soon. Most people experience headache as a sort of ‘pain in the head’ which is actually due to congestion in the blood vessels which press the nerve endings present in the skull region. Depending on the cause, headaches are classified as o

tension headaches,

o

toxemic headaches,

o

congestive headaches,

o

sinus headaches,

o

postural headaches,

o

cluster headaches and

o

One sided headache otherwise known as migraine.

Treatment o

Since constipation is the root cause of most of the simple forms of headaches, treat constipation.

o

Take warm water enema.

o

Do vaman douthi (vomiting) to cleanse the upper gastric region so that pressure is relieved.

o

A gentle head, neck and trapezius region massage followed by cold trauma and pack provides relief.

o

Hot foot bath diverting blood to lower limbs relieves congestive headaches.

o

Exposing face to steam draws blood to the periphery, relieving headache.

o

Prolonged warm immersion baths provide relief. .....Health Naturally - 83.....

o

Steam baths help in removing toxins by sweat, and provide relief for some of the headaches.

o

Ice cold compress or a cold compress once an hour kept on the forehead relieves headache due to fever by bringing down the temperature.

o

Ice massage to head and spine relieves headache due to high blood pressure.

o

Cold or neutral spinal bath taken regularly have tonic effect on the nervous system and help in preventing onset of headache.

o

Regular practice of Yogasanas, kriya, pranayama plays a great role in relieving headaches and also preventing it.

o

Yoganidra, relaxation techniques and shavasana which provide a deep sense of relaxation to the mind are also beneficial if practiced regularly.

DIET THERAPY: 1STDAY: tender coconut water whole day 2NDDAY: fruit juices 3RDDAY: fruits and vegs 4THDAY: normal diet VOMITING Vomiting is the involuntary action of the body to empty the contents of the stomach through the mouth. Vomit is made up of half digested food from your stomach, stomach mucus, saliva, stomach acids and other chemicals that help you digest food. Bile is green in color – which is why vomit is usually yellowy green in color. Bile is not created in your stomach, it is created in the intestines - when an individual vomits the bile comes from further down in the digestive system. The nasty smell associated with vomiting can also be blamed on bile and stomach acids.

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Vomiting is also a crisis during fasting. And also indicates that elimination is taking place Causes of Vomiting Vomiting can occur as a result of ‘morning sickness’ in pregnancy, flu, motion sickness, infection, food poisoning, overindulgence, blocked intestine, illness, nervousness, anxiety, concussion or brain injury and migraines. Vomiting is usually preceded by queasiness in the stomach (nausea), a sensation of biliousness and stomach ache. Children most commonly suffer from ‘stomach flu’ that can also cause nausea and diarrhea. Treatment: o

Ice water sipping

o

Cold apple juice sipping

o

Ice cold compress on the abdomen

o

Mud pack on the abdomen at an interval of every 1 hr.

o

Cold water vamana dhouti.

o

Acupressure at the center of wrist joint 1" above on the palmar side. 1STDAY

:

lime juice with sugar and salt every ½ an hour

2NDDAY

:

tender coconut water

4THDAY

:

chilled milk with isabgol and sugar

3RDDAY

:

fruits and vegs

5THDAY

:

normal diet

RASHES AND ITCHING: It’s a general term that means an outbreak of bumps on the body that changes the way the skin looks and feels. Rashes can be localized to one area or else be widespread. The way people use this term, a rash can refer to many different skin conditions. .....Health Naturally - 85.....

Itch is an irritation in the skin that elicits an urge to scratch. Itches are a common problem and can be localized (limited to one area of the body) or generalized (occurring all over the body or in several different areas). The medical term for itching is pruritis. During naturopathy treatments when the elimination of toxins takes place the functions of the skin too becomes active. Hence there may appear rashes on the skin and cause itching or simply itching. Do not panic by this. When the process of elimination gets complete, these rashes and itching too stops. Treatment: o

Drink lots of water

o

Drink eliminative juices like lime juice with honey

o

Mud application

o

Ganji with turmeric application

o

Fasting

DIET THERAPY: 6am

:

tender coconut water

7am

:

mosambi juice

8am

:

bottle gourd juice

1pm

:

brown rice and boiled vegs

4pm

:

tender coconut water

6.30pm :

brown rice and boiled vegs

9.30pm :

hot water and isabgol

.....Health Naturally - 86.....

CHAPTER 9

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR COUGH

DESCRIPTION Cough something explosion the lungs to expel is sudden from of air thefrom air passages. Productive coughing brings up mucus while dry unproductive cough caused due to pharyngeal irritation, does not. A cough is a sudden and often repetitively occurring reflex which helps to clear the large breathing passages from secretions, irritants, foreign particles and microbes. The cough reflex consists of three phases: An inhalation, a forced exhalation against a closed glottis, and a violent release of air from the lungs following opening .....Health Naturally - 87.....

of the glottis, usually accompanied by a distinctive sound. Coughing can happen voluntarily as well as involuntarily. Frequent coughing usually indicates the presence of a disease. Many viruses and bacteria benefit evolutionarily by causing the host to cough, which helps to spread the disease to new hosts. Most of the time, coughing is caused by a respiratory tract infection but can be triggered by choking, smoking, air pollution, asthma, gastro esophageal reflux disease, post-nasal drip, chronic bronchitis, heart failure and medications such as ACE inhibitors. CLASSIFICATION A cough can be classified by its duration, character, quality, and timing. The duration can be either acute (of sudden onset) if it is present less than three weeks sub acute if it is present between three and eight weeks, and Chronic when lasting longer than eight weeks. A cough can be dry or productive, depending on whether sputum is coughed up. It may occur only at night, during both night and day, or just during the day PATHOPHYSIOLOGY A cough is a protective reflex in healthy individuals which is influenced by psychological factors. The cough reflex is initiated by stimulation of two different classes of afferent nerves, namely the myelinated rapidly adapting receptors, and nonmyelinated C-fibers with endings in the lungs.

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However it is not certain that the stimulation of nonmyelinated C-fibers leads to cough with a reflex as it’s meant in physiology (with its own five components): this stimulation may cause mast cells degranulation (through an asso-assonic reflex) and edema which may work as a stimulus for rapidly adapting receptors. CAUSES Asthma Bronchitis Allergies COPD (chronic obstructive pulmonary disease) GERD (gastroesophageal reflux disease) Smoking Throat disorders, such as croup in young children Some medicines pneumonia, heart failure a clot in the blood vessels of the lung (called as pulmonary embolism) This can also be physiological event if something irritating goes into the windpipe including some food particles while swallowing. Cigarette smoking, pipe smoke, low environmental humidity, pollution, dust, dirt, grimes and congested place .....Health Naturally - 89.....

Occupational like, person working in woolen factory or chemical factory or pharmaceutical factory where there are particles of the materials irritating the respiratory tract is most common cause producing the cough. Causes of an Acute Cough The most common causes of an acute cough include: The common cold Acute sinusitis Pertussis (whooping cough) Chronic obstructive pulmonary disease (COPD) exacerbations Allergic rhinitis Non-allergic rhinitis TYPES AND SYMPTOMS OF COUGH Signs and symptoms which revile the infections are fever, body aches, sore throats, sinus pressure, chills, post nasal drip, malaise, nausea, vomiting etc are there if the cough is infectious. There are many symptoms but broadly, it can be classified under two categories; productive and non-productive. Non-productive cough This is also called as dry-cough. There won’t be any mucus or purulent discharge from the respiratory tract along with the cough. In this, whenever a person coughs, he or she finds difficult in breathing. The dry cough produces more noise as compare to the productive cough i.e. cough with discharge. Productive cough As the name suggests, the cough with some discharge whether purulent or non purulent or phlegm is considered to be productive cough. The color of the product may vary from person to person

.....Health Naturally - 90.....

and condition to condition. It could be white, yellow or bloody, which is dangerous indicating some serious problem. All the time, a person feels that the throat is getting irritated and needs something expelling out, which will not give any good results though DIAGNOSIS Most acute presentations of cough do not require blood, urine, or other laboratory tests. Otherwise when associated with some illness, diagnosis is must. History of cough Physical examination Laboratory tests- routine blood and urine tests, gram stain, culture of sputum etc Radiological examinations like X-Ray and CT scans Pulmonary function tests- peak flow meter tests Invasive tests like bronchoscopy NATUROPATHY AND YOGA TREATMENT: Hydrotherapy: o

Chest packs at night and friction baths.

o

Chest packs must be used every night for 20-30 minutes.

o

Neutral half baths with Epsom salt which divert blood to the periphery, relieving lung congestion, could be employed frequently with advantage

o

Asthma bath once a week/15 days is useful is relieving congestion and increase in oxygen consumption.

o

Neutral underwater massage,

o

neutral jet massage

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o

whirlpool bath provide relaxation by action on the muscles at the spinal region

o

warm water enema twice weekly as emptying of bowels will relieve pressure on the lungs

o

Steam inhalation 2-3 times daily clear upper respiratory secretions.

o

Steam bath for 15 minutes alternate days.

o

Gentle spinal massage followed by hot fomentation to back and neutral chest pack help relax bronchial muscles. Hot fomentation softens the mucus and chest pack and relieves congestion in the lungs.

o

Hot foot bath relieves congestion by diverting blood flow to the limbs.

Massage therapy: o

Full body oil massage with steam bath

o

Partial massage to chest and upper back

Diet therapy: Plenty of warm liquids relax the air passages by fomenting the wind pipe (which is in front of the food pipe). Liquids also, thin the mucus and replace the water lost during forced breathing. Fasting with vegetable soup and hot honey water is helpful. A fat–free diet needs to be adopted. 6am

:

warm water 2 glass

7am

:

lime juice with honey

8am

:

1 bowl papaya, 5-6 dates

11am

:

orange juice with honey

1pm

:

2 wheat roti, boiled vegetables, veg clear soup

4pm

:

Tulsi, ginger, pepper kashaya .....Health Naturally - 92.....

7.30pm :

I bowl of fresh fruits, sprouts, and hot clear soup

9.30pm :

hot milk with turmeric

Yoga therapy: o

Pranayama and asanas to prevent lung congestion should be practiced under the guidance of an expert teacher.

o

Pranayama and Kriya help build resistance of the lung and upper respiratory tract, besides clearing them.

o

Practice of Jala neti and Sutraneti as and when required keeps upper respiratory passages clear.

Kriya: Jalneti followed by cow ghee drop in nostrils, Vamana, Vastra Dhouti, Lagushankha Prakashalana, Suryanamaskar Standing asana: ·

Ardhakatichkrasan

·

Ardhachakrasan

·

Trikonasan

·

Parshvakonsan

Supine asana: ·

Uttitapadasana

·

Pavanamuktasana

·

Vipareeta karani

·

Matsyasana

Prone asana: ·

Makarasana .....Health Naturally - 93.....

·

Bujangasana

·

Shalabhasana

Sitting asana: ·

Gomukhasana

·

Paschimottanasana

·

Shashankasana

·

Sputa Vajrasana

·

Vakrasana

·

Ardhamatsyendrasana

Pranayama Kapalbhati ·

Surya anuloma viloma

·

Suryabedhana

·

Nadishodahna

·

Bhastrika

·

Bhramari

Meditation ·

A, U, M kara chantings

·

OHM meditation

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CHAPTER 10

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR COMMON COLD

DESCRIPTION The common cold (viral upper respiratory tract infection (VURI), acute viral nasopharyngitis, acute viral rhinopharyngitis, acute coryza, or a cold) is a contagious, viral infectious disease of the upper respiratory system, primarily caused by rhinoviruses, (picornaviruses) or coronaviruses. It is the most common infectious disease in humans. The infection is usually mild and improves without treatment. We call it the “common cold” for good reason. You and your children will probably per They any type haveyear. illness. throughout more Children childhood. colds average continue than Parents threegetting other often to eight get them colds them of

from the kids. Colds are the most common reason that children miss school and parents miss work. .....Health Naturally - 95.....

SYMPTOMS The three most frequent symptoms of a cold are: o

Nasal congestion

o

Runny nose

o Sneezing Depending on which virus is causing the symptoms, the virus might also cause: o

Cough

o

Decreased appetite

o

Headache

o

Muscle aches Postnasal drip

o o o

Sorethroat ‘pink eye’

o

malaise,

o

uncontrollable shivering

o

Fever

Fever is more commonly a symptom of influenza, another viral upper respiratory tract infection (URTI) whose symptoms broadly overlaps with the cold but are more severe. Symptoms may be more severe in infants and young children (due to their immune system not being fully developed) as well as the elderly (due to their immune system often being weakened). 60% of those suffering from a sore throat and upper respiratory tract infection reported headaches, often due to nasal congestion. The symptoms of a cold usually resolve week; after however, it is not rareabout that one symptoms last up to three weeks. .....Health Naturally - 96.....

COMPLICATIONS The common cold can lead to opportunistic coinfections or superinfections such as acute bronchitis, bronchiolitis, croup, pneumonia, sinusitis, otitis media, Strep throat. People with chronic lung diseases such as asthma and COPD are especially vulnerable. Colds may cause acute exacerbations of asthma, emphysema or chronic bronchitis. CAUSES Viruses The common cold is most often caused by infection with one of the 99 known serotypes of rhinovirus, a type of picornavirus. Around 30-50% of colds are caused by rhinoviruses. Other viruses causing colds are coronavirus (causing 10-15%), 5-15% are caused by influenza viruses. In total over 200 serologically different viral types cause colds. Due to the many different types of viruses and their tendency for continuous mutation, it is impossible to gain complete immunity to the common cold. Sleep Lack of sleep has been associated with the common cold. Those who sleep fewer than 7 hours per night were three times more likely to develop an infection when exposed to a rhinovirus when compared to those who sleep more than 8 hours per night. Vitamin D People with the lowest blood vitamin D levels reported having .....Health Naturally - 97.....

significantly more recent colds or cases of the flu. Cold weather An ancient belief still common today claims that a cold can be “caught” by prolonged exposure to cold weather such as rain or winter conditions, which is where the disease got its name. But despite what old wives’ tales may have you believe, not wearing a jacket or sweater when it’s chilly, sitting or sleeping in a draft, and going outside while your hair’s wet do not cause colds. DIAGNOSIS Most people diagnose the common cold by the typical symptoms of runny nose, congestion and sneezing. Usually it isn’t necessary for you to see a health care provider. You should see a doctor if you develop a high fever, severe sinus pain, ear pain, shortness of breath or new wheezing. These are symptoms that suggest you either have something other than a cold or a complication of the cold. NATURE CURE AND YOGA TREATMENT Hydrotherapy: ·

Steam inhalation with neem or neelgiri or tulsi leaves for 5-7 minutes.

·

Neutral chest pack for 20 minutes

·

Steam bath for 15 minutes

·

Enema with warm water

Diet therapy: 6am

:

herbal tea

8am

:

2 carrot, 1 apple, 1 bowl sprouts

1pm

:

jowar roti, boiled vegs and boiled moong

4pm

:

2 carrots, apple

6.30pm

:

moong sprouts, papaya, jowar roti

9.30pm

:

hot water with Triphala .....Health Naturally - 98.....

Yoga therapy: Standing asana: ·

Ardhakatichkrasan Ardhachakrasana Trikonasan

· Parshvakonsan Supine asana: · Uttitapadasana · Pavanamuktasana · Vipareeta karani · Matsyasana Prone asana: · Bujangasana Makarasana · Shalabhasana Sitting asana: · · · ·

Gomukhasana Shashankasana Sputa Vajrasana Ardhamatsyendrasana Vakrasana

Pranayama · · · ·

Surya anuloma viloma Suryabedhana Nadishodahna Bhramari

Meditation · A, U, M Kara chanting · OHM meditation PREVENTION It might seem overwhelming to try to prevent colds, but you can do it. Children average three to eight colds per year. .....Health Naturally - 99.....

Here are five proven ways to reduce exposure to germs: o

Always wash your hands: Children and adults should wash hands at key moments — after nose-wiping, after diapering or toileting, before eating, and before preparing food.

o

Disinfect: Clean commonly touched surfaces (sink handles, sleeping mats) with an EPA-approved disinfectant.

o

Switch day care: Using a day care where there are six or fewer children dramatically reduces germ contact.

o

Use instant hand sanitizers: A little dab will kill 99.99% of germs without any water or towels. The products use alcohol to destroy germs. They are an antiseptic, not an antibiotic, so resistance can’t develop.

o

Use paper towels instead of shared cloth towels.

Here are six ways to support the immune system: o

Avoid secondhand smoke: Keep as far away from secondhand smoke as possible it is responsible for many health problems, including millions of colds.

o

Avoid unnecessary antibiotics: The more people use antibiotics, the more likely they are to get sick with longer, more stubborn infections caused by more resistant organisms in the future.

o

Breastfeed: Breast milk is known to protect against respiratory tract infections, even years after breastfeeding is done. Kids who don’t breastfeed average five times more ear infections.

o

Drink water: Your body needs fluids for the immune system to function properly.

o

Eat yogurt: The beneficial bacteria in some active yogurt cultures help prevent colds.

o

Get enough sleep: Late bedtimes and poor sleep leave people vulnerable. .....Health Naturally - 100.....

CHAPTER 11

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR BRONCHITIS

Bronchitis is inflammation of the mucous membranes of the bronchi, the airways that carry airflow from the trachea into the lungs. Bronchitis describes inflammation of the bronchial tubes (inflammation = itis). The inflammation causes swelling of the lining of these breathing tubes, narrowing the tubes and promoting secretion of inflammatory fluid. It causes a cough, shortness of breath and chest tightness. Coughing often brings up yellow or greenish mucus.

.....Health Naturally - 101.....

TYPES: Bronchitis can be classified into two categories, acute and chronic, each of which has unique etiologies, pathologies, and therapies. Acute bronchitis is by characterized the development of a cough, with or without the production of sputum, mucus that is expectorated (coughed up) from the respiratory tract. Acute bronchitis often occurs during the course of an acute viral illness such as the common cold or influenza. Viruses cause about 90% of cases of acute bronchitis while bacteria account for less than 10% Chronic bronchitis, a type of chronic obstructive pulmonary disease, is characterized by the presence of a productive cough that lasts for 3 months or more per year for at least 2 years. Chronic bronchitis most often develops due to recurrent injury to the airways caused by inhaled irritants. Cigarette smoking is the most common cause, followed by air pollution and occupational exposure to irritants, and cold air. ACUTE BRONCHITIS: Acute bronchitis describes the inflammation of the bronchi usually caused by a viral infection, although bacteria and chemicals also may cause acute bronchitis. Bronchiolitis is a term that describes inflammation of the smaller bronchi referred to as bronchioles. by respiratory the smallInbronchi syncytial infants,and this viruses bronchioles is usually (RSV), and more caused affects than

the large. In adults, other viruses as well as some bacteria can cause bronchiolitis and often manifest as a persistent cough at times productive of small plugs of mucus. .....Health Naturally - 102.....

Acute bronchitis is as mentioned above, is a cough that begins suddenly usually due to a viral infection involving the larger airways. Colds (also known as viral upper airway infections) often involve the throat (pharyngitis) and nasal passages, and at times the larynx (resulting in a diminished hoarse voice, also known as laryngitis). Symptoms can include a runny nose, nasal stuffiness, and sore throat, low-grade fever, pleurisy, malaise, and the production of sputum. Croup usually occurs in infants and young children and involves the voice box and upper large airways (the trachea and large bronchi) CAUSES OF ACUTE BRONCHITIS Acute bronchitis occurs most often due to a viral infection that causes the inner lining of the bronchial tubes to become inflamed and undergo the changes that occur with any inflammation in the body. Common viruses include the rhinovirus, respiratory syncytial virus (RSV), and the influenza virus. Bacteria can also cause bronchitis (a few examples include, Mycoplasma, Pneumococcus, Klebsiella, Haemophilus). Chemical irritants (for example, tobacco smoke, gastric reflux, solvents) can cause acute bronchitis SIGNS AND SYMPTOMS: Acute bronchitis often starts with a dry, annoying cough that is triggered by the inflammation of the lining of the bronchial tubes. Other symptoms may include: cough that may bring up thick white, yellow, or greenish mucus headache generally feeling ill chills fever (usually mild)

.....Health Naturally - 103.....

shortness of breath soreness or a feeling of tightness in the chest wheezing (a whistling or hissing sound with breathing) HOW DO PEOPLE GET ACUTE BRONCHITIS? The viruses that cause acute bronchitis are sprayed into the air or onto people’s hands when they cough. You can get acute bronchitis if you breathe in these viruses. You can also get it if you touch a hand that is coated with the viruses. If you smoke or are around damaging fumes (such as those in certain kinds of factories), you are more likely to get acute bronchitis and to have it longer. This is because your bronchial tree is already damaged. People who have gastro-esophageal reflux disease (GERD) can develop acute bronchitis when stomach acids get into the bronchial tree RISK FACTORS FOR ACUTE BRONCHITIS Smoking is a key risk factor for developing acute bronchitis. Any other illnesses that predispose to similar inflammation also increase that risk (for example, asthma patients and patients allergic to airborne chemicals).

DIAGNOSIS Acute bronchitis is usually diagnosed through patient history and physical examination The health care practitioner may examine of the patient’s o

upper airways to look for signs of ear, nose, or throat infection including redness of the tympanic membranes (ear drums), runny nose, and post nasal drip.

.....Health Naturally - 104.....

o

Redness of the throat or swelling and pus on the tonsils can help distinguish common cold, tonsillitis, and acute bronchitis symptoms.

o

The neck may be palpated or felt to check for swollen lymph nodes.

o

Listening to the lungs may reveal decreased air entry and wheezing.

o

A chest X-ray may be considered by the health care practitioner if there is a concern that a pneumonia or infection of lung tissue is present.

o

Blood tests are usually not helpful; occasionally, cultures of sputum are done if a bacterial pathogen is suspected.

NATUROPATHY AND YOGA TREATMENT: Hydrotherapy: o

Treat fever by means of sponge baths frequently,

o

Chest packs at night and friction baths.

o

Chest packs must be used every night for 20-30 minutes.

o

Neutral half baths with Epsom salt which divert blood to the periphery, relieving lung congestion, could be employed frequently with advantage

o

Asthma bath once a week/15 days is useful is relieving congestion and increase in oxygen consumption.

o

Neutral underwater massage,

o

neutral jet massage

o

whirlpool bath provide relaxation by action on the muscles at the spinal region

o

warm water enema twice weekly as emptying of bowels will relieve pressure on the lungs

.....Health Naturally - 105.....

o

Steam inhalation 2-3 times daily clear upper respiratory secretions.

o

Steam bath for 15 minutes alternate days.

o

Gentle spinal massage followed by hot fomentation to back and neutral chest pack help relax bronchial muscles. Hot fomentation softens the mucus and chest pack and relieves congestion in the lungs.

o

Hot foot bath relieves congestion by diverting blood flow to the limbs.

Massage therapy: o

Full body oil massage with steam bath

o

Partial massage to chest and upper back

Diet therapy: Plenty of warm liquids relax the air passages by fomenting the wind pipe (which is in front of the food pipe). Liquids also, thin the mucus and replace the water lost during forced breathing. Fasting with vegetable soup and hot honey water is helpful. A fat–free diet needs to be adopted. 6am

:

warm water 2 glass

7am

:

lime juice with honey

8am

:

1 bowl papaya, 5-6 dates

11am

:

orange juice with honey

1pm

:

2 wheat roti, boiled vegetables, veg clear soup

4pm

:

Tulsi, ginger, pepper kashaya

7.30pm

:

papaya, boiled sprouts

9.30pm

:

hot milk with turmeric

.....Health Naturally - 106.....

Yoga therapy: o

Pranayama and asanas to prevent lung congestion should be practiced under the guidance of an expert teacher.

o

Pranayama and Kriya help build resistance of the lung and upper respiratory tract, besides clearing them.

o

Practice of Jala neti and Sutraneti as and when required keeps upper respiratory passages clear.

Kriya: Jalneti followed by cow ghee drop in nostrils, Vamana, Vastra Dhauti, Lagushankha Prakashalana, sooryanamaskara Standing asana: ·

ardhakatichakrasana ardhachkrasana trikonasana

·

parshvakonasana

Supine asana: · Uttitapadasana ·

Pavanamuktasana

·

Vipareeta karani Matsyasana

·

Prone asana: · Bujanagasana Makarasana

·

Shalabhasana .....Health Naturally - 107.....

Sitting asana: ·

Gomukhasana

·

Paschimottanasana

·

Shashankasana

·

Sputa vajrasana

·

Vakrasana Ardhamatsyendrasana

·

Pranayama kapalbhathi · ·

Surya anuloma viloma Suryabedhana

·

Nadishodhana

·

Bhastrika

·

Bhramari

Meditation ·

A, U, M kara chantings

·

OHM meditation

·

Yoga nidra

.....Health Naturally - 108.....

CHAPTER 12

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR ASTHAMA

DESCRIPTION Asthma is a Greek word which means ‘panting or short-drawn breath’. Asthma is a chronic inflammation of the bronchial tubes (airways) that cause swelling and narrowing (constriction) of the airways. The result is difficulty breathing. The bronchial narrowing is usually either totally or at least partially reversible with treatments. Asthma is a disease of airways characterized by increased responsiveness of the tracheo-bronchial tree to a variety of stimuli resulting in widespread spasmodic narrowing of the air passages which may be relieved spontaneously or by therapy. Asthma is characterized by paroxysmal attacks of dyspnoea, cough, wheezing with short inspiratory effort and prolonged expiration. The cause is narrowing of trachea, bronchi, and bronchioles which are especially marked during expiration.

.....Health Naturally - 109.....

It occurs in all ages. But many develop before the age of 10 years. Both the sexes are affected equally. CAUSES: The exact cause of asthma isn’t known. Researchers think a combination of factors (family genes and certain environmental exposures) interact to cause asthma to develop, most often early in life. These factors include: o

An inherited tendency to develop allergies, called atopy (AT o-pe)

o

Parents who have asthma

o

Certain respiratory infections during childhood

o

Contact with some airborne allergens or exposure to some viral infections in infancy or in early childhood when the immune system is developing

If asthma or atopy runs in your family, exposure to airborne allergens (for example, house dust mites, cockroaches, and possibly cat or dog dander) and irritants (for example, tobacco smoke) may make your airways more reactive to substances in the air you breathe. Different factors may be more likely to cause asthma in some people than in others. Researchers continue to explore what causes asthma. SYMPTOMS The symptoms are ·

tightness in the chest,

·

cough,

·

gasp for breath,

·

And wheeze.

·

As the paroxysm develops breathing becomes more difficult.

.....Health Naturally - 110.....

SIGNS ·

Sits upright , struggles to breath

·

Short inspiration with little expansion.

·

Accessory muscles (sterno- mastoid, scalenes, and pectorals) of respiration in action.

·

the lips, cheeks, and the nail beds are cyanosed

·

jugular veins are distended

·

on percussion, note is hyper resonant

·

On auscultation, inspiratory effort is shortened and expiration is prolonged. Loud Ronchi and coarse rhales heard

CAUSES a)

Predisposing causes: ·

An inherited tendency and personal history of allergy.

·

Psychological factor Most asthmatics have sensitive, intelligent and dynamic personalities and attacks may follow anxiety, frustration, overwork, fatigue, and sleeplessness.

·

Any cause of lowered immunity tends to bring on attacks.

·

Endocrine causes Before menstruation and at the time of menopause.

b)

Exciting causes: ·

Hypersensitive to variety of allergens Inhaled allergens like pollens, animal hair, and dandruff, feathers, house dust, various moulds Ingested allergens like, wheat, milk, chocolate or potatoes .....Health Naturally - 111.....

Micro-organisms certain gram negative bacilli ,The spores of fungal infections (Aspergillus), Certain mites Drugs and chemicals are occasional causes like Aspirin, chemical used by printers like, iodine, gum-acacia ·

Infections of the bronchial tree Such as give rise to bronchitis, tuberculosis, etc. at all ages and especially in the elderly, a bronchiatic infection is liable to bring on asthma.

·

Reflex causes Many patients have nocturnal attack after large supper or in association with constipation

·

Conditions of nasal passage Such as polyp, hyper tropic rhinitis, and nasal sinusitis

·

Certain climatic conditions One patient may have attack in dry weather, or another in damp weather

TYPES Based on the stimuli initiating the bronchial asthma, two types are, ·

Extrinsic Asthma (allergic, atopic)

·

Intrinsic asthma (idiosyncratic, non atopic)

Extrinsic Asthma This is the most common type. It usually begins in childhood or early adult life. Most of the patients of this type have personal or family history of preceding allergic diseases such as rhinitis, urticaria, or infantile eczema. Hypersensitivity to various extrinsic antigenic substances or

.....Health Naturally - 112.....

‘allergens’ is usually present in these cases. These allergens cause ill effects by inhalation e.g. house dust, pollens, animal dander, moulds etc. the other allergens are, fumes, gases, organic and chemical dusts. Intrinsic Asthma This type of asthma develops in adult life with negative personal or family history of allergy, negative skin test. Most of the patients develop typical symptom- complex after an upper respiratory tract infection, by virus. Its Associated with nasal polyp and chronic bronchitis. There are no recognizable allergens. DIAGNOSIS Your primary care doctor will diagnose asthma based on your medical history, a physical exam, and results from tests. He or she also will figure out what your level of asthma severity is—that is, whether it’s intermittent, mild, moderate, or severe. Your severity level will determine what treatment you will start on. You may need to see an asthma specialist if: o

You need special tests to be sure you have asthma

o

You’ve had a life-threatening asthma attack

o

You need more than one kind of medicine or higher doses of medicine to control your asthma, or if you have overall difficulty getting your asthma well controlled

o

You’re thinking about getting allergy treatments

Medical History Your doctor may ask about your family history of asthma and allergies. He or she also may ask whether you have asthma symptoms, and when and how often they occur. Let your doctor know if your symptoms seem to happen only during certain times of the year or in certain places, or if they get worse at night. Your doctor may ask you about related health conditions that can interfere with asthma management. These conditions include a runny .....Health Naturally - 113.....

nose, sinus infections, reflux disease, psychological stress, and sleep apnea. Physical Exam Your doctor will listen to your breathing and look for signs of asthma or allergies. These signs include wheezing, a runny nose or swollen nasal passages, and allergic skin conditions such as eczema. Keep in mind that you can still have asthma even if you don’t have these signs on the day that your doctor examines you. Diagnostic Tests Lung Function Test Your doctor will use a test called spirometry (spi-ROM-eh-tre) to check how your lungs are working. This test measures how much air you can breathe in and out. It also measures how fast you can blow air out. Your doctor also may give you medicines and then test you again to see whether the results have improved. If the starting results are lower than normal and improve with the medicine, and if your medical history shows a pattern of asthma symptoms, your diagnosis will likely be asthma. Other Tests Your doctor may order other tests if he or she needs more information to make a diagnosis. Other tests may include: o

Allergy testing to find out which allergens affect you, if any.

o

A test to measure how sensitive your airways are. This is called a bronchoprovocation test. Using spirometry, this test repeatedly measures your lung function during physical activity or after you receive increasing doses of cold air or a special chemical to breathe in.

o

A test to show whether you have another disease with the same symptoms as asthma, such as reflux disease, vocal cord dysfunction, or sleep apnea. .....Health Naturally - 114.....

o

A chest x ray or an EKG (electrocardiogram). These tests will help find out whether a foreign object or other disease may be causing your symptoms.

NATURE CURE TREATMENTS Hydrotherapy: ·

Steam inhalation with neem or neelgiri or tulsi leaves for 5-7 minutes.

·

Hot arm and foot bath for 20 minutes

·

Neutral half bath for 20 minutes

·

Neutral trunk pack for 45-60 minutes

·

Chest packs at night and friction baths.

·

Chest packs must be used every night for 20-30 minutes.

·

Neutral half baths with Epsom salt which divert blood to the periphery, relieving lung congestion, could be employed frequently with advantage

·

Asthma bath once a week/15 days is useful is relieving congestion and increase in oxygen consumption.

·

Neutral underwater massage,

·

neutral jet massage

·

whirlpool bath provide relaxation by action on the muscles at the spinal region

·

warm water enema twice weekly as emptying of bowels will relieve pressure on the lungs

·

Steam inhalation 2-3 times daily clear upper respiratory secretions.

·

Steam bath for 15 minutes alternate days.

·

Gentle spinal massage followed by hot fomentation to back and neutral chest pack help relax bronchial muscles. Hot .....Health Naturally - 115.....

fomentation softens the mucus and chest pack and relieves congestion in the lungs. ·

Hot foot bath relieves congestion by diverting blood flow to the limbs.

Massage: ·

Chest massage with warm herbal oil.

·

Stroking the chest with fingers between the intercostals spaces towards the heart.

·

Light friction movements

·

Hacking and clapping

·

Neck movements

·

Back massage

Diet therapy: Plenty of warm liquids relax the air passages by fomenting the wind pipe (which is in front of the food pipe). Liquids also, thin the mucus and replace the water lost during forced breathing. Fasting with vegetable soup and hot honey water is helpful. A fat–free diet needs to be adopted. 6am

:

honey water

7am

:

lime juice with honey

8am

:

carrot juice

11am

:

herbal tea

1pm

:

dahlia, papaya, veg clear soup

4pm

:

carrot juice

7.30pm

:

I bowl of fresh fruits, sprouts, and hot clear soup

9.30pm

:

hot honey water

Yoga therapy: Asana like .....Health Naturally - 116.....

Standing asana: ·

ardhachkrasana ardhakatichakrasana trikonasana

·

parshvakonasana

Supine asana: · Uttitapadasana ·

Pavanamuktasana

·

Vipareeta karani Matsyasana

·

Prone asana: Makarasana · Bujanagasana

·

Shalabhasana

Sitting asana: ·

Gomukhasana

·

Shashankasana

·

Sputa vajrasana

·

Vakrasana Ardhamatsyendrasana

·

Pranayama · ·

Surya anuloma viloma Suryabedhana

·

Nadishodhana

·

Bhramari

Meditation ·

A, U, M kara chantings

·

OHM meditation .....Health Naturally - 117.....

CHAPTER 13

TURE CURE Y NNNNNATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT PNEUMONIAPNEUMONIAPNEUMONIAPNEUMONIAPNEUMONIA

Pneumonia is an inflammatory condition of the lung. It is often characterized as including inflammation of the parenchyma of the lung (that is, the alveoli) and abnormal alveolar filling with fluid (consolidation and exudation). The alveoli are microscopic air filled sacs in the lungs responsible for gas exchange. Pneumonia can result from a variety of causes, including infection with bacteria, viruses, fungi, or parasites, and chemical or physical injury to the lungs. Its cause may also be officially described as unknown when infectious causes have been excluded. Pneumonia is common, occurring in all age groups, and is a leading cause of death among the young, the old, and the chronically ill.

.....Health Naturally - 118.....

CATCH PNEUMONIA Some cases of pneumonia are contracted by breathing in small droplets that contain the organisms that can cause pneumonia. o

These droplets get into the air when a person infected with these germs coughs or sneezes.

o

In other cases, pneumonia is caused when bacteria or viruses that are normally present in the mouth, throat, or nose inadvertently enter the lung.

o

During sleep, it is quite common for people to aspirate secretions from the mouth, throat, or nose.

o

Normally, the body’s reflex response (coughing back up the secretions) and their immune system will prevent the aspirated organisms from causing pneumonia. However, if a person is in a weakened condition from another illness, a severe pneumonia can develop. Once organisms enter the lungs, they usually settle in the air sacs and passages of the lung where they rapidly grow in number. This area of the lung then becomes filled with fluid and pus (the body’s inflammatory cells) as the body attempts to fight off the infection.

CAUSES: Pneumonia can be caused by microorganisms, irritants and unknown causes. When pneumonias are grouped this way, infectious causes are the most common type. The symptoms of infectious pneumonia are caused by the invasion of the lungs by microorganisms and by the immune system’s response to the infection. Although more than one hundred strains of microorganism can cause pneumonia, only a few are responsible for most cases. The most common causes of pneumonia are ·

Viruses (Viral pneumonia)

·

Bacteria (Bacterial pneumonia) .....Health Naturally - 119.....

Less common causes of infectious pneumonia are ·

fungi (Fungal pneumonia)

·

Parasites( Parasitic pneumonia)

·

Idiopathic (Idiopathic interstitial pneumonia)

RISK FACTORS: People with recent o

Viral infections,

o

Lung disease,

o

heart disease, and

o

swallowing problems,

o

alcoholics, drug users, and

o o

Those who have suffered a stroke or seizure are at higher risk for developing pneumonia than the general population.

o o

As we age, our swallowing mechanism can become impaired as does our immune system. 65 years of age or older

o

People in nursing homes or other chronic care facilities

o

Male

o

Children under the age of two

o

People with colds or other respiratory infections

o

People with reduced immunity People with other lung diseases, such as asthma, cystic fibrosis

o

and lung cancer o o

People with AIDS or HIV Organ transplant recipients

o

People who have had their spleen removed

o

People receiving chemotherapy

o

People who smoke .....Health Naturally - 120.....

o

People with chronic health problems, such as lung disease, heart disease, kidney disorders, sickle cell anemia or diabetes

These factors, along with some of the negative side effects of medications, increase the risk for pneumonia in the elderly. COMMON SIGNS AND SYMPTOMS Symptoms of pneumonia vary, depending on the age of the child and the cause of the pneumonia. Common symptoms include: o

fever

o

chills

o

cough

o

unusually rapid breathing

o

breathing with grunting or wheezing sounds

o

labored breathing that makes a child’s rib muscles retract (when muscles under the rib cage or between ribs draw inward with each breath)

o o

vomiting chest pain

o

abdominal pain

o

decreased activity

o o

loss of appetite (in older kids) or poor feeding (in infants) in extreme cases, bluish or gray color of the lips and fingernail

o

feeling ill

o

clammy skin

o

nasal flaring

o

fatigue

o

mental confusion .....Health Naturally - 121.....

o

joint and muscle stiffness

o

anxiety, stress and tension

TYPES OF PNEUMONIA: Corresponding to the causes are the most common types of pneumonia - bacterial pneumonia, viral pneumonia and mycoplasma pneumonia. BACTERIAL PNEUMONIA Pneumonia-causing bacteria is present in many throats, but when the body’s defenses are weakened (for example, by illness, old age, malnutrition or impaired immunity) the bacteria can multiply, working its way into the lungs, inflaming the air sacs and filling the lungs with liquid and pus. The bacteria that cause bacterial pneumonia are streptococcus pneumonia (resulting in lobar pneumonia), hemophilus influenza (resulting in bronchopneumonia), legionella pneumophilia (resulting in Legionnaires’ disease) and staphylococcus aureus. VIRAL PNEUMONIA Half of all pneumonias are believed to be caused by viruses, such as influenza (flu), adenovirus, coxsackievirus, chickenpox, measles, cytomegalovirus and respiratory syncytial virus. These viruses invade the lungs and multiply. MYCOPLASMAL PNEUMONIA (ALSO CALLED “WALKING PNEUMONIA”) Similar to bacterial pneumonia, the mycoplasmas multiply and spread, causing infection. Some of the other pneumonia-related disorders are aspiration pneumonia, chlamydial pneumonia, Loffler’s syndrome, pneumocystis carinii pneumonia, pediatric pneumonia and necrotizing pneumonia. SYMPTOMS OF PNEUMONIA Symptoms vary, depending on the type of pneumonia and the individual. .....Health Naturally - 122.....

With bacterial pneumonia, the person may experience: o

shaking

o

chills

o

chattering teeth

o

severe chest pain

o o

cough that produces rust-colored or greenish mucus very high fever

o

sweating

o

rapid breathing

o

rapid pulse rate

With viral pneumonia, the person may experience: o o

fever dry cough

o

headache

o

muscle pain and weakness These flu-like symptoms may be followed within one or two days by:

o o

increasing breathlessness dry cough becomes worse and produces a small amount of mucus

o

higher fever

o

bluish color to the lips With mycoplasma pneumonia, the person may experience: o o o

violent coughing attacks chills fever

o o o

nausea vomiting slow heartbeat

o

breathlessness .....Health Naturally - 123.....

o o

bluish color to lips and nail beds diarrhea

o o

rash muscle aches

SOME OTHER TYPES: ·

Eosinophilic pneumonia

Eosinophilic pneumonia is invasion of the lung by eosinophils, a particular kind of white blood cell. Eosinophilic pneumonia often occurs in response to infection with a parasite or after exposure to certain types of environmental factors. ·

Chemical pneumonia

Chemical pneumonia (usually called chemical pneumonitis) is caused by chemical toxicants such as pesticides, which may enter the body by inhalation or by skin contact. When the toxic substance is oil, the pneumonia may be called lipoid pneumonia. ·

Aspiration pneumonia

Aspiration pneumonia (or aspiration pneumonitis) is caused by aspirating foreign objects which are usually oral or gastric contents, either while eating, or after reflux or vomiting which results in bronchopneumonia. The resulting lung inflammation is not an infection but can contribute to one, since the material aspirated may contain anaerobic bacteria or other unusual causes of pneumonia. Aspiration is a leading cause of death among hospital and nursing home patients, since they often cannot adequately protect their airways and may have otherwise impaired defenses. ·

Dustpneumonia

Dust pneumonia describes disorders caused by excessive exposure to dust storms, particularly during the Dust Bowl in the United States. With dust pneumonia, dust settles all the way into the alveoli of the lungs, stopping the cilia from moving and preventing the lungs from ever clearing themselves. .....Health Naturally - 124.....

DIAGNOSIS: If pneumonia is suspected on the basis of a patient’s symptoms and findings from physical examination, further investigations are needed to confirm the diagnosis. Information from a chest X-ray and blood tests are helpful, and sputum cultures in some cases. Occasionally a chest CT scan or other tests may be needed to distinguish pneumonia from other illnesses. NATUROPATHY AND YOGA TREATMENTS: Hydrotherapy: ·

Steam inhalation with neem or neelgiri or tulsi leaves for 5-7 minutes.

·

Hot arm and foot bath for 20 minutes

·

Neutral half bath for 20 minutes

· ·

Neutral trunk pack for 45-60 minutes Chest packs at night and friction baths.

·

Chest packs must be used every night for 20-30 minutes.

·

·

Neutral half baths with Epsom salt which divert blood to the periphery, relieving lung congestion, could be employed frequently with advantage Asthma bath once a week/15 days is useful is relieving

·

congestion and increase in oxygen consumption. Neutral underwater massage,

·

neutral jet massage

·

whirlpool bath provide relaxation by action on the muscles at the spinal region

·

warm water enema twice weekly as emptying of bowels will relieve pressure on the lungs

·

Steam inhalation 2-3 times daily clear upper respiratory secretions. .....Health Naturally - 125.....

· ·

Steam bath for 15 minutes alternate days. Gentle spinal massage followed by hot fomentation to back and neutral chest pack help relax bronchial muscles. Hot fomentation softens the mucus and chest pack and relieves congestion in the lungs.

Hot foot bath relieves congestion by diverting blood flow to the limbs. Massage: ·

·

Chest massage with warm herbal oil.

·

Stroking the chest with fingers between the intercostals spaces towards the heart.

·

Light friction movements

·

Hacking and clapping

·

Neck movements

· Back massage Diet therapy: Plenty of warm liquids relax the air passages by fomenting the wind pipe (which is in front of the food pipe). Liquids also, thin the mucus and replace the water lost during forced breathing. Fasting with vegetable soup and hot honey water is helpful. A fat–free diet needs to be adopted. 6am

:

Ginger tea

7am

:

8am

:

50ml Tulsi juice with 2sp honey 1 bowl papaya, almonds, figs

11am

:

Tulsi, ginger juice

1pm

:

4pm

:

brown rice, boiled vegetables, papaya papaya, carrot juice

7.30pm

:

jowar roti, boiled vegs, papaya

9.30pm : Yoga therapy:

ginger tea with jaggery

Sukshma vyayama .....Health Naturally - 126.....

Standing asana: ·

ardhakatichakrasana

·

Ardhachakrasan

·

Trikonasan

· Parshvakonsan Supine asana: · Uttitapadasana ·

Pavanamuktasana

·

Vipareeta karani Matsyasana

·

Prone asana: · ·

Makarasana Bujangasana

· Shalabhasana Sitting asana: ·

Gomukhasana

·

Shashankasana Sputa Vajrasana

· · ·

Vakrasana Ardhamatsyendrasana

Pranayama · ·

Surya anuloma viloma Suryabedhana

·

Nadishodahna

·

Bhramari

Meditation ·

A, U, M Kara chantings

·

OHM meditation

.....Health Naturally - 127.....

CHAPTER 14

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR RINGWORM

DESCRIPTION Ringworm is a common fungal infection resulting from dermatophytes, which are microscopic organisms that live on the dead outer layer of skin. Ringworm, also called Tinea is a fungus infection of the scalp or skin. The fungal infection is caused by mold-like fungi called dermatophytes. Dermatophytes live on the dead tissues on the skin and any structures that grow from the skin, such as hair or nails. Ringworm is not a “worm” infection. Ringworm can affect skin, fingers, toe nails or foot. Tinea capitis, for instance, refers to scalp ringworm, tinea corporis to fungus of the body, tinea pedis to fungus of the feet, and so on. Ringworm Infection does not create lasting immunity. A person can be repeatedly infected by the same type of fungus. Ringworm is contagious. Ringworm can affect anyone at anytime. If you live in a warm, humid climate, have direct contact with active lesions .....Health Naturally - 128.....

on someone else (or a pet), or have a weakened immune system (as a consequence of medical problems such as diabetes, leukemia, or AIDS), your risk for developing ringworm is higher. PATHOLOGY Ringworm of the skin can start as a small patch of itchy, red, or scaling skin. The rash can spread and cover a large area. Clothing that rubs the skin can irritate the rash. Sweat, heat, or moisture in the air (humidity) can make the itching and infection worse. As the infection becomes worse, the ring-shaped pattern and red-brown color may become more visible. If not treated, the skin can become irritated and painful. Skin blisters and cracks can become infected with require bacteria and antibiotics. parts Ringworm can also spread to other of the body, including the feet, nails, scalp, or beard. After treatment, the rash will go away. But ringworm can return unless you follow steps to prevent it. The tendency to get fungal skin infections or to have them return after treatment seems to run in families. TYPES Among the types of ringworm, or tinea, are the following: 1.

Tinea barbae: ringworm of the bearded area of the face and neck, with swelling and marked crusting, often with itching, sometimes causes the hair to break off.

2.

Tinea capitis: Ringworm of the scalp commonly affects children, mostly in late childhood or adolescence.

3.

Tinea corporis: fungus affects the skin of the body

4.

Tinea cruris: Tinea of the groin (“jock itch”)

5.

Tinea faciei: ringworm on the face except in the area of the beard.

6.

Tinea manus: ringworm involving the hands, particularly the palms and the spaces between the fingers. .....Health Naturally - 129.....

7.

Tinea pedis: ringworm of the feet

8.

Tinea unguium: This is referred to as fungal nails or onychomycosis.

What are the sources of skin fungi? ·

Some fungi live only on human skin, hair, or nails.

·

Others live on animals and only sometimes are found on human skin.

·

Still others live in the soil.

·

It is often difficult or impossible to identify the source of a particular person’s skin fungus.

·

Heat and moisture help fungi grow and thrive, which makes them more commonly found in skin folds such as those in the groin or between the toes.

·

This also accounts for their reputation as being caught from showers, locker rooms, and swimming pools.

·

This reputation is exaggerated, though, since many people with “jock itch” or “athlete’s foot” has not contracted the infection from locker rooms or athletic facilities.

CAUSES ·

Fungi (plural of fungus) that cause ringworm live and spread on the outer layer of skin. .....Health Naturally - 130.....

·

Although the world is full of yeasts, molds, and fungi, only a few cause skin problems.

·

These agents are called the dermatophytes, which mean “skin fungi.”

·

Skin fungi can only live on the dead layer of keratin protein on top of the skin.

·

They rarely invade deeper into the body and cannot live on mucous membranes, such as those in the mouth or vagina. Fungi are present everywhere in our environment, including on the human body.

·

They thrive in warm, moist areas, such as locker rooms and swimming pools, and in skin folds.

·

You can get ringworm of the skin by sharing contaminated towels, clothing, and sports equipment, and by direct contact with an infected person.

·

Ringworm is common among wrestlers, probably because of the skin-to-skin contact.

SYMPTOMS Most ringworm infections cause a rash that may be peeling, cracking, scaling, itching, and red. Sometimes the rash forms blisters, especially on the feet. Symptoms of ringworm of the body include a rash: ·

On the chest, stomach, arms, legs, or back.

·

With edges that are red and scaly or moist and crusted. The rash also may have small bumps that look like blisters. The center of the rash may be clear, giving it a ring-shaped appearance, or there may be a cluster of red bumps.

·

That may form large, round patches.

.....Health Naturally - 131.....

Symptoms of ringworm of the face include a rash: ·

On the face, the ears, or both.

·

With a border that may not be very distinct.

·

That may get worse after being in the sun. Symptoms of ringworm of the groin (jock itch) include a rash:

·

On the groin, skin folds, inner thighs, or buttocks. The rash usually does not occur on the scrotum or penis.

·

With edges that are very distinct and may be scaly or have bumps that look like blisters.

·

That may have a red-brown center. Jock itch and athlete’s foot frequently occur at the same time. Symptoms of ringworm on the hand include a rash:

·

On the palm that may be mistaken for eczema.

·

On the palm that is thickened, dry, and scaly, similar to athlete’s foot, while skin between the fingers may be moist and have open sores.

·

On the back of the hand that is red and scaly, with edges that have bumps that look like blisters.

·

Fingernails can also be infected.They become discolored, thick, and even crumble

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·

Ringworm of the skin may be confused with other conditions with similar symptoms, such as eczema or psoriasis.

Diet therapy 6:00 am - neem juice 8:00 am - papaya, almond(10) 1:00 pm - brown rice+veg. 4:00 pm - pomogranate 7:30 - veg soup+boiled moong+papaya DIAGNOSIS Your doctor will diagnose ringworm primarily based on the appearance of the skin. If tests are needed, The fungus may appear florescent when your skin is examined with a blue light (called a Wood’s lamp) in a dark room. - A skin scrapings for microscopic examination [ KOH (potassium hydroxide) preparation]. This test can help your doctor find out whether a fungus is causing your rash A. fungal culture (skin culture) of the affected skin can establish the diagnosis of ringworm. This test can identify the type of fungus that is causing your infection. NATURE CURE AND YOGA TREATMENT Hydrotherapy: Cold immersion bath with neem decoction for 20 minutes daily. Cold hip bath for 20 minutes Warm water enema daily Arm and foot bath with neem decoction for 20 minutes Drink lots of water Massage therapy: Neem oil application .....Health Naturally - 133.....

Mud therapy: Mud application on the areas of ringworm and then washed after ½ an hour Applications: Neem and turmeric paste application Ganji (boiled rice paste) application with turmeric Coconut oil application Juice of tulsi applied on the ringworm Paste of mustard seeds applied and washed with hot water Rub raw papaya slices on the ringworm Paste of papaya seeds can be applied Sunbathing every morning at the first light of dawn Diet therapy: Yoga therapy: Shithalikarna vyayama Suryanamaskar Standing series Tadasana Ardhachakrasana Ardhakatichakrasana Quick relaxation technique Supine series Uttitapadasana Pavanamuktasana Vipareeethakarani Matsyasana Shavasana Prone series Makarasana .....Health Naturally - 134.....

Bujangasana Ardhashalabhasana Deep relaxation technique Pranayama Surya anuloma viloma Suryabedhana Nadishodhana Brahmari Meditation OHM meditation A, U, M kara chanting Kriya Kapalbhathi Vaman dhouthi PREVENTION ·

To avoid ringworm infection, avoid contact with suspicious lesions, wear loose-fitting clothes, avoid sharing clothes, and after showering, dry off completely.

·

Examine all family members for signs of tinea as re-infection may occur.

·

Avoid touching suspicious lesions.

·

Maintain proper hygiene by washing your hands and body frequently and laundering the linens and clothes of an infected family member separately.

·

Avoid contact sports such as wrestling until you have been treating the lesions for at least 48 hours.

·

Keep your skin clean and dry. Change your socks and underwear at least once a day. .....Health Naturally - 135.....

·

Wear loose-fitting cotton clothing. Avoid tight underwear, pants, and panty hose.

·

Always dry yourself completely after showers or baths. After drying your skin with a towel, allow your skin to air-dry before putting your clothes on. You can also use a hair dryer, set on a cool setting, to dry your skin.

·

Do not share clothing, sports equipment, towels, or sheets. If you think you have been exposed to ringworm, wash your clothes in hot water with fungus-killing (fungicidal) soap.

·

Wear slippers or sandals in locker rooms, showers, and public bathing areas.

·

Shower and shampoo thoroughly after any sport that requires skin-to-skin contact.

·

If you have athlete’s foot, put your socks on before your underwear so that fungi do not spread from your feet to your groin. Also, when toweling off after a shower or bath, dry your feet last.

·

Take your pet to a veterinarian if it has patches of missing hair, which may be a sign of a fungal infection. Household pets can spread fungi that cause ringworm in people.

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CHAPTER 15

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT OPIC DERMA DERMATITISTITISTITISTITISTITIS FORAFORAFORAFORAFOR ATOPIC

DESCRIPTION Atopic dermatitis (AD; a type of eczema) is an inflammatory, chronically relapsing, non-contagious and pruritic skin disorder. Atopic dermatitis is a very common, often chronic (long-lasting) skin disease that affects a large percentage of the world’s population. It is also called eczema, dermatitis, or atopy. Most commonly, it may be thought of as a type of skin allergy or sensitivity. The atopic dermatitis triad includes asthma, allergies (hay fever), and eczema. There is and disease, a known it is seen hereditary more incomponent some families. of the

The word “dermatitis” means inflammation of the skin. “Atopic” refers to diseases that are hereditary, tend to run in families, and often occur together. In atopic

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dermatitis, the skin becomes extremely itchy and inflamed, causing redness, swelling, cracking, weeping, crusting, and scaling. Dry skin is a very common complaint and an underlying cause of some of the typical rash symptoms. Although atopic dermatitis can occur in any age, most often it affects infants and young children. In some instances, it may persist into adulthood or actually first show up later in life.

WHAT IS THE DIFFERENCE DERMATITIS AND ECZEMA?

BETWEEN

ATOPIC

Eczema is used as a general term for many types of skin inflammation (dermatitis) and allergic-type skin rashes. There are different types of eczema, like allergic, contact, irritant, and nummular eczema. Several other forms have very similar symptoms. The diverse types of eczema are listed and briefly described below. Atopic dermatitis is typically a more specific set of three associated conditions occurring in the same person including eczema, allergies, and asthma. Not every component has to be present at the same time, but usually these patients are prone to all of these three related conditions. CHARACTERISTICS OF AP The skin of a patient with atopic dermatitis reacts abnormally and easily to irritants, food, and environmental allergens and becomes red, flaky and very itchy. It also becomes vulnerable to surface infections caused by bacteria. The skin on the flexural surfaces of the joints (for example inner sides of .....Health Naturally - 138.....

elbows and knees) are the most commonly affected regions in people. Atopic dermatitis often occurs together with other atopic diseases like hay fever, asthma and conjunctivitis. It is a familial and chronic disease and its symptoms can increase or disappear over time. Atopic dermatitis most often begins in childhood before age 5 and may persist into adulthood. Although atopic dermatitis can theoretically affect any part of the body, it tends to be more frequent on the hands and feet, on the ankles, wrists, face, neck and upper chest. Atopic dermatitis can also affect the skin around the eyes, including the eyelids. In most patients, the usual symptoms that occur with this type of dermatitis are aggravated by a Staphylococcus aureus infection, dry skin, stress, low humidity and sweating, dust or sand or cigarette smoke. Also, the condition can be worsen by having long and hot baths or showers, solvents, cleaners or detergents and wool fabrics or clothing. Atopic dermatitis is also known as infantile eczema, when it occurs in infants. Infantile eczema may continue into childhood and adolescence and it often involves an oozing, crusting rash mainly on the scalp and face, although it can occur anywhere on the body. SITES AFFECTING AP Typical affected skin areas include the folds of the arms, the back of the knees, wrists, face, and hands. Less commonly there may be cracks behind the ears, and various other rashes on any part of the body. CAUSES Allergy Although it is an inherited disease, eczema is primarily aggravated by contact with or intake of allergens. It can also be influenced .....Health Naturally - 139.....

by other factors that affect the immune system such as stress or fatigue. Atopic eczema consists of chronic inflammation; it often occurs in people with a history of allergy disorders such as asthma or hay fever. There is no certain cause of atopic dermatitis. Food allergy may be the cause of atopic dermatitis; food allergy is often present in atopic children. Many dermatologists and physicians test for food allergy in their office. The test is often done as a “pin prick” or “needle prick.” A drop of food extract is placed on the skin, and a small prick in the epidermis is performed. A “wheal” is produced with a positive test. Common food allergen causing eczematous dermatitis includes peanuts, tree nuts, shellfish, fish, milk, and egg. Biological Although it is such a common disease, relatively little is understood about the underlying causes of atopic eczema. While AE is associated with allergic asthma and allergic rhinitis, the connection between the diseases has not been established. Twin studies have consistently shown that the disease has a higher rate of concordance in identical as compared to fraternal twins, which also indicates that genetics plays a role in its development. Environmental factors—nutrition or hygiene, for instance—that also plays a role in disease susceptibility. FACTORS TRIGGERING ITCHING: Exposure to allergens, such as pollen, animal dander, or molds. Dust mites may be an allergen, although experts don’t know whether they affect atopic dermatitis. Exposure to irritants, such as using soaps, rubbing the skin, and wearing wool. .....Health Naturally - 140.....

Exposure to workplace irritants, such as fumes and chemicals. Climate factors, especially winter weather and low humidity. Cold air does not contain much moisture, which can result in drier skin and increased itchiness. Temperature changes. Sudden changes in temperature can result in increased itchiness. A suddenly higher temperature may bring on sweating, which can cause itching. Lying under blankets, entering a warm room, or going from a warm shower into colder air can all promote itching. Emotional stress. Emotions such as frustration or embarrassment may lead to increased itchiness and scratching. Exposure to certain foods, typically eggs, peanuts, milk, soy, or wheat products. Up to 40% of children with moderate to severe atopic dermatitis also have some type of food allergy.4 But experts do not agree on whether foods can cause atopic dermatitis. Excessive washing. Repeated washing dries out the top layer of skin, leading to drier skin and increased itchiness, especially in the winter months when humidity is low. SYMPTOMS Signs and symptoms of atopic dermatitis (eczema) include: o

Red to brownish-gray colored patches

o

Scratching the affected area of skin usually causes a rash. The rash is red and patchy and may be long-lasting (chronic) or come and go (recurring). Be scaly and dry, red, and itchy. This is known as a sub acute

o

(longer-duration) rash. o o o

Become tough and thick from constant scratching Itching, which may be severe, especially at night Small, raised bumps, which may leak fluid and crust over when scratched .....Health Naturally - 141.....

o

Thickened, cracked or scaly skin

o o

Raw, sensitive skin from scratching Increased serum IgE

o

Darkness around eyes

DIAGNOSIS Atopic dermatitis is generally easily diagnosed based on a physical exam and visual inspection of the skin by a physician or dermatologist. Additionally, the history given by the patient and contributory family history help to support the diagnosis. A physician may ask about any history of similar rashes and other medical problems including hay fever (allergies) and asthma. While currently there may be no single specific laboratory test that says unequivocally “this is atopic dermatitis.” A skin biopsy (a sample of a small piece of skin that is sent to the lab for examination under the microscope) may be helpful to establish the diagnosis in harder cases. Additionally, gentle skin swabs (long cotton tip applicator or Q-tip) samples may be sent to the lab to exclude infections of the skin which may mimic atopic dermatitis. NATURE CURE AND YOGA TREATMENT HYDROTHERAPY o o o o

Luke warm salt water enema daily cold hip bath daily for 20 mins neural immersion bath with neem water for 20 mins daily steam bath alternate days for 10 mins .....Health Naturally - 142.....

o

vaman dhouti

o

shankaprakshalana kriya

MASSAGE THERAPY o

Full body massage with neem oil alternate days

MUD THERAPY o

Full mud bath alternate days

o

Mud application to the affected areas

OTHER APPLCATIONS o

Ganji application with turmeric

o

Neem paste application

DIET THERAPY o

6am

methi water

o

8am

:

mosambi juice

o

1pm

:

jowar roti, boiled vegs,

o

4pm

:

tender coconut water

o

6.30pm :

brown rice, boiled vegs, papaya

o

9pm

hot water, lime with jaggery

:

YOGA THERAPY o

Surya namaskar

Standing series o

Adho Mukha Svanasana

o

Padahastasana / Uttanasana (Standing Forward Bend)

o

Ardhachakrasana

o

Ardhakatichakrasana .....Health Naturally - 143.....

Supine series o Uttitapadasana

o

Pavanamuktasana Sarvangasana

o

Matsyasana

o

Prone series

o o

Makarasana Bujangasana

o

Shalabasana

o

Sitting series o

Vajrasana

o

Janu Sirsasana (Head-to-Knee Forward Bend) o

Vakrasana

o

Baddakonasana

Deep realaxation technique Pranayama kapalabhati o

Sitali, sitkari, sadanta

o

Chandra anulomaviloma

o

Chandrabedhana

o

Nadishuddi

Meditation o

Nadanusandhana

o

Ohm meditataion

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CHAPTER 16

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR ECZEMA

DESCRIPTION Eczema is chronic, non-contagious, allergic skin disorder that involves scaly, reddened, cracked, dry and itchy rashes. Rash, which occur chronically without any external cause is called Eczema. Another name for eczema is dermatitis. Dermatitis is inflammation of the skin. Eczema is also called as, infantile eczema; Atopic dermatitis; Dermatitis – atopic. The word eczema comes from the Greek word ekzein meaning “to boil out”; the Greek word ek means “out”, while the Greek word zema means boiling. PATHOLOGY Eczema is due to a hypersensitivity reaction (similar to an allergy) in the skin, which leads to long term inflammation. The inflammation causes the skin .....Health Naturally - 145.....

to become itchy and scaly. Long-term irritation and scratching can cause the skin to thicken and have a leather-like texture. CLASSIFICATION It can be further classified as – ·

Atopic Dermatitis – Chronic skin irritation and is characterized by allergy or hypersensitivity to common substances. This is usually inherited. Symptoms appear during childhood and flare up during adulthood.

·

Contact Dermatitis – Acute rash or irritation caused by cosmetics, soaps, detergents and other chemicals that come in direct contact with the skin.

·

Seborrheic dermatitis – It is also a cause of dandruff around the eyes, face and scalp and there is scaling and flaking.

·

Statis Dermatitis – caused by pooling of blood in the lower legs, is common in middle age. Red, scaly, patches appear around the ankles and inside of the lower leg.

CAUSES The exact cause of eczema is not known. Although it is activated by the immune system and is related to allergic reactions, it is not the same as other allergic reactions. People with eczema do have the IgE antibodies (immunoglobulin E) produced by the immune system as part of allergic reactions. ·

Contact with the external trigger (allergen) causes the skin to become inflamed. The duration of the contact is not important. Eczema can develop on first contact (in days to weeks) or over time with repeated contact (in months to years).

·

Common triggers of eczema include the following: o Soaps .....Health Naturally - 146.....

o

Detergents

o

Weather (hot, cold, humid, or dry)

o o

Environmental allergens Jewelry

o

Creams

o

Food handling

o

Clothing

o

Sweating

o

Gloves

o

Rubbing

o

Bacteria

o

Emotional or mental stress

·

Severe forms of eczema are caused by powerful allergic responses to external agents that cannot be eliminated from the environment.

·

Risk factors for eczema include the following:

·

o

People with severe eczema usually also have hay fever and asthma.

o

Eczema is probably hereditary and often is found in other family members.

o

Eczema is not contagious.

Risk factors for an eczema flare include the following: o

Illness

o

Physical or mental stress

o

Exposure to skin irritants

SYMPTOMS Medical professionals sometimes refer to eczema as “the itch that rashes.” .....Health Naturally - 147.....

·

Usually the first symptom of eczema is intense itching.

·

The rash appears later. It is patchy and starts out as flaky or scaly dry skin on top of reddened, inflamed skin.

·

The rash itches or burns.

·

If it is scratched, it may ooze and become crusty, especially in young children.

·

In adults, the patches are more likely to be brownish, scaly, and thickened.

·

Some people develop red bumps or clear fluid-filled bumps that look “bubbly” and, when scratched, add wetness to the overall appearance.

·

Painful cracks can develop over time.

·

The rash can be located anywhere on the body but is most often found on the face and on the arms and legs, particularly in creases and on hands and feet. This pattern makes sense because the face and extremities are in contact with external agents more than any other part of the body.

·

The itching may be so intense that it interferes with sleep.

·

Ear discharge or bleeding

·

In children younger than age 2, skin lesions begin on the cheeks, elbows, or knees

·

In adults, the rash is more commonly seen on the inside of the knees and elbows

·

Skin coloring changes — more or less coloring than the normal skin tone.

The following can make eczema symptoms worse: Dry skin Exposure to environmental irritants

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Exposure to water Stress Temperature changes DIAGNOSIS A medical professional can usually identify eczema by looking at the rash and asking questions about how it appeared. He or she may scrape some scales off the rash and look at them under the microscope to make sure the rash is not caused by fungus. Other types of infection also must be ruled out. The three key elements in identifying eczema are: ·

Characteristic scaly rash

·

Severe itching

·

Atopy, or a personal or family tendency toward asthma, hay fever, and other allergies

A skin lesion biopsy may be performed, but is not always required to make the diagnosis. NATURE CURE AND YOGA TREATMENT All treatments are taken when there’s no oozing. Hydrotherapy: Cold immersion bath with neem decoction for 20 minutes daily. Cold hip bath for 20 minutes Warm water enema daily Arm and foot bath with neem decoction for 20 minutes Massage therapy: Neem oil application Mud therapy: Mud bath .....Health Naturally - 149.....

Applications: Neem and turmeric paste application Ganji (boiled rice paste) application with turmeric Diet therapy: 6am

:

bottle gourd juice

7am

:

black raisins water (soak 30 raisins in water overnight, grind and strain)

8am

:

2 - 3 banana and 50 gm coconut

1pm

:

sprouts, fruits and salad

4pm

:

tender coconut water

7.30pm :

brown rice, boiled vegs, papaya

9.30pm :

hot water with isabgol

Yoga therapy: Shithalikarna vyayama Suryanamaskar Standing series Tadasana Ardhachakrasana Ardhakatichakrasana Quick relaxation technique Supine series Uttitapadasana Pavanamuktasana Vipareeethakarani Matsyasana Shavasana

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Prone series Bujangasana Makarasana

Ardhashalabhasana Deep relaxation technique Pranayama Surya anuloma viloma Suryabedhana Nadishodhana Brahmari Meditation OHM meditation A, U, M kara chanting Kriya Kapalbhathi Vaman dhouthi Home based cures for Eczema or Dermatitis ·

Wear loose cotton cloth’s, which allows perspiration to evaporate early.

·

Bathe in lukewarm water and limit yourself to 2 showers per week.

·

Resist scratching urge as it can worsen dermatitis.

·

Cold water or milk compresses when applied for an interval of 3 minutes throughout the day can provide temporary relief.

·

For statis dermatitis circulation of blood in the legs can be improved by wearing special support stockings.

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Preventing Eczema or Dermatitis 1. Chlorine is an abrasive chemical so avoid swimming in chlorinated pools. 2. Keep away from substances that you are allergic or hypersensitive. 3. Avoid contact with detergents, use dishwasher and clothes washer, and for bathing use mild soaps. 4. Apply unscented moisturizer to damp-skin immediately after bathing to seal moisture. Apply moisturizer regularly to your hands in cold weather, to keep them soft. Use cool-mist humidifier to moisten indoor air. 5. Avoid physical and mental stress. Eating right, light activity, and adequate sleep will help you stay healthy, which can help prevent flares. 6. Do not expect a quick response. Eczema is easier to control than cure.

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CHAPTER 17

NATURE TURE CURE Y YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR PSORIASIS DESCRIPTION Psoriasis is one of the chronic skin disease characterized by thick, red, silvery scaled patches of the skin. It is a chronic, autoimmune disease that appears on the skin. It occurs when the immune system sends out faulty signals that speed up the growth cycle of skin cells. The scaly patches commonly caused by psoriasis, called psoriatic plaques, are areas of inflammation and excessive skin production. Skin rapidly accumulates at these sites which gives it a silvery-white appearance. Plaques frequently occur on the skin of the elbows and knees, but can affect any area including the scalp, palms of hands and soles of feet, and genitals. In contrast to eczema, psoriasis is more likely to be found on the outer side of the joint.

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It usually appears first at the age ranging from 15-30 years. It affects both the sexes equally. It may disappear at any age. Psoriasis is not contagious. Psoriasis can last a long time, even a lifetime. Symptoms come and go. Things that make them worse include o

Infections

o o

Stress Dry skin

o

Certain medicines

CLASSIFICATION The symptoms of psoriasis can manifest in a variety of forms. Variants include plaque, pustular, guttate and flexural psoriasis. Psoriasis is a chronic relapsing disease of the skin that may be classified into types as follows ·

Non-pustular

·

Pustular

Non-pustular psoriasis ·

Psoriasis vulgaris (Chronic stationary psoriasis, Plaque-like psoriasis).

Plaque psoriasis (psoriasis vulgaris) is the most common form of psoriasis. It affects 80 to people 90% psoriasis. typically ofappears Plaque as psoriasis raised with

areas of inflamed skin covered with silvery white scaly skin. These areas are called plaques. ·

Psoriatic erythroderma (Erythrodermic psoriasis). Erythrodermic psoriasis involves the widespread inflammation .....Health Naturally - 154.....

and exfoliation of the skin over most of the body surface. It may be accompanied by severe itching, swelling and pain. It is often the result of an exacerbation of unstable plaque psoriasis, particularly following the abrupt withdrawal of systemic treatment. This form of psoriasis can be fatal, as the extreme inflammation and exfoliation disrupt the body’s ability to regulate temperature and for the skin to perform barrier functions. Pustular psoriasis Pustular psoriasis appears as raised bumps that are filled with non-infectious pus (pustules). The skin under and surrounding the pustules are red and tender. Pustular psoriasis can be localized, commonly to the hands and feet (palmo plantar pustulosis), generalized or with patches widespread occurring part randomly on any body. of the

Generalized · pustular psoriasis (Pustular psoriasis of von Zumbusch) ·

Pustulosis Palmaris et plantaris (Persistent palmoplantar pustulosis, Pustular psoriasis of the Barber type, Pustular psoriasis of the extremities)

·

Annular pustular psoriasis

·

Acrodermatitis continua

·

Impetigo herpetiformis

Otherpsoriasis Additional types of psoriasis include ·

Drug-induced psoriasis

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· Inverse psoriasis. Flexural psoriasis (inverse psoriasis) appears as smooth inflamed patches of skin. It occurs in skin folds, particularly around the genitals (between the thigh and groin), the armpits, under an overweight stomach (pannus), and under the breasts (inframammary fold). It is aggravated by friction and sweat, and is vulnerable to fungal infections. ·

Napkin psoriasis

·

Seborrhic-like psoriasis

psoriasis Guttate is characterized by numerous small, scaly, red or pink, teardrop shaped lesions. These numerous spots of psoriasis appear over large areas of the body, primarily the trunk, but also the limbs, and scalp. Guttate psoriasis is often preceded by a streptococcal infection, typically streptococcal pharyngitis. The reverse is not true. Occurs in children and young adults. · Nail psoriasis produces a variety of changes in the appearance of finger and toe nails. These changes include discoloring under the nail plate, pitting of the nails, lines going across the nails, thickening of the skin under the nail, and the loosening (onycholysis) and crumbling of the nail. any can connective · affect Psoriatic tissue jointinflammation. but arthritis is most common involves Psoriatic injoint the arthritis joints and

of the fingers and toes. This can result in a sausage shaped swelling of the fingers and toes known as dactylitis. Psoriatic arthritis can also affect the hips, knees and spine (spondylitis). About 10-15% of people who have psoriasis also have psoriatic arthritis. .....Health Naturally - 156.....

SYMPTOMS ·

Psoriasis patient’s skin appears red and irritated, sometimes covered with white silvery scales.

·

It may be associated with itching.

·

The affected areas are extensor surfaces of elbows and knees, the scalp, the trunk and behind the ears.

·

Psoriasis may affect the genital areas and underarms.

·

The lesions may be 1.5cm to several centimeters in size. They are dry and rarely get infected.

CAUSES ·

Psoriasis involves an abnormal skin mechanism where it grows and replaces itself. The abnormality may be due to metabolism of amino- acids, the protein chemicals which are the basic building blocks for the reproduction of cells and tissues.

·

Heredity is another cause.

·

The other causes that aggravate and precipitate the disease are seasonal changes, emotional and physical stress.

·

The injury to the skin in form of cuts, burns, abrasions also precipitate the disease.

·

The use of medicines to treat other disorders, infections also aggravates psoriasis.

DIAGNOSIS Is usually simple. The lesions are typical with sharp margins, scaly and silvered. A diagnosis of psoriasis is usually based on the appearance of the skin. .....Health Naturally - 157.....

There are no special blood tests or diagnostic procedures for psoriasis. Sometimes a skin biopsy, or scraping, may be needed to rule out other disorders and to confirm the diagnosis. Skin from a biopsy will show clubbed Rete pegs if positive for psoriasis. Another sign of psoriasis is that when the plaques are scraped, one can see pinpoint bleeding from the skin below (Auspitz’s sign). NATURE CURE TREATMENT Hydrotherapy: Hot water Epsom salt immersion bath with friction every alternate day. Cold immersion bath with neem decoction for 20 minutes daily. Cold hip bath for 20 minutes Warm water enema daily Arm and foot bath with neem decoction for 20 minutes Massage therapy: Neem oil application daily Mud therapy: Mud bath daily Applications: Neem and turmeric paste application Ganji (boiled rice paste) application with turmeric Diet therapy: 6am 7am 8am 1pm 4pm 7.30pm

: : : : : :

20 neem leaves tea coconut water carrot juice coconut, raw salad, banana mosambi juice all fruits, coconut grated .....Health Naturally - 158.....

9.30pm Yoga therapy:

:

hot water with isabgol

Shithalikarna vyayama Suryanamaskar Standing series Tadasana Ardhachakrasan Ardhakatichakrasana Quick relaxation technique Supine series Uttitapadasana Pavanamuktasana Vipareethakarni Matsyasana Shavasana

Prone series Bujangasana Makarasana

Ardhashalabhasana Deep relaxation technique Pranayama Surya anuloma viloma Suryabedhana Nadishodhana Bhramari Meditation OHM meditation A, U, M Kara chanting Kriya Kapalbhati Vamana dhouti .....Health Naturally - 159.....

CHAPTER 18

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR VITILIGO

Vitiligo is a chronic disorder that causes depigmentation in patches of skin. It occurs when melanocytes, the cells responsible for skin pigmentation, die or are unable to function. Vitiligo (vit-ill-EYE-go) is a pigmentation disorder in which melanocytes (the cells that make pigment) in the skin are destroyed. As a result, white patches appear on the skin in different parts of the body. Similar patches also appear on both the mucous membranes (tissues that line the inside of the mouth and nose), and the retina (inner layer of the eyeball). The hair that grows on areas affected by vitiligo sometimes turns white. Vitiligo is appearance of single or multiple depigmented patches on any part of the body. These patches gradually increase in size & cause lot of psychological stress in the patient. Vitiligo is an autoimmune disease. Some patients have other autoimmune diseases, such as thyroid disease. Several genes have been associated with vitiligo that would encourage the immune system to attack

.....Health Naturally - 160.....

melanocytes. Most of those genes are in the immune system, but some are in the melanocyte itself. Vitiligo is also known as ‘Leucoderma’. In India, it is called ‘safed kod’ or ‘safed dag’ and is considered as a social stigma. The incidence worldwide is less than 1%. The most common form is non-segmental vitiligo. The incidence is a little higher in India. Leucoderma is, however, more common in women than men. Melanocytes are derived embryologically from the neural crest. Leucoderma is not caused by any germs; nor is it due bad blood. It is neither infectious nor contagious. It cannot be transmitted from one person to another by physical contact.

Vitiligo of the hand in a

Vitiligo in a light-skinned individual

dark-skinned individual CAUSES The cause of vitiligo is not known, but doctors and researchers have several different theories. There is strong evidence that people with vitiligo inherit a group of three genes that make them susceptible to depigmentation. The most widely accepted view is that the depigmentation occurs because vitiligo is an autoimmune disease — a disease in which a person’s immune system reacts against the body’s own organs or tissues. As such, people’s bodies produce proteins called cytokines that alter their pigment-producing cells and cause these cells to die. .....Health Naturally - 161.....

Another theory is that melanocytes destroy themselves. Finally, some people have reported that a single event such as sunburn or emotional distress triggered vitiligo; however, these events have not been scientifically proven as causes of vitiligo. Leucoderma (vitiligo) is not caused by any germs, nor is it due to bad blood. Skin trauma. Sunburn. Mental worry (stress). Heredity is also causative factor and about 30 percent of patients have history of the disorder. Physical illness Accidental as a cut, burn or an ulcer. With due reasons the melanocytes cells which produce melanin pigment gets damaged. Due to this damage the pigmentation gradually disappears from the affected areas and the skin converts white there resulting into a white patch. chronic or acute gastric disorder, impaired hepatic function such as jaundice, worms or other parasites in the alimentary canal, ailments like typhoid which affect the gastrointestinal tract, Defective perspirative mechanism and burn injuries. Cause of Vitiligo could be improper hygiene, inappropriate food combinations, regular junk food intake, insecticide/pesticide treated green vegetable intake regularly, SITE The most notable symptom of vitiligo is depigmentation of patches of skin that occurs on the extremities. Although patches are initially small, .....Health Naturally - 162.....

they often enlarge and change shape. When skin lesions occur, they are most prominent on the face, hands and wrists. Depigmentation is particularly noticeable around body orifices, such as the mouth, eyes, nostrils, genitalia and umbilicus. TYPES Non-segmental vitiligo/generalized This is the most common o

In non-segmental vitiligo (NSV), there is usually some form of symmetry in the location of the patches of depigmentation.

o

Generalized vitiligo often first appears on the hands, fingertips, wrists, around the eyes or mouth, or on the feet.

o

Generalized vitiligo commonly spreads to the face, lips, hands, arms, legs, or genitals. New patches also appear over time and can be generalized over large portions of the body or localized to a particular area.

o

Vitiligo where little pigmented skin remains is referred to as vitiligo universalis.

o

NSV can come about at any age, unlike segmental vitiligo which is far more prevalent in teenage years.

o

It often begins with a rapid loss of skin color.

o

Cycles of pigment loss, followed by times when the pigment does not change, may continue indefinitely over a person’s life.

o

This type also may be called bilateral vitiligo because it causes loss of skin color on both sides of the body. Segmental vitiligo

o

This type tends to begin at an early age, progress for a year or two, and then stop.

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o

It is called segmental because color loss tends to be confined to one segment of the body.

o

A segment of hair on the head, an eyelash, or an eyebrow may turn white, almost always on just one side of the body.

o

Segmental vitiligo also may be called unilateral vitiligo because when it develops on the face, arm, trunk, or leg, it occurs on one side of the body.

o

Segmental vitiligo (SV) differs in appearance, etiology and prevalence from associated illnesses.

o

Its treatment is different from that of NSV.

o

It tends to affect areas of skin that are associated with dorsal roots from the spine.

o

It spreads much more rapidly than NSV and, without treatment, it is much more stable/ static in course and not associated with auto-immune diseases and a very treatable condition that responds to topical treatment Trichrome vitiligo three shades of color — brown, tan, and white — develop on the skin.

SYMPTOMS Lecucoderma usually starts with a small white spot and later on it develops into patches. These patches are pale in the beginning but become whiter and whiter as time passes due to loss of pigment. As spots enlarge, they merge into each other and, in course of time, form a very broad patch. In some cases, most of the skin of the body may be covered with white patches in Lecucoderma. People who develop vitiligo usually first notice white patches (depigmentation) on their skin. .....Health Naturally - 164.....

These patches are more commonly found on sun-exposed areas of the body, including the hands, feet, arms, face, and lips. Other common areas for white patches to appear are the armpits and groin, and around the mouth, eyes, nostrils, navel, genitals, and rectum. Vitiligo generally appears in one of three patterns: o

focal pattern — the depigmentation is limited to one or only a few areas

o

segmental pattern — depigmented patches develop on only one side of the body

o

Generalized pattern — the most common pattern. Depigmentation occurs symmetrically on both sides of the body.

In addition to white patches on the skin, people with vitiligo may have premature graying of the scalp hair, eyelashes, eyebrows, and beard. People with dark skin may notice a loss of color inside their mouths. DIAGNOSIS The diagnosis of vitiligo is made based on a o

physical examination,

o

medical history, and

o

Laboratory tests.

o

Taking a small sample (biopsy) of the affected skin to be examined

o

An eye exam.

o

A device called a Wood’s lamp, which shines ultraviolet (UV) light onto the skin, may be used to help the dermatologist distinguish vitiligo from other skin conditions.

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NATURE CURE AND YOGA THERAPY DIET THERAPY A nutritious, well-balanced, healthy diet is strongly recommended in cases of vitiligo. It can help balance your immune system and protect you from disease. It will also help recover from skin discoloration by providing essential vitamins & minerals that take part in the process that leads to the formation of new pigment. ·

The ascorbic acid in citrus fruits tends to reduce melanin pigmentation.

·

So the vitiligo patients are restricted to take the citrus foods.

·

It is better to avoid even the milk and milk products to some extent as the milk protein may decrease repigmentation rate.

·

Chickpeas (black/red gram or desi chana), Greens and Red Radish, Beetroots, Carrots and Black dates may be taken.

·

These are helpful in coverage of a white patch.

Restrict

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Lower Intake (can take once/twice a week)

Add Diet

Eat celery. Celery contains psoralen and psoralen has been known to increase the skin’s natural reaction to sunlight. It is hence recommended that vitiligo people should prefer the following in their food Vegetables like Green Leaves, Beetroots, Spinach Broccoli, Brussels sprouts, cabbage, Carrots Fruits: like Peaches and Apricots apple, banana mangoes, Black dates Grains: Whole grains like porridge an whole wheat products are better than the highly refined carbohydrates like pasta. Pulses & Legumes: Chickpeas have recently been shown in India to be very helpful in vitiligo .....Health Naturally - 167.....

Protein: Vegetable proteins especially from Soya beans have been found useful for controlling the skin depigmentation. Animal proteins like meat and fish are however generally discouraged by the herbalists. Oils and fats: Vegetable oils like Olive oil are rich in good fats keep you healthy anyways. Nuts: (are also very useful because of a high content of vitamin E and the “good fats” that are beneficial for skin. Fluids and water: Adequate hydration is an important component of healthy diet which should not be ignored Here are some recommended foods with potent natural chemicals improving our skin condition and stay healthy, for instance, oats, whole Grains, spinach, tomatoes, garlic, fruits, blueberries, nuts etc. Grains: In general, a huge source of vitamins, fibers and minerals may be taken from whole grain foods. Whole-grain foods are great source of fibers, vitamins, minerals and “oligoelements”. Oats: contain vitamin E, enhance immune response to infection, it is studied by experts and reported in surgery beta-glucan radically activates the human immune system to bacterial infection. Beta-glucan also enhances their ability to eliminate the bacteria they find there also helps reduce cholesterol and high blood pressure. Vegetables: Spinach: it is leafy vegetable contains a massive source of iron, and folic acid, helps reduce blood levels of homocysteine, a naturally generating substance that may damage blood vessels. It also contains phytochemicals that help prevent degeneration and protect your skin. Tomatoes: are rich and huge source of Vitamin C. it contains lycopene, the most powerful antioxidant among the carotenoids, that give fruits and vegetables an orange color. Vitamin C is also referred to as ascorbic acid is essential for normal body functioning. .....Health Naturally - 168.....

Broccoli, Brussel sprouts, cabbage: Contains abundant phytochemicals which are good, protective substances found in vegetables and fruits that may prevent skin cancer and balance the immune response, vitamin C, beta-carotene (it should not be overcooked). Garlic: an unpleasant stink vegetable not eating raw protects the heart and skin, has antibacterial properties. It is an excellent source of manganese, vitamin B6 and vitamin C and garlic is also a good source of protein and thiamin (vitamin B1) as well as the minerals phosphorus, selenium, calcium, potassium, iron and copper. Cabbage is a good source of vitamin C, fiber, manganese, folate, vitamin B6, potassium, and omega-3 fatty acieds. Cabbage also contains photochemical called indoles and sulforaphane, the breakdown products of compounds called glucosinolates. Fruits: Fruits Contain different combinations of nutrients, vitamins, minerals, phytonutrients, and antioxidants of great benefit for your body in general and very important for your skin. Blueberries - Probably contain more anti-oxidants than any other fruit or vegetables. It also contains powerful photochemical anthocyanins that not only protect the skin but boost brain efficiency including memory Other sources: Olive oil: having high efficiency for health, protective fat”, helps absorb beneficial substances in vegetables. Nuts: contain protective photochemical and “good fats”, all beneficial for your skin, rich in vitamin E Diet chart: 6am :

lemon grass tea

8am :

pomegranate, apple, 8 almonds

1pm :

Sprouts, raw vegetables, fruits, grated coconut

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4pm :

bananas and honey

6.30pm:

all fruits, grated coconut, dates and figs

Hydrotherapy: o

Warm water enema alternate days

o

Cold hip bath daily once

o

Cold immersion bath weekly twice

Massage therapy: o

Full body oil massage

Mud therapy: o

Full mud bath

o

Partial massage to the affected area

Yoga therapy: o

Surya namaskar

Standing series o

Adho Mukha Svanasana

o

Padahastasana / Uttanasana (Standing Forward Bend)

o

Ardhachakrasana

o

Ardhakatichakrasana

Supine series o

Uttitapadasana

o

Pavanamuktasana

o

Sarvangasana

o

Matsyasana

o

Prone series .....Health Naturally - 170.....

o

Makarasana

o

Bujangasana

o

Shalabasana

Sitting series o

Vajrasana

o

Janu Sirsasana (Head-to-Knee Forward Bend) o

Vakrasana

o

Baddakonasana

Deep realaxation technique Pranayama kapalabhati o

Sitali, sitkari, sadanta

o

Chandra anulomaviloma

o

Chandrabedhana

o

Nadishuddi

Meditation o

Nadanusandhana

o

Ohm meditataion

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CHAPTER 19

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR SCLERODERMA

DESCRIPTION Scleroderma is a chronic autoimmune disease characterized by fibrosis (or hardening), vascular alterations, and auto-antibodies. Scleroderma means hard skin. It is a group of diseases that causes abnormal growth of connective tissue, the proteins that support your skin and organs. Scleroderma is an autoimmune disease of the connective tissue. Autoimmune diseases are illnesses which occur when the body’s tissues are attacked by its own immune system. Scleroderma is characterized by the formation of scar tissue (fibrosis) in the skin and organs of the body. This leads to thickness and firmness of involved areas. Scleroderma, when it’s diffuse or widespread over the body, is also referred to as systemic sclerosis.

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Also called: Circumscribed scleroderma, Dermatosclerosis, Morphea, Systemic sclerosis Some types of scleroderma are limited to skin thickening and tightening. Other types involve blood vessels and internal organs. Scleroderma is derived from the Greek words skleros (hard or indurated) and derma (skin). Hippocrates first described this condition as thickened skin. CLASSIFICATION There are two broad types of scleroderma – Localized Generalized (also referred to as systemic sclerosis). Localized scleroderma primarily affects the skin and is further divided into morphea (hard, oval patches on the skin) and linear (a distinct line of thickened and abnormally colored skin often affecting arms, legs, or the forehead). Systemic sclerosis is divided into o

Limited scleroderma (gradual onset, restricted to certain areas of the body, can affect internal organs later) and

o

Diffuse scleroderma (sudden onset, thickening covers larger area and can affect internal organs).

o

Sine scleroderma, which some consider a third category of systemic sclerosis,

Limited systemic sclerosis/scleroderma’s cutaneous manifestations mainly affect the hands, arms and face. o

Previously called CREST syndrome in reference to the following complications: Calcinosis, Raynaud’s .....Health Naturally - 173.....

phenomenon, esophageal dysfunction, Sclerodactyly, and Telangiectasias. o

Additionally, pulmonary arterial hypertension may occur in up to one third of patients and is the most serious complication for this form of scleroderma.

o

The skin changes and other features of disease tend to occur more slowly than in the diffuse form.

o

Because a characteristic clinical pattern can occur in patients with the limited form of scleroderma, this form has taken another name which is composed of the first initials of the common components. This name represents the following features:

o C...Calcinosis refers to the formation of tiny deposits of calcium in the skin. This is seen as hard whitish areas in the superficial skin, commonly overlying the elbows, knees, or fingers. These firm deposits can be tender, can become infected, and can fall off spontaneously or require surgical removal. This is the least common of the CREST scleroderma variant features. o R...Raynaud’s phenomenon refers to the spasm of the tiny artery vessels supplying blood to the fingers, toes, nose, tongue, or ears. These areas turns blue, white, then red after exposure to extremes of cold, or even sometimes with extremes of heat or emotional upset. o E...Esophagus disease in scleroderma is characterized by poorly functioning muscle of the lower two-thirds of the esophagus. This can lead to an abnormally wide esophagus which allows stomach acid to backflow into the esophagus to cause heartburn, inflammation, and potentially scarring. This can eventually lead to difficulty in passing food from the mouth through the esophagus into the stomach. Symptoms of heartburn are treated aggressively in patients with scleroderma in order to prevent injury to the esophagus.

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o S...Sclerodactyly refers to the localized thickening and tightness of the skin of the fingers or toes. This can give them a “shiny” and slightly puffy appearance. The tightness can cause severe limitation of motion of the fingers and toes. These skin changes generally progress much slower that those of patients with the diffuse form of scleroderma. o T...Telangiectasias are tiny red areas, frequently on the face, hands and in the mouth behind the lips. These areas blanch when they are pressed upon and represent dilated capillaries. Diffuse systemic sclerosis/scleroderma is rapidly progressing and affects a large area of the skin and one or more internal organs, frequently the kidneys, esophagus, heart and lungs. o

This form of scleroderma can be quite disabling.

o

There are no treatments for scleroderma itself, but individual organ system complications are treated.

o

The diffuse form of scleroderma (systemic sclerosis) involves symmetric thickening of skin of the extremities, face, and trunk (chest, back, abdomen, or flanks) which can rapidly progress to hardening after an early inflammatory phase.

o

Organ disease can occur early on and be serious.

o

Organs affected include the esophagus, bowels, lungs with scarring (fibrosis), heart, and kidneys. High blood pressure can be a troublesome side effect.

Systemic sine scleroderma, which lacks skin changes, but has systemic manifestations, and two localized forms which affect the skin, but not the internal organs: morphea, and linear scleroderma Morphea o Reddish patches of skin that thicken into firm oval-shaped areas are distinctive of the morphea type of localized scleroderma The center of the patches are ivory, with violet borders that can occur on the:

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· chest · stomach · back · face · arms · legs o

The patches typically sweat little and have little hair growth.

o

Morphea too can be localized (limited to one or several patches, ranging from half-inch to 12 inches in diameter)

o

Or generalized (skin patches are hard and dark and spread over larger areas of the body.)

o

Morphea generally fades out in 3 to 5 years but people can have dark skin patches and sometimes, though rare, muscle weakness can remain. Linear

o

A distinctive single line or band of thickened and/or abnormally colored skin.

o

The line typically runs down an arm or leg but can run down the forehead.

CAUSES The cause is unknown. o

Scleroderma runs in families,

o

The genes have not been identified. Researchers have found some evidence that genes are important factors. The fact that genes seem to cause a predisposition to developing scleroderma means that inheritance at least plays a partial role.

o

But the environment seems to also play a role.

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o

The result is activation of the immune system, causing injury to tissues that result in injury similar to scar tissue formation.

o

It is not unusual to find other autoimmune diseases in families of scleroderma patients.

o

The disease is more frequent in females than in males.

SYMPTOMS Symptoms o Calcium of scleroderma deposits in include connective tissues

o

Thick, tight skin on your fingers

o

Red spots on your hands and face

o

Scleroderma affects the skin to cause local or widespread signs of inflammation (redness, swelling, tenderness, itching, and pain) that can lead to skin tightness or hardening

o

This can lead to decreased range of motion of the fingers, toes, and jaw. Tiny areas of calcification (calcinosis), while not common, can sometimes be noticed as hard nodules at the tips of the elbows or in the fingers.

o

Scleroderma affecting the esophagus leads to heartburn. This is directly a result of stomach acid flowing back up into the esophagus. Sometimes this can lead to scarring of the esophagus with difficulty swallowing and/or localized pain in the central chest.

o

Blood vessels that can be affected include the tiny arterioles of the finger tips, toes, and elsewhere. These vessels can have a tendency to spasm when the areas are exposed to cold, leading to blueness, whiteness, and redness of .....Health Naturally - 177.....

involved fingers, toes, and sometimes nose or ears. These color changes are referred to as Raynaud’s phenomenon. Raynaud’s phenomenon can cause inadequate supply of oxygen to the involve tips of fingers or toes, causing tiny ulcers or blackened (dead) skin. Sometimes Raynaud’s phenomenon is also associated with tingling. Other blood vessels that can be involved in scleroderma are the tiny capillaries of the face, lips, mouth, or fingers. These capillaries widen (dilate) forming tiny, red blanching spots, called telangiectasias o

Elevated blood pressure is potentially serious and can lead to kidney damage. Symptoms include headache, fatigue, and in severe cases, stroke.

o

Inflammation of the lungs in scleroderma can cause scarring, resulting in shortness of breath, especially with physical exertion. Elevated pressure in the arteries to the lungs (pulmonary hypertension) can also cause shortness of breath and difficulty getting an adequate breath with activity.

o

Scleroderma affecting the large bowel (colon) most often causes constipation but can also lead to cramping and diarrhea. When this is severe, it complete stool blockage (fecal impaction) can result.

DIAGNOSIS A diagnosis of scleroderma is based largely on the medical history and findings from the physical exam. Scleroderma isn’t always easy to diagnose; it may take time for you and your doctor to establish a diagnosis. While having a definite diagnosis may be helpful, knowing the precise form of your disease is not needed to receive proper treatment. Depending on your particular symptoms, a diagnosis of scleroderma may be made by: .....Health Naturally - 178.....

a general physician a dermatologist an orthopedist a pulmonologist a rheumatologist Nearly all patients with scleroderma have Blood tests which suggest autoimmunity, antinuclear antibodies (ANAs). A particular antibody, the anticentromere antibody, is found almost exclusively in the limited, or CREST, form of scleroderma. Anti-Scl 70 antibody (antitopoisomerase I antibody) is most often seen in patients with the diffuse form of scleroderma. Other tests are used to evaluate the presence or extent of any internal disease. These may include upper and lower gastrointestinal tests to evaluate the bowels, chest x-rays, lung function testing, and CAT scanning to examine the lungs, EKG Echocardiograms, sometimes heart catheterization to evaluate the pressure in the arteries of the heart and lungs. NATURE CURE AND YOGA TREATMENT HYDROTHERAPY o

Luke warm salt water enema daily

o

cold hip bath daily for 20 mins

o

neural immersion bath with neem water for 20 mins daily .....Health Naturally - 179.....

o

steam bath alternate days for 10 mins

o

vaman dhouti

o

shankaprakshalana kriya

MASSAGE THERAPY o

Full body massage with neem oil alternate days

MUD THERAPY o

Full mud bath alternate days

o

Mud application to the affected areas

OTHER APPLCATIONS o

Ganji application with turmeric

o

Neem paste application

DIET THERAPY o

6am

:

herbal tea

o

7am

:

figs water ( soak 3 figs in 200 ml water overnight, grind and serve)

o

8.30am

:

cows milk, 4 garlic, 2 tea spoon honey

o

11am

:

apple juice

o

1pm

:

brown rice, boiled vegs, moong dhal

o

4pm

:

mosambi juice

o

6.30pm

:

Ragi roti, butter, boiled vegs, 4 garlic roasted in ghee

o

9pm

:

milk with shatavari

YOGA THERAPY o

Surya namaskar

Standing series o

Adho Mukha Svanasana

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o

Padahastasana / Uttanasana (Standing Forward Bend)

o

Ardhachakrasana

o

Ardhakatichakrasana

Supineseries o Uttitapadasana o

Pavanamuktasana

o o

Sarvangasana Matsyasana

o

Prone series

o

Makarasana

o

Bujangasana

o

Shalabasana

Sitting series o

Vajrasana

o

Janu Sirsasana (Head-to-Knee Forward Bend) o

Vakrasana

o

Baddakonasana

Deep realaxation technique Pranayama kapalabhati o

Sitali, sitkari, sadanta

o

Chandra anulomaviloma

o

Chandrabedhana

o

Nadishuddi

Meditation o

Nadanusandhana

o

Ohm meditataion

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CHAPTER 20

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR MIGRAINE

Migraine attacks commonly activate the sympathetic nervous system in the body. The sympathetic nervous system is often thought of as the part of the nervous system that controls primitive responses to stress and pain, the so-called “fight or flight” response, and this activation causes many of the symptoms associated with migraine attacks; for example, The increased sympathetic nervous activity in the intestine causes nausea, vomiting, and diarrhea. Sympathetic activity also delays emptying of the stomach into the small intestine and thereby prevents oral medications from entering the intestine and being absorbed. The impaired absorption of oral medications is a common reason for the ineffectiveness of medications taken to treat migraine headaches. The increased sympathetic activity also decreases the circulation of blood, and this leads to pallor of the skin as well as cold hands and feet. .....Health Naturally - 182.....

The increased sympathetic activity also contributes to the sensitivity to light and sound sensitivity as well as blurred vision. TYPES: Migraines are classified according to the symptoms they produce. The two most common types are Migraine with aura and Migraine without aura. Less common types include the following: Abdominal migraine Basilar artery migraine Carotidynia Headache-free migraine (auro without migraine) Ophthalmoplegic migraine/Ocular migraine Status migrainosus Some women experience migraine headaches just prior to or during menstruation. These headaches, which are called menstrual migraines, may be related to hormonal changes and often do not occur or lessen during pregnancy. Other women develop migraines for the first time during pregnancy or after menopause. MIGRAINE WITH AURA is characterized by a neurological phenomenon (aura) that is experienced 10 to 30 minutes before the headache. Most auras are visual and are described as bright shimmering lights around objects or at the edges of the field of vision (called scintillating scotomas) or zigzag lines, castles (teichopsia), wavy images, or hallucinations. Others experience temporary vision loss. Non-visual auras include motor weakness, speech or language abnormalities, dizziness, vertigo, and tingling or numbness (parasthesia) of the face, tongue, or extremities.

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MIGRAINE WITHOUT AURA is the most prevalent type and may occur on one or both sides (bilateral) of the head. Tiredness or mood changes may be experienced the day before the headache. Nausea, vomiting, and sensitivity to light (photophobia) often accompany migraine without aura. ABDOMINAL MIGRAINE is most common in children with a family history of migraine. Symptoms include abdominal pain without a gastrointestinal cause (may last up to 72 hours), nausea, vomiting, and flushing or paleness (pallor). Children who have abdominal migraine often develop typical migraine as they age. BASILAR ARTERY MIGRAINE involves a disturbance of the basilar artery in the brainstem. Symptoms include severe headache, vertigo, double vision, slurred speech, and poor muscle coordination. This type occurs primarily in young people. CAROTIDYNIA, also called lower-half headache or facial migraine, produces deep, dull, aching, and sometimes piercing pain in the jaw or neck. There is usually tenderness and swelling over the carotid artery in the neck. Episodes can occur several times weekly and last a few minutes to hours. This type occurs more commonly in older people. Doppler ultrasound studies of the carotid arteries are normal. HEADACHE-FREE MIGRAINE is characterized by the presence of aura without headache. This occurs in patients with a history of migraine with aura. OPHTHALMOPLEGIC MIGRAINE begins with a headache felt in the eye and is accompanied by vomiting. As the headache progress, the eyelid droops (ptosis) and nerves responsible for eye movement become paralyzed. Ptosis may persist for days or weeks. STATUS MIGRAINE is a rare type involving intense pain that usually lasts longer than 72 hours. The patient may require hospitalization. VERTEBROBASILAR MIGRAINES are characterized by dysfunction of the brainstem (the lower part of the brain that is responsible for automatic activities like consciousness and balance). .....Health Naturally - 184.....

The symptoms of vertebrobasilar migraines include: ·

fainting as an aura,

· ·

vertigo (dizziness in which the environment seems to be spinning), Double vision.

HEMIPLEGIC MIGRAINES are characterized by: ·

paralysis or weakness of one side of the body,

·

Mimicking a stroke.

The paralysis or weakness is usually temporary, but sometimes it can last for days. RETINAL, OR OCULAR, MIGRAINES are rare attacks characterized by repeated instances of scotomata (blind spots) or blindness on one side, lasting less than an hour that can be associated with headache. Irreversible vision loss can be a complication of this rare form of migraine.

TRIGGER FACTORS: A trigger is any stimulus that initiates a process or reaction. Commonly identified migraine triggers include the following: Anxiety Skipping meals or fasting Exposure to light .....Health Naturally - 185.....

Alcohol (e.g., red wine) Environmental factors (e.g., weather, altitude, time zone changes) Exertion Foods that contain caffeine (e.g., coffee, chocolate), monosodium glutamate (MSG; used to enhance flavor in several processed foods and in Chinese food), nitrates (found aspartame) in processed foods, hot dogs), and artificial sweeteners (e.g.,

Glare, contrasting patterns Hormonal changes in women Hunger Lack of sleep Medications (over-the-counter and prescription) Perfume Stress CAUSES: The cause of migraine is unknown. The condition may result from a series of reactions in the central nervous system caused by changes in the body or in the environment. There is often a family history of the disorder, suggesting that migraine sufferers may inherit sensitivity to triggers that produce inflammation in the blood vessels and nerves around the brain and scalp, causing pain. Decrease in brain chemical serotonin may be one of the cause. When the chemical content diminishes below the level, the blood vessels widen and lead to the sensation of throbbing pain in the head.

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The other causes may be dietary, hormonal, environmental, chemical and behavioral in nature. Allergy to certain physical conditions and substances when exposed for prolonged period, may develop migraine. Typical perfumes and odors, unusual sleeping patterns, dehydration leads to migraine. Acute emotional and physical stress Caffeine and alcohol consumption Foods containing tyramine, like aged cheese, red wine, fish, figs, chicken livers and some beans. Alterations in weather pattern like, humidity in the weather change in the air pressure, warm Chinook winds. Behavioral pattern: conscientiousness, fastidiousness, rigidity of views, constant conflict between the environment and self, high level of expectation. SIGNS AND SYMPTOMS The episodes of pain are periodic, may be daily, weekly, fortnightly, monthly or irregular. Migraine is a chronic condition with recurrent attacks. Most (but not all) migraine attacks are associated with headaches. Migraine headaches usually are described as an intense, throbbing or pounding pain that involves one temple. (Sometimes the pain is located in the forehead, around the eye, or at the back of the head). The pain usually is unilateral (on one side of the head), although about a third of the time the pain is bilateral (on both sides of the head). The unilateral headaches typically change sides from one attack to the next. (In fact, unilateral headaches that always occur on .....Health Naturally - 187.....

the same side should alert the doctor to consider a secondary headache, for example, one caused by a brain tumor). A migraine headache usually is aggravated by daily activities such as walking upstairs. Nausea, vomiting, diarrhea, facial pallor, cold hands, cold feet, and sensitivity to light and sound commonly accompany migraine headaches. As a result of this sensitivity to light and sound, migraine sufferers usually prefer to lie in a quiet, dark room during an attack. A typical attack lasts between 4 and 72 hours. An estimated 40%-60% of migraine attacks are preceded by premonitory (warning) symptoms lasting hours to days. The symptoms may include: sleepiness, irritability, fatigue, depression or euphoria, yawning, and Cravings for sweet or salty foods. Patients and their family members usually know that when they observe these warning symptoms that a migraine attack is beginning. DIAGNOSIS Migraine headaches are usually diagnosed when the symptoms described previously are present. Migraine generally begins in childhood to early adulthood. While migraines can first occur in an individual beyond the age of fifty, advancing age makes other types of headaches more likely. A family history usually is present, suggesting a genetic predisposition in migraine sufferers. The examination of individuals with migraine attacks usually is normal. Patients with the first headache ever, worst headache ever, a significant change in the characteristics of headache or an association of the .....Health Naturally - 188.....

headache with nervous system symptoms, like visual or hearing or sensory loss, may require additional tests to exclude diseases other than migraine. The tests may include blood testing, brain scanning (either CT or MRI), and a spinal tap. NATUROPATHY AND YOGA TREATMENT: 1. Preventive Measures Treat the underlying precipitating factor i.e. indigestion and constipation by cleansing the bowels by warm water enema for the first 2–3 days. Regular practice of Yogasanas, kriya, and pranayama improves health and relaxes the body. Regular practice of yoganidra or shavasan or progressive relaxation or biofeedback helps relax the body and the mind leading to prevention of migraine. Other general measures adopted to improve the functioning capacity of the digestive system also help in the treatment of migraine. 2. Before An Attack Avoid consumption of condiments, pickles, sugar, tea, coffee, tobacco, alcohol and heavy spicy food on the onset of attack. Hot fomentation to the back of the neck before the onset of the attack is also beneficial. 3. For Relief During Attack Head massage followed by hot foot immersion, a cold trauma and cold pack help to relieve the symptoms. Induced vomiting relieves pressure by emptying the stomach. .....Health Naturally - 189.....

Steam inhalation dilates blood vessels of the face and diverts the blood flow relieving the symptoms of migraine to a certain extent. Hot foot and arm bath diverts the blood to the upper and lower limbs and thus help in relieving the symptoms. 4. General Measures Steam and sauna baths open up sweat pores; help to eliminate toxins from the body through the sweat, which cleanses the internal system. Warm water immersion baths, which diverts blood to the periphery if taken for a prolonged period is also beneficial. full body massage once in a week Partial massage to head twice weekly. partial massage to abdomen, Mud to head twice weekly Full mud bath. Hot foot and arm bath, contrast foot bath, hot and Cold hip bath (twice a week fomentation and pack. Diet therapy: 6am

:

tender coconut water

8am

:

milk, papaya, figs

11am

:

bottle gourd juice

1pm

:

brown rice, boiled vegs, papaya

4pm

:

juice of 200gm carrot and 100gm spinach

6.30pm :

brown rice, milk

9.30pm :

hot water, ginger powder, jaggery .....Health Naturally - 190.....

Yogasanas Kriya: Jalaneti, Vamana dhouti Laghu Shankhaprakshalana, Suryanamaskar, Standing series Ardhakatichkrasan Ardhachakrasan Tadasana

Padahastasana Supine series Uttitapadasana Pavanamuktasana Vipareethakarni Matsyasana Quick relaxation technique

Prone series Bujangasana Makarasana

Ardhashalabhasana Sitting series Paschimottanasana, Vajrasana

Gomukhasana Vakrasana

Ardhamatsyendrasana

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Baddhakonasan Deep relaxation technique Pranayama Shitali, shitkari, Sadanta Chandranuloma viloma Chandrabedhana Nadishodana Bhramari Meditation A, U, M Kara chanting OHM Kara chanting Bajans Yoga nidra DOS AND DON’TS FOR CONTROLLING MIGRAINE do’s: o

Do keep a record of attacks

o

Do keep as fit as possible. Regular exercise will also help you to relax more easily.

o

Do eat regularly. Low blood sugar can set off migraine attacks.

o

Do learn to cope with stress.

o

Do rest in dark, quiet place if you feel an attack coming on, and take preventive medication.

o

Do discuss treatment regularly with your doctor.

Don’ts o

Stay away from noise and bright lights as these aggravate the symptoms of migraine.

o

Don’t drive when you have an attack.

o

Don’t prolong attacks by trying to ignore them. .....Health Naturally - 192.....

CHAPTER 21

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR CONSTIP CONSTIPATIONTIONTIONTIONTION

DESCRIPTION Constipation is a condition of the digestive system in which a person experiences hard feces (faeces) that are difficult to expel.Constipation can also be defined as having a bowel movement fewer than three times per week. With constipation stools are usually hard, dry, small in size, and difficult to eliminate. Some people who are constipated find it painful to have a bowel movement and often experience straining, bloating, and the sensation of a full bowel. Some people think they are constipated if they do not have a bowel movement every day. However, normal stool elimination may be three times a day or three times a week, depending on the person. Constipation is a symptom, not a disease. Almost everyone experiences constipation at some point in their life, and a poor diet typically is the cause. Most constipation is temporary and not serious. .....Health Naturally - 193.....

Understanding its causes, prevention, and treatment will help most people find relief. TYPES There are 2 types ·

Acute constipation

·

Chronic constipation In chronic constipation, you would have toileting soft, shapeless and slimy faeces two or more number of times daily, bad breath, raised blood pressure, lack of appetite, indigestion, gas formation (flatulence) etc

CAUSES To understand constipation, it helps to know how the colon, or large intestine, works. As food moves through the colon, the colon absorbs water from the food while it forms waste products, or stool. Muscle contractions in the colon then push the stool toward the rectum. By the time stool reaches the rectum it is solid, because most of the water has been absorbed. Constipation occurs when the colon absorbs too much water or if the colon’s muscle contractions are slow or sluggish, causing the stool to move through the colon too slowly the colon may absorb too much water. As a result, stools can become hard and dry. Common causes of constipation are · not enough fiber in the diet ·

lack of physical activity (especially in the elderly) .....Health Naturally - 194.....

·

medications

·

milk

·

irritable bowel syndrome

·

changes in life or routine such as pregnancy, aging, and travel

·

abuse of laxatives

·

ignoring the urge to have a bowel movement

·

dehydration

·

specific diseases or conditions, such as stroke (most common)

·

problems with the colon and rectum

·

Problems with intestinal function (chronic idiopathic constipation

Also, the aggravation of vata causes constipation. Improper eating habits including eating a lot of food, eating food which is difficult to digest (such as meat) and not eating enough vegetables and salads also lead to constipation. Irregular sleeping habits or emotional disturbances (stress, grief, fear or worry) are other causes for the obstruction of the passage of stool, accumulation of toxins in the colon or excessive stimulation of the nervous system. Smoking, consuming too much tea and coffee, or intake of prescription or illicit drugs can also cause constipation. SIGNS AND SYMPTOMS day

No bowel movements at least once a

o

Pain in the abdomen

o

Heaviness in the stomach

o

Wind formation

o

Mucus coated tongue

o

Headache .....Health Naturally - 195.....

o

Loss of appetite

o

Pain in the lower legs

o

Hypertension, fever

o

Nausea

o

Vertigo

o

Palpitation

o

Drowsiness

In common constipation, o

The stool is hard,

o

Difficult, and painful to pass. An infrequent urge to void.

o

o

Straining to pass stool may cause hemorrhoids. In later stages of constipation, The abdomen may become distended

o

Diffusely tender and cramp,

o

Enhanced bowel sounds.

o

Severe cases (“fecal impaction”) may feature symptoms of o

bowel obstruction

o

vomiting, very tender abdomen

o o

“paradoxical diarrhea”, where soft stool from the small intestine bypasses the impacted matter in the colon

DIAGNOSIS The tests the doctor performs depend on the o o o o

Duration and severity of the constipation, the person’s age, blood in stools, recent changes in bowel habits, .....Health Naturally - 196.....

o

Weight loss has occurred.

Medical History The doctor may ask a patient to describe his or her constipation, o

Including duration of symptoms,

o

frequency of bowel movements,

o

consistency of stools,

o

presence of blood in the stool, and

o

Toilet habits—how often and where one has bowel movements.

o

A record of eating habits, medication, and level of physical activity will also help the doctor determine the cause of constipation.

The clinical definition of constipation is having any two of the following symptoms for at least 12 weeks—not always consecutive—in the previous 12 months: o

straining during bowel movements

o

lumpy or hard stool

o

sensation of incomplete evacuation

o

sensation of anorectal blockage/obstruction

o

fewer than three bowel movements per week

Physical Examination A physical exam may include a rectal exam with a gloved, lubricated finger to evaluate the tone of the muscle that closes off the anus—also called anal sphincter—and to detect tenderness, obstruction, or blood. INVESTIGATIONS o

Blood test

o

thyroid tests

o

Serum calcium or to rule out inflammatory, metabolic, and other disorders. .....Health Naturally - 197.....

o

A colorectal transit study

o

anorectal function tests

o

a defecography

o

barium enema X ray

o

sigmoidoscopy

o

colonoscopy

NATURE CURE AND YOGA TREATMENT Hydrotherapy: o

Cold hip bath daily twice for 20 minutes

o

Cold immersion bath with friction alternate days for 20 minutes.

o

Luke Warm water enema daily

o

trunk pack for 45-60 minutes

o

hot and cold abdomen compress for 15 minutes each 4

o

cold abdomen pack for 30 minutes

o

hot fomentation to abdomen and abdomen pack for 60 minutes

o

coconut oil or castor oil enema in severe constipation

Massage therapy: o

Full body massage with steam

o

partial massage to abdomen

Mud therapy: o

Full mud bath

o

mud packs on the abdomen

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times

Diet therapy: A diet with enough fiber (20 to 35 grams each day) helps the body form soft, bulky stool. High-fiber foods include beans, whole grains and bran cereals, fresh fruits, and vegetables such as asparagus, Brussels sprouts, cabbage, and carrots. For people prone to constipation, limiting foods that have little or no fiber, such as ice cream, cheese, and processed foods, is also important. Other changes that may help treat and prevent constipation include drinking enough water and other liquids, such as fruit and vegetable juices and clear soups, so as not to become dehydrated. The urge to have a bowel movement should not be ignored. Diet chart 6am

:

hot water, lime and Jaggery

7am

:

black raisins water (soak 30 raisins in water overnight and grind and strain)

9am

:

papaya, dates, figs, sprouted moong

1pm

:

2 Jowar rotis, boiled vegs, sprouts and salad

4pm

:

mosambi juice

6.30pm :

dahlia, boiled vegs, soup

9.30pm :

hot water

Yoga therapy: Sukshma vyayama Standing series Tadasana

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Ardhakatichkrasan Ardhachakrasan Padahastasan Trikonasan Supine series Uttitapadasana Pavanamuktasana Vipareethakarni Matsyasana Quick relaxation technique Prone series Makarasana Bujangasana Ardhashalabhasana Sitting series Vajrasana Vakrasana Ardhamatsyendrasana Paschimottasana Baddhakonasan Deep relaxation technique Pranayama Shitali, shitkari, sadantha Chandranuloma viloma Chandrabedhana Nadishodana Bhramari .....Health Naturally - 200.....

Meditation A, U, M Kara chanting OHM Kara chanting Bajans Yoga nidra Dos and don’ts: ·

The diet taken during constipation must be easily digestible.

·

Plenty of fruits, vegetables and salads

·

Freshly cooked food, and chew food thoroughly.

·

Eat only when hungry and maintain at least 4 hours between meals.

·

Use spices like cumin, coriander, turmeric powder, fennel and asafetida as they make the food easy to digest.

·

Whole grain bread and cereals

·

Regular physical exercise is also important for maintaining proper bowel movements.

·

Sleeping hours should be regulated and efforts should be made to have a sound sleep.

·

Fried foods, beans, gas forming vegetables like cabbage, cauliflower and broccoli, nuts and dried fruits should be avoided.

·

Do not mix too many kinds of foods in one meal.

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CHAPTER 22

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR PILES

DESCRIPTION Piles are dilated blood vessels in the rectal mucosa, which form mass in the anal canal or varicosities of the haemorroidal veins inside or just outside the rectum They are medically known as ‘Hemorrhoids’. Piles are common both in men and women. Those exposed to improper dietary habits, sedentary lifestyle, etc, have a greater incidence of piles. In India, approximately 80% of sufferers are in the age group of 21-50 years. Piles are also seen among pregnant women. TYPES Piles are classified into 2 types. Internal piles External piles

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Internal piles: The dilatation of the superior haemorroidal plexus covered over by mucous membrane. There is discharge of dark blood. Some times veins burst and results in bleeding piles. External piles: The dilatation of inferior haemorroidal plexus covered over by skin. It is associated with lots of pain and no much bleeding CAUSES Piles are natural consequence of adoption of prolonged erect posture, strenuous work. The primary cause is chronic constipation, straining of stool, and other bowel disorders. Obesity, improper dietary habits, and liver diseases and are some of the contributory factors. Factors such as family history, temperament, climate, age, sex, venous stasis of pregnancy, and suppression of hemorrhage in other areas have also been held responsible. Some other factors include irritation of the anal canal, lack of normal tone in the anal sphincters, cancer of rectum and the continuous use of pessaries and suppositories. Mental tension is also a main cause. Person who are in hurry often strain while passing stools. They rush through defecation instead of making it a relaxed affair. Thus the pressure exerted by the anal muscles affect the surrounding tissues. The extra rectal pressure and the resultant congestion of veins lead to piles. The diseases like portal hypertension, cardiac failure, tumors of the rectum also cause piles. SYMPTOMS The main symptoms are

.....Health Naturally - 203.....

Swelling and irritation in or around rectum. Pain, itching, and bleeding also occur while passing stools. Bleeding from anus is a common symptom in severe piles. The blood is bright red and not mixed with stools. It occurs from local injury to the dilated blood vessels of the rectum. The other complaints are rectal fullness, mucous discharge and prolapse of the pile mass. DIAGNOSIS INVESTIGATIONS NATURE CURE AND YOGA TREATMENT Hydrotherapy: Cold hip bath daily for 20 minutes. Cold water enema daily Castor oil or coconut oil enema Hot hip bath for 10 minutes in case of painful non- bleeding piles. Ice massage on the anal region for bleeding piles daily thrice. Cold douche to the perineum and cold compress at night before going to bed. Cold immersion bath alternate days for 20 minutes. Massage therapy: Partial massage to lower abdomen and lower back Moola shodhana massage with castor oil Mud therapy: Full mud bath thrice weekly. Mud packs on the lower abdomen

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Diet therapy: 6am

:

black raisins water (soak 30 raisins in 200ml water overnight, grind and strain)

8am

:

banana, grated coconut

11am

:

bottle gourd juice

1pm

:

brown rice, boiled vegs, buttermilk

4pm

:

bananas

6.30pm

:

boiled yam, butter, boiled vegs, soup, bananas

9.30pm

:

hot milk with isabgol

Yoga therapy: Sukshma vyayama Standing series Tadasana Garudasana Supine series Sarvangasana Vipareethakarni mudra Ashwini mudra Quick relaxation technique Prone series Shalabhasana Naukasana Sitting series Vajrasana Siddhasana Padmasana

Deep relaxation technique .....Health Naturally - 205.....

Pranayama Shitali, shitkari, sadantha Chandranuloma viloma Chandrabedhana Nadishodana Meditation A, U, M Kara chanting OHM meditation Shatkriya Vaman dhouti PREVENTION OF PILES Piles can be prevented by adopting a healthier lifestyle. Have high fiber foods like green leafy vegetables, fresh fruits, whole grain cereals (e.g. Wheat, barley, oats, corn, rice etc.) Drink at least 8-10 glasses of water every day. Also drink lots of fresh fruit and vegetable juices and fresh butter milk. Establish regular bowel habits and avoid constipation. Avoid spicy food, alcohol, coffee and tea which irritate and aggravate piles. Reduce weight if you are obese with regular exercise and diet control. Avoid prolonged sitting and standing positions as it puts pressure on the anorectal region. Wear loose fitting clothing and undergarments made from natural materials such as cotton.

.....Health Naturally - 206.....

CHAPTER 23

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT WEL SYNDROME ABLE BO FOR IRRIT BOWEL IRRITABLE

DESCRIPTION Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder a common problem with the intestines. Irritable bowel syndrome (IBS) is a commonly occurring disorder consisting of alternating constipation, diarrhea and abdominal pain. In people with IBS, the intestines squeeze too hard or not hard enough and cause food to move too quickly or too slowly through the intestines. IBS usually begins around age 20 and is more common in women. It does not permanently harm the intestines and does not lead to a serious disease, such as cancer. IBS is also called functional bowel syndrome, spastic colon, irritable nervous colon, stomach. spastic bowel and

It’s not the same as inflammatory bowel diseases like ulcerative colitis. .....Health Naturally - 207.....

CLASSIFICATION IBS can be classified as ·

Diarrhea-predominant (IBS-D),

·

Constipation-predominant (IBS-C) or

·

IBS with alternating stool pattern (IBS-A or pain-predominant

· IBS may have an acute onset and develop after an infectious illness characterized by two or more of the following: fever, vomiting, diarrhea, or positive stool culture. This post-infective syndrome has consequently been termed “post-infectious IBS” (IBS-PI). CAUSES Specific cause for IBS is not known. ·

One theory is that people who suffer from IBS have a colon, or large intestine, that is sensitive and reactive to certain foods and stress.

·

The immune system, which fights infection, may also be involved.

·

Normal motility, or movement, may not be present in the colon of a person who has IBS. It can be spasmodic or can even stop working temporarily. Spasms are sudden strong muscle contractions that come and go.

·

The lining of the colon called the epithelium, which is affected by the immune and nervous systems, regulates the flow of fluids in and out of the colon. In IBS, the epithelium appears to work properly. However, when the contents inside the colon move too quickly, the colon loses its ability to absorb fluids. The result is too much fluid in the stool. In other people, the movement inside the colon is too slow, which causes extra fluid to be absorbed. As a result, a person develops constipation.

·

A person’s colon may respond strongly to stimuli such as certain foods or stress that would not bother most people.

.....Health Naturally - 208.....

·

Serotonin is linked with normal gastrointestinal (GI) functioning. Serotonin is a neurotransmitter, or chemical, that delivers messages from one part of your body to another. Ninety-five percent of the serotonin in your body is located in the GI tract, and the other 5 percent is found in the brain. Cells that line the inside of the bowel work as transporters and carry the serotonin out of the GI tract. People with IBS, however, have diminished receptor activity, causing abnormal levels of serotonin to exist in the GI tract. As a result, they experience problems with bowel movement, motility, and sensation—having more sensitive pain receptors in their GI tract.

·

IBS may be caused by a bacterial infection in the gastrointestinal tract. Studies show that people who have had gastroenteritis sometimes develop IBS, otherwise called post-infectious IBS.

·

Very mild celiac disease in some people with symptoms similar to IBS. People with celiac disease cannot digest gluten, a substance found in wheat, rye, and barley. People with celiac disease cannot eat these foods without becoming very sick because their immune system responds by damaging the small intestine.

SYMPTOMS Common symptoms of IBS o

Bloating and gas

o

Mucus in the stool

o

Constipation

o

Diarrhea, especially after eating or first thing in the morning

o

Feeling like you still need to have a bowel movement after you’ve already had one

o

Feeling a strong urge to have a bowel movement

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o

Abdominal pain and cramping that may go away after having a bowel movement

o

Headache

o

Backache

o

Fibromyalgia

o

Gastro esophageal reflux

o

Lethargy

o

Depression

o

Disturbance when sleeping

o

Nausea

o

Women with IBS may have more symptoms during their menstrual periods, suggesting that reproductive hormones can worsen IBS problems.

DIAGNOSIS ·

Seeing your doctor is the first step. IBS is generally diagnosed on the basis of a complete medical history that includes a careful description of symptoms and a physical examination.

·

·

There is no specific test for IBS, although diagnostic tests may be performed to rule out other problems. These tests may include o

stool sample testing,

o

blood tests,

o

X rays.

o

a sigmoidoscopy,

o

colonoscopy,

If your test results are negative, the doctor may diagnose IBS based on your symptoms, including how often you have had abdominal pain or discomfort during the past year, when the .....Health Naturally - 210.....

pain starts and stops in relation to bowel function, and how your bowel frequency and stool consistency have changed. Many doctors refer to a list of specific symptoms that must be present to make a diagnosis of IBS. NATURE CURE AND YOGA FOR IBS Hydrotherapy: Cold water enema Cold hip bath twice daily for 2o minutes. Cold abdominal pack for ½ an hour daily twice Gastro-hepatic pack for 45-60 minutes daily once Hot fomentation to abdomen for 10 minutes followed by cold pack or mud application for 50 minutes. Hot and cold compress for 15 minutes each Neutral hip bath for 15 minutes Trunk pack for 45-60 minutes Massage therapy: Partial massage to lower abdomen and lower back Full body massage Mud therapy: Full mud bath thrice weekly. Mud packs on the lower abdomen Diet therapy: Drinking six to eight glasses of plain water a day is important, especially if you have diarrhea. Drinking carbonated beverages, such as sodas, may result in gas and cause discomfort.

.....Health Naturally - 211.....

Chewing gum and eating too quickly can lead to swallowing air, which also leads to gas. Large meals can cause cramping and diarrhea, so eating smaller meals more often, or eating smaller portions, may help IBS symptoms. Eating meals that are low in fat and high in carbohydrates such as pasta, rice, whole-grain breads and cereals (unless you have celiac disease), fruits, and vegetables may help. High fiber diet is very important. DIET CHART 6am

:

lime water with salt and sugar

7am

:

black raisins water (soak raisins in water overnight, grind and strain)

8am

:

bananas

11am

:

lime juice with salt and sugar

1pm

:

brown rice, boiled vegs, and curds

4pm

:

2 apples

6.30pm

:

jowar roti 2, boiled vegs, bananas

Yoga therapy: Sukshma vyayama Standing series Tadasana Ardhakatichkrasan Supine series Uttitapadasana Pavanamuktasana

.....Health Naturally - 212.....

Vipareethakarni Matsyasana Quick relaxation technique Prone series Makarasana Bujangasana Ardhashalabhasana Sitting series Vajrasana Vakrasana Ardhamatsyendrasana Deep relaxation technique Pranayama Shitali, shitkari, sadantha Chandranuloma viloma Chandrabedhana Nadishodana Bhramari Meditation A, U, M Kara chanting OHM Kara chanting Bajans Yoga nidra

.....Health Naturally - 213.....

CHAPTER 24

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FORGFORGFORGFORGFOR GASTRITISASTRITISASTRITISASTRITISASTRITIS

Gastritis is an inflammation or irritation of the lining (known as the mucosa) of the stomach. The stomach lining contains special cells that produce acid and enzymes, which help break down food for digestion, and mucus, which protects the stomach lining from acid. When the stomach lining is inflamed, it produces less acid, enzymes, and mucus. Rather, gastritis is a condition that has many causes. Common or to all discomfort people with in the gastritis upper part is pain of the abdomen, called dyspepsia. TYPES: Gastritis may be acute or chronic. ·

Acute: Sudden, severe inflammation of the stomach lining is called acute gastritis. An example of acute gastritis is stomach .....Health Naturally - 214.....

upset that may follow the use of alcohol or aspirin ·

Chronic: Inflammation that lasts for a long time is called chronic gastritis. If chronic gastritis is not treated, it may last for years or even a lifetime. Helicobacter pylori are a type of bacteria that infects the stomach. Infection with these bacteria may lead to chronic gastritis.

Erosive gastritis is a type of gastritis that often does not cause significant inflammation but can wear away the stomach lining. Erosive gastritis can cause bleeding, erosions, or ulcers. Erosive gastritis may be acute or chronic. CAUSES: Gastritis is associated with various medications, medical and surgical conditions, physical stresses, social habits, chemicals, and infections. Some of the more common causes of gastritis are listed here. Medications Aspirin (more than 300 drug products contain some form of aspirin) Non-steroidal anti-inflammatory drugs (NSAIDs, such as ibuprofen or naproxen) Steroids (prednisone is one example) Potassium supplements Iron tablets Cancer chemotherapy medications Swallowing poisons or objects Corrosives (acid or lye) Alcohols of various types Swallowed foreign bodies (paper clips or pins) Medical and surgical conditions Physical stress in people who are critically ill or injured .....Health Naturally - 215.....

After medical procedures (such as endoscopy, in which a specialist looks into the stomach with a small lighted tube) After an operation to remove part of the stomach After radiation treatment for cancer Autoimmune diseases Pernicious anemia Chronic vomiting Crohn’s disease Infections Tuberculosis Syphilis Bacterial infections: H pylori infection is the most common. Many other bacteria-even those that usually cause pneumonia or bladder infections-can cause gastritis. Viral infections Fungal (yeast) infections Parasites and worms Other causes Traumatic injuries, critical illness, severe burns, and major surgery can also cause acute erosive gastritis. This type of gastritis is called stress gastritis. SYMPTOMS: Symptoms of gastritis do not always correspond to the extent of physical changes in the lining of the stomach. o Severe gastritis may be present when the stomach is viewed without symptoms being present. o

Severe gastritis symptoms may be present despite only minor changes in the stomach lining.

.....Health Naturally - 216.....

o

Elderly people in particular have a much higher likelihood of developing painless stomach damage. They may have no symptoms at all (no nausea, vomiting, pain) until they are suddenly taken ill with internal bleeding.

In people who have gastritis symptoms, pain or discomfort in the upper abdomen is the most common. The pain is usually in the upper central portion of the abdomen (the “pit” of the stomach). Gastritis pain occurs in the left upper portion of the abdomen and in the back. The pain seems to “go right straight through” a person as it travels from the belly to the back. People often use the terms burning, aching, gnawing, or sore to describe the pain. Usually, a vague sense of discomfort is present, but the pain may be sharp, stabbing, or cutting. Other symptoms of gastritis include the following: Belching: Belching usually either does not relieve the pain or relieves it only briefly. Nausea and vomiting: The vomit may be clear, green or yellow, blood-streaked, or completely bloody, depending on the severity of the stomach inflammation. Bloating Feeling of fullness or burning in the upper part of the belly In more severe gastritis, bleeding may occur inside the stomach. Any of the following symptoms can be seen as well as those already mentioned. Pallor, sweating, and rapid (or “racing”) heart beat. Feeling faint or short of breath Chest pain or severe stomach pain Vomiting large amounts of blood

.....Health Naturally - 217.....

Bloody bowel movements or dark, sticky, very foul-smelling bowel movements Any or all of these symptoms can occur suddenly. This is particularly true in adults older than 65 years. COMPLICATIONS: Peptic ulcer disease, gastric polyps, and Benign and malignant gastric tumors. Some people with chronic H. pylori gastritis or autoimmune gastritis develop atrophic gastritis. Atrophic gastritis destroys the cells in the stomach lining that produce digestive acids and enzymes. Atrophic gastritis can lead to two types of cancer: gastric cancer and gastric mucosa-associated lymphoid tissue (MALT) lymphoma. DIAGNOSIS: Endoscopy Upper gastrointestinal (GI) series. The patient swallows barium, a liquid contrast material that makes the digestive tract visible in an x ray. X-ray images may show changes in the stomach lining, such as erosions or ulcers. Blood test. The doctor may check for anemia, a condition in which the blood’s iron-rich substance, hemoglobin, is diminished. Anemia may be a sign of chronic bleeding in the stomach. Stool test. This test checks for the presence of blood in the stool, another sign of bleeding in the stomach. Tests for H. pylori infection. The doctor may test a patient’s breath, blood, or stool for signs of infection. H. pylori infection can also be confirmed with biopsies taken from the stomach during endoscopy. .....Health Naturally - 218.....

NATUROPATHY AND YOGA TREATMENT: HYDROTHERAPY: Cold hip bath daily twice for 20 minutes. Warm water enema daily Cold abdominal pack for ½ an hour daily twice Gastro-hepatic pack for 45-60 minutes daily once Hot fomentation to abdomen for 10 minutes followed by cold pack or mud application for 50 minutes. Hot and cold hip bath for 20 minutes each Hot and cold compress for 15 minutes each Neutral hip bath for 15 minutes Trunk pack for 45-60 minutes Massage therapy: Full body massage partial abdominal massage Mud therapy: full mud bath mud pack on abdomen Diet therapy: 6am

:

ushapana

7am

:

Ashgourd juice

8am

:

Fresh fruit and a glass of milk, sweetened with honey.

11am

:

black raisins soaked overnight in water along with water kept overnight in a copper vessel.

1pm

:

A bowl of freshly-prepared steamed vegetable, two or three whole wheat chapathis and a glass of buttermilk .....Health Naturally - 219.....

4pm

:

tender coconut water

7pm

:

raw vegetable and fruit salad, papaya, fresh buttermilk a glass of milk and an apple

9.30pm : Yoga therapy:

Sukshma vyayama Standing series Tadasana Supine Ardhakatichkrasan series

Uttitapadasana Pavanamuktasana Vipareethakarni Matsyasana Quick relaxation technique Prone series Bujangasana Makarasana

Ardhashalabhasana Sitting series Vajrasana Ardhamatsyendrasana Vakrasana

Deep relaxation technique Pranayama Shitali, shitkari, sadantha Chandranuloma viloma

.....Health Naturally - 220.....

Chandrabedhana Nadishodana Bhramari Meditation A, U, M Kara chanting OHM Kara chanting Bajans Yoga nidra LIFESTYLE MODIFICATIONS: The treatment for gastritis that is caused by irritants is to stop using them. These include: Alcohol Tobacco Acidic beverages such as coffee (both caffeinated and decaffeinated), carbonated beverages, and fruit juices with citric acid NSAIDS, such as aspirin and ibuprofen — switch to other pain relievers (like acetaminophen) These steps may also help: Eat a fiber-rich diet. Foods containing flavonoids, like apples, celery, cranberries (including cranberry juice), onions, garlic, and tea may stop the growth of H. pylori. Avoid high-fat foods. High-fat foods increase inflammation in the stomach lining.

.....Health Naturally - 221.....

CHAPTER 25

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR PEPTIC UL ULCERCERCERCERCER

DESCRIPTION A peptic ulcer is a sore in the lining of your stomach or your duodenum, the first part of your small intestine. A peptic ulcer also refers to an eroded lesion in the inner lining of the stomach and the adjoining intestinal tract ulcer, ulcer located called in the and the stomach duodenum. that located is known The in the asduodenum a gastric

is called a duodenal ulcer. Usually, both are grouped together and termed as peptic ulcer. A burning stomach pain is the most common symptom.The pain o

May come and go for a few days or weeks

o

May bother you more when your stomach is empty

o

Usually goes away after you eat

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Also called: Duodenal ulcer, Gastric ulcer, Stomach ulcer, Ulcer Peptic ulcers happen when the acids that help you digest food, damage the walls of the stomach or duodenum. Peptic ulcers will get worse if not treated. TYPES The two types of peptic ulcers are, ·

Acute peptic ulcers (stress ulcers)

·

Chronic peptic ulcers (gastric and duodenal ulcers)

Acute peptic ulcers: Or stress ulcers are multiple, small mucosal erosions, commonly seen in stomach occasionally involves the duodenum. These ulcers are caused by severe stress. Causes: 1)

Psychological stress

2)

physiological stress as in: shock severe trauma septicemia extensive burns drug intake (aspirin, steroid, indomethacin) Local irritants (e.g. alcohol, smoking, coffee, etc.)

Chronic peptic ulcers: If not specified, chronic acid peptic ulcers would mean, gastric, and duodenal ulcers, the two major forms of ‘peptic ulcer disease’ of the upper GI tract in which the acid – pepsin secretions are implicated in their pathogenesis.

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as far represent Gastric twoand distinct duodenal diseasesulcers as their etiology is concerned. However, are similarpathological and quite diagnostic. findings in both

Causes: ·

Hyperacidity An increase in the hydrochloric acid in the stomach. This strong acid, secreted by the cells lining the stomach, erodes the inner lining of the stomach.

·

Infection with a bacterium called Helicobacter pylori.

·

Stress, emotional disturbances, anxiety, fatigue predispose to peptic ulcer disease.

·

Acid – pepsin secretions

·

Mucus secretions Decrease in the normal quantity and quality of protective mucous ‘barrier’ predisposes to the development of ulcer.

·

Overeating, taking of heavy meals or highly spiced foods, coffee, alcohol, and smoking are the main factors contributing to this condition.

·

Gastritis

·

Genetic factors

·

Hormonal factors Secretions of certain hormones by tumors are associated with peptic ulceration.

SIGNS AND SYMPTOMS OF ULCER o

Feel better when you eat or drink and then worse 1 or 2 hours later (duodenal ulcer)

o

Feel worse when you eat or drink (gastric ulcer)

o

Stomach pain that wakes you up at night

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o

Feel full fast

o

Heavy feeling, bloating, burning or dull pain in your stomach

o

Vomiting

o

Unexpected weight loss

o

Sharp and severe pain and discomfort in the upper part of the abdomen.

o

Mental tension,

o

Insomnia,

o

Gradual weakening of the body.

o

Blood may also be detected in the stool.

Diagnosis & Tests To diagnose an ulcer, your doctor will order one of the following tests: o

Esophagogastroduodenoscopy (EGD) is a special test performed by a gastroenterologist in which a thin tube with a camera on the end is inserted through your mouth into the GI tract to see your stomach and small intestine. During an EGD, the doctor may take a biopsy from the wall of your stomach to test for H. pylori.

o

Upper GI is a series of x-rays taken after you drink a thick substance called barium.

Your doctor may also order these tests: o

Hemoglobin blood test to check for anemia

o

Stool guaiac to test for blood in your stool

NATURE CURE AND YOGA TREATMENT Hydrotherapy: Cold hip bath daily twice for 20 minutes. Warm water enema daily .....Health Naturally - 225.....

Cold abdominal pack for ½ an hour daily twice Gastro-hepatic pack for 45-60 minutes daily once Hot fomentation to abdomen for 10 minutes followed by cold pack or mud application for 50 minutes. Hot and cold hip bath for 20 minutes each Hot and cold compress for 15 minutes each Neutral hip bath for 15 minutes Trunk pack for 45-60 minutes Massage therapy: Full body massage partial abdominal massage Mud therapy: full mud bath mud pack on abdomen Diet therapy: 6am

:

ushapana

7am

:

lime water with honey

8am

:

idli (4), chutney, a glass of almond milk

11am 1pm

:

cabbage juice

:

2 chapatti, boiled vegetables, boiled rice, dhal, fresh buttermilk with drumstick leaf paste

4pm

:

7pm

:

methi tea raw vegetable and fruit salad, papaya, fresh buttermilk with drumstick leaf paste

9.30pm

:

a glass of milk and a banana

Yoga therapy: Sukshma vyayama .....Health Naturally - 226.....

Standing series Tadasana Ardhakatichkrasan Supine series Uttitapadasana Pavanamuktasana Vipareethakarni Matsyasana Quick relaxation technique Prone series Bujangasana Makarasana

Ardhashalabhasana Sitting series Vajrasana Ardhamatsyendrasana Vakrasana

Deep relaxation technique Pranayama Shitali, shitkari, sadantha Chandranuloma viloma Chandrabedhana Nadishodana Bhramari Meditation A, U, M Kara chanting OHM Kara chanting

.....Health Naturally - 227.....

CHAPTER 26

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT TIVE COLLITIS ULULULULULCERACERACERACERACERATIVE

DESCRIPTION Colitis is a chronic digestive disease characterized by inflammation of the colon. Colitis is one of a group of conditions which are inflammatory and auto immune, affecting the tissue that lines the gastrointestinal system (the large and small intestine). It is classed as an inflammatory bowel disease (IBD), not to be confused with irritable bowel syndrome (IBS). LARGE INTESTINE TYPES Types of colitis include o

ulcerative colitis (UC),

o

Crohn’s colitis,

o

diversion colitis,

o

ischemic colitis,

.....Health Naturally - 228.....

o

infectious colitis, fulminant colitis,

o

collagenous colitis,

o

chemical colitis,

o

microscopic colitis,

o

lymphocytic colitis, and

o

Atypical colitis.

ULCERATIVE COLLITIS Also called: Colitis, Distal colitis, Pancolitis, Ulcerative proctitis Ulcerative colitis is a the causes rectum ulcers and colon. disease lining ofthat in the It is one of a group of diseases called inflammatory bowel disease. Ulcers form where inflammation has killed the cells that usually line the colon. Ulcerative colitis can happen at any age, but it usually starts between the ages of 15 and 30. It tends to run in families. TYPES OF UC Types of ulcerative colitis are: o

Ulcerative proctitis : If ulcerative colitis is limited to the rectum, it is known as ulcerative proctitis. Symptoms are diarrhea, bloody stool, pain in the rectal area, and a sense of urgency to empty the bowel.

o

Proctosigmoiditis : If ulcerative colitis affects the rectum and the sigmoid colon, it is known as proctosigmoiditis. Symptoms are diarrhea, bloody stool, cramps and pain in the rectal area, and moderate pain on the left side of the abdomen.

o

Left-sided colitis : Left-sided colitis affects the entire left side of the colon, from the rectum to the place where the colon bends .....Health Naturally - 229.....

near the spleen and begins to run across the upper abdomen (the splenic flexure). Symptoms include diarrhea, bleeding, weight loss and loss of appetite, and sometimes severe pain on the left side of the abdomen. o

Pancolitis: If the entire colon is affected, the term pancolitis is used (“pan” meaning total). The classification is most important in planning treatment. While ulcerative proctitis, proctosigmoiditis, and even left-sided colitis can be treated with local agents introduced through the anus, including steroid-based or other enemas and foams, pancolitis must be treated with oral medication so that active ingredients can reach all of the affected portions of the colon.

CAUSES Many theories exist about what causes ulcerative colitis Abnormal activation of the immune system in the intestines. In patients with ulcerative colitis, the immune system is abnormally and chronically activated in the absence of any known invader. The continued abnormal activation of the immune systems causes chronic inflammation and ulceration. The susceptibility to abnormal activation of the immune system is genetically inherited. First degree relatives (brothers, sisters, children, and parents) of patients with IBD are thus more likely to develop these diseases. Genetic factors Environmental factors Alternative theories Levels of sulfate-reducing bacteria tend to be higher in persons with ulcerative colitis. An alternative theory suggests that the symptoms of the disease may be caused by toxic effects of the hydrogen sulfide on the cells lining the intestine. It may be caused by occlusions in the capillaries of the subepithelial linings, degenerated fibers beneath the .....Health Naturally - 230.....

mucosa and infiltration of the lamina propria with plasma cells Certain foods and beverages can make the symptoms of ulcerative colitis worse. These may include the following: o

Dairy products

o

High-fiber foods (such as raw fruits and vegetables)

o

Alcohol

o

Caffeine

o

Carbonated beverages

Stress can make the symptoms of ulcerative colitis worse SYMPTOMS Symptoms of ulcerative colitis vary depending on how severe your case is and what section of your large intestine is affected. The most common symptoms are Pain in the abdomen Bloody diarrhea. Anemia, severe tiredness, weight loss, loss of appetite, bleeding from the rectum, sores on the skin Joint pain. Children with the disease may have growth problems. A strong feeling that you need to have a bowel movement, but not being able to do so (called tenesmus) You may have diarrhea over a period of weeks or months. The diarrhea may have blood in it. Some people have abdominal pain. The diarrhea and abdominal pain tend to come and go. .....Health Naturally - 231.....

As ulcerative colitis is believed to have a systemic (i.e., autoimmune) origin, patients may present with abnormalities leading to symptoms and complications outside the colon. These include the following: o

Aphthous ulcers of the mouth

o

Ophthalmic (involving the eyes):

o

Musculoskeletal:

o

Seronegative arthritis, which can be a large-joint oligoarthritis (affecting one or two joints), or may affect many small joints of the hands and feet

o

Ankylosing spondylitis, arthritis of the spine

o

Sacroiliitis, arthritis of the lower spine

o

Cutaneous (related to the skin):

o

Deep venous thrombosis and pulmonary embolism

o

Autoimmune hemolytic anemia

o

clubbing, a deformity of the ends of the fingers

o

Primary sclerosing cholangitis, a distinct disease that causes inflammation of the bile ducts

DIAGNOSIS A complete history of the pateint with blood count is done to check for anemia; thrombocytosis, a high platelet count, is occasionally seen Electrolyte studies and renal function tests are done, as chronic diarrhea may be associated with hypokalemia, hypomagnesemia and pre-renal failure. Liver function tests are performed to screen for bile duct involvement: primary sclerosing cholangitis. X-ray .....Health Naturally - 232.....

Urinalysis Stool culture, to rule out parasites and infectious causes. Erythrocyte sedimentation rate can be measured, with an elevated sedimentation rate indicating that an inflammatory process is present. C-reactive protein can be measured, with an elevated level being another indication of inflammation. Endoscopy Colonoscopy Sigmoidoscopy NATURE CURE AND YOGA TREATMENT Hydrotherapy: Cold water enema daily Cold hip bath daily twice for 20 minutes Cold abdominal pack for ½ an hour daily twice Gastro-hepatic pack for 45-60 minutes daily once Hot fomentation to abdomen for 10 minutes followed by cold pack or mud application for 50 minutes. Hot and cold hip bath for 20 minutes each Hot and cold compress for 15 minutes each Neutral hip bath for 15 minutes Trunk pack for 45-60 minutes Massage therapy: Full body massage Light massage to the abdomen

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Mud therapy: Full mud bath Mud packs on the abdomen Diet therapy: 6am

:

tender coconut water

7am

:

8am

:

black raisins water (soak 30 raisins in 200ml water overnight, grind and strain) whey water

11am

:

apple juice

1pm

:

brown rice ganji

4pm

:

apple juice

7pm

:

9.30pm

:

brown rice ganji, 2 figs, 4 dates honey water

Yoga therapy: Sukshma vyayama Standing series Tadasana Ardhakatichakrasan Supine series Sarvangasana Vipareethakarni Quick relaxation technique Prone series Ardhashalabhasana Makarasana Sitting series Vajrasana .....Health Naturally - 234.....

Siddhasana Padmasana

Deep relaxation technique Pranayama Shitali, shitkari, sadantha Chandranuloma viloma Chandrabedhana Nadishodana Bhramari Meditation A, U, M Kara chanting OHM meditation Shatkriya Vaman dhouti Tips to deal with UC You may find that eating smaller meals more frequently throughout the day may help your ulcerative colitis. For example, try eating 5 small meals each day rather than 3 large meals. Drink plenty of liquids, But avoid caffeinated, carbonated and alcoholic beverages. Learn to manage your stress. Exercise regularly. When you are feeling overwhelmed, take a few deep breaths. Take time each day to do something relaxing that you enjoy, such as visiting with friends or reading a book.

.....Health Naturally - 235.....

CHAPTER 27

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FORJFORJFORJFORJFOR JAUNDICEUNDICEUNDICEUNDICEUNDICE

NATURE AND YOGA FOR JAUNDICE Jaundice comes from the French word jaune, meaning yellow. Jaundice, (also known as icterus) is a yellowish pigmentation of the skin, the conjunctival membranes over the sclerae (whites of the eyes), and other mucous membranes caused by hyperbilirubinemia (increased levels of bilirubin in the blood). This hyperbilirubinemia subsequently causes increased levels of bilirubin in the extra cellular fluids. Jaundice is not a disease but rather a sign that can occur in many different diseases. The color of the skin and sclerae vary depending on the level of bilirubin. When the bilirubin level is mildly elevated, they are yellowish. When the bilirubin level is high, they tend to be brown.

.....Health Naturally - 236.....

The sclera of the eye is yellow because the patient has jaundice, or icterus. The normally white sclerae of the eyes is a good place on physical examination to look for icterus. It is caused by an increase in the amount of bilirubin in the blood. Bilirubin is a yellowish pigment that comes from red getironthey bloodare cells. destroyed. When red Hemoglobin, blood cellsthe old, containing chemical in red blood cells that carries oxygen, is released from the destroyed red blood cells after the iron it contains is removed. The chemical that remains in the blood after the iron is removed becomes bilirubin. Bilirubin is transported by the blood to the liver, where the liver processes it, allowing it to be excreted in bile. Bile is a thick, yellow-green brown fluid that is secreted into the upper small intestine (duodenum) to get rid of waste products (such as bilirubin and excess cholesterol) and to aid in the digestion of fats. The liver has many functions. One of the liver’s functions is to produce and secrete bile into the intestines to help digest dietary fat. Another is to remove toxic chemicals or waste products from the blood, and bilirubin is a waste product. The liver removes bilirubin from the blood. After the bilirubin has entered the liver cells, the cells conjugate (attaching other chemicals, primarily glucuronic acid) to the bilirubin, and then secrete the bilirubin/glucuronic acid complex into bile. The complex that is secreted in bile is called conjugated bilirubin. The conjugated bilirubin is eliminated in the feces. (Bilirubin is what gives feces its brown color.) Conjugated bilirubin is distinguished from the bilirubin that is released from the red blood cells and not yet removed from the blood which is termed un-conjugated bilirubin. Typically, the concentration of bilirubin in the plasma must exceed 1.5 mg/dL ( > 35 micromoles/L), three times the usual value of approximately 0.5 mg/dL, for the coloration to be easily visible. .....Health Naturally - 237.....

Jaundice may arise from increased breakdown of red blood cells, inherited changes in bilirubin metabolism, liver disease or damage, and whenever there is interference with bile excretion. Jaundice can be caused by: o

Too much bilirubin being produced for the liver to remove from the blood. (For example, patients with hemolytic anemia have an abnormally rapid rate of destruction of their red blood cells that releases large amounts of bilirubin into the blood),

o

a defect in the liver that prevents bilirubin from being removed from the blood, converted to bilirubin/glucuronic acid (conjugated) or secreted in bile, or

o

Blockage of the bile ducts that decreases the flow of bile and bilirubin from the liver into the intestines. (For example, the bile ducts can be blocked by cancers, gallstones, or inflammation of the bile ducts). The decreased conjugation, secretion, or flow of bile that can result in jaundice is referred to as cholestasis: however, cholestasis does not always result in jaundice.

CLASSIFICATION OF JAUNDICE When a pathological process interferes with the normal functioning of the metabolism and excretion of bilirubin just described, jaundice may be the result. Jaundice is classified into three categories, depending on which part of the physiological mechanism the pathology affects. The three categories are: Category

Definition

Pre-hepatic

The pathology is occurring prior to the liver.

Hepatic

The pathology is located within the liver. The pathology is located after the

Post-Hepatic

conjugation of bilirubin in the liver.

.....Health Naturally - 238.....

Pre-hepatic E.g. (hemolytic anemia due to malaria) Laboratory findings include: o

Urine: no bilirubin present, urobilirubin > 2 units (i.e., hemolytic anemia causes increased heme metabolism; exception: infants where gut flora has not developed).

o

Serum: increased unconjugated bilirubin.

o

Kernicterus is associated with increased unconjugated bilirubin

Hepatic Hepatic jaundice causes include acute hepatitis, hepato-toxicity and alcoholic liver disease, whereby cell necrosis reduces the liver’s ability to metabolize and excrete bilirubin leading to a buildup in the blood. Less common causes include primary biliary cirrhosis, Gilbert’s syndrome (a genetic disorder of bilirubin metabolism which can result in mild jaundice, which is found in about 5% of the population), Crigler Najjar syndrome, metastatic carcinoma and Niemann-Pick disease, type C. Jaundice seen in the newborn, known as neonatal jaundice, is common, occurring in almost every newborn as hepatic machinery for the conjugation and excretion of bilirubin does not fully mature until approximately two weeks of age. Laboratory findings include: o

Urine: Conjugated bilirubin present, urobilirubin > 2 units but variable (except in children). Kernicterus is a condition not associated with increased conjugated bilirubin.

Post-hepatic Post-hepatic jaundice, also called obstructive jaundice, is caused by an interruption to the drainage of bile in the biliary system. The most common causes are gallstones in the common bile duct, and pancreatic cancer in .....Health Naturally - 239.....

the head of the pancreas. Also, a group of parasites known as “liver flukes” can live in the common bile duct, causing obstructive jaundice. Other causes include strictures of the common bile duct, biliary atresia, ductal carcinoma, pancreatitis and pancreatic pseudo cysts. A rare cause of obstructive jaundice is Mirizzi’s syndrome. The presence of pale stools and dark urine suggests an obstructive or post-hepatic cause as normal feces get their color from bile pigments. Patients also can present with elevated serum cholesterol, and often complain of severe itching or “pruritis”. CAUSES: Jaundice may be caused by several different disease processes. It is helpful to understand the different causes of jaundice by identifying the problems that disrupt the normal bilirubin metabolism and/or excretion. · PRE-HEPATIC (BEFORE BILE IS MADE IN THE LIVER) Jaundice in these cases is caused by rapid increase in the breakdown and destruction of the red blood cells (hemolysis), overwhelming the liver’s ability to adequately remove the increased levels of bilirubin from the blood. Examples of conditions with increased breakdown of red blood cells include: o

malaria,

o

sickle cell crisis,

o

spherocytosis,

o

thalassemia,

o Hemolytic Anemia (an abnormal hemoglobin variant, malaria, an autoimmune process, hemolytic disease of the newborn, and any other conditions that lead to a significant increase in the destruction of red blood cells and to an increase in the production of bilirubin.) o

glucose-6-phosphate dehydrogenase deficiency (G6PD), .....Health Naturally - 240.....

o

drugs or other toxins, and

o

Autoimmune disorders.

· HEPATIC (THE PROBLEM ARISES WITHIN THE LIVER Jaundice in these cases is caused by the liver’s inability to properly metabolize and excrete bilirubin. Examples include: o

hepatitis (commonly viral or alcohol related),( liver inflammation due to a variety of causes including hepatitis A, B, C, D, and E viral infections, alcohol abuse, and some medications and toxins.)

o

Cirrhosis (can cause jaundice in its late stages.)

o

drugs or other toxins,

o

Crigler-Najjar syndrome (an inherited condition that may lead to severe un-conjugated hyperbilirubinemia (high bilirubin concentrations); a gene mutation leads to a deficiency in an enzyme necessary for bilirubin conjugation.)

o

Gilbert’s syndrome (a mild inherited condition associated with decreased bilirubin conjugation due to a decrease in enzyme activity. Those affected may have temporary jaundice during times of illness or stress and increases in their un-conjugated bilirubin levels.)

o

Cancer.

Post-hepatic (after bile has been made in the liver)

·

Jaundice in these cases, also termed obstructive jaundice, is caused by conditions which interrupt the normal drainage of conjugated bilirubin in the form of bile from the liver into the intestines. Causes of obstructive jaundice include: o

gallstones in the bile ducts,

o

cancer (pancreatic and gallbladder/bile duct carcinoma), .....Health Naturally - 241.....

o

Strictures of the bile ducts (inside and/or outside of the liver: may be due to a stone, damage and scarring, or biliary atresia, a congenital condition associated with abnormal development or the bile ducts. It leads to the back-up and pooling of the bile behind the obstruction and to the increase of bilirubin in the blood. Gallstones can block bile ducts and pancreatic cancer can sometimes lead to a blockage in the bile ducts outside of the liver.)

o

cholangitis,

o

congenital malformations,

o

pancreatitis,

o

parasites,

o

pregnancy, and

o

Newborn jaundice (the liver of a newborn infant has not fully developed its ability to metabolize bilirubin yet, so newborns frequently go through a brief period of jaundice right after they are born. Newborns with jaundice are carefully monitored and generally improve within 48 to 72 hours.)

SYMPTOMS: Jaundice is a sign of an underlying disease process. . Common signs and symptoms seen in individuals with jaundice include: o

yellow discoloration of the skin, mucous membranes, and the whites of the eyes,

o

light-colored stools,

o

dark-colored urine, and

o

Itching of the skin.

The underlying disease process may result in additional signs and symptoms. These may include:

.....Health Naturally - 242.....

o

nausea and vomiting,

o

abdominalpain,

o

fever,

o

weakness,

o

loss of appetite,

o

headache,

o

confusion,

o

swelling of the legs and abdomen, and

Jaundice in Newborn: In newborns, as the bilirubin level rises, jaundice will typically progress from the head to the trunk, and then to the hands and feet. Additional signs and symptoms that may be seen in the newborn include: o

poor feeding,

o

lethargy,

o

changes in muscle tone,

o

high-pitched crying, and

o

seizures

Using bili lights is a therapeutic procedure performed on newborn or premature infants to reduce elevated levels of bilirubin. Ifblood levels of bilirubin become too high, the bilirubin begins to dissolve in the body tissues, producing the characteristic yellow eyes and skin of jaundice. Bilirubin also has an affinity for brain tissue, where it can accumulate and cause permanent brain damage. NEONATAL INFANTS)

JAUNDICE

(JAUNDICE

IN

NEWBORN

Neonatal jaundice is jaundice that begins within the first few days after birth. (Jaundice that is present at the time of birth suggests a more serious cause of the jaundice.) In fact, bilirubin levels in the blood .....Health Naturally - 243.....

become elevated in almost all infants during the first few days following birth, and jaundice occurs in more than half. For all but a few infants, the elevation and jaundice represents a normal physiological phenomenon and does not cause problems. The cause of normal, physiological jaundice is well understood: o

During life in the uterus, the red blood cells of the fetus contain a type of hemoglobin that is different than the hemoglobin that is present after birth.

o

When an infant is born, the infant’s body begins to rapidly destroy the red blood cells containing the fetal-type hemoglobin and replaces them with red blood cells containing the adult type hemoglobin.

o

This flood the liver with bilirubin derived from the fetal hemoglobin from the destroyed red blood cells.

o

The liver in a newborn infant is not mature, and its ability to process and eliminate bilirubin is limited.

o

As a result of both the influx of large amounts of bilirubin and the immaturity of the liver, bilirubin accumulates in the blood.

o

Within two or three weeks, the destruction of red blood cells ends, the liver matures, and the bilirubin levels return to normal.

There is another uncommon syndrome associated with neonatal jaundice, referred to as Breast-milk or breast feeding jaundice. o

In this syndrome, jaundice appears to be caused by or at least accentuated by breast feeding.

o

Although the cause of this type of jaundice is unknown, it has been hypothesized that there is something in breast milk that reduces the ability of the liver to process and eliminate bilirubin.

o

With breast-milk jaundice, the bilirubin levels rise and reach peak levels in approximately two weeks, remain elevated for a .....Health Naturally - 244.....

week or so, and then decline to normal over several weeks or months. o

This timing of the elevation in bilirubin and jaundice is different than normal physiological jaundice described previously and allows the two causes of jaundice to be differentiated.

o

The real importance of the more prolonged jaundice associate with breast-milk jaundice is that it raises the possibility that there is a more serious cause for the jaundice that needs to be sought, for example, biliary atresia (destruction of the bile ducts).

o

Breast-milk jaundice alone usually does not cause problems for the infant.

Physiologic jaundice and breast-milk jaundice usually do not cause problems for the infant; o

However, there is a concern that high or prolonged elevations in levels of un-conjugated bilirubin (the type of bilirubin that is not attached to glucuronic acid and the main type of bilirubin that is present in physiologic and breast-milk jaundice) will cause neurologic damage to the infant.

o

Therefore, when un-conjugated bilirubin levels are high or prolonged, treatment usually is started to lower the levels of bilirubin.

o

Treatment may be started earlier in infants who are born prematurely since their livers take longer to mature, and the risk of higher and more prolonged elevations of bilirubin is greater.

A common condition in newborns, jaundice refers to the yellow color of the skin and whites of the eyes caused by excess bilirubin in the blood. Bilirubin is produced by the normal breakdown of red blood cells. Normally, bilirubin passes through the liver and is excreted as bile through the intestines. Jaundice occurs when bilirubin builds up faster than a

.....Health Naturally - 245.....

newborn’s liver can break it down and pass it from the body. Reasons for this include: o

Newborns make more bilirubin than adults do since they have more turn over of red blood cells.

o

A newborn baby’s still-developing liver may not yet be able to remove adequate bilirubin from the blood.

o

Too large an amount of bilirubin is reabsorbed from the intestines before the baby gets rid of it in the stool.

High levels of bilirubin — usually above 25 mg — can cause deafness, cerebral palsy, or other forms of brain damage in some babies. In less common cases, jaundice may indicate the presence of another condition, such as an infection or a thyroid problem. Types of Newborn Jaundice The most common types of jaundice are: Physiological (normal) jaundice: occurring in most newborns, this mild jaundice is due to the immaturity of the baby’s liver, which leads to a slow processing of bilirubin. It generally appears at 2 to 4 days of age and disappears by 1 to 2 weeks of age. Jaundice of prematurity: occurs frequently in premature babies since they are even less ready to excrete bilirubin effectively. Jaundice in premature babies needs to be treated at a lower bilirubin level than in full term babies in order to avoid complications. Breastfeeding jaundice: jaundice can occur when a breastfeeding baby is not getting enough breast milk because of difficulty with breastfeeding or because the mother’s milk isn’t in yet. This is not caused by a problem with the breast milk itself, but by the baby not getting enough to drink. Breast milk jaundice: in 1% to 2% of breastfed babies, jaundice may be caused by substances

.....Health Naturally - 246.....

produced in their mother’s breast milk that can cause the bilirubin level to rise. These can prevent the excretion of bilirubin through the intestines. It starts after the first 3 to 5 days and slowly improves over 3 to 12 weeks. Blood group incompatibility (Rh or ABO problems): if a baby has a different blood type than the mother, the mother might produce antibodies that destroy the infant’s red blood cells. This creates a sudden buildup of bilirubin in the baby’s blood. Incompatibility jaundice can begin as early as the first day of life. Rh problems once caused the most severe form of jaundice, but now can be prevented with an injection of Rh immune globulin to the mother within 72 hours after delivery, which prevents her from forming antibodies that might endanger any subsequent babies. Treatments In mild or moderate levels of jaundice, by 1 to 2 weeks of age the baby will take care of the excess bilirubin on its own. ·

For high levels of jaundice, natural sunlight or with artificial phototherapy — treatment with a special light that helps rid the body of the bilirubin by altering it or making it easier for your baby’s liver to get rid of it — may be used.

·

More frequent feedings of breast milk or supplementing with formula to help infants pass the bilirubin in their stools may also be recommended.

·

In rare cases, if phototherapy is not successful, a blood exchange may be required to give a baby fresh blood and remove the bilirubin.

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·

If your baby develops jaundice that seems to be from breast milk, your doctor may ask you to temporarily stop breastfeeding. During this time, you can pump your breasts so you can keep producing breast milk and you can start nursing again once the condition has cleared.

·

If the amount of bilirubin is high, your baby may be readmitted to the hospital for treatment. Once the bilirubin level drops and the treatment is stopped, it is unlikely that treatment for jaundice will need to be restarted.Phototherapy

DIAGNOSIS OF JAUNDICE: The goal of testing is to determine the cause of the jaundice and to evaluate the severity of the underlying condition. Initial testing is usually focused on the liver. Specific additional tests, such as viral hepatitis testing and/or testing to evaluate increased RBC destruction may be ordered along with or following the initial tests based on the patient’s clinical findings and the doctor’s suspicions of the cause of the jaundice. Many tests are available for determining the cause of jaundice, but the history and physical examination are important as well. ·

History

The history can suggest possible reasons for the jaundice. o

For example, heavy use of alcohol suggests alcoholic liver disease, .....Health Naturally - 248.....

·

o

Whereas use of illegal, injectable drugs suggests viral hepatitis.

o

Recent initiation of a new drug suggests drug-induced jaundice.

o

Episodes of abdominal pain associated with jaundice suggests blockage of the bile ducts usually by gallstones.

Physical examination The most important part of the physical examination in a patient who is jaundiced is examination of the abdomen.

·

o

Masses (tumors) in the abdomen suggest cancer infiltrating the liver (metastatic cancer) as the cause of the jaundice.

o

An enlarged, firm liver suggests cirrhosis.

o

A rock-hard, nodular liver suggests cancer within the liver.

Blood tests Measurement of bilirubin can be helpful in determining the causes of jaundice.

·

o

Markedly greater elevations of unconjugated bilirubin relative to elevations of conjugated bilirubin in the blood suggest hemolysis (destruction of red blood cells).

o

Marked elevations of liver tests (aspartate amino transferase or AST and alanine amino transferase or ALT) suggest inflammation of the liver (such as viral hepatitis).

o

Elevations of other liver tests, e.g., alkaline phosphatase, suggest diseases or obstruction of the bile ducts.

Ultrasonography

Ultrasonography is a simple, safe, and readily-available test that uses .....Health Naturally - 249.....

sound waves to examine the organs within the abdomen. Ultrasound examination of the abdomen may disclose gallstones, tumors in the liver or the pancreas, and dilated bile ducts due to obstruction (by gallstones or tumor). ·

Computerized tomography (CT or CAT scans)

Computerized tomography or CT scans are scans that use x-rays to examine the soft tissues of the abdomen. They are particularly good for identifying tumors in the liver and the pancreas and dilated bile ducts, though they are not as good as ultrasonography for identifying gallstones. ·

Magnetic resonance imaging (MRI)

Magnetic Resonance Imaging scans are scans that utilize magnetization of the body to examine the soft tissues of the abdomen. Like CT scans, they are good for identifying tumors and studying bile ducts. MRI scans can be modified to visualize the bile ducts better than CT scans (a procedure referred to as MR cholangiography), and, therefore, are better than CT for identifying the cause and location of bile duct obstruction. Endoscopic retrograde cholangiopancreatography (ERCP) · Endoscopic and ultrasound Endoscopic retrograde cholangiopancreatography (ERCP) provides the best means for examining the bile duct. For ERCP an endoscope is swallowed by the patient after he or she has been sedated. The endoscope is a flexible, fiberoptic tube approximately four feet in length with a light and camera on its tip. The tip of the endoscope is passed down the esophagus, through the stomach, and into the duodenum where the main bile duct enters the intestine. A thin tube then is passed through the endoscope and into the bile duct, and the duct is filled with x-ray contrast solution. An x-ray is taken that clearly demonstrates the contrast-filled bile ducts. ERCP is particularly good at demonstrating the cause and location of obstruction within the bile ducts. A major advantage of ERCP is that diagnostic and therapeutic procedures can be done at the same .....Health Naturally - 250.....

time as the x-rays. For example, if gallstones are found in the bile ducts, they can be removed. Stents can be placed in the bile ducts to relieve the obstruction caused by scarring or tumors. Biopsies of tumors can be obtained. Ultrasonography can be combined with ERCP by using a specialized endoscope capable of doing ultrasound scanning. Endoscopic ultrasound is excellent for diagnosing small gallstones in the gallbladder and bile ducts that can be missed by other diagnostic methods such as ultrasound, CT, and MRI. It also is the best means of examining the pancreas for tumors and can facilitate biopsy through the endoscope of tumors within the pancreas. ·

Liver biopsy

Biopsy of the liver provides a small piece of tissue from the liver for examination under the microscope. The biopsy most commonly is long done with a needle after local injection of the skin of the abdomen overlying the liver with anesthetic. The needle passes through the skin and into the liver, cutting off a small piece of liver tissue. When the needle is withdrawn, the piece of liver comes with it. Liver biopsy is particularly good for diagnosing inflammation of the liver and bile ducts, cirrhosis, cancer, and fatty liver. NATUROPATHY AND YOGIC TREATMENT: Hydrotherapy: o o

Warm water enema daily Gastro-hepatic pack daily

o

Abdominal pack daily twice

o

Hot and neutral hip bath alternate days.

o

Hot Epsom salt bath

Massage therapy o

Full body oil massage

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o

Partial light massage to liver followed by hot n’ cold fomentation (3 mins each)

Mud therapy o

Full mud bath weekly once

o

Mud pack on the abdomen twice daily

Diet therapy: 6am

:

lime juice with sugar and salt

7am

:

mosambi juice

9am

:

sugarcane juice

11am

:

coconut water

1pm

:

brown rice, boiled vegs, butter milk

4pm

:

mosambi juice

6.30pm :

brown rice, buttermilk, boiled vegs

9.30pm :

lime water with sugar and salt

Yoga therapy: Sukshma vyayama Suryanamaskar Instant relaxation technique (IRT) Standing series Tadasana Ardhakatichkrasan Ardhachakrasan Padahastasan Trikonasan Supine series Uttitapadasana Pavanamuktasana

.....Health Naturally - 252.....

Vipareethakarni Matsyasana Quick relaxation technique (QRT) Prone series Makarasana Bujangasana Shalabhasana Sitting series Vajrasana Paschimottasana Vakrasana Ardhamatsyendrasana Gomukhasana Baddhakonasan Deep relaxation technique (DRT) Pranayama Abdominal breathing Surya anuloma viloma Nadishodana Ujjayi Bhramari Meditation Ohm Kara chanting A, U, M Kara chanting

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CHAPTER 28

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR LIVER DISORDERS

The liver is one of the most important organs in the body. It serves as a combination of manufacturing plant, chemical laboratory and storehouse of nutrients. It produces many vital elements and pours them into the blood stream, or stores until needed. Some of its functions are the production and storage of substances essential to the manufacture of red blood cells, the elimination of poisons and protein and the regulation of the numerous by products of protein metabolism, the storage of sugar, the storage and utilization of fats, the control of

.....Health Naturally - 254.....

cholesterol metabolism, and the production of bile acids, bile salts, and substances important for blood coagulation. Hepatitis is the Latin word for HEPATITIS:

liver inflammation. It is characterized by the destruction of a number of liver cells and the presence of inflammatory cells in the liver tissue. Hepatitis can be caused by diseases that primarily attack the liver cells. It can also arise as a result of a disease such as mononucleosis. Hepatitis accordingcan to itsbeduration: divided into two subgroups

·

acute hepatitis - lasting less than six months

·

Chronic hepatitis - lasting longer than six months.

Acute hepatitis: Acute hepatitis has a number of possible causes. Infectious viral hepatitis such as hepatitis A, hepatitis B, hepatitis C, hepatitis D and hepatitis E. Other viral diseases such as: mononucleosis and cytomegalovirus. Severe bacterial infections. Amoebic infections. Medicines, e.g. paracetamol poisoning and halothane (an anesthetic). Toxins: alcohol and fungal toxins, e.g. toadstool poisoning. Chronic hepatitis: Chronic hepatitis also has a number of different causes. Contagious viral hepatitis such as hepatitis B, hepatitis C and hepatitis D. .....Health Naturally - 255.....

Medicines. Toxins such as alcohol. Autoimmune hepatitis. This is a disease in which a number of liver cells are destroyed by the patient’s own immune system. Autoimmune hepatitis can also sometimes occur as acute hepatitis. The cause is unknown. Inborn metabolic disorders, such as Wilson’s disease (disorder of the body’s copper metabolism) and haemochromatosis (disorder of the body’s iron metabolism). SYMPTOMS: Acute hepatitis The symptoms of acute hepatitis vary considerably from person to person. Some patients have no symptoms at all, and in most cases, children only show mild symptoms. In the early stages: o tiredness, general malaise, slight fever

o

nausea, poor appetite, changes in taste perception pressure or pain below the right ribs caused by an enlarged liver

o

Aching muscles and joints, headache, skin rash.

o

The jaundice phase: o

yellowing of sclerae (the white portions of the eyes), skin and mucous membranes

o

dark urine

o

light-colored stools

o

Around this time, the other symptoms subside.

The recovery phase: o

Tiredness that can last for weeks.

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Chronic hepatitis o

Many patients have no symptoms.

o

Tiredness, an increased need for sleep, aching muscles and joints.

o

Periodic light pressure or pain below the right ribs - enlarged liver.

o

Jaundice is a very late symptom of chronic hepatitis. It is a sign that the disease has become serious.

Hepatitis A is transmitted by contaminated food, feces, or physical contact with an infected person. This condition usually resolves on its own. Hepatitis B is transmitted through blood, sexual intercourse and from mother to baby at birth. A person can become a chronic carrier of this virus and may progress to chronic liver disease or liver cancer. Hepatitis C is transmitted by blood and sometimes sexual intercourse. This is a common form of the disease and can lead to chronic liver disease. Hepatitis D affects only those with hepatitis B Hepatitis E is spread through feces, contaminated food or water and is more common in Mexico, Asia and Africa. Symptoms may include nausea, weakness, decreased appetite, lethargy, jaundice, low-grade fever and abdominal pain or distension RISK FACTORS: o

Patients with jaundice or other symptoms of hepatitis.

o

People who are very likely to have contracted the hepatitis B or the hepatitis C virus.

o

People who are at increased risk due to a hereditary type of hepatitis in their families

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DIAGNOSIS: The diagnosis is confirmed by blood samples, and, in some cases, by a tissue sample from the liver. o

o

Some of the blood samples are used for establishing the cause of the disease and excluding other known causes. Other blood samples will reveal the degree of activity of the inflammation at the time when the samples are taken.

o

In cases of chronic hepatitis, the extent of the damage to the liver can only be established via a tissue sample from the liver.

NATURE CURE AND YOGA FOR HEPATITIS: Hydrotherapy: o o

Warm water enema daily Gastro-hepatic pack daily

o

Abdominal pack daily twice

o

Hot and neutral hip bath alternate days.

o

Hot Epsom salt bath

Massage therapy o

Full body oil massage

o

Partial light massage to liver followed by hot n’ cold fomentation (3 mins each)

Mud therapy o

Full mud bath weekly once

o

Mud pack on the abdomen twice daily

Diet therapy: 6am

:

lime juice with honey

7am

:

sugar cane juice

8am

:

11am

:

mosambi juice, figs and isabgol wheat grass juice .....Health Naturally - 258.....

1pm

:

4pm

:

boiled vegs and curds sugar cane juice

6.30pm

:

black raisins water

9.30pm

:

rice ganji

Yoga therapy: Sukshma vyayama SuryaNamaskar (avoid in severe cases) Instant relaxation technique (IRT) Standing series Ardhakatichkrasan Ardhachakrasan Tadasana

Trikonasan Padahastasan

Supine series Uttitapadasana Pavanamuktasana Vipareethakarni Matsyasana Quick relaxation technique (QRT) Prone series Bujangasana Makarasana

Shalabhasana Sitting series Vajrasana Paschimottasana .....Health Naturally - 259.....

Vakrasana Ardhamatsyendrasana Gomukhasana Baddhakonasan Deep relaxation technique (DRT) Pranayama Abdominal breathing Surya anuloma viloma Nadishodana Ujjayi Bhramari Meditation Ohm Kara chanting A, U, M Kara chanting CIRRHOSIS OF LIVER: Cirrhosis is a complication of many liver diseases that is characterized by abnormal structure and function of the liver. The diseases that lead to cirrhosis do so because they injure and kill liver cells and the inflammation and repair that is associated with the dying liver cells causes scar tissue to form. The liver cells that do not die multiply in an attempt to replace the cells that have died. This results in clusters of newly-formed liver cells (regenerative nodules) within the scar tissue. CAUSES: There are many causes of cirrhosis; they include o

chemicals (such as alcohol, fat, and certain medications),

o

viruses,

o

toxic metals (such as iron and copper that accumulate in the liver as a result of genetic diseases), and .....Health Naturally - 260.....

o

Autoimmune liver disease in which the body’s immune system attacks the liver.

o

Chronic hepatitis C, Chronic hepatitis B and D.

o

Nonalcoholic fatty liver disease (NAFLD

o

Diseases that damage or destroy bile ducts.

o

Inherited diseases

A chronic liver disease which causes damage to liver tissue, scarring of the liver (fibrosis; nodular regeneration), progressive decrease in liver function, excessive fluid in the abdomen (ascites), bleeding disorders (coagulopathy), increased pressure in the blood vessels (portal hypertension), and brain function disorders (hepatic encephalopathy). Excessive alcohol use is the leading cause of cirrhosis SYMPTOMS AND SIGNS Individuals with cirrhosis may have few or no symptoms and signs of liver disease. Some of the symptoms may be nonspecific, that is, they don’t suggest that the liver is their cause. Some of the more common symptoms and signs of cirrhosis include: · Yellowing of the skin (jaundice) due to the accumulation of bilirubin in the blood ·

Fatigue

·

Weakness

·

Loss of appetite

·

Itching

·

Easy bruising from decreased production of blood clotting factors by the diseased liver.

·

nausea

·

vomiting

·

weight loss .....Health Naturally - 261.....

·

abdominal pain and bloating when fluid accumulates in the abdomen

·

spider like blood vessels on the skin

Individuals with cirrhosis also develop symptoms and signs from the complications of cirrhosis. DIAGNOSIS: o

The single best test for diagnosing cirrhosis is biopsy of the liver. Liver biopsies, however, carry a small risk for serious complications,

o

The possibility of cirrhosis may be suggested by the history, physical examination, or routine testing

o

Computerized tomography (CT or CAT) or magnetic resonance imaging (MRI) scans and ultrasound examinations of the abdomen done for reasons other than evaluating the possibility of liver disease may unexpectedly detect enlarged livers, abnormally nodular livers, enlarged spleens, and fluid in the abdomen that suggest cirrhosis.

o

Reduced level of albumin in the blood and reduced blood clotting factors due to the loss of the liver’s ability to produce these proteins. Thus, reduced levels of albumin in the blood or abnormal bleeding suggest cirrhosis.

NATUROPATHY AND YOGA TREATMENT NATURE CURE AND YOGA FOR HEPATITIS: Hydrotherapy: pack daily o Gastro-hepatic Warm water enema

o

Abdominal pack daily twice

o

Hot and neutral hip bath alternate days.

o

Hot Epsom salt bath

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Massage therapy o

Full body oil massage

o

Partial light massage to liver followed by hot n’ cold fomentation (3 mins each)

Mud therapy o

Full mud bath weekly once

o

Mud pack on the abdomen twice daily

Diet therapy: 6am

:

lime juice with honey

7am

:

black raisins water (soak raisins in 200 ml of water overnight, grind and strain)

8am

:

mosambijuice, figs and isabgol

11am

:

1pm

:

wheat grass juice boiled vegs and curds

4pm

:

sugar cane juice

6.30pm :

apple juice

9.30pm : Yoga therapy:

rice ganji

Sukshma vyayama Suryanamaskar (avoid in severe cases) Instant relaxation technique (IRT) Standing series Tadasana Ardhakatichkrasan Ardhachakrasan Padahastasan Trikonasan

.....Health Naturally - 263.....

Supine series Uttitapadasana Pavanamuktasana Vipareethakarni Matsyasana Quick relaxation technique (QRT) Prone series Makarasana Bujangasana Shalabhasana Sitting series Vajrasana Paschimottasana Vakrasana Ardhamatsyendrasana Gomukhasana Baddhakonasan Deep relaxation technique (DRT) Pranayama Abdominal breathing Surya anuloma viloma Nadishodana Ujjayi Bhramari Meditation Ohm Kara chanting A, U, M Kara chanting

.....Health Naturally - 264.....

CHAPTER 29

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR KIDNEY STONES

A kidney stone is a hard, crystalline mineral material formed within the kidney or urinary tract. Kidney stones are a common cause of blood in the urine and often severe pain in the abdomen, flank, or groin. Kidney stones are sometimes called renal calculi. One in every 20 people develops a kidney stone at some point in their life. The condition of having kidney stones is termed nephrolithiasis. Having stones at any location in the urinary tract is referred to as urolithiasis

.....Health Naturally - 265.....

Men are especially likely to develop kidney stones. The prevalence of kidney stones begins to rise when men reach their 40s, and it continues to climb into their 70s. People who have already had more than one kidney stone are prone to develop more stones. A family history of kidney stones is also a risk factor for developing kidney stones. FORMATION OF A KIDNEY STONE The kidney acts as a filter for blood, removing waste products from the body and making urine. It also helps regulate electrolyte levels that are important for body function. Urine drains from the kidney through a narrow tube called the ureter into the bladder. When the bladder fills and there is an urge to urinate, the bladder empties to the outside through the urethra, a much wider tube than the ureter. In some people, chemicals crystallize in the urine and form beginning, the or nidus, of a kidney stone. These stones are very tiny when they form, smaller than a grain of sand, but gradually can grow over time to 1/ 10 of an inch or larger. The size of the stone doesn’t matter as much as where it is located and whether it obstructs or prevents urine from draining. When the stone sits in the kidney, it rarely causes problems, but when it falls into the ureter, it acts like a dam. As the kidney continues to function and make urine, pressure builds up behind the stone and causes the kidney to swell. This pressure is what causes the pain of a kidney stone, but it also helps push the stone along the course of the ureter. When the stone enters the bladder, the obstruction in the ureter is relieved and the symptoms of a kidney stone are resolved.

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DIFFERENT SHAPES OF KIDNEY STONES They may be smooth, jagged or stag horn. CAUSES: Kidney stones form when there is a decrease in urine volume and/or an excess of stone-forming substances in the urine. The most common type of kidney stone contains calcium in combination with either oxalate or phosphate. Other chemical compounds that can form stones in the urinary tract include uric acid and the amino acid cystine. Dehydration from reduced fluid intake or strenuous exercise without adequate fluid replacement increases the risk of kidney stones. Obstruction to the flow of urine can also lead to stone formation. Kidney stones can also result from infection in the urinary tract; these are known as struvite or infection stones. Heredity: Some people are more susceptible to forming kidney stones, and heredity may play a role A number of different medical conditions can lead to an increased risk for developing kidney stones: Gout results in an increased amount of uric acid in the urine and can lead to the formation of uric acid stones. Hypercalciuria (high calcium in the urine), another inherited condition, causes stones in more than half of cases. In this condition, too much calcium is absorbed from food and excreted into the urine, where it may form calcium phosphate or calcium oxalate stones. Other conditions associated with an increased risk of kidney stones include o

Hyperparathyroidism,

o

kidney diseases .....Health such asNaturally renal tubularacidosis, -267..... and

o

Some inherited metabolic conditions including cystinuria and hyperoxaluria.

o

Chronic diseases such as diabetes and high blood pressure (hypertension) are also associated with an increased risk of developing kidney stones. People with inflammatory bowel disease or who have had an intestinal bypass or ostomy surgery are also more likely to develop kidney stones. Some medications also raise the risk of kidney stones. These medications include some diuretics, calcium-containing antacids, and the protease inhibitor indinavir (Crixivan), a drug used to treat HIV infection.

SIGNS AND SYMPTOMS: While some kidney stones may not produce symptoms (known as “silent” stones), people who have kidney stones often report the sudden onset of excruciating, cramping pain in their low back and/or side, groin, or abdomen. Colicky pain: “loin to groin”. Often described as “the worst pain [...] ever experienced”. This can also occur in the lower back. Nausea/vomiting: embryological link with intestine– stimulates the vomiting center. Hematuria: blood in the urine, due to minor damage to inside wall of kidney, ureter and/or urethra. Pyuria: pus in the urine. Dysuria: burning on urination when passing stones (rare). More typical of infection. Oliguria: reduced urinary volume caused by obstruction of the bladder or urethra by stone or extremely rarely, simultaneous .....Health Naturally - 268.....

obstruction of both ureters by a stone. Post renal azotemia: the blockage of urine flow through a ureter. Hydronephrosis: the distension and dilation of the renal pelvis and calyces. If infection is present in the urinary tract along with the stones, there may be fever and chills. Sometimes, symptoms such as o

Difficulty urinating,

o o

urinary urgency, penile pain, or

o

Testicular pain may occur due to kidney stones.

FOODS AND DRINKS CONTAINING OXALATE People prone to forming calcium oxalate stones may be asked by their doctor to limit or avoid certain foods if their urine contains an excess of oxalate. High-oxalate foods—higher to lower spinach beets wheat germ soybean crackers peanuts okra/ ladies fingers chocolate black Indian tea sweet potatoes Foods that have medium amounts of oxalate may be eaten in limited amounts. .....Health Naturally - 269.....

Medium-oxalate foods—higher to lower grapes celery green pepper red raspberries fruit cake strawberries marmalade DIAGNOSIS The diagnosis of kidney stones is suspected by the typical pattern of symptoms when other possible causes of the abdominal or flank pain are excluded. Imaging tests are usually done to confirm the diagnosis. A helical CT scan without contrast material is the most common test to detect stones or obstruction within the urinary tract. The scan will demonstrate the anatomy of the kidneys, ureter, and bladder and can detect a stone, its location, its size, and whether it is causing dilation of the ureter and inflammation of the kidney. The CT can also evaluate many other organs in the abdomen, including the appendix, gallbladder, liver, pancreas, aorta, and bowel. However, since no contrast material is used, there are some limitations to the detail that can be observed in the images of the scan. In pregnant women or those who should avoid radiation exposure, an ultrasound examination may be done to help establish the diagnosis. A urinalysis may detect blood in the urine. It is also done to look for evidence of infection, a complication of kidney stone disease. Ultrasound is another way of looking for kidney stones and .....Health Naturally - 270.....

obstruction and may be useful when the radiation risk of a CT scan is unwanted (for example, if a woman is pregnant). In those patients who already have the diagnosis of a kidney stone, plain abdominal X-rays may be used to track its movement down the ureter toward the bladder. Other investigations typically carried out include: o

Microscopic study of urine, which may show proteins, red blood cells, bacteria, cellular casts and crystals.

o

Culture of a urine sample to exclude urine infection (either as a differential cause of the patient’s pain, or secondary to the presence of a stone)

o

Blood tests: Full blood count for the presence of a raised white cell count (Neutrophilia) suggestive of infection, a check of renal function and to look for abnormally high blood calcium blood levels (hypercalcemia).

o

24 hour urine collection to measure total daily urinary volume, magnesium, sodium, uric acid, calcium, citrate, oxalate and phosphate.

o

Catching of passed stones at home (usually by urinating through a tea strainer or stone screen) for later examination and evaluation by a doctor

NATUROPATHY AND YOGA TREATMENT: Hydrotherapy · ·

Neutral hip bath daily twice Kidney pack daily for 20-30 minutes

·

Hot fomentation at the site of pain cover by a thick dry towel for 30 minutes Hot and cold hip baths for 15 minutes daily

·

Warm water enema

·

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Massage therapy ·

Full body massage with steam

·

Partial massage to back and abdomen

Mud therapy · ·

Hot mud application during pain at the site of pain. Mud packs for 30 minutes daily

Diet therapy Drink plenty of water and be only on liquids like juice of wheat grass, cucumber, ash gourd, carrot, lemon, mosambi, orange, cabbage, tender coconut water and dhania water for 3 to 7 days. Strictly no salt, sweets, pulses and milk. Always pass urine immediately after meal. 6am

:

ushapanam

7am

:

soaked black raisins water

8am

:

papaya 1 bowl.

11am

:

plantain pith juice

1pm

:

Freshly prepared steamed vegetables, whole wheat chapatti, and buttermilk.

4pm

:

orange juice

7 pm

:

wheat bran chapati, boiled vegs, papaya

9.30 pm:

coconut water

Yoga therapy: Kriya: vamana dhouti Sukshma vyayama Standing series Ardhakatichkrasan Tadasana

Ardhacakrasana .....Health Naturally - 272.....

Supine series Uttitapadana Pavanamuktasana Vipareethakarni Matsyasana Quick relaxation technique Prone series Bujangasana Makarasana

Ardhashalabhasana Sitting series Ardhamatsyendrasana Vakrasana Vajrasana

Deep relaxation technique Pranayama Kapalbhati Shitali, shitkari, sadantha Chandranuloma viloma Chandrabedhana Nadishodana Bhastrika Bhramari Meditation A, U, M Kara chanting OHM Kara chanting Bajans Yoga nidra .....Health Naturally - 273.....

CHAPTER 30

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR UNDERWEIGHT

DESCRPTION The term underweight refers to a human who is considered to be under a healthy weight. The definition is usually made with reference to the body mass index (BMI). A BMI of fewer than 18.5 is usually referred to as underweight. There are a number of reasons why someone may be underweight. Some people are just naturally thinner than others, because they tend to burn more calories or eat less. Other people may lose weight as a result of certain medications or an underlying medical condition. Sudden weight loss without trying can also be an indication of a health problem, so talk to your doctor. CAUSES Yet if one appears abnormally slender, there is a cause, and this must be taken into consideration when endeavoring to gain. There may exist no specific disease but there may be present, .....Health Naturally - 274.....

·

Disturbed digestion or reduced assimilation,

·

General toxemia, overeating, hasty eating, wrong food selection, harmful foods, foods and adjuncts (spices, condiments, etc),

·

Malfunctioning digestive organs,

·

constipation,

·

Occupation, confinement away from sunlight and fresh air, and irritating environment and worry may be causes. Worry, may cause loss of weight, but never yet has put a pound of weight on anyone.

·

Diarrhea, diabetic and kidney disease, Anorexia nervosa Bulimia nervosa, tuberculosis, anemia, cancer, toxic goiter or over-active thyroid-these, which may be classed among the causes, are but further results of general toxemia.

·

As unbalanced diet is a very frequent cause of thinness, as is also a diet of refined foods, deficient in really nourishing elements.

·

Too much exercise

·

Poverty

·

Anxiety and depressive disorders

·

Drug use, especially stimulants

·

Dental pain

·

Over-training (endurance sports)

·

HIV/AIDS

·

Genetics / Naturally light weight

·

Puberty (height increases, body cannot catch up with muscle/ fat growth)

PROBLEMS OR SYMPTOMS ·

Poor physical stamina

·

Feel fatigue often

·

Weak immune system, leaving them open to infection. .....Health Naturally - 275.....

·

Amenorrhea

·

Osteoporosis

·

Fertility problems

NATURE CURE AND YOGA TREATMENT Hydrotherapy: Cold hip bath daily for 20 minutes Cold spinal bath for 20 minutes Cold immersion bath for 20 minutes Cold water enema daily Steam bath for 15 minutes. Massage therapy: Full body massage Mud therapy Full mud bath Mud packs on abdomen and eyes Diet therapy: 6am

:

black raisins water (soak 30 raisins in 200ml water overnight, grind and strain)

8am

:

brown rice dahlia, milk, 6 almonds, and 6 dates

11am

:

orange juice

1pm

:

2 wheat rotis, boiled vegs, moong dhal, 6 roasted garlic, 2 spoon butter

4pm

:

2 banana, 100 gm grated coconut, honey

6.30pm :

brown rice, ghee, boiled vegs, moong dhal

9.30pm :

milk with ashwagandha

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Yoga therapy: Sukshma vyayama Standing series Tadasana Vrikshasana Ardhachakrasan Padahastasan Ardhakatichkrasan Trikonasan Instant relaxation technique Supine series Uttitapadasana Pavanamuktasana Vipareethakarni Sarvangasana Matsyasana Quick relaxation technique Prone series Makarasana Bujangasana Ardhashalabhasana Sitting series Vajrasana Ustrasana Paschimottasana Vakrasana Ardhamatsyendrasana Baddhakonasan .....Health Naturally - 277.....

Deep relaxation technique Pranayama Shitali, shitkari, sadantha Chandranuloma viloma Chandrabedhana Nadishodana Bhramari Meditation A, U, M Kara chanting OHM Kara chanting Bajans Yoga nidra Home Remedy for Gaining Weight o

The most effective and simple remedy to gain weight is to consume banana milk shake. It is a fast way to gain weight.

o

Another effective way would be to have banana thrice a day. This should be followed with curd or milk.

o

Muskmelon is beneficial in treating underweight problem. Have muskmelon three times a day as it helps in gaining weight.

o

Another effective way to cure underweight problem would be to have fruit diet with milk. While fruits nourish the body with sugar, milk provides the proteins.

o

An effective way to gain weight would be consume a glass of hot milk with a tablespoon of honey.

o

Take a cup of milk and put some almonds, date palm and anjeer in it. Boil this milk and have it when warm. This is helpful in treating underweight problem.

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o

Mangoes are useful in gaining weight. Have a mango followed by a glass of milk. The other way would be to have a glass of mango milk shake every day for a month.

o

Raisins are beneficial in solving underweight problems. Have 30 grams of raisins every day for about a month. This would surely cure underweight problems.

o

Take 3-4 dry figs and immerse them in water. Keep them overnight. Have this twice a day to get cured of underweight problem.

o

Combine equal amounts of pomegranate seed powder, white muesli powder and Indian ginseng root powder. Intake this mixture, twice a day for about a month, along with a glass of water or milk. Not only does it helps gain weight, but also tones up the body.

o

Intake 100 to 150 grams of bran with fruits. The best deal would be to take it with papaya. It works as an excellent appetizer improving digestion and reducing constipation.

o

Increase in the intake of fatty foods such as flour, rice honey, raisins, figs, dates, butter, and germinated wheat.

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CHAPTER 31

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR HYPER HYPERTHYROIDISMTHYROIDISMTHYROIDISMTHYROIDISMTHYROIDISM

DESCRIPTION The thyroid gland is situated in the neck region and is mainly concerned with the regulation of the body’s metabolism. But when this gland does not function properly, it leads to a range of problems. One of these is hyperthyroidism. Hyperthyroidism is the term for overactive tissue within the thyroid gland, resulting in overproduction and thus an excess of circulating free thyroid hormones: thyroxin (T4), triiodothyronine (T3), or both. Thyroid hormone is important at a cellular level, affecting nearly every type of tissue in the body. Thyroid hormone functions as a stimulus to metabolism and is critical to normal function of the cell. In excess, it both over stimulates metabolism and exacerbates the effect of the sympathetic nervous system, causing “speeding up” of various body systems and symptoms resembling an overdose of epinephrine (adrenaline). .....Health Naturally - 280.....

These include fast heart beat and symptoms of palpitations, nervous system tremor and anxiety symptoms, digestive system hyper motility (diarrhea), and weight loss.

Thyroid hormone regulation—the chain of command The thyroid itself is regulated by another gland located in the brain, called the pituitary. In turn, the pituitary is regulated in part by thyroid hormone that is circulating in the blood (a “feedback” effect of thyroid hormone on the pituitary gland) and in part by another gland called the hypothalamus, also a part of the brain. The hypothalamus releases a hormone called thyrotropin releasing hormone (TRH), which sends a signal to the pituitary to release thyroid stimulating hormone (TSH). In turn, TSH sends a signal to the thyroid to release thyroid hormones. If over activity of any of these three glands occurs, an excessive amount of thyroid hormones can be produced, thereby resulting in hyperthyroidism. Hypothalamus - TRH

Pituitary- TSH

Thyroid- T4 and T3 The rate of thyroid hormone production is controlled by the pituitary gland. If there is an insufficient amount of thyroid hormone circulating in the body to allow for normal functioning, the release of TSH is increased by the pituitary in an attempt to stimulate the thyroid to produce more .....Health Naturally - 281.....

thyroid hormone. In contrast, when there is an excessive amount of circulating thyroid hormone, the release of TSH is reduced as the pituitary attempts to decrease the production of thyroid hormone. SIGNS AND SYMPTOMS ·

Palpitations

·

Heat intolerance

·

Nervousness

· ·

Anxiety Depression

·

Irritability

·

Polyurea and polydepsia

·

Hyperactivity

·

Insomnia

·

Breathlessness

· ·

bowel movements Increased Increased sweating

·

Light or absent menstrual periods

·

Fatigue

·

Diarrhea Nausea Vomiting Fast Trembling Weight heart losshands rate

·

Muscle weakness

·

Warm moist skin

·

Hair loss Staring gaze

·

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CAUSES Functional thyroid tissue producing an excess of thyroid hormone occurs in a number of clinical conditions. The major causes in humans are: ·

Graves’ disease (the most common etiology with 70-80%. This is an inherited, auto-immune disorder that appears when some people reach middle age. It is most likely triggered by a bacterial or viral infection. The antibodies produced against the infection are assumed to react with the thyroid stimulating hormone (TSH) receptors, which causes the thyroid gland to become overactive)

·

Toxic thyroid adenoma

·

Toxic multinodular goiter High blood levels of thyroid hormones (most accurately termed hyperthyroxinemia) can occur for a number of other reasons:

·

Inflammation of the thyroid is called thyroiditis. There are a number of different kinds of thyroiditis including Hashimoto’s thyroiditis (immune mediated), and sub acute thyroiditis (DeQuervain’s). These may be initially associated with secretion of excess thyroid hormone, but usually progress to gland dysfunction and thus, to hormone deficiency and hypothyroidism.

·

Oral consumption of excess thyroid hormone tablets is possible, as is the rare event of consumption of ground beef contaminated with thyroid tissue, and thus thyroid hormone (termed “hamburger hyperthyroidism”).

·

Amiodarone, an anti-arrhythmic drug is structurally similar to thyroxin and may cause either under- or over activity of the thyroid.

·

Postpartum thyroiditis (PPT) occurs in about 7% of women during the year after they give birth. PPT typically has several phases, the first of which is hyperthyroidism. This form of

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hyperthyroidism usually corrects itself within weeks or months without the need for treatment. DIAGNOSIS ·

Thyroid-stimulating hormone (TSH) produced by the pituitary will be decreased in hyperthyroidism. Thus, the diagnosis of hyperthyroidism is nearly always associated with a low (suppressed) TSH level. If the TSH levels are not low, then other tests must be run.

·

Thyroid hormones themselves (T3, T4) will be increased. For a patient to have hyperthyroidism, they must have high thyroid hormone levels. Sometimes all of the different thyroid hormones are not high and only one or two of the different thyroid hormone measurements are high. This is not too common, as most people with hyperthyroidism will have all of their thyroid hormone measurements high (except TSH).

·

Iodine thyroid scan will show if the cause is a single nodule or the whole gland

·

laboratory and x-ray tests

NATURE CURE AND YOGA TREATMENTS Hydrotherapy: ·

Warm water enema

·

Cold neck pack for 30 minutes daily

·

Neutral spinal bath for 20 minutes

·

Cold hip bath for 20 minutes

·

Steam bath for 15 minutes

Massage therapy: ·

Full body massage

·

Partial massage to head and neck

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Diet therapy: 6am

juice of 10 gm ginger, 10 basil leaves with 10 gm Jaggery

:

7am

Apple juice 150 ml

8am

:

carrot juice

1pm

:

2 chapatis, boiled vegs, sprouts, curds

4pm

:

bottle gourd juice

6pm

:

brown rice, boiled vegs, papaya

9.30pm :

milk with isabgol

Yoga therapy: Sukshma vyayama SuryaNamaskar Standing series Ardhachakrasan Vrikshasana Tadasana

Padahastasan Ardhakatichkrasan Trikonasan Instant relaxation technique Supine series Uttitapadana Pavanamuktasana Vipareethakarni Sarvangasana Matsyasana

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Quick relaxation technique Prone series Bujangasana Makarasana

Ardhashalabhasana Dhanurasana Sitting series Ardhamatsyendrasana Vakrasana Janushirasana Ustrasana Vajrasana

Baddhakonasan Shirsasana Deep relaxation technique Pranayama Shitali, shitkari, sadantha Suryanuloma viloma Suryabedhana Nadishodana Bhramari Meditation A, U, M Kara chanting OHM Kara chanting Bajans Yoga nidra

.....Health Naturally - 286.....

CHAPTER 32

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR OBESITY

DESCRIPTION Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and/or increased health Body mass index (BMI), a measurement which problems. compares weight and height, defines people as overweight (pre-obese) when their BMI is between 25 kg/m2 and 30 kg/m2, and obese when it is greater than 30 kg/m2. The BMI (body mass index), a key index for relating body weight to height, is a person’s weight in kilograms (kg) divided by their height in meters (m) squared. Since the BMI describes the body weight relative to height, it correlates strongly (in adults) with the total body fat content. Some very muscular people may have a high BMI without undue health risks. The following table illustrates how to estimate from the BMI whether a person is obese or not.

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BMI

Diagnosis

Between 18.5 and 24.9

Normal weight

Between 25.0 and 29.9

Overweight

Between 30.0 and 39.9

Obese

Above 40

Morbidly obese

WAIST CIRCUMFERENCE

What Are Overweight and Obesity? The terms “overweight” and “obesity” refer to a person’s overall body weight and where the extra weight comes from. Overweight is having extra body weight from muscle, bone, fat, and/or water. Obesity is having a high amount of extra body fat. CAUSES FOR OBESITY 1) Energy Balance For most people, overweight and obesity are caused by not having energy balance. Weight is balanced by the amount of energy or calories you get from food and drinks (this is called energy IN) equaling the energy your body uses for things like breathing, digesting, and being physically active (this is called energy OUT). Energy balance means that your energy IN equals your energy OUT. To maintain a healthy weight, your energy IN and OUT don’t have to balance exactly every day. It’s the balance over time that helps you maintain a healthy weight. .....Health Naturally - 288.....

o

The same amount of energy IN and energy OUT over time = weight stays the same

o

More IN than OUT over time = weight gain

o

More OUT than IN over time = weight loss

Overweight and obesity happen over time when you take in more calories than you use. 2) Physical Inactivity Many aren’t very physically active. There are many reasons for this. o

Spend hours in front of TVs and computers doing work, schoolwork, and leisure activities. In fact, more than 2 hours a day of regular TV viewing time has been linked to overweight and obesity.

o

Relying on cars instead of walking to places,

o

Fewer physical demands at work or at home because modern technology and conveniences reduce the need to burn calories,

o

Lack of physical education classes in schools for children.

3) Environment Our environment doesn’t always help with healthy lifestyle habits; in fact, it encourages obesity. Some reasons include: o

Lack of neighborhood sidewalks and safe places for recreation. Not having area parks, trails, sidewalks, and affordable gyms makes it hard for people to be physically active.

o

Work schedules. People often say that they don’t have time to be physically active given the long hours at work and the time spent commuting back and forth to work.

o

Oversized food portions: huge food portions in restaurants, fast food places, gas stations, movie theaters, supermarkets, .....Health Naturally - 289.....

and even home. Some of these meals and snacks can feed two or more people. Eating large portions means too much energy IN. Over time, this will cause weight gain if it isn’t balanced with physical activity. o

Lack of access to healthy foods: Some people don’t live in neighborhoods that have supermarkets that sell healthy foods such as fresh fruits and vegetables. Or if they do, these items are often too costly.

o

Food advertising: by ads from food companies. Often children are the targets of advertising for high-calorie, high fat snacks and sugary drinks. The goal of these ads is to sway people to buy these high-calorie foods, and often they do.

4) Genes and Family History Studies of identical twins who have been raised apart show that genes have a strong influence on one’s weight. Overweight and obesity tend to run in families. Your chances of being overweight are greater if one or both of your parents are overweight or obese. Your genes also may affect the amount of fat you store in your body and where on your body you carry the extra fat. Because families also share food and physical activity habits, there is a link between genes and the environment. Children adopt the habits of their parents. So, a child with overweight parents who eat high-calorie foods and are inactive will likely become overweight like the parents. On the other hand, if a family adopts healthful food and physical activity habits, the child’s chance of being overweight or obese is reduced. 5) Health Conditions Sometimes hormone problems cause overweight and obesity. These problems include:

.....Health Naturally - 290.....

o

Under active thyroid (also called hypothyroidism). This is a condition in which the thyroid gland doesn’t make enough thyroid hormone. Lack of thyroid hormone will slow down your metabolism and cause weight gain. You’ll also feel tired and weak.

o

Cushing’s syndrome. This is a condition in which the body’s adrenal glands make too much of the hormone cortisol. Cushing’s syndrome also can happen when people take high levels of medicines such as prednisone for long periods of time. People with Cushing’s syndrome gain weight, have upper-body obesity, a rounded face, fat around the neck, and thin arms and legs.

o

Polycystic ovarian syndrome (PCOS). This is a condition that affects about 5 to 10 percent of women of childbearing age. Women with PCOS often are obese, have excess hair growth, and have reproductive and other health problems due to high levels of hormones called androgens.

6) Medicines Certain medicines such as corticosteroids (for example, prednisone), antidepressants (for example, Elavil), and medicines for seizures (for example, Neurontin) may cause you to gain weight. These medicines can slow the rate at which your body burns calories, increase your appetite, or cause your body to hold on to extra water—all of which can lead to weight gain. 7) Emotional Factors Some people eat more than usual when they are bored, angry, or stressed. Over time, overeating will lead to weight gain and may cause overweight or obesity. 8) Smoking Some people gain weight when they stop smoking. One reason is that food often tastes and smells better. Another reason is because .....Health Naturally - 291.....

nicotine raises the rate at which your body burns calories, so you burn fewer calories when you stop smoking. However, smoking is a serious health risk, and quitting is more important than possible weight gain. 9) Age As you get older, you tend to lose muscle, especially if you’re less active. Muscle loss can slow down the rate at which your body burns calories. If you don’t reduce your calorie intake as you get older, you may gain weight. Midlife weight gain in women is mainly due to aging and lifestyle, but menopause also plays a role. Many women gain around 5 pounds during menopause and have more fat around the waist than they did before. 10) Pregnancy During pregnancy, women gain weight so that the baby gets proper nourishment and develops normally. After giving birth, some women find it hard to lose the weight. This may lead to overweight or obesity, especially after a few pregnancies. 11) Lack of Sleep Studies find that the less people sleep, the more likely they are to be overweight or obese. People who report sleeping 5 hours a night, for example, are much more likely to become obese compared to people People who sleep fewer hours also who sleep 7–8 hours a night. seem to prefer eating foods that are higher in calories and carbohydrates, which can lead to overeating, weight gain, and obesity over time. Hormones that are released during sleep control appetite and the body’s use of energy. For example, insulin controls the rise and fall of blood sugar levels during sleep. People who don’t get enough sleep have insulin and blood sugar levels that are similar to those in people who are likely to have diabetes. Also, people who don’t get enough sleep on a regular basis seem to have high levels of a hormone called ghrelin (which causes hunger) and low levels of a hormone called leptin (which normally helps to curb hunger).

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SIGNS AND

SYMPTOMS

Weight gain usually happens over time. Most people know when they’ve gained weight. Some of the signs of overweight or obesity include: o

Clothes feeling tight and needing a larger size.

o

The scale showing that you’ve gained weight.

o

Having extra fat around the waist.

o

A higher than normal body mass index and waist circumference.

Of course, the commonest symptom of obesity is the bulge that begins at the midsection. If a pinching on the abdomen gathers more than two inches of flesh, then it means that the person is accumulating more fat than is being used. Due to obesity, the following other symptoms are observed: o

The person gets tired very easily. There is no stamina in the body.

o

The person wheezes while talking.

o

Heartbeat is rapid.

o

The person is in a state of lethargy or sluggishness all the time.

HEALTH RISKS Being overweight or obese isn’t a cosmetic problem. It greatly raises the risk in adults for many diseases and conditions. Overweight and Obesity-Related Health Problems in Adults

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· ·

Heart Disease High Blood Pressure (Hypertension)

·

Stroke

·

Type 2 Diabetes

·

Abnormal Blood Fats

·

Metabolic Syndrome

·

Cancer

·

Osteoarthritis

·

Sleep Apnea

·

Reproductive Problems

·

Gallstones Depression or Anxiety disorders.

· Overweight and Obesity-Related Health Problems in Children and Teens Also, overweight children are more likely to become overweight or obese as adults, with the same risks for disease. DIAGNOSIS ·

The most common way to find out whether you’re overweight or obese is to figure out your body mass index (BMI).

·

BMI-for-Age Percentile

BMI-for-Age Percentile Less than 5th percentile

Underweight

5th percentile to less than the

Healthy

85th percentile

weight

85th percentile to less than the

Risk of

95th percentile

overweight

95th percentile or greater

Overweight

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·

Waist Circumference

·

Skin calipers

·

Bioelectric impedance analyses (BIA): There are two methods of the BIA. One involves standing on a special scale with footpads. A harmless amount of electrical current is sent through the body, and then percentage of body fat is calculated. The other type of BIA, involves electrodes that are typically placed on a wrist and an ankle, and on the back of the right hand and on the top of the foot. The change in voltage between the electrodes is measured. The person’s body fat percentage is then calculated from the results of the BIA.

NATURE CURE AND YOGA TREATMENT Hydrotherapy: ·

Warm water enema

·

Cold hip bath daily for 20 minutes

·

Cold Immersion bath for 20 minutes

·

Cold spinal bath for 20 minutes

·

Steam bath for 15 minutes

·

Cold abdominal pack for 30 minutes

Massage therapy: ·

Full body massage

·

Partial massage to abdomen, back, chest, legs.

Mud therapy: ·

Full mud bath

·

Mud packs to eyes, abdomen

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Diet therapy: 6am

:

lime juice with honey

7am

:

ginger water (crush 1’’ ginger and add 200ml of water)

8am

:

bottle gourd juice

1pm

:

boiled vegs and curd

4pm

:

chew mosambi

6.30pm :

moong sprouts, boiled vegs, papaya

Yoga therapy: Sukshma vyayama Suryanamaskar Standing series Tadasana Vrikshasana Ardhachakrasan Padahastasan Ardhakatichkrasan Trikonasan Instant relaxation technique Supine series Uttitapadasana Pavanamuktasana Vipareethakarni Sarvangasana Matsyasana

.....Health Naturally - 296.....

Quick relaxation technique Prone series Makarasana Bujangasana Ardhashalabhasana Dhanurasana Sitting series Vajrasana Ustrasana Paschimottasana Vakrasana Ardhamatsyendrasana Baddhakonasan Deep relaxation technique Pranayama Shitali, shitkari, sadantha Suryanuloma viloma Suryabedhana Nadishodana Bhramari Meditation A, U, M Kara chanting OHM Kara chanting Bajans Yoga nidra .....Health Naturally - 297.....

PREVENTION Staying at a healthy weight and preventing overweight and obesity can be achieved through living a healthy lifestyle. Because lifetime habits begin in childhood, it’s important for parents and families to create habits that encourage healthy food choices and physical activity early in life. ·

Follow a healthy eating plan. Make healthful food choices, keep your and your family’s calorie needs in mind, and focus on the balance of energy IN and energy OUT.

·

Focus on portion size. Watch the size of portions in fast food and other restaurants. The portions served are often enough for two or three people. Children’s portion sizes should be smaller than those for adults. Cutting back on portion size is a sure way to help keep energy IN and energy OUT in balance.

·

Be active. Make personal and family time active. Find activities that everyone will enjoy. For example, go for a brisk walk, bike or rollerblade, or train together for a walk or run.

·

Reduce screen time. Limit the use of TVs, computers, DVDs, and video games, because they crowd out time for physical activity. Health experts recommend 2 hours or less a day of screen time that’s not work- or homework-related.

·

Keep track of weight and other measurements. Monitor your weight, body mass index, and waist circumference on a regular basis. Also, keep track of your children’s growth.

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CHAPTER 33

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR DIABETES MELLITUS

DESCRIPTION The word diabetes is derived from a Greek word ‘to pass through’ and mellitus comes from Latin word ‘honey’. Often referred to simply as diabetes—is a condition in which the body either does not produce enough, or does not properly respond to, insulin, a hormone produced in the pancreas. Insulin enables cells to absorb glucose in order to turn it into energy. In diabetes, the body either fails to properly respond to its own insulin, does not make enough insulin, or both. This causes glucose to accumulate in the blood, often leading to various complications. CLASSIFICATION Diabetes mellitus is classified into four categories: type 1, type 2, .....Health Naturally - 299.....

gestational diabetes, and other. Type 1 and type 2 come under primary diabetes The other under secondary diabetes Primary diabetes: Or idiopathic diabetes mellitus the common form is divided into 2 major types. Type 1 or IDDM (Insulin dependent Diabetes Mellitus)T h e term “type 1 diabetes” has universally replaced several former terms, including childhood-onset diabetes, juvenile diabetes, and insulin-dependent diabetes mellitus (IDDM)

Type 2 or NIDDM (Non Insulin Dependent Diabetes Mellitus) The type 2 diabetes” has replaced several former terms, including adult-onset diabetes, obesity-related diabetes, and non insulin-dependent diabetes mellitus (NIDDM). IDDM Type 1 diabetes mellitus is characterized by loss of the insulin producing beta cells of the islets of Langerhans in the pancreas leading to a deficiency of insulin. This type of diabetes can be further classified as immune-mediated or idiopathic. The majority of type 1 diabetes is of the immune-mediated nature, where beta cell loss is a T cell mediated autoimmune attack. There is no known preventive measure which can be taken against type 1 diabetes In this condition, the body is unable to produce insulin. Insulin is a hormone produced by the pancreas, a gland that is in the abdomen. Insulin is a hormone that controls the use of different fuels for energy. It is especially important because it allows the body to use glucose (simple sugar) instead of fats. When there is no insulin, the body cannot use or store the glucose that comes from food and this causes the blood sugars to become very .....Health Naturally - 300.....

high. Instead, the body uses fat as a source of fuel giving rise to some of the acute complications of diabetes mellitus. The pancreas undergoes an autoimmune attack by the body itself, and is rendered incapable of making insulin. Abnormal antibodies have been found in the majority of patients with type 1 diabetes. Antibodies are proteins in the blood that are part of the body’s immune system. The patient with type 1 diabetes must rely on insulin medication for survival. In autoimmune diseases, such as type 1 diabetes, the immune system mistakenly manufactures antibodies and inflammatory cells that are directed against and cause damage to patients’ own body tissues. In persons with type 1 diabetes, the beta cells of the pancreas, which are responsible for insulin production, are attacked by the misdirected immune system. It is believed that the tendency to develop abnormal antibodies in type 1 diabetes is, in part, genetically inherited, though the details are not fully understood. This is the less common type and usually occurs in young persons below the age of 35. NIDDM In type 2 diabetes, patients can still produce insulin; it is characterized differently and is due to insulin resistance or reduced insulin sensitivity. The defective responsiveness of body tissues to insulin almost certainly involves the insulin receptor in cell membranes. In the early stage of type 2 diabetes, the predominant abnormality is reduced insulin sensitivity, characterized by elevated levels of insulin in the blood. In many cases this actually means the pancreas produces larger than normal quantities of insulin. A major feature of type 2 diabetes is a lack of sensitivity to insulin by the cells of the body (particularly fat and muscle cells). Type 2 diabetes is the most common form of diabetes. About 90 to 95 percent of people with diabetes have type 2 diabetes. This form of diabetes usually develops in adults over the age of 40 and is most common among .....Health Naturally - 301.....

adults over age 55. About 80 percent of people with type 2 diabetes are overweight. This type of diabetes commonly occurs in persons who are overweight and have high blood pressure. There are often other family members who also have the disease. NORMALLY IN THE BODY:

DIABETES TYPE 2: INSULIN RESISTANCE

Gestational diabetes mellitus: Diabetes can occur temporarily during pregnancy. Significant hormonal changes during pregnancy can lead to blood sugar elevation in genetically predisposed individuals. Blood sugar elevation during pregnancy is called gestational diabetes. Gestational diabetes usually resolves once the baby is born. However, 25% 50% of women with gestational diabetes will eventually develop type 2 diabetes later in life, especially in those who require insulin during pregnancy and those who remain overweight after their delivery. Patients with gestational diabetes are usually asked to undergo an oral glucose tolerance test about six weeks after giving birth to determine if their diabetes has persisted beyond the pregnancy, or if any evidence (such as impaired glucose tolerance) is present that may be a clue to the patient’s future risk for developing diabetes. GDM resembles type 2 diabetes in several respects, involving a combination of relatively inadequate insulin secretion and responsiveness. It occurs in about 2%–5% of all pregnancies and may improve or .....Health Naturally - 302.....

disappear after delivery. Gestational diabetes is fully treatable but requires careful medical supervision throughout the pregnancy. Even though it may be transient, untreated gestational diabetes can damage the health of the fetus or mother. Risks to the baby include macrosomia (high birth weight), congenital cardiac and central nervous system anomalies, and skeletal muscle malformations. Increased fetal insulin may inhibit fetal surfactant production and cause respiratory distress syndrome. Hyperbilirubinemia may result from red blood cell destruction. In severe cases, perinatal death may occur, most commonly as a result of poor placental perfusion due to vascular impairment. Induction may be indicated with decreased placental function. A cesarean section may be performed if there is marked fetal distress or an increased risk of injury associated with macrosomia, such as shoulder dystocia. Secondary diabetes: Refers to elevated blood sugar levels from another medical condition. Secondary diabetes may develop when the pancreatic tissue responsible for the production of insulin is destroyed by disease, such as chronic pancreatitis (inflammation of the pancreas by toxins like excessive alcohol), trauma, or surgical removal of the pancreas. Diabetes can also result from other hormonal disturbances, such as excessive growth hormone production (acromegaly) and Cushing’s syndrome. In acromegaly, a pituitary gland tumor at the base of the brain causes excessive production of growth hormone, leading to hyperglycemia. In Cushing’s syndrome, the adrenal glands produce an excess of cortisol, which promotes blood sugar elevation. In addition, certain medications may worsen diabetes control, or “unmask” latent diabetes. This is seen most commonly when steroid medications (such as prednisone) are taken and .....Health Naturally - 303.....

also with medications used in the treatment of HIV infection (AIDS CAUSATIVE FACTORS Family history, diet, and environmental factors are risk factors for type 1 diabetes. Studies have found an increased risk in children whose parents have type 1 diabetes, and this risk increases with maternal age. Environmental factors such as viral infections, toxins , and exposure to cow’s milk are being contested as causing or modifying the development of type 1 diabetes. Risk factors for type 2 diabetes include family history, increasing age, obesity, physical inactivity, ethnicity, and history gestational of diabetes. a Genetics and environmental factors are the main contributors to type 2 diabetes. Physical inactivity and adoption of a Western lifestyle (particularly choosing foods with more animal protein , animal fats, and processed carbohydrates ), especially in indigenous people in North American and within ethnic groups and migrants, have contributed to weight gain and obesity. Increased body fat and abdominal obesity are associated with insulin resistance, a precursor to diabetes. SIGNS AND SYMPTOMS The classical symptoms are Symptoms of type 1 include increased thirst and urination -

constant weight loss,

-

blurred vision, and

-

extreme tiredness.

-

If not diagnosed and treated with insulin, a person can lapse into a life-threatening coma.

The symptoms of type 2 diabetes develop gradually and are not as noticeable as in type 1 diabetes. Symptoms include .....Health Naturally - 304.....

-

feeling tired or ill,

-

frequent urination (especially at night),

-

unusual thirst,

-

weight loss,

-

blurred vision, frequent infections, and

-

slow healing of sores.

COMPLICATIONS Acute complications: -

Diabetic ketoacidosis,

-

nonketotic hyperosmolar coma,

-

hypoglycemia,

-

diabetic coma

Chronic complications: · ·

·

Vascular disease Diabetic cardiomyopathy, damage to the heart, leading to diastolic dysfunction and eventually heart failure. Diabetic nephropathy, damage to the kidney which can lead to chronic renal failure, eventually requiring dialysis..

·

Diabetic neuropathy, abnormal and decreased sensation,

·

Diabetic retinopathy, growth of friable and poor-quality new blood vessels in the retina as well as macular edema (swelling of the macula), which can lead to severe vision loss or blindness. Retinal damage (from microangiopathy) makes it the most common cause of blindness among non-elderly adults in the US.

·

Macrovascular disease leads to cardiovascular disease, to which accelerated atherosclerosis is a contributor: Coronary artery disease, leading to angina or myocardial infarction (“heart attack”)

·

.....Health Naturally - 305.....

·

Diabetic myonecrosis (‘muscle wasting’)

·

Peripheral vascular disease, which contributes to intermittent claudication (exertion-related leg and foot pain) as well as diabetic foot.

·

Stroke (mainly the ischemic type)

·

Diabetic foot, often due to a combination of sensory neuropathy (numbness or insensitivity) and vascular damage, increases rates of skin ulcers and infection and, in serious cases, necrosis and gangrene. It is why diabetics are prone to leg and foot infections and why it takes longer for them to heal from leg and foot wounds. It is the most common cause of non-traumatic adult amputation, usually of toes and or feet, in the developed world.

·

Carotid artery stenosis does not occur more often in diabetes, and there appears to be a lower prevalence of abdominal aortic aneurysm

·

Diabetic encephalopathyis the increased cognitive decline and risk of dementia observed in diabetes.

DIAGNOSIS: Urine Analysis for testing glucose and ketone bodies Blood sugar examination ( fasting and post prandial ) Oral glucose tolerance test Glycosylated haemoglobin Insulin assay NATURE CURE AND YOGA TREATMENT Hydrotherapy: -

cold hip bath for 20 minutes daily

-

cold abdomen pack for 20 minutes daily gastro hepatic pack for 45-60 minutes daily

-

vaman dhouti laghu shanka prakshalana .....Health Naturally - 306.....

Mud therapy: -

Full mud bath

-

Mud pack on the abdomen

Massage therpy: -

Full body massage

–

partial massage on the abdomen

Diet therapy: 6am

:

1- 2 glasses of water

7am

:

8am

:

methi water / bitter gourd juice poha 1 cup

11am

:

dudhi juice

1am

:

2 chapathi, 1 cup boiled vegetables, soybean preparation

4pm

:

knol kohl juice

6.30pm : 9.30pm : Yoga therapy:

cabbage salad, sprouts, spinach soup, watermelon milk 1glass

Sukshma vyayama SuryaNamaskar (avoid in severe cases) Instant relaxation technique (IRT) Standing series Tadasana Ardhakatichkrasan Ardhachakrasan Padahastasan Trikonasan Parshvakonsan

.....Health Naturally - 307.....

Supine series Uttitapadasana Pavanamuktasana Vipareethakarni Sarvangasana Matsyasana Quick relaxation technique (QRT) Prone series Makarasana Bujangasana Shalabhasana Sitting series Vajrasana Ustrasana Paschimottasana Vakrasana Ardhamatsyendrasana Gomukhasana Baddhakonasan Deep relaxation technique (DRT) Pranayama Abdominal breathing Surya anuloma viloma Suryabedhana Nadishodana Ujjayi Bhramari Meditation Ohm Kara chanting A, U, M Kara chanting .....Health Naturally - 308.....

CHAPTER 34

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR HYPERCHOLESTEROLEMIA

Hypercholesterolemia (literally: high blood cholesterol) is the presence of high levels of cholesterol in the blood. It is not a disease but a metabolic derangement that can be secondary to many diseases and can contribute too many forms of disease, most notably cardiovascular disease. It is closely related to the terms lipids) “hyperlipidemia” (elevated levels of and “hyperlipoproteinemia” (elevated levels of lipoproteins). The name cholesterol originates from the Greek chole- (bile) and stereos (solid), and the chemical suffix -ol for an alcohol, as ‘François Poulletier de la Salle’ first identified cholesterol in solid form in gallstones, in 1769 Cholesterol is a waxy, fatlike substance, is a combination of lipid (fat) and steroid that the body needs to function normally. Cholesterol is naturally present in cell walls or membranes everywhere in the body,

.....Health Naturally - 309.....

including the brain, nerves, muscles, skin, liver, intestines, and heart. Cholesterol is a building block for cell membranes and for hormones like and testosterone. body’s estrogencholesterol is produced Aboutby80% the of liver, the while the rest comes from our diet. The body uses cholesterol to produce many hormones, vitamin D, and the bile acids that help to digest fat. It takes only a small amount of cholesterol in the blood to meet these needs. If a person has too much cholesterol in the bloodstream, the excess may be deposited in arteries, including the coronary arteries of the heart, the carotid arteries to the brain, and the arteries that supply blood to the legs. Cholesterol deposits are a component of the plaques that cause narrowing and blockage of the arteries, producing signs and symptoms originating from the particular part of the body that has decreased blood supply. TYPES OF CHOLESTEROL: Cholesterol does not mix well with blood — similar to oil and water. To help cholesterol travel through blood to get where it is needed, the body wraps it within water-soluble proteins. This mixture of fatty cholesterol and protein is known as a “lipoprotein.” The good and the bad You will generally hear about two types, often called the “good cholesterol” and the “bad cholesterol”: ·

HDL (good) cholesterol — HDL stands for High-Density Lipoproteins. These are composed mainly of proteins with only small amounts of cholesterol. HDLs are good because they remove cholesterol from artery walls and transport it

.....Health Naturally - 310.....

to the liver for elimination from the body. Higher HDL levels actually protect against cardiovascular disease. ·

LDL (bad) cholesterol — LDL stands Density Lipoproteins. for These Loware composed mainly of cholesterol and have very little protein. They are bad because they deposit cholesterol on the walls of your arteries. High LDL levels increase the risk for cardiovascular disease.

You should also be aware of triglycerides — another type of fat that is transported in your blood. High triglyceride levels are another risk factor for cardiovascular disease. When determining heart disease risk, physicians take your whole lipid profile into account, with particular focus on the LDL value Elevated cholesterol in the blood is due to abnormalities in the levels of lipoproteins, the particles that carry cholesterol in the bloodstream. This may be related to diet, genetic factors (such as LDL receptor mutations in familial hypercholesterolemia) and the presence of other diseases such as diabetes and an under active thyroid. The type of hypercholesterolemia depends on which type of particle (such as low density lipoprotein) is present in excess. Who has high cholesterol? o

Throughout the world, blood cholesterol levels vary widely. Generally, countries people where who live blood in cholesterol levels are lower, such as Japan, have lower

.....Health Naturally - 311.....

rates of heart disease. Countries with very high cholesterol levels, such as Finland, also have very high rates of coronary heart disease. However, some populations with similar total cholesterol levels have very different heart disease rates, suggesting that other factors also influence risk for coronary heart disease. o

High cholesterol is more common in men younger than 55 years and in women older than 55 years.

o

The risk for high cholesterol increases with age.

CAUSES: High cholesterol levels are due to a variety of factors including heredity, diet, and lifestyle. Less commonly, underlying illnesses affecting the liver, thyroid, or kidney may affect blood cholesterol levels. o

Heredity: Genes may influence how the body metabolizes LDL (bad) cholesterol. Familial hypercholesterolemia is an inherited form of high cholesterol that may lead to early heart disease.

o

Weight: Excess weight may modestly increase your LDL (bad) cholesterol level. Losing weight may lower LDL and raise HDL (good) cholesterol levels.

o

Physical activity/exercise: Regular physical activity may lower triglycerides and raise HDL cholesterol levels.

o

Age and sex: Before menopause, women usually have lower total cholesterol levels than men of the same age. As women and men age, their blood cholesterol levels rise until about 60-65 years of age. After about age 50 years, women often have higher total cholesterol levels than men of the same age.

o

Alcohol use: Moderate (1-2 drinks daily) alcohol intake increases HDL (good) cholesterol but does not lower LDL (bad) cholesterol. Doctors don’t know for certain whether .....Health Naturally - 312.....

alcohol also reduces the risk of heart disease. Drinking too much alcohol can damage the liver and heart muscle, lead to high blood pressure, and raise triglyceride levels. Because of the risks, alcoholic beverages should not be used as a way to prevent heart disease. o

Mental stress: Several studies have shown that stress raises blood cholesterol levels over the long term. One way that stress may do this is by affecting your habits. For example, when some people are under stress, they console themselves by eating fatty foods. The saturated fat and cholesterol in these foods contribute to higher levels of blood cholesterol.

o Carbohydrates Evidence is accumulating that eating more carbohydrates especially simpler, more refined carbohydrates - increases levels of triglycerides in the blood, lowers HDL, and may shift the LDL particle distribution pattern into unhealthy atherogenic patterns. o

Trans fats An increasing number of researchers are suggesting that a major dietary risk factor for cardiovascular diseases is Trans fatty acids.

There are a number of secondary causes for high cholesterol: o

Diabetes mellitus and metabolic syndrome

o

Kidney disease (nephrotic syndrome)

o

Hypothyroidism

o

Cushing’s syndrome

o

Anorexia nervosa

o

Sleep deprivation

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o

Zieve’s syndrome

o

Antiretroviral drugs, like protease inhibitors and nucleoside reverse transcriptase inhibitors.

o

Diet

SYMPTOMS: High cholesterol is a risk factor for other illnesses and by itself does not cause symptoms. Some types of hypercholesterolemia lead to specific physical findings: o

xanthoma (deposition of cholesterol in patches on the skin or in tendons),

o

xanthelasma palpabrum (yellowish patches around the eyelids) and

o

arcus senilis (white discoloration of the peripheral cornea). Longstanding elevated hypercholesterolemia leads to accelerated atherosclerosis; this can express itself in a number of cardiovascular diseases:

o

coronary artery disease (angina attacks), pectoris, heart

o

stroke and

o

and short stroke-like episodes

o

peripheral vascular disease

DIAGNOSIS (EXAMS AND TESTS) Cholesterol levels in the body are measured by blood testing. When measuring cholesterol, it is important to measure its subfractions before drawing a conclusion as to the cause of the problem. The subfractions are LDL, HDL and VLDL. In addition to cholesterol and its different types, triglyceride levels can also be included in a lipid (fat) profile .....Health Naturally - 314.....

BLOOD TEST INTERPRETATION TOTAL CHOLESTEROL thanmg/dL: 200 mg/dL: Less 200-239 borderline desirable high risk 240 and over: high risk HDL (high density lipoprotein) Less than 40 mg/dL (men), less than 50 mg/dL (women): increased risk of heart disease Greater than 60mg/dL: some protection against heart disease LDL (low density lipoprotein) Less than 100 mg/dL: optimal 100-129 mg/dL: near optimal/above optimal 130-159 mg/dL: borderline high 160- 189 mg/dL: high 190 mg/dL and above: very high Triglycerides Less than n150 mg/dL: normal 150-199 mg/dL: borderline to high 200-499mg/dL: high Above 500 mg/dL: very high NATUROPATHY AND YOGA TREATMENT Hydrotherapy: o o

Warm water enema Cold hip bath for 20 mins daily

o

days for 30-45 mins Cold immersion Gastro hepatic pack bathalternate weekly thrice

o

Steam bath alternate days Sauna bath alternate days

o

Massage therapy: o

Full body oil massage weekly twice .....Health Naturally - 315.....

o

Partial massage to abdomen

Mud therapy: o o

Full mud bath weekly twice Mud packs to abdomen, eyes.

Diet therapy: 6am

:

ginger tea

7am

:

8am

:

honey, garlic, black raisins water (soak 30 raisins, in 200ml water overnight, grind and strain it.) papaya

10.30am :

Mix vegs, fruit chat

1pm

:

steamed mix vegs, curds

4pm

:

6.30pm

:

mosambi juice chapati, boiled vegs, papaya

9.30pm

:

ginger tea

Yoga therapy: Sukshma vyayama Suryanamaskar Standing series Vrikshasana Tadasana

Ardhachakrasan Ardhakatichkrasan Padahastasan

Trikonasan Instant relaxation technique Supine series Uttitapadasana

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Pavanamuktasana Vipareethakarni Sarvangasana Matsyasana Quick relaxation technique Prone series Bujangasana Makarasana

Ardhashalabhasana Dhanurasana Sitting series Vajrasana Ardhamatsyendrasana Ustrasana Vakrasana Paschimottasana

Baddhakonasan Deep relaxation technique Pranayama Shitali, shitkari, sadantha Suryanuloma viloma Suryabedhana Nadishodana Bhramari Meditation A, U, M Kara chanting OHM Kara chanting Bajans Yoga nidra .....Health Naturally - 317.....

CHAPTER 35

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR ISCHEMIC HEAR HEART T DISEASE

Ischemia is an insufficient supply of oxygenated blood to an organ, usually due to a blocked artery. Ischemic heart disease occurs when the heart is not sufficiently supplied with blood causing damage to the heart muscle. Subsequently the heart muscle functions ineffectively. The restriction of blood flow is initiated by the deposits of fat that build up within the coronary arteries which progressively results in the narrowing of the arteries. There is no known cause for the manifestation of the disease but there are many risk factors that increase an individual’s probability of developing the disease. Myocardial ischemia is an intermediate condition in coronary artery disease during which the heart tissue is slowly or suddenly starved of oxygen and other nutrients. Eventually, the affected heart tissue will die. When blood flow is completely blocked to the heart, ischemia can lead to a heart attack.

.....Health Naturally - 318.....

Ischemic heart disease can cause angina (chest pain during exercise) and can bring on a myocardial infarction, otherwise known as a heart attack. Ischemia may be caused by a high fat diets and little or no exercise, which may also lead to angina. The older you become and if you smoke, have high blood pressure, diabetes or high cholesterol, your risk of IHD increases. It also occurs more frequently as people age—25% of women over the age of 85 and 27% of men between 80 and 84 years of age have angina. CAUSES: Ischemia almost always is caused by blockage of an artery, usually due to atherosclerotic plaque Silent ischemia usually is caused by emotional or mental stress or by exertion, but there are no symptoms. Angina usually is caused by increased oxygen demand when the heart is working harder than usual, for example, during exercise, or during mental or physical stress. RISK FACTORS: The risk factors for myocardial ischemia are the same as those for coronary artery disease, TIA, and stroke: o

Heredity: People whose parents have coronary artery disease are more likely to develop it.

o

Sex: Men are more likely to have heart attacks than women, and to have them at a younger age. Angina is more likely to occur in women.

o

Age: Men who are 45 years of age and older and women who are 55 years of age and older are considered to be at risk. Risk also increases with age.

o

Smoking: Smoking increases both the chance of developing coronary artery disease and the chance of dying from it. .....Health Naturally - 319.....

Secondhand smoke also may increase risk. o

High cholesterol levels: Risk of developing coronary artery disease increases as blood cholesterol levels increase. When combined with other factors, the risk is even greater.

o

High blood pressure: High blood pressure makes the heart work harder, and with time, weakens it. When combined with obesity, smoking, high cholesterol levels, or diabetes, the risk of heart attack or stroke increases several times.

o

High fibrinogen levels: Fibrinogens are the proteins involved in blood clotting and plaque formation.

o

High homocysteine levels; Homocysteine also is involved in plaque formation.

o

Oxidant damage: as indicated by high lipid peroxide levels. High lipid peroxide levels represent a high level of free radical damage and antioxidant deficiency.

o

Lack of physical activity: Lack of exercise increases the risk of coronary artery disease.

o

Diabetes mellitus: The risk of developing coronary artery disease is seriously increased for diabetics.

o

Obesity: Excess weight increases the strain on the heart and increases the risk of developing coronary artery disease, even if no other risk factors are present. Obesity increases blood pressure and blood cholesterol, and can lead to diabetes.

o

Stress and anger: Some scientists believe that stress and anger can contribute to the development of coronary artery disease. Stress increases the heart rate and blood pressure and can injure the lining of the arteries. Angina attacks often occur after outbursts of anger, as do many heart attacks and strokes.

.....Health Naturally - 320.....

ANGINA SYMPTOMS INCLUDE: o

a tight, squeezing, heavy, burning, or choking pain that is usually beneath the breastbone—the pain may spread to the throat, jaw, or one arm

o

a feeling of heaviness or tightness that is not painful

o

a feeling similar to gas or indigestion

o

attacks brought on by exertion and relieved by rest If the pain or discomfort continues or intensifies, immediate medical help should be sought, ideally within 30 minutes. Ischaemic heart disease may be present with any of the following problems:

o

Angina pectoris (chest pain on exertion, in cold weather or emotional situations)

o

Acute chest pain: acute coronary syndrome, unstable angina or myocardial infarction[3] (“heart attack”, severe chest pain unrelieved by rest associated with evidence of acute heart damage)

o

Heart failure (difficulty in breathing or swelling of the extremities due to weakness of the heart muscle)

DIAGNOSIS: Diagnostic tests for myocardial ischemia include: Resting, exercise, or ambulatory electrocardiograms; scintigraphic studies (radioactive heart scans); echocardiography; coronary angiography; and, Rarely, positron emission tomography. Diagnostic tests for TIA include Physician review of symptoms, computed tomography (CT) scans, .....Health Naturally - 321.....

carotid artery ultrasound (Doppler ultra-sonography), Magnetic resonance imaging (MRI). Angiography is the best test for ischemia of any organ.

NATUROPATHY AND YOGA TREATMENT: Hydrotherapy: o o

Cold hip bath daily for 20 minutes Ice massage to head and spine daily thrice for 10-15 minutes

o

Cold immersion bath with friction (reverse) for 20 minutes alternate days Cold spinal bath for 20 minutes alternate days

o

Cold chest pack for 20 minutes daily

o

Cold friction ( reverse ) for 30 minutes

o

Neutral immersion bath for 15 minutes

o

Hot foot bath with chest pack

o

Avoid steam and sauna baths

o

Massage therapy: o

Full body massage

o

Partial massage to chest and abdomen

Mud therapy: o

Full mud bath .....Health Naturally - 322.....

o

Mud packs on abdomen

Diet therapy: 6am

:

Triphala water

8am

:

mosambi juice

11am

:

bottle gourd juice

1pm

:

brown rice, boiled vegs, papaya

4pm

:

carrot juice

6pm

:

boiled Yam, veg soup, boiled vegs, papaya

9pm

:

hot water with isabgol

Yoga therapy: Hands in and out breathing Tiger breathing Standing series Tadasana Ardhakatichkrasan Ardhachakrasan

Supine series Uttitapadasana Pavanamuktasana Quick relaxation technique (QRT) Prone series Makarasana Bujangasana Shalabhasana Sitting series Vajrasana Vakrasana .....Health Naturally - 323.....

Gomukhasana Deep relaxation technique (DRT) Pranayama Abdominal breathing Chandra anuloma viloma Chandrabedhana Nadishodahna Bhramari Meditation Ohm Kara chanting A, U, M Kara chanting Yoga nidra

.....Health Naturally - 324.....

CHAPTER 36

TURE NATURE FOR

CURE Y YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT CONGESTIVE CARDIA CARDIAC FAILAILAILAILAILUREUREUREUREURE

Heart failure (HF) is generally defined as inability of the heart to supply sufficient blood flow to meet the body’s needs. Common causes of heart failure include myocardial infarction (heart attacks) and other forms of ischemic heart disease, hypertension, valvular heart disease, and cardiomyopathy. Heart failure can cause a number of symptoms including shortness of breath (typically worse when lying flat, which is called orthopnea), coughing, chronic venous congestion, ankle swelling, and exercise intolerance. Heart failure is present when the following changes are present: o

Your heart muscle cannot pump, or eject, the blood out of the heart very well. This is called systolic heart failure.

o

Your heart muscles are stiff and do not fill up with blood easily. This is called diastolic heart failure. .....Health Naturally - 325.....

Cardiac Failure may be associated with the failure of the right or left ventricle or both. Cardiac failure causes the blood to move through the heart and body at a slower rate, leading to increased pressure in the heart. As a result, the heart is unable to pump enough oxygen and nutrients to meet the body’s requirements. The heart chambers thus respond by stretching in order to hold more blood to pump through the body or by becoming more stiff and thickened. Such mechanism helps to keep the blood moving for a short while, but the heart muscle walls tend to weaken with time and then are unable to pump with enough strength. The direct result of the reduced contractility of the cardiac muscles especially those of the ventricles which cause a decrease in the cardiac output and increase in the blood volume of the heart. This causes the kidneys to often respond by causing the body to retain fluid (water) and sodium as the systemic blood pressure and the renal blood flow both are reduced. Resulting into building up of fluid in the arms, legs, ankles, feet, lungs or other organs causing oedema which makes the body congested, hence the name Congestive cardiac failure. Congestive heart failure can affect many organs of the body. For example: The weakened heart muscles may not be able to supply enough blood to the kidneys, which then begin to lose their normal ability to excrete salt (sodium) and water. This diminished kidney function can cause the body to retain more fluid. The lungs may become congested with fluid .....Health Naturally - 326.....

(pulmonary edema) and the person’s ability to exercise is decreased. Fluid may likewise accumulate in the liver, thereby impairing its ability to rid the body of toxins and produce essential proteins. The intestines may become less efficient in absorbing nutrients and medicines. Fluid also may accumulate in the extremities, resulting in edema (swelling) of the ankles and feet. Eventually, untreated, worsening congestive heart failure will affect virtually every organ in the body. CAUSES: Congestive heart failure can be caused by: 1. coronary artery disease leading to heart attacks and heart muscle weakness, 2. primary heart muscle weakness from viral infections or toxins such as prolonged alcohol exposure, 3. heart valve disease causing heart muscle weakness due to too much leaking of blood or heart muscle stiffness from a blocked valve, and 4. hypertension 5. Diseases that increase oxygen demand by the body tissue beyond the capability of the heart to deliver adequate oxygen-rich blood.

.....Health Naturally - 327.....

Rarer causes of heart failure include: o

Viral Myocarditis (an infection of the heart muscle).

o

Infiltrations of the muscle such as amyloidosis.

o

cardiomyopathy HIV Immunodeficiency Virus).

o

Connective Tissue Diseases such as Systemic lupus erythematosus.

o

Abuse of drugs such as alcohol.

o

Pharmaceutical drugs such as chemotherapeutic agents.

o

Arrhythmias

Major

Causes include cardiomyopathy.

Ischemic

by

(caused

heart,

Human

Hypertension,

SYMPTOMS: Symptoms of heart failure most often begin slowly. At first, they may only occur when you are very active. Over time, breathing problems and other symptoms may be noticed even when you are resting. However, heart failure symptoms may begin suddenly after a heart attack or other heart problem. Common symptoms are: Shortness of breath Shortness of breath with activity, or after lying down for a while Cough Swelling of feet and ankles Swelling of the abdomen Weight gain Irregular or rapid pulse Sensation of feeling the heart beat (palpitations) Difficulty sleeping .....Health Naturally - 328.....

Fatigue, weakness, faintness Loss of appetite, indigestion Other symptoms may include: Decreased alertness or concentration Decreased urine production Nausea and vomiting Need to urinate at night Infants may sweat during feeding (or other activity). Some patients with heart failure have no symptoms. In these people, the symptoms may develop only with these conditions: Abnormal heart rhythm (arrhythmias) Anemia Hyperthyroidism Infections with high fever Kidney disease DIAGNOSIS (exams and tests): A physical examination may reveal the following: Fluid around the lungs (pleural effusion) Irregular heartbeat Leg swelling (edema) Neck veins that stick out (are distended) Swelling of the liver Listening to the chest with a stethoscope may reveal lung crackles or abnormal heart sounds. The following tests may be used to diagnose or monitor heart failure: o Chest x-ray o

ECG

.....Health Naturally - 329.....

o

Echocardiogram

o

Cardiac stress tests

o

Heart CT scan

o

Heart catheterization

o

MRI of the heart

o

Nuclearheartscans

This disease may also alter the following test results: o

Blood chemistry

o

BUN

o

Complete blood count

o

Creatinine

o

Creatinine clearance

o

Liver function tests

o

Uric acid -blood test

o

Sodium - blood test

o

Urine- analysis

o

Sodium - urine test

MONITORING AND SELF CARE If you have heart failure, your doctor will monitor you closely. You will have follow up appointments at least every 3 to 6 months and tests to check your heart function. For example, an ultrasound of your heart (echocardiogram) will be done once in awhile to see how well your heart pumps blood with each beat. You will need to carefully monitor yourself and help manage your condition. One important way to do this is to track your weight on a daily basis. Weigh yourself at the same time each day and on the same scale, with little to no clothes on. Weight gain can be a sign that your body is holding onto extra fluid and your heart failure is worsening. Talk to your doctor about .....Health Naturally - 330.....

what you should do if your weight goes up or if you develop more symptoms. Other important measures include: ·

Limit salt intake. o

Do not smoke.

o

Stay active. For example, walk or ride a stationary bicycle. Your doctor can provide a safe and effective exercise plan for your degree of heart failure. DO NOT exercise on days that your weight has gone up from fluid retention or you are not feeling well.

o

Lose weight if you are overweight.

o

Get enough rest, including after exercise, eating, or other activities. This allows your heart to rest as well.

o

Keep your feet elevated to decrease swelling.

o

The total amount of fluid consumed must be regulated. The maxim that “drinking eight glasses of water a day is healthy” certainly does not apply to patients with congestive heart failure.

Here are some tips to lower your salt and sodium intake: o

Look for foods that are labeled “low-sodium,” “sodium-free,” “no salt added,” or “unsalted.” Check the total sodium A nutritionist can teach you content on food labels. how to understand these labels.

o

Don’t cook with salt or add salt to what you are eating. Try pepper, garlic, lemon, or other spices for flavor instead. Be careful of packaged spice blends as these often contain salt or salt products (like monosodium glutamate, MSG).

o

Avoid foods that are naturally high in sodium like nuts, olives, , soy and, tomato and other vegetable juices,

.....Health Naturally - 331.....

o

Take care when eating out. Stick to steamed, grilled, baked, boiled, and broiled foods with no added salt, sauce, or cheese.

o

Use oil and vinegar, rather than bottled dressings, on salads.

o

Eat fresh fruit when having dessert.

NATUROPATHY AND YOGA TREATMENT: Hydrotherapy: o o

Cold hip bath daily for 20 minutes Ice massage to head and spine daily thrice for 10-15 minutes

o

Cold immersion bath with friction (reverse) for 20 minutes alternate days Cold spinal bath for 20 minutes alternate days

o

Cold chest pack for 20 minutes daily

o

Cold friction ( reverse ) for 30 minutes

o

Neutral immersion bath for 15 minutes

o

Hot foot bath with chest pack

o

Avoid steam and sauna baths

o

Massage therapy: o

Full body massage

o

Partial massage to chest and abdomen

Mud therapy: o o

Full mud bath Mud packs on abdomen

Diet therapy: 6am

:

ginger tea

7am

:

black raisins water (soak 30 raisins in 200ml water overnight, grind and strain)

8am

:

mosambi juice

11am

:

apple juice .....Health Naturally - 332.....

1pm

:

all fruits and grated coconut

4pm

:

mosambi juice

6pm

:

all fruits and veg soup

9pm

:

ginger tea

Yoga therapy: Hands in and out breathing Tiger breathing Standing series Tadasana Ardhakatichkrasan Ardhachakrasan Supine series Uttitapadasana Pavanamuktasana Quick relaxation technique (QRT) Prone series Bujangasana Makarasana

Shalabhasana Sitting series Vajrasana Vakrasana Gomukhasana Deep relaxation technique (DRT) Pranayama Abdominal breathing Chandra anuloma viloma .....Health Naturally - 333.....

Chandrabedhana Nadishodahna Bhramari Meditation Ohm Kara chanting A, U, M Kara chanting Yoga nidra

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CHAPTER 37

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT OCARDIAL INF FOR MY INFARARARARARCTIONCTIONCTIONCTIONCTION MYOCARDIAL

A myocardial infarction, or heart attack, is the death or damage part of of the heart muscle because the supply of blood to the heart muscle is severely reduced or stopped. A heart attack occurs when blood flow to a section of heart muscle becomes blocked. If the flow of blood isn’t restored quickly, the section of heart muscle becomes damaged from lack of oxygen and begins to die. A myocardial infarction is often the first detected symptom of coronary artery disease. According to the American Heart Association, 63% of women and 48% of men who died suddenly of coronary artery disease had no previous symptoms. Heart attacks occur most often as a result of a condition called coronary artery disease (CAD). o

In CAD, a fatty material called plaque (plak) builds up over many years on the inside walls of the coronary arteries (the arteries that supply blood and oxygen to your heart). .....Health Naturally - 335.....

o

Eventually, an area of plaque can rupture, causing a blood clot to form on the surface of the plaque.

o

If the clot becomes large enough, it can mostly or completely block the flow of oxygen-rich blood to the part of the heart muscle fed by the artery

FigureA is an overview of a heart and coronary artery showing damage (dead heart muscle) caused by a heart attack. Figure B is a cross section of the coronary artery with plaque buildup and a blood clot. During a heart attack, if the blockage in the coronary artery isn’t treated quickly, the heart muscle will begin to die and be replaced by scar tissue. This heart damage may not be obvious, or it may cause severe or long lasting problems. CAUSES: Most heart attacks occur as a result of coronary artery disease (CAD). ·

CAD is the buildup over time of a material called plaque on the inner walls of the coronary arteries.

·

Eventually, a section of plaque can break open, causing a blood clot to form at the site.

·

A heart attack occurs if the clot becomes large enough to cut off most or all of the blood flow through the artery.

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·

The blocked blood flow prevents oxygen-rich blood from reaching the part of the heart muscle fed by the artery.

Plaque may build-up in a coronary artery at the site of a tear in the lining of the vessel ·

The lack of oxygen damages the heart muscle.

·

If the blockage isn’t treated quickly, the damaged heart muscle begins to die.

A heart attack or acute myocardial infarction (MI) occurs when one of the arteries that supply the heart muscle becomes blocked. Blockage may be caused by spasm of the artery or by atherosclerosis with acute clot formation. The blockage results in damaged tissue and a permanent loss of contraction of this portion of the heart muscle ·

Heart attack also can occur due to problems with the very small, microscopic blood vessels of the heart. This condition is called micro vascular disease. It’s believed to be more common in women than in men.

·

Another less common cause of heart attack is a severe spasm (tightening) of a coronary artery that cuts off blood flow through .....Health Naturally - 337.....

the artery. These spasms can occur in coronary arteries that don’t have CAD. It’s not always clear what causes a coronary artery spasm, but sometimes it can be related to: o

Taking certain drugs, such as cocaine

o

Emotional stress or pain

o

Exposure to extreme cold

o

Cigarette smoking

SIGNS AND SYMPTOMS: Not all heart attacks begin with a sudden, crushing pain. The warning signs and symptoms of a heart attack aren’t the same for everyone. Many heart attacks start slowly as mild pain or discomfort. Some people don’t have symptoms at all (this is called a silent heart attack).

Symptoms of a possible heart attack include chest pain and pain that radiates down the shoulder and arm. Some people (the elderly, people with diabetes, and women) may have little or no chest pain. Or, they may experience unusual symptoms (shortness of breath, fatigue, weakness. Women are more likely than men to have symptoms of nausea, vomiting, back or jaw pain, and shortness of breath with chest pain. Chest Pain or Discomfort: The most common symptom of heart attack is chest pain or discomfort. Most heart attacks involve discomfort in the center of the chest that lasts for more than a few minutes or goes

.....Health Naturally - 338.....

away and comes back. The discomfort can feel like uncomfortable pressure, squeezing, fullness, or pain. It can be mild or severe. Heart attack pain can sometimes feel like indigestion or heartburn. Upper body discomfort in one or both arms, the back, neck, jaw, or stomach Shortness of breath may often occur with or before chest discomfort Nausea (feeling sick to your stomach), vomiting, lightheadedness or fainting, or breaking out in a cold sweat DIAGNOSIS The diagnosis of heart attack is based on your symptoms, your personal and family medical history, and the results of diagnostic tests. ECG (Electrocardiogram) o

This test detects and records the electrical activity of the heart.

o

Certain changes in the appearance of the electrical waves on an ECG are strong evidence of a heart attack.

o

An ECG also can show if you’re having arrhythmias (abnormal heartbeats), which a heart attack (and other conditions) can cause.

Blood Tests o

During a heart attack, heart muscle cells die and burst open, letting certain proteins out in the bloodstream.

o

Blood tests can measure the amount of these proteins in the bloodstream.

o

Higher than normal levels of these proteins in the bloodstream is evidence of a heart attack.

o

Commonly used blood tests include troponin tests, CK .....Health Naturally - 339.....

or CK–MB tests, and serum myoglobin tests. o

Blood tests are often repeated to check for changes over time.

Coronary Angiography o

Coronary angiography is a special x-ray exam of the heart and blood vessels.

o

It’s often done during a heart attack to help pinpoint blockages in the coronary arteries.

o

The doctor passes a catheter (a thin, flexible tube) through an artery in your arm or groin (upper thigh) and threads it to your heart. This procedure—called cardiac catheterization—is part of coronary angiography.

o

A dye that can be seen on x ray is injected into the bloodstream through the tip of the catheter.

o

The dye lets the doctor study the flow of blood through the heart and blood vessels.

o

If a blockage is found, another procedure, called angioplasty, may be used to restore blood flow through the artery.

o

Sometimes during angioplasty, the doctor will place a stent (a small mesh tube) in the artery to help keep the artery open.

NATUROPATHY AND YOGA TREATMENT: Hydrotherapy: o

Cold hip bath daily for 20 minutes

o

Ice massage to head and spine daily thrice for 10-15 minutes

o

Cold immersion bath with friction (reverse) for 20 minutes alternate days

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o

Cold spinal bath for 20 minutes alternate days

o

Cold chest pack for 20 minutes daily

o

Cold friction ( reverse ) for 30 minutes

o

Neutral immersion bath for 15 minutes

o

Hot foot bath with chest pack

o

Avoid steam and sauna baths

Massage therapy: o

Full body massage

o

Partial massage to chest and abdomen

Mud therapy: o

Full mud bath

o

Mud packs on abdomen

Diet therapy: 6am

:

herbal tea

8am

:

mosambi juice

11am

:

bottle gourd juice

1pm

:

fruits and soup

4pm

:

carrot juice

6pm

:

brown rice, veg soup, papaya

9pm

:

hot honey water

Yoga therapy: Hands in and out breathing Tiger breathing Standing series Tadasana .....Health Naturally - 341.....

Ardhakatichkrasan Ardhachakrasan Supine series Uttitapadasana Pavanamuktasana Quick relaxation technique (QRT) Prone series Makarasana Bujangasana Shalabhasana Sitting series Vajrasana Vakrasana Gomukhasana Deep relaxation technique (DRT) Pranayama Abdominal breathing Chandra anuloma viloma Chandrabedhana Nadishodahna Bhramari Meditation Ohm Kara chanting A, U, M Kara chanting Yoga nidra .....Health Naturally - 342.....

CHAPTER 38

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR STROKE

DESCRIPTION A stroke (sometimes called a cerebrovascular accident (CVA)) is the rapidly developing loss of brain function(s) due to disturbance in the blood supply to the brain, caused by a blocked or burst blood vessel. This can be due to ischemia (lack of blood flow) caused by thrombosis or arterial embolism or due to a hemorrhage. As a result, the affected area of the brain is unable to function, leading to inability to move one or more limbs on one side of the body, in ability to understand or formulate speech, or inability to see one side of the visual field. A stroke involves loss of brain functions caused by a loss of blood circulation to areas of the brain. The blockage usually occurs when a clot or piece of atherosclerotic plaque breaks away from another area of the body and lodges within the vasculature of the brain. .....Health Naturally - 343.....

TYPES Strokes can be classified into two major categories: ·

Ischemic and

·

Hemorrhagic.

1) Ischemic strokes are those that are due to interruption of the blood supply. 1.The most common type of stroke is a blockage. This is called an ischaemic stroke, which happens when a clot blocks an artery that carries blood to the brain. It may be caused by: a cerebral thrombosis, when a blood clot (thrombus) forms in a main artery to the brain; a cerebral embolism, when a blockage caused by a blood clot, air bubble or fat globule (embolism) forms in a blood vessel somewhere else in the body and is carried in the bloodstream to the brain; or A blockage in the tiny blood vessels deep within the brain (lacunar stroke). 2) Hemorrhagic strokes are the ones which are due to rupture of a blood vessel or an abnormal vascular structure. 87% of strokes are due to ischemia; the remainders are due to hemorrhage. 2. The second type of stroke is a bleed, when a blood vessel bursts, causing bleeding (haemorrhage) into the brain. This is called a haemorrhagic stroke. It may be caused by: an intracerebral haemorrhage, when a blood vessel bursts.....Health within theNaturally brain; or - 344.....

a subarachnoid haemorrhage, when a blood vessel on the surface of the brain bleeds into the area between the brain and the skull (subarachnoid space).

SIGNS AND SYMPTOMS Stroke symptoms typically start suddenly, over seconds to minutes, and in most cases do not progress further. The symptoms depend on the area of the brain affected. The more extensive the area of brain affected, the more functions that are likely to be lost. Some forms of stroke can cause additional symptoms: in intracranial hemorrhage, the affected area may compress other structures. Most forms of stroke are not associated with headache, apart from subarachnoid hemorrhage and cerebral venous thrombosis and occasionally intracerebral hemorrhage. Signs of Stroke Some of the signs of major stroke are facial weakness, inability to talk, loss of bladder control, difficulty in breathing and swallowing, and Paralysis or weakness, particularly on one side of the body. Symptoms 1) If the area of the brain affected contains one of the three prominent Central nervous system pathways—the spinothalamic .....Health Naturally - 345.....

tract, corticospinal tract, and dorsal column (medial lemniscus), symptoms may include: Hemiplagia and muscle weakness of the face numbness reduction in sensory or vibratory sensation 2) In most cases, the symptoms affect only one side of the body (unilateral). The defect in the brain is usually on the opposite s i d e of the body (depending on which part of the brain isa f f ecte d). symptoms does not However, the presence of any one of these necessarily suggest a stroke, since thesepathways also travel in the spinal cord and any lesion there can also produce these symptoms. 3) In addition to the above CNS pathways, the brainstem also consists of the 12 cranial nerves. A stroke affecting the brain stem therefore can produce symptoms relating to deficits in these cranial nerves: altered smell, taste, hearing, or vision (total or partial) drooping of eyelid (ptosis) and weakness of ocular muscles decreased reflexes: gag, swallow, pupil reactivity to light decreased sensation and muscle weakness of the face balance problems and nystagmus altered breathing and heart rate weakness in sternocleidomastoid muscle with inability to turn head to one side weakness in tongue (inability to protrude and/or move from side to side) 4) If the cerebral cortex is involved, the CNS pathways can again be affected, but also can produce the following symptoms:

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aphasia (inability to speak or understand language from involvement of Broca’s or Wernicke’s area) apraxia (altered voluntary movements) visual field defect memory deficits (involvement of temporal lobe) hemi neglect (involvement of parietal lobe) disorganized thinking, confusion, hypersexual gestures (with involvement of frontal lobe) anosognosia (persistent denial of the existence of a, usually stroke-related, deficit) 5)

If the cerebellum is involved, the patient may have the following: trouble walking altered movement coordination vertigo and or disequilibrium

Causes of a stroke Several different mechanisms may result in stroke: thrombus formation, embolus, and hemorrhage. 1. Thrombosis formation is an obstruction within an artery resulting from the gradual accumulation of plaque (atherosclerosis). If large enough, the obstructions may restrict or completely block blood flow through the artery. Blockage of arteries supplying the brain causes stroke if alternative routes are not available to deliver an adequate blood supply 2. Embolus is an obstruction of an artery due to material formed elsewhere in the body (such as the heart). The materials are usually generated in one part of the body and travels throughout the body until it becomes trapped in a blood vessel. The blood vessel then is unable to supply the brain with blood and nutrients. 3. Hemorrhage results from a rupture of a blood vessel located in the brain. Blood erupts at high pressure in the brain or in tissue surrounding the brain. Normal brain cells may be destroyed. The presence .....Health Naturally - 347.....

of blood often results in severe headache, lethargy, or coma. Multiple Factors. Most strokes are associated 4. high blood pressure, oxygen damage or a atherosclerosis, with combination of the three. 5. Medication. Some medications may increase the risk of developing a stroke. Vioxx, a medication used to treat arthritis was pulled off the market in September 2004 because it is linked to strokes and heart attacks. Risk factors high blood pressure atrial fibrillation high blood cholesterol levels, diabetes, cigarette smoking (active and passive), heavy alcohol consumption drug use, lack of physical activity, obesity Unhealthy diet. Doctor2008 says: Another way is to use the first three letters of the word ‘stroke’. S for smile – ask the patient to smile. Tfor talk – ask the patient to say a simple sentence. Rfor raise – ask the patient to raise his arms. DIAGNOSIS The first test after a stroke is typically,

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A computed tomography (CT) scan of the brain, which is a series of X-rays of your brain that can show whether there is bleeding. This test will help your doctor diagnose whether the stroke is ischemic or hemorrhagic. Magnetic resonance imaging (MRI) may also be done to find out the amount of damage to the brain and help predict recovery. Other initial tests recommended for ischemic stroke include: · Electrocardiogram (ECG, EKG) to check for heart problems, including arrhythmias and atrial fibrillation. · Blood tests, such as a complete blood count (CBC), blood sugar, electrolytes, liver and kidney function, and prothrombin time (a test that measures how long it takes your blood to clot). These tests are done to help your doctor make choices about your treatment and to check for conditions that may cause symptoms similar to a stroke. NATURE CURE & YOGA TREATMENT HYDROTHERAPY o cold hip bath daily for 20 mins daily o

neutral spinal bath for 20-30 mins daily

o

hot foot bath for 20 mins daily twice

o

warm water enema daily Steam bath every alternate days for 15 mins

o

MASSAGE THERAPY o

Full body oil massage

o

Partial massage to limbs

MUDTHERAPY o o

Full mud bath twice weekly Mud to head alternate days

o

Eye and abdomen pack daily

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DIET THERAPY 6am

:

ginger tea

8am

:

mosambi juice

11am

:

carrot juice

1pm

:

coconut milk

4 pm

:

mosambi juice

6.30 pm :

coconut milk

9pm

warm honey water

:

YOGATHERAPY o

Shitali karma vyayama

o

Deep relaxation technique

Pranayama o

Shitali, shitkari, sadanta

o

Chandra anuloma viloma

o

Chandrabedhana

o

Nadishodhana

o

Brahmari

Meditation o

A, U, M kara chanting

o

Ohm kara chanting

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CHAPTER 39

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FORPFORPFORPFORPFOR PARALARALARALARALARALYSISSISSISSISSIS

DESCRIPTION Also called: Hemiplegia, Palsy, Paraplegia, Quadriplegia Paralysis is the loss of muscle function in part of your body. It happens when something goes wrong with the way messages pass between your brain and muscles. Paralysis can be complete or partial. It can occur on one or both sides of your body. It can also occur in just one area, or it can be widespread. Paralysis of the lower half of your body, including both legs, is called paraplegia. Paralysis of the arms and legs is quadriplegia

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HEMIPLAGIA is a condition in which the limbs on one side of the body have severe weakness. Hemiplegia occurs when there is a disruption of blood flow to the brain. This causes part of the brain to die. Messages that usually tell the body when and how to function are interrupted. TYPES Hemiplagia may be congenital or acquired from an illness or Stroke. A few types of hemiplegia include: capsular, which is caused from an lesion on part of the internal capsule of the brain cerebral, which is caused by a brain lesion facial, which is paralysis on one side of the face spastic, which is paralysis and spastic or stiff, unusual movements of the body, occurring more often in infants spinal, which is associated with lesions on the spine Hemiplagia is not an uncommon medical disorder. In elderly individuals, strokes are the most common cause of hemiplegia. COMMON CAUSES BY ETIOLOGY Vascular: cerebral hemorrhage, stroke, diabetic neuropathy Infective: encephalitis, meningitis, brain abscess Neoplastic: glioma-meningioma Demyelination: disseminated sclerosis, lesions to the internal capsule

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Traumatic: cerebral lacerations, subdural hematoma rare cause of hemiplegia is due to local anesthetic injections given intra-arterially rapidly, instead of given in a nerve branch. Congenital: cerebral palsy Disseminated: multiple sclerosis Psychological: parasomnia (nocturnal hemiplegia) PATHOGENESIS The exact cause of hemiplegia is not known in all cases, but it appears that the brain is deprived of oxygen and these results in the death of neurons. When the corticospinal tract is damaged, the injury is usually manifested on the opposite side of the body. For example if one has an injury to the right side of the brain, the hemiplegia will be on the left side of the body. SIGNS AND SYMPTOMS Hemiplegia means severe weakness of the limbs on one side of the body but the specific features can vary tremendously from person to person. Problems may include: Difficulty with gait Difficulty with balance while standing or walking Having difficulty with motor activities like holding, grasping or pinching Increasing stiffness of muscles Muscle spasms Difficulty with speech Difficulty swallowing food

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Significant delay in achieving developmental milestones like standing, smiling, crawling or speaking The majority of children who develop hemiplegia also have abnormal mental development Behavior problems like anxiety, anger, irritability, lack of concentration or comprehension Emotions- depression DIAGNOSIS Hemiplegia is identified by clinical examination by a health professional, such as a physiotherapist or doctor. blood tests a cranial CT scan and cranial MRI an electrocephalogram, or EEG, to measure the activity of the brain NATURE CURE AND YOGA TREATMENT HYDROTEHRAPY o

Neutral spinal bath daily for 20-30 mins

o

Warm water enema

o

Hot foot immersion every night for 20 minutes

o

Cold Hip bath daily for 20 mins

o

Steam bath for 15 mins alternate days

MASSAGE THERAPY o

Full body massage alternate days

o

Partial oil massage to limbs alternate days

o

Head massage weekly twice

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MUD THERAPY o o

Full mud bath weekly twice Mud to head alternate days

o

Eye pack and abdomen pack daily

DIET THERAPY 6am

:

hot tea made of 20 Tulsi, 10 gm ginger, 1 cardamom, Jaggery and 200 ml water

7am

:

black raisins water (soak raisins in 200ml water overnight, grind and strain)

8.30am

:

carrot juice, 4 almonds and 4 figs.

11.30am

:

mosambi juice

1pm 4 pm

:

moong dhal kichidi, garlic and soup

:

apple juice

6.30 pm

:

dahlia, milk and papaya

YOGA THERAPY o o

Shithali karma vyayama Deep relaxation technique

Pranayama o

Shitali, shitkari, sadanta

o

Chandra anuloma vilaoma

o

Chandrabedhana

o

Nadishodhana

o

Brahmari

Meditation o

A, U, M , Ohm kara chantings

o

Ohm kara dhyana

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CHAPTER 40

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR CHRONIC REN RENALFALFALFALFAL FAILAILAILAILAILUREUREUREUREURE

Chronic renal failure is a gradual and progressive loss of the ability of the kidneys to excrete wastes, concentrate urine, and conserve electrolytes. Chronic kidney disease (CKD), also known as chronic renal disease, is a progressive loss in renal function over a period of months or years. symptomsand worsening functionThe are unspecific, of might includekidney feeling generally unwell and experiencing a reduced appetite. It can be characterized as hereditary, congenital or acquired. The kidneys attempt to compensate for renal damage by hyper filtration (excessive straining of the blood) within the remaining functional nephrons (filtering units that consist of a glomerulus and corresponding tubule). Over time, hyper filtration causes further loss of function.

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Chronic loss of function causes generalized wasting (shrinking in size) and progressive scarring within all parts of the kidneys. In time, overall scarring obscures the site of the initial damage. Yet, it is not until over 70% of the normal combined function of both kidneys is lost that most patients begin to experience symptoms of kidney failure. One in nine adults – are estimated to have chronic kidney disease (CKD). Another 20 million are at increased risk. Chronic kidney disease is a progressive condition where the kidneys do not function effectively which reduces the body’s ability to control blood pressure and remove body waste through urination. People at risk may include those who: o

Have diabetes

o

Have high blood pressure

o

Have a family history of kidney disease

o

Are of over the age of 65

The causes of CKD are not always known. However, the two main causes of the disease are diabetes and high blood pressure, which are responsible for up to two-thirds of all cases.

The kidney TYPES OF CHRONIC RENAL FAILURE Chronic renal failure (CRF) can be classified by the site (location) of primary damage:

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o

Pre-renal CRF

o

Post-renal CRF (obstructive uropathy)

o

Renal CRF

CAUSES: Chronic kidney disease is known to affect the elderly Pre-renal causes (pre=before + renal=kidney) causes are due to decreased blood supply to the kidney. hypovolemia (low blood volume) due to blood loss; dehydration from loss of body fluid (for example, vomiting, diarrhea, sweating, fever); poor intake of fluids; medication, for example, diuretics (“water pills”) may cause excessive water loss; and Abnormal blood flow to and from the kidney due to obstruction of the renal artery or vein. Some medical conditions cause continuous hypo-perfusion (low blood flow) of the kidneys, leading to kidney atrophy (shrinking), loss of nephron function, and chronic renal failure (CRF). These conditions include poor cardiac function, chronic liver failure, and atherosclerosis (“hardening”) of the renal arteries. Each of these conditions can induce ischemic nephropathy. Causes of Post-Renal CRF: Interference with the normal flow of urine can produce backpressure within the kidneys; can damage nephrons, and lead to obstructive uropathy, a disease of the urinary tract. Abnormalities that may hamper urine flow and cause post-renal CRF include the following: Bladder outlet obstruction due to an enlarged prostate gland or bladder stone

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Neurogenic bladder, an over distended bladder caused by impaired communicator nerve fibers from the bladder to the spinal cord Kidney stones in both ureters, the tubes that pass urine from each kidney to the bladder Obstruction of the tubules, the end channels of the renal nephrons Retroperitoneal fibrosis, the formation of fiber like tissue behind the peritoneum, the membrane that lines the abdominal cavity Vesico-ureteral reflux (VUR), the backward flow of urine from the bladder into a ureter Causes of Renal CRF: Chronic renal failure caused by changes within the kidneys, is called renal CRF, and is broadly categorized as follows: Diabetic nephropathy, kidney disease associated with diabetes; the most common cause of CRF Hypertension nephrosclerosis, a condition that occurs with increased frequency in African Americans; the second leading cause of CRF Chronic glomerular nephritis, a condition caused by diseases that affect the glomeruli and bring about progressive dysfunction Chronic interstitial nephritis, a condition caused by disorders that ultimately lead to progressive scarring of the interstitium Renal vascular CRF, large vessel abnormalities such as renal artery stenosis (narrowing of the large arteries that supply the kidneys) Vasculitis, inflammation of the small blood vessels .....Health Naturally - 359.....

Cystic kidney disease, kidney disease distinguished by multiple cysts (lined cavities or sacs) Hereditary diseases of the kidney, such as Alport’s syndrome (hereditary nephritis) Sepsis: The body’s immune system is overwhelmed from infection and causes inflammation and shutdown of the kidneys. This usually does not occur with urinary tract infections. Medications: Some medications are toxic to the kidney, including o

Non-steroidal anti-inflammatory drugs like ibuprofen and naproxen.

o o

antibiotics like amino-glycosides [gentamicin (Garamycin), tobramycin], lithium (Eskalith, Lithobid), and

o

Iodine-containing medications such as those injected for radiology dye studies.

Rhabdomyolysis: This is a situation in which there is significant muscle breakdown in the body, and the damaged muscle fibers clog the filtering system of the kidneys. this can occur because of trauma, crush injuries, and burns. Some medications used to treat high cholesterol can cause rhabdomyolysis. Multiple myeloma : Kidney disorders, including chronic renal failure, are common in patients who have multiple myeloma (cancer that begins in a type of white blood cell called plasma cells). Several different factors are related to renal disease associated with multiple myeloma. Myeloma cells produce large numbers of proteins in the urine (called proteinuria). These proteins often form deposits in the kidneys (condition called amyloidosis) and cause kidney failure. In addition, multiple myeloma increases the risk for hypercalcemia (high levels of calcium in the blood) and anemia (low levels of red blood cells) and .....Health Naturally - 360.....

results in high blood levels of uric acid, which also increase the risk for chronic renal failure. Acute glomerulonephritis or inflammation of the glomeruli, the filtering system of the kidneys. Many diseases can cause this inflammation including systemic lupus erythematosus, Wegener’s granulomatosis, and Good pasture syndrome. 5 STAGES OF CHRONIC KIDNEY DISEASE Description

Stage

highfor pressure, (e.g., increased risk At diabetes, Risk factors blood kidney diseasefamily

Glomerular Filtration Rate GFR) More than 90

history, older age, ethnic group) 1

damage Kidney and normal GFR(protein in the urine)

More than 90

5 4 3 2

Kidney damage and mild decrease in (dialysis Kidneydecrease Moderate GFR Severe failure decrease in GFR in GFRor kidney

60 to 89 30 to 59 15 to 29 Less than 15

transplant needed) SYMPTOMS: Early signs and symptoms associated with chronic kidney disease (CKD) can be non-specific and subtle. When kidney function deteriorates, waste products, salt and fluids accumulate in the body and initially can result in the following symptoms: .....Health Naturally - 361.....

o

Nausea and vomiting

o

Loss of appetite

o

Dry and itchy skin

o

Trouble sleeping

o

Difficulty concentrating

o

Weight gain from excess fluids

o

Swollen feet and ankles

o

Puffiness around the eyes and high blood pressure

o

Fatigue or tiredness, a symptom of chronic kidney disease-related anemia

Uremic symptoms can affect every organ system, most noticeably the following: ·

Neurological system–cognitive impairment, personality change, asterixis (motor disturbance that affects groups of muscles), seizures (rare

·

Gastrointestinal system–nausea, vomiting, food distaste (often described as bland, metallic, “like cardboard”)

·

Blood-forming system–anemia due to erythropoietin deficiency, easy bruising and bleeding due to abnormal platelets

·

Pulmonary system–fluid in the lungs, with breathing difficulties

·

Cardiovascular system –chest pain due to inflammation of the sac surrounding the heart (pericarditis) and pericardial effusion (fluid accumulation around the heart)

·

Skin –generalized itching

DIAGNOSIS: Chronic kidney disease usually causes no symptoms in its early stages. Only lab tests can detect any developing problems. Anyone at increased

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risk for chronic kidney disease should be routinely tested for development of this disease. ·

Urine, blood, and imaging tests (X-rays) are used to detect kidney disease, as well as to follow its progress.

·

All of these tests have limitations. They are often used together to develop a picture of the nature and extent of the kidney disease.

·

In general, this testing can be performed on an outpatient basis.

· Urine Tests Urinalysis: Analysis of the urine affords enormous insight into the function of the kidneys. The first step in urinalysis is doing a dipstick test. The dipstick has reagents that check the urine for the presence of various normal and abnormal constituents including protein. Then, the urine is examined under a microscope to look for red and white blood cells, and the presence of casts and crystals (solids). Only minimal quantities of albumin (protein) are present in urine normally. A positive result on a dipstick test for protein is abnormal. More sensitive than a dipstick test for protein is a laboratory estimation of the urine albumin (protein) and creatinine in the urine. The ratio of albumin (protein) and creatinine in the urine provides a good estimate of albumin (protein) excretion per day. Twenty-four hour urine tests: This test requires you to collect all of your urine for 24 consecutive hours. The urine may be analyzed for protein and waste products (urea nitrogen, and creatinine). The presence of protein in the urine indicates kidney damage. The amount of creatinine and urea excreted in the urine can be used to calculate the level of kidney function and the glomerular filtration rate (GFR). Glomerular filtration rate (GFR): The GFR is a standard means of expressing overall kidney function. As kidney disease progresses, GFR falls.

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o

The normal GFR is about 100-140 mL/min in men and 85-115 mL/min in women. It decreases in most people with age.

The GFR may be calculated from the amount of waste products in the 24-hour urine or by using special markers administered intravenously. An estimation of the GFR (eGFR) can be calculated from the patient’s routine blood tests. Patients are divided into five stages of chronic kidney disease based on their GFR ·

Blood Tests

Creatinine and urea (BUN) in the blood: Blood urea nitrogen and serum creatinine are the most commonly used blood tests to screen for, and monitor renal disease. o

Creatinine is a product of normal muscle breakdown.

o

Urea is the waste product of breakdown of protein.

The level of these substances rises in the blood as kidney function worsens. Estimated GFR (eGFR): The laboratory or your physician may calculate an estimated GFR using the information from your blood work. It is important to be aware of your estimated GFR and stage of chronic kidney disease. Your physician uses your stage of kidney disease to recommend additional testing and suggestions on management. Electrolyte levels and acid-base balance: Kidney dysfunction causes imbalances in electrolytes, especially potassium, phosphorus, and calcium. High potassium (hyperkalemia) is a particular concern. The acid-base balance of the blood is usually disrupted as well. Decreased production of the active form of vitamin D can cause low levels of calcium in the blood. Inability to excrete phosphorus by failing kidneys causes its levels in the blood to rise. Testicular or ovarian hormone levels may also be abnormal. Blood cell counts: Because kidney disease disrupts blood cell production and shortens the survival of red cells, the red blood cell count and hemoglobin may be low (anemia). Some patients may .....Health Naturally - 364.....

also have iron deficiency due to blood loss in their gastrointestinal system. Other nutritional deficiencies may also impair the production of red cells. ·

Other tests

Ultrasound: Ultrasound is often used in the diagnosis of kidney disease. An ultrasound is a noninvasive type of imaging test. In general, kidneys are shrunken in size in chronic kidney disease, although they may be normal or even large in size in cases caused by adult polycystic kidney disease, diabetic nephropathy, and amyloidosis. Ultrasound may also be used to diagnose the presence of urinary obstruction, kidney stones and also to assess the blood flow into the kidneys. Biopsy: A sample of the kidney tissue (biopsy) is sometimes required in cases in which the cause of the kidney disease is unclear. Usually, a biopsy can be collected with local anesthesia by introducing a needle through the skin into the kidney. This is usually done as an outpatient procedure, though some institutions may require an overnight hospital stay. Prevention of kidney disease: Keep blood pressure under control; Maintain a healthy weight; Maintain healthy levels of fats; Do not smoke or use any tobacco products. NATURE CURE AND YOGA TREATMENT: Hydrotherapy o o

Hot and Cold hip bath twice daily 20 minutes Wet girdle pack 30 minutes daily thrice reduces swelling of the prostrate gland.

o

Kidney pack alternate days

o

Hot water Epsom salt bath twice daily. Hot fomentation to the bladder area helps the free flow of the urine

o

.....Health Naturally - 365.....

o

Warm water enema alternate days

Massage therapy o

Full body oil massage

o

Partial massage over the kidneys

Mud therapy: o Mud packs to the lower abdomen o

Mud application to the back kidney area and lower abdomen and pubic area.

Diet therapy: Note: no water should be taken, only energy giving foods to be consumed. o

6am

:

o

8am

:

100 ml water with 2 spoon honey 1 bowl papaya, 2 bananas,

o

10am

:

1 apple, 1 carrot

o

1pm

:

roasted potatoes with honey

o

4pm

:

2 bananas

o

6.30pm : 9.30pm

brown rice, boiled vegs papaya

o

AVOID: Meat, sugar, tea, coffee, condiments, pickles, refined and processed foods, fried, heavy, or greasy foods and products made from sugar and white flour. Yoga therapy: Kriya: vamana dhouti Sukshma vyayama Standing series Tadasana Ardhakatichkrasan Ardhacakrasana

.....Health Naturally - 366.....

Supine series Uttitapadana Pavanamuktasana Vipareethakarni Matsyasana Quick relaxation technique

Prone series Bujangasana Makarasana

Ardhashalabhasana Sitting series Ardhamatsyendrasana Vakrasana Vajrasana

Deep relaxation technique Pranayama Kapalbhati Shitali, shitkari, sadantha Chandranuloma viloma Chandrabedhana Nadishodana Bhastrika Bhramari Meditation A, U, M Kara chanting OHM Kara chanting Bajansnidra Yoga

Bhanda: Moolabhanda .....Health Naturally - 367.....

CHAPTER 41

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR OSTEO OSTEOARARARARARTHRITISTHRITISTHRITISTHRITISTHRITIS

DESCRIPTION Osteoarthritis (OA, also known as degenerative arthritis, degenerative joint disease), is a group of diseases and mechanical abnormalities involving degradation of joints, including articular cartilage and the subchondral bone next to it. Osteoarthritis is a joint disease that causes the cushion layer between your bones (called cartilage) to wear away. It is also called degenerative joint disease. Osteoarthritis can affect any joint in your body, and it is the most common type of arthritis. Osteoarthritis” is derived from the Greek word “osteo”, meaning “of the bone”, “arthro”, meaning “joint”, and “itis”, meaning inflammation. Osteoarthritis is not to be confused with rheumatoid arthritis, an autoimmune disease with joint inflammation as a main feature. A common misconception is that OAis due solely to wear and tear, since OA typically is not present in younger people.

.....Health Naturally - 368.....

TYPES primary OA. If no underlying cause can be identified it is described as primary OA. secondary OA. There is usually an underlying cause for OA, in which it is described as secondary OA.

case

Primary OA This type of OA is a chronic degenerative disorder related to but not caused by aging. ·

As a person ages, the water content of the cartilage decreases due to a reduced proteoglycan content, thus causing the cartilage to be less resilient.

·

Without the protective effects of the proteoglycans, the collagen fibers of the cartilage can become susceptible to degradation and thus exacerbate the degeneration.

·

Inflammation of the surrounding joint capsule can also occur, though often mild (compared to that which occurs in rheumatoid arthritis).

·

This can happen as breakdown products from the cartilage are released into the synovial space, and the cells lining the joint attempt to remove them.

·

New bone outgrowths, called “spurs” or osteophytes, can form on the margins of the joints, possibly in an attempt to improve the congruence of the articular cartilage surfaces. .....Health Naturally - 369.....

·

These bone changes, together with the inflammation, can be both painful and debilitating.

Secondary OA This type of OA is caused by other factors but the resulting pathology is the same as for primary OA: ·

Congenital disorders, such as:

o

Congenital hip luxation People with abnormally-formed joints (e.g. hip dysplasia (human)) are more vulnerable to OA, as added stress is specifically placed on the joints whenever they move.

o

· ·

Diabetes. Inflammatory diseases (such as Perthes’ disease), (Lyme disease), and all chronic forms of arthritis (e.g. costochondritis, gout, and rheumatoid arthritis). In gout, uric acid crystals cause the cartilage to degenerate at a faster pace.

·

Injury to joints, as a result of an accident.

·

A joint infection, e.g. from an injury.

·

Hormonal disorders.

·

Ligamentous deterioration or instability may be a factor.

·

Obesity. Obesity puts added weight on the joints, especially the knees.

·

·

Sports injuries, or similar injuries from exercise or work. Certain sports, such as running or football, put undue pressure on the knee joints. Injuries resulting in broken ligaments can lead to instability of the joint and over time to wear on the cartilage and eventually osteoarthritis. Pregnancy

·

Childhood physical abuse

SIGNS AND SYMPTOMS The main symptom is ·

acute pain, .....Health Naturally - 370.....

·

loss of ability

·

stiffness.

·

“Pain” is generally described as a sharp ache,

·

burning sensation in the associate muscles and tendons.

·

OA can cause a crackling noise (called “crepitus”) when the affected joint is moved or touched, patients may experience muscle spasm and contractions inthe

·

tendons. ·

the joints may also be filled with fluid.

·

Humid and cold weather increases the pain in many patients

DIAGNOSIS ·

clinical examination

·

x-rays

NATURE CURE AND YOGA TREATMENT Hydrotherapy: · ·

Hot fomentation for 30 minutes daily twice Ice pack on the joints daily twice for 10 minutes

·

Hot pack to the joints Epsom salt pack daily twice

·

Mustard powder pack daily twice

·

Knee pack for 45-60minutes

·

· Neutral imerssion bath with epsom salt for 20 minutes Massage therapy: ·

Partial massage to the joints with Infra red rays

·

Partial massage to the joints with steam Mud therapy: ·

Mud application on the joints for 30 minutes Hot mud packs to the joints for 20 minutes

· Diet therapy:

.....Health Naturally - 371.....

6am

:

methi water

8am

:

1pm

:

carrot juice and dates roti 2, boiled vegs, soup

4pm

:

Tender coconut water brown rice, boiled vegs, papaya

6.30pm : 9.30pm : Yoga therapy

milk with ginger

Shithalikarna vyayama Standing series Tadasana Ardhachakrasana Ardhakatichakrasana Quick relaxation technique Supine series Uttitapadasana Matsyasana (lying down) Prone series Makarasana Bujangasana Ardhashalabhasana Deep relaxation technique Pranayama Surya anuloma viloma Suryabedhana Nadishodhana Brahmari Meditation OHM meditation A, U, M Kara chanting .....Health Naturally - 372.....

CHAPTER 42

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT OID AR FOR RHEUMA ARTHRITISTHRITISTHRITISTHRITISTHRITIS RHEUMATOID

DESCRIPTION Rheumatoid arthritis (RA) is an autoimmune disease that causes chronic inflammation of the joints. Rheumatoid arthritis is a chronic, systemic inflammatory disorder that may affect many tissues and organs, but principally attacks the joints producing an inflammatory synovitis that often progresses to destruction of the articular cartilage and ankylosis of the joints. Rheumatoid arthritis can also produce diffuse inflammation in the lungs, pericardium, pleura, and sclera, and also nodular lesions, most common in subcutaneous tissue under the skin. It is a form of arthritis that causes pain, swelling, stiffness and loss of function in your joints. It can affect any joint but is common in the wrist and fingers. More women than men get rheumatoid arthritis. It often starts between ages 25 and 55. You might have the disease for only a short time, or symptoms might come and go. The severe form can last a lifetime. .....Health Naturally - 373.....

Rheumatoid arthritis is different from osteoarthritis, often comes with the common older age. arthritis RA that can affect body parts besides joints, such as your eyes, lungs. disease, autoimmune which means arthritis results mouth from andyour immune RA issystem the an attacking your body’s own

tissues. CAUSES The cause of rheumatoid arthritis is unknown. ·

Even though infectious agents such as viruses, bacteria, and fungi have long been suspected, none has been proven as the cause.

·

It is believed that the tendency to develop rheumatoid arthritis may be genetically inherited.

·

It is also suspected that certain infections or factors in the environment might trigger the activation of the immune system in susceptible individuals. This misdirected immune system then attacks the body’s own tissues. This leads to inflammation in the joints and sometimes in various organs of the body, such as the lungs or eyes.

·

Regardless of the exact trigger, the result up promotesystem is an to immune inflammation that is geared in the joints and occasionally other tissues of the body. Immune cells, called lymphocytes, are activated and chemical messengers (cytokines, such as tumor necrosis factor/ TNF, interleukin-1/IL-1, and interleukin-6/IL-6) are expressed in the inflamed areas. .....Health Naturally - 374.....

·

Environmental factors also seem to play some role in causing rheumatoid arthritis. For example, scientists have reported that smoking, tobacco increases the risk of developing rheumatoid arthritis. Rheumatoid arthritis

SIGNS AND SYMPTOMS Rheumatoid arthritis typically manifests with signs of inflammation, ·

affected joints being swollen,

·

warm,

·

painful stiff, particularly and early in the morning on waking or following

prolonged inactivity. ·

Increased stiffness early in the morning is often a prominent feature of the disease and may last for more than an hour.

·

the inflammatory activity leads to tendon tethering and erosion and destruction of the joint surface, which impairs range of movement and leads to deformity.

·

The fingers may suffer from almost any deformity depending on which joints are most involved.

o

ulnar deviation,

o

boutonniere deformity,

o

swan neck deformity and

o

“Z-thumb,”

· Skin - The rheumatoid nodule, which is often subcutaneous, is the feature most characteristic of rheumatoid arthritis. vasculitis occur in rheumatoid arthritis .....Health Naturally - 375.....

Lungs - Fibrosis of the lungs is a recognised response to · rheumatoid disease. Pleural effusions are also associated with rheumatoid arthritis. · Kidneys - Renal amyloidosis can occur as a consequence of chronic inflammation. Heart and blood vessels - People with rheumatoid arthritis · are more prone to atherosclerosis, and risk of myocardial infarction (heart attack) and stroke is markedly increased. Other possible complications that may arise include: pericarditis, endocarditis, left ventricular failure, valvulitis and fibrosis. DIAGNOSIS ·

The first step in the diagnosis of rheumatoid arthritis is a meeting between the doctor and the patient. The doctor reviews the history of symptoms, examines the joints for inflammation and deformity, the skin for rheumatoid nodules, and other parts of the body for inflammation.

·

X-ray

·

Blood test (for Rheumatoid Factor)

·

Ultrasonography

·

MRI

NATURE CURE AND YOGA TREATMENT Hydrotherapy: ·

Hot fomentation for 30 minutes daily twice

·

Ice pack on the joints daily twice for 10 minutes

·

Hot pack to the joints

·

Neutral arm and foot bath with epsom salt daily

·

Epsom salt pack daily twice

·

Mustard powder pack daily twice .....Health Naturally - 376.....

·

Knee pack for 45-60minutes

·

Neutral imerssion bath with epsom salt for 20 minutes

Massage therapy: ·

Partial massage to the joints with Infra red rays

·

Partial massage to the joints with steam

Mud therapy: ·

Mud application on the joints for 30 minutes

·

Hot mud packs to the joints for 20 minutes

Diet therapy: AVIOD: milk and milk products 6am

:

hot honey water

7am

:

ginger tea

8am

:

papaya, 4 dates, carrot juice

1pm

:

2 chapatis, boiled vegs, papaya

4pm

:

tender coconut water

6.30pm :

brown rice, boiled vegs, papaya

9.30pm :

ginger tea

Yoga therapy Shithalikarna vyayama Standing series Quick Ardhachakrasana Tadasana relaxation technique

Supine series Uttitapadasana .....Health Naturally - 377.....

Prone series Makarasana Bujangasana Ardhashalabhasana Deep relaxation technique Pranayama Surya anuloma viloma Suryabedhana Nadishodhana Brahmari Meditation OHM meditation A, U, M kara chanting

.....Health Naturally - 378.....

CHAPTER 43

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FORLFORLFORLFORLFOR LOWBWBWBWBW BACKPCKPCKPCKPCK PAINAINAINAINAIN

DESCRIPTION Low back pain (sometimes referred to as lumbago) is a common symptom of musculoskeletal disorders or of disorders involving the lumbar vertebrae and related soft tissue structures such as muscles, ligaments, nerves and Intervertebral discs. Pain in the lower back or low back pain is a common concern. Low back pain is not a specific disease. Rather, it is a symptom that pain, despite a thorough medical may low back In upoccur to 85% from of apeople varietywith of different processes. examination, no specific cause of the pain can be identified. Low back pain is second only to the common cold as a cause of lost days at work. It is also one of the most common reasons to visit a doctor.

.....Health Naturally - 379.....

For 90% of people, even those with nerve root irritation, their symptoms will improve within two months no matter what treatment is used, even if no treatment is given. It can be either acute, sub acute or chronic in duration. Most often, the symptoms of low back pain show significant improvement within a few weeks from onset with conservative measures. CLASSIFICATION It is of 3 types according to its clinical presentation. ·

acute (less than 4 weeks)

·

sub acute (4–12 weeks)

·

chronic ( greater than 12 weeks)

Acute low back pain: Acute or short-term low back pain generally lasts from a few days to a few weeks. Causes: An acute lower back injury is the result of trauma to the lower back. Pain from trauma may be caused ·

By a sports injury,

·

Work around the house or in the garden,

·

A sudden jolt such as a car accident

·

Other stress on spinal bones and tissues.

It occurs suddenly and its victims will usually be able to pinpoint exactly when it happened. In acute cases, the structures damaged will more than likely be soft tissue. With a serious accident, osteoporosis or other causes of weakened vertebral bones, vertebral fractures in the lumbar spine may also occur. At the lowest end of the spine, some patients may have tailbone pain (also called coccyx pain or coccydynia). Others may have pain from their sacroiliac joint, where the spinal column attaches to the pelvis, called sacroiliac joint dysfunction. .....Health Naturally - 380.....

Symptoms: ·

Muscle ache to shooting or stabbing pain,

·

Limited flexibility

·

Limited range of motion,

·

Unable to stand straight.

Chronic lower back pain: Usually has a more insidious onset, occurring over a long period of time. Causes: Most cases of lower back pain are due to skeletal specific low back pain. and full are degeneration referred to asornon musculo-ligamentous injuryThe differential diagnosis however includes many other less common conditions. ·

Mechanical:

o

Apophyseal osteoarthritis

o

Diffuse Idiopathic Skeletal Hyperostosis

o

Degenerative discs

o

Scheuermann’s kyphosis

o

Spinal disc herniation (slipped disc)

o

Spinal stenosis

o

Spondylolisthesis and other congenital abnormalities

o

Fractures

o

Leg length difference

o

Restricted hip motion

o

Misaligned pelvis - pelvic obliquity, anteversion or retroversion

.....Health Naturally - 381.....

·

Inflammatory:

o

Seronegative spondylarthritides (e.g. ankylosing spondylitis)

o

Rheumatoid arthritis

o

Infection - epidural abscess or osteomyelitis

·

Neoplastic:

o

Bone tumors (primary or metastatic)

o

Intradural Spinal tumors

·

Metabolic:

o

Osteoporotic fractures

o

Osteomalacia

o

Ochronosis

o

Chondrocalcinosis

·

Psychosomatic

o

Tension myositis syndrome

·

Paget’s disease

·

Referred pain:

o

Pelvic/abdominal disease

o

Prostate Cancer

o

Posture

·

Depression

·

oxygen deprivation

People with low back pain may experience some of the following: o

Back pain may be worse with bending and lifting.

o

Sitting may worsen pain.

o

Standing and walking may worsen pain .....Health Naturally - 382.....

o

Back pain comes and goes, and often follows an up and down course with good days and bad days.

o

Pain may extend from the back into the buttock or outer hip area, but not down the leg.

Regardless back pain does of your notage getorbetter symptoms, withinifayour few you should weeks, or isweight unexpected associated loss, with fever, chills, call your or doctor. DIAGNOSIS 1) Medical History and Physical Examination After discussing your symptoms and medical history, your doctor will examine your back. This will include looking at your back and pushing on different areas to see if it hurts. Your doctor may have you bend forward, backward, and side to side to look for limitations or pain. Your doctor may measure the nerve function in your legs. This includes checking your reflexes at your knees and ankles, as well as strength testing and sensation testing. This might tell your doctor if the nerves are seriously affected. 2) Imaging Tests Other tests which may help your doctor confirm your diagnosis includes: ·

X-rays: Although they only visualize bones, simple X-rays can help determine if you have the most obvious causes of back pain. It will show broken bones, aging changes, curves, or deformities. X-rays do not show disks, muscles, or nerves.

·

Magnetic resonance imaging (MRI): This study can create better images of soft tissues, such as muscles, nerves, and spinal

.....Health Naturally - 383.....

disks. Conditions such as a herniated disk or an infection are more visible in an MRI scan. ·

Computerized axial tomography (CAT) scans: If your doctor suspects a bone problem, he or she may suggest a CAT scan. This study is like a three-dimensional X-ray and focuses on the bones.

·

Bone scan: A bone scan may be suggested if your doctor needs more information to evaluate your pain and to make sure that the pain is not from a rare problem like cancer or infection.

·

Bone density test: If osteoporosis is a concern, your doctor may order a bone density test. Osteoporosis weakens bone and makes it more likely to break. Osteoporosis by itself should not cause back pain, but spinal fractures due to osteoporosis can.

NATURE CURE AND YOGA TREATMENT Hydrotherapy: ·

Neutral spinal bath with salt for 25-30 minutes daily.

·

Hot hip bath with salt for 15 minutes daily

·

Hot water compress on the lower back daily twice for ½ an hour

·

Hot fomentation for 15 minutes every 3 hours

·

Steam bath for 15 minutes alternate days

·

Neutral immersion bath with salt for 20 minutes alternate days.

·

Warm water enema

Massage therapy: ·

Partial light massage on the lower back with infra red radiation.

Mud therapy: ·

Hot mud pack on the lower back.

.....Health Naturally - 384.....

Diet therapy: 6am

:

methi water

7am

:

figs water (soak 3 figs in 200ml water overnight, grind and strain)

8am

:

carrot juice, 4 dates

1pm

:

2 wheat rotis, boiled vegs, 4 garlic roasted in ghee

4pm

:

tender coconut water

6.30pm :

brown rice, boiled vegs, papaya, 4 dates

9.30pm :

lime juice with jaggery

Yoga therapy: Sukshma vyayama Standing Series Tadasana Ardhachakrasan Ardhakatichakrasan Supine series Matsyasana Setubandhasana Quick relaxation technique Prone series Makarasana Bujangasana Ardhashalabhasana Sitting series Vajrasana

.....Health Naturally - 385.....

Suptavajrasana Vakrasana Ardhamatsyendrasana Deep relaxation technique Pranayama Surya anuloma viloma Suryabedhana Nadishodana Ujjayi Meditation A, U, M Kara chanting OHM Kara chanting PREVENTION OF LOW BACK PAIN It may not be possible to prevent low back pain. We cannot avoid the normal wear and tear on our spines that goes along with aging. But there are things we can do to lessen the impact of low back problems. Having a healthy lifestyle is a good start. ·

Exercise

Combine aerobic exercise, like walking or swimming, with specific exercises to keep the muscles in your back and abdomen strong and flexible. ·

Proper Lifting

Be sure to lift heavy items with your legs, not your back. Do not bend over to pick something up. Keep your back straight and bend at your knees. Avoid twisting your body while lifting. Push rather than pull when you must move heavy objects. ·

Weight

Maintain a healthy weight. Being overweight puts added stress on your lower back. .....Health Naturally - 386.....

·

Avoid Smoking

Both the smoke and the nicotine cause your spine to age faster than normal. ·

Wear flat shoes or shoes with low heels (1 inch or lower).

·

Proper Posture

Good posture is important for avoiding future problems. If you must sit at your desk or at the wheel of a car or truck for long hours, break up the time with stops to stretch. o

Sit in chairs with straight backs or low back support. Keep your knees a little higher than your hips. Adjust the seat or use a low stool to prop your feet on. Turn by moving your whole body rather than by twisting at your waist.

o

When driving, sit straight and move the seat forward. This helps you not lean forward to reach the controls. You may want to put a small pillow or rolled towel behind your lower back if you must drive or sit for a long time.

o

If you must stand for long periods, rest 1 foot on a low stool to relieve pressure on your lower back. Every 5 to 15 minutes, switch the foot you’re resting on the stool. Maintain good posture: Keep your ears, shoulders and hips in a straight line, with your head up and your stomach pulled in.

o

The best way to sleep is on your side with your knees bent. You may put a pillow under your head to support your neck. You may also put a pillow between your knees. If you sleep on your back, put pillows under your knees and a small pillow under your lower back. Don’t sleep on your stomach unless you put a pillow under your hips. Use a firm mattress. If your mattress is too soft, use a board of 1/2-inch plywood under the mattress to add support. .....Health Naturally - 387.....

RELIEF DURING LOWER BACK PAIN The best position for relief when your back hurts is to lie on your back on the floor with pillows under your knees, with your hips and knees bent and your feet on a chair or just with your hips and knees bent. This takes the pressure and weight off your back.

Heating pads can help to relax painful muscle spasms. Use heat for 20 to 30 minutes at a time. Ice packs and massages may also give relief. You may need 1 to 2 days of this sort of rest for a hurt back. Resting longer than this can cause your muscles to weaken, which can slow your recovery. Even if it hurts, walk around for a few minutes every hour to help keep your back muscles strong.

.....Health Naturally - 388.....

CHAPTER 44

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR SCIA SCIATICATICATICATICATICA

DESCRIPTION Sciatica (or sciatic neuritis) is a set of symptoms including pain that may be caused by general compression and/or irritation of one of five nerve roots that give rise to the sciatic nerve, or by compression or irritation of the sciatic nerve itself. The pain is felt in the lower back, buttock, and/or various parts of the leg and foot. In addition to pain, which is sometimes severe, there may be numbness, muscular weakness, pins and needles controlling leg. Typically, or tingling and thedifficulty in movingthe or symptoms are only felt on one side of the body. The sciatic nerve is the largest and longest nerve in the body. It runs from the lower back region through the .....Health Naturally - 389.....

buttock and continues down the back of the leg. The sciatic nerve controls the movement of many muscles in the thigh and leg as well as provides a means of sensory input to the brain. When the sciatic nerve becomes irritated and inflamed, it results in sciatica. Sciatic nerve distribution CAUSES Sciatica is generally caused by the compression of lumbar nerves L4 or L5 or sacral nerves S1, S2 or S3, or far less commonly, by compression of the sciatic nerve itself. While sciatica is most commonly a result of a · Disc herniation directly pressing on the nerve, any cause of irritation or inflammation of this nerve can reproduce the symptoms of sciatica. These causes include irritation of the nerve from adjacent bone, tumors, muscle, internal bleeding, infections, injury, and other causes. ·

Spinal stenosis

·

Piriformis syndrome

·

Trigger points

·

Pregnancy

Sciatica may also be experienced in pregnancy, primarily resulting from the uterus pressing on the sciatic nerve, and, secondarily, from the muscular tension and/or vertebral compression consequent to carrying the extra weight of the fetus, and the postural changes inherent to pregnancy. ·

Occupational

Long hours of standing, sitting, using machines in a single positions, SYMPTOMS sitting on wallets,etc

Sciatica causes

.....Health Naturally - 390.....

·

A burning sensation,

·

Tingling radiating from the lower back and upper buttock down the back of the thigh to the back of the leg.

·

Difficulty in walking

Skin areas of the lower limbs innervated by various spinal nerves. ·

Symptoms of sciatica are aggravated by walking or bending at the waist and relieved by lying down.

·

Pain in the rear or leg that is worse when sitting

·

Burning or tingling down the leg

·

Weakness, numbness or difficulty moving the leg or foot

·

A constant pain on one side of the rear

·

A shooting pain that makes it difficult to stand up

DIAGNOSIS Sciatica is diagnosed with a ·

Physical exam and medical history.

·

The typical symptoms and certain examination maneuvers help the health-care practitioner to diagnose sciatica.

·

X-rays, films,

·

CT scan,

·

MRI scan, and

·

neurography Electromyogram, MR

Dermatomes of lower limbs. NATURE CURE AND YOGA TREATMENT Hydrotherapy: ·

Hot fomentation on the back for ½ an hour daily thrice .....Health Naturally - 391.....

·

Ice pack on the painful areas daily thrice

·

Hot leg pack for ½ an hour daily twice

·

Neutral spinal bath with salt for 20 minutes daily

·

Neutral spinal spray for 15 minutes

·

Steam bath daily

·

Sauna bath

·

Warm water enema

Massage therapy: ·

Partial light massage to low back and legs with infra red radiation

Mud therapy: ·

Hot mud pack on the painful areas

Diet therapy: 6am

:

hot water with 2-3 crushed garlic

7am

:

black raisins water (soak 30 raisins in 200ml water overnight, grind and strain)

8am

:

papaya, 4 dates

11am

:

tender coconut water

1pm

:

raw salad, curd

4pm

:

carrot juice

6.30pm :

brown rice, soup and papaya

9.30pm :

ginger tea

Yoga therapy: Standing Series Tadasana Ardhachakrasan

.....Health Naturally - 392.....

Supine series Matsyasana (lying down) Setubandhasana Quick relaxation technique Prone series Makarasana Bujangasana Ardhashalabhasana Sitting series Vajrasana Vakrasana Deep relaxation technique Pranayama Surya anuloma viloma Suryabedhana Nadishodana Ujjayi Meditation A, U, M Kara chanting OHM Kara chanting yoga nidra

.....Health Naturally - 393.....

CHAPTER 45

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT AR SPOND SPONDYLYLYLYLYLOSISOSISOSISOSISOSIS FORLFORLFORLFORLFOR LUMBUMBUMBUMBUMBAR

DESCRIPTION Lumbar spondylosis is a degenerative disorder of the lower spine caused by a fibrous or bony union developing across the vertebral joints (the place where two of the bones of the lower back meet). Lumbar spondylosis can cause damage to the spinal structure, and impede movement or proper functioning. In this condition the interfacetal joints are not involved. If severe, it may cause pressure on nerve roots with subsequent sensory and/or motor disturbances, such as pain, paresthesia, or muscle weakness in the limbs. The vertebrae consist of individual bones which are joined together by discs which absorb shock, allow movement and provide cushioning.

.....Health Naturally - 394.....

The major weight bearing area of the body is the lumbar region. Degenerative disease like spondylosis (spinal osteoarthritis) can compromise the structural integrity of the spine affecting multiple joints. This is accompanied by overgrowth of bone and the formation of bone spurs. Women are affected more than men. RISK FACTORS or CAUSES Risk factors for developing lumbar spondylosis include 1) Age: As a person ages the healing ability of the body decreases and developing arthritis at that time can make the disease progress much faster. Persons over 40 years of age are more prone to developing lumbar spondylosis. 2) Obesity: Overweight puts excess load on the joints as the lumbar region carries most of the body’s weight, making aperson prone to lumbar spondylosis. 3) Sitting for prolonged periods: Sitting in one position for prolonged time which puts pressure on the lumbar vertebrae. 4) Prior injury: Trauma makes a person more susceptible to developing lumbar spondylosis. 5) Heredity or Family history 6) Carrying around excessive weight can cause lumbar spondylosis. SYMPTOMS The symptoms associated with lumbar spondylosis can vary with activity levels and weather influences. ·

Morning stiffness is a common complaint of lumbar spondylosis.

·

Stiffness and pain in the lower back pain that runs into the pelvis area and buttocks (sciatica) may be a major component in lumbar spondylosis. .....Health Naturally - 395.....

·

It may become very painful to lift any weight or bend making it sometimes difficult to perform basic daily activities.

·

Bowel/bladder changes, muscle spasms, extremity sensation and motor function.

·

Sleeping or lying down can get painful Tingling in the legs or back Lower back pain and/or foot pain can also be a symptom.

· · ·

Pain caused by walking is a symptom. Standing still may be painful

Skin areas of the lower limbs innervated by various spinal nerves.

Dermatomes of lower limbs. DIAGNOSIS · · ·

Physical examination with few tests X-rays can show if there is a narrowing of the canal. CT scans can reveal the shape of the spinal canal, hypertrophy of the ligmentum flavum and hernias of the discs. .....Health Naturally - 396.....

·

MRIs can show if there is foraminal narrowing or root impingement.

NATURE CURE AND YOGA TREATMENT Hydrotherapy: Neutral spinal bath for 20 minutes daily Neutral spinal spray. Hot and cold compress – 2 minutes hot and 1 minute cols daily twice if there’s severe pain. Neutral hip bath for 20 minutes daily twice Neutral immersion bath for 20 minutes with Epsom salt Warm water enema Hot fomentation daily thrice Steam bath for 20 minutes Sauna bath for 15 minutes. Massage therapy: Oil application with Infrared radiation Light massage with steam radiation. Mud therapy: Hot mud application on the back Diet therapy: 6am

:

methi water

7am

:

tender coconut water

9am

:

1pm

:

papaya, 4 figs, 4 dates, 4 almonds dahlia, boiled vegs, papaya

4pm

:

carrot juice

6.30pm :

brown rice, boiled vegs, papaya

.....Health Naturally - 397.....

Yoga therapy: AVOID ALL FORWARD BENDING ASANA AND EXERCISES Sukshma vyayama Standing Series: Ardhachakrasan Tadasana

Vrikshasana Supine series Matsyasana Setubandhasana Quick relaxation technique Prone series Makarasana Bujangasana Shalabhasana Sitting series Vajrasana Suptavajrasana Vakrasana Ardhamatsyendrasana Deep relaxation technique Pranayama Surya anuloma viloma Suryabedhana Nadishodana Ujjayi Meditation A, U, M Kara chanting OHM Kara chanting .....Health Naturally - 398.....

CHAPTER 46

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FROZEN SHOULDER

Frozen shoulder, medically referred to as adhesive capsulitis, is a disorder in which the shoulder capsule, the connective tissue surrounding the glenohumeral joint of the shoulder, becomes inflamed and stiff, greatly restricting motion and causing chronic pain. Adhesive capsulitis is a painful and disabling condition that often causes great frustration for patients and caregivers due to slow recovery. Movement of the shoulder is severely restricted. Pain is usually constant, worse at night, when the weather is colder, and along with the restricted movement can make even small tasks impossible. Certain movements can cause sudden onset of tremendous pain and cramping that can last several minutes.

.....Health Naturally - 399.....

This condition, for which an exact cause is unknown, can last from five months to three years or more and is thought in some cases to be caused by injury or trauma to the area. It is believed that it may have an autoimmune component, with the body attacking healthy tissue in the capsule. There is also a lack of fluid in the joint, further restricting movement. In addition to difficulty with everyday tasks, people who suffer from adhesive capsulitis usually experience problems sleeping for extended periods due to pain that is worse at night and restricted movement/ positions. The condition also can lead to depression, pain, and problems in the neck and back. There are a number of risk factors for frozen shoulder, including diabetes, stroke, accidents, lung disease, connective tissue disorders, and heart disease. The condition very rarely appears in people under 40. WHAT HAPPENS WITH FROZEN SHOULDER For some reason, the shoulder joint becomes stiff and scarred. Frozen shoulder is the result of inflammation, scarring, thickening, and shrinkage of the capsule that surrounds the normal shoulder joint. The shoulder joint is a ball and socket joint. The ball is the top of the arm bone (the humeral head), and the socket is part of the shoulder blade (the glenoid). Surrounding this ball-and-socket joint is a capsule of tissue that envelops the joint. o

Normally, the shoulder joint allows more motion than any other joint in the body.

o

When a patient develops a frozen shoulder, the capsule that surrounds the shoulder joint becomes contracted.

o

The tissue patients called form adhesions. bands of scar

o

The contraction of the capsule and the formation of the

.....Health Naturally - 400.....

adhesions cause the frozen shoulder to become stiff and cause movement to become painful. Any injury to the shoulder can lead to frozen shoulder, including tendonitis, bursitis, and rotator cuff injury RISK FACTORS FOR DEVELOPING A FROZEN SHOULDER o

Age & Gender

Frozen shoulder most commonly affects patients between the ages of 40 to 60 years old, and it is twice as common in women as in men. o

Endocrine Disorders

Patients with diabetes are at particular risk for developing a frozen shoulder. Other endocrine abnormalities, such as thyroid problems, hypothyroidism, hyperthyroidism, can also lead to this condition. o

Shoulder Trauma or Surgery

Patients who sustain a shoulder injury, or undergo surgery on the shoulder can develop a frozen shoulder joint. When injury or surgery is followed by prolonged joint immobilization, the risk of developing a frozen shoulder is highest. o

Other Systemic Conditions

Several systemic conditions such as heart disease and Parkinson’s disease have also been associated with an increased risk for developing a frozen shoulder. CAUSES: There are several theories as to why FSS may develop; Hormonal - It occurs more commonly in females about the same time as the menopause Genetic - Several studies have indicated a genetic component for developing a frozen shoulder. For example, there have been

.....Health Naturally - 401.....

cases where identical twins have suffered at the exact same time. It is also a condition that can run in the family. .Autoimmune - There is a theory that the body mounts a rejection type reaction to damaged shoulder tendons, perceiving them to be foreign material. This may also explain why it does not return on the same side. Postural - The most convincing study results yet have indicated that long-standing round-shouldered posture causes a shortening in one of the shoulder ligaments. This chronic ligamentous shortening seems to be very closely associated with the Frozen Shoulder. SIGNS AND SYMPTOMS: With a frozen shoulder, one sign is that the joint becomes so tight and stiff that it is nearly impossible to carry out simple movements, such as raising the arm. The movement that is most severely inhibited is external rotation of the shoulder. People complain that the stiffness and pain worsen at night. Pain due to frozen shoulder is usually dull or aching. It can be worsened with attempted motion. Physicians have described the normal course of a frozen shoulder as having three stages: Stage one: The “freezing” or painful stage, which may last from six weeks to nine months, and in which the patient has a slow onset of pain. As the pain worsens, the shoulder loses motion. Stage two: The “frozen” or adhesive stage is marked by a slow improvement in pain but the stiffness remains. This stage generally lasts four months to nine months. Stage three: The “thawing” or recovery, when shoulder motion slowly returns toward normal. This generally lasts five months to 26 months.

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DIAGNOSIS: A doctor can diagnose frozen shoulder based on the patient’s symptoms and a physical examination. Frozen shoulder can be diagnosed if limits to the active range of motion (range of motion from active use of muscles) are the same or almost the same as the limits to the passive range of motion (range of motion from a person manipulating the arm and shoulder). · ·

physical examination X-ray

·

arthrogram

·

MRI

NATUROPATHY AND YOGA TREATMENT Hydrotherapy o

Warm water enema alternate days

o

Ice packs daily twice for 5-10 mins

o

Hot fomentation daily twice for 10 mins

o

Steam bath for 15 mins alternate days

Massage therapy o

Full body oil massage with steam

o Partial massage to shoulders followed by infra-red radiations. Mud therapy: o

Hot mud applications daily once

Diet therapy: 6am

:

herbal tea

8am

:

1pm

:

carrot juice and 5 dates 2 wheat rotis, boiled vegs, salad

4pm

:

tender coconut water

6.30pm :

dahlia, boiled vegs, papaya

9.30pm :

ginger tea .....Health Naturally - 403.....

Yoga therapy: Sukshma vyayama Standing Series Ardhachakrasan Tadasana

Paschimottanasana Ardhakatichkrasan

Trikonasan Parshvakonsan Supine series Uttitapadasana Pavanamuktasana Quick relaxation technique Prone series Bujangasana Makarasana

Dhanurasana Sitting series ushtrasana Paschimottasana

Ardhamatsyendrasana Gomukhasana Vakrasana

Deep relaxation technique Pranayama Surya anuloma viloma Suryabedhana

.....Health Naturally - 404.....

Nadishodana Ujjayi Meditation A, U, M Kara chanting OHM Kara chanting yoga nidra EXERCISE / PHYSICAL THERAPY: Diligent physical therapy includes ultrasound, electric stimulation, range of-motion exercise maneuvers, ice packs, and eventually strengthening exercises.

Face a wall about three-quarters of an arm’s length away from it. Using only your fingers (not your shoulder muscles), raise your arm up to shoulder level. Perform sets of 10 to 20 exercises at each session.

The arm is hung downward and rotated in large circles in order to regain shoulder range of motion. .....Health Naturally - 405.....

Take a 3 foot long towel, grasp it with both hands, and hold it in the horizontal position. Use the upper, good arm, to pull the affected arm toward the lower back. This can be repeated with the towel at a 45° angle. Perform sets of 10 to 20 stretches at each session.

.....Health Naturally - 406.....

CHAPTER 47

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT VICAL SPONDIL FOR CER SPONDILOSISOSISOSISOSISOSIS CERVICAL

DESCRIPTION Cervical spondylosis is degeneration of the disks and vertebrae in the neck, putting pressure on (compressing) the spinal cord in the neck. Cervical spondylosis is a disorder caused by abnormal wear on cartilage and bones of the neck (cervical vertebrae). The tissue the wears away (degeneration) and mineral deposits form in the cushions between the vertebrae (cervical disks). Degenerative changes are common in the cervical spine. The degenerative process begins in the intervertebral discs and affects the posterior intervertebral joints secondarily, causing pain and stiffness of the neck, sometimes with referred symptoms in an upper limb. It is common in the middle aged and elderly, doing prolonged work with neck in flexed position.

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THE CERVICAL SPINE Alternative Names of Cervical Spondylosis: Cervical osteoarthritis, Neck arthritis CAUSES o

Major risk factor is aging. By age 60, 70% of women and 85% of men show changes spondylosis consistent on x-ray. with cervical

o

Cervical spondylosis results from chronic degeneration of the cervical spine including the cushions between the neck vertebrae (cervical disks) and joints between the bones of the cervical spine.

o

There may be abnormal growths or spurs on the vertebrae (the bones of the spine). These accumulated changes caused by degeneration can gradually compress one or more of the nerve roots. This can lead to increasing pain in the neck and arm, weakness, and changes in sensation. In advanced cases, the spinal cord becomes involved. This can affect not just the arms, but the legs as well.

o

A previous neck injury which may have occurred several years prior can lead to spondylosis. But the major risk factor is aging.

o

Other factors that can make a person more likely to develop spondylosis are: o

Severe arthritis

o

Past spine surgery

PATHOPHYSIOLOGY ·

As the itback, runs from the spinal the brain cord down is protected by ring like bones,

.....Health Naturally - 408.....

called vertebrae, stacked one upon the other. ·

The vertebrae are not in direct contact with one another, however. The intervening spaces are filled with structures called disks.

·

The disks are made up of a tough, fibrous outer tissue with an inner core of elastic or gel-like tissue.

·

One of the most important functions of disks is protecting the vertebrae and the nerves and blood vessels between the vertebrae.

·

The disks also lend flexibility to the spinal cord, facilitating movements such as turning the head or bending the neck.

·

As people age, disks gradually become tougher and more unyielding.

·

Disks also shrink with age, which reduces the amount of padding between the vertebrae.

·

As the amount of padding shrinks, the spine loses stability. The vertebrae react by constructing osteophytes, commonly known as bone spurs.

·

There are seven vertebrae in the neck; development of osteophytes on these bones is sometimes called cervical osteoarthritis.

·

Osteophytes may help to stabilize the degenerating backbone and help protect the spinal cord.

SYMPTOMS ·

Headaches, particularly in the back of the head

·

Loss of balance

·

Loss of control over the bladder or bowels (if spinal cord is compressed)

·

Loss of sensation or abnormal sensations of the .....Health Naturally - 409.....

shoulders, arms, or (rarely) legs

·

Neck pain (may radiate to the arms or shoulder) Neck stiffness that gets worse over time

·

Weakness of the arms or (rarely) legs

·

DIAGNOSIS Diagnosis involves: ·

Physical Examination often shows limited ability to flex the head to the side (bend the head toward the shoulder) and limited ability to rotate the head. Weakness or sensation losses indicate damage to specific nerve roots or to the spinal cord. Reflexes are often reduced.

·

A spine or neck x-ray shows abnormalities that indicate cervical spondylosis.

·

A CT scan or spine MRI confirms the diagnosis.

·

A myelogram (x-ray or CT scan after injection of dye into the spinal column) may be recommended to clearly identify the extent of injury.

·

An EMG may also be recommended.

·

An x-ray of the lower (lumbar) spine may reveal degenerative changes in this region.

NATURE CURE AND YOGA TREATMENT Hydrotherapy: Neutral spinal bath for 20 minutes daily Neutral spinal spray. Hot and cold compress – 2 minutes hot and 1 minute cols daily twice if there’s severe pain. Neutral neck pack for 30 minutes daily twice Warm water enema Hot fomentation daily thrice

.....Health Naturally - 410.....

Steam bath for 20 minutes Sauna bath for 15 minutes. Massage therapy: Oil application with Infrared radiation Light massage with steam radiation. Mud therapy: Hot mud application on the neck Diet therapy: 6am

:

lime juice with honey

8am

:

carrot juice papaya

11am

:

bottle gourd juice

1pm

:

2 rotis, boiled vegs, salad

4pm

:

apple juice

6.30pm :

jowar roti, boiled vegs, soup

9.30pm :

warm water with honey and piplamool

Yoga therapy: AVOID ALL FORWARD BENDING ASANA AND EXERCISES Sukshma vyayama Standing Series Tadasana Ardhachakrasan Vrikshasana Supine series Matsyasana Sarvangasana Setubandhasana Quick relaxation technique .....Health Naturally - 411.....

Prone series Makarasana Bujangasana Shalabhasana Sitting series Vajrasana Suptavajrasana Vakrasana Ardhamatsyendrasana Deep relaxation technique Pranayama Surya anuloma viloma Suryabedhana Nadishodana Ujjayi Meditation A, U, M Kara chanting OHM Kara chanting NECK EXERCISES Flexion This is the movement of bringing the head forward so that the chin hits the chest and your face is staring straight down at the floor. Do slowly five times. This exercise stretches the structures at the back of the cervical spine, which are often kept in a tight daystop can then position become shortened in normal and to day thepostures. neck moving Theynaturally.

.....Health Naturally - 412.....

To make this more difficult you can retract the neck slightly to start with (see below) and then flex the head forward, increasing the stretch on the neck. Forward head flexion is great for those patients who suffer from hypertonic cervical parapinals- which is essentially pain in the back of the neck. This exercise can be progressed by adding gentle pressure with your hands behind your head to hold the end range position. Hold time can be up to 1 minute or until headache resolves. This exercise can prior the be modified stretch to bending to by theyour retracting upper head neck and your region. neck chinforward to endtorange bias

Extension This is the movement of allowing the head to go back until the face is looking directly at the ceiling. Don’t do this movement fast or forcefully as it forces all the small joints at the back of the neck into an extreme position. This won’t do them any harm but might increase your pain. Allow your neck to ease back steadily as you do this, leaving your neck at the end of the movement for a few seconds. NB If you feel dizzy when you do this leave it out. Dizziness, especially if you are older, might indicate that the blood vessels in your neck are being squeezed by the position. Rotation Turn your head slowly round to one side until it cannot easily go any further. Once you have done five to one side do the other. Do not go from one side to the other in the individual movements or roll your neck about. for Hold a few yourseconds neck atasthe thisend is the of the most movement valuable

.....Health Naturally - 413.....

part of the movement to maintain or increase your movement. If you feel dizzy when you do this leave it out. Dizziness, especially if you are older, might indicate that the blood vessels in your neck are being squeezed by the position. Side Bend Side bends increase your side-to-side flexibility. Start by lacing your fingers together and pointing your elbows outward. Bend at the waist, tilting your body to one side as far yousame your head in as the can. Then direction. bendRepeat on your and neck other side. Repeat this exercise 10 times. Sit and Twist This exercise increases the flexibility of your entire spine. To begin, lace your fingers togetherand point your and elbows Slowly gently twist at your waist,outward. rotating your head and neck to the same side. Repeat toward the other side. Repeat this exercise 10 times. Side / Lateral flexions (Tilt) Keep your head facing straight forward and try and tip your ear down towards the same shoulder. It’s difficult to do this well and without rotating to one side. She’s doing pretty well in the picture, just lifting her chin up a little more than ideal. This movement is quite severe on the neck joints so don’t go hard at the exercise. Don’t move from side to side in the movement as that stops you getting to the ends of the neck range and may aggravate your joints. This movement is quite severe on the neck joints so donýÿt go hard at the exercise. Don’t move from side to side in the .....Health Naturally - 414.....

movement as that stops you getting to the ends of the neck range and may aggravate your joints. Neck Retraction (Chicken Tuck) This is one of the most useful neck movements as it counteracts the tendency we all have of allowing our heads to poke forwards in a poor posture. She’s showing the extreme position of poking chin here. up eyestend many we and When are weto horizontal sit, slump which wetoarch keep of us our our donecks aheads lot of backwards thesotime, our

slightly. This gives a continual flexion (bending) posture to the lower neck and an extension (arching) posture to the upper neck. Over time the tissues can shorten and give us stiffness and pain. Typical pains are in the neck, upper shoulders, but this posture can also give you headaches. Here’s the end point of the movement. Keep your face straight on during the whole movement, drawing the head back and the chin down slightly. Do chins tuck. Keeping your chin parallel to the ground, bring your head straight back until you feel a pull at the top of the back of the neck where it connects to the base of the skull If you get it right, you will look funny, rather like a sergeant-major in an exaggerated military neck posture. If you do it in public people will either laugh or give you funny looks! The whole movement is like the forward and back movement that chickens make. Hold the movement at the extreme of the backward posture for a few seconds. This exercise may be progressed by adding gentle pressure with your fingertips on your chin to hold the end range position. With this next cervical strengthening exercise place your hand against the side of your head. Try to bring .....Health Naturally - 415.....

to your ear to your shoulder, each and exercise when resisting position finished on thethe motion. for relax other 5 seconds slowly. Repeat side. Hold this

For this neck stretching exercise you want to stand with you feet shoulder width apart and place your hands behind your head. Bend from side to side, making sure to bend only with the upper back area and not with the waist or hips. Try to reach the upper elbow to the ceiling. Hold each movement for 3-5 seconds. Now do the same thing with the left side. In the final cervical strengthening exercise, put your right hand against the right temple. Attempt to turn your chin to your right shoulder, resisting the motion. Repeat this on the left side. Hold for 5 seconds, and then relax slowly. Do these neck exercise 3 times.

.....Health Naturally - 416.....

CHAPTER 48

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR OLIGOSPERMIA

Oligospermia or oligozoospermia, refers to semen with a low concentration of sperm and is a common finding in male infertility Oligospermia can also be defined as less number of sperm in the ejaculate of the male or less than 20 million sperm per milliliter. Normal Sperm count: 20 million / milliliter to 120 million / milliliter

.....Health Naturally - 417.....

Sperm count below 20 million/ml called Oligospermia. Oligospermia is one of the main causes of male infertility or sub-fertility. Oligospermia can be the result of many factors, some are permanent and some are reversible. Causes of oligospermia include an obstruction of the normal flow of sperm due to such conditions as testicular trauma and vasectomy. Oligospermia may also result from scarring due to surgery on the male reproductive system or from infection and sexually transmitted diseases. CAUSES Oligospermia can be the result of many factors, some are permanent and some are reversible. Causes of oligospermia include An obstruction of the normal flow of sperm due to such conditions as testicular trauma and vasectomy. o

Oligospermia may also result from scarring due to surgery on the male reproductive system or from infection and sexually transmitted diseases.

A decrease in sperm production is another cause of oligospermia. This can be due to such conditions as o

Varicoceles,

o

hormonal disorders,

o

diseases of the testicles, and

o

Obesity. Other causes of oligospermia include

o

Stress,

o o

smoking, drug or alcohol use,

o

some medications,

o

exposure to some toxins,

o

Malnutrition and being underweight. .....Health Naturally - 418.....

o

Some sexually transmitted disease, such as Chlamydia, and gonorrhea can also result in oligospermia

o

High fever High temperatures

o

Some other Causes for low sperm count: o

Infected semen

o

Heat (Heat reduces total sperm production. Hence tight underpants, bathing into very hot water, sitting for long hours, In which fat layers sag on testicles reduce sperm count) Very frequent semen ejaculations also lead to the lowered sperm count and man may become effectively infertile. Hence by

o

maintaining a gap of 3 days between two consecutive ejaculations keeps a man more fertile. o

Varicoceles.

o

Hydrocele

o

Infections present in prostate gland.

o

Malformed genital organs.

o o

Toxic pollutant Zinc deficiency

o

Anabolic steroid use

SYMPTOMS: The primary symptoms of oligospermia are, o

Sub-fertility or infertility. Other symptoms vary depending on the underlying cause of oligospermia. In sexually transmitted diseases symptoms can include o

burning with urination,

o

testicular pain and

o

A thick discharge from the penis. .....Health Naturally - 419.....

With a varicocele, symptoms may include o

dilated veins in the scrotum and

o

swelling of the scrotum

DIAGNOSIS: The diagnosis of oligospermia is based on one low count in a semen analysis o

Routine laboratory tests include a CBC, urinalysis, chemistry panel, thyroid profile, VDRL test, and sperm count.

o

If there is a urethral discharge, a smear and culture should be done. If the sperm count reveals oligospermia on two separate specimens, referral should be made to a urologist or endocrinologist for further evaluation.

o

o

Additional tests that can be ordered include blood tests for LH, FSH, and testosterone.

o

Additional tests of pituitary function may be indicated.

o o

Karyotype testing and sperm function tests may be needed. If these are normal, a testicular biopsy may need to be done.

o

Ultrasonography of the testicles may be helpful.

NATUROPATHY AND YOGA TREATMENT Hydrotherapy: o

Cold hip bath daily 20 for mins

o

Cold immersion bath with friction twice weekly Kidney pack for 30 mins twice weekly

o o o

Pelvic pack for 30-45 mins twice weekly. Warm enema twice weekly

o

Wet girdle pack 30 minutes daily thrice

Massage therapy: o

Full body oil massage weekly once .....Health Naturally - 420.....

o

Partial lower abdominal massage weekly twice

Mud therapy: o o

Full mud bath once a week Mud pack on the lower abdomen

Diet therapy o

6AM

:

coconut water 4 dry figs, 10 almonds, warm milk with 1 tea spoon asparagus, and 1 tea spoon ashwagandha, and wheat germ dahlia

o

8am

:

o

11am

:

chew 2-3 mosambi

o

1pm

:

2 wheat Soya chapatis, boiled vegs, moong dhal sprouts, salad, curds, 4 roasted garlic in 1 sp ghee.

o

:

o

4 pm 6 pm

fruits and 4 walnuts 2 millet (ragi) rotis with ghee and boiled vegs

o

9.30pm :

:

warm milk with 1 tea spoon asparagus, and 1 tea spoon ashwagandha,

Yoga therapy: Kriya: vamana dhouti Suryanamaskar Standing series Tadasana Padahastasana Ardhakatichkrasan Ardhacakrasana Supine series Uttitapadana Pavanamuktasana Vipareethakarni .....Health Naturally - 421.....

Sarvangasana Matsyasana Quick relaxation technique Prone series Bujangasana Makarasana

Ardhashalabhasana Sitting series siddasana Paschimottanasana Vajrasana

Ardhamatsyendrasana Vakrasana

Deep relaxation technique Pranayama Kapalbhati Shitali, shitkari, sadantha Chandranuloma viloma Chandrabedhana Nadishodana Bhastrika Bhramari Meditation A, U, M Kara chanting OHM Kara chanting Bajans Yoga nidra

.....Health Naturally - 422.....

CHAPTER 49

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT TE ENL FOR PROST ENLARARARARARGEMENTGEMENTGEMENTGEMENTGEMENT PROSTATE

Prostate Enlargement is common disease in old age. Generally the prostate gland become enlarged as a man ages. benign prostatic Doctors hyperplasia call this(BPH), condition or benign prostatic hypertrophy. What is the prostate gland? The prostate is a small organ located at the base of the bladder and wrapped around the urethra, the tube that empties the bladder through the penis. It sits in front of the rectum, and the back portion of the organ can be felt during rectal examination by a health care practitioner. The prostate’s purpose is to help with the male reproductive system. It makes up to 70% of the fluid that is ejaculated during intercourse, mixing its secretions with the sperm that are made in the testicles. The prostate also contracts at the time of ejaculation to prevent retrograde (or backward) flow of semen into the bladder.

.....Health Naturally - 423.....

Because of its location, the symptoms of any prostate problem tend to be associated with the bladder and can include urgency to urinate, frequency of urination, burning with urination (dysuria), poor urine flow, or inability to begin a urine stream.

As a man matures, the prostate goes through two main periods of growth. The first occurs early in puberty, when the prostate doubles in size. At around age 25, the gland begins to grow again. This second growth phase often results, years later, in BPH. Though the prostate continues to grow during most of a man’s life, the enlargement doesn’t usually cause problems until late in life. BPH rarely causes symptoms before age 40, but more than half of men in their sixties and as many as 90 percent in their seventies and eighties have some symptoms of BPH. As the prostate enlarges, o

The layer of tissue surrounding it stops it from expanding,

o

Causing the gland to press against the urethra like a clamp on a garden hose.

o

The bladder wall becomes thicker and irritable. .....Health Naturally - 424.....

o

The bladder begins to contract even when it contains small amounts of urine, causing more frequent urination.

o

Eventually, the bladder weakens and loses the ability to empty itself, so some of the urine remains in the bladder.

o

The narrowing of the urethra and partial emptying of the bladder cause many of the problems associated with BPH.

Many people feel uncomfortable talking about the prostate, since the gland plays a role in both sex and urination. Still, prostate enlargement is as common a part of aging as grey hair. As life expectancy rises, so does the occurrence of BPH. CAUSES The cause of BPH is not well understood. No definite information on risk factors exists. For centuries, it has been known that BPH occurs mainly in older men and that it doesn’t develop in men whose testes were removed before puberty. o

For this reason, some researchers believe that factors related to aging and the testes may spur the development of BPH.

o

Throughout their lives, men produce testosterone, an important male hormone, and small amounts of estrogen, a female hormone.

o

As men age, the amount of active testosterone in the blood decreases, leaving a higher proportion of estrogen. Studies done on animals have suggested that BPH may occur because the higher amount of estrogen within the gland increases the activity of substances that promote cell growth.

o

Another theory focuses on di-hydro-testosterone (DHT), a substance derived from testosterone in the prostate, which may help control its growth. Most animals lose their ability to produce DHT as they age. However, some research has indicated that even with a drop in the blood’s testosterone level, older men continue to produce and accumulate high levels of .....Health Naturally - 425.....

DHT in the prostate. This accumulation of DHT may encourage the growth of cells. o

Scientists have also noted that men who do not produce DHT do not develop BPH.

SYMPTOMS Many symptoms of BPH stem from obstruction of the urethra and gradual loss of bladder function, which results in incomplete emptying of the bladder. The symptoms of BPH vary, but the most common ones involve changes or problems with urination, such as a hesitant, interrupted, weak stream urgency and leaking or dribbling more frequent urination, especially at night Also headache, nervousness, lassitude, and general feeling of debility. Some men with greatly enlarged glands have little obstruction and few symptoms while others, whose glands are less enlarged, have more blockage and greater problems. Sometimes a man may not know he has any obstruction until he suddenly finds himself unable to urinate at all. This condition, called acute urinary retention, may be triggered by taking over-the-counter cold or allergy medicines. Severe BPH can cause serious problems in long run. Urine retention and strain on the bladder can lead to urinary tract infections, bladder or kidney damage, bladder stones, and incontinence—the inability to control urination. If the bladder is permanently damaged, treatment for BPH may be ineffective. When BPH is found in its earlier stages, there is a lower risk of developing such complications. The diagnosis of BPH requires several tests to help the doctor to identify the problem and decide whether surgery is needed. .....Health Naturally - 426.....

DIAGNOSIS You may first notice symptoms of BPH yourself, or your doctor may find that your prostate is enlarged during a routine checkup. When BPH is suspected, you may be referred to an urologist, a doctor who specializes in problems of the urinary tract and the male reproductive system. Several tests help the doctor identify the problem and decide whether surgery is needed. The tests vary from patient to patient, but the following are the most common. Digital Rectal Examination (DRE) This examination is usually the first test done. The doctor inserts a gloved finger into the rectum and feels the part of the prostate next to the rectum. This examination gives the doctor a general idea of the size and condition of the gland. Prostate-Specific Antigen (PSA) Blood Test To rule out cancer as a cause of urinary symptoms, your doctor may recommend a PSA blood test. PSA, a protein produced by prostate cells, is frequently present at elevated levels in the blood of men who have prostate cancer. The U.S. Food and Drug Administration (FDA) has approved a PSA test for use in conjunction with a digital rectal examination to help detect prostate cancer in men who are age 50 or older and for monitoring men with prostate cancer after treatment. Rectal Ultrasound and Prostate Biopsy If there is a suspicion of prostate cancer, your doctor may recommend a test with rectal ultrasound. In this procedure, a probe inserted in the rectum directs sound waves at the prostate. The echo patterns of the sound waves form an image of the prostate gland on a display screen. To determine whether an abnormal-looking area is indeed a tumor, the doctor can use the probe and the ultrasound images to guide a biopsy needle to the

.....Health Naturally - 427.....

suspected tumor. The needle collects a few pieces of prostate tissue for examination with a microscope. Urine Flow Study Your doctor may ask you to urinate into a special device that measures how quickly the urine is flowing. A reduced flow often suggests BPH. Cystoscopy In this examination, the doctor inserts a small tube through the opening of the urethra in the penis. This procedure is done after a solution numbs the inside of the penis so all sensation is lost. The tube, called a cystoscope, contains a lens and a light system that help the doctor see the inside of the urethra and the bladder. This test allows the doctor to determine the size of the gland and identify the location and degree of the obstruction. NATURE CURE AND YOGA TREATMENT: Hydrotherapy o o

Hot and Cold hip bath twice daily 20 minutes Wet girdle pack 30 minutes daily thrice reduces swelling of the prostrate gland.

o

Kidney pack alternate days

o

Hot water Epsom salt bath twice daily. Hot fomentation to the bladder area helps the free flow of the urine

o

Massage therapy o

Full body oil massage

o

Partial massage over the prostate gland reduces the swelling

Mud therapy: o Mud packs to the lower abdomen o

Mud application to the back kidney area and lower abdomen and pubic area. .....Health Naturally - 428.....

Diet therapy: Drink adequate water throughout the day. A well balanced diet comprised fruits and vegetables. Do not drink water after night. I. Fast on water mixed with lemon juice for three days. Take plenty of water and use warm water enema daily during this period. Use hot and cold applications directly on the prostate gland and its surrounding parts. II. An all-fruit diet for further three days, with three meals a day at five hourly intervals. III. Thereafter, adopt a restricted diet, consisting of two meals of fruits and one of steamed vegetables for seven days. o

6am

:

ushapanam

o

7am

:

coriander water

o

8am

:

1 bowl papaya and watermelon, 4 almonds, sunflower or pumpkin seeds 2 spoons each and tender coconut water

o

11am

:

o

1pm

:

wheat grass juice fresh fruits and veg salad, boiled vegs,wheat

:

chapatis, buttermilk barley water

o

4pm

o

6.30pm :

raw salad,

Note: Repeat a short fast on water and lemon juice followed by an all fruit diet and restricted diet after every two or three months. AVOID: Meat, sugar, tea, coffee, condiments, pickles, refined and processed foods, fried, heavy, or greasy foods and products made from sugar and white flour. Yoga therapy: Kriya: vamana dhouti Sukshma vyayama

.....Health Naturally - 429.....

Standing series Ardhakatichkrasan Tadasana

Ardhacakrasana Supine series Uttitapadana Pavanamuktasana Vipareethakarni Matsyasana Quick relaxation technique Prone series Bujangasana Makarasana

Ardhashalabhasana Sitting series Vajrasana Ardhamatsyendrasana Vakrasana

Deep relaxation technique Pranayama Kapalbhati Shitali, shitkari, Sadanta Chandranuloma viloma Chandrabedhana Nadishodana Bhastrika Bhramari

.....Health Naturally - 430.....

Meditation A, U, M Kara chanting OHM Kara chanting Bajans Yoga nidra Bhanda: Moolabhanda Fevers CP minus cold hip bath, oil massage, any hot treatment and immersion bath. Plus fasting and cold enema daily, cold chest pack and cold sponges. Total mental and physical rest. Head wash, wet packs on forehead, eyes and abdomen, ice bag on head. Only juices/soup and adequate water intake. Yoga: Kunjal & Rest. Stomach Ulcers (Gastric and duodenal) CP minus any hot treatments, plus abdomen packs at night, kidney pack. Strictly no exertion, kunjal, asanas, massage etc. on abdomen. Drink cold diluted cow milk or goat’s milk with honey. Drink juice of ash gourd, cabbage, carrot, lettuce, orange, fresh butter milk/curd (not sour), use whole flour/brown rice, banana, stewed apple. Avoid all sour fruits, rough vegetables, lemon, guava, pulses, tomato, tamarind, amla, sour curd, spices, chillies and maida Yoga: Sitali, Bhramari, Shavasana, Yoga Nidra. Diarrhea/Dysentery/Colitis CP minus enema, asana, GH pack,massage plus cold water or butter milk enema once a day and mud pack daily 2 to 4 times, kidney pack. Take butter milk , tender coconut water, honey, ripened banana, baked apple, fresh curd and well cooked rice. Avoid physical exercises, milk, lemon, all other fruits and vegetables.

.....Health Naturally - 431.....

Yoga: Rest. Skin Diseases CP plus GH pack, mud bath, neem water bath, dry friction, cold sponge, Epsom salt bath, full wet pack. Only fruit diet for 5 to 10 days intermittently. Avoid sugar, salt, fried food, milk, fats and pulses. Yoga: Kunjal (salt free), Sooryanamaskara, Dhanurasana, Chakrasana, Paschimottanasana, Shrishasana (on apparatus), Anuloma Viloma. Nausea, hyper acidity, severe hiccups CP plus abdomen/trunk packs, ice bag on abdomen and cold spinal bath, take half banana and half glass of chilled milk without sugar 3 hourly, take half glass naturally sweet mosambi or orange juice (cold ) 4 hourly. Keep ice cube in the mouth and chew slowly. Must not lose weight. Yoga: Bhujangasana, Parvatasana, Gomukhasana, Vakrasana, Sitali, Bhramari. Prostatits Enlargement of prostate glands (benign prostatic hypertrophy) CP plus wet girdle pack and ice bag on lower abdomen daily once. Hot and cold alternate hip bath or fomentation to abdomen and abdominal pack weekly 2/3 times. Take soothing diet. Fast one day in a week with juices 4 hourly. Avoid constipation and sexual thoughts. Yoga: Kunjal, Laghushankha Prakshalana, Pavan Muktasana, Shalabhasana, Paschimottanasana, Moolabandha, Ashwini Mudra, Anuloma Viloma. Obesity CP plus through overhauling of the whole system with fasting and enema for 15 to 30 days followed by soup and only fruit/vegetable diet for several days, vigorous exercises, daily 5 to 10 km brisk walk and full control on palate. Take lemon water 3–5 times daily. Avoid banana, mango, sapota, grapes, potato.

.....Health Naturally - 432.....

Yoga: Kunjal, Sooryanamaskar, Bhujangasana, Shalabhasana, Dhanurasana, Janusirasana, Kapal Bharti, Bhastrika. Menstrual Disorders CP plus abdomen pack every night, hot and cold hip bath (for painful and scanty menstruation), twice a week to be done throughout the month except during periods. Fomentation to abdomen (if bleeding is not excessive) in case of pain, during period. Yoga: Kunjal, Laghushanka Prakshalana, Sooryanamaskar, Chakrasana, Dhanurasana, Matyasana, Garbhasana, Kapal Bharti, Anuloma Viloma. Important: If the above treatment and diet control seem too much, adopt 50% of them but concerning the disease and suitability, each case has to be assessed individually. Hence obtain advice of Naturopath and Yoga expert. Note: Gastro Hepatic Pack (Yields excellent results). The Gastro Hepatic Pack influence not only the stomach and liver but also the spleen and pancreas though the intimate association of the circulation of these organs. G. H. Pack Proceure: Fomentation bag filled with hot water should be applied on the abdomen covering the last rib to the umbilicus, extending upto the line of liver and spleen, while a cold bag is applied to the lumbar spine. Both bags’ reverse application is called Kidney pack.

.....Health Naturally - 433.....

CHAPTER 50

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR INSOMNIA

DESCRIPTION Insomnia is a symptom which can accompany several sleeps, medical and psychiatric disorders, characterized by persistent difficulty falling asleep and/or difficulty staying asleep. Insomnia is typically followed by functional impairment while awake. People who have insomnia may not be able to fall asleep. They may wake up during the night and not be able to fall back asleep, or they may wake up too early in the morning. Causes of insomnia include stress, too much caffeine, depression, changes in work shifts, and pain from medical problems, such as arthritis. TYPES OF INSOMNIA Although there are several different degrees of insomnia, three types of insomnia have been clearly identified: transient, acute, and chronic. 1. Transient insomnia lasts for less than a week. It can be caused by another disorder, by changes in the sleep environment, by the timing of sleep, severe depression, or by stress. Its consequences - sleepiness .....Health Naturally - 434.....

and impaired psychomotor performance - are similar to those of sleep deprivation. 2.

Acute insomnia is the inability to consistently sleep well for a period of less than a month.

3.

Chronic insomnia lasts for approximately a month. It can be caused by another disorder, or it can be a primary disorder. Its effects can vary according to its causes. They might include being unable to sleep, muscular fatigue, hallucinations, and/or mental fatigue; but people with chronic insomnia often show increased alertness.

PATTERNS OF INSOMNIA 1.

Onset insomnia - difficulty falling asleep at the beginning of the night often associated with anxiety disorders.

2.

Middle-of-the-Night Insomnia - Insomnia characterized by difficulty returning to sleep after awakening in the middle of the night or waking too early in the morning. Also referred to as nocturnal awakenings. Encompasses middle and terminal insomnia.

3.

Middle insomnia - waking during the middle of the night, difficulty maintaining sleep. Often associated with pain disorders or medical illness.

4.

Terminal (or late) insomnia - early morning waking. Often a characteristic of clinical depression.

SYMPTOMS OF INSOMNIA: Difficulty falling asleep despite being tired Waking up frequently during the night Trouble getting back to sleep when awakened Unrefreshing sleep Relying on sleeping pills or alcohol to fall asleep Waking up too early in the morning .....Health Naturally - 435.....

Daytime drowsiness, fatigue, or irritability Difficulty concentrating during the day CAUSES Many of the causes of transient and short-term insomnia are similar and they include: Jet lag Changes in shift work Excessive or unpleasant noise Uncomfortable room temperature (too hot or too cold) Stressful situations in life (exam preparation, loss of a loved one, unemployment, divorce, or separation) Presence of an acute medical or surgical illness or hospitalization Withdrawal from drug, alcohol, sedative, or stimulant medications Insomnia related to high altitude (mountains) Chronic or long-term insomnia The majority of causes of chronic or long-term insomnia are usually linked to an underlying psychiatric or physiologic (medical) condition. Psychological relatedinsomnia The most common psychological problems that may lead to insomnia include: Anxiety, stress, schizophrenia, mania (bipolar disorder), and Depression. In fact, insomnia may be an indicator of depression. Many people will have insomnia during the acute phases of a mental illness.

.....Health Naturally - 436.....

Physiological related insomnia Physiological causes span from circadian rhythm disorders (disturbance of the biological clock), sleep-wake imbalance, to a variety of medical conditions. The following are the most common medical conditions that trigger insomnia: Chronic pain syndromes Chronic fatigue syndrome Congestive heart failure Night time angina (chest pain) from heart disease Acid reflux disease (GERD) Chronic obstructive pulmonary disease (COPD) Nocturnal asthma (asthma with night time breathing symptoms) Obstructive sleep apnea Degenerative diseases, such as Parkinson’s disease and Alzheimer’s disease (Often insomnia is the deciding factor for nursing home placement.) Brain tumors, strokes, or trauma to the brain High risk groups for insomnia In addition to the above medical conditions, certain groups may be at higher risk for developing insomnia: Travelers shift workers with frequent changing of shifts seniors adolescent or young adult students pregnant women, and menopausal women Medication

.....Health Naturally - 437.....

Other causes of insomnia Stimulants associated with poor sleep include caffeine and nicotine. Use of alcohol to help induce sleep loud snoring or periodic leg movements COMPLICATIONS OF INSOMNIA

DIAGNOSIS The doctor will begin an evaluation of insomnia with a good medical history. The Epworth Sleepiness Scale is an example of a validated questionnaire that can be used to assess daytime sleepiness. Actigraphy is another technique to assess sleep-wake patterns over time. Actigraphs are small, wrist-worn devices (about the size of a wristwatch) that measure movement. They contain a microprocessor and on-board memory and can provide objective data on daytime activity. NATURE CURE & YOGA TREATMENT HYDROTHERAPY o

cold hip bath daily for 20 mins daily

o

neutral spinal bath for 20-30 mins daily

o

hot foot immersion for 20 mins daily before sleep

.....Health Naturally - 438.....

o

warm water enema daily

o

ice massage to head daily twice for 10 minutes Steam bath every alternate days for 15 mins

o

MASSAGE THERAPY o

Full body oil massage

o

Partial massage to head and spine

MUDTHERAPY o o

Full mud bath twice weekly Mud to head daily

o

Eye and abdomen pack daily

DIET THERAPY 6am

:

7am

:

lemon grass tea with honey lime juice with honey

8am

:

carrot juice, milk and honey

1pm

:

dahlia, boiled vegs, soup, salad and pudina / mint chutney

4 pm

:

pomegranate juice brown rice, boiled vegetables, corn soup cold milk with honey and powdered khus khus

6.30 pm : 9pm

:

YOGATHERAPY o o

Shitali karma vyayama Surya namaskar

Standing Series o

Tadasana

o

Vriksahana

o

Ardhachakrasana

o

Padahastasana

o

Ardhakatichakrasana

o

Instant relaxation technique .....Health Naturally - 439.....

Supine series o Uttitapadasana o

Pavanamuktasana

o

Vipareetakarni

o

Sarvangasana Matsyasana

o

Prone series Bujanagasana o Makarasana o o Shalabhasana Quick relaxation technique Sitting series o

Ushtrasana Paschimotanasana Vajrasana

o o o

Ardhamatsyendrasana Vakrasana

o o Baddhakonasana Deep relaxation technique Pranayama o

Shitali, shitkari, sadanta

o

Chandra anuloma viloma

o

Chandrabedhana

o

Nadishodhana

o

Brahmari

Meditation o

A, U, M kara chanting

o

Ohm kara chanting

o

Yoga nidra .....Health Naturally - 440.....

CHAPTER 51

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR OBSESSIVE–COMPUL OBSESSIVE–COMPULSIVESIVESIVESIVESIVE DISORDER (OCD)

DESCRIPTION Obsessive–compulsive disorder (OCD) is an anxiety disorder characterized by intrusive thoughts that produce anxiety, by repetitive behaviors aimed at reducing anxiety, or by a combination of such thoughts (obsessions) and behaviors (compulsions). Like a needle getting stuck on an old record, obsessive compulsive disorder (OCD) causes the brain to get stuck on a particular thought or urge. For example, you may check the stove twenty times to make sure it’s really turned off, you’re your hands until they’re scrubbed raw, or drive around for hours to make sure that the bump you heard while driving wasn’t a person you ran over. Repetitive behaviors such as hand washing, counting, checking, or cleaning are often performed with the hope of preventing obsessive thoughts or making them go away. Performing these so-called “rituals,” however, provides only temporary relief, and not performing them markedly increases anxiety. .....Health Naturally - 441.....

Obsessive compulsive disorder is a prevalent illness that affects 2–3 % of the population. And the problem can be accompanied by eating disorders, other anxiety disorders, or depression. It strikes men and women in roughly equal numbers and usually appears in childhood, adolescence, or early adulthood. One-third of adults with OCD develop symptoms as children, and research indicates that OCD might run in families. The course of the disease is quite varied. Symptoms may come and go, ease over time, or get worse. If OCD becomes severe, it can keep a person from working or carrying out normal responsibilities at home. People with OCD may try to help themselves by avoiding situations that trigger their obsessions, or they may use alcohol or drugs to calm themselves. These obsessive thoughts and compulsive behaviors are very difficult to overcome. If severe and destroy the ability to function untreated, at work, school, OCD can or home.

OCD is known to run in families. However, the complex set of genes underlying this heritability and exactly how genes contribute to the illness are unknown. Such genes may pose a risk for OCD by influencing brain structure (e.g. the amount and location of grey matter in the brain) which in turn may impact upon an individual’s ability to perform mental tasks. Impaired brain function in the areas of the brain associated with stopping motor responses may contribute to the compulsive and repetitive behaviors that are characteristic of OCD. This part of the brain is believed to be the area of impulse control. UNDERSTANDING OBSESSIONS AND COMPULSIONS Obsessions are involuntary, seemingly uncontrollable thoughts, images, or impulses that occur over and over again in your mind. .....Health Naturally - 442.....

You don’t want to have these ideas – in fact, you know that they don’t make any sense. But you can’t stop them. Unfortunately, these obsessive thoughts are usually disturbing and distracting. Compulsionsare behaviors or rituals that you feel driven to act out again and again. Usually, compulsions are performed in an attempt to make obsessions go away. For example, if you’re afraid of contamination, you might develop elaborate cleaning rituals. However, the relief never lasts. In fact, the obsessive thoughts usually come back stronger. And the compulsive behaviors often end up causing anxiety themselves as they become more demanding and time-consuming. TYPES OF OCD There are five main types of OCD, but a person may suffer from more than one type of the disorder, since the traits are not exclusive. The five types of OCD are explained below, based on symptoms that most often appear in sufferers. Most people with obsessive-compulsive disorder fall into one of the following categories: Fear of Contamination – The Washers and Cleaners Many OCD sufferers have an irrational fear of being contaminated by germs, dirt, pathogens, or anything unclean. This irrational fear often causes the individual to compulsively wash and clean surfaces, take multiple showers a day, repeatedly wash hands, and washes and rewash clothes. They are in constant fear of becoming dirty and/or infected, and this leads them to avoid any possible contaminants at all costs. Needless to say, uncleanliness is this individual’s most significant worry. Fear of Catastrophe –The Checkers Some obsessive-compulsive disorder sufferers are called “checkers.” These individuals live in the fear that their failure to lock or switch something off will cause harm or disaster. As a result, they are driven to repeatedly check locks and switches

.....Health Naturally - 443.....

around the house or office, perhaps hundreds of times a day. These compulsive rituals are time-consuming and may prevent the sufferer from accomplishing daily tasks. Although the person may be aware that his fear is irrational, he is consumed by the worry of a terrible catastrophe occurring if he forgets to complete the rituals. Fear of Disorder – The Orderers Some OCD patients require order. Fear of chaos is what plagues these individuals, as they are obsessed with fixing and organizing things in a certain order. Fear of Horrific Thoughts – The Obsessionals These individuals are paralyzed by the fear of unwelcome or violent thoughts, such as scenes of injuring a loved one. Often, they experience thoughts and images that are intrusive and show them inflicting pain onto others. These OCD by patients deal with these thoughts compulsively counting or repeating certain words, which develop into rituals. These rituals are performed to take the individual’s mind off the disturbing images in his or her mind. Fear of Discarding Items – The Hoarders Haunted by the fear of needing items that are thrown away, hoarders collect seemingly useless objects that most would consider as garbage. In addition, they may hoard items that are useful, such as sugar packets or rubber bands, but to an excessive degree and with no hopes of using them in the future. These individuals are afraid to discard items, as they think they may need them one day. Hoarding can cause disorderly living conditions and an overabundance of junk in the home. SIGNS AND SYMPTOMS Most people with obsessive-compulsive disorder (OCD) have both obsessions and compulsions, but some people experience just one or the .....Health Naturally - 444.....

other. The symptoms of OCD may wax and wane over time. Often, the symptoms get worse in times of stress. Common obsessive thoughts in OCD include: Fear of being contaminated by germs or dirt or contaminating others Fear of causing harm to yourself or others Intrusive sexually explicit or violent thoughts and images Excessive focus on religious or moral ideas Fear of losing or not having things you might need Order and symmetry: the idea that everything must line up “just right.” Superstitions; excessive attention to something considered lucky or unlucky Common compulsive behaviors in OCD include: Excessive double-checking of things, such as locks, appliances, and switches. Repeatedly checking in on loved ones to make sure they’re safe. Counting, tapping, repeating certain words, or doing other senseless things to reduce anxiety. Spending a lot of time washing or cleaning. Ordering, evening out, or arranging things “just so.” Praying excessively or engaging in rituals triggered by religious fear. Accumulating “junk” such as old newspapers, magazines, and empty food containers, or other things you don’t have a use for. CAUSES Both psychological and biological factors play a role in causing the disorder. The best guess for the cause of OCD involves improper functioning of the brain chemical serotonin. This condition appears to be passed

.....Health Naturally - 445.....

genetically within families, although its presence is often kept secret, and can begin quite early in life. Psychological factors o

Behavioral Theory

o

Cognitive Theory Biological factors

o

Regulating of Brain Chemistry

o

Changes in Brain Chemistry

o

Streptococcus and OCD Genetic factors

Behavioral Theory The behavioral theory suggests that people with OCD associate certain objects or situations with fear, and that they learn to avoid the things they fear or to perform rituals that help reduce the fear. o

This pattern of fear and avoidance/ritual may begin when people are under periods of high emotional stress, such as starting a new job or ending a relationship.

o

At such times, we are more vulnerable to fear and anxiety. Often things once regarded as “neutral” may begin to bring on feelings of fear. For example, a person who has always been able to use public toilets may, when under stress, make a connection between the toilet seat and a fear of catching an illness.

o

Once a connection between an object and the feeling of fear becomes established, people with OCD avoid the things they fear, rather than confront or tolerate the fear.

Cognitive Theory While the behavioral theory focuses on how people with OCD make an association between an object and fear, the cognitive theory focuses on how people with OCD misinterpret their thoughts. .....Health Naturally - 446.....

o

Most people have intrusive or uninvited thoughts similar to those reported by people with OCD. For example, parents under stress from caring for an infant may have an intrusive thought of harming the infant. Most people would be able to shrug off such a thought. Individuals prone to developing OCD, however, might exaggerate the importance of the thought, and respond as though it represents an actual threat. They may think, “I must be a danger to children ifI have thoughts of harming children.” This can cause a high level of anxiety and other negative emotions, such as shame, guilt and disgust.

o

People who come to fear their own thoughts usually attempt to neutralize feelings that arise from their thoughts. One way this is done is by avoiding situations that might spark such thoughts. Another way is by engaging in rituals, such as washing or praying.

Biological Factors o

Regulating of Brain Chemistry Research into the biological causes and effects of OCD has revealed a link between OCD and insufficient levels of the brain chemical, serotonin. Serotonin is one of the brain’s chemical messengers that transmit signals between brain cells. Serotonin plays a role in the regulation of mood, aggression, impulse control, sleep, appetite, body temperature and pain. All of the medicines used to treat OCD raise the levels of serotonin available to transmit messages.

o

Changes in Brain Activity Modern brain imaging techniques have allowed researchers to study the activity of specific areas of the brain. Such studies have shown that people with OCD have more than usual activity in three areas of the brain. These are: The caudate nucleus, specific brain cells in the basal ganglia, located deep in the centre of the brain. This area of the brain acts as a filter for thoughts coming in from other .....Health Naturally - 447.....

areas. The caudate nucleus is also considered to be important in managing habitual and repetitive behaviors. When OCD is successfully treated with drugs or therapy, the activity in this area of the brain usually decreases. This shows that both drugs and a change in “thinking” can alter the physical functioning of the brain. The prefrontal orbital cortex, located in the front area of the brain the level of activity in the prefrontal orbital cortex is believed to affect appropriate social behavior. Lowered activity or damage in this region is linked to feeling uninhibited, making bad judgments and feeling a lack of guilt. More activity may therefore cause more worry about social concerns. Such concerns include: being meticulous, neat and preoccupied with cleanliness, and being afraid of acting inappropriately. All of these concerns are symptoms of OCD. The cingulate gyrus, in the centre of the brain the cingulate gyrus is believed to contribute the emotional response to obsessive thoughts. This area of the brain tells you to perform compulsions to relieve anxiety. This region is highly interconnected to the prefrontal orbital cortex and the basal ganglia via a number of brain cell pathways. The basal ganglia, the prefrontal orbital cortex and the cingulate gyrus all have many brain cells affected by serotonin. Researchers believe that medicines that raise the levels of serotonin available to transmit messages may change the level of activity in these areas of the brain. o

Streptococcus and OCD Some researchers believe that cases where children suddenly develop OCD or TS may be linked to a recent infection with streptococcus, the bacteria that cause the common “strep throat.” In these cases, the body may be forming antibodies .....Health Naturally - 448.....

to the infection, which may mistakenly react to the basal ganglia, an area of the brain linked to OCD. There is no evidence; however, that streptococcus plays a role in adult-onset OCD. And in most cases where children develop OCD, the symptoms begin gradually, not suddenly as described above. At this time, then, the link between streptococcus infection and OCD is not certain. Further research into this possible link may lead to a better understanding of the causes of OCD. Genetic Factors OCD often seems to “run in the family.” In fact, almost half of all cases show a familial pattern. Research studies report that parents, siblings and children of a person with OCD have a greater chance of developing OCD than does someone with no family history of the disorder. DIAGNOSIS Although obsessive-compulsive disorder (OCD) is accepted as an illness with biological roots, it can’t be diagnosed using a blood sample, X ray or other medical test. A mental health professional such as a psychiatrist, psychologist or family doctor or nurse with special training will usually make a diagnosis of OCD using their medical judgment and experience. To be diagnosed with OCD, a person must have obsessions, compulsions, or both, according to the Diagnostic and Statistical Manual of Mental Disorders (DSM). NATURE CURE & YOGA TREATMENT HYDROTHERAPY o cold hip bath daily for 20 mins daily o

neutral spinal bath for 20-30 mins daily

o

hot foot immersion for 20 mins daily before sleep

o

warm water enema daily

o

ice massage to head daily twice for 10 minutes .....Health Naturally - 449.....

o

Steam bath every alternate days for 15 mins

MASSAGE THERAPY o

Full body oil massage

o

Partial massage to head, neck and spine

MUDTHERAPY o o

Full mud bath twice weekly Mud to head daily

o

Eye and abdomen pack daily

DIET THERAPY 6am

:

lime juice with honey

7am

:

8am

:

ginger tea papaya, pomegranate, dates

11am

:

1pm 4 pm

:

mosambijuice 2 rotis, boiled vegs, salad with sprouts

:

pineapple juice

6.30 pm :

brown rice, boiled vegs, soup and papaya

YOGATHERAPY o o

Shitali karma vyayama Surya namaskar

Standing Series o

Tadasana

o

Vriksahana

o

Ardhachakrasana

o

Padahastasana

o

Ardhakatichakrasana

Instant relaxation technique Supine series o

Uttitapadasana

.....Health Naturally - 450.....

o

Pavanamuktasana

o

Vipareetakarni

o

Sarvangasana Matsyasana

o

Prone series Bujanagasana o Makarasana o o Shalabhasana Quick relaxation technique Sitting series o

Ushtrasana Paschimotanasana Vajrasana

o o o

Ardhamatsyendrasana Vakrasana

o o Baddhakonasana Deep relaxation technique Pranayama o

Shitali, shitkari, sadanta

o

Chandra anuloma viloma

o

Chandrabedhana

o

Nadishodhana

o

Brahmari

Meditation o

A, U, M kara chanting

o

Ohm kara chanting

.....Health Naturally - 451.....

CHAPTER 52

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR DEPRESSION

DESCRIPTION Depression is a state of low mood and aversion to activity. A depressive disorder is a syndrome (group of symptoms) that reflects a sad, blue mood exceeding normal sadness or grief. When the negative reactions to life’s situations become repetitively intense and frequent we develop symptoms of depression. Lifethrows up innumerable situations, which we greet with both negative and positive emotions such as excitement, frustration, fear, happiness, anger, sadness, joy et al. Depression is prevalent among all age groups, in almost all walks of life. Persons of any age—children or adults, may develop depression symptoms. Even minor stress events can stir up depression symptoms depending on the personality type. Depression is not a weakness but a serious illness with biological, psychological, and social aspects to its cause, symptoms, and treatment. A person cannot will it away. Untreated, it will worsen. Under treated, it will return. .....Health Naturally - 452.....

TYPES OF DEPRESSION There are several forms of depressive disorders. The most common are major depressive disorder and dysthymic disorder. Major depressive disorder, also called major depression, is characterized by a combination of symptoms that interfere with a person’s ability to work, sleep, study, eat, and enjoy once– pleasurable activities. Major depression is disabling and prevents a person from functioning normally. An episode of major depression may occur only once in a person’s lifetime, but more often, it recurs throughout a person’s life. Dysthymic disorder, also called dysthymia, is characterized by long–term (two years or longer) but less severe symptoms that may not disable a person but can prevent one from functioning normally or feeling well. People with dysthymia may also experience one or more episodes of major depression during their lifetimes. Some forms of depressive disorder exhibit slightly different characteristics than those described above, or they may develop under unique circumstances. However, not all scientists agree on how to characterize and define these forms of depression. They include: Psychotic depression, which occurs when a severe depressive illness is accompanied by some form of psychosis, such as a break with reality, hallucinations, and delusions. Postpartum depression, which is diagnosed if a new mother develops a major depressive episode within one month after delivery. It is estimated that 10 to 15 percent of women experience postpartum depression after giving birth. Seasonal affective disorder (SAD), which is characterized by the onset of a depressive illness during the winter months, when there is less natural sunlight. The depression generally lifts during spring and summer. SAD may be effectively treated

.....Health Naturally - 453.....

with light therapy, but nearly half of those with SAD do not respond to light therapy alone. Antidepressant medication and psychotherapy can reduce SAD symptoms, either alone or in combination with light therapy Bipolar disorder, also called manic-depressive illness, is not as common as major depression or dysthymia. Bipolar disorder is characterized by cycling mood changes-from extreme highs (e.g., mania) to extreme lows (e.g., depression). CAUSES Depression has no single cause; often, it results from a combination of things. You may have no idea why depression has struck you. Whatever its cause, depression is not just a state of mind. It is related to physical changes in the brain, and connected to an imbalance of a type of chemical that carries signals in your brain and nerves. These chemicals are called neurotransmitters. Some of the more common factors involved in depression are: Family history. Genetics play an important part in depression. It can run in families for generations. Trauma and stress. Things like financial problems, the breakup of a relationship, or the death of a loved one can bring on depression. You can become depressed after changes in your life, like starting a new job, graduating from school, or getting married. Pessimistic personality. People who have low self-esteem and a negative outlook are at higher risk of becoming depressed. These traits may actually be caused by low-level depression (called dysthymia). Physical conditions. Serious medical conditions like heart disease, cancer, and HIV can contribute to depression, partly .....Health Naturally - 454.....

because of the physical weakness and stress they bring on. Depression can make medical conditions worse, since it weakens the immune system and can make pain harder to bear. In some cases, depression can be caused by medications used to treat medical conditions. Other psychological disorders. Anxiety disorders, eating disorders, schizophrenia, and (especially) substance abuse often appear along with depression. Chemicals that circulate in the brain are known as neurochemicals or neurotransmitters. Nor epinephrine, serotonin, dopamine, and acetylcholine. Different neuropsychiatric illnesses seem to be associated with an overabundance or a lack of some of these neurochemicals in certain parts of the brain. For example, a lack of dopamine at the base of the brain causes Parkinson’s disease. Alzheimer’s dementia seems to be related to lower acetylcholine levels in the brain. Certain medications used for a variety of medical conditions are more likely than others to cause depression as a side effect. Specifically, some medications that are used to treat high blood pressure, cancer, seizures, extreme pain, and to achieve contraception can result in depression. Even some psychiatric medications like some sleep aids and medications to treat alcoholism and anxiety can contribute to the development of depression.

.....Health Naturally - 455.....

SYMPTOMS People with depressive illnesses do not all experience the same symptoms. The severity, frequency and duration of symptoms will vary depending on the individual and his or her particular illness. Symptoms include: o Persistent sad, anxious or “empty” feelings o o o

Feelings of hopelessness and/or pessimism Feelings of guilt, worthlessness and/or helplessness Irritability, restlessness

o

Loss of interest in activities or hobbies once pleasurable, including sex Fatigue and decreased energy

o o

Difficulty concentrating, remembering details and making decisions

o o o

Insomnia, early–morning wakefulness, or excessive sleeping Overeating, or appetite loss Thoughts of suicide, suicide attempts Persistent aches or pains, headaches, cramps or digestive

o o

problems that do not ease even with treatment Loss of interest in activities that once were pleasurable (e.g., hobbies, sex, social activities, etc.)

DIAGNOSIS The first step in getting appropriate treatment is a complete physical and psychological evaluation to determine whether the person, in fact, has a depressive disorder. Depression is diagnosed only clinically in that there is no laboratory test or X-ray for depression. Therefore, it is crucial to see a health practitioner as soon as you

.....Health Naturally - 456.....

notice symptoms of depression in yourself, your friends, or family. A diagnostic evaluation also includes History of the patient Physical examinations A mental-status examination to determine if the patient’s speech, thought pattern, or memory has been affected, as often happens in the case of a depressive or manic-depressive illness. As of today, there is no laboratory test, blood test, or X-ray that can diagnose a mental disorder. Even the powerful CT, MRI, SPECT, and PET scans, which can help diagnose other neurological disorders such as stroke or brain tumors, cannot detect the subtle and complex brain changes in psychiatric illness. NATURE CURE & YOGA TREATMENT HYDROTHERAPY o cold hip bath daily for 20 mins daily o

neutral spinal bath for 20-30 mins daily

o

hot foot immersion for 20 mins daily before sleep

o

warm water enema daily

o

ice massage to head daily twice for 10 minutes Steam bath every alternate days for 15 mins

o

MASSAGE THERAPY o

Full body oil massage

o

Partial massage to head, neck and spine

MUDTHERAPY o o

Full mud bath twice weekly Mud to head daily

o

Eye and abdomen pack daily .....Health Naturally - 457.....

DIET THERAPY 6am

:

herbal tea

7am

:

Fig water (soak 2 figs in 200ml of water overnight, grind and strain

8am

:

milk, papaya, 4 dates, 4 almonds

11am

:

mosambi juice

1pm

:

2 rotis, boiled vegs, curds and salad

4 pm

tender coconut water

6.30 pm :

brown rice, boiled vegs, soup and papaya

9pm

hot milk, 4 dates, 4 almonds

:

YOGATHERAPY o o

Shitali karma vyayama Surya namaskar

Standing Series o

Tadasana

o

Vriksahana

o

Ardhachakrasana

o

Padahastasana

o

Ardhakatichakrasana

Instant relaxation technique Supine series o

Uttitapadasana

o

Pavanamuktasana

o o

Vipareetakarni Sarvangasana

o

Matsyasana

.....Health Naturally - 458.....

Prone series o Bujanagasana Makarasana

o

Shalabhasana

Quick relaxation technique Sitting series o

Vajrasana

o

Paschimotanasana

o

Ushtrasana

o

Vakrasana Ardhamatsyendrasana

o

o Baddhakonasana Deep relaxation technique Pranayama o

Shitali, shitkari, sadanta

o

Chandra anuloma viloma

o

Chandrabedhana

o

Nadishodhana

o

Brahmari

Meditation o

A, U, M kara chanting

o

Ohm kara chanting

o

Yoga nidra

.....Health Naturally - 459.....

CHAPTER 53

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR SCHIZOPHRENIA

DESCRIPTION Schizophrenia is a chronic, severe, and disabling brain disease Schizophrenia is a mental disorder characterized by abnormalities in the perception or expression of reality. It most commonly manifests as auditory hallucinations, paranoid or bizarre delusions, or disorganized speech and thinking with significant social or occupational dysfunction. Approximately 1 percent of the population develops schizophrenia during their lifetime. Although schizophrenia affects men and women with equal frequency, the disorder often appears earlier in men. Schizophrenia is found all over the world. The severity of the symptoms and long-lasting, chronic pattern of schizophrenia often cause a high degree of disability. Medications and other treatments for schizophrenia, when used regularly and as prescribed, can help reduce and control the distressing symptoms of the illness. However, some people are not greatly helped by available treatments or may prematurely discontinue treatment .....Health Naturally - 460.....

because of unpleasant side effects or other reasons. Even when treatment is effective, persisting consequences of the illness lost opportunities, stigma, residual symptoms, and medication side effects may be very troubling. TYPES The different types of schizophrenia are based on the specific symptoms a person is experiencing. Since the symptoms of schizophrenia can change over time, it is possible for a person to have more than one type during his or her lifetime. Schizophrenia types include: Paranoid schizophrenia o

Disorganized (hebephrenic) schizophrenia

Catatonic schizophrenia o

Residual schizophrenia

o

Undifferentiated disorder

Paranoid schizophrenia is the most common form. With this type of schizophrenia, the primary symptoms are delusions or auditory hallucinations. People with paranoid schizophrenia usually do not have thought disorder, disorganized behavior, or affective flattening. People with paranoid-type schizophrenia can exhibit anger, aloofness, anxiety, and argumentativeness. People with this condition have grandiose delusions. For example, they may believe that others are deliberately: o

Cheating them

o

Harassing them

o

Poisoning them

o

Spying upon them

o

Plotting against them or the people they care about.

Auditory hallucinations can include hearing “voices” that may: .....Health Naturally - 461.....

o

Comment on the person’s behavior

o o

Order him or her to do things Warn of impending danger

o

Talk to each other (usually about the affected person).

Disorganized-type schizophrenia is characterized by speech and behavior that are disorganized or difficult to understand, and flattening or inappropriate emotions. People with disorganized-type schizophrenia may laugh at the changing color of a traffic light or at something not closely related to what they are saying or doing. Their disorganized behavior may disrupt normal activities, such as showering, dressing, and preparing meals. by Catatonic-type schizophrenia is characterized disturbances of movement. People with catatonic-type schizophrenia may keep themselves completely immobile or move all over the place. They may not say anything for hours, or they may repeat anything you say or do senselessly. Either way, the behavior is putting these people at high risk because it impairs their ability to take care of themselves. Undifferentiated-type schizophrenia is characterized by some symptoms seen in all of the above types but not enough of any one of them to define it as another particular type of schizophrenia. Residual-type schizophrenia is characterized by a past history of at least one episode of schizophrenia, but the person currently has no positive symptoms (delusions, hallucinations, disorganized speech or behavior). It may represent a transition between a full-blown episode and complete remission, or it may continue for years without any further psychotic episodes. SYMPTOMS Schizophrenia symptoms fall into three broad categories:

.....Health Naturally - 462.....

Positive schizophrenia symptoms are unusual thoughts or perceptions that include hallucinations, delusions, and disordered thinking. Negative symptoms represent a loss or a decrease in the ability to initiate plans, speak, express emotion, or find pleasure in everyday life. These symptoms are harder to recognize as part of the disorder and can be mistaken for laziness or depression. Cognitive symptoms (or cognitive deficits) are problems with attention, certain types of memory, and the executive functions that allow us to plan and organize. Cognitive deficits can also be difficult to recognize as part of the disorder, but are the most disabling in terms of leading a normal life. Positive Symptoms of Schizophrenia o

Delusions are firmly held erroneous beliefs due to distortions or exaggerations of reasoning and/or misinterpretations of perceptions or experiences. Delusions of being followed or watched are common, as are beliefs that comments, radio or TV programs, etc., are directing special messages directly to him/her.

o

Hallucinations are distortions or exaggerations of perception in any of the senses, although auditory hallucinations (hearing voices within, distinct from ones own thoughts) are the most common, followed by visual hallucinations.

o

Disorganized speech/thinking, also described as thought disorder or loosening of associations, is a key aspect of schizophrenia. Disorganized thinking is usually assessed primarily based on the person’s speech. Therefore, tangential, loosely associated, or incoherent speech severe enough to substantially impair effective communication is used as an indicator of thought disorder by the DSM-IV.

.....Health Naturally - 463.....

o

Grossly disorganized behavior includes difficulty in goal directed behavior (leading to difficulties in activities in daily living), unpredictable agitation or silliness, social disinhibition, or behaviors that are bizarre to onlookers. Their purposelessness distinguishes them from unusual behavior prompted by delusional beliefs.

o

Catatonic behaviors are characterized by a marked decrease in reaction to the immediate surrounding environment, sometimes taking the form of motionless and apparent unawareness, rigid or bizarre postures, or aimless excess motor activity.

o

Other symptoms sometimes present in schizophrenia but not often enough to be definitional alone include affect inappropriate to the situation or stimuli, unusual motor behavior (pacing, rocking), depersonalization, derealization, and somatic preoccupations.

Negative Symptoms of Schizophrenia o

Affective flattening is the reduction in the range and intensity of emotional expression, including facial expression, voice tone, eye contact, and body language.

o

Alogia, or poverty of speech, is the lessening of speech fluency and productivity, thought to reflect slowing or blocked thoughts, and often manifested as short, empty replies to questions.

o

Avolition is the reduction, difficulty, or inability to initiate and persist in goal-directed behavior; it is often mistaken for apparent disinterest. (examples of avolition include: no longer interested in going out and meeting with friends, no longer interested in activities that the person used to show enthusiasm for, no longer interested in much of anything, sitting in the house for many hours a day doing nothing.)

Cognitive Symptoms of Schizophrenia

.....Health Naturally - 464.....

Cognitive symptoms refer to the difficulties with concentration and memory. These can include: o

disorganized thinking

o

slow thinking

o o

difficulty understanding poor concentration

o

poor memory

o

difficulty expressing thoughts

o

difficulty integrating thoughts, feelings and behavior

CAUSES Experts now agree that schizophrenia develops as a result of interplay between biological predisposition (for example, inheriting certain genes) and the kind of environment a person is exposed to. Data from a PET studysuggests that the less the frontal lobes are activated (red) during a working memory task, the greater the increase in abnormal dopamine activity in the striatum (green), thought to be related to the neurocognitive deficits in schizophrenia. These lines of research are converging: brain development disruption is now known to be the result of genetic predisposition and environmental stressors early in development (during pregnancy or early childhood), leading to subtle alterations in the brain that make a person susceptible to developing schizophrenia. Environmental factors later in life (during early childhood and adolescence) can either damage the brain further and thereby increase the risk of schizophrenia, or lessen the expression of genetic or neurodevelopment defects and decrease the risk of schizophrenia. In fact experts now say that schizophrenia (and all other mental illness) is caused by a combination of biological, psychological and social factors, and this understanding of mental illness is called the bio-psycho-social model. .....Health Naturally - 465.....

The Path to Schizophrenia - The diagram above shows how biological, genetic and prenatal factors are believed to create a vulnerability to schizophrenia. Additional environmental exposures (for example, frequent or ongoing social stress and/or isolation during childhood, drug abuse, etc.) then further increase the risk or trigger the onset of psychosis and schizophrenia. Early signs of schizophrenia risk include neurocognitive impairments, social anxiety (shyness) and isolation and “odd ideas”. So the causes are pre-pregnancy factors, pregnancy stress, other prenatal factors, social stress, family stress or environmental factors that they experience during their childhood, teen or early adult years. The exact process by which environmental factors and stress gets translated into changes brain and

.....Health Naturally - 466.....

ultimately psychosis or schizophrenia is increasingly thought to be a result of epigenetics, and recent research suggests exactly how stress might trigger these brain changes. DIAGNOSIS The presence of psychosis implies a person may be schizophrenic, but schizophrenia diagnosis cannot be made based on the presence of psychosis alone. Many other conditions may mimic schizophrenia, including: bipolar disorder depression head trauma illicit drug abuse medication side effects thyroid hormone symptoms vitamin deficiencies Other physical/mental symptoms. A schizophrenia diagnosis is made when specific criteria are met. The potential schizophrenic must have experienced at least two of the following for a period of at least six months:

.....Health Naturally - 467.....

“blunted” emotions/affect catatonic behavior delusions disorganized speech hallucinations impaired social functioning Loss of motivation. If these symptoms cannot be explained by other conditions, the patient is considered schizophrenic. The doctor will examine someone in whom schizophrenia is suspected either in an office or in the emergency department. The doctor’s role is to ensure that the patient doesn’t have any medical problems. The doctor takes the patient’s history and performs a physical exam. Laboratory and other tests, sometimes including a computerized tomography (CT) scan of the brain, are performed. Physical findings can relate to the symptoms associated with schizophrenia or to the medications the person may be taking. A schizophrenia diagnosis should be made by a qualified psychiatrist. NATURE CURE & YOGA TREATMENT HYDROTHERAPY o cold hip bath daily for 20 mins daily o

neutral spinal bath for 20-30 mins daily

o

hot foot immersion for 20 mins daily before sleep

o

warm water enema daily

o

ice massage to head daily twice for 10 minutes Steam bath every alternate days for 15 mins

o

MASSAGE THERAPY o

Full body oil massage

o

Partial massage to head, neck and spine .....Health Naturally - 468.....

MUDTHERAPY o o

Full mud bath twice weekly Mud to head daily

o

Eye and abdomen pack daily

DIET THERAPY 6am

:

Triphala water

7am

:

black raisin water (soak 30 raisins in 200 ml water overnight, grind and strain)

8am

:

cold cow milk, with honey, 4 almonds, 4 dates and ½ spoon khus khus (poppy seeds)

11am

:

herbal tea

1pm

:

2 chapatis, boiled vegs, moong dhal, ginger-garlic chutney

4 pm

:

mosambi juice brown rice, milk, papaya

6.30 pm : YOGATHERAPY o o

Shitali karma vyayama Surya namaskar

Standing Series o

Tadasana

o

Vriksahana

o

Padahastasana Ardhachakrasana

o o

Ardhakatichakrasana

Instant relaxation technique Supine series o Uttitapadasana o

Pavanamuktasana .....Health Naturally - 469.....

o o

Vipareetakarni Sarvangasana

o

Matsyasana

Prone series Bujanagasana o Makarasana

o Shalabhasana Quick relaxation technique Sitting series o

Vajrasana

o

Paschimotanasana

o

Ushtrasana

o

Vakrasana Ardhamatsyendrasana

o

o Baddhakonasana Deep relaxation technique Pranayama o

Shitali, shitkari, sadanta

o

Chandra anuloma viloma

o

Chandrabedhana

o

Nadishodhana

o

Brahmari

Meditation o

A, U, M kara chanting

o

Ohm kara chanting

.....Health Naturally - 470.....

CHAPTER 54

TURE NATURE FOR

CURE Y YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT ALZHEIMER’S DISEASE

DESCRIPTION Alzheimer’s disease (AD), also called Alzheimer disease, Senile Dementia of the Alzheimer Type (SDAT) or simply Alzheimer’s is the most common form of dementia. This incurable, degenerative, and terminal disease was first described by German psychiatrist and neuropathologist Alois Alzheimer in 1906 and was named after him. Generally, it is diagnosed in people over 65 years of age, although the less-prevalent early-onset Alzheimer’s can occur much earlier. Alzheimer’s disease (AD) is a slowly progressive disease of the brain that is characterized by impairment of memory and eventually by disturbances in reasoning, planning, language, and perception. Many scientists believe that Alzheimer’s disease results from .....Health Naturally - 471.....

an increase in the production or accumulation of a specific protein (beta amyloid protein) in the brain that leads to nerve cell death.

In Alzheimer’s disease, changes in tau protein lead to the disintegration of microtubules in brain cells WHO DEVELOPS ALZHEIMER’S DISEASE? Although not all memory loss indicates Alzheimer’s disease, one in ten people over 65 years of age, and over half of those 85+ have Alzheimer’s disease. Currently, 26 million people worldwide have this dementia. Early-onset Alzheimer’s effects patients under the age of 65. This relatively rare condition is seen more often when parents or grandparents developed Alzheimer’s disease at a young age, and is generally associated with three genetic markers. Other risk factors for Alzheimer’s disease include high blood pressure (hypertension), coronary artery disease, diabetes, and possibly elevated blood cholesterol. Individuals who have completed less than eight years of education also have an increased risk for Alzheimer’s disease. CAUSES Significant cognitive and memory losses are not symptoms of normal aging. Most people over 65 experience a level of forgetfulness that is merely inconvenient and generally involves unimportant information. .....Health Naturally - 472.....

Terms like eccentric and senile can mask fears of Alzheimer’s disease, while other conditions may actually be causing mental decline. Symptoms that mimic early Alzheimer’s disease may result from: Central nervous system and other degenerative disorders-, head injuries, brain tumors, stroke, epilepsy, Pick’s Disease, Parkinson’s disease, Huntington’s disease Metabolic ailments- hypothyroidism, hypoglycemia, malnutrition, vitamin deficiencies, dehydration, kidney or liver failure Substance-induced conditions-drug interactions, medication side-effects, alcohol and drug abuse Psychological factors- dementia syndrome, depression, emotional trauma, chronic stress, psychosis, chronic sleep deprivation, delirium Infections- meningitis, encephalitis, and syphilis SYMPTOMS The early symptoms of AD can include: Language problems, such as trouble finding the name of familiar objects Misplacing items Getting lost on familiar routes Personality changes and loss of social skills Losing interest in things previously enjoyed, flat mood Difficulty performing tasks that take some thought, but used to come easily, such as balancing a checkbook, playing complex games (such as bridge), and learning new information or routines As the AD becomes worse, symptoms are more obvious and interfere with your ability to take care of yourself. Symptoms can include:

.....Health Naturally - 473.....

Forgetting details about current events Forgetting events in your own life history, losing awareness of who you are Change in sleep patterns, often waking up at night Difficulty reading or writing Poor judgment and loss of ability to recognize danger Using the wrong word, mispronouncing words, speaking in confusing sentences Withdrawing from social contact Having hallucinations, arguments, striking out, and violent behavior Having delusions, depression, agitation Difficulty doing basic tasks, such as preparing meals, choosing proper clothing, and driving. People with severe AD can no longer: Understand language Recognize family members Perform basic activities of daily living, such as eating, dressing, and bathing Other symptoms that may occur with AD: Incontinence Swallowing problems

.....Health Naturally - 474.....

SIGNS OF NORMAL CHANGE VS. EARLY ALZHEIMER’S SYMPTOMS Normal

Early Alzheimer’s disease

Can’t find your keys

Routinely place important items in odd places

Search for casual names and words Briefly forget conversation details

Forget names of family and common objects Frequently forget entire conversations

Can’t find a recipe

Can’t follow recipe directions

Forget to write down a check

Can no longer manage checkbook

Cancel a date with friends

Withdraw from usual interests Get lost in familiar places

Miss an occasional right turn

STAGES OF ALZHEMEIRS DISEASE Mild/Early - 2-4yrs o Frequent recent memory loss, particularly of recent conversations and events. o Repeated questions, some problems expressing and understanding language. o o

Writing and using objects become difficult. Depression and apathy can occur.

o

Drastic personality changes may accompany functional decline.

o

Need reminders for daily activities and difficulties with sequencing impact driving early in this stage.

Moderate/Middle - 2-10 yrs o Can no longer cover up problems. o

Pervasive and persistent memory loss impacts life across settings. .....Health Naturally - 475.....

o o

o o

Rambling speech, unusual reasoning, confusion about current events, time, and place. Potential to become lost in familiar settings, sleep disturbances, and mood or behavioral symptoms accelerate. Nearly 80% of patients exhibit emotional and behavioral problems which are aggravated by stress and change. Slowness, rigidity, tremors, and gait problems impact mobility and coordination.

o

Need structure, reminders, and assistance with activities of daily living.

Severe/Late - 1-3+ yrs o Confused about past and present. o Loss of recognition of familiar people and places. Generally incapacitated with severe to total loss of verbal skills. o

Unable to care for self.

o

Falls possible and immobility likely.

o

Problems with swallowing, incontinence, and illness. Extreme problems with mood, behavioral problems,

o

hallucinations, and delirium. o

Patients need total support and care, and often die from infections or pneumonia.

Progression through these stages may last from 8 to 10 years. Although it is rare, some live nearly 20 years from the time neuron change first occurs. The seven stage framework includes the following dimensions: Stage 1: No impairment Stage 2: Very mild decline Stage 3: Mild decline .....Health Naturally - 476.....

Stage 4: Moderate decline (mild or early stage) Stage 5: Moderately severe decline (moderate or mid-stage) Stage 6: Severe decline (moderately severe or mid-stage) Stage 7: Very severe decline (severe or late stage) DIAGNOSIS & TESTS AD can often be diagnosed through A history and physical exam a neurological exam and a mental status examination. TESTS DONE o

Thyroid disease

o

Vitamin deficiency

o

Brain tumor

o

Stroke

o

Intoxication from medication

o

Chronic infection

o

Anemia

o

Severe depression Computed tomography (CT)

Magnetic resonance imaging (MRI) of the brain may be done to look for other causes of dementia, such as a brain tumor or stroke. NATURE CURE & YOGA TREATMENT HYDROTHERAPY o cold hip bath daily for 20 mins daily o

neutral spinal bath for 20-30 mins daily

o

hot foot immersion for 20 mins daily before sleep

o

warm water enema daily

o

ice massage to head daily twice for 10 minutes .....Health Naturally - 477.....

o

Steam bath every alternate days for 15 mins

MASSAGE THERAPY o

Full body oil massage

o

Partial massage to head and spine

MUDTHERAPY o o

Full mud bath twice weekly Mud to head daily

o

Eye and abdomen pack daily

DIET THERAPY 6am

:

lime water with honey

8am

:

dahlia with milk, 4 almonds and 4 dates

1pm

:

brown rice, boiled vegs and papaya

4 pm

:

mosambi juice

6.30 pm :

dahlia, boiled vegs, papaya

9pm

milk with ashwagandha

:

YOGATHERAPY o o

Shitali karma vyayama Surya namaskar

Standing Series o

Vriksahana Tadasana

o o

Padahastasana Ardhachakrasana

o o

Ardhakatichakrasana

Instant relaxation technique

.....Health Naturally - 478.....

Supine series o Uttitapadasana o

Pavanamuktasana

o

Vipareetakarni

o

Sarvangasana Matsyasana

o

Prone series Bujanagasana o Makarasana o o

Shalabhasana

Quick relaxation technique Sitting series o

Ushtrasana Paschimotanasana Vajrasana

o o o

Ardhamatsyendrasana Vakrasana

o o Baddhakonasana Deep relaxation technique Pranayama o

Shitali, shitkari, sadanta

o

Chandra anuloma viloma

o

Chandrabedhana

o

Nadishodhana

o

Brahmari

Meditation o

A, U, M kara chanting

o

Ohm kara chanting .....Health Naturally - 479.....

CHAPTER 55

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT ARKINSON’S DISEASE FORPFORPFORPFORPFOR PARKINSON’S

DESCRIPTION Parkinson’s disease (PD) is an age-related deterioration of certain nerve systems, which affects your movement, balance, and muscle control. Parkinson’s disease is a degenerative disorder of the central nervous system that often impairs the sufferer’s motor skills, speech, and other functions. Parkinson’s disease belongs to a group of conditions called movement disorders. It is characterized by muscle rigidity, tremor, a slowing of physical movement (bradykinesia) and a loss of physical movement (akinesia) in extreme cases. The primary symptoms are the results of decreased stimulation of the motor cortex by the basal ganglia, normally caused by the insufficient formation and action of dopamine, which is produced in the dopaminergic neurons of the brain (specifically the substantia nigra). Secondary symptoms may include high level cognitive dysfunction and subtle language problems. PD is both chronic and progressive. .....Health Naturally - 480.....

The average age of PD onset is 60. Symptoms of PD are seen in as many as 15% of those between the ages 65 and 74 and almost 30% of those between the ages of 75 and 84. Only 5 to 10% of PD cases occur before the age of 50. Young onset PD occurs in those under age 40. A parent or sibling with PD increases one’s risk of developing the disease. CAUSES Although the cause of Parkinson’s disease (PD) is unknown, it appears to result from a combination of environmental and hereditary factors as well as oxidative damage and aging. Factors for PD may include: herbicide and pesticide exposure an as-yet-unidentified toxin or virus cellular damage from oxidation by free-radicals (atoms or molecules with an unpaired electron) It may be that free radicals—unstable and potentially damaging molecules that lack an electron—are involved in the degeneration of dopamine producing cells. Free radicals add an electron by reacting with nearby molecules in a process called oxidation. This process can damage nerve cells. Chemicals called antioxidants normally protect cells from oxidative stress and damage. If anti-oxidative action fails to protect dopamine-producing nerve cells, these cells may be damaged, resulting in Parkinson’s disease. loss of dopamine-secreting cells with age, particularly with accelerated aging fewer dopamine-secreting cells at birth Parkinson’s disease occurs in families. When a young person is affected, it is usually because of a form of the disease that runs in families. .....Health Naturally - 481.....

The term “parkinsonism” refers to any condition that involves the types of movement changes seen in Parkinson’s disease. Parkinsonism may be caused by other disorders (such as secondary parkinsonism) or certain medications. Head trauma

SIGNS AND SYMPTOMS The disorder may affect one or both sides of the body. How much function is lost can vary. Symptoms may be mild at first. For instance, the patient may have a mild tremor or a slight feeling that one leg or foot is stiff and dragging. Four symptoms are considered cardinal in PD: tremor, rigidity, bradykinesia and postural instability. Tremor normally has a frequency between 4 and 6 Hz (cycles per second) and is the most apparent and well-known symptom. It is most commonly a rest tremor: maximal when the limb is at rest and disappearing with voluntary movement and sleep; it is a pronation supination tremor that is described as “pill-rolling”. Tremor affects to a greater extent the most distal part of the extremity and is typically unilateral at onset. Though around 30% of PD sufferers do not have tremor at disease onset most of them would develop it along the course of the disease. Rigidity: defined as joint stiffness and increased muscle tone. In combination with a resting tremor, this produces a ratchety, “cogwheel .....Health Naturally - 482.....

rigidity” when the limb is passively moved. It may be associated with joint pain, such pain being a frequent initial manifestation of the disease. Bradykinesia and akinesia: the former refers to slowness of movement while the latter to the absence of it. It is the most characteristic clinical feature of PD and it produces difficulties not only with the execution of a movement but also with its planning and initiation. The performance of sequential and simultaneous movements is also hindered. Rapid, repetitive movements produce a dysrhythmic and decremental loss of amplitude. Postural instability: failure of postural reflexes, along other disease related factors such as orthostatic hypotension or cognitive and sensory changes, which lead to impaired balance and falls. It usually appears in the late stages of PD. Other motor symptoms include: Gait and posture disturbances: o

Shuffling gait: gait is characterized by short steps, with feet barely leaving the ground. Small obstacles tend to cause the patient to trip.

o

Decreased arm-swing.

o

Turning “en bloc”: rather than the usual twisting of the neck and trunk and pivoting on the toes, PD patients keep their neck and trunk rigid, requiring multiple small steps to accomplish a turn.

Camptocormia: stooped, forward-flexed posture. In severe o forms, the head and upper shoulders may be bent at a right angle relative to the trunk. o Festination: a combination of stooped posture, imbalance, and short steps. It leads to a gait that gets progressively faster and faster, often ending in a fall. o Gait freezing: also called motor blocks, is a manifestation of akinesia. Gait freezing is characterized by a sudden inability to move the

.....Health Naturally - 483.....

lower extremities which usually lasts less than 10 seconds. It may worsen in tight, cluttered spaces, when attempting to initiate gait or turning around, or when approaching a destination. Freezing improves with treatment and also with behavioral techniques such as marching to command or following a given rhythm. Dystonia: abnormal, sustained, painful twisting muscle o contractions, often affecting the foot and ankle (mainly toe flexion and foot inversion) which often interferes with gait. o

Scoliosis Speech and swallowing disturbances.

o

Hypophonia: soft speech.

o Monotonic speech: Speech quality tends to be soft, hoarse, and monotonous. o Festinating speech: excessively rapid, soft, poorly-intelligible speech. o

Drooling: most likely caused by a weak, infrequent swallow.

o Dysphagia: impaired ability to swallow; which in the case of probably PD is related to an inability to initiate the swallowing reflex or by a too long laryngeal or esophageal movement. Can lead to aspiration pneumonia. o

Dysarthria Other symptoms:

o

Anxiety, stress, and tension

o

Confusion

o o

Dementia Depression

o

Fainting

o

Hallucinations

o

Memory loss .....Health Naturally - 484.....

o

Oily skin (seborrhea)

o

Constipation

o

Small, cramped handwriting (micrographia)

o

Excessive sweating (hyperhidrosis)

There is no definitive test for DIAGNOSIS

PD. Diagnosis is based on a careful medical history and complete neurological examination.

Computed tomography (CT) and Magnetic resonance imaging (MRI) brain scans of people with PD usually appear normal. In addition to PD, anything that damages the substantia nigra can cause Parkinson’s-like symptoms, called Parkinsonism. Possible causes of parkinsonism: infection nausea trauma stroke exposure to manganese or other toxins medications for psychiatric disorders, such as haloperidol (Haldol) or chlorpromazine (thorazine) a chemical called MPTP, found as an impurity in some illegal drugs epilepsy Alzheimer’s disease other neurodegenerative diseases that sometimes are referred to as Parkinson’s plus or parkinsonism plus syndromes

.....Health Naturally - 485.....

Brain scans, blood tests, lumbar puncture, or x rays may be used to rule out causes of Parkinsonism other than PD. NATURE CURE & YOGA TREATMENT HYDROTHERAPY o cold hip bath daily for 20 mins daily o

neutral spinal bath for 20-30 mins daily

o

hot foot immersion for 20 mins daily before sleep

o

warm water enema daily

o

ice massage to head daily twice for 10 minutes Steam bath every alternate days for 15 mins

o

MASSAGE THERAPY o

Full body oil massage

o

Partial massage to head, neck and spine

MUDTHERAPY o o

Full mud bath twice weekly Mud to head daily

o

Eye and abdomen pack daily

DIET THERAPY 6am

:

ginger tea

7am

:

8am

:

dates water (soak 5 dates in 200 ml water overnight, grind and drink papaya, milk, 6 almonds

11am

:

lemon grass tea

1pm 4 pm

:

dahlia and boiled vegs

:

apple or pears

6.30 pm :

brown rice, boiled vegs and papaya

9pm

milk and piplamool

:

.....Health Naturally - 486.....

YOGATHERAPY o o

Shitali karma vyayama Surya namaskar

Standing Series o

Vriksahana Tadasana

o o

Padahastasana Ardhachakrasana

o o

Ardhakatichakrasana

Instant relaxation technique Supine series o Uttitapadasana o

Pavanamuktasana

o

Vipareetakarni

o

Sarvangasana Matsyasana

o

Prone series o Bujanagasana Makarasana o o

Shalabhasana

Quick relaxation technique Sitting series o

Ushtrasana Paschimotanasana Vajrasana

o o o o

Vakrasana Ardhamatsyendrasana

.....Health Naturally - 487.....

o Baddhakonasana Deep relaxation technique Pranayama o

Shitali, shitkari, sadanta

o

Chandra anuloma viloma

o

Chandrabedhana

o

Nadishodhana

o

Brahmari

Meditation o

A, U, M kara chanting

o

Ohm kara chanting

.....Health Naturally - 488.....

CHAPTER 56

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR MND

The motor neuron diseases (or motor neuron diseases) (MND) are a group of neurological disorders that selectively affect motor neurons, the cells that control voluntary muscle activity including speaking, walking, breathing, swallowing and general movement of the body. Motor neuron disease is a progressive fatal condition that causes muscle wastage. MND is more commonly called amyotrophic lateral sclerosis (ALS), or Lou Gehrig’s disease, after the baseball player. Normally, messages from nerve cells in the brain (called upper motor neurons) are transmitted to nerve cells in the brain stem and spinal cord (called lower motor neurons) and from them to particular muscles. When there are disruptions in these signals, the result can be gradual muscle weakening, wasting away, and uncontrollable twitching (called fasciculation). Eventually, the ability to control voluntary movement can be lost. MNDs may be inherited or acquired, and they occur in all age groups. .....Health Naturally - 489.....

In adults, symptoms often appear after age 40. In children, particularly in inherited or familial forms of the disease, symptoms can be present at birth or appear before the child learns to walk. Common MNDs include Amyotrophic lateral sclerosis (ALS), Progressive bulbar palsy, primary lateral sclerosis, and p Progressive muscular atrophy. Other MNDs include the many inherited forms of Spinal muscular atrophy and Post-polio syndrome, a condition that can strike polio survivors decades after their recovery from poliomyelitis. PATHOLOGY The motor neurons in the cerebral cortex, brainstem and spinal cord show atrophy and their axons show degenerative changes. Muscles show groups of atrophic fibers amidst the groups of normal fibers. CLASSIFICATION Classical type and Non classical type A.

Classical type: o Predominant LMN involvement a) Bulbar form: Progressive bulbar palsy b) Spinal form: Progressive muscular atrophy o Predominant UMN involvement a) Bulbar form: Pseudo bulbar palsy (spastic bulbar palsy) b) Spinal form: Primary lateral sclerosis. o

Combination of upper and lower motor involvement.

.....Health Naturally - 490.....

Amyotrophic lateral sclerosis. Non classical type:

B. o

Werding – Hoffmann disease

o

Kugelberg – Welander disease

o

Spinal muscular atrophy described from south India (Madras Motor neuron disease – dementia – parkinsonian complex

o

described from Guam Island RISK FACTORS A risk factor is something that increases a person’s chances of developing a disease. For example, smoking increases the risk of developing some types of cancer; therefore, smoking is a risk factor for cancer. Heredity - approximately 1 in every 10 people with ALS in the USA are known to have inherited it from their parents. A child who has a parent with MND has a 50% chance of developing the disease. Age - after the age of 40 the risk of developing MND rises significantly (but is still very small). Sex - men are much more likely to develop the disease before the age of 65 than women. After 70 years of age the risk is the same for both sexes. Where you live - incidence of MND is significantly higher in parts of Japan, West New Guinea and Guam, compared to other parts of the world (even so, the risk is still small in those areas). Military experience - some studies have suggested that people who are or have been in the military (army, navy, air force, marines) have a higher chance of developing the disease than other people. The following risk factors have also been suggested: o

Smoking

o

Head injuries, especially repeated ones .....Health Naturally - 491.....

o o

Exposure to pesticides A diet that is very high in fat

o

Exposure to some chemicals, such as formaldehyde

CAUSES MND happens when motor neurons lose their function gradually and progressively. Motor neurons are neurons that send electrical output signals to muscle neurons, also called motoneurons. Motor neurons are found in the brain and spine. When motor neurons relay signals from the brain to the muscles and bones, the muscles move. Motor neurons are also involved in many of our automatic movements, such as swallowing and breathing. Scientists are not sure why motor neurons start to lose function. They believe several inter-related factors cause MND, including: Excess glutamate - glutamate is a neurotransmitter, a messenger chemical that transmits data from cell-to-cell. Some studies indicate that people with MND have too much glutamate. Abnormally high levels of glutamate may be toxic and could lead to a disturbance in the chemical communication required for good nerve function. Cell metabolism - transport systems exist in all cells that bring nutrients and chemical components into the cell, while at the same time moving waste products out. Scientists say there are indications that these transport systems are disturbed in the motor neurons during the initial stages of MND, resulting in poor nerve function. Aggregates - unusual clumps of protein molecules have been found to accumulate in the motor neurons of MND patients. Scientists believe these aggregates undermine the normal functioning of motor neurons. Lack of antioxidant production - research indicates that the motor neurons of patients with MND do not produce enough .....Health Naturally - 492.....

antioxidants to neutralize the free radicals that emerge as a natural by-product of cell activity. Oxygen free radicals are a type of toxic waste cells produce - antioxidants mop them up. Mitochondria of motor neurons - research has found that the mitochondria of motor neuron cells of people with MND appear to be abnormal. Mitochondria provide the energy cells need to carry out their normal function - they are normal structures responsible for energy production in cells. Neurotrophic factors - these are molecules, usually proteins that facilitate the growth or repair of nerve cells. It has been found that neurotrophic factors are not produced properly in patients with MND, making the motor neurons more susceptible to damage. Glia cells - these cells surround neurons and provide support for them and insulation between them. They also provide motor neurons with nutrients and relay data from one cell to another. In some cases, problems with glia cells can affect the motor neurons. Some are familial, showing autosomal dominant inheritance. In many such families genetic defects lies on chromosome 21, the enzyme involved being a superoxide dismutase (SOD1). Other probable causes includes - Chronic Aluminium toxicity - Slow virus infection - Auto immunity - Trauma - Electrical shock SYMPTOMS In most cases of MND, symptoms follow a pattern depending on which of the three stages the patient is in. MND is divided into three stages the initial stage, the advanced stage and the end stage. .....Health Naturally - 493.....

MND signs and symptoms during the initial stage:

o

At this stage symptoms develop slowly and faintly. Patients are likely to mistake some of the early symptoms for some other unrelated neurological condition. Symptoms include: The patient’s grip weakens. Sometimes picking up and/or holding things can be difficult.

o

Fatigue

o o

Muscle pains Muscle cramps

o

Muscle twitches

o

Slurred and sometimes garbled speech

o

Weakness in the limbs

o

Increased clumsiness MND signs and symptoms during the advanced stage:

o

Muscle weakness.

o

Limbs become progressively weaker.

o

Limb muscles start to shrink.

o o

Movement in affected limbs becomes progressively more difficult. Muscle spasms and twinges get worse.

o

Some limb muscles become abnormally stiff (spasticity).

o

Pain in muscles.

o

Pain in joints.

o

Progressive dysphagia - swallowing difficulties which get worse with time, making eating and drinking harder to do. Drooling - this is often due to problems controlling saliva

o

production. o o

Yawning - sometimes yawning can come in uncontrollable bouts. Jaw pain - often caused by excessive yawning.

.....Health Naturally - 494.....

o

Speech problems - as muscles of the throat and mouth become weaker the patient has speech problems, making communication harder.

o

Change in personality and emotional state - often a patient at this stage experiences emotional lability (bouts of uncontrollable crying or laughing).

o

Memory and some cognitive changes - some patients experience changes in their ability to remember things and learn new things. Language ability and concentration span may also be affected. If the patient is elderly it may be hard to know whether this is being caused by age or the disease.

o

Dementia - a small proportion of MND patients are diagnosed with dementia.

o

Breathing problems - progressive damage to muscles that control the lungs eventually result in breathing difficulties. The patient may feel short of breath after what hitherto had been thought of as a normal task. Shortness of breath eventually becomes apparent even when

o

the patient is resting. Some patients may have breathing difficulties when lying down, which can affect sleeping and sleeping patterns. Patients eventually need mechanical assistance with their breathing (e.g. an oxygen mask). MND signs and symptoms during the end stage o

o

Typically, the patient’s body will eventually become totally paralyzed. Breathing difficulties worsen and become serious. An oxygen mask will not be enough. As the problem worsens the patient becomes increasingly drowsy, and eventually falls into a deep sleep and dies peacefully.

Secondary symptoms: These are symptoms that are not caused by the disease directly,

.....Health Naturally - 495.....

but are linked to the mental toll of living with MND. Secondary symptoms include: o o

Insomnia Depression

o

Anxiety

DIAGNOSIS During its initial stage MND may be difficult to diagnose because the signs and symptoms are commonly found in other diseases and conditions, such as MS (multiple sclerosis), trapped nerve, or Parkinson’s disease. A GP (general practitioner, primary care physician) will refer the patient to a neurologist - a doctor specialized in the diagnosis and treatment of diseases and conditions of the nervous system. The neurologist may order the following tests: Blood and urine tests - by analyzing samples of the patient’s blood and urine in the lab the doctor can rule out other possible causes for the signs and symptoms. A blood test can also determine whether there is any rise in creatinine kinase, which can sometimes be found in the blood of patients with MND. Creatinine kinase is not specific for MND and may also be an indicator of some other medical condition. Creatinine kinase is produced when muscle breaks down. An MRI (magnetic resonance imaging) scan - radio waves and a powerful magnetic field produce detailed images of the brain and spinal cord on a monitor. An MRI scan will not diagnose MND - damage caused by MND does not show up on an MRI. However, it is a useful test in ruling out damage caused by other conditions and diseases which do show up, such as stroke, Alzheimer’s disease, Parkinson’s disease, and others. An EMG (electromyography) - needles are used to measure the electrical activity in the patient’s muscles. A fine wire electrode is .....Health Naturally - 496.....

inserted into the muscles that the doctor wants to study - usually muscles from each limb and the bulbar (throat). An instrument records the electrical activity or the muscle while it is resting and contracting. Most patients find this test mildly uncomfortable. Muscles which have lost their nerve supply can be identified because their electrical activity is different from healthy muscle. The EMG may appear as abnormal even if that particular muscle is not yet affected. A nerve conduction test - measures how fast the nerves can conduct an electrical impulse. Electrodes are attached to the skin above the nerve or muscle that is being studied. A small electric shock is passed through the nerve to measure the strength and velocity of the nerve signals. TMS (transcranial magnetic stimulation) - the activity of the upper motor neurons is measured using a specially designed magnetic coil. This procedure may be carried out at the same time as a nerve conduction test. Spinal tap (lumbar puncture) - the aim here is to analyze the cerebrospinal fluid; the fluid that surrounds the brain and spinal cord. Patients lie on their side with knees drawn up to the chest. A local anesthetic is injected into the area where the spinal tap occurs. A needle is then inserted into the spinal canal and some fluid is collected. Muscle biopsy - if the doctor thinks the patient may have a muscle disease, rather than MND, a muscle biopsy may be performed. A small portion of muscle is removed. The patient receives a local anesthetic beforehand. The muscle sample is sent to the laboratory for analysis. NATURE CURE AND YOGA TREATMENT HYDROTEHRAPY o

Neutral spinal bath daily for 20-30 mins

o

Warm water enema Hot foot immersion every night for 20 minutes

o

.....Health Naturally - 497.....

o

Cold Hip bath daily for 20 mins

o

Steam bath for 15 mins alternate days

MASSAGE THERAPY o Full body massage alternate days o

Partial oil massage to limbs alternate days

o

Head massage weekly twice

MUD THERAPY o o

Full mud bath weekly twice Mud to head alternate days

o

Eye pack and abdomen pack daily

DIET THERAPY 6am

:

black raisins water (soak 30 raisins in water overnight, grind and strain)

7am

:

wheat germ milk with dates, figs and bananas

11am

:

1pm 4 pm

:

mosambijuice 2 rotis, boiled vegs, sprouts, and salad

:

carrot juice

6.30 pm :

brown rice, boiled vegs and fruits

9pm

milk with shatavari

:

YOGA THERAPY Shitali karma vyayama o Surya namaskar Standing Series o

Vriksahana Tadasana

o o

Padahastasana Ardhachakrasana

o o

Ardhakatichakrasana

Instant relaxation technique .....Health Naturally - 498.....

Supine series o Uttitapadasana o

Pavanamuktasana

o o

Vipareetakarni Sarvangasana

o

Matsyasana

Prone series o o

Makarasana Bujanagasana

o

Shalabhasana

Quick relaxation technique Sitting series o

Vajrasana

o

Paschimotanasana

o

Ushtrasana

o

Vakrasana Ardhamatsyendrasana

o

o Baddhakonasana Deep relaxation technique Pranayama o

Shitali, shitkari, sadanta

o

Chandra anuloma viloma

o

Chandrabedhana

o

Nadishodhana

o

Brahmari

Meditation o

A, U, M kara chanting

Ohm kara chanting .....Health Naturally - 499.....

CHAPTER 57

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR LEUCORRHOEA

DESCRIPTION Leucorrhoea, commonly known as whites, refers to a whitish discharge from the female genitals. Leucorrhoea is an abnormal condition of the reproductive organs of women. Leucorrhoea is a condition in which there is a whitish discharge from the vagina resulting from inflammation or irritation of the membrane lining the genital organs of the female. I t often occurs normally, but if excessive may be a symptom of infection. Leucorrhoea is a simple increase in the normal vaginal secretion. It may be thick, viscid and foul smelling. There is normally more discharge at puberty, when the sexual functions are becoming established. If not treated properly in the initial stages, it may become chronic. Flows can be white, yellowish, greenish or dark, bloody or not, thick or thin, made up of pus or not.

.....Health Naturally - 500.....

Leucorrhoea can also be classified as cervical leucorrhoea or vaginal leucorrhoea i.e., according to the place of its origin - cervix or vagina. Recent investigations have shown that secretions from the uterus upper parts part down normal constant aretheof reabsorbed flow within lower and and of vagina. the vagina Thisinisflow the

female organs. The whitish discharge is, however, caused by the presence of infection in any of these tissues and a variety of other factors. Leucorrhoea condition may continue for weeks or months at a time. CAUSES It can be due to inflammation of the womb following child birth, displacement of the uterus. Whenever the body is loaded with toxins and the eliminative organs such as the skin, bowels, lungs, and kidneys are unable to eliminate them, the body in women establishes profuse discharge or elimination through the mucous membrane of the uterus and vagina in the form of leucorrhoea. The most common causes are vaginal infection and hormonal and metabolic disorders. It occurs mainly among weak, emaciated and anemic women. Displacement of the womb, unhygienic conditions: The other common causes of leucorrhoea are displacement of the womb and unhygienic conditions which attract the bacteria to the genital organs. Injury - Injury to the vagina or cervix or womb during childbirth, abortion, or excessive sexual indulgence can cause erosions and infections with discharges.

.....Health Naturally - 501.....

Poor hygienic conditions and lack of cleanliness - non hygienic measures, especially during menses, can create infection and cause leucorrhoea. Diabetes and anemia can cause leucorrhoea due to weakened immunity. Irritation of IUCD (Intra uterine contraceptive device) can cause pain and discharges. Sprays and jellies which are used by males for provoking sexual act and jellies and drugs taken by females to kill sperms to avoid conception can cause leucorrhoea. The mucous membranes of the genital organs in a healthy woman normally secrete lactic acid, which prevents the development of harmful bacteria. But if the production of lactic acid is insufficient, resistance against micro-organisms is considerably diminished, and it is easy for an inflammation to develop. Some allopathic drugs also temporarily reduce the immunity and facilitate genital candidiasis Genital causes like vulval growth, vaginitis, cervical erosion, and cervicitis, and genital prolapse, use of contraceptives or pregnancy. May also emerge as an allergic reaction to certain synthetic materials used in the manufacture of underwear, soap, tampons, solutions, shower or tight clothing. When the balance of vaginal flora altered by the presence of acid material or destroyed by other factors, a particular microorganism can multiply in an exaggerated manner, contributing to various types of vaginitis such as moniliasis or candidiasis, which appear often by use of antibiotics, oral contraceptives, due to diabetes, or high n; ivel blood sugar. The excess vaginal discharge can be due to following reasons: -

.....Health Naturally - 502.....

Physiological reason: The normal discharge/secretion is expected to increase with rise of hormone level (estrogen) which is seen- During Puberty, during menstrual cycle, during sexual excitement, Pregnancy. Cervical reason: Non-infective cervical lesion can cause excessive secretion. Vaginal reason: When pelvic congestion increases gives rise to excessive discharge e.g. uterine prolapse, chronic pelvic inflammation and use of contraceptive pills. TYPES OF LEUCORRHEA 1) There are two types of vaginal discharge Physiological Pathological. 2) Leucorrhoea can also be classified i.e., according to the place of its origin - cervix or vagina. Cervical leucorrhoea or vaginal leucorrhoea Physiological discharge is normal and it may occur due to o

excitement

o o

Some other factor like nervousness, excitement after delivery of a baby due to maternal estrogen,

o

in a girl during puberty due hormonal changes,

o

at the time of ovulation During sexual intercourse.

o o

White discharge due to these factors is a normal condition and it doesn’t need treatment.

.....Health Naturally - 503.....

o

Cannot notice any leucocytes, pus cells, bacteria or blood.

o

This type of leucorrhoea also occurs in newborn female babies for a week or two which is due to the estrogen hormone in the blood of the baby which had entered through her mother’s placenta before delivery.

Pathological white is a discharge occurring due to disease or malfunction of the female reproductive tract. The nature of discharge varies from slimy to thick bloody discharge with foul odor. This condition is commonly present both in case of vaginitis or cervicitis. The main causes can be charted out as follows: o

This disease is common among the women who don’t get proper nutrition

o

Poor hygienic conditions and lack of cleanliness - non hygienic measures, especially during menses, can create infection and cause leucorrhoea

o

It can also be due to the inflammation of the womb following childbirth and displacement of the uterus,

o

General ill health and under nutrition.

o

Dysfunctional state in genital tract.

o

Psychological factors.

o

Diabetes and anemia can provoke infections due to weakened immunity.

o

Spread of infection from adjacent urinary tract (UTI) or alimentary tract (worms)

o

Irritation of IUCD (Intra uterine contraceptive device) can cause pain and discharges.

o

Infections From FUNGUS - Candida albicans can easily flourish in moist circumstances and is commonly promoted .....Health Naturally - 504.....

by synthetic undergarments and poor hygienic condition. From PARASITES – protozoa - Trichomonas vaginalis causes the Trichomoniasis which spreads usually through sexual intercourse and moist clothes. From BACTERIA- Gardnerella vaginalis and Chlamydia are the prime causes in bacterial infections. Also, it is frequently seen in venereal diseases like gonorrhea, syphilis, and AIDS.

SYMPTOMS Mostly there won’t be any symptom other than discharge. Discharge may be slimy, viscid to dark colored or even bloody with a foul smell. Flow may stiffen the linen or simply leave back a trace of white powder or scales. Mostly discharge emanates from the uterine cavity or vagina. In catarrhal or idiopathic variety of leucorrhoea the discharge is in mild and liquid form. The discharge from the uterus is often from uterine cavity. In some cases, the accompanying symptoms are: Lower abdominal pain Painful sexual act Backache and pain in the leg, especially thigh and calf muscles .....Health Naturally - 505.....

Intense itching with edema of vagina Soreness and burning in the genital tract Burning urination and frequent urge to pass very little urine Irritability and lack of concentration in work due to consciousness of discharges Digestive disturbances like constipation or diarrhea or vomiting General tiredness due to loss of vital fluids as discharges burning micturation In complicated and old cases black spots below the eyes are also seen. frequent headaches and vertigo feels weak and tired dullness on skin and dark circles frequent mood changes Trichomonal vaginitis: - Frothy, yellowish discharge is the primary symptom of leucorrhoea. Presence of local itching will confirm the diagnosis. Monolial vaginitis: -Commonly seen in patient, who are diabetic or pregnant, or taking antibiotics or oral contraceptive pills. Cervicitis: -It should be suspected in all patients of Leucorrhoea who also complain of low backache. Irritability and lack of concentration in work due to consciousness of discharges. DIAGNOSIS Leucorrhoea is mostly found to be hormonal. The occurrence, time and nature of the discharge also points out the diagnosis. History of present illness, menstrual & obstetric history, and past medical & drug history.

.....Health Naturally - 506.....

General health examination to detect ill-health, anemia or any systemic disease. Abdominal examination to detect any pelvic tumor or inflammatory lesion. Laboratory examination of vaginal discharge to detect the causing pathogen. o

Mostly, it can be easily differentiated as physiological or pathological leucorrhoea by a vaginal smear. It clearly tells us about the presence of bacteria or virus or fungus.

o

Also, sometimes cervix biopsy is absolutely necessary to rule out cancer of the cervix.

o

Culture and sensitivity test is helpful in identifying the bacteria, if any, and also provides the right choice of the drug to treat it.

o

Routine blood test gives some idea about the infection.

o

And, finally, urine test is also a must to rule out the spread of infection.

PREVENTION is always better than cure. So cleanliness is very important. The cause is determined, and treatment given accordingly. Physiological leucorrhoea needs no treatment other than some reassurance. Food habits and a good exercise regime play a very important role in the prevention and cure of this ailment. Avoid o

Stress and strain since it may affect the hormonal level and may increase secretions.

o

Sharing towels and underwear Synthetic or nylon underwear which cause dampness of genital organs. Always wear cotton underwear to avoid

o

moisture. .....Health Naturally - 507.....

o

Sexual intercourse during heavy discharges

o

Sexual intercourse without condoms while under treatment

o

Hygienic measures to keep genitals clean and wash underwear daily and make them sun dry.

o

Nutritious diet, especially food rich in vitamins A, B, C, E, magnesium and zinc, to improve general health

o

Plenty of water and juices to avoid urinary tract infection and its spread to the vagina or cervix.

o

Exercise improves blood circulation and tissue oxygenation, thereby replenishing the energy reserves of the body.

o

If one’s blood sugar levels are controlled and the immunity is raised by consuming the right kind of foods that provide all the necessary vitamins, oligo-elements, fats, proteins, and carbohydrates in optimum quantities, this condition can be easily overcome

Take

NATURE CURE AND YOGA TREATMENT Hydrotherapy ·

·

Cold hip bath for 20 minutes daily twice will help relieve congestion in the pelvic region and facilitate quick elimination of morbid matter A warm vaginal douche at 30 C to 40 C is beneficial for general cleaning and elimination of the purulent discharge.

·

Fenugreek douche: Two tablespoons of fenugreek seeds should be put into a litre of cold water and allowed to simmer for half an hour over a low flame. The decoction should then be strained and used as a douche.

·

Cold abdomen pack for 25 minutes daily

·

Cold immersion bath for 20 minutes alternate days

.....Health Naturally - 508.....

·

Neutral spinal bath for 20 minutes alternate days

·

A warm water enema daily

Massage therapy ·

Full body oil massage weekly thrice

·

Partial abdominal massage

Mud therapy ·

Full mud bath

·

Mud packs on the abdomen

Diet therapy 6am

:

2-3 glasses of water

7am

:

corriender water

8am

:

11am

:

soaked nuts papaya 1 bowl, lime juice with honey

1pm

:

4pm

:

roti, boiled vegs, Sprouts and veg salad, masala buttermilk fenugreek tea

6.30pm :

raw vegetables, sprouts, and veg clear soup

9.30pm :

milk with

Yoga therapy Surya namaskar Standing series: Ardhakatichkrasan Padahastasan Trikonasan Parshvakonsan IRT (instant relaxation technique)

.....Health Naturally - 509.....

Supine series: Uttitapadana Vipareethakarni Sarvangasana Hal asana Matsyasana Pavanamuktasana Prone series: Makarasana Bujangasana Shalabhasana (quick QRT relaxation technique) Sitting series: Paschimottasana Janushirasana Vajrasana Vakrasana Ardhamatsyendrasana Baddhakonasan Upavishtakonasana DRT (deep relaxation technique) Pranayama: Chandranuloma viloma Chandrabedhana Nadishodahna Bhramari Meditation: Nadanusandhana (A, U, M Kara chanting) OHM Kara chanting .....Health Naturally - 510.....

CHAPTER 58

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT AL SYNDROME FOR PREMENSTR PREMENSTRUAL

Premenstrual syndrome (PMS) (also called PMT or premenstrual tension) is a collection of physical, psychological, and emotional symptoms related to a woman’s menstrual cycle. Premenstrual syndrome is a disorder of non-specific somatic, psychological symptoms occurring in the premenstrual phase of menstrual cycle. It may occur 7-10 days before onset of bleeding. It is a combination of emotional, physical, psychological, and mood disturbances that occur after a woman’s ovulation and typically ending with the onset of her menstrual flow. The most common mood-related symptoms are irritability, depression, crying, oversensitivity, and mood swings with alternating sadness and anger. The most common physical symptoms are fatigue, bloating, breast tenderness (mastalgia), acne, and appetite changes with food cravings. About 80% of women experience some premenstrual symptoms. PMS (which is moderate to severe in intensity and affects a woman’s functioning) occurs in 20% to 30% of women. .....Health Naturally - 511.....

The mood changes surrounding this condition have been described as early as However, Greeks. the time of it was the not ancient until 1931 that this disorder was officially recognized by the medical community. The term “premenstrual coined in 1953. syndrome” was

CAUSES: Premenstrual syndrome occurs during the luteal phase of the menstrual cycle. This phase occurs immediately after an egg is released from the ovary and lasts from day 14 through day 28 of a normal menstrual cycle (day 1 is the day your period begins). During the luteal phase, hormones from the ovary cause the lining of the uterus to grow thick and spongy. At the same time, an egg is released from the ovary. If the egg meets sperm, it may implant in the lining of the uterus and grow. At this time, the level of a hormone called progesterone rises in the body, while the level of another hormone, estrogen, begins to drop. The shift from estrogen to progesterone may cause some of the symptoms of PMS. ·

Increase in the extra cellular water through out the body This may occur because of cycling in hormones that affect the kidneys, the organs that control the balance of water and salt in the body. Fluid overload may cause some of the symptoms of PMS, especially swelling and weight gain, and may also aggravate some negative self perceptions and thus worsen emotional symptoms at this stage of the menstrual cycle.

·

The estrogen level

·

Cyclical disturbance of Adreno-cortical function

·

A combination of psychological, genetic, nutritional, and behavioral factors. .....Health Naturally - 512.....

·

Women develop deficiencies in a part of their nervous system called the endorphin system. Endorphins are “feel good” hormones. Normal levels contribute to cheerful, happy moods and also make people less sensitive to pain. (Drugs such as heroin and morphine act like super endorphins.) A small amount of these “feel good” endorphins usually circulate in the body, but these levels drop during the luteal phase of the menstrual cycle. In some women, falling endorphin levels may lead to nausea, jumpiness, and various types of pain.

·

Diet may also be a factor in PMS. Progesterone, which affects insulin and levels of blood sugar, may affect alcohol tolerance and trigger the craving for sweets, especially simple sweets like candy and soda, which some women notice during the premenstrual phase. Such sweet foods break down very quickly in the body, so that blood sugar first goes up and then drops down low. Episodes of low blood sugar may contribute to both crying spells and the irritability that are part of PMS. Additionally, low levels of vitamin A, vitamin B6, and vitamin E may play a role in PMS.

·

Hormonal cycling also affects the level of serotonin, a brain chemical that regulates many functions, including mood and sensitivity to pain. Compared to women who do not have PMS, some women who experience PMS have lower levels of serotonin in their brains prior to their periods. Low serotonin levels are commonly associated with depression.

·

Another theory explaining PMS involves inflammatory substances called prostaglandins. Prostaglandins are produced in the areas where PMS symptoms originate, namely, breast, brain, reproductive tract, kidney, and gastrointestinal tract. This suggests they may play a role in problems such as cramping, breast tenderness, gas, diarrhea, and constipation.

.....Health Naturally - 513.....

PSYCHOLOGICAL MANIFESTATIONS OF PMS Include Mood: Anxiety, Depression, irritability, anger, confusion, forgetfulness, nervousness, mood swings, depression, , insomnia, hostility and the exacerbation of existing Psychiatric Ailments. Behavior - Cravings for sweets, increased eating, crying, poor concentration, sensitivity to noise, changes in alcohol tolerance PHYSICAL SYMPTOMS include irritability, lassitude, malaise, headache, colon spasm, constipation, frequency of micturation, weight gain up to 1- 1.5 kg or even up to 5 kg due to water retention, tenderness of breasts, Migraine, nausea, changes in energy level, swelling of arms and legs, feeling bloated, back pain, heart pounding, fatigue, dizziness, constipation or diarrhea and difficulty in sleeping. DIAGNOSIS: Your DOCTOR will talk with you about your symptoms and when they occur each month. Keep track of your symptoms, particularly noting when they occur during your menstrual cycle. If you have not already kept a diary, your doctor may ask you to keep accurate records of your symptoms throughout the next month or two. This diary gives you and your doctor a better understanding of your symptoms and how they relate to your menstrual cycle. ·

Various blood tests to rule out other illnesses.

·

To rule out a mental health disorder or to confirm the diagnosis of PMDD.

NATURE CURE and YOGA TREATMENT HYDROTHERAPY: These treatments should be avoided during the menstrual cycle. o o

Cold hip bath daily twice for a month for 20 minutes cold abdominal pack for 20 minutes .....Health Naturally - 514.....

o

Wet girdle pack for 30-45 minutes daily twice

o

Hot foot baths followed by cold compress on the lower abdomen Facial steam for 5–10 minutes regularly helps in providing relief

o

from headaches. o

Warm water bath provides relaxation and relieves fatigue and irritation.

MASSAGE: o Full body oil massage weekly twice o o

Partial massageto the abdomen twice weekly Headaches can be relieved by dry head massage followed by hot foot immersion for 20 minutes.

MUD THERAPY: o

Full mud bath twice weekly

o

Mud pack on the abdomen

DIET THERAPY: 6am

:

Triphala water

7am

:

lime juice with Jaggery

8am

:

1pm

:

poha and buttermilk 2 rotis, boiled vegs, sprouts, salad

4pm

:

7pm

:

pomegranate juice dahlia, boiled vegs

9.30pm :

milk with isabgol

YOGA THERAPY: Suryanamaskar standing series Padahastasana Tadasana

Ardhachakrasan .....Health Naturally - 515.....

Ardhakatichkrasan Trikonasan IRT (instant relaxation technique) supine series Vipareethakarni Sarvangasana Halasana Matsyasana Pavanamuktasana prone series Makarasana Bujangasana Shalabhasana Sitting series Vajrasana shashankasana Paschimottasana Baddhakonasan Upavishtakonasana DRT(deep relaxation technique) pranayama Chandranuloma viloma Chandrabedhana shitali, sheetkari, SadantaNadishodahna Bhramari Meditation A, U, M Kara chanting, OHM Kara chanting .....Health Naturally - 516.....

CHAPTER 59

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FORDFORDFORDFORDFOR DYSMENORRHEASMENORRHEASMENORRHEASMENORRHEASMENORRHEA

Dysmenorrhea is a Greek word which literally means “Painful Menstruation”. These are abdominal and pelvic pains experienced before and during Menstruation. Menstrual Cramps may last for hours or up to three days. The cramps may be mildly or severely painful and can be debilitating and can interfere in regular activities, sometimes leading to absences from work, school or other functions. Dysmenorrhea is caused by uterine contractions and can be aggravated by emotional stress. TYPES Dysmenorrhea can be classified into · ·

PrimaryDysmenorrhea Secondary Dysmenorrhea. Or ·

Congestive

·

Spasmodic

.....Health Naturally - 517.....

· ·

Membranous Primary Dysmenorrhea

Primary Dysmenorrhea is the more common form of Dysmenorrhea. It is the form of Dysmenorrhea that occurs with no underlying cause or not caused by any pelvic lesion. It can be caused by platelet aggregation, vasoconstriction, or dysrhythmic contractions with pressure higher than systemic blood pressure. It is also believed to be caused by prostaglandins, a hormone-like substance produced by the uterine tissue, which triggers strong muscle contractions in the uterus during Menstruation. Genetics, stress, Obesity, cigarette smoking and body type also play a part since some Women has high prostaglandin levels but do not experience Menstrual Cramps. Primary Dysmenorrhea symptoms include Headaches, nausea, vomiting and diarrhea. The pain usually occurs a few hours before the bleeding, comes to a peak within a few hours, and subsided within one to two days. Rest, heating pad on abdomen or back, aerobic exercise, nutrition, and medication are common therapies for Primary Dysmenorrhea. A balanced diet which includes an adequate amount of calcium, adequate fluid intake and Vitamin B6 can be great help in preventing or alleviating the pain. Medication may include non-steroidal anti-inflammatory drugs such as aspirin and ibuprofen, and hormonal alternation of the menstrual cycle. Hormonal alternation includes the use of oral contraceptives to prevent ovulation and decrease the thickness of the uterine lining which result to lesser prostaglandin production. ·

Secondary Dysmenorrhea

Secondary Dysmenorrhea is related to the presence of pelvic lesions such as endometriosis (implant of endometrial tissue outside the uterus), adenomyosis (benign growth of endometrial tissue in the uterine walls), pelvic inflammation, congenital uterine or vaginal abnormalities, leiomyoma, or cervical stenosis. The use of Intrauterine Device can also cause Secondary Dysmenorrhea. .....Health Naturally - 518.....

Pain starts a few days before Menstruation and usually lasts several days after onset of flow. The onset of the peak period does not happen as clearly or quickly as Primary Dysmenorrhea. The pain may also occur at other times of the month. Symptoms include continuous pain, tenderness of the pelvis, nausea, vomiting, headache, diarrhea, quivering, rapid heartbeat, and sweating. Secondary Dysmenorrhea can also be treated with the use of non steroidal anti-inflammatory drugs like aspirin, ibuprofen, naproxen or acetaminophen. Birth control pills can also be effective. However, the treatment of this kind of Dysmenorrhea depends on the cause. Surgical or medical treatment may be needed. ·

congestive dysmenorrhea

This takes form of premenstrual pain situated either in the back or lower abdomen. Occurs 3-5 days before or even longer before menstruation. It’s relieved by menstrual flow. The inflammatory disease of pelvis or pelvic adhesions also produces symptoms of congestive dysmenorrhea. Or the pain or discomfort is referred to one or the other iliac fosa, usually the left and it is accompanied by an alteration in bowel habit, usually constipation, with some flatulent distension of upper colon. The correct treatment is appropriate diet and avoidance of excess carbohydrate and strong purgatives. Exercise is very important as they are sedentary office workers. ·

Spasmodic Dysmenorrhea

Nearly 50% of the females suffer from various degrees of this symptom though 10% seek medical advice. The pain develops on the first day of the menstrual period. Excruciating lower abdominal pain is experienced which lasts for a short time for half to one hour. The pain is severe, intermittent and spasmodic. It may cause vomiting, nausea, fainting, or collapse. The severe attack of pain is followed by a similar but less pronounced type of pain which is felt in the lower abdomen and pubis and down the antero-medial area of thighs.

.....Health Naturally - 519.....

This pain may persist for about 12hours. Similarly premenstrual pain may be either in the back, lower abdomen where excruciating pain is felt on the first day of the period Some amount of menstrual irregularity is common with this type. The onset of puberty may be delayed, and the cycle is irregular. The amount of blood passed during each period is less than the average and pain is relieved by passage of clot. Spasmodic dysmenorrhea is usually cured by pregnancy. Causes: The pain due to muscular spasm is intense to cause ischemia. The following factors have been implicated in its causation. o

Cervical obstruction

o

Endocrinal factors

o

Imbalance in the autonomic nerve pathway

o

IUCD

Investigation: Depends on the severity of the symptoms and pelvic pathology. These investigations are made only when therapeutic trail fails.

·

o

Ultrasound,

o

Hysterosalpingography

o

Laparoscopy

o

Hysteroscopy investigations

Membranous Dysmenorrhea

This is an extreme form of spasmodic dysmenorrhea. It is rare and said to run in families and recurs after pregnancy. The dysmenorrhea accompanies passage of membranes which may take the form of casts of uterine cavity. NATURE CURE AND YOGA TREATMENT: Hydrotherapy: ·

Cold hip bath for 20 minutes daily twice .....Health Naturally - 520.....

·

Cold abdomen pack for 25 minutes daily

· ·

Cold immersion bath for 20 minutes thrice weekly Neutral spinal bath for 20 minutes alternate days

·

Steam bath for 20 minutes daily

·

Sauna bath for 10-15 minutes

Massage therapy: ·

Full body massage

·

Partial massage to abdomen

Mud therapy: ·

Full mud bath

·

Cold Mud pack on abdomen

Diet therapy: 6am

:

dry ginger powder ½ spoon+ water 1glass + Jaggery

7am

:

8am

:

Dates water (soak 4 dates overnight, make Paste of it in the morning, dilute and drink) carrot juice and papaya

11am

:

dudhi juice

1pm

:

Jowar roti (2), boiled vegetables, chutney (of Garlic, ginger, onion)

4pm

:

carrot juice

7pm

:

dahlia, boiled vegetables, soup

9.30 pm :

warm Triphala (1/2 spoon) water

Yoga therapy: Suryanamaskar standing series Padahastasana Ardhacakrasana

.....Health Naturally - 521.....

IRT (instant relaxation technique) supine series Vipareethakarni Sarvangasana halasana Matsyasana Pavanamuktasana prone series Bujangasana Makarasana

Shalabhasana Sitting series Paschimottasana Vajrasana

Baddhakonasan Upavishtakonasana DRT(deep relaxation technique) pranayama Chandranuloma viloma Chandrabedhana shitali, sheetkari, SadantaNadishodahna Bhramari Meditation A, U, M Kara chanting, OHM Kara chanting

.....Health Naturally - 522.....

CHAPTER 60

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR PCOD

DESCRIPTION Polycystic ovarian disease is a condition characterized by presence of multiple small cysts in the ovaries associated with high male hormone levels, infrequent or absence of ovulation and other metabolic disturbances. Polycystic Ovary Syndrome (PCOS) is one of the most common female endocrine disorders affecting approximately 5%-10% of women of reproductive age (12–45 years old) and is thought to be one of the leading causes of female infertility Polycystic ovarian syndrome (PCOS), also known by the name Stein Leventhal syndrome, is a hormonal problem that causes women to have a variety of symptoms. It should be noted that most women with the condition have a number of small cysts in the ovaries. However, women may have cysts in the ovaries for a number of reasons, and it is the characteristic constellation of symptoms, rather than the presence of the cysts themselves, that is important in establishing the diagnosis of PCOS. .....Health Naturally - 523.....

Polycystic ovary disease affects hormone cycles. Hormones help regulate the normal the ovaries. development It is not completely of eggs in cyclesor how understood why hormone are interrupted, although there are several ideas. Follicles are sacs within the ovaries that contain eggs. In polycystic ovary disease, there are many poorly developed follicles in the ovaries. The eggs in these follicles do not mature and, therefore, cannot be released from the ovaries. Instead, they form cysts in the ovary. This can contribute to infertility. The immature follicles and the inability to release an egg (ovulate) are likely caused by low levels of follicle stimulating hormone (FSH), and higher than normal levels of male hormones (androgens) produced in the ovary. Women are usually diagnosed when in their 20s or 30s. Women with this disorder often have a mother or sister who has symptoms similar to polycystic ovary disease. The symptoms of PCOS may begin in adolescence with menstrual irregularities, or a woman may not know she has PCOS until later in life when symptoms and/or infertility occur SYMPTOMS Common symptoms of PCOS include Oligomenorrhea, amenorrhea — irregular, few, or absent menstrual periods. Infertility, generally resulting from chronic anovulation (lack of ovulation). .....Health Naturally - 524.....

symptoms Hirsutism — excessive mild of hyperandrogenism, such as acne or hypermenorrhea, are frequent in adolescent girls and are often associated with irregular menstrual cycles. In most instances, these symptoms are transient and only reflect the immaturity of the hypothalamic-pituitary ovarian axis during the first years following menarche. Approximately three-fourths of patients with PCOS have evidence of hyperandrogenemia. Absent periods, usually (but not always) after having one or more normal menstrual periods during puberty (secondary amenorrhea) Acne that gets worse Decreased breast size Development of male sex characteristics (virilization), such as increased body hair, facial hair, a deepening of the voice, male pattern baldness, and enlargement of the clitoris Diabetes Increased hair growth; body hair may be in a male pattern Infertility Poor response to the hormone, insulin (insulin resistance), leading to a build-up of insulin in the blood Weight gain, or obesity Serum insulin, insulin resistance and homocysteine levels are significantly higher in subjects having PCOS but have no significant effect on fertility CAUSES The exact cause for polycystic ovarian disease is not known but some of the factors that may play a role are:

.....Health Naturally - 525.....

Excess insulin production by pancreatic is believed to produce excess androgen. This disrupts the normal menstrual cycle and may lead to infertility, excess body hair and acne. Positive family history wherein if your mother or sister has PCOD, you might have a greater chance of having it, too. Low grade inflammation has been seen more frequently in women with PCOD. Another hormonal abnormality in women with PCOS is excessive production of the hormone LH, which is involved in stimulating the ovaries to produce hormones and is released from the pituitary gland in the brain. It includes chronic nonovulation and hyperandrogenemia associated with normal or raised estrogen, raised LH and a low FSH: LH ratio. The fault lies in ovary itself, but may also be related hypothalamic-pituitary-ovarian axis and adrenal gland. CHANGES IN OVARY Macroscopically, the ovaries are bilaterally enlarged, 2-3 times the size, with thick capsule. The surface may be lobulated but peritoneal surface is free of adhesions. Multiple cysts 0.5-1mm and up to 20 mm in size are localized along the surface of ovary giving a ‘necklace’ appearance on ultrasound. DIAGNOSIS Enlargement of ovaries and clitoris are the signs of polycystic ovarian disease.

.....Health Naturally - 526.....

Diagnosis of polycystic ovarian disease is done on the basis of medical history, pelvic examination, pelvic ultrasound, vaginal ultrasound, abdominal ultrasound, abdominal MRI, gynecologic ultrasonography, laproscopy, biopsy of the ovary, and blood tests for thyroid function test; serum levels of estrogen, androstenedione, testosterone and dehydroepiandrosterone sulfate. elevated levels of a milk-producing hormone (prolactin) Some other blood tests are suggestive but not diagnostic. The ratio of LH (Luteinizing hormone) to FSH (Follicle stimulating hormone) is greater than 1:1, as tested on Day 3 of the menstrual cycle. The pattern is not very specific and was present in less than 50% in one study. There are often low levels of sex hormone binding globulin, particularly among obese women COMPLICATIONS WITH PCOD Women with PCOS are at a higher risk for a number of illnesses, including High blood pressure, diabetes, heart disease, and cancer of the uterus (endometrial cancer) metabolic syndrome .....Health Naturally - 527.....

Skin pigmentation can also occur with PCOS. Acanthosis nigricans refers to the presence of velvety, brown to black pigmentation often seen on the neck, under the arms, or in the groin. weight gain, stroke, miscarriage endometrial hyperplasia, Abnormal uterine bleeding. Infertility NATURE AND YOGA TREATMENT Hydrotherapy ·

Cold hip bath for 20 minutes daily twice

·

Cold abdomen pack for 25 minutes daily

·

Cold immersion bath for 20 minutes alternate days

·

Vaginal basti

·

Neutral spinal bath for 20 minutes alternate days

·

Cold abdominal pack for 30 mins daily twice

·

Warm water enema Pelvic pack for 45 mins alternate days

·

Massage therapy ·

Full body oil massage weekly thrice

·

Partial lower abdominal and low back massage

Mud therapy · ·

Full mud bath Mud packs on the abdomen

Diet therapy 6am

:

lime water with 2 tea spoon honey

7am

:

ginger tea .....Health Naturally - 528.....

8am

:

papaya 1 bowl, 10 almonds, 2 figs

1pm

:

veg soup, boiled yam, salad

4pm

:

6.30pm :

mosambi juice sprouted green gram, papaya, veg soup

9.30pm :

hot water with 2 spoons gooseberry powder

Yoga therapy Surya namaskar Standing series: Ardhakatichkrasan Trikonasan Padahastasan

Parshvakonsan IRT (instant relaxation technique) Supine series: Uttitapadana Vipareethakarni Sarvangasana Hal asana Matsyasana Pavanamuktasana Prone series: Makarasana Bujangasana Shalabhasana QRT (quick relaxation technique) Sitting series: Paschimottasana Janushirasana .....Health Naturally - 529.....

Vajrasana Ardhamatsyendrasana Vakrasana

Baddhakonasan Upavishtakonasana DRT (deep relaxation technique) Pranayama: Chandranuloma viloma Chandrabedhana Nadishodahna Bhramari Meditation: Nadanusandhana (A, U, M Kara chanting) OHM Kara chanting

.....Health Naturally - 530.....

CHAPTER 61

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR MENORRHA MENORRHAGIAGIAGIAGIAGIA

Description A normal menstrual blood loss is 50-80 ml and does not exceed 100 ml. in menorrhagia the cycle is unaltered but the duration and quantity of menstrual loss is increased. Menorrhagia is not a disease but a symptom. The causes may be difficult to detect. Causes: due to some general diseases, - local causes, - endocrine disorders (dysfunctional uterine bleeding - contraceptives, - iatrogenic Diagnosis: - History - Full general examination - Ultrasound .....Health Naturally - 531.....

- Diagnostic Curettage - Hysterosalpinogram NATURE CURE TREATMENT Hydrotherapy: - cold abdomen pack for 25 minutes daily twice – ice packs on the lower abdomen for 15 minutes - cold hip bath for 20minutes daily twice - cold spinal bath alternate days for 20 minutes - Cold water enema daily Mud therapy: - Full mud bath - Mud pack on the lower abdomen for 20 minutes daily twice Diet therapy: 6am 7am 8am 8am

-

warm water with Avla churan ( 2 spoon) black raisin water ( soak 6 black raisin in water overnight, eat the raisins and water ) pomegranate juice

11am

-

buttermilk

1.00 pm 4.00 pm 7 pm 9.30pm -

brown rice and dhal of moong dhal musumbi juice Jowar roti, boiled dudhi vegetables, buttermilk isabgol with water

Massage therapy: full body massage partial massage to lower abdomen Yoga therapy: SuryaNamaskar standing series padahastasana

.....Health Naturally - 532.....

ardhachakrasana IRT (instant relaxation technique) supine series vipareetakarani sarvangasana halasana matsyasana pavanamuktasana prone series makarasana bujangasana shalabhasana Sitting series vajrasana paschimotasana baddhakonasana pavistakonasana DRT(deep relaxation

technique)

pranayama chandranulomaviloma chandrabedhana shitali, sheetkari, sadanta nadishodhana brahmari meditation A, U, M kara

chantings,

OHM kara chanting

.....Health Naturally - 533.....

CHAPTER 62

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR FIBROIDS

DESCRIPTION Also called as Fibromyoma, Leiomyoma, or Myoma Each Myoma is derived from smooth muscle cell rests from vessel walls or uterine musculature. Growth of Myoma depends on the estrogen levels. A Fibroid is well circumscribed tumor. It’s firm, pinkish white on cut surface. The connective tissue on the capsule fixes the tumor to the myometrium .The vessels lie in the capsule of tumor and send radial branches into the tumor. Due to less blood supply on the central part, it gets degenerated first. The calcification starts at the periphery and spreads inwards. ·

Myomas are rarely found before puberty and cease to grow after menopause, new Myomas don’t grow.

·

Along with fibroids, endometrial hyperplasia, dysfunctional metropathic bleeding and endometrial carcinoma may develop due to high estrogen levels.

.....Health Naturally - 534.....

·

They may increase in size during pregnancy and with oral contraceptives.

·

Large doses of progesterone for 14- 21 days of the cycle inhibits the growth of Myomas.

CLASSIFICATION The classification is based on the site of its presence. There are 3 types of fibroids. ·

Intramural This type grows symmetrically and remains within the myometrial wall. Also called as interstitial myoma

·

Subserous The tumour grows outwards towards the peritoneal surface and shows a bossy growth. This further extrudes outwards with a pedicle developed to it. And this can also be known as pedunculated fibroid.

·

Submucous This type of myoma on the uterine cavity and is covered by thin endometrium. This is due to the pedunculated fibroid which rarely may get attached to a vascular organ and is cut off from its uterine origin (parasitic fibroid). And the uterine contractions may force the myoma towards the cavity.

SITE OF PRESENCE: According to their place of situation, Myomas are divided into 2 types. ·

Intra uterine

·

Extra uterine

Intra Uterine: Majority of fibroids arise in the uterus. Then further divided into the one arising from the body of the uterus, and from the cervix. The Subserous and cervical myoma are more fibrous and less muscular. .....Health Naturally - 535.....

Fibroid causes hyperplasia of the myometrial wall. The cavity of uterus gets distorted and enlarged. The endometrium tends to get thickened due to endometrial hyperplasia. Ovaries may get enlarged, cystic and hyperemic. Extra uterine: The areas outside the uterus where fibroids arise are from round ligament, or uterovarian, or from uterosacral ligaments. The cervical, Submucous, and broad ligament fibroids are usually single. The interstitial and Subserous fibroids are may be single, or multiple varying in size from a seedling to a huge neoplasm. SYMPTOMS ·

Menorrhagia, polymenorrhea, metrorrhagia

·

Infertility, recurrent abortions

·

Pain

·

Abdominal lump

·

Pressure symptoms

·

Vaginal discharge

PHYSICAL CHANGES: ·

Anemia,

·

Abdominal lump May be felt arising from the pelvis, with well defined margins firm in consistence, smooth or bossy surface. The tumour may be mobile from side to side unless fixed by large size or adhesions. Ascites rarely

·

·

Bimanual examination reveals ·

Enlarged uterus, regular or bossy depending on the size and number of tumors.

·

The cervix moves with the swelling .....Health Naturally - 536.....

SECONDARY CHANGES: Fibroids get ·

Atrophied

·

Degenerated (calcareous, red)

·

Sarcomatous

·

Torsion

· ·

Inversion Capsular changes

·

Infection

·

Associated endometrial carcinoma

INVESTIGATIONS ·

Hemoglobin, blood group

·

Ultrasound

· ·

Hysterosalpingography Hysteroscopy

·

D and C

·

Laproscopy

·

X-Ray

·

CT scanning

·

IVP

NATURE CURE AND YOGA TREATMENT Hydrotherapy: ·

Cold hip bath for 20 minutes daily

·

Cold immersion bath 20 minutes alternate days.

·

Cold abdomen pack for 20 minutes daily twice.

·

Neutral spinal bath for 2o minute alternate days.

·

Vaginal basti with neem decoction

.....Health Naturally - 537.....

Mud therapy: ·

Full mud bath twice weekly

·

Mud pack on lower abdomen

Massage therapy: ·

Full body massage twice weekly

·

Partial massage to abdomen daily

Diet therapy: boiled piplamool ½ spoon + 300 ml water + sugar

6am 7am

:

black raisin water (6 raisins soaked overnight)

8am

:

chickoo + 4 almonds + banana + 1 cup milk

1pm

:

chapathi+ boiled vegetables or rice and sambar

4pm

:

musumbi juice

6pm

:

tender coconut water

8.30pm : 9.30pm

brown rice + sambar + papaya or apple 2 spoons gooseberry churan with 200 ml water.

Yoga therapy: Surya namskar Standing series: Ardhakatichkrasan Padahastasan Trikonasan Parshvakonsan IRT (instant relaxation technique) Supine series: Uttitapadana Vipareethakarni .....Health Naturally - 538.....

Sarvangasana Hal asana Matsyasana Pavanamuktasana Prone series: Makarasana Bujangasana Shalabhasana QRT (quick relaxation technique) Sitting series: Paschimottasana Janushirasana Vajrasana Ardhamatsyendrasana Vakrasana

Baddhakonasan Upavishtakonasana DRT (deep relaxation technique) Pranayama: Chandranuloma viloma Chandrabedhana Nadishodahna Bhramari Meditation: Nadanusandhana (A, U, M Kara chanting) OHM Kara chanting

.....Health Naturally - 539.....

CHAPTER 63

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR STERILITY

Sterility, also referred to as infertility, is defined as an inability to conceive a child after trying to do so for at least one year. Infertility primarily refers to the biological inability of a person to contribute to conception. Infertility may also refer to the state of a woman who is unable to carry a pregnancy to full term. There are many biological causes of infertility, some which may be bypassed with medical intervention. Sterility can affect both men and women, with the cause involving either one or both parties. Women who are fertile experience a natural period of fertility before and during ovulation, and they are naturally infertile during the rest of the menstrual cycle. Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature. For a man to be fertile, the testicles must produce enough healthy sperm to be ejaculated effectively into the woman’s vagina. .....Health Naturally - 540.....

For a woman to be fertile, the ovaries must release healthy eggs regularly. In addition, her reproductive tract must allow the eggs and sperm to pass into her fallopian tubes to become fertilized and implanted in the uterus. Reproductive endocrinologists, the doctors specializing in infertility, considers a couple to be infertile if: o The couple has not conceived after 12 months of contraceptive free intercourse if the female is under the age of 34. 12 months is the lower reference limit for Time to Pregnancy (TTP) by the World Health Organization. o The couple has not conceived after 6 months of contraceptive free intercourse if the female is over the age of 35 (declining egg quality of females over the age of 35 accounts for the age-based discrepancy as when to seek medical intervention). Alternatively, the NICE guidelines define infertility as failure to conceive after regular unprotected sexual intercourse for 2 years in the absence of known reproductive pathology FACTORS THAT CONTRIBUTE TO STERILITY There are many factors that contribute to sterility such as age, lifestyle, physical, and environmental conditions. Sterility is an emotional journey for the couple trying to become pregnant, and feelings of anger, guilt, and depression are not uncommon. Risk factors for both men and women are the same and these include stress, being underweight or overweight, diet, smoking, alcohol and drugs. TYPES: Sterility is classified into two groups, primary and secondary. Primary sterility means that a pregnancy has never occurred. Primary sterility can be due to the male or the female partner.

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Secondary fertility involves who have conceived previously, but is now unable to do so because of a possible physical or medical condition impairing fertility. A woman who keeps having miscarriages is also considered infertile. secondary sterility is only due to problems with the woman’s reproductive system CAUSES: Age plays quite a critical role, as fertility peaks for both men and women in their mid-twenties. Male fertility starts declining in their thirties, while women older than 35 years may experience problems conceiving. Factors that can cause male as well as female infertility are: Genetic Factors o

A Robertsonian translocation in either partner may cause recurrent spontaneous abortions or complete infertility. General factors

o

Diabetes mellitus, thyroid disorders, adrenal disease Hypothalamic-pituitary factors

o

Kallmann syndrome

o

Hyperprolactinemia

o

Hypopituitarism Environmental Factors

o

Toxins such as glues, volatile organic solvents or silicones, physical agents, chemical dusts, and pesticides. Tobacco smokers are 60% more likely to be infertile than non-smokers. Smoking reduces the chances of IVF producing a live birth by 34% and increases the risk of an IVF pregnancy miscarrying by 30%. German scientists have reported that a virus called Adeno associated virus might have a role in male infertility, though it is otherwise not harmful. Mutation that alters human DNA .....Health Naturally - 542.....

adversely can cause infertility, the human body thus preventing the tainted DNA from being passed on. This could explain why some radiation victims from Chernobyl incident could not produce children. The Most Common Causes of Male Sterility: There are several causes of male sterility, including: o

Abnormal sperm production

o

Impaired delivery of sperm

o

Testosterone deficiency

o

Genetic defects

o

Un-descended testes

Also, erectile dysfunction or low libido can make the process of procreation that much more difficult. Common Causes of Female Sterility: The most common causes of female sterility include: o Fallopian tube damage or blockage o

Ovulation disorders

o

Polycystic ovary syndrome (PCOS)

o o

Endometriosis Early menopause

o

Pelvic adhesions

o o

Benign uterine fibroids age-related factors

o

uterine problems

o

previous tubal ligation

DIAGNOSING STERILITY If you and your partner have been trying for more than a year to become pregnant, or both of you are over thirty and battling, it is

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good idea consult your gynecologist, obstetrician or urologist for further investigation. It is important to undergo a thorough fertility evaluation to determine the problem. Testing for Men In the case of men, a general physical examination will be performed, with discussions concerning medical history, illnesses, disabilities, medications and sexual habits. Tests such as semen analysis, hormone testing, transrectal and scrotal ultrasound may also be performed. The alterations of the seminal parameters are a simple symptom! It is always necessary to define the cause in order to apply an adequate therapy. 1) The history of the patient is fundamental in order to reveal possible damaging elements in his life habits (smoking, alcohol, narcotics, a life rhythm which is too intense with too few hours of sleep, sexual habits, etc.) and risk in his professional life and in his environment (excessive heat, radiation, solvents, pesticides, estrogens in his food, anabolic steroids, magnetic fields, etc.) 2) The semen examination: This must always be carried out in a laboratory that is specialized and executed solely according to the World Health Organization standards. This is an element of the diagnostic and prognostic fundamentals and therefore should be absolutely reliable! It is always a good idea that the patient follow through with at least two examinations in order to discriminate the pathology from that which are merely physiological oscillations in the production of sperm. 3) The dosage of hormones in the functioning of the reproductive activity is now available at any laboratory. 4) Research into possible infections of the seminal paths (spermioculture). 5) Ecographical appraisal of the testicles, prostrate and seminal vesicles (always to be followed-through by a clinical research specialist). .....Health Naturally - 544.....

6) Eco-color - scrotal Doppler: This is the only means to a true and reliable diagnosis to point out varicocele, which we have seen as one of the main causes (approximately 20%). 7) In selected cases, the Andrologist will point out other assessments aimed at an in- depth look at seminal examination, a chromosome map, immunological tests, studies of the spermatozoa in electronic microscope, etc. Testing for Women Women should track their ovulation by recording their basal body temperature for several months, checking their cervical mucus using a home ovulation test kit. History of the female patient: o Pregnancy history, including any miscarriages, voluntary terminations, and live births o

Your basal body temperature chart, optimally for the previous three consecutive months or more

o

Prior and current illnesses, including sexually transmitted diseases

o

Previous surgeries, hospitalizations and treatments

o

Allergies

o

Prescription and recreational drug use (including alcohol), past and present

o

Measles (rubella) exposures or inoculations

o

DES exposure in-utero

o

Exercise habits

o

Smoking history

o

Sexual activity history

o

Sexual practices, including contraception history, lubricant use, technique and timing

o

Family history of fertility .....Health Naturally - 545.....

o

Menstrual history

o

Following your medical history, your physician may wish to conduct a pelvic examination, including routine Pap test and STD evaluation.

Blood tests or vaginal smears on certain days of your menstrual cycle, specifically: o

Estradiol (E2): Day of LH surge, as detected by BBT and/or OPK (generally mid-cycle)

o

Total & free testosterone

o o

Thyroxin (T4), TSH, Free T3 Luteinizing hormone (LH): Day 3 & Day of surge

o

Follicle stimulating hormone (FSH): Day3 & Day of LH surge

o

Prolactin

o

Progesterone: Day of LH surge

o

DHEAS

Other tests that may be performed initially include: o

STD cultures or DNA probe

o

VDRL for syphilis

o

HIV & hepatitis screen

o

Complete blood count (CBC)

o

Urinalysis

o

Fasting insulin

o

Sedimentation (Sed) blood rate

o

Sickle cell screen

Additional tests to determine sterility include o

blood tests,

o

an ultrasound of the ovaries,

o

Hysterosalpingography to check for physical problems of the uterus and fallopian tubes. .....Health Naturally - 546.....

o

A laparoscopy can check the ovaries, fallopian tubes, and uterus for disease. In many instances, sterility may be unexplained, but fertility treatments will be able to help. Once a diagnosis has been made, you and your partner can consider the various treatment options.

NATURE CURE AND YOGA FOR STERILITY IN WOMEN Hydrotherapy: o

Cold hip bath daily 20 for mins

o

Cold immersion bath with friction twice weekly Kidney pack for 30 mins twice weekly

o o o

Pelvic pack for 30-45 mins twice weekly. Warm enema twice weekly

o

Wet girdle pack 30 minutes daily thrice

o

vaginal basti

Massage therapy: o

Full body oil massage weekly once

o

Partial lower abdominal massage weekly twice

Mud therapy: o o

Full mud bath once a week Mud pack on the lower abdomen

Diet therapy 6AM

:

7am

:

8am

:

11am

:

black raisins water (soak raisins in 200 ml water overnight, grind and strain) lime juice with honey pomegranate juice bottle gourd juice

1pm : 4 pm : 7.30 pm:

2 barley rotis, boiled bottle gourd vegs, buttermilk pomegranate juice barley dahlia and milk

9.30pm :

rose milk .....Health Naturally - 547.....

Yoga therapy: Kriya: vamana dhouti Suryanamaskar Standing series Tadasana Padahastasana Ardhakatichkrasan Ardhacakrasana Supine series Uttitapadana Pavanamuktasana Vipareethakarni Sarvangasana Matsyasana Quick relaxation technique Prone series Bujangasana Makarasana

Ardhashalabhasana Sitting series Siddasana Paschimottanasana Vajrasana

Ardhamatsyendrasana Vakrasana

Baddhakonasan Upavishtakonasana Deep relaxation technique .....Health Naturally - 548.....

Pranayama Kapalbhati Shitali, shitkari, Sadanta Chandranuloma viloma Chandrabedhana Nadishodana Bhastrika Bhramari Meditation A, U, M Kara chanting OHM Kara chanting Bajans Yoga nidra Hydrotherapy: o

Cold hip bath daily 20 for mins

o

Cold immersion bath with friction twice weekly Kidney pack for 30 mins twice weekly

o o o

Pelvic pack for 30-45 mins twice weekly. Warm enema twice weekly

o

Wet girdle pack 30 minutes daily thrice

Massage therapy: o

Full body oil massage weekly once

o

Partial lower abdominal massage weekly twice

Mud therapy: o o

Full mud bath once a week Mud pack on the lower abdomen

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Diet therapy o

6AM 8am

:coconut water : 4 dry figs, 10 almonds, warm milk with 1 tea spoon asparagus, and 1 tea spoon ashwagandha, and wheat germ dahlia

11am

:

chew 2-3 mosambi

1pm

:

2 wheat Soya chapatis, boiled vegs, moong dhal sprouts, salad, curds, 4 roasted garlic in 1 sp ghee.

4 pm 6 pm

fruits and 4 walnuts :

2 millet (ragi) rotis with ghee and boiled vegs

9.30pm :

warm milk with 1 tea spoon asparagus, and 1 tea spoon ashwagandha,

Yoga therapy: Kriya: vamana dhouti Suryanamaskar Standing series Tadasana Padahastasana Ardhakatichkrasan Ardhacakrasana Supine series Uttitapadana Pavanamuktasana Vipareethakarni Sarvangasana Matsyasana Quick relaxation technique Prone series .....Health Naturally - 550.....

Bujangasana Makarasana

Ardhashalabhasana Sitting series siddasana Paschimottanasana Vajrasana

Ardhamatsyendrasana Vakrasana

Deep relaxation technique Pranayama Kapalbhati Shitali, shitkari, sadantha Chandranuloma viloma Chandrabedhana Nadishodana Bhastrika Bhramari Meditation A, U, M Kara chanting OHM Kara chanting Bajans Yoga nidra

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CHAPTER 64

TURE CURE Y NATURE YOGOGOGOGOGA MANAMANAMANAMANAMANAGEMENTGEMENTGEMENTGEMENTGEMENT FOR MEN MENAPAPAPAPAPAUSEUSEUSEUSEUSE

NATURE CURE AND YOGA FOR MENOPAUSE Description: Menopause is a part of every woman’s life. Menopause is a term used to describe the permanent cessation of ovarian function which results in the cessation of ova release, uterine lining creation, and subsequent uterine lining shedding (a.k.a. menses). Menopause typically (but not always) occurs in women in midlife, during their late 40s or early 50s, and signals the end of the fertile phase of a woman’s life. It is associated with hormonal, physical and psychological changes. These changes can occur gradually or abruptly. It may start 2-3 years before menopause and continue for 2-5 years after it. It can start as early as the age of 30 and last until as late as the age of 60. It can also occur when the ovaries are removed or stopped functioning due to some disorder. The word “menopause” literally means the “end of monthly cycles” from the Greek word ‘pausis’ (cessation) and the root ‘men’ (month), .....Health Naturally - 552.....

because the word “menopause” was stopping monthly by change permanent females, menses. traditionally created to where of describe indicated thethis end menstruation the of fertility in human or is

Menopause is not an illness but a natural biological process. Causes: Menopause occurs due to a complex series of hormonal changes. Associated with the menopause is a decline in the number of functioning eggs within the ovaries. Most eggs die off through a process called atresia (the degeneration and subsequent resorption of immature ovarian follicles - fluid filled cysts that contain the eggs). Normally, FSH, or follicle-stimulating hormone (a · reproductive hormone), is the substance responsible for the growth of ovarian follicles (eggs) during the first half of a woman’s menstrual cycle. As menopause approaches, the remaining eggs become more resistant to FSH, and the ovaries dramatically reduce their production of estrogen. · Estrogen affects many parts of the body, including the blood vessels, heart, bone, breasts, uterus, urinary system, skin, and brain. Loss of estrogen is believed to be the cause of many of the symptoms associated with menopause. At the time of menopause, the ovaries also decrease their production of testosterone-a hormone involved in the libido, or sexual drive As part of the aging process the ovaries begin to produce less estrogen and progesterone. This decrease signals the beginning of the end of a woman’s reproductive years. Eventually the menstrual periods stop and it is no longer possible for a woman to become pregnant. Normally this transition progresses in two stages. .....Health Naturally - 553.....

·

Perimenopause

In this stage women begin to experience the symptoms of menopause even though they are still experiencing ovulation and having menstrual periods. In this phase hot flashes and irregular periods begin to occur but it may be four to five years before full menopause sets in. ·

Postmenopause

When twelve months have passed with no menstrual periods occurring, a woman has reached full menopause. The ovaries produce significantly less estrogen and progesterone and no longer release eggs; consequently pregnancy is no longer possible. Premature menopause: The average age of US women at the time of menopause is 51 years. The most common age range at which women experience menopause is 48-55 years. If menopause occurs in a woman younger than 40 years, it is considered to be premature. Menopause is considered late if it occurs in a woman older than 55 years. For most women, menopause is a normal occurrence. o

Menopause is more likely to occur at a slightly earlier age in women who smoke, have never been pregnant, or live at high altitudes.

o

If premature menopause occurs, a health care practitioner will check for other medical problems. About 1% of women experience premature menopause.

Surgical menopause: Surgical menopause is menopause induced by the removal of the ovaries. Women who have had surgical menopause often have a sudden and severe onset of the symptoms of menopause. Changes in the body: o

Ovarian activity declines. .....Health Naturally - 554.....

o

Ovulation fails, no corpus luteum is formed

o o

No progesterone is secreted by ovary. The menstrual cycle becomes anovulatory and irregular.

o

Later estrogenic activity also diminishes and

o

Atrophic endometrium ensues leading to menopause.

o

o

As a result of cessation of ovarian activity and fall in estrogen level there is increase in secretion of FSH by the anterior pituitary gland. FSH level rises so much making the menopausal urine a

o

commercial source of gonadotropin (HMG). Also local atrophy of the generative organs takes place.

Menopausal symptoms: ·

Menstrual: the three classical ways in which the period ceases are,

o

Sudden cessation

o

Gradual reduction in the amount of loss of blood with each regular period until cycle stops

o

Gradual increase in the spacing of periods until they cease for at least six months. Although, menopause occurs only one year after the cessation of menstruation, any woman who bleeds after a gap of six months from post- menopausal bleeding, Continuous bleeding, menorrhagia or irregular bleeding is not normal. They must be investigated.

·

Cardiovascular:

o

Hot flushes and sweating are suffered by the 85% women.

o

The flushing are waves of vasodilatation affecting the face and neck which lasts for about 2 minutes and are frequently followed by severe sweating.

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o

Several flushes occur at night. But in nervous women it’s worst at night.

o

The profuse sweating disturbs sleep.

o

Palpitations, anginal pains of effort are seen.

o

Mental depression due to disturbed sleep is caused by night sweats.

o

Lipid metabolism gets disturbed, atherosclerosis and coronary heart disease may occur due to estrogen deficiency and FSH surge.

· o

Neurological and emotional: Parasthesia,

o

sensation of pins and needles in the extremities,

o

and noises in the ears Headaches are common.

o

irritability,disturbances Physical depression like are frequent.

o o

Sexual feeling is increased due androgen adrenal cortex. to from Amenorrhea raised is confused secretion with

pregnancy which is supported by increase in abdominal girth due to deposition of fat. ·

Locomotor system:

o

Menopausal arthropathy,

o

osteoarthritis,

o

fibrositis, backache, and

o

Vertebral disc lesions are common.

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·

Osteoporosis: Decrease in the content of calcium is called osteoporosis. Bone resorption is due to estrogen deficiency. The most affected bones are vertebral bones, distal end of radius and head of femur.

·

Urinary tract: Estrogen deficiency causes burning micturation without infection. Stress incontinence due to poor vascularity around internal urinary sphincter.

·

Endocrine system:

o

Hirsutism,

o

hypothyroidism with lowered BMR,

o

raised cholesterol,

o

brittleness of hair,

o

dryness of skin,

o

lassitude and reduction of mental power and

o

Concentration.

·

Genital tract: Changes are seen in Vulva, vagina, cervix, uterus and ovaries. They are atrophied diminished in size.

INVESTIGATIONS: History General examination: blood pressure, weight, Hirsutism Breasts, per abdomen and vaginal examination mammography Blood Sugar, lipid profile ECG, X-Ray chest if indicated Bone study as needed .....Health Naturally - 557.....

Pap smear NATURE CURE and YOGA TREATMENT Hydrotherapy: o

Cold hip bath for 20 minutes daily

o

cold immersion bath daily for 20 minutes

o

neutral spinal bath for 20 minutes alternate days

o

steam bath alternate days for 15 minutes cold abdomen pack for 20 minutes daily

o o o

pelvic pack weekly once wet girdle pack weekly once

Massage therapy: o

Full body oil massage

o

Partial massage to all joints and then infra red radiation.

Mud therapy: o o

Full mud bath mud packs to abdomen

Diet therapy: 6am

:

black raisin water (soak 30 raisins in 200 ml water overnight and in the morning grind it strain)

7am

:

bottle gourd juice with lime

8am

:

wheat dahlia, milk

11am :

apple, 4 dates

1pm

:

2 rotis, vegs, salad, buttermilk

4pm

:

1 pomegranate

7pm

:

brown rice 1 cup, boiled vegs, 2 bananas

9.30pm :

milk with isabgol .....Health Naturally - 558.....

Yoga therapy: Regular yoga practice, as well as other regular exercise, such as, cycling or walking can help to alleviate the symptoms of Menopause. Yoga eventually eases mood swings and depression. Joint mobility increases rapidly with the focused attention and gentle stretching of yoga postures. Yoga postures, yoga breathing, and focused meditation tone and soothe the sympathetic nervous system and its regular practice alleviates anxiety. There is a particular sequence of poses to stimulate the ovaries and pituitary gland to produce more hormones. This series has a claming, soothing, quieting effect on the nervous system and, if practiced regularly, these Yoga asana provide a good foundation on which to build a yoga practice that will help maintain a woman’s well being during her menopausal years and so on. The sequence that can be performed while menopause is as follows – 1 Sakti Vikasaka Suksma Vyayqma Loosening of Fingers. Loosening wrist. Shoulder rotation 2. Loosening Practices Forward & backward bending Side bending Twisting 3. Breathing Practices Hands in and out breathing Hands stretch/ side stretch breathing. Tiger breathing Neck exercises

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Quick relaxation technique(QRT) 4. Yogasanas Standing postures Ardhakati chakrasana Ardhachakrasana Tadasana

Padahastasana Supine Postures pavanamuktasana Vipareetakarni Sarvangasana Setubandhasana Matsyasana Shavasana Prone postures Makarasana Bujangasana Shalabhasana Instant Relaxation Technique (IRT) Sitting Postures Vajrasana Padmasana Paschimotasana vakrasana Ardhamatsyendrasana Badha konasana Deep relaxation technique(DRT) Yoga nidra .....Health Naturally - 560.....

5. Pranayamas kapalbhathi Sectional breathing. Abdominal, Thorasic, Upper lobar Techeniques of Pranayama Cooling Pranayama Sitali, Sikari, Sadanta Chandrabedhana Nadi shuddi Bhramari 6.Meditation Nadanusandhana( A,U,M kara chantings) Om meditation Yoga nidra

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CHAPTER 65

ARSHAN - I YOGOGOGOGOGA DA DARSHAN

STANDING ASANAS: The asanas that are practiced by taking standing positions are called Standing Asanas. These are by and large, the easy ones and equip one with flexibility, balance, and stability. So, a new student of yoga would be better off to start with the standing asanas. This will fine-tune one’s body and enables one to move on to the tough asanas without much difficulty. Standing asanas are specially recommended for those who spend most of their time sitting. Such people can immensely benefit from the standing asanas as these asanas tend to improve the body posture. Tadasana, Vrikshasana, and Garudasana are some of the key standing asanas. TADASANA 1 (Mountain Pose) Method: Stand with feet together, hands at your sides, eyes looking forward. Raise your toes, fan them open, then place them back down on the floor.

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Feel your heel, outside of your foot, toes and ball of your foot all in contact with the floor. Tilt your pubic bone slightly forward. Raise your chest up and out, but within reason - this isn’t the army and you’re not standing at attention. Raise your head up and lengthen the neck by lifting the base of your skull toward the ceiling. Stretch the pinky on each hand downward, and then balance that movement by stretching your index fingers. Push into the floor with your feet and raise your legs, first the calves and then the thighs. Breathe. Hold the posture, but try not to tense up. Breathe. As you inhale, imagine the breath coming up through the floor, rising through your legs and torso and up into your head. Reverse the process on the exhale and watch your breath as it passes down from your head, through your chest and stomach, legs and feet. Hold for 5 to 10 breaths, relax and repeat. Benefits: Improves posture, balance and self-awareness. TADASANA 2 (the mountain pose): Tada means mountain. Method: Step 1: Stand in sthiti. Slowly as you inhale raise your hands and heals up. Hands should be straight, with arms touching the ears. Balance the whole body on the toes. Breathe normally in the final pose. In the final pose you can either keep your hands straight, or clasp your hands or adopt namaskara mudra. .....Health Naturally - 563.....

Inhale once and as you exhale, bring your hands and heals down. Come to sthiti Benefits This asana develops physical and mental balance. The entire spine is stretched and loosened, helping to clear up congestion of the spinal nerves at the points where they emerge from the spinal column. Develops concentration Strengthens the leg muscles and foot and toes. VRIKSHASANA: In Sanskrit the word “Vriksha” means ‘tree’. In this pose the practitioner holds his body still like a tree. Method: Sthiti: Stand erect in straight line keeping the heels together and toes a little apart. Expand the chest and drop the shoulders to a relaxed position. Keep the neck straight. Fingers together, facing downward and palms stretched along the thighs by the sides. Relaxed face. Step 1: Inhaling bend your right leg at knees and place the right foot at the root of the left thigh and exhale. Step 2: Balance the body weight on the left leg. Step 3: Now on inhalation raise both the hands to shoulder level on sides and adopt namaskara mudra straight above your head. Step 4: gaze at a particular point or close your eyes and maintain balance on left leg Breathe normally in final pose. Release in reverse order and repeat with left leg. Benefits: Improves balancing power. Improves concentration and eyesight Leg muscles get strengthened. The foot and ankle gets strengthened. .....Health Naturally - 564.....

PADA HASTASANA – Forward-Bend Posture Pada means feet and Hasta means hands. In the final position hands will be kept by the side of the feet while bending the trunk forward. Steps for Padahastasana STHITI: Stand erect in a straight line keeping the heels together and toes a little apart. Expand the chest and drop the shoulders to a relaxed position. Keep the neck straight. Fingers together, facing downwards and palms stretched along the thighs by the sides. Relaxed face. Step1: With inhalation raise both hands sideways up to shoulder level, palms facing down. Step2: Raise the hands up above the head with biceps touching the ears, palms facing forward. Continue the inhalation and stretch up the body from the coccyx. Step3: With exhalation bend forward till the body comes to horizontal position, parallel to the ground. Step4: Bend further to touch the knees with the forehead and till the palms can rest on the ground, by the side of the feet, with exhalation. This is the final position of the asana. Breathe normally. Step5: slowly raise the head along with the hands from the coccyx parallel to the ground with inhalation. Step6: Raise the trunk along with the hands further up to vertical position of the body with continuous inhalation. Step7: Bring the hands down sideways up to shoulder level with the exhalation. Step8: Bring the hands down i.e., come back to sthiti while exhaling. BENEFITS: Cultural:

o

The entire posterior muscles, sciatic nerve, tendons and ligaments of thighs and legs are stretched nicely. Spinal and pelvic nerves are toned up.

o

Blood circulation to brain increases.

o

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o

Enhances secretion of gastric juices, reduces girth and slims down waist and hip muscles. Therapeutical: o

Good for digestive, gastric and intestinal problems.

o

Useful in treating diabetes and improves function of the liver. Spiritual: Improves surface awareness, awareness of blood flow to the head region. Develops humility. ARDHA CAKRASAN – Half-Wheel Posture Ardha means half and Cakra means wheel. In the final position it looks like a half wheel. Steps to Ardhacakrasana STHITI: Stand erect in a straight line keeping the heels together and toes a little apart. Expand the chest and drop the shoulders to a relaxed position. Keep the neck straight. Fingers together, facing downwards and palms stretched along the thighs by the sides. Relaxed face. Step1: Support the back at the waist by the palms, while exhaling. Step2: Bend backwards from the lumbar region. Neck bends backwards, stretching the muscles of the neck. Inhale while bending. This is the final position of the asana. Breathe normally. Step3: Come back to vertical position, keeping the support at the back at the waist by the palms. Inhale. Step4: Release the hands from the support of the waist while exhaling. BENEFITS: Cultural: o o

Tones up the dorsal muscles, calves and lumbo sacral region. Improves blood flow to chest and neck regions. Flexibility of the spine is maintained.

o

Being complementary to the Padahastasana, it enhances the benefits of it. Respiratory organs get relaxed. .....Health Naturally - 566.....

Therapeutical: Good in treating Asthma and low back pain. Relaxes cramps in thighs and calves. Spiritual: Builds up sense of balance and a feeling of confidence. ARDHAKATI CHAKRASANA-Lateral Arc Posture Ardhakaticakrasana Ardha means half, Kati means waist and Cakra means wheel. In the final position of the Asana, the body looks laterally like a half wheel. STHITI: Stand erect in straight line keeping the heels together and toes a little apart. Expand the chest and drop the shoulders to a relaxed position. Keep the neck straight. Fingers together, facing downward and palms stretched along the thighs by the sides. Relaxed face. Step1: Slowly rise the right arm sideways up above the head until the biceps touch the right ear, palm facing the left with inhalation. Step2: Bend slowly on the left side from the waist region; slide the left palm down as far as possible along the left leg. Exhale as you bend. Step3: Slowly come back to vertical position, keeping the hand up, with the biceps touching the ear with inhalation. Step4: Bring the right-hand sideways down to sthiti position with exhalation. (Note:- repeat the same with left hand other side). BENEFITS: Cultural: o

Elasticity of spine increases.

o

Lateral thoracic muscles are stretched and blood supply increases. o Hip joints become flexible, lungs capacity increases and excess fat around the waist reduces. Therapeutical: o

Relieves from back pain, constipation and good for flat foot.

o

Clear blockages in the lungs and improves breathing.

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Spiritual: Improves lateral awareness and a feeling of relaxation is built. Precautions: o

Those with abdominal and hip injury must avoid this pose

o

Do not bend forward or backward in this pose. TRIKONASANA (triangle pose): ‘Tri’ means three. ‘Kona’ means angle. And ‘Asana’ means ‘posture’. In the final posture the body resembles a triangle. STHITI: Stand erect in straight line keeping the heels together and toes a little apart. Expand the chest and drop the shoulders to a relaxed position. Keep the neck straight. Fingers together, facing downward and palms stretched along the thighs by the sides. Relaxed face. Step 1: raise both hands slowly by the sides till they reach the horizontal position as the right foot is moved about a meter away from the left foot. Inhale Step 2: slowly bend to the right side in the same plane. Exhale. Step 3: the fingers of the right hand touch the right foot. The left hand is straight up, in the line with the right hand. Left palm faces forward. Step 4: stretch up the left arm and gaze along the fingers. Breathe normally. Step 5: slowly come back to the horizontal position without disturbing the legs. Inhale Step 6: bring both the hands slowly down while keeping the right leg by the side of the other leg. Exhale Repeat the same from the other side. Benefits: Cultural: o

Stretches the whole body especially the spine and back muscles.

o

Stretches and relaxation of intercostal muscles, thighs, calves, and hamstring muscles.

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o

Adrenal glands are stimulated. Massages liver, Spleen, pancreas and kidneys.

o

Reduces hip and waistline.

o

Strengthens calves and thighs Therapeutical:

o

Good for flat foot, diabetes, respiratory ailments, urinary disorders

o

Good in treating constipation

o

Enhances appetite

o

Pain in the back, neck elbows waistline, and knees relieved.

o

Effective for hunchback and sciatica

o

PARSHVAKONASANA (lateral angle pose): ‘Parsva’ means lateral, kona means angle. In the final posture, the body forms an angle by the sideways. STHITI: Stand erect in straight line keeping the heels together and toes a little apart. Expand the chest and drop the shoulders to a relaxed position. Keep the neck straight. Fingers together, facing downward and palms stretched along the thighs by the sides. Relaxed face. Step 1: keep the right leg apart from the left to bout 1 mt. inhale. Keep both the legs parallel. Step 2: turn the right foot to right side at 90 degrees, without turning the body. Step 3: while exhaling, bend towards the right side, keeping the right thigh parallel to the ground. Place the right palm on the right side of the right feet with fingers together and facing outside. Right side of the body touches the right thigh. Step 4: raise the left arm up with biceps touching the left ear, keeping the arm straight and gaze at the finger tips this is final posture. Breathe normally. Step 5: on inhalation release the left hand back and place it on the left thigh. Step 6: slowly come up with no changes in legs. Step 7: on exhalation, turn the right feet 90 degrees to left. .....Health Naturally - 569.....

Step 8: Bring both the legs together Repeat from the other side. Benefits: Cultural: o

Expands the thoracic muscles

o

Strengthens the calves, forehands, and biceps, and ankle, knee, wrist and shoulder joints.

o Stretches and relaxes the thighs Therapeutical: o o

Useful in treating diabetes, constipation. Also treats pain in foreleg and ankle joint.

Spiritual: builds feeling of expansiveness and relaxation SUPINE ASNAS The asanas that are practiced by lying flat on the back are called Supine Asanas. This position enables one to feel relaxed and to wipe out the tardiness. These asanas freshen one up and activate the whole body. In most of the supine asanas, one is required to stretch one’s legs and the toes. This makes them supple. Uttanpadasana, Shavasana, and Halasana are some of the key supine asanas. Sthiti (Initial) for Supine Posture o

Lie down on the back with legs together.

o

Hands straight beside the body, and the palms facing the ceiling.

o

Close the eyes.

SAVÁSANA (the Corpse pose): ‘Sava’ means corpse. The final position of the body resembles corpse. This asana also signifies that one should be dead to all the internal and external stimulations without any response like a corpse. {This is also Sithila (Relaxation) for Supine Posture} Lie supine on the ground with hands and feet apart. Slightly stretch the body and allow the whole body to relax completely with eyes gently closed.

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Become aware of different parts of the body starting from toes to head. Feel the spread of relaxation in all parts of the body progressively. With regular long practice, the relaxation will become deeper, natural and spontaneous. Then the whole body is relaxed to the extent that one forgets the body. The mind experiences alert full rest. Benefits: Cultural: o

It increases strength and tones up the whole body

o All muscles and joints gets relaxed Therapeutical: treats psychosomatic ailments like Hypertension, tension headaches, acidity etc. Spiritual: very useful in the practice of antaranga yoga and enhances general wellbeing of a person. UTTITA PADASANA (raising the feet): ‘Uttita’ means ‘raising’. ‘Pada’ means ‘feet’. Uttitapadasana is raising the feet. Sthiti (Initial) for Supine Posture o

Lie down on the back with legs together.

o

Hands straight beside the body, and the palms facing the ceiling.

o

Close the eyes.

Method: Step 1: from sthiti, as you inhale, raise both the legs to 15 degrees, 30 degrees, 60 degrees and then 90 degrees in progress. Do not support with the hands .Hands should be beside the body Step 2: in the final pose gaze at the tip of the toes and breathe normally. Step 3: On exhalation, slowly bring you legs down. Do not raise your head up or support with your hands.

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Benefits: o o

Tones and strengthens neck, back and abdominal muscles. Balances thyroid activity by bringing a healthy supply of blood to the area.

o o

This posture will flatten the tummy and reduce waistline. Stimulates Digestive organs.

This is an excellent asana for nervous system. VIPARITA KARANI (the inverted action, leg-up-wall pose) o

In Sanskrit, ‘Viparita‘ means inverted, opposite and ‘Karani‘ means an action, an act of doing. The whole body is inverted or is made to stand upside-down. It is also known as the leg-up-the-wall-pose. It is said to reverse the normal downward flow of a precious subtle fluid called amrita (immortal) or soma (extract) in the Hatha Yoga Pradipika. Modern yogis agree that Viparita Karani may have the power to cure whatever ails you. This faith has been there from the statement of Gheranda stating that this yoga can win over age, and even death. Sequence: Sthiti (Initial) for Supine Posture o Lie down on the back with legs together. o

Hands straight beside the body, and the palms facing the ceiling.

o

Close the eyes. Step 1: on inhalation slowly raise both the legs to 45 degrees and then to 90 degrees. Step 2: exhale and then slowly raise your buttocks off the floor support it with both the palms. The elbows are firm on the floor. Step 3: the lower back is at 45 degrees inclined to the floor. Shoulders and cervical region on the floor. Legs should be straight. Step 4: breathe normally. Step 5: as u exhale release the hands and lower the legs slowly in progress in reverse order. .....Health Naturally - 572.....

Can perform this asana with wall support too. Benefits: o

One who practices this asana regularly becomes healthy and strong and attains longevity due to the secretions of the thyroid, pituitary, gonad and adrenal glands which are stimulated by this practice.

o

This posture promotes inner harmony through the regulation of pelvic circulation and increasing the supply of blood to the thorax, brain, face and neck. The posture relieves tired or cramped legs and feet.

o o

Gently stretches the back legs, front torso, and the back of the neck.

o

Relieves mild backache.

o

Calms the mind.

o

helping you ease up your muscles by the flow of blood from the leg to your This helps in many ways to calm your nervous system which would have worn out by excessive use. Your testes or ovaries, it can prove to be very beneficial to your reproductive system. This asana helps you keep your strength and vitality intact.

o o o o o o

It prevents premature aging by giving you a wrinkle free skin. Your thyroid glands also functions with more energy to prevent any thyroid problems. It also lessens your menstrual discomfort.

SARVANGASANA (SHOULDER STAND POSE) It is known as the ‘queen of asanas’. This asana also known as the ‘candle stand’ as you have to keep your body straight as a candle. ‘Sarva’ means all and ‘Anga’ means Body parts. This asana involves every part of the body, ‘all body posture’. The health of all the parts of the body is maintained. This is achieved by toning and balancing the functioning of the thyroid gland.

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It is one of the many inverted poses of yoga, all of which are extremely beneficial. These inverted asanas work by reversing the effects of gravity on certain parts of the body, and in Sarvangasana, most parts of the body are targeted. Method to practice: Sthiti (Initial) for Supine Posture o Lie down on the back with legs together. o

Hands straight above the head, and the palms facing the ceiling.

o

Close the eyes. Step 1: Inhale and raise your legs to 30 degrees, 45 degrees, 60 degrees and then 90 degrees in progress. Step 2: exhale. On inhalation raise the buttocks and trunk up perpendicular to floor, support with palms at your lower back. Elbows firm of the ground. Step 3: As you exhale, the leg is bent at your hips and is parallel to the ground. Step 4: now on inhalation, straighten your legs and the whole body is in straight line to the ground by supporting the trunk on head, neck and shoulders. Step 5: now slowly start releasing in reverse order by returning to step 3, and then place the buttocks on the ground. Step 6: then return to step 1 and finally to sthiti.

Benefits: Cultural: o o

Maintains healthy thyroid, hence maintains health. Influences and tones up the pelvic organs.

o

Brain gets rich supply of blood.

o

Enhances facial complexion.

o

Sarvangasana helps promote good circulation, as it directs the flow of the entire lower body towards the heart. This asana also helps prevent and reduce varicose veins by reducing the pressure .....Health Naturally - 574.....

on the legs and directing blood clogged in the veins upwards to the heart. Therapeutical: o

Treats varicose veins, piles, hernia, thyroid problems, dyspepsia, constipation, and menstrual disorders.

Spiritual: o

Memory develops, good for concentration and balances the mind.

Caution: o o

o

Women should not do any inverted poses during menstruation as it reverses blood flow. People suffering from blood pressure, glaucoma, hernias, cardiovascular disease, cervical spondylitis, thrombosis, arteriosclerosis, and kidney problems should not practice headstand. Those suffering from neck injuries should perform this exercise after consulting a yoga teacher, under supervision.

MATSYASANA (FISH POSE): Matsya, the Fish, was one of the incarnations of the Hindu God Vishnu. Vishnu assumed this form to save the world from the Flood. The Fish Pose or Matsyasana in Hindi is the counter pose to the Shoulder Stand and must always be practiced after it. Having stretched the neck and upper spine in the Shoulder Stand, Plough or Bridge, you now compress them as you arch your back. Technique :Sthiti (Initial) for Supine Posture o Lie down on the back with legs together. o

Hands straight above the head, and the palms facing the ceiling.

o

Close the eyes. Step1: come to sitting pose to assume Padmasana. Inhale and Bend the right leg and keep the right foot on the left thigh. Step 2: exhale and bend the left leg and keep the left foot on the right thigh. .....Health Naturally - 575.....

Step 3: Slowly take the help of your elbows to lie down on your back. Step 4: Slowly lie on your back completely. Step 5: Now with the help of elbows or palms bend your head backward and place middle of the head on the ground. Step 6: Catch hold of the toes with your index fingers and place the elbows on the ground. Step 7: While returning to original position, release the toes and taking the help of your hands straighten your head. Step 8: Now taking the help of elbow sit in padmasana. Mode of breathing: breathe out whenever you bend backwards / downwards. Breathe in while coming up. Normal breathing in final pose. Subtle points: o o

o

Take the weight of the body on the elbows and not on the neck or back. This Asana is practiced after Sarvangasana, hence, practice for one third of the time taken for Sarvangasana in order to balance the stretch. Do not bend your neck backward with a jerk.

o

While bending neck backward, the spine will be arched maximum.

o

While returning you can release your legs in sitting position or even in lying position.

Benefits: As complementary Asana for Sarvangasana, this should be practiced soon after Sarvangasana. This enhances the benefits achieved through Sarvangasana. Doing the Fish Pose also relieves the stiffness of your neck and shoulder muscles and corrects any tendency of having rounded shoulders. Holding this Yoga Pose exercises the chest, tones the nerves of the neck and back

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Ensures that the thyroid and parathyroid glands obtain the maximum benefits from the Shoulder Stand. Performing the Fish Pose also expands the rib cage fully, increasing your lung capacity and aids in deep breathing. You should remain in this Yoga Posture for at least half the amount of time you spent in the Shoulder Stand Stretches the deep hip flexors and the muscles (intercostals) between the ribs. Stretches and stimulates the muscles of the belly and front of the neck. Stretches and stimulates the organs of the belly and throat. Strengthens the muscles of the upper back and back of the neck. Improves posture. Blood circulation is increased as your cervical, thoracic and lumber regions are stretched. Your back muscles are also strengthened. It is beneficial for anyone suffering from cervical Spondylitis, neck pain and stiffness. As your chest is expanded, the capacity of your lungs increases and breathing becomes easier. This helps with asthma and bronchitis. Pressure on the neck works on the thyroid and the parathyroid gland (which regulates the body’s calcium levels). This asana balances metabolism and boosts the immune system. Most abdominal and stomach problems are also corrected as your intestines and abdominal muscles are stretched and toned. It is good for constipation and for piles. It tones the nervous system, the pelvic organs and the nerves connected with sexual functions. It also helps prevent and repair reproductive system disorders. PAVANAMUKTASANA (WIND RELEASING POSE): Pavana muktasana is a Sanskrit word, where ‘pavana‘ refers to ‘wind‘ or ‘gaseous form of matter‘. Mukta or mukti means ‘liberation‘ or ‘release‘, which makes this asana the ‘wind release pose‘. .....Health Naturally - 577.....

The knees and thighs are pressed against the chest and belly in this asana. The gas trapped in the large intestine gets released in this Asana. Therefore, it is called ‘Pavanamuktasana’. It is precisely the accumulation of ‘wind‘ or ‘air‘ within the body that leads to dysfunction, degeneration of the tissues, and aging. The severity of such problems leads to gastric ulcer and cancers in stomach. Pavana Mukta asana provides relief to this ‘gaseous condition‘, and is a great healer if practiced regularly. This helps to maintain general health, youthfulness and vitality. Sthiti (Initial) for Supine Posture o

Lie down on the back with legs together.

o

Hands straight above the head, and the palms facing the ceiling.

o

Close the eyes. Step 1: inhaling, raise both the legs in progress to 90 degrees. Step 2: exhaling, Bend both the legs at the knees and keep the folds on the belly. Keep the knees and toes together. Step 3: inhaling, now keep the belly pressed with the thighs and clasp the folded legs with both the hands. Step 4: exhaling, now bending the neck, raise the head and fix the chin between the knees. Step 5: And breathe normally in this pose and maintain for few seconds to a minute. Step 6: now release in reverse order. Straighten the neck and bring the head on the floor. Step 7: Unfold the hands and bring them to their earlier position. Step 8: Inhaling, straighten both the legs Step 9: Exhaling, slowly bring both the legs down and place them on the floor and take Supine Position.

Do’s: o

Keep the legs folded in knees and pressed on the abdomen using the folded arms.

o o

Try to touch the chin to the knees. Try to keep the legs together. .....Health Naturally - 578.....

o

Point the toes.

o

People who have undergone an operation on belly or suffering from hernia and piles, etc. should perform this asana after consulting some Yoga Expert. Simple variation – keep the head on the ground instead of trying to touch the chin to the knees.

Don’ts: o

Do not strain your neck.

o

The pregnant women should also not practice it.

Benefits: Due to the nice and systematic pressure on the belly, the trapped gases in large intestine are released, cures flatulence. It gives relief from constipation and also improves the digestive system. Massages ascending, descending and transverse colon The lower back is strengthened. Pavanamuktasana also helps remove flab from your back and abdomen. The neck and back is stretched. Impotency can be treated with the practice of this posture. Circulatory system performs better. Pavanamuktasana should be practiced by persons suffering from jaundice. The use of legs, hands and hips strengthens the hip muscles. It is termed to be very useful for patients who suffer from sciatica and joint pains. It relaxes the muscles of the lower back creating an environment of relaxation for your body. This exercise stimulates your liver, small and large intestine as well as the spleen. The abdominal area is very well strengthened by the performing Pavanamuktasana. Your sagging body attains a level of firmness to perk you up. The abdomen, thigh and hip area are toned while performing the asana. .....Health Naturally - 579.....

Our body is well equipped to produce acids; Pavanamuktasana normalizes that level. It brings hydrochloric acid to a normal level. HALASANA (PLOUGH POSE): In this position the body looks like a traditional Indian plough pulled by bulls in the fields. Also by practicing this pose one ploughs the body like one digs the earth, making it loose and free. ‘Hal ‘in Sanskrit and Hindi means ‘Plough’. .Method: Sthiti (Initial) for Supine Posture o Lie down on the back with legs together. o

Hands straight above the head, and the palms facing the ceiling.

o

Close the eyes. Exhale and while inhaling slowly raise the legs to a 90 degree angle from the floor. Exhaling raise the waist and hips, taking the legs over the head, keeping them suspended above the ground. After exhaling fully, lower the leg further down and rest the toes on the floor. Keep the toes stretched and breathe normally Exhale and inhaling lift the toes up from the floor, keeping the legs straight in the knees. Continue inhaling and slowly lower the spine back down to the ground, keeping the legs at a 90 degree angle with the floor. Exhaling slowly lower both legs back to the supine position.

The asana position: In this position the toes rest on the floor, if there is enough flexibility, otherwise the toes are towards the floor, as far as is comfortable. If the toes reach the floor then try to place the toenails on the floor. Remember there should be no strain. The legs remain straight. If the knees are bent there is less pressure on the abdomen and less stretch into the legs, particularly the hamstrings. The arms should remain in the same position, flat on the floor supporting the neck. The chin is pressed into the chest in the jalandhar bandha or chin lock.

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Anatomical focus: The neck region, thyroid glands in the throat region, shoulders, lower back, hamstrings. Awareness: On the neck, Vishuddhi chakra, and Maniour chakra in the abdominal region. Normal breathing focused on abdominal efforts. Do: Keep the legs straight in knees with toes vertical on the ground over your head. Legs are in one straight line. As far as possible, the back remains straight and vertical. Arms straight with palms on the ground. Shoulders resting on the ground with shoulder blades taking most of the weight and less on the neck. The chin resting against the chest. Don’t: Bend the knees. Move the neck or overstrain it in the chin lock position. Move into this asana fast as a lot of stress is put onto the spine. Benefits: Improves the tone and strength of the back muscles as the back is folded, as well as the leg muscles and abdominal muscles. It also removes the rigidity of the back muscles. Improves the working of the spinal nerves, putting pressure on the nerves in the neck region which are predominantly sympathetic. Improves the function of the thyroid, parathyroid and pituitary glands. All of the other endocrine glands are regulated by these main glands and so the overall function of the endocrine system is improved. This results in the improved functioning of all the systems of the body. .....Health Naturally - 581.....

Halasana reduces backache and can help you get to sleep. It can also be beneficial in menopause. The asana is therapeutic for backache, headache, infertility, insomnia and sinusitis. Gives a complete stretch to the spine which increases its elasticity and overall functioning. Stretches the shoulders. Activates digestion and helps with constipation, improves the efficiency of all the abdominal organs such as the spleen, pancreas, liver and kidneys. The breathing movements of the diaphragm help to massage the abdominal organs. Activates the thyroid gland and thymus gland, stimulating metabolism and immunity. Calms the mind and reduces stress. Can induce states of pratyahara (sense withdrawal). Benefits for Women Due to the compression of the pelvic area it improves the circulation and tone to the reproductive organs, increasing their efficiency. Can help to strengthen the lower back and sacral area, preventing lower back pain during menstruation. Therapeutic applications: Asthma Cough and

cold

Constipation Menstrual disorders Precautions and Contra-indications: Should be avoided during pregnancy and menstruation, high blood pressure and brain diseases. Should be avoided if suffering from an enlarged thyroid, spleen or liver as well as cervical spondylitis, slipped disc, neck problems, headache and weak blood vessels in the eyes.

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Duration: To begin with this pose can be a little difficult so start with a few repetitions of ten seconds at a time. When the body is used to this then the asana can be held for 30 seconds. After some time it can be maintained for up to 3 minutes. Additional section Variations and tips: Some like to hold the toes of the feet with the hands or place the hands below the neck. However if held for too long this can put too much pressure on to the upper spine. It is important that the back is straight, not at 45 degrees, with the chin tucked in towards the chest as this helps the toes to touch the floor. If liked the arms can be bent with hands placed on the back like in sarvangasana. This can be helpful for balance when the toes do not touch the ground. Preparatory poses: Sarvangasana Viparit Karni Ashwini Mudra Follow up poses: Vistrut Pada Halasana Karnapeedanasana Matsyasana – to counterbalance the Jalandhar Bandha Chakrasana Pawanmuktasan and/or Ardha Chakrasan with both feet on the floor – to relieve any tension that has accumulated in the lower back Benefits of Halasana Calms the brain Stimulates the abdominal organs and the thyroid gland Stretches the shoulders and spine Helps relieve the symptoms of menopause .....Health Naturally - 583.....

Reduces stress and fatigue Precautions Asana has to be avoided in case of: Diarrhea Menstruation Neck injury In case of Asthma & high blood pressure: Practice Halasana with the legs supported on props. In Pregnancy: If you are experienced with this pose, you can continue to practice it late into pregnancy. However, don‘t take up the practice of Halasana after you become pregnant. If there is a complaint of Dyspepsia or constipation, it can be corrected by the practice of this Asana. The practice of this Asana is also useful in certain types of diabetes. Calms the brain. Stimulates the abdominal organs and the thyroid gland. Stretches the shoulders and spine. Helps relieve the symptoms of menopause. Reduces stress and fatigue. Therapeutic for backache, headache, infertility, insomnia, sinusitis. Since the spine is stretched fully in a curve, it becomes more elastic and its overall functioning is improved. All the muscles from toes to waist are also stretched helping improvement in the functioning of veins. This asana is also useful for gastric troubles, digestion problems.

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CHAPTER 66

ARSHAN - II YOGOGOGOGOGA DA DARSHAN

RELAXATION TECHNIQUES Relaxation techniques provide mental peace and one feels energetic after just few hours of practice. One may practice this at the beginning, middle and or at the end of any asanas. The muscles often appear completely relaxed but, in fact, tightness still remains. Even when one sleeps, the comfort is elusive. Constant postural abnormalities exert strain on the back muscles providing them little solace in the traditional supine pose. That is why these techniques prove very relaxing to the spine and related structures. The primary aim of such techniques is to relax the every bit of muscle and provide them a deep repose. Relaxing with awareness and proper knowledge brings deep rest to your body and mind. Relaxation involves allowing your body and mind to become completely still and peaceful. The way to do this is to focus on your breathing rhythm and also on the way that gravity totally supports the body so that you can let go of your muscles.

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If thoughts arise or sounds from the environment distract you, acknowledge them and then try to release your awareness from them by focusing again on your breathing. This will become easier to practice. Relaxation is not like sleeping in that your body is totally relaxed but both mind is both silent and alert, and focused only on breathing. Our body is best relaxed in Savasana, the corpse pose. Hence all techniques are derived from this pose. Benefits: · ·

Relaxes your psycho-physiological system Develops awareness of the body

·

Body becomes relaxed, fatigue vanishes and body feels lighter.

·

It reduces high blood pressure and regulates respiratory system.

·

It is very effective in ensuring sound sleep. This will make you more calm, alert and energetic the next day.

·

Those who are suffering from insomnia can practice these techniques before going to sleep.

·

It helps to cure heart disease, insomnia, nervous debility, mental imbalance and lack of memory etc.

·

Also at the end of your daily yoga routine, carry out these techniques for relaxation.

·

Whenever you are too tired to do any other asana, you can practice either of these techniques only for relaxation.

·

Have no tension in your mind, try to forget all your worries, stress inducing thoughts and feel you are getting relaxed.

TYPES OF RELAXATION TECHNIQUES: There are 3 types of relaxations. They are, · ·

Instant relaxation technique (IRT) Quick relaxation technique (QRT)

·

Deep relaxation technique (DRT)

Instant relaxation technique (IRT): .....Health Naturally - 586.....

In this type body gets relaxed instantly. The time limit is 30 seconds to one minute. Within this short time period whole body gets completely relaxed. Here you are going to contract or tighten all the parts of the body holding the breath. And then release suddenly and relax. Then observe the changes in heart beat, pulse, breathing rate and how these parameters come to normal and finally the whole body and mind relax completely. Method: Sthiti:

o

Lie on your back in Savasana Bring your legs together

o

Hands beside the body

o

Head in straight line to the body Keep your eyes closed.

o

o

The whole practice is done in one stretch. There should be no break in between. Contract your soles, Toes, Feet, Both ankle joints, Contract your calf muscles, Pull up your knee caps, and Contract your thighs (all the parts- upper, backward, medial and lateral), Contract the pelvic region, Buttocks, Exhale and suck your abdomen in, Inhale and expand your chest, Make a fist of your hand, Contract your wrist joint, Lower arms, Elbow joints, .....Health Naturally - 587.....

Upper arm, and Shoulders of both hands, Contract your whole back, Tighten the neck region, Squeeze your face; tighten all the parts of the face, Contract the scalp, Contract your whole body… contract….contract…contract… and release, suddenly relax the whole body. Now observe the changes going on in the body. o

The blood rushes to all the parts of the body.

o

The breathing is gone high,

o

Heart rate increases. Just observe all the parts of the body and the changes. Take deep breath. The breathing rate comes down, heart rate comes to normal, and all the muscles relax. Finally the whole body is completely relaxed. Benefits: o

The whole session of this IRT should complete within 30 seconds to one minute.

o

When the body and mind are both stressed out can relax the body and calm the mind within seconds. Circulation to every part of the body improves.

o

o All the organs gets activated and stimulated. Quick relaxation technique (QRT): In this relaxation the body gets relaxed within 5 – 10 mins. Here we are concentrating only on one part of the body i.e. abdomen, but the whole body gets relaxed. This practice is done in 3 phases. Method: Sthiti: o

Lie on your back in Savasana

o

Both the legs apart. .....Health Naturally - 588.....

o o

Hands apart, palms facing up Head in any comfortable position.

o Eyes closed. Sequence: Phase 1: o

o

Feel the abdominal movements. Observe the abdomen going up during breathing in and going down during breathing out in a normal breathing. Observe for 10 cycles

Phase 2: o

Synchronize the abdominal movements with deep breathing. The abdomen bulges during inhalation and goes down during exhalation.

o

Observe 10 cycles.

Phase 3: o o o

o o o o

As you inhale deeply and slowly, energize the body and feel the lightness. As you exhale completely collapse all the muscles and release the tension and enjoy the relaxation. Chant ‘Aaa’ (inhale and chant ‘Aaa’ from your navel region) in a low pitch while exhaling. Feel the vibrations in the lower part of the body. Feel the complete relaxation in all the parts of the body. Now slowly bring both the legs together, hands beside the body Fold your left leg at knee; keep the left foot on the ground. Inhale and take your right hand up above the head straight,

o

Exhale and turn towards your right. Remain in this pose for few seconds.

o

With the help of left hand keeping the left palm near the chest and with the help of right hand too, slowly come up and sit in any comfortable pose.

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o

Do palming (rub your hands to produce heat and making the palms like a cup keep the hands around the eyes for 3 breathings.) and then open your eyes.

Benefits: o

Body gets completely relaxed though concentrating on one part of the body.

o

The chanting of ‘Aaa’ kara relaxes and energizes the abdominal organs of the body It also relaxes the lower part of the body

o

o

Breathing rate, heart rate, comes to normal. Circulation improves to every part of the body.

o

The whole body gets energized.

o

Deep relaxation technique (DRT): In DRT every part of the body gets relaxed and energized. Mind gets relaxed and calms down. The practice can be practiced for 20 minutes to 1 hour. This relaxation experienced by this technique is equivalent to 6 hours of sleep. Here every part of the body is observed mentally, keeping the eyes closed, and that part gets relaxed. So the body is observed in order from the soles till the vertex of the head. Method: Sthiti: o o o Phase o

o o o o

Lie on your back in Savasana Both the legs apart. Hands apart, palms facing up any comfortable position. 1: Head Eyes in closed.

Bring your awareness to the tip of your toes and, gently move your toes and relax. Sensitize the soles of your feet, loosen the ankle joints, relax the calf muscles .....Health Naturally - 590.....

o o o o o o o

Gently pull up the knee caps, release and relax. Relax your thigh muscles and buttock muscles. Loosen the hip joints and relax the pelvic and waist region. Totally relax the whole lower body. R…e…l…a…x… Now chant ‘Aaa’ kara while exhaling, loudly. Feel the vibration of Aaa’ Kara in the lower parts of the body.

Phase 2: o

Gently bring your awareness to the abdominal region. Observe the abdominal movements , and relax the abdominal muscles

o

Observe the chest movements. Relax the chest muscles. Gently bring your awareness to the lower back, relax your lower back. Loosen all the vertebral joints one by one. Relax the muscles and nerves one by one. Bring your awareness to the middle back, and relax the middle back muscles and joints. Observe your upper back and shoulder blades and totally relax.

o

o o o

Shift your awareness to the tip of fingers one by one, gently move them a little, sensitize and relax. Relax your fingers one by one.

o

Relax the palms

o

Loosen the wrist joints and relax.

o

Relax the forearms of both the hands.

o

Loosen the elbow joints,

o

Relax the arms and triceps, biceps

o

o

Observe both the shoulders and relax. Shift your awareness to your neck and slowly turn your head to right and left, again bring back to the center. Relax the muscles and nerves of the neck. Relax the whole trunk, middle part of the body. Totally relax ….

o

R…e…l…a…x….

o

Now chant ‘U’ kara from your chest region, loudly.

o

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o

Feel the vibrations of ‘U’ kara spreading throughout the middle part of the body

o

Now the whole trunk and middle body relaxed completely.

Phase 3: o

o o

Gently bring your awareness to the facial region. Observe all the parts of the face. Chin, lower jaw, upper jaw, lower and upper gums. Lower and upper teeth. And relax your tongue. Gently shift your awareness to your lips, relax your upper and lower lips. Shift your awareness to nose, observe your nostrils, and feel the warm air touching the walls of nostrils as you exhale, and cool air touching the walls of the nostrils as you inhale. Observe for a few seconds and relax your nostrils.

o

Relax your cheek muscles, feel the heaviness of the cheeks and have a beautiful smile on your cheeks.

o

Relax the eye ball muscles, feel the heaviness of eye balls and relax the eye ball muscles, eyelids, eyebrows and in between the eyebrows.

o

Relax your forehead, temple muscles, ears, the sides of the head, and crown of the head. Relax your head region, totally relax. R….E….L….A….X Chant ‘M’ kara (from throat region keeping your lips locked, during exhalation)

o o

Feel the vibration of ‘M’ throughout the head region.

Phase 4: o o

Observe the whole body, from toes to the vertex of the head. R...E…L...A….X….. Chant ‘AUM’ kara when you exhale. Feel the resonance throughout the body.

Phase 5: o

Slowly come out of the body consciousness and

o

Visualize your body lying down on the body collapsed.

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CHAPTER 67

ARSHAN - III YOGOGOGOGOGA DA DARSHAN

SHATKRIYA Shatkarma is a compound word consisting of two components: shat meaning ‘six’ and karma meaning ‘art’ or ‘process’. The word kriya or karma is used in Hatha Yoga in a special technical sense regarding the techniques of cleaning. These practices, outlined by Yogi Swatmarama in the Hata Yoga Pradipika, are Neti - nasal cleaning. Dhouti

- cleaning of the digestive tract.

Nauli

- abdominal massage.

Basti

- colon cleaning.

Kapalbhati - purification and vitalization of the frontal lobes. Trataka - blink less gazing, clearing the mind through gazing The aim of Hatha yoga and, therefore, of the Shatkarmas is to create harmony between the two major .....Health Naturally - 593.....

Pranic flows, Ida and Pingala, thereby attaining physical and mental purification and balance. KAPALBHATI (STIMULATING THE BRAIN CELLS): “Kapal” in Sanskrit means the forehead and “bhati” refers to brightening. Kapalbhati is a cleansing process which brightens the forehead. In this process the inner cavities of the nose and forehead are cleansed. . It is a pranayama (breathing) practice intended to energize and balance the nadis, and the chakras. Specifically, it is a sharp, short out breath, followed by a relaxation of the core that allows the body to inhale on its own. I.e. passive inhalation and active inhalation is done. In this kriya, the respiratory gets cleansed and all the organs of this system are stimulated. Method: o o o o

Sit erect in any meditative pose with eyes closed. Exhale forcibly through abdominal organs. Inhale passively by relaxing the abdominal muscles. Repeat per quickly starting as possible, with 60up to 120 strokes strokes minute, and increasing gradually per minute.

o

Do not hold your breath.

o

The rapid active exhalations with passive effortless inhalations are accomplished by flapping movements of the abdomen. At the end of the minute, there is an automatic suspension of breath. Enjoy the deep silence of mind.

Benefits: o

Washes out carbon dioxide from the blood.

o

Activities the brain cells

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o

Cleanses the air passages

o

Stimulates the abdominal organs. The abdominal organs get massaging effect.

o o

The heat generated has powerful effects on the respiratory system as it purifies the nasal passage and the lungs.

o

Even in cases of asthma, it removes spasm in bronchial tubes. Kapalbhati works wonders on the mind - you will feel totally de stressed and should experience a unique calmness with this process.

o

o

The mind becomes remarkably clear. Regular practice will lead you to higher levels of awareness.

o

The physical benefits include a tremendous stimulation of the digestive organs and the circulatory system. This technique tremendously increases exchange of gases in the lungs. There is large-scale elimination of carbon dioxide and a huge absorption of oxygen.

o

o o

It is a highly effective method to clear the mind of toxins and negative emotions. Abdominal breathing improves hence beneficial for athletes, swimmers. It increases their performance.

Contraindications: o If you’re suffering from cardiac problems, nasal obstruction, and cold any severe respiratory infection, it is advisable to consult your physician. o It should also be avoided if you suffer from high blood pressure, diabetes or abdominal ulcers. NETI (CLEANSING THE NASAL PASSAGES): This practice involves cleaning up the nasal passages as well as the throat. Neti is a pre-requisite for cleaning up the respiratory passages for the proper practice of pranayama. It can be done with water (Jala-neti), where water is poured into one nostril and it automatically comes out through the other.

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A variation is Sutra-neti, where a fine thread is taken inside one nostril and then pulled out of the mouth through the throat. Other netis are done with milk (dugdha-neti) or ghee (ghritha-neti). Four types of neti that are in general practice, namely: o Jala neti o Sutra neti o Dugdha neti o Ghritha neti Jala neti:

o o o o o

o o o

Add half a tea spoon of salt to neti -pot- full of lukewarm water Hold the pot in right hand Insert the nozzle of the pot into the right nostril. Keep the mouth open to allow free breathing through the mouth. Tilt the head first slightly backwards then forwards and side wards to the left, so that the water from the pot enters the right nostril and comes through the left by gravity. Allow the flow till the pot is empty. Repeat from the left side. Blast out in the air accumulated both the by Kapalbhati by nostrils, active exhalations through alternate nostrils, to clean the nasal passages of the remaining water.

Sutra neti: o

Insert a blunt end of a thin soft rubber catheter from the front horizontally in the right nostril

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o

o

o

Push it along the floor of the nose until the tip is felt in the back of the throat Insert the right index and the middle fingers through the mouth and catch the tip of the catheter at the throat Bring the end out through the mouth. The other end is out of the nose.

o

Hold firmly both the ends and gently massage the nasal passage.

o

Remove the catheter through the mouth. Repeat on the left side.

o

Dugdha neti and ghritha neti: o Here milk and ghee are used respectively in place of water as in Jala neti. Benefits of neti: o o

Neti is followed by few rounds of Kapalbhati to keep the nasal passage clear off water. Clears and Purifies the nasal passage

Purifies the structures of head and neck o It de-sensitizes the nasal passage. o Develops resistance to many irritants like water, cotton, rubber, ghee, milk dust, smoke etc. o

o

Helps in removing the hypersensitivity of allergic rhinitis patients.

o

Vision becomes clear

Dhouti (cleansing the intestinal tract up to stomach): There are 3 types: Jala /vamana Dhouti Vastra dhouti Danda dhouti .....Health Naturally - 597.....

Vamana dhouti: Also called as Kunjal. o

Sit in squatting position, and drink 10-12 glasses of lukewarm saline water or till you can take no more or till you feel like vomiting it out.

o

o

Practice few twisting exercises Now to vomit it out, keep your legs one feet apart, bend forward from the waist to form an angle of 90 degrees. Tickle the throat with middle 3 fingers of the right hand and press the stomach with the left hand, to vomit (vamana) out all the water. Keep tickling till no more water comes out.

o

This means all the water has been vomited out.

o o

Vastra dhouti: Here as the name suggests cloth is used to cleanse the stomach o Take a 7 meter long strip and 3 fingers broad of muslin / thin cloth soaked in water. o

Slowly swallow the wet piece of cloth under the guidance of a guru.

o o

Once you swallow the whole length, with the tip end out, slowly pull it out without force. If the Vastra gets struck, drink water to release the spasm.

o

Benefits:

o

Useful in hyperacidity, flatulence,

o

Improves the function of the stomach

o

Removes excess mucous/sputum from the chest too.

o

Cures asthma too

o

Increases the blood circulation to facial muscles.

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NAULI (CONTROL OF ABDOMINAL RECTI): o

Nauli is and abdominal kriya, in which isolation and rolling manipulation of the abdominal recti muscles (rectus abdominis) which form the front linear wall of the abdominal cavity, are accomplished.

There are 3 types. Uddiyana Nauli Madhyama Nauli

Dakshina / vama Nauli Uddiyana Nauli: o Keep the legs one meter apart and stand, bending slightly forward with hands on the knees. o On exhaling completely, contract the abdominal muscles vigorously. Simultaneously the chest muscles too Contract. o Now press the hands against the thighs (thus fixing up the muscles of the neck and the shoulders), and have vigorous mock inhalation, by raising the ribs without allowing air to flow into the lungs. o

The muscles of the abdomen should be relaxed.

o

Automatically the diaphragm will rise up producing a concave depression of the abdomen. This is called Uddiyana.

o

When you breathe out, hold the position, and push out and pull the abdominal muscles fast.

o

Continue until the “breathe-out-condition” lasts. Count the no. of flappings.

o

This process is called Agnisara kriya

o

This kriya tones up the digestive system by continued stimulations.

Madhyama Nauli: o

Maintain Uddiyana and give a forward and downward push to the abdominal point just above the pelvic bone in the mid-line, where the two recti originate.

o

This push brings about the contraction of these muscles which .....Health Naturally - 599.....

stand out in center, the other muscles of the abdominal wall in a relaxed condition. o

This is called Madhyama Nauli.

Dakshina / vama Nauli: o o

For Dakshina (right) Nauli, all the muscles should be relaxed except for right rectus, which has to be contracted. For vama Nauli, only left rectus should be contracted other muscles relaxed.

Benefits: o

Promotes the health of the abdominal viscera

o

The autonomic nervous system and the endocrine glands in the abdomen are all activated.

o

Circulation to the abdominal organs improves due to the negative pressure created.

o

Stimulates gastric fire, thus helps digestion. TRATAKA (FIXING THE MIND): Trataka can be practiced on several objects, but the most popular and effective is trataka on a flame. This is because a flame (such as a candle flame) produces the best after-image that helps in easier visualization of the flame even when eyes are closed. This is the desired effect of Trataka - wherein you can visualize and concentrate on the image even when the eyes are closed. Step1 o

o o

Arrange a burning lamp or candle with the flame at the height of the eyes, at one meter distance, when you sit in front of it. The room should be dark. Sit erect in any meditative pose. Make a resolve that you will not move for the entire practice.

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Step 2 o

Start gazing at the flame without winking the eye lids.

o o

Learn to ignore the irritation, and watering of the eyes. Gaze directly at the tip of the wick of the candle.

o

Try not to blink or move your eyes in any way.

o

Be totally absorbed in the flame at the tip of the wick.

o

As thoughts come in be aware of them but then remind yourself that you are practicing trataka.

o

3 minutes

Step 3 o

Now observe the yellow flame of the candle

o

Observe the length and breadth of it.

o

Try to observe though it shakes.

o o

See that the flame is broad at the base and tapering at the tip. Make an image of the shape of the flame.

o

Breathe normally.

Step 4: o

Now observe the light aura dispersing out of the flame.

o

Observe the aura that is bright at the flame and gets faded when disperses.

o

Observe for a minute without blinking and breathe normally.

Step 5 Close your eyes and Gaze at the after image of the flame at the eyebrow center, and try to keep the image steady. Be aware of the internal image of the flame and the breath. From the eyebrow center to the back of the head. Continue Step 5 until the image disappears or becomes vague. Keep the eyes closed for a few minutes and watch the back of the eyelids, the black screen and see what images. .....Health Naturally - 601.....

o

Do palming (rub both the hands to produce heat and place the palms on the eyes making a cup. The hands should not touch the eyes.) Slowly open your eyes with a blink.

BASTI (INTESTINAL CLEANSING): The shatkarma ‘Basti’ is intended to serve the purpose of “enema” to pass out the accumulation of faces from the intestinal canal. It is difficult shatkarma and should be practiced under proper guidance of a guru. There are two forms of this shatkarma, viz, · ·

Sthala Basti (dry) Jala Basti (water)

STHALA BASTI: Sushka/sthala basti is done on land (that is in air). Sit in pashimottanasana and do basti. Contract and expand the anus (ashwini mudra). This practise prevents abdominal problems. It stimulates digestive fire and eliminates wind problems.” o o o

Sit on the ground and catch hold of your toes with fingers. Do not bend the knees. This is exactly like the Paschimottasana, but here you need not bring your head to the knees. Assuming this posture, churn the abdominal muscles and abdominal muscles and expel the water. This is Sthala Basti.

JALA BASTI: Jala basti is done in water while Stand in utkatasana in water to the height of the navel. Contract and expand the anus. This is called jala basti. Urinary, digestive and wind problems are cured by jala basti. The body becomes pure and looks like Kamadeva (Cupid). This is more effective than Sthala Basti. o

Take a small bamboo tube, five inches long. Lubricate one end of it with Vaseline, oil or soap.

o

Sit in a tub of water or in a tank in knee-level of water in Utkatasana.

o

Insert the bamboo tube about 2 or 3 inches into the anus.

o

Contract the anus. .....Health Naturally - 602.....

o

Draw the water into the intestines slowly.

o

Shake the abdominal muscles and expel the water. It cures urinary troubles, dropsy, constipation, etc. You should not do this everyday and make it a habit.

o o o

This is only for occasional use. o Do this in the morning hours before taking meals. o By using the bamboo tube you can have mastery over the intestinal muscles by drawing in and pushing out the water at your command. Benefits; o

o o

o

Basti generates energy, removes heat from the system, develops strength and control of the abdominal muscles, massages and tones the organs and nerves. Water basti is better as it completely scrubs out the intestines. Air basti stimulates peristalsis. Both are good for constipation. If intending to go on a fast it is recommended to do basti to thoroughly clean out the intestines permitting the greatest purification of the body. Sushka basti can be done very frequently but jala not as often; it is desirable for there to be a certain amount of stool and its associated bacteria in the colon.

SHANKAPRAKSHLANA KRIYA: VARISARA Varisara Dhauti, DHAUTI is more widely known as Shankhaprakshalana.

Benefits: Shankhaprakshalana cleanses not only the large intestine, but the small intestine as well, washes the whole digestive system which has an effect on balancing the energy structure of the human being. Recommendations: o Two days before the treatment follow the light diet, excluding meat as well as spicy, salty, fat, roasted food (if you still have these foods in your menu). o o

You will benefit from hot bath, massages and relaxation. Drink fruit and vegetable juices as much as you can. .....Health Naturally - 603.....

o o o o

On the chosen day take a day off and make sure no one will disturb you at home. You start in the morning with an empty stomach. The whole treatment takes 1.5 – 2 hours at the beginning, but when you get familiar with the practice, it takes 40 – 60 min. You can make the treatment significantly easier by having an enema with 2 liters of water twice right before the Shankhaprakshalana.

Technique: o

o o

Cook some plain rice or moong dhal kichidi, until soft. Remember! Salt is restricted here. Small portion of ghee can be added when it is done. Make 3 liters of saline water (1 tablespoon for 1 liter), so that it tastes mildly salty. Drink 1 glass of salty water followed by series of asanas (see below).

o

Drink 1 more glass. Repeat the series.

o

Drink 4 - 6 more glasses. After each glass the series of asanas must be done. As soon as you feel like going to the toilet do not hesitate, empty yourself. If the feeling does not come, go to the toilet and help yourself by pressing the belly with the hands. If needed, complete one more series of asanas but this time do not drink water beforehand.

o

Doing the exercises concentrate on stretching and visualize the coming relief. After the first success keep on drinking water. Do exercises after each glass and go to the toilet when you feel need it. Continue this part until the water comes out clean. Approximately 12 glasses of salty water will be drunk.

o

o o

As soon as water comes out clean, stop doing the exercises. Drink 1 -2 glasses of plain water and throw it up. (See Vamana Dhouti ).

Relaxation: o

Total rest is essential. This stage of the practice should be .....Health Naturally - 604.....

performed at one’s own pace. During this time the whole digestive system is given a chance to revitalize itself. o o

Lie down in Shavasana for 45 minutes but do not sleep as a headache or cold may result. It is important to keep warm during the resting period.

o

Try to maintain silence.

o

Passing urine at this time is perfectly normal. Special meal must be eaten 45 minutes after finishing the treatment. Remember! Do not drink before having the first meal.

o o

The series of asanas: The exercises are very simple and help to move the water through the intestines, opening all sphincters from stomach till anus. ·

Tadasana – Tree Pose:

o o

Stand with the feet shoulder-width apart and the arms by the sides. Steady the body and distribute the weight equally on both feet.

o

Raise the arms over the head.

o

Interlock the fingers and turn the palms upward. Place the hands on the top of the head.

o o o

Fix the eyes at the point on the wall slightly above the level of the head. The eyes should remain in this position throughout the practice. Inhale and stretch the arms, shoulders and chest upward. Raise the heels coming up on the toes. Stretch the whole body from bottom to top, without losing balance or moving the feet.

o o

Hold the breath and the position for a few seconds. A t first it may be difficult to maintain balance but with practice it becomes easier.

o

Lower the heels while breathing out and bring the hands to the top of the head. .....Health Naturally - 605.....

o · o o o o o o o o o

This is one round. Repeat it 8 times. Tiriyaka Tadasana – Swaying Tree Pose: Stand in Tadasana. Fix the gaze on a point directly in front. Exhale and bend to the right side from the waist. Do not bend forward or backward or twist the trunk. Inhale and slowly come to the upright position. Repeat on the left side. Return to the upright position, exhale while bringing the arms down to the sides. This completes one round. Repeat it 8 times.

o

Kati Chakrasana – Waist Rotating Pose: Stand straight with the feet about 60 centimeters apart. Take a deep breath in while raising the arms to shoulder level. Breathe out and twist the body to the left, bring the left hand to the right shoulder and wrap the right arm around the left side of the waist, look over the right shoulder as far as possible. Keep the back of the neck straight. The top of the spine is the fixed point around which the head turns. Inhale, stretch up, exhale and accentuate the twist.

o o o o o o

Try to stretch the abdomen gently. Inhale and return to the starting position. Repeat on the other side. Keep the feet firmly on the ground while twisting. This is one round. Repeat 8 times.

·

Tiriyaka Bhujangasana – Twisting Cobra Pose: Assume the final position of Bhujangasana with the legs separated about half a meter with the heels up and the feet are on the ball of the foot.

· o o o

o o

o

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o

Look forward.

Twist the head and the upper part of the trunk, and look over the left shoulder. o Gaze at the heel of the right foot. o

o

In the final position, the arms remain straight or slightly bent as the shoulders and trunk is twisted.

o

Try to feel a diagonal stretch of the abdomen.

o

Slowly return to the central position. Repeat on the other side.

o o o

This is one round. Repeat it 8 times.

Udarakarshanasana – Abdominal Stretch Pose: o Sit in the squatting position with the feet apart and the hands on the knees. ·

o o o o

Breathe in deeply. Breathing out, bring the right knee to the floor near the left foot. Using the left hand as a lever, push the left knee towards the right side, simultaneously twisting to the left. Keep the inside of the right foot on the floor.

o

Try to squeeze the lower abdomen with the combined pressure of both thighs.

o

Look over the left shoulder.

o

Hold the breath out for 3 – 5 seconds in the final position.

o

Breathe in when returning to the starting position. Repeat on the other side.

o o

This is one round. Repeat 8 times.

o Special meal:

Forty-five minutes after completing Shankhaprakshalana a portion of plain, well-done rice should be eaten. The rice provides a simple, easily digestible packing material in the form of carbohydrate, and creates .....Health Naturally - 607.....

mucus, which protects the inner lining of the alimentary canal. A little portion of ghee (clarified butter) can be added to the rice. In about four hours, when you feel hunger, eat a fresh salad. Start eating yogurt the day after shankhaprakshalana. Recommendations: Several days after Shankhaprakshalana retrain from hot, fat, salty and fried food. On the whole, Shankhaprakshalana is an excellent springboard for those who firmly decided to change the diet to the healthy one. In case of failure: If everything was done correctly but the water does not come out, the stomach is full and you feel like vomiting, it means that the sphincter between stomach and duodenum does not open and the drunken water is stuck in the stomach. Keep calm, breathe deeply, simultaneously massaging the stomach area from the left to the right, as if you were squeezing the water out of the stomach towards the small intestine till you feel that the tension in the stomach disappear. It means that the sphincter opened and the water went further down the alimentary channel. If you do not feel heaviness in the stomach, but the water still does not come out, it means that the wind stoppers in the intestines impede the passage down. In this case do Shirshasana (Head stand), Sarvangasana (Shoulder stand) or any other inverted asana. If you feel tired, drink one glass of plain water and do Vamana Dhauti (throw up). Contraindications: stomach ulcer; Acute illness of the alimentary channel such as dysentery, diarrhea, colitis; appendicitis; tuberculosis of intestines, cancer. Do not do Shankhaprakshalana if you have the flu or feel weak. Frequency: For prophylactic, it is recommended to do Shankhaprakshalana twice a year: in spring and in autumn.

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