In Ayurveda its explained as Klebya.. Its have many confounding factors as Nidana... Chikitsa Sutra will be : Stambhana, Vajeekarana with Nidana Parivarjana and Medhya Dravya.... Good Luck @Anshul Bahl
A man is considered to have erectile dysfunction if he regularly finds it difficult getting or keeping a firm enough erection to be able to have sex, or if it interferes with other sexual activity. Most men have occasionally experienced some difficulty with their penis becoming hard or staying firm. However, erectile dysfunction (ED) is only considered a concern if satisfactory sexual performance has been impossible on a number of occasions for some time. Since the discovery that the drug sildenafil, or Viagra, affected penile erections, most people have become aware that ED is a treatable medical condition. Men who have a problem with their sexual performance may be reluctant to talk with their doctor, seeing it can be an embarrassing issue. However, ED is now well understood, and there are various treatments available. This MNT Knowledge Center article offers helpful information for people experiencing this problem, or those close to them. Fast facts on erectile dysfunction:Erectile dysfunction (ED) is defined as persistent difficulty achieving and maintaining an erection sufficient to have sex.Causes are usually medical but can also be psychological.Organic causes are usually the result of an underlying medical condition affecting the blood vessels or nerves supplying the penis.Numerous prescription drugs, recreational drugs, alcohol, and smoking, can all cause ED. Causes Normal erectile function can be affected by problems with any of the following systems: blood flownerve supplyhormones Physical causes ￼ Erectile dysfunction can cause embarrassment. It is always worth consulting a physician about persistent erection problems, as it could be caused by a serious medical condition. Whether the cause is simple or serious, a proper diagnosis can help to address any underlying medical issues and help resolve sexual difficulties. The following list summarizes many of the most common physical or organic causes of ED: heart disease and narrowing of blood vesselsdiabeteshigh blood pressurehigh cholesterolobesity and metabolic syndromeParkinson's diseasemultiple sclerosishormonal disorders including thyroid conditions and testosteronedeficiencystructural or anatomical disorder of the penis, such as Peyronie diseasesmoking, alcoholism, and substance abuse, including cocaine usetreatments for prostate diseasesurgical complicationsinjuries in the pelvic area or spinal cordradiation therapy to the pelvic region Atherosclerosis is a common cause of blood flow problems. Atherosclerosis causes a narrowing or clogging of arteries in the penis, preventing the necessary blood flow to the penis to produce an erection. Numerous prescription medications can also cause ED, including those below. Anyone taking prescription medications should consult their doctor before stopping or changing their medications: drugs to control high blood pressureheart medications such as digoxinsome diureticsdrugs that act on the central nervous system, including some sleeping pills and amphetaminesanxiety treatmentsantidepressants, including monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), and tricyclic antidepressantsopioid painkillerssome cancer drugs, including chemotherapeutic agentsprostate treatment drugsanticholinergicshormone drugsthe peptic ulcer medication cimetidine Physical causes account for 90 percent of ED cases, with psychological causes much less common. Psychological causes In rare cases, a man may always have had ED and may never have achieved an erection. This is called primary ED, and the cause is almost always psychological if there is no obvious anatomical deformity or physiological issue. Such psychological factors can include: guiltfear of intimacydepressionsevere anxiety Most cases of ED are 'secondary.' This means that erectile function has been normal, but becomes problematic. Causes of a new and persistent problem are usually physical. Less commonly, psychological factors cause or contribute to ED, with factors ranging from treatable mental health illnesses to everyday emotional states that most people experience at some time. It is important to note that there can be overlap between medical and psychosocial causes. For instance, if a man is obese, blood flow changes can affect his ability to maintain an erection, which is a physical cause. However, he may also have low self-esteem, which can impact erectile function and is a psychosocial cause. Does riding a bicycle cause ED? Questions remain about the effects on men's health of riding a bicycle. Some research has raised concerns that men who regularly cycle for long hours could have a higher risk of ED, in addition to other men's health issues such as infertilityand prostate cancer. The most recent study to investigate this found that there was no link between riding a bike and ED, but it did find an association between longer hours of cycling and the risk of prostate cancer. Prostate disease and ED Prostate cancer does not cause ED. However, prostate surgery to remove the cancer and radiation therapy to treat prostate cancer can cause ED. Treatment of non-cancerous, benign prostate disease can also cause the condition. Treatment The good news is that there are many treatments for ED, and most men will find a solution that works for them. Treatments include: Drug treatments Men can take a group of drugs called PDE-5 (phosphodiesterase-5) inhibitors. Most of these pills are taken 30 to 60 minutes before sex - the best known being the blue-colored pill sildenafil (Viagra). Other options are: vardenafil (Levitra)tadalafil (taken as a once-daily pill called Cialis)avanafil (Stendra) PDE-5 inhibitors are only available on prescription. A doctor will check for heart conditions and ask about other medications being taken before prescribing. Side-effects associated with PDE-5 inhibitors include: flushingvisual abnormalitieshearing lossindigestionheadache Less commonly used drug options include prostaglandin E1, which is applied locally by either injecting it into the penis or inserting it down the opening of the urethra. Most men prefer a pill, however, so these locally acting drugs tend to be reserved for men who cannot take oral treatment. Online pharmacies It is possible to buy treatment over the internet for ED. However, caution is advised. The United States (U.S.) Food and Drug Administration (FDA) has a consumer safety guide about this, including a recommendation to check that the online pharmacy: is located in the U.S. and licensedhas a licensed pharmacist to answer questions.requires a prescription.offers direct contact with a person who can discuss any problems. You can check whether the pharmacy is licensed using this list of Verified Internet Pharmacy Practice Sites (VIPPS). The FDA also offers tips for spotting the dangers of an unsafe website, including watching out for the following clues: There is no way to contact the website by phone.Prices are dramatically lower than those offered by legal online pharmacies.Prescription drugs are offered without requiring a prescription - which is illegal.Personal information is not protected. The FDA adds that these illegal sites may send drugs of unknown quality and origin, even sending the wrong drug or a dangerous product. Vacuum devices Vacuum erection devices are a mechanical way of producing an erection for men who do not want or cannot use drug treatments, or find they are not working. The penis is made rigid by the use of a vacuum pump sealed around it that draws up blood. This is prevented from then leaving the penis by the use of an accompanying band. The lack of spontaneity with the use of vacuum devices means that many men find other treatments for ED preferable. Surgical treatments There are several surgical treatment options: Penile implants: These are a final option reserved for men who have not had any success with drug treatments and other non-invasive options.Vascular surgery: Another surgical option for some men is vascular surgery, which attempts to correct some blood vessel causes of ED. Surgery is a last resort and will only be used in the most extreme cases. Recovery time varies, but success rates are high. Do dietary supplements and alternative treatments work? The short answer is "no." No guidelines followed by doctors, nor any established sources of evidence, support the use of dietary supplements, such as herbal pills. In addition to there being no evidence in favor of non-prescription alternatives for ED, the FDA has warned of hidden risks of "treatments" sold online. Symptoms Men may not always successfully achieve an erection, and if this rarely happens, it is not considered a medical problem. However, ED does not only refer to a complete inability to achieve an erect penis.Symptoms can also include struggling to maintain an erection for long enough to complete intercourse or an inability to ejaculate. There are often also emotional symptoms, such as embarrassment, shame, anxiety, and a reduced interest in sexual intercourse. A man is considered to have ED when these symptoms occur regularly. Exercises There are exercises a man can carry out to reduce the effects of ED. The best way to treat erectile dysfunction without medication is by strengthening the pelvic floor muscles with Kegel exercises. These are often associated with women looking to strengthen their pelvic area during pregnancy, but they can be effective for men looking to regain full function of the penis. Firstly, find the pelvic floor muscles. You can achieve this by stopping mid-stream two or three times the next time you urinate. The muscles you can feel working during this process are the pelvic floor muscles, and they will be the focus of Kegel exercises. One Kegel exercise consists of tightening and holding these muscles for 5 seconds and then releasing them. Try to do between 10 and 20 repetitions each day. This may not be possible when you first start doing the exercises. However, they should become easier over time. You should be able to notice an improvement after 6 weeks. Make sure you are breathing naturally throughout this process and avoid pushing down as if you are forcing urination. Instead, bring the muscles together in a squeezing motion. Aerobic exercise, such a jog or even a brisk walk, can also help the blood to circulate better and can help improve ED in men who have circulation issues. Tests The numerous potential causes of ED mean that a doctor will typically ask a lot of questions and arrange for blood tests to be performed. Such tests can check for heart problems, diabetes, and low testosterone, among other things. The doctor will also carry out a physical examination, including of the genitals. Before considering a diagnosis that requires treatment, a doctor will look for symptoms that have persisted for at least 3 months. Once a medical history has been established, a doctor will then undertake further investigation. One simple test, known as the 'postage stamp test,' can be helpful in determining if the cause is physical rather than psychological. Men usually have 3 to 5 erections a night. This test checks for the presence of erections at night by seeing if postage stamps applied around the penis before sleep have snapped off overnight. Other tests of nocturnal erection include the Poten test and Snap-Gauge test.
On your request Causes of Erectile Dysfunction- Physiological problems: Erectionrequires a sequence of events. Erectiledysfunction can occur when any of the eventsis disturbed. Nerve impulses in the brain, spinalcolumn, around the penis and response inmuscles, fibrous tissues, veins, and arteries inand around the Corpora cavernosa constitutethis sequence of events. Injury to any of theseparts which are part of this sequence(nerves, arteries, smooth muscles, fibrous tissue)can cause impotency LOWERED LEVEL OF TESTESTERONE HORMONE:- The primary male hormone istestosterone. After the age of 40 years, a man’stestosterone level gradually declines. About 5%of men that doctors see for erectile dysfunctionhave low testosterone levels. In many of thesecases, low testosterone causes lower sexualinterest, not erectile dysfunction. The wholemale body responds to testosterone.Even Sushruta has illustrated about thisresponse of body to the element shukra. Hehas said:This means The shukra (the elementwhich helps in reproduction) is present all overthe body. But the cream of shukra (semen)comes out of the body only during the processof ejaculation, which needs a joyful union ofmind and body. Decrease in production ofshukra causes ED OVER EXERTION - physically andmentally :- Working for long hours in office,mental stress at office and home, shorttemperedness and insufficient sleep causeerectile dysfunction.These causes are explained in Ayurvedaas “shoka chintaa, bhaya, traasaat....” whichmeans that erectile dysfunction occurs due togrief, fear, anxiety and terror. Strained relationship with sexualpartner:- Erectile dysfunction also occurswhen there is a disliking towards sexualpartner. Ayurveda describesthis as “naarinaamarasamjnatwaat...........”means disliking for women. Diseases that cause erectiledysfunction:- Neurological disorders,hypothyroidism, Parkinson’s disease, anemia,depression, arthritis, endocrine disorders,diabetes, and diseases related to cardiovascularsystem also become reasons for erectiledysfunction.According to Ayurveda the diseaseswhich cause erectile dysfunction are “Hritpaandurogatamakakaamalashrama.. .”Heart diseases, anemia, asthma, liver disorders,and tiredness. Apart from these the imbalancesin tridoshas also cause erectile dysfunction. Consumption of medicines, drugsand tobacco:- Using anti-depressants,tranquilizers and antihypertensive medicines fora long time, addiction to tobacco especiallysmoking, excessive consumption of alcohol,addiction to cocaine, heroin and marijuana causeerectile dysfunction. In Ayurveda texts thesecauses have been said in brief as “rukshamannapaanam tathoushadham” -“dry food, drinks and medicines” cause erectiledysfunction. - Trauma to pelvic region:Accidental injury to pelvic region andsurgeries for the conditions of prostate,bladder, colon or rectal area TYPES-- Types of Erectile Dysfunction 1 Erectile dysfunction (primary and secondary impotence): Primary impotence refers to a man who has never been able tomaintain an erection for purposes of intercourse either with a female or a male, vaginally or rectally. In secondary impotence, a man cannot maintain or perhaps even get an erection, but has succeeded at having either vaginal or rectal intercourse at least one time in his life. 2 Rapid ejaculation 3.Retarded ejaculation (ejaculatory incompetence)
Use Siddha MakerDhawaj wati no.1( with gold),Br.Puranchander ras Bd with hot milk bd. After diet NavJiwanRas,Chander prbha vati with Dashmularisht risht For ten days Brumcharya palan. Rice,Arvi,Prantha means Avoid KAPF kark diet.
Agreed@Dr. Pooja Thakur ma'am, Thank you for your well explanation about erectile dysfunction ma'am. We got about it easily through ur explanation.
Nice explanation @Dr. Pooja Thakur
Very Much Agrred With@Dr. Pooja Thakur Mam Complete Explanation About ED Very Well Explained
Very nice interpretation Dr Pooja that,, nice sharing,,
Agree with@Dr. Pooja Thakur mam
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Happy new year 2019 friends. Today I am discussing about a common problem faced by many males known as erectile dysfunction. Flaccid and erect penis Erectile dysfunction (impotence) is the inability to get and keep an erection firm enough for sex. Having erection trouble from time to time isn't necessarily a cause for concern. If erectile dysfunction is an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems. Problems getting or keeping an erection can also be a sign of an underlying health condition that needs treatment and a risk factor for heart disease. If you're concerned about erectile dysfunction, talk to your doctor — even if you're embarrassed. Sometimes, treating an underlying condition is enough to reverse erectile dysfunction. In other cases, medications or other direct treatments might be needed. Symptoms Erectile dysfunction symptoms might include persistent: Trouble getting an erection Trouble keeping an erection Reduced sexual desire When to see a doctor A family doctor is a good place to start when you have erectile problems. See your doctor if: You have concerns about your erections or you're experiencing other sexual problems such as premature or delayed ejaculation You have diabetes, heart disease or another known health condition that might be linked to erectile dysfunction Causes Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction. Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical condition that slows your sexual response might cause anxiety about maintaining an erection. The resulting anxiety can lead to or worsen erectile dysfunction. Physical causes of erectile dysfunction In many cases, erectile dysfunction is caused by something physical. Common causes include: Heart disease Clogged blood vessels (atherosclerosis) High cholesterol High blood pressure Diabetes Obesity Metabolic syndrome — a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol Parkinson's disease Multiple sclerosis Certain prescription medications Tobacco use Peyronie's disease — development of scar tissue inside the penis Alcoholism and other forms of substance abuse Sleep disorders Treatments for prostate cancer or enlarged prostate Surgeries or injuries that affect the pelvic area or spinal cord Psychological causes of erectile dysfunction The brain plays a key role in triggering the series of physical events that cause an erection, starting with feelings of sexual excitement. A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction. These include: Depression, anxiety or other mental health conditions Stress Relationship problems due to stress, poor communication or other concerns Risk factors As you get older, erections might take longer to develop and might not be as firm. You might need more direct touch to your penis to get and keep an erection. Various risk factors can contribute to erectile dysfunction, including: Medical conditions, particularly diabetes or heart conditions Tobacco use, which restricts blood flow to veins and arteries, can — over time — cause chronic health conditions that lead to erectile dysfunction Being overweight, especially if you're obese Certain medical treatments, such as prostate surgery or radiation treatment for cancer Injuries, particularly if they damage the nerves or arteries that control erections Medications, including antidepressants, antihistamines and medications to treat high blood pressure, pain or prostate conditions Psychological conditions, such as stress, anxiety or depression Drug and alcohol use, especially if you're a long-term drug user or heavy drinker Complications Complications resulting from erectile dysfunction can include: An unsatisfactory sex life Stress or anxiety Embarrassment or low self-esteem Relationship problems The inability to get your partner pregnant Prevention The best way to prevent erectile dysfunction is to make healthy lifestyle choices and to manage any existing health conditions. For example: Work with your doctor to manage diabetes, heart disease or other chronic health conditions. See your doctor for regular checkups and medical screening tests. Stop smoking, limit or avoid alcohol, and don't use illegal drugs. Exercise regularly. Take steps to reduce stress. Get help for anxiety, depression or other mental health concerns. Primary Homoeopathic Remedies Agnus castus. This remedy may be helpful if problems with impotence develop after a man has led a life of intense and frequent sexual activity for many years. ... Caladium. ... Lycopodium. ... Selenium metallicum. ... Argentum nitricum. ... Causticum. ... Staphysagria.Dr. Rajesh Gupta10 Likes4 Answers
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*Impotency - Homeopathic Medicines* It is also called Erectyle Dysfunction. Defination - It is abnormal physical or psychological state of a male characterized by inability to engage in sexual intercourse because of failure to have or maintain an erection. *Causes* These include both emotional and physical disorders. An estimated 50 percent of men ages 40 to 70 experience some ED at one time or another. The risk of impotence increases with age. *1. Endocrine Diseases* Diabetes is an example of an endocrine disease that can cause a person to experience impotence. Diabetes affects the body’s ability to utilize the hormone insulin. One of the side effects associated with chronic diabetes is nerve damage. This affects penis sensations. Other complications associated with diabetes are impaired blood flow and hormone levels. *2. Neurological and Nerve Disorders* Several neurologic conditions can increase the risk for impotence. Nerve conditions affect the brain’s ability to communicate with the reproductive system. This can prevent a person from achieving an erection. Neurological disorders associated with impotence include: * Alzheimer’s disease * Parkinson’s disease * brain or spinal tumors * multiple sclerosis * stroke * temporal lobe epilepsy *3. Taking Medications* Taking certain medications can affect blood flow, which can lead to ED Examples of medications known to cause impotence include: * alpha-adrenergic blockers, including tamsulosin (Flomax) * beta-blockers, such as carvedilol (Coreg) and metoprolol (Lopressor) * cancer chemotherapy medications, such as cimetidine (Tagamet) * central nervous system depressants, such as alprazolam (Xanax), diazepam (Valium), and codeine (found in various brand name drugs) * central nervous system stimulants, such as cocaine or amphetamines * diuretics, such as furosemide (Lasix) and spironolactone (Aldactone) * selective serotonin reuptake inhibitors or SSRIs (Prozac, Paxil) * synthetic hormones, such as leuprolide (Eligard) *4. Cardiac-Related Conditions* Conditions that affect the heart and its ability to pump blood well can cause impotence. Without enough blood flow to the penis, a person can’t achieve an erection. Atherosclerosis, a condition that causes the blood vessels to become clogged, can cause impotence. High cholesterol and high blood pressure (hypertension) are also associated with increased risks for impotence. *5. Lifestyle Factors and Emotional Disorders* To achieve an erection, a person must first go through what’s known as an excitement phase. This phase can be an emotional response. If a person has an emotional disorder, this affects their ability to become sexually excited. Depression and anxiety are associated with increased risk for impotence. Performance anxiety can be another cause of impotence. If a person wasn’t able to achieve an erection in the past, he may fear he won’t be able to achieve an erection in the future. Abuse of drugs like cocaine and amphetamines can also cause impotence. Alcohol abuse and alcoholism can affect a person’s ability to achieve or maintain an erection as well. Impotence or Erectile Dysfunction is a condition in which there is a problem in getting or maintaining an erection sufficient for sexual intercourse. Here I am giving few medicines which are most effective may be prescribed according to symptoms. *Agnus Castus 30* 1. There is no penile erection during the sexual act. 2. The penis remain relaxed and flaccid during sex. 3. Penis cold. 4. No desire for sex and decreased physical strength. 5. Erectle dysfunction with history of gonorrhoea. 6. There is sadness and depression. 7. It relieves the sadness, enhancing the desire to have sex and achieving erections. *Caladium 30* 1. No erection but great sexual desire. 2. No erection after an embrace. 4. The penis remains in a relaxed condition and there is no erection. 5. There is a sexual weakness due to mental depression. 6. The erectyle dysfunction is due to tobacco addiction. There is tobacco addiction. *Selenium 200* 1. The erection is too weak and slow. 2. The complete inability to have an erection. 3. The erection is insufficient and remains for a very short period. 4. The pt has sexual desire but they lack of erectyle power. 5 Irritability and excessive weakness after the sexual. 6. Involuntary emission of seminal discharge during sleep. 7. A few may also complain of dribbling of semen while passing stool or urine. *Lycopodium 1M* 1. It is good for both young and pls people. 2. Erectile Dysfunction resulting from excessive masturbation in young person. 3. In elderly people, erectylw dysfunction is after of more indulgence in sexual activity. 4. The desire for sexual act is present but the erection is not adequate. At times, 5. There is premature ejaculation. 6. In old age imperfect erection with prostate enlargement.. *Avena Sativa Q* 1. It can be used as a tonic for enhancing the sexual power of males. 2. This medicine helps in to remove extreme exhaustion and deficient erections. 3. Erectile Dysfunction after overindulgence in sexual activity or masturbation. *Lecithin 3x* Increase the exual desire and also increases the strength of penile erection by supplying more blood to it. *Nux Vomica 200* 1. When the patient has lived a high life with lots of indulgences like wine, women, tobacco and other stimulants, 2. The patient is short tempered and an aggressive. 3. He may have remained under a lot of stress related to his business and trying to achieve whatever he set his sights on. *Tribulus Terrestris ( Iksugandha ) Q* 1. There is presence of urinary troubles along with Erectile Dysfunction. 2. The sexual organs are weak and pain is experienced while passing urine. *Nuphar Luteum 6* 1. Erectile Dysfunction with no sexual desire and relaxed genitalia. Erectile Dysfunction with zero desire for sex. 2. Seminal discharges during passing stool or urine. *Yohimbinum Q* 1. This medicine acts as a agent to increase sexual desire. 2. It is also the best remedy for Neurasthenic Impotency, like lack of interest in sexual activity, deficient erection, extreme weakness, irritability and sadness. *Acid Phos 30* 1. Erectyle dysfunction with diabetes mellitus 2. The sex power is very weak. 3. The genitals are relaxed. 4. Seminal emissions while the pt is asleep. 5. The pt suffers from extreme physical debility and mental exhaustion.. *Moschus 30* *Cuprum Met 30* Impotent due to diabetes. *Agnus Castus and Nuphar Luteum* *Agnus Castus* is the best medicine to increase the the desire to have sex who have complete impotency and a marked aversion to sex *Nuphar Luteum* is used for exactly the same condition as in *Agnus Castus*. But the additional symptom over *Agnus Castus* to increase the sexual desire is the involuntary semen discharge while passing stool or urine or while sleeping.Dr. Sanjay Gupta7 Likes5 Answers
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Do we need Psychiatrist's services in diabetes care ? Most of us may reply in negative.But I believe that we do need them, at times ! Let me be brief : Emotional well-being is an important part of Diabetes care and self management. Negative attitude towards the disease should be dealt at earliest and effectively. Prevalence of Depression among Individuals with diabetes ~ 20-25 % Prevalence of Diabetes related Distress among Individuals with diabetes ~ 18-45 %. Non Compliance towards medications and LS Measures can be an issue. Individuals with both DM and major depressive disorder have a 2 fold Increased risk for new onset MI compared with either disease state alone. Psychosocial interventions modesty improve A1c levels and improve QOL. Hence I strongly believe that we do need a Psychiatrist's help in some select cases ! So , When do we refer such patients to a psychiatrist ? 1. Possibility of self harm. 2. Gross disregard for medical regimen (by self or others ). 3. Depression. 4. Overall Stress related to work-life balance. 5. Debilitating Anxiety ( alone or with Depression ). 6. indications for eating disorder 7. Cognitive function that significantly impairs judgement.Dr. Chakradhar Nannapaneni8 Likes16 Answers
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Panchakarma- Five Teatments -1 Pancha Karma is the cornerstone to Ayurvedic management of disease. Pancha Karma is the process which gets to the root cause of the problem and corrects the essential balance of 'Tridosha' in body. Pancha Karma is not only good for alleviating disease but is also a useful tool in maintaining excellent health. Ayurveda advises undergoing Pancha Karma at the seasonal changes to clean the body, improve the digestion and to improve the metabolic processes. Panchakarma is a Sanskrit word that means "five actions" or "five treatments ". This age-old science of purifying the body is an ancient branch of Ayurveda, The Treatment in Ayurveda consists of two main types. One is Shaman Chikitsa, used to subdue the vitiated Doshas, due to which any ailments may be produced. It is administered by using various medicinal herbo-mineral preparations. However, if the Doshas are vitiated beyond a particular level, they give rise to various endotoxins, which have a tendency to be accumulated in the minute channels. These are beyond the level of pacification and hence need to be eliminated or removed from the body. In such cases, the second type of treatment, which is Shodhan Chikitsa or cleansing therapy, is indicated. Since it consists of the five types of main therapies, it is known as the Panchakarma Chikitsa. Panchakarma has been given a special place in all the ancient Ayurvedic texts. Aacharya Charak, the author of the most important ancient text on internal medicine, has described a wide use of Panchakarma therapy for almost all the major diseases. Two separate sections, Kalpa Sthanam, and Siddhi Sthanam in Charak Samhita describe the details of special decoctions and other preparations used for Panchakarma therapy. Panchakarma includes three parts namely: Poorva Karma (Preparatory Methods)which includes : Paachan (Digestion) Snehan (Internal and external oleation) Swedan (Fomentation) Pradhan Karma (Main methods)which includes : Vaman (Induced vomiting) Virechan (Induced purgation) Basti (Medicated enema) Nasya (Nasal medicine) Rakta Mokshan (Artificial bloodletting) Pashchat Karma (Post-Therapeutic Measures)which includes: Sansarjan Krama (Specific dietetics), DhumaPana (smoking of medicinal cigars) and some rules to follow specific activities. Purvakarma : Pre-purification Measures Before the actual operation of purification begins, there is a need to prepare the body in prescribed methods to encourage the body to let go of the toxins. The two procedures are 'snehan' and 'swedan'. Snehan is the oil massage. Oil is applied to the entire body with a particular type of massage which helps the toxins to move towards the gastro-intestinal tract. Oil massage also makes the superficial and deep tissues soft and supple. Snehan is given daily for three to seven days, as indicated. Swedan is sudation or sweating and is given every day immediately following the snehan. An herbal concoction may be added to the steam to further loosen the toxins from the individual. Swedan liquefies the toxins and increases the movement of toxins into the gastro-intestinal tract. After three to seven days of snehan and swedan, the doshas become well "ripened". A particular panchakarma method is then given according to the individual's constitution and disorder, prakruti and vikruti, respectively. Panchakarma - Five Basic Shodhans: Cleansing Methods 1) Vaman : therapeutic vomiting or emesis 2) Virechan : purgation 3) Basti : enema 4) Nasya : elimination of toxins through the nose 5) Rakta moksha : detoxification of the blood Vaman: Emesis Therapy When there is congestion in the lungs causing repeated attacks of bronchitis, colds, cough or asthma, the Ayurvedic treatment is therapeutic vomiting, vaman, to eliminate the kapha causing the excess mucus. First, after the snehan and swedan, three to four glasses of licorice or salt water is administered, then vomiting is stimulated by rubbing the tongue which triggers the vomiting center through the gag reflex. One may alternatively take two to three glasses of salt water which will also aggravate kapha and then rub the tongue to induce vomiting. Once the mucus is released the patient will feel instantly relieved. It is likely that congestion, wheezing and breathlessness will disappear and that the sinuses will become clear. Therapeutic vomiting is also indicated in chronic asthma, diabetes, chronic cold, lymphatic congestion, chronic indigestion and edema. Emetic Substances: madan-emetic nut, madhuka-yastimadhu-licorice, neem-bitter leaf, bimbi, kutaj-kurchi- conessi bark, murva-clematis, triloba-devdaru-deodar, Cedrus deodara, Salt, NaCl, ela-cardamom, nux vomica. Indications for Vaman : used for all kapha type disorders good for pitta headache, dizziness, and nausea will help to release blocked emotions respiratory congestion bronchitis chronic cold sinus congestion kaphagenic asthma Contra-Indications for Vaman : below the age of 12 or over age 65 menstruation pre-menstrual period (one week prior) pregnancy emaciation delicate or sensitive person with too much fear, grief or anxiety hypoglycemia vata prakruti vata diseases heart diseases during vata season acute fever diarrhea obesity Virechan : Purgation Therapy When excess bile, pitta, is secreted and accumulated in the gall bladder, liver and small intestine, it tends to result in rashes, skin inflammation, acne, chronic attacks of fever, biliary vomiting, nausea and jaundice. Ayurvedic literature suggests in these conditions the administration of therapeutic purgation or a therapeutic laxative. Virechan is facilitated with senna leaves, flax seeds, psyllium husks or triphala in a combination that is appropriate for the individual person. Virechan Substances: Senna, prune, bran, flaxseed husk, dandelion root, psyllium seed, cow's milk, salt, castor oil, raisins, mango juice, triphala. Indications for Virechan: allergic rash skin inflammation acne, dermatitis, eczema chronic fever ascites biliary vomiting jaundice urinary disorder enlargement of the spleen internal worms burning sensation in the eyes inflammation of the eyes conjunctivitis gout Contra-Indications for Virechan: low agni acute fever diarrhea severe constipation bleeding from rectum or lung cavities foreign body in the stomach after enema emaciation or weakness prolapsed rectum alcoholism dehydration childhood old age ulcerative colitisAyurveda-Panchakarma Basti & Nasya -2 Basti: Enema Therapy Vata's predominant site is the colon. Ayurvedic basti involves the introduction into the rectum of herbal concoctions of sesame oil, and certain herbal preparations in a liquid medium. Basti, is the most effective treatment of vata disorders, although many enemas over a prescribed period of time are usually required. It relieves constipation, distention, chronic fever, cold, sexual disorders, kidney stones, heart pain, backache, sciatica and other pains in the joints. Many other vata disorders such as arthritis, rheumatism, gout, muscle spasms and headaches may also be treated with basti. Vata is a very active principle in pathogenesis. If we can control vata through the use of basti, we have gone a long way in going to the root cause of the vast majority of diseases. Vata is the main etiological factor in the manifestation of diseases. It is the motive force behind the elimination and retention of feces, urine, bile and other excreta. There are eight main types of basti, according to traditional texts, each with their own indications and contra-indications as listed below. 1. Anuvasana (oil enema) is used in pure vata disorders and when a person is having excess hunger or dryness related to vata imbalances. 2. Niruha-Asthapana (decoction enema) is used, among other conditions, for evacuation of vata, nervous diseases, gastro-intestinal vata conditions, gout, certain fever conditions, unconsciousness, certain urinary conditions, appetite, pain, hyperacidity and heart diseases. 3. Uttara Basti (through the urethra with men or vagina with women) is used for selected semen and ovulation disorders and for some problems involving painful urination or bladder infections. This is not to be used for someone with diabetes. 4. Matra Basti (daily oil enema) is used by someone emaciated by overwork or too much exercise, too much heavy lifting, walking too long of a distance, too much sexual activity or someone with chronic vata disorders. It does not need to be accompanied by any strict dietary restriction or daily routine and can be administered, in the appropriate cases, in all seasons. It gives strength, promotes weight and helps elimination of waste products. 5. Karma Basti (schedule of 30 bastis), 6. Kala Basti (schedule of 15 bastis; 10 oil + 5 decoction) 7. Yoga Basti (schedule of 8 bastis; 5 oil + 3 decoction). 8. Bruhana Basti (nutritional enema) is used for providing deep nutrition in select conditions. Traditionally, highly nutritive substances have been used, such as warm milk, meat broth, bone marrow soup and herbs like shatavari or ashwagandha. General Indications for Basti: constipation low back ache gout rheumatism sciatica arthritis nervous disorders vata headache emaciation muscular atrophy General Contra-Indications for Basti (include but are not limited to the following): Enema therapy should not be used if the patient is suffering from diarrhea, bleeding of the rectum, chronic indigestion, breathlessness, diabetes, fever, emaciation, severe anemia, pulmonary tuberculosis, old age or for children below the age of seven years. for oil enemas: diabetes, obesity, indigestion, low agni, enlarged liver or spleen, unconsciousness, tuberculosis and cough. for decoction enemas: debility, hiccough, hemorrhoids, inflammation of anus, piles, diarrhea, pregnancy, ascites, diabetes and some conditions involving painful or difficult breathing. for nutritional enemas: diabetes, obesity, lymphatic obstruction, ascites. for urethra or vaginal enemas: diabetes Nasya: Nasal Administration The nose is the doorway to the brain and it is also the doorway to consciousness. The nasal administration of medication is called nasya. An excess of bodily humors accumulated in the sinus, throat, nose or head areas is eliminated by means of the nearest possible opening, the nose. Prana, life force as nerve energy, enters the body through the breath taken in through the nose. Prana is in the brain and maintains sensory and motor functions. Prana also governs mental activities, memory, concentration and intellectual activities. Deranged prana creates defective functioning of all these activities and produces headaches, convulsions, loss of memory and reduced sensory perception. Thus nasal administration, nasya is indicated for prana disorders, sinus congestion, migraine headaches, convulsions and certain eye and ear problems. There are six main types of nasya, as listed below. 1. Pradhamana (virechan) Nasya (cleansing nasya) uses dry powders (rather than oils) that are blown into the nose with a tube. Pradhamana nasya is mainly used for kapha types of diseases involving headaches, heaviness in the head, cold, nasal congestion, sticky eyes, hoarseness of voice due to sticky kapha, sinusitis, cervical lymph adenitis, tumors, worms, some skin diseases, epilepsy, drowsiness, Parkinsonism, inflammation of the nasal mucosa, attachment, greed and lust. Traditionally, powders such as brahmi are used. 2. Bruhana Nasya (nutrition nasya) uses ghee, oils, salt, shatavari ghee, ashwagandha ghee and medicated milk and is used mainly for vata disorders. It is said to benefit conditions resulting from vata imbalances such as vata-type headaches, migraine headache, dryness of voice, dry nose, nervousness, anxiety, fear, dizziness, emptiness, negativity, heaviness of eyelids, bursitis, stiffness in the neck, dry sinuses and loss of sense of smell. 3. Shaman Nasya (sedative nasya) is used according to which dosha is aggravated but mainly for pitta-type disorders such as thinning of hair, conjunctivitis and ringing in the ears. Generally certain herbal medicated decoctions, teas and medicated oils are used. 4. Navana Nasya (decoction nasya) is used in vata-pitta or kapha-pitta disorders and is made from decoctions and oils together. 5. Marshya Nasya (ghee or oil nasya) 6. Prati Marshya (daily oil nasya) This helps to open deep tissues and can be done every day and at any time to release stress. Substances Used in Nasya: brahmi, ginger, ghee oils, decoctions, onion, garlic, Piper longum, black pepper, curry pepper, rose, jasmine, mogra flowers and henna. Indications for Nasya: stress emotional imbalances stiffness in the neck & shoulders dryness of the nose sinus congestion hoarseness migraine headache convulsions Contra-Indications for Nasya: sinus infections pregnancy menstruation after sex, bathing, eating or drinking of alcohol should not be used below 7 years or over 80 years of age Click here to read more about 'Nasyakarma' Raktamoksha : Traditional Ayurvedic Method for Purification and Cleansing of the Blood Toxins present in the gastro-intestinal tract are absorbed into the blood and circulated throughout the body. This condition is called toxemia, which is the basic cause of repeated infections, hypertension and certain other circulatory conditions. This includes repeated attacks of skin disorders such as urticaria, rashes, herpes, eczema, acne, leukoderma, chronic itching or hives. In such conditions, along with internal medication, elimination of the toxins and purification of the blood is necessary. Raktamoksha is also indicated for cases of enlarged liver, spleen and gout. Extracting a small amount of blood from a vein relieves the tension created by the pittagenic toxins in the blood. Bloodletting also stimulates the spleen to produce antitoxic substances which helps to stimulate the immune system. Toxins are neutralized enabling radical cures in many blood born disorders. Bloodletting is contraindicated in cases of anemia, edema, extreme weakness, diabetes and in children and elderly persons. Indications for Raktamoksha: urticaria rash acne eczema scabies leukoderma chronic itching hives enlarged liver or spleen gout Contra-Indications for Raktamoksha: anemia edema weakness young children old age during pregnancy during menstruation Read more about Various Diseases and Indicated Panchakarma procedures for them > @Dr. Tapan Kumar Sau15 Likes22 Answers
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*Restless leg syndrome (RLS* ☝ *Today about*☝ Definition Restless leg syndrome (RLS) or Willis-Ekbom disease(WED) is a common cause of painful legs. The leg pain of restless leg syndrome typically eases with motion of the legs and becomes more noticeable at rest. Restless leg syndrome also features worsening of symptoms and leg pain during the early evening or later at night. Restless leg syndrome Restless leg syndrome is often abbreviated RLS; it has also been termed shaking leg syndrome. Night time involuntary jerking of the legs during sleep is also known as periodic leg/limb movement disorder. History The first known medical description of RLS was by Sir Thomas Willis in 1672. Willis emphasized the sleep disruption and limb movements experienced by people with RLS. Initially published in Latin (De Anima Brutorum, 1672) but later translated to English (The London Practice of Physick, 1685), The term “fidgets in the legs” has also been used as early as the early nineteenth century. Subsequently, other descriptions of RLS were published, including those by Francois Boissier de Sauvages (1763), Magnus Huss (1849), Theodur Wittmaack (1861), George Miller Beard (1880), Georges Gilles de la Tourette (1898), Hermann Oppenheim (1923) and Frederick Gerard Allison (1943). However, it was not until almost three centuries after Willis, in 1945, that Karl-Axel Ekbom (1907–1977) provided a detailed and comprehensive report of this condition in his doctoral thesis, Restless legs: clinical study of hitherto overlooked disease. Ekbom coined the term “restless legs” and continued work on this disorder throughout his career. He described the essential diagnostic symptoms, differential diagnosis from other conditions, prevalence, relation to anemia, and common occurrence during pregnancy. Epidemiology Except perhaps in Asian populations, RLS is a common disorder, occurring in about 10% of the population. The age-adjusted prevalence of RLS determined by telephone interviews in a random population of 1803 adults in Kentucky was 10%. A Canadian survey of 2019 adults estimated the prevalence of RLS symptoms at 17% for women and 13% for men. A population-based survey in West Pomerania, Germany, of 4107 subjects found an overall 10.6% prevalence. Using standardized questions in face-to-face interviews, Rothdach et al. reported an overall prevalence of 9.8% in 369 participants ages 65-83 years in Augsburg, Germany. In a study from Japan, 4612 participants living in urban residential areas were assessed for a single symptom of RLS by a self-administered questionnaire of the following two items: (1) Have you ever been told you jerk your legs or kick sometimes and (2) have you ever experienced sleep disturbance due to a creeping sensation or hot feeling in your legs? The prevalence of RLS ranged from 3% in women ages 20-29 years to 7% in women ages 50-59 years and correlated with age. In contrast to the first three studies, RLS had a higher prevalence in men than women, with the difference reaching significance in those 40-49 years old; in men there was no positive correlation with age. Face-to-face interviews of 157 consecutive individuals ages 55 years and older participating in a health screening program and 1000 consecutive individuals ages 21 years and older from a primary health care center in Singapore yielded much lower prevalence data. Using IRLSSG criteria, the prevalence of RLS in this predominantly Asian population was 0.6% in the older (1 male) and 0.1% (1 female) in the younger cohorts. In the Kentucky and Singapore studies, there was no gender difference; however, in the two German studies, the prevalence was higher in women and in the Japanese study it was higher in men. The Canadian study reported a significantly higher occurrence of bedtime leg restlessness in women. Types Restless legs syndrome (RLS) can be either primary or secondary, and the causes vary. Primary RLS is a neurological disorder. Although the majority of people with RLS begin to experience symptoms in their middle years, some may have signs of the problem in childhood. Their symptoms may slowly progress for years before becoming a regular occurrence. Secondary RLS tends to be more severe than the primary type and stems from another underlying condition, including the following: Anemia or low blood-iron levels Folate deficiency Nerve damage due to diabetes or other conditions Kidney disease or dialysis Attention deficit disorder (ADD) Attention deficit/hyperactivity disorder (ADHD) Pregnancy Rheumatoid arthritis Parkinson’s disease Risk factors RLS/WED can develop at any age, even during childhood. The disorder is more common with increasing age and more common in women than in men. Restless legs syndrome usually isn’t related to a serious underlying medical problem. However, RLS/WED sometimes accompanies other conditions, such as: Peripheral neuropathy: This damage to the nerves in your hands and feet is sometimes due to chronic diseases such as diabetes and alcoholism. Iron deficiency: Even without anemia, iron deficiency can cause or worsen RLS/WED. If you have a history of bleeding from your stomach or bowels, experience heavy menstrual periods or repeatedly donate blood, you may have iron deficiency. Kidney failure: If you have kidney failure, you may also have iron deficiency, often with anemia. When kidneys don’t function properly, iron stores in your blood can decrease. This, with other changes in body chemistry, may cause or worsen RLS/WED. Causes The cause of restless leg syndrome is unknown in most people. However, restless leg syndrome has been associated with Pregnancy, Obesity, Smoking, Iron deficiency and anemia, Nerve disease, Polyneuropathy (which can be associated with hypothyroidism, heavy metal toxicity, toxins, and many other conditions), Other hormone diseases such as diabetes, and Kidney failure (which can be associated with vitamin and mineral deficiency). Some drugs and medications have been associated with restless leg syndrome including: Caffeine, Alcohol, H2-histamine blockers (such as ranitidine [Zantac] and cimetidine [Tagamet]), and certain antidepressants (such as amitriptyline [Elavil, Endep]). Occasionally, restless leg syndrome run in families. Recent studies have shown that restless leg syndrome appears to become more common as a person ages. Also, poor venous circulation of the legs (such as with varicose veins) can cause restless leg syndrome. Symptoms The International Restless Legs Syndrome Study Group described the following symptoms of restless legs syndrome (RLS): Strange itching, tingling, or “crawling” sensations occurring deep within the legs; these sensations may also occur in the arms. A compelling urge to move the limbs to relieve these sensations Restlessness — floor pacing, tossing and turning in bed, rubbing the legs Symptoms may occur only with lying down or sitting. Sometimes, persistent symptoms worsen while lying down or sitting and improve with activity. In very severe cases, the symptoms may not improve with activity. Other symptoms of RLS include the following: Sleep disturbances and daytime sleepiness Involuntary, repetitive, periodic, jerking limb movements that occur either in sleep or while awake and at rest; these movements are called periodic leg movements of sleep or periodic limb movement disorder. Up to 90% of people with RLS also have this condition. In some people with RLS, the symptoms do not occur every night but come and go. These people may go weeks or months without symptoms (remission) before the symptoms return again. Complications Restless legs syndrome rarely results in any serious consequences. However, in some cases severe and persistent symptoms can cause considerable mental distress, chronic insomnia, and daytime sleepiness. In addition, since restless legs syndrome (RLS) is worse when resting, people with severe RLS may avoid daily activities that involve long periods of sitting, such as going to movies or traveling long distances. Diagnosis and test There’s no single test for diagnosing restless legs syndrome. A diagnosis will be based on your symptoms, your medical and family history, a physical examination, and your test results. Your GP should be able to diagnose restless legs syndrome, but they may refer you to a neurologist if there’s any uncertainty. There are four main criteria your GP or specialist will look for to confirm a diagnosis. These are: an overwhelming urge to move your legs, usually with an uncomfortable sensation such as itching or tingling your symptoms occur or get worse when you’re resting or inactive your symptoms are relieved by moving your legs or rubbing them your symptoms are worse during the evening or at night Blood tests Your GP may refer you for blood tests to confirm or rule out possible underlying causes of restless legs syndrome. For example, you may have blood tests to rule out conditions such as anaemia, diabetes and kidney function problems. It’s particularly important to find out the levels of iron in your blood because low iron levels can sometimes cause secondary restless legs syndrome. Low iron levels can be treated with iron tablets. Sleep tests If you have restless legs syndrome and your sleep is being severely disrupted, sleep tests such as a suggested immobilisation test may be recommended. The test involves lying on a bed for a set period of time without moving your legs while any involuntary leg movements are monitored. Occasionally, polysomnography may be recommended. This is a test that measures your breathing rate, brain waves and heartbeat throughout the course of a night. The results will confirm whether you have periodic limb movements in sleep (PLMS). Treatment and medications Treatment for RLS is targeted at easing symptoms. In people with mild to moderate restless legs syndrome, lifestyle changes, such as beginning a regular exercise program, establishing regular sleep patterns, and eliminating or decreasing the use of caffeine, alcohol, and tobacco, may be helpful. Treatment of an RLS-associated condition also may provide relief of symptoms. Other non-drug RLS treatments may include: Leg massages Hot baths or heating pads or ice packs applied to the legs Good sleep habits A vibrating pad called Relaxis Medications may be helpful as RLS treatments, but the same drugs are not helpful for everyone. In fact, a drug that relieves symptoms in one person may worsen them in another. In other cases, a drug that works for a while may lose its effectiveness over time. Drugs used to treat RLS include: Dopaminergic drugs, which act on the neurotransmitter dopamine in the brain. Mirapex, Neupro, and Requip are FDA-approved for treatment of moderate to severe RLS. Others, such as levodopa, may also be prescribed. Benzodiazepines, a class of sedative medications, may be used to help with sleep, but they can cause daytime drowsiness. Narcotic pain relievers may be used for severe pain. Anticonvulsants, or antiseizure drugs, such as Tegretol, Lyrica, Neurontin, and Horizant. Although there is no cure for restless legs syndrome, current treatments can help control the condition, decrease symptoms, and improve sleep. Lifestyle and home remedies Making simple lifestyle changes can help alleviate symptoms of RLS/WED. Try baths and massages: Soaking in a warm bath and massaging your legs can relax your muscles. Apply warm or cool packs: Use of heat or cold, or alternating use of the two, may lessen your limb sensations. Try relaxation techniques: such as meditation or yoga. Stress can aggravate RLS/WED. Learn to relax, especially before bedtime. Establish good sleep hygiene: Fatigue tends to worsen symptoms of RLS/WED, so it’s important that you practice good sleep hygiene. Ideally, have a cool, quiet, comfortable sleeping environment; go to bed and rise at the same time daily; and get adequate sleep. Some people with RLS/WED find that going to bed later and rising later in the day helps in getting enough sleep. Exercise: Getting moderate, regular exercise may relieve symptoms of RLS/WED, but overdoing it or working out too late in the day may intensify symptoms. Avoid caffeine: Sometimes cutting back on caffeine may help restless legs. Try to avoid caffeine-containing products, including chocolate and caffeinated beverages, such as coffee, tea and soft drinks, for a few weeks to see if this helps.Dr. Shailendra Kawtikwar10 Likes18 Answers