Views shared by several ayurveda professionals and non-ayurveda people in discussion group:
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Todays topic for discussion: Cerebral atrophic changes
Vd. Kundan Gadhavi: in MRI cerebellar atrophic changes, ANA is positive, genetic testing not done
hyporeflexia ++ diagnosed by neurophysician as progressive cerebellar ataxia, More details will be available after she will consult patient again. Thnx for yr interest.
Dr. Bharat Sharma: Atrophy is not death of substance. It always has rejuvenescence!
This is what crystal clear understanding of Ayurveda! Neurology is not Vata Dosha but Also Yantradhara! Allopathy system can diagnose but not treat most diseases .....so suggestion to continue this discussion @ Tartam level!
Vd. Pankaj Chhayani: True... Vata is yantra tantra dhara... Yantra dhara mean hardware/anatomical..and tantra dhara mean soft ware/physiological.... So when vata becomes dearranged , it cause anatomical as well as physiological problems.... Aadhman (abdominal flatulance) = simple form of vata disorder, Sandhivata(osteo arthritis)= little bit complex form of vata vyadhi..Neurological problems(paxaghata, ardita, aaxep)= complex form of vata vyadhi
Vd. Neha Dipam : Chatursneh basti and nasya give good result in case, Brahmi jyotismati and aswgandha punarnava kancha bij churn with ghrit, And same drug sidhdh ghrit nasy
Minoo Parabia: Ekangveer, Samirpannag, Brahmi+kauncha+hurmalbeej+asvagandha+abha+laxadi guggulu. Also Jyitishmati with Vatsnabh and suhaga. We are using as Nervon, Neuricalm, Spondygo. Had good results in multiple sclerosis. As well as in Trigeminal Neuralgia.
Vd. Kundan Gadhavi: shared MRI reports and findings
Vd. Pankaj Chhayani: Its hereditory ataxia, Frideric ataxia is hereditory problem, where dorsal columan and cerebellum are affected, Karyotypy done... No consanguineous marriage. I want to know age of patient…How old is she ? And what were the age of her parents at the time of pregnancy? Is pt needed help of others in routine?
Vd. Kundan Gadhavi: 24 yrs age
Vd. Pankaj Chhayani: I think its confirm diagnosis of freideric ataxia
Vd. Kundan Gadhavi: for Frédéric genetic testing is negative
Vd. Pankaj Chhayani: Then its autoimmunity?
Vd. Kundan Gadhavi: see above testing report. I have to talk with neurophysician ...bcoz 3 neurologist have seen the case and no one have put final remarks
Vd. Pankaj Chhayani: SCA not detected
Vd. Kundan Gadhavi: I have to read which genes r include in freideric/SCA
Vd. Pankaj Chhayani: ANA positive
Vd. Pankaj Chhayani: I personally beleive that there is no applicibility of such costly investigations... They have no full proof treatment of genetic problems and auto immune disorders Ayurveda can do a lot in "Counselling of genetic problems and prevention of cytogenic disorder"
Vd. Kundan Gadhavi: but its for to know our treatment outcomes...obviously genetic disease are not curable
Vd. Pankaj Chhayani: We can give temporary relief...my seniors, my teachers said me that we should not do ayu treatment of DMD and other genetic problrms..but i wanted to know how much we can get result in these disorder and we worked on 7-8 pts in akhnadanand... We worked hard in panchakarma side for 1 year.. We made Majja sidhdha taila, raja yapana basti(mans ras yukata) ourselve, and used it on pts... I have reports of 2 pt..we even today get follow up from pts... Pts only got releif during therapy then there is no more releif...
Vd. Kundan Gadhavi: yes...I also have same experience with genetic dis
Vd. Pankaj Chhayani: In above case if there is degeration because of auto immunity than there will be good outcome. I think u should start treatment with keep autoimmune in mind
Vd. Kundan Gadhavi: yes in freidrich GAA trineucliotide expansion -test is not done to confirm freidrich ataxia..so probably this is freidrich ataxia
Vd. Pankaj Chhayani: As ANA is poditive
Vd. Kundan Gadhavi: but ANA by immunoblot is negative
Vd. Pankaj Chhayani: in freidrich , romberg sign is positive that indicate dorsal column involvement...dysarthria indicates cerebellar problems... And also see she would not have sense of joint position...romberg positive+dysarthria+loss of sense of joint position indicates most possibility of freiderich...
Vd. Kundan Gadhavi: yes these 3 signs r positive
Dr. Dipak Shirude: Oleation I.e. Snehan in every possible way should be on priority in such case .. The various ways for snehana can be decided according to the situation of the patient .. Yet this will not give the patient the immediate encouraging results .. He or she can be treated with param ( highest quality ) raskalpas for fastest changes .. .. . Oleation I.e. Snehan in every possible way should be on priority in such case .. The various ways for snehana can be decided according to the situation of the patient .. Yet this will not give the patient the immediate encouraging results .. He or she can be treated additionally with param ( highest quality ) raskalpas for fastest changes .. .. ..
Vd. Pankaj Chhayani: Sneha saroyam purusham..Prana sneha bhuyishtha...prana sneha sadhya ...
minoo parabia: We should not be deterred by the fact that the disease is genetic.
Ancient Ayurveda didn't know anything about the genetic governance of body. It did therefore attempt many times to treat such ailments. ...like Punsavan.
I take liberty to mention about the concept of Epigenetics. It believed that the behaviour and expression of genes could be influenced through external factors.
One must therefore keep on trying. Majjabasti, as mentioned before be tried
Dr. Sudhir Shah (Neuro-physician): vit E , cholergol tab , gingiko biloba , norways 45 mg three times a day , tab rilutor 50 mg bid along with b vitamins and good amount of PT…
Co enzyme Q is given 300 u /day .200-2000 units vit E ,idebenon ie norways 300 mg /day , green tea extract apart from those posted above are from modern medicine .
Serotonergic drugs like serraline and also buspirone may improve motor and affective skills