Friday, March 4, 2016

How to control high level of Uric Acid? #ayurvdic approach

Views shared by several ayurveda professionals and non-ayurveda people in discussion group:
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Next topic for discussion:  :  How to control high level of Uric Acid? #ayurvdic approach
Vd. Ritaben Nadiad: Avoid pulses in diet. Giloy is very useful drugs .like sansmani vati, amrutadi gugal and keshor gugal
Dr. Jinal Thakkar: Can v look at uric acid as kled in rakta???  And use drugs that strengthen ranjak pitta and also yakrit and also use rakta prasadak meds
Dr. Suyog Kulkarni: My little experience with punarnava is very encouraging .
Shri Minoo parabia: Right. Punarnava in combination with mitho suranjan, gokshur, giloy works well.  Rasayan churna daily is good.  
Dr. J. T. Contractor Herbal Therapist: Chandrprabhavati
Dr Dipak Shirude: What logic is behind use of chandraprabha vati in high levels of uric acid ? Please explain.
Shri Minoo parabia: To boost up kidney threshold. Uric acid has to be thrown out.
Vd. Jignesh Thakkar: i have cured few patients of high uric acid ...i found jaluka is best option to remove from toes.
Vd. Piyush Prajapati Palanpur: I also agree with.. I have only single sitting cured result for vaatrakt.. but when v talk about Uric acid than must remember that there must APACHAY  there . Uric acid is end product of Protein but if protein digests properly,then chances of uric acid growth is less. Protein digestion becomes improper,than MAL PRODUCT of Protein becomes higher than normal so concentrate on protein digestion proper..Kidney has function to out mal of body bcz it's part of body who remove MAL from body.. . If mal becomes much,than kidney have load to out UA.
Dr. J. T. Contractor Herbal Therapist: I had uric acid 3pills chandrprabhavati cured it,self experience
Vd. Piyush Prajapati Palanpur: Sorry,only concept of diuretics is not a proper concept.. I think.. Chandraprabhavati has containing diuretic,pachan. But I just want to ask for another concept for using Chandraprabhavati…..Gokhur, musta, trikatu, triphala in combination as a dicoction has also a great result. Keep patient on langhan if needed but must b given Protein diet if reason is indigestion of Protein induced UA
Dr. J. T. Contractor Herbal Therapist: Ya one has to omit high protein, high fat & gaseous foods frm diet
 Vd. Piyush Prajapati Palanpur: Mamsa,and meda kshaya is also thinkable subjects in case of UA+…..If mansh dhatu digestion increases,then protein digestion also increase indirectly…… Over exercise must b stooped.. bcz generally sudden someone starts to exercise and if he keeps loaded exercise,than normally UA+ happens cz protein digestion happens more but this is only for sometime .. After sometime,everything will b normal if that person does normal level exe
Dr. J. T. Contractor Herbal Therapist: Unsaturated fat  & unsaturated proteins to be avoided…..Exercise & walking, contrary helpful for accelerating body metabolism, digestion
Vd. Piyush Prajapati Palanpur: Hyper exercise is always harmful if level of UA+.. bcz if u do hyper exercise than UA level becomes more whether u take protein from mouth or not..
Vd. Ritaben Nadiad: I have seen 3 cases .gym trainer has high uric acid becoz they want to biuld up their muscles so they takes protin powder regular…. Becoz of high intake of protin powder
Dr. J. T. Contractor Herbal Therapist: Agree but it's high protein not due to mere exercise,besides they Tk steroids which uploads kidney
Vd. Piyush Prajapati Palanpur: If u r taking more protein,than obviously UA+ happens.. …..But if u r not taking Protein for long time,than body deside to out protein from muscles where already accumulated protein is available…….So indirectly protien mismetabolism happenes.. in this situation,S.UA+ happens.. but UA level in urin will b normal…… Bcz mamsa,meda kshay cause damage kidney function indirectly. So over exercise make UA+ in serum……If u do over exercise,then u have muscle pain !! Rt or wrong? If right than answer me y this pain happens??
Dr. Satyendra Sharma: I do agree that protein indigestion is directly proportional to uric acid levels. Protein breaks into amino acid and undigested amino acid converts into uric acid.Removal. of uric acid by medicine only is not a solution. Vit B rich diet helps in proper digestion of amino acid.we cannot stop Protein intake as it has a lot of works in our body .1.increase intake of Vit B complex rich diet.2.Give strength to liver by taking kutki  .punarva and Giloa 3.Take optimal water.4.Do adequate exercise. Treat the cause not the pain
Dr. Dipali Poshtiwala: Sugar control diet n low protein diet..... Low glycemic diet helps
Vd. Kundan Gadhavi: high uric acid can be present with gout /renal stone/obesity acc. to that treatment….  amrutadi guggulu, manjishthdi kwath, chandraprabha, rasayan churna,  etc
Vd. Devangi Jogal Surat: Well i got excellent results by using Guduchi satva,manjistadi quath, tulsi cap.and Rakta pachak tab....
Dr Dipak Shirude: Anyone can share more specific i.e. vyadhi-pratyanik medicine for the situation of high uric acid.  Please try to put Ayurved logical plan behind that choice of particular medicine…….High protein, sugar etc. doesn't fulfill the genuine Ayurved way of thinking. One must put doshik concepts and samprapti vichaar in development as well as breakup of disease.
Vd. Kundan Gadhavi: pt with HTN on diuretics with high uric acid need changing in medicine for HTN
Satyen: Sodium bicarbonate  converts acids to alkline. Do u recommend daily use of it?
Shri Minoo parabia: Not alkaline but to salt and water……Other wise alkaline milieu is good for the body……In severe acidosis intravenous administration is recommended.
Vd. Tapan: Rasa Mala vibhajan takes place in Purishdharakala. If this is impaired than the Mala stays in Rasa in the form of auric acid or urea while Rasa stays in Mala in the form of Albuminuria…….Hanse Rasamala vivek is to be restored otherwise guduchi as vyadhipratyanic will do good but the basic Samprapti bhang will not take place….This Vivek is well restored by Agnitundi like Vishtinduk Pradhan yogas along with Guduchi guggulu Rasabal or Raktabal etc.
Vd. Piyush Prajapati Palanpur: Raktpachak is also working in Uric acid +.. After all,uric acid is Mal that is elevated in blood.  So.. but Samprapti vigatan not happens in using Raktpachak .
Dr. Kamlesh: Mud bath , doohi ras , alkaline diet, langhan
Vd. Piyush Prajapati Palanpur: Second thought also we can think that amashay sneho vruko pushyati.. If acid secretion is more from liver and retained at stomach so altimetry kidney  affects.. Yavkshar can act in UA+??
Acid secretion happens in stomach with the help of NaCl.salt.  Liver secretions Bile is alkaline. Dushit pitta is acidic. Niram pitta is alkaline.
Surat Vd Mukul Patel: Bhumi  amalki seems to reduce uric acid.  Have personally  seen the results.  Also,  Some Vaidya in South specially  Kerala  use kokilaksha  to control  uric acid.
Vd. Hardik bhatt: Kakmachi swaras is also very useful for uric acid disorder
Dr. J. T. Contractor Herbal Therapist: Colchicine (chopchini) a Chinese herb is used to neutralize acid in gout, a pill name Goutnill contains colchicine in it though registered in allopathic medicine, besides sodakhar or sodium bicarbonate uploads kidney if taken for long,…Even NaCl is in long run corrosive to bone density
Dr. Prerak Shah: What about general diet guideline in UA? Why we follow the protein free diet as modern medicine? Any Ayurveda excuse?
Vd. Kinshuk Hirpara: Guduchi contains Beta - sitosterol,  delta- sitosterol,  ecdysterone(stem part)makisterone A and giloinsterol which are natural steroids . It is helpful reducing swelling and a pain reliever. Well, in modern context doctors give prednisone. Also guduchi contains lactones while research are going on the connection between lactones can improve pain or not.
Dr. J. T. Contractor Herbal Therapist: Sugar or sweet also to b avoided
Vd. Kinshuk Hirpara: Another thing, it has anti oxidants, and metabolism improves with anti oxidants…… Also stress triggers gouty pain and swelling,  so guduchi also has been showed good results in anti stress activity…..The water extract of the stem of neem giloy significantly inhibited acute inflammatory response evoked by carrageenin in a dose of 50mg/100 g given orally
Shri Minoo parabia: Excessive alkali again promote shoth! Balance is the key healer has to apply. Guduchi is immunomodulator beyond doubt. Used almost as Panacea in Ayurveda as well as in ethnic methods. We are correlating now after all these mumbo jumbo research. How was it done in time immemorial!.... Chopchini I think is Smilax. Sarsaparilla.
Dr. J. T. Contractor Herbal Therapist: Xyloric in long run, is not side effects free!
Dr Dipak Shirude: Xyloric = Hepato-toxic
Vd. Dhruti Nirav Bhatt: Pathya:jav,shali rice, ning,wheat,yellow gram, math, cow milk and ghee, Navneet…….Apathya:Jatu,isms,guru,abhisyandi,lavanrasyukt ahar,  udad, Kalathi, yavkhar, Viruddhahar,curd,redish, Til,exercise, heat, Divaswap…..Vasa is also useful in Raktpittaj vyadi. Vasadi Kwath,Kaishor gugglu,Other preapration which everyone has suggested. Burning sensation PATOLADI kwath gives good result. …..Lep Chikitsa: Manjistha, Daruharidra,Turmeric,Vacha,Yastimadhu,Raktachandan,Ela,Ushir,Kath make a paste with water and apply on effective part relief in pain and burning
Dr. Chirag Dobariya: One question? In high UA ,More patients are living without any complains and also view of Ayurveda patients are healthy that time high UA treatment require???     I think any time patients examination and diagnosis are done on Ayurveda base.Also I have not ignore existence of investigation reports but all time in patients examination our outlook is must be in base of Ayurveda.                                   A relationship may exist between Gout with high UA.    Abnormal concentrations of UA are not medical conditions but are associated with a variety of medical conditions. In present times patients taking more n more allopathic medicine, some medicine's also cause of high UA. High level of Alcohol consumption, More Fructose intake in diet,Starvation,Obesity are causes of high UA.
Germany Helga Fuchs: Above all named medicines: early sleep, means here, no work during night………..Avoid stress, and take time to eat regular and relaxed. Not to much, shure, and this in short time. Drinking during rating, short before or after disturb the needed heat for digestion…….Spezial by using the night to be busy, Pitta lost his sharpness and get to watery, sour, and by this it lost its capacity to do his needed work for digestion. Sour pitta is no help to agni and itself not easy to digest properly……During eating, not rating..
Vd. Chirag: high UA levels can occur in any medical condition. Esp. In cardiac conditions where patients r on many allo drugs. High UA is seen post muscle damage,  post-angioplasty cerebral hyperfusion syndrom ( brain cells flooding by blood where blood circulation was impaired b4 due to blocks) in elderly .
Vd. Tushar trivadi Bhavnagar: Gokshur dhanyak ghrit and punarnastak kwath gives very good result in uric acid
Vd. Bhavesh Thakkar: Kokilaksh kashay, Kaishor gugal, Mrudu virechan for UA
Bhavnagar Arun Vaghela: Laghumanjistadi kwath....Guduchi satva.... Mara anubhav Ma.
Dr. Hardikchandra Kalal: We can rule out of urice acid as  (1)Serum uric acid  (2) Urine uric acid …………..When increase serum uric acid (acidic media in bloodstream as per Ayurved we can understand Drava evam ushna gunas of Sam pitta increase in rakta dhatu. It is indicate pitta dosh  evam rakta dhatu doshdusmya samurchchana )…………Chikitsa siddhant :- Pachan, shita  evam mutral  aushadh " Pachan for niram pitta(ushir)  Sita for balance the ushna guna (Amlaki + draksha+ sarkara)  Mutral for excretion of Drava gun (Dhanyak ) This above treatment for increase level of serum uric acid not for gout.
When increase urine uric acid level, And pt's has signs and symptoms of kidney stone so possible uric acid stone ……..Practically difficult to rule out urine uric acid  because it seems collection of 24 hours 's urine so at that time  we can rule out only urine routine and micro. And urine is acidic than we can use alkali (Kshariya) Ayurved drugs like yavkshar with mitral aushadh………..But be aware use of more pitta vardhak dravyas.
Dr. Pradip Mohan Sharma Jaipur: To normalize the blood uric acid, should we not follow the treatments of "VAT-rakta?  वातरक्त
Dr Dipak Shirude: This is very good question……Co relation of uric acid with vaat-rakta is acceptable all the time or what ? Nice subject for discussion.
Satyen: Uric acid is a chemical created when the body breaks down substances called purines(important building block of DNA- genetic material)....
Modern approach:-  Causes of high uric acid:- - renal insufficiency, - Diuretics – alcohol - genetic susceptibility - immune suppressing drugs - niacin(vita b3) – obesity - purine rich diet( beans, meat, mushroom...) - toxemia of pregnancy – hypothyroidism - chemotherapy related side effects  
The gout has been associated for centuaries with over indulgence in meats, seafood and alcohol ..the condition was, in fact considered a disease of the wealthiest people(Adhya rogi in ayurveda)- those who could afford such eating habits.. Gout manifest when crystals to form and accumulate around joint..
Management:- Decrease UA is not cure,it may lower the risk of recurring painful gout attacks. Colchicine:- prevents inflammation, no effect on UA  production ..useful in acute gout.. Allopurinol:- prevents formation of UA..
Weight loss, Highcarb meal- eat more fruits, vegetables, and whole grains. Increase water intake Daily protein consumption should be 113-170 gm/ day. Research suggests that high purine vegetable don't increase risk of gout..spinach, peas,asparagus, cauliflower, mushrooms, are useful. U can eat beans, lentils ,mungo bean which are moderately high in purine s but are also good sources of protein..
Ayurveda approach:-  In Ayurveda gout(high UA) is considered as Vata rakta..it's disease of rich people(adhya), according to ayurveda…….Vitiation of vata and rakta occur separately……Uric acid is mala, and agni play important role in creating mala,if agni is low than mala will produced more..after production of mala, apana vayu excreate mala (stool and urine)... excretion and  reabsorption of uric acid at tubular level is hampered which is function of apana vata....
Management :- If only uric acid is increased without symptoms--  Rasayana dravyas like Guduchi with castor oil. Haritaki with jaggery. Pippali with jaggery. Shilajeet, kaishor gugglu, punarnva/ rasayana churna.. During acute attract of gout:- Leech therapy is very good. Decoction of bark of  Sacred fig (ficus religiosa) and honey is also good in all type of gout. For high level of UA with gouty arthritis , basti therapy(enema) is  considered as unparalleled treatment..
Vd. Tapan: For fast relief of pain of Acute Gout, Agnikarma followed by 150 grams of Ginger crushed and swollowed  relieves pain in minutes, Manage acidity of stomach later on
Dr Dipak Shirude: 150 gms ? Can we adjust something less as per size of the patient ?
Shri Minoo parabia: Jaggery permitted to take along?
Vd. Tapan: No straight givan relieves the pain sharply…..But acidity is managed by Swarjika
Vd. Nidhi Awasthy: Shunthi , Dhaniya, Giloy, Mix Equal amount , To prepare decoction , Add 1 stp of mixture in 2 cups of water boil until remain 1/2 cup stare n drink twice daily , Tried in many patients it's effective
Dr. Amal JP: Nimbamruthasavam+ amrutharishtam+ saribadyasavam+ gokshuradi guggulu
Dr. Dipa Mehta: For uric acid guduchi is the best medicine. In any form it will help
Dr. Ravindra Upadhyay: Amrutadi. Guggul,Guduchyadi Kwatha, Guduchi. ghan tab
Argentina Dr. Fany Rosman: Please let me know if you manage gout arthrits that  I think is raktavata, with the same Ahara guidelines as in AMAVATA (rheumatoid arthritis) ?
Vd. Vishal Patel: Raktapachak-Patol,Musta,Sariva,Patha,Kutaki is also useful in uric acid.
Dr. Amal JP: Pathya- banana is good. Because it contains potassium ion potassium ion will liqufies urate crystals and expell it through urine. Pinnapple also contains potassium ion so it is also good
Vd. Hardik bhatt: Guduchi , Gokshur , punarnava are good for uric acid
Dr. Ravindra Upadhyay: Kaishor Guggu with. Dashamool kwatha, or. Guduchyadi kwatha should be given
Dr Jaydeep: Simple but effective remedy for high uric acid is sarjika kshar- soda bi carb. Though not for treating root pathology, its effective for rapid relief in symptoms and making uric acid level down. ……So it can b used along with  other classical line of treatments when disease is active ……..Being base in nature it neutralise the acidic property of uric acid and hence effective these way.
Dr. Prerak Shah: How to use sodium bicarbonate? Dose and method?
Dr Jaydeep: 125 mg 2 times a day can b given with glass of water……. One of my friends also makes tablets of single -  soda bi carb ……I tried it in many pts and good results are there ..
Dr. Lokesh Mehta: I think colchicine is suranjan and not chopchini. Suranjan is very effective in controlling high uric acid.
Colombia Enrique Jorge Galindo Bogota: Here in western is used colchisina and Alopurinol 100 mg tablet for UA and sodic diclofenaco or voltaren for pain in gout
Shri Minoo parabia: Yes. Right. Surinjan Colchicum autumnale Or Xyloric.
 Vd. Kunal Manek: I'm using guduchyadi kashay with kadupadoladi kashay... Along with kaishor gugul and amritadi gugul... Nicely effective in chronic and acute both stages……food restriction is must
Banu: Diet for high uric acid is Stress. One can't treat lifestyle diseases without addressing stress. I am trained in Allopathic medicine but have no real treatment ot cure for addressing stress. I find a very high number of stressed people around the world. Yoga and Pranayama shall help.Medicines alone are incomplete
Vd. Rupa Raval: correct, with yoga , pranayam, meditation, and correct mind set only help for lifestyle disease
USA - Dr. Narayan: Aahar, Vihar and Lastly Aushad should  be the process. We are not following that principle. If a patient is not ready to follow the basic principles of Ayurveda  they should stay with Allopathic medical model   I am trained in allopathic medicine but it also has limitations. Let us all work together
Dr Sandeep Madaan: In my experience guduchi extract and kokilaksh kshar act fast and effectively. Only Some refractive cases don't respond
Dr. Pratibha Bhavsar: I have seen good results with amrutadi gugul and guksuradi guggul
Vd. Vd Daxa Patel: A patient age 75yrs. dt.21june 15  ua- 8.1 , RA factor 260.21+ve  after 2month  dt 21st Aug…… UA 7.0 , RA factor 117   I gave him Rssnasaptsk+gokhru kadha , arogyavardhini vati, shansamni vati, sinhanad gugglu and cap. Rhumarx (con .surajan) 15days alternative
Vd. Pankaj Chhayani: Uric acid is a chemical created when the body breaks down substances called purines(important building block of DNA- genetic material)....In Ayurveda gout(high UA) is considered as Vata rakta..it's disease of rich people (adhya),  according to ayurveda…….Vitiation of vata and rakta occur separately…..Uric acid is mala, and agni play important role in creating mala,if agni is low than mala will produced more..after production of mala, apana vayu excreate mala (stool and urine)... excretion and  reabsorption of uric acid at tubular level is hampered which is function of apana vata....
Management :- If only uric acid is increased without symptoms--  Rasayana dravyas like Guduchi with castor oil……Haritaki with jaggery…..Pippali with jaggery…..Shilajeet, kaishor gugglu, punarnva/ rasayana churna…………..During acute attract of gout:- Leech therapy is very good…..Decoction of bark of Sacred fig (ficus religiosa) and honey is also good in all type of gout………….For high level of UA with gouty arthritis , basti therapy(enema) is  considered as unparalleled treatment..

Dr. Sheetal Sumra: Milk boiled with dashmool poured warm, over the affected joints give quick relief from pain

Dant-harsh (Tooth sensitivity) #Ayurveda

Views shared by several Ayurveda professionals and non-Ayurveda people in discussion group: Disclaimer: All views shared here are onl...