Moyamoya disease interpretation in Ayurveda

Views shared by several Ayurveda professionals and non-Ayurveda people in discussion group:

Disclaimer:

All views shared here are only for knowledge. This information doesn’t have any scientific validation. Various doctors and non-medicos have shared their views and experiences in this discussion. Please do not try any of the suggestions described here, without prior consult from your regular, qualified doctor. Dr. Prerak Shah and no other person is responsible for any unwanted effects, side effects or contra-indications in your health. Thank you.

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Next topic for discussion:  Moyamoya disease interpretation in Ayurveda

Ayulink International:

Definition: Moyamoya disease is a rare, progressive cerebrovascular disorder caused by blocked arteries at the base of the brain in an area called the basal ganglia. The name “moyamoya” means “puff of smoke” in Japanese and describes the look of the tangle of tiny vessels formed to compensate for the blockage.

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Gary Yuen: Looking at studies, seems many sufferers are obese, have hypertension, high cholesrerol, etc. Blocked arteries of any kind i think only happen in such cases?

Does ayurveda describe symptoms of such things like eating too many aninal produxts? Charak attributes prameha with one cause of consuming domesticated animals so there's an awareness of excess. Possibly other things can be compared.

Ayulink International:  Actually I could not find any such description in the books. May be it is from Majja dhatu disturbance

came across one young female patient of approx 21 year , first time in my practice. So I took this chance to share with all of you. I know this is not very common condition and we don't have more number of patients if this condition. But let's share our thoughts - ideas and hypothesis here.

It's just like any other neuro muscular diseases in first look. But when patient told me that she is having diagnosis of Moya Moya diseases, I was clueless. I took time to suggest anything to patient. That's why I wish to have ideas and comments from all of you. Google can give several information about this. But what about treatment?

Gary Yuen:  Can you describe her physical features and habits? Overweight excess kapha diet of excess milk meat fish eggs cheese ghee etc? Descriptions of the condition suggest hypertension or someone with habits leading to it and possibly an auroimmune condition.

I would guess correct treatment of kapha and one should see at least a minor change within a few weeks. Anyone with excess kapha will eventually have some condition. It is not possible to be healthy and overweight.

Ayulink International:  I would suggest all of interested friends to read about this condition :

https://www.mayoclinic.org/diseases-conditions/moyamoya-disease/symptoms-causes/syc-20355586

Gary Yuen:  Studies on pubmed have more info. There was something about change in spine, spaces between bones narrowing. Other factors maybe cause that.

A few studies so far link hypertension with i think it was 30%+ cases. Other things make me think it affects mainly those with excess kapha. That doesn't mean it's the cause but one factor of several.

Describing the patient would help verify.

Likely a recent new condition. Could mean that it isn't genetic but is due to some external factor in east Asia. Nuclear radiation, unique pollution from China sea, etc.

Vd. Dhruti Kagrana:

Symptoms

Moyamoya disease may occur at any age, though symptoms most commonly occur between 5 and 10 years of age in children and between 30 and 50 years of age in adults.

The first symptom of moyamoya disease is usually stroke or recurrent transient ischemic attacks (TIAs), especially in children. Adults may also experience these symptoms but more often experience bleeding in the brain (hemorrhagic stroke) from abnormal brain vessels.

Accompanying signs and symptoms of moyamoya disease related to reduced blood flow to the brain include:

-         Headache

-         Seizures

-         Weakness, numbness or paralysis in your face, arm or leg, typically on one side of your body

-         Visual disturbances

-         Difficulties with speaking or understanding others (aphasia)

-         Developmental delays

-         Involuntary movements

-         Cognitive decline

Ref: https://www.mayoclinic.org/diseases-conditions/moyamoya-disease/symptoms-causes/syc-20355586

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Compiled by - Dr. Dhruti Kagrana

Amra (Mango) - Mangifera Indica(Different types of Amra & it's part - Bark, leaves, seed, fruit etc uses according to Ayurveda)

Views shared by several Ayurveda professionals and non-Ayurveda people in discussion group:

Disclaimer:

All views shared here are only for knowledge. This information doesn’t have any scientific validation. Various doctors and non-medicos have shared their views and experiences in this discussion. Please do not try any of the suggestions described here, without prior consult from your regular, qualified doctor. Dr. Prerak Shah and no other person is responsible for any unwanted effects, side effects or contra-indications in your health. Thank you.

(Any ayurveda or medical doctor, If you like this activity, and wants to be a part of this chat discussion on whatsapp, please send in your request by email to admin@ayulink.com Thank you.)

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Next topic for discussion: Amra (Mango) - Mangifera Indica(Different types of Amra & it's part - Bark, leaves, seed, fruit etc uses according to Ayurveda)

012019 02:My thesis was Amra beejadhi churna + Shiva choorna in darunaka... Very effective one...

Vd. Dhruti Kagrana: In charaka samhita Amra mention in

Hrudya - Amra, Chardinigrahana - Amra pallav,  purishsamgrahaniya - Amraasthi, Mutrasamgrahaniya gana

Vd. Vipul Patil: It's for internal. How many days?Dose?

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012019 02: External application over head. Internal you can go for skin disease LOM

Vd. Pankaj Chhayani: Ripe fruits of mango is very good to increase two tissue elements- Mansa and Shukra. Smell / decoction of  tender leaves of Mango trees useful to alleviate Nausea and Vomiting. Stone of Amra(AmraAsthi) useful in diarrhoea.

Gary Yuen: Caraka mentions causing internal hemmorhaging/bleeding. Can anyone help explain?

Dr. Lalit Heda: I also experience its effective

Vd. Gurumahantesh: Means using amra increases raktapitta? Kindly explain sir

Vd. Hardik bhatt: mango is a king of all fruits means it is very useful for our body. there is amra u rasayan kalp also. in that kalp one has to eat only mango for 15 days. it does  rasayan work. before kalp one has to do panchkarm . on dhuleti festival,  the new born baby must have to drink mango flower juice with honey in silver soon. this is a tradition in north gujarat. the combination is called  ''jem'. on that day all relatives are get together and enjoy. mango seed are useful for incontinence of urine. mango seed is also useful for  making hair oil

Branko Markovic: This Tamil satin Sri Ramana Maharshi practices and did recommend to his close disciple..without panchakarma of course

Gary Yuen: Mention is of young fruit. Seems extremely sour. One other notes can increase bleeding such as nose or menstrual.

Ayulink Ayurveda:

Amra twak - Laghu, Ruksha.

Kashaya rasa

Katu vipaka

Shit virya

Pakwa fruit: Guru, Snigdha, Madhura

Apakwa fruit: Amla

Amra Bark, Leaves, Flowers & seedmaja - Kaphapitta shamak

Pakwa fruit: Vatapitta shamak

Apakwa fruit: Tridoshkarak

Vd. Dhruti Nirav Bhatt: Amra seed powder, Himej or hari taki , Nimb churna ,yastimadhu sidh Takra Dhara or make paste mix with curd and apply over head is very useful in dandruff

Gary Yuen: Any explaination of some who get rashes from mango consumption? Something else besides pitta? Same compound in other relatives such as poison ivy and tintidika (rhus parviflora). May also be slightly present in other members such as almond and sumac spice used by persians and maybe in unani.

Vd. Dhruti Kagrana: In sunstroke & burning apply externally - apkwa fruit of mango cooked in the fire.

Also in sunstroke also use panak of apakwa mango fruit

If apakwa fruit of mango give excessive it may cause mandagni, viasham Jawar, Raktavikar(blood related disorders), constipation & eye diseses.

If any complication arise give sunthi water or cumin (jira) powder with sanchal.

Mango is also one of the contain of Pushyanug churna

Vd. Dhruti Nirav Bhatt: Make salad of Apakva mango, onion, gud (jagary) , jirak , saindhav for sunstroke

Mango panak is very useful in sunstroke

Gary Yuen: When is mango truly better than anything else for some condition? For iron or zinc absorption, for all food, rice dal vegetables any kind of cooking, so far studied are amchur and garlic/onion. The amchur may be because of vitamin c or maybe something else.

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Compiled by - Dr. Dhruti Kagrana

AyuCafe - Live chat Atisara - Diahorrea according to Ayurveda

Views shared by several Ayurveda professionals and non-Ayurveda people in discussion group:

Disclaimer:

All views shared here are only for knowledge. This information doesn’t have any scientific validation. Various doctors and non-medicos have shared their views and experiences in this discussion. Please do not try any of the suggestions described here, without prior consult from your regular, qualified doctor. Dr. Prerak Shah and no other person is responsible for any unwanted effects, side effects or contra-indications in your health. Thank you.

(Any ayurveda or medical doctor, If you like this activity, and wants to be a part of this chat discussion on whatsapp, please send in your request by email to admin@ayulink.com Thank you.)

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AyuCafe - Live chat

Topic of discussion: Atisara - Diahorrea according to Ayurveda

Ayulink Ayurveda: We are approaching now summer / heat. During extreme heat, one of the major health complains is Diahorrea or atisara. Let us share our practical knowledge for it

Saparsha: Atisara is a way for the body to flush out toxin

Vd Ashish Kumar: अतिसार को तुरंत शुरू में बन्द न करें

Vd. Ekta D. Patel: In which type of atisara kutaj ghanvati is indicated?

Vd Ashish Kumar: पहले देखे वो शुद्ध अतिसार है या फिर आम के साथ

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Ayulink Ayurveda: Usually, doctor suggest anti-diarroheal  medicines. but Charak does not advocate it

Dr. Dhananjay Bairagi: Does anyone come across shokaj atisar

Vd Ashish Kumar: भयज अतिसार में आश्वासन करें

Ayulink Ayurveda: yes....shokaj atisar patients do come for ayurveda treatment

Dr. Dhananjay Bairagi: Where to use laghu sutsekhar and lasunadi vati ?

Ayulink Ayurveda: shokaj atisar also needs counseling

Dr. Dhananjay Bairagi: Why in summer season pts of diarrhoea increases

Vd Ashish Kumar: लघु सूत-पित्त प्रधान, लशुन- वात प्रधान

 87712: Agni mandya

Vd Ashish Kumar: पित्तज अग्निमांध

Saparsha: In Pittaja atisara kutaj ghan vati is indicated I guess as it’s sheeta veerya

Ayulink Ayurveda: yes this is my basic question too. types of atisara?

Dr. Dhananjay Bairagi: Water level decrease and water become harder ..So unable to digest?? Is it reason in summer

Saparsha: Vataja, Pittaja, Kaphaja and Sannipataja are basic types, Amatisara and pakvatisara

Dr. Dhananjay Bairagi: Water born disease?

Ayulink Ayurveda: Bhayaj and shokaj atisara too.

Dr. Dhananjay Bairagi: Again in starting of rainy season pts of diarrhea increases... Nav jal??

Ayulink Ayurveda: we don’t have such atisara type in text book, but we know with the infection it can be there. is there any practical difference for the treatment?

 92533: Rutusandhi kala, their body has to adjust

Ayulink Ayurveda: mostly we use kutaj, bilva etc for any type of atisara and having good results.

May be rutu sandhi --> mandagni --> atisara

14929: Dhadima twak kashaya is also preferred, Peya.

93204: AteEva sarathi iti atisara

Atri Ghosh: kutaja ghanabati is best

Saparsha: Shunti kalpa

93204: I think shall we discuss in order like paryaya nidana Poorva Rupa Rupa samprapti vyadhi nirnaya and then bheda then medicinal intervention and non medicinal intervention

Ayulink Ayurveda: yes, dadima is good for atisara. kutaja in basti form is fast and effective - but always needs to take extra care...In high dose of kutaj, it can create complications. Grahi basti or sangrahi basti are there for atisara. good suggestions

Vd. Ekta D. Patel: in summer due to heat the drav& sar guna of pitta is increase & as well as agni is decrease & pitta get adhisthana in pakvashaya & so atisara is happning

Ayulink Ayurveda: increased pitta with decreased agni --that is the most to understand

14929: Takra is, best

Vd. Ekta D. Patel: In charak samhita nidana vataj atisara - atap & pittaj atisara- suryasantap is given

Ayulink Ayurveda: Curd / yogurt and rice is common home remedy

Dr. Ravi Dewan: What sort of complications?

14138: Dadimastaka choorna?

Dr. Dhananjay Bairagi: Sunthi siddha jal

46719: Excessive indulgence in sun light is one of the reason of diarrhoea

Dr. Dhananjay Bairagi: Bilajil

Ayulink Ayurveda: I think all are ayurveda doctors here, so let us start with treatment segment......traditional treatment, home remedies and classical text book treatment

Dr. Dhananjay Bairagi: Bel sarbat

Vd. Ekta D. Patel: Due to that in summer pt of atisara is increased

46719: Depending upon the intensity, kutaj ghanwati and Sanjivani will affect soon

14138: Methika seeds  with takra

Ayulink Ayurveda: *FIRST ALL HOME REMEDIES*

Dr. Kaustubh Badave: Coffee

Ayulink Ayurveda: CURD + RICE

Dr. Daisy Kanabar: Limbu sarbat

14929: Dadima twak chrna with takra

Ayulink Ayurveda: apple juice + nutmeg powder

Dr. Daisy Kanabar: Coffee

Dr. Kaustubh Badave: Coffee + lemon

Dr. Dhanwantri Tyagi: Cease milk in all patients, use khichdi+curd. Take boiled cooled water.

46719: Chaipatti with water

Dr. Kaustubh Badave: Juice

Ayulink Ayurveda: nutmeg (jatifal or jayfal) itself is effective

14138: Some suggest black tea, since it is kashaya pradhana

Ayulink Ayurveda: nabhipuran with ginger juice (fresh juice of ginger)

46719: Kashaye rasa Pradhan items

40918: Salt + sugar + boiled water is first line of Rx

Ayulink Ayurveda: Nabhipuarn is very effective and faster treatment - usually it stops atisara in 15-20 min

Atri Ghosh: what type of complication

Ayulink Ayurveda: not only atisara, but also effective in abdominal distress, flatulance, cramps, bloating etc.

14138: Folklore,  fried rice with lots of onion.

Atri Ghosh: best for rakta atisar

Dr. Dhanwantri Tyagi: The best home remedy is to not to try to cease atisara at once. At least upto 3-4 Vegas.

Dr. Arvind Shahane: ASFA karpur ras is very useful in paediatric diarrhea. I'm continue using it in gp.

14929: Idli with curd

Ayulink Ayurveda: karpur ras contains ahifena, I think....take care

14138: Bread also is given.

Ayulink Ayurveda: karpur, hingul, musta, indrayav, jatifal and ahifen are ingredients of karpur ras

Dr. Dhanwantri Tyagi: No need to afraid of ahifene. Just dispense by self and do not dispense more than two doses and do not let patient include this in patients first aid box. We are using ahiphena since two generations. Using it for pediatric patients. Most pediatric patients with severe diarrhoea since 10-15 days, unmanageable even by intensive care, can be managed easily. Only two doses and just 4 hours needed.

Ayulink Ayurveda: OK. Lets us now discuss *classical medicines* describe by text books

Dr. Dhanwantri Tyagi: बिल्व, कुटज, कदली, दधि, साठी,

Ayulink Ayurveda: yes...even in adult patient it is the same

01137: Any formulation of all these or separately given and how?

Ayulink Ayurveda: I use aamrakshashi vati sometime, which also contains ahifen.

93204: What are all the conditions atisara is present as lakshana

Ayulink Ayurveda: good question

Dr. Dhanwantri Tyagi: Yes. Many pharmacies are manufacturing ahiphena containing medicine

Ayulink Ayurveda: karpur ras, aamrakhsashi ras, are main formulations i know. Kutaj Ghana vati is most common. Bilajit or any bilva preparation is also common

14138: Bilwadi lehya,

Dr. Dhanwantri Tyagi: Do not use ahiphena in early symptoms, dispense only. Use diet restrictions as sansar jana karma. Dhanvantari herbals amritsar  manufactures DYSENTROL. In tablet form.

14138: Gangadhar rasa

Dr. Devesh Kumar: In gastroenteritis I use sanjivani vati

14138: Ananda Bhairava rasa

Ayulink Ayurveda: some doctors also use shankha vati

Vd Aashik Manjooran: Atisara. In guna samprapti it is chala guna of vata and sara guna of pitta are increased

93204: There are number of medicines for Atisara as we are discussing , kindly someone summarise for a set of lakshanas Like V P K etc types which type of medicines may be recommended , i think that should be the take home message

Vd. Ekta D. Patel: In raktatisara piccha basti of shalmali is also give a good result

14138: Praval panchamruta rasa also

Dr. Nahida Tarannum: Ya kutajaghan vati along with bilva and dadima phala formulations will work

Vd Aashik Manjooran: And in Aamavashtha Grahi oushadhis are not used

14929: Liquid foods like peya vilepi are best

24566: Pratat agni Surya santap Ushna marut uphat gatra i.e Summer season

14929: Jave goodi used with takra also given

Ayulink Ayurveda: I would suggest to google for *GUT-BRAIN RELATION* to understand Bhayaj Atisara or Shokaj atisara. Now modern scientists are trying to treat with basti (enema). which is practically result oriented treatment

Vd Aashik Manjooran: Rx in Aamavashtha

 MUsta kashayam

Hinguvashtak choornam with ghee bf food

Vilvadi gulika or Dhanvantaram gulika 2 -0-2

93204: Best pathya for Atisara is Rice Kanji

Vd Aashik Manjooran:

In nirama avastha

Kutajarishtam

Babularishtam

Takra panam

Vd Aashik Manjooran:

Lasuna swarasam 1tbs. Best

Lasunadi vati

Karpooradi rasa

80697: Have one que. Want to know about relation b/w crohn's disease and grahni/ atisara..

Ayulink Ayurveda: Crohn's is having multiple ulcerations in intestine and Grahani / atisara not having ulcerations

04992: Yes there is relation. Not necessary

24566: Summer season Atisara should be treated by Deepn Pachan Shaman and Sangrahan

80697: Well formed non caseating Granuloma and crypt absces.  will be there in crohn's.. Neutrophilic infletration will be there +Skip lesions

04992: It is inflammatory bowel disease affects in transmural region

80697: Mean we have to correlate by symptoms!???   (? How)

04992: From mouth to anus it can create anywhere lesion

80697: Yes. Mostly presented as hemorrhoidal condition.

Dipana

Pachana

Stambhana

Mrudu virechana..  Line of  Treatment  i m thinking... .

80697: Most important "stress....."

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Compiled by - Dr. Dhruti Kagrana