Wrist pain, tennis elbow or painful elbow joint...# ayurvedic treatment suggestions

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.

(If you like this activity, and wants to be a part of this chat discussion on whatsapp, please send in your request. Whatsapp your name, short intro to +91-9824243567. Thank you.)

Today's topic for discussion:  Wrist pain, tennis  elbow or painful elbow joint....# ayurvedic treatment suggestions

Vd. Dhruti Kagrana: A common cause of wrist pain is carpal tunnel syndrome.

Bunty Gandhi: Yes..

Vd. Prerak Shah: Simple arthritic changed can also be common cause.

Dr. Pulatsya Vora: Wrist pain-many causes but the major one is overuse as in case of writer or sport person(tennis;badminton;cricket) and and another major cause is obesity -particularly after pregnancy and  Carpal-tunnel Syndrome-may be due to above two causes or due to steroid therapy. The treatment is rest; correction of spasm of nerves and muscles and subsiding pain. Panchgun tailam is useful.

Bunty Gandhi: Long use of keyboard also cause such pain..

Vd. Pankaj Chhayani: My father is suffering from wrist joint pain since 2009... He underwent for many tests , all were normal...he is diabetic..before 6 year ago he groan in night, he asked me for something in midnight, I fumbled for a while.. I gave yograj gugglu as placibo, as I knew that it will not give relief.. Then I got one idea of Upnaha sweda, but I had not any material in midnight..after that I got dough in freeze..I gave fomentation of dough and he got completely relief... After that I always give him hot fomentation of dough and pippli churna for relief and he gets... खल्ली तु पादकरमुल अवमोटनी...करमुल- wrist joint…….Upnaha is treatment of khalli...

Vd. Prerak Shah: I agree with Vd. Pankaj. Upanah is my choice of therapy. I explain it as pizza svedana to my foreign students. We can add several kitchen herbs and spices in dough. Like ginger, fenugreek, mustard, sesame, garlic, turmeric etc.

 Vd. Pankaj Chhayani: Pizza swedana.....sir take patent of this word..I like it..

Vd. Prerak Shah: Yes. It's easy to remember for them. It look like pizza base. The word ‘Upnah’ is not easy to remember and also not easy to pronounce for foreigners.

Vd. Pankaj Chhayani: In vatavyadhi , charaka has given lot of upnaha swedana (pizza swedana ) for pain..

Bunty Gandhi: Ajmodadi Choorna is useful for pain relief.

Germany Helga Fuchs: different possibilities for wrist pain. Slesaka K is disturbed,create instability, heavyness, pain, inflamation.  Rheumatic disorders due V,PK Vikruti. Rest, diet, lepa, pizza type (upanah?), in rheuma little hot oil and dry and hot lepa.  Regular routine is must for all types with enough sleep and reduce stress for mind and body. Virecan, Basti, Massage. To avoid incompatible food is must. And shure, to much pressure or movement is not good. Simple rasayan like milk with turmeric, almond, ghee, or small cleaning with milk and castor oil ones a week, is good for pain and to calm Vata. In Rist Pain rest for the rist in this time is needed. Triphala, Ashwaghanda...

Vd. Neha Dipam Tripathi: Good discussion about upnah….I have done so many upnah…..I have made upnah of  mash (Udad) + sindhav (rock salt) + nirgundi swras + ark patra + ajwain…..Gives best result in pain

Anand Zaveri: I've noticed good & quick results in different kind of joint pains with wild apricot oil external application.

Canada Nitin Shah: Boswelia is also useful.

Sunil Sharma: Is this Ayurvedic ???

Canada Nitin Shah: Yes, it is a gum resin and in India available on the name of Sallaki

Dr. Monaliben: I got result in painful elbow joint by only calcium intake.  I didn't need to take even guggulu as pain killer at that time.

Dr sumit Thakkar: Root cause should be treated

Vd. Dipak Upadhyay: Sorry I am trying to learn....so please help me.

Wrist pain → can v use   स्वेदन , स्नेहन कमॅ & निॅगुंडी ?

Vd. Piyush Prajapati: In wrist pain,I m doing rakt moxan by jaloka.   Bcz  I think there is raktdusti and vaat vrudhhi always in pain.. typically in wrist joint and calcaneus pain.. I have 3 patients who has total pain relief in single sitting of jaluka.

Vd. Kundan Gadhavi: for elbow pain - upanah svedan, orally dashmula +rasnadi kwath……very effective

Vd. Tushar Trivedi: Jalaukavacharana is helpful...It improves healing..

Vd .Rajendra vasaiya : For elbow pain locally abhyang and swedan given, maha yograj guggul, trayodashang guggul with maha rasnadi kwath.....

Surat Vd Mukul Patel: Snehan Sweden , orally dashmool  or Rasnaarendadi erendadi kashayam  with sunthi if necessary. Depending  upon  the  severity  of the symptoms  other vat shaman drugs can be added

Keloids - #Ayurveda approach?

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.

(If you like this activity, and wants to be a part of this chat discussion on whatsapp, please send in your request. Whatsapp your name, short intro to +91-9824243567. Thank you.)

Today's topic for discussion:   Keloids  - #Ayurveda approach?

Dr Dipak Shirude: This is incurable and needs continuous care and medications to avoid further progress and complications ..Aarogyavardhini, Trifala guggulu, Kanchanar guggulu, Laghusutshekhar

Germany Helga Fuchs: Question: soft virecana and nasya, diet etc. what is with basti treatment? Can it be added to catch the vataimbalance and inflammation on the roots? With adviced herbs there must come deeper process for balance V. Patients get stronger. As I know, if there is any cancerous activity, abhyanga should not be given. We increase kapha by them and cells growing get helph. Hm, but if patient is strong and able for cleaning processes, it must be possible to give him good "diet" due basti. The increased V due cleaning should be not dominant enough to create more trouble. And start with basti on the 9day after virecana gives the body better food as any diet can do. I remember that patient who is not able to eat we feed him rectal. In this case eating is sometime not easy and patient suffering due weakness. Weakness creates pressure and V increase. Inflammation to. Sorry if I am wrong.

Dr Dipak Shirude: Pratisaaran = Application of combination of suksma choornas and honey with some pressure on the fibrosed patches ..

Followed by Gandush

Vd. Jignesh Thakkar: Keloid incurable in allopathy

Shri Minoo parabia: Keloid is the inherited tendency from immediate or remote parents. Any injury may result in a keloid on healing for such patients. Remedy not yet known to us. Some one may through light.

Vd. Jignesh Thakkar: Ksharkarma can be answer but i have no experience.

Vd. Prerak Shah: For keloids, I have tried everything with PK. Including vaman, virechan etc. But no result.

Shri Minoo parabia: If you do that you will end up with added extra keloids. Even plastic surgery doesn't work. It is genetic tendency. Healing of wound precipitate extra tissue mass.

Dr Dipak Shirude: Never try ksharkarma or anything like that on keloid .. If you try to disturb that tissue, it grows with more vigour .. I have tried once or twice Jalaukavacharan .. It proved worth along with internal medicines .. It even reduces but not completely vanished ..The most frustrating thing in keloid is that it grows secondary infections ..To keep it clean and save it from sepsis is the main motto ..

Vd. Ajay Pithiya: As this is related to genetic tendency any surgical removal technique will worsen the condition..

Oral submucous fibrosis (OSMF) and its #Ayurveda approach

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.

(If you like this activity, and wants to be a part of this chat discussion on whatsapp, please send in your request. Whatsapp your name, short intro to +91-9824243567. Thank you.)

Today's topic for discussion:  Oral submucous fibrosis (OSMF) and its #Ayurveda approach

Vd. Kinshuk Hirpara: No direct correlation of the disease OSMF is found in our classics. But  we find description of symptoms like difficulty in opening the mouth – Krichhen, vivrinoti mukham; burning sensation in mouth – Mukhadaha, Usha-

intolerance to spicy food - Tikshna asaha; dryness of mouth-Mukhasosha;

defective gustatory sensation- Arasagyata, Alparasagyata, Virasagyata;

ulceration of the oral mucosa-Mukhantargata Vrana ; Fibrosis-Vranavastu,

Durutha Vrana, but these all are present in scattered form. Mukharbuda - The

dreadful complication of OSMF finds a mention in our classics.

Sthanika Chikitsa:

i)Mukha dhavana: Cleaning the oral cavity with Kwatha of triphala, patha,

draksha and jati pallava with Madhu. (A.H.U)

ii)Pratisarana: It is a procedure wherein medicines are applied locally to

the part affected. Local application prevent or suppress the inflammatory reactions,  thereby preventing fibers by decreasing fibroblastic proliferation and deposition of  collagen . Pippali, lavana ,haridra, yashti madhu, Ela, madhu, laksha etc can used for this purpose.

iii)Kavala and gandusha : This can be done with tailas like haridradi taila,

yashtimadhu taila, jatyadi taila or even with madhu or gritha. This not only acts as

a biogenous stimulator-by accelerating cellular metabolism, increase blood

circulation and tissue vascularity (Courtesy dr suja banglore)

Vd. Prerak Shah: We consider tobacco chewing is major cause for OSMF. May be in time of Ayurveda, tobacco was not there?! That's why the condition was not much familiar.

Vd. Kinshuk Hirpara: Another research article on OSMF http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4395929/

Dr Dipak Shirude: There is direct correlation with o s m f in Ayurved !! I have done clinical study and a kind of research years ago .. Find || maans sanghaat || in Sushrutas text .. We got sure results with Pratisaaran and Gandush chikitsa ..Systemic treatment  : Aarogyavardhini and other adjuvants is useful .. And of course .. Nidaan parivarjan is must ..

Shri Minoo parabia: At RMD Hospital. Vagaldhara. We used to receive scores of patient from all over the country. Not all but most of them had history of chewing things. My observation is, not only tobacco but any other thing, may be sopari/areca nut, clove kept at one particular site is the constant source of irritation resulting in to death of submucosal cell death. Buccal cavity has highest regeneration capacity turning out newer generations of cell every day. This active state needs constant supply of vit B and healthy nuclear material. Irritants cause mutation,  when inherited,  result in to cancerous growth. More dangerous were metastatic states. The treatment offered was........Kaval/gandush by Gaumutra. Solutions of Akakia,  trifala. Local Application of gairic, tume F mixed with honey.

Kanchnar, Abhrak bhasma, Annasaheb patrwardhan kadha based tab Carcinocare.

Or decoction it self. Panchgavya daily in the morning.  Diet restrictions.

Only cows milk, ghee. Jav/barley, unpolished rice, mung, papaya, pomegranate. Oat, were allowed. Flex seeds with paneer were given occasionally.

Success rate, if without metastasis,  was about 30%. Fresh water extract of giloy, kumarpathu,  bhoy pathri, bilipatra, tulsi was given every day.

Decoction of tulsi were refilled in earthen matkas every day for patients to drink. Raw water was not allowed. Symptomatic regimem like chhardiripu, hemogon, hemomore, Arogyavardhini, agnitundi vati. Bronchonil,  Asthacure, Bhallatak ghrit,  were used.

Vd. Dipam Tripathi: My 2 pt. Only 10% relife please suggest me good treatment?

Vd. Prerak Shah: It is not compulsory that all OSMF cases turn into cancer, but it is increasing all times.....as Parabia sir mentioned ..the cause is not only tobacco...but chewing / keeping any substance in mouth on one place and creating friction ....results in inflammation and ultimately ulcers...but developing submucous fibrosis is also threatening condition. Sometimes my patients with OSMF, dont have ulcers or inflammaiton...but they simply cant open the mouth, cant eat any solid food, mouth opening is hardly 5 mm, and sometimes painful too. Then it is very difficult to treat. Usually I go with oil gandush, local - external abhynag and svedana and nasya too.

Vd. Dhruti Kagrana: OSMF:-

On analyzing the disease condition with Ayurvedic approach, it seems to be nearer to Vata-Pittadominant chronic Sarvasara Mukharoga, Factors include

Areca nut chewing, Ingestion of chilies, Genetic and Immunologic processes, Nutritional deficiencies, and other factors.

After Koshthashuddhi(mild purgation) and Shodhana Nasya; Pratisarana(external application) with Madhupippalyadi Yoga,Kavala(gargling) with Ksheerabala Taila and internally Rasayana Yoga useful..

Vd. Ajay Pithiya: Supari - areca nut is main culprit to cause osmf..  As continous long term irritation on daily basis does not let to heal and thus fibrous tissue occura.  Secondly caustic (chuna) also cause irritation. Osmf can be called as chronic healed wound..  Sushrut has given 60 upkrama for better healing of wound...  I think we have to concentrate on that.. Local application nd treatment are must... Pratisharan …..Gandush or kaval is beneficial

Vd. Dipam Tripathi: In my pt....they all are tobbeco chewing whole day....

In treatment i give kshirbala oil gandush..Kshirbala 101 paki...nasya

Forpratisaran...yastimadhu, Arogyavardhini, satvbal tab....and ofcourse abhayng swedan....bt not gave me satisfaction

Shri Minoo parabia: The sclerosis coupled with calcification hardens mucosa so much that mouth can not open.

Vd. Mahesh Akani: I haveNo pt of OSMF but one time A pt . He is suffering with complete lock of jaw. Advised as Externaly lepan of Gobar, int Gomutra with water & cow's food yav, when it's comes from Gobar, it's became his food

  we seen good result

Vd. Ajay Pithiya: paper published in "AYU" journal by gujarat ayurved university

Oral submucous fibrosis (OSMF) is a chronic debilitating disease of the oral cavity characterized by inflammation and progressive fibrosis of the lamina propria and submucosa, that results in marked rigidity and eventually inability to open the mouth.

 It manifests as blanching and stiffness of the oral mucosa, trismus, burning sensation in the mouth, intolerance to eating hot and spicy foods, repeated vesicular eruption and ulceration of the buccal mucosa, palate and pillars, loss of gustatory sensation, etc.

Habit of betel nut and tobacco chewing, excessive consumption of chilies and spices, genetic susceptibility, immune mediated process, smoking, drinking alcohol coupled with dietary deficiencies are thought to be the causative factors

of the OSMF, but there is compelling evidence to implicate the habitual chewing of areca nut with the development of OSMF.

Probably involved pathogenesis is stimulation of fibroblast production, increased collagen synthesis due to areca nut alkaloids mainly arecoline along with stabilization of collagen structure by catechin and tannin contents of areca nut. Worldwide estimate of OSMF indicates that 2.5 million people are affected with most cases connected on the Indian subcontinents, especially southeast India.  An epidemiological assessment of the prevalence of OSMF among Indian villagers based on baseline data, recorded a prevalence of 0.2%  (n  =  10071) in Gujarat and 0.4%  (n  =  10287) in Kerala.  

The alarming fact is that there has been a drastic increase in the incidence of OSMF in the younger age group in India as Pan‑Masala and Gutka are easily available in most part of the country even to young children.

Bunty Gandhi: Is recurrent mouth ulceration is one of primary symptoms of OSF  ?

Dr. Hardik- MD: In OSMF 150gm pure alum powder + 75 gm rock salt + 10 gm (clove)syzygium aromaticum + 5 gm karpur (camphor) mix it closely and put it in glass bottle and early morning instruct to patient for scrubbing in mouth with this powder.  Before  this scrubbing gargling with 1 glass of hot water. Than scrub it with brush on gums and tooth. After scrubbing again gargling with 1 glass of hot water. Than tell to patient blow up his/her mouth for 5 to 10 minutes. Don't eat any thing for 1 hour after this mouth cleaning. Tell to patient strictly to avoid tobacco chewing or any bad habit…With this powder pt will get benefit after few weeks.

Dr. Pulastya Vora: I have got encouraging results with Irmedadi tailam

Vd. Piyush prajapati: I think that Fibrosis is exactly Kaph xay janya vaat vrudhhi condition.   Gandush of Decoction of black till added with Jaggery in TDS dose may help in OSMF..  Gandush is better than Kaval. Patient is also advised for some facial exercise which exactly work for maxilo mandibular muscle .  Patient can b suggested for Local Massage of Til Oil at night ..

Dr. J. T. Contractor: Rigidity in jaw joints & gum,due to excessive use of chewing tobacco/ Gurkha is Sub Mucus Fibrosis causes tightness in opening full mouth( hardly mouth opens a centimeter) difficulty in chewing food. Best way to make the jaw flexible by massaging it with oil preferably rectified caster oil mixed wth sweeten mint oil, glycerin can be used in place of caster oil, more than thrice a day, optimum result found in a month or so

Ulcerative colitis.... # Ayurvedic approach

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.

(If you like this activity, and wants to be a part of this chat discussion on whatsapp, please send in your request. Whatsapp your name, short intro to +91-9824243567. Thank you.)

Today's topic for discussion:  Ulcerative colitis.... Ayurvedic approach

Vd. Jignesh Thakkar: Ulcerative colitis is shokatisar according to ayurveda.i treated few patients successfully at my clinic by shirodhara+basti. Overall i found that till 3 yrs after treatment patient was having no symptoms but medicines continued. But as soon as real estate prices crashed he is ill again.you can see his testimonial on. www.gujaratayurveda.com

Ayurveda says because of financial loss or loss of life of close relative may lead to excessive stress and can lead to condition like sokatisar or ulcerative colitis.so removing stress can be first line of treatment. Now a days, in competitive world there are so many Reasons of stress. and till today allopathy reached only at conclusion that ulcerative colitis may have psychosomatic origin. …….If in patient of ulcerative colitis if you find no reason of stress then can be treated as raktatisar…..It has different etiology that "पित्तातिसारी यो अत्यर्थं पितलानि निषेवते तस्य पित्तं असृग दग्धवा रोगाय कल्पयते।"………..

Bunty Gandhi: I have seen my relative who was even told by allopathic doctors that you are not going to live more after two years treatment was successfully treated by some tribal healer from nandurbar..

Vd. Jignesh Thakkar: Means a person who is suffering from pitatisar and still taking more pitt aggravating things can lead to raktatisar.(bloody diarrhoea)

Shri Minoo parabia: Amoebic,  gerardiasis,  irritable bowels ultimately culminate in to UC……Gluten free diet is the first advice. Stop wheat. Milk and fried food.

Bilwadi and/or brihat gangadhar administered with curd or buttermilk helps.

Brahmi + yastimadhu and Psyllium make effective treatment……As the case may be other symptom based drugs are sanjivani vati, kutaj vati and Karpurras vati.

Vd. Sunil Suthar : Nice topic !  I have treated a case in the past !  Suffering with ulcerative colitis, Sign & symptoms were , frequency of stool : 4-5 times in a day , but every time semi solid or liquid and occasionally abd. Pain is der , meleana is der ! Digestive system also dusturbed, weight loss 12 kg within 6 months and lots of tries in allopathy but did nt recover! When he came with me :

I simply treated with Tb. Kutaj parpati vati , Tb. Dysentrol( goswami pharma ), Ajmodadi + avippatikar churna, Bilagyl ( sandu), And kutajarishtam !

Within 4 months wonderful results der ! His all complains near to subside ,5 kg wieght gain ! And bowel is complete ok single time !

Diet restrictions : Spicy , oily , menda , non veg . Strictly prohibited , Butter milk with zeerak powder twice in a day after food ! And advise to take 40% less diet !

Here mochras or pichchabaati also gives good results but he is also suffering with piles so it was not managed by me ! But with only oral medicines and diet control ! Wonderful result is der !

Dr. Archana Panchal: Diet is most important , wheat & milk strictly stop, take roti of rice&bajara, mung dal rice, take Apple , anar, banana , dudhi parval galka turiya can be taken.     Shirodhara is benefited for this pt.I have treated pts with stricket diet & simple medicine

Dr. Devesh Kumar: Kutaj ghan vati+ jirkasava+ sutshekhar rasa is also beneficial in this case

Vd. Dhruti Kagrana: According to Ayurveda, ulcerative colitis is primarily a disease of Pitta dosha with varying degrees of Vata involvement. The latter determines how extensively the inflammatory process will spread proximally and the development of extraintestinal manifestations. Ulcerative colitis is, additionally, a disease of purisha vaha srota (channels carrying fecal material)………The excessive consumption of paittika ahara (Pitta-aggravating foods) and Pitta-aggravating regimens initially damages both rakta dhatu and mamsa dhatu. Vata dosha in the lower colon is also aggravated and in the early stages blocks the Pitta and Kapha channels causing further inflammation, mucous accumulation and edema.

Bunty Gandhi: Brihad Gangadhara Choorna is also very benefitial.

Vd. Jignesh Thakkar: Stop Milk totally is idea of allopathy. According to ayurveda goat milk is best remedy for raktatisar.... i have tried it on number of patients and got satisfactory results.

Vd. Dipam Tripathi: I agree qith dr. Jignesh

Dr Dipak Shirude: This era is very much easier to practice Ayurved effectively, as many standardised and effective aushadhikalpas are available ....Ulcerative colitis . as per my experience . needs to rearrange the food habit of the patient . I usually advice these patients to be on Takrahar or Dugdhahar . And to observe strict avoidance of leafy vegetables ……Initially a little dose of Haritaki very early in the morning with warm water for 2/3 days is useful to eliminate excess doshas …..Then onwards . .. . Mochras (gum of shalmali), kutaj, bilwa unripe fruit pulp, musta, shunthi, prawal, kamdudha, udumbar twak, arjun, shatavari are used as per situation . Bolbaddha Ras, Raktastambhak, Mouktikyukta prawalpanchamrit . are also some adjuvants …….Pichha basti by drip method is instant useful in severity ……Lajaanna, mudgayush, coconut water, sitaphalam pulp, dadim swaras etc.  .. These are useful as tarpan I.e. to keep the patient's bal normal ..

Shri Minoo parabia: Goat milk has antimicrobial property. Therefore acts well on TB too. Continuous consumption may even affect intestinal microflora responsible for vit B production hence stomatitis.

Vd. Mahesh Akani: ulcerative colitis means Shokaj Or Pittaj atisar . We advised Dhyan, simple Pranayama, Pitta shamak diet.... Shatavari swaras, Udumbar ghan vati, Kutaj parpati, Bilagyl sandu. Panchvalkal , musta, bilva,kutaj kwath + Dadim ghrit+ milk = Siddh ghrit basti

Vd. Ketan bhimani: Kashay ras pradhan panch valkal qwath orally is also best drug to control liquid n bleeding in colitis or IBS.

Vd. Pankaj Chhayani: In diarrhoea, there is reverse movement of fluid ( fluid move from all tissues toward GI tract, rather than GI to Tissue).. In this case movement from GI mucosa to general circulation (absorption) will become difficult..whatever the  condition may be of the mucus membrane of the GI tract, howsomuchever inflamed may it be, sugar is always welcome, it will instantly absorbed and with the sugar molecules whatever other molecules are accompanying it Will also get instant passage inside e.g. they also will get absorbed easily………..There is inflammation of mucosa in UC. Honey is best healer,containing sugar will help in absorbing other dravya too. I think honey must be added in all basti.. अतिद्रवसरण मलप्रवृति..this is cardinal symptom of Atisar...Drava and Sara both are gunas of pitta..सस्नेह द्रव अम्ल सर कटु...- पित गुण.... So we can say that there is pitta dominance in atisar.. And why susruta says that pitta should be treated first in case of tridishoja atisar while in other tridoshaj vikaras vata is first to be treated. So its clear cut there is pitta dominant in atisar(with vata and kapha)..………In UC, there is inflammation of mucosa, according to inflammation is not possible without pitta.... According to Ayurveda inflammation is not possible without pitta..

Dr. Rajnish MP: Takra kalp &  Pichha vasti good for ulcerative colitis

[12/9/2015, 1:08 AM] +91 98242 43567: I have very good results in all kind of colitis...with pichchabasti treatment....in most cases we give 10-12 days basti course + followed by formulas from Kutaja and/or  bilva .....within 2 months I start tapering the dose of Tab. azacol or Tab. mesacol (modern medicine) and steroids....within 4 months from basti, usually I am able to discontinue with modern medicines...pt continues with ayurveda (Kutaj, bilva, indrayav etc.) ....nearly after 8 to 12 months, I can see that patient gets complete freedom from ayurveda medicines too.  I have also good result in Crohn's syndrom. I will post colonoscopy reports (pre and post) in  short time for all members.

Vd. Dipam Tripathi: Pichha basti.....best result

Vd. Neha Dipam Tripathi: Pichcha basti yastimadhu sidhdha sneh for healing if colon bilv,kutaj ,sutsekahr ras and if bleeding is there aja khsir and bleeding is not there takra gives good result…..Any condition related to mental stress shirodhara sankhpuspi etc medhya drugs are useful in ulcerative colitis

Germany Helga Fuchs: Good information s thank you, I remember if patient come with this problem.

Vd. Hardik bhatt: I will share an experience…. One pt. was advised to take medicines for tuberculosis (TB) without confirm diagnosis……He got reacted….developed ulcers in intestine…then pt was on steroids…...  Daily motion freq. 15-20  times…with blood and pus .I started  piccha basti…8 days every month ….for 6 month. pt got complete relief for 1 year….advised for Pathya diet… .. tapered dose of Steroid by allopath doctor… .

Dr. Hardik- MD: Vatsakadi vati(punarvasu) is helpful in sannipataj and raktaatisar.

Tab shallki 400mg (gufic) is also very helpful in raktaatisar. we can add sfatika powder in pichcha basti for better relief. And jatyadi taila  matra basti will helpful in complication of pichcha basti like vata pravruti.

Vd. Ajay Pithiya: Nice all post…..In acute phase of UC (as pitta is more) dare to use any of ushna virya drug..  Not even stambhana drug...  Sama rakta and pitta relation create problems if we use any stambhana or ushna drug... In this condition picha basti is best to check the profuse bleeding…Drip method is again ideal…Drugs - paripathadi kadha,  audumbaravaleha,  praval,  mukta etc…Musta

Unripe Bilva fruit pulp, Ativisha , Are beneficial in this condition

Raymond Parabia:  Aragwadharish 2 spoon Tds, Belgarbh 100g + Boveline 200g

10g par day, If bleeding  Himegon, 6-8g par day, Success rates of 80% …15% Relapse

Vd. Ajay Pithiya: For chronic cases..  We can give anuloman (if needed) but with a lot precautions..  Again drugs are same but use of gold or rasayan is needed..  Parpati prayog can help here..  Takra kalpa also beneficial……My favorite yogas are from sharangdhara for this disease and they are Vatsakadi kashaya and

Laghu gangadhar churna..… As this disease also have psychosomatic relation shirodhara and medhya aushadhi help in some of the cases.. …Many of the uc cases turns into colonic cancer,  so we must have to think and watch the condition for betterment of pt.

Vd. Milan prajapati: Indrayav is choice of drug

Vd. Bhavesh Thakkar: Almost everything is said about ulcerative colitis.

Parpati is missing which I use a lot in UC patients…..Panchamrit Parpati

Along with herbs mentioned by vaidyas like kutaj bilva indrayava mochras nagarmoth ativish sunthi haritaki nagkesar etc when and needed

Vd. Kundan Gadhavi: tab enterid also works good, panchamrita parpati, ativish,shankh bhasma,pippali

Vd. Prerak Shah: If all are finish with their remarks, let me put a last note...an evidence of pichchabasti treatment in Crohn's. Pl carefull read the dates of pre and post reports. Unbelievable Improvement...Can it be possible with any other medicines?

Vd. Jignesh Thakkar: Plz share sir and also send detail composition of basti given by you

Vd. Prerak Shah: Basti combination: Panvalkal kwath + mocharas + kutaj + indrayav + shatavari ghrut + Padmakadi oil…......let's conclude this subject. Thnx all.

Role of Sadhak Pitta in diseases...#ayurveda discussion

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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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Today's topic for discussion:  Role of Sadhak Pitta in diseases

Dr. Hardik- MD: Charak maharshi has mentioned in pandu roga, hradayasth pitta is spread in all over body by vata

Vd. Dhruti Kagrana: The sadhaka pitta connects the heart and mind together so that the two can communicate with each other. Sadhaka pitta dwells in the heart and the brain, and includes the nervous system and the senses. The sadhaka pitta has an inward movement, which essentially sorts out our external experiences into an internal ‘felt’ experience. It distinguishes truth and reality from the information from the senses. 

The sadhaka pitta helps us fulfill both our material and spiritual goals in life.

In anatomical terms, the sadhaka pitta subdosha includes the neuro-transmitters responsible for dopamine and serotonin. It is responsible for homeostasis (regulating body temperature) and regulating the hypothalamus (which controls important hormones and the nervous system) in the brain.  An unbalanced sadhaka pitta essentially means umbalanced hormones.

Inside the heart, according to Ayurveda, there are two main energies – agni (sun energy) and soma (lunar energy). These need to be kept in balance. If agni is too strong, through emotional and mental stress, it will burn away soma, and lead to reduced ojas, or vitality. Like our agni, sadhaka pitta is an internal “fire” that mentally “cooks” our experiences for us. If it’s too low, our experiences will take a long time for us to come to terms with. If the sadhaka pitta fire is too high, it can explode and makes a person behave in crazy, irrational ways.

When your sadhaka pitta is in balance, you will feel blissful. You will have a balanced, even temperament. When your sadhaka pitta is out of balance, due to emotional stress or excess pitta, you will experience wild mood swings, from irritability to moodiness to anger, and to sadness. You may also have pitta-style depression, which includes being domineering, controlling, intolerant, critical (of self and others), intolerant and having the inability to concentrate. It may affect your relationships. There may also be pitta insomnia (waking up early in the morning with lots of energy), or inflammatory conditions, such as allergies, dermatitis, heartburn or diarrhoea. The sadhaka pitta can be especially out of balance for women during menopause – resulting in the characteristics wild mood swings and hot flushes.

Vd. Bhavesh Thakkar: Exceptional interpretation..! Pranam.

Vd. Prerak Shah: Practically my interpretation of disturbances in sadhak pitta reflects psychosomatic disturbances. Rasa dhatu disturbance, Agni disturbance, mind-heart connection imbalance and lack of Sattva.  If Prana Vata is also disturbed with sadhaka pitta, it is confirmed stage of mind and heart conflict. May be leading towards pragyaparadh.

Vd. Bhavesh Thakkar: true. Heart is adhisthan of Man (mind). So sadhak pitta will control both, heart and mind.

Vd. Mahesh Akani: Study of above Vd. Dhrut's article......An imbalenced sadhak pitta essentially means imbalanced hormones Manjistha is very good drug for imbalanced hormones. As we result got in infertility of women causes.. In imbalanced hormone.

Vd. Kinshuk Hirpara: I think clinical depression also .. We can Co relate

 Vd. Dhruti Kagrana: Yes,When sadhaka is imbalanced due to INCREASE of pitta –hyperactivity –impatience and anger may be seen. When it is LOW, then the energy of transformation –the energy that processes ‘sensory’ data, information, emotions, thoughts and feelings may be low. Manovaha srotas are blocked. so, depression can also be called low sadhaka.

Vd. Mahesh Akani: A family has 2 young children expired at that time husband, wife – both Aged 48 yrs. LH, FSH, prolactin reports were abnormal….We give her Mangistha ghan vati for 3 months. After then pregnancy confirm & they got twins.

Sure mangistha activate sadhak Pitta, relieves depression, balances hormones as we feels

Vd. Kinshuk Hirpara: Premenstrual syndrome PMS and post partum after delivery depression .. All can be included also in western world there's a disease called seasonal affective disorder( mainly the areas where's less sun light) also can be included in violation of sadhaka pitta

Vd. Manhar Prajapati: Sadhko ह्दयेस्थित means satva depends upon Sadhak pitta... Some pt having cold and became Stressful while pravar satva pt even suffering from life threatening disease they became calm acceptable mode...so we need to know how we can balance Sadhak pitta any diet or drug or yog.. Akhani sir gave good experience about manjistha

Vd. Prerak Shah: Is there any other herbs, which we can use to correct sadhak pitta? Like Vd. Mahesh Akhani suggested Manjistha..

Vd. Neha Dipam Tripathi: I think yoga and pranayam are better than any drug

Mansyadi kashay, Gudichi sattva

Vd. Kinshuk Hirpara: Anti depression drugs  in ayurveda jatamansi a pinch at bed time.

Jatamansi : the plant has a rich history of medicinal use and has been valued for centuries in Ayurvedic (Indian) and Unani (ancient Greco-Arab) systems of medicine. The scientific literature contains primarily phytochemical and animal studies of the plant's activity on the nervous system.

The rhizomes of Nardostachysjatamansi, the plant commonly known as Jatamansi have been described in Ayurveda for their soothing and sedative action on the central nervous system. In the present study, the anti-stress effect of hydroethanolic extract (70%) of N. jatamansi (NJE) was evaluated in reference to its antioxidant property.

Shri Minoo parabia: Katupatol. Luffa echinata.

Germany Helga Fuchs: All so well said. About medicine one  doctor told me about Brahmi, Vacha, Sarpaghanda. People with disturbed SP tend for extreme food and drug's. Mind movement to fast yes, or to slow, and tend to extreme emotional behaviours. Paranoid disturbance. No courage for the smallest things. SP teach us humility. Due Meditation, Yoga, Pancha Karma, Pitta Routine and food, Study's of holy scriptures, we clean the inner and gross body. By this we understand life and beeing better and we are able to see what is important to hold and for what to go.

 Vd. Dhruti Kagrana: Taruni - Rosa centifolia

 Vd. Ketan bhimani: Jatamasi =malkangani=  bhutghni.  patent drug ~ cognium from charak, allert from vasu, hibril from vital care,,,,

Vd. Hardik bhatt: Sadhakam hridgatam pittam so I think that not brain tonic but cardiac tonic herbs are useful to balance sadhak pittam

Vd. Pankaj Chhayani: Sadhak pitta having Tikshna Guna(sharp ness).  By this characteristics, this pitta mainly balance kapha dosha(especillay mand guna-dullness )...Sadhaka pitta removes dullness of kapha from heart and it perceives various subjects very sharply(तैक्ष्ण्यातीक्ष्णपराक्रमा:) ...

Vd. Prerak Shah: How to identify a herb affecting Sadhak Pitta?

Vd. Pankaj Chhayani: Charaka has not categorized pitta in five types...when sadhak pitta increased , it causes aggressive personality...in this cases pitta shamak herb should be given...Rose is useful.. Which increase kapha and will balance sharp ness of pitta.. Herbs those improve intelligence increase sadhak pitta function…Asafoetida increases pitta(sadhaka),. Asafoetida specialy increase tikshana guna(sharp ness) of pitta, and thus it helpful in epilepsy and coma...( मूच्छॉ अपस्मारह्रत् परम्---भावप्रकाश)..... Asafoetida decreases vata kapha and increase pitta...asafoetida uses in many mental disorders especially where Tama (dullness) has increased due to kapha(in heart)..asafoetida will remove this kapha from heart and will increase sharpness(of ) pitta....--- This is hypothetical and I believe in this firmly.. There are also many other herbs….. If we see guns of pitta, there is only one guna(tikshna- sharpness) which concerns with mental function...

Ref.. Charak viman.8,, Susruta sutra- 15, Astang sutra- 14...

Vd. Ajay Pithiya: As far as the function of sadhak pitta concern it deals with mental functions more,  such as intelligence,  self consciousness,  knowledge etc...  Location is hradaya (not  anatomical heart) …..So imbalance of sadhak pitta can easily understand in any of psychic or psychosomatic disease …..Again as per sushrut samhita, oja which again reside in hridaya is also depend upon sadhak..

Drug useful in sadhak pitta..  Tikshna guna pradhan when sadhak pitta function hinders …….Drugs with shit mrudu guna when sadhak pitta aggregate s

Shri Minoo parabia: Exemplary discussion. Thanks to all.

Vd. Jignesh Thakkar: kapha in mind increases alasya(laziness) but at the same time kapha is necessary for long term memory and kshama (forgiveness).to counteract qualities of kapha GOD placed sadhak pitta. now you will ask then if it works on mind why it is  said "साधकं ह्रद गतं पित्तं"  as per my thinking it should be a chemical which can cross the BBB. And it can be produced when man desires to do something....then the sadhak pitta is produced and will work until the sadhna is over.when person gets the sadhya(desired thing) sadhna(struggle) is over. Until that point sadhak pitt counteracts laziness created by kafa sometimes counteracts क्षमा (forgivness) also and takes works from employees and reach the desired level.   This chemical may be produced in brain or heart and works in whole body….although hypothesis story but can be useful to understand work of sadhak pitta….And tulsi can be best drug to produce sadhak pitta.because it is taken by all sadhak who is desiring to reach spiritual level… If you badly desire something take tulsi thats what i mean to say…..As tulsi is useful to increase sadhak pitta to pacify sadhak pitt yastimadhu, may be usefull. Because it is said in rasayan chikitsa that..."मंडूक परण्याः स्वरसः प्रयोज्य क्षीरेण यष्टिमधुकस्य चूर्णम।मेद्यानि चेतानि रसायनी मेद्या विशेसेण शंखपुष्पी" this all drugs creates calmness to mind increases little kapha. To increase sadhak pitta jyotishmati, vacha and tulsi may be usefull

Bunty Gandhi: What about herb arjuna in imbalance sadhaka pitta ? It has also hriday prabhav.. As sadhaka pitta is connected with heart and process of thinking-emotions of mind...

Vd. Ajay Pithiya: Mostly any of pitta is related to अग्नि व्यापार ie any of the process which converts any substance or form of any body material to another one...  Thus this agnivyapar may call as digestion,  metabolism or so on..

Pitta is mediator in all these kind of process.. 

Sadhak is related to mostly mental functions such as buddhi,  medha etc.. 

So for mental functions when they need to process sadhak is essential

Vd. Jignesh Thakkar: if you desire physically anything you need heart to bit fast and contract properly...for that you need dopamine or adrenaline.....so can dopamine or adrenaline cconsidered as sadhak pitta???

Dr Dipak Shirude:  In my experience, sadhak pitta imbalance is successfully treated with Suvarna sutshekhar ras .. It's consumption time is considered within 11 am to 4 pm .. Single dose is sufficient .. It affects desirably on almost psychosomatic disturbances related with sadhak pitta ..

Vd. Prerak Shah: ok....let's conclude this subject. Thnx all.

SLE (systemic lupus erythematosus).... #Ayurveda approach

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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Today's topic for discussion: [12/1/2015, 7:21 PM] +91 98242 43567: Next topic for discussion: SLE (systemic lupus erythematosus).... #Ayurveda approach

Vd. Dhruti Kagrana: Systemic Lupus Erythematosis….An Autoimmune disease Tri-dosha are involved. The Ayurvedic remedy of lupus depends upon the presentation of symptoms and the involvement of diverse systems and organs. This becoming an autoimmune illness, to begin with and foremost, it is very important to try and restore the immune function of the physique. Immunomodulatory therapy can be given utilizing medicines like Ashwagandha (Withania somnifera), Shatavari (Asparagus racemosus), Guduchi (Tinospora cordifolia), Yashtimadhuk (Glycerrhiza glabra), Pippali (Piper longum), Rasna (Pluchea lanceolata) and Manjishtha (Rubia cordifolia).  According to Ayurveda, the body is created up of seven "Dhatus" or tissues . It is imperative to see which of the body tissues are affected most, in a patient with lupus. These tissues can then be treated with the proper medicines so as to repair the harm carried out, and to restore optimum function of the body. Precise Ayurvedic treatment can also be given according to the affected  organ.

Vd. Mahesh Akani: Guduchi - sida codifolia is the best drug for S L E. I am doing Vaman , Virechan, Basti of Bala, rasna, dasmul for anuvasan& aasthapan. Also giving 1) Bala guduchyadi kwath  2) Amruta ghrut 3) Maha Mangisthadi than 4) Khirbala aavarti 5) Sutsekhar ras

Bunty Gandhi: Yes immunity enhancing herbs keeping in mind of person's prakruti..

Vd. Pankaj Chhayani: In SLE, there is genetic susceptibility. There is mainly type 3 hypersensitivity with type two hypersensitivity. Many systems are involved. Mainly Rasa dhatu dushti is there. Its problem due to defective gene , so here problem is started in Gharbha rasa... Kapha is mala of rasa dhatu.. Prakrit kapha is Bala(good immunity) while vaikruta kapha is mala(auto immunity)...प्राकृतस्तु बलं श्लेष्मा विकृतो मल उच्यते !! स चैवौजः स्मृतः काये....so here rasa dhatu dushti mainly occur. Vikrita kapha (ama)is produced more... In this condition Pippali is useful with systemic approach. Treatment must be done as per tissue involvement with rasayan therapy...

Shri Minoo parabia: Lupus E;  a lady 20 years and Lupus nephritis later was on 40mg/day Wysolon. A lady 35 years, when approached me. Regimen followed ...... Mahamanjishthadi kadha 250 + manjistha 50 g. Fresh decoction. Giloy; launea; Aloe; Euphorbia hirta fresh extract every day. Gokhru; punarnava fresh decoction. Both are fine. Former about 12 years old and later about 20 years old cases. Treated at Surat. Interested friend can visit one with LN as she stays very much in Surat..Sreroids were tapered gradually and were discontinued after about 5 months.

Germany Helga Fuchs:  With today's topic I do not have experience, sorry.

Vd. Jignesh Thakkar: No experience about SLE..

Vd. Prerak Shah: I have treated few cases of SLE with virechan followed by high dose of guduchi Satva and gives good result. Unfortunately my job  ends with Panchkarma and I have to refer back the patient to his/ her physician. So no more further data available.

Dr Dipak Shirude: I have some experience about this .. typical SLE patients were very few but other similar conditions are regularly seen .. Typical butterfly sign on face and multiple joint involved .. According to modern texts, SLE reduces life span of the patient, remarkably .. I have studied about this far ago in student life .. Practically, Amrutottaram quath, Balaguduchyadi quath, Kokilakshak quath, Manjishthadi quath, These are used as per prakriti and kal  ..I have high belief in administration of Suvarna in this ailment .. One can use it according to the economical status of the patient .. Suvarnasiddha JAL, Suvarna malini Vasant, Brihat Vat Chintamani Ras, Yogendra Ras, can be chooses as per situation .. I also believe that just wearing pure gold on body raise immunity !!?!! .. Karuthamarmani lepam from south Indian texts is very effective when used externally in the inflammatory conditions of any immunity related disease .. It gives symptomatic relief but it needs to keep the patient's hope alive uptill the immune system upgrades !

Vd. Kinshuk Hirpara: Guduchi - tinospora cordifolia it contains berberine, tinosporin,  beta stetosterol..Some info on beta sitosterol- Beta-sitosterol is a substance found in plants. Chemists call it a “plant sterol ester.” It is found in fruits, vegetables, nuts, and seeds. It is used to make medicine.
Beta-sitosterol is used for heart disease and high cholesterol. It is also used for boosting the immune system and for preventing colon cancer, as well as forgallstones, the common cold and flu (influenza), HIV/AIDS, rheumatoid arthritis,tuberculosis, psoriasis, allergies, cervical cancer, fibromyalgia, systemic lupuserythematosus (SLE), asthma, hair loss, bronchitis, migraine headache, and chronic fatigue syndrome. Some men use beta-sitosterol for enlarged prostate (benign prostatic hyperplasia or BPH). Some women use it for symptoms of menopause. It is also used for enhancing sexual activity. Marathon runners sometimes use beta-sitosterol to reduce pain and swelling after a run. Some people apply beta-sitosterol to the skin for treating wounds and burns. In foods, beta-sitosterol is added to some margarines (Take Control, for example) that are designed for use as part of a cholesterol-lowering diet and for preventing heart disease. The federal Food and Drug Administration (FDA) allows manufacturers to claim that foods containing plant sterol esters such as beta-sitosterol are for reducing the risk of coronary heart disease (CHD). This rule is based on the FDA’s conclusion that plant sterol esters may reduce the risk of CHD by lowering blood cholesterol levels. Although there is plenty of evidence that beta-sitosterol does lower cholesterol levels, there is no proof that long-term use actually lowers the risk of developing CHD. Guduchi has the natural steroid, and in SLE allopathy uses steroids in lower dosage regularly.  Stil clinical trials going onwards. Research in process

Shri Minoo parabia: Dr Rege of KEM did extensive work on T.cordifolia. cultivation and utilization of medicinal and aromatic plants a book by sir. The best immunomodulator.

Vd. Hardik bhatt: I think our all rasayaana drugs are containing this type of qualities like aamla haritaki guduchi shatavari yastimadhu etc

Vd. Manhar Prajapati: Autoimmune disease so rasyan first and can compare with vatrakt guduchi choice of drug virechan gives good result


Vd. Neha Dipam Tripathi: SLE compere with Uttan vatrakt  ….And treatment as Vd. manharbhai suggested

Excessive salivation or less salivation in adults / senior citizens....#ayurvedic approach

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.

(If you like this activity, and wants to be a part of this chat discussion on whatsapp, please send in your request. Whatsapp your name, short intro to +91-9824243567. Thank you.)

Today's topic for discussion: Excessive salivation or less salivation in adults / senior citizens.

Vd. Dhruti Kagrana: Excessive or less salivation:-

Dosha:- mainly prana vayu and bodhaka kapha

Gandush and Nasya is beneficial.

Secretion of saliva is under control of the autonomic nervous system, which controls both the volume and type of saliva secreted so, Basti is also helpful.

Vd. Bhavesh Thakkar: ~* Excessive salivation 

Dosha - Kapha, vayu Dushya – rasa……..Krumi could also be a reason. 

~* Less salivation 

Dosa : Pitta, vata Dushya Ras

Ama pachana drugs along with digestives like vidanga will be helpful in excessive salivation

Less salivation - Madhura guna dravyas should be used.

Vd. Mahesh Akani: Sunth- vishva bhesaj : Madhur vipak & grahi guna. 

By grahi guna it's uses in excessive salivation & by madhur vipak it's uses in less salivation. Yes....anupana will change

Also excess..saliva is due to Krimi, Ajirna, udavarta, kaf prakop, aamdosh

& less saliva..is due to vata prakop, Dhatu kshaya

In both condition treatment is different but sunthi - vishwa is common, anupan is different. As Sunth + haldi (turmeric) in excess..saliva, Sunth + gud (jaggary) +ghee in less saliva

Vd. Pankaj Chhayani: Dry mouth( decrease salivation) is seen in sjogren disease... There are many pts of sjogren...so its necessary to rule out sjogren...in sjogren, Salivary and lacrimal both glands are Dysfunctional. Xerostomia(dry mouth) and Kerato conjunctivitis (sicca)are seen.. sjogren is autoimmune disease, dry mouth also can be seen in other autoimmune disease like RA, SLE, Sclero derma etc... I have seen a pt who used to drink 8 to 10 litre water due to dry mouth(lack of salivation). Pts got very much relief by Shadanga paniya. Other one pt also got  90% relief within 1 month. There are lot of pts with problems of Dry mouth(xero stomia) and dry eye(kerato conjunctivitis sicca) ... There are sjogren club in many cities for help to these types of pts.. There is sjogren club in Paldi- ahmedabad...

I always correlate auto immune disease with ama.  Symptoms of aama-- स्रोतोरोघ बलभ्रंश गौरव अनिलमूढता... Here what's mean by bala bhransh? Bhransh means corrupt.. Here bala( immunity) is working but its corrupted. ( same as politicians work a lot but for corruption and become harmful for country)..

Here bala is corrupted and work against own body tissue..so bala bhransh means corrupted immunity , corrupted immunity also seen in auto immune diseases... Other word is Anila mudhata( अनिल मूढता) ..Mudha means direction less(can't understand what to do)....it seems same as corrupted... By these two words , we can take autoimmune as Ama.. So i think whenever there is lack of salivation due to auto immunity ,first we must do treatment of Ama and after achieving niram condition , vata alleviating treatment should be done...

Vd. Kinshuk Hirpara: Excess salivation also can be caused by GERD reflux disease . So have to give patients abhayadi ghan vati. If no any other complaints then excess salivation . Also herbal dhumrapana suggested…Some seizure medicines such as Klonopin (clonazepam)…….Schizophrenia medicine called clozapine (Clozaril, Fazaclo ODT)…..Salagen (pilocarpine), used to treat dry mouth in people who have radiation therapy……..These medicines also causes excess salivation

Dr.Pulastya Vora : Excessive salivation may be due to continuous stimulation of salivary glands by way of pan or tobacco chewing or  an masala chewing. Less of secretion may be due to ageing of salivary glands; anticholinergic side effect of various drug therapies; excessive loss of water due to diuretic therapy. It can also be hereditary. Oral ulceration can also be a cause to sooth the lesion. Less secretion can also be due to hypothyroidism. Attificial saliva is available in foreign countries.

Vd. Hardik bhatt: Salivary gland stone , hypo and hyperthyroidism blood pressure medicines are also disturbing salivary secrations. Panchvalkal kwath , yastimadhu kwath with sfatika churn are useful for gandush and kaval .

Shri Minoo parabia: For excessive I prefer Acacia- akakia. It is sold by unanis. Babul fruits are crushed and kept under the strong sun light for the considerable period and powdered. Akakia is strong astringent. Gargling helps. For saliva deficit Arogyavardhini or sanjivani is fine.

Dr. Hardik- MD: In krimi rog also present excessive salvation in children. In excessive salvation we can not give katu rasa pradhan dravyas because their property is increase slavation so we have to use kashay and tikat aushadha like must a, ushir, puga fala, nagavalli……If we think about dravya's  vipaka and virya then it's not work properly because dravya will start it's action first with rasa.

Dr Dipak Shirude: Excess salivation is termed as Hrillas in Ayurved texts .. 

A good knowledge and experiences about this are already shared .. 

I wish to add something ..

Kapha prakop is the basic thing in this symptom while predisposing factors are the badly contaminated environment .. Dust particles . bad odour . mind disturbing scenes . abnormal temperature fluctuations .. These things stimulate the salivation and if not spitted out, it finally get added to the basic kapha-prakop. 

Vaman . virchan . basti . shodhan nasya play important role this regard. 

Chausashti pippali or vardhaman pippali rasayan is also worth. 

Daily mild and safe laxative like gandharva haritaki also helps to control the udaan vayu action .. Yet the tendency in some kapha constitution (prakriti) remains .. 

Clean and slight cool environment is better to avoid excess salivation and further spitting ..Less salivation in sr citizens .. So many situations present this symptom .. 

In general, involvement of pitta and vat as well as kaphaksay is considered .. 

While treating these patients, I keep in mind the line of treatment of Trishna and also Rasayan Chikitsa ..