Changes

== Concept of avarana of [[vata]] in neurological diseases==

== Concept of avarana of [[vata]] in neurological diseases==

“Avarana” pathologies are complex conditions having progressive nature and are difficult to diagnose and manage. Most of the progressive degenerative conditions of the brain do fall under the different kinds of Avarana.

“Avarana” pathologies are complex conditions having progressive nature and are difficult to diagnose and manage. Most of the progressive degenerative conditions of the brain do fall under the different kinds of Avarana.

E.g. 1: Parkinsonism can be considered as “kapha-avruta –vyana”. The main symptoms are bradykinesia (gati sanga) and tremor. [Cha.Sa. [[Chikitsa Sthana]] 28/]  

 

E.g. 1: '''Parkinsonism''' can be considered as “kapha-avruta –vyana”. The main symptoms are bradykinesia (gati sanga) and tremor. [Cha.Sa. [[Chikitsa Sthana]] 28/]  

 

Two intrinsic factors are leading to vitiation of [[vata]]

Two intrinsic factors are leading to vitiation of [[vata]]

a) Depletion of tissue elements (dhatu kshaya)

a) Depletion of tissue elements (dhatu kshaya)

b) Occlusion of its path (avarana)

b) Occlusion of its path (avarana)

In case of parkinsonism, bradykinesia (gati sanga) is already there and the later vitiation of vyana vayu triggers the presentation of tremors. Here, avarana can act as an additional triggering factor. If the “anyonya avarana” takes place in between different forms of [[vata]], it can manifest as other symptoms like speech disorders and demention etc.  

 

For example, avarana of  vyana with  prana vayu  can lead to dementia in parkinsonism.

In the case of parkinsonism, bradykinesia (gati sanga) is already there and the later vitiation of vyana [[vayu]] triggers the presentation of tremors. Here, avarana can act as an additional triggering factor. If the “anyonya avarana” takes place in between different forms of [[vata]], it can manifest as other symptoms like speech disorders and demention etc.  

E.g. 2: Multiple sclerosis or myelopathy: It cannot be considered under any condition as pure vata vyadhi. The principles of urustambha or medo-avruta vata works well in this condition.

 

Some of the presentations of multiple sclerosis or myelopathy are clearly described as the features of urustambha. They are:

For example, avarana of  vyana with  prana vayu  can lead to dementia in parkinsonism.

• no awareness of positioning of organs (samsthane aneeshvara)

 

• no deep sensations (peedane aneeshvara)

E.g. 2: '''Multiple sclerosis or myelopathy:''' It cannot be considered under any condition as pure vata vyadhi. The principles of urustambha or medo-avruta vata works well in this condition.

• no awareness or sensation of directional movements (gatya aneeshvara)

Some of the presentations of multiple sclerosis or myelopathy are clearly described as the features of urustambha.  

• impaired gait (chaalane aneeshwara)

They are:

• impaired thermal sensations (sheeta sparsham na vetti)

 

• Insecure foot stamping -unable to balance the body (padam cha vyathate nyastham)

* no awareness of positioning of organs (samsthane aneeshvara)

• complete loss of proprioceptors from lower limbs (anyaneyau uru paadou manyate)  

 

* no deep sensations (peedane aneeshvara)

 

* no awareness or sensation of directional movements (gatya aneeshvara)

 

* impaired gait (chaalane aneeshwara)

 

* impaired thermal sensations (sheeta sparsham na vetti)

 

* Insecure foot stamping -unable to balance the body (padam cha vyathate nyastham)

 

* complete loss of proprioceptors from lower limbs (anyaneyau uru paadou manyate)  

 

The above are indicative of different sensory palcies including affection of proprioceptors.

The above are indicative of different sensory palcies including affection of proprioceptors.

Oleation ([[snehana]]) is contraindicated in these disorders. [[Rukshana]] is the first important line of treatment in such conditions. After rukshana could follow the routine Vata treatment measures.

Oleation ([[snehana]]) is contraindicated in these disorders.[[Rukshana]] is the first important line of treatment in such conditions. After rukshana could follow the routine Vata treatment measures.

Simple methods like dietary modifications as daily use of millets like barley(yava), raw vegetables without adding salt can produce [[rukshana]] in the body.[Cha. Sa. [[Chikitsa Sthana]] 27/25-26]. Excessive [[rukshana]] will lead to aggravation of [[vata]] leading to the symptoms like loss of sleep, increased pain etc; then one can shift to the line of treatment to oleation ([[snehana]]), sudation([[swedana]])etc. [Cha. Sa. [[Chikitsa Sthana]] 27/40-41]

Simple methods like dietary modifications as daily use of millets like barley(yava), raw vegetables without adding salt can produce [[rukshana]] in the body.[Cha. Sa.[[Chikitsa Sthana]] 27/25-26]. Excessive [[rukshana]] will lead to aggravation of [[vata]] leading to the symptoms like loss of sleep, increased pain etc; then one can shift to the line of treatment to oleation ([[snehana]]), sudation([[swedana]])etc.[Cha. Sa. [[Chikitsa Sthana]] 27/40-41]

Drastic purification ([[shodhana]]) procedures are to be avoided, and the treatment should be planned according to the strength (bala)of the patient. Rejuvenating therapy ([[rasayana]]) also have a great role, especially in dealing with neurodegenerative conditions. [Cha. Sa. [[Chikitsa Sthana]] 28/239-241]

Drastic purification ([[shodhana]]) procedures are to be avoided, and the treatment should be planned according to the strength (bala)of the patient. Rejuvenating therapy ([[rasayana]]) also have a great role, especially in dealing with neurodegenerative conditions. [Cha. Sa. [[Chikitsa Sthana]] 28/239-241]

==Conclusion==

==Conclusion==

While dealing with diagnosed neurological diseases, an Ayurveda practitioner should analyze its pathology and manifestations based on Ayurvedic principles. All neurological cases cannot be invariably included under [[Vata vyadhi ]] context. The diseases should be further investigated on the basis of etiopathogenesis (samprapti) under four main categories.

While dealing with diagnosed neurological diseases, an Ayurveda practitioner should analyze its pathology and manifestations based on Ayurvedic principles. All neurological cases cannot be invariably included under [[Vata vyadhi ]] context. The diseases should be further investigated on the basis of etiopathogenesis (samprapti) under four main categories.