Ayurvedic Treatment for Chocolate Cyst

A Chocolate cyst is a fluid-filled sac growing deep within the ovary. The chocolate cyst can be sometimes filled with semi-solid material and thus called complex ovarian cyst. Endometrioma is another name for a chocolate cyst. A Chocolate cyst is an estrogen-dependent disease.

WHY IS IT NAMED SO?

These cysts are named so due to their appearance of the dark tar-like material. This material is old menstrual blood and tissues stored within this cyst. Either single or both the ovaries can be affected by these cysts and it can occur singly or may be multiple.

PREDISPOSING FACTORS

The women suffering from chocolate cyst usually are under the premenopausal group. One suffering with endometriosis are more prone to chocolate cyst. Endometriosis is a condition in which lining of the uterus grows outside the uterus. It can grow around ovaries, fallopian tubes or on other reproductive organs.

HOW DO CHOCOLATE CYSTS FORM?

Menstrual blood flowing back to the body of the women during periods, i.e. retrograde menstruation is the main cause of chocolate cysts formation. Normally due to the fluctuation of hormone women shed their endometrial lining but in case of chocolate cyst some of the blood and tissues flows back and adhere to ovaries and grow there. Slowly and gradually blood collects and forms a cyst. So in cases of endometriosis women have more chances of flow back of blood resulting in a chocolate cyst.

These cysts can rupture when more and more blood collect and starts leaking. This can pose as a complication.

WHAT ARE THE SYMPTOMS OF CHOCOLATE CYST OR ENDOMETRIOMA?

Some of the symptoms are listed below:

• Abdominal pain and cramps
• Heaviness and swelling around the abdomen
• Bloating of abdomen
• Fever and vomiting
• Dark colored discharge from the vagina
• Increased menstrual bleeding
• Painful menstruation
• Pain during sexual intercourse
• Pain while passing stool and urine
• Pain during stretching or bending
• Infertility

As an individual we all are different. So some women can have severe symptoms at the starting stage while other having the progressive condition can have little or no symptoms. So we cannot co-relate the severity of disease with symptoms.

WHAT ARE THE RISK FACTORS?

• Intake of fertility drug which causes ovulation.
• Endometriosis as in this condition endometrial cells grows outside the uterus.
• Pregnancy as corpus luteum develops on ovary may sustain and form a cyst.
• Any infection that spreads to the ovary can lead to the formation of a cyst.
• History of any previous ovarian cyst.

WHAT COMPLICATIONS CAN POSE?

• Though chocolate cysts are non- cancerous but ovarian cysts occurring after menopause can be cancerous.
• Increased size of the ovary can cause the painful twisting of the ovary which can lead to stoppage of blood supply to ovaries. It can be very painful along with nausea and vomiting.
• Rupture of the cysts can cause severe pain and internal bleeding.

HOW CAN CHOCOLATE CYSTS BE DIAGNOSED?

• An ultrasound can be used to diagnose the chocolate cyst.
• Needle biopsy to extract the fluid and then examine using a microscope.

HOW IS CHOCOLATE CYST TREATED?

In conventional treatment two ways are used to treat chocolate cyst:

• If the cyst is small and in its initial stage medicines are given to stop the menstruation cysts do not grow more in size.
• Secondly, if the size of cyst is bigger and the chances of rupture are more than treatment is surgical, i.e. laparoscopic cystectomy.

DO CHOCOLATE CYST HAVE ANY EFFECT ON FERTILITY?

Yes, chocolate cyst does affect the fertility severely. In cystic condition there occur scarring over the ovary tissue. Secondly, if a surgical procedure is performed to treat this cyst than it too causes severe scarring of ovary tissue affecting fertility very badly.

CAN AYURVEDA TREAT CHOCOLATE CYST?

Other than conventional medicines, yes Ayurveda do have a wide range of herbal remedies for the treatment of chocolate cyst.

HOW AYURVEDIC TREATMENT IS A BETTER OPTION FOR CHOCOLATE CYST?

Conventional treatment for cyst includes intake of oral contraceptives to stop the menstruation, so the size of cyst does not increase. This can cause an imbalance of female hormone and can result in many side effects like postmenopausal symptoms. Surgical treatment can cause scarring of ovary tissue. These all can result in infertility. So this type of treatment along with it brings many side effects too which any patient do not ask for.

While on the other hand, Ayurveda offers:

• A gentle, quick and long-lasting treatment.
• No side effects.
• All the medicines are made from natural ingredients.

AYURVEDIC TREATMENT AT PLANET AYURVEDA FOR CHOCOLATE CYST:

According to Ayurveda imbalance of three doshas (Vata, Pitta and Kapha) in the body leads to chocolate cysts. Accumulation of toxins in the body is the reason for this. At Planet Ayurveda, we are offering treatment for cyst which is 100% natural. All our herbal medicines are made from natural herbs which eradicate the disease from the root. Treatment is gentle, quick and long-lasting.

We have an Anti-ovarian Cyst Pack specifically made for cystic conditions of ovaries from purest extracts from herbs.

Anti-Ovarian Cyst Pack

PRODUCT DESCRIPTION

1. Chanderprabha Vati

Chanderprabha Vati is an Ayurvedic formulation of Planet Ayurveda. It is being used worldwide because of its effectiveness. It is an excellent remedy which acts as shamak, balya, rasayana and mootral on genital and urinary organs. It is a herbal supplement which maintains the well beings as a whole.

Dosage: 2 tablets, twice daily with plain water after meals.

2. Pradrantak Churna

It is one of the best herbal formulations for all types of female health problems like menstrual irregularities, ovarian cysts, and leucorrhoea. It balances the disturbed female hormones. It supports and maintains female reproductive health.

Dosage: 1 teaspoonful, twice daily with water after meals.

3. Kanchnar Guggul

The guggul word has its origin from a word of Sanskrit meaning guggulu which means protection from disease. It is a very effective herbal combination of kanchnar and guggul. It acts promptly in any case of hormonal imbalance like ovarian cyst and pcos. It supports and maintain health.

Dosage: 2 tablets, thrice daily with plain water after meals.

Left Ventricular Hypertrophy - Causes, Symptoms & Herbal Remedies

Cardiac hypertrophy is defined as an increase in the size and weight of the myocardium. It generally results from increased pressure load while increased volume load (for e.g. - valvular incompetence) results in the hypertrophy with dilation of the affected chamber due to regurgitation of the blood through incompetent valve. This hypertrophy when occurs in the left valve of the heart is known as left ventricular hypertrophy. This is condition in which muscles of the heart that are pumping blood to the left valve becomes excessive thickened. The atria of the heart may also undergo compensatory changes due to increased work load.

The basic factors that stimulates left ventricular hypertrophy of the myocardial fibres are not known. It appears that stretching of myocardial fibres in response to stress induces the cells to increase in length. The elongated fibres receive better nutrition and thus increased in size. Other factor responsible for causing this disorder may include anoxia and influence of certain hormones (e.g. -catecholamines and pituitary growth hormones).

Older people are more prone to this disease. Mainly women with hypertension are at higher risk to suffer with left ventricular hypertrophy. Various genetic conditions are also associated with left ventricular hypertrophy. Diabetes and hypertension are two major factors that contributes to cause this disorder.

COMMON CAUSES OF LEFT VENTRICULAR HYPERTROPHY

The common causes that are responsible for left ventricular hypertrophy are-

• Systemic hypertension
• Aortic stenosis and insufficiency
• Mitral insufficiency
• Coarctation of the aorta
• Occlusive coronary artery disease
• Congenital anomalies like septal defects and patent ductusarteriosus
• Conditions with increased cardiac output e.g. thyrotoxicosis, anaemia and arteriovenous fistulae.

MAJOR SYMPTOMS OF LEFT VENTRICULAR HYPERTROPHY

Left ventricular hypertrophy is the condition of heart that starts gradually. During early stages of the disease you may experience no symptoms but with the progress of condition you may feel various symptoms that include-

• During exercise you may feel severe chest pain
• Excessive fatigue
• Dizziness and sudden fainting
• Palpitations
• Shortness of breath

HERBAL TREATMENT FOR LEFT VENTRICULAR HYPERTROPHY

Planet Ayurveda provides you amazing and herbal treatment for treating left ventricular hypertrophy i.e. Heart Care Pack. This herbal pack contains arjuna capsules, arjuna tea and total heart support capsules. All these herbal supplements are prepared by using natural and pure herbs of Ayurveda and by following Ayurveda principles. All these herbal remedies for treating various heart ailments are 100% vegetarian and natural. These products are prepared under the medical supervision of MD Ayurveda doctors. All these herbal formulations are free from chemicals and preservatives. All these supplements are free from any type of adulteration. These products are safe for body cells and have no any side effects for other body organs. Three major supplements of Heart Care Pack include-

PRODUCTS LIST

• Arjun Tea
• Arjuna Capsules
• Total Heart Support

Heart Care Pack

PRODUCTS DESCRIPTION

1. Arjun Tea

Arjuna tea is very effective herbal formulation for treating various heart disorders and used to maintain normal health of heart muscles. According to Ayurveda principles arjuna is the major herbs used for treating heart conditions from 1000 years. Natural anti-oxidants present in this herbal tea is used to lower down high blood pressure. It also helps to bring down higher cholesterol level. Regular intake of this herbal tea two times a day helps to regulate normal blood pressure and also fight with various heart conditions like coronary artery disease and congestive heart failure.

This herbal tea is very effective remedy for treating left ventricular hypertrophy because it helps to strengthen heart muscles and remove extra blockage in heart. Enzymes present in this herbal supplements helps to nourish and strengthen heart. It helps to enhance the pumping capacity of heart and also helpful in toning arterial muscles. Major ingredients used to prepare this herbal tea are arjuna, punarnava, pippaltwak, dalchini and chotielachi. All the herbs are cardio-protective in nature. Punarnava is diuretic herb and it also helps in the relaxation of heart muscles. All these herbs works wonderfully to treat the underlying symptoms that are responsible for causing major heart disorders. This herbal tea is free from caffeine and its delicious taste makes it easier to intake.

Dosage - 2 cups, two times a day.

2. Arjuna Capsules

Natural extract of herb arjuna is used to prepare wonderful supplement of planet Ayurveda to aid with various cardio-vascular ailments. Bark of this tree contains various flavonoids, saponnins, tannins, glycosides and enzymes that are used for treating various heart disorders. Bark of this tree has hypotensive effects and it helps to regulate and increase normal coronary artery flow in body. It also helps to prevent heart from ischemic damage and congestive heart failure. Anti-oxidant nature of this herbal supplements protect heart from harmful actions of free radicals and toxins. It also act as diuretic in nature and due to these properties it helps to lower down high blood pressure level in body. These natural capsules act as cardiac tonic and helps to maintain normal health of heart muscles. Regular intake of this herbal supplement helps to improve capillary circulation and lowers down high triglyceride level in body. This herbal formulation is also very beneficial for diabetic sufferers because it helps to maintain normal insulin production in body. This herbal supplement also helps to pacify vitiated doshas in body.

Dosage- 2 capsules two times a day after meals with normal water.

3. Total Heart Support

Total heart support capsules is again very effective and safe herbal formulation for healthy heart. Arjuna, ashwagandha, shankhpushpi and brahmi are the various effective herbs used to prepare this herbal supplement for heart care available at planet Ayurveda. Regular intake of total heart support helps to treat angina, myocardial infarction and congestive heart failure. It helps to reduce high cholesterol and blood pressure level. It gives natural strength to heart muscles and helps to detoxify toxins that are harmful for heart cells. It helps to increase the stamina of heart muscles to pump blood more easily and comfortably.

Dosage- 2 capsules two times a day after meals with normal water.

OTHER PREVENTIVE MEASURES

• Try to monitor your diabetes and hypertension properly.
• Avoid excessive smoking and alcohol intake.
• Try to make regular schedule for physical exercise because it helps to lower down hypertension normally.
• Try to take healthy diet. Avoid salty, fried, packed, heavy meals and carbonated drinks.

Ayurvedic Treatment of Branchial Cleft Cyst - Types, Causes, Symptoms & Herbal Remedies

BRANCHIAL CLEFT CYST: OVERVIEW

Branchial cleft cyst is a rare birth defect which chiefly affects the neck. Though the defect is present at birth, it generally becomes evident in childhood or adolescence in most cases. An initial clinical presentation of the defect in adulthood is very rarely encountered.

Branchial cleft cyst (also called Branchial cleft remnant) is characterized by the appearance of a lump, which develops one or both sides of the affected child’s neck or underneath the collarbone. The occurrence of this congenital birth defect is linked to the ‘early embryonic development’ stage -- specifically the fifth week of fetal development -- during which the major neck structures are formed. Due to this defect, the normal development of the tissues in the neck and collarbone, or branchial cleft, is hampered.

The tissues comprising the neck structures formed during the ‘early embryonic development’ stage later become the cartilage, blood vessels, muscles and bone.

The appearance of Branchial cleft cyst is typically in the form of an opening, or cleft sinuses, on one or both sides of the child’s neck. Due to this abnormality, there is an atypical form of tissues within the neck. These tissues may lead to the formation of pockets called ‘cysts’ that contain fluid, and may form passages which drain to an opening in the skin surface called fistulas. The cysts, lined with skin and lymph cells, may become infected or cause skin irritation, and result in difficulties with breathing or swallowing. In some rare cases, cancerous tumors may develop at the site of a branchial cleft in adults.

There are four main types of Branchial cleft abnormalities --- (i) First branchial cleft anomalies, in which cysts develop around the earlobe or under the jaw (ii) Second branchial cleft sinuses, which open on the lower part of the neck (iii) Third branchial cleft sinuses, which develop close to the thyroid gland in the front part of the muscle which attaches to the collarbone (iv) Fourth branchial cleft sinuses, which affect the area below the neck. The most common type of Branchial cleft abnormality is ‘Second branchial cleft sinuses,’ or the failure of fusion of the second and third branchial arches.

Branchial cleft cysts account for nearly 20% of neck masses in children. While the cyst may generally not be dangerous, it is important to take the affected child to the doctor without any delays, for an official diagnosis of the problem.

SYMPTOMS OF BRANCHIAL CLEFT CYST

Branchial cleft cyst mostly does not cause any pain, except in cases when it gets infected. Some of the symptoms of a branchial cleft cyst include:

• Pain in the affected area.
• Feeling of pressure in the affected area.
• Draining of fluid from the neck of the child.
• Formation of a small lump or mass on the side of the neck close to the front edge of the sternocleidomastoid muscle.
• Formation of a lump, dimple or skin tag on the child’s upper shoulder, or slightly underneath their collar bone.
• Swelling or tenderness in the child’s neck, generally occurring with an upper respiratory infection.

Branchial cleft cysts generally develop in late childhood or early adulthood as a solitary, painless mass which becomes infected, though it is not noticed earlier.

BRANCHIAL CLEFT CYST: AYURVEDIC VIEWPOINT

Ayurvedic treatment of diseases begins with the identifying of the ‘body type’ of patients, for the purpose of finding out certain body tendencies which may trigger a sickness/disease. Hence, Ayurveda uses ‘body type’ identification for determining the possible root cause of a disease. After identifying the ‘body type’, Ayurveda practitioners analyze the nature of the diseases/disorder that a patient is suffering from. This analysis fits all the signs and symptoms of the disease into a pattern, which is expressed as a combination of qualities or ‘gunas.’

According to Ayurveda, the formation of cysts is an indication of an aggravated ‘Kapha’ dosha. The imbalance of the Kapha dosha makes it difficult for the body to detoxify irritants. Hence, in place of detoxifying irritants, aggravated Kapha surrounds the irritant with fluid to neutralize it.

The indications of the occurrence of a cyst in the body imply that the imbalances are becoming stronger, and the body’s resistance is being weakened. Hence, the repair of the imbalances is pertinent for preventing/treating diseases, with the treatment of weakened tissues typically undertaken by Ayurveda practitioners with the help of potent herbs as explained in ancient Ayurveda texts.

BRANCHIAL CLEFT CYST: TREATMENT

The conservative treatment of Branchial cleft cyst chiefly involves the prescription of antibiotics by a doctor, if the affected child has indications of an infection. The antibiotics are necessary because they can ease the swelling, by draining fluid from the cyst formed in the neck. Besides antibiotics, another treatment for Branchial cleft cyst is the use of painkillers, to reduce pain linked to the disease. However, for preventing future infections, the removal of the cyst may be required, for which the doctors usually recommend a surgical procedure.

Planet Ayurveda herbal manufacturing offers some beneficial herbal formulations for the management of Branchial cleft cyst in a safe and natural way. The formulations, prepared under the supervision of renowned Ayurveda experts, are prepared from 100% pure and natural herbs.

The herbal products available from Planet Ayurveda are helpful in managing Branchial cleft cyst when it is diagnosed in a child, and also for potentially preventing the occurrence of the defect during the ‘early embryonic development’ stage in pregnant women.

Herbal Remedies for Branchial Cleft Cyst

Planet Ayurveda's herbal products for managing Branchial cleft cyst are:

1. Nirgundi Oil Mixed With Jatyadhi Oil

The topical application of a mixture of Nirgundi oil and Jatyadhi oil can be beneficial in treating the lump formed in the neck area due to the Branchial cleft cyst congenital defect.

Nirgundi oil is prepared from the ‘Nirgundi’ herb (Vitex negundo) and can be used in the form of ointment. The Nirgundi herb is known for its antioxidant, anticonvulsant, and bronchial relaxant properties, along with its ability to manage various skin disorders and relieve inflammation.

Jatyadhi oil is also an excellent herbal product for external application in Branchial cleft cyst. The oil is prepared from a combination of some potent herbs including Jati (Myristica fragrans), Neem (Azadirachta indica), Haridra (Curcuma longa), Madhuka (Glycyrrhiza glabra), Daruharidra (Berberis aristata), Manjishta (Rubia cordifolia), Padmaka (Prunus puddum), Lodhra (Symplocos racemosa), Katurohini (Picrorhiza kurroa), Naktamala beeja (Seeds of Pongamia pinnata), Taila (Sesame oil), Sikta (Honey bee wax), and a few other herbal ingredients.

Application: For treating Branchial cleft cyst, Nirgundi oil mixed with Jatyadhi oil should be applied externally by patients to the affected areas.

In addition to managing Branchial cleft cyst in an affected child, the management of the defect also involves its prevention during the ‘early embryonic development’ stage of a woman’s pregnancy. As a preventive measure against the possible occurrence of Branchial cleft cyst in their child, expectant women can take some beneficial herbal formulations during their pregnancy. These formulations include:

2. Curcumin Capsules

The preparation of these capsules involves the use of ‘Curcumin,’ which is one of the main active compounds of the rhizomatous herb of Turmeric (Curcuma Longa). Hence, each of these capsules is packed with the standardized extract of Turmeric, which has amazing medicinal properties, and is widely known for its antioxidant and anti-inflammatory actions.

The use of Curcumin capsules can be beneficial for pregnant women for preventing Branchial cleft cyst in the unborn child because the capsules can reduce inflammation, relieve pain, treat cysts and manage swelling.

Dosage: 1 capsule, two times a day.

3. Kaishore Guggul Tablets

These tablets are prepared from a combination of herbs which can be of immense benefit for expectant woman, in order to prevent Branchial cleft cyst during pregnancy. These herbs include Amalaki (Emblica officinalis), Haritaki (Terminalia chebula), Bibhitaki (Terminalia bellirica), Ginger (Zingiber officinale), Guggulu Resin (Commiphora mukul), Pippali (Piper longum), Black pepper (Piper nigrum), Guduchi (Tinospora cordifolia), Vidanga (Embelia ribes), Red physic nut (Baliospermum montanum), and Indian jaap (Ipomoea turpethum).

The use of these tablets can help in treating skin problems, reducing pain and inflammation, treating cysts, and supporting the overall health of all organs of the body.

Dosage: 2 tablets, two times a day.

CONCLUSION

Planet Ayurveda's herbal formulations can be beneficial in treating Branchial cleft cyst in affected children, as well as potentially preventing the occurrence of the defect in an unborn child, during the 'early embryonic development' stage. The formulations are safe to use because they do not contain any chemicals, preservatives, fillers, artificial colours, binders or additives.

Contact my assistant to provide you the costing / ordering and delivery information at - costing.planetayurveda@gmail.com or call at +91-172-5214030

Ayurvedic Treatment of Urethral Stricture - Symptoms, Causes & Herbal Remedies

URETHRAL STRICTURE: OVERVIEW

Urethral stricture is a medical condition characterized by an abnormal narrowing of the urethra (the tube which releases urine from the body).

In this condition, the passageway through which the urine flows from the bladder gets blocked or narrowed because of scarring in or around the urethra, or because of inflammation, injury or disease. In some rare cases, the condition may also be caused by external pressure from an enlarging tumour near the urethra, untreated or repetitive urinary tract infections (UTIs), or the sexually transmitted infections (STIs).

Therefore, Urethral stricture is a condition which results in a decrease in urine output, due to the narrowing of the urethra. The restricted urinary flow can potentially lead to obstructive voiding dysfunction, which can have serious consequences for the entire urinary tract. 

The Urethral stricture condition is more common in men as compared to women. The chances of the occurrence of this condition are generally quite high in men who have penile implants or young boys who undergo a surgical procedure for correction of an underdeveloped urethra (hypospadias surgery). Moreover, some other risk factors associated with Urethral stricture are: surgery performed on the prostate, pelvic fractures, radiation, catheter insertion, blunt trauma to the perineum, infection (usually with Gonorrhea), or Lichen sclerosus.

Urethral stricture may totally block the flow of urine, thereby causing acute urinary retention, which is a condition that requires timely treatment. When treated in time, Urethral stricture can prevent several health complications, such as kidney or bladder infection or injury.

WHAT ARE THE SYMPTOMS OF URETHRAL STRICTURE

The most characteristic indication of the occurrence of Urethral stricture is a 'weak urinary stream.' Besides that, some of the other common symptoms of this condition include:

• Weak urine flow or reduced volume of urine
• Straining to urinate
• Pain or burning sensation while passing urine
• Frequent starting/ stopping of urinary stream
• Sudden urge to urinate (Urinary urgency)
• Inability to control urination
• Frequent urination
• Pain in the pelvic region or lower abdomen
• Urethral discharge
• Penile swelling and pain
• Dark-coloured urine
• Presence of blood in urine or semen
• Urinary tract infection
• Feeling of incomplete emptying of bladder
• Inability to urinate at all

URETHRAL STRICTURE: AYURVEDIC VIEWPOINT

According to Ayurveda, Urethral stricture and other urinary problems are a result of a disturbance of ‘Apan vayu’, which is responsible for the ‘urine elimination’ function of the body.

Since the vitiated Apan vayu can lead to medical conditions linked to urination, Ayurvedic treatment of Urethral stricture basically involves the use of certain herbal formulations, which are capable of normalizing the functioning of Apan vayu. Hence, the line of treatment for the condition includes internal detoxification, along with the cleansing of the urinary tract and removal of any blockages.

Ayurveda is an ancient form of medication, which focuses on maintaining the balance of three energies or doshas in the body --- ‘Vata,’ ‘Pitta,’ and ‘Kapha.’ As such, the herbal products for managing Urethral stricture help in maintaining the balance of these three energies, for treating the condition and also ensuring overall good health and well-being.

URETHRAL STRICTURE: TREATMENT

The common treatments for Urethral stricture include Urethral dilation and some other endoscopic approaches like laser urethrotomy, self-intermittent dilation and direct vision internal urethrotomy (DVIU). However, these treatments may sometimes worsen the condition, due to which the surgical repair of the urethra in the future may become difficult.

Planet Ayurveda herbal manufacturing company offers some excellent herbal products for managing Urethral stricture in a safe and natural manner. These products are prepared under the supervision of renowned Ayurveda experts. The products do not contain any chemicals, additives, binders, preservatives, artificial colours, of fillers.

Planet Ayurveda’s herbal products for Urethral stricture include:

Herbal Remedies for Urethral Stricture

1. Curcumin Capsules

The preparation of these capsules involves the use of the ‘Curcumin’ compound of the Turmeric (Curcuma Longa) herb. The capsules are, therefore, packed with the standardized extract of Turmeric which is known for its remarkable medicinal properties and its antioxidant and anti-inflammatory actions.

The patients suffering from Urethral stricture can benefit from the use of Curcumin capsules because of their ability to reduce inflammation/swelling, manage urinary disorders, remove toxins, treat allergies, and manage musculoskeletal disorders.

Dosage: 2 capsules, two times a day.

2. Pitta Balance Capsules

The herbal ingredients which are combined for preparing these capsules include Praval Pishti (Coral Calcium), Akik Pishti (Agate Calcium), Mukta Pishti (Pearl Calcium), Jawar Mohra Pishti (an Ayurvedic Calcium compound), Kamdhudha Ras (an Ayurvedic Calcium compound), and Giloy satva (extract of Tinospora cordifolia).

Urethral stricture patients are recommended the use of Pitta Balance capsules, because the herbal ingredients can cure a number of health conditions. The ingredients can cure ulcers, acidity, piles, and other problems, and can balance the Pitta dosha of the body, treat urinary problems, improve the functioning of the immune system, purify the blood, and control blood pressure.

Dosage: 1 capsule, two times a day.

3. Phyllanthus Niruri Capsules

The standardized extracts of the ‘Bhumi amla’ herb (Phyllanthus niruri) are used for the preparation of these capsules. The herb is particularly used in Ayurvedic formulations because of its proven acrid, cooling, alexipharmic and diuretic properties. In addition, the herb can also boost the body’s immune system.

The use of Phyllanthus Niruri capsules is beneficial for patients suffering from Urethral stricture because the capsules can manage urinary disorders, enhance the functioning of the liver, purify the blood, and manage several gastrointestinal conditions.

Dosage: 1 capsule, two times a day.

4. Septrin Tablets

The herbs which are combined for preparing these tablets include Guggul (Commiphora mukul), Haldi (Curcuma longa), Sonth (Zingiber officinale), Tulsi (Ocimum sanctum), Pippali (Piper longum), and Marich (Piper Nigrum). These herbs have multiple health benefits.

The use of Septrin tablets is beneficial for Urethral stricture patients because the herbal components can effectively treat various types of infections/allergies, reduce inflammation, manage urinary conditions, increase immunity and balance the ‘Vata,’ ‘Pitta,’ and ‘Kapha’ doshas of the body.

Dosage: 2 tablets, three times a day.

5. Triphala Guggul Tablets

To prepare these tablets, Triphala and the resin extract of Guggul (Commiphora mukul) are used. Triphala is a combination of three potent herbs --- Amalaki (Emblica officinalis), Bibhitaki (Terminalia bellirica), and Haritaki (Terminalia chebula).

Urethral stricture patients can benefit from the use of Triphala Guggul tablets because they can heal anal fissures and anal fistula, reduce cholesterol levels, remove renal stone pain, purify the blood, eliminate waste products from the body through urine and faeces and balance the body’s Vata, Pitta and Kapha doshas.

Dosage: 2 tablets, two times a day.

CONCLUSION

All the above-discussed herbal products for managing Urethral stricture are prepared in accordance with the principles of Ayurveda. The herbs and other natural components used for preparing these products have been described in Ayurvedic texts for their proven medicinal significance.

Contact my assistant to provide you the costing / ordering and delivery information at - costing.planetayurveda@gmail.com or call at +91-172-5214030

Drug Management of Piles - Causes, Types & Treatment

The Anal canal is the end part of the digestive tract. It is distinguished from the rectum because of the transition of its internal surface from a mucous membrane layer is called endodermal to one of skin like tissue called ectodermal. It is 2.5 to 4 cm in length. In diameter, it is narrower than that of the rectum to which it connects. The canal is divided into three parts: the upper part, with longitudinal folds, called rectal columns; the lower portion, with internal and external constrictive muscles which are also called sphincters which control evacuation of feces; and the anal opening is a third part.

Piles is another term for hemorrhoids which is an inflammation of tissues and veins in the anal canal. Piles contain blood vessels, support tissue, muscle, and elastic fibers.

The size of piles can vary, and they are found inside or outside the anus. So they are also termed as internal and external piles according to their position.

Hemorrhoids are graded on a scale from I to IV on their severity. Mostly surgery is required on grade 3 and grade 4.

CAUSES OF PILES

• Piles occur due to chronic constipation
• Genetic
• Low fiber food
• A Chronic diarrhea
• Lifting heavy weights
• Pregnancy
• Obesity
• Prolonged sitting
• Prolonged Straining when passing a stool.
• Chronic cough
• Lack of physical activity
• Excessive spicy diet

PATHOGENESIS

Due to above causes blood vessels of internal anal canal got constricted which leads to their inflammation along with the connective tissues inside the anal canal. Hemorrhoidal venous cushions are normal structures of the anorectum and are resent universally unless a previous intervention or above- mentioned causes has taken place. Because of their rich vascular supply, highly sensitive location, and tendency to engorge and prolapse, hemorrhoidal venous cushions are common causes of anal pathology which lead to the formation of hemorrhoids or piles. They mostly occur in three anal cushions at 3,11,7 position. When there is excessive pressure exerted on these inflammated veins they swell more and comes out of the anus sometimes. They also block the passage of stool during defecation which becomes difficult and painful process. During the excessive pressure and chronicity of these piles sometimes bleeding also start coming out.

TYPES OF PILES

1. Internal (आभ्यन्तर)
2. External (बाह्य)

Internal Hemorrhoids: (आभ्यन्तर) Clinical Features

When arteriosclerosis occurs on the top of the peritoneal line (Dentate line), it is called internal hemorrhoids. It has the following 4 stages:

• The First Stage - At this stage, the Arshankur (pile mass) only swell at its place, and does not come out on defecation.
• Second Stage – Arshankur (pile mass) comes out on defecation in this condition, but then automatically goes in.
• Third Stage – Arshankur (pile mass) comes out on the patient's anus in this condition, but then the patient has to put them in with his hands.
• Fourth Stage - Arshankur (pile mass) comes out from the anus in this condition, but the patient is unable to keep them in with his hands.

Internal hemorrhoids are inside the rectum. Usually, they are not painful but may bleed. Prolapsed hemorrhoids are the type of internal hemorrhoids that sometimes bulge outside of the anus. It is possible to push these hemorrhoids back inside, but they may go back inside without any intervention. During the passing of stool sometimes mucus also comes out with stool during internal piles. Patients often have painless bleeding when there is internal hemorrhoids in which the blood coming out is of bright red color. Blood often comes into drops or as a current. Stool passed is usually of normal color. If the disease is in the second, third, or fourth stage then the patient can feel pile mass coming out of anus while passing stool.

External Piles: (बाह्य) Clinical Features

When pile mass develops below the dentate line the Dentate line is very painful in nature, it is called External hemorrhoids. External hemorrhoids are hemorrhoids that affect veins which are outside the anus. These hemorrhoids can cause itching, bleeding and cracking. External hemorrhoids are different from other hemorrhoids due to their location.

External hemorrhoids protrude outside of the anus. They are more painful than internal hemorrhoids because the outside of the anus is more sensitive than the inside.

In Ayurveda line of treatment for piles is as follow:

• Aushad (bheshaj)
• Agni karma
• Kshar Sutra
• Shalya

DRUG MANAGEMENT OF PILES (भेषज चिकित्सा)

In both external and internal hemorrhoids with no complications then a line of treatment should as follow:

1. Anti-hemorrhoidal Drugs (अर्शोहर औषधियाँ)

Below- mentioned herbs can be used in a single formulation or in combination.

• Euphoria thymifolia (दुग्धिका), Aconitum ferox (अतिविषा), Berberis aristata (दारुहरिद्रा) - These medicines compress the veins-blood vessels (Sinusoids) within the anal canal, they compress them, bring mildness to the stool and normalize the intestinal movements. They also help in reducing the size of the pile mass and bring the condition to normal.
• Panchamrit parapti (पञ्चमृत-पर्पटी), Aconitum ferox (अतिविषा), Conch shell (शंख), Piper longum (पिप्पली) - These medicines, making intestines and duodenum strong, strengthen the gastric digestion, digestion of food, and induce digestion, thus narrowing the intravenous blood vessels (Sinusoids) within the anal canal. This gives benefits in the piles.

2. Hepato-corrective Drugs (यकृत्-बल्य औषधियाँ)

It is necessary for the liver to be healthy in this disease. Because blood from the anus reaches the heart only through the liver. There is a possibility of some interruption in the movement towards the heart of the blood when the liver becomes distorted. Therefore, the use of drugs that promote the liver helps in this disease. For this, the following drugs can be used in a single or mixed form -

• Phyllanthus niruri (भूम्यामलकी), Solanum nigrum (काकमाची), Tephrosia purpurea (शरपुंखा)
• Picrorhiza kurrooa (कटुकी), Cichorium intybus (कासनी), Tinospora cordifolia (गुडूची), Boerrhavia diffusa (पुनर्नवा)

3. Laxative Drugs (स्रंसन औषधियाँ)

These drugs increase the peristaltic movement of the intestine and help in the constipation thus helping in the easy eradication of hard stool. As stool becomes loose so pressure on the piles mass decreases which also helps in the reduction of pile mass size. For this, the following drugs can be used in a single or mixed form

• Hedychium spicatum (शटी), Glycyrrhiza glabra (मधुयष्टी), Eclipta prostrate (भृंगराज), Muktashukti (मुक्ताशुक्ति)
• Cassia fistula (अमलतास), Senna Alexandria (सनाय), Operculina terpanthum (निशोथ), Terminalia chebula (हरीतकी), oil of Ricinus communis (एरण्डतैल), Plantago ovata (ईसबगोल)

4. Antibacterial Drugs (जीवाणुहर औषधियाँ)

It is common in piles (Arshankuars) to be inflamed due to bacterial infection. In this case, the use of antibacterial drugs becomes very necessary, for which the following drugs can be used in a single or mixed form -

Swertia chirata (चिरायता), Aconitum ferox (अतिविषा), Purified sulphur (गन्धक), Purified zinc (यशद) - These medicines help in resolving various types of bacteria present in the intravenous (sinusoids) within the anal canal, by direct (self) or indirectly (ozone). There are other herbs too which can also be used in a single form or in combination like guggul Commiphora mukul (गुग्गुलु), Rubia cordifolia (मञ्जिष्ठा), Emidesmus indicus (सारिवा), Azzadirachita nimb(निम्ब), Tinospora cordifolia (गुडूची), Semecarpus anacardium (भल्लातक).

5. Anti-inflammatory Drugs (शोथहर औषधियाँ)

It is also necessary to remove inflammation due to Bacterial infection in piles. This not only provides quick relief to the patient but also helps in the functioning of these medicines. For this, the following drugs can be used in a single or mixed form -

Boswellia serrata (शल्लकी), Ricinus communis (एरण्डमूल), Myristica fragrans (जातीफल) -These drugs quickly provides benefit from arthritis, while decreasing inflammation and pain in the intestinal (sinusoids) within the anal canal.

Some other drugs can also be used in a single or mixed form are-

Commiphora mukul (गुग्गुलु), Pluchea lanceolata (रास्ना), Curcuma longa (हरिद्रा), Gingiber officinalis (शुण्ठी), दशमूल (a group of ten herbs)

6. Topical drugs (स्थानिक औषधियाँ)

In the treatment of piles, topical medicines have special significance, and the use of them according to their functions has special benefits. For this, medicines can be used singly or mixed in the following manner.

If there is no infection or ulcer in pile mass, then the oil/oil made from the following medicines can be used.

Nerium indicum (करवीर), luffa echinata (देवदाली), Euphorbia hirta (दुग्धिका), Curcuma zedoaria (कर्चूर), Mimosa pudica (लज्जालु), Gloriosa superba (लांगली), Cinnamomum camphora (कर्पूर).

Use oil or lotions made from the following drugs in Infection-borne inflammation.

Glycyrrhiza glabra (मधुयष्टी), Tamarix gallica (झावुक), Rubia cordifolia (मञ्जिष्ठा), Azadirachta nimba (निम्ब), Curcuma longa (हरिद्रा), Mimosa pudica (लज्जालु).

CONCLUSION

Pharmacopoeia has a special significance in the treatment of piles, especially in new ones, uncomplicated, and mild-moderate severity. With the introduction of appropriate medical treatment in the initial stage of the disease, and continuing till the proper period, the benefits of this treatment are expedited more and more, and very few patients require surgery.

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