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Dr. Vikram Chauhan - MD (Ayurveda)

Thursday, August 13, 2020

Herbal Remedies for Sideroblastic Anemia Treatment

Most of the blood disorders are usually chronic as well as life threatening. Today again we came up with a rare blood disorder called Sideroblastic anemia in which due to structural deformity in the mitochondria's of Red blood cells, our body is unable to use iron and the person will end up with Anemia. In this article we are going to discuss the causes, Ayurvedic aspect of the disease, its signs and symptoms and management. The special part of this article is Ayurvedic management of this disease. This disease can affect anybody and can be a congenital problem.

Sideroblastic Anemia


Sideroblastic anemia is a blood disorder where the iron is sufficient enough in the body but due to some defects the iron starts accumulating in the mitochondria's of red blood cells and gives rise to impaired structure of nucleus in mitochondria that is in the shape of ring hence called ringed sideroblasts. This structural deformity makes the mitochondria unable to utilize the iron for the production of hemoglobin hence interferes with the activities of the various organs and develops generalized weakness, tiredness, etc. This disease is also known by the name Sideroachrestic anemia.

This disease can affect anyone but the incidence ratio is quite high in males and more in the people below 25 and above 65 years of age.


As per Ayurveda, it is a Tridoshaj vyadhi in which all the tridoshas (Vata, Pitta and Kapha) are involved. This disease is categorized under Pandu roga. In this disease Saptadhatus (All seven dhatus) especially rasa, rakta and majja dhatu, Trimalas (Three byproducts) along with Agni (Digestive fire) are involved and impairs the normal structure of the cells hence their functioning. Here, our Anuvanshika karna's (Hereditary factors), Sahaj Vikaras (Congenital defects) and Vyadhi kshamatva (Immunity) are involved.


Hemoglobin is an essential element in our body that plays a vital role in our body. It carries oxygen to the cells and brings back the carbon dioxide from the cells. So, that all the cells can perform their normal functions.

Mitochondria are an organelle which is considered as a powerhouse of the cell and provides energy to perform their normal functions in our body and it is present in the red blood cells. These mitochondria utilize the iron from the extracellular fluid for synthesizing cofactors for various functions in our body. They also convert Oxygen and nutrients into ATP (Adenosine triphosphate) which are responsible to carry out all the metabolic activities of the cells. Hence both the things synergistically affect the functions of cells and develop anemia.


The causes of this disease are still idiopathic. But there are some factors which are responsible for this such as:

  • Congenital defect - Any kind of defects in bone marrow, chromosomal abnormalities, etc.
  • Hereditary factors - X linked recessive genes, chromosomal abnormalities, etc.
  • Acquired causes are - indulgence in the long term use of some steroids, immunosuppressants and any malignancies.
  • Mutation in the genes is also a causative factor for this disease
  • Long term history of Diabetes, HTN, etc will act as a triggering factor for this disease.


These are some common signs and symptoms of this disease:-

  • Fatigue
  • Tiredness without work
  • Generalized weakness
  • Gasping for air or breathlessness
  • Paleness of skin, nails and eyes.
  • Blurred vision
  • Tachycardia (Increased heart rate) and palpitations
  • Dizziness
  • Vertigo
  • Inability to carry out daily works
  • Reduced cognitive skills
  • Delayed milestones
  • Sluggish activities
  • Chest pain
  • Headache
  • Can affect any organ in our body such as Spleen, kidneys, liver, etc. and develops signs and symptoms related to them.


It is required to go for thorough investigation related to blood.

  • Complete blood count (CBC)
  • Serum iron evaluations
  • Ferritin levels
  • Prussian blue 
  • Microscopic examination of red blood cells
  • Bone marrow aspiration


Sideroblastic anemia is a condition where symptoms are similar as those of other types of anemias. But this disease will progress with time. As per modern system of medicine, ferritin, iron, multivitamins, other supplements and blood transfusion and at the end bone marrow transplant is advised. Which are sometimes not even fruitful. So here we need some nourishing herbs which maintain hormonal balances and have rejuvenating actions on our body. So, for that Ayurveda has great to offer. In this condition, Planet Ayurveda offers its best to deal with the help of natural herbs, minerals and calcium compounds. Let's go through them:-

  1. Green Essentials
  2. Spirulina Capsules
  3. Punarnava Mandur
  4. Hemoplan Syrup
  5. Suvarna Basant Malti ras

Herbal Remedies For Sideroblastic Anemia

Herbal Remedies for Sideroblastic Anemia

1. Green Essentials

This plant based natural supplements are prepared from the standardized extract of Wheatgrass (Triticulum aestivum), Green Tea (Camellia sinensis), Amla (Emblica officinalis), Grape seed (Vitis vinifera), and Spirulina (Spirulina platensis). These capsules help to nourish the cells due to its antioxidants, protein rich and Vitamin B rich qualities. This medicine acts as a rejuvenator.

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

2. Spirulina Capsules

This capsule contains the pure spirulina (Spirulina platensis) in it. These capsules help to boost the immune system and bone marrows for the normal synthesis of the iron. These are enriched with Vitamin B and iron thus directly raises the levels of hemoglobin. It will stimulate the mitochondria's to utilize the iron. It also helps to pacify all the other related symptoms such as weakness, dizziness, etc.

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

3. Punarnava Mandur

This is a classical formulation used from ancient times to treat various kinds of anemia. It contains Punarnava (Boerhaavia diffusa), Mandoor bhasma (ferric oxide), Trikatru, etc. It is an effective medicine to tackle anemia (Pandu).

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

4. Hemoplan Syrup

This is a special preparation which contains various herbs that helps to enhance the red blood corpuscles, haemoglobin and maintains their shelf life. It contains extracts of Shatavari (Asparagus racemosus), Gorakhmundi (Sphaeranthus indicus), Ashwagandha (Withania somnifera), Draksha (Vitis vinifera), etc. These all herbs help in rakta dhatu vridhi in our body.

Dosage: 2 teaspoonfuls twice daily with water, after meals.

5. Suvarna Basant Malti Ras

It's also a medicine from our classics which has multiple actions on our body. It contains the potent minerals herbs and calcium compounds like Swarna (Gold), Mukta (Peals), Hingula (Purified cinnabar), Maricha (Piper nigrum), etc. It helps to strengthen the body, has rejuvenating action and can work well on the structural as well as functional defects in our body.

Dosage: 1 tablet twice daily with water or milk, after meals.

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Sideroblastic anemia is a rare but a serious disease which is often difficult to rule out but can be effectively managed with the above given herbal and mineral formulations. These medicines work on the root cause and can stimulate the functions of particular cells. These are safe to use for a long time without and side effects.

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