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Polycystic ovarian syndrome

 Pcod

Polycystic ovary syndrome (PCOS) is a common endocrine system disorder among women of reproductive age. Most women with PCOS have many small cysts on their ovaries. Hence, it is called polycystic ovarian syndrome. The cysts are not harmful but lead to hormone imbalances. One hormone change triggers another, which changes another forming a vicious cycle.

The incidence of PCOS appears to be rising in India day by day. It is seen in as many as 5% to 10% of women in their reproductive age. The incidence is increasing may be due to unhealthy lifestyle.

Main Causes of PCOS

1.Hereditary – Genetics may be a factor. PCOS seems to run in families, so your chance of having it is higher if other women in your family have it or have irregular periods or diabetes. PCOS can be passed down from either your mother’s or father’s side.2.Hormonal imbalance – In PCOS there is abnormality in secretion of androgens, luteinizing hormone(LH), sex hormone-binding globulin (SHBG), prolactin. This may cause you to stop ovulating.3.Insulin resistance- Your body may have problems in using insulin leading to abnormal blood sugar levels. This increases the levels of insulin in your body, which increases androgen secretion again leading to hormonal fluctuations. The exact reason why these hormonal changes occur isn’t known.4.Mild inflammation- Women with PCOS have mild inflammation, this type of low-grade inflammation stimulates polycystic ovaries to produce androgens in the body.

 

Risks of pcod

Infertility or Subfertility- Infertility or subfertility is a common problem for women with PCOS.This may be due to the imbalance of hormones, overproduction of the male hormone like testosterone. The ovaries may release eggs only infrequently. PCOS may reduce a woman’s chances to become pregnant. Many women with PCOS do become pregnant naturally or with medical assistance also.

.Endometrial Cancer – Women with PCOS appear to be at increased risk for developing cancer of the endometrium later in life. Women with PCOS also experience the monthly buildup of the endometrial lining. However, the lining is not sufficiently shed because of infrequent menstrual periods. Thus, the lining continues to build and can increase the risk of endometrial cancer.

Diabetes- Insulin resistance or impaired glucose tolerance in PCOS builds up insulin level in the body stimulating the production of testosterone, which aggravates the PCOS again. By the age of 40 years, up to 40 percent of women with PCOS have some level of abnormal glucose tolerance, in the form of either diabetes or impaired glucose tolerance.

Lipid Abnormalities- Increased testosterone can lead to an unfavorable lipid profile in women with PCOS. Woman with PCOS may have an unfavorably high level of fat substances in blood. In some women, there may be low-level of high-density lipoproteins or good cholesterol and a higher rate of low-density lipoproteins or bad cholesterol. This imbalance increases the risk for cardiovascular disease.

Cardiovascular Risks– PCOS women being obese and having abnormality in lipid levels,are at increased risk for heart disease and other cardiovascular diseases. The risk of heart attack is 4 to 7 times higher in women with PCOS than women of the same age without PCOS.

Hypertension- Women with PCOS are at greater risk of having high blood pressure.

Signs and symptoms of PCOS

Irregular periods-This is the most common characteristic of PCOS. It include menstrual intervals longer than 35 days, fewer than eight menstrual cycles a year.Amenorrhea- Absence of menstruation for four months or longer.

Variation in menstrual bleeding- Prolonged periods that may be scanty or heavy flow with clots. Bleeding may extend to more than 9 days.

Infertility- Not able to get pregnant because of not ovulating.

Hirsutism- Increased male hormones causes excess hair growth on the face, chest, stomach, back, thumbs or toes.

Skin changes – Includes Acne, oily skin, or dandruff.

Obesity – Abnormal weight-gain, usually with extra weight around the waist and difficulty in reducing weight.

Hair thinning – Increased androgen levels may cause male-pattern baldness due to excessive hair fall.

Acanthosis nigricans- Patches of skin on the neck, arms, breasts, or thighs that are thick, velvety, dark brown or black.

Skin tags– Excess flaps of skin in the armpits or neck area

.Pelvic pain- Few women with PCOS experience dull aching pain in lower abdomen. This is may be due to low-grade inflammation.

Abnormality in mental health– There may be anxiety or depression, low level of confidence due to change in their physical appearance.

Sleep apnea– Breathing stops for short periods of time while sleeping, which make you feel tired even after sleeping.

Effects of PCOS in pregnant woman-

Woman with PCOS have higher chance of-

MiscarriageGestational diabetesPIH- Pregnancy induced hypertension, preeclampsiaPremature delivery.Multiple pregnancies (if ovulation is induced by medications)

Diagnosis of PCOS

Blood tests – Your blood is tested for various hormones, Thyroid function test, Lipid and diabetic profile.Ultrasound scan – To examine your ovaries, uterus and endometrium.

Management of PCOS in Modern Medicine

According to modern medicine there is no cure for PCOS, it can be only managed by medicines and lifestyle modifications. But medications used to manage PCOS have their own side effects like nausea, vomiting, sleep disturbance, unusual vaginal bleeding other than menstruation, nervousness, fatigue, breast tenderness, diarrhea or constipation, stomach bloating, change in appetite, weight gain or loss, acne and vision disturbance. PCOS treatment in Ayurveda is therefore all about managing it well with all the lifestyle changes and thus, minimizing all the side effects slowly.

 

Treatment includes

Medications- Birth control pills to regularize periods, metformin to reduce insulin resistance.

Fertility treatment to induce ovulation, artificial insemination,IVF, etc.Surgical procedure like ovarian drilling and cyst aspiration.

Laser treatment or medication to reduce hirsutism.

Benefits of Panchakarma in Women with PCOS

  • Reduces body weight.
  • Decreases insulin resistance.
  • Regulates normal hormone secretion. Fine tunes the endocrine system.
  • Remove toxins.
  • Corrects body metabolism.
  • Mental faculties, strength and vitality are enhanced.
  • Promotes fertility.

Internal medicines useful in PCOS

  • Saptasaram kashayam, Varunadi kashayam, Dashamoola kashayam, Tila kashaya and Sukumaram kashayam.

  • Kumaryasava, Ashokarishta

  • Hinguvachadi churna, Shatavari, 

  • Ashwagandha churna.

  • Raja pravartini vati, Chandraprabha vati, Kanchanar guggulu.

  • Pippalyadi taila.

All these medicines destroy the cyst, stimulates ovulation, induces menstruation, regulates flow during menstruation and aides conception naturally.

Dos:

  • Minimise the quantity of milk intake. Avoid curds and other milk products. Drink well churned butter milk.
  • Avoid day sleep and waking up at night times.
  • Avoid junk and non-vegetarian foods (You can eat fish occasionally)
  • Use garlic, fennel seeds, sesame seeds regularly in cooking.
  • Drink a detoxifying Tea like the 
Yoga in PCOS

Practise pranayama and meditation.  Here are some yogasanas that are beneficial for treating PCOS-related symptoms:

  • Suryanamaskar
  • Bhujangasana
  • Salabhasana
  • Badha konasana
  • Dhanurasana
  • Supta vajrasana
  • Sirsasana
  • Sarvangasana
  • Matsyasana

Get rid of PCOS and its complications through ayurveda and by following a healthy lifestyle.  Let us know in the comments how you manage PCOS and if any of these tips are useful in dealing with the symptoms of PCOS.


Kitibha kushta

A case of 55yrs old man Itching all over body along with skin lesions all over body. Occupation cloth merchant
Hypertensive.
Sleep - disturbed due to itching
No scaling
Powder ingredients of skin

Rx

Vinaya Ballakur:
This is the season for Vaman. If  patient is balavan it may be the best option for him after snehan with guggulu thikta ghritham.

If Vaman is not possible a mild regular virechana is a must and I have noted that you have given it.

Try avipathikara churna 10 gms at bedtime everyday with warm water for a week to 10 days. It has worked for me.
Guggulu thikta ghritham a teaspoon before every meal.
Guduchi churna ,  a tsf in boiled drinking water 3 litres per day Patient must drink only this water warm for a week . In autoimmune disorders this will help.
Externally you may try Eladi thailam.

Dr Nikhil Jain:
Thank you so much mam....🙏🙏🙏

Guduchi choorna or satva ? Mam

Vinaya Ballakur:
Churna

Koti Nagarjuna Vejendla:
Dear dr your case presentation is superb to reduce itching give him rasamanikya Ra's  5 grams with chopachinyadi choorna 60 grams internally , for external application gugulu tikthakam ghritam

60 divided doses mam

It will give fast relief for kapha vataja prakrithi patients mam

Gayathri:
Vd ji first do deepana pachana drugs followed by tiktaka ghrita pana
Next virechana
Then after you can give shamana chikitsa

Amragandha haridra(curcuma amada) has best kandugna property and should be given as ahara Dravya in form of chutney etc

Add Tankan along with external applications

Dr.kamal:
Subhodhayam...
Kitibha kusta...

First start sirodhara with ksheerabala taila..do it for at least 7 days..

Then Do siravyadhana 60-80ml

Then give light diet and start deepana pachana for at least 3 days..

After that start tiktaka ghrita snehapana

Abhyanga with brihathdanthapala and yastimadhu taila

Virechana...( Trivruth with triphala)

Advise samsarjana krama

After that...
Shaman sneha
Nitya virechana
Arogyavardhini vati

External..
Same abhyanga tailam before bath
Sorion ointment application After bath

Psorolin soap for bathing..

Advise Daily morning walk
Pranayama

Avoid brinjal curd all outside food non veg Jaggery sesame fry items sour items tomato potato pickles

Advise boiled veg curries plenty of buttermilk

If not possible do sodhana...

First do siravyadhana

Then give chitakadi vati and arogyavardhini vati for 3 days..

Then start..
Tiktaka ghrita 1 tsp bd 1 hr before food
Arogyavardhini vati BD
Avipathikara choorna night time for 15 days

External..
Wright oil application
Sorion ointment application

Ksheerabala and brahmi taila application on scalp

After that 1 day abhyanga

Then do virechana ( sadhyovirechana)

Gayathri:
Sir why kshirabala taila dhara in this case

Dr.kamal:
10yrs psoriasis history...
Business person

Because of disease history, business stress...and he used all types of allopathy medication but he didn't get relief...so mostly he always thinking about disease.....and stress also increases...

May be in psoriasis...main reasons
Stress and tension..

So dis type of chronic psoriasis cases... shirodhar 💯 percent effective

Thats why I suggested dhara

vijayalakshmi:
In such condition amalaki takra dhaara also helps a lot. Which reduces anxiety, and if any fungal infection is there even that will be reduced,

Smina:
I would like to give my suggestion  in this case  - in psoriasis , as said by Dr Vijayalakshmi, takra  dhara  is effective. It will be more beneficial when Aragwadadi  ksheerapakam  converted  to takram  and when that is used for dhara. If helps in alleviating  psoriasis and stress.

Kitibha kushta

A case of 55yrs old man Itching all over body along with skin lesions all over body. Occupation cloth merchant
Hypertensive.
Sleep - disturbed due to itching
No scaling
Powder ingredients of skin

Rx

Vinaya Ballakur:
This is the season for Vaman. If  patient is balavan it may be the best option for him after snehan with guggulu thikta ghritham.

If Vaman is not possible a mild regular virechana is a must and I have noted that you have given it.

Try avipathikara churna 10 gms at bedtime everyday with warm water for a week to 10 days. It has worked for me.
Guggulu thikta ghritham a teaspoon before every meal.
Guduchi churna ,  a tsf in boiled drinking water 3 litres per day Patient must drink only this water warm for a week . In autoimmune disorders this will help.
Externally you may try Eladi thailam.

Dr Nikhil Jain:
Thank you so much mam....🙏🙏🙏

Guduchi choorna or satva ? Mam

Vinaya Ballakur:
Churna

Koti Nagarjuna Vejendla:
Dear dr your case presentation is superb to reduce itching give him rasamanikya Ra's  5 grams with chopachinyadi choorna 60 grams internally , for external application gugulu tikthakam ghritam

60 divided doses mam

It will give fast relief for kapha vataja prakrithi patients mam

Gayathri:
Vd ji first do deepana pachana drugs followed by tiktaka ghrita pana
Next virechana
Then after you can give shamana chikitsa

Amragandha haridra(curcuma amada) has best kandugna property and should be given as ahara Dravya in form of chutney etc

Add Tankan along with external applications

Dr.kamal:
Subhodhayam...
Kitibha kusta...

First start sirodhara with ksheerabala taila..do it for at least 7 days..

Then Do siravyadhana 60-80ml

Then give light diet and start deepana pachana for at least 3 days..

After that start tiktaka ghrita snehapana

Abhyanga with brihathdanthapala and yastimadhu taila

Virechana...( Trivruth with triphala)

Advise samsarjana krama

After that...
Shaman sneha
Nitya virechana
Arogyavardhini vati

External..
Same abhyanga tailam before bath
Sorion ointment application After bath

Psorolin soap for bathing..

Advise Daily morning walk
Pranayama

Avoid brinjal curd all outside food non veg Jaggery sesame fry items sour items tomato potato pickles

Advise boiled veg curries plenty of buttermilk

If not possible do sodhana...

First do siravyadhana

Then give chitakadi vati and arogyavardhini vati for 3 days..

Then start..
Tiktaka ghrita 1 tsp bd 1 hr before food
Arogyavardhini vati BD
Avipathikara choorna night time for 15 days

External..
Wright oil application
Sorion ointment application

Ksheerabala and brahmi taila application on scalp

After that 1 day abhyanga

Then do virechana ( sadhyovirechana)

Nice case sheet...I remembered my Sdm days..becoz of same case sheet format in Sdm...🙏🙏🙏

Thyroid ayurvedic treatment

Discussions on a case of Thyroid

Vijaya Rani:
Fe 26/- years
Left thyroid love swelling
No pain no difficulty in swaloing
Periods regular
No h/o HTN and DM
T3 ,T4,Tag also normal
App normal
No constipation
Normal built
Pitta vata Nadi
Plz guide me

Allopaty drs said go for surgery
There is no FNAC TEST
After removing the then send for biopsy

I was advised only kanchanar guggulu
Any external apli
And gv me more suggestions

Vinaya Ballakur:
Kanchanar guggulu 1 gm BD and Varunadi kashayam 15 ml BD.

Dashanga lepa externally.

Dr.nageswr Gokul:
Add.medohara vidangadi loha.

Dr.kamal:
Kanchanara morning
Kuberakshavati night
Arogyavardhini vati

Dasangalepa application or marmani lepa application

Avoid all masala fry items cabbage cauliflower

Dr.pradp Noori:
Translation
To Saraswati leaf 1 part swarasa add sugar 1 1/2 parts and boil make it into ektara pak
Add fine powder of ela lavanga ?tejpatta pippali
Jeeraka each 1 tola and add honey
Uses : enhances memory. energy to brain

Myopia ayurvedic treatment

Sai Deepthi Ayurveda:
Patient 72years old, diabetic, hypertensive, associated with problems of varicose veins, hypothyroidism and increased value of total cholesterol is complaining of burning sensation at buttocks and gluteal region.  Kindly suggest suitable treatment

Dr.kamal:
Weight??
Agni??

Sai Deepthi Ayurveda:
71kgs weight and samaagni sir

Dr.kamal:
Asanadhi Ghana kashayam
Viscovas(atrimed)
Amreeplus(AIMIL)

Pinda taila application opposite way..

Vinaya Ballakur:
A boy aged 4 years diagnosed with congenital myopia , progressive, glasses prescribed  -7 and -8 lenses. Child otherwise ok.
I have suggested 2.5 ml of mahatriphala ghritha and 250 mg of saptamrita lauha daily until next eye test after  6 months.
The child will have to undergo surgery after a few years . Until then it is important to arrest the progression.
Should I add anything more. Can I advise mahatriphala ghritha as eye drops? Please advise.

Venkatacharya PBA:
@ Dr Vinaya
Continue maha triphala ghrita
Alongwith Saptamritalouha in same dose
Give Swarna bhasma alongwith yasti churnam inwhich Swarnabhasma should be around 10mg a dose you can add some other drugs of netrya
And Akshitarpana with Lodhra ghritam or with Maha Triphala ghritam

Vinaya Ballakur:
Can we do akshitarpana for such a small child. He may not remain still . That is why I asked if we can use mahatriphala ghritha as drops instead?

Venkatacharya PBA:
I think he is four years
He may cooperate
I tried a case of same age he was most cooperative

Otherwise you can go for application like Kajal instead of Drops twice a day

For this better go ghritam because mahatriphala ghritam may contain some very small particles
Like which creat some irritation otherwise you have to go for filter action

Vinaya Ballakur:
Ok. How about jeewanthyadi ghritha also for internal use ?

Venkatacharya PBA:
Better maha triphala ghritam
You can try Yakrit pippali whicb was indicated in Naktandhata I tried this also got some improvement

Jeevantyadi yamakam also can give
Even Amrita prasa ghritam also but my choice is maha triphala ghritam
Only

You can try sudds gandhaka of Kottamalai they supply more than 8times purified 14 times 21 times and more times also just 20 mg dose

.s.s Sir:
Give Saptamrita Lauh 250mg+ Mrigank Ras 25 to 50 mg with mahatriphala Ghrita+ Madhu...
Akshitarpan with lodhra Ghrita

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