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Svarabheda ( Hoarseness of Voice )

Hoarseness refers to a difficulty making sounds when trying to speak vocal sounds may be weak . breathy .scratchy or husky and the pitch or quality of the voice may change.

Hoarseness is most often caused by a problem with the vocal cords which are part of your voice box ( lyrynx) in the throat when the vocal cords become inflamed or infections they swell   . This can cause Hoarseness.

The most common cause of hoarseness is a cold or sinus infections which usually goes away on it own within 2 weeks.

Causes

1 Acid reflux

2 Allergy

3 Breathing in irritating substance .

4 Cancer

5 Chronic Cough

6 Smoking . Tabecoo . Drinking

7 Overuse or abuse of the voice ( as in shouting or singing )

Lab Investigation

1 Laryngoscope

2CT

3 Throat culture

4 CBC

Line of Treatment

1 Vatahara

2 Kasahara

Drug of choice- Yasthimadhu

Main Drug's- Gunjapatra , Lavanga , Ela , Jatiphala.

Shamana Chikitsa
Classical Formulation

1 Chandramrita Rasa 125 mg TID with warm water after meals.

2 Vyosadi  Vati 250 mg BD with warm water after meals.

3 Kantakaryavaleha 1 tsf BD with warm water after meals.

4 Lavangadi vati 250 mg BD with warm water after meals.

5 Eladi Gutika 250mg 5 -6 times chewing.

Diet and lifestyle

Pathya ( indications )

1 Talk only when you need to until hoarseness  goes away.

2 Drink pelnty of fluids to help keep your airway moist ( Gargling does not help )

3 Use a vaporiser to add moisture to the air you  breathe.

4 Take medicine to reduce Stomach acid .

Apthya ( Contraindications )

1 Avoid action that strain the vocal cords such as whispered shouting . crying . and
singing .
2 Do not use decongestant which can dry out vocal cords.
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Coughing is a reflex that clear the throat and airways.

Causes

1 COPD ( chronic obstructive pulmonary diseases)

2 GERD ( Gastoesophageal reflux diseases )

3 Smoking

4 Throat disorders .such as croup in young children.

Chronic Cough

1 One of the most common reasons for seeking medical attention.

2'Defined as a cough persisting for at least 4 weeks.

Types

1 Vata ( Dry Cough )

2 Pitta . Kapha ( Productive cough )

3 Kshataja Kashayajanya

( Chronic bronchitis )

Diagnosis

1 Chest ausultation for wheezing . nasal and oral examination for sings of Postnasal drip
( Eg - cobblestone appearance or erythema of mucous )

2 chest x ray to exclude specific  praenchymal lung diseases .

3 Consider spirometry before and after bronchodilator metha - choline challenges . sinus CT scan and 24 hour Esophageal pH monitoring

4 Bronchoscopy.

Principal of Treatment

Shodhana Chikitsa  ( Panchakarma )

1 Snehana

2 Svedana

3 Vatanulomana.

Shamana Chikitsa

Drugs of choice - Kanthakari

Main Drug's - Vasa . Pippali , Bharangi , Yasthimadhu , Shringa.

Naimittika Rasayana - Vardhamana Rasayana , Dashamula Rasayana.

Recommended Classical Formulation

1 Chandramrita Rasa 125 mg TID with honey after meals.

2 Lakhshmivilasa Rasa 250 mg BD with warm water after meals.

3 Talisadi Churna 3 gm with honey TID after meals.

4 Sitopaladi Churna 3 gm TID with honey after meals.

5 Karpuradi churna 3 gm BD with warm water after meals.

6 Pippalyadi asava 20 ml TID with warm water after meals.

7 Kanakaasava ( Vata + Kapha  cough ) 10 ml BD with warm water after meals.

Diet and lifestyle

Pathya ( indications )

1 Low fat , hot diet

Apathya ( Contraindications )

1Cold , irritating , oily , curd , sour , speech .
Don't use mosquito repellant and pesticides if it causing cough.
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The disease Tundikeri described in Ayurvedic classics has close similarity with tonsillitis. Tonsillitis is a very common illness found in childhood. Tundikeri is described as Kapha-Raktaja dominant condition. Here, Ayurvedic treatment has a specific utility in the management of Tundikeri.

Causes

1 Bacterial infections

2 Viral infections

3 Decreased immunity

Symptoms

1 Throat pain

2 Dysphagia

3 Malaise

4 Enlargement of lymph nodes

5 Sore throat

6 Fever

7 Headaches

Different Diagnosis

Tonsillitis

Featured

Definition - inflammation of the tonsils of pharynx

Jugulo - Diagastric lymph node enlargement.

* Present

Age - common in child

Symptoms

* Swollen tonsils that project from between the pillars of the fauces and exude white or yellow follicles.

Discharge

* Purulent drainage when pressure is applied to the tonsillar pillars.

2 Adenoiditis

Definition - inflammation of adenoid.

Jugulo Diagastric lymph nodes enlargement

* Absent

Age - common in infants

Symptoms - Swollen adenoids

Discharge - NO

Principal of Treatment

Shodhana Chikitsa ( Panchakarma )

1 Shodhana

2 Pratishyayahara

3 Shothahara

4 Raktaprasadana Chikitsa.

Shamana Chikitsa

Recommended Classical Formulation

1 Tribhuvanakirti Rasa 125 mg TID with warm water after meals.

2 Lakhshmivilasa Rasa 125 mg TID with warm water after meals.

3 Shvasakuthara Rasa 125 mg TID with warm water after meals.

4 Amritarishta 20 ml TID with warm water after meals.

5 Sudharshana Churna 3 gm TID with warm water after meals.

Diet and lifestyle

Pathya ( indications )

1 Rest .light diet .hot fomentations.
Apthya ( Contraindications )
1Cold .oily .sweet and sour food .curd.
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Snoring

Snoring occurs when something block the flow of air through Mouth and nose.

Causes

1 Throat weakness . causing the throat to close during sleep.

2 Obstruction in the nasal passageway .

3 Deposition of fat in and around the throat .

4 The tissue at the top of airways touching each causing vibration

5 Relaxants such as alcohol or drugs relaxing throat muscle.

6 sleeping on back . Which may result in the drooping of tounge into the back of mouth .

Principal of Treatment

Shodhana Chikitsa ( Panchakarma )

1 Kaphavatahara

2 Vatanulomana

3 Pratimarsha Nasya with Anu Taila BD Day.

4 Prayogika Dhumapana BD Day

Shamana Chikitsa

Recommended Classical Formulation

1 Mrityunjaya Rasa 250 mg TID with warm water after meals.

2 Sudharshana Churna 3 gm BD with warm water after meals.

3 Shvasakuthara Rasa 125 mg BD with warm water after meals.

4 Godanti Bhasma 250 mg BD with warm water before meals.

5 Laghu Sutshekhar Rasa 500mg TID with warm water after meals.

Diet and lifestyle

Pathya ( indications )

1 light diet at night

Sleep on your side not on your back .

Apthya ( contraindications )

1 Obesity

2 recurrent respiratory infections
3 sleeping immediately after meals.
4 Day sleeping.
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Deviated Nasal Septum ( DNS )

It is condition wherein the nasal septum will be deviated.

Causes

1 Congenital

2 Allergy

3 Recurrent infections

4 Trauma

Symptoms

1 Nasal blockage

2 Snoring

3 Recurrent attacks of cold .

Principal of Treatment

Shodhana Chikitsa ( Panchakarma )

1 Snehana - Kanthakari Ghirtha or Pippalyadi Ghirtha or PTG

2 Virechana - Trivirt Leha

3 Nasya - Tuvaraka Taila , Katphala Churna .

4 Lepa - Madhyama Kshara.

Shamana Chikitsa

Recommended  Classical Formulation

1 Sameerapannaga Rasa 125 mg TID with honey with warm water after meals

2 Nityanand Rasa 250 mg TID with honey with warm water before meals.

3 PTG Guggul 500 BD with warm water  after meals

4 Sarivadi Vati 500 mg TID with warm water after meals

5 Haridra Khanda 3 gm TID with warm water after meals.

6 Laghu Sootashekhara rasa 500mg BD with warm water after meals.

7 Dashamula Haritaki Leha 1 tsf BD with warm water after meals.

Yoga Therapy

1 Nadi Shodhana

Asanas

1 Viparitakarni

Diet and lifestyle

Pathya ( indications )

Light diet .ginger treated water for drinking.

Apthya ( contraindications )

1Day sleeping
2 Cold drinks
3 Oily Foods
4 Avoid cold . damp living .
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Jeerna Pratishyaya ( Sinusitis )

Sinusitis means inflamed sinuses . Sinuses are hollow air space within the bone surrounding the nose . They produce mucus . which drain into the nose .

Causes

1 Bacterial infections

2 Pollutant

3 Allergy

4 Nsal problem such as DNS

Symptoms

1 Fever

2 Fatigue

3 Congestions

4 Postnasal drip

5 Weakness

6Cough

7 Heaviness

Principal of Treatment

Shoshana Chikitsa ( Panchakarma )

1 Snehana - MTG

2 Abhyanga - Karpuradi Taila

3 Bashpa Sveda

4 Vamana

5 Shirovirechana - Guda Nagara Nasya

Shamana Chikitsa

Main Drug's

Pippali , Tvak , Dhattura.

Naimittika Rasayana

1 Vardhamana Rasayana

2 Dashamula Rasayana

3 Chitraka Haritaki Rasayana

4 Agastya Haritaki Rasayana

Simple Remedies

1 Decoction prepared from Dashamula and Trikatu with honey .

2 Rubbing sore sinuses with warm palms bring a fresh supply of blood to the area . Press your thumb firmly on either side of your nose and hold for 15 - 30 seconds .

Recommended Classical Formulation

1 Kaphakuthar Rasa 250 mg TID with warm water after meals

2 Shvasakuthara Rasa 500mg BDwith tamboola Patra svarasa. After meals

3 Dashamula Rasayana 1 tsf BD with warm water after meals.

4 Talisadi Churna 3 gm TID  with honey  after meals

5 Mahamrityunjaya Rasa 250 mg BD with warm water after meals.

6 Pippalyadi Kashaya 20 ml BD with warm water before meals.

Yoga Therapy

Pranayama

Nadi Shodhana ( alternate breathing ) , Surya Bhedana.

Asanas

Viparitakarni ( the inverted posture )

Diet and lifestyle

Pathya ( indications )

1 Light diet. Ginger treated water for drinking.

Apthya ( Contraindications )

1Day sleep . Cold drinks. Oily foods

2Avoid cold . Damp living . working and sleeping quarters.
3 Eliminate meat . Dairy products . White flour foods and sugar .
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Most brid flu virus can only infect other birds. bird flu can pose health risks to people.

Causes

Contact with infected bird . eating raw meat.

Symptoms

1 Fever

2 Headache

3 Pain

4 Weakness

5 Anorexia

6 Vomiting

7 Giddiness

Line of Treatment

Shamana Chikitsa

Recommended Classical Formulation

1 Sudarshan Churna 2 - 3 gm with honey TID after meals.

2 Dashamula kasturyadi Kashaya 2 - 3 tsf BD with warm water after meals.

3 Talisadi Churna 2 gm with honey TID after meals.

4 Tribhuvanakirti Rasa 2 Vati BD with warm water after meals.

5 Godanti Bhasma 250 mg TID with warm water after meals

Diet and lifestyle

Pathya ( indications )

Fasting or light diet for 5 days , rest raw meat.
Apthya ( Contraindications )
Heavy meals , alcohol , coitus , exercise.
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Pratishyaya ( Common Cold )

Ayurveda terms common cold as Prathishyaya. Vitiation of Vata and Kapha individually or together, is generally involved in the ailment.

Causes

1 Bacterial infections

2 Viral infections

3 Allergy

4 Deviated nasal septum

5 Eye diseases related to nasolacrimal duct.

Symptoms

1 Running nose

2 fever

3 Heavyness of head

4Headache

5 Sore throat

Principal of Treatment

Shodhana Chikitsa ( Panchakarma )

1 Upavasa or Langhana

2 Pachana

3 Kaphavataghna

4 Svedana

Shamana Chikitsa

Recommended Classical Formulation

1 Lakshmi Vilas Ras 125 - 250 mg TID with honey after meals.

2 Mrityunjaya Rasa 125 - 250 mg with honey after meals

3 Tribhuvanakirti Rasa 125 mg BD with warm water after meals

4 Sudharshana Vati 500mg BD with warm water before meals.

5 Talisadi Churna 2 - 3 gm TID with honey after meals.

6 Sitopaladi Churna 2 gm BD with warm water after meals.

Diet and lifestyle

Pathya ( indications )

1 Fasting or light diet for 5 days , rest , Ginger tea

Apthya ( Contraindications )
1 Heavy meals , alcohol , coitus , exercise.
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Pyorrhea ( Periodontal Diseases )
Pyorrhea or periodontal is an advanced stage of periodontal diseases in which the ligament and bone that supports the teeth become inflamed and infected if left untreated it lead to bone loosening and eventual loss of teeth.
*Causes
1 Poor hygiene
2 Eating a diet high in sugar.
3 Chronic illness
4 Smoking use of excessive alcohol
5 Deficiency if vitamin C , bioflavonoids , calcium , folic acid .or niacin.
*Symptoms
1 Bad breath or Halitosis
2 Mouth abscess or ulcer
3 Losse teeth
4 Red , Inflamed , Bleeding
5 Deep pockets between the teeth and gums.
6 Losse teeth 
Line of Treatment
Shodhana Chikitsa ( Panchakarma )
1 Snehana - MTG
2 Bashpa Sveda 
3 Vamana - Madanphala yoga
4 Virechana - Haritaki Churna
5. Leech application
Simple Remedies
1 Rub the teeth and gums with Triphala masi
2 Gargling with lukewarm decoction of khadira and Neema 
Recommended Classical Formulation
1 Sarivadi Vati 500mg TID with warm water before meals
2 Gandhaka Rasayana 500mg BD with warm water after meals.
3 Varunadi Kwath 20 ml BD with warm water after meals.
4 Dashana Sanskara Churna - For rubbing teeth and gum .
5 Irimedadi Taila -For Gargling BD
Diet and Lifestyle
Pathya ( indications )
1 Brush with Neem and kahadira powder
2 Rinse the food from your mouth after each meals and clean your teeth after every meal.
Apthya ( Contraindications )
1 Avoid hard brushing
2 Avoid hot and cold drinks
3 Avoiding excess use of sugar
4 Avoid Smoking , Tabecoo
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Gingivitis ( Bleeding Gums)
Gingivitis is a from of periodontal diseases . Periodontal diseases involved inflammation and infection that destroys the tissues supporting the teeth . including the gums the periodontal ligament.and the tooth sockets ( alveolar bone )
Causes
1 General illness
2 Pregnancy
3 Poor dental hygiene
4 Uncontrolled diabetes
Symptoms
1 Bleeding Gums
2 Bright red or red - purple appearance to gums.
3 Gums that are tender when touched .but otherwise painless .
4 Swollen gums
5 Shiny gums
6 Mouth sores.
Line of Treatment
Shodhana Chikitsa
Panchakarma
1 Snehana - MTG
2 Bashpa Sveda
3 Virechana - Trivrit Leha 20 gm 
4 Leech Application
Simple Remedies
1 Rub the teeth and gums with Triphala masi
2 Rub the teeth with of bakula , vajradanti , rock salt, clove.
3 Gargling with lukewarm water decoctions of Triphala and neem bark.
4 Oil pulling should be done twice a day.
Recommended Classical Formulation
Triphala Masi - For rubbing on teeth and gum
Sarivadi Vati 2 BD with warm water after meals.
Kaishora Guggul 2 Vati BD with warm water before meals.
Orocare Powder - For rubbing on teeth and gum.
Diet and lifestyle
Pathya ( indications )
1 Brush with charcoal powder
2 Polish teeth with baking soda .
Apthya ( Contraindications )
1 Avoid hard brushing can scratch your tooth enamel
2 The super whitening tooth abrasive take off even more.
3 Avoid Excess use sugar , hot drinks , cold drinks.
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