Tick Borne Encephalitis & It’s Ayurvedic Treatment With Herbal Remedies

ABSTRACT

Central nervous system consists of the brain and Spinal cord. It controls maximum functions of the body. Hampering of these functions may lead to many disturbances in the body. Tick Borne Encephalitis is a condition in which symptoms are biphasic and include the central nervous system in the second phase. It occurs in parts of Europe, Asia, Russia, Japan and china. This condition is seen maximum in rural areas, mostly near the grassy area. Let us see about the TBE (Tick Borne Encephalitis), its causes, symptoms, prevention, Modern as well as Ayurvedic aspect.

INTRODUCTION

It occurs due to a virus named (Tick Encephalitis Virus) It is a Flavivirus which shows symptoms in two phases, In the first phase it shows the generalized symptoms and in the second phase there is involvement of the neurological symptoms which might be fatal. It spreads through an insect bite when it bites the infected host and then transfers it to the next host. It also spread through consumption of raw milk, probably goat milk and raw cheese. It does not transfer from one person to another.

CAUSES OF TICK BORNE ENCEPHALITIS

• Bite through an infected tick
• Consumption of raw daily product
• In touch with infected goats, cows, etc
• Tick encephalitis Virus

DIAGNOSIS

• Clinical examination for Sign and Symptoms
• Travel history
• Medical History
• Blood culture
• ELISA (enzyme linked immunosorbent assay)
• Spinal fluid testing
• Antibody testing (IGg and IGm)
• TBE Virus test
• CT Scan
• MRI

SIGNS & SYMPTOMS OF TICK BORNE ENCEPHALITIS

Many people infected with this virus are asymptomatic. The incubation period ranges between 7-14 days but can extend to 4-28 days. The symptoms start with

• Fever
• Headache
• Weakness
• Body pain
• Nausea
• Vomiting
• Red rash (Due to the insect bite)

These symptoms persist for 5 days

After the initial stage, one to two weeks or more there are no Symptoms, In the second phase, there is involvement of the central nervous system along with high fever and the symptoms include:

• Sickness
• Stiff neck
• Aversion to lights
• Drowsiness
• Difficulty in speaking
• Confusion
• Behavioral changes
• Seizures
• Change in mental state
• Infection in brain and spinal cord

PREVENTION

1. Vaccination
2. Full skin coverage
3. Insect Repellents
4. Avoid raw intakes of Daily products

TREATMENT

There is no specific treatment but this condition can be managed as the following:

• Supportive care
• Symptomatic treatment
• Analgesics
• Anti inflammatory
• Antipyretic
• Antiemetics
• Rest
• Fluids
• Tracheal intubation
• Respiratory Support

AYURVEDIC OVERVIEW

Ayurveda is an ancient ayurvedic medical system which deals with treating the disease through the ancient herbs, lifestyle and Diet. According to ayurveda, when we discuss the disorders pertaining to the nervous system or the neurological conditions there is dushti of majja dhatu and vata dosha.

In this condition there is predominance of Vata and Pitta dosha. Because of the Dusti of these doshas there is involvement of the nervous system and the digestive system. And due to the involvement of the Majja dhatu it affects the nervous system. Now, this Majja dhatu includes the nerves, Bone marrow and is responsible for the functions of the brain.

If we relate this perspective to tick borne encephalitis, the symptoms are very much related to vata and pitta dosha dushti, along with that there is neurological condition which directs towards the majja dhatu dushti.

HOW TO DIAGNOSE THROUGH AYURVEDA?

• Darshana: This means the direct perception we make through eyes by seeing. In this condition we can check the tick bite, Area of the bite, Inflammation, Seizures etc.
• Sparshana: The touch perception helps us in examining the symptoms such as fever.
• Prashana: By questioning we can find about the symptoms the patient is experiencing such as weakness, Body pain, difficulty in speaking etc.

MANAGEMENT

1. Diet

Avoid taking foods which are vata and pitta increasing and follow a diet to balance the doshas and the majja dhatu. For example fresh vegetables and fruits, avoid packaged food and carbonated drinks.

2. Lifestyle

Try doing mild exercise, Quit smoking, Meditation, Acupuncture and warm baths are helpful.

3. Shodhana Therapies

Abhyanga, Danta dhavana, Gandoosha, Mukha prakshalana, Vyayam, Snehana, Swedana, Niruha basti, Anuvasana basti, Dhoomapana are the therapies which is useful in treatment of nervous disorders.

• Abhyanga - It is the topical application (Massage) of the medicated oil over the body in Anuloman direction and pratiloma direction. In this condition it will heal in pacifying the vata dosha.
• Dhantadhavana - This means cleaning of teeth with the help of the stem of medical plants such as khadira, Arka, Nimba.
• Gandoosha - The medicated oil is filled in the oral cavity without moving.
• Mukha prakshalana - Washing of the face with the help of warm water or Lodhra kashaya, Amalaka kashaya etc. according to the condition of the patient.
• Snehana - This is an Oleation Therapy in which the Snehas such as oil, ghee, Majja is used to Oleate the person internally and externally. Ex. Dashmool oil.
• Swedana - It is a herbal steam therapy, which helps in removing toxins from the body.
• Niruha Basti - This is also known as kashaya Basti. A kashaya (Decoction) is prepared with medicated herbs and oils, Honey, Rock salt and administered through an anal route. This acts as a cleansing enema.
• Anuvasana Basti - This is a sneh basti,made up of medicinal herbs and oil, mainly the oleating herbs administered through anal route and do the oleation.
• Dhoomapana - Inhalation of herbal smoke.

4. Shamana Chikitsa

Various herbs will benefit in this condition such as Ashwagandha, Guggulu, Brahmi etc.

5. Ashwagandha (Withania somnifera)

Ashwagandha has immense benefits, in this condition it will reduce the vata and pitta dosha and will provide strength to the body and also calms the mind.

6. Guggulu (Commiphora mukul)

Guggulu is very much beneficial in reducing pain and inflammation due to its anti inflammatory and analgesic property. Thus, it helps in reducing the body pain and inflammation due to insect bites.

7. Brahmi (Bacopa monnieri)

Brahmi helps in suppressing the vata dosha, as this condition is neurological in the second phase which comes under vataja disorders, so intake of brahmi will help in relieving the symptoms.

HERBAL REMEDIES FOR TICK BORNE ENCEPHALITIS BY PLANET AYURVEDA

Planet ayurveda is an ayurvedic clinic which was established in 2002. It has its own manufacturing unit where the products manufactured are 100% safe, natural and pure. This manufacturing unit is GMP and ISO certified. This organization has been serving the society for more than 20 years and effectively treating all the chronic and autoimmune conditions. The medicines manufactured here are a blend of ancient herbs in various forms such as Tablets, Capsules, Herbal oils, Powders, syrups and also cosmetic products.

PRODUCTS LIST

1. Neurogenie Capsules
2. Boswellia Curcumin
3. Tulsi Capsules
4. Manjishtha Capsules
5. Ashwagandha Capsules

PRODUCTS DESCRIPTION

1. Neurogenie Capsules

It is a patent ayurvedic medicine which is prepared by Planet ayurveda including Brahmi (Bacopa monnieri) and Ashwagandha (Withania somnifera). It is considered a very good remedy for all neurological conditions. It controls Vata dosha, nourishes nerves and Stimulates the overall function. Because it contains Brahmi Ashwagandha which suppresses Vata dosha and strengthens the nerves and muscles, So it works beneficially in this condition.

Dosage: For Adults - Take 2 capsules twice a day after meals, For Children - Take 1 capsule twice a day.

2. Boswellia Curcumin

Boswellia Curcumin is a patented ayurvedic medicine by planet ayurveda which consists of Shallaki (Boswellia serrata) and Haridra (Curcuma longa) in capsule form. This formulation helps in maintaining healthy joints and overall functions of the body. Because curcumin is anti-inflammatory, it can fight infection and help heal it, and boswellia is analgesic and anti-inflammatory, which can help in treating pain and inflammation in this condition which arises due to insect bite.

Dosage: For Adults - Two capsules twice a day after meals, For Children - Take one capsule twice a day.

3. Tulsi Capsules

This is a single herb formulation made by standardized extraction of the herb Tulsi (Ocimum sanctum) in capsule form by Planet ayurveda. Due to its anti-inflammatory and antimicrobial properties it works in respiratory infection and may reduce the inflammation due to insect bite. Acts as anti allergic which can help in coping up with the symptoms of this condition as well as the antipyretic property of tulsi will help in reducing fever.

Dosage: For Adults - Take Two capsules twice a day, For Children - Take one Capsule twice a day.

4. Manjishtha Capsules

Manjishtha Capsules are the single herb formulation by planet ayurveda which consists of the herb Manjistha (Rubia cordifolia). It helps in purifying the blood and treating skin conditions. As it balances the Pitta dosha, it will help in decreasing the temperature of the body, Manjistha also helps in reducing nausea and vomiting. So it will help in treating overall symptoms of this condition.

Dosage: For Adults - Two capsules two times a day after meals, For Children - one capsule taken twice a day after meals.

5. Ashwagandha Capsules

This is a single herbal formulation made with the help of standardized exaction of the herb Ashwagandha (Withania somnifera). Ashwagandha relieves stress and anxiety. There is weakness in this condition and it helps in balancing vata and pitta dosha, therefore Ashwagandha helps in reducing the weakness and increasing the strength and muscles. It also enhances sexual function and fertility.

Dosage: For Adults - Take one capsule two times a day after meals, For Children - Take one capsule two times a day after meals.

CONCLUSION

It is a neurological condition which arises in the second phase and happens due to the infected insect bite. Tick borne encephalitis is well managed during its first phase but it can be difficult to manage it in the second phase and might need good supportive care. On the other hand in ayurveda it is related to vata pitta dosha dushti and majja dhatu dushti which can be managed with different therapies such as Basti, Abhanga etc and herbal remedies. There are some herbal remedies by Planet Ayurveda which are very effective in treating this condition.

Interstitial cystitis & It’s Ayurvedic Treatment with Herbal Remedies

ABSTRACT

Interstitial cystitis also called bladder pain syndrome is a chronic condition that mainly affects the urinary bladder due to which many types of painful symptoms arise. It is characterised by inflammation of the lining of the bladder that can result in frequent urination, urgency of urination and discomfort. It is difficult to diagnose and manage, as its exact cause is not fully explained. Interstitial cystitis has a significant impact on the quality of life of individuals suffering from it, as its symptoms can be emotionally distressing. Early identification of interstitial cystitis is quite important because the symptoms of interstitial cystitis are very disturbing that affects the individual's life and also results in patients being referred to multiple specialists. Currently there are no specific urine or blood markers available for diagnosis of interstitial cystitis. The management tactics are based on a combined approach to eliminate or to reduce the symptoms of interstitial cystitis that helps in improving the quality of life, and intervene in possible disease mechanisms. In this article, we will discuss the causes, signs and symptoms and management of Interstitial cystitis with Ayurvedic and modern approach.

INTRODUCTION

Interstitial cystitis or bladder pain syndrome is a chronic form of syndrome with no specific cause and a high level of suspicion is required for its clinical diagnosis. It affects females more than males. Except for the diseases that have similar signs and symptoms, a clinical diagnosis of interstitial cystitis is made when symptoms are long-term that last more than 6 months such as pressure, pain and discomfort thought to arise mainly from the bladder also including the frequent urination. In most of the cases, because interstitial cystitis is thought to be a diagnosis of exclusion, it is often recognized late and misdiagnosis is common, mainly in men as chronic pain in pelvic or chronic benign prostatic hyperplasia (BPH) or overactive bladder. Patients often report pain in the bladder as well as a feeling of an intense urge to urinate. This feeling tends to get worse as the bladder fills, but urination provides temporary relief, usually resulting in a rapid flow of urine and it can be during the day or night time. Urinary frequency is typically resistant to standard overactive bladder therapy, suggesting that a diagnosis of interstitial cystitis should be considered. There are also many other symptoms, like dysuria that means burning sensation and pain while passing urine, and there may be discomfort during or after intercourse that can result in painful intercourse (dyspareunia) in women and extremely painful ejaculation in men. These long-term symptoms have a profound impact on the patient's emotional and social well-being, as well as on his or her quality of life.

CAUSES OF INTERSTITIAL CYSTITIS

The exact cause of interstitial cystitis or bladder pain syndrome is not known, but it's likely that several factors may contribute to this condition. For example, patients with interstitial cystitis also have defects in the epithelium lining that is also known as the protective lining of the bladder. Toxins in urine can irritate your bladder wall due to leakage in the epithelium. Some other factors are also there but there is no proven research on those factors such as infection, hereditary or an autoimmune reaction.

HOW COMMON IS INTERSTITIAL CYSTITIS?

It is quite common. It affects about 1 to 4 million men and about 3 to 8 million women

RISK FACTORS

• Sex - Women are more prone to have interstitial cystitis.
• Age - Interstitial cystitis mainly occurs after 30 years of age, But it may also affect the other age groups.
• Some other Pain disorder - It may be associated with another long-term pain disorder, such as IBS (Irritable bowel syndrome) or fibromyalgia.

DIAGNOSIS

There are no specific urine or blood markers available for diagnosis of interstitial cystitis. But Some of the tests can help in evaluating the condition. They are:

1. Pelvic Exam
2. Cystoscopy
3. Urine Cytology

SIGNS & SYMPTOMS

The symptoms of interstitial cystitis vary from patient to patient. Symptoms may be mild to severe in every patient. Some of the symptoms are-

• Chronic Pelvic Pain
• Increased frequency of urination
• Pain during intercourse
• Discomfort and pain when the bladder fills and relief after urinating
• Pain in pelvic region in women
• Urgency of Passing urine

AYURVEDIC VIEW

In Ayurveda in interstitial cystitis, the vitiated pitta dosha combines with vata (Apana Vata) to reach the Basti (Bladder) and affect the Mutravaha srotas (urethra source), causing difficulty in urination. Excessive vitiation of Vata (Mainly ApanaVata) causes pain in the pelvic region and bladder.

Nidana (Causes) as per Ayurveda

• Excessive intake of liquids, cold food
• Suppression of urge to urinate

Symptoms according to Ayurveda

There are various symptoms such as:

• Basti shoola (pain in the Pelvic region) {Due to Vata dosha}
• Mutrakricha (Difficulty in urination) {Due to Pitta dosha}
• Daha (Burning sensation) {Due to Pitta dosha}

TREATMENT

Panchakarma therapy is the main procedure of Ayurvedic treatment that helps in purifying and detoxifying the body system. The various procedures that can perform in interstitial cystitis are:-

1. Abhyanga (Massage): Full body oil massage which helps to rejuvenate both physical and mental health. It also improves blood circulation and opens up the blood vessels.
2. Swedana (Sweating Therapy): Medicinal steam bath that restores metabolism by flushing out accumulated toxins from the body.
3. Doing yoga asanas daily helps in providing strength to the pelvic region and urinary system which effectively manages the symptoms of interstitial cystitis. Some of the best yoga asanas for interstitial cystitis are Padmasana, Makarasana and Mandukasana.

DIET AND LIFESTYLE

• It is important to drink enough fluids every day to prevent urinary system problems.
• People living or working in a humid environment sweat more, which leads to loss of water from the body. This can lead up to urinary problems. People living in such an environment should drink adequate amounts of fluids like water, coconut water, and fruit juices which helps in preventing urinary infection.
• Consuming more fruits and vegetables will help boost immunity and also helps in preventing frequent attacks of infections.

HERBAL REMEDIES FOR INTERSTITIAL CYSTITIS BY PLANET AYURVEDA

Planet Ayurveda is a GMP certified ayurvedic company that makes herbal supplements or products by using the ancient techniques. In modern there are various drugs that helps in managing this condition such as NSAIDs antidepressants, antihistamine, nerve stimulation etc. but prolong use of these drugs can cause various side effects but Ayurvedic herbal formulations are safe to use because they are free from any chemicals, preservatives,etc. They don't cause any side effects but give benefits. Planet Ayurveda has a great combination of herbal formulation for interstitial cystitis which is an IC care pack that contains 5 herbal formulations. They are:

PRODUCTS LIST

1. Chandraprabha Vati
2. Chandanadi Vati
3. Punarnava Mandoor
4. Varunadi Vati
5. Boswellia Curcumin

PRODUCT DESCRIPTION

1. Chandraprabha Vati

Chandraprabha vati is blend of 23 herbs such as Shilajit (Asphaltum punjabinum), Guggul (Commiphora mukul), Haridra (Curcuma longa), Amlaki (Emblica officinale), etc. It balances all the three dosha (Vata, Pitta and Kapha). These herbs possess various properties like anti-inflammatory, diuretic, analgesic properties. which helps in reducing the inflammation, retention of urine and pain in the pelvic area. It helps in preventing the build-up of toxins and flushes them out through urine by increasing urine flow. It also helps in reducing the burning sensation in urine caused due to interstitial cystitis.

Dosage: 2 tablets twice a day after meals.

2. Chandanadi Vati

Chandanadi Vati is a polyherbal formulation consisting of various herbs such as Shweta Chandan (Santalum album), Gokshura (Tribulus terrestris), Amalaki (Emblica officinalis), etc. It helps to resolve interstitial cystitis by controlling urination, reducing inflammation. It helps to balance pitta dosha due to its pitta balancing properties which helps to reduce burning sensation due to its coolant properties.

Dosage: 2 tablets twice a day after meals.

3. Punarnava Mandur

Punarnava mandur is a blend of herbal formulation that contains Punarnava (Boerhavia diffusa), Shunthi (Zingiber officinale), Pippali (Piper longum), Marich (Piper nigrum), etc. It helps in balancing the pitta and vata dosha due to its vata and Pitta balancing properties. These herbs possess anti- inflammatory (Shothahara), Diuretic (Mutral), antioxidant, rejuvenating (Rasayan) properties which help in maintaining the health of the urinary system. It also helps in managing the symptoms of interstitial cystitis like pain in pelvic area, frequent urination.

Dosage: 2 tablets twice a day after meals.

4. Varunadi Vati

It is polyherbal formulation which contains Varun (Crataeva nurvala), Gokshura (Tribulus terrestris), Punarnava (Boerhavia diffusa) and Shuddha Guggulu (Commiphora mukul). These herbs possess diuretic (Mutral) property which helps in retention of urine and also helps in relieving the burning sensation of urine. It also assists in maintaining the healthy flow of urine. These herbs also have anti-inflammatory and antioxidant properties that help in reducing the inflammation of the pelvic area and remove the toxins from the body.

Dosage: 2 tablets twice a day after meals.

5. Boswellia Curcumin

Boswellia curcumin capsules contain two herbs that are Shallaki (Boswellia serrata) and Haridra (Curcuma longa). These herbs possesses anti- inflammatory, antiseptic, analgesic and antioxidant properties that help in managing the symptoms of interstitial cystitis such as pain, inflammation in the pelvic region. It also helps in maintaining the healthy urinary system. It also helps in flushing out the accumulated toxins from the body.

Dosage: 1-2 capsules twice a day after meals.

CONCLUSION

Interstitial Cystitis is a chronic condition that affects the urinary system and causes various painful symptoms that can disturb the normal life of the patient. Early diagnosis and management is very necessary in interstitial cystitis because this condition may look like other diseases. The prolonged use of modern drugs can lead upto various other conditions, but Ayurveda's herbs doesn't cause any side effects and is very beneficial in interstitial cystitis. It helps in management of interstitial cystitis without causing any harm to the other organ.