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chronic fatigue - a vata disorder

chronic fatigue syndrome and hepatitis energy is given by Kapha dosha and the bodily tissues. energy depends upon agni and a person's diet and life style. In chronic fatigue syndrome, the person feels tired and exhausted. That may be due to Vishama]] agni (Vata type), teekshna agni (Pitta type), or mandaagni (Kapha type).

obese people and other Kapha types can get chronic fatigue syndrome due to slow metabolism. Pitta people get chronic fatigue syndrome because]] of liver dysfunction, such as Epstein-Barr virus or hepatitis. Vata type of chronic fatigue syndrome is associated with depletion of the tissues. However generally chronic fatigue syndrome goes together with HIV virus positive, or Epstein-Barr virus positive, or people having hepatitis B and hepatitis C where ojas (immunity) is disturbed. So to discuss [[chronic fatigue syndrome according to modern medicine we can stick to Pitta type, which is high stagnant Pitta in the liver that burns ojas. As a result the person feels tired and exhausted.

For chronic fatigue syndrome of Pitta type, one can heal the liver by Shatavari 500 milli[[grams, Guduchi 300 milli[[grams, tikta 200 milli[[grams, and kutki 200 milli[[grams, ½ teaspoon three times a day with Aloe Vera juice. Aloe Vera juice has short action, while Aloe Gel has slow, su[[stained action. Additionally, it is good to booster the immunity with kama dudha and moti bhasma. Also almond milk with rock candy can improve energy, as does Date shake (four Dates soaked in Water and blended in about one [[cup of Water with a pinch]] of cardamom, pinch]] of Saffron, pinch]] of nutmeg]] and teaspoon of Date sugar). If you drink half a cup three times a day you will get tons of energy.

For hepatitis B and C, one has to treat the liver. Use AArogya vardhini 200 milli[[grams, Abhrak bhasma 200 milli[[grams, Bala 300 milli[[grams, Vidari 300 milli[[grams, three times a day with Aloe Vera juice. The best food remedy for hepatitis B and C is half a bowl of fresh homemade yogurt with one half teaspoon of baking soda. One glass of sugar cane]] juice with Ginger and lime can be used for chronic fatigue syndrome and hepatitis B and C.

Fair Use Source by Dr. Vasant Lad, Ayurveda Today, Volume 13, 2nd Issue Fall 2000, Chronic Fatigue Syndrome, Part One: bala kshaya

chronic fatigue syndrome is a very complex illness now commonly found in this society. The condition called chronic fatigue syndrome (CFS) is not a new disease. In modern medicine, this illness is associated with an acute viral infection and is often called myalgic encephalomyelitis or ME. chronic fatigue syndrome is similar to the gulf War syndrome and it is closely associated with fibromyalgia, myasthenia, neurasthenia, or atypical encephalitis. Its latest name is “chronic fatigue immune dysfunction syndrome” or chronic fatigue immune deficiency syndrome“ or CFIDS. It has been given many names, but I will refer to the condition as chronic fatigue syndrome or CFS.

The Role of digestion and cellular metabolism

We will begin by studying the important role that digestion plays in health. This is a key to understanding the reasons someone develops CFS. Ayurvedic concepts of digestion, nutrition and metabolic functions are quite different from Western understanding and we will review some of those basic tenets here. The end product of digested food, called ahara rasa, is carried to the various tissues. bodily tissues are called dhatus in Sanskrit. For instance, rasa dhatu is the blood plasma and the lymphatic system. rakta dhatu is the red blood cells. mamsa dhatu is the muscles, meda the fatty tissue, asthi the skeletal system, majja the nervous system and bone marrow]]. Finally, shukra is the male reproductive system and artava the female reproductive system. We will consider these different tissues as we discuss the various manifestation]]s of [[chronic fatigue syndrome (CFS). The digestive Fire is called agni in Sanskrit. The functions of agni include transformation of food, thoughts, and e[[motions into the substance of the body and mind. Its strength and capacity determine how well nutrients are utilized by the body. Each Stages]] of digestion has its own agni and the various organs important to the digestive process all have their own digestive capability. The central digestive Fire is called jat[[hara agni. It manifests as hydrochloric acid (HCl) and the various enzymes in the small intestine and stomach. bhuta [[agni can be defined as the digestive enzymes and hormones in the liver. Each tissue has dhatu agni, which further transforms the raw materials from food and Water into the tissues and their by products. bhuta [[agni in the liver is a bridge between jat[[hara agni and dhatu agni and utilizes the end products of digested food to nourish every tissue, organ, and system. bhuta [[agni is often affected in CFS. The smallest unit of the human body is a single cell. cellular metabolism is related to the Fire component of all cells, called pilu agni and pit[[hara agni. pilu agni is the digestive Fire in the cell membrane, which converts the ahara rasa into cellular plasma. Then pit[[hara agni transforms this subtle essence of the food into consciousness]]. The pure essence of pilu agni and pit[[hara agni is tejas. tejas maintains the cellular metabolic activity and is responsible for cellular intelligence. Every cell has this intelligence, which manifests in pilu agni as selectivity.

There is also a constant flow of communication between cells, and that flow of communication is prana. The mitochondria, the genes, the RNA and DNA molecules, and even the movement of cytoplasm are all governed by prana. prana is responsible for communication (the flow of cellular intelligence) and cellular respiration (oxygen exchange). Because of prana, every cell is a conscious sentient being. ojas is the end product of cellular digestion and the pure essence of all bodily tissues, and it is responsible for maintaining the immune response. It governs cellular and systemic immunity. ojas corresponds to the pure essence of Kapha dosha; tejas to Pitta dosha; and prana to Vata dosha. The Ayurvedic concept of CFS is that it is primarily a disorder of imbalanced agni and depletion of ojas. CFS is called bala kshaya in Sanskrit, which means depleted strength. One's biological strength is the integration and functional synchronization of jat[[hara agni, bhuta [[agni, and dhatu agni. jat[[hara agni is responsible for the digestive strength or capacity of digestion in the gastrointestinal tract. But the strength of each dhatu is maintained by dhatu agni. dhatu strength is defined as the tone of the tissue, the resistance of the tissue, and its capacity for self-repair. If there is wear and tear]] of the tissue, it is healed by the tissue itself because of dhatu agni.

Any imbalance in agni causes problems with digestion and disturbance of ojas, tejas and prana. In CFS, ojas becomes depleted, but there is also disturbance of tejas and prana.

causes of chronic fatigue syndrome

If we look at the etio[[logical]] factors of CFS, an important one is incompatible food combining. An example is eating dairy products and fruit together, such as banana milk shakes, banana splits, yogurt and fruit, and so on. Because of this incompatible food combining, we develop cellular toxins (ama). These undigested food particles then float through the system, unable to be further digested. ama is one of the factors involved in the onset of parasites, bacteria, viruses, or repeated allergies. incompatible food combining, or foods that are unsuitable for one's constitution, put an undue strain on agni and cause it to become imbalanced. When the agni system (jat[[hara, dhatu, and bhuta [[agni) is adversely affected, production]] of toxins (ama) results. ama is a toxic, morbid substance that circulates throughout the body and invades the dhatus. Undue production]] of ama - - systemic ama, dhatu ama, or cellular ama - - can be a primary cause of CFS. There are some cardinal signs and symptoms]] of ama:

sroto rodha, clogging of the channels.

Bala bramsha, profuse fatigue.

• Gaurava, physical]] and mental heaviness, or despression, or mental dullness.

anila mudata, mental confusion.

• Alasya, Malaise.

apakti, indecision.

Sangha, stagnation of tissue, of toxins.

kama, extreme fatigue.

These toxins, along with any aggravated doshas (Vata, Pitta, or Kapha), can create disease by invading any cell or dhatu which has a weakness in its cellular (pilu) agni or dhatu agni. These weaknesses are called kha[[vaigunya. They can be caused by genetic factors or by chronic factors that imbalance the agni. If kha[[vaigunya has already]] happened in the dhatu agni, sometHing like a little exposure to chemicals can aggravate a dosha and fatigue can set in. Hence environ[[ment]]al]] and food allergies are often present with CFS. endocrine]] imbalance or e[[motional stress can affect cellular metabolism and produce a profusion of microcytes (abnormally small red blood cells), resulting in anemia. This is common in CFS. impaired metabolism can also be a factor, including thyroid dysfunctions such as hypothyroid, which is a kapha disorder; or hyperthyroid, which is a Pitta or vata disorder. hepatitis, which is high Pitta in the liver, is another disease that can lead to CFS. Other causative factors include acute stress or psychological causes. feeling]] unloved, childhood abuse, negligence, or rejection can all affect dhatu agni, pilu agni and pit[[hara agni, causing us to carry these unprocessed cellular memories in our connective tissue. How we are brought up and the events of the First seven years of life stay with us. Multiple pregnancies can induce CFS in a woman, because she loses ojas in the gestation of the fetus. Between pregnancies, there is a need to recover. Before planning a future pregnancy, the prospective mother should undergo Pancha Karma, rejuven[[ation]], and a Rasayana program. This multi-faceted etiology shows us that CFS is a very complex illness. The modern medical system believes that a virus may be the most immediate cause. The Epstein-Barr virus (EBV) creates mononucle[[osis, which is an undue production]] of mononuclei or Pitta type of molecules. The latent form of this virus is found in the majority of people with CFS. Another virus involved in CFS may be the herpes virus, which causes a person to get repeated outbreaks of oral or genital herpes. In Ayurvedic terms, these viruses increases Pitta (tejas), which burns ojas. When tejas is burning ojas, the cellular immune meChanism is affected and the person feels exhausted. This increased tejas can create a mild inflammation in the central nervous system, and may even create atypical multiple [[sclerosis (MS). Before a person develops CFS, they have subtle weaknesses at the cellular level. SometHing like a virus or cellular toxins can cause further doshic imbalance and create the symptomology of CFS. Some indivi[[duals show Pitta symptoms, some indivi[[duals show Kapha symptoms, and other indivi[[duals may show Vata symptoms. Let's look at the different signs and symptoms]]. signs and symptoms]] of CFS

chronic fatigue syndrome is the Journey of ama from the gastrointestinal tract into different dhatus. rasa dushti (disorder) creates lymphatic node congestion and the lymph nodes become tender. Other common symptoms are mild fever, sore throat, muscle weakness, and generalized fatigue, which means that ama is moving in the rasa dhatu. rakta dushti creates anemia or hepatitis; the person looks pale and ti[[red. Then the ama can move into mamsa dhatu. This creates symptoms similar to fibromyalgia such as muscle pain, pain around the joints, headache, insomnia, and despression. A person may have CFS and be treated for fibromyalgia, in which case they will probably have symptoms remaining. muscle pains, headaches, and fatigue are Pitta symptoms happening at the mamsa dhatu. This fatigue can remain for a few weeks, months or even years, and it is not relieved by rest, massage, or any external means. The person has restricted activities, mild fever, and a sore throat. ama and dosha dushti (imbalance) create these symptoms of CFS. meda dushti makes the person extremely sensitive to fatty food such that even ghee creates a headache. asthi dushti creates pain in the joints and migraine headaches. majja dushti creates MS type symptoms (it looks like MS but it is not typical MS). shukra or artava dushti can create sexual debility. symptoms can also be examined according to the various sub[[types of the doshas. For instance, if ama goes into the eyes it creates photophobia, which is alochaka]] Pitta dushti. If it goes into sadhaka]] Pitta, the person has difficulty concentrating, mental confusion, forgetfulness and irritability for no reason. tar[[paka]] kapha disorder creates insomnia and despression. So, if you look at the symptomatology, it is a multi-factorial, multi-dhatu manifestation]]. [[diagnosis of CFS

Whenever you see a patient with CFS, look for the signs and symptoms]] she or he gets. The patient knows all the symptoms, but you know the signs. symptoms are subjective, signs are objective]]. In front of every sign and symptom put a V for Vata, a P for Pitta, and a K for Kapha. That means you are putting all the signs and symptoms]] according to Vata, Pitta, Kapha. We have to find out the person's Pr[[akruti (constitution), their vikruti (current imbalance), and how CFS manifests in this indivi[[dual. That is the unique approach of Ayurveda. If you see ten people with CFS, they will each have a different disease process that created the illness. During the physical]] examination, the patient will explain and convey to you his or her symptomatology. Then you can touch their skin and find out if they are running a fever. Look into the throat and find out whether there is a sore throat. examine the lymph nodes - - anterior, posterior, mandibular, sublingual, and supraclavicular - - to see whether they are tender, swollen, or enlarged. Then check the liver and Spleen. Are they enlarged? Many times a person with CFS has a History of Epstein-Barr virus (mononucle[[osis) in high School, and the liver is often enlarged and tender. Just make a note. You can inquire if there is a family History of MS or of optic or Auditory]] neur[[itis, which suggests MS. In an MS patient there is muscle fatigue even from checking the reflexes. muscle power and coordination may be s[[lightly affected, but neuro[[logical motor system examinations (and in some patients sensory system examinations) will show extreme muscle fatigue. This is the book picture of MS. In CFS, there can be extreme muscle fatigue but not the severe demyelination found in MS. Then try to find out whether there is any tumor; check the reflexes; check for tremors in the outstretched hands; listen to the heart for tachycardia or palpitations; look at each conjunctiva to see if they are pale or anemic. Look at the fingernails and see if they show calcium, magnesium, or zinc deficiencies (white spots). If the patient brings a lab report, you will often see low hemoglobin, increase of white blood cell (wbc) count, and/ or ESR (erythrocyte sedimentation rate), or there may be lymphocytosis, an excess of lymph cells in the blood. If the patient has had an MRI, it may show swelling in the brain and even demyelinating changes. But still, it is not MS. We can use the help of a lab report and MRI to confirm what is going on, since we live in a high tech society, but our diagnosis cannot depend on those tools. We read the patient's pulse, to determine his/her Pr[[akruti and vikruti, and which dhatus show a Vata, Pitta, or Kapha spike. You can find the dhatu pulse at the Fifth level. Then inquire about past History, present History, and personal History, so we can come to the right understanding regarding the patient's problem. If you look at the CFS patient's tongue, it looks coated, white, and indented around the edges, which indicates mal[[absorption. Ask the person to swallow and see if there is a lump or im[[pulse on swallowing, indicating that the thyroid g[[Land is enlarged. To rule out thyroid dysfunction, you can listen to the thyroid g[[Land. In such cases, the blood vessels of the thyroid become dilated and there is a “bruit,” a murmur. This physical]] examination will help you to understand if the patient has CFS. Modern food is missing vitamins, minerals, and amino acids because of the use of additives and preser[[vative]]s in the processing of foods. people go to the health food Store and buy amino acids and vitamins, but they still show a deficiency of these t[[Hings. That means that their cellular system is clogged with ama; their pilu and pit[[hara agnis are suppressed by ama. There is mal[[absorption and ama is clogging the channels. Some indivi[[duals with CFS show the c[[haracteristic]]s of parasites. If you look at the tongue there are shaved Patches. This means that these people have Giardia, and Giardia can release ama. parasites, bacteria, candidiasis, or amoebiasis can also be factors of CFS. A person with CFS may have a History of hepatitis B, herpes, EBV, or other virus. These viruses can be related to having multiple sexual partners or drug use involving shared needles. The CFS patient's partner may even be a carrier of herpes or the Epstein-Barr virus. Some people get CFS after a blood transfusion. mercury fillings can also be one of the factors of CFS. While eating hot food, molecules of mercury vapor enter into the nervous system. Even social isol[[ation]] can cause CFS. Here the person's relationship]]s are the main issue. If relationship]]s are very stressful, the cause becomes the effect and the effect becomes the cause. despression can also develop with CFS. Many times psychiatric doctors treat patients for despression, but they really have CFS. Every neurologist, psychiatrist, and physician]] should pay more at[[tention]] to CFS. It may be that the despression is just a symptom, not the disease. The cause is elsewhere. treatment of CFS

The important issue behind any kind of CFS is the long standing, lingering, and systemic ama. The roots cause of ama is impai[[red agni. The aim of Ayurvedic treatment is to balance the doshas, balance agni, and eliminate ama. Depending upon the strength of the person and the strength of the disease, there are various options to cleanse the body and mind. The two main approaches are called shodhana]] and sha[[Mana. If the person with CFS has some underl[[ying strength, then Ayurvedic shodhana]] is recommended. This is commonly called Pancha Karma, which means “the five cleansing actions”. Pancha Karma is a Wonderful detoxify]]ing program that eliminates toxins through one or more of the five methods. shodhana]] includes oil massages, steam box, eating a mono-diet of easily digested food, and other treatments that help the toxins to loosen their grip, so they can be eliminated by the Pancha Karma. For a person with CFS, the standard five to seven days of Pancha Karma may not be enough. They often have to do 2 to 3 weeks. However, Pancha Karma is not recommended for an extremely ti[[red and weak person; only if the person has the strength to bear the strain of Pancha Karma. For many people with CFS, the best treatment is sha[[Mana. sha[[Mana means seven palli[[ative]] measures that help a person to regain balance. They are:

1. Kindling agni (digestive Fire)

2. detoxify]]ing ama (toxins)

3. fasting, mono-diet, or eating easily digested food

4. Limiting fluid intake

5. exposure to the sun or Moonlight

6. Appropriate exercise

7. pranayama

The important point is that these need to be undertaken according to an indivi[[dual's needs. For example, one people with CFS may need to increase agni, eat a mono-diet, and lie in the sun, but should not limit their fluids or do exercise. Another may need to do exercise and pranayama, but keep out of the sunlight. sha[[Mana is very useful for anyone, but particularly for someone with CFS who is too weak to undergo strenuous cleansing. After Pancha Karma, or as part of the sha[[Mana program, the person needs to do Rasayana (rejuven[[ation]]). For CFS patients, this would include an immune system booster. generally a herbal mixture is given to balance the doshas and treat the CFS. Then we have to suggest the proper ongoing diet and lifestyle. If it is a Vata type of CFS, we have to give a Vata decreasing diet and lifestyle; and the same is true for Pitta and Kapha. Whenever we are dealing with CFS, we will try to create a balance between Pr[[akruti and vikruti, based upon the History of the patient and his or her Pr[[akruti and vikruti. Our treatment will be directed to the agni involved; which doshas are involved; the kind of ama; and which dhatu(s) are involved. With knowledge of Pr[[akruti and vikruti, we will understand which dosha is out of balance. It is the skill of the clinician]] to find out where this disease is heading, and the treatment will vary according to these factors. In Ayurveda, we always treat according to vyadi Pratyanika]] (specific to disease), dosha Pratyanika]] (specific to dosha), dhatu Pratyanika]] (specific to dhatu), and ubhaya [[Pratyanika]] (specific to agni). This is the basis of Ayurvedic herbology]]. We will use Bala as the vyadi Pratyanika]] for CFS, as it is a great herb to build strength and energy. CFS is called bala kshaya, or depletion of strength, and Bala means strength. I am just giving you a direction on how to think. You must have a deep understanding of gunas, doshas, and dhatus; then you'll know what you're doing. We cannot treat every syndrome with one medicine; that is not scientific at all. Ayurveda treats every case of CFS based upon the indivi[[dual's Pr[[akruti, vikruti paradigm. So, forget the label CFS. It is not going to help us understand exactly what that person's problem is. I can use the words CFS just as a broad Window through which I am looking, but there are many different shades of the disease process. Any dhatu depletion can manifest as CFS, so it depends upon each person's Pr[[akruti, vikruti, lifestyle, and level of stress. Vata type of CFS

We know the main site of Vata is the colon and that Vata has an affinity to the asthi dhatu, the thighs, pelvic girdle, ears, and skin. If the person has more Vata aggravation, we'll definitely find symptoms that are related to Vata, such as dry, rough, or scaly skin, ringing in the ears, constipation, or bl[[oating. Which symptoms manifest depends upon whether this Vata type of CFS is moving in the colon or going into any of the other dhatus. That is why it is very complex. When Vata dosha creates manda (slow) agni or Vishama]] (imbalanced) agni, the person's digestion is affected. manda agni means that appetite and digestion are low. Vishama]] agni means sometimes the appetite is good and sometimes not; sometimes the digestion is ok and sometimes not; sometimes there is constipation, bl[[oating, and distension and sometimes not. If Vata goes into the rasa dhatu, the person will have a rise of temperature in the evening, lymphatic congestion, cold (shivering), and fatigue. fatigue here is due to a lack of the function of rasa dhatu, which is nutrition. If it is lacking, the person will have progressive fatigue and weakness. This is a Vata type of CFS sam[[praptiassociated with the [[rasa dhatu. If Vata goes into the rakta dhatu, the person will feel anemic. This means that the disease process is creeping, moving from one dhatu to another dhatu. If it goes into the mamsa dhatu there will be muscle tics, spasm, twitcHing, tremors, and fatigue. If it goes into the meda dhatu, the person will have a severe loss of meda (adi[[pose tissue). The person loses fat, the muscles lose their bulk, his/her cholesterol goes extremely low, and the joints crack. When Vata type of CFS goes into the asthi dhatu, the person will get osteoporosis or osteoarthritis. When it goes into the majja dhatu, there will be neuro[[logical symptoms such as neuralgia, tingling and numbness, or loss of sensation. And when Vata goes into the shukra dhatu, the person will have sexual debility and pre[[mature ejacul[[ation]]. I am just sharing with you a mono-doshic Vata type CFS. We give Bala as the vyadi Pratyanika]]. If we are dealing with Vata dosha, we need one herb that is Vata Pratyanika]], another that is specific for agni (agni Pratyanika]]), and one specific for the dhatu involved (dhatu Pratyanika]]). For Vata Pratyanika]], we often use purified Guggulu. But for Vata type of CFS, since ama is moving into the deep tissue, I'd use Yogaraj Guggulu. An alternative in cases where there is less ama is Ashwagandha. But now I have to kindle the agni, otherwise the Yogaraj Guggulu is not going to work. Here I can use Chitrak, which kindles and balances agni. next, I have to pay at[[tention]] to the dhatu. If it is rasa dhatu, I'll use Tulsi or fresh Ginger, or mahasudarshan if there is fever. So, the First herb deals with the fatigue and weakness, the Second with the dosha, the Third herb deals with the agni, and the fourth]] deals with the dhatu. This formula of Bala, Yogaraj Guggulu, Chitrak, and Tulsi will work for a Vata type of CFS only if it is in the rasa dhatu. If CFS goes into the rakta dhatu, we would use sometHing to decrease Vata in the rakta dhatu, such as Loha bhasma or Abhrak bhasma. Either one will be good for CFS associated with rakta dhatu. If it goes into the mamsa dhatu, we can use Ashwagandha. y[[asthi Madhu and Vidari are good for meda. Kama dudha (a great source of calcium) is good for asthi. Jatamamsi, Brahmi, Shankhapushpi, and sarasvati are good for majja dhatu; Ashwagandha, Vidari, or Atmagupta (Kapikacchu) for shukra dhatu. We can create a table of dhatus and herbs for each of the doshas. Pitta type of CFS

When systemic Pitta is increased, it becomes like hot Water. Pitta is liquid, hot, sharp, light, and oily. When it increases]], it disturbs agni and that agni creates ama with a Pitta quality. agni becomes tikshna - - strong appetite, but poor digestion. That ama moves and creates dia[[r[[rhea, then mal[[absorption, and slowly it will create fatigue. So, in Pitta type CFS, if Pitta goes into the liver the person will often get a viral infection of the liver. If it goes into the rasa dhatu, the person will have a sore throat and pyre[[xia, and the lymph nodes will be tender. since we are dealing with CFS, the First herb to think of is again Bala, to give energy. We will use Shatavari because it is a dosha Pratyanika]] for Pitta. agni is tikshna (sharp but weak), so we need gulwel sattva (Guduchi) to balance it. If Pitta is in the rasa dhatu, we need to use Neem or mahasudarshan, which will take care of fever without aggravating Pitta. If the Pitta goes into the rakta dhatu, we still give Bala (vyadi Pratyanika]]), Shatavari (dosha Pratyanika]]), and Guduchi (agni Pratyanika]]), and we can add Manjishtha or Amalaki to work specifically on the rakta dhatu (dhatu Pratyanika]]). If Pitta goes into the mamsa dhatu, there will be fibromyalgia or fibromyositis, so we need an anti - inflammatory herb for the mamsa dhatu, such as kaishore Guggulu. When Pitta moves into the meda dhatu, there is profuse sweating and the person cannot digest fat. A good herb for Pitta in the meda dhatu is Shankhapushpi. If it goes into the asthi dhatu, the person gets periost[[itis or osteoarthritis. For this we can use Praval panchamrit. If Pitta CFS goes into the majja dhatu, we use Jatamamsi or Brahmi. Pitta in the majja dhatu can create irritability and Pitta type of despression, so this is a great formula. Finally, for Pitta in the shukra]], artava dhatu we use Shankhapushpi. Kapha type of CFS

Now we will switch our at[[tention]] to Kapha dosha. We will keep Bala since it is vyadi Pratyanika]]. A great herb for Kapha dosha is Punarnava, so we can use this as the dosha Pratyanika]]. We can again use Chitrak or tri[[katu for agni. CFS of Kapha type will create dullness. When the Kapha goes into the rasa dhatu there will be a generalized swelling of the lymph nodes. To remove Kapha from rasa dhatu, we can use kanChanara. If it goes into the rakta dhatu, it will slow down the erythrogenesis process and create megaloblastic anemia. For this we can use Manjishtha. It will reduce leukopenia. If Kapha goes into the mamsa dhatu, we have to protect the mamsa with k[[haraskara or Vidari. They will increase and maintain the muscle tone. If Kapha CFS goes into the meda dhatu we can use kutki or Shilajit]]. Kapha in the meda dhatu will create lipoma and fatty degener[[ative]] changes in the liver, and then the person can get CFS. For Kapha in the asthi dhatu, we can use Punarnava Guggulu if there is swelling of the joints, or even Triphala Guggulu if there is systemic ama. If Kapha CFS goes into the majja dhatu, the person gets despression. We can use Brahmi, Jatamamsi, or sarasvati. For shukra and artava dhatus, we can use Shilajit]] or Atmagupta. Kapha in the shukra, artava dhatu will create pre[[mature ejacul[[ation]], sexual debility, or benign prostatic hypertrophy]]. summary

We have the discussed the causes, signs and symptoms]] of chronic fatigue syndrome as well as the diagnosis of this condition in Ayurvedic terms. We have also covered the treatment of CFS according to the doshas, dhatus and the condition of the patient's agni. In Part Two, we will talk about the use of supple[[ment]]s, tr[[eating the causes of CFS and working with Balancing]] the mental and e[[motional states of the client to fully recover one's strength and health. We will also consider the subtle aspects of healing]] this multi-faceted condition.

Table 1: herbs for Specific dhatu dushti dhatu Vata Pitta Kapha rasa Adrak (fresh Ginger) Tulsi mahasudarshan mahasudarshan Neem KanChanara Ginger mahasudarshan rakta Loha (iron) bhasma Abhrak bhasma Manjishtha Neem Guduchi Amalaki Manjishtha kukti mamsa Ashwagandha Bala Vidari Kaishore Guggulu gulwel sattva k[[haraskara Shringa bhasma Vidari meda y[[asthi Madhu (Licorice) Vidari Shankhapushpi Neem kutki Chitrak Shilajit]] asthi Guggulus: Yogaraj, etc. Kama Dudha Kaishore Guggulu Praval panchamrit Punarnava Guggulu Gokshuradi Guggulu majja Jatamamsi sarasvati Brahmi Jatamamsi Brahmi Vacha sarasvati artava Ashoka Vidari Shatavari Ashoka Aloe Vera Gel Shilajit]] Atmagupta shukra Ashwagandha Atmagupta Vidari Shankhapushpi Atmagupta Shilajit]]


Fair Use Source by Dr. Vasant Lad, Ayurveda Today, Volume 13, 2nd Issue Fall 2000, Chronic Fatigue Syndrome, Part One: bala kshaya

Part Two: bala kshaya - chronic fatigue syndrome

The Ayurvedic concept of chronic fatigue syndrome

In the First part of this article, we saw that chronic fatigue syndrome (CFS) is primarily a disorder of imbalanced agni and depletion of ojas. CFS is called bala kshaya in Ayurveda, which means depleted strength. strength depends upon balanced agni (digestive Fire). Any imbalance in agni causes problems with digestion and disturbance of ojas, tejas and prana. In CFS, ojas becomes depleted but there is also disturbance of tejas and prana. The typical patient of CFS has low prana and high tejas of poor quality. The most common manifestation]]of [[CFS is in Pitta predominant people with high Pitta in the liver. Epstein Barr virus, hepatitis, and other viruses directly affect the liver, and these viruses and other Pitta - aggravating causes can disturb the five bhuta [[agnis in the liver. When the bhuta [[agnis are increased, the digested food does not retain enough nutrients to optimally nourish the tissues. rasa, rakta, and mamsa dhatus are most commonly affected, but Pitta can move into any of the tissues. This can lead to extreme fatigue and all the other symptoms we discussed as being typical of CFS. Pitta type of CFS is most common but, as we saw in the last issue, any of the doshas can disturb any of the dhatus and create a condition of chronic fatigue. We will now consider some treatments for specific causes, such as the viruses mentioned above, but First we will consider the use of supple[[ment]]s from an Ayurvedic perspective. The Use of supple[[ment]]s

CFS is a complex condition. We have discussed the different types of formulas for CFS according to the specific dhatu Stages]]. Modern medicine does not have a drug for CFS. They often use antiviral, anti - bacterial, and anti-parasitic drugs. In some therapies, they give certain amino acids that may enkindle the agni, such as tyrosine, phenylalanine, tryptophan, or glutamine. You can buy these at the health food Store. Melatonin is now a popular supple[[ment]]. Although it has been said that melatonin boosts the immune system, excessive amounts can create despression. Some practitioners presc[[ribe]] chelation and multi-vitamin and mineral therapies, but when agni is low and the dhatus are clogged with ama those vitamins and minerals will just create more ama. There is also a condition called hypervitaminosis, which is the result of taking high quantities of vitamins. Some people take 3000 milli[[grams of vitamin C at a time. That is too intense; more than 1000 milli[[grams at one time can become toxic to the liver. If the person shows a deficiency of vitamins, Ayurveda says that before putting any vitamins into the body we must cleanse the body through Pancha Karma or one of the cleansing methods mentioned in the First part of this article. The aim of Ayurvedic treatment is to address the underl[[ying cause and balance the doshas. By kindling agni, the person with CFS can better absorb the nutrients from food and eliminate unwanted toxins. However there are sometimes additional factors that contribute to CFS and these too need to be treated. tr[[eating a Specific cause

CFS is called bala kshaya, or depletion of strength. When we talked about formulas, we used Bala as a common herb to promote strength. Other herbs were chosen according to dosha and dhatu, because disease can take different Paths. However in some cases, there is a specific cause of CFS that also needs to be addressed. Then we need to add one further herb to our original formula that is Hetu[[Pratyanika]] (specific to the cause), because to treat the cause is to treat the effect. For instance, if we have detected that the cause is parasites (Krumi), we need to know what type of Krumi (pinworm, tapeworm, roundworm, amoebae, Giardia, etc.). We have different herbs for the different parasites. Vid[[anga is good for pinworm, roundworm, and th[[readworm. For Giardia, we can use Neem. For candidiasis, we can use Shardunika or Hingvashta]]k. herpes virus is a long lingering virus in the neuromuscular cleft that tends to flare up when the person becomes stressed or engages in sexual activity. If the cause of CFS is herpes, we can use kama dudha, moti bhasma, or Indra, and also tikta Ghrita topically. In India we also use raupya bhasma or c[[handra]] kalaras. Other viruses may also need specific treatment. If hepatitis is a complic[[ationof [[CFS, we have to treat the hepatitis. If CFS is associated with diabetes, we treat the diabetes according to dosha. There is a Sutra that states that one disease can become the cause of another disease. diabetes itself is a multi-syndrome disorder that can affect the immune system, and therefore we need to treat it First. Our treatment is against the cause: If the cause is a virus, we treat the virus; if the cause is parasites, we treat the parasites; if it is hepatitis, we treat the hepatitis. If the cause is sensitivity to chemical exposure, the best treatment is to do Pancha Karma and then use a rejuve[[native tonic such as Chyavanapr[[ash, shakti prana, or tikta Ghrita. So although the general cause of CFS is cellular weakness (kha[[vaigunya) in one or more tissues, the specific cause or causes also need to be addressed. effect can also become cause. For instance, CFS can create a number of psychological symptoms that can in turn exacerbate the CFS. When a person has severe despression, we have to use anti-depressive]] herbs. If an[[xiety]] and tachycardia are present, we have to take care of them along with the main line of treatment. If muscle pain and muscle fatigue are the main symptoms, then we have to use a painkiller for the mamsa dhatu. If there are arthritic]] changes, we have to take care of the asthi dhatu. If fever is a persistent problem, we have to use antipyretic herbs. people develop drug dependencies, using narcotics, tranquilizers, or painkillers, because of CFS, so we have to deal with that, too. The treatment plan is multi - factorial. tr[[eating According to physical]] and mental constitutional imbalances

According to the Ayurvedic system of medicine, every indivi[[dual has a unique constitution, called Pr[[akruti. constitution is of two types: dosha Pr[[akruti and manas Pr[[akruti, respectively the physical]] and psychological constitutions. dosha Pr[[akruti is also called deha Pr[[akruti and is governed by Vata, Pitta, and Kapha with their unique per[[mut[[ation]]s and combin[[ation]]s. For example, in one person a ratio of the doshas may be Vata3, Pitta2, and Kapha1, while in another it might be Vata1, Pitta3, and Kapha2. manas Pr[[akruti, or the psychological constitution, is governed by sattva, rajas, and tamas. constitution is a unique genetic code that we are born with. This genetic code in an indivi[[dual is present in every cell; in every RNA and DNA molecule; in every system and organ. That genetic code can be studied clinically through the ancient Ayurvedic art of darshan, sparsham, and pr[[ashna]], which are inspection, palp[[ation]], and questioning]] and auscult[[ation]]. Through clinical obser[[vation]], you can determine the indivi[[dual's genetic code, or Pr[[akruti. dosha Pr[[akruti is always subject to change, and the altered state of the doshas is called vikruti. The doshas are like protective barriers that are constantly acting and reacting to diet, lifestyle, and environ[[ment]]al]] changes. When the doshas become overwhelmed and can no longer adapt to these changes, they go out of balance. The dosha that is predominant almost always goes out of balance First. A Vata Pr[[akruti has an inclination to Vata vikruti (imbalance) and to vata disorders. If the cause is extremely Pitta aggravating, even a Vata person can get a Pitta type of disorder. However, it can be easily controlled because Pitta does not have favorable conditions to stay in that particular body. In other words, Pr[[akruti is disease proneness. This applies to both physical]] and mental Pr[[akruti. manas Pr[[akruti can be, for example, sattva3, rajas2, and tamas1. sattva is clarity, Purity, the capacity to understand, comprehend and realize]]; it is love, com[[passion, and care. These are the expressions of sattva. rajas is activity, movement, planning, aggressiveness, and competitiveness. success-oriented indivi[[duals are rajasic]]. They want to be famous, political, and influential people in society. That is also what high Pitta is. Unfortunately, sattvic people typically do not want to become leaders and are not interested in politics. tamas is darkness, inertia, Ignorance, and confusion. diet, lifestyle, and environ[[ment]]al]] changes will also affect these psychological qualities. An en[[lighten]]ed person will have sattva3, rajas3, and tamas3 because they counterbalance each other. Such a person is free from the gunas. CFS can begin with changes to the psychological qualities (gunas) of sattva, rajas, and tamas. Because of high sattvic quality, a person may do too much fasting or intense meditations. intense Spiritual]] practices can deplete the person's ojas and strength. The same happens with rajas. If the rajasic]] quality increases]], the person becomes hyperactive and does not eat properly, which may disturb Vata dosha and bring on CFS. Or high rajas can cause someone to push one's self to the point of exhaustion, which severely deranges Pitta and Vata. If tamas is increased, it slows agni (which is sattvic, light) and the metabolism becomes low. As a result, the person can become despressed, heavy, and possibly anorexic. WhEther the anorexia is physio[[logical]] or psychological in manifestation]], [[imbalanced agni is the cause. So, sattvic, rajasic]], and tamasic]] qualities should be balanced. There must be a balance between the material and the Spiritual]] life. everything must be in its right place. Any quality that becomes overpowering is bound to affect ojas. ojas can be depleted by the imbalance of these gunas and by Pr[[[ajnaparada, which means not listening to one's natural bodily intelligence. In cases of CFS, we should pay at[[tention]] to these qualities. If Kapha is increased, it will induce a tamasic]] quality. If Pitta is high, it may enhance rajasic]] and sattvic qualities. When Vata is increased, it induces more rajasic]] quality. The problem of qualitative sattva, rajas, and tamas imbalances can be corrected by tr[[eating the dosha. If you understand the doshic changes in CFS, i.e., which dosha is involved, and follow that doshic line of management, you will be a successful healer]]. CFS is an immune dysfunction condition and immunity can be affected by not only dysfunction of ojas, tejas, and prana, but also by a chronic disorder of Vata, Pitta, or Kapha, which may lead to a sattva, rajas, or tamas imbalance. The reverse may also be true, whereby an imbalance of the three gunas can lead to disorders of ojas, tejas, and prana and the three doshas. So, the most important factor in treatment is dosha, although we also treat according to vyadi Pratyanika]] (specific to disease) and dhatu Pratyanika]] (specific to dhatu), as well as agni Pratyanika]] (specific to agni) and Hetu[[Pratyanika]] (specific to cause). Balancing]] the chakras

Along these lines, we can now talk about chakra imbalances, which can go together with endocrine]] disorders or kundalini syndrome. Anatomically speaking, every chakra is surrounded by a nerve plexus. physio[[logical]]ly, every chakra is connected to the neighboring organs. psychologically, it is connected to certain e[[motions. The chakra system is a complex system of neuro-physiology, neuro-psychology]], and endocrinology]] that is related to the immune system. Any chakra that is working under stress is bound to affect the neighboring organs. chakra imbalance, kundalini syndrome, and endocrine]] disorders may lead to CFS, which has a psychogenic factor. We may take and do everything so seriously that we burn our ojas. As a result, we may become aggressive, competitive, and success-oriented. We may follow a system or method and take it very seriously, but if we take it to an extreme, we can deplete our ojas. In life, we have relationship]]s with the World and the chakras are these different relationship]]s with the World. muladhara is the chakra of survival. We need food, Water, and air to survive. food is energy and the end product of digested food is eliminated through the workings of the roots chakra, which is muladhara. muladhara is the chakra of our basic needs. In this roots chakra, there is sex energy. sex is the highest form of the loWest energy. This is the chakra of material existence]]. Svadhishtana is the chakra of pro[[creation. Sva (or swa) means self. The lover meets the beloved on the physical]] plane. sex without desire is the highest form of love and sex with desire is the loWest form of love. sex can transcend into Blissful love and become samadhi]]. In the Second chakra is sex in action, that is, pro[[creation. This is also a biological need. When these basic needs are satisfied, then another factor appears in the Third chakra, Manipura, which is power. In the loWest chakra, matter meets with matter. In the Second chakra, man meets with woman. In the Third, the leader meets with the follower. In the fourth]] chakra, or anahata, devotion meets with the devotee. The loWest three chakras are animal chakras: food, sex, and power. The fourth]] chakra is the center between the lower three and the higher three. It is the chakra of devotion, love, and trust. If you look into the heart chakra there is a small Window and if you enter there, you'll see a staircase that will lead you to the throat chakra, or Vi[[Shuddha, the chakra of communication. In communication, the Inner meets with the Outer. You comMunicate with your wife, your husband, your boyfriend, or your girlfriend. This is a very important chakra. Here love becomes song and com[[passion becomes speech. Then comes the Third eye, or [ajna chakra, where ida, pingala]], and sus[[humna]] meet. That is why it is called trikuta. Kuta is another name for kundalini. WhEther kundalini travels through the right, the left, or the center channel - - ida, pingala]], sus[[humna]] - - she has to come here. trikuta means three roads meeting together. This is the place to meditate; this is where alpha meets with omega. Alpha is the indivi[[dual soul, your unique indivi[[dual Atman]]; omega is the higher self. So, this is the meeting point of alpha with omega, of Shiva with shakti, Purusha with Pr[[akruti, Jiva with Shiva. This is the place of the guru, the Master. chakras are reservoirs of consciousness]] containing neuroelectrical and Spiritual]] energies that move along the ascending and descending tracts of the spinal cord, as well as the stimuli coming from the higher centers to the lower organs through the Sympathetic and parasympathetic systems. The chakra system is connected to the endocrine]] system. The endocrine]] system is composed of ductless g[[Lands, like the pituitary, pineal]], thyroid, parathyroid, thymus, pancreas, adrenals, gonads, and Bartholin's g[[Lands in woman. This g[[Landular system is under the control of the chakra system, and not the other way around. Therefore, the endocrine]] imbalance happens as a result of chakra imbalance. sahasrara]], the crown chakra, is in the area of the pineal]] g[[Land. The pineal]] g[[Land secretes a very superfine essence of tar[[paka]] Kapha called soma. inhibition of soma secretion creates extreme fatigue in the crown chakra, leading to indecisiveness, inability to concentrate, despression, migraine type of headache, and insomnia. This kind of CFS also creates forgetfulness, irritability, confusion, and foggy thinking. Before tar[[paka]] Kapha, sadhaka]] Pitta, and prana Vata are disturbed, the electrical potential of sahasrara]], the [[cerebral cortical area, is affected and the energy from the right hemisphere does not flow freely to the left hemisphere. We have seen that these two brains are bridged together by a Primordial brain called the diencephalon. When that bridge becomes blocked, your intuition goes against your intelligence, or your intelligence goes against your intuition. intelligence and intuition should go hand in hand. Sometimes CFS happens when logic goes against intuition. logic is beautiful but it has no wisdom. intuition has great wisdom, and wisdom is the application of logic and intuition simultaneously. Even scientists use intuition. So, if you take a case History of CFS with despression carefully, you'll see that either their logic goes against their own intuition, or vice versa. This is tar[[paka]] Kapha encroacHing sadhaka]] Pitta, and the best herbs for this are Brahmi and sarasvati. Brahmi ghee nasya can be used, or shirodhara can be done. Cranial-sacral therapy can help, too. Crown chakra disorders of CFS can be managed this way. [ajna chakra is connected to the pituitary g[[Land. This g[[Land plays a very important role in the immune system. It is the conductor of the g[[Land orchestra. It secretes and controls thyroid stimu[[Lating]] hormone (TSH), adrenocorticotrophic hormone (ACTH), growth hormone (GH), and the gonadotrophic hormones. So, pituitary dysfunction can be related to CFS leading to hormonal imbalance. The herbs that act on the Third eye are Saffron, red Sandalwood, Jyotishmati, and sarasvati to some extent. The Third eye is the eye of wisdom, of in[[sight. What the other two eyes cannot see, the Third eye sees. Jyotishmati opens the Third eye, so it may help balance the pituitary function and maintain the immune response. The Vi[[Shuddha chakra is functionally related to the thyroid and parathyroid. If the thyroid g[[Land is over[[active, the metabolism becomes fast and the person feels ti[[red and fatigued. similarly, the thyroid also plays an important role in metabolic activity and in[[directly maintains the immune response. thyroid dysfunction may be an in[[direct cause of CFS. The herbs that act on the thyroid are Shilajit]], gulwel sattva, Vacha, and sarasvati. These herbs are used when CFS is associated with the throat chakra. The cardinal signs of CFS affecting this chakra are repeated sore throats, pharyngitis, and flu symptoms. For flu, we can also use mahasudarshan and Sito[[Paladi]]. sarasvati can be used in a formula for any of the three higher chakras. sarasvati is the Goddess]] of speech, intelligence, and wisdom. Above the heart is the thymus g[[Land. The thymus produces ojas and T lymphocytes, and plays an important role in the immune meChanism. In children, the thymus is quite large but it shrinks as we mature. In patients with tuberculosis or a chronic illness, the thymus is almost absent, totally consumed by the disease. The thymus g[[Land is under the control of the heart chakra. generally, when the energy of the heart chakra gets stuck, the person becomes intensely e[[motional, with a lot of grief and sadness. The lungs are the seat of grief and sadness. The same t[[Hing happens when a woman loses her loved one; she holds intense grief and sadness in her breast tissue, and she is more likely get breast cancer. Because of heart chakra imbalances, the thymus does not produce optimal numbers of T lymphocytes, which includes the scavenger and killer cells. naturally, the lymph g[[Lands become congested; the axillary and the cervical lymph nodes become tender and swollen, and the person gets a low fever. The lymphatic system, the chyle, and the thymus are all linked to rasa dhatu. The job of rasa is to produce white blood cells. In cases of thymus inhibition and CFS, we use Yashtimadhu (Licorice), Neem, gol[[denseal]] (Hydrastis canadensis), osha, or e[[wp>[[china]]cea]] to promote thymus g[[Land activity and produce white blood cells to fight infections. Manipura chakra is related to the pancreas. The pancreas can go out of balance because the person is Holding anger, judg[[ment]], and criticism in the solar plexus. The solar plexus becomes tight, which may build up stress in the pancreas, and slowly inhibit pancre[[atic]] secretions. This can lead to diabetes mellitus, or diabetes mellitus may lead to CFS as a Secondary complic[[ation. The [[diabetes mellitus patient may get myalgia and sleep disturbance, fluctuation of blood sugar, and extreme fatigue. In this case, we can use Chitrak for agni, kutki for Lekhana]] (scra[[ping]] fat), and/or Neem and Turmeric to regulate blood sugar. Svadhishtana chakra is related to the adrenal g[[Lands. The adrenals play quite an important role in CFS. There is a term called professional adrenal burnout. It means people work hard, have job and e[[motional stress, and there is insufficient adrenal secretion, causing adrenal fatigue. This could be one of the factors of CFS. The herbs that help adrenal secretion are Yashtimadhu, Gokshura, Punarnava, and even Ashwagandha or ginseng. muladhara chakra governs not only gluteal activity but also prostatic, testicular, epididymal, ovarian, fallopian, and endometrial activity. Some woman get extreme CFS in their premenstrual period, because there is an endocrine]] disorder causing fluctuations and imbalance between estrogen and progesterone hormones. Even genital and vaginal herpes can cause CFS. In these cases, we have to give supportive therapy to the muladhara chakra. The herbs that act on this chakra are Vidari, Atmagupta, Shatavari, Ashoka, and Triphala. In woman, the herbs that work on the fallopian tubes are Guduchi, Ashoka, and Bilva. In men, the herbs that work on the testicles and epididymis are Vidari and Ashwagandha. These herbs will be effective in CFS with special Refe[[rence]] to chakra and endocrine]] disorders. summary of treatments for CFS

We have seen how to treat CFS using herbal therapy. Take care of the dosha with dosha Pratyanika]], the dhatu with dhatu Pratyanika]], the specific disease symptoms with vyadi Pratyanika]], and treat the cause with Hetu[[Pratyanika]]. Amino acids, such as tyrosine, phenylalanine, tryptophan, and glutamine, as well as various minerals, may also be helpful. However you can also recommend natural food sources of these amino acids and minerals. For instance, cow's milk and almond milk are great sources of tryptophan. In fact, there are a few useful food remedies for CFS. You can soak almonds overnight, then in the morning peel them and blend them with milk, ghee, and Date sugar. This is a great drink for CFS. fresh Dates are also good. wash the Dates, dry them, remove the seed], and soak them in ghee for a couple of weeks or more. For a one month supply, you can put about 30 Dates in 1 lb. of ghee, and eat one every day in the morning. You can also chop a banana, put it in a bowl, and add warm ghee, Date sugar, and a pinch]] of cardamom. Eat it between meals and it will give you energy. since bananas are a good source of potassium, this will help muscle fatigue. At bedtime, you can drink a warm cup of milk with a teaspoon of ghee and a pinch]] of Turmeric. ghee, milk, and Turmeric at bedtime is a general tonic. The CFS patient should reduce sexual activity, avoid strenuous exercise and working under the hot sun, and minimize anyt[[Hing that causes stress. The person needs a daily regime to avoid burnout. There needs to be a balance, with plenty of rest and gentle exercise when energy permits. CFS is a complex syndrome, but Ayurveda can help a person with CFS to find balance and health in their life.

chronic_fatigue.txt · Last modified: 2018/02/26 18:11 (external edit)