In modern medicine, edema refers to massive swelling and swelling (shota in Sanskrit) refers to localized swelling (utseda in Sanskrit). If the skin of the entire body is raised as a result of excess fluid, it is samhatam edema. In samhatam edema, the skin becomes stretched like a balloon, where there is bulging and stretching of the skin.
Edema is the result of failure of normal lymph drainage. Normally, the lymph nodes (Kapha and rasa dhatu) filter fluid as it flows through them, trapping bacteria, viruses, and other foreign substances (called ama in Sanskrit), which are then destroyed by special white blood cells called lymphocytes. When normal lymph drainage fails to occur, the fluid can build up in the affected arm or leg, resulting in lymphedema, which is a collection of fluid in the arms and legs that causes swelling. Lymphedema can also be caused by the medication tamoxifen (Nolvadex), radiation therapy, and injury to the lymph nodes. This is called secondary lymphedema.
Other signs of edema include:
* heaviness * increase of body weight due to [[water]] retention * Intratendital spaces of [[hand]] are obliterated * Goosebumps. Because of swelling, hairs stand-up and looks like goosebumps. * Stretched [[skin]] * [[veins]] become invisible * skin is swollen * skin looks [[cold]] * ascites * Pallor. color changes due to [[doshic]] changes
Edema is the result of excess Vata, Pitta, or Kapha.
Vata edema is generally due to exposure to cold weather. Swelling is at the periphery, especially to doshal part of hand and feet. Capillaries constrict. It is common in the winter season. The skin swells like a balloon, but there is no pitting when the skin is pressed. As well, the skin is dry and cold; pulse is fast and feeble.
Vata edema is non-pitting edema (Nonnamati prapidata) and includes subcutaneous edema and gaseous edema.
When edema is the result of excess pitta, the skin swells with hives, rash, etc. and the swelling is red and sensitive when pressed. The skin is hot, flushed, and inflamed. The person gets nausea, vomiting, and fever. It can create drowsiness and unconsciousness. Pitta edema can be localized or generalized.
Pitta edema is sparsha sahata prapidata and includes hematoma, celulities, allergic swelling, and abcess.
Note: Karposi’s sarcoma is a Pitta-Kapha Shotha.
When edema is the result of excess kapha, the liquid component of plasma, protein and lymphatics and the liquid component of Kapha is pushed from the blood vessel, resulting in increased permeability. It is like osmotic pressure. It will go from high concentration to low concentration, ghana to drava within the cell membrane. Because Vata is aggravated by increased ghana quality, it will create pressure on blood vessel, increasing capillary permeability. skin, subcutaneous fat, muscle, will create localized swelling or lack of tone of skin so skin is stretched. The skin is cold and damp.
Kapha swelling includes:
* pitting on pressure * gradual swelling * puffiness of [[eyes]] due to [[kidney]] dysfunction * [[Nephrotic syndrome]] * [[ascites]] * [[congestive heart failure]] * paleness in the [[face]], [[genital organs]] (female), [[tongue]], and [[gums]] * whiteness of the eyes
Kapha edema includes solid edema such as elephant leg, ghana, and lymphatic swelling. Solid edema could be lymphatic or due to an organism in the person’s body. It also includes chronic anemia, edema kidney disorders, nephrotic syndrome, hypertension edema and increased blood urea.
Edema can be present in anemia or lymphatic obstruction.
Edema can be due to:
* consumption of [[excess]] [[salt]], [[sugar]], and Kapha type of food. * Pitta person eating sour fruit, drinking alcohol, sleeping during the daytime. heavy meals. * [[hemorrhoids]], person loses [[blood]], creating anemia. * Insufficient [[exercise]]. * wrong kind of [[Pancha Karma]], when [[ama]] is present. * [[trauma]] to marma can create localized swelling. * pregnancy can create swelling on feet. Eclampsia, toxemia. * wrong treatment, creating allergy leading to swelling. * edema to trachea or brain. * Also due to allergic manifestation, such as hay fever or drug allergy or sting bite. * Sting bite can create nephrotis because]] of toxicity of sting, pitta type.
There is a change in concentration of interstitital and intervascular fluids. As fluid moves from high to low concentration, creates swelling. cardiac edema, because of congestive heart failure, congestion in veins. cardiac edema becomes worse in evening because of gravity, is Vata type. renal edema is worse in morning Kapha.
Samprapti may be generalized or localized or topical. glaucoma is localized swelling within the eyeball. hydrocele is localized swelling within the scratal skin. Hydrocephalis is swelling in brain, cerebral edema. pericardial edema creates pressure on the heart. lung edema. The approach of modern medicine is to treat these conditions as localized. Ayurveda deals with whole picture.
cardiac edema (kapha)
pushkarmula (Elecampane) 300 regulates capillary permiability
1/2 t tid
Triphala 1 t tid
__If infection add:__
1/2 t tid with CCF [[tea]]
purgative and [[diuretic]]
__If hypertension add:__
Shatavari 500 OK to use after first 2 months
1/2 t tid with CCF
Helps [[relieve]] constipation and [[pressure]] from ileac [[pain]]
Give same treatment to pregnancy edema with eclampsia. Can create spasm, albuminuria, high blood pressure. Add passion flower and hawthorn if hypertension present. Sarpagandha contains Sarpina. If too high a dose can create depression. Sarpina is one active ingredient that creates depression. However, other active ingredients counteract. So Sarpagandha should be taken as a whole.
legs look like elephant’s foot. Dr. Lad saw one man whose penis looked like that, also nose. Severe lymphatic obstruction. skin becomes hard and rough like elephant’s skin. Difficult or impossible to treat. However one herb effective for Ghana Shotha.
Paribhadra 400 – not available here. Looks like Neem. Neem also effective.
Suvarna Raj Vangeshwha 200 – gold and Vangabhasma
Sutshekhara 200 – contains Mercury. Use black pepper
1/2 t tid with [[ghee]] Or [[black]] [[pepper]] with [[ghee]] orally as well as topically
1/2 t tid
RD increase→ waste product increase → kapha disorders creates lymphatic congestion, swelling, edema, pallor, excess salivation, nausea, vomiting, ovarian cyst, leukharia, fibro cystic breasts (enlarged), repeated fungal infection, yeast infection, obesity (DurveA:1:36)
**rasa GATA **
**mamsa GATA **
mamsa GATA (Kapha)
ambu vaha Srotas body temperature lubrication, gives energy, elimination of wastes, electrolyte balance soft palate (talu) 3rd ventricle of brain, pancreas (kloman), lungs (phupphusam) GI mucus membrane kidney (vrkka), tongue (jihva), pores of skin (Tvak)
signs and symptoms
ask about urinary habits, examine the urine, ask about thirst, Water consumption, look for any edema, sunken eyes, check conjunctiva, tongue, skin for dryness fear, grief, mobility, flexibility, good taste intelligence gulpha, pad madhya, vrikka, dry lips, tongue, palate; excess thirst, dehydration, sunken eyes, sunken fontanel, pinched skin (tents when pinched), extreme debility, edema, dropsy,
Vata - falling dreams, being attacked, pursued, doing something frozen with fright, death of loved one, being locked up, snakes, autumn, fulfillment, falling deep down into valley, flying dreams - gases in colon and colon flying
Pitta - schooling, teaching, studying, being late, overeating, house on Fire, failing exam, killing someone, inappropriately dressed, nude in public, summer, problem solving, angry, violence, shouting
anupan’s for 7 dhatus
- s[[ama]] and nir[[ama]] of 3 [[dosha]]s
[[Kapha]] Nir[[ama]] [[tendency]] to retain [[Water]], [[edema]], [[swelling]] 1 tsp. [[honey]] + [[hot]] [[Water]], CCF [[tea]]
s[[hot]]ha - [[edema]] [[cardiac]] [[edema]] - worse in [[evening]], [[renal]] [[edema]] - worse in morning• cardiac edema - shringa bhasma • renal edema - Punarnava • pulmonary edema - Kantakari • [[cerebral edema - jatamamsi • hypoproteinic edema - Gokshura • edema due to anemia - Loha bhasma
[[nose]] = doorway to [[conscious]]ness, [[brain]] acts on [[prana]], [[udan]]a]], [[tar[[pak]]a, [[sadhak]]a, and [[direct]]ly on [[majja]] [[dhatu]] and mano[[vaha]] [[Srota]]s]] helps [[decrease]] remnant [[toxin]]s and impurities during PK specific for [[disease]]s of supraclavicular areas acts on entire [[body]] through [[whole]] [[majja]] [[dhatu]]
bruhana nasya - medicate]]d, calms V shamana nasya - sedative, calms P virechana nasya - calms K pradhaman nasya - dry powder, for instantaneous action ex. epilepsy - vaccha powder Ginger jaggery nasya - for renal edema, increase renal threshold, clears sinuses
[[Kapha]] AVRTA [[apana]] 5/16/00 [[Kapha]] [[block]]ing [[apana]] [[vayu]]
adhah - [[lower]] [[shita]]ta - [[cold]], [[clammy]] [[sensation]] kaye - [[body]] [[Kapha]]vrte - [[block]]ed by [[Kapha]] [[guru]]tva - [[heavy]]
[[chronic]] [[condition]] - ankle [[swelling]], [[edema]]
Sx in Srotamsi artavaSrotas]]: repeated vaginal infections, trichomonis yeast infection, cystic changes in ovary, endometriosis - undue thickening of endometrium into fallopian tube and pelvic cavity, delayed menstruation, K type PMS: Water retention, depression, drowsiness, swelling mutravaha Srotas]] - albuminurea, kidney ureter or bladder stones shukravaha Srotas]] - prostatic calculi, benign prostatic hypertrophy purishavaha Srotas]] - repeated amoebic dysentery= amoebiasis, amoebuma - huge benign encapsulated tumor
TX • abhyanga of lower extremity= adha kayobhyanga • adha kaya avagaha - tubbath with Ginger baking soda - muscle relaxant, helps capillary action, decreases pain • anu[[Vasan]]a basti - sticky quality of K sticks to intestines mucus in stools
1 [[cup]] [[sesame]] [[oil]] to lubricate [[colon]], [[pacify]] V, [[will]] [[increase]] K so slides out and doesn’t stick [[oil]] douche also good for [[white]] [[sticky]] [[discharge]], or [[Licorice]] douche with [[sesame]] [[oil]]
[[massage]]s pro[[static]] [[wp>[[gland]]
after couple of days of anu[[Vasan]]a basti - person feels great, warmth in lower extremities apana vayu - becomes anuloma, foot swelling decreases, sesame oil acts as diuretic • Kutaja (200) - if K type diarrhea, mucus in stools • straining and tenesmus, but no loose stools
straining can loosen liga[[men]]ts of [[rectum]] rectal [[prolapse]] grad[[ash]]ramsha tx with [[Chukra]]tailam - 1 [[cup]] [[sesame]] [[oil]] + 1 tsp [[vine]]gar, do [[basti]] [[Chukra]] - like [[vine]]gar, very [[sour]] or apply on [[rectum]] and [[pus]]h inside, then apply kambarband
[[will]] [[strength]]en liga[[men]]t, only after [[Chukra]]tailam [[basti]] tx to [[decrease]] K first
can substitute with san[[Jiva]]ni (200) TID
• Kutaja arista - 1 gallon + yeast + jaggery, 700 temperature with electric blanket allows it to ferment take 4 tsp before food will act on apana vayu • virechana - works on entire GI track • sat isabgol - silium husk, boil 1 tsp silium seed] in 1 cup Water tea, drink whole cup - removes K from GI track • kidney stones - flush out with beer, or beer + c[[handra]]prabha (200 mg) TID • Ghritavarti - suppository, dip cotton in tiktaGhrita and make finger size tampon, introduce into rectum, dissolves by rectal temperature and stimulates mass [[peristalsis • ganesh dhauti - dip middle finger into Castor oil, rub around anal orifice a couple of times, enter in to rectum up to linea alba - switch that activates muLadhara]] chakra
[[ear]]lier stage of rectal [[prolapse]] - [[patient]] can do [[Ghrita]]varti and [[gan]]esh dhauti do after good [[bowel]] [[movement]], [[wash]] [[anal]] [[orifice]] [[proper]]lly = [[self]] induced [[basti]], awakens [[kundalini]] shakiti [[gan]]esh - [[deity]] of mu[[Lad]]hara]] [[chakra]], dhauti - to [[wash]] or clean
so must keep linea alba well lubricated
[[shoulder]] s[[tan]]d, leg lifting, [[Plow pose]], [[sound]] [[sleep]] at [[night]] - [[burn]]s 200 calories squatting [[pose]] - for 5 mins [[will]] [[burn]] 11 calories, everts [[pressure]] on [[liver]] and [[Spleen]]
Pharmacological Actions: cardiac, diuretic, cough suppressant [[cerebral diuretic (white), diuretic, antirheumatic, vasodilator, laxative, antiepileptic, anticonvulgent, bronchodilator, expectorant; Kapoor–bitter, stomachic, laxative, expectorant, diaphoretic, emetic, purgative, anthelMintic, febrifuge, snake venom antidote;
properties: • active principle - punarnavine • contains boerhavic acid - has diuretic action • contains tannin - stimulates adrenals • has potassium nitrate - anti-flatulent, (K+ loss creates abdominal distention) • does rejuvenation of renal function, acts as urinary anti-bacterial, affinity to kidney • breaks down KD stones • improves glomerular threshold, tx acute glomerular nephritis • helps decrease serum cholesterol, tx lipideia • decreases blood sugar • decreases BP because of diuretic action, but doesn’t create K+ loss like most diuretics • tx edema - extravasation of vessels into interstitial tissues, changes osmotic pressure movement of fluid/ Punarnava maintains osmotic pressure - that’s why decreases swelling and no K+ loss • tx nephritic syndrome • anti-rheumatic factor tx rheumatoid arthritis, gout • affects pulmonary immune function
abhraka - mica [[ash]], maintains [[pulmonary]] [[immune]] [[function]]
Tx: • tx CCF, ascites, pleurisy, asthma, anemia, cystitis, prostatitis, acute glomerular nephritis, pulmonary edema, cardiac edema, renal edema, pitting on pressure edema • best herb for polycystic kidney • glaucoma = increased intra[[ocular pressure, wash eyes with distilled Water of Punarnava or 1 tsp. Punarnava boiled with 1 cup Water for 3 mins, cool, strain • tx asthma, lung edema, bron[[chiectesis - dilation of bron[[chi and increased secretion of Kapha • cystic fibrosis - Vata pusHing Kapha in pranavaha Srotas]] Kapha molecules responsible for fibrocystic changes Punarnava (500 mg), Pippali (250 mg), abhrak (250 mg), Kantakari (300 mg) - tsp. TID • congestive heart failure - Punarnava (500 mg) + Arjuna (400 mg) + shringa bhasma (200 mg) • kidney stones - Punarnava does de-crystallization
[[Punarnava]] (500 mg) + [[Gokshura]] (400 mg) + [[c[[hand]]ra]]prabha ([[200 mg]]) + [[beer]] as [[anu]]pan - does [[renal]] flus[[Hing]], [[will]] pass [[small]] crystals
• uterine fibroids - kutki (300 mg), Chitrak (200 mg), Punarnava (500 mg) • low KD energy - corresponds to decreased glomerular threshold in Western medicine, use Punarnava with Gokshura or Shilajit • diabetes - Punarnava used with tikta to decrease blood sugar • swelling - Punarnava tea basti
KV - P+
tissues——-plasma, blood systems——urinary, circulatory actions——- alterative, blood tonic, diuretic, rejuvenative Indications — - anemia, edema, difficult or burning urination, kidney stones, heart disease, alcoholism, hepatitis, hemorrhoids Precautions —–dehydration preparation —- - powder (250 to 500 mg), decoction
Punarnava literally means the plant that makes one new again and has a special power to renew our health and vitality. It rebuilds the blood and strengthens the kidney, improving its function and through revitalizing this key organ, aids in our oVerall health and vitality. Punamava is particularly good for conditions of weak kidney function leading to Water retention and edema. As a tonifying diuretic it is often combined with Gokshura. (LadYoga]]Hrb)
Ajwain – Apium graveolens – wild celery seed] family name - umbelliferae part used - seed], root Rasa: katu-pungent Virya: ushna - hot Vipak: katu-pungent action on doshas: V v P ^ K v long-term increase Vata because drying, light, nerve stimulant
properties: • mainly used as diuretic because stimulates absorption from kidney, so release more fluids • stimulates GI track • antispasmodic, nerve stimulant, burns ama in GI track • carminative - herb that releases gas • seed] - also aphrodisiac, antispasmodic
more c[[arm]]i[[native]] than the [[root]]
(SpelmanHrb0699)• edema= shotha, 1 tsp. bhringaraj + 1 tsp. Punarnava make tea and boil with 1 cup of Water, BID - morning and evening, will act as diuretic (beauty of this diuretic is no potassium loss which usually leads to fatigue) • edema–, Punarnava, goksura 1/3 each 1/4t TID Jyotishmati - obesity/cholesterol/edema: steep O/N 1/2t 1 sip before and after meal = 6/day • edema–1/3 each of Kutaja, Punarnava, goksura (swelling ankle and face esp.)
Wu Ling San powder of five herbs with Poria Aka Wu Ling San teapills (Wu Ling San wan) Ingredients Alisma plantago aquatica rhizome,Poria cocos fungus,Atractylodes macrocephala rhizome, polyporus umbellatus fungus, Cinnamomum cassia twig Ze xie, Fu ling, Bai Zhu, zhu ling, Gui zhi
xiang]] Sha Liu Jun Zi tang Saussurea and Amomi Combination, aka six Gentlemen Plus teapills xiang]] Sha Liu Jun Zi wan Ingredients: Atractylodes macrocephala rhizome, Poria cocos fungus, Codonopsis pilosula root, pinellia ternata rhizome, citrus reticulata peel, Amomum villosum fruit, Aucklandia lappa root, Glycyrrhiza uralensis root, Ziziphus jujuba fruit, Zingiber officinale rhizome-fresh,/br>Bai Zhu, Fu ling, Dang Shen Ban xia, Chen pi, Sha Ren, Mu xiang]], Gan Cao, Da Zao, sheng]] jiang