YOGA – Why It Should Be A WAY OF LIFE


      

 

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June 21 was declared as the International Day of Yoga by the United Nations General Assembly on December 11, 2014.

“Yoga is an invaluable gift of India’s ancient tradition. This tradition is 5000 years old. It embodies unity of mind and body; thought and action; restraint and fulfilment; harmony between man and nature; a holistic approach to health and well-being. It is not about exercise but to discover the sense of oneness with yourself, the world and the nature. By changing our lifestyle and creating consciousness, it can help us deal with climate change. Let us work towards adopting an International Yoga Day.”—Narendra Modi, UN General Assembly

What Is YOGA :

“ Yoga” means ‘Union’ . Etymologically it is derived from Sanskrit root ‘Yuj’ meaning to bind , join , attach or join . It signifies communion with the Supreme Universal Spirit to obtain relief from pain and suffering .  According to Panini grammer it has three meanings : Union (Yujir yoge),  Samadhi (Yuj samadhau) and Constraint , Restraint (Yuj samyamana) .

Yoga has it’s roots in the “Yoga Sutras” authored by sage Patanjali , popularly known as Ashtanga Yoga. They are :

YAMA (Restraints) : Non –violence , truthfulness , non-stealing  , sexual restraint and self surrender .

NIYAMA (Observances) : Purity , contentment , intense dedication or austerity , study of self and scriptures and self surrender .

ASANA (Psycho-physical Postures ) : It is the ‘sitting posture’ or position of the body which contributes to the steadiness of the body and mind as well as sense of well being .

PRANAYAMA : It is controlled and regulated breathing , which regulates the flow of Prana and mental processes in the body .

PRATYAHARA (Withdrawal of Senses) : The rush of senses into the outer world are held back through an innate awareness of the subtle mental processes happening during the interaction of the senses with outside objects . 

DHARANA : Developing concentration through focusing the mind on any chosen thought or object .

DHYANA (Meditation) : Featured by expanded awareness .

SAMADHI : A state of shifting to a higher level of consciousness.

These practices bring about a calm and balanced state of mind & body .

Of all the practices ASANA & PRANAYAMA form the base for other higher Yogic practices.

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ASANA :

The word ‘Asana’ is etymologically derived from the Sanskrit root ‘as’ , which means to ‘sit’ .

Asana has been defined as a position or  bodily posture which not only conforms to steadiness (sthairya) but which is also equally pleasant and comfortable (sukham) i.e ‘Sthirasukham aasanam’ .

Other two characteristics of Asana are ‘Prayatna shaithilya’ i.e relaxation of effort and ‘Ananta samaapatti’ i.e merger of mind with something ananta i.e infinite .

Asana are classified into three divisions :

  • Meditative

  • Cultural

  • Relaxative

MEDITATIVE ASANA : For peace and calmness of mind and mental health.

Asana in this group are aimed to provide a comfortable and a stable position of the body to make the mind steady for the process of Dharana, Dhyana and Samadhi . Asana included in this group are :

Siddhasana , Padmasana , Vajrasana , Sukhasana , Swastikasana .

CULTURAL / CORRECTIVE ASANA : For preventive and promotive aspects of health.

Asana in this group are useful for reconditioning of the body and mind as they bring stability , peace and sense of wellbeing . The postural defects , disturbed functions of various systems , improper muscle tone must be corrected in order to cultivate correct mental attitude . Asana included in this group are :

Urdhvahastottanasana , Katichakrasana , Padahastasana ,Trikonasana , Yogasana , Konasana , Ushtrasana , Gomukhasana , Paschimottanasana, Suptavajrasana , Uttanamandukasana , Aakarnadhanurasana , Baddhapadmasana , Garbhasana , Bhujangasana , Shalabhasana , Dhanurasana , Pavanmuktasana , Sarvangasana , Matsyasana , Halasana, Chakrasana , Shirshasana ,and Mayurasana .

RELAXATIVE ASANA : For lightness , calmness and re energizing energy channels.

Relaxative Asana eliminate the physical as well as mental fatigue/tensions and work at the level of chitta ( subtle aspect of consciousness ) . Asana in this group are helpful for advance  yogic practices such as Pranayama and Dhyana . Asana included in this group are :

Vishramasana , Makarasana , Shavasana ,Yoganidra .

As per the physical practice Asana are categorized in following groups:

Standing Asana, Sitting Asana, Prone lying Asana, Supine lying Asana, Balancing Asana, Topsy turvy Asana

Standing Asana : Asana included in this group are :

 Tadasana, Urdhvahastottanasana, Katichakrasana, Trikonasana, Virasana, Chakrasana, Utkatasana, Sankatasana, Konasana, Vrikshasana, Garudasana.

Sitting Asana : Asana included in this group are :

Padmasana, Bhadrasana, Siddhasana, Swastikasana, Muktasana, Vajrasana, Simhasana, Gomukhasana, Vakrasana, Matsyendrasana, Pashchimottanasana, Guptasana, Gorakshasana, Kurmasana, UIttanamandukasana, Ushtrasana, Yogasana, Suptavajrasana.

Prone Lying Asana : Asana included in this group are :

Makarasana, Bhujangasana, Shalabhasana, Dhanurasana.

Supine Lying Asana : Asana included in this group are:

Suptapawanamuktasana, Uttanapadasana, Halasana, Chakrasana, Matsyasana, Shavasana, Sarvangasana.

Balancing Asana : Asana included in this group are:

Mayurasana, Bakasana, Kukuttasana, Shirshasana.

Topsy turvy Asana : Asana included in this group are :

Vaparitakarani, Sarvangasana, Shirshasana.      

    Asana means to become that you which you are going to practice. It is not make believe, it is not mimicking, it is not performance, it is not rigidity, it is simply any body position in which mind takes a seat, expands and then is redirected towards a specific point which then triggers the extraction of the samskaras, vikrutis, vikalpas, negative thoughts and emotions held there. This allowing helps in peeling the layer of blockages and enter into anandamaya kosha.

yoga sun salutations   

PRANAYAMA

Etymologically the word Pranayama has been derived from the combination of two Sanskrit words  ‘Prana’ – which means subtle life force which provides energy to different organs and also controls many vital life processes . ‘Ayama’ means expansion , control and extension .

There are three types of Pranayama – PURAKA (regulated inhalation), KUMBHAKA (regulated retention) and RECHAKA (regulated exhalation). During Puraka and Rechaka there is a movement of Prana and thought, while in Kumbhaka the cessation of movement is held to facilitate the stillness and ultimate dissolution of chittavritti or mental modifications.

It is necessary to practice Pranayama correctly and systematically , otherwise more physical disturbances will develop .

Some common Pranayama practices are :

Nadi Shodhan Pranayama , Surya Bhedana ,Ujjayi , Shitakari ,Shitali , Bhastrika , Bhramari.

The techniques are simply to remove the friction at the various points of entry of the prana into the body. For example: Anuloma viloma to remove friction at the level of nasal septum, nasal floor and sinuses; bhramari at the level of eye and nasal bridge, ujayi at the level of vocal chords, shitali and sitkari at the level of oral apparatus; bhastrika at the level of chest; Kagi at the level of throat and so on.

https://www.yogsadhna.com/library/for_your_mind/breath-ayama_or_prana-ayama

BANDHA :

Bandha is generally considered ‘lock’ as it literally means ‘to bind’, ‘to hold captive’ or ‘to contact’. In Yoga terminology Bandha is an action that binds or tightly holds the Prana. In other words Bandha are psychic locks used to raise the level of Prana and reverse the downward flow of Apana vayu. This reversal causes Apana and Prana to meet at Samana and brings about an awakening of the Prana in that area.

The opposite poles of energy are bound together in this technique. Through contraction of muscles and organs in physical body, the Shakti is accumulated into a particular center.

The  Bandhas are three in number:

  • Abdominal Lock or UDDIYANA BANDHA

  • Anal Lock or MULA BANDHA

  • Chin Lock or JALANDHARA BANDHA

Yogic viewpoint of Disease:

It can be seen that psychosomatic, stress related disorders appear to progress through four distinct phases. These can be understood as follows:

1) Psychic Phase: This phase is marked by mild but persistent psychological and              behavioural symptoms of stress like irritability, disturbed sleep and other minor       symptoms. This phase can be correlated with vijnanamaya and manomaya koshas.       Yoga as a mind body therapy is very effective in this phase.

2) Psychosomatic Phase: If the stress continues there is an increase in symptoms,         along with the appearance of generalized physiological symptoms such as occasional hypertension and tremors. This phase can be correlated with manomaya and pranamaya koshas. Yoga as a mind body therapy is very effective in this phase.

3) Somatic Phase: This phase is marked by disturbed function of organs, particularly the  target, or involved organ. At this stage one begins to identify the diseased state. This phase can be correlated with pranamaya and annamaya koshas. Yoga as a therapy is less effective in this phase and may need to be used in conjunction with other methods of treatment.

4) Organic Phase: This phase is marked by full manifestation of the diseased state with pathological changes such as an ulcerated stomach or chronic hypertension, becoming  manifest in their totality with their resultant complications. This phase can be  correlated with the annamaya kosha as the disease has become fixed in the physical body. Yoga as a therapy has a palliative and ‘quality of life improving’ effect in this phase. It also has positive emotional and psychological effects even in terminal and end of life situations.

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Benefits of YOGA :

  • Yoga aids in a physiological process of rebalancing the endocrine system where by the individual relaxes and inner balance gets restored.

  • It improves intra organ space and hence the physiological functions in the body . Each organ gets proper blood supply . It cleanses the accumulated toxins through various shuddi kriyas and generates a sense of relaxed lightness through vyayama type activities. Free flow in all bodily passages prevents the many infections that may occur when pathogens stagnate therein. After removal of toxins, nutrients are absorbed properly and metabolism of body improves.  

  • Abdominal muscles become strong and accumulation of fat on belly is reduced.

  • Regular practice of Pranayama reduces the workload on heart in two ways. First –deep breathing leads to more efficient working of lungs . More oxygen is brought into contact with blood sent to lungs by heart . So , heart doesn’t have to work hard to deliver oxygen to the tissues . Deep breathing leads to a greater pressure differential in the lungs which leads to an increase in the circulation , thus resting the heart a little .

         Pranayama helps to increase the vital capacity and strength of the respiratory            muscles , resulting in efficient breathing .

  • Co ordination among various functions is brought about by nervous system . The nervous tissue is highly sensitive to lack of oxygen and excess of carbon di oxide. Moderate practice of Pranayama and yogic exercises help to supply enough oxygen and remove carbon di oxide .

         Nasal passages have many nerve endings and breathing techniques can                        stimulate calming centers of brain .

         Yoga integrates body movements with the breath thus creating psychosomatic            harmony. In Yoga the physical body is related to annamaya kosha (our anatomical existence) and the mind to manomaya kosha (our psychological existence). As the pranamaya kosha (our physiological existence sustained by the energy of the breath) lies in between them, the breath is the key to psychosomatic harmony.

  • The Thyroid and parathyroid are pressed in Jalandhar Bandha . The Thymus and Adrenals are influenced by the pressure changes in the thoracic and abdominal cavities while the Gonads are influenced by Uddiyana Bandha and Mula Bandha . All these glands are kept healthy by Pranayama .

  • Rejuvenates the skin . The skin becomes smoother and reduces the facial wrinkles .

  • Improves joint function and mobility:

         The Asanas promote better muscle co ordination and strength. Scientific  studies  on  yoga  demonstrate  that  yoga improves dexterity, strength and musculo-skeletal coordination of the practitioners. Postures assumed during yoga practice are mainly isometric exercises which provide optimally maintained stretch (https://www.yogajournal.com/teach/what-s-in-a-stretch) to the muscles. Series of asanas involve assumption of the pose followed by counter pose i.e. it involves co-ordinated action of synergistic and antagonistic muscles which brings increased steadiness, strength, stamina,  flexibility,  endurance,  anaerobic  power, better neuro-muscular coordination and improved orthostatic tolerance. Body weight is itself used to provide load to the muscles and bones. This load bearing strengthens the bones and prevents age-related weakening, thus helping in prevention of osteo-porosis. A properly selected set of exercises stretches nearly all joints and joint capsules without much danger of injuries and exhaustion.

Bera & Rajapurkar have reported  significant  improvement in ideal body weight, body density, cardiovascular endurance and anaerobic power as a result of 1 year yoga training in children aged 12-15 years. Clearly, yoga practices should be started at an early life.

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  • Yoga improves cognitive functions (Improves mental and emotional health) :

           It reduces Anxiety levels. Cognitive functions are intellectual processes by which one becomes aware of, perceives, or comprehends ideas. These functions help us to focus on the problem, process the required information, arrive at the logical conclusion, make decision and then execute the task. Studies show that practice of yogic techniques cause improvement in aspects of perception, thinking, reasoning, and remembering the task. Yogic techniques especially dhyan and shavasan improve attentiveness. Increased attentiveness decreases response time or reaction time. Reaction time is an index of the processing ability of central nervous system and a simple means of determining sensory-motor performance.

  • Effect on  pregnancy

         Narendran et al found that yoga practices including physical postures, breathing, and meditation practiced by pregnant women for one hour daily resulted in an increase in birth weight, decrease in preterm labor, and decrease in IUGR either in isolation or associated with PIH, with no increased complications.

Beddoe et al found that women practicing yoga in their second trimester reported significant reductions in physical pain from baseline to post intervention. Women in their third trimester showed greater reductions in perceived stress and trait anxiety. From this it is clear that yoga can be used to prevent or reduce obstetric complications.

Conclusion:

Yoga  affects  every  cell  of  the  body.  It  brings  about better  neuro-effector  communication,  improves strength of the body, increases the optimum functioning of all organ-systems, increases resistance against stress and diseases and brings tranquilty, balance, positive attitude and equanimity in the practitioner which makes him lead a purposeful and healthier life.

Scientific research in recent times has showed that the physiological, psychological and biochemical effects of Yoga are of an anti-stress nature.

Yoga has preventive, promotive as well as curative potential and that a yogic lifestyle confers many advantages to the practitioner. Since lifestyle related diseases are alarmingly on the rise in our modern society, yogic lifestyle that is cost effective and relatively safe, should be given a special place in preventing and managing these diseases.

            “A little practice of Hatha Yoga (Asana & Pranayama) will give you good Health. Raja Yoga will steady your Mind. Upasana & Karma Yoga will purify your Heart and prepare you for the practice of Vedanta. Sankirtan will relax your Mind and Inspire you. Meditation will take you to Liberation.” – Swami Sivananda

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Further Reading:

Physiological Benefits Of Yogic Practices: A Brief Review (PDF Download Available). Available from: https://www.researchgate.net/publication/306106606_Physiological_Benefits_Of_Yogic_Practices_A_Brief_Review [accessed Jun 20, 2017].
Role of yoga in health and disease. (PDF Download Available). Available from: https://www.researchgate.net/publication/269689017_Role_of_yoga_in_health_and_disease [accessed Jun 20, 2017].
Psychosomatic Mechanisms Of Yoga (PDF Download Available). Available from: https://www.researchgate.net/publication/262185737_Psychosomatic_Mechanisms_Of_Yoga [accessed Jun 20, 2017].

common-yoga-protocol

Ayurvedic Remedy For Obesity


                                  Today is Anti Obesity Day

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Obesity or Sthaulya is the most common nutritional disorder in the present era. It has reached epidemic proportions globally with more than 1 billion adults overweight – atleast 300 million of them clinically obese – is a major contributor to the global burden of chronic diseases and disability.

Childhood obesity is also on rise. An estimated 22 million children under five are estimated to be overweight worldwide. The prevalence of obese children aged 6 -11 years is becoming a global problem and increasingly extending into the developing world.

childhood obesity

Sthaulya – In Ayurveda , Sthaulya or obesity is considered as one of eight condemned human constitutions.

Sthaulya according to Ayurveda is – when a person is having excessive and abnormal increase of medodhatu ( fat tissue ) along with mamsadhatu ( muscle tissue ) and results in pendulous appearance of buttocks, belly, breasts and whose increased bulk mass is not equal to a corresponding increase in energy.

Obesity – Excess deposition of adipose tissue in the body is known as obesity. It exists when body weight is 120% above the ideal weight.

bmi-calculator

Classification:

Hina Sthaulya (Overweight)

Madhyama Sthaulya (Obesity class 1& 2)

Adhika Sthaulya (Severe or Morbid Obese)

Cause :

Mainly faulty diet and sedantary lifestyle. It can be classified into

1) Ahara 2) Vihara 3) Vichara 4) Bijadosha

1) Ahara ( Diet ) :

* Overeating, increased heavy, cold, sweet, oleogineous food articles.

* Low fiber diet

* Intake of excessive madhur rasa ( sweet ) during pregnancy leads to birth of obese child. (Fats give taste to food ,which stimulates appetite centre and intake of food increases).

anti obesity food2

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2) Vihara (Routine): Physical inactivity, lack of exercise, sleeping during daytime.

3) Vichara (Mental Status): Either no stress or excessive stress, depression, loneliness. (Ingestion of food has been used to reduce the feeling of emotional deprivation).

4) Bijadosha ( Hereditary )

anti obesity  day

Management :

Nidan Parivarjana (Avoidance of causative factors)

Samshodhan Chikitsa (Purificatory measures)

Sanshaman Chikitsa (Palliative measures)

Nidan Parivarjana : The causative factors should be avoided.

Samshodhan Chikitsa:  Lekhan Basti ( enemas ) , Udvartan                                                         ( massage with dry herb powders)

Sanshaman Chikitsa : It includes Diet, Physical activity &                                                        Herbs.

Diet :

Cereals & Pulses: Rice , oats , barley , green gram ,bengal gram, horse gram, red lentil , kidney beans , pigeon pea .

Vegetables & Fruits: Sponge gourd , horse radish, brinjal , cucumber ,   ginger , radish , carrot , jamun ( java plum ) , bilva  ( stone apple ) , three myrobalans (amalaki , haritaki , bibheetaka ) , kapith ( wood apple) , cardamom , black pepper , long pepper , citrus fruits.

Fluids : Warm water , buttermilk , sesamum oil , mustard oil , honey .

These should be included in diet.

Physical Activity :

Physical activity should be increased. Research shows that exercise for 10 – 15 minutes at a stretch for 4 – 5 times a day is beneficial than doing exercise for 30 -40 minutes at a stretch. Optimum time to prevent obesity is during age 5 – 10 years.

physical-activity-pyramid

Yoga is beneficial in controlling obesity. Nadi shodhan pranayam , meditation and asanas mainly surya namaskar (Sun Salutations), paschimottanasana (Posterior Stretch Posture), suptapavanmuktasana (Lying wind release Posture ), bhujangasana (Cobra Posture), katichakrasana (Lumbar – Wheel Posture) etc help one’s body and mind to stick to the conviction and to work with firm determination.

For complete article click :  http://www.spiceflair.com/ayurvedic-remedy-for-obesity/

Ayurveda And Diabetes During Pregnancy (Gestational Diabetes)


                                            Today is World Diabetes Day 

                                     DIABETES : PROTECT OUR FUTURE

diabetes logo

Diabetes is the most common medical complication of pregnancy and it has increased about 40% . The increasing prevalence of Type 2 Diabetes in general and younger people in particular has led to an increasing number of pregnancies with this complication .

Women can be separated into :

–  those who were known to have Diabetes before pregnancy –                         Pregestational or Overt 

–  those diagnosed during pregnancy – Gestational .

There is keen interest in events that precedes Diabetes which includes the mini environment of the uterus , where it is believed that early imprinting can have effects later in life ( Saudek 2002) . For example in utero exposure to maternal hyperglycemia leads to fetal hyperinsulinemia , causing an increase in fetal fat cells, which leads to obesity and insulin resistance in childhood . This in turn leads to impaired glucose tolerance and Diabetes in adulthood . Thus a cycle of fetal exposure to Diabetes leading to childhood obesity and glucose intolerance is set in motion .

gestational-diabetes

GESTATIONAL DIABETES MELLITUS :

Gestational Diabetes Mellitus is defined as carbohydrate intolerance of variable severity with onset or first recognition during the present pregnancy . An alternative explanation is that Gestational Diabetes is Type 2 Diabetes unmasked or discovered during pregnancy .

Risk Factors :

a)      Positive family history of Diabetes

b)      Having a previous birth of an overweight baby of 4 kg or more

c)       Previous stillbirth

d)      Unexplained perinatal loss

e)      Presence of polyhydramnios ( excessive amniotic fluid ) or recurrent vaginal infection in present pregnancy

f)       Persistent glycosuria

g)      Age over 30 years

h)      Obesity

i)        Ethnic groups ( East Asian , Pacific Island)

Screening :

The method employed is by using 50 gm oral glucose challenge test without regard to time of day or last meal , between 24 – 28 weeks of pregnancy . A plasma glucose value of 140 mg percent or that of whole blood of 130 mg percent at 1 hour is considered as cut off point for consideration of a 100 gm ( WHO – 75 gm ) glucose tolerance test .

Complications :

a)      Increased perinatal loss is associated with fasting hyperglycemia . Fetal anomalies are not increased due to the absence of metabolic disturbance during organogenesis in early pregnancy.

b)      Increased incidence of Macrosomia ( Fetal Macrosomia is defined as infants whose birth weight exceeds 4500 gm) .

c)       Polyhydramnios

d)      Birth trauma

e)      Recurrence of GDM in subsequent pregnancies is about 50 %

OVERT DIABETES :

A patient with symptoms of Diabetes Mellitus ( increased urination , increased thirst , weight loss ) and random plasma glucose concentration of 200 mg / dl or more is considered overt diabetic  . The condition may be pre existing or detected for the first time during present pregnancy .

According to American Diabetic Association , diagnosis is positive if

a)      The fasting plasma glucose exceeds 126 mg / dl

b)      The 2 hour post glucose ( 75 gm ) value exceeds 200 mg / dl

Patients with poor glycemic control and vascular disease are at increased risk of complication of IUD , IUGR , Pre eclampsia and Ketoacidosis .

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Complications :

MATERNAL :

During Pregnancy :

  • Abortion

  • Preterm Labour ( 20% )

  • Infection – Urinary tract infection and vulvo vaginitis

  • Increased incidence of Pre eclampsia ( 25 % )

  • Polyhydramnios ( 25 – 50% )

  • Maternal distress

  • Diabetic Retinopathy

  • Diabetic Nephropathy

  • Ketoacidosis

During Labour :

  • Prolongation of labour due to big baby

  • Perineal injuries

  • Postpartum haemorrhage

FETAL :

  • Fetal Macrosomia  – With good Diabetic control , incidence of Macrosomia is markedly reduced .

  • Congenital Malformation – It is related to the severity of Diabetes affecting organogenesis , in the first trimester ( both in Type 1 and Type 2 Diabetes ) .

  • Birth injuries

  • Fetal death

NEONATAL :

  • Hypoglycemia ( < 37mg / dl )

  • Respiratory distress syndrome

  • Hyperbilirubinemia

  • Cardiomyopathy

Macrosomia

AYURVEDA :

In Ayurveda Madhumeha disease can be correlated with Diabetes Mellitus . Though there is no direct reference of Gestational Diabetes but Garbha Vriddhi is described as a complication .

Garbha Vriddhi : In Garbha Vriddhi , there is excessive increase in size of abdomen and perspiration . Labour is difficult .

This can be understood as Overweight fetus or Macrosomia .

MANAGEMENT :

Ayurveda helps in limiting the maternal and fetal complications . Herbs are helpful as a supportive treatment along with the modern medicine under supervision .

Generally beneficial , congenial , purifying and suppressive dietetics and mode of life , not causing loss of doshas and dhatus but capable of decreasing the increased doshas and dhatus should be used .

Garbhadhan Vidhi : Pre conception counseling is a must .

Diet : Following can be included in the diet ( in moderation ) :

Vegetables : Bitter gourd , fenugreek leaves , tomatoes , bell pepper , spinach , cucumber , radish , sponge gourd , drumstick leaves & fruits , broccoli , kale , lettuce , cauliflower , cabbage .

Pulses : Mainly beans – green gram , bengal gram , black eyed pea , garbanzo beans , chick pea .

Spices : Turmeric , cinnamon , garlic , fenugreek seeds .

Cereals : Wheat , barley , pearl millet , oats .

Fruits : Plums , kiwi , lime , oranges , guava , java plum / black plum , apple,  peaches , gooseberry .

Dry Fruits : Almond , apricot , walnut .

gestational diabetes 3

                   Though the most appropriate diet for women with Gestational Diabetes has not been established , it is suggested that obese women with a body mass index greater than 30 kg / m2 may benefit from a 30 – 33 % caloric restriction .

                   This should be monitored with weekly tests for ketonuria because maternal ketonemia has been linked with impaired psychomotor development in the offspring .

Physical Activity : Physical activity during pregnancy reduces the risk of Gestational Diabetes .Resistance exercise helps avoid insulin therapy in overweight women with Gestational Diabetes .

Pranayam and Yogasana is beneficial .

gestational daibetes2

Herbs : Tinospora cordifolia , Holarrhena antidysenterica ,                                Rubia cordifolia , Emblica officinale , Boerhavia diffusa , Withania somnifera , Tribulis terrestris , Hemidesmus indica etc can be given under supervision .

Ayurvedic Management Of Dysmenorrhoea



         One of the major causes of absenteeism from work , decreasing efficiency and quality of life amongst women is Dysmenorrhoea , also called Menstrual cramps . The word Dysmenorrhoea is derived from Greek word : Dys – difficulty , Menorrhoea – monthly flow . Thus it is defined as pain associated with menstruation . It is the commonest gynecological disorder affecting women in reproductive age group .

      In Ayurveda , the diseases in women are described under ‘ Yonivyapad ’ where Yoni means genital organs and Vyapad means diseases . One of them having similarity with dysmenorrhoea is Udavartini Yonivyapad . The cause of painful menstruation is Vata . The pain is before onset of menses which is relieved with start of menses .

dysmenorrhoea1

Classification of Dysmenorrhoea :

a)      Primary or Spasmodic :      It is the painful menstruation in the                                                                              absence of pelvic pathology . It is                                                                                  essentially a first day pain .

b)      Secondary or Congestive : It is the painful menstruation secondary to                                                                underlying organic disease of the pelvic                                                                      organs . Pain may continue throughout                                                                        flow.

Risk Factors :

a)      Menstrual Factors : Early menarche ; long and heavy menstrual                                                              cycles.

b)      Cigarette smoking

c)       Behaviourial & Psychological Factors :

  • Just before and during menstruation , most women are less efficient physically and more unstable emotionally – these factors lower the pain threshold .

  • Expectation of pain can be fostered by overanxious parents and by curtailment of normal physical activities during menses .

  • Unhappiness at home or work .

d)      Uterine hyperactivity and incoordinate muscle action of the uterus .

e)      Hormonal Imbalance : It has been observed that progesterone                                                                      induces high tone to the uterus .

f)       Prostaglandins : They increase the sensitivity of the nerve endings to                                              pain .

dysmenorrhoea

Sign & Symptoms :

     Primary Dysmenorrhoea :

  • Pain is experienced a few hours before and after the onset of menstruation and rarely lasts for longer than 12 hours .

  • It is colicky in type and causes her to double up .

  • Pain is felt in lower abdomen , inner and front aspects of the thighs .

  • Some low backache may be present .

  • During severe attack , woman looks drawn , pale and may sweat . Nausea , vomiting are common . There may be diarrhea and rectal and bladder tenesmus .

  • In  50 %  of cases the pain does not arise until 6 – 12 months after menarche .

    Secondary Dysmenorrhoea:

  • It usually develops after a phase of painless menstrual cycles and is seen at older age .

  • Pain is worst premenstrually and relieved during menses .

  • It is diffuse , dull ache in the pelvis often accompanied by backache .

  • Most common causes are Pelvic inflammatory disease ( PID ) ,                     endometriosis , IUCD etc .

Management :

a)      General Measures :

i)    Counselling : Explaining young girls regarding the condition and reassurance should be an essential component in the treatment plan . Girls should be taught to have a proper outlook on menstruation and health in general .

ii)    Improvement in nutritional status and dietary changes .

 b)      Physical Activity : It can be in the form of yoga , walk , exercise ,                                                           aerobics etc . The yogasanas which are helpful in                                                           dysmenorrhoea are pavanmuktasana ,                                                                         bhujangasana , paschimottanasana ,                                                                             katichakrasana , Pranayam etc .

pashimottanasana

pavanmuktasana

 c)      Diet :

  • Do’s : whole grains – wheat , rice , oats , millets , quinoa ; fruits , green leafy vegetables , legumes , nuts , seeds – sesame , pumpkin , flax ;  spices –     ginger , garlic , cumin , turmeric , ajwain etc .

  • Dont’s : Cold , salty , sour , junk food , meats , processed food , soft drinks , alcohol.

 d)      Home Remedies :

         For complete article click :   http://ethnichealthcourt.com/2013/08/29/ayurvedic-management-of-dysmenorrhoea/