CREST SYNDROME- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga

CREST syndrome is characterized by calcinosis, Raynaud phenomenon, oesophagal dysmotility, sclerodactyly, telangiectasia. It is also known as limited cutaneous form of systemic sclerosis.

SIGNS AND SYMPTOMS OF CREST SYNDROME
CAUSES OF CREST SYNDROME
PATHOPHYSIOLOGY OF CREST SYNDROME
DIAGNOSIS OF CREST SYNDROME
TREATMENTS FOR CREST SYNDROME
PROGNOSIS OF CREST SYNDROME
COMPLICATIONS OF CREST SYNDROME
CREST SYNDROME AND AYURVEDA
NIDANA- AYURVEDIC CAUSES OF CREST SYNDROME
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CREST SYNDROME
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CREST SYNDROME
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF CREST SYNDROME
AYURVEDIC PROGNOSIS OF CREST SYNDROME
CHIKITSA- AYURVEDIC TREATMENT FOR CREST SYNDROME
AYURVEDIC LOCAL TREATMENT FOR CREST SYNDROME
AYURVEDIC SAMANA TREATMENT FOR CREST SYNDROME
AYURVEDIC SHODHANA TREATMENT FOR CREST SYNDROME
COMMONLY USED AYURVEDIC MEDICINES FOR CREST SYNDROME
HOME REMEDIES FOR CREST SYNDROME
DIET AND BEHAVIOUR FOR CREST SYNDROME
YOGA FOR CREST SYNDROME

SIGNS AND SYMPTOMS OF CREST SYNDROME

Calcinosis:

Thickening of skin with calcific nodules

Raynaud’s phenomenon:

Cold sensitivity
Pallor
Cold fingers
Reduced sensation of touch
Numbness
Throbbing pain in fingers or toes

Oesophageal dysmotility:

Dysphagia
Acid reflux

Sclerodactyly:

Thickening and tightening of the skin of fingers and hand

Telangiectasias:

Dilated capillaries on the skin of the face, hand and mucous membrane

CAUSES OF CREST SYNDROME

The exact cause is not known
Autoimmune disease
Factores genéticos

PATHOPHYSIOLOGY OF CREST SYNDROME

The pathophysiological mechanisms are not fully elucidated but seem to involve a multifactorial aetiology. The subcutaneous deposits of calcium occur in calcinosis. The arteries that supply the fingers and toes become narrow and limit blood supply when exposed to cold or stress. Over time, these small arteries become thickened slightly, further limiting blood flow and symptoms of Raynaud’s phenomenon manifested. The smooth muscles in the oesophagus replaced with fibrotic scar tissue lead to oesophageal dysmotility. Dermal fibrosis occurs in sclerodactyly. In telangiectasia, dilation of arteries in the skin occurs.

DIAGNOSIS OF CREST SYNDROME

Proper history taking by the physician
Physical examination
Laboratory tests to find out underlying pathology

TREATMENTS OF CREST SYNDROME

Treatments are given based on the underlying pathology
Calcium channel blockers
Surgical interventions
Physiotherapy

PROGNOSIS OF CREST SYNDROME

Symptoms are manageable with appropriate therapy

COMPLICATIONS OF CREST SYNDROME

CREST syndrome associated with pulmonary hypertension leads to heart and respiratory failure.

CREST SYNDROME AND AYURVEDA

In Ayurveda CREST syndrome is associated with an imbalance in vata
It can correlate with ‘uttana vataraktha’

NIDANA- AYURVEDIC CAUSES OF CREST SYNDROME

It is ‘janmakrita’ (genetic). Risk factors are;

Excess consumption of ununctuous, dry and cold food
Excessive physical exertion
Suppression of natural urges
Depletion of body tissue

PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CREST SYNDROME

Twak roga – skin diseases

SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CREST SYNDROME

Vata, pitta y kapha dosha se mueven por todos los canales de circulación. Debido a la naturaleza sutil de vata, impulsa a los dos doshas restantes.
The aggravated vata having provoked these two doshas, exacerbated and fills up the empty channels and moved greatly inside them or by getting enveloped by the other doshas.
The aggravated vata resides in the skin and blood vessels.

LAKSHANA – AYURVEDIC SIGNS AND SYMPTOMS OF CREST SYNDROME

Twak sankocham – stretching of skin
Hasta, anguli, sandhi sankocham
Twak parushatha
Ushna kamitwam – liking a warm environment
Sheeta asahishnutha – cold intolerance
Twak vaivarnya – discolouration of the skin

AYURVEDIC PROGNOSIS OF CREST SYNDROME

Symptoms are manageable with proper Ayurvedic management

CHIKITSA- AYURVEDIC TREATMENT FOR CREST SYNDROME

AYURVEDIC SAMANA TREATMENT FOR CREST SYNDROME

Manjishtadi kashayam
Maharasnadi kashayam
Gandhaka rasayanam
Kaishore guggulu
Mahatikthaka ghritam
Manibhadra gulam

AYURVEDIC SODHANA TREATMENT FOR CREST SYNDROME

Vasthi – medicated enema
Abhyangam – oil massage on the body
Svedana
Lepana
Upanaha

COMMONLY USED AYURVEDIC MEDICINES TREATMENT FOR CREST SYNDROME

Ayurvedic medicines for internal administration for CREST SYNDROME

Manjishtadi kashayam
Maharasnadi kashayam
Gandhaka rasayanam
Kaishore guggulu
Mahatikthaka ghritam
Manibhadra gulam

HOME REMEDIES FOR CREST SYNDROME

Intake of warm water
Intake of water boiled with ‘kokilaksha’ (a herbal medicine)

DIET AND BEHAVIOUR FOR CREST SYNDROME

Avoid food items that produce dosha imbalance like cold and dry food, hard to digest. Because dosha imbalance aggravates the symptoms.
Consumir alimentos de fácil digestión
Oil massage on body advised. Which alleviates vata dosha
Practice regular mild exercise
Avoid exposure to the cold environment

YOGA FOR CREST SYNDROME

Nadi Shuddi Pranayam – calms the mind and gets relief from the feeling of cold

El paciente debe estar sentado en postura de meditación, con la cabeza y la columna vertebral erguidas y el cuerpo relajado. El paciente tiene que cerrar una fosa nasal (por ejemplo, la fosa nasal izquierda si utiliza la mano derecha y viceversa) con el pulgar y exhalar completamente por la otra fosa nasal. De nuevo, tendrá que inspirar profundamente por la otra fosa nasal mientras la fosa opuesta sigue cerrada con el pulgar.

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