Ayurvedic Treatment for PARKINSON’S DISEASE

Parkinson’s disease is a disorder that affects brain areas that control movement, posture and balance. In most cases, it is known as involuntary and uncontrollable tremors. This disease doesn’t kill the patient instantly but life becomes worse day after day, moment after moment.  It is a complex disease that has many different systems so that not everyone with the condition suffers from the same problems.

Parkinson’s disease is named after the doctor who first wrote about the disease, in 1817. Parkinson called it, “The Shaking palsy,” or “paralysis agitans.” In those times, the term “agitans” referred to tremors. “Palsy” meant weakness and “paralysis” meant paralyzed.

In the early 1960s doctors understood the importance of the brain chemical, dopamine (di-ortho-phenyl-alanine), followed shortly thereafter by the first substantive treatment for Parkinson’s disease, L-Dopa. The treatment for Parkinson’s Disease was very poor before this. L-Dopa wasn’t very popular at first, even though it had a scientific rationale, because it caused so much nausea and vomiting. Carbodopa was developed then, to prevent vomiting. The combined medication, carbidopa/levodopa, is marketed as Sinemet. This drug is the single best drug we have for treating the symptoms of Parkinson’s disease.

PD is common. After Alzheimer’s disease, it is the second most common progressive, neurological disorder.  The more that Parkinson’s Disease is studied, the more intricate our findings are. Although most people think of it as a disorder of movement, posture and balance, it may also affect the behaviour of a person. Quality of life has become a central focus as we deal with a disease we cannot yet cure.

When we talk about treating Parkinson’s disease, we currently only mean treating the symptoms. The actual disease is an attack on the nerve cells in the brain and maybe, outside the brain. Current medications have been shown effective to improve symptoms, meaning that by helping to restore a more normal chemical balance in the brain, we improve the tremor, stiffness, slowness, mobility, etc, but we are not yet successful in the process that is causing the damage. 

Signs & Symptoms

• Tremor (trembling) in hands, arms, legs, jaw, or head.
• Stiffness of the limbs and trunk.
• The slowness of movement.
• Impaired balance and coordination, sometimes leading to falls.

Other symptoms that may be present are:

• Depression or other emotional changes
• Trouble chewing, swallowing or speaking
• Trouble sleeping
• Estreñimiento

 Causas

The exact cause is not yet known.

 Fisiopatología

The most prominent pathological findings in Parkinson’s disease are degeneration of the darkly pigmented dopamine neurons, particularly evident in a part of the substantia nigra called the pars compacta. Significantly, the loss of dopamine in the pars compacta increases the overall excitatory drive in the basal ganglia, disrupting voluntary motor control and causing the characteristic symptoms of PD.  There is also a loss of dopamine in the neostriatum and the presence of intracellular inclusion bodies known as Lewy bodies.

Diagnóstico

Not a single and specific prueba is there to diagnose Parkinson’s disease.

Following methods when combined with signs & symptoms help in diagnosis.

• medical history
• neurological evaluation
• physical examination.
• Single-photon emission computerized tomography (SPECT) scan called a dopamine transporter scan (DaTscan).
• blood tests, to rule out other conditions that may be causing your symptoms.
• Imaging tests, such as an MRI, ultrasound of the brain, and PET scans to rule out other conditions. (Imaging tests aren’t particularly helpful for diagnosing Parkinson’s disease.)

Tratamientos

Treatment starts with levodopa (L-dopa). But it can cause stomach upset, so it is combined with another medicine called carbidopa to control these side effects. The combination drug is carbidopa-levodopa (Parcopa, Rytary, Sinemet).

 Pronóstico

Parkinson’s disease is not a fatal one, but the condition can cause great strain on the body and can make some people more vulnerable to serious and life-threatening infections. But with advanced treatment, most Parkinson’s patients now have a normal or near-normal life expectancy.

 Complicaciones

Cognitive Problems like thinking and reasoning problems.

Depression and Anxiety

Difficulty in Swallowing

Sleep Disorders including difficulty falling asleep and sleep apnea.

Bladder and Bowel Problems

Positional vertigo

Loss of Sense of Smell

Fatigue without any cause

Pain in local areas or generalised body pain

Lower Sex Drive or sexual dysfunction

Disease & Ayurveda

In Ayurveda, all the diseases affecting the nervous system come under the Vaata dosha vitiation. In normal conditions, Vaata is the controller of body & mind, it is responsible for all the movement. Like air, without any visible form, Vaatadosha travels all the body, fills up all the empty spaces and controls & regulates the functions of other doshas and dhatus (bodily tissues). When this Vaata dosha is vitiated, abnormal movements can occur as a symptom. When it happens in the form of tremors, it is called Kampavaata. The total concept of Parkinson Disease in Ayurveda is different from the Western view. Ayurveda considers PD as a metabolic disorder of chronic patterns. The impairment of Vata is caused due to deranged digestive system. The vitiation of Vata as described under the head Nidana, clearly communicate the concept of Ayurveda and Ayurvedic Treatment for Parkinson’s aim to correct the basic disorder in the body.

Nidana

        Vaatakopa can happen mainly in two ways.

1. Dhaatukshaya (degenerative conditions such as in old age)
2. Aavarana (obstruction in the channels like in a cyst or tumour)

Other causative factors for the vitiation of Vaata are as follows:

Physical

• Dry, cold and old food items
• Excess travelling & exertion
• Trauma/injury
• Exposure to wind
• Loss of sleep

Psychological

• Trauma or grief
• Fear
• Ansiedad
• Estrés

Purvaaroopa

        Not mentioned

Samprapti

        Not mentioned

Lakshana

        Kampa – tremours

Divisions

• Saama
• Niraama(kevalavaata)

Pronóstico

Yaapya in chronic cases

Krichrasaadhya in uncomplicated cases in young patients

Chikithsa

The ayurvedic treatment depends upon whether the kampavaata is saama or niraama. If aama is present, only rooksha therapies are done in the beginning. Application of Vaatahara oils and ghee preparations should wait until the aama is completely cleared and the srotas (channels) are open completely. If the Vaatakopa is due to obstruction, the discomfort will be relieved once the channels are open and the movement of Vaata is in a normal balanced condition.

Samana

In Saama condition

• Aamapachanam
• Agnideepanam
• Sarvangakashayadhara
• Udwartanam

Once, the aama is relieved

• Sirodhara
• Abhyangam
• Swedanam like pindasweda, shashtikapindasweda
• Sirovasti
• Siropichu

Sodhana

• Sneha-sweda
• Virechana
• Asthapanavasti
• Anuvasanavasti

Commonly used Medicines

• Maharasnadi kashayam
• Ashtavargam kashayam
• Dhanadanayanadi Kashayam
• Pachanamrutham Kashayam
• Nirgundyadi Kashayam
• Aswagandharishtam
• Drakshadi kashayam
• Kapikacchuchoornam
• Kallyanakaghrutam
• Dhanwantaram tailam
• Ksheerabala Tailam
• Hinguvachadi Churna
• Vaiswanara Churna
• Zandopa

Marcas disponibles

• AVS Kottakal
• AVP Coimbatore
• SNA oushadhasala
• Vaidyaratnam oushadhasala

Home $emedies

No proven home remedy is there to cure Parkinson’s disease. But a healthy diet and lifestyle will improve the quality of life.

Dieta

• A evitar

Heavy meals and difficult to digest foods – cause indigestion.

Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine

Carbonated drinks – makes the stomach more acidic and disturbed digestion

Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)

Milk and milk products – increase kapha, obstruct channels and obesity

Curd – causes vidaaha and thereby many other diseases

• Por añadir

Comidas ligeras y alimentos fáciles de digerir

Green gram, soups, sesame oil, ragi.

Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc

Behaviour

Protect yourself from the cold climate.

Es mejor evitar la exposición a la luz solar excesiva, la lluvia o el polvo.

Maintain a regular food and sleep schedule.

Evite aguantar o forzar las ganas de orinar, defecar, toser, estornudar, etc.

Avoid a sedentary lifestyle. Be active

posturas de Yoga

Exercises are contraindicated in patients with severe pain, imbalance or stiffness.

Regular stretching and mild cardio exercises are advised in other cases. Also, specific yogacharya including naadisuddhi pranayama, vrikshasana, pavanamuktasana is recommended.

Regular exercise helps improve the bioavailability of the medicine and food ingested and leads to positive health.

El yoga puede mantener la armonía dentro del cuerpo y con el sistema circundante.

Pavanamuktasana

https://youtu.be/EK1ov1cP4UE

Nadisudhi pranayama

https://youtu.be/RUFzLVf5wL4

vrukshasana

https://www.youtube.com/watch?v=Dic293YNJI8

Simple exercises for lungs and heart health

https://youtu.be/j8ICrvYCVto

All the exercises and physical exertions must be decided and done under the supervision of a medical expert only

Research Articles

https://pubmed.ncbi.nlm.nih.gov/31631455/

https://www.ncbi.nlm.nih.gov/books/NBK536722/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2467461/

*These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. Ayurveda Supplement with GMP Certification from India.

Escritor:
El Dr. Rajesh Nair, cofundador y asesor jefe de Ayurvedaforall.Com, es licenciado por el prestigioso Vaidyaratnam Ayurveda College (afiliado a la Universidad de Calicut), Kerala, India. Además, posee un Diploma de Postgrado en Yoga Terapéutico por la Universidad de Annamalai.

El Dr. Nair ofrece consultas en dos concurridas clínicas situadas en Haripad y sus alrededores, Alleppey, Kerala, el estado meridional famoso en todo el mundo por sus auténticos tratamientos y médicos ayurvédicos. Además de ofrecer consultas sobre todos los aspectos de los tratamientos ayurvédicos, el Dr. Nair tiene un interés especial en Panchkarma, Yoga y Masaje.

A través de Ayurvedaforall, el Dr. Nair ofrece consultas en línea a pacientes de todo el mundo y ha atendido a cientos de pacientes en los últimos 20 años. Además de su consulta ayurvédica, es editor jefe de ayurveda-amai.org, el portal en línea de la Asociación Médica Ayurveda de la India, y miembro del comité estatal de la Asociación Médica Ayurveda de la India.

El Dr. Nair es ponente habitual en conferencias relacionadas con el Ayurveda y ha visitado Alemania para propagar el Ayurveda. Puede escribirle directamente
rajesh@ayurvedaforall.com

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