5.temporal arteritis - more med wth yogam kv

7/27/2019 5.Temporal Arteritis - More Med Wth Yogam Kv

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Temporal arteritis

Temporal arteritis is inflammation and damage to blood vessels that supply the head area,

particularly the large or medium arteries that branch from the neck.

If the inflammation affects the arteries in neck, upper body and arms, it is called giant cell

arteritis

Causes

Temporal, giant cell, and cranial arteritis occur when one or more arteries become inflammed

and die.

It most commonly occurs in the head, especially in the temporal arteries that branch off from

a blood vessel in the neck called the carotid artery. However, the condition can be a body-

wide (systemic) disorder, affecting many medium to large sized arteries anywhere in the

body.

The disorder may develop along with or after polymyalgia rheumatica. Giant cell arteritis is

seen almost exclusively in those over 50 years old, but may occasionally occur in youngerpeople.

Symptoms

Excessive sweating

Fever

General ill feeling

Jaw pain, intermittent or when chewing

Loss of appetite

Muscle aches

Throbbing headache on one side of the head or the back of the head

Scalp sensitivity, tenderness when touching the scalp

Vision difficulties

Blurred vision

Double vision

Reduced vision (blindness in one or both eyes)

Weakness, excessive tiredness

Weight loss (more than 5% of total body weight)

Additional symptoms that may be associated with this disease:

Bleeding gums

Face pain

Hearing loss

Joint stiffness

Joint pain

Mouth sores

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About 40% of people will have other nonspecific symptoms such as respiratory complaints

(most frequently dry cough) or weakness or pain along many nerve areas. Rarely, paralysis of

eye muscles may occur. A persistent fever may be the only symptom.

Exams and Tests

Touching the head may show that the scalp is sensitive and has a tender, thick artery on one

side. The affected artery may have a weak pulse or no pulse.

Blood tests may include:

- Hemoglobin or hematocrit -- may be normal or low

- Liver function tests -- may be abnormal with high levels of alkaline phosphatase

- Sedimentation rate and C-reactive protein -- almost always very high

Blood tests cannot specifically diagnose this condition. A biopsy and examination of tissue

from the affected artery confirm the diagnosis in most cases.

Possible Complications

Possible complications include:

Sudden vision loss or eye muscle weakness

Damage to other blood vessels in the body

TIA or stroke

Most people make a full recovery, but long-term treatment (for 1 to 2 years or longer) may be

needed.

In Ayurvedic perspective, we can consider Temporal arteritis as Uttana Vata raktham.It can be considered as

A state ofDhatu pakam

Rasa raktha involvement

Pitta pradhanya shira shulam

Line of treatment

Aushadhas having TikthaMadhura rasas are selected.

Kashayam

Guduchyadi 60 ml twice daily before food

Manjishtadi 60 ml twice daily before food

Kalyanakam 60 ml twice daily before food

Mahatiktakam 60 ml twice daily before food

Tiktakam 60 ml twice daily before food

Tablet

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Kaishora guggulu 2 tablets twice daily after food

Sudarshanam 2 tablets twice daily after food

Suryavartam 2 tablets twice daily after food

Bhasmam

Pavala bhasmam 1 pinch twice daily with honey (Rasatarangini)

Tailam

The following tailas are used for external application

Asana Manjishtadi

Kumari

Madhuyashtyadi (A.H. Chikitsa sthana) Murivenna

Virechanam

Trivruth lehyam 30 gms in morning (around 9.30 a.m.) with hot water

Vasti

Guduchi gana yapana vasthi 900 ml

Dravyam Quantity

Makshikam 200 ml

Lavanam 15 gms

Sneham Madhuyashtyadi tailam

Tiktaka ghritham

100 ml

100 ml

Kalkam 30 gms

Kashayam 400 ml

Total quantity 900 ml

Shirobasti

Ksheerabala tailam (A.H.Vataraktha chikitsa)

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Nasyam

Tailam in the form of two drops can be used for pratimarsha nasyam followed by gargling

with hot water.

Ksheerabala (A.H.Vataraktha chikitsa) Manjishtadi (Sahasra Yogam)

Yashtimadhu (A.H.chikitsa)

Rasayanam

Chyavanaprasham 25 grams twice daily after food (Charaka Samhita. Chikitsa

sthanam)

Shatavari lehyam 20 grams twice daily after food (Sahasra Yogam)

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5.temporal arteritis - more med wth yogam kv

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