Friday, May 26, 2017

GENERALISED VIEW ON OEDEMA

A condition when there is an abnormal accumulation of fluid in the interstitium, located beneath the skin and in the cavities of the body, which may cause severe pain has been called as oedema. Its common manifestation is a swelling wherein the amount of interstitial fluid can be determined by the balance of fluid homeostasis; and the increased secretion of fluid into the interstitium. It has been broadly classified as - Cutaneous oedema or "pitting oedema" & Non-Pitting Oedema.
Grading of edema
Absent Absent
Grade + Mild: Both feet / ankles
Grade ++ Moderate: Both feet,
plus lower legs,
hands or lower arms
Grade +++ Severe: Generalised
bilateral pitting edema,
including both feet,
legs, arms and face
A low plasma oncotic pressure is widely cited for the edema of nephrotic syndrome, most physicians note that the edema may occur before proteinuria is noticed or fall in plasma protein level is noticed. In accordance with the ayurvedic view it is important to understand the sheathed environment where oedema occurs. The environment is mainly lipoproteinous in the sense of it being surrounded and made up of lipoprotein. Proteins in the Ayurvedic context may be interpreted as (Prithvi+Agni+Akash). It may be considered that Vata and Jal due to induction of microvascular injuries take the place of Akash and combine with Prithvi to create a stiff and lesioned site with rubour; in progressive state Prithvi is reduced and Agni is replaced with Jal component which is increased. In this condition prakruti tends to shift towards parthivo-jalaja which will retain water and hence impair drainage across the channels, thereby causing oedema. The classic point here to be noted stands along three factors –
Loss of heat symbolic of reduced pitta
Increase of jal symbolic of increasing kapha
Reduced pain symbolic of sedative property of shleshma which prevents vata prasar which again points towards increasing kapha and hence water retention presenting as oedema.
I SHALL BE AVAILABLE FOR CALLS ON FACEBOOK TOMORROW BETWEEN 4PM & 6 PM INDIAN TIME FOR DISCUSSIONS ON THIS ABSTRACT.
THOSE WHO HAVE SHARED THEIR MAIL ID'S, A COPY OF THE ABSTRACT IS BEING SENT ON MAIL

Saturday, May 20, 2017

LECTURE SERIES STARTING JUNE 2017.....................

Planning to start a lecture series on a weekly basis starting June 2017, on oedema an ayurvedic perspective from a prakrutik stand point, which will cover following organ systems -
1) Generalised perspective on Oedema
2) What is Cardiac Oedema?
3) What is Pulmonary Oedema?
4) What is the relevance of Oedema to anasarca?
5) Cerebral Oedema
6) Trauma and oedema at the site of trauma?
7) Importance of tissue based microoedema
8) Basic principle of management of Oedema in Ayurveda
9) How is drainage different from medicinal reduction of oedema and what stands better and where?
10) Conclusionary Q&A based on readers feedback

Those interested are requested to share their e-mail addresses so they can be sent abstracts directly. Detailed versions shall be provided on paid basis and may be purchased online soon from the facebook store once the lecture is delivered.

NEWS ON UTERINE TRANSPLANT

The news of two successful uterus transplants (ut) at Pune, goes a long way in Indian medical history.

Many of you may question its relevance to an Ayurvedic blog and why this discussion here.

Ayurveda is world over known to be the first science to pioneer plastic surgery and cosmetic surgery. Transplants are in a way an extension of the science.

The observations made after and before the procedure in restoring microvasculature and environment follow Ayurvedic principles of prakrui which is very natural.

The provision for hydration through blood supply is for a kaphaj environment which promotes growth and tissue proliferation, reduces atrophy and necrotization and also helps in assimilation of the transplant into the body's own system. It is in a lay man's term just like farming of paddy where you transplant a shoot from one place to another and there again you have to have a bed ready and then in a short course restore hydration for the crop to grow and restore.

The beauty of Ayurved lies in these comparatives which can be drawn from natural acts and processes that happen or we perform in support of nature.