August 29, 2016

Marma Taping - Neuralgic Pain In Vertex Of Scalp

                              Dr.Bhat.A.Rangaprasad -Sarve janah Sukhino Bhavanthu || Sarve santhu Niramayah ||

An adiabetic, non hypertensive otherwise healthy, 64 yr old male presented with an history of throbbing pain over vertex, left temporal & occipital regions since 6 months. Had been under oral analgesic tablets with waxes and wanes of pain irrespective of medication.

Magnetic Resonance Imaging showed normal studies.
Upon clinical examination our  Vd.Rangaprasad Bhat found āvarana vāta over the Krukātika & Vidhura marma to be the cause of the throbbing pain involving the greater occipital nerve distribution.
Cause for the āvarana in those marmas were found to be compromised posture of sleeping (left lateral posture with left arm kept as support underneath the head in want of relief from the nudging pain felt in Krukātika, amsaphalaka & brhati marma regions).
Vaidya explained the importance of above cause in the manifestation of his current status of pain and adviced to avoid the posture henceforth, after providing relief from pain, to prevent the recurrence of pain.
Having got an assurance from the patient, he further proceeded with marma taping (M/T) over the affected marmas and their adjoining ones.
Post 1st sitting patient felt 70% relief from pain. Adviced to revisit on 3rd day for observation & evaluation. No any internal medicines given to assess the relief.
On 3rd day of visit, vaidya found the Krukātika and Amsaphalaka to have been relieved of congestion of vāta, but vidhura marma still showing signs of avarana. Addressed with M/T appropriately. Patient felt 90% relieved of pain.
Through interrogation it was confirmed that the patient was following the advice of our vaidya in following and maintaining the posture.
Next and final sitting of M/T was planned after 3 days (6th day of starting the treatment).

May 22, 2016

Benefits of Pādābhyanga - पादभ्यंगं - Foot Massage

                              Dr.Bhat.A.Rangaprasad -Sarve janah Sukhino Bhavanthu || Sarve santhu Niramayah ||

               चरकसंहिता ।।सूत्रस्थानम् - ५/९०-९२।। (मात्राशितीयोऽध्यायः) :―States as,
खरत्वं स्तब्धता  रौक्ष्यं श्रमः सुप्तिश्च पादयोः | सद्य एवोपशाम्यन्ति पादाभ्यङ्गनिषेवणात् ||९०|| 
( Kharatvam stabhdatA roukShyam  shrama: suptisca pAdayo: | sadya evopashamyanti pAdAbhyanganiShevaNAt ||90|| )
By the virtue of a proper massaging of foot the dryness, rough and ragged edges of sole, stiffness of the tendons, aponeuroses & lumbrical muscles, benumbed sole or foot and the local muscular fatigue gets  relieved immediately. ||90||

जायते सौकुमार्यं च बलं स्थैर्यं च पादयोः | दृष्टिः प्रसादं लभते मारुतश्चोपशाम्यति ||९१|| 
( jAyate soukumAryam ca balam sthairyam ca pAdayo: | drShTi: prasAdam labhate mArutascopashAmyati ||91|| )
Further more it bestows softness of the soles, strengthens the local musculatures by stabilising their fibres and provides a sense of strength (by addressing the venous and lymphatic drainage - usually in their congestion feeling of heaviness and lameness due to stagnation of blood gets felt). More so it controls the vāta the foot and thereby nourishes or vitalizes the acumen of visual pathway. ||91||

न च स्याद्गृध्रसीवातः पादयोः स्फुटनं न च| न सिरास्नायुसङ्कोचः पादाभ्यङ्गेन पादयोः||९२||
( na ca syAdgrdhrasIvAta: pAdayo: sPHuTanam na ca | na sirAsnAyusankoca: pAdAbhyangena pAdayo: ||92|| )
Apart from above it prevents the occurrence of grudhrasīvat gait as is seen in cases of Sciatica pain of various causes. The word Grdhrasī in Sanskrit refers to an Eagle.
The eagle has a very peculiar way of walking if one would have observed closely watching it. Like, raising one leg a little high and walks as if limping. Watch >>>
Video for gait of vulture. Last but not the least the fissures over soles, and the contracture of the tendons and and it's associated adjacent blood vessels too gets prevented from manifesting.

Depending upon the involvement of the doshas and the clinical conditions an  Ayurveda vaidya aka physician advocates different kinds of composition of oils to be used for pādābhyangam.
A few of them are Kārpāsasthyādi, Eranda, Ksīrivrkshādi, mahamasha etc yogas aka compositions.

So Aham ||
Sarve Santu nirāmayā: ||

May 04, 2016

Autism in Ayurveda

                              Dr.Bhat.A.Rangaprasad -Sarve janah Sukhino Bhavanthu || Sarve santhu Niramayah ||

A male child aged 10 years was diagnosed with autism 5 years back met our Vaidya for consultation, 2 months back.The child was presenting the following symptoms.

Restlessness, aphasic - but was producing a hawking sound from throat as if a foreign body is stuck in voice cord. The eye contact was absent with inattentiveness to surroundings & irritable mood. Beating his mother, sleeplessness (hardly sleeps 2 hours in a day) & non cooperative to verbal command along with inattention in classes at special school were the other complaints.

Vaidya counseled the parents regarding managing their special child and provided a set of medicines for 2 months since they had come from neighboring state. Medicines prepared, under the supervision of our Vaidya, following the protocols of Ayurveda Pharmacology, was selected and given based on the Ayurveda clinical parameters observed.

A specified pattern of posology followed for  Vacābrahmi Rasayanam, AyabhrngarajaYasti kalpam & Anakas from Ayurveda. Help of  Cypriped & Agar from homeopathy too was taken in this case.
On 2nd of April 2016 coincidentally being the World Autism Awareness day our Vaidya got a phone call from the patient's father seeking for their 2nd appt with him.
During the call, he intimated that the child's behavior had become calm along with stopping of the abnormal hawking sound the child was making.  Eye contact is maintained now and that he  sleeps undisturbed for nearly 6 hours at night. His social mingling has improved to the extent that he started playing with his fellow children without beating or being aggressive to them.

Finally with an overwhelming voice out of ecstacy, the father informed our Vaidya that the child started pronouncing articulated words like ‘Amma’, ‘Atthae’, ‘Anna’ etc 3 words. Further gave an input of his observation that he produces a snapping sound with his tongue touching his palate.

Vaidya convinced the father not to worry about the snapping sound, since the child is trying to phonate observing the conversations from his family members.He further adviced the family members to speak in a slow rhythm to the child, so that he observes the lip and tongue movement from them to later try with himself in phonating the words.

As like the child's parents, our Vaidya too is excited to see his little client next week scheduled to meet him and plan the next course of treatment.
So Aham ||
Loka: Samastha: sukhino bhavantu: ||

October 01, 2014

Clinical Response of Hasa Varma Thailam - a Research Product

                                 Dr.Bhat.A.Rangaprasad -Sarve janah Sukhino Bhavanthu || Sarve santhu Niramayah ||

The Hasa Varma thailam (H.V.Thailam) a self formulated preparation for dispensing in our clinic, prepared up on  research conducted by the co founder of SPKVCC, Vd.A.Rangaprasad Bhat with the selection of herbs acting up on the deeper tissues had found to be effective in clearing the blockage of energy with in the energy channels known as Nadi.
Effort is being taken to study the diverse clinical response of this preparation up on various medical conditions when applied topically over the marmas concerned with the respective diseases.Hence, the ingredients of the preparation are not being divulged, since it is a research oriented work.

The preparation of  H.V.Thailam is a step by step process which takes 7 days for completion of it.
Up on topical administration (requires a specific protocol in method of application), as from the feedback of the patients and as per the words of themselves the preparation exhibits 5 different mode of actions, which helps in analysing the deeper penetrative potential of the oil. 

The 5 observation of action (Penta Mode of Action) observed by the patients are the following. 
1. Initially a sensation of numbness
2. Followed by mild burning
3. Then observed is the disappearance of the discomfort of pain
4. Followed  by the observation of as if something crawling underneath the skin
5. Finally with the mentioning of loosened feeling from the erstwhile stretched or rigid body parts !

Each stage of observation is felt for a period ranging from 5 seconds to 10 seconds depending up on the sensitivity of one's skin texture.

The varied clinical conditions, so far helped in getting resolved, by the usage of H.V.Thailam are the following.

  • Ecchymosis,  
  • External blood clot caused from blunt injury,
  • Crushed injury of nail bed,
  • Hypertrophied nasal turbinate,
  • Nasal polyp,
  • Migraine head ache,
  • Muscle sprains of varied degrees,
  • Referral pain caused by the involvement Sciatic pain & Brachial nerve,
  • Pain due to spondilitis,
  • Sleeplessness due to anxiety and stress,
  • Swelling up on soft tissues ranging up to the clinical presentation of pitting edema, arthralgia & Joint effusions to name a few.
  • Updated on 07:Nov:2014:-
    Recently trying up on a case of Gangrene, as a  supportive medicine. Results observed so far are interesting, showing signs of improvement in peripheral circulation.

We are here by presenting the clinical observation up on topical application of  H.V.Thailam in a joint effusion & pain caused as a complication of post viral fever status in the format of image presentation depicted with the day of treatment for ones analysis.

Day 1 - prior H.V.T application
Day 1 - prior H.V.T application

Day 1 -post H.V.T application

Day 1 -post H.V.T application

August 06, 2014

Marma Chikitsa in Knee pain due to repetitive muscular strain – A Case Study

                                 Dr.Bhat.A.Rangaprasad -Sarve janah Sukhino Bhavanthu || Sarve santhu Niramayah ||

Name, Age & Sex: - Mr. X.Y.Z; 40 yrs; Male

Height & Built: - 6 feet tall & lean stature.

Nature of job: Standing for 6 to 8 hours, Machine operator in a Lathe factory

History of past illnesses: - Nothing specific. He is adiabetic; normotensive & no cardiac or respiratory ailments.

Presenting symptoms: -
1.       Pain in the lateral aspect  of Lt.Knee
2.       Pain in the hollow of the knee
3.       Radiation of pain from the region of knee to the left hip & buttock
4.       Aggravating factor:
Walking fast; walking over uneven surface of road; climbing down the stairs; inversion of foot; crossing the legs over knee & squatting posture.
5.       Relieving factor: -
Sleeping straight; at resting posture of knee; active hyper extension of foot or stretching of the calf muscle.

On examination:-

The range of movement of the knee joint is normal, except the forced flexion which was painful in 110 degrees.
Negative observation of scars; effusion; atrophy of local muscles; crepitus; Lateral & medial joint lines non tender; Mc Murray’s & Appley Grind test negative.
2+ Tenderness present over the lateral femoral epicondyle.
Hip abductors observed to be weak & the Tensor fascia lata was taunted
X-ray & MRI of affected joint – within normal limits

On questioning, whether he had any fall when at work some 20 days, got a negative reply from him. But, the taunting of the tensor fascia lata, muscle weakness of the abductors along with the pain in the lateral femoral epicondyle, were very much clinically akin to the condition of the ITBS (Ilio Tibial Band Syndrome), which usually occurs in sports persons due to sudden inversion of the foot or due to change in the plane of the pelvis angle as seen in certain sports activities like cycling.

On further questioning, regarding his way of standing while working, it is then the cause for the strain of the IT band surfaced.

20 days prior his job was in the loading and packing section, which he was accustomed of doing it for the past 15 years. But, since 20 days, he had been switched over to a new assignment of handling the compressing machine, as a substitute for the absence of a regular worker.
Weight Bearing Lt.Knee

And he explained that since he was new to the job of compressing, he used to feel tired over legs due to prolonged standing. Hence would be switching over his entire body weight by slanting his body to either left side or the right side. Else would keep his left foot over the foot rest beneath the machine with his hip diagonally adducted to a degree of 5 to 10 in want of grip and comfort while working. 

Diagonal Adduction

 But, most of the time he felt loading his body weight over the left side, makes him feel comfort from the vague discomfort felt at the lt. knee joint and was indulging in it.
And this was conclusive of coming to the diagnosis of ITBS, clinically speaking.

The Literature about ITBS from other web sources for better understanding:-

Iliotibial band syndrome
is one of the leading causes of lateral knee pain in runners. The iliotibial band is a thick band of fascia on the lateral aspect of the knee, extending from the outside of the pelvis, over the hip and knee, and inserting just below the knee. The band is crucial to stabilizing the knee during running, as it moves from behind the femur to the front of the femur during activity. The continual rubbing of the band over the lateral femoral epicondyle, combined with the repeated flexion and extension of the knee during running may cause the area to become inflamed.

·         Excessive lower-leg rotation due to over-pronation
·         Positioning the feet "toed-in" to an excessive angle when cycling
·         Muscle imbalance caused by Weak hip abductor muscles &
·         Uneven left-right stretching of the band, which could be caused by habits such as sitting cross-legged

The function of themuscles inserting into the ITB (Tensor Fascia Lata) is to abduct the leg. If the hip abductors are weak, then the ITB is being overworked. The ITB does not have an insertion that offers a favorable mechanical advantage. In fact, it is at a considerable disadvantage for the purpose of hip and leg abduction activity. Therefore when the hip abductors are weak, the tensor fascia lata must contract harder and over a longer period of time thus straining the ITB. Make sure that part of your cure is to strengthen your hip and leg abductors.

The treatment modality planned & clinical observation:

The case involving the IT Band over its insertion point in the lateral epicondyle of femur, gets responding well to the marma chikitsa in giving a speedier relief from the pain.

But, the classical manipulation of the marmas with Tadana (application of pressure) or Shrnga application (Cupping method) are not suitable, since in certain cases, we have observed the aggravation of pain immediately after the first sitting, followed by relief from second or third sittings onwards.

July 18, 2014

Fibroid Uterus - Remedy with Ayurveda

                                 Dr.Bhat.A.Rangaprasad -Sarve janah Sukhino Bhavanthu || Sarve santhu Niramayah ||

A female aged 40 years approached me at my desk,on the evening of Nov.26.2013, with the clinical symptoms of ..,
  • Bilateral Hip pain  in association with.,
  • Cervical giddiness with occipital neuralgia & Nuchal migraine.

The cervical giddiness & the Occipital neuralgia in association with nuchal migraine were addressed with Marma Chikitsa, which she got relieved in 2 sessions held in a gap of 2 days in between.

Her Menstrual history was suggestive of uterine fibroid.with her M/C being 6 days/26 - 34 days; with occasional clots;profuse bleeding; 6-8 pads/day; blackish red colored flow; in association with non offensive, non itchy but mild leucorrhoea.Urination was significantly frequent, especially in supine posture.

She had a surgical history of resection of Fibroadenoma in her Rt.breast held on Aug.25.2013.

The USG findings, taken on Nov.24.2013,  were supportive of multiple fibroids; specifically 3 in number 1 each @ sub serous in anterior myocardium; sub serous in posterior myocardium of fundus & @sub mucosal over right side of body of uterus, whose measurements are being mentioned underneath with the comparative ones post treatment.

The client was reluctant to undergo another surgery for the fibroids, since she had the traumatic experience with the one due to the fibroadenosis, hence was keen enough to take the Ayurveda treatment, since she had immense faith over it.

Hence, based on the Ayurveda parameters of the dosha dushya sammurchana, a kashayam powder was prepared, based on the textual reference of classical pharmacopoeia,  with the essences of seven herbs and the client was asked to prepare the kashayam  by herself, which was advised to be consumed in empty stomach, daily twice, along with inclusion of palasha kshar.

Further more a homeo combination with and AMN as one of its ingredients was prescribed in globule form, whose dosage was fixed at 2 globules four times in a day.

The above medications were continued for  period of 5 months, and was adviced for a follow up scan, which was taken on 22nd of Apr 2014.

The comparative results of either of the USG's taken at Nov.26.2013 &22nd of Apr 2014 , as have been comprehended, is presented in the following paragraph.

Herewith the USG taken on Nov.26.2013 will be henceforth referred as Recent USG & that of 22nd of Apr 2014 as the Previous USG.

Comparative Study:-

  1. Recent USG shows Complete resolvement of 1 subserous cyst in anterior myocardium, which was measuring as 1.8x1.7 cm in previous USG.
  2. The recent USG reveals only 2 fibroids out of the 3 present in the previous one. Of which the size of Subserous fibroid over the posterior myocardium of fundus currently measures 1.2x1.0 cms as of the previous measurement of 2.8x2.2 cms.
  3. The current size of fibroid in Submucosa of the right side of the body of Uterus is 1.4x0.9 cms as against the 2.2x2.0 cms of previous USG findings.
  4. Endometrial thickness currently is  6 mm (on 9th day of MC) as against 10 mm (on 6th day of MC) of previous one.
  5. The Uterus is anteverted in either of the USG with a measurement of 8.1x4.2x4.6 cms in current as against the 8.9x4.7x5.1 cms measurement in previous USG.

    The quint essence of the seven herbs used in the combination, were to counter act the kapha & rakta dosha, mamsa & medo dhathu along with the vata anulomana property.

    -Sarve Santhu Niramaya: ||
    Vd..A.Rangaprasad Bhat.
    For Consultation Click here.

July 17, 2014

Lateral bending of spine & and its effect on Guda marma & constipated bowels - A random research

                                 Dr.Bhat.A.Rangaprasad -Sarve janah Sukhino Bhavanthu || Sarve santhu Niramayah ||

Could there possibly be a way, sans medication, to ease the difficulty of straining oneself during defecation?

The above question started haunting my mind some 2 years back, when I thought for some possible solution in easing my clients from straining themselves during the defecation of a constipated bowel.

Because, in cases of hemorrhoids or  piles (non bleeding variety), straining during defecation causes increase in intra abdominal pressure, which in turn increases the local congestion in the hemorrhoidal vein,thus making it get bulges further more resulting in it's rupture and ending up as a bleeding piles.

Being oriented with the subject of anatomy during my stint as a faculty, I was contemplating for a cue with regards to modulating or modifying or stimulating  the action of the anal sphincters via some remote muscular movements.

The  external anal sphincter has its origin from perineal body or central tendinous point of the perineum and further gets inserted by encircling along the anal canal.Their superficial fibers attach to the coccyx.
The main action of the external sphincter is to constrict the anal canal.

The origin of anal sphincter externa from the perineal body, note worthily,caught my attention.

What if the skin around the perineum was by some means made to stretch in either of the sides, so that the external sphincter too gets stretched as accordingly, there by paving a mechanical advantage of pushing down the hardened fecal matter with out any undue strain or pushing down by increasing the intra abdominal pressure.

The above vague thought which crossed my mind, could not be brushed aside as a silly thought, hence I took some serious interest in further divulging into the core of the matter.

And while in a deep thought, got a cue regarding the vertebral muscle and in specific the erector spinae muscle,to say.

The erector spinae gets originated from -
iliac crest,
transverse and spinous processes of vertebrae
supraspinal ligament.
Further more it gets inserted up on
angles of the ribs,
transverse and spinous processes of vertebrae
posterior aspect of the skull.

The principal action of the erector spinae are supposed to be that it extends and laterally bends the trunk, neck and head.

While speaking about the erector spinae which extends the spine, mention about the rectus abdominis muscle could not be neglected, since they are antagonistic in action to that of the erector spinae.These muscle groups work in concert to flex and extend the trunk. In back extensions, a strong rectus abdominis muscle balances the muscle actions of the erector spinae as they extend the trunk, there by maintaining an equilibruim between the two in enforcing proper protection to the lower back from not getting injured or insulted.

The rectus abdominis  is a long flat strip of muscle that stretches from just below the sternum down to the pubic bone. The main function of the rectus abdominis is to flex the vertebral trunk in such actions as bending forward from the hips. The rectus abdominis also plays a role in expelling mucus or foreign particles from the lungs and throat, giving birth, defecating and boosting pressure within the abdominal cavity.

Basically having related the topic under discussion to these two muscles, the modulation of the muscular movement in relaxing the anal sphincter has to be thought of. It is a fact that the erector spinae is related to the perineum and that the anus is in proximity to the perineum. Hence, by common sense, if we enhance some sort of stretching of the skin over the perineum, it probably would have an indirect effect of mild stretching over the external sphincter.

But, how to create such an episode of stretching to happen over there with erector spinae, whose function is just erecting the spine?

It is to be understood that when standing erect the erector spinae will be in a relaxed and composed state. But for our primary object of the experiment or study, it should be held in a position of over stretching or it should be kept active in it's maximum limit. Only when we flex or bend our entire spine forwards or when we bend our body laterally (in erect state of spine and not in flexed state of spine), one would feel the complete stretch of the erector spinae in their maximum limit.

By doing so, the skin all along the entire back gets stretched from up down wards(specifically when bent forward) and further more gets stretched over sides of the perineum (with specificity to lateral bending of the spine).

Keeping the above concept of observation in mind, I started advising and advocating my clients when at strain during defecation to bend their spine forwards to their maximum limit for 2 seconds followed by left lateral bending for 2 seconds followed by right lateral bending for another two seconds.The method can be adopted in both eastern/ squat toilets & western/ sitting toilets.
They were further instructed to note & report, the level of ease of passing the bowels happening at which particular bending.

As per the collective reports  obtained from my clients, I understood, that contra lateral bending relaxes the sphincter, with relation to the area of obstructed feces. I mean, if the person feels some sort of heaviness or pain or stiffness along the right portion of sphincter, then left bending eases the bowel movement and like wise if obstructed in left of sphincter the right lateral bending relaxes the structure.
Like wise if the obstruction is over the posterior or back of the sphincter the forward bending eases like wise if obstructed in front or anterior aspect then back ward bending.

There is another point observed by the clients that, they feel the accumulated gas/flatus (present in between the fecal mass) gets released first followed by some bowel movement which they hear with a feeble but fast sound (probably they are referring to the peristaltic wave). And the feel that the gas passes from the area of congestion or obstruction caused by the fecal mass.

In all those clients, who helped me in the above study, the medication in the form of laxative were gradually tapered and stopped, once we felt that they have mastered in the art of relaxing their sphincters.

The criteria for inclusion of the above study was persons of the age group between 45 to 70 years of age and those who had been suffering from Obstinate Constipation, Piles (both bleeding & non bleeding), IBS & Anal fissures.

The above study was a random one, and not a planned study, hence proper figures could not be prepared.
Hope, this write up of mine paves way to any P.G or research scholars of Anatomy or Proctology,in pursuing the methodological research, if interested.

Sarve santhu niramaya: ||
Sarve janaa: sukhino bhavanthu: ||

July 14, 2014

மேல் சுவாச பாதை நோய் தொற்று (URI அல்லது URTI)

                                 Dr.Bhat.A.Rangaprasad -Sarve janah Sukhino Bhavanthu || Sarve santhu Niramayah ||

மூக்கு, சைனஸ், தொண்டை அல்லது குரல்வளைஇவற்றில் எற்படும் அழற்ச்சி 
மேல் சுவாச பாதை நோய் தொற்று (URI அல்லது URTI)  எனும் விஷயத்தில்  பொதுவாக அடங்கும்:
அவையாவன - 
 1.அடிநா அழற்சி - Tonsillitis
2. அடி தொண்டை அழற்சி - Pharyngitis
3.  குரல்வளை - Laryngitis
4.  உட்புரையழற்சி  - Sinusitis
5.  நாசியழற்சி - Rhinitis
6.  மூக்கு பாதை, தொண்டை, நாக்கு, உள் நாக்கு, மற்றும் அடிநா அழற்சி - Nasopharyngitis
 7. இடைச்செவியழற்சியில் - Otitis media
  8.ஜலதோஷம்- Common cold,
  9.குரல்வளை மூடியழற்சி-Supraglottitis
 10.குரல்வளை, தொண்டை, மற்றும் ஸப்க்ளாட்டிக் (subglottic) பகுதியில் அழற்சி -   Laryngotracheitis
11. தொண்டை மற்றும் ஸப்க்ளாட்டிக் (subglottic) பகுதியில் அழற்சி -   Tracheitis

அடையாளங்கள் மற்றும் அறிகுறிகள்:
தொண்டை புண்,
மூக்கு ஒழுகுதல்,
நாசி நெரிசல்,

குறைந்த தர காய்ச்சல்,
முக அழுத்தம்
அறிகுறிகள் 1-3 நாட்கள் தொற்றுkku பின்னர் தொடங்குகிறது. நோய் பொதுவாக 7-10 நாட்களுக்கு நீடிக்கும் தன்மைக்கொண்டது.