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Treatment of Osteoporosis in Siddha Medicine &

Ostoeoporosis is a silent disease, makes the bone porous, weak and easy to break. Commonly seen in elderly people and especially women after menopause.

Osteoporosis means- ‘porous bone’. In Siddha System of Medicine, his disease is known as Enbu Uluthal. The bones loses density and, mass and structure of the bone becomes abnormal causing the bones to become weak and likely to break.

Breaking of bones or pathological fracture is a serious complication of this disease. The sites of pathological fracture are usually hip, spine, wrist, neck of femur etc.

Osteoporosis effects posture, there may be variation in height or upper back may appear curving due to quantitative reduction in bone mass.

Causes of Osteoporosis:

• Age- Commonly seen in Old Age as bone density reduces
• Sex- Women after Menopause due to decreased estrogen level.
• Malnutrition- Deficiency or poor absorption of Calcium or Vitamin D as seen in diseases pertaining to Small Intestines
• Body Stature – People with Thin Body Stature are usually affected
• Family history- May be linked to a strong family history
• Race- Asian/African women are more prone to Osteoporosis
• Effect of medication/drugs like Corticosteroids, thyroid medications, antacids etc.
• Smoking
• Lack of Physical Activity
• Alcoholism- Leading to Cirrhosis of Liver which is main store house of Vitamin D leading to Osteoporosis
• Hormonal Disturbances- In conditions like Hyper-parathyroidism, Hypothyroidism, Hypogonadism, during menopause etc

Signs & Symptoms of Osteoporosis :

1. Acute low back ache
2. Nocturnal leg cramps
3. Pain in major and minor joints
4. Rounding of Shoulders
5. Inflammation of gums and Loosening of teeth
6. Anxious or restless nature, Sleeplessness
7. Gradual shortening in height
8. Breaking of bones in minor injury or trauma

Investigation : X-Ray reveals decreased bone density, MRI of bones.

Western Treatment for Osteoporosis :

• Calium and Vitamin D supplements
• HRT- Hormone Replacement Therapy
• Weight Bearing Exercise
• Bone friendly medicines like Bio-phosphonates given to prevent bone fracture

Siddha Concepts – Enbu Uluthal

According to Siddha, this disease is known as Enbu Uluthal. Initially due to various causative factors, Vatham is affected. Vitiation of Uthanan vayu and Abanan vayu leads to derangement of Pithagni which in turn causes reduced appetite and poor intake of food.

Slowly the circulation and absorption of nutrients get affected due to involvement of Viyanan and Samanan vayu respectively. Reduced absorption of ‘Saram’ or nourishing juice affects the other physical constituents – cheneer (blood), oon (muscle), kozhuppu (fat), moolai (marrow), enbu (bone) respectively. Body becomes lean and weak. Bones lose strength, mass and density and structural deterioration of bone seen.

Acute pain in low back and joints may be felt with difficulty in performing even simple activities like bending down, sitting and climbing stairs.Nocturnal muscle pain, sleeplessness and shortening or forward curving of upper back seen, If proper care is not taken, it may lead to pathological fracture of bones and serious complications.

Siddha Medicine & Treatment for Osteoporosis :

Curative Herbs for Osteoporosis are :

1. Amukkura – ( Withania sominifera)
2. Taneervittan kizhangu – (Asparagus racemosus)
3. Seenthil – (Tinospora cardifolia)
4. Pirandai – (Cissus quardan-gularis)
5. Nathaichuri – (Borreria hispida)

Medicines :

• Amukkura Choornam
• Karisalai Preparations
• Nathai churi choornam
• Seenthil Choornam
• Ksheerabala capsules
• Sangu Parpam
• Palakarai Parpam
• Sringi Parpam
• Muthuchippi Parpam

Note : The names of internal medicines are given only for purpose of knowledge. Kindly contact a Siddha Physician for consultation and Treatment. Please avoid self medication.

External : Heavy massage and Marma treatment strictly contraindicated. Some external therapies can be done but should be carried out only in presence and under strict supervision of a Siddha doctor

Advice :

1. Calcium and Vitamin D rich foods like Milk, Yoghurt, Cheese, Soft boned Fishes, Dark green vegetables, carrot, broccoli,beans, ginger, pomegranate, apples, pineapples, almond, cashew, cod liver oil, etc should be included in diet.
2. Pirandai Thuvayal is a very good supplement for bones.
3. Include Vitamin C rich foods in diet
4. Expose body to evening and morning sunlight
5. Avoid soft/aerated drinks
6. Avoid smoking and Alcohol
7. Prevention of Fall
8. Yoga, Exercise for 20-30 minutes daily.
9. Pranayama

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Siddha Medicine & Treatment for Constipation

Constipation is defined as decrease in frequency, volume and fluidity of stool. A very common Gastro intestinal disorder characterised by restricted bowel movements with infrequent and difficult evacuation of stools. In chronic constipation, two or more symptoms discussed below is seen for at least 3 months.

1. Decrease in frequency of defecation ( less than 2 bowels/week)
2. Straining at stools
3. Passage of hard stools
4. Incomplete evacuation of stools

Causes :

• Food Habits :

Lack of fiber rich diet, increased intake of animal proteins like meat and eggs, insuffucient water intake are the main dietery causes. Food when not chewed properly or increased consumption of too much oily and fatty food may also lead to constipation.

• Lack of exercise and Physical activities
• Intestinal problems like irritable bowel and colon
• Medicines or Drugs : Antacids, Antispasmodic, Antibiotics, Diuretics, Iron supplements, Anti-depressants etc may lead to constipation
• Worm infestation
• Changes in life like Pregnancy and travelling
• Overuse of laxatives : It may lead to dependency on such drugs and supress the natural urge and body’s self mechanism.
• Delaying the urge to defecate
• Certain neurological diseases like Parkinson’s disease
• Smoking, Alcohol. Too much tea/coffee

Symptoms :

• Bloated Abdomen
• Abdominal discomfort and pain
• Nausea
• Heaviness in abdomen
• Mouth Ulcer
• Foul breath
• Chronic constipation may lead to Hemorrhoids, Fissures, rectal prolapse, vatha diseases and Skin ailments

Siddha Concept :

According to Siddha, dietery and lifestyle reasons may initially lead to derrangement of Vatha or Pitha causing ingigestion, bloated abdomen, gassiness etc. This vitiated Vatham or Pitham may later derrange Kapham leading to failure or difficulty in evacuation of stools. Accumulation of waste in the abdomen may produce toxins which may circulate within the body through blood and fluids upseting the whole digestive system later hindering the functioning of other systems of the body.

Natural Remedies :

1. Intake of fiber rich foods like Pineapple,papaya, guava, veggies like beans, cereals etc. Salad(Roughage) intake regularly prevents constipation.
2. Add healthy spices like turmeric, cumin, coriander to daily food in abundance. These spices increases digestive fire and helps the food to digest properly.
3. Chew the food well before swallowing. Make your dinner healthy, light and early for better digestion.
4. Drink 8-10 glasses of water daily.
5. A glass of warm water with juice of 1/2 lemon and 1 spoon of honey just after waking up may help to prevent constipation.
6. Avoid Smoking, Alcohol, Soda drinks, too much of tea and coffee.
7. Exercise regularly.
8. 20-30 ml of castor oil with warm milk just before bed.
9. Aloe vera juice- 20 to 30 ml daily
10. Fasting at least once a month is good to restore digestive fire.
11. Maintain a goodnight sleep routine.

Siddha Medicines for treating constipation :

Effective Siddha cure :
To bring back digestive fire and proper digestion, purgation followed by digestives should be administered.
Purgation must be given as first line of treatment. For purgation medicines like Agasthiyar kuzhambu, Lavan gunathi ennai, Sddhathi ennai etc are used in Siddha. Then medicines to improve digestive fire and prevent indigestion is administered. Eladi choornam, Trikadugu choornam, Inji vadagam, Thalisathi choormnam and vadagam, Asta choornam, Inji rasayanam etc are some of the Siddha digestives

Chronic constipation : Some times laxatives are administered according to the condition of the patient and severity of the problem.
Ponnavarai choornam 1gram with milk at bed time or Ponnavarai tablet 1-2 at night time.
Nilavarai chooranam, Kumari ennai, Kadukkai choornam, Karunai leghyam, Triphala choornam etc are other medicines to treat Constipation. Laxatives are admionistered for a recommended period according to the physician’s guidance.

Note : Always consult a Siddha doctor to treat constipation and associated problems. Line of treatment and medicine may vary accordingly. Never go for self mediciation.

Chronic constipation may lead to Piles, fistula, Vatha diseases, Skin disorders, Neurogenic diseases etc. So it must be treated well wihtout any failure. It is advised to administer purgation once in 6 months to maintain a healthy digestive system. Fibre rich diet, Green vegetables, proper quantity of fluid intake can help prevent constipation naturally. A lot of diseases arise due to digestive problems. A healthy digestive system keeps the body system well functioning and prevent various ailments. It maintains a healthy immune system and promotes longevity.

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Diabetes Treatment in Siddha Medicine

Diabetes is a metabolic disorder in which a person has high blood sugar level because either the pancreas does not produce enough insulin or cells do not respond to it.

Normally after intake of food, it breaks down into glucose – the main fuel for energy in human body. Insulin in pancreas is produced and released to transport the glucose into the cells. Usually pancreas automatically produce insulin according to the glucose level. But in people with diabetes, the pancreas produce little or no insulin or the cells become resistant to insulin produced.

Glucose Levels

According to modern concepts, diaabetes is of 3 types :

Type 1 Insulin dependendent Diabetes Mellitus : Known as Juvinile diabetes Mellitus. 5-10% cases are diagnosed as as Type 1. It is an autoimmune disorder when the immune system goes against its own self causing destruction of the pancreatic cells that produce insulin. Seen usually in children. Increased urination, increased thirst, weight loss are usually seen. No family history generally present. Insulin shots are given usually in modern medicine.

 Type 2 Non Insulin Dependent Diabetes Mellitus : Most common type. Slow onset with symptoms like increased thirst, increased urination and weight loss. Usually these people are obese with sedentary life style and a strong family history. Due to ineffective glucose metabolism, the body uses alternatives like fat metabolism to produce energy leaving the person tired and fatigue seen.

Other symptoms :

1. Polydipsia (Increased thirst) : The concentration of glucose in blood makes the brain send signals for dilution of blood hence one feel the urge to drink more water
2. Polyphagia (Increased appetite) : Insulin also responsible for hunger, increase insulin level stimulates hunger and desire to eat more
3. Polyurea (Increased Urine out put) : Body tries to get rid of increased blood sugar and thus increased urine is seen to eliminate the extra glucose from the body making the sufferer dehydrated and tired.
4. Weight fluctuation : Earlier seen as weight loss due to utilization of fat from body for energy, later weight gain occurs due to increased appetite.
5. Blurred vision
6. Irritability
7. Infections : UTI and Skin infections seen usually
8. Poor wound Healing : Increased blood glucose inhibits WBC responsible for immunity of the body, delays the healing power

Type 3 Gestational Diabetes : Seen during pregnancy. About 3-5% ladies have chances to develop Gestational diabetes. This happens when the body does not make enough insulin or resist direct action of insulin due to hormones. These patients have 40% chances of developing Type 2 Diabetes if they are obese or have irregular food habits. Diet management alone manages this condition well. Insulin is some times given.

Complications :
Untreated Diabetes may lead to irreversible damage to the Eyes (Retinopathy), Kidneys (Nephropathy), Nerves (Neuropathy), Heart (Heart Attack) and Feet (Diabetic Foot).

Siddha Concept of Diadetes:

In Siddha Diadetes is known as MadhuMegham, Pramagham, Neerizhivu noi etc. It is characterized by increased blood sugar, increased urine output and  deterioration of 7 udal thathus (Saaram or nourishing juice, Cheneer or blood, Oon or Muscles, Enbu or bone, Moolai or marrow, Kozhuppu or Fat, Sukilam/ Sronitham or Semen/ Ova) leading to emaciation and damage to body systems.

According to Siddha, this disease is subdivided into 3 : Vatha, Pitha and Kapha. Vatha again subdivided into 4, Pitham as 6 types and Kapham as 10 Types.

Managing Diabetes :

Both Type 1 and Type 2 Diabetes can be managed through diet, Exercise, Routine check up and Medicines.

1. Diet : A balanced diet with veggies, fruits, whole grain, beans, fish, lean mean meat, non fat dairy, fiber rich food like salad is suggested. Frequent and portion meals is the best. Plan your plate. Divide the plate into two halves, fill one half with non starchy veggies like Spinach, broccolli. Divide the empty half into two halves again. Fill one half with carbohydrate rich veggies or whole grains and other half with proteins like lean meat or pulses or fish etc. It is myth that diabetics have to cut off sugar completely. One can take sugar and carbs in permissible limits.
2. Exercise : Exercise increases the blood senstivity to insulin stimulates muscle to use glucose. 15 minutes before exercise, diabetics should have some snacks or fruits else the sugar may dip making him/her hypoglycemic. Never exercise during fasting especially empty stomach. If low sugar happens to occur get 15-20 gms of sugar by having glucose tablets or fruits. Avoid foods like chocolates laving both sugar and fats.
3. Routine Check up : Make a record of your sugar level and plan your diet accordingly. It will be useful for your regular doctor to select the apt medicines.
4. Siddha Medicines :

Herbs used to manage Diabetes are :

1. Tinospora cordifolis or Seenthi or Amrit
2. Euginea jambolena or Nyaval 
3. Gymnema sylvestre or Sarkarrai kolli
4. Phyllanthus emblica or Nellikkai or Amla
5. Aegle marmelos or Vilvam or Bael
6. Trigonella foenum or Methi or Venthayam
7. Turmeric or Manjal or haldi
8. Andrograhis paniculata or Nilavembu
9. Allium sativum or Garlic

Medicines like Seenthil Kudineer, Seenthi Choornam, Vilva kudineer, Avarai kudineer, Madhumegha choornam, Nyavalkottai Choornam, Silasathu parpam, Abraka chendooram, Triphala Choornam etc are used in treatment of Diabetes.

Home Remedies :

1. Soak Overnight 20-25 seeds of fenugreek in 200 ml water. Next day, mash the seeds, filter and drink daily before breakfast.
2. To 10 ml of Amla juice mix 1/2 teaspoon of turmeric powder and take twice daily.
3. Seed powder of Jamun or Euginea jambolena can be taken in dose of 3-5 gram twice daily with hot water.
4. 1-4 cloves of garlic daily after waking up.

Advice :

1. Quit smoking : Smoking increases chances to develop complications like diabetic foot, nerve damage, kidney damage, heart and vascular problems.
2. Avoid Stress : Stress increase blood suger level so de- stress your life.
3. Avoid Alcohol
4. Drink 1 – 2 glass of warm water just after waking up. It detoxifies the body and helps in flushing out the toxins

It is really shocking to know that Diabetes has affected 246 million people world wide. Every 10 seconds one person dies of Diabetes related cause and every 10 seconds 2 person develop Diabetes. It is peak time to change our diet and lifestyle and prevent Diabetes otherwise called Silent killer. Remember, there is no complete or permanent cure for Diabetes. It can be managed and controlled through Right food, Medicines and Lifestyle modification. Eat Right, Exercise more & Prevent Diabetes. Keep Fit & Stay Healthy.