Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
In Ayurveda we shouldn’t have any situation which might be carefully in comparison with hypoparathyroidism. However contemplating all of the views of hypoparathyroidism and them from Ayurveda lens we are able to draw some speculation in order to what circumstances and signs defined in Ayurveda treatises fall underneath the umbrella of hypoparathyroidism or underneath the umbrella of which Ayurveda illnesses and signs does hypoparathyroidism tentatively fall. This may assist us perceive hypoparathyroidism from Ayurveda perspective which can additional assist in treating it by Ayurveda interventions.
Transient introduction to Parathyroid Glands and Hypoparathyroidism
Parathyroid Glands
Parathyroid Glands are 4 small glands positioned behind the thyroid gland and on the backside of our neck. These glands produce a hormone named ‘parathyroid hormone’. This hormone regulates the degrees of calcium and phosphorus within the blood. It additionally controls the degrees of vitamin D within the blood and bones which is especially essential for nerve and muscle features and likewise for bone well being.
Much less manufacturing of parathyroid hormone (PTH) causes low quantities of calcium within the blood (hypocalcemia). An excessive amount of parathyroid hormone causes excessive quantities of calcium within the bloodstream (hypercalcemia).
Hypoparathyroidism
Hypoparathyroidism is a situation marked by low ranges of parathyroid hormones within the blood. This situation causes low ranges of calcium within the blood. It’s brought on by harm to the parathyroid glands and likewise by sure autoimmune and genetic illnesses. It’s a uncommon however treatable situation. Alternatively it’s a continual situation however will also be a short lived one.
Hypoparathyroidism additionally occurs when the parathyroid glands are eliminated surgically or when the physique is immune to PTH (parathyroid hormone). Hypoparathyroidism will also be hereditary.
Hypoparathyroidism – Ayurveda Perspective
Hypoparathyroidism Signs: Dosha Hyperlink
Vata dominates the image amongst the signs of hypoparathyroidism
Ache and totally different sorts of ache manifestations are because of aggravated vata. Muscle cramps, tingling sensation, muscle spasms are all precipitated because of vata aggravation. Likewise ache within the stomach and painful menstrual intervals that are frequent in hypoparathyroidism are additionally brought on by vata.
Seizures and tremors are additionally precipitated because of vata. Kampa whereby there are tremors and akshepaka whereby there are seizures as predominant options are half and parcel of vatavyadhi – particular issues brought on by aggravated vata. All these are precipitated because of extreme improve of chala guna (mobility attribute or high quality) of vata. Right here we are able to see the disturbance of vyana and prana vata.
Likewise arrhythmias, confusion, nervousness, low blood stress and coronary heart failure are all brought on by fluctuations within the chala (cell high quality) and or sukshma guna (minute high quality) of vata. We are able to see that imbalance of Prana, Udana and Vyana Vatas are concerned in these signs.
Dryness pores and skin, dry hairs and scaly pores and skin are precipitated because of improve in ruksha (dry) and khara (tough) qualities of vata and likewise affliction of rasa tissue and its channels and coronary heart by aggravated vata. Hair loss is because of dry, mild and minute qualities of vata.
Bone is a vital seat of vata. Nails and hairs are mentioned to be the waste merchandise of bones. In order that they too have a vata connection. Subsequently the bone illnesses, weak tooth enamel (tooth are known as as ruchakasthi – a kind of bone in Ayurveda), dental issues, brittle nails and hair loss – all are brought on by aggravated vata.
Likewise vata can also be concerned within the causation of cataracts.
a grosser image it’s clear that ‘aggravated vata’ is the principle dosha concerned within the causation of many signs of hypoparathyroidism. Therefore mathematically hypoparathyroidism can also be a situation brought on by excessive vata exercise within the physique.
Hypoparathyroidism – Dhatu Hyperlink
Primarily it’s seen that the mamsa dhatu – muscle tissues and asthi dhatu – bone tissues are concerned or affected in hypoparathyroidism as evident from its signs. Involvement of pores and skin and coronary heart and issues occurring therein counsel involvement of rasa (lymph, plasma) tissue and the associated channels. Seizures and tremors point out the involvement of majja (mastulunga – mind and nerves) dhatu. Seeing the larger image it’s as soon as once more the vata dosha which afflicts these tissues within the pathogenesis of hypoparathyroidism.
Vata connection in Hypocalcemia – Hypocalcemia is a vital occasion occurring in hypoparathyroidism. When it occurs the nerve features, muscle contractions (physique actions), correct coronary heart functioning and clotting of blood are affected. We are able to as soon as once more see that vata is the chief perpetrator behind all these pathological manifestations. So we are able to infer that hypocalcemia signs are proximate to the signs of vata aggravation.
From the angle of causative elements – We are able to see that hypoparathyroidism is brought on by harm to the glands. Damage (surgical procedure) and affliction of the physique or physique components by exterior causes (radiation) will certainly trigger vata aggravation. In Di syndrome which is the commonest genetic trigger for hypoparathyroidism, the parathyroid glands are absent within the youngster. Absence of any organ or tissues or destruction of the identical within the intrauterine lifetime of a person are because of vata of the fetus afflicting, damaging or destroying these buildings. By start these buildings could also be absent. Vata is predominantly made up of Vayu (air) and Akasha (ether, house) parts and these parts are concerned in spacing, structuring and shaping the buildings of the physique within the fetus.
From the angle of problems of hypoparathyroidism – Similar to the signs we are able to additionally see that a lot of the problems are ‘vata precipitated’. Poor development, sluggish psychological growth and dental points in kids, kidney dysfunctions, seizures, spasms of larynx, cramps, muscle pains and twitches, tingling sensation, cardiac arrhythmias, fainting, coronary heart failure, hardening of and alter in form of the bones, and issues associated to physique steadiness – all are brought on by excessive vata.
From the Vyadhi perspective
Illnesses (defined in Ayurveda) which might be thought-about underneath the umbrella of hypoparathyroidism
Aakshepaka – tetanic seizure
Akshepaka is likely one of the particular vata issues included in vata vyadhi. On this situation, the vitiated vata afflicts the nerves all around the physique and causes extreme convulsions. These convulsions happen repeatedly. This situation might be carefully in comparison with the seizures occurring in hypoparathyroidism. That is known as tetany or tetanic seizure. It’s a medical signal consisting of the involuntary contractions of muscle tissues. We are able to see vata vitiation inflicting akshepaka, a situation much like tetanic seizures of hypoparathyroidism.
Different circumstances (which match into the reason of signs and problems of hypoparathyroidism)
– Mamsagata Vata – aggravation of vata contained in the muscle tissues
– Asthigata Vata – aggravation of vata contained in the bones
– Majjagata Vata – aggravation of vata contained in the bone marrow / mind
– Rasagata Vata – aggravation of vata contained in the lymph / plasma and channels of transportation of rasa tissue
Summing it up
Within the larger image, the pathogenesis and signs of hypoparathyroidism clearly appear like a ‘excessive vata situation’.
Ayurveda Therapy of Hypoparathyrodism
Treating Vata Aggravation
Whereas treating hypothyroidism in an Ayurveda approach the first and most essential strategy could be treating vata aggravation and bringing it right into a state of steadiness. So, all vata assuaging and balancing measures together with meals, medicines, therapies and life actions must be introduced into implementation.
Nidana Parivarjana – Avoidance of etiological elements that will result in vata aggravation – together with meals, life actions and seasons.
Amongst therapies, the essential ones could be –
Exterior
– Abhyanga – natural oil therapeutic massage
– Swedana – natural sudation together with showering and tub tub utilizing natural decoctions and milk, pinda sweda (fomentation with bolus consisting of paste of leaves of vata assuaging herbs or shashtika rice processed in medicated milk)
– Sarvanga dhara – pouring of natural decoctions, oils or milk over the physique
– Murdni Taila – oil therapies on the top, primarily shirovasti (oil pooling on the top) and shirodhara – pouring medicated oils or milk in streams over the top
Inner – Essential Panchakarma therapies
– Vasti – oil and decoction enemas ready with vata mitigating herbs
– Tikta Ghrta / Ksheera Basti – enema with ghee or milk ready with bitter tasting herbs
– Virechana – therapeutic purgation
Different rules of therapy
Relying on the predominant signs and problems therapy rules of the under talked about circumstances might be administered –
– Mamsagata Vata Chikitsa – in presence of ache within the muscle tissues and tender tissues
– Asthigata Vata Chikitsa – in presence of ache in bones, joints and tooth
– Majjagata Vata Chikitsa – in presence of seizures, tremors, pains and different neurological signs
– Rasagata Vata Chikitsa, Rasavaha Sroto Dushti and Hrdroga Chikitsa – in presence of coronary heart circumstances like arrhythmias
– Koshtagata Vata Chikitsa – in presence of stomach ache
Helpful herbs in Hypoparathyroidism
– Guggulu – Commiphora mukul
– Arjuna – Terminalia arjuna
– Ashwagandha – Withania somnifera
– Bala – Sida cordifolia
– Laksha – Lac
– Kapikachchu – Mucuna pruriens
– Brahmi – Bacopa monniera
– Sthira – Desmodium gangeticum
Helpful formulations in Hypoparathyroidism
– Yogaraja Guggulu
– Lakshadi Guggulu
– Trayodashanga Guggulu
– Vatagajankusha Rasa
– Mahavatavidhwans Rasa
– Vata vidhwamsini Rasa
– Maharasnadi Kashayam
– Dhanwantaram Kashayam
– Ashwagandharishtam
– Dashamoolarishtam
– Saraswatharishta
– Arjunarishta
– Balarishtam
– Guggulutiktaka Ghritam
– Ashwagandhadi Ghritam
– Kalyanaka Ghritam
– Brahmi Ghrtam
– Saraswatha Ghrtam
– Gandha Tailam
– Ksheerabala tailam 101
– Dhanwantaram 101
Helpful Yoga postures in Hypoparathyroidism
– Viparita Karani – Legs Up The Wall Pose
– Matsyasana – Fish Pose
– Navasana – Boat Pose
– Marjaryasana – Cat-Cow Pose
– Sarvangasana – Shoulder Pose
– Halasana – Plow / Plough Pose
– Shavasana – Corpse Pose
