Ayurvedic Treatment methods
Ayurvedic Treatment methods, treatments, aim, how to treat , precaution, importance, way are to be discuss
Types Of Sleep according to Ayurveda
According to references in Ayurveda- Sleep or Nidra is of 10 types or is produced due to the below mentioned 10 factors….
“Kaalaswabhaavaa Aamaya Chitta Deha Khedaih Kapha Aagantuja Tamobhava Cha. Nidraa Bibharthi Pradhamaa Shareeram Paapaatmika Vyaadi Nimitta Mantyaa”
Kaala Swabhaavaja Nidra: Normal daily routine sleep. This as a natural phenomenon occurs as a part of our daily life, generally at the end of the day i.e during the night..which is the natural time to sleep..in natural conditions and normal health. This form of sleep is good for health. It keeps us physically and mentally fit for the daily schedules.
Chitta Kheda Prabhava Nidra: Sleep occuring due to the disturbances of the mind or due to mental exhaustion.
Roga Kheda Prabhava Nidra: Abnormal type of sleep either in excess or in a disturbed form occuring as an effect of long standing illness or due to the effect of a disease process. This needs a medical intervention and gets right when the pathology behind it is attended to.
Shareera Kheda Prabhava Nidra: Sleep occuring due to physical exertion.
Kapha Prabhava Nidra: Sleep occuring due to the predominance of Kapha- one of the 3 essential humoral factors governing the body functions. Generally those who are of the Kapha predominant constitution tend to sleep more than the other Vata and Pitta constitutions. Excessive sleep is also seen in the diseases of Kapha predominance…which is pathological. When the causative disease is dealt with, sleep pattern will get synchronised.
Aagantuja Nidra: Sleep caused due to a trauma or injury involving head.
Tamo Bhava Nidra: Sleep occuring due to the predominance of the Taamasika guna in the mind…which generally tends to calm the mind and also cause sleep.
Paapaatmika: Sleep occuring as an effect of our sins.
Vyaadhi Nimitta Nidra: Sleep which occurs in the form of a disease.
Antya Nidra: Sleep occuring at the end part of our life i.e death..which is a permanent form of sleep ending our life process.
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Susruta’s Classification of Drugs to 37 groups
1. Vidaarigandhaadi gana
Vidaarigandhaa (Saalparnee), Vodaaree, Viswadevaa (Gaangarukee), Sahadevaa (a variety of Bala), Swadamshtraa (Gokshura), Prithakparnee (Prisniparnee), Sataavaree, Saaribaa, Krishna Saaribaa, Jeevaka and Rishabhaka, Mahaasa haa (Maashaparnee), Kshudrasahaa (Mudgaparnee), Brihatee, Kantakaaree, Punarnavaa, Eranda, Hamsapaadi, Vrischikaalee and Rishabhee.
The Vidaarigandhaadigana counteracts Vaata and Pitta; it is useful in Sosha (emaciation), Gulma (tumour), Angamarda (bodily soreness), Oordhwaswaasa (a kind of Swaasa) and Kaasa (cough).
2. Aaragwadhaadi gana
Aaragwadha, Madana, Gopaghonta (Karkotee), Kantakee (Vikamkata), Kutaja, Paathaa, Paatalaa, Moorvaa, Indrayava, Saptaparna, Nimba, Kurantaka, Daaseekurantaka, Gudoochee, Chitraka, Saarngeshtaa (Kaakajanghaa), Karanja and Vitapakaranja, Patola, Kiraatatiktaka and Sushavee (Kaaravella).
The Aaragwadhaadigana checks Kapha and Poison; it is also useful in Prameha, Kushta, Jwara, Vami (vomiting), Kandu (itching) and it purifies Vrana (Dushta).
3. Varunaadi gana
Varuna, Aartagala (Kakubha), Sigru, Madhu Sigru, Tarkaaree, Mesha Sringee (karkatasringee), Pooteeka (Chirabilva), Naktamaala (Brihat Karanja), Morata (Ankolapushpa), Agnimandha, two kinds of Saireyaka 9of red and blue flowers), Bimbee, Vasuka (Buka), Vasira (Markatapippalee), Chitraka, Sataavari, Bilwa, Ajasringee (Chagalavishanikaa), Darbha (Kusa), Brihatee and Kantakaari.
This Varunaadigana checks Kapha and Medas; it is also useful in headache, Gulma, and Aabhyantara vidradhi (internal abscess).
Veerataru (Savara), two kinds of Sahachara, Darbha, Vrikshaadanee, Gundraa (Paadaraka bhedah), Nala, Kusa, Kaasa, Asmabhedaka, Agnimandha, Morataa (Ankollapushpa), Vasuka, Vasira, Bhallooka, Kurantaka, Indeevara, Kapotavankaa, and Swadamshtra (Gokshura).
5. Saalasaaraadi gana
Saalasaara, Ajakarna (Sarja), Khadira Kadara (Swetasaara), Kaalaskandha, Kramuka (Pooga), Bhoorja, Meshasringa (Karkatasringi), Tinisa (Syandana), Chandana, Kuchandana, Simsapaa, Sireesha, Asana (Beejaka). Dhava (Sakata), Arjuna (Kakubha), Taala, Saaka, Naktamaala, Pooteeka, Aswakarna, Agaru and Kaaleeyakam (Malendree chandanam).
This gana is very helpful in Kushta. It also acts as a curative in Prameha, Paandu (anaemia) and lessens Kapha and Medas.
Rodhra, Saavaralodhra, Palaasa, Kutannata, Asoka, Phanjee (Bhaarngee), Katphala, Elaavaalukam, Sallakee, Jinginee, Kadamba, Saala and Kadalee.
The Rodhraadigana lessens Medas and Kapha; it is curative of Yoni Dosha (disorders of Yoni); it is astringent (Stambhee), develops complexion (Varnya), and mitigates the poisons (Vishavinaasana).
Arka, Alarka (Sweta Arka), Karanja, Vitapakaranja, Naagadantee, Mayooraka (Apaamaarga), Bhaargee, Raasnaa, Indrapushpee, Kshudra Swetaa (Sephanda), Mahaaswetaa, Vrischikaalee, Alavanaa (Jyotishmatee), and Taapasa Vriksha (Induda).
The Arkaadigana checks Kapha, Medas and Visha; it is helpful also in Krimi, Kushta and is chiefly a purificator of Vranas (Viseshaat Vrana Sodhanah).
Surasaa (Krishna Tulasee), Sweta Surasaa (Sweta Tulasee), Phanijjaka (Maruvaka), Arjaka (Swetakutheraka), Bhoosthrina (Angudaaka), Sugandhaka (Dronapushpa), Sumukha (Raajikaa), Kaalamaala (Krishnamallikaa), Kaasamarda, Kshavaka (‘Chinkine’), Kharapushpaa (Kshavakabhedah), Vidanga, Katphala, Surasee (‘Bilwanasee’), Nirgundee, Kulaahala (Mundikaa), Undurukarnika (mooshika Karnikaa), Phanjee (Bhaargee), Praacheebala (Matsyaakshaka), Kaakamaachee, and Vishnumustika.
Suraasadigana checks Kapha and destroys Krimees (Parasites); it is also useful in cold, loss of appetite, hard breathing and cough; it purifies (Dushta) Vrana.
Mushkaka (Kshaaravriksha), Palaasa (Kinsuka), Dhava, Chitraka, Madana, Vrikshaka (Kutaja), Simsapaa, Vajravriksha and Thriphala (Hareetaki, Vibheetaki and Aamalaki).
Mushkakaadigana reduces Medas and is useful in Sukradosha (impurity of Semen); it also acts as a curative in Prameha, Arsas, Paanduroga and Sarkara.
Pippalee, Pippaleemoola, Chavya, Chitraka, Sringabera (Sunthee), Maricha, Hastipippalee (Gajapippalee), Harenuka, Elaa, Ajamodaa, Indrayava, Paathaa, Jeeraka, Sarshapa, Mahaanimbaphala, Hingu, Bhaarngee, Madhursaa (Moorvaa), Ativisha, Vachaa, Vidanga, and Katurohinee.
Pippalyaadigana reduces Kapha Dosha, cold (Pratisyaaya), Vaata, anorexia, Gulma and pain (Soola); it creates appetite (deepana) and digests (resolves) AamaDosha (Aama Paachana).
Ela, Tagara, Kushta, Maamsee, Dhyaamaka (Kattrina), Twak, Patra (Patrakam), Naagapushpa (Naagakesara), Priyangu, Harenuka, Vyaaghranakha, Sukti, (Vyaaghranakhabheda), Chandaa, Sthouneyaka (Thuneraka), Sreeveshtaka (Saraladruma), Chocha, Charaka, Vaaluka, Guggulu, Sarjarasa Turushka (Sihlaka), Kunduraka (Sallakee (Chopa), Agaru, Sprukkaa, Useera, Bhadradaaru, Kunkumam and Punnagakesara.
Elaadigana checks Vasta and Kapha and Visha (Poison); it creates luster of the skin (Varna prasaada); it destroys itching (Kandoo), Pidakaa (Disease with elevated skin on account fo an abcess etc) and Kotha (eruption on skin).
Vachaa, Mustaa, Ativishaa, Abhayaa, Bhadradaaru, and Naagakesara constitute Vachaadigana.
13. Haridraadi gana
Haridraa, Daaruharidraa, Kalasee (Prisniparnee), Kutajabeeja and Yastimadhu constitute Haridraadigana.
Both Vachaadigana and Haridraadigana purify the breast-milk, act as amelioratives (Samana) in Aamaateesaara; they are especially digestive of the Doshaas (Viseshaat Doshapaachanou).
Syaamaa (Sweta Trivrut), Mahaasyaama (Vriddhadaaraka), Trivrut (having red root), Dantee, Sankhinee (Yavatiktabhedah), Tilvaka (Rodhra), Kampillaka (Rochanikaa), Ramyaka (Mahaanimba), Kramuka, Putrasrence, Gavaakshee, Raajavriksha, Karanja, Vitapakaranja, Gudoochi, Saptala (Snuheebheda), Chagalaantree (Vriddhadaarakabheda), Sudhaa (Sehunda) and Suvarnaksheeri.
Syaamaadigana checks Gulma and Visha (poison), Aanaaha (distension of abdomen), Udara, and Udaavarta; it causes free evacuation of the bowels.
Brihatee, Kantakaarika, Kutajaphala, Paathaa, and Madhukam (Yashtimadhu).
Brihatyaadigana is a digestive (Paachaneeya); it checks Vaata and Pitta. It is also beneficial in Arochaka (Anorexia) due to Kapha, Hridroga, Mootrakrichra (Dysuria) and a kind of pain during urination.
Patola, Chandana, Kuchandana, (Raktachandana), Moorvaa, Gudooche, Paathaa and Katurohinee.
Patolaadigana cures Pitta, Kapha and Arochaka (anorexia); it allays Jwara; it is beneficial in Vranas, and cures vomiting, itching and Visha (poison).
Kaakolee, Ksheerakaakolee, Jeevaka, Rishabhaka, Mudgaparnee, Maashaparni, Medaa, Mahaamedaa, Chinnaruhaa (Gudoochee), Karkatasringee, Tugaaksheeree (Vamsalochanaa), Padmaka, Prap0oundareeka, Riddhi, Vriddhi, Mridweeka (Draakshaa), Jeewantee and Madhukam.
Kaakolyaadigana cures Pittasonita (Rakta vitiated by Pitta; or Pitta and Sonita) and Vaayu. It is Jeevana (increases vitality), Brimhana (promotes bodily growth), Vrishya (increases semen), and increases breast-milk and Kapha.
Ooshaka (Kshaaramrittika), Saindhavalavana, Silaajathu. Kaaseesadwaya (Vaalukaaseesam and Pushpukaaseesam), Hingu and Tuththtaka.
Ooshakaadigana allays Kapha and diminishes Medas; it acts as curative in Asmaree (stone), Sarkaraa (sand in urine), Mootrakrichchra and Gulma.
Saribaa, Madhuka (Yashtimadhu), Chandana, Kuchandana (Raktachandana), Padmaka, Kaasmareephala, Madhookapushpa and Useeram.
ays thirst and Raktapitta. It is beneficial in Pittajwara and cures Daaha (burning sensation) especially.
20. Anjanaadi Gana
Anjana (Souveeraanjanam), Rasaanjanam, Naagapushpa (Naagakesaram), Priyangu, Neelotpala, Nalanda (Maamsee), Nalinakesara (Padmakesra) and Madhukam.
This Gana cures Raktapitta; it is beneficial in Visha (poisoning), and it allays internal burning sensation.
21. Parooshakaadi Gana
Parooshakaa, Draakshaa, Katphala, Daadima, Raajadana (Ksheerika), Katakaphala and Saakaphalas (fruits of a tree named Saaka). (Fruits of all the above drugs should be used).
Parooshakaadigana cures Vaata and disordered urine; it is pleasant to take (Hridya); it allays thirst and creates appetite.
22. Priyangwaadi Gana
Priyangu, Samangaa (Anjali-Kaarikaa or Lajjaalu), Dhaatakee, Punnaaga (Tunga), Naagapushpam, Chandanam, Kuchandanam, Mocharasa (Saalmali chupa), Rasaanjana Kumbheeka, Srotonjana, Padmakesara, Yojanavalli (Manjishta) and Deerghamoolaa (Duraalabhaa).
23. Ambashtaadi Gana
Ambashtaa (Maachikaa), Dhaatakikusuma, Samangaa (Lajjalu), Katvanga (Araluka), Madhuka, Bilwapesikaa, (Baala Bhilwagirah), Saavararodhra (Lodhra), Palaasa, Nandeevriksha (Kaasmaree) and Padmakesaram.
Both Priyangwaadi Gana and Ambashtaadi Gana are useful in Pakwaateesara. They cause Sandhaana (union of bones etc), are beneficial in Pitta and heal the ulcers (Vranaanaam chaapi Ropanou).
24. Nyagrodhaadi Gana
Nyagrodha (Vata), Udumbara, Aswaththa, Plaksha, Madhuka, Kapeethana (Aamraataka), Kakubha, Aamra, Kosaamra, Chorakapatra (Laakshaavrikshaa), Jamboodwaya (Raajajamboo and Kaakajamboo – Swalpaphala), Piyaala (Saaradruma), Madhooka (Gudapushpa), Rohinee (Katphala), Vanjula (Vetasa), Kadamba, Badaree, Tindukee (Tinduka Vriksha), Sallakee, Rodhra, Saavararodhra, Bhallaataka, Palaasa and Nandeevriksha.
Nyagrodhaadigana is beneficial in the treatment of Vranas (Vranyah); it is astringent (Sangraahee); it is useful in fractures (Bhagna Saadhaka). Further, it allays Raktapitta (Haemorrhage) and Daaha (burning sensation); it reduces Medas (obesity) and it is useful in Yonidosha (Yonivvaapat).
25. Gudoochyaadi Gana
Gudoochi, Nimba, Kustamburu (Dhaanyakam), Chandanam and Padmakam.
Gudoochyaadi gana checks all Jwaras (fevers and it increases appetite (Deepana). It allays’ Hrillaasa (nausea accompanied with hawking of mucous etc. from the mouth), Arochaka (Anorexia), Vami (Vomiting), thirst and burning sensation.
26. Utpalaadi Gana
Utpala (Neelotpala), Raktotpala, Kumuda (Swetotpala) Sougandhika (a Sweet-scented blue lily different from Neelotphala), Kuvalaya, (Utpala having blue-white colour), Pundareeka (White lotus) and Madhukam (Yashtimadhu).
Utpalaadigana allays Daaha (burning sensation), Pitta and Rakta, thirst, Visha (poisoning), Hridroga, Chardi (Vomiting) and Moorchaa (Syncope).
27. Mustaadi Gana
Mustaa, Haridraa, Daaruharidraa, Hareetakee, Aamalaka, Vibheetaka, Kushta, Haimavatee (Vachaa), Paathaa, Katurohinee, Saarngeshtaa (Yavatiktaa), Ativishaa, Draavidee (Elaa), Bhallaataka and Chitraka.
Mustakadi Gana reduces Kapha; it also cures Yonidosha and purifies breast-milk; it is digestive (Paachana).
Hareetakee, Aamalaka and Vibheetaka. Thriphala reduces Kapha and Pitta; it is useful in Prameha, Kushta; it is beneficial to eyes; it creates appetite and is useful in Vishamajwara.
Pippalee, Maricha and Sringabera (Sunthee).
This is also called Tryooshanam and Vyosha. It reduces Kapha and Medas and is useful in Pramea, Kushta, Twagaamaya (Skin diseases); it creates appetite; it is useful in Gulma, Peenasa and Agnyalpataa (Poor digestion).
30. Aamalakyaadi Gana
Aamalakee, Hareetakee, Pippalee and Chitraka.
This Aamalakyaadigana is useful in all jwaras (fevers) is beneficial to eyes, is an aphrodisiac and cures Kaphaarochaka (Anorexia due to Kapha).
31. Trapwaadi Gana
Trapu (Vangam-Tin), Seesa (Lead), Taamra (Copper) Raata (Silver), Krishna Loha (Steel), Suvarna (Gold), and Lohamala (Mandooram).
Trapwaadigana is useful in gara (poisoning usually through food), worms (Krimi), thirst, Visha, Hridroga Paandu and Prameha.
32. Laakshaadi Gana
Laakshaa, Aarevata (Kiramaalaka), Kutaja, Aswamaaraka (Karaveera), Katphala, Haridraa and Daaruharidraa, Nimba, Saptachchada, Maalatee and Traayamaanaa.
Laakshaadi Gana is Kashaaya (astringent), bitter and sweet in taste; reduces ailments due to Kapha and Pitta; it is useful in Kushta and Krimi (worms); it also purifies Dushta vranas.
33. Kaneeya Panchamoola (or Hraswa Panchamoolam of Laghupanchamoola).
Trikantaka (Gokshura), Brihatee, Kantakaari Prithakparnee and Vidaarigandhaa (Saalaparni).
Kaneeya Panchamoola is Kashaaya, Tikta and Madhura in Rasa (taste); it reduces Vaata and ameliorates Pitta; it is Brimhana (tissue building) and increases strength (Balavardhanah).
34. Mahaa Panchamoola (Brihat Panchamoola)
Bilwa, Agnimandha, Tuntuka (Syonaaka), Paatalaa and Kaasmaree.
Mahaa Panchamoolam is bitter (tikta), checks Kapha and Vaata; it is Laghu in Paaka; it promotes appetite and it is slightly sweet in Rasa (Taste).
Both the above Panchamoolas (i.e.) kaneeya panchamoola and Mahaa Panchamoola mixed are called Dasamoola.
Dasamoola (Gana) reduces Swaasa (hard breathing), it checks Kapha, Pitta and Vaayu; it digests Aama-Dosha and it is curative of all Jwaras (fevers).
36. Vallee Panchmoola
Vidaaree, Saaribaa, Rajanee (Haridraa), Gudoochee, and Ajasringi.
Karamanda, Trikantaka, (Gokshura), Saireeyaka, Sataavaree and Grindhranakhee.
Both the above ganas (Vallee Panchamoola and Kantaka Panchamoola are beneficial in Raktapitta and are useful in three kinds of Sopha (Aama, Pachyamaana and Pakwa), Prameha and purify Sukra.
Laghupanchamoola and Mahaapanchamoola usually reduce Vaata; Trinapanchamoola reduces Pitta; the other two, namely, Valleepahchamoola and Kantaka Panchamoola, reduce Kapha.
It should be understood that the substances in the groups (Ganas) may be altered, or individually used and variously combined according to the Doshaas, or Dooshyas etc. existing individually or in various combinations in a person.
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Sahacharadi Kashayam an effective Back Pain Remedy
Sahacharadi Kashayam is a proved formulation time and again as an effective remedy for Back pains especially Low back pains, Lumbar Spondylosis and Sciatica.It is a simple formulation taken and prepared from a reference in Sahasra Yogam…an Ayurvedic text.
Sahacharadi Kashayam is a simple herbal compound in the form of a herb processed decoction or liquid very much prescribed in the pains involving the low back and lower limbs. Its chief ingredients are Sahachara(Strobilanthes_heynianus), Devadaru(Cedrus deodara) and Nagara/Shunti(Zingiber officinale). As a combined effective formulation they help in allievating the back pain and associated complaints.
Sahachara: Botanical name – Strobilanthes_heynianus, Family-Acanthaceae
Properties: Rasa(Taste) : Tikta, Madhura
Guna(Character) : Lakhu, Snigda
Virya(Potency) : Ushna
Vipaka(Post digestion effect) : Katu
Actions and uses: It pacifies the vitiated vata and hence allievates the diseases caused due to the morbid vata, skin diseases, impotency and diabetes. It also purifies and detoxifies the blood.
Useful part : Whole plant.
Devadaru: Botanical name : Cedrus deodara (Roxb.ex.D.Don) G.Don.,Family : Pinaceae
Rasa (Taste) : Tikta, Katu
Guna (Character) : Lakhu, Snigdha
Virya(Potency) : Ushna
Vipaka(Post digestion effect) : Katu
Action and uses:It pacifies the vitiated vata & kapha. It is highly beneficial invarious types of pain, arthritis, ear ache, inflammation, headache, epilepsy, insomnia, cough, bronchitis, hiccough, diabetes, urinary tract infections, calculi, skin diseases and cardiac disorders.
Useful part : Leaves, Heartwood, Oil.
Nagara/Shunti: Botanical name : Zingiber officinale Rosc, Family : Zingiberaceae
Rasa (Taste) : Katu
Guna(Character) : Guru, Rooksha,
Virya(Potency) : Ushna
Vipaka(Post digestion effect) : Madhura
Action and Uses: It pacifies vitiated kapha & vata. It helps in relieving effectively body pains, dropsy, asthma, cough, colic, diarrhea, nausea, vomiting, inflammations and abdominal discomforts. Dry ginger is appetizer, laxative, expectorant, and carminative.
Useful part : Rhizomes.
Dose of Kashayam: 15 ml twice daily mixed with 30ml of water, before food or as per the instructions of the physician.
Sahacharadi Kashayam Tablets: It is nothing but the aqueous extract form of the classical kashayam. The kashayam is further condensed to obtain the shape of a tablet. Since Kashayams pose a palatable problem for many due to their bitter taste, the tablet forms are introduced by the pioneers of Kashayam tablets…the Arya Vaidya Nilayam. This form is easy to consume and also to carry.
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Patra Pinda Sweda (Herbal Rejuvenation Of Back And Spine)
Patra Pinda Sweda is a simple and effective therapy in the management of uncomplicated back pain severe.
Patra means leaves of medicinal plants. Pinda means a bolus. Sweda means Fomentation or sudation.
Method of preparation and administration: Leaves of various medicinal plants which have the property of relieving pain, inflammation & stiffness and also which can rejuvenate and strengthen the joints and soft tissues and improve circulation in the afflicted parts are selected as per the condition. They are chopped into fine pieces and are fried with vatahara tailas(oils useful in relieving vata, pain and associated conditions) along with other medicaments like pieces of lemon, gratings of coconut etc. Then they are tied in a cloth in the form of a bolus. On the other side a small quantity of medicated oil is kept in a pan or in a vessel and heated on passive heat keeping the fire in mild flame. The afflicted part having back pain severe is given an Abhyangam(massage) for a few minutes with medicated oils. The bolus consisting of leaves and herbs is dipped in the heated oil and massaged on the afflicted joints or back area. The whole manoeviere is carried out for 45 mts to 1 hour if patra pinda sweda is the main treatment prescribed. If it forms a part of treatment, as after kati vasti..patra pinda sweda is done for about 10 to 15 minutes. In a few conditions it can be used over full body too.
Leaves used for patra pinda sweda: Leaves of medicinal plants like Nirgundi, Shigru, Shireesha, Arka, Eranda etc are used as per the condition and the choice of the physician.
Benefits of Patra Pinda Sweda: It strengthens and rejuvenates the back and spine, strengthens the dhatu shakti(tissue strength and integrity), increases circulation, removes dirt and unwanted tissues, provides color and complexion to the skin, induces good sleep and reduces stress in spite of reducing pain, stiffness and inflammation.
Uses: Patra pinda sweda is effectively prescribed in – Back pain chronic, Back pain chronic, Back pain low, Lumbar and Cervical Spondylosis, Arthritis, Joint stiffness and swelling, Muscular and soft tissue pains, Sciatica, sprains and cramps etc…
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Ishtika Sweda for Calcaneal Spur Treatment
Calcaneal Spur or Heel Spur is one of the chief causes of heel pain.
Calcaneus bone or Calcaneum: It is the largest bone forming the foot and also the largest tarsal(Tarsals are the bones of the foot and are 7 in number). It forms the heel and is also called the heel bone.
Calcaneal spur is an abnormal growth of bone in the form of a hook either underneath the foot(inferior aspect of calcaneus) in relation to the attachment of the plantar fascia or behind the heel(posterior aspect of the calcaneum) at the insertion of the Achilles tendon.
Other conditions which produce heel pain:
*Another condition called Plantar Fascitis is often confused with Calcaneal spur but infact it is a different diagnosis. Plantar fascia is a ligamentaneous tissue which extends from the calcaneum to the ball of the foot. It helps in maintaining the arch of the foot and substantially bears the weight of the body while walking or running. It is thus prone to wear and tears and is thus subjected to trauma. This condition also produces similar type of foot pain. They are often interrelated but not as a rule.
*Retrocalcaneal bursitis: Inflammation of the bursae related to calcaneal bone
*Achilles tendonitis: Inflammation of the Achilles tendon at its insertion over the calcaneum causing posterior heel pain
*Tarsal Tunnel Syndrome: Compression of the posterior tibial nerve in the bony passages amidst the tarsal bones.
Causes: Constant pressure on the heel due to long standing jobs requiring standing or walking for long periods, Ill fitting foot wears..
Symptoms: Pain in the heel either below or behind. Pain aggravates in the morning after waking up from the sleep or after standing or walking for long periods.
*Cold or ice packs
Ayurvedic approach in healing heel pain:
*Shodana: Virechana with Gandharvahastadi oil is definitely beneficial in this condition.
Matra Vasti with Gulgulutiktaka gritham either singly or in combination with Narayana tailam or Dhanwantara tailam/Mezhupakam provides a long standing relief and also prevents recurrence.
*Shamana: The below mentioned medicaments are prescribed for an effective relief-
Tablet Kaishora Guggulu or Kaishora Guggulu(DS)
Tablet Yogaraja Gulgulu
Gulgulu Tiktakam Kashayam or Gulgulu Tiktakam Kashayam tablets
Sahacharadi Kashayam or Sahacharadi Kashayam Tablets
*Sthanika(Local): Abhyanga and Ishtika Sweda work out wonders in the treatment of calcaneal spurs.
Raktavasechana(Blood letting) and Suchi Daha(hot needle cauterization) are also advised.
Ishtika Sweda(Brick Fomentation):
CS can be compared to Vata Kantaka in Ayurveda.The easiest form of treatment of CS is Ishtika Sweda. It can be performed by the patient itself at home since it is simple and cost effective.
Method of preparation:
*First of all the painful area of the spur should be given an Abhyangam(massage without force) using any vata hara tailas viz Mahanarayana taila or Ksheerabala taila or Dhanwantara taila. Bricks should be taken and broken into small pieces. They should be heated red hot and dipped in rice washed water i.e tandulodaka or Dashamoola kashaya and immediately tied in a cloth in the form of a bolus. The hot bolus should be placed on the massaged part removing intermittently. Before fomenting the affected part the heat of the bolus should be tested by putting it on the palm by the person doing it to avoid burns. This is not advised in diabetic patients or in conditions where the sensation is disturbed.
*Alternately the brick pieces are heated to tolerable heat and tied in the cloth and sudation is given to the painful part without dipping it in the decoction or rice wash. But abhyanga should be done before the procedure as a rule. Once the bricks lose the heat they are removed from the bolus and heated again. The procedure is repeated.
*In Plantar fascitis without spur, abhyangam with any one of the above said tailas is given and later the patient is advised to keep his foot in the hot decoction of Dashamoola (when it is tolerable) or just in hot water or salted hot water.