ABSTRACT

Vasculitis is the illness with inflammation of the Blood vessels. Blood vessels circulate blood throughout the body, it helps to deliver oxygen to the different organs and various tissues. It helps to remove the waste products. Mainly blood vessels include veins, capillaries, and arteries. They form a close loop like a circuit that begins and ends at your heart. They together form a circulatory system and contain 60,000 miles of blood vessels. There are 3 types of blood vessels- arteries (carry blood away from heart), veins (carry towards your heart), capillaries (smallest blood vessels that connect arteries and veins). These blood vessels are located throughout the body, the main artery is the aorta which connects to the left side of the heart; it runs down the chest, and in many areas usually spreads to the lower body and legs. The main vein is vena cava, the superior vena cava is supplying the upper part of the chest and the inferior vena cava supplies the right side of the diaphragm. They appear blue under skin, even blood is red. They are usually made up of- Tunica intima, media, adventitia. Now we are going to discuss its causes, symptoms and its ayurvedic aspect further in this topic.

INTRODUCTION

Vasculitis neuropathy is a peripheral neuropathic disease that damages the vessels that supply blood to the nerves. When the inflammation is in blood vessels then it further spreads to peripheral nerves so develops vasculitic neuropathy. There is restriction in blood flow so it can result in organ and tissue damage. It can be a part of a systemic problem or it may even exist as a single organ issue affecting the peripheral nervous system. The normal transient nature of vascular inflammation related with the proinflammatory molecules from tissue parenchyma and circulations. Accompanying inflammation of the vascular wall is local and systemic that damages the tissues.

TYPES

1. Primary systemic vasculitic neuropathy- Multi organ disease spreading to the peripheral nervous system includes IgA vasculitis, polyarteritis nodosa, microscopic polyangiitis.
2. Secondary vasculitic neuropathy- It is often due to some other illness such as malignancy, infection such as hepatitis B, Cytomegalovirus, Immunodeficiency virus, dermatomyositis, vaccinations.
3. Non systemic vasculitic neuropathy- Is a single organ problem, accepted subtypes are- Classical distal predominant NSVN, Neuralgic amyotrophy, Post surgical inflammatory neuropathy, Wartenberg migratory sensory neuropathy.

CAUSES

The exact cause of vasculitis is not known but it is related to genetics, immune system that attacks the blood vessels and this triggers are-

• Infection such as hepatitis B and hepatitis C
• Blood cancer
• Immune system diseases such as lupus, scleroderma, rheumatoid arthritis.
•  Reactions to certain drugs.

SYMPTOMS

• Fever
• Headache
• General aches and pains
• Fatigue
• Ulcers and perforations are possible which results in blood from stools.
• Abrupt loss of hearing
• Giant cell arteritis which causes double vision, permanent blindness.
• Numbness in hands and foots
• Red spots under the skin
• Shortness of breath, blood if it affects lungs.

COMPLICATIONS

• Organ damage- Some vasculitis can be severe causing damage to organ
• Blood aneurysms- A clot may obstruct the blood flow and it weakens the vessels which bulge out causing aneurysms.
• Giant cell arteritis
• Infections- It weakens the immune system and makes you prone to infections.

DIAGNOSIS

• Blood tests (ANAC- Anti neutrophil cytoplasmic antibody)
• X- Ray
• CT Scan
• MRI (magnetic resonance imaging)
• CT (computerised tomography)
• PET (positron emission tomography)
• X-Ray of blood vessels
• Biopsy

TREATMENT

1. Corticosteroids drugs such as prednisone
2. Surgery

AYURVEDIC MANAGEMENT FOR VASCULITIS NEUROPATHY

Vasculitis neuropathy is mainly the inflammation of the blood vessels and in ayurveda this disease is usually due to imbalance of tridosha (vata, pitta, kapha) but there is predominance of pitta dosha which usually causes inflammation in the various parts of the body. There are many herbal remedies for the prevention of this disease in ayurveda which provides cure to the patient without causing any side effects. Ayurveda deals with both shamana and shodhana therapy. Shodhana therapy eliminates the toxins from the body and minimises the chance. In panchkarma they eliminate the toxins as it eliminates the rakta and pitta dosha which leads to inflammation. Various treatments virechana, vamana, raktamokshana, jaloka, basti are beneficial.

In shamana chikitsa there are many herbs useful for vasculitis neuropathy.

HERBS USEFUL FOR VASCULITIS NEUROPATHY

1. Curcumin

It is a yellow pigment  spice and has anti-inflammatory properties, increasing the amount of antioxidants in the body. It mainly reduces the inflammation and increases the level of endogenous antioxidants in the body. Curcumin is highly beneficial in blood glucose, depression and anxiety. Haridra is the drug of choice for urinary tract disorders and in diabetes mellitus. Due to its ruksha guna it removes the blocks in the blood vessels and makes nutrition and circulation easy.

2. Arjuna

It is the drug of choice for diabetes and it reduces cholesterol, hypertension. It is used for the treatment of aconite poisoning and is a good source of calcium. Due to its astringent and styptic property it is useful in pus dysentery. It is beneficial in bleeding disorders, and in bleeding gums, decreases LDL level and is an excellent antioxidant, and strengthens the heart and is known as cardiac tonic.

3. Manjistha

Is a blood detoxification herb, balances kapha and pitta dosha. It is usually a natural complexion enhancer used in skin lesions. It is used as an anti-inflammatory heals the wound and  useful in blood vitiation, herpes, and injuries. Manjistha is used in gynaecological disorders, reduces fever, and prevents kidney stones. It raises the level of dopamine so provides relief in mood disorders and anxiety, removes uric acid from the body and has good digestive capacity.

HERBAL REMEDIES BY PLANET AYURVEDA FOR VASCULITIS NEUROPATHY

Ayurvedic medicines help to treat the disease from the cause and help in maintaining a healthy lifestyle. Planet Ayurveda is a natural brand which has been serving humanity and all the medications are prepared under the strict surveillance of the experts and the formulations prepared are free from any artificial ingredients. They provide medication which are 100% pure and are of plant based extracts. The formulations prepared by planet Ayurveda provide great relief to patients without causing any side effects. There are many remedies by planet ayurveda which we will discuss further in this topic-

PRODUCTS LIST

1. BOSWELLIA CURCUMIN
2. ARJUNA CAPSULE
3. KAISHORE GUGGUL
4. GANDHAK RASAYAN
5.  MANJISHTHA CAPSULES
6. CHANDRAPRABHA VATI
7. VRIHAT VATCHINTAMANI RAS

Herbal Remedies For Vasculitis Neuropathy

PRODUCTS DESCRIPTION

1. Boswellia Curcumin

Boswellia-Curcumin are polyherbal capsules formulated by Planet Ayurveda using ingredients like Shallaki (Boswellia serrata), Curcumin (Curcuma longa). These capsules have an inflammatory effect on our body which reduces the inflammation and heals the wound quickly. Curcumin has an anti histamine property which is reducing antigens in our body.

Dosage- 2 capsules twice daily with plain water after meals.

2. Arjuna Capsules

Arjuna Capsules are single herbal capsules formulated by Planet Ayurveda using standardized extract of Arjuna (Terminalia arjuna). Arjuna cures the inflammation of vessels by eliminating the extra toxins out of the body. It generally cures all pitta dosha ailments. Due to its cold potency (veerya) is useful in bleeding disorders and skin disorders.

Dosage- 2 capsules twice daily with plain water after meals.

3. Kaishore Guggul

Kaishore Guggul are herbal tablets prepared by Planet Ayurveda using ingredients like- Amalaki (Emblica officinalis), Haritaki (Terminalia chebula), Guggul (Commiphora mukul), Ginger (Zingiber officinale) and many more. Kaishore guggul has rechana property; it usually reduces the vitiated pitta from the body. It is a natural blood cleanser, used in skin diseases, helps in reducing fat and lower down the cholesterol.

Dosage- 2 tablets twice daily with lukewarm water.

4. Gandhak Rasayan

Gandhak Rasayan are herbal tablets formulations prepared by Planet Ayurveda using standardized extract of Shuddha Gandhak (Sulfur). Gandhak has anti viral, anti bacterial, antifungal properties so useful in skin diseases. It treats chronic fever, dysentery, and anti-aging medicine. Gandhak balances tridosha. Gandhak rasayan improves immunity, fertility and provides nourishment.

Dosage- 2 tablets twice daily with lukewarm water.

5. Manjishtha Capsules

Manjishtha Capsules are single herbal capsules formulated by Planet Ayurveda using single extract of Manjishtha (Rubia cordifolia). These are under varnya herbs that help in the complexion of skin, as natural blood detoxifiers help to eliminate the toxins out of the body. Manjistha helps to restore the natural complexion of the skin. It works as an antidote useful in treating kapha disorders, eye disorders, and diabetes.

Dosage- 1 capsule twice daily with plain water after meals.

6. Chandraprabha Vati

Chandraprabha Vati are herbal tablets formulated by Planet Ayurveda using ingredients like Shilajit (Asphaltum), Guggul (Commiphora mukul), Chavvya (Piper chaba), Vidanga (Embelia ribes), Maricha (Piper nigrum) and many more. These tablets are useful in the treatment of urinary tract infection, abdominal colic pain, gynecological problems, and various allergic conditions. Chandraprabha vati is useful in premature ejaculations, in prostate enlargement, chronic kidney disease (high creatinine level) balances tridosha.

Dosage- 2 tablets twice daily with lukewarm water.

7. Vrihat Vatchintamani Ras

Vrihat Vatchintamani Ras are classical ayurvedic herbal tablets prepared by Planet Ayurveda using ingredients like- Swarna bhasma (Calx of Gold), Abhrak bhasma (Calx of Mica), Mukta bhasma (Calx of pearl), and many more. These tablets are used in the treatment of vata dosha such as paralysis and hemiplegia. It has excellent rejuvenating and anti-aging properties, angina pectoris, and premature ejaculations.

Dosage- 1 tablet twice daily to be chewed with plain water after meals.

CONCLUSION

Vasculitis is the illness with inflammation of the blood vessels. There is restriction in blood flow so it can result in organ and tissue damage. In ayurveda this disease is usually due to imbalance of tridosha (vata, pitta, kapha) but there is predominance of pitta dosha which usually causes inflammation in the various parts of the body. Ayurveda deals with both shamana and shodhana therapy. Shodhana therapy eliminates the toxins from the body and minimises the chance. In panchkarma they eliminate the toxins as it eliminates the rakta and pitta dosha which leads to inflammation. Many herbal remedies are formulated by planet ayurveda for the better treatment of the vasculitis neuropathy which we discussed in detail.