Nowadays due to changing dietary and lifestyle habits people are more prone to any of the health conditions. There are a lot of diseases when not treated carefully at times may lead to severe and life-threatening complications. If diabetes is not treated with time it may lead to complications like retinopathy, nephropathy, neuropathy, etc. Jaundice may also lead to severe complications such as bleeding, anemia, infections, kidney failure, liver failure, etc. Same with some of these complications we are here with a very serious complication of Crohn's disease which is Metastatic Crohn's disease. Also with a complete view of this complication, we are going to discuss its Ayurvedic management.
INTRODUCTION
Metastatic Crohn's disease refers to the existence of non-caseating granuloma of skin located at sites segregated from the GI tract (gastrointestinal tract) by the normal tissue, basically a cutaneous manifestation. This condition is considered one of the least common manifestations of Crohn's disease. In adults, this condition usually appears following the initial diagnosis of Crohn's disease which is in 70% of cases. In children, this condition occurs at the same time as the manifestation of Crohn's disease in 50% of cases. So now let's discuss the pathophysiology and clinical presentation of this severe complication.
PATHOPHYSIOLOGY
As like Crohn's disease the exact etiology of Metastatic Crohn's disease is unknown. There are two most vulnerable theories that are considered the main pathology of this condition. One theory believes that the lesions occurring in metastatic Crohn's disease are due to granulomatous response which involves the perivascular fixation of monocytes to unknown antigens from the GI tract that is carried via circulation and after that deposits into the skin. Another theory mentions that a granulomatous vasculitis occurrence secondary to the hypersensitivity type iv reaction which is associated with the lymphocytes that react to with circulatory antigens that release activating monocytes and lymphokines which further results in granulomatous injury and inflammation of the vessel wall.
CLINICAL PRESENTATION
There are cutaneous lesions presented as plaques, papules, ulcerations, and nodules that may involve legs, arms, face, and genitalia. Other sites included are the breast, nipple, and ear. The most affected areas include the skin folds that remain in moist environments like abdominal creases, submammary creases, and inguinal and perineal regions. The genitalia is considered the most commonly affected part and the sites of genitalia involved are the penile, labia, scrotal swelling without erythema, and scrotal swelling with the erythema. The lesions occurring on the skin are generally painless and feel tender on palpation.
DIAGNOSIS
Metastatic Crohn's disease is considered one of the great mimickers and mostly remains misdiagnosed. With a proper and detailed history along with a clear physical examination, the differential diagnosis may be narrow. To confirm the diagnosis, a lesion biopsy is most important. Other investigations like acid and alcohol fast bacilli, periodic acid Schiff staining, tuberculin skin test, and tissue cultures may also be done for excluding the mimickers of Metastatic Crohn's disease.
AYURVEDIC VIEW
As per Ayurveda, Crohn's disease results from vitiated Pitta dosha which causes inflammation in the intestines. When the intestines are inflamed, it leads to symptoms that are the same as when Pitta is vitiated. After the disease is in existence or the condition is resolved but the one who is suffering from it is taking the pittaj Sahara and vihara with low immunity leads to its serious complication that is metastatic Crohn's disease. In this condition, the vitiated pitta dosha gets situated in twak dhatu (skin) which leads to the formation of skin lesions and ulcerations. So as per ayurveda, the management is basically done by the management of pitta dosha, detoxifying the body and boosting the immunity levels. For this line of treatment, Planet Ayurveda provides a list of herbal remedies that we are going to discuss in further study.
HERBAL REMEDIES BY PLANET AYURVEDA FOR METASTATIC CROHN'S DISEASE
Planet Ayurveda is one of the GMP-certified clinics that work in accordance with holistic science- Ayurveda. They formulate their own remedies under the strict observance of M.D. Ayurveda practitioners. All the formulations are free from any kind of added preservatives, colors, fillers, resins, gums, fibers, etc. These formulations are 100% pure so don't produce any side effects feel free to consume any of the remedies by Planet Ayurveda that are suited for your associated health concern. Planet Ayurveda provided with remedies for all health concerns and for managing metastatic Crohn's disease they provide the following list of medications.
Products List
1.PITTA BALANCE
2. SANJIVANI VATI
3. GANDHAK RASAYAN
4. SWARN VASANT MALTI RAS
5. BELGIRI POWDER
6. NEEM CAPSULES
7. MAHAMANJISHTHADI KWATH
1. PITTA BALANCE
Pitta balance is one of the best pitta balancing formulations by Planet ayurveda in capsule form. It consists of a standardized extract of johar mohra pishti (an ayurvedic compound), kahawai pishti (an ayurvedic compound), akik pishti (an ayurvedic mineral formulation), and some other ingredients. The ingredients of pitta balance include the best cooling and astringent effects which are very effective in pacifying pitta dosha. This formulation helps in providing relief from skin lesions by providing a soothing effect.
Dosage 1 capsule twice daily with plain water after meals.
2. SANJIVANI VATI
Sanjivani vati is one of the classical ayurvedic formulations that is formulated by Planet Ayurveda under the strict observance of M.D. Ayurveda practitioners. It includes various ingredients such as vanga gingepippali and some others. This ayurvedic remedy is best for eliminating ama dosha r (Piper longum), Amalaki (Emblica Officinalis), Vacha (Acorus calamus) (endotoxins) from the body and is beneficial for ama pachanga (detoxification). So by detoxifying the body sanjivani vati assists in the management of metastatic Crohn's disease.
Dosage: 1 tablet twice daily to be chewed.
3. GANDHAK RASAYAN
Gandhak rasayan is a formulation in tablet form produced by Planet Ayurveda basically for boosting immunity and maintaining skin health. It is formed with the main ingredient shuddha gandhak (Purified sulfur). The properties of gandhak (sulfur) include properties such as Antibacterial, antimicrobial, antiviral, anti-inflammatory, blood purifying, and detoxifying properties. It aids in relieving skin conditions and thus alleviates the cutaneous manifestations in Metastatic Crohn's disease.
Dosage: 1 tablet twice daily with plain water after meals.
4. SWARN VASANT MALTI RAS
Swarn vasant malti ras is a classical ayurvedic formulation prepared by Planet Ayurveda. The formulation is available in tablet form and consists of various ingredients like Swarna bhasma and various others. This formulation has been used since ancient times for boosting immunity and is one of the balsa rasayana (calyx of gold), mukta bhasma (strength rejuvenators). Improving immunity it assists in promoting the management of Metastatic Crohn's disease. (calyx of pearl), Kali marina
Dosage: 1 tablet once daily to be chewed.
5. BELGIRI POWDER
Belgiri powder is prepared by Planet ayurveda with the main ingredient bilva seed Aegle marmelos consists of pitta pacifying, astringent, and cooling effects. These effects, it provides smoothness and calmness to the cutaneous lesions. The pitta pacifying effect of belgiri powder assists in alleviating pitta dosha from the body which is the main cause behind the condition thus alleviating the cutaneous manifestation of Crohn's disease.
Dosage ½ tsp twice daily with plain water after meals.
6. NEEM CAPSULES
Neem capsules are one of the blood-purifying formulations produced by Planet Ayurveda with the standardized extract of herb neem (Azadirachta indica). This formulation consists of blood-purifying properties which assist in removing toxins from the body. By detoxifying, the body's neem capsules relieve various skin conditions. So these capsules are effective in relieving skin lesions and assist in managing Metastatic Crohn's disease with positive results.
Dosage 1 capsule twice daily with plain water after meals.
7. MAHAMANJISHTHADI KWATH
Mahamanjishthadi kwath is a classical ayurvedic formulation that has been used since ancient times for various skin conditions. It is prepared by Planet Ayurveda under the strict guidance of an M.D. Ayurveda practitioners. It consists of various ingredients such as manjishtha nagarmotha kutaj Holarrhena antidysenterica, sonth (Zingiber officinale) and various others. These ingredients collectively promote blood purification, pacify pitta dosha and promote detoxification in the body. The mentioned benefits effectively manage the condition of Metastatic Crohn's disease, so you can use mahamanjishthadi kwath for relief.
Dosage 2 tsp twice daily with plain water after meals.
CONTACT PLANET AYURVEDA TO PROVIDE YOU THE COSTING / ORDERING AND DELIVERY INFORMATION AT - COSTING.PLANETAYURVEDA@GMAIL.COM OR CALL AT +91-172-5214040CONCLUSION
Metastatic Crohn's disease refers to the existence of non-caseating granuloma of skin located at sites segregated from the GI tract (gastrointestinal tract) by the normal tissue, basically a cutaneous manifestation. As like Crohn's disease the exact etiology of Metastatic Crohn's disease is unknown. There are cutaneous lesions presented as plaques, papules, ulcerations, and nodules that may involve legs, arms, face, and genitalia. For diagnosis a proper and detailed history along with a clear physical examination is to be done and to confirm the diagnosis, a lesion biopsy is most important. As per Ayurveda Crohn's disease is associated with aggravated pitta dosha and if a person with Crohn's disease practices a diet and regimen that aggravates pitta dosha then the pitta dosha gets situated into the twak dhatu (skin) and leads to skin lesions. So for the management of this condition in a natural way, the management of pitta dosha detoxifies the body and boosts immunity levels. For this purpose, you can use herbal formulations by planet ayurveda which provide all the benefits that help in the management of Metastatic Crohn's disease. While consuming medications if you have any queries you can mail us at herbalremedies123@yahoo.com .