Ayurveda understanding, situations included, therapy

Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S

Torticollis, also referred to as wryneck is a painful situation of the neck marked by painfully twisted neck. On this situation the neck is twisted. This additional causes the top to rotate and tilt at an odd angle. The highest of the top is mostly tilted to 1 facet whereas the chin is tilted in direction of the opposite facet.

Generalized Signs of Torticollis

Signs typically start slowly however would worsen over time, because the illness progresses. Totally different signs could also be skilled by totally different folks. The commonest signs of torticollis embrace –

–         incapability to maneuver the top usually
–         incapability to show the top, often holding it twisted to 1 facet
–         ache in neck and muscle tissue therein
–         neck stiffness
–         spasm of neck muscle tissue
–         ache alongside the backbone
–         swelling of neck muscle tissue
–         headache
–         chin tilted to 1 facet / awkward place of the chin
–         one shoulder is increased than the opposite

Associated Studying – Torticollis

Ayurveda understanding of Torticollis

Vata dysfunction

Ache, stiffness, incapability to maneuver or flip the top, spasm, mal-positioning of shoulder and chin and related headache – all these signs in torticollis level out in direction of involvement of aggravated vata in causation and worsening of torticollis over a time period. Torticollis is clearly a vata dysfunction. Manyastambha and Grivastambha defined within the context of vata nanatmaja rogas embrace the reason of torticollis.

Manyastambha

Manya, in Sanskrit means ‘again of the neck’ Stambha means stiffness. The that means of the phrase stambha shall not be restricted to ‘solely stiffness’. It additionally contains the opposite signs coexisting with stiffness or attributable to it, like ache and limitation of actions. We don’t discover a detailed description of Manyastambha.

Manyastambha has been defined within the context of ‘vata nanatmaja vyadhi’ i.e. eighty particular situations attributable to ‘aggravation of solely vata’. However we are able to additionally see a kapha part in Manyastambha. So, it’s predominantly a vata dysfunction, with kapha affiliation in some situations.

Torticollis might be carefully correlated to manyastambha.

Kapha involvement in Torticollis, Kaphavruta Vata

Stambha, which interprets to stiffness or catch or rigidity (limiting the actions) is a symptom attributed to kapha, although vata can also trigger stambha. Grasp Sushruta has particularly talked about kapha together with vata within the pathogenesis of manyastambha.

Because the aggravated kapha blocks the vata and interferes in its regular functioning, torticollis may also be thought of as kaphavruta vata situation.

Understanding Torticollis from the attitude of causative components, Greeva Hundanam

Among the many causes of acquired torticollis sleeping in awkward or bizarre place has been talked about.

The opposite causes of acquired torticollis like spasm or damage of neck muscle tissue, damage, vigorous motion and damage leading to muscle shrinkage will trigger aggravation of solely vata. On this case they could trigger greeva hundana which is alike torticollis. The causes of secondary torticollis like slipped aspects or disc herniation can even trigger aggravation of vata resulting in greeva hundana.

Harm to muscle or nervous system will trigger torticollis. This too may happen resulting from vata aggravation following damage and trigger greeva hundana.

Associated Studying – Hundanam

Understanding Torticollis from ‘varieties of torticollis’ perspective

Mounted and muscular torticollis might be thought of within the class of asthi and mamsagata vata.

Congenital torticollis as in Klippel Feil Syndrome could also be thought of because the affliction of muscle tissue and bones of the fetus by aggravated vata. Vata is liable for differentiation of physique components. The fusion of neck vertebrae might happen resulting from failure of this operate of vata.

Spasmodic contractions of neck muscle tissue are additionally attributable to vata aggravation. When vata will get aggravated spasmodic contractions can happen anyplace within the physique. Identical is the case with tilt of the top. Irregular twists, turns and tilts within the physique components are attributable to aggravated vata.

Among the many varieties of torticollis on the idea of place of head and neck – laterocollis, rotational torticollis, anterocollis and retrocollis – all are attributable to aggravated vata.

Understanding Torticollis from ‘signs and issues of torticollis’ perspective

1. Signs and dosha relation in torticollis

2. Dosha affiliation in different signs of torticollis

3. Dosha affiliation with issues of torticollis

Stiff Neck, Greeva Hundanam

It’s a self-limiting type of torticollis which happens spontaneously and contains a number of painful neck muscle tissue. This situation will spontaneously go away in about 1-4 weeks’ time. The muscle tissue that are usually concerned on this situation are trapezius or sternocleidomastoid. In lots of instances no particular or clear causes are discovered however in some situations colds or uncommon postures are contributory. This situation may also be correlated with the reason of Greeva hundanam.

Spasmodic Torticollis, Greeva Hundanam

It’s a situation in which there’s recurrent and transient contraction of neck muscle tissue, primarily sternocleidomastoid muscle. Additionally it is referred to as by the under talked about names –

–         Intermittent torticollis
–         Cervical dystonia
–         Idiopathic cervical dystonia

This situation can even correlate with the outline of greeva hundanam.

Ayurveda Therapy of Torticollis

Therapy ideas

Nidana Parivarjana – One shall keep away from / preserve away the causative components because the initially a part of intervention. Primarily extreme day sleep, sleeping on uneven floor (odd, untoward place) and extreme wanting in upward gaze shall be prevented as a lot as potential.

Vata Vyadhi Chikitsa – Since Manyastambha typically in contrast with torticollis is likely one of the vata vyadhis, a common line of therapy of vata vyadhi must be adopted in treating torticollis.

–         When solely vata is concerned – interventions like abhyanga – oil therapeutic massage, lepa – anointment of medicinal pastes, pichu – protecting a gauze or swab dipped in vata assuaging oil over the posterior a part of the neck, swedana – sudation, primarily nadi sweda or pinda sweda, nasya – errhines and vasti – medicated enemas are extraordinarily useful.

–         When kapha is related – ruksha sweda – dry sudation / fomentation, mrudu vamana – gentle emesis, nasya – errhines and lepa can be useful.

You will need to establish the dosha involvement and affiliation on this situation in order to supply good outcomes.

Greeva Basti – oil pooling therapies completed on the again of the neck is extraordinarily useful in relieving the signs of torticollis. It may be skillfully mixed with nasya and churna or patra pinda sweda for higher outcomes.

Useful formulations

For Abhyanga and Greeva Basti – Mahanarayana Taila, Ksheerabala Taila, Prasarinyadi Taila and Mahamasha Taila / Kottamchukkadi Tailam (kapha involvement)

For Nasya – Ksheerabala Taila 101 and Mahamasha Taila for vata predominant situations / Anu taila for kapha predominant situation

For Vasti – Ksheerabala Taila, Mahamasha Taila, Guggulutiktaka Ghrta

For oral use –

–         Prasarinyadi Kashayam
–         Maharasnadi Kashayam
–         Varanadi Kashayam
–         Rasonadi Kashayam
–         Dashamula Kashayam
–         Mahayogaraja Guggulu
–         Rasnadi Guggulu
–         Ashwagandharishta
–         Balarishta
–         Mahavata Vidhwamsini Ras

Useful Yoga Postures

–         Ushtrasana – Camel Pose
–         Shavasana – Corpse Pose
–         Navasana – Boat Pose
–         Uttana Shishosana – Prolonged Pet Pose
–         Balasana – Youngster’s Pose
–         Vashishthasana – Aspect Plank Pose
–         Setu Bandhasana / Setu Bandha Sarvangasana – Bridge Pose
–         Utthitha Trikonasana – Prolonged Triangle Pose
–         Adho Mukha Shvanasana – Downward Dealing with Canine Pose
–         Paschimottanasana – Seated Ahead Bend Pose
–         Uttanasana – Standing Ahead Bend Pose
–         Virabhadrasana II – Warrior II Pose
–         Urdhwa Mukha Pasasana – Thread the Needle Pose
–         Viparita Karani – Legs up the wall Pose
–         Gomukhasana – Cow Face Pose
–         Ardha Matsyendrasana – Half Lord of the Fishes Pose
–         Dwi Pada Viparita Dandasana – Two Footed Pose
–         Chakravakasana / Marjaryasana / Bitalasana – Cat / Cow Stretch Pose
–         Anahataasana – Melting Coronary heart Pose
–         Salamba Bhujangasana – Sphinx Pose