A] GENERAL APPLICATIONS TO DISEASE
1) General Applications
non system specific
2) General Applications to
specific systems
B] SPECIFIC APPLICATIONS TO GYNEACOLOGY & OBSETRICS
A] GENERAL APPLICATIONS TO DISEASE
1) General Applications non system specific
i) NUTRITION
a. CARBOHYDRATES
Complex carbohydrates or long acting carbohydrates
(roti, rice, bread etc.) provide energy after 4 hours. Simple carbohydrates or
short acting (fruits, biscuits etc.) provide much faster, within 15 minutes.
a.
PROTEINS
Eggs, Milk, Nuts,
Sprouts,
Fish, Chicken, Meat, etc
b.
FATS
Polyunsaturated fatty
acids like nuts, seeds, etc.
c.
VITAMINS – A, B, C, D etc.
Deficiency of Vitamin
A
causes night blindness. Vitamin A is present in carrots, pumpkins.
Deficiency of Vitamin
B
complex causes Beri Beri. It is present in green leafy vegetables, egg yolk,
all non-vegetarian food, peels of fruits, covering of pulses, etc.
Deficiency of Vitamin
C
causes frequent colds. It is present in citrus fruits (orange and sweet lime).
d.
MINERALS – Calcium, Iron etc.
Calcium is available
in
milk and milk products, fruits like mango, banana, etc. Iron is present in
green leafy vegetables, egg yolk, etc. Deficiency of Iron causes Anaemia
e.
ELECTROLYTES – Sodium, Potassium etc.
Sodium may be taken
in the
form of common salt (sodium chloride). Potassium is present in honey, jaggery,
fruits etc.
Calcium in the form
of
milk in the right proportion is very important for healing in many places. Lack
of Calcium causes muscle spasms, weakness, lethargy, bone fractures. Peripheral
arteriolar bone is dependent upon Calcium.
Lack of Calcium leads
to
overall body symptoms like – Extreme weakness, Carpopedal spasms, Convulsions
The required amount
of
calcium in the diet maybe regulated as follows:
1 part of Calcium=
1 glass
milk/ 1 bowl/curd/1 glass lassi /1 cheese cube
Required intake per
day
for an adult = 2 parts of Calcium
For every 30 minutes
of
intensive exercise, like running or 60 minutes of moderate exercise like
walking, add 1 part of Calcium.
BALANCED DIET – ME LAND
M - Milk
E - Egg
L – Live food (fruits, raw
vegetables)
A - Atta
N - Nuts
D – Dudhi (alkali)
Raw vegetables are an important part of diet as a
source of fiber. Lack of fiber causes constipation. When a person suffering
from constipation strains to pass stools, it causes varicosity of the veins of
the rectum called Piles. When he passes hard stools, it cuts the anus and
causes Fissures. Conventionally it is treated with local steroids when all that
is needed to is increase fiber content in diet.
ALKALINE
One of the most important factors in healing is the pH
regulation of blood. The normal pH of blood is 7.32 – 7.42. If pH goes to 6.8,
it indicates strongly acidic blood causing fits and coma. Patients in cardiac
arrest, when injected intravenously with Sodium Bicarbonate followed by DC
shock, can sometimes be revived.
Effects of acidosis:
a)
JOINT ARTHRITIS – Consumption of acidic food over a
long period of time will increase wear and tear of joints, cause joint sprains,
muscle sprains, overall weakness, stiffness and depression.
b)
CORONARY BLOCKAGES – Insestion of acidic food
accelerates deposits in coronary arteries and therefore advances myocardial
infarctions and strokes
c)
EXTENT OF INFARCTRION – Acidosis causes increase in the
area of the infarction of the heart
d)
All healing is facilitated in alkaline pH of blood
whereas all disease and injury worsens in acidic pH.
Regulation of blood pH to promote healing 9alkaline
food)
a)
RAW FOOD - When food is cooked, proteins coagulate and
pH becomes acidic. Raw food is alkaline.
b)
VEGETABLE JUICES – Lauki or bottle gourd juice, bitter
gourd, watermelon peel juice, coconut water is all alkaline in nature. To get
maximum benefit, nothing should be consumed until after half an hour of
drinking vegetable juices.
c)
NO SOUR FOOD – Do not eat sour food like lemon,
tamarind, vinegar, kokam, etc. They are all acidic.
NON VEGETARIAN FOOD
–
REASONS TO AVOID
a)
All non-vegetarian food is putrefied. The moment an
animal dies it starts decaying. After hours of decay it is put in cold storage
where again purification occurs. Even fish caught the previous morning is not
fresh because it is consumed after 48 hours.
b)
All non-vegetarian food has high acidic pH, i.e. it
contains uric acid. They have a very high content of uric acids because after
death, cellular DNA breaks down the byproduct which is uric acid.
c)
People who eat non-vegetarian food could suffer from
allergies of skin (eczema), asthma etc. because it is animal protein.
d)
All non-vegetarian food contains stress hormones
because when the animal is being slaughtered, it is terrified and releases
stress hormones. When one consumes non-vegetarian food, he also consumes stress
hormones. Therefore some non-vegetarians could experience agitation.
Hence it is best
to avoid
non vegetarian food. However, if it must be consumed, then it is better to kill
and eat immediately.
FOOD CONTAMINATION
Horse dung powder
is used
to contaminate masala and other spices. Industrial waste oil is used to contaminate
cooking oil. FDA has found contamination even in major 5 star hotels. Therefore
spicy food consumed at home does not cause acidity but when outside food is
consumed it causes severe acidity, heart burn and regurgitation because of the
contaminant.
PEPTIC ULCERS VIA PYLOROPLASM
When contaminated
food
enters the stomach, in an attempt to shut it off from the rest of the body, the
pylorus contracts and shuts down. As a result the gastric acids which otherwise
leave the stomach in 20 minutes stay on and start eroding the stomach lining
and cause peptic ulcers. It is a protective mechanism. It is not hyperacidity,
but normal acidity with closed pylorus.
Now that the food
is
stagnating in the stomach, bacteria like H-Pylori grow causing conventional thought
to conclude that peptic ulcer is caused by H-pylori. Therefore peptic ulcer is
nowadays treated with antibiotics. Instead cutting the contaminated food from
diet will help in healing.
SALIVA IS AN ANTACID
–
When food is chewed properly, it mixes well with the salivary juices in the
mouth. Saliva is alkaline in nature. The alkaline saliva coating the food
reaches the stomach and neutralizes the acid in the stomach. Thus chewing food
will cure acidity and ulcers.
ii) EXERCISE
a)
MUSCULOSKELETAL SYSTEM – Exercise increases blood
supply to all ligaments and supporting muscles. Exercise will improve
flexibility and strength of ligaments and all the supporting muscles. Exercises
will improve flexibility and strength of ligaments and all the supporting muscles
around the joints and as a result the joints will become stronger and more
stable. With exercise, the mobility in the body is maintained, which is
important for proper body functioning as well as for healing. In case of an
injury like bone fracture, it is important to rest only the affected part and
not the whole body as is conventionally followed.
b)
CARDIO – RESPIRATORY SYSTEM
Normally the heart
pumps around 5 liters of blood per minute. While
exercising, the heart pumps 7.5 liters of blood per minute. Therefore the
effort tolerance of the heart increases. Normally the resting blood pressure is
120/80. After prolonged exercise, the oxygen consumption of the body resting
heart rate and the blood pressure start decreasing. This means that the heart
starts functioning at greater efficiency with a lesser requirement of oxygen
and nutrients.
Also during exercise,
the heart requires more blood to be delivered to
itself which leads to the formation of many collateral blood vessels/ arteries
thus obliviating the need for bypass surgery and angioplasty due to blockages
in the main coronary artery.
c)
GASTRO-INTESTINAL TRACT
Exercise increases
the
blood supply to the tissues of the GI tract. It improves intestinal muscle tone
and relieves constipation and intestinal bloat.
d)
KIDNEY
Exercise increases
perfusion to the kidneys. Regular abdominal exercise, running, jumping, etc.
help in crushing and dislodging kidney stones that are excreted out in urine.
e)
In women, regular exercise relieves menstrual cramps.
Exercising the muscles of abdomen will also increase the muscle tone of the
uterus. Stronger uterine muscles will help in getting rid of cramps during
menses.
f)
RISE IN WHITE BLOOD CELLS
In healing, during
illness or disease, mild to moderate exercise causes a
rise in WBCs. The level and intensity of the exercise is to be decided by the
patient under the guidance of competent authority in accordance with his or her
disease and state of body. With the appropriate exercise causing a rise in
WBCs, the body will heal faster as the body’s immune mechanisms will be
boosted.
Exercise may be classified
as local and general. General exercise is that
which involves the whole body and contributes to overall fitness, for example
walking, aerobics, etc. Local exercise is that which involves the use of a
specific part or organ of the body. For example, in order to treat asthma, a
patient may be advised lung specific exercises such as blowing balloons, stair
climbing etc.
iii) DIURNAL HORMONE
REGULATION
All the hormones
in the body,
such as testosterone, estrogen, progesterone are estimated at two times during
the day – in the morning and in the evening.
SUNLIGHT
It is the controlling
factor for starting and shutting down all the biological processes in the body.
Therefore it is important to wake up in the morning at sunrise and expose the
eyes to sunlight for at least 20 minutes every day and for healing 30-40
minutes. Similarly all the body systems must be regulated to wind down and
reduce activity after sunset and gradually go to sleep.
SLEEP
Always try to sleep
and
wake up at the same time. For example, if u sleep at 11pm and wake up at 6am,
then try to keep the timing constant. An allowance of an hour can be made
either way. Even if you are habituated to sleep late, say at 1pm, then you must
stick to the same time. Wide fluctuations must not be made, for example,
sleeping at 10pm, sometimes and at 2pm at other times.
FOOD
Food must not be
consumed before
sunrise and after sunset. After sunset, all the body systems including the GI
tract gradually come down to a resting state and slow down. Hence consumption
of food late at night would draw blood to the intestines, therefore reducing
blood perfusion to the heart and the brain.
This is the reason
maximum
heart attacks occur at night as people eat heavy meals late at night and go to
sleep on a full stomach.
At night when the
body is
fasting and resting, the growth hormone is released. Therefore it is important
to have dinner by sunset and to avoid food after that and also to have
breakfast immediately after sunrise. By doing this, children and teenagers will
grow taller, have better muscle tissues and bones.
By taking proper
care of
the diurnal rhythm by following the steps explained above, all the hormones in
the bod get stabilized and the influence of hormonal fluctuation on disease is
reduced which facilitates the healing process naturally.
iv) SLEEP
The Quality and the
Quantity of Sleep are very important for maintaining health, and specially for
healing.
One must sleep for
enough
number of hours each day. The factors for deciding the number of sleep hours
required are exercise, stress and disease. The body needs more sleep after
exercising and if one is going through stress. For healing, it is important to
sleep for at least 7 hours.
The sleep must be
deep so
that one wakes up feeling fresh and rested. In case one has slept less, then he
should try to take short 15 min power naps at the end of every hour during the
day for rejuvenation.
There are certain
substitutes to sleep in case adequate sleep is not possible, for e.g. mental
relaxing activities such as listening to music, reading something which calms
the mind, stretching, deep breathing etc.
The benefits of sleeping
are oxygenation, digestion, pH regulation, resting the heart and muscles.
During sleep the heart rate and blood pressure come down and therefore the
heart is rested. The depth of respiration increases and therefore greater
oxygenation takes place. The digestion also improves during sleep. All the muscles
which have been used during the day and those that are stiff and tight due to
muscular activity relax during sleep. Also since they are not in use, no lactic
acids secretion takes place. In fact, lactic acids are washed out, thus good
sleep regulates blood pH balance. Sleep also helps in resolving repression via
dreams by brain activity.
Certain factors help
in
having good sleep – Stretching of muscles, a hot water bath, a glass of milk,
banana or groundnuts, all help in the quality of sleep. Avoid bright lights and
stressful discussions before sleep.
v) BODY WEIGHT
Excess body weight
or
obesity is a predisposing factor for many diseases and complications.
Ø ISCHAEMIC HEART DISEASE
[IHD]
Obesity reduces the
effort-tolerance of the heart by increasing the load on the heart.
Ø HIGH BLOOD PRESSURE
The heart has to
work more
due to increased load.
Ø OSTEO ARTHRITIS
Obesity causes wear
and
tear of all the joints
Ø INSULIN RESISTANCE
Although Insulin
is
present in the body, obesity and lack of exercise can render it inactive.
Therefore it can precipitate or worsen Diabetes
DETERMINING OBESITY
Obesity may be ascertained by taking a waist pinch. If
it is 2 inches thick, it shows normal body weight and every additional half
inch shows 5kg extra weight.
CAUSE
Obesity is not necessarily caused by over eating. The
most important factor and the most poorly understood is the value of a balanced
diet. In fact, over eating is also the result of an imbalanced diet. If the
food being consumed is deficient in a particular nutrient which is needed by
the body, then there will be a tendency to eat large quantity of that food in
order to make up for the required amount, leading to overeating. Having a
well-balanced diet which consists of all the nutrients keeps weight in check.
Also the diet must include adequate fiber as low fiber
causes obesity. This is because is roughage which contributes to feeling full
after the meal. If the food does not have fiber, then you do not feel full
again leading to overacting. E.g. One cannot eat as many apples as one can
mangoes.
vi) MELATONIN
REGULATION
Melatonin is the
ultimate
hormone which bestows youth, energy and drive. It is the youth hormone that is
secreted by the pituitary gland at night in response to exposure of the eyes to
sunlight during the day. It is supposed to be similar to Morphine in structure.
So if the eyes are exposed to sunlight during the day, then youth hormone is
exposed at night.
Synthesis of melatonin
is
inhibited by free radicals which are released in electro-magnetic field like
television, refrigerator, computers, artificial lights, fans, air conditioners
etc. An important factor which stimulates the synthesis of Melatonin is BETA
CAROTENE which is found in all leafy green vegetables and carrots.
vii) HYPOTHALLAMIC
FACTORS
STRESS RESPONSE –
Sympathetic and Para sympathetic nervous system.
Sympathetic Nervous
System
This is responsible
for
releasing Adrenaline during times of increased stress. Adrenaline causes rise
in heart rate, blood pressure, respiratory rate, muscle tension etc.
Para Sympathetic Nervous System
This is responsible
for
releasing Acetylcholine, which acts as a stress reliever as it causes reduction
in heart rate, BP, Respiratory rate, muscle tension etc.
EMOTIONAL FACTORS
There are many emotional
factors that contribute to stress such as
Ø Frustration --> Anger
Ø Jealousy --> Hate
Ø Sexual Frustration -->
Repression, Aggression
Ø Desire --> Fear
Ø Pessimism -->
Depression
All the above mentioned factors generate stress, which
causes release of Adrenaline. It causes bombardment of the brain and makes you
hyperactive. It also releases Cortisol in the body which makes one retain salt
and makes one appear edematous and makes the bones hollow.
When the mind is relaxed, the body releases Acetylcholine
which has the exact opposite effect as that of Adrenaline.
Therefore, you must take frequent holidays in order to
relax. Other methods maybe employed such as recreational activities like
playing a sport, going for a walk, reading, listening to soothing music,
meeting people etc. Specially during healing, it is important to avoid stress
due to work, marital problems etc.
viii) BLOOD VOLUME
The Blood volume
is
dependent upon COLLOIDAL OSMOTIC PRESSURE.
Colloidal Osmotic pressure determines blood pressure;
this in turn determines the state and level of energy. When the BP falls below
normal, there is a feeling of lethargy, lassitude and weakness.
The 2 components which are responsible for keeping
water in the blood in circulation in the capillaries are salt and protein
(albumin). Salt exerts positive pressure on the capillaries while protein
(albumin) exerts negative pressure.
So in order to have good Colloidal Osmotic pressure,
three things need to be consumed.
Salt – Fruits
Proteins – Eggs, Milk, Pulses
Bio-Water – Vegetable
juices, coconut water
Temporary fall in blood pressure could happen due to
Dehydration – Exercise,
driving in a vehicle with windows down
Inadequate fluid intake
Prolonged exposure to heat
and light
Diarrhoea, vomiting etc.
In order to restore BP, a diet rich in salt, protein,
bio-water is recommended which would restore the Colloidal Osmotic pressure.
Also thick liquids are very important and useful for maintaining as well as
restoring Blood volume and Blood Pressure, such as Bengali sweets (Rosgulla)
Milk and Proteinex, Ice-cream, Wheat (after 3-5 hours).
Maintaining BP & Blood volume is very important for
any healing, especially for gynecological problems and depression.
ix) ADDICTIONS
There must be no
habituation to smoking, alcohol, drugs, medications etc.
The Ill effects of
smoking
are as follows:
Narrowing of peripheral
arteries- Smoking leads to the walls of the arteries becoming thicker and less
elastic. The lumen becomes narrow. This may cause rise in blood pressure.
Destruction of cilia in
respiratory tract – Cilia, which are responsible for bringing up sputum or any
foreign particle out of the respiratory tract, are destroyed by tobacco smoke.
Smoking may also lead to respiratory failure.
Depositions in arteries –
Due to accelerated atheromatous depositions in coronary arteries and the
arteries of the brain due to smoking, stroke and heart attacks may result.
Alcohol – Consumption of
alcohol causes severe gastritis and vomiting. It also causes dehydration, lower
blood sugar leading to hypoglycemia and causes B1 depletion. Therefore hangover
headaches caused by alcohol consumption are relieved by first, taking vitamin B
complex and then eating food.
Alcohol also causes
incoordination (loss of balance) and systolic hypertension.
x) DRUG THERAPY
NSAIDS – Common NSAIDS can
cause peptic ulcers, severe GI bleeding, worsening of asthma due to
bronchospasm, salt retention and oedema
Inflammation is part
of
the healing process and taking anti-inflammatory drugs suppress it thereby
preventing the body from following its natural course towards healing the
injury or disease.
ANTIBIOTICS - They cause
diarrhea nausea, vomiting, salt retention and oedema.
There are billions
of bacteria
which are living in harmony in the body and are responsible for maintaining
proper body functioning. Antibiotics do not differentiate between different
bacteria but kill all the bacteria in the body. This leaves a void thereby
increasing a chance of infection by other harmful bacteria from outside the
body which take the place of normal bacteria. Also the body forms memory
antibodies in response to bacterial infection which are then used in future
against a new bacterial infection. Taking antibiotics prevents the body from
forming such memory antibodies.
BETA BLOCKERSAND CALCIUM
BLOCKERS
They can cause RHF
(right
heart failure), hypotension, worsening of asthma due to bronchospasm,
constipation and depression.
Beta blockers and
calcium
blockers are frequently given for treating hypertension. Beta blockers lower
blood pressure by cutting the release of adrenaline in the body. However it
also causes fall in the heart and the force of contraction which would worsen a
case of cardiac failure. It will lead to weakness as the body will not be able
to regulate the release of adrenaline in response to increased demand that may
arise due to physical activity. It will cause bronchoconstriction which would
worsen a case of asthma. It will also lead to erectile dysfunction.
Calcium blockers
reduce
blood pressure by dropping the entry of calcium into the cells all over muscles
in the body. It would lead to many side effects.
A Calcium block in
the
whole body will lead to
Extreme weakness,
Carpopedal
spasm and
Convulsions
LASIX
Lasix cause drop
in sodium
and potassium. Fall in Potassium causes arrhythmias. Prolonged use of lasix can
cause deafness and tinnitus.
TRANQUILIZERS
They cause confusion
and
dazed states.
COLD COUGH REMEDIES,
ANTI-ALLERGY DRUGS, PSYCHIATRIC MEDICATIONS
All of them cause
sedation
and drowsiness
DEPRESSION OF BONE MARROW
It will lead to the
following consequences:
Suppression in synthesis
of RBC – Hemoglobin will go down causing anaemia
Suppression in synthesis
of WBC – Immunity will be lowered causing infections
Suppression in synthesis
of PLATELETS – Will cause bleeding from everywhere
xi) ORGASM
The mechanism by
which a
sexual orgasm helps in lowering blood pressure is an adrenaline surge followed
by an acetylcholine surge.
During intercourse,
the
peripheral arterioles contract and the blood pressure rises to a very high
level. During the orgasm it rises even higher. This is because of release of
adrenaline from the medulla. With the orgasm, the peripheral arterioles
suddenly relax completely and dilate with the result that the blood pressure
falls below normal. This is because of release of acetylcholine.
Thus it is a major
blood
pressure as well as hormonal regulator. It is like a reset of hormones from top
to bottom, giving a feeling of wellbeing.
But in order to accomplish
all of the above, the orgasm needs to be substantially strong.
xii) POLLUTION
Pollution is a major
health hazard, primarily affecting the lungs. It also affects the pH balance of
the body as the vehicular smoke and other normal pollutants present in the urban
setting contain carbon monoxide which makes the blood pH acidic.
It is important to
move
out of a polluted environment. If that is not possible then regular holidays
are a must in order to clean the lungs and regulate the blood pH levels.
B] GENERAL APPLICATIONS TO DISEASE
2) General Applications System specific
i) CARDIO VASCULAR SYSTEM
§ Exercise 45-90 minutes
slow walking (not on treadmill)
§ Maintaining pH (alkali)
§ Reduce salt
§ Enough Potassium (fruit)
and Calcium (milk)
§ No drugs
ii) RESPIRATORY SYSTEM
§ Diet – Salt, calcium,
water and vitamins. No milk in the evening
§ Exercise – Blowing
balloons, running, walking, stair climbing
§ No steroids
§ Encourage coughing (again
calcium)
iii) GASTRO INTESTINAL TRACT
§ Fasting
§ Electrolytes
§ Abdominal exercise (to
increase blood supply)
§ Lot of fiber (roughage)
§ Peptic ulcer – neutralize
acids as follows
o Chew well and slowly
o Alkalinize
o Give gaps between meals
o Eat small amounts
iv) UROGENITAL SYSTEM
§ Lot of water – to cause
diuresis
§ Calcium for increased tone
of ureters to pass renal stones
§ Jumping up and down – in
case of kidney stones (to move stone down)
§ Alkali (dudhi)
§ Orgasm – for lower urinary
tract, ex.bladder (should be substantially strong to make the bladder contract)
v) CENTRAL NERVOUS SYSTEM
§ No blood pressure lowering
agents
§ Neuro muscular
coordination enhancing exercises
§ B1, B6, B12 injections
§ No intoxicants
§ Sleep
§ Alkali (dudhi)
§ Asanas for improving blood
supply to the brain
vi) GYNAECOLOGY
§ Iron bleeding disorders
cause anaemia and vice versa
§ Specific exercises – squeezing
anal sphincter, orgasm etc.
§ Good buildup of
circulation to prevent HT
§ General principles
vii) STRAIN, SPRAIN, TEAR, FRACTURE
§ Rest the part
§ Encourage early and
passive mobility
§ Alkali (dudhi) for healing
§ Rest only the affected
part and not the whole body
§ Do not massage
§ Take calcium (to reduce
spasm), sodium (to reduce pain, if it exists), glucose
§ Mobility
§ Local exercise (joint)
viii) INFECTIONS – LIKE FEVER
§ Water and Electrolytes
§ May require fasting (for
GI rest)
§ Good food, Fresh air Sleep/
rest
§ For low grade fever –
short stroll, return and check vitals
§ Provide outlet – coughing,
shitting discharge
B] SPECIFIC APPLICATIONS TO GYNEACOLOGY AND OBSETRICS
DISEASES
Individual disease –specific Alternative Holistic
treatment have already been detailed out in Part A of Gynecology and Obstetrics
Topics.
ALTERNATE HOLISTIC
MEDICINE TO GYNEACOLOGY
§ Avoid Sour food
§ Have Alkaline juices
§ Have regular sex
§ Exercise Abs, Pelvis and
Inner thighs
§ Walk everyday
§ Wash with alkaline water
[Soda bicarb water douches]
§ Keep clean and dry
§ Take Iron tablets
§ Lose fatty weight
§ Do not Smoke
§ Do not consume Liquor
§ No operation to be
resorted to
ALTERNATE HOLISTIC
MEDICINE TO OBSTRETICS
§ Exercise Abs, Pelvis and
Inner thighs
§ Walk every day to lose
fatty weight
§ Healthy Diet to keep blood
sugar level in check
§ Wash with alkaline water
[Soda bicarb water douches]
§ Keep clean and dry
§ Take Iron tablets
§ Do not Smoke or consume
liquor
PART C- MEDICAL CASE STUDIES as treated by anvitha
prabhakara
DISCLAIMER: Please donot try these remedies without proper consultation
with your doctors.
CLINICAL HISTORY
Shweta Talvar, woman, aged
37 years, married with two kids in Delhi, complains of Menorrhagia (heavy
menstrual bleeding) and Dysmenoharrea which was found to be pathological.
Her blood test showed a Hb
of 10. She also complained of low back ache. She noticed passage of large
clots, since 2 years.
SONOGRAPHY OF PELVIS
§
Real time ultrasonography of the Pelvis has been
formed.
§
Urinary bladder is physiologically well distended and
appears normal.
§
The Uterus is well visualized, anteverted and measures
6.2x2.7x3.3 cms
§
Firm, spherical, intra-meural mass measuring 2x3x1 cm
is visualized
§
No evidence of any cyst or PCO seen
§
The right ovary measures 2.9x3.0 cms in size
§
The left ovary measures 2.6x2.0 cms in size
§
No free fluid seen in pelvis
CONCLUSION:
Intra-meural
fibroid is visualized
CONVENTIONAL TREATMENT
The patient was advised
Hysterectomy (removal of uterus)
ALTERNATIVE THERAPY
§
No operation
§
Lose Fatty weight
§
Take Iron tablets
§
Walk everyday
§
Exercise Abs, Pelvis and Inner thighs
§
Have regular sex
RESULT
After therapy of 6months,
heavy bleeding reduced and low back ache disappeared
CASE 2: POLYCYSTIC OVARIAN DISEASE
CLINICAL HISTORY
Seema Saigal, woman aged
32 years, unmarried, corporate executive, working in Mumbai city complained of
3 months of Amenoharrea followed by Menorrhogea every day for 3 months having
to change 6-8 sanitary napkins per day. Patient noticed passage of big clots.
Weight gain of 5kgs during the period
PATHOLOGICAL
INVESTIGATIONS AND FINDINGS
Urine-Pregnancy test
negative
FSH- LH normal
T3, T4, TSH normal
FBS, LBS normal
ULTRASOUND SCANNING
OF ABDOMEN AND PELVIS
LIVER - Size, shape and
echo textures are normal. No localized or diffused mass lesions are seen.
Intraheptic vascular systems, portal vein, CBD and biliary radicles are normal
GALL BLADDER - Size, shape
and wall thickness are normal. No calculus or no mass lesions are seen
SPLEEN – Size, shape and
echo pattern are normal. No abnormal calcifications are seen
PANCREAS – Head, body and
tail echo textures are normal. Pancreatic duct normal, no mass cystic lesions
are seen. No calcifications are seen
KIDNEYS – Right kidney
size - 117X51 mm
Left Kidney size – 118 X
54 mm
Peri renal areas are
normal, renal capsule normal. Cortical thickness, cortical echo pattern,
corticomedullary differentiations are normal. No calculus, no hydro-nephrosis
or no mass lesions are seen
U.B.D –Well distended,
wall thickness normal, No calculus, no mass lesions are seen
UTERUS – Anteverted,
measures: 66 X 30 X 40 mm
Myometrial and endometrial
echo pattern normal, No calculus, no hydro-nephrosis or no mass lesions are
seen.
Endometrial thickness: 6mm
OVARIES:
Right ovary – 35 X23 mm
Left ovary -32 X 25 mm
Multiple small peripheral
follicles noted in both ovaries. S/o Polycystic ovaries
Aorta & IVC normal -
No lymphadenopathy, No ascites
IMPRESSION – Bilateral Poly Cystic Ovaries
CONVENTIONAL TREATMENT
§
Pelvic Laparoscopy to remove or alter any ovary
§
Progesterone and Estrogen treatment
ALTERNATIVE THERAPY
§
Walk everyday
§
Exercise abs, pelvis
§
Lose fatty weight
§
Have regular sex
RESULT
Alternate therapy was
supplemented by Estrogen and Progesterone and patient now has regular cycles
every month
CLINICAL HISTORY
Parvathy Gowda, woman aged
56 years, married with three children, working as a Teacher in Bangalore
complained of increased vaginal discharge with bleeding and frequent urination.
Feeling of heaviness or pulling in the pelvis combined with low backache and
complains of frequent urination on coughing or sneezing.
GYNAEC EXAMINATION
Red inflamed cervix
visualized one inch inside the vagina. Also urethrocele observed. White
discharge seen on the inflamed cervix
ULTRASOUND SCANNING OF
ABDOMEN AND PELVIS
First degree Uterine
prolapse diagnosed
CONVENTIONAL TREATMENT
§
Vaginal Pessary
§
Hysterectomy
§
Estrogen replacement therapy – either vaginal or oral
ALTERNATIVE THERAPY
§
Exercise Abs, Pelvis and Inner thighs
§
Walk everyday
§
Have regular sex
§
Keep clean and dry
§
Wash with alkaline water (sodium bicarb water douches)
§
No operation
§
Lose fatty weight
§
Weight loss
§
Kegel exercises to tighten pelvic floor and strengthen
the muscles
§
Avoid heavy lifting to prevent progress of prolapse
RESULT
And the After 6 months of
Alternate therapy, the low back ache and the pulling sensation in the pelvis
has disappeared and the control on her urination has improved
CLINICAL HISTORY
Madhumita Ghosh, woman
aged 28 years, unmarried, working as a Software Engineer based in Pune, 20
weeks pregnant, complained of headache, edema in face and hands. Rise in blood
pressure with values of 160/110 observed. Patient also complains of oliguria
PATHOLOGICAL INVESTIGATION
AND FINDINGS
Creatinine level is over
1.5 mg/dL
Pulmonary edema is observed in diagnosis, Platelet count
less than 100,000/L. Blood sugar, if diabetes is present, FBS would be above
140
CONVENTIONAL TREATMENT
If pregnancy advanced
then, Delivery to be done by induced labor or Caesarean section
Drugs
§
Anti hypertensives – Labetolol, Hydralazine
§
Anti convulsants – Nifedipine
§
Temporary stabilization achieved through intravenous
injecting of magnesium sulphate to forestall seizures, while steroid injections
are administered to promote fetal lung maturation
ALTERNATIVE THERAPY
§
Stop salt intake
§
Walk everyday
§
Lots of alkaline fluids and fruits
§
Sit in sunshine to sweat
§
Regular sex and orgasm
§
Lose fatty weight
RESULT:
The Patient’s BP dropped
to 140/100 and oedema of the feet has reduced. She had a delivery by C-section
CASE 5: OVARIAN CYST
CLINICAL HISTORY
Richa Shah, woman aged 38
years, unmarried Business woman based in Baroda, complained of sharp pain and
discomfort in left side of lower abdomen, pelvis and lower back since last 6
months. Patient also complained of fatigue, headaches, irregular periods,
bloating in the abdomen. Increased weight gain and increased facial hair
observed in the same 6 month period.
PHYSIOLOGICAL
INVESTIGATION AND FINDINGS
Ovarian cyst measuring 5cm
x cm seen on the left ovary
ULTRASOUND SCANNING OF
ABDOMEN AND PELVIS
Real time ultrasonography
of the Pelvis has been formed
Urinary bladder is
physiologically well distended and appears normal
Uterus is well visualized,
anteverted and measures 6.2x2.7x3.3 cms
CONVENTIONAL TREATMENT
§
Pain relievers
§
Combined methods of hormonal contraception
§
Surgical biopsy advised to check for ovarian cancer
§
Surgery advised to remove cysts or ovaries
ALTERNATIVE THERAPY
§
Lose fatty weight
§
Avoid sour food
§
Have alkaline juices
§
Do not take stress
§
Do not smoke
§
Take iron tablets
§
Regular sex
§
Exercise
§
No operation
RESULT
After 6 months of
alternate therapy, the abdominal pain and back ache has reduced.
Patient has lost excess
weight and taken to a workout program in the gym. Her energy levels are high.
Cyst continues to stay,
but does not bother the Patient