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Apr13
NAMA, NAMASMARAN AND TOTAL STRESS MANAGEMENT (PART 12) DR SHRINIWAS J. KASHALIKAR
NAMA, NAMASMARAN AND TOTAL STRESS MANAGEMENT (PART 12) DR SHRINIWAS J. KASHALIKAR

Student: I understood these mechanisms to some extent, not completely. But from what I gathered; these mechanisms are wide ranging. For triggering such wide ranging mechanisms to come in operation; the causes or the dimensions of stress must also be wide ranging; are they?

Teacher: Yes! They are! Let us consider these stressors starting from non living beings to human beings!

Student: Why do we consider the nonliving?

Teacher: The holistic perspective comprehends living (CHARA) and non living (ACHARA) to be in continuity! From a very basic understanding point of view we can say that the stressors and stress; are present in nonliving things! Thus stress of mechanical nature (not biological) is present in nonliving things! When force is applied to an object, there is definite internal change and displacement in the object. This force is akin to stressor in the case of living beings, the internal change is akin to homeostatic change; i.e. change in the internal environment in case of the living beings and the displacement of an object is akin to stress response in case of living beings.
It is obvious that if an object is subjected to a force, which it cannot sustain, then it may be damaged. This damage is akin to an abnormal change in the internal environment. The excessive displacement is analogous to disease in a living being.
Next to the nonliving things we can see stressors and stress; in unicellular animals! The stressors here are in the form of exaggerated physical, chemical and biological changes in the environment inside and outside. These are relatively, more complex as compared to those in nonliving things; and are less stereotypical, though still, fairly predictable.
Followed by unicellular; we come to multicellular (many cells coming together to form an organism or an animal!) animals, which are higher in evolutionary scale. In these animals there is development of central nervous system, autonomic nervous system and endocrine system. This leads to a perceptible increase in the level of consciousness. Thus they become conscious of the sensations (Visual, auditory, olfactory, gustatory, tactile, pain, temperature, itching, gravity, acceleration etc.). Moreover they possess instincts. Hence these animals suffer, if deprived of their instincts! I call such deprivation an instinctual stressor.

Student: Can you explain this?

Teacher: The foremost instinct is that of survival! Fear of predator produces stress and is evident when a cat faces a dog! The next is locomotion. If an animal is confined to a cage preventing the locomotion altogether; or is exposed to abnormally rapid movement, then stress is produced which damages the body systems. Next is a particular environment to which it is accustomed. It is called habitat. Changing this environment causes stress. Hunger and thirst are also instincts. If an animal is deprived of food; or there is change in the type or timing of food; cause stress. If there is change in the source and timing of water (as in case of animals in zoo) or altogether unavailability of water; it produces stress. Reproduction, parental care, herd formation; are also instincts. Abstinence from sex, herd and separation from the newborn offspring; also cause stress.


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Apr13
NAMA, NAMASMARAN AND TOTAL STRESS MANAGEMENT (PART 11) DR SHRINIWAS J. KASHALIKAR
NAMA, NAMASMARAN AND TOTAL STRESS MANAGEMENT (PART 11)
DR SHRINIWAS J. KASHALIKAR

Student: What are the characteristics of this internal environment?

Teacher: The internal environment has certain concentration of hydrogen, sodium, potassium, calcium, chloride, magnesium etc. It has certain osmolality, temperature, viscosity etc. The text books of physiology, describe these in details, but it is not necessary to burden our memory with all the details.

Student: What is the importance of this internal environment?

Teacher: The importance of the internal environment is that, various physical and chemical characteristics of the internal environment have to be maintained within a certain range, if the body cells and hence the organism; have to function in a normal i.e. healthy way. If the characteristics undergo drastic variations, then functioning and even living becomes difficult and/or painful. This should explain to you; the importance of the internal environment as well as the importance of any factor/s, which may bring about drastic changes in it.

Student: This has crystallized the concept of stress and Total Stress Management to some extent. But now; I am curious to understand the mechanisms underlying stress; though not in details; at least grossly!

Teacher: OK! For the moment; we will keep aside the philosophical aspects of stress, such as previous birth, past life, sanchit, prarabdha, rebirth, soul etc and also; the traditional ways of managing stress.
The mechanisms; as we understand today; were progressively discovered in last century by conducting experiments on animals. Hans Selye is known to be the pioneer of stress physiology. He discovered the effects of various stressful stimuli in animals and called them General Adaption Syndrome GAS.
Stressors stimulate special cells or special molecules in the cells. These special cells are called neural receptors and the special molecules are called molecular receptors. There are receptors inside the body; called internal receptors and on surface of the body; called external receptors. Stimulation of these receptors brings about changes in the internal environment proportionate to the intensity, frequency, variety, complexity and pattern of stressors.

There are four main and well known mechanisms by which stress and its effects are produced.

a) Various stressors act on the part of brain called limbic system. This leads to secretion of various chemical substances. These are called neurotransmitters, because they transmit information from one nerve cell to another. They are secreted in small quantity in a central funnel like part at the bottom of brain called hypothalamus. The hypothalamus in turn secretes hormones, which are chemicals directly released in blood and are carried to the pituitary gland, which is underneath the hypothalamus. The pituitary gland in turn secretes hormones which are released in the blood and reach various glands but especially the Adrenal cortex. It secretes cortisol, which, when in excess; is responsible for various ill effects of stress; such as on liver, heart and immune system responsible for body resistance.

b) Stressors can act on the pineal gland, which is located in the neighboring area above the hypothalamus and secretes hormones called melatonin, 5 Hydroxytryptamine (5HT) and norpinephrine. It is conical in shape hence called pineal. Because of stressors; the proportion, the quantity and the type of secretions can become abnormal and this can cause several ill effects on hypothalamus, pituitary, testes, ovaries, thyroid gland, adrenal cortex, pancreas and parathyroid. It can cause disturbances of biorhythms, sleep. It reduces the resistance to cancer, infections and overall stress.

c) Stressors can be in the form of certain changes in blood, bacteria in blood, certain chemicals called antigens in the blood etc. All these act on the different types of white blood cells (WBC), which in turn; produce several substances which cause the effects of stress.

d) The stressors act on hypothalamus; but in this case the hormones secreted by the hypothalamus; can directly enter the blood and produce the effects of stress by direct action on various tissues. The details of all this; are given my book; �Understanding and Management of Stress� available on internet for free download.


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Apr13
NAMA, NAMASMARAN AND TOTAL STRESS MANAGEMENT (PART 10) DR SHRINIWAS J. KASHALIKAR
NAMA, NAMASMARAN AND TOTAL STRESS MANAGEMENT (PART 10) DR SHRINIWAS J. KASHALIKAR

Student: I never imagined earlier; that stress could be so
vast! No wonder, I am getting drowned in this ocean of
stress! Can you briefly explain stress as well as Total Stress
Management; in nutshell; if that may help me; with some
analogies; to make it simpler?

Teacher: Yes! That will surely help you to conquer your
stress!
Stress is like a horse! But it would never leave us at any
cost! So there is no lasting escape from it. There are only few
options.
A) Getting dragged after it,
B) Getting bitten or beaten by it,
C) Carrying it on our head,
D) Beating or killing the horse,
E) Learning to �ride� the horse with delight
The last option is the same as Total Stress Management
(TSM).

Student: Can we give the analogy of river? Because MAYA
is compared to river!

Teacher: Yes! MAYA is called BHAVANADI a river! Stress
also is like a river, in which we are born! There are only two
options; either to get drowned, or to learn to swim to the bank.
Learning to swim to the bank is Total Stress Management.
Analogy of traffic jam also helps! It is not an exact analogy but
helps in understanding stress and Total Stress Management
and even this understanding also is useful in reducing stress!
1. The Causes of stress; called stressors are like excess
number of vehicles coming from all directions.
2. The individual under stress is like a square where the
signals or the traffic police are not working.
3. The signs and symptoms of stress are like the excess
crowding, anxiety due to inability to reach destinations,
quarrels amongst the drivers, excessive blowing of horns,
chemical pollution etc.
4. The pathology is inability of the vehicles to move and
reach their destinations.
5. The Relaxation Techniques prevalent today; are like
arbitrary and isolated efforts to calm down the drivers and
prohibit the blowing of horns.
6. The relaxation techniques therefore can bring about
temporary peace (temporary symptomatic relief) but cannot
help the vehicles to reach their destinations (cannot effectively
remove the pathological changes and handle the stressors
effectively).
7. Total Stress Management is re-establishing the functioningof the signals and re-instituting the traffic police (perception)
so that the crowding, jam (homeostatic disturbances or
affect), blowing of horns, quarrels (symptoms and signs) and
the reaching of the destinations (handling the stressors and
rectification of the pathological changes), are made possible.

Student: Now I seem to have got some idea about stress
and Total Stress Management.
How would you define stress physiologically?

Teacher: Stress is an interaction between �self� and the
environment inside and outside body! The effects of stress;
means variable acute or chronic changes; in the internal (also
external) environment of the body. The normal stress such
as moderate exercise is useful. But when we talk of �stress�
we actually mean harmful stress or distress, which causes
adverse effects on almost every cell of the body; making life
miserable in several ways.

Student: What is this internal environment of the body?

Teacher: The body cells contain fluid within them and they
themselves are present in a fluid medium. Generally the fluid,
by which they are surrounded, is called internal environment.
But recently some authorities consider the fluid which they
contain; also forms the internal environment


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Apr13
NAMA, NAMASMARAN AND TOTAL STRESS MANAGEMENT (PART 9) DR SHRINIWAS J. KASHALIKAR
NAMA, NAMASMARAN AND TOTAL STRESS MANAGEMENT (PART 9) DR SHRINIWAS J. KASHALIKAR

Student: What exactly you mean by SWADHARMA? Can
you clarify further?

Teacher: From absolute truth manifests; SWADHARMA as a
source of SATPRERANA, SADDHARANA, SADVICHAR,
SADICCHHAA, SADBHAVANA, SATPRAVRUTTI,
SADVASANA, SATSANKALP and SATKARMA, which
together constitute SADACHAR. I am going to explain all
this in the course of time!

Student: Now I am able to appreciate what you mean by the
assurance of the inner prompting! You could not have persisted
in your search-a totally thankless search- of panacea; in
absence of listening to the inner prompting! It is clear that in
absence of this; stress in my life made me mean and in turn; the
meanness aggravated the stress! I got trapped in non holistic
or sectarian perspective, thinking, feelings, instincts and
actions, which enabled me to adopt only piecemeal solutions.
These solutions in turn; casted deleterious influences on me
and I became a victim of a perpetual vicious cycle of stressdeterioration-
stress-deterioration!

Teacher: Yes! You are right! But please do not feel guilty.
It took about three decades for me to understand this much!
Moreover please note that this understanding also; is not
absolute!

Student: Thank you very much sir, for your consoling and
comforting reassurance! Please elaborate further on stress,
Total Stress Management and NAMASMARAN!

Teacher: Surely; I will! Please tally it with your experience
of stress; so that our discussion can prove more fruitful! The
stress is present during embryonic life, in all age groups,
during sleep and dreams, during conscious, subconscious as
well unconscious states and also during coma! Moreover; it
is present in all forms of life! Thus; stress is far too deep
and far more ubiquitous than what is presumed. It is as vast
as life! Hence it is the same as MAYA i.e. everything that
we see, know, think, feel, experience, like, dislike, love, hate
and irresistibly and irrevocably lose in the past! MAYA is
a fleeting phenomenon and hence involvement in MAYA is
followed by emptiness! In simple words, MAYA is everything
other than NAMA!

Student: This is exactly what is extremely difficult to believe!
How can I deny the existence of the harrowing reality?

Teacher: I know it is difficult to believe! But actually it should
not be believed in! It is only through the persistent practice
of NAMASMARAN that the consciousness is raised to a
* NAMA NAMASMARAN AND TOTAL STRESS MANAGEMENT * 37
level from where the fleeting nature of �harrowing reality�
becomes evident!


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Apr13
NAMA, NAMASMARAN AND TOTAL STRESS MANAGEMENT (PART 8) DR SHRINIWAS J. KASHALIKAR
NAMA, NAMASMARAN AND TOTAL STRESS MANAGEMENT (PART 8) DR SHRINIWAS J. KASHALIKAR

Student: I really appreciate the intentions and the reasons
underlying the development of these concepts. But I am still
not quite convinced as to how the NAMASMARAN can be
useful to me!
Teacher: Fine! Actually I also had not developed the
conviction about NAMASMARAN at that time, which I
have today. In fact; as I said; I had no idea even about the
holistic concept of stress. It was merely an identification of
the panacea. I had just begun to understand; the suffering in
life; more holistically and the need of making the solutions
also more holistic! There was still; a lot of ambiguity with
respect to the details; as to how NAMASMARAN would
enable us to understand the problems more holistically and
evolve holistic solutions!
It is only then, when I began to study the physiological and
pathophysiological aspects of the meaning, mechanism,
* NAMA NAMASMARAN AND TOTAL STRESS MANAGEMENT * 33
causes and effects of stress; that it became clear; that the
stress in an individual influences adversely; the social life
and the support systems; and vice versa! Moreover it also
became clear that the spiritual, religious, philosophical,
ideological, political, social, economic, psychological,
physiological, pathophysiological and clinical/medical
approaches to understanding and management of stress were
complementary. I realized that the stress management at
merely at individual level or merely at social level could not
be optimally effective. It had to be a simultaneous process of
individual and universal blossoming.
This was the germ of Total Stress Management!
This led to further study of NAMASMARAN as a panacea!
I had studied NAMASMARAN and practiced it earlier; but
by now I started appreciating its power to transform an
individual; in terms of empowering him or her to develop
a holistic perspective, thinking, planning, programming
and implementation and thus influence the universal
support systems and the universal life.
Student: I think I shall be able to appreciate the importance
of NAMASMARAN as I learn more about stress! But it
seems that this revelation was satisfying!
Teacher: In a way; yes; because even though the essence of
this realization was clearly stated in the literature, which I
had come across; it was not explicit. The focus was on God
* NAMA NAMASMARAN AND TOTAL STRESS MANAGEMENT * 34
realization, salvation, liberation, emancipation etc, without
a clear reference to the concrete material counterpart of the
global welfare.
Most of the well meaning atheists as well as theists; in
spite of harboring an enlightened and a conscientious
heart; and generous mind; did not realize the importance of
NAMASMARAN as a means of growing more objective.
They did not understand the pivotal role of NAMASMARAN
in breaking the shackles of ego and subjectivity. They did
not appreciate the fact; that the policies, plans, programs
and their implementation; needed to be; increasingly holistic
and could surely be made; increasingly holistic, through
NAMASMARAN.
I realized that true atheism is; nullifying the stupefying
influence of apparent environment; and true theism is
ability to realize the otherwise imperceptible true self!
Even the materialistic and spiritual pursuits in my nature;
were fully satisfied, when I realized that every material
pursuit; including the sustenance and nurturing of our
physical existence; becomes meaningful, worthwhile and
fulfilling, when aimed at culminating into the realization
of true self! With this understanding the atheist and theist
facets of my mine; were simultaneously satisfied!
In absence of this understanding it appeared to me that there
was a strong possibility of atheists as well as theists going
astray, skip their duties (SWADHARMA); remain selfish
* NAMA NAMASMARAN AND TOTAL STRESS MANAGEMENT * 35
and indolent; and yet infatuate; either �social revolution�
or �individual liberation� respectively.
I thought, this error of omission of the universal
benevolence of NAMASMARAN, was as real and as big;
as that of being oblivious to the omnipotent benevolence
of true self or God!


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Apr11
NAMA, NAMASMARAN AND TOTAL STRESS MANAGEMENT (PART 7): DR SHRINIWAS KASHALIKAR
NAMA, NAMASMARAN AND TOTAL STRESS MANAGEMENT (PART 7): DR SHRINIWAS KASHALIKAR

Student: But how could one bring about socio-political changes, in absence of active participation in politics or social movements? How could one overcome the stress in personal life? How could one get a promotion in job; by this work, which has no value? How could one get financial security without following the demands of the job and market? Don�t you think, this path does not assure social welfare as well as personal well being? I think; in such a situation; you must have gone through a lot of turmoil in spite of your inexplicable whisper of deeper instincts! How can all this help me?

Teacher: That is true. I was in turmoil. Neither personal success, nor the social goals; were being realized. It created self doubts, self abnegation, and self pity and so on. I had nothing to hold on to!
But in spite of all this; there was much more than a silver lining! I always had enormous and intense; though far from complete; fulfillment in terms of being in tune with the whisper of my deep instincts; now growing into the inner voice of my conscience! I assure you; being in tune with the inner voice will help; not only you in trekking this path, but millions and millions! You just have to learn to listen to this inner prompting! Even as it was quite indistinct in those days; it gave me the assurance that I was on right track and was sure to make a wholesome contribution to the content of sociopolitical movements and personal wellbeing!

Student: Isn�t your whisper of deep instincts, the inner voice of your conscience or the inner prompting; a mysterious entity?

Teacher: It appears mysterious when we are not familiar with it. But when we identify and get conversant with it; it is no more mysterious! I did not know the significance of the inner prompting at that time. But it helped me and would help you also; to keep going; from strength to strength! I did not yield to pressure of the surroundings! Even amidst despair, frustration, helplessness and hopelessness; I still did not have the feeling of a total defeat!

Student: Was it at that time; that you turned to NAMASMARAN?

Teacher: No! I did not turn to NAMASMARAN even at that time; but as I said earlier, I was never cut off from any doctrines or traditions. NAMASMARAN was one of the many things I was studying.

Student: But then; how did you manage your frustration? Please tell me. It will help me in managing my stress.

Teacher: Like anybody else; I also tried to contend myself; by being in friends� company, by being flattered and by indulging. But being hollow; by their very nature; these things could not satiate and quiet me! In fact; they churned me from within; and propelled me for an even more intense search for that essence or abstract link connecting various doctrines! So, I kept on searching for it and also for a panacea that would work in all ailments, all sufferings, for all nations, all races, all classes, all religions and all ideologies; and at individual as well as global levels! But let me tell you; this propulsion was not a conscious, deliberate and planned effort! It was just happening in me! I had no control over it. I could not start or stop it. The search was irresistible! I was possessed by the ever growing inner prompting!

Student: This was; how the exploration brought you closer to the holistic concepts and the panacea!

Teacher: Yes! But I did not even know the word holistic! I simply kept on studying and wherever feasible; practicing and verifying different ideas. I was still far away from any holistic concepts and any panacea!

Student: Sir! Is my desire to seek advice from you; actually a result of inner prompting, which I could not identify till now; as �inner prompting�? Now I am more anxious to understand and actually verify the usefulness of your present concepts of Total Stress Management and NAMASMARAN!

Teacher: Of course! Your desire is born out of your inner prompting!
Actually it is around this time that I began to realize that all what I had written had some value. But was not universal and did not spring from the ultimate depths of my heart! Naturally, it did not reach the ultimate depths of the hearts of others! In other words, the solutions could not be universally effective and far from complete.
In fact; I realized that this was true for all the written solutions, decrees, commandments and prescriptions, which I had come across! They had a great value and a great role for different individuals and different societies at different times. But they could not be universal; in view of the effectiveness; and also in view of personal freedom. They needed enlightened modifications or refinements from time to time with realization of their essence i.e. the abstract yet strong link uniting them! This could make them appropriate to different periods, places, social, cultural, religious and political situations.
Now my task was to re-explore, re-discover or re-invent that single, simple and easy to practice universal solution � panacea, which could evolve a holistic perspective to make this possible! It also had to enable us to think benevolently for the universe and evolve policies, plans and programs benevolent to the universe! This could be according to our capacity, constitution and position; In other words; it had to impart a holistic thinking. It had to evolve irrepressible love and care; i.e. holistic feelings and holistic instincts! Lastly; that panacea had to engender cooperation amongst us to execute the policies, plans and programs of global benefit, which we can call holistic actions or behavior.

Student: In short; that panacea had to bring about a change in the world that would influence every individual life in totality; so as to enable him or her to evolve holistic perspective, policies, programs, plans and their implementation in his or her respective field.

Teacher: That is right! This practical solution � a panacea, which I had not yet found with certainty; thus had to; revitalize and rejuvenate the environment inside and outside of an individual; so as to enable him/her to help evolve himself/herself and others from inside as well as outside. It had to be so much democratic that it had to be available to every individual irrespective of age, sex, occupation, caste, creed, tradition, custom, race, religion, nation and any distinction for that matter!
After thinking of several possibilities, thanks to my Guru; Shri Brahmachaitanya Maharaj Gondavalekar; I realized that �NAMA� is the essence and the connecting link and �the single, simple, easy to practice and democratic universal solution�, which fulfills all the criteria about the panacea; is NAMASMARAN.
In short, much before the concepts about Total Stress Management were crystallized, I identified the potentials of NAMASMARAN.


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Apr10
The ultimate success or victory of life: Dr. Shriniwas Kashalikar
The ultimate success or victory of life: Dr. Shriniwas Kashalikar

The ultimate success or victory of life is embodied in consumption and culmination of our experiences Self realization.

But; just as the blood sugar in diabetics does not reach the interior of cells; our experiences also do not reach our true self! They are wastefully drained!

Diabetics need insulin or a drug that can facilitate the entry of blood sugar into the cells. We need NAMASMARAN that facilitates the entry and consumption of all our experiences into our true self; resulting in Self realization.


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Apr09
Menopause - Symptoms and Types of Menopause
The trend towards later maternity is strongest among women with better educational qualifications, as they increasingly postpone child rearing to pursue their careers.
On the whole, babies are more likely to be planned and wanted by women in their thirties. There is evidence that older women express greater satisfaction and feel they are ready to have a child because they have been fulfilled in their lives before that time. The notion of sacrifice is more often talked about in younger mothers. Older mothers may want to spend more time with their children."

Most of the degenerative changes, pre menopausal problems and metabolic diseases, thyroid dysfunction, cancers of breast and genital organs and deteriorating vision start from mid thirties, let us say around 35 years only. For preventive and optimal healthcare, we have to start early from the mid thirties, while later comes curative and palliative stage. The most common problem faced by the females over age 35 is menopause. Lets learn what to expect and ways to stay strong and healthy in the years around menopause.

Menopause

Menopause is a natural process that occurs as a woman�s ovaries stop producing eggs and the production of female hormones (estrogen and progesterone) declines. Menopause can also occur if a woman�s ovaries are damaged by certain diseases or cancer treatments, or if they are surgically removed. Menopause usually happens gradually between the ages of 45 - 55. The average age that women reach menopause is 51 years although it can occur as early as age 40 to as late as the early 60s. Women now have a life expectancy of more than 80 years. Currently, women can expect to live some 30 or 40 years of their life in the postmenopausal state.

Menopause does not occur suddenly. A period called perimenopause usually begins a few years before the last menstrual cycle. There are two stages in the transition:

1) Early Stage. Pre menopause can begin in some women in their 30s, but most often it starts in women ages 40 - 44. It is marked by changes in menstrual flow and in the length of the cycle. There may be sudden surges in estrogen.

2) Late Stage. The late stages of pre menopause usually occur when a woman is in her late 40s or early 50s. In the late stages of the menopausal transition, women begin missing the periods until they finally stop. About 6 months before menopause, estrogen levels drop significantly. The fall in estrogen triggers the typical symptoms of vaginal dryness and hot flashes (which can last from half a year to more than 5 years after onset of menopause).

Menopause is considered to have occurred after a woman has gone a full 12 months without a period. Menopause marks the end of menstruation and a women�s fertility.
Menopause is not a disease. However, many conditions are associated with estrogen depletion, including heart disease, osteoporosis, and other complications. Fortunately, effective treatments are available for these conditions.

Many women experience some physical and emotional symptoms during menopause, caused by hormonal imbalance. Typically, a woman will begin to experience menopause symptoms around her mid-40's as her body's reproductive capability comes to the end. This prolonged stage of gradually falling and fluctuating hormone levels is called per menopause, which can last upwards of two years before a woman's final period. For most women, symptoms end at menopause; however, some women will experience symptoms into postmenopausal life. The first symptom is usually a change in the pattern of your monthly periods. The start of the menopause is known as the pre menopausal stage. During this time, you may have light or heavy periods.The frequency of your periods may also be affected. You may have a period every two-three weeks, or you may not have one for months at a time. Other prominent symptoms of the transition to menopause include:

1) Hot flashes and night sweats . Women often feel hot flashes as an intense build-up in body heat, followed by sweating and chills. Some women report accompanying anxiety as the sensation builds. In most cases, hot flashes last for 3 - 5 years, although they may linger in some women for years after menopause. Women who have surgical removal of both ovaries, and who do not receive hormone replacement therapy, may have more severe hot flashes than women who enter menopause naturally.

2) Heart pounding or racing can occur, with or without hot flashes.

3) Difficulty sleeping . Insomnia is common during perimenopause. It may be caused by the hot flashes, or it may be an independent symptom of hormonal changes.

4) Mood changes . Mood changes are most likely to be a combination of sleeplessness, hormonal swings, and psychological factors as a woman undergoes this intense passage in her life. Once a woman has reached a menopausal state, however, depression is no more common than before, and women with a history of premenstrual depression often have significant mood improvement.

5) Sexuality . Sexual responsiveness tends to decline in most women after menopause, although other aspects of sexual function, including interest, frequency, and vaginal dryness vary. It is useful to remember that most symptoms of menopause eventually go away.

6) Forgetfulness . This appears to be one of the few symptoms that are common across most cultural and ethnic groups.

7) Urinary symptoms. During the menopause, you are more likely to experience recurrent lower urinary tract infections, such as cystitis. You may also feel an urgent and frequent need to pass urine.

8) vaginal dryness and pain, itching or discomfort during sex.

9) Joint stiffness .

10) Skin, Hair and Other Tissue Changes. With the increase in the age, you will experience changes in your skin and hair. Loss of fatty tissue and collagen will make your skin drier and thinner and will affect the elasticity and lubrication of the skin near your vagina and urinary tract. Reduced estrogen production may contribute to hair loss or cause your hair to feel brittle and dry.

Women from different countries and states have different menopausal symptoms. Menopause is not a disease. However, many conditions are associated with estrogen depletion, including heart disease, osteoporosis, and other complications. Fortunately, effective treatments are available for these conditions. After the menopause it is common for the following complications to appear.

Cardiovascular disease - a drop in estrogen levels often goes hand-in-hand with an increased risk of cardiovascular disease. Women who experience early menopause are almost twice as likely as the general population to have a heart attack, stroke, or other cardiovascular disease later in life. In order to reduce the risk of developing cardiovascular disease a woman should quit smoking, try to keep her cholesterol, blood sugar, and blood pressure within normal, healthy levels, do plenty of regular exercise, sleep at least 7 hours each night, and eat a well-balanced healthy diet.

Osteoporosis - Bone density may be lost at a fast rate for the first few years after menopause because estrogen plays a role in building new bone. The risk of fractures to the hip, wrist, and spine are especially pronounced in postmenopausal women.

Urinary incontinence - the menopause causes the tissues of the vagina and urethra to lose their elasticity, which can result in frequent, sudden, strong urges to urinate, followed by urge incontinence (involuntary loss of urine). Stress incontinence may also become a problem - urinating involuntarily after coughing, sneezing, laughing, lifting something, or suddenly jerking the body.

Urinary Tract Infections - Because of vaginal drying, women are at increased risk for recurrent urinary tract infections after menopause.

Low libido - this is probably linked to disturbed sleep, depression symptoms, and night sweats.

Overweight/obesity - during the menopausal transition women are much more susceptible to weight gain because metabolism slows. Experts say women may need to consume about 200 to 400 fewer calories each day just to prevent weight gain - or burn of that number of calories each day with extra exercise. The chances of becoming obese rises significantly after the menopause.

Breast cancer - women are at a higher risk of breast cancer after the menopause. Regular exercise and check ups after menopause significantly reduces breast cancer risk.

Skin and Hair Changes - Estrogen loss can contribute to slackness and dryness in the skin and wrinkles. Many women experience thinning of their hair and some have temporary hair loss.

Lifestyle Changes Changing and improving lifestyle is the basic factor in preventing 50% of ageing and metabolic diseases. Making lifestyle changes may help ease the discomfort of menopause symptoms. Simple changes in lifestyle and diet can help control menopausal symptoms such as hot flashes. Avoid hot flash triggers like spicy foods, hot beverages, caffeine, and alcohol. Dress in layers so that clothes can be removed when a hot flash occurs. For vaginal dryness, moisturizers, and non-estrogen lubricants are available. Quit smoking, get enough sleep, and make a conscious effort to eat healthily and exercise more to keep symptoms of menopause under wrap and keep yourself fit and healthy. One of the keys to enjoying menopause is to try to keep up a happy and healthy lifestyle. The right diet, open communication with your partner, and stress relief are examples of ways to make life the most easy in menopause.

How long will the phases of menopause lasts in women is completely individual. Most women experience the majority of their symptoms over a 2-year period of time�, but that will just annoy those women who find themselves still up to the eyeballs in hot flushes after 5 years. The average age when menopause is on is around 52 years old, but many women start in their 40s and some not until their late 50s, so really you just have to see what happens for you.

The ultimate aim is to give healthy lives in later age, to compressor illness in to short period of time, to reduce morbidity and disability of ageing women passing more than one third of their life in the menopausal age.

Rupal Hospital for Women is a premiere leader in women's healthcare since 45 long years. The doctors are committed to providing women with the highest quality and most advanced healthcare throughout all stages of their lives, from adolescence through menopause. Rupal clinic for women is providing special care to women around 35 years, Premenopausal, Menopausal and post menopausal ageing women. Dr. Malti Shah senior Gynecologist and obstetrician, qualified for Menopause Practice gives her services to the clinic. Rupal Hospital Menopause Clinic offers care for women with concerns about the menopause, including women with early menopause or menopause caused by surgery or illness. Rupal Hospital understands and meets all the health needs of a woman and fosters the understanding of how advanced health care can improve the lives of women and their families.

Contact Rupal Hospital for Infertility treatments like IUI, IVF, ICSI,TESA/MESA,Egg, Sperm and embryo freezing, Egg /sperm/Embryo Donation, Surrogacy, Obstetrics,Gynaecology services, Laparoscopy and Hysterectomy and know everything about menopause, Premenopausal, Menopausal and post menopausal consultation at http://www.rupalhospital.com or at http://www.rupalhospital.com/menopause_clinic.html or http://rupalhospital.wordpress.com/menopause-clinic-india


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Apr09
High-risk pregnancy Clinic Surat
Pregnancy is a time for joy. But when you�re facing the risk of complications, anxiety, fear and uncertainty can take over. The term high-risk pregnancy does not in any way mean that you�re destined to have problems with your pregnancy. In fact, the majority of women who have so-called high-risk pregnancies go on to have problem-free pregnancies and give birth to healthy babies. A high-risk pregnancy results when some condition puts the mother or the developing fetus, or both, at an increased risk for complications during or after pregnancy and birth. A high-risk pregnancy can be stressful. A high-risk pregnancy might pose challenges before, during or after delivery. If you have a high-risk pregnancy, you and your baby might need special monitoring or care throughout your pregnancy.

Many things can put you at high risk. Being called "high-risk" may sound scary. But it's just a way for doctors to make sure that you get special attention during your pregnancy. Your doctor will watch you closely during your pregnancy to find any problems early. The conditions listed below put you and your baby at a higher risk for problems, such as slowed growth for the baby, preterm labor, preeclampsia, and problems with the placenta. But it's important to remember that being at high risk doesn't mean that you or your baby will have problems. As many as 10 percent of pregnancies are considered high risk, but with expert care, 95 percent of these special cases result in the birth of healthy babies.

Specific factors that might contribute to a high-risk pregnancy include:

1) Advanced maternal age. Pregnancy risks are higher for mothers age 35 and older and younger than 17.

2) Lifestyle choices. Smoking cigarettes, drinking alcohol and using illegal drugs can put a pregnancy at risk.

3) Medical history. A prior C-section, low birth weight baby or preterm birth � birth before 37 weeks of pregnancy � might increase the risks for subsequent pregnancies. Other risk factors include a fetal genetic condition, a family history of genetic conditions, a history of pregnancy loss or the death of a baby shortly after birth.

4) Underlying conditions. Chronic conditions � such as diabetes, high blood pressure, cancer, Kidney disease and epilepsy � increase pregnancy risks. A blood condition, such as anemia, an infection or an underlying mental health condition also can increase pregnancy risks.

5) Pregnancy complications. Various complications that develop during pregnancy pose risks, such as problems with the uterus, cervix or placenta, or severe morning sickness that continues past the first trimester. Other concerns might include too much amniotic fluid (polyhydramnios) or too little amniotic fluid (oligohydramnios), restricted fetal growth or Rh (rhesus) sensitization � a potentially serious condition that can occur when your blood group is Rh negative and your baby's blood group is Rh positive.

6) Multiple pregnancy. Pregnancy risks are higher for women carrying twins or higher order multiples.

7) Overdue pregnancy. You might face additional risks if your pregnancy continues too long beyond the due date.

8) Your baby has been found to have a genetic condition, such as Down syndrome, or a heart, lung, or kidney problem.

9) You have had three or more miscarriages.

10) You had a problem in a past pregnancy, such as preterm labor, preeclampsia or seizures and having a baby with a genetic problem, such as Down syndrome.

11) You have an infection, such as HIV or hepatitis C. Other infections that can cause a problem include cytomegalovirus (CMV), chickenpox, rubella, toxoplasmosis, and syphilis.

Other health problems can make your pregnancy a high-risk. These include heart valve problems, sickle cell disease, asthma, lupus, and rheumatoid arthritis. Talk to your doctor before if you have any health problems before conceiving.

What types of doctors are recommended for a high-risk pregnancy?

Some women will see a doctor who has extra training in high-risk pregnancies. These doctors are called maternal-fetal specialists, or perinatologists. You may see this doctor and your regular doctor. The specialist may be your doctor throughout your pregnancy.

To have a healthy pregnancy and healthy baby you must consider the following points.
Go to all your doctor visits so that you don't miss tests to catch any new problems.
Eat a healthy diet that includes protein, milk and milk products, fruits, and vegetables.
Take any medicines, iron, or vitamins that your doctor prescribes.
Take folic acid daily. Folic acid is a B vitamin.
Follow your doctor's instructions for physical activity and exercise.
Do not smoke. Avoid other people's tobacco smoke.
Do not drink alcohol.
Stay away from people who have colds and other infections.

What else do I need to know about high-risk pregnancy?
Consult your health care provider about how to manage any medical conditions you might have during your pregnancy and how your health might affect labor and delivery. Ask your health care provider to discuss specific signs or symptoms to look out for, such as Vaginal bleeding, persistent headaches, pain or cramping in the lower abdomen, watery vaginal discharge, regular or frequent contractions, decreased fetal activity, pain or burning with urination and changes in vision, including blurred vision.

Talk to your clinic and specialist about the conditions in which you should contact them and when to seek emergency care. A high-risk pregnancy might have ups and downs. It is always best to stay positive and take steps to promote a healthy pregnancy. Your pregnancy requires extra-special care, so follow your doctor�s orders and try to relax. Thanks to advances in medical technologies and good prenatal care, you are more likely than ever to have a healthy pregnancy, delivery, and baby.

Rupal Hospital for Women is a premiere leader in women's healthcare since 45 long years and is committed in providing women with the highest quality and most advanced healthcare throughout all stages of their pregnancy and their lives, from adolescence through menopause. Our team of experts specializes in helping to make a high-risk situation less stressful to mother, baby and the family members. Our specialists work hand-in-hand during the term of your pregnancy, during labor and delivery or during the post-partum period. Whether the pregnancy is complicated by either medical or obstetrical factors, our physicians and staff is dedicated to helping mothers and their babies obtain the best possible outcome. Our state-of-the-art technology and the medical expertise of our team enable the Rupal hospital for High Risk Pregnancies to provide a highly advanced level of care that is unique in the city of Surat, Gujarat. We follow our patients closely from the point of referral to delivery and beyond.

Now you can contact our high-risk pregnancy health care team to deliver a full-term, healthy baby at http://www.rupalhospital.com or follow us at https://www.facebook.com/pages/Rupal-Hospital-For-Women/121887391342443 schedule an appointment Call at +91-261-2591130 or Follow us at https://twitter.com/RupalHospital or Follow us at https://www.facebook.com/pages/Rupal-Hospital-For-Women/121887391342443 or Follow us at https://www.youtube.com/channel/UCbzNVeyIF0It8wBgbSYIIig/about or Follow us at http://rupalhospital.wordpress.com


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Apr03
Leaches in IHD & TVD
Jalaukaas in coronary block (Bypass to Bypass Surgery)

- Prof. Dr. Muralidhar P. Prabhudesai
M.F.A.M., A.V.P.
Ex- In-charge, Panchakarma Dept.,
Bhaisaheb Sawant Ayurvedic Medical College,
Sawantwadi, Dist. - Sindhudurga, Pin - 416510.

Case report of a pt. with IHD with TVD

Date - 9 March 1995
Name of the pt. � xyz
Age � 65yrs.
Sex � M
Chief Complaints � Dyspnoea on exertion (on walking a few steps, even after talking few words)
- Constipation, passes hard stools after 5-6 days interval
- Poor appetite
- Weakness
- Chest-pain
- Oedema over feet
- Hypertension
- Tingling in Lt. palm
- He used to get up in midnight due to chocking sensation in chest
- Feeling of some swelling (heaviness) in Lt. side of chest
- Consumes lots of Angised / Sorbitrate tabs. per day while walking or talking (20-22 tabs. in a day)
O/E � B. P. 220/110, Pulse � 102/min., Wt.- 59.5 Kgs., Jeevhaa � Saam, Koshtha- Krur, Agni- Manda, Nidra- Khandita, Bala- alpa, Ubhaya Paad-shotha- ++, Twak-sparsha - rookshata ++
Psychologically he was so depressed; he thought that he will never come out.
Past History � This pt. was serving in State Transport (Maharashtra) as Stand �in charge. Due to tight schedule of duties, he was not able to pass urine, whenever mootra-vega was there. As a result of which he developed urinary stones. He had heart-attack in 1980. His CST revealed ischemia. For investigation, he had undergone angiography in Feb. 1982, in Bombay Hospital & he was found to have 12 coronary artery-blocks (five in Rt. Coronary & seven in Lt. Coronary). Due to so many blocks, he was not allowed to undergo bypass-surgery. He was kept on conservative treatment (11 types of tabs. per day) and was admitted in the hospital for 4 mths. & was advised Tab. Angised and/or Tab. Sorbitrate SOS. He resumed his duties as he got little relief.
Due to chronic constipation he used to take Tab. Dulcolax 4 + Patankar Kadha (Laxative) � a cup + Kayam Churna (laxative) 1 tsf, very often. Even then he was not satisfied with his bowels (He got relieved temporarily).
After retirement (during 1992 - 1995) again the symptoms got aggravated for which he consulted many physicians but every time there was addition of medicines, without much relief.
He also was detected to have Diabetes mellitus.
Samprapti � Sedentary work (no shareerayas) � malavarodh & waramwar mootravarodh � apaan vaigunya � pratilom gatitah samaan vikruti � aama nirmiti � due to constant mental strain �Kha-vaigunya" in heart (which is moolasthana of Rasavaha & Manovaha srotas) � sthaan-sanshray of aama there � resulting in blocks � again malavarodh due to the medicines given for the ailment & the vicious circle went on. At the same time, Vyana Vayu-dushti (vyano hrudi sthitah�) & Udan-dushti (urah sthanam udanasya) - resulting in bal-hani - shram-shwas & vikruti in vak-pravrutti, prayatna, bal, warna and as mind was involved, due to various tensions (Hrudayam manasah sthanam), he lost his confidence & urja.
Diagnosis - He was diagnosed to have IHD with triple vessel disease + diabetes
With all the medications above, he was not satisfied with the treatment; as he had no much relief.
After retirement again the dose of Tab. Angised & Tab. Sorbitrate was increased since last four years.
After going through his huge file we thought to put him on Shaman (conservatory) treatment, along with the treatment he was advised, initially.
Initial treatment: Abhyantara Chikitsa-
1) Gandharva Haritaki 500 mg. twice a day before meals (apaane)
2) Arogyavardhini Vati 500 mg. twice a day after half of meal (samaan kale � as Munchan karya of Samana vayu was affected) thinking that Kutaki in the formula will do Bhedan of the hard stool. This drug is also Deepak & Pachak, which was expected in this patient.
3) Arjun & Punarnava-mool Quath, 4 tsf after meals (Vyaanodaane) with madhu (which is yogavahi), as anupan. Arjuna is well known for its specific role in Hrudroga. Punarnava is Shothghni & is useful in Hrudroga also (- Dhanwantari Nighantu). Hruday is awasthit sthan of vyana-vayu & this vayu is responsible for Ras-Rakta Samvahan. Vak-pravrutti, bal, urja (which were affected in this pt.) are under control of Udana-vayu, which has its awasthit sthan in Uroguha. So this medicine was given in vyaanodan kale)
4) Shankh Vati SOS ( as the pt. had aadhmaan due to malavarodha)
5) Snehan � As the Pt. was Vata-prakruti according to his age & he had Krura Koshtha & the rutu that time was with vat-prakop (kaalatah) -
1. Abhyantar � Ghrut Sevan (As usual, I had to spend about 15 minutes to convince the pt. about this concept)
2. Bahya - Mahamaash Taila
6) Siddha Jalapaan - Vidang-jeerak-siddha agnisanskaarit Jala (Vidang is Krimighna, which is needed in our area, where people used to drink water from well or river & Jeerak is deepak � Pachak & grahi, so dravashoshak, as the pt. had pedal oedema (udakavah srotovikruti)
7) 4 tsf of Castor Oil at every night, with lukewarm water.
8) Aashwasan Chikitsa - This is very important to support pt.'s positive attitude, especially when dealing with chronic pts. Vaidya should always create confidence in pt.'s mind that he will definitely come out. This helps to modify the state of mind from 'heen' to 'pravar' Satwa. (This is little easier for senior, bald headed Vaidyas).
He was advised to have light meals till his appetite was improved.
After a fortnight when he came for follow-up he was little happy to have bit easy evacuation of his bowels. His appetite was also improved a little more. He was able to reduce the no. of Angised & Sorbitrate by about 12-15 per day.
The same treatment was continued for another fortnight. His symptoms got aggravated in May 1995 after eating Jambu-fal (which is madhur-kashaya rasa pradhan & kashay-ras is known to cause dhamani-sankoch), so he had to increase the dose of Angised & Sorbitrate & as he had a little choking sensation due to �Durdin� in June 1995, (because of which he had to increase dose of Angised & Sorbitrate) he was advised to fumigate his bedroom with Vacha & Dhoop.
Then he was admitted in our hospital for Basti-treatment. He was given snehan, swedan & matra-basti of ground-nut oil 60 ml. (in those days Siddha tailas were not available in our area, as nobody was practicing Panchakarma, so we decided to use this oil, as it was freshly prepared in our farms), while going to bed every night for five consecutive nights. (This matra-basti yojana was advised to his on the basis of his 'vat-pradhan age' & malavarodhajanya (i. e. margavarodhajanya) samprapti.) Then after a gap of 2 days (to avoid sneh-saatmya) again matra-basti was repeated for another five nights. After these two courses of matra-basti there was remarkable improvement in his complaints & could get confidence that he will come out of it, soon. But till May 1995, he was not relieved of his chest-pain & he still had to wake up in midnight due to uneasiness in chest & tingling in Lt. palm.
By that time, one of my friend sent me an article from Reader�s Digest (Aug. 1995) titled �Welcome back little blood-sucker� by Alan Road. My friend knew that we were applying leeches for various ailments, in our practice. The article said that �Even though, the leech will suck for only 20-30 minutes bleeding may continue for several hours or so; clearing the most challenging blockage � � on page no. 82. "Their saliva contains a powerful enzyme capable of rapidly dissolving blood-clots", - on page no. 83. After going through these lines we remembered that our texts, Ashtanga-Hrudaya & Sushrut-Samhita mention the same �
1) Avagadhe Jalaukasaa����. - A. H., Sutra. 26/54
2) Grathitam Jalajanmabhi: ���..- A. H., Sutra. 26/53
3) Awagadhe Jalauka syaat�� - Sushrut., Shareer., 8/26
Meaning that, leeches are indicated in cases of blood-clots or thrombus.
And then an idea struck my mind � to apply leeches directly over the chest. We discussed our idea with many, but nobody had tried this type of application.
On 07/09/1995 - Pt. told that he was satisfied with his bowel-motions, even after consuming four tsf of Castor Oil, on alternate days. His B. P. was 150/80 mm of Hg.(in spite of stopping all his anti-hypertensive drugs; as he showed signs of hypotension on continuation of the drugs. May be because main cause of hypertension, i. e. tension about his own health, was reduced to a marked extent), Pulse-rate - 78/min. Wt. - 57 Kgs. (as he had no pedal oedema, any more)
We shared the above idea with the patient & after his written consent we decided to implement this novel idea.
On 25/09/1995 - Pt. was admitted in evening. We gave matra-basti of 50 ml. of groundnut-oil, at bed-time.
Next day, on 26/09/1995 we applied five leeches. The leeches left him after about 6 hours. But to our astonishment he had sound & undisturbed sleep that night.
Having encouraged by this result we applied leeches repeatedly after a gap of about a week or two and sometimes after a month even, & day by day the patient showed marked improvement.
Jalauka-application was repeated in Jan. 1996, Feb. 1996 & in April 1996. During all this period he was very happy with Shankh Vati. (It is very easy to know the 'Karmukatwa' of this Vati, as it created 'Vatanuloman' in this pt. so he got relieved with it.) He used to call it - 'a magic pill'.
Again his symptoms were aggravated in June 1996, when he went to meet his only son in Mumbai, so again dose of Angised/Sorbitrate was increased a little. This might be due to the atmospherically polluted conditions in Mumbai. This time we advised him to do Asanas like Pavanamuktasana, Shawasan, & Pranayamas.
By September 1996, his confidence & especially stamina was regained. Tingling sensation in his Lt. palm was stopped, he was able to enjoy undisturbed sleep at night and he was able to walk 5 kms. non-stop & he was able to climb about five stair-cases, initially after resting a while & then many a times without Angised or Sorbitrate. The intake of Angised & Sorbitrate was reduced to maximum two tabs. daily.
Encouraged by the results we decided to investigate the patient by repeating his angiography. After trying a lot we found a source. Fortunately, the head of cardiology department of KEM hospital agreed to carry it out through the donations collected every day, as a special case of research.
After the due schedule of appointment etc. the angiography was carried out, in June 1997, but to our astonishment the reports mentioned that all the previous blocks were increased in size. And naturally the HOD of the department was very annoyed, even though the patient was feeling relieved a lot than before.
After thinking a lot over this case, we came to realize that the previous angiography was done about 13 yrs. ago, when the pt. came to us for the first time. By that time, during those 13 years., many changes must have taken place, which were not on record. This was the main reason why we were unable to present the case, in a conference before Modern Medical Experts, even though there was marked clinical improvement.
This improvement was realized by a Senior Cardiologist in our area, whose advice was sought by the pt. repeatedly, before coming to us. While consulting the case before him, the Cardiologist remarked - "if this is proved, we will have to change all our concepts regarding modern anatomy & physiology��".
The pt., who was told that his life span is not more than 6 months, was awarded a bonus life of 7 more years, that too a pleasant life without any physical or mental stress & he was able to enjoy marriage ceremony of his only son. All this was possible for him because of the Ayurvedic way of thinking. He passed away in 2002, peacefully and without any physical or mental strain.
Many a times it so happens that after Ayurvedic treatment the lab. reports remain unchanged, but the pt. is relieved symptomatically. So, the new entrants in Ayurvedic Stream should take a note of this.
Our Observations in this case -
1) We applied jalaukas for about 12 times, after a gap of at least 8 days.
2) We avoid to take pricks with needle, to apply jalaukas, as we do not like to interfere with their inherited wisdom ( of course, allotted to them, by the God) to seek the site to prick & surprisingly, all the jalaukas applied, sought left lateral part of sternum to suck the blood. Not a single pricked over the central or right lateral part of sternum.
3) The jalaukas took too much time to leave pricked area; many of them took even 7-8 hours, initially. The admitted pt. could move here & there, with one hand over the moist gauze-piece, used to cover the applied jalaukas. (We do not force the jalaukas to leave the site, by applying Haridra or similar����.)
4) Almost all the jalaukas applied initially, vomited dark, very thick, sticky, tantumay & shleshmala blood, while squeezing. It was very difficult to to squeeze them to drain the vitiated blood sucked by them, as a result of which many of the jalaukas, applied initially, were dead after the very first application.
5) The initially squeezed jalaukas got globular & multiple sacs like appearance, as those were not drained properly.
6) Though the pt. was known diabetic healing of the tiny prick wounds took the same time, as in a normal person. (During my professional experience, for last 41 years only, I have come to the conclusion that usually, diabetes cannot be in the list of contraindication for Jalaukawacharan, except in pts. with very high BSL level (above 500 mg/dl.)
7) Not a single Jalauka pricked the same site again for sucking blood.
While concluding -
Whatever relief we could give in this case, the credit goes to the
- Our Gurujan, who gave us inspiration & the 'vision' while thinking about a disease, through Ayurvedic way
- The Samhita-granthas, which guided us from time to time
- "Bhishak-vashyataa" of the pt. who obeyed honestly, each & everything we advised, ( like consuming Eranda-taila daily, preparing quath every day, taking medicines regularly, performing daily asanas and pranayamas, observing the pathya very strictly) and
- The well-wishers like you all.
Actually, we had taken lot of risk to admit the pt. in our clinic, where no major emergency measures were available, there was no 'official' Dr. available in the area of 10 kms. radius, except us two, primary health care center was about 16 Kms. away. So, any emergency situation could have created lot of problems for us. With the blessings of The God Dhanwantari we did not had to face any problem.
To be frank, 'the bye-pass surgery' is a bye-pass to treatment, as the surgeons don't treat the cause. They just give a way to the obstructed flow of blood. They never give guarantee that surgery will prevent further blocks. If this is so, then why not try some other ways like one described here? Perhaps, this, low cost effective remedy, may prove to be an alternative for bypass surgery.
This was possible to accept this kind of case, because the pt. showed full faith with us & he had no other alternative because of his poor financial status.
If this story inspires anybody to try such cases, we will definitely help him/her with our limited capacity. I wished to get attachment to some institute with a large no. of OPD pts., to show positive results in various cases, but I failed to do it. (Dant-Chanak Nyaya).
So friends, I conclude here & wish you all the best in your general practice with Ayurvedic vision.
|| Sarve atra sukhinah santu ||


Contact :
Prof. Vd. M. P. Prabhudesai
Sawantwadi, Dist. - Sindhudurga.
Maharashtra, India. Pin - 416510
Mobile - +919422435323
e-mails - vdmurali13@gmail,com . . . . . . . . . . . . . . . . . . . . . . . . . dr_murali13@yahoo.co.in


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