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The Cold Truth
The Bald Fact  

The Cold Truth

By - Dr. Prashant Sawant, M.D (Ayu.)

Article Published in “The Times Of India” on Saturday, October 11, 2003

The end of rainy season marks the beginning of ‘sharad rutu’, one of the six seasons experienced in the Indian subcontinent.  This -two months long- period (September - October), is characterised by a sudden climatic transition from the wet, humid and comfortably cold monsoon, to dry and annoyingly hot weather. Understandably enough, this sudden climatic change takes toll on the health and certain types of diseases threaten the susceptible individuals.

During this period of transition, the rain gradually decreases and the temperature begins to rise. As a result, at the peak of this season, the pitta dosha (a body humor), which is accumulated, as a natural consequence of the earlier varsha- rutu (monsoon), gets vitiated leading to number of related symptoms like acidity, giddiness, insomnia, excessive thirst, burning of the eyes, palms and soles, etc. Though the appetite is improved in the beginning, as the season advances, this vitiation of pitta dosha, throws the digestion out of gear.

Further, due to the close relationship of the pitta dosha and the rakta dhatu (blood), the diseases related to vitiation of blood, like all types of skin diseases, boils, viral skin eruptions, certain types of fevers, conjunctivitis, jaundice, etc. become evident. To avoid these ailments, living up to its fundamental objectives - to protect the health and to alleviate the disease- ayurved advocates ‘rutu-cahrya’ (regimen of the season). This unique concept of ayurved, is a set of dos and don’ts for the particular season that are based on the knowledge of the physiological variations and the disease susceptibility.

The most important tool in this endeavor of maintaining health, by pre-empting the disease process, is the virechana (therapeutic purgation) and the raktamoksahan (therapeutic blood-letting), two of the five powerful purification methods (panchakarma), used to eliminate the accumulated toxins. The virechana eliminates toxins related with vitiated pitta dosha, where as the raktamoksana eliminates those related with the blood. Both the therapies are very effective and gentle, however they must be administered under expert’s guidance.  Further, the pitta dosha can also be kept under control by eating food that is sweet, bitter and astringent in taste and by avoiding salty, sour and spicy food.

Dos and don’ts:  

  • Have pulses like moong (green gram), matki, wal, etc.
  • Eat vegetables like methi (fenugreek), karla (bitter guard), dudhi (bottle guard), white pumpkin, tendrils, radish, etc.
  • Use plenty of coconut, pure ghee and milk in the food preparations
  • Use spices like turmeric, dry ginger, etc.
  • Avoid new cereals, curd and vegetables like capsicum
  • Avoid pulses like horse gram, chickpeas, kulith, etc.
  • Avoid spices like garlic, hinga (asafetida), chilly powder, dry and green chilies, black sesame seeds, etc.
  • Avoid over eating and reduce use of oils and fats.
  • Avoid salty foodstuffs like pickles, papad, chutni, wafers, chiwda, etc.
  • Avoid alcohol.
  • Avoid sleeping during the day.
  • Avoid sunbathing.

    Useful Tips:

  • Take ¼ tsp. of turmeric powder or ¼ tsp of dry ginger, with warm water, after the breakfast.

  • Apply coconut oil added with 1 % of bhimseni kapoor (medicinal camphor), to protect the skin from dryness and heat.

  • To soothe the skin, apply a thin paste of sandalwood, wala, musta and sariwa powder, few minutes before bath. 

  • Have a glass of lemon juice, kokum sharbat or juice of coriander to combat the annoying heat.

  • Take powder of amla and yashtimadhu with honey, before dinner.

  • Have ½ teaspoon of haritaki powder (terminalia chebula) mixed with a teaspoon of candy sugar, before lunch and dinner.

  • Eat plenty of dried figs, grapes, dates, etc.

  • Medicines like tikta ghruta, kamdudha rasa, avipattikar churna, sariwasav, manjishtadi quath, etc. may be taken as a prophylaxis, under medical supervision.

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The Bald Fact  

By - Dr. Prashant Sawant, M.D (Ayu.)

Article Published in “The Times Of India” on Saturday, October 18, 2003

Radhika, in her late teens, unlike her friends, was very nervous at the thought of attending the junior college, after she passed her S.S.C exam with flying colours. The reason was equally strong. Radhika’s problem of hair fall was awfully severe. Each time she combed, she could gather at least a fistful of hair. Her hair had become so thin and sparse that she almost looked bald.

Her mother informed that Radhika had this problem of hair fall since her early childhood. She took lot of medicines and used litres of different hair oils, but it did not help. With a great disappointment, now she was considering to use a wig.  

When she was barely two years old, Radhika had an abscess on her right thigh and on the spine, in a span of six months. The abscesses were drained. However, ever since, she started having low-grade fever and her nails too became brittle. Seven years later, she was diagnosed to have a bone TB!

The first question Radhika asked me, when she was brought for consultation, was whether her bone TB and hair fall are related?  I was amazed by her observation, as I knew, according to ayurved, hair (and the nails) is the by-product of bone formation!   

Hair fall, known as alopecia in medical term, is a major problem for which people seek medical help quite frequently. It can affect any age group. Out of the many causes for hair fall, the major are:

  • Inherited characteristics and the sex hormones.
  • Excessive intake of salt.
  • Low or over active thyroid function.
  • Damage to the pituitary gland, the sex glands or the adrenal cortex.
  • Excessive formation of the male hormones.
  • Inadequate calories and insufficient protein intake, like crash-diet to loose weight.
  • Severe stress and anxiety
  • Severe fever or any illness associated with prolonged fever.
  • Diseases like the Tuberculosis or the Syphilis.
  • Hairstyles that cause pulling on the hair
  • Using hair dryers, hot comb, crimping or hot water hair bath.
  • Some of the medicines used to treat high blood pressure, angina, high cholesterol, arthritis, parkinson’s disease, etc.

The Ayurvedic Treatment:

According to ayurved, asthi-kshaya (asthi = bone, kshaya = diminution), is one of the major causes of the hair fall. In Radhika’s case, her bone TB, which was diagnosed years after the onset of symptoms, was the culprit.

The bones are one of the major sthana (dwelling places) of vata dosha (a body humor) and they also share developmental factors with the intestines. Basti (medicated enema, one of the panchakarma) is the best method to treat diseases related with vata dosha. Further, as the medicines reach the intestines directly, which share developmental traits with the bone metabolism, they act quickly. 

Nasya (nasal instillation of medicines) is another important panchakarma method used to treat diseases affecting the organs above the collarbone (e.g. head, neck, face, ear, nose, throat, etc.).

Radhika was advised fifteen sittings of basti followed by eight sittings of nasya. “Tiktakshira”, a medicine prepared by boiling bitter herbs like guduchi (Tinospora cardifolia), adulsa (Adhatoda vasaka), etc. in cow’s milk, was used for basti.  This medicine, when given as basti, is particularly useful in improving and maintaining bone metabolism. Consequently, the by-product – hair and nails, also would be of better quality. For nasya, Panchendriya guna vardhan taila, a classical formulation, was used. She was also advised to take two tablets each of triphala-bhrungaraj ghana vati and asthiprinana vati (that contains calcium obtained from natural sources, triturated with decoction of herbs), at bed time.

The improvement in Radhika’s symptom was evident in the first week of treatment. At the end of one month, her hair fall had completely stopped! However, she was advised to continue with the medicines. As a prophylaxis, her basti and nasya will be repeated three times in a year, for few more years.

Dos and Don’ts:

  • Eat sufficient quantity of fruits and vegetables to facilitate the supply of essential vitamins and minerals.

  • Have low salt diet and avoid salty food like pickles, chips, etc.

  • Avoid crash diet for loosing weight.

  • Avoid tension, stress, worries, anger, etc.

  • Avoid such hairstyles, which pull back hair from frontal hairline.

  • Avoid using hot combs, hair dryer or hot water bath for hair.

  • Apply coconut oil or medicated oils for hair

  • Avoid using harsh chemicals (like strong shampoos, bleach, dyes etc.)

  • Endocrine abnormalities like hyperthyroidism, autoimmune diseases like SLE, etc., should be properly treated.

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