HERBS

ISCHEMIC HEART DISEASE

ABOUT THE DISEASE

Ischemic Heart Disease also called as coronary artery disease, results due to reduced blood supply to the heart muscles. It leads to impaired functioning of heart. If blood supply remains occluded for longer duration, it may also lead to death of heart tissues leading to Myocardial infarction which is termed as “heart attack” in general.

Causes

The risk factors associated with IHD are:-

  • High cholesterol levels (Dyslipidemia).
  • Smoking & Alcohol.
  • Stress.
  • Sedentary lifestyle.
  • High salt intake.
  • Family history.
  • High Blood pressure.
  • Diabetes mellitus.
  • Obesity.

The disease is produced mainly due to occlusion of the blood vessels supplying the heart muscles i.e., coronary arteries. Due to the causative factors mentioned earlier, the fat deposits inside the blood vessels along with other inflammatory cells which is called as atherosclerosis. The blockages inside the arteries leads to interrupted blood supply to a particular region of heart muscle. Insufficient blood supply creates shortage of oxygen and nutrition to the cardiac cells which leads to impaired functioning of heart. If blood circulation is not restored within 20-40 minutes the heart cells may also die leading to Myocardial infarction or Heart attack.

CLINICAL FEATURES

The main presenting feature is pain in the left or central part of chest called as “Angina pectoris”. Patients describe the pain as heaviness, squeezing, choking or cutting type.

2. Patients often describe the sensation as “someone sitting on my chest.”

3. The angina pain can radiate to the neck, left arm, back, or jaw, sometimes to right shoulder or right hand also.

4. Occasionally nausea & vomiting, especially for the patient with an inferior wall MI.

5. Sweating.

AYURVEDIC VIEW

In Ayurveda, Heart related disorders are mentioned on the basis of the symptom, Chest Pain. All cardiovascular diseases causing pain in the chest are mentioned under the disease called as “Hridroga”. Hrid – Heart , Roga – Disease .

CAUSES

  • Intake of excessive heavy, oily, spicy and dry food.
  • Excessive intake of Kashaya rasa i.e., Tea, coffee etc. and tannin rich diet.
  • Excessive intake of incompatible diet or overeating.
  • Excessive physical or mental stress.
  • Holding of natural urges.
  • Injury to vital organs of body.
  • Various types of Infections (Krimi Janya).

PATHOGENESIS

The causative factors mentioned earlier lead to impaired digestive fire (Jatharagni) which causes aggravation of all three doshas. The toxins produced as a result are accumulated in the channels (srotasa) of Rasa Dhatu and vitiate it (Sam Rasa).

Rasa Dhatu is like a nutritive juice formed through digestion of food. Rasa helps in formation of all other Dhatus (all Tissues of the body). The seat of Rasa Dhatu or this nutritive juice is mainly Heart. Heart pumps out Rasa Dhatu for the nourishment of all parts of body and for itself also.

The obstruction in the channels of Rasa dhatu leads to impaired nutrition of heart muscles resulting in Hridroga.

The main factors involved in its pathogenesis are Vata, Pitta, Kapha, Sama Meda, Rasa and Rakta Dhatu

CLINICAL FEATURES

  • Chest Pain.
  • Discoloration of body (like pallor or cyanosis).
  • Unconsciousness.
  • Brief Unresponsiveness (stupor).
  • Altered taste of mouth and/or dryness of mouth.
  • Decreased appetite.
  • Dry or wet cough.
  • Breathlessness.
  • Nausea /Vomiting.
  • Hiccups.
  • Feeling of coating in the back of tongue and throat.

Pain is predominantly due to Vata Dosha. The character of Pain in chest may be among one of the follows - Stretching, pricking, Crushing, Breaking or tearing type of Pain.

PRINCIPLE OF TREATMENT

The main line of treatment is to balance all three doshas, keeping Vata Dosha first. Clear the blockages of the channels (Srotoshodhana) and improve the Agni (metabolism) to prevent further accumulation of the toxins in the rasa carrying channels. Cardioprotective herbs to provide strength to cardiac muscles. Providing Specific treatment of the underlying cause.

MEDICINES

1. Single Drugs – Arjuna (Terminalia arjuna), Pushkarmoola(Inula racemosa) , Shilajeet (Black asphaltum), Pippali (Piper longum), Ashwagandha (Withania somnifera).

2. Powder (Churna) – Pushkarmoola churna, Pippalyadi churna, Arjuna churna, Akik Pishti, Mukta Pishti, Jawahar Mohra Pishti.

3. Vati (Tablets) - Prabhakar vati, Nagarjunabhra Rasa, Hridayarnava Rasa, Chintamani Rasa.

4. Kwath (Decoctions) – Pushkaradi kwaath, Punarnavadi kwaath, Dashmoola Kwath.

5. Asava/Arishta (Alcohol Preparations) – Parthadyarishta, Dashmoolarishta.

HOME REMEDIES

Daily intake of 1 tablespoon of cinnamon powder with luke warm water or honey helps in lowering of cholesterol levels and also works as an anti inflammatory.

Take 2 or 3 garlic cloves and boil them in 1 glass of milk along with 1 glass of water. Boil till half of the mixture remains. Daily intake of this Lashun ksheer paka helps in lowering of bad cholesterol levels and opening up of clogged arteries of heart.

Take 1 tablespoon of fenugreek seeds and soak them in the water. Daily intake of these seeds empty stomach in the morning is very good for heart and lipid levels.

Take 10-15 gms of bark of Arjuna tree and boil it in 1 glass of milk plus 1 glass of water. Boil till half of the mixture remains. Daily intake of this ksheer paka helps as a cardiotonic. It strenghthens cardiac muscles and helps in improving pumping capacity of the heart.

Quitting smoking and alcohol (if any), low intake of salt and saturated fats in diet, regular aerobic exercises, yoga and pranayama are very important.

Disclaimer

The purpose of Ayurvidya is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider regarding your medical condition or treatment and before undertaking any new health care regimen.