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Integrative approach for Autoimmune disorders

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Presentation on theme: "Integrative approach for Autoimmune disorders"— Presentation transcript:

1 Integrative approach for Autoimmune disorders
Amit Gumman BAMS, DAc, ND, PhD, MPH MD (West Indies) Diplomate – Acupuncture, NCCAOM

2 What is Autoimmunity? Autoimmunity: Inappropriate response of the immune system against self components. Activations of self reactive clones of T or B cells, generating humoral or cell mediated response against self antigens.

3 Immune system Under reaction to external challenge = Infection
Fail to recognize internal threat = Cancer Over reaction to external stimulus = Allergies Over reaction to perceived internal challenge = AD Our immune system is eaves dropping on our conversations.

4 Major health problem. NIH estimates up to 23.5 million Americans suffer from AD. (cancer 9 million, heart disease 22 million). 3% of world population. Researchers have identified different AD and suspect at least 40 additional diseases of having an autoimmune basis.

5 Statistics NIH research funding for AD in 2003 came to $591 million. Cancer funding came to $6.1 billion,heart and stroke to $2.4 billion. Top 10 leading causes of death in female children and women in all age groups up to 64 years of age.

6 Autoimmune disease AD refers group of illnesses that involve almost every human organ system. Nervous, gastrointestinal, endocrine systems, skin, eyes, blood, blood vessels and other connective tissues. The underlying problem is - the body's immune system becomes misdirected and attacks the very organs it was designed to protect. Enhanced immune system in women. Women have enhanced immune systems compared to men increases women's resistance to many types of infection, but also makes them more susceptible to autoimmune diseases.

7 Risk factors Genetics Environmental factors Gender Sex hormones

8 Systemic Autoimmune disease
Rheumatoid arthritis, Juvenile RA (joints,lung, skin) Lupus (skin, joints, kidneys, heart, brain, RBC) Scleroderma (skin, intestine, less commonly lung) Sjogrens (salivary glands, tear glands, joints) Goodpasture's syndrome (lungs, kidneys) Wegener's granulomatosis (blood vessels, sinuses,lungs,kidney) Polymyalgia Rheumatica (large muscle groups) Guillain-Barre syndrome (nervous system)

9 Localized Autoimmune Diseases
Type 1 Diabetes mellitus (pancreas islets) Hashimoto’s thyroiditis, Graves disease (thyroid) Celiac disease, Crohn's disease, Ulcerative colitis (GI) Multiple sclerosis Addison’s disease (adrenal) Primary biliary cirrhosis, Sclerosing cholangitis, Autoimmune hepatitis (liver) Temporal Arteritis / Giant Cell Arteritis (arteries of the head and neck)

10 Diagnosis History Physical examination Medical history
Blood tests, including those to detect auto antibodies Biopsy Radiological studies It can be hard to diagnose an autoimmune disorder, especially in its earlier stages and if multiple organs or systems are involved.

11 Treatment Anti-inflammatory drugs Corticosteroids
Pain-killing medication Immunosuppressant drugs Physical therapy Treatment for the deficiency Surgery High dose immunosuppression

12 Ayurveda - Dhanvantari

13 Concept of AGNI – IGNITE
A Awareness: The center of awareness in each cell. That awareness is governed by Agni G Governor: Digestion, assimilation and transformation of matter into energy. Governs the structural and functional activities of all cells and tissues. N Nutrition: of all bodily tissues; Neutralization of toxins in the tissues. I Intelligence: Cellular, molecular, quantum intelligence for selectivity and choice. Ayurveda – 40 kinds. Internal digestive fire responsible for nutritive transformation and tissue and cellular assimilation.

14 Functions of Agni Pakti Darshana Matroshana Prakruti varna Shauryam
Harsha Prasada Raga Dhatu poshanam Ojah kara Teja kara Prana kara Buddhi Medha kara Dhairyam Dirgham Prabha Bala

RASA Ginger Mahasudarshana Kanchanara Tulsi Neem Ginger Sudarshana Mahasudarshana RAKTA Loha Bhasma Manjista Manjista Katuka Abhraka Guduchi Amalaki MAMSA Ashwagandha Kaishore guggulu Kharaskara Bala Guduchi satva Shringi Bhasma Vidari Vidari

16 DHATU VATA PITTA KAPHA MEDA Yasti madhu Shanka pushpi Kutki Vidari Neem Chitrak Shilajit ASTI Yograj Guggul Kaishore guggul Punarnava gugg Kama Dudha Praval panchamrit Gokshura guggu MAJJA Jatamamsi Jatamamsi Brahmi Sarasvati Brahmi Sarasvati Vacha

17 ARTAVA Ashoka Shatavari Shilajit Vidari Ashoka Kraunch Aloe Vera
SHUKRA Ashwa Shankhapushpi Kraunch Kraunch Shilajit Vidari

INTERNAL Langhana – Reducing therapy, fasting Dipana – Metabolic Ignition Pachana – Digest and reduce Ama Lekhana – Scraping action Virechana – Purgation Niruhana – Enemas with medicated decoctions Vedana Nashana – Pain management, physical and emotional Vata anulomana – Evacuation of Vata

EXTERNAL Svedana – Herbalised Upanaha Ushna parisheka – Warm fomentations Lepa – Applications of herbal pastes.

20 Research Immunomodulatory activity of Semecarpus anacardium extract in mononuclear cells of normal individuals and rheumatoid arthritis patients. Singh D, Aggarwal A, Mathias A, Naik S. J Ethnopharmacol Dec 6;108(3): Epub 2006 Jun 2. Curcumin: the Indian solid gold. Aggarwal BB, Sundaram C, Malani N, Ichikawa H.Department of Experimental Therapeutics, The University of Texas M.D. Anderson Cancer Center, Houston, TX 77030, USA. Adv Exp Med Biol. 2007;595:1-75.

21 Acupuncture - AD The different immunomodulation of indirect moxibustion on normal subjects and patients with systemic lupus erythematosus. Kung YY, Chen FP, Hwang SJ. Center for Traditional Medicine, Taipei Veterans General Hospital, Taipei, Taiwan. Zhen Ci Yan Jiu. 1992;17(2):126-8 Experimental study on the influence of acupuncture and moxibustion on interleukin-2 in patients with rheumatoid arthritis Xiao J, Liu X, Sun L, Ying S, Zhang Z, Li Q, Li H, Zhang Z, Jin B, Wang S. General Hospital of PLA, Beijing. Zhen Ci Yan Jiu Apr;34(2):83-8.

22 Research Effect of preventive acupuncture and moxibustion at "Guanyuan" (CV 4) on the expression of HSP 70 and HSP 70 mRNA in spleen and the contents of serum IL-2, TNF-alpha in menopausal rats. Li XH, Wang HB, Xu LL, Song XL, Zheng L, He YW, Zhang LF.

23 Bridging gaps Acupuncture/Acupressure/Auriculotherapy
Moxibustion/Marma Chikitsa/Cupping Ayurveda, Yoga, Pranayam Meditation: Mindfulness, Guided, Mantra/ sound/ Prayer Psychotherapy: Individual, couple,family,caregiver,group Hydrotherapy, Swimming, Water aerobics

24 Bridging gaps Homeopathy
Energy Medicine: Reiki, Pranic Healing, Therapeutic touch, Quantum… Naturopathy: Juice, Colonics, Magnetic field, Light therapy, Enzymes Hypnotherapy Tai Chi, Qi gong

25 Multiple sclerosis Crohns Chronic fatigue Ankylosing spondylitis Psoriatic arthritis Rheumatoid arthritis Fibromyalgia Scleroderma Lupus Raynauds Reflex sympathetic dystrophy Endometriosis Autoimmune retinopathy Polymyositis Myelitis Polymyalgia rheumatica Sjogrens Vitiligo


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