Article by Dr Raghuram Y.S. MD (Ay) & Manasa S, B.A.M.S
Myalgia is the identify given for muscle ache. Muscle ache happens as a result of totally different causes, overuse of muscular tissues and damage are the most typical causes. It could additionally happen secondary to many systemic ailments. The ache might range in vary, delicate to average to extreme and in addition from individual to individual. Some circumstances of muscle ache are acute, momentary and reply effectively to easy house cures or remedies. However, many occasions muscle ache might run a power course, be widespread, presenting with extreme and chronic ache and should demand medical consideration, particularly if they’re as a result of some critical and power underlying medical situations.
Associated Studying – Muscle Ache, Myalgia – causes, signs, prevention and therapy
On this article we will attempt to perceive myalgia or muscle ache from the Ayurveda Perspective and in addition contact upon the doable Ayurveda interventions for a similar.
The ‘Vata’ issue
Vata aggravating causes – Ache in muscle or any construction of the physique can’t be brought about with out the involvement of aggravated vata. Myalgia can be brought on by aggravated vata affecting and damaging the muscular tissues and interfering with its regular capabilities, aside from inflicting ache and different associated signs therein.
Beneath talked about causative elements shall be thought of from Ayurveda perspective –
– causative elements for aggravation of vata
– causes of ‘Vata Vyadhi’
The causes embrace the meals, actions, seasons, habits and therapies which worsen vata.
Remedy contains –
– Nidana Parivarjana – avoiding the causative elements chargeable for aggravation of vata
– Vata calming therapies, medicines, food plan and life-style modifications
– Rules of treating Vata Vyadhi
– Rules of treating Mamsagata Vata
– Exterior therapies – Abhyanga, Swedana, Sarvanga Dhara (widespread muscle involvement), Ekanga Dhara (small teams of muscular tissues concerned), Lepa, Upanaha, Patrapinda Sweda, Shashtika Shali Pinda Sweda,
– Brimhana – bulk enhancing or strengthening therapies, medicines and meals
– Snehana – consumption of fat / medicated fat – oils, ghee, bone marrow, muscle fats
– Mamsarasa – use of meat soup or juice for many who are accustomed to devour meat
– Inside therapies – Vasti – Asthapana and Anuvasana, Matra Vasti, Ksheera Vasti, Virechana
Mamsagata Vata & Medogata Vata
- Mamsagata Vata
Within the context of Vata Vyadhi, a situation referred to as ‘Mamsagata Vata’ has been defined, the reason of which matches with myalgia or muscle ache.
Mamsagata Vata is marked by presence of –
– Heaviness of the physique elements,
– Pricking or throbbing ache within the physique elements,
– Ache as if somebody has overwhelmed with sticks or fist
– Extreme ache in physique elements
– Extreme tiredness / fatigue
It is a situation brought on by aggravated vata getting localized within the muscular tissues, step by step damaging it and inflicting ache and different signs.
Associated Studying – Mamsagata Vata
- Medogata Vata
The identical signs of Mamsagata Vata are additionally present in Medogata Vata whereby the aggravated vata is localized within the fats tissue as a substitute of mamsa – muscular tissues as in Mamsagata Vata.
Remedy – Remedy for each Mamsagata and Medogata Vata is identical. Acharya Charaka mentions the under talked about remedies for these two situations –
– Virechana – purgation
– Niruha Vasti – Decoction enemas
– Shamana – palliative remedies or administration of vata assuaging medicines and measures
Asthi Majjagata Vata
Mamsa Bala Kshaya i.e. deterioration in energy of muscular tissues and Satata Ruk – extreme ache in bones and bone marrow (and in addition in muscular tissues) have been talked about amongst the signs of Asthi Majjagata Vata i.e. aggravated vata localized within the bones and bone marrow.
Typically, we see that the muscle ache and weak spot might be evident in joint associated or bone associated ailments. Right here, muscle ache and its lack of energy might be secondary to the ailments of bones and joints and bone marrow.
Remedy – of Asthi Majjagata Vata too shall be thought of for treating Myalgia, particularly so, if the ache and weak spot is secondary to bone or marrow issues. Remedy rules embrace –
– Bahya Abhyantara Sneha – administration of inside and exterior oleation therapies as and when wanted.
Additionally,
In all of the above mentioned situations – Mamsa, Medo, Asthi and Majjagata Vata situations – the final line of therapy of Vata Issues might be readily administered together with particular line of therapy.
Particularly on this context, talking about Mamsagata Vata, – in my medical expertise – Abhyanga, Patrapinda Sweda and Shashtika Shali Pinda Sweda / Navarakizhi are extremely efficient in relieving ache and different signs of Mamsagata vata vis-à-vis myalgia or painful muscular situations.
Mamsavruta Vata
Mamsavruta Vata is a situation whereby the muscle tissue envelopes and blocks the vata and interferes in its capabilities. Although ache will not be talked about amongst the signs of this situation, the therapy rules of the identical might be thought of in treating muscle pains.
Remedy rules of Mamsavruta Vata contains
– Swedana – sudation
– Abhyanga – natural oil therapeutic massage,
– Mamsarasa – consumption of meat soup and
– Sneha – consumption of medicated fat
Sandhigata Vata
It is a situation during which aggravated vata will get localized within the joints of the physique and causes ache and swelling. The individual finds it tough to make actions, particularly to flex and lengthen the limbs. Muscular tissues are chargeable for all actions together with joints, so muscle ache is a component and parcel of signs of sandhigata vata additionally.
Remedy rules embrace – vata vyadhi therapy on the whole and sandhigata vata therapy in particular.
Muscle Ache brought on by Pitta
Muscle pains brought on by pitta might be inflammatory in nature and may have indicators of irritation like rise in temperature, burning sensation, redness, tenderness, fever and so forth. When there’s extreme ache and delicate indicators of irritation, it may be a case of Vata-Pitta sort of muscle ache. A lot of these ache might be brought on by damage, an infection or irritation.
Remedy in these situations embrace –
– Pitta mitigating measures
– Coolant therapies – like lepa – anointment or utility of pastes product of coolant components like Chandana (sandal wooden), Ushira (vetiver) and so forth, Dhara with cooling oils or ghee or mixture of each or milk processed with Dashamula or coolant herbs
– Virechana
Muscle Ache with Kapha involvement
Aggravation of solely Kapha won’t trigger ache within the muscular tissues. It would trigger heaviness or swelling within the concerned muscular tissues. Often, Kapha might get entangled as an related dosha together with aggravated vata or pitta.
Remedy includes kapha assuaging measures together with food plan and medicines.
When kapha builds up within the physique and in addition in kapha associated issues, whereby there might be swelling or oedema as a result of assortment of fluids, the ache and different signs are as a result of strain. In these situations, shotha chikitsa must also be thought of.
Rakta involvement in muscle ache
Muscle pains could also be brought about as a result of situations like Vatarakta brought on by aggravated Rakta. Remedy rules of Vatarakta shall be thought of on this context. Uttana Vatarakta is a sort of Vatarakta whereby pores and skin and muscular tissues are concerned. Ache has been talked about as a part of signs on this context. That is relevant for muscular tissues too.
Ama involvement in myalgia
Ama is one causative issue for causation of ache, anyplace within the physique. Ache is a selected and predominant function in situations like Samavata and Amavata. If muscle ache is secondary to such situations, therapy ought to be focussed in direction of ‘ama’.
Line of therapy of amavata or samavata shall be adopted.
Essential formulations in Myalgia
For inside use –
– Maharasnadi Kashayam
– Sahacharadi Kashayam
– Guggulutiktakam Kashayam / Ghrtam
– Gandharvahastadi Kashayam
– Rasnaerandadi Kashayam
– Balarishtam
– Ashwagandharishtam
– Ashwagandha Churna
– Ashwagandha Ksheerapaka
– Mahasneha
For exterior use –
– Ksheerabala Taila
– Bala Taila
– Balashwagandha Lakshadi Taila
– Sahacharadi Taila
– Prasarini Taila
Myalgia vs Mamsagata Vata / Vata Vyadhi
Bodily stress, overuse of muscular tissues, repetitive pressure, blunt accidents, power ache and painful syndromes, neuromuscular issues and ischemia have been counted amongst the necessary causes for muscle aches / myalgia. All these causes result in aggravation of vata wanting from Ayurveda perspective. Most of them have been talked about within the nidana – etiological elements for vata aggravation or causation of vata vyadhis.
Pitta affiliation with vata might be thought of whereby inflammatory situations are inflicting myalgia.
Localized myalgia might be mamsagata vata restricted to restricted space of muscle teams. It may be thought of and handled on the traces of ekanga vata – vata aggravation in a small portion of physique. Diffuse Myalgia might be counted as mamsagata vata occurring in your complete physique, involving many muscle teams. It may be thought of as variant of Sarvanga Vata – vata aggravation going down within the full physique.