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 because of totally different causes, overuse of muscle tissue and damage are the most typical causes. It could additionally happen secondary to many systemic ailments. The ache might differ in vary, delicate to reasonable to extreme and in addition from individual to individual. Some instances of muscle ache are acute, non permanent and reply properly to easy house cures or therapies. However, many instances muscle ache might run a continual course, be widespread, presenting with extreme and chronic ache and should demand medical consideration, particularly if they’re because of some critical and continual 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 attainable Ayurveda interventions for a similar.
The ‘Vata’ issue
Vata aggravating causes – Ache in muscle or any construction of the physique can’t be prompted with out the involvement of aggravated vata. Myalgia can also be attributable to aggravated vata affecting and damaging the muscle tissue and interfering with its regular capabilities, other than inflicting ache and different associated signs therein.
Under 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 irritate vata.
Therapy contains –
– Nidana Parivarjana – avoiding the causative elements chargeable for aggravation of vata
– Vata calming therapies, medicines, eating regimen and life-style adjustments
– Ideas of treating Vata Vyadhi
– Ideas of treating Mamsagata Vata
– Exterior therapies – Abhyanga, Swedana, Sarvanga Dhara (widespread muscle involvement), Ekanga Dhara (small teams of muscle tissue 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 eat meat
– Inner therapies – Vasti – Asthapana and Anuvasana, Matra Vasti, Ksheera Vasti, Virechana
Mamsagata Vata & Medogata Vata
- Mamsagata Vata
Within the context of Vata Vyadhi, a situation known 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 crushed with sticks or fist
– Extreme ache in physique elements
– Extreme tiredness / fatigue
It is a situation attributable to aggravated vata getting localized within the muscle tissue, steadily 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 – muscle tissue as in Mamsagata Vata.
Therapy – Therapy for each Mamsagata and Medogata Vata is identical. Acharya Charaka mentions the beneath talked about therapies for these two situations –
– Virechana – purgation
– Niruha Vasti – Decoction enemas
– Shamana – palliative therapies or administration of vata assuaging medicines and measures
Asthi Majjagata Vata
Mamsa Bala Kshaya i.e. deterioration in energy of muscle tissue and Satata Ruk – extreme ache in bones and bone marrow (and in addition in muscle tissue) 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 point 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.
Therapy – of Asthi Majjagata Vata too shall be thought of for treating Myalgia, particularly so, if the ache and weak point is secondary to bone or marrow problems. Therapy ideas embrace –
– Bahya Abhyantara Sneha – administration of inner and exterior oleation therapies as and when wanted.
Additionally,
In all of the above stated situations – Mamsa, Medo, Asthi and Majjagata Vata situations – the final line of therapy of Vata Problems may be readily administered together with particular line of therapy.
Particularly on this context, talking about Mamsagata Vata, – in my scientific 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 shouldn’t be talked about amongst the signs of this situation, the therapy ideas of the identical may be thought of in treating muscle pains.
Therapy ideas 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 wherein 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 prolong the limbs. Muscle tissue are chargeable for all actions together with joints, so muscle ache is a component and parcel of signs of sandhigata vata additionally.
Therapy ideas embrace – vata vyadhi therapy basically and sandhigata vata therapy in particular.
Muscle Ache attributable to Pitta
Muscle pains attributable to pitta might be inflammatory in nature and may have indicators of irritation like rise in temperature, burning sensation, redness, tenderness, fever and many others. When there may be extreme ache and delicate indicators of irritation, it may be a case of Vata-Pitta kind of muscle ache. Most of these ache may be attributable to damage, an infection or irritation.
Therapy in these situations embrace –
– Pitta mitigating measures
– Coolant therapies – like lepa – anointment or utility of pastes made from coolant components like Chandana (sandal wooden), Ushira (vetiver) and many others, 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 muscle tissue. It’d trigger heaviness or swelling within the concerned muscle tissue. Often, Kapha might get entangled as an related dosha together with aggravated vata or pitta.
Therapy includes kapha assuaging measures together with eating regimen and medicines.
When kapha builds up within the physique and in addition in kapha associated problems, whereby there might be swelling or oedema because of assortment of fluids, the ache and different signs are because of strain. In these situations, shotha chikitsa also needs to be thought of.
Rakta involvement in muscle ache
Muscle pains could also be prompted because of situations like Vatarakta attributable to aggravated Rakta. Therapy ideas of Vatarakta shall be thought of on this context. Uttana Vatarakta is a sort of Vatarakta whereby pores and skin and muscle tissue are concerned. Ache has been talked about as a part of signs on this context. That is relevant for muscle tissue too.
Ama involvement in myalgia
Ama is one causative issue for causation of ache, wherever within the physique. Ache is a selected and predominant characteristic in situations like Samavata and Amavata. If muscle ache is secondary to such situations, therapy ought to be focussed in the direction of ‘ama’.
Line of therapy of amavata or samavata shall be adopted.
Necessary formulations in Myalgia
For inner 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 muscle tissue, repetitive pressure, blunt accidents, continual ache and painful syndromes, neuromuscular problems and ischemia have been counted amongst the vital 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 may be thought of whereby inflammatory situations are inflicting myalgia.
Localized myalgia may 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 may be counted as mamsagata vata occurring in all the physique, involving many muscle teams. It may be thought of as variant of Sarvanga Vata – vata aggravation going down within the full physique.
