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 consequence of completely different causes, overuse of muscular tissues and harm are the commonest causes. It could additionally happen secondary to many systemic illnesses. The ache could differ in vary, delicate to average to extreme and likewise from individual to individual. Some instances of muscle ache are acute, non permanent and reply effectively to easy house cures or therapies. However, many instances muscle ache could run a power course, be widespread, presenting with extreme and chronic ache and should demand medical consideration, particularly if they’re as a consequence of some severe and power underlying medical circumstances.
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 likewise 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 induced with out the involvement of aggravated vata. Myalgia can also be attributable to aggravated vata affecting and damaging the muscular tissues and interfering with its regular features, 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 embody the meals, actions, seasons, habits and therapies which worsen vata.
Remedy consists of –
– Nidana Parivarjana – avoiding the causative elements liable for aggravation of vata
– Vata calming therapies, medicines, weight-reduction plan 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 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 eat 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 components,
– Pricking or throbbing ache within the physique components,
– Ache as if somebody has overwhelmed with sticks or fist
– Extreme ache in physique components
– Extreme tiredness / fatigue
It is a situation attributable to aggravated vata getting localized within the muscular tissues, regularly 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 an alternative of mamsa – muscular tissues as in Mamsagata Vata.
Remedy – Remedy for each Mamsagata and Medogata Vata is identical. Acharya Charaka mentions the beneath talked about therapies for these two circumstances –
– 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 muscular tissues and Satata Ruk – extreme ache in bones and bone marrow (and likewise 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 shall be evident in joint associated or bone associated illnesses. Right here, muscle ache and its lack of energy shall be secondary to the illnesses 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 problems. Remedy rules embody –
– Bahya Abhyantara Sneha – administration of inner and exterior oleation therapies as and when wanted.
Additionally,
In all of the above stated circumstances – Mamsa, Medo, Asthi and Majjagata Vata circumstances – the overall line of therapy of Vata Issues could 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 circumstances.
Mamsavruta Vata
Mamsavruta Vata is a situation whereby the muscle tissue envelopes and blocks the vata and interferes in its features. Although ache just isn’t talked about amongst the signs of this situation, the therapy rules of the identical could be thought of in treating muscle pains.
Remedy rules of Mamsavruta Vata consists of
– Swedana – sudation
– Abhyanga – natural oil therapeutic massage,
– Mamsarasa – consumption of meat soup and
– Sneha – consumption of medicated fat
Sandhigata Vata
It is a situation through which aggravated vata will get localized within the joints of the physique and causes ache and swelling. The individual finds it troublesome to make actions, particularly to flex and prolong the limbs. Muscle tissues are liable for all actions together with joints, so muscle ache is part and parcel of signs of sandhigata vata additionally.
Remedy rules embody – vata vyadhi therapy basically and sandhigata vata therapy in particular.
Muscle Ache attributable to Pitta
Muscle pains attributable to pitta shall be inflammatory in nature and may have indicators of irritation like rise in temperature, burning sensation, redness, tenderness, fever and so forth. When there may be extreme ache and delicate indicators of irritation, it may be a case of Vata-Pitta sort of muscle ache. These kind of ache could be attributable to harm, an infection or irritation.
Remedy in these circumstances embody –
– Pitta mitigating measures
– Coolant therapies – like lepa – anointment or utility of pastes made from 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’d trigger heaviness or swelling within the concerned muscular tissues. Normally, Kapha could get entangled as an related dosha together with aggravated vata or pitta.
Remedy includes kapha assuaging measures together with weight-reduction plan and medicines.
When kapha builds up within the physique and likewise in kapha associated problems, whereby there shall be swelling or oedema as a consequence of assortment of fluids, the ache and different signs are as a consequence of strain. In these circumstances, shotha chikitsa must also be thought of.
Rakta involvement in muscle ache
Muscle pains could also be induced as a consequence of circumstances like Vatarakta attributable to 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 circumstances like Samavata and Amavata. If muscle ache is secondary to such circumstances, therapy must be focussed in direction of ‘ama’.
Line of therapy of amavata or samavata shall be adopted.
Essential 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 muscular tissues, repetitive pressure, blunt accidents, power ache and painful syndromes, neuromuscular problems 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 could be thought of whereby inflammatory circumstances are inflicting myalgia.
Localized myalgia could 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 could 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 happening within the full physique.
