Article by Dr Raghuram Y.S. MD (Ay) & Manasa S, B.A.M.S
Myalgia is the title given for muscle ache. Muscle ache happens as a consequence of totally different causes, overuse of muscle groups and harm are the commonest causes. It might additionally happen secondary to many systemic ailments. The ache could fluctuate in vary, delicate to average to extreme and likewise from individual to individual. Some instances of muscle ache are acute, momentary and reply properly to easy residence treatments or remedies. However, many instances muscle ache could run a power course, be widespread, presenting with extreme and protracted ache and should demand medical consideration, particularly if they’re as a consequence of some critical and power underlying medical circumstances.
Associated Studying – Muscle Ache, Myalgia – causes, signs, prevention and remedy
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 precipitated with out the involvement of aggravated vata. Myalgia can be attributable to aggravated vata affecting and damaging the muscle groups and interfering with its regular capabilities, aside from 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 worsen vata.
Remedy consists of –
– Nidana Parivarjana – avoiding the causative elements chargeable for aggravation of vata
– Vata calming therapies, medicines, weight loss 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 muscle groups 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
This can be a situation attributable to aggravated vata getting localized within the muscle groups, 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 an alternative of mamsa – muscle groups as in Mamsagata Vata.
Remedy – Remedy for each Mamsagata and Medogata Vata is similar. Acharya Charaka mentions the under talked about remedies for these two circumstances –
– 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 power of muscle groups and Satata Ruk – extreme ache in bones and bone marrow (and likewise in muscle groups) have been talked about amongst the signs of Asthi Majjagata Vata i.e. aggravated vata localized within the bones and bone marrow.
Usually, 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 power 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 ideas embrace –
– Bahya Abhyantara Sneha – administration of inside and exterior oleation therapies as and when wanted.
Additionally,
In all of the above mentioned circumstances – Mamsa, Medo, Asthi and Majjagata Vata circumstances – the overall line of remedy of Vata Issues will be readily administered together with particular line of remedy.
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 capabilities. Although ache isn’t talked about amongst the signs of this situation, the remedy ideas of the identical will be thought of in treating muscle pains.
Remedy ideas 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
This can be a situation during which aggravated vata will get localized within the joints of the physique and causes ache and swelling. The particular person finds it troublesome to make actions, particularly to flex and prolong the limbs. Muscle tissues are chargeable for all actions together with joints, so muscle ache is part and parcel of signs of sandhigata vata additionally.
Remedy ideas embrace – vata vyadhi remedy typically and sandhigata vata remedy in particular.
Muscle Ache attributable to Pitta
Muscle pains attributable to pitta might be inflammatory in nature and could 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 kind of muscle ache. A lot of these ache will be attributable to harm, an infection or irritation.
Remedy in these circumstances embrace –
– Pitta mitigating measures
– Coolant therapies – like lepa – anointment or utility of pastes made from coolant elements 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 is not going to trigger ache within the muscle groups. It would trigger heaviness or swelling within the concerned muscle groups. Often, Kapha could become involved as an related dosha together with aggravated vata or pitta.
Remedy contains kapha assuaging measures together with weight loss plan and medicines.
When kapha builds up within the physique and likewise in kapha associated issues, whereby there might 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 precipitated as a consequence of circumstances like Vatarakta attributable to aggravated Rakta. Remedy ideas of Vatarakta shall be thought of on this context. Uttana Vatarakta is a sort of Vatarakta whereby pores and skin and muscle groups are concerned. Ache has been talked about as a part of signs on this context. That is relevant for muscle groups 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, remedy ought to be focussed in the direction of ‘ama’.
Line of remedy of amavata or samavata shall be adopted.
Necessary 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 muscle groups, repetitive pressure, blunt accidents, power ache and painful syndromes, neuromuscular issues and ischemia have been counted amongst the vital causes for muscle aches / myalgia. All these causes result in aggravation of vata trying 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 will be thought of whereby inflammatory circumstances are inflicting myalgia.
Localized myalgia will 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 will be counted as mamsagata vata occurring in your entire physique, involving many muscle teams. It may be thought of as variant of Sarvanga Vata – vata aggravation going down within the full physique.
