BPPV or Benign paroxysmal positional vertigo is the type of vertigo triggered by head movements.
- SIGNS AND SYMPTOMS OF BPPV
- CAUSES OF BPPV
- PATHOPHYSIOLOGY OF BPPV
- DIAGNOSIS OF BPPV
- TREATMENTS FOR BPPV
- PROGNOSIS OF BPPV
- COMPLICATIONS OF BPPV
- BPPV AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF BPPV
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF BPPV
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF BPPV
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF BPPV
- AYURVEDIC PROGNOSIS OF BPPV
- CHIKITSA- AYURVEDIC TREATMENT FOR BPPV
- AYURVEDIC LOCAL TREATMENT FOR BPPV
- AYURVEDIC SAMANA TREATMENT FOR BPPV
- AYURVEDIC SHODHANA TREATMENT FOR BPPV
- COMMONLY USED AYURVEDIC MEDICINES FOR BPPV
- HOME REMEDIES FOR BPPV
- DIET AND BEHAVIOUR FOR BPPV
- YOGA FOR BPPV
- RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF BPPV
SIGNS AND SYMPTOMS OF BPPV
- Dizziness
- Headaches
- Nausea
- Vomiting
- Vertigo on head movement
- Balance problems
CAUSES OF BPPV
- Ageing
- Problems in the inner ear
PATHOPHYSIOLOGY OF BPPV
Benign positional vertigo (BPV) is caused by calcium carbonate particles known as otoliths or otoconia that are abnormally displaced into the semicircular canals of the vestibular labyrinth of the inner ear and produces vertigo and dizziness.
DIAGNOSIS OF BPPV
- Proper history taking
- Based on signs and symptoms
- Dix-Hallpike manoeuvre test
TREATMENTS FOR BPPV
- Physiotherapy
- Surgical interventions
PROGNOSIS OF BPPV
- It is curable but recurrence is common
COMPLICATIONS OF BPPV
- Risk of falling
BPPV AND AYURVEDA
- In Ayurveda,BPPV falls under a Vata dosha imbalance disorder called ‘bhrama’.
- According to Ayurveda, the movements are controlled by ‘vyanavayu’
NIDANA- AYURVEDIC CAUSES OF BPPV
- Excess consumption of ununctuous, dry, salty, cold food
- Excessive physical exercise
- Suppression of natural urges
- Karna roga – ear problems
- Excess vitiation of vyana vata
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF BPPV
- Vertigo on head movement
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF BPPV
- Vata, pitta and kapha dosha move through all channels of circulation. Due to the subtle nature of vata it impels the remaining two doshas.
- The aggravated vyana vata having provoked these two doshas, exacerbated and fills up the empty channels and moves greatly inside them or by getting enveloped by the other doshas.
- The aggravated vata resides in the head and produces bhrama (vertigo).
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF BPPV
- Shirasula – headache
- Bhrama – vertigo
- Chardi – vomiting
AYURVEDIC PROGNOSIS OF BPPV
- Symptoms are manageable with proper ayurvedic therapies
CHIKITSA- AYURVEDIC TREATMENT FOR BPPV
Ayurvedic local treatment for BPPV
- Pain-relieving lepa application during headache
- Karna purana – vilwa tailam
AYURVEDIC SAMANA TREATMENT FOR BPPV
- Medicines which causes anulomana
- Gandharvahasthadi kashayam
- Lakshmi vilasa rasa
- Maha lakshmi vilasa rasa
- Sarivadi vati
AYURVEDIC SHODHANA TREATMENT FOR BPPV
- Nasya – with anutaila, ghee
- Virechana – purgation
- Vasthi – medicated enema
COMMONLY USED AYURVEDIC MEDICINES FOR BPPV
Internal administration
- Rasnasaptakam Kashayam
- Ashtavargam Kashayam
- Pathyashadagam Kashayam
- Gandharvahasthadi kashayam
- Vrihat Vatachinthamani Ras
- Vatagajankush Ras
- Lakshmi vilasa rasa
- Maha lakshmi vilasa rasa
- Sarivadi vati
HOME REMEDIES FOR BPPV
- Sleeping for 8hrs
- Walk with a stick for stability
DIET AND BEHAVIOUR FOR BPPV
- Avoid food items which produce vata and pitta dosha imbalance like cold and dry food, hard to digest. Because dosha imbalance aggravates the symptoms.
- Avoid smoking
- Consume less salty foods
- Avoid heavy exercises which further aggravate the conditions.
- Oil massage on the head advised. Which alleviates vata dosha
- Take proper rest.
YOGA FOR BPPV
- Nadi Shuddi Pranayam
The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
- Savasana – relax the body and mind
RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF BPPV
- Study to evaluate the effect of naradiya laxmi vilas rasa and goghrita nasya in vertigo
https://www.jaims.in/index.php/jaims/article/download/678/516/
- A case discussion on benign paroxysmal positional vertigo
http://www.journalcra.com/sites/default/files/issue-pdf/10961.pdf
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Writer:
Dr. Rajesh Nair, the co-founder and chief consultant of Ayurvedaforall.Com, is a graduate of prestigious Vaidyaratnam Ayurveda College (affiliated with the University of Calicut), Kerala, India. Additionally, he holds a Postgraduate Diploma in Yoga Therapy from Annamalai University.
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