BPPV (Benign Paroxysmal Positional Vertigo)- Ayurvedic Treatment, Diet, Exercises, Yoga & Pranayama

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

1. 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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