Hirayama disease is a rare neurological condition, often affecting young adults, causing muscle wasting predominantly in one limb. In Ayurveda, though not traditionally identified like modern neurological disorders, we can aim to manage symptoms and support well-being, Addressing Vata imbalance is crucial, as Vata governs movement and nervous system function.
First, considering your symptoms, a Vata-pacifying diet would be beneficial. Favor warm, cooked meals over raw or cold foods. Incorporate foods like ghee, nuts, seeds, and spices such as ginger and turmeric. Avoid excessive caffeine, processed, and excessively dry foods, as they might aggravate Vata.
Moreover, daily practices like Abhyanga or self-oil massage with sesame oil would support circulation and strength. Warm the oil slightly and gently massage your limbs, emphasizing the affected areas. Leave the oil for 20-30 minutes before a warm bath.
Yoga practices tailored for neurological support can include gentle poses like Cat-Cow (Marjaryasana-Bitilasana) which help in maintaining spinal flexibility and strength. Pranayama techniques, such as Nadi Shodhana (alternate nostril breathing), are key in calming the nervous system and balancing Vata dosha.
Herbal allies could include Ashwagandha, revered for its strengthening and rejuvenative properties. It may help improve muscle tone and stamina. For topical application, herbs like Bala (Sida cordifolia) can be made into a paste and applied to the hand to alleviate weakness. Please consult a certified Ayurvedic practitioner for personalized dosage and preparation before using these.
Consistency is crucial and results take time. Any severe or sudden symptoms should be checked by conventional medical practitioners. Ayurveda aims to support and complement medical treatment not replace it in urgent neurological conditions. Balancing lifestyle and regular follow-ups, are vital for managing your health effectively.
Hello Mix
"NO NEED TO WORRY "
" I WILL HELP YOU UNDERSTAND & MANANGE HIRAYAMA DISEASE EFFECTIVELY THROUGH AYURVEDA "
UR ISSUE
Hirayama A Rare disease (HD), also known as Monomelic amyotrophy (MMA), is rare cervical myelopathy due to spinal cord compression by forward displacement of the posterior dural sac during neck flexion that manifests itself as asymmetrical, slowly progressive atrophic weakness of the forearms and hands predominantly in young males.
UR SYMPTOMS & AYURVEDIC ANALYSIS
1 )Muscle Weakness Wasting and Atrophy ( Mamsa Shosh /Mamsa Kshaya ) : Primarily in the hands and forearms, affecting fine motor skills.
2 ) Tremors ( Kampa ) : Particularly in the hands.
3 ) Clawing of the hands ( Mamsasankoch) : Due to muscle atrophy.
4 ) Asymmetry ( Ekang Rog ) : Weakness and atrophy are often asymmetrical, affecting one side of the body more than the other.
5) Impaired palmar grasp (Snayu Bahu Sankoch) : The ability to grasp objects instinctively is affected.
OTHER POSSIBLE SYMPTOMS - Pain Cold Sensitivity Sweating
HIRAYAMA CAUSES
* High Vata Imablance at Snayu ( Nerve Muscle Ligament Tendons Cartilage) * Prolonged Malnutrition * Trauma /Displacements * Spinal Cord Compression Leading Motor Dysfunction * Prolonged neck flexion. * Imbalance in growth between the vertebral column and the dural canal, particularly during the pubertal growth spurt * Venous congestion during Neck Flexion could lead to spinal cord ischemia
AYURVEDIC CORRELATION
As per Ayurvedic Literature it’s Group of Following Pathologies Together
* Vatayadhi
* Apatarpanjanya Vyadhi
* Ekang Vata Rog
* Mamsagata Vata
* Snayugat Vata
* Asthisandhigat Vata
* Majjagat Vata
* Bahu shosh
* Pakshaghat
* Vishvachi
* Avarutta Vata
HIRAYAMA AYURVEDIC PATHOGENESIS
DOSHA ( CAUSATIVE FACTOR) - Vata Imablance * Vyan Vata * Apana Vata * Pran Vata
DUSHYA ( TARGET PARTS AFFECTED) - * Mamsa * Snayu ( Nerves Ligament Tendons Cartilage Bone Marrow) * Asthi * Sandhi
SROTAS ( CHANNELS AFFECTED) * Mamsavaha ( Locomotor System ) * Majjavaha ( Nervous System) * Asthivaha ( Musculoskeletal Skeletal System)
SROTODUSTI ( HOW IT AFFECTS ) * Dhatukasaya - Wasting Atrophy * Magravarodh - Improper Functions Disability Obstructions
IS HIRAYAMA CURABLE ?
" IN ANY SYSTEM OF MEDICINE ITS NOT CURABLE BUT WELL MANAGEABLE THROUGH AYURVEDA "
" AYURVEDA HAS HOPEFULLY BEST POSSIBLE CARE FOR HIRAYAMA THROUGH DIFFERENT TREATMENT & PANCHAKARMA PROCEDURES "
TREATMENT GOALS
* Conservative Management * Palliative Care * To Arrest Ongoing Progression ( Although Slow) * To Strengthen Nerves ,Nerve Functions * To Strengthen Muscle Tone ,Muscle Weakness * To Strengthen Bones Joints from Deformity * Mobility flexibility Mangement * Improving Quality of Life
AYURVEDIC TREATMENT
NOTE - ONLY TAKING MEDICINE IS NOT ENOUGH TO MANAGE HIRAYAMA DISEASE
HIRAYAMA SHOWS BEST RESULTS WITH COMBINING FOLLOWING HOLISTIC TREATMENTS TOGETHER
" Ayurvedic Panchakarma + Ayurvedic Medicines + Specific Nutritional Diet + Specific Yoga + Exercise + Physiotherapy + Lifestyle Modifications + Stress Management "
A )AYURVEDIC PANCHAKARMA
I Recommend to Take PROPER CLASSICAL AYURVEDIC PANCHKARMA THERAPY in the HIGHER INSTITUTION LEVEL AYURVEDIC CLASSICAL PANCHAKARMA TREATMENT under Guidance of EMINENT AYURVEDIC PANCHAKARMA PHYSICIAN.
* AYURVEDIC PANCHAKARMA PROCEDURES
P) PRIMARY PANCHAKARMA PROCEDURES
1 ) SARVANG ABHYANG - (Body Oil Massage ) * Benefits - For Muscle Strengthening Counters Muscle Dryness * Oils - Balaashwagandhadi Taialm+ Mahanarayan Tailam * Duration - 45 Mins
2 ) SHASTIKSHALI PINDA SWEDA ( Rice Gruel Steam Therapy) * Benefits - Relieves Muscle Stiffness Muscles Tones Strengthens Nerves Pacify Vata Removes Obstruction * Shastik Shali Rice + Milk ---- Boiled Packed in Cotton ---- Make Pottali ( Bag ) — Aplly Lukewarm Steaming cum massage
Q ) MAIN PANCHKARMA PROCEDURE
1 ) BASTI
* Niruha Basti ( Decoction Enema) & Anuvasan Basti ( Oil Enema) * On Alternative Days Niruha & Anuvasan Likewise * Niruha -1,3,5 ,7 Days * Anuvasan - 2,4,6,8 Days * Duration - Kal Basti 16 Days
a) NIRUHA BASTI * Benefits - Vata Balance Snayu Mamsa Detoxification * Erandmuladi Niruha Basti ( 250 ml to 350 ml )
b) Anuvasan Basti * Balaashwagandhadi Taila (60- 80 ml )
2 ) NASYA * Benefits - Nerve Snayu Mamsa Majja Strengthening * Ksheerbala 101 Avarati * Duration - 7 -15 Days ( 30 mins )
3 ) SHIRODHARA * Benifits - Reflex Actions on Majja Brain Snayu Mamsa Motions Neuromuscular Mobility Stress Anxiety * Balaashwagandhadi Taialm + Bramhi Tailam * Duration - 7 Days ( 45 mins )
4) GREEVA BASTI * Benefits - For Cervical Compression Improve Blood Circulation Relive Stiffness * Mahamasha Tailam + Dhanwantaram Tailam * Duration - 7 Days (30 mins )
B ) HIGHLY EFFECTIVE INTERNAL AYURVEDIC MEDICINES
1 ) For Vata Balance - Tab.Vatagajankush Ras 1 -0-1 After Food 2 ) For Nerve Strength Rejuvenation Tab.Bala 500 mg ( Vasishta Pharma) 1 -0- 1 After Food 3 ) For Muscle Strength & Rejuvenation Tab.Ashwagandha 500 mg (Dabur Pharma) 1 -0-1 After Food 4 ) For Snayu Strengthening & Rejuvenation Cap.Maharajprasarini Tailam ( AVP Pharma) 1 -0-1 After Food 5 ) For Mobility Flexibility Issues Syrup.Dhanwantaram Kashaym ( Kottakkal Pharma) 15 ml -0- 15 ml After Food 6) For Degeneration Arrest and Slow Progression Tab.Trayodashang Guggulu ( Dhootapapeahwar Pharma) 2 -0-2 After Food 7 ) For Overall Health & Rejuvenation Asthavarga Chyavanprash ( Dhootapapeshwar Pharma) 1 Tsf Morning -0- 1 Tsf Night After Food Preferably with 1 Glass of Luke Warm Milk on Empty Stomach
C ) DIET
TO TAKE
- All Alkaline Highly Nutritious Leafy Vegetables Fruits Salads Sprouts Fibers - Cereals - Wheat Jawar Bajra Ragi Oats Multi Millets - Fruits - Apple Pomegranate Guava Banana - Pulses - Moong Masoor - Dry Fruits:- Soaked Dry Fruits Almonds Apicroat Cashews Dates Figs Gum Resins - Dairy :- Milk Cow Ghee - Herbs :- Moringa Flaxseed Gum Resins Ashwagandha - Non Veg - Marrow Soup Chicken Eggs Fish
TO AVOID * Too Acidic Hot Spicy Salty Sour Masala Fried Fast Junk Foods * Bakery Foods * Processed Packed Canned Foods * Soda Vinegar Pickles * Fermented Foods * Cold Beverages * Smoke alcohol tobacco products * Stimulants like Tea Coffee
D ) LIFESTYLE MODIFICATION
* Neck Back Posture Corrections * Avoid Lifting Heavy Weight
E ) GENERAL EXERCISE
* Mild Walking * Mild Mobility * Flexibility Exercise
F ) SPECIAL EXERCISES
Under Guidance of Physiotherapy * Neck Mobility * Stretch Exercise * Hand Grip Exercise * Hand Flexion Extension Exercises * Heat Therapy * Ultrasound Masaage * Neuromuscular Electric Stimulation
G ) YOGA
* Tadasan * Vrikshasan * Sarvangasana * Marjarasan * Ardha matsyendriyasan
H ) PRANAYAM
* Anulom Vilom Pranayam * Bhramari Pranayam
I ) ANTISTRESS REGIME
* Dhayn * Meditation
REGARDS
Dr Arun Desai
God Bless You 😊 🙏
If you have any questions u can ask me .I will answer to the level of your satisfaction.U have text option here.
Hiragana disease is a rare neurological condition n acc to ayurveda we may not reverse it but we can strengthen the nervous system
Hello, Here we have to go according to the symptoms and based on prakruti-vikruti So it is ideal to take a detailed consultation with an ayurveda doctor in person and then opt for therapies like panchakarma. Till then- 1. Apply dhanvantharam thailam+mahamasha thailam to the affected hand. 2. Cap. Maharajaprasarani thaialam 2----0----2 before food. 3. Danadanayadi kashayam+prasaranyadi kashayam 15ml+15ml+45ml of water 45 minutes before breakfast and before dinner. Take care. Kind regards.
Hi , consult nearby ayurvedic doctor effective treatments for muscle wasting and numbness are available,strengthening therapy. External application of narayanataila ,balaaswagandadi tailam massage can be done Spodylin capsule 1-1-1afterfood Shaddharanam tablet 1-1-1afterfood
Please visit a nearby Ayurvedic physician for direct examination and evaluation. For your condition this is mandatory to suggest adequate panchakarma treatments.
Hirayama disease is a dearest diseases of nervous system …effects neuromuscular system of both extremities… it’s taking time to treat. .
Divya Medha kwath=100gm Divya dashmool kwath=100gm MIX both in a jar take 1 tsp boil 200 ml of water till reduces 100 ml take empty stomach twice daily
Divya neuroghrit gold cap=1-1 cap before meal twice daily
Divya VISHTINDUK VATI Divya SHILAJEET RASYANA VATI Medha sagar ras=1-1 tab after meal twice daily
Mahamansha oil= for massage of extremities hands and legs
Kaheerbala oil==massage on head region(shiro basti)
Yoga and Pranayam= ANULOMAVILOM udgeeth bhramri Pranayam
You can cured definitely
Hirayama is a neurological disease. It is best that you visit your nearest Ayurvedic doctor with clear details of your condition. The physician should endeavour to cure such of these conditions as occur in strong persons and are of recent origin and unassociated with any complication
The physician must be careful in treating such conditions.
If vata located in the snayus pain in the extremities, spasticity of neck
Treatment - These on account of their deep seated nature, may or may not be cured even after careful treatment .
Treatment described for general nervous disorders
1. Ashwagandharishtam 20 ml twice after food
2. Balarishtam - 20 ml twice after food
3. Ashtavargam kashayam 10 ml Danadanayanadi kashayam 10 ml Each 10 ml , 80 ml boiled hot water morning and evening before food (empty stomach )
4. Purnachandrodayam gulika - 1 - 0 - 1 after food
5. Rasonadi vati -2 - 0 - 2 after food
*Externally apply
1. Mahanarayana tailam
2. Kolakulathadi choornam
3. Sahacharadi thailam
💠 Control DM , BP and cholesterol vigorously * Reduce the amount of salt intake * Physiotherapy is beneficial
🌸 Avoid sweets, fatty foods, constipation, cold exposure
4.
You can take Cap. Ashwashila 1-0-1 after food with water Apply ashwagandha oiland massage on your right arm daily Brahmi vati 1-0-1 after food with water All these medications will help improve your strength. Follow up after 2months.
HELLO ,
Hirayama disease(monomeric amyotrophy) is a rare, non-progressive , self-limiting lower motor neuron disorder, primarily affecting young males, involving asymmetric muscle wasting in one upper limb - often the distal hand and forearm. It’s believed to result from forward displacement of the posterior cervical dura during neck flexion, causing spinal cord compression.
NOTE:- Hirayama disease doesn’t have a DEFINITIVE cure in modern or Ayurvedic medicine, but early conservative management, including neck collar and physiotherapy, can slow progression and improve quality of life. Ayurveda may help support nerve function, muscle tone, and reduce vata imbalance, but it cannot reverse structural degeneration.
AYURVEDIC CORRELATION Hirayama disease aligns with Vata Vyadhi-especially -Apatarpana Tanya vata vyadhi- due to undernourishment or tissue depletion -Mamsa(muscle) kshaya, snayugata vata and majjagata vata features -Resembles neurological degenerative diseases such as pakshaghata, ekangavata or bahu shosha
CAUSES- improper posture, overexertion, bata-provoking diet, stress, growth spurt-in young males DOSHA- vata predominant(apana and vaya vata) DUSHYA- mamsa, majja, asthi, snayu(muscle,marrow, nerves, ligaments) SROTAS- majjavaha, mamsa vaha SROTORODHA AND DHATUKSHAYA- neuromuscular degeneration
I Strongly suggest you to visit good ayurvedic clinic and get checkup done and suggest you to go for panchakarma as Vata disorders respond excellently to snehana, swedana and basti. A complete protocol over 45-90 days(in cycles) is advised A)preparatory procedure -ABHYANGA WITH MAHANARAYAN TAILA OR BALA TAILA daily for 30 min =improves circulation, reduces vata, nourishes muscle
B)SWEDANA- patra pinda sweda or shashtika schalie pinda sweda -warm bolus of rice or herbs applied to affected area -helps regain muscle tone, reduces stiffness
MAIN PANCHAKARMA -BASTI= alternate ANUVASANA(OIL) and NIRUHA(decoction) bastis for 16-30 days =best therapy for your case, regenerate and nourishes tissues afected
ANUVASANA BASTI WITH KSHEERBALA TAILA(60-80ML)= alternate on every 2nd day
NIRUHA BASTI WITH ERANDAMOOLA RASNA(300-500ML)= alternate days
-SHIRODHARA WITH BRAHMI TAILA= 45 min daily for 7 days =reduces anxiety, improves neurological-muscular coordination
-KATI BASTI ON CERVICAL SPINE WITH MAHAMASHA TAILA= daily 20 mins =relieves nerve compression , strengthens muscles
INTERNAL MEDICATIONS ADVISED TO TAKE
1)ASHWAGANDHA GHAN VATI- 1 tab twice daily in morning and at night with warm milk =rejuvination, nourishes and give strength
2)BALA CHURNA- 5 gm twice daily with warm ghee =muscle tissue nourishment
3)KSHEERBALA 101 AVARTI- 10 drops twice daily in milk after meals =nervus tissue nourishment
4)MAHARASNADI KASHAYA- 30 ml twice daily with warm water before meals =neuromuscular pain and stiffness
5)DASHMOOLA KASHAYA- 20 ml twice daily after food with warm water =anti-vata, rejuvination
6)YOGARAJ GUGULU- 2 tabs twice daily after meals with warm water =balances vata, reduce tremors
7)VATAGAJANKUSHA RAS- 1 tab at night with warm water =strong vata pacifier
AFTER PANCHAKARMA AND TAKING INTERNAL MEDICINE FOR 3 MONTHS
THEN START REJUVINATION THERAPY
1)ASHWAGANDHA AVALEHA- 1tsp twice daily with milk for muscle and nervous health
2)CHYAWANPRASHA(NOSUGAR )- 1 tsp daily in morning =rejuvination and nourishes ojus
3)SHATAVARI GHRITA- 1 tsp twice daily with warm water after meals =nourishes majja and strengthen nerves
DIET -warm, soft, oily, nourishing meals -milk, ghee, boiled veggies, moong dal, rice, wheat -dates, figs, almonds(soaked), sesame seeds -milk with ashwagandha daily
AVOID -cold,dry,stale,raw or spicy food -heavy legumes(chana), brinjal, potatoes in excess -excess tea, coffee, aerated drinks -fasting, skipping meals, junk food
YOGA ADVISED -bhujangasana -matsyasana -shalabhasana (to strengthen neck and spine)
-Vrikshasana for balance -suryanamaskar- 5 cycles daily
PRANAYAM -NADI SODHANA- clears nerve pathways -BHRAMARI- claming, improves brain function -UJJAYI-imporves coordination and breath control
MUDRAS -VAYU MUDRA- relieves tremor -APANA VAYU MUDRA practice for 15 mins/day
PHYSIOTHERAPY -hand grip exercises, wrist flexion/extension training -use of Neuromuscular electric stimulation(NMES)
Hirayama disease requires long-term management. Ayurveda offers a supportive and holistic strategy to slow progression, nourish nerves, and improve muscle strength and coordination. The best outcomes happen when ayurveda is combined with physiotherapy
DO FOLLOW
HOPE THIS MIGHT BE HELPUL
THANK YOU
DR. MAITRI ACHARYA
Hirayama disease is a rare neurological condition where nerves and spinal cord is involved. Anything injury or deformity to the nervous system can rarely be cured completely
For the best results in gaing strength you should visit an ayurvedic hospital nearby and take proper panchakarma therapy depending on your AGE, SARTA, PRAKRITI.
💊 Internal and external treatment for the start💊
Tab. Asthiposhak Vati 2 tabs early in the morning with a cup of milk.
Tab. Mansapachak Vati 2 tabs twice a day before food. Cap. Palsinuron (S.G.Phytopharma) 2 caps twice a day before food. Tab. Arogyavardhini Vati 2 tabs twice a day before food.
Syp. Dashmoolarishta + Syp. Maharasnadi Kwath Mix both the bottles in a container and consume 3 tsp of the mixture twice a day after food.
✔️ Do’s ✔️ Warm water Fresh home cooked food Mutton paya soup will do benifits. Not oily only soup like we give babies Warm clothes and sweater in cold weather Warm CHANDANBALA LAKSHADI TAILAM massage in the morning followed by some simple exercise (like rotation stretching ) and than followed by hot water bath.
❌ Dont❌ Potato, Brinjal. Sour foods Fermented item Spouts Uncooked food. (nothing should be eaten raw) Late night awake try to sleep by 10 pm No night shifts it will worsen your condition alcohol tea and coffee
It is a neurological disorder. According to ayurveda we can consider it as a vatavyadhi.
Along with medication you can adopt some exercises to maintain range of motion. Exercises will preserve strength and improve posture.
Avoid neck flexion and activities that worsen symptoms.
1. Roll shoulders forward and backward slowly . 2. Rotate wrists in both directions. 3. Swing arm forward/ back gently while keeping neck neutral. 4. Open and spread fingers wide, then make a fist. 5. Slowly bend and straighten elbows. 6. You can use stress balls- squeeze it for 5 seconds and release. 7. Play with rubber band- place then around fingers and spread them apart. 8. Some shouder shrugs - lift shoulders up towards ear and relax
Any of these exercises causes pain, stop that one. Controlled and slow movements are to followed.
Medications: 1. Danadanayanadi kashayam 15 ml+45 ml lukewarm water twice daily before food. 2. Maharaja prasarani tailam soft gel capsule 1-0-1 before food/ along with kashayam. 3. Maharaja prasarani tailam for external application - mainly over the neck area and hand , overall back muscles. 4. Kachooradi choornam as talam after bath.
Don’t stress yourself, keep calm Follow these medications, you will slowly relieved of your condition.
