General debility

general debility for BAMS final year
brief information about general debility, causes, symptoms and management
ayurveda correlation of general debility, causes , management including ahara, shamana oushadha, rasayana and chikitsa upakrama

1. GENERAL DEBILITY Dr Yadu Gopan MD Kayachikitsa [email protected]

2. General debility General debility is a state of general weakness or feebleness that may be a result or an outcome of one or more medical conditions that produce symptoms such as pain, fatigue, cachexia and physical disability, or deficits in attention, concentration, memory, development and/or learning. General debility is more usually associated with multiple medical conditions or extreme old age. Medications used to treat various medical conditions may also produce effects that contribute to general debility. Broadly, debility is also known by other names : weakness, infirmity, frailty, feebleness and frailness.

3. Common causes of weakness include: flu thyroid disease anemia depression or anxiety lack of sleep poorly managed or undiagnosed diabetes congestive heart failure vitamin B12 deficiency medication side effects, which often occur when taking mild tranquilizers to treat anxiety certain muscle diseases chemotherapy

4. Other causes of weakness include: cancer stroke heart attack nerve or muscle injuries diseases affecting the nerves or muscles medication overdose vitamin overdose poison Although weakness caused by cancer may appear slowly over an extended amount of time, weakness caused by a  heart attack  or stroke often occurs immediately. In addition to experiencing weakness, other symptoms such as difficulty breathing, pain, and irregular heartbeat may occur. 

5. Symptoms of Debility Weakness is a very common symptom. The feeling of weakness may be subjective ( the person feels weak but has no measurable loss of strength ) or concrete measurable loss of strength . Weakness may be generalized (total body weakness) or localized to a specific area, side the body, limb and so on. Weakness is particularly important when it occurs in only one area of the body. Pain Fatigue Muscle atrophy Weight loss Attention loss Memory deficiency Learning problems

6. Isolated weakness delayed or slow movement uncontrollable shaking, or  tremors muscle twitching muscle cramps Full-body weakness fever flu-like symptoms pain in the affected area Emergency symptoms dizziness lightheadedness confusion difficulty speaking changes in vision chest pain difficulty breathing

7. Complications of weakness Because weakness can be due to serious diseases, failure to seek treatment can result in serious complications and permanent damage. Once the underlying cause is diagnosed, it is important for you to follow the treatment plan to reduce the risk of potential complications including: Difficulty performing daily tasks Difficulty sleeping Inability to work or go to school Loss of mobility Progression of symptoms Spread of  cancer Spread of infection Withdrawal or depression

8. Investigations Complete Blood Count Blood Glucose Thyroid Function Test ECG Imagings – CT, MRI

9. Treatment of general debility  • Good nutrition:  Improving your diet can effectively boost your health and general energy levels. Eat foods rich in carbohydrates and other nutrients to increase body energy reserves, drink plenty of water then avoid smoking and alcohol intake. •  Daily exercise:  Engaging in physical exercise daily can help energize the body, strengthen bones and muscles, and keep you active throughout the day. Performing yoga regularly is one of the best treatment of general debility. •  Medications:  Certain medicines can also be prescribed for the treatment of general debility, especially when it is caused by an underlying disease. Drugs that are taken to keep you active might have some undesirable side effects, so be sure to talk to a doctor before taking such prescriptions. •  Herbal supplements:  The natural nutrients found in  herbal supplements  help to provide extra energy for the body. These supplements are highly recommended as opposed to energy drinks that can cause caffeine overdose and insulin insensitivity. Herbal supplements provide a natural and healthy boost for the body without any harmful side-effects, which make it good for debility treatment.

10. DOURBALYA General debility is correlated with dourbalya in Ayurveda, Dourbalya is not a disease in proper. It is a lakshana which is found in a number of vyadhis of different srotas . Causes : Vyadhi karshana Dhatukshaya Dhatu aposhana Margavarana Vata prakopa Absence of Bala vridhikara bhavas बलवृद्धिकरास्त्विमे   भावा   भवन्ति| तद्यथा-बलवत्पुरुषे   देशे   जन्म   बलवत्पुरुषे   काले   च,   सुखश्च   कालयोगः,   बीजक्षेत्रगुणसम्पच्च,   आहारसम्पच्च,   शरीरसम्पच्च,   सात्म्यसम्पच्च,   सत्त्वसम्पच्च,   स्वभावसंसिद्धिश्च,   यौवनं   च,   कर्म   च,   संहर्षश्चेति||

11. Vyadhis causing dourbalya : Jwara Raktapitta Atisara Grahani Rajayakshma Vatavyadhi Kshataksheena Swasa Kasa Prameha etc.

12. CHIKITSA Vyadhi pratyaneeka chikitsa – treat underlying disease Balya-santarpana-ojovridhikara chikitsa Srotodushti chikitsa Lakshanika chikitsa Ahara – Snigdha , ushna , laghu , satmya Ksheera ghrita ashana Mamsa rasa Mudga yusha Purana shali

13. Upakrama : Udvartana / utsadana Parisheka – Balamoola kashaya , Dashamoola kashaya Abhyanga – Ksheerabala , Bala , Dhanwantara , Ashwagandha Bala Lakshadi taila Sweda – Shashtika Shali Pinda Sweda Pratimarsha nasya – KB 101, anutaila Basti – A nuvasana : amritaprasha ghrita , KB taila , MN taila , brihat chagaladya ghrita Niruha : ksheera basti , yapana basti , balamoola kashaya basti Shamana : Vati – saptamruta loha , dhatri loha , arogya vardhini Arishta – balarishta , ashwagandharishta , saraswatarishta Asava – chandanasava , ushirasava Kashaya – ashtavarga , drakshadi Rasayana / leha – chyavanaprasha , narasimha , drakshamalakadi , aja ashwagandha

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