Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Oromandibular Dystonia (OMD) is a uncommon neurological dysfunction. It causes involuntary and repetitive contractions within the muscle mass of the face, jaw and mouth. Ultimately these muscle spasms may end in irregular actions or postures. This causes problem in talking, chewing and even opening and shutting of mouth correctly. It could possibly both manifest independently or on account of different medical circumstances, medicines or accidents. Accidents affecting the nervous system or the area across the mouth usually trigger OMD. Components like dental procedures, genetic predisposition and trauma are additionally linked to OMD.
Widespread signs of OMD are problem in talking, chewing or swallowing, unconscious opening, closing or twisting of jaw, despair, decreased high quality of life and weight reduction.
Associated Studying – ‘Oromandibular Dystonia – Ayurveda Understanding’
Ayurveda Understanding of Oromandibular Dystonia
Going by way of the introduction of OMD, we will see that this situation matches into varied circumstances which have been defined in Ayurveda.
OMD will be carefully studied together with the beneath talked about circumstances.
Vata Vyadhi
OMD is a neurological dysfunction. Neurological issues are mentioned underneath Vata Vyadhi in Ayurveda. So, it is smart in contemplating Oromandibular Dystonia as a Vata Vyadhi.
Mukhagata Mamsa-Gata Vata
Because the illness includes involuntary and repetitive muscle contractions within the face, jaw and mouth, it may be included underneath a situation known as ‘Mamsagata Vata’ defined within the context of Vata Vyadhis – particular issues of ‘solely vata origin’. Mamsagata vata can happen wherever within the physique. It may be localized to incorporate a small space or will be generalized. Right here, to maintain it exact we will put it as ‘Mukhagata Mamsa-Gata Vata’ i.e. mamsagata vata occurring within the face.
Pakshavadha or Pakshaghata
‘Paksham Anyataram Hanti Sandhi Bandhan Vimokshayan…’ – this line depicting the signs and manifestation of pakshavadha – a situation during which many circumstances like paralysis, hemiplegia, paraplegia and many others are included, we will see that one portion of the physique troubled by aggravated vata and the joints on that a part of the physique turns into lax, dislocated or out-balanced, which incorporates the joints of the face too. ‘Sira Snayu Vishoshya cha’ – the road explaining the pathogenesis of pakshavadha displays the affliction of nerves by aggravated vata.
Ardita
is a situation which has been correlated to facial paralysis. This may be restricted to the face or the facial signs may also be part of hemiparesis or hemiplegia. Although OMD is just not facial paralysis, many signs present in Ardita are much like these of OMD. This consideration is vital to determine the remedy choices of OMD from the pages of Ayurveda. ‘Jaw Deviating’ can also be a kind of OMD.
Signs of Ardita that are additionally present in OMD
– Sankochayati ardhe mukham jihvam karoti cha – constriction of half portion of face and tongue
– Vakri karoti nasa bhru lalata akshi hanustatha – distortion or crookedness within the nostril, eyebrow, brow, eyes and mandible (decrease jaw).
– Tato vakram vrajati asye bhojanam vakram nasikam – as a result of above stated distortion, the particular person finds it troublesome to swallow the meals
– Vakram nasikam stabdham netram kathayatah – problem in talking and the nostril turns into curved and the eyes develop into fastened when the particular person talks
– Kshavathuh cha nigruhyate – suppression of sneeze
– Dina jihma samutkshipta kalaa sajjati cha asya vak – troublesome to talk. The speech turns into faint, distorted, imperceptible and interrupted.
– Dantah chalayanti badhyate shravanau bhidhyate svaraha – loosness of tooth, deafness and hoarseness of voice
– …Akshi…shankha shravana ganda ruk – ache within the eyes, temples, ears and cheek
OMD results in problem in talking or swallowing and severely impacts the standard of life, as discovered within the case of Ardita.
Hanugraha
Hanugraha means stiffness of jaw or lockjaw. That is extra popularly correlated with OMD and lockjaw or TMJ dysfunction. That is additionally a Vata Vyadhi whereby the mouth both stays open or shut together with stiffness within the jaw joint i.e. mandibular joint. The actions of the jaw develop into troublesome.
Associated Studying – Hanugraha
Ayurveda understanding on the idea of classification of OMD
There are majorly 4 sorts of OMD in keeping with trendy classification. They’re –
| Sort of OMD | Ayurveda Equal (possible) |
| Jaw Opening | Hanugraha |
| Jaw Deviating | Ardita |
| Lingual Dystonia | Jihvastambha |
| Mixed Jaw opening, Jaw deviating and Lingual dystonia | Ardita spectrumEkanga Vata spectrum |
Miege’s Syndrome – This situation is a mix of Oromandibular Dystonia, Blepharospasm and dystonic actions of the higher a part of the face. We are able to embody this situation too within the ‘Ardita Spectrum’.
From the attitude of causes
Trauma and mind lesions are talked about amongst the etiological elements of Oromandibular Dystonia. Abhighata – damage / trauma and Marmaghata – damage resulting in lesions within the important organs together with the mind are vital causative elements of Vata Vyadhi. OMD can also be a vata vyadhi.
From the attitude of signs
Talking, chewing and praying could cause or set off the signs of OMD. Signs are additionally triggered by stress. These causes additionally irritate vata. These actions also can trigger and set off signs of Ardita.
The widespread signs of OMD i.e. dysphonia – problem in talking, dysphagia – problem in chewing or swallowing and unconscious opening, closing or twisting of jaw are additionally present in Ardita.
Signs of dystonic spasms in OMD like nasal contractions, facial grimacing, lip pursing, tongue dyskinesia and involuntary closure or opening of jaw are additionally present in Ardita.
Ayurveda Remedy Rules for Oromandibular Dystonia
Nidana Parivarjana
Avoiding the causative elements is the primary precept for treating any illness, OMD not being an exception.
Vata Vyadhi Chikitsa
Principally, Oromandibular Dystonia shall be handled on the rules and line of remedy of Vata Vyadhi as a result of the talked about situation falls underneath the scope and spectrum of Vata Vyadhis. The pathya apathyas i.e. dos and don’ts associated to meals and actions talked about within the context of Vata Vyadhi ought to be administered, together with formulations and therapies talked about in the identical context.
Useful therapies
Amongst all rules of remedy, the beneath talked about are very a lot useful
1. Exterior Therapies
– Snehana – exterior (and inner) oleation – Ksheerabala Taila, Mahamasha Taila, Balashwagandha Taila and many others shall be used for Abhyanga – native therapeutic massage of the troubled joints
– Swedana – sudation (native fomentation) – sweating remedy with Nadi Sweda – tubular fomentation, Pinda Sweda – bolus fomentation, Upanaha Sweda – poultice utility and many others
– Lepa – anointment with pastes ready from vata-mitigating herbs like Dashamula Lepa can be utilized over the jaw joints.
– Murdni Taila – oil therapies completed on head together with Shiro Abhyanga, Shiro Dhara, Shiro Vasti and Shiro Pichu are extraordinarily useful and ought to be completed as and when wanted
– Upanaha – utility of scorching poultices on the troubled (jaw) joints is useful and ought to be completed with upanaha ready with meat of animals inhabiting marshy lands
2. Panchakarma / Inside Therapies & Others
Nasya – errhines or nasal drops utilizing oils ready with vata mitigating herbs, primarily nourishing sort of nasal drops with formulations like Mahamasha Taila, Ksheerabala Taila 101, Karpasastyadi Taila, Shadbindu Taila and many others.
Basti / Vasti – When the illness is persistent and signs are cussed and never responding to the above stated standard and confirmed therapies and medicines, Vasti ought to be thought of as a result of it’s the greatest treatment for all Vata Problems. Anuvasana Vasti or Matra Vasti with Ksheerabala Taila, Mahamasha Taila, Guggulutiktaka Ghrita or Mahasneha and many others ought to be used. For Asthapana Vasti, Erandamuladi Kashaya Vasti, Dashamula Ksheera Vasti and Mustadi Yapana Vasti and many others ought to be thought of.
Tarpana – Since OMD is a vata vyadhi, Tarpana chikitsa i.e. nourishing therapies are of utmost significance.
Remedy rules of ailments defined in Ayurveda which current with signs resembling with OMD
Remedy rules of the circumstances defined above shall be thought of and carried out skilfully, as and when wanted. These circumstances embody –
– Ardita
– Pakshavadha
– Ekanga Vata
– Mukhagata Mamsa-Gata Vata
– Hanugraha / Hanu Stambha
– Sandhigata Vata
– Vatarakta
Useful Formulations
– Maharasnadi Kashayam
– Rasonadi Kashayam
– Gandharvahastadi Kashayam
– Mustadi Marma Kashayam
– Vayu Gulika
– Dhanwantaram Gulika
– Mahavata Vidhwans Ras
– Ekangavira Rasa
– Balarisht
– Ashwagandharishta