structure of purine and pyrimidine - Triphala and Benefits of Triphala Herb
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Triphala and Benefits of Triphala Herb

General Description Triphala literally means 'three fruits' (tri = three, phala = fruits). It is a mixture composed of the three essential myrobalans. They are:-


In addition to fresh cherries and cherry drinks you can also choose from tart cherry juice concentrate and tart cherry capsules. One of the benefits of tart cherry juice concentrate is it takes approximately 100 cherries to make just one ounce of tart cherry juice. So the tart cherry juice is a highly concentrated way to get your daily dose of cherries. www.traversebayfarms.com


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 But before we go any further, we need to understand that the terms turf toe and hallux limitus aren't really synonymous. The fundamental difference between the two terms is the patient population that they affect. Turf toe is a term used in athletic circles referring to any injury of the great toe joint. Consequently, discussions about turf toe will focus on the first two causes of hallux limitus mentioned above; functional hallux limitus and direct physical injury. On the other hand, when we discuss hallux limitus, we're actually referring to a broader, 'non-athletic' patient population and need to include all three causes of hallux limitus.


Anatomy: The great toe joint, or first metatarsal joint consists of two bones. The proximal bone is the first metatarsal and the distal is called the proximal phalanx or hallux. These two bone move against each other in an up and down motion through what we refer to as the sagital plane. Biomechanics: The motion of the great toe joint is dependant upon the plantarflexion of the first metatasal. If the first metatarsal is limitied in its' ability to plantarflex, the joint will jam resulting in funtional hallux limitus, which as we know is one of the causes of turf toe.

Think of turf toe (hallux limitus) as an isolated case of osteoarthritis limited to the first MPJ. Whether the injury is acute or due to repetitive loading, the result is a load that is applied to the subchondral bone that is greater than what the bone can tolerate. As the injury progresses, a series of micro fractures will develop in the subchondral bone. The typical soft spongy character of the metaphyseal bone changes to become brittle and hard. The result is that the articular cartilage looses its' underlying support and becomes susceptible to damage. Juxtachondral eburnation, osteophytes, lipping, spurring; call them what you like, but what you see on your x-ray is the slow progressive destruction of the joint.

Secondly, although tart cherries have been studied for years, no real effort was ever really made to promote the health benefits of the tart cherry. However, the cherry growers are really getting the word out about cherries to the world.

(ii) Flatulence Triphala is prescribed to people who have excess acidity in their stomachs. A regular use of the Triphala helps to dissolve all the toxic acids in the stomach. This helps in the treatment of flatulence.

(v) Nervous Disorders Triphala is prescribed in nervous problems like the Alzheimer's due to its cooling and toning properties. It can repair the degenerated nerves and bring the nervous system back to a normal state of functioning.

Unger, K., Rahimi, F., Bareither, D., Muehleman, C. The Relationship Between Articular Cartilage Degeneration and Bone Changes of the First Metatarsophalangeal Joint. J. Foot Surg. 39:1 24-33, 2000


Symptoms: Turf toe that is the result of functional hallux limitus is going to be insidious in onset. Functional hallux limitus will usually be seen in younger athletes as they attempt to increase their activity. It may not occur during the first athletic season, or the second, but when it does begin to cause pain, the onset will be more frequent and more severe, varying with activity. This profile of onset is simply due to the fact that the athlete is recreating the injury with every step. Turf toe caused by a direct injury to the joint may or may not be obvious. Athletes may not remember an incident of pain since they're often distracted by the event or game in which they're involved. The onset of direct injury to the joint may be abrupt, but also may be insidious becoming increasingly more painful as the season progresses. The joint pain will subside with rest only to recur with increased activity. It's not unusual to see symptoms of turf toe resolve in the off season only to recur with renewed exercise.

Ronconi, P., Monachino, P., Baleanu, P.M.,Favilli, G. Distal Oblique Osteotomy of the First Metatarsal for the Correction of Hallux Limitus and Rigidus Deformity. J. Foot Surg. 39:3, 154-160, 2000

One natural remedy that many sufferers rely on when they feel a gout attack coming is to take celery seed as a supplement. This option should be discussed with your doctor, but taking the recommended amounts can help lessen the severity of your attack. Not only that, it can also help reduce the inflammation of the joints and can calm and soothe muscles that may cramp.

(i) Digestive Problems All the three constituents of the Triphala have laxative properties. Triphala can stimulate the mucosal lining of the gastric and the intestinal tract, and hence help in digestion. Triphala is prescribed to people having constipation problems. By regular use of Triphala for a few days, the toxins within the intestinal tract are flushed out. Triphala is also prescribed for tonifying (i.e. regulating) the functioning of the stomach and the colon. Triphala is prescribed as an essential medicine for the elderly who are prone to have more digestive problems than the younger people. This is mainly because Triphala is a non-habit forming drug, and it has no known side-effects even after prolonged use.

What's the actual physical change that takes place in the joint with turf toe? As an easy analogy, consider the changes that takes place when an apple falls from a height and is damaged. The skin of the apple appears intact but the underlying pulp is damaged. In the case of turf toe (hallux limitus), think of the skin of the apple as the cartilage of the joint and the damaged pulp of the apple is the subchondral bone. Mild cases of turf toe (hallux limitus), result in little damage to the subchondral bone and will merely exhibit signs of inflammatory change within the joint. Most authors would refer to these cases as stage one turf toe (hallux limitus). More severe cases result in damage to the joint surface, the subchondral bone or both. These are the stage two and three cases of turf toe (hallux limitus) that show visible change on x-ray. As the subchondral bone becomes increasingly damaged, it will create an uneven supporting surface for the cartilage. An increase in activity results in uneven loading of the joint due to the compression injury of the subchondral bone.

Precautions Triphala does not have any major side-effects. But it must be avoided by pregnant woman. People having complaints of diarrhea and dysentery must also restrict the use of Triphala.

(iii) Haritaki is one of the mildest and safest laxatives used in Ayurvedic medicine. It prevents blood clotting. Haritaki is a stomachic; it improves the functioning of the stomach and facilitates digestion. Haritaki is used to improve all nutritional imbalances in the system, and looks after the entire digestive, absorptive, assimilative and excretory process.

(ii) Bibhitaki is a bitter herb, also popularly known as behra. Like amalaki, it also has beneficial effects in healing of wounds. It is a tonic and a laxative. It can reduce fevers, and hence it is an antipyretic.

Is the onset of turf toe always the same? Turf toe that is the result of functional hallux limitus is going to be insidious in onset. Functional hallux limitus will usually be seen in younger athletes as they attempt to increase their activity. It may not occur during the first athletic season, or the second, but when it does begin to cause pain, the onset will be more frequent and more severe, varying with activity. This profile of onset is simply due to the fact that the athlete is recreating the injury with every step.

Another suggested natural remedy that can reduce your gout attack is to eat a lot of cherries. There are a number of suggested amounts, but eating a large handful of fresh cherries or drinking cherry juice when you feel that a gout attack is imminent can help cut the severity of your attack in half and lessen your pain. Some suggest eating a half a pound of them a day and others recommend a pound or more. That's a lot of cherries to eat, and will be hard if you don't like them, but you can think of them as a natural way to fight your attack. You can try cherry juice as a substitute, but make sure it is 100% real cherry juice. Some people with bad attacks have eaten or drunk the equivalent of two pounds when they fear an attack is near. Just be aware that too much fruit can play havoc with your digestion system, especially if you're not used to the large quantities.

About the author:
Jeffrey A. Oster, DPM, C.Ped is a board certified foot and ankle
surgeon. Dr. Oster is also board certified in pedorthics. Dr.
Oster is medical director of href=http://www.myfootshop.comMyfootshop.com and is
in active practice in Granville, Ohio.

Uses Triphala is vastly considered as one of the most important medicines Ayurveda has ever provided to the world. The following are the uses for which Triphala is today internationally acclaimed:-

Tart cherry capsules are another way to get tart cherries. Tart cherry capsules are made with tart cherry powder. The tart cherry powder is made using the freeze-dried process. The freeze dried process is one of the best ways to get tart cherry powder. The reason is the freeze-dried process captures 100% of the nutritional value of the tart cherry.

Nomenclature: First MPJ - the big toe joint Metatarsus primus elevatus - a functional or structural position of the first metatarsal First metatarsal - the foot bone making up the proximal portion of the big toe joint Hallux - the great toe


Differential Diagnosis: The differential diagnosis of turf toe includes; Arthitis Fracture Gout Joint infection Joint or bone tumor Synovitis

If these natural remedies don't work or your wish to take a two-pronged approach, you can fight the pain and inflammation associated with a gout attack by taking a high dose of an anti inflammatory medication otherwise known as NSAID. These can be taken up to four times a day, but bear in mind that this may not be work for everyone. When you want to take this approach, talk with your doctor about the amount you should take, when you should take it, and how often. While NSAID's can help with inflammation and pain, you do want to be sure you are not taking too much or that you are simply not taking enough.

 
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(vii) Ocular Problems Triphala has beneficial effects in the treatment of eye infections like conjunctivitis and visual problems like cataract and glaucoma. On a lighter note, Triphala is prescribed to treat eye problems such as fatigue, redness and soreness of the eyes. It is used as eyewash in these cases.

(i) Amalaki (Emblica officinalis) (ii) Bibhitaki (Terminalia belerica) (iii) Haritaki (Terminalia chebula) Properties The properties of the Triphala are dependent on the properties of its individual herbs. Let us see what these properties are:-

Cherries have had a long history of being described as the "the healing fruit". Just as cranberries prevent urinary tract infections and an apple-a-day can keep the doctor away, tart cherries are known to stop gout and arthritis pain. But if tart cherries are so good, why haven't you heard more about them? Well first, the FDA doesn't want you to know.

Hence, Triphala which is made up of these three valuable components is a real boon to Ayurveda. Recently, the potential of Triphala in stopping the growth of cancerous cells in the body is being studied in greater detail.

In fact, just a few years ago the FDA threatened over two dozen cherries companies for sharing information on the research conducted by the USDA how cherries help fight gout and joint pain. So much for freedom of speech in America. This is something similar to what happened to the cranberry sellers several years ago. They were also threatened. But look at it today, research shows that cranberries can fight urinary tract infections. Thanks for the freedom of speech in America.

In addition to fighting joint pain, research also shows tart cherry juice helps to soothe sore muscles due to physical exercise. According to a study published in the British Journal of Medicine in June 2006, found that a drink made with tart cherry juice proved effective in reducing exercise-caused muscle pain and exercise-induced strength loss. The study was conducted on college athletes and the results basically found that the tart cherry drink helped to reduce pain and strength loss when compared to the placebo.

(iii) Gout Due to its anti-inflammatory properties, Triphala is used in the treatment of gout and other joint problems. Gout is formed when excess uric acid deposits in the joints of the bones. This is removed by Triphala, which gets it expelled through urination. Therefore, the conditions of gout are brought to a minimum.

Turf toe caused by a direct injury to the joint may or may not be obvious. Athletes may not remember an incident of pain since they're often distracted by the event or game in which they're involved. The onset of direct injury to the joint may be abrupt, but also may be insidious becoming increasingly more painful as the season progresses. The joint pain will subside with rest only to recur with increased activity. It's not unusual to see symptoms of turf toe resolve in the off season only to recur with renewed exercise.

Cherries are a natural and high source of Melatonin. This helps to regulate circadian rhythms and maintain nightly sleep patterns. Also, cherries have been shown to have naturally occurring anthocyanins. Although, anthocyanins are present in also any number of colored fruit, the unique make-up of the compounds found in the tart cherry helps to fight joint pain. So in other words, the compounds in the tart cherry are natural COX-1 and COX-2 inhibitors.

Along with those three things that may help you stop a gout attack, or at least lessen the duration of such an attack, you should also try to rest the joint and take it easy if you feel an attack coming. If possible, try and keep the affected area elevated and use heat and ice to help with the inflammation if needed. Stay off your feet if at all possible, and stick to low purine foods so an not to increase your uric acid levels further. If pain is utterly unbearable and nothing seems to help, call your doctor immediately for more suggestions.

Read more about the benefits of Triphala. Also find Herbal Colon Cleansing at http://www.ayurvediccure.com - World's Finest Portal on Ayurveda and Ayurvedic Treatments

Functional hallux limitus - biomechanical function that results in metatarsus primus elevatus and subsequent repetitive jamming of the first MPJ. Direct physical injury - injury to the articular cartilage or subchondral bone. These injuries may be due impaction injuries or hyperextension/flexion of the first MPJ.

References: Lombardi, C.M., Silhanek, A.D., Connolly, F.G., Dennis, L.N., Keslonsky, A.J. First Metatarsophalangeal Arthrodesis for Treatment of Hallux Rigidus: A Retrospective Study. J. Foot Surg. 40:3, 137-143, 2001

When treating turf toe be sure to recognize the fact that there is no nerve innervation in articular cartilage. Pain associated with stage one turf toe (hallux limitus) is either synovial pain or bone pain. If we recognize that painful stage one turf toe (hallux limitus) may be due to bone pain, we then realize that turf toe should be treated aggressively to insure the long term viability of the joint.

(iv) Liver Disorders Triphala helps in the proper functioning of the liver and the pancreas. It regulates the bile duct and treats sluggishness of the liver. Triphala is a support to the liver in performing most of its physiological functions. It is a common medicine prescribed to patients of hepatitis.

The following are the general properties of Triphala:- (i) Triphala has anti-inflammatory properties. (ii) Triphala regulates the functioning of the cardiovascular system and the liver. (iii) Triphala has excellent effect on the digestive system. It has laxative properties. (iv) Triphala can reduce the cholesterol that is accumulated in the blood. (v) Triphala is an expectorant. (vi) Triphala fastens the healing process, because it has collagen, an important cementing material required in the process of blood clotting.

Treatment of turf toe varies with the type of healthcare provider and includes the use of rest, shoe modifications, orthotics, steroid injections and surgery. The success of non-surgical care will vary with the degree of injury, the rate at which the injury is healing and how much osteoarthritis has occurred. We see varying degrees of success with orthotics that promote plantarflexion of the first ray, effectively treating metatarsus primus elevatus and peroneus longus dysfunction. Simple arch supports can make a significant difference in the symptoms of turf toe. Should our patient not respond to conservative care in a reasonable time period, we are not reluctant to suggest surgical revision to address the problem whether it be revisions of the joint defect, shortening of a long first metatarsal or structural revision of metatarsus primus elevatus. As mentioned before, the clinical appearance of dorsal lipping or visible radiographic changes are suggestive of moderately advanced osteoarthritis, a condition that is only repaired by joint revision or replacement.

The best time to start fighting a gout attack is when you first notice the warning signs that one may be about to flare. You may not be able to put a stop to it completely, but there are some steps you can take to ease the pain and reduce the duration.

(i) Amalaki, i.e. the Indian gooseberry, is the richest source of vitamin C in the world. It is a light green fruit with a sour taste due to its acidic content. The fruit is cooling and refreshing. It also has laxative and purgative properties. Since it has good amount of vitamin C, amalaki hastens blood clotting and heals wounds. In some cases, amalaki has been used to renew lost sexual vigor in men and women with success.

(vi) Obesity Amalaki is especially known to disintegrate the fatty accumulation in the body. Thus, Triphala can reduce the excess weight in obese people. In addition, regular use of the Triphala can also heal several of the complications of obesity. Since Triphala can dissolve the serum cholesterol, it decreases the chances of cardiovascular problems. The acrid and bitter components of Triphala are also good in the treatment and control of diabetes mellitus, to which obese people are much prone.

Other conditions - synovitis, crystal deposition diseases such as gout, systemic arthritis, external physical influences such as Dupytren's contracture, etc.

Turf toe gets no respect. Let's take a closer look at the causes of turf toe and see how to treat it more effectively. Turf toe is actually a form of hallux limitus. Hallux limitus is classically described as pain and progressive decrease in the range of motion of the first metatarsal phalangeal joint (MPJ). The onset of hallux limitus is due to the following:

When a gout attack strikes it's usually excruciatingly painful, leaving most sufferers willing to do almost anything to make the pain go away. Because for some people, even when they do their best to eat the right diet, and take all of the other precautions that are suggested by medical professionals, an attack can occur. There are a few things you can do right away to stop your gout attack from getting worse, and you may even be able to lessen the pain and shorten the length of the attack. It all depends on what you do when it happens.

The leading super fruit company in the U.S. is Fruit Advantage. The company offers a complete line of super fruit products including tart cherry capsules.


 
 
     
 
 





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The medical condition known by most of the people as Gout is actually hyperuricemia, a disease occurring due to an increase of the uric acid blood level. It tends to appear more often in men at the age of 50 and over when uric acid crystals form irritating accumulations in joints all over the body. The uric acid deposits assemble a bump or a growth and firstly appear at the base of the big toe,...


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Turf toe gets no respect. Let s take a closer look at the causes of turf toe and see how to treat it more effectively. Turf toe is actually a form of hallux limitus. Hallux limitus is classically described as pain and progressive decrease in the range of motion of the first metatarsal phalangeal joint (MPJ). The onset of hallux limitus is due to the following: Functional hallux limitus -...


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