Aacharya Vagbhata: ( A. S. Su. 29)
Definition of Nasya karma: The procedure of instilling medicines through the nasal orifice is called Nasya karma.
The nasal orifices are believed to be the entrance of the head. The medicine instilled through them easily penetrates the Sringataka and spreads to the Siras (arterioles) of head(shira), eyes(netra), ears(shrotra), throat(kantha) and expels out the impurities.
Types of nasya karma:
According to the functions the nasya karma is of 3 types.
- Virechana nasya.
- Brihmana nasya
- Shamana nasya.
According to the quantity of the nasya drug used it is of 2 types.
- Marsha nasya
- Pratimarsha nasya.
It is mainly indicated in the diseases of head caused by Kapha dosha or its predominance like:
- Heaviness of the head(adhigaurava)
- Swelling or tumor in the head(shopha)
- Feeling as if something sticking on the head(upadeha)
- excess secretions(srava)
- excess salaivation(praseka)
- Loss of taste(arochaka)
- hoarseness of the voice(swarabheda)
- worm infestation in the head(krimi)
- loss of smell(gandha agnana)
- Ring worm infestation(dadru)
Which form of the shirovirechana drugs should be used here?
- Decoction(Kwatha), powder(choorna),fresh juices(swarasa), unctuous substance(sneha) prepared with the shirovirechana drugs.
- Honey(madhu), salt(saindhva), fermented products(aasava), pitta(bile juice), Urine(mootra) mixed with the shirovirechana drugs can be used.
- Drugs and their preparations can be decided according to the disease.
- For persons timid or fearful(bheeru), lady(stree), imatiated(krisha), tender and delicate(sukumara), the virechana nasya drug should be used in the unctous(sneha) form.
- In the conditions like Diseases of throat(galaroga), fever due to vitiation of three doshas(sannipata jwara), excess sleep(atinidra), psychological disorders(manovikara), diseases of the head due to worms(krimija shiroroga), twitching of the eye(akshi spandana), disorders of vision(timira), krichra, Poison(vish peedita), conjunctivitis(abhishyanda), snake bite(sarpadamstra), loss of conciousness(visamjna) virechana nasya drug should be used in the powder form.
These conditions need quick acting drugs as they have highly aggravated doshas.
Powders(choorna) create vegas simply by keeping it near the nostril.
- Indicated in vataja or vata predominant diseases like-migraine( Sooryavarta)
- diseases of head due to worms(krimija shiroroga)
- constriction of the eyes( akshi sankocha)
- tremors of the eyes( akshi spandana)
- defects of the vision(timira)
- difficulty in getting up from sleep(krichravabobhaka)
- toothache(danta shoola)
- tinnitus(karma nada)
- dryness of nose and the oral cavity( nasa mukha shosha)
- difficulty in speech(vaksanga)
- hoarshness of voice(swaropaghata)
- diseases of nape region(manya roga)
- frozen shoulder(avabahuka)
- insomnia(nidra naasha).
Which form of nasya drug should be selected here?
- Unctuous substance(sneha)
- exudation of trees or gum(niryasa)
- meat soup (mamsa rasa) and blood(rakta) processed with sweet and unctuous drugs which are indicated in the treatment of those particular conditions are used in the above conditions.
- Indicated in diseases due to the vitiation of blood and pitta ( raktaja and pittaja) like premature wrinkles(akaala vali)
- premature graying of hairs(palita)
- hair fall ( khalitya)
- psoriasis of the scalp(daarunaka)
- redness of the eyes(raktaraaji)
- blackish discoloration on face (vyanga)
- bleeding from nose(raktapitta).
Which form of the drug should be used here?
- Unctuous substance(sneha), fresh juice(swarasa) of the drugs indicated in the treatment of that particular condition are used.
- Milk(ksheera), water(udaka) are also used.
- In the balanced state of the humors(samyavastha ) or in healthy condition anu thaila can be used.
Different names of the nasya karma depending on the preparation of the drug:
- Avapeeda nasya: Virechana or shamana nasya where the paste of the drug(kalka) is squeezed into the nostril is called avapeeda nasya.
- Pradhamana nasya: Virechana nasya where the powder(choorna) is used is called pradhamana nasya.
- The main purpose of all nasyas is to expell the kapha dosha(Kapha virechana) from the head. So all nasya karmas are called as virechana nasya. When strong drugs are used in the virechana nasya karma it is called as shirovirechana nasya.
Quantity of the unctuous medicine in marsha nasya:
- Uttama maatra ---------10 bindu
- Madhyama maatra ------ 8 bindu
- Hrswa maatra ----------- 6 bindu
Quantity of decoction in marsha nasya:
- Uttama maatra --------- 8 bindu
- Madhyama maatra ---- 6 bindu
- Hrswa maatra ---------- 4 bindu.
Bindu: The amount of the liquid trickling down from the index( pradeshini) finger which is dipped in the liquid up to the 2nd interphalangal joint and taken out is called one Bindu.
Quantity of the powder in the pradhamana nasya:
The quantity of powder required to reach the throat (kantha) when blown through a 6angula long pipe is the quantity for pradhamana nasya. This can be repeated multiple times depending on the intensity of the doshas.
Marsha nasya is contraindicated before the age of 7years and after the age of 80 years.
Nasya Kala: ( Proper Time To Administer Nasya)
- In Vata predominant diseases the nasya should be administered in the evening(aparaahnna)
- In Pitta predominant diseases the nasya should be administerd in the noon(madhyaahnna).
- In Kapha predominant diseases the nasya should be administered in the morning(poorvahnna).
- In conditions like excessive salivation(lalasrava), talking in the sleep(supta pralapa), teeth biting(dantakatakatayana), making different sounds from the throat in the sleep(krathana), difficulty in opening the eyelids(krichronmeelana), foul odor from the mouth(pootimukha), tinnitus(karma naada), thirsty(trishna), facial paralysis(ardita), diseases of the head(shiroroga), difficulty in breathing(shwasa), cough(kaasa), insomnia(anidra), the nasya should be administered in the night(raatri).
- In order to maintain the health(swsthavritta) and in the cold season(sheeta ritu) the nasya should be done in the noon(madhyahnna).
- In sharad ritu and in vasanta ritu the nasya should be done in the morning(praahnna).
- In greeshma ritu it should be done in the evening(aparaahnna).
- In varsha ritu it should be done whenever the sun is visible(aaditya darshane) in the sky.
- While administering the panchakarma procedures it should be done after the completion of medicated enema( vasti karma).
Contraindications For Nasya Karma:
- One who has taken food(bhukta bhakta)
- One who has taken unctuous substance(sneha peeta)
- one who has taken alcohol, water, or desirous of drinking them
- One who has gara visha in his body
- one who has taken head bath or one who wants to take head bath
- Siradivyadha sruta rakta( one who is bleeding due to the blood letting by puncturing the veins or any other causes)
- One who has urge for passing urine, stools etc
- One who is suffering from injuries(abhihata)
- immediately after vamana, virechana, basti karma, pregnant lady, first 45days after delivery(sootika), acute coryza (navapratishyaya),breathing difficulty( shwasa), cough(kasa), amenorrhea (anartava) and durdina(inauspicious day). In these conditions the nasya karma should not be performed.
Effects of nasya in above conditions:
- Nasya administered immediately after the intake of food makes the stimulated doshas to move in the upward direction and causes vomiting, breathing difficulty(shwasa), cough(kasa), coryza(pratishyaaya).
- The nasya administered to a person who has taken unctuous substance or who is going to take unctuous substance will destroy the secretions of his eyes, nose, oral cavity and causes defects of the vision(timira roga), diseases of the head(shiroroga).
- Nasya administered to a person who had his head bath causes head ache (shira shoola), pain in the eyes(akshi shoola), pain in the ears(karma shoola), diseases of the throat(kantha roga), rhinitis(peenasa), lock jaw(hanusthambha), stiffness in the nape region(manya stambha), facial paralysis(ardhita), tremors of the head( shira kampa).
- Nasya administered to a person who is going to take bath will cause stiffness in the head, sluggishness of the head( shirojaadyatwa), tastelessness(aruchi), rhinitis(peenasa).
- Nasya administered to the bleeding person causes emaciation( kshamata or krishata), tastelessness(aruchi), weak digestive fire(agnimaandya).
- Nasya administerd to a person who has suppressed the natural urges(vegas) like urination, defication, etc leads to the diseases caused by suppressing those particular natural urges.
- Nasya karma in injured person aggravates the pain.
- Nasya karma immediately after emesis(vamana), purgation(virechana), medicated enema(bastikarma) causes breathing difficulty(shwasa), cough(kasa), destruction of voice(swara haani), destruction of sense organs(indriya haani), heaviness in the head(shirogaurava), itching(kandu), worm infestation(krimi dosha).
- Nasya karma in pregnant lady causes hatred ness towards food( bhakta dwesha), fever(jwara), syncope(moorcha), hemicrania(ardhavabedhaka) to the mother, and causes blackish discoloration of the facial skin(vyanga), anomalies (vikalendriyatwa), mental disorders(unmada), epilepsy(apasmara) to the child.
- Nasya karma to a lady within the first 45days of the delivery (sootika) will cause the same effects as in bleeding.
- Nasya karma in acute coryza(navapratishyaya) will cause blockage of the channels(srotorodha), chronic coryza(dushta pratishyaya), hairfall(kesha shaata), worm infestation(krimi), itching(kandu), eczema(vicharchika).
- Nasya in a person suffering from breathing difficulty(shwasa) or cough(kasa) aggravate the condition.
- Nasya done on a wrong time and on a inauspicious day will lead to headache(shiroruk), tremors(vepathu), rigidity(sthaimitya), itching(kandu) and inflammation(paaka) in palate(taalu) and eyes(netra), stiffness in the nape region(manyasthambha), diseases of the throat(kantha roga), coryza(pratishyaya), boils on the scalp(arumshika).
Treatmaents For The Complications:
In case of complications the vaidya should analyze the site of the disease and aggravated doshas and plan the treatments like snehana(oliation), swedana(fomentation), shirolepa(application of the paste on the scalp), vaktra lepa(application of the paste inside the oral cavity), parisheka(pouring the warm liquid on the affected part), teekshna avapeeda, dhooma(medicated smoke), gandoosha, etc.
- When rooksha nasya administered in the pregnant lady milk processed with punarnava, kakoli, kapikacchu or milk processed with bala, vidari, shaliparni, meda is given to drink. Ghee prepared using the same drugs is also used internally.
For shiro vasti and karnapoorana oil processed with vata pacifying drugs is used.
Brihmana (nourishing) food should be given to her.
- In other complications the treatment of that particular disease should be followed.
Nasya Vidhi( Procedure):
- Select a patient suitable for the nasya procedure.
- Identify a good day.
- Just before the nasya procedure the patient finish natural urdes like urination, defecation, etc or the patient should be should be free of all natural urges while administering the nasya.
- His face and the oral cavity should be cleansed.
- He should not be hungry.
- His head should be oileated and fomented, and the channels should be cleaned by prayogika dhoomapana.
- Select a room which is free of breeze.
- The person should lie on his back with extended hands and feet. The feet portion should be slightly raised.
- His supraclavicular part of the body should be fomented with the heat of the palms(paani taapena ) repeatedly.
- The nasya medicine should be divided into three portions and taken in silver or golden or copper or shukti container, and heated by keeping it over the hot water.
- Slightly extend the patient’s head.
- Cover the eyes with a four folded cloth using the left thumb and little finger.
- Slightly lift the tip of the nose using the left middle finger. The left index and ring finger are used to close each nostril while instilling the medicine into the nasal orifice.
- Close one nasal orifice and instill the Luke warm medicine into the other nostril using the right hand. The medicine should be instilled as a uninterrupted flow(dhaara), so it should be taken in a pranaadi(a small vessej which has a pipe like projection) or a cotton swab. Repeat the same procedure on the other side also.
Post operative steps:
- The patient should slowly inhale the instilled medicine.
- Simultaneously his ears, forehead(lalata), Scalp(kasha bhoomi), ganda, nape region(manya), Shoulders(skandha), palms(paani tala), feet(paada tala) are gently massaged.
- When the medicine reaches the throat he should spit it by turning to his right side or left side. He should be instructed not to swallow the medicine. Swallowing the mucus mixed medicine suppress the digestive fire and increases the doshas. Spitting by turning to only one side will prevent the medicine from spreading into all siras(arterioles).
- Until all the medicine comes out repeat the fomentation and patient should repeatedly inhale and spit out the medicine.
- Once instilled medicine comes out completely, repeat the procedure with 2nd and 3rd portion of the medicine after assessing the strength of the doshas etc.
- In case of virechana avapeeda nasya in the post operative procedure one should administer sneha nasya after assessing the strength of the dosha.
- After the completion of the procedure the patient should lie down on his back with eyes open upto 100countings.
- Then to pacify the remaining doshas virechanika dhoomapanam should be done or which ever dhoomapana indicated in that particular condition is administered.
- Warm water gandoosha(gargling) should be done after the dhoomapana(medicated smoking).
- The restrictions explained for post snehapana should be followed here also. But here excess water intake should be avoided.
- Repeat the whole procedure on the 3rd day.
- In hiccough(hikka), derangements of the voice(swaropaghaata), stiffness in the nape region(manya stambha), convulsive disorders(apataanaka) and diseases of the head due to the vitiation of wind(vataja shiroroga) nasya karma can be done once or twice daily. The procedure can be repeated for 5 or 7 or 9 days or till the samyak nasya symptoms appear.
Samyak nasya lakshanas (Effects of proper application of nasya karma):
- Due to the proper oleation and expultion of doshas from the head the person will experiences sukha(strain free) inhalation and exhalation.
- He will get sneezing in proper time.
- His sleeping and waking up will be on time without any discomforts.
- His head(shira), oral cavity(vadana), and sense organs(indriyas) will be clear.
- The condition for which the nasya was done will subside(roga shaanti).
Nasya ayoga lakshanas( Effects of deficient application of nasya karma):
The deficient application of nasya karma will cause vataja diseases.
Nasya atiyoga lakshanas( Effects of excessive application of nasya karma):
The excessive application of nasya karma will cause kaphaja diseases.
Treatments for the complications:
Complications have to be treated according to their respective treatments explained in the other chapters.
What are the effects of ignoring the operative steps?
- The medicine should not be too little. The under dose of the nasya medicine will stimulate the doshas but is unable to expel them out. This causes heaviness(gaurava), tastelessness(aruchi), cough(kasa), excessive salivation(praseka), rhinitis(peenasa), vomiting(chardi) and diseases of the throat(kantha roga).
- Excess medicines instilled into the nasal orifice causes effects of excessive application of the nasya karma(atiyoga lakshanas).
- The complete dose of the medicine should not be instilled at once. By doing so the patient may suffer from excessive oleation of nose and throat(utsnehana), diseases of the head(shiroroga), coryzya(pratishyaya), excess moisture of the nostrils(ghrana kleda), difficulty in inhalation(ucchwasoparodha).
- The medicine should not be too hot. Hot medicine will cause burning sensation(daha), Inflamation(paaka), fever(jwara), bleeding from the nose(raktasrava), head ache(shirovedana), weakness of the vision(dristi daurbalya), unconsciousness (moorccha), giddiness(bhrama).
- The medicine should not be too cold. The cold medicine causes effects of deficient application of the nasya karma(ayoga lakshanas).
- While administering the medicines the head should not be raised. The raised head during the procedure prevents the proper spreading of the medicine in the head and causes ayoga lakshanas.
- The head should not be too low while administering the medicine. In the hyper extended head the medicine spreads fast and deep causing syncope(moorcha), sluggishness or inactivity(jaadya), itching(kandu), burning sensation(daha), fever(jwara).
- The patient should not constrict his body while instilling the nasya medicine. The constricted body prevents the proper spreading of the medicine and proper stimulation of doshas and causes pain, stiffness.
- If the patient becomes unconscious(moorccha) during the procedure due to incompetence of the medicine or due to the vega created by the medicine immediately cold water should be sprinkled all over body except on the head.
- The patient should not laugh, talk, shake, or become angry, inhale the medicine in upward direction (ucchindana ) while instilling the medicine into the nostril. These actions cause headache(shiroruk), catarrh or cold(pratishyaya), cough(kasa), defects of the vosion(timira), hair fall(khalitya), premature graying of hair(paalitya), blackish discoloration of the facial skin(vyanga), mole(tilakaalaka), acnes(mukhadooshika).
- injury to the chest(urakshata)
- dryness of the oral cavity(mukhashosha)
- old age(vriddha)
- tender or delicate personality(sukumara). Pratimarsha nasya can be administered in unseasonable time(akaala)
- inauspicious day(durdina) and rainy season(varsha)
- from birth to death (aajanma marana).
- Chronic catarrha(dushta pratishyaya)
- worm infestation and diseases of head involving multiple doshas(bahudosha krimina shiro)
- one who drank alcohol(madya peeta)
- weakness of the hearing organ(durbala shrotra). Pratimarsha nasya given in these conditions will aggravate the condition as the doshas are in highly aggravated state.
Time for pratimarsha nasya:
Aachaarya Vagbhata explained 15 kaala(time) along with their specialties.
- Praatah kaala (Morning)
- Bhuktavaschante(After the food intake)
- Pratimarsha administerd in these 2 conditions leads to the clarity of the channels(sroto shuddhi), lightness of the head( shirolaaghava), clarity of the mind(manhprasada).
- Vit visarjanante( after defication)
- Mootra visarjanante(after urination)
- After the head massage(shiroabhyanga)
- Kavalante (after gargling)
- Anjanante (after collyrium application)
- Pratimarsha nasya in these conditions leads to clarity of the vision(dristi prasada)
- After danta dhaavana(after brushing the teeth)
- Pratimarsha nasya administered after danta dhavana will lead to strong teeth(danta dridhata), sweetness of the odour(saugandhya).
- Adhwagamanante( afrer long walk)
- Vyayamante( after the exercise)
- Vyavayante ( after the sexual intercourse)
- Pratimarsha in these conditions helps in reducing the tiered ness(shrama), klama, sweat(sweda), stiffness(stambha).
- Divaswapnante( after the day sleep)
- Pratimarsha nasya after the day sleep helps in reducing the sleepy feeling after waking up from the day sleep( nidra shosha), heaviness(gaurava) and gives clarity of the mind(manahprasada).
- atihasitante(after excess laugh)
- Pratimarsha nasya here will pacify the aggravated wind.
- Charditante(after vomitimg)
- Helps to expel the kapha dosha which is sticking inside the channels.
- Dinante( at the end of the day)
- Causes srotoshuddhi(clarity of channels) and proper sleeping and waking up(sukha nidra prabodha).
Quantity of Pratimarsha nasya medicine:
2 or 1 bindu is the quantity of the medicine indicated for Pratimarsha nasya by aacharya vagbhata.
That quantity of the medicine which does not aggravate the non-aggravated doshas is considered as the correct quantity.
- Administering the pratimarsha nasya daily gives us the effect same as that of marsha nasya, but they are not the same.
- Thaila is the best sneha(unctuous substance) for the daily use as head is the main seat of kapha dosha.
Aacharya Sushruta: ( Su. Ch. 40/ 20 – 57)
Aacharya Sushruta has explained 2 major types of the nasyas which have 5 subtypes.
- Shirovirechana nasya
- Snehana nasya
The five folded classification is –
- Shirovirechana nasya
- Pratimarsha nasya
- Avapeeda nasya
- Predhamana nasya
Among these Nasya and Shirovirechana nasya are the two main and important ones. Pratimarsha nasya is a type of Nasya.
Avapeeda nasya and pradhamana nasya are the types of Shirovirechana nasya.
Indications Of The Snehana Nasya:
The sneha nasya is administered to make up the deficient oily matter in the head in cases like emptiness of the head(shoonya shirasa), to impart strength to neck, shoulders, chest(greeva-skandha-uraso bala jananartham), to improve the vision(dristi prasada jananartham).In conditions like the diseases of the head due to the vitiation of wind(vataja shiroroga), falling of teeth, hair of the scalp and beard(danta-kesha-smashru paata), ear ache(karna shoola), tinnitus(karna kshweda), defective vision(timira), hoarseness of the voice(swaropaghata), diseases of the nose(nasa roga), dryness of the mouth(aasya shosha), frozen shoulder(avabahuka), premature wrinkles-graying of the hairs(akaalaja vali-palita), disorders arising due to wind and fire(vatapittaja vikaras), diseases of the oral cavity(mukha rogas).
Unctous substance prepared by vata and pitta pacifying drugs.
Quantity of the medicines for Sneha nasya:
The dosage of the medicine should be decided after analyzing the strength of dosha, disease and the person.
Prathama maatra: 8 Bindus (first dose)
Dwiteeya maatra: Shukti ( 32 Bindu) (second dose)
Triteeya maatra: Paani shukti ( 68 Bindu) (third dose)
Indications For Shirovirechana Nasya:
Conditions of palate-throat-head due to the vitiation of kapha dosha(Taalu-kantha-shira effected by kapha dosha), anorexia(arochaka), heaviness of the head(shirogaurava), head ache(shira shoola), coryza(peenasa), hemicrania(ardhavabedhaka), worm infestation(krimi), coryza(pratishyaya), epilepsy(apasmara), loss of the smell sensation(gandha ajnana), diseases of the head due to kapha dosha)kaphaja shiroroga.
Unctous substance prepared by the shirovirechana drugs.
Quantity of medicines for shirovirechana nasya:
- Minimum dosage: 4 Bindu
- Medium dosage: 6 Bindu
- Maximum dosage: 8 Bindu
Time of administering Sneha nasya and shirovirechana nasya:
- These two types of nasyas should be administered during the annakala( before food).
- In kapha diseases they should be administered in the Morning(poorvahnna)
- In pitta diseases it should be administered in the Noon(madhyahnna)
- In vaata diseases it should be administered in the evening(aparahnna).
- Nasya should be performed when the sky is not covered with clouds.
- Person who is suitable for the nasya karma should be selected.
- Before starting the procedure the patient should clear his natural urges.
- The patient should be asked to clean his oral cavity with tooth twig and medicated smoking.
- His gala( neck), kapola(cheeks), lalata( forehead) should be gently massaged and fomented with the heated palms.
- Then patient should lie on his back with his arms and legs fully starched outwards, in a room which is free of breeze, sun and dust particles.
- The head should be slightly extended. Eyes should be covered with a clean cotton cloth.
- The medicine should be taken in a silver or golden or copper or mud container and heated by keeping it over the hot water.
- The tip of the nose is slightly lifted with the left pradeshini finger and the Luke warm oil is instilled into the nostril with the right hand. Here the medicine should be taken in a shukti or cotton swab in order to get the continuous flow while instilling. The care should be taken not to spill the oil into the eyes.
- While instilling the medicine the patient should not laugh, shake, talk, sneeze or get angry. These actions prevent the oil from reaching to the desired places and cause cough,coryza( pratishyaya), diseases of the head(shiroriga), diseases of the eyes(nerta roga).
Post Operative Procedures:
- The patient should spit out the medicine which has reached the throat without swallowing it, otherwise it may aggravate the kapha dosha.
- Immediately after the instillation of the medicine into the nostrils, patient’s neck and cheeks should be gently fomented and the medicated smoke should be administered.
- After the completion of the procedure a anabhishyandi(food which does not generate kapha) food should be given to the patient
- The patient should avoid the exposure to dust, smoke, sun, anger, and he should not take alcohol(madya), liquids, head bath, traveling(atiyaana), anger(krodha).
Nasya yoga( samyak lakshana) of snehana nasya:
Lightness of the head(shirolaghava), timely sleeping and waking up without any discomforts( sukha swapna prabodhana), alleviation of the disease(vikaropashamana), clarity of the sense organs(indriya shuddhi), happy feeling of the mind(manahsukha).
Atiyoga symptoms of snehana nasya(effects of excess application):
Excess secretion of the kapha(Kapha praseka), heaviness in the head(shirogurutwa), dullness of the sense organs(indriya vibhrama), excess oiliness of the head.
Drying treatments should be done. (rooksha upachaara)
Ayoga symptoms of snehana nasya( effects of deficient application):
(Vaata derangement, dryness of the sense organs, non-alleviation of the diseases(roga ashanty).
Repeat the nasya karma.
Samyak yoga of vairechanika nasya(effects of proper application):
Lightness of the head(shirolaghava), clarity of the channels(srotasam shuddhi), alleviation of the disease(vyadhi shanty), clarity of mind and sense organs(chitta and indriya prasada).
After the nasya samyak yoga, a sneha nasya with ghee should be administered.
Ayoga symptoms of vairechanika nasya(effects of deficient application)
Itching(kandu),coated feeling in the head( upadeha), heaviness(guruta), excessive secretion of kapha(kapha samsrava).
Kapha shamaka treatment.
Atiyoga symptoms of vairechanaika nasya(effects of excessive application)
Expulsion of the brain matter(mastulugagamanam), wind aggravation(vatavriddhi), dullness of the sense organs(indriya vibhrama), emptiness of the head(shira shoonyata).
Vata shamaka treatment.
- Nasya karma can be administered with a gap of 1day, 2days, 7days, or 21days.
- In the patient of wind aggravation (vata rogi) it can be administered twice in a day.
Indications for Avapeeda nasya karma:
- In the disorders of head due to the vitiation of kapha dosha and meda dhatu, a person who is unconscious due to snake bite.
- In these cases any one of the shirovirechana drug is crushed and the juice is squeezed into the nostril and follow the other procedures of virechana nasya karma.
- In case of weak person(kheena purusha) and raktapitta rogi the drugs like sugar(sharkara), sugar cane juice(ikshurasa), milk, ghee and extract of meat(mamsa rasa) are used for the avapeeda nasya.
- In case of emaciated(Krisha), weak(durbala),timid( bheeru), delicate(sukumara), lady(stree), the unctuous substance processed with shirovirechana drugs or the paste(kalka) of the shirovirechana drug are used for the avapeeda nasya.
Indication for Pradhamana nasya:
In cases of derangement of the mind(chetana vikriti), worm infestation(krimi), poisoning(visha peedita).
In these conditions one of the shirovirechana drug is powdered and sprayed into the nasal orifice.
Contraindications For The Nasya Karma:
One who has just taken his meals(bhuktavan), fasting(langhana), acute coryza(taruna pratishyaya), pregnant(garbhini), one who has taken unctuous substance-water- alcohol-or any other liquids(peeta sneha-udaka-madya-drava), indigestion(ajeerni), after vasti(dattabasti), one who is angry(kruddha), gara visha, Thirsty( trisha), one who is suffering with grief(shokabhibhoota), tierd(shranta), young(baalaka), old(vriddha), one who has suppressed natural urges(vegaavarodhita), who has taken head bath(shira snata) or one who wants to have bath, amennohrea(anaartava), when the sky is covered with clouds(meghaacchanna aakaasha). These conditions are contraindicated for dhooma pana also.
Complications Of Nasya Karma (Nasya Vyapad)
Instilling the nasya drug in under or over dose, in very hot in very cold temperature, by hyper extending the head, sneezing, shaking or administering the nasya in the contraindicated conditions will lead to conditions due to increased or decreased doshas, thirst(trishna), belchings(udgaara) etc complications.
Aachaarya Sushruta has classified the complications into 2 types.
- Doshotklesha janita
- Doshakshaya janita.
Their treatments should be done accordingly.
In doshotklesha janita complications shamana and shodhana treatments should be done.
In doshakshaya janita complications brihmana treatments should be done.
Sushruta explains 14 times to administer the pratimarsha nasya.
- 1. Praathkaala or talpothita(after getting up in the morning)
- Pratimarsha nasya administered in this time helps in cleaning the mala (sticky secretion) from the nasa srotas which is collected in the night and also causes the cheer full state of the face( mukha prasannata).
- Prakshaalita danta(after brushing teeth)
- Leads to strong teeth(danta dridhata) and sweet odour of the mouth(vadana saugandhya).
- Grihaannirgacchata(before going out of the house)
- Keeps the nasa srotas moist and hence protects the body from dust and smoke.
- Vyayamante(after exercise)
- Vyavaayante(after sexual intercourse)
- Adhwagamanante(after a long walk)
- Helps in reducing the tiered ness.
- Mootra vegante(after urination)
- Adhovatante(after defication)
- Helps in reducing the heaviness of the vision(drishti gurutwa).
- Kavalante((after gargling)
- Anjanaante(after the application of collyrium)
- It helps to invigorate the eye sight(drishti prasadana).
- Bhuktavata(after eating food)
- Leads to clarity of the channels(srotoshuddhi) and lightness of the body(laghuta).
- Charditavata(after vomiting)
- Will create the urge to eat food by clearing the kapha sticking to the srotas(channels).
- Divaswapnothitena(after getting up from day sleep)
- Helps in removing sleepy feeling(nidra shesha), heaviness(gaurava), filthy accumulations in nose,etc(mala), and hence creates concentrated state of mind(chittaikagrata).
- Person will have sukha nidra and prabodhana(helps in getting a good sleep and easy awakening).
Quantity of Pratimarsha nasya drug:
The quantity of the drug which being lightly snuffed in, reaches down into the oral cavity is deemed adequate for a dose of the Pratimarsha nasya karma.
General benefits of the pratimarsha nasya:
Cures the conditions peculiar to the supra clavicular regions of the body, causes clarity of the sense organs, imparts sweet aroma to the oral cavity.
Also helps in the prevention of premature wrinkles(valee), premature graying of hairs(palita), hair fall(khaalitya), blackish ness of the facial skin(vyanga).
Provides strength to the jaw-teeth-head-neck-trika-arms- chest(hanu, danta, shira, greeva, trika, baahu, uras).
The unctuous substance used for nasya according to the doshas:
- In savaata kapha(conditions arising due to the combination of vata and kapha) – Thaila is used.
- In kevala vata(conditions due to only vaata) – Vasaa is used.
- In conditions due to pitta –- Ghee (sarpi) is used.
- In savaata pitta(conditions arising due to the combination of vaata and pitta)—Majja is used.
Aacharya Charaka explains about the drugs used for the purpose of shirovirechana and their benefits in the 2nd chapter of the sootra sthana.
Drugs use full in shirovirechana:
Apaamaarga beeja, pippali, mareecha, vidanga, shigru, sarshapa, tumburu, ajaaji, ajagandha, peelu, ela, harenuka, prutweeka, surasa, shweta, kutheraka, phaninjaka, shireesha beeja, lashuna, haridra, lavana dwaya, jyotishmati, naagara are used for the shirovirechana or nasya karma.
These drugs are used for shirovirechana in conditions like heavy ness of the head(shirogaurava), headache(shira shoola), rhinitis(peenasa), hemicrania(ardhaavabedhaka), worm infestation of head(shirogata krimi), epilepsy(apasmara), derangement of smell sensation(ghraana naasha), fainting(pramohaka).
(Ref : Cha. Su. 2/3,4,5,6)
Aacharya Charaka explains about the time and its benefits in dinacharya chapter.
Ref: Ch. Su. 5/56
Every year one should under go the nasya karma with Anu thailam in Praavrit(rainy season), Sharad(autumn) and Vasanta(spring season) ritus when the sky is free of clouds.
But in emergency conditions the nasya procedure can be done in other seasons also like in greeshma ritu it shoud be administered in the poorvahnna(morning), in sheeta ritu it should be done in the noon(aparahnna) and in varshaa ritu it should be done when the sky is not covered by cloudes.
- The healthy person who undergoes the nasya karma in suitable season with suitable drugs will never suffer from the impaired functions of eyes, nose, ears. The hairs of the scalp, beard will not fall and will not turn white or grey(kapila varna). The scalp hairs will start growing.
- Nasya karma performed in conditions like manya stambha(torticolis), shira shoola(head ache), ardita(facial paralysis), hanu sangraha(lock jaw), ardhavabedhaka(hemicrenia), peenasa(chronic coryza), shira kampa(head tremor) helps to cure those conditions.
- Anu thaila nasya administered in the suitable season nourishes the veins(siras), joints(sandhis), ligaments(snayu), tendons(kandara) of the head and makes them strong. The person’s face becomes cheerful and well developed (mukha prasannata). His voice will be melodious( upachita), snigdha, stable(sthira), grave(mahan). It imparts clarity( vaimalya )and strength(bala) to all sense organs. It prevents the diseases of supra clavicular region of the body. Even when the person is aging his supra clavicular region will not show any symptoms of aging.
In Indriya sthana aacharya mentions about 7types of nasya , classified according to the part of the plant used. They are:
- Phala nasya
- Patra nasya
- Moola nasya
- Kanda nasya
- Pushpa nasya
- Niryasa nasya
- Twak nasya
Contra indications for shirovirechana: (Cha. Si. 2/ 21)
Indigestion(Ajeerni), ater food intake(bhukta bhakta), after drinking the unctuous substance(peeta sneha), one who wants to drink alcohol(madya) and water, head bath(shirasnaata) or who wants to have head bath, one who is suffering from hunger, thirst and tiered ness, intoxication(matta), Fainted(moorchita), injuired by weapon or stick(shastra or danda hata), one who is tiered due to exercise, sexual intercourse and alcoholic drinks,acute fever( nava jwara), grief(shoka), one who is under gone virechana and anuvasana vasti, pregnant lady,acute coryza( nava pratishyaya), in contraindicated seasons and durdina.
Complications of administering nasya in the contraindicated conditions.
- Nasya in a person suffering from indigestion or who is just eaten his food makes the doshas to block the channels moving in upward direction and causes cough(kaasa), breathing difficulty(shwaasa), vomiting(chardi), coryza(pratishyaya).
- Nasya administered to a person who has taken the unctuous substance or a person who wants to drink alcohol or water will lead to excess secretions from the nose, oral cavity and eyes, defects of vision( timira), diseases of head(shiroroga).
- Nasya karma performed in a person who has taken head bath or if the person takes the head bath after nasya karma leades to coryza(pratishyaya).
- Nasya karma performed in a person who is suffering from hunger will lead to aggravation of wind(vaata prakopa).
- Nasya karma in a person suffering from thirst will lead to aggravation of the condition and causes dryness in the oral cavity.
- Nasya karma in a person who is affected with tiered ness, intoxicated (mada), fainted(moorcha) leads to the symptoms similar to that of aasthapana vasti doshas like mental disorder etc.
- Nasya karma in person who is injured by weapons or stick(danda) will aggravate the pain.
- Nasya karma in a person who is tired due to exercise, sexual intercourse and alcohol intake will lead to pain in head, shoulders, eyes and chest region.
- Nasya karma performed in a person who is suffering from acute fever (navajwara) and grief(shoka) makes the heat to circulate through the nerves of the eye( netra naadi) and causes defects of vision(timira) and aggravates the fever.
- Nasya karma in a person who has undergone a purgation(virechana karma) destroys the sense organs due to the vitiation of the wind.
- Nasya karma performed in a person who has under gone anuvasana vasti leads to aggravation of the kapha and causes heaviness of the head, itching, worm infestation of the head.
- Nasya karma in a pregnant woman will block the fetus. The child will suffer from conditions like one eyed(kaanaha), hump backed(kuni), paralysis, peeta sarpi(one who crawls on his back).
- The nasya karma performed in acute coryza(navapratishyaya) causes the disorders of that particular channel(srotus).
- Nasya administered in improper season and on a bad day causes foetid nostrils(pooti nasya roga) and other diseases of the head(shirorogas) due to the effect of cold, heat etc of that particular season.
Indications for shirovirechana:
- Disorders of the head and teeth
- stiffness of the nape region(manya stambha)
- stiffness of throat and jaw(gala and hanu graham)
- disorders of cornea (shukra roga)
- defects of vision(timira)
- diseases of eye lids(vartma roga)
- blackish discoloration of facial skin(vyanga)
- disorders of neck- shoulders- scapular region(amsa)- oral cavity- nose- ears- eyes- head
- facial paralysis
- convulsive disorder(apataanaka)
- tingling sensation of teeth(danta harsha)
- looseness of teeth(danta chaala)
- redness of eyes(akshi raaji)
- hoarseness of voice(swarabedha)
- obstructed speech(vaakgraha)
- loss of speech(krathana )etc diseases of the supra clavicle region of the body and chronic vaata vikaras. In these conditions aacharya says the shirovirechana is the best treatment as it enters the head and expels only the vitiated doshas from the head.
References Of Panchakarma In Samhitas:
- In Apaamarga tanduleeya chapter aacharya Charaka says that the vaidya should perform snehana swedana followed by panchakarma when the doshas are in highly aggravated condition.
- “taanyupasthita doshanaam sneha swedopapaadanai Panchakarmani kurveeta maatra kaalav vicharayeth”( Ref: Ch. Su. 2/ 15)
- The diseases of the asthi dhaatu should be treated with panchakarma and medications.
- “asthyshrayaanaam vyadheenaam pancha karmaani bheshajam”( Ref: 28/ 27)
- One of the quality of pranaabhisara vaidya is having thorough knowledge about shirovirechna etc panchakarma aushadha ganas( knowledge about the groups of drugs used in pancha karma)
- “ shirovirechanaadeshcha pancha karmaashrayasya aushadha ganasya….”(Ref: 29/7)
- In siddhi sthaana the name of the 2nd chapter itself is panchakarmeeya siddhi chapter. Here he gives us a detailed explanation of indications and contraindications for panchakarma.
- One of the deciple of aacharya punarvasu aatreya questions that is there any disease which does not respond to the panchakarma procedures?
- Then Punarvasu aatreya replies that Urusthambha is one disease which does not respond to the pancha karma.(Ref: Ch. Chi. 27/ 5)
- In the first chapter of the Siddhi sthana aacharya explains in detail about the Panchakarmas to his deciples.( Ref: Ch. Si. 1/ 3)
- Aacharya Sushruta while explaining the treatments for Madhumeha says to follow the certain set of the treatments to a madhumeha patient who has firm faith in medicines and desirous of existence and in whose case the curative efficacy of panchakarma has been baffled.
“panchakarmagunaateetam shraddhavantam jijeevishum” (Su. Chi. 13/ 19)
1. Aacharya Vagbhata while explaining the contra indications for sira vyadha (blood letting by venesection) says that it should not be performed on a person who has taken unctuous substance internally and one who has under gone pancha karma procedures.
“ snehapeete prayukteshu tatha panchasu karmasu” ( Ref: A. H. Su. 27/ 9)
2. Aacharya Vagbhata says the nasya karma should be performed after the vasti karma while doing the panchakarmas.
“ panchakarmaanyaacharato bastikarmottarakaalameeva” (Ref: A. S. Su 29/15)
In Sushruta samhita, Astanga sangraha and Astanga hridaya the word PANCHAKARMA is used in very few places. Where as in Charaka samhita it has been used in many occasions.


Mental Health Providers
HELP IS AVAILABLE.
Whether you or your child are in a crisis or need help with daily challenges, the support of a mental health professional can make an enormous difference. Our community is full of wonderful social workers, psychiatrists, psychologists, and others who provide the resources, guidance, and tools we all need.
Here is a list of mental health providers who currently have openings and are taking on new clients:
Affiliates in Counseling
Courage to Connect
Glenview Counseling Group
Indigo Therapy Group
The Josselyn Center
North Suburban Center for Anxiety
Simply Bee Counseling
Youth Services of Glenview/Northbrook
Our goal is to keep this list updated, but please understand that availability may change suddenly.


|Home PageThumb Support|
Push Braces Ortho Thumb Brace CMC - to treat thumb osteoarthritis pain $83.76
The Push CMC thumb brace has been designed and developed by Push Braces in conjunction with eminent hand therapists Judy Colditz and Nettie Koekebakker.
This brace is now well accepted by many medical professionals as the best brace on the market for people who suffer from osteoarthritis of the CMC joint of their thumb.
CMC-1 osteoarthritis (thumb osteoarthritis of CMC joint) is a common thumb disorder. It is a type of ‘wear and tear’ of the articular cartilage, affecting in particular people between 40 and 60 years of age.The Push CMC is a slim and compact product. The brace can be used in the water. Hygiene is important around the hand. Therefore the synthetic material is antibacterial and the brace can be washed in a washing machine at 40°.
The Push CMC was especially developed for application with the following indications:
• CMC-1 osteoarthritis
• Postoperatively after arthroplasty of the CMC-1 joint
• Instability of the CMC-1 joint
In European countries, incidence rates vary between 16% and 25%. This means that one in every 4 to 5 people suffers from CMC arthritis.
Arthritis of the basal joint of the thumb, combined with a weakening of the ligaments, results in functional instability. This typically causes symptoms such as thumb pain, reduced hand function, weakness and stiffness. The thumb is responsible for an estimated 40% of all hand functions, so arthritis of the CMC joint may result in disabling restrictions of the hand.
Push has now introduced the ortho thumb brace CMC, or Push CMC for short. This new concept differs from standard solutions. The Push CMC stabilises the basal joint of the thumb and places the thumb’s metacarpal in a functional position. This creates a so-called ‘thumb arch’, which remains stable during activities of the hand and ensures proper gripping. It relieves the pain when the thumb is under stress. This method of stabilising leaves nearby joints, including the wrist, free. The aim is to achieve the best possible hand function.
The Push CMC thumb brace consists of a cylindrical section around the ball of the thumb and a fixed connection running along the palm to the outside of the hand. This can be closed at the back of the hand with two non-elastic bands. The cylindrical section consists of two components: an aluminium strip and a transparent, flexible, synthetic part. The aluminium strip can be shaped and individually adapted for maximum stabilization of the base of the thumb. The selected materials and rounded edges guarantee maximum comfort. The simple closing system enables patients to fit the brace themselves without any effort.
Please see the link below to a new article published in 2015 concerning the study entitled “Stabilization effectiveness and functionality of different thumb orthoses in female patients with first carpometacarpal joint osteoarthritis”, which was carried out by Nina Hamann et.al.
This article has recently been published in Clinical Biomechanics. In the article, three thumb orthoses were investigated in addition to the Push CMC. The study examined the stabilising capacity of the orthoses on the CMC joint and the MCP joint and the resulting effect of wearing the various orthoses on the function of the hand.
There are 36 reviews with an average rating of 4.77
Anonymous from United KingdomOwner30 April 2015 09:21
I've had pain in my hand/thumb joint which was gradually reducing what I could do. Quite incapacitating at times.Putting on the thumb brace makes a tremendous amount of difference and I can now garden etc. again with (almost!) impunity. I would highly recommend this to anyone with this problem. Well worth the money.
Darlene from United States of AmericaOwner07 March 2015 18:07
My doctor recommended this brace. It is great because it allows you to use your hand freely while supporting the thumb joint. Be sure to choose right or left. I foolishly just ordered one not realizing there was a right and left. Of course the one I received was for the hand that was not hurting. Hopefully, the new one I ordered will keep me from having surgery.
Seen a lower price elsewhere? Vivomed will do our best to match any price request, simply click below.
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The Health Benefits of Panax
We may never know when man first experienced erectile dysfunction, but we know that there has been a natural treatment for it originating from China and Korea used for thousands of years.
There are different kinds of ginseng which can be classified as red, white, or fresh. This classification is based on how long the period is before it is harvested. Four years pertains to fresh ginseng, between four to six years for white ginseng, and six years and above for red ginseng.
Another classification of ginseng is based on where its origins are located. American ginseng is known as Panax quinquefolius, while the ginseng mentioned above that treats ED and originates in Asia is referred to as Panax ginseng.
Panax ginseng (also called the Korean or red ginseng) is a powerful plant whose roots can positively contribute to improving one’s sexual function and promoting longevity and good health.
Here is a list of some of the health benefits of Panax ginseng:
Erectile Dysfunction Treatment
As mentioned above, Panax for ED is one of the most popular health benefits that can be gained from the ginseng for men. It enhances one’s physical performance which thus increases sexual stamina. Moreover, Panax ginseng not only helps with the hardness and duration of one’s erection; it also improves one’s libido and overall satisfaction.
Panax ginseng contains an antioxidant that helps reduce inflammation and can be used on the skin of people suffering from eczema. This antioxidant also contributes to increasing the production of nitric oxide (NO). NO is an essential component in stimulating an erection as it dilates the blood vessels in the penile area, allowing sufficient blood flow for an erection.
Brain Function enhancer
One of the health benefits of Panax ginseng is improving brain functions. This includes one’s memory, mood, and behaviour. A study conducted for four weeks resulted in an enhanced mental health condition, mood, and social functioning.
Immune System booster
Research conducted on the benefits of Panax ginseng to the immune system has been mainly focused on cancer patients. Studies show that stomach cancer patients who took 5,400mg of ginseng daily have improved their immune functions. More so, their symptoms have been less recurring.
Increased Energy Level
One of the things that people who take Panax ginseng have are lower fatigue experiences because of lower oxidative stress, together with an increased level of energy production.
Lowered Blood Sugar
Whether it’s American or Asian, ginseng proves to positively impact blood glucose control for people with or without diabetes. It helps in improving the uptake of blood sugar, pancreatic cell function, and insulin production. Moreover, ginseng extracts were found to provide antioxidant protection, which reduces the free radicals in the cells of those who have diabetes.
To conclude, Panax ginseng has been traditionally used over the centuries as a holistic wellness supplement. It has been proven safe and effective for:
- treating impotence
- reducing stress
- treating diabetes
- improving cardiovascular health
- increasing energy
Although Panax ginseng is a safe, and a natural remedy for erectile dysfunction, it’s always best to consult your doctor about taking any treatment. He or she can assess whether a treatment is ideal for you, depending on your prior and existing overall health conditions.


FISCAL IMPACT OF BILL ON ASSISTANCE AND COMPREHENSIVE HEALTH CARE DURING PREGNANCY AND EARLY CHILDHOOD (CD-54-2020)
The purpose of the National Law on Assistance and Comprehensive Health Care during Pregnancy and Early Childhood (Bill CD-54-2020) is to provide comprehensive care for the health and life of women, and other gender identities capable of gestation, and their children during the first years of life to reduce mortality and malnutrition, protect early bonds, physical and emotional development, comprehensive health, and prevent violence.
Based on the assessment carried out, it is estimated that the measures with fiscal impact for the national government would be those related to the expansion of family allowances policy (Sections 4, 5, 6, 7 and 10 of the Bill), training of personnel involved in the care of pregnancy and early childhood (Section 17) and the provision of medical tests and treatments for pregnant persons at risk of thrombophilia (Section 23).
The cost of the expansion of family allowances is estimated at AR$5.13 billion. For its part, it has not been possible to estimate the cost of personnel training since information on the duration and modalities, target population and personnel in charge of providing the training is required. Finally, in relation with the care for pregnant persons with high-risk pregnancy due to thrombophilia presumption, a fiscal cost of AR$381 million per 1,000 pregnant persons is estimated.


Using Collaboration to Accelerate Evidence for Maximum Impact
The Institute for Healthcare Policy and Innovation (IHPI) brings great minds together at the NCRC to address healthcare’s biggest challenges. At stake is nothing less than the future of healthcare–its effectiveness, accessibility, value, affordability, quality and safety.
The University of Michigan has been a leader in health services research for decades. Now, as our nation and our state tackle healthcare reform, it’s more important than ever to create novel solutions that will improve the nation’s healthcare system. Over 400 IHPI investigators from U-M’s top-ranked schools of medicine, nursing, public health, engineering, social work, law, business, and public policy, among others, as well as members of affiliated local research groups, are collaborating to generate the evidence-based research policymakers need to make meaningful change.
IHPI members aren’t just thinking about healthcare policy – they are working to improve conditions “on the ground.” Central to their mission is making a difference in communities, focusing especially on addressing disparities in healthcare access and quality in metropolitan Detroit and other Michigan communities.
Patient “prehabilitation” improves outcomes before surgery
Research conducted by U-M surgeons shows that among patients scheduled for major surgery, those who make even modest positive lifestyle changes prior to their procedure show impressive gains in how well they bounce back. A pre-surgery “boot camp” for patients is already in place within the U-M Health System to provide education, guidance and motivation for patients to quit smoking, lose weight, become more active, and reduce stress before major surgery.
Recently, thanks in part to additional statistical and data analysis support from a quality collaborative housed within IHPI, those U-M surgeons earned a $6.4 million grant to expand the program’s scale, rolling it out to about 12,500 patients in 40 hospitals statewide as the Michigan Surgical and Health Optimization Program (MSHOP). The team is led by Michael Englesbe, MD, an associate professor in the Department of Surgery, and co-principal investigators Darrell A. Campbell Jr., MD, UMHS Chief Medical Officer, and Stewart C. Wang, MD, PhD, a professor in the Department of Surgery, who pioneered a technique called analytic morphomics which is used in MSHOP’s risk assessment tool. Evidence gathered will measure not only the clinical relevance of “prehabilitation,” but its economic and social value as well. Read more about the program at www.uofmhealth.org/news.
Insurance reform: from NCRC to Capitol Hill
The history of healthcare is marked by an interesting paradox. Despite countless innovations with proven clinical benefits, such as immunizations, cancer screenings and preventative care measures, evidence indicates that Americans consistently underutilize these high-value services. For over a decade, U-M health service researchers led by Mark Fendrick, MD, have been working to unravel this mystery, and have devised a novel, yet remarkably intuitive response to it: Value-Based Insurance Design, or V-BID.
Fendrick, a professor in the Department of Internal Medicine and Department of Health Management and Policy in the School of Public Health, directs the U-M Center for Value-Based Insurance Design, located within IHPI’s NCRC space, which studies and promotes the V-BID approach. V-BID is an alternative to the traditional “one-size fits all” approach to insurance that requires the consumer to pay the same out of pocket cost for every diagnostic tool, procedure, or drug, regardless of its proven benefit.
V-BID replaces the one-size-fits-all model with the concept of clinical nuance, which acknowledges that 1) not all services, procedures, tests and drugs are of equal value, and 2) the benefits of a specific clinical action vary based on who receives it, who performs it and where it takes place. In the V-BID model, patients face low or no cost barriers for high-value services (those with proven clinical benefit); for low-value services (those for which clinical evidence is weak and/or indicative of potential harm), the opposite is true.
Fendrick’s team has an ever-growing body of compelling evidence that V-BID is a major improvement in health insurance, and it’s no surprise that it is one of the few components of healthcare reform that has gained widespread and bipartisan support. In July, legislation was introduced on Capitol Hill paving the way for the Centers for Medicare and Medicaid to test the V-BID concept through the establishment of a regional demonstration program for high-quality Medicare Advantage plans to use V-BID in their insurance coverage. Learn more at www.sph.umich.edu/vbidcenter/.
“Big Data” a big opportunity for IHPI-affiliated center
While Michigan has long been a leading source of health services research, IHPI members are finding new ways to do more with the data they gather and analyze. From day one, the visionaries behind IHPI recognized that harnessing the power of Big Data would be critical to advancing members’ research objectives, and that to do so would require purposeful coordination across the many schools and research groups.
In an $8.5 million federal research contract awarded this year to U-M, the University of Michigan Kidney Epidemiology and Cost Center (UM-KECC), an IHPI-affiliated program, has been selected to serve as the coordinating center for the United States Renal Data System (USRDS).
The USRDS is a national data system that collects, analyzes and distributes information about patients with chronic kidney disease and end-stage renal disease. As a coordinating center, the UM-KECC will collaborate with the National Institutes of Health and the Centers for Medicare and Medicaid Services to provide clinical, biostatistical, epidemiological, data management and analytical expertise to maintain and update the existing USRDS database.
The USRDS project includes a multidisciplinary team of 21 investigators in IHPI from the Medical School, the School of Public Health, the Frankel Cardiovascular Center, and the School of Pharmacy, as well as subcontractors from Arbor Research Collaborative for Health (an IHPI partner) and the University of California-Irvine. Learn more at www.uofmhealth.org/news.
IHPI by the Numbers
IHPI is a centerpiece of the NCRC portfolio, and expectations have been high from the start. So far, the institute is on a fast track to exceed those expectations.
It starts with asking the right questions, including those that are also vexing legislators struggling to craft better policies. It also includes using data to track their own progress. As the following metrics illustrate, IHPI is making an ever greater contribution to helping the NCRC realize its vision of becoming “a world of fast-paced scientific discovery that ignites improvements to humanity’s health and well-being.”
The NCRC was created to make it easier to come together to solve complex problems. IHPI is taking full advantage of the opportunity, and their unique platform is already reaping benefits. Member faculty and young investigators tell us they’re partnering with more people, from more diverse backgrounds than ever before, within the NCRC physical space, on campus, and across the nation.
IHPI’s member roster continues to grow as they take on the most pressing issues in healthcare with some of the most far-reaching and unique collaborations ever attempted in the field:
IHPI currently occupies approximately 77,000 net square feet of usable space. With IHPI’s allocated NCRC footprint near capacity, the Institute is looking for creative ways to configure space to make room for everyone looking to collaborate here. New collaboration spaces are near completion. These spaces, which will become available for use in 2015, will add 11,000 more square feet to the IHPI footprint.
Is the IHPI model paying off? By one important metric, it certainly is. In fiscal year 2013, $82.6 million in external funding was expended for health services research led by IHPI members.
Another key measure of success for academics is being published in a prominent scholarly journal or cited in a well-known national publication. To measure success, IHPI leadership first developed a set of parameters to determine which publications to track, and then selected an elite subset of publications based on one of two criteria: 1) the publication is regarded as a major journal in the field, or 2) the publication has a two-year impact factor rating of 10 or more, such as the Journal of the American Medical Association or the New England Journal of Medicine.
As IHPI Director John Ayanian, MD, MPP, Alice Hamilton Collegiate Professor of Medicine, notes, “It’s been thrilling to see the camaraderie developing here, and the progress we’ve made in such a short time. Connections are being made between investigators who might not otherwise have even met. Existing projects are benefitting from additional support and momentum, and new initiatives are launching almost every day. The IHPI is off to a terrific start.”
For more information visit www.ihpi.umich.edu.


“Goizueta gave me the confidence and creativity to think about things differently — to ask, ‘Why not?’”
After her undergraduate studies at Williams College, Lowell initially worked as a curator in New York at a gallery. “I hated it. I wanted to be useful in a more concrete way.”
Her decision to study family medicine led her to the University of Connecticut School of Medicine, where she earned her MD. During her residency in Lawrence, Massachusetts, Lowell began to understand the serious needs of underserved populations. “The community of Lawrence is about 90 percent Dominican immigrants, many of whom have very limited access to healthcare,” she explained.
Throughout her childhood, Lowell watched her mother — an attorney — do “good work for what she thought was right — helping those who couldn’t find help elsewhere.” Similarly, Lowell found herself drawn to helping the most underserved populations. During her time in Lawrence, Lowell became aware of the unmet needs of transgender people. She spent time at the Mazzoni Center in Philadelphia, which is exclusively devoted to LGBTQ health and well-being and transgender care. After completing her residency in 2013 and moving to Atlanta with her wife, Emily, Lowell realized she needed an MBA because “the field of medicine is run like a business in the U.S.”
While earning her MBA at Goizueta, she also treated patients, supervised residents at Emory and ran outpatient clinics. “My peers and classmates at Goizueta were amazing,” Lowell recalled. “Goizueta gave me the confidence and creativity to think about things differently — to ask, ‘Why not?’” That drive led Lowell to start an innovative transgender clinic in Atlanta to reach patients without access to affirming care, Queer Med.
“The help I provide — which is pretty basic — saves lives."
Although “Izzy has won awards and accolades for her work with the transgender community, Lowell dreams of a day when she’ll go out of business.“I hope that one day all of my patients will be able to go to their primary doctor and have insurance cover their medical care.”
Lowell noted that many of her patients could be treated by primary care doctors, but many in the medical profession claim to be unable to treat them. In reality,“hormone therapy is far more simple than, say, treating type 1 diabetes.” Lowell cited sobering suicide rates for members of the trans community — 41 percent have attempted suicide compared to 4.6 percent of the general public — and notes that among adolescents, the rates are “beyond unacceptable.”
“Kids and teens are a large part of my practice,” she said. “It’s not often as a primary care doctor that you get to save a life in such a concrete way. The help I provide — which is pretty basic — saves lives. For some teens, it’s ‘transition or die.’ That’s when parents seek me out. They might say, ‘I’m not fully on board with this. I just want them to live.’”
Lowell noted that during puberty, many teens feel “every ounce of hormone pulling them in the wrong direction. A lot of what I do is stopping puberty. If a trans woman grows up to be a 6-foot adult male-bodied person with a square face and jaw, the transition process is more difficult. Some people may choose that, but if she has the option to be 5 feet 10 with softer features, she may be much safer in today’s world.”


Welcome to our comprehensive services page, where we offer a range of transformative treatments tailored to enhance your well-being. With expertise in laser lipolysis, chiropractic care, and body contouring, we provide a holistic approach to help you achieve your desired results.
Nutritional Weight Loss And Wellness Packages
Embark on a transformative journey towards optimal health with our Nutritional Weight Loss and Wellness Packages. Each package is tailored to your unique needs, providing personalized nutrition plans that guarantee visible results, helping you shed inches and achieve your desired weight. But it doesn’t stop there – we go beyond the numbers, empowering you with the knowledge and tools to sustain your weight loss in the long run. Our expert team is dedicated to supporting you every step of the way, making your wellness goals attainable and ensuring a healthier, happier you.Our personalized nutrition plans are carefully crafted based on your unique needs, ensuring a balanced approach to achieve your weight loss goals while fostering healthy eating habits. Our expert team provides constant support and adjustments to the plan, helping you not only shed inches but also improve your overall well-being and energy levels. Beyond the program, you’ll have the knowledge and tools to sustain your newfound healthier lifestyle for a happier, more fulfilling life.
In our chiropractic care services, we leverage over 20 years of experience to address a variety of musculoskeletal conditions and promote optimal wellness. Our highly skilled chiropractors employ a range of techniques, including manual adjustments, spinal manipulations, and therapeutic modalities, to alleviate pain, improve mobility, and restore balance to your body. By focusing on the spine’s alignment and optimizing the body’s natural healing abilities, we strive to provide effective and long-lasting relief. Whether you are seeking relief from back pain, neck discomfort, joint issues, or overall wellness enhancement, our dedicated team will work closely with you to develop a personalized treatment plan tailored to your unique needs.
Red light Therapy and Body Contouring
Our laser lipo services utilize modern techniques and cutting-edge technology to effectively target and remove stubborn fat deposits, allowing you to contour your body and achieve a more sculpted appearance. Our experienced professionals combine their deep knowledge and skill with the latest advancements in laser technology to ensure precise and remarkable outcomes. By harnessing the power of laser energy, we can selectively dissolve and eliminate unwanted fat cells, promoting a smoother, more contoured physique. Rest assured that your safety and comfort are our top priorities, and we adhere to stringent safety protocols throughout the process.
When it comes to body contouring, we offer a comprehensive selection of innovative procedures designed to refine your figure and enhance your natural contours. Our team understands that each individual’s body is unique, which is why we provide a range of options to suit your specific goals and preferences. If you’re struggling to lose weight or you have been on the never ending yo yo diet- Laser Lipo and Nutrition is here to help. This will be the last time you’ll ever have to lose weight again. We pride ourselves in helping our clients create a new healthy lifestyle through nutritional counseling and customize a plan that works for you and your body. Are you looking for a quick, long-term, and healthy solution? Look no further than Laser Lipo and Nutrition. We offer the most effective weight loss programs all without surgery, needles, drugs, or downtime.
Our team of doctors and nutritional specialists have a perfect solution to fit your needs through cold laser light therapy, natural supplements, and nutritional support. Here at Laser Lipo and Nutrition, we are dedicated to helping you look and feel you’re absolute best. Call Today to schedule a free computerized body analysis. Our goal is to make a positive difference in the health of our patients but give you and teach you the tools to keep off the weight for good
Benefits of Red Light Therapy
Red light therapy is a treatment that uses low wavelength red light to reportedly improve your skin’s appearance, such as reducing wrinkles, scars, redness and acne. It’s also touted to treat other medical conditions such as wound healing and tissue repair; reduce pain and inflammation; improve psoriasis, rosacea and eczema; improve scars; improve sun-damaged skin; reduce stretch marks; reduce wrinkles, fine lines and age spots; and improve facial texture.
It’s important to note that while there is a lot of ongoing research on the effectiveness of red light therapy for all types of health uses, the full effectiveness of red light therapy has yet to be determined
Targeted areas in Red Light Therapy
• Upper/Lower Abs
• Upper/Lower Back
• Inner/Outer Thighs
• Face & Neck
• Weight Loss Anti-Aging
• Improving your Overall Health
• Body Slimming
• Cellulite Reduction
• Skin Tightening
• Collagen Growth
• Skin Cell Renewal
• Improved Circulation
There are NO Needles, NO Pain, NO Bruising, NO Downtime, NO Surgery.
Our Commitment to Satisfaction
At our esteemed clinic, we hold the firm belief that personalized care and unwavering attention to detail are paramount in delivering exceptional outcomes. We take the time to genuinely understand your individual concerns, aspirations, and expectations, recognizing that each person’s journey is distinctive. Our dedicated team is committed to creating a treatment experience that is exclusively tailored to your specific needs, crafting a customized plan that considers your unique circumstances, preferences, and goals.
From the moment you step through our doors, you can expect a warm and compassionate environment where you are the focus of our attention. We place great importance on actively listening to your needs, ensuring that we grasp the nuances of your situation and work collaboratively to develop an effective treatment strategy. Our experienced professionals possess an intricate understanding of the complexities of the human body, allowing us to formulate a comprehensive plan that addresses your concerns with precision and expertise.
We invite you to explore our comprehensive services and discover how we can help you transform your body and elevate your overall well-being. Take the first step towards a healthier, more confident you by scheduling a consultation with our experienced team. Together, we will embark on a transformative journey, unlocking your body’s full potential and empowering you to embrace a healthier, happier life. !


Truth About Israel
An AZM Educational Campaign
In many areas of Africa, health facilities are inadequate. There are severe shortages of supplies, equipment and trained personnel. Furthermore, many people suffer from various degrees of blindness due to cataracts, malnutrition, trauma and infections that aren’t properly treated.
Since 1960, Israeli ophthalmology specialists, in cooperation and in consultation with local authorities, have been visiting Africa to help those who suffer from eye disease. Over the years, Israeli eye clinics have cured and restored sight for thousands of people.
These eye clinics were sponsored by the Israeli Foreign Ministry’s Center of International Cooperation, known by its Hebrew acronym, MASHAV. Launched in 1958, MASHAV’s mission is to share with the rest of the developing world the know-how and technologies which provided the basis for Israel’s own development. It aims to promote sustainable development and social equity.


Occupational therapists are trained to help children succeed in activities of daily living in the home, school, and community. They are also trained to help children organize and interpret sensory information from the environment in an appropriate manner.
We will work with your child so that he/she can participate in the areas of bathing, grooming, dressing, feeding and playing.
Our occupational therapists will assist your child in learning how to develop fine motor skills to successfully master basic living tasks, such as: writing with a pencil (pencil grip), tying shoes, using scissors, zippering and buttoning buttons.
If your child has difficulty with visual perception and eye control, he or she will be treated by our occupational therapists to be able to recognize objects in order, to make adjustments regarding size and spatial relationships and to have the ability to use both eyes in a coordinated manner.
All of the sensory systems including sight, touch, taste, smell, hearing and even body movement and position can all affect child's development. If your child has any sensory deficits, our team will use age-appropriate activities in order to help your child regulate sensory input.
Eye-hand coordination, body awareness, balance, gross motor coordination mobility, flexibility and core strength are all crucial to your child's success and self-esteem, as they all collectively will allow your child to participate in and master age-appropriate physical skills and activities with their peers.
These skills allow for sensory information to be successfully understood by your child. Perceptual motor activities involve using the brain (cognitive skills) and (physical skills) simultaneously, like walking and talking at the same time.
Speech-language therapists are trained to help children effectively communicate their wants and needs to those around them. They are also trained to help with feeding and swallowing issues.
Children who have difficulty maintaining a heathy weight or are suffering from "failure to thrive," can benefit from treatment by our therapists. In this area, we work to increase your child's caloric intake and to expose your child to new varieties of food textures, tastes and temperatures. During feeding therapy, we also provide instruction and practice on sucking, chewing and swallowing. Oral aversion therapy can also be provided.
A variety of pediatric voice disorders can have profound effects on a child's life. If your child is experiencing changes in pitch, loudness and overall voice quality, they may benefit from voice therapy, which also includes treatment for resonance and fluency disorders.
Our speech and language therapists help children with both receptive (understanding, responding to and following directions) as well as expressive (using words or sign language to share thoughts and feelings with others).
If your child has difficulty hearing and differentiating sounds as well as sounding words out so that they may be understood by others, he/she should be evaluated for an articulation deficit or disorder.
During sessions with our speech and language therapist team, any difficulties with movement involving the mouth in order to speak, swallow Or eat will be addressed through strength training sessions, coordination practice and breathing therapy.
In children who suffer from childhood apraxia of speech (CAS), the brain has difficulty making plans for speech movement. If your child suffers from apraxia, our therapists will help create a therapy plan that focuses on practicing syllables, words and phrases in a repetitive and frequent manner
The Board-Certified music therapists who work with your child will use music interventions that are formed and shown effective by research evidence, music therapy theory and clinical practice. These therapeutic treatments include improvisation, songwriting, lyric analysis, music assisted relaxation and imagery, and developmental speech/language and cognitive music exercises. Music therapy also increases communication, socialization, and memory in children. Because music therapy bridges the gap between art and science, and the artistic nature of the therapy allows children to open up and explore their feelings.
May include both singing and instrument play using the child’s preferred music or music familiar to the child in order to address attention skills, language/speech skills, sensorimotor skills, and/or emotional skills.
Allows a child to explore the meaning, structure and lyrics of a song to allow opportunities to practice emotion identification, executive functioning skills, and encourage self-expression.
By combining these two fine arts, the child engages in a creative process to provide opportunities for emotional identification and self-expression, to facilitate and practice sustained attention skills.
Promotes relaxation and positive coping skills. This intervention can be used to decrease anxiety and stress.
Provides opportunities for creative self-expression, emotion identification, as well as reflection. This intervention also provides opportunities to explore decision making skills, can help increase self-esteem, and often is used to express the patient's medical journey and life experiences.
Unlike in regular music lessons, the ultimate goal is not mastering a new skill but rather providing the child with a meaningful distraction, a positive coping technique, and an outlet for expression all while increasing their self-confidence.
Watch Me Grow provides Habilitation, Respite Care, and Attendant Care for children and adults in their home and community. To be eligible for funding, families must be approved through Arizona Long Term Care Services (ALTCS)
This service is the children that need assistance with working on outcomes that are described in their Individual Service Plan.
This service provides short-term relief for the primary caregiver. This service can be provided any time of the day or evening that the caregiver requests for. Respite services are authorized by the Arizona Division of Developmental Disabilities (DDD). The maximum annual approval for respite is typically 600 hours.
This service is responsible for providing care to clients based on their current set of goals and level of functioning. It is used to increase independence in individuals and offer support services including improving communication, learning adaptive skills, independent living, and any other goals set by the support team. Habilitation may be used hourly.
8:00AM - 6:00PM
8:00AM - 6:00PM
8:00AM - 6:00PM
8:00AM - 6:00PM
8:00AM - 6:00PM


Blosm™ is a scientifically validated CBD lubricant for woman who suffer from genital discomfort and looking for a natural water-based solution.
Painful sex is a growing unmet condition
Pain-related intimate conditions are common but neglected female health problems causing devastating effects on woman's quality of life. Its prevalence is tremendously high; Nevertheless, many woman do not report this pain.
2 in 5 women suffer discomfort or pain during sex.
2 in 10 women suffer from genital muscle contraction
Developed by woman for woman
Blosm™ is bringing a new standard for intimate wellbeing through unique and validated wellness products designed for women’s bodies by women’s experiences.
Behind the NI™
seal of validation
A science-based, patient- first approach to Cannabis products with state-of-the-art research, Assuring consistency of CBD-based products through a new and innovative standard of biological validation.
The NI™ (Neswell Inside) seal in Blosm means that this CBD product went through extensive research and found to be effective.
We Only Work With The Best
Gynecologist, specializing in vulvovaginal disorders and vulvodynia for 15 years.
“In a large proportion of patients who experience vulvar pain, the cause for the pain is not found, although a thorough evaluation is performed. It is assumed that the cause may be a defect in the nervous conduction system, which produces the feeling of pain and discomfort. When this is the case, there are ways to treat the pain. The problem arises when these complaints are answered with contempt or attributed to psychological "issues" or the patient's imagination. It should be acknowledged, that although we often do not find any physical sign, pain is a real sensation.
While vulvodynia for example is present in 10 -15% of women, those who experience pain during intercourse, whether by penetration (including inserting a tampon, for example) or as a result of any type of vaginal contact (not just sex, but also because of wearing of pants that are too tight, for example), already make up a wider proportion of the population. Up to 40 % of women suffer from pain during genital contact and about 20% of them describe the pain as unbearable and as preventing them from functioning sexually.
We hope the cannabis-based products will join our current therapeutic toolbox and may be used for treating vulvodynia and other pain syndromes in the future."
Prof. Ahinoam Lev-Sagie, MD
VP R&D at Neswell group, has 7 years of broad international experience in biotechnological, pharmaceutical and drug-device combination in the pharma industry and 3 years of experience in the cosmetic/OTC/wellness industry.
"More and more scientific evidence pinpoints on a relationship between cannabis and pain relief treatments, and women, who are exposed to these publications are constantly taking an interest in such remedies.
Unlike in the pharma industry, where a drug in development goes through preclinical and clinical phases prior to reaching the market, cannabis was long used by the global population before being tested in the lab, encouraging the industry to develop related products.
As not all CBD extracts are identical in their efficiency, we took the leads to match the best fitted CBD from full extract hemp that was proven to be efficacious in the lab into blosm”.
Full-spectrum US hemp
Blosm ™ incorporates scientifically validated American grown hemp extract that was proven in laboratory testing to be efficacious against pain-related markers.
Blosm™ is a science-based product, assures consistent therapeutic effect through a new and innovative standard of biological validation. The NI™ (Neswell Inside) seal in Blosm means that this CBD product went through extensive research and found to be effective.
100% naturally derived ingredients
All the ingredients in blosm are from a natural source
The irritating properties of blosm were evaluated in a study under the supervision of a dermatologist on a group of 50 volunteers, including 25 volunteers with sensitive skin. none of the volunteers reported any skin reaction or sensitivity to blosm.
Frequently asked questions
Is Blosm™ safe?
Blosm™ is a doctor-recommended product, contains 100% naturally derived ingredients and a preservative-free formulation, and not consider a hormonal treatment (estrogen-free).
In addition, the irritating properties of Blosm™ were evaluated in a study under the supervision of a dermatologist on a group of 50 volunteers, including 25 volunteers with sensitive skin. none of the volunteers reported any skin reaction or sensitivity to Blosm™.
How do I use Blosm™? Can I consume it orally?
Blosm™ is not for oral consumption and should only be applied topically on vaginal external openings. Apply 2-3 pumps on clean fingers and spread gently on your external intimate areas. Blosm™ can be used up to 5 times a day.
What does NI refer to?
Blosm™ is a science-based product, assures consistent therapeutic effect through a new and innovative standard of biological validation. The NI™ (Neswell Inside) seal in Blosm™means that this CBD product went through extensive research and was found to be effective against pain-related markers.
How is Blosm™ different from other lubricants?
Blosm™ is a unique development of Neswell Labs. It is a water-based intimate-care product for women who suffer from genital dryness, pain, and discomfort.
One of the most important facts in Blosm™ is that it incorporates scientifically validated hemp extracts that were proven in laboratory testing to be efficacious against pain-related markers.
How many times a day can / should I use Blosm™?
Blosm™ can be used up to 5 times a day, 2-3 pumps per usage.
Can I get high from using Blosm™?
Blosm™ contains a CBD-rich hemp extract. The psychoactive compound in cannabis is THC but it is only found in small traces in Blosm™. Therefore, you cannot get “high” by using the product.
Where can I purchase Blosm™?
At the moment you can receive Blosm™ only in specific clinics. Soon, it will be sold online.
I’m experiencing pain during intercourse. Can I use Blosm™?
Yes. blosm™ was developed by women scientists to answer the need of women to have a simple yet beneficial product for their intimate conditions including pain during intercourse.
What does Blosm™ contain?
Blosm™ is a CBD-based formula, enriched with hamamelis, chamomile, and aloe vera extracts for an enhanced soothing effect. The product is 100% naturally derived ingredients, preservative-free, and non-hormonal treatment (estrogen-free).
Is Blosm™ a natural product?
Blosm™ contains 100% naturally derived ingredients.
Does Blosm™ fit the vaginal pH?
Yes. Blosm™ was developed to match your vaginal pH to ensure optimal experience and results.


It’s normal for men to see a decrease in T levels as they age. Unfortunately, low testosterone levels can cause a host of problems. Test boosters are the ideal way to solve these kinds of issues. Read on to learn more about the benefits these supplements can provide.
You’ll Have More Energy
A lot of people feel worn down and tired by the end of their workday. If you’re one of those people, and you’re looking for ways to get a boost of energy, you should look into taking testosterone. When your testosterone levels are higher, you’ll see a significant increase in your energy levels.
When you have more energy, you can accomplish more in your day-to-day life. You won’t be too tired to go to the gym or spend time with your family and friends. You’ll have enough energy to enjoy living your life.
You’ll Have More Productive Exercise Sessions
These supplements are especially popular with men that are trying to get into shape. Naturally increasing your testosterone levels will help you to have more effective workouts.
When your testosterone levels are higher, you’ll be able to increase your muscle mass. You’ll also be able to push your body further; you’ll be able to accomplish more in a single workout session. Taking a testosterone supplement will also make it easier for you to decrease your body fat.
You Can Boost Your Libido
It’s normal for men to see a decrease in their libido when they get older. What many men don’t know is that this libido decrease is usually linked to their lowered testosterone levels.
A lower sex drive can have a very negative impact on your life. In some cases, it can damage your romantic relationships. If you’re looking for ways to increase your sex drive, you should look at natural solutions. The right supplement should bring your sex drive back to where it used to be.
If you’re not satisfied with what you are accomplishing with your time at the gym, you may need an extra boost. An increase in testosterone should give you the push that you need.
Take a closer look at the many benefits offered by testosterone boosters. Look at what these supplements will be able to do for you. If you have a clearer understanding of the benefits testosterone supplements can provide, you’ll be able to decide whether or not these boosters are a good fit for you.


One of the health practitioners I most trust to help my clients with their anxiety and depression is Kristen Allott, ND.
I have known Dr Allott, followed her work, and sent clients to her almost since I began my practice 15 years ago. I regularly use her suggestions to help my clients change their eating to reduce their anxiety.
Now she and Natasha Duarte have written a book so they knowledge she gives to her clients is available to anyone! Yay!
Fuel Your Brain, Not Your Anxiety: Stop the Cycle of Worry, Fatigue & Sugar Cravings with Simple Protein-Rich Foods is a well-written, easy to understand book that WILL help you improve your mental health.
The description of the brain and how food affects it makes it easier to make healthier choices for your mental health. I have changed my eating habits since I read this book for healthier sleep.
Among many other things you’ll learn:
- How our food choices contribute to anxiety, worry, and fatigue
- How a history of trauma affects how your brain responds to adrenaline
- Why moving makes us think better
- 30 second exercises to increase your energy
I am so excited that Kris and Natasha have created this book that will help so many people. You can save 20% by using the code FUEL21 during the month of February when you order their book through New Harbinger’s website at


ABOUT THIS PACKAGE
V-Beam is a vascular laser that targets red blood cells. It can treat any vascular lesion such as rosacea, dilated red vessels, active acne as well as ruby angiomas, stellar angiomas and port wine stains.
HOW IT WORKS
V-Beam is a laser whose waves are attracted by the reddish color of red blood cells, making it one of the most effective ways to reduce the redness and discomfort caused by rosacea.
We aim for more even skin, with no visible redness or blood vessels.
The V-Beam treatment is done by using different nozzles that will send laser waves specifically to areas of the skin affected by rosacea, commonly the cheeks, chin and nose.


The Alternative to Surgery and Drugs
Although Dr. Flowers' office is similar to other doctors' in appearance, the use of chiropractic for treatment of pain in shoulders, back, neck, arms and legs, for auto and sports injuries, muscle spasm, headache and a variety of other illnesses, is a very different approach from that of orthodox medicines. Chiropractic, through manipulation and treatment of the spine, can permanently relieve physical and physiological problems, which orthodox medicine treats with orthodox medicine treats with drugs and surgeries. Chiropractic is the modern medical alternative for health conscious people, although physical treatment has existed since ancient times. As a healing science, modern chiropractic has gained enormous public acceptance and acclaim. It is natural and painless treatment and produces a cost-effective, lasting result.
Vertebral Subluxation Complex
Chiropractic is concerned with the enhancement of human performance on every level. The basic principle of chiropractic is revealed through understanding the vertebral subluxation complex which is characterized by discrete alterations of one joint position or motion which, in turn, irritates nerves that control chemical balance, muscle tone, and range of motion. As each cell of the body receives nerve messages that originate directly or indirectly in the spine, it is imperative that alignment is correct. Uncorrected, it will result in too much or too little joint motion, nerve energy, and muscle activity. Inflammation and swelling as well biochemical and bioeletrical changes may also occur which contributes to joint degeneration.


Yoga & Diabetes
This page is intended to provide insight and information on documented and potential benefits of movement, breath, and meditation inquiries for the management of diabetes and its complications. While the focus is specifically on diabetes I believe the benefits of yoga described here apply to the management of many chronic conditions and life situations, as yoga, in contrast to allopathic medicine, offers neither diagnosis nor cure but a set of tools to bring the individual to greater awareness and inner healing.
I hope this page reaches diabetics interested in yoga, yoga teachers and therapists interested in providing classes to diabetic populations, and physicians and researchers curious about the potential that yoga has to help patients monitor their conditions. The organization of the information and specific topics I've chosen to cover are rooted in more than 30 years of living with Type 1 diabetes, what I have gained from yoga practice and study, and, where possible, scientific resources and research into both the benefits of yoga and the complications of diabetes. Please note that before beginning any exercise program a diabetic patient should discuss the potential impact on blood glucose management and medications with an appropriate medical professional.
General wellness benefits of yoga
Yoga classes can provide community, confidence, a sense of personal empowerment, greater body awareness, flexibility, balance, stress relief, and strength. While not all forms of yoga are aerobic, as with many types of exercise, yoga can potentially increase insulin sensitivity. Two recent books describe these overall benefits of yoga and detail breathing techniques, poses, sequences, and special considerations for diabetic populations:
Other resources on general benefits of yoga practice:
Potential Benefits for diabetic complications affecting the enteric nervous system and vagus nerve
Fluctuations in blood sugar over time can damage the vagus nerve, which serves as the parasympathetic communication channel from the enteric nervous system to the central nervous system (CNS), and eventually lead to gastroparesis, a disorder in which the stomach takes too long to empty, causing a variety of symptoms, including increased susceptibility to bacterial infection, nausea, bloating, abdominal discomfort, and weight loss. Gastroparesis affects approximately 20% of Type 1 diabetes patients. Decreased respiratory sinus arrhythmia (RSA), an indication of decreased vagal tone, is also found in diabetes patients not (yet) affected by gastroparesis. This decrease in vagal tone results in less ability to balance the sympathetic nervous system (SNS), associated with the well-known "fight-flight-freeze" response, with the parasympathetic nervous system (PNS). Deep abdominal breathing, breath-linked movements, meditation, and yoga nidra, all tools offered in yoga, can potentially strengthen vagal tone and, together with improved glucose control, help reverse this complication.
**About Diabetes, gastroparesis, & the vagus nerve:
**General information about the vagus nerve:
**About yoga and its effects on the vagus nerve:
Potential benefits for other forms of diabetic neuropathy
It is estimated that 60-70% of diabetics are affected by nerve damage, or neuropathy. The causes can include metabolic factors, vascular factors (including damage to the blood vessels that carry oxygen to the nerves), autoimmune factors, or mechanical injury to nerves (e.g. carpal tunnel syndrome). The most common type, peripheral neuropathy, is characterized by pain or loss of feeling in the toes, feet, legs, hands, and arms, or, alternatively, extreme sensitivity to even light touch. Lack of sensation in the feet places sufferers at risk for infection, as small abrasions may go unnoticed and spread to the bone, leading to amputation. Medications, including opioids, are sometimes prescribed to combat the pain. Yoga has been shown in studies to improve medial nerve conduction velocity in practicioners with peripheral neuropathy and improved grip strength and reduced pain in sufferers from carpal tunnel syndrome. It is my own personal belief that slow deliberate movements increasing awareness of breath and body could help strengthen damaged neural pathways or create new ones.
**About Diabetetic neuropathy:
**Review of studies on the therapeutic value of yoga:
**Reduction in oxidative stress in patients with Type 2 Diabetes:
Potential benefits for limited joint mobility
According to recently published literature review, "Musculoskeletal disorders such as Achilles tendon pathology, trigger finger, Dupuytren, limited joint mobility syndrome (LJMS), carpal tunnel syndrome, frozen shoulder and plantar fasciitis have been found to occur more often in subjects with diabetes compared to those without diabetes." Less attention has been paid to these complications, as they are less connected with mortality than complications such as heart disease and micro/macro-vascular complications, even though they significantly impact quality of life and are correlated with other complications of diabetes. An accepted hypothesis is that, "the joint tissue damage in diabetes is caused by an excess of advanced glycation end products (AGEs) that form at a slow but constant rate, accumulating over time in the normal body. However, their formation is markedly accelerated in diabetes because of the increased availability of glucose. A key characteristic of reactive AGEs is the formation of covalent cross-links within collagen fibers, altering their structure and functionality." A carefully constructed yoga program focusing on breath and body awareness is not only an excellent tool for managing the pain of these conditions, but can potentially improve antioxidant status to reverse damage from reactive AGEs.
**About limited joint mobility in diabetes mellitus:
**About the potential of yoga to improve antioxidant status:
Potential benefits of yoga for diabetes-related trauma
Diabetes is related to trauma in at least three distinct ways: (1) Episodes of hypoglycemia and daily stress over the management of blood sugar can cause trauma; (2) Diabetics develop more complications after trauma than do non-diabetic groups; (3) Some studies have suggested a causal connection between trauma and later development of diabetes. For all of these reasons, trauma-sensitive yoga, with its emphasis on experiencing the present moment, making choices, taking effective action, and creating rhythms, can be very healing for diabetics also struggling with trauma.
**About diabetes and trauma: