In problems like “Oromandibular dystonia” concern related to facial and dental appearance are also seen, which may give rise to certain psychological issues such as depression. So we need to focus on both the patient state of mind as well as ongoing disease progress to treat such disorders.
The word oromandibular dystonia comprises ‘oro’ means oral cavity. ‘Mandible’ is associated with the mandible (the jawbone). ‘Dystonia’ is a neurological syndrome in which continuous muscular contraction results in the reiteration of movements & abnormal body postures.So, oromandibular dystonia is a kind of dystonia which affects the oral cavity, jaw, tongue, and leads to difficulty in speaking, chewing and eating.According to Ayurveda we can correlate it with “हनुग्रह/ हनुस्तंभ”
“हनुग्रहस्तदा अत्यर्थं सो अन्नम कृच्छानिषेवते’’|| (सु. निदान. १/५३)
Due to excessive surge in vata dosha of our body, our mandibular joint got restricted, immovable due to the fact that the patient faces problems in chewing and eating. This condition is called “hanugrah”.
“हनुमुले स्थितो बंधनात स्रंसतयनिलोहन |
विवृतासयत्वमथवा कुर्यात स्तब्धमवेदनम ||
हनुग्रह च संस्तभ्य हनु संवृत वक्त्रताम ||”
(च. चि. २८ /४९)
It states that elevated vata dosha is situated at the temporomandibular joint leading to severe pain at the affected area. It is of 2 types: In one there is: Vivritasyta ‘विवृतास्य्ता’ (mouth remains open), Samvritasyta ‘संवृतास्य्ता’ (in which mouth get closed). Oromandibular dystonia possesses an aggregation of different kinds of symptoms. As per ayurveda it comes under “vata vyadhi” primarily it evolves due to vitiated vata dosha. Vata is considered as one of the most important energy in the body as it is the only movable energy that takes pitta and kaph along.
पित पंगु कफ पंगु पंगवोमलधातवः
वायुना यत्रनियंत्रते तत्र गछन्ति मेघवतः ||”
This is a very beautiful shloka mentioned in our text that tells us about the importance of vata. It states that both pita and kapha along with other “मल” (waste products) dhatu’s(essential substance) of our body are “पंगु” (i.e. unable to move) ,only vata (वायु) take them from one place to other, same as the air in atmosphere take megh (clouds) to different directions.
Exact cause of the disease is not known but we can consider that due to increase in conduction of neurotransmitters to oromandibular region, the functioning of that area got increased which results in elevation of involuntary movements, Hereditary cause- sometime there may be a family history of disease inheritance, By intake of certain neurotoxic & psychotropic drugs,Trauma, It can also see as symptoms in certain disorders like in tetanus.
According to ayurveda- these kinds of disorders occur due to vitiated vata dosha in the body.
Intake of ruksh (rough), sheet (cold), laghu (low weight) food items.
If one does अध्यशन (overeating, even if previously eaten food is not digested) प्रमिताशन (eat in less quantity).
Over indulge in strenuous exercises.
When one chew hard substances.
One controls his/her natural urges for a longer time.
If a person sleeps on a hard surface or sits on an uncomfortable chair/bench.
When a person has had an underlying disease for a long time.
FOLLOWING ARE THE SYMPTOMS
Spontaneous opening or closure of mouth
Pain in facial region
Difficulty in speaking
Uncontrolled eye movements.
Problem with grinding food and swallowing.
Diminished sensation in jaw.
Struggling with teeth grinding and chewing.
By clinical evaluation of signs and symptoms.
Intramuscular electromyography( EMG)
TREATMENT OF OROMANDIBULAR DYSTONIA
ACCORDING TO AYURVEDA
Firstly do निदान परिवर्जन( avoidance of the cause)
Local massaging (अभ्यंग) with any herbal oil by keeping a slow pace would be appreciated. e.g., with महामाष तैल
Oil pulling- 2 ancient methods used in this regard are as follows
गण्डूष (mouth is completely filled with oil, keep it in mouth until you start having sweating on your forehead) e.g. with महानारायण तैल
कवल (gargles is done with oil)
Local (स्वेदन) – use naadi sved. This medicine is sprayed on the patient’s body to make it free of toxins.
Using शिरोधारा- pouring medicated herbal oil over the head of a patient by a specially made shirodhara yantra.
BASTI KARMA (बस्ति कर्म) – BASTI is considered as “अर्ध चिकित्सा” means only basti can remove all the ailment of our body.
HERBAL FORMULATIONS FOR OROMANDIBULAR DYSTONIA BY PLANTBASED AYURVEDA
Planet Ayurveda is a trusted and renowned organisation offering herbal products all over the world. Their products are 100 % pure and prepared using ancient time tested formulas. They are totally safe and devoid of any kind of chemical, additive, preservative and binders. There are numerous products for managing oromandibular dystonia, some of them are listed below:-
Vrihat Vatchintamani Ras
1. RASRAJ RAS
It is a classical herbomineral formulation prepared using are Rasa sindura (purified mercury), Abhrak satva (purified silica), Swarna bhasma (purified ash of gold), Rajata bhasma (purified ash of silver), vanga bhasma (purified ash of tin), Ashwagandha powder, Javitri, Kakamachi juice etc. It is very efficient in treating nervous disorders. These tablets strengthen the functioning of nerves and muscles.
Dosage- 1 twice daily to be chewed with little amount of milk, after the meals.
2. YOGRAJ GUGGUL
It is a polyherbal formulation prepared using Shuddha (Pure) Guggul. The other ingredients are musta, Chitraka, Amalaki, Haritaki, Bibhitaki etc. It is an herbal painkiller that helps in preventing muscle cramps and is very effective in joint disorders. This medicine rejuvenates and strengthens the skeletal and neuro-muscular system
Dosage– 2 twice daily with plain water after the meals.
3. VRIHAT VATCHINTAMANI RAS
It includes swarna bhasma, Rajata bhasma, Abhrak bhasma, Loha bhasma, Pravala bhasma, etc. It works best against the vata dosha in our body and is also effective in convulsions, tremors or facial paralysis.
Dosage– 1 twice daily to be chewed with little milk, after meals.
4. BOSWELLIA CURCUMIN
It is an effective combination of Boswellia and Curcumin extracts, prepared by Planet Ayurveda. It possesses great anti-inflammatory, antifungal properties, very good for your skin.
Dosage- 1 twice daily with normal water, after meals.
5. DHANWANTHARAM CAPSULE
The main ingredients are Ela, Shunthi, Haritaki, Jati, Brihati, Kiratatiktha and several others. It stabilizes the vitiated vata dosha and improves blood circulation in the body.
Dosage– 1 twice daily with jeera (cumin) water, after the meals.