Ayurveda treatment of Fibromyalgia is very accountable due to reasons listed as follows:

Fibromyalgia (FM) is a chronic condition related to skeletal system of our body that can cause immense pain, stiffness, and tenderness of the muscles, tendons, and joints. Fibromyalgia is a clincal condition which is also characterized by the signs with regards restless sleep, feeling tired on waking up, extreme weakness, anxiety, mood swings, depression, and irregular pattern of disturbances in the

bowel function. In the conventional medicinal terminology, Fibromyalgia is also sometimes referred to as fibromyalgia syndrome (abbreviated FMS). Fibromyalgia was formerly known as fibrositis as well because it causes inflammation / pain.

While fibromyalgia is one of the most prevalent diseases affecting the locomotor system viz muscles leading to immense pain / disability, its cause is currently Unknown for the western world but ayurveda holds all the answers as it sees every disease from the root perspective and explains with the logics of vitiation in doshas / dhatus. In an illness like fibromyalgia syndrome, the painful tissues involved are not accompanied always by tissue inflammation. Therefore, despite potentially disabling body pain, patients with fibromyalgia do not develop body damage or deformity and its only the inconveniences with regards the movement because pain is always very troubling part here. Fibromyalgia also does not cause damage to internal body organs or any changes in the cellular physiology of any such internal organs as its limited only with regards the locomotor system. In this perspective, illness like fibromyalgia syndrome is much different from many other rheumatic conditions (such as rheumatoid arthritis, systemic lupus, and polymyositis). In these listed diseases, tissue inflammation happens first leading to immense pain and thereafter the disease progression also leads to joint deformity and damage to the internal organs or muscles causing a vitiation in the cellular physiology as well.

Fibromyalgia, known as “Mamsagata Vata” in Ayurveda, is a complex condition characterized by widespread musculoskeletal pain, fatigue, and tenderness at specific points on the body. While Ayurveda doesn’t have a direct equivalent term for fibromyalgia, it acknowledges conditions involving pain and discomfort, which can be correlated with certain aspects of fibromyalgia. In Ayurvedic terms, the imbalance of doshas, impaired digestion (Agni), and the accumulation of toxins (ama) are considered key factors contributing to musculoskeletal disorders. Here is an Ayurvedic perspective on fibromyalgia:

1. Imbalance of Doshas:

   • Vata Imbalance: Ayurveda often attributes conditions involving pain and stiffness to an aggravated Vata dosha. Vata governs movement and can disturb the normal functioning of joints and muscles, leading to pain and tenderness.
   • Pitta Imbalance: Pitta, when imbalanced, can contribute to inflammation and heightened sensitivity, potentially amplifying the perception of pain in fibromyalgia.
   • Kapha Imbalance: In some cases, the accumulation of excess Kapha can lead to stiffness and heaviness, contributing to the discomfort experienced in fibromyalgia.

2. Impaired Digestion (Mandagni):

   • Ama Formation: Inefficient digestion can result in the accumulation of undigested food particles (ama). Ama is considered a toxic substance that can circulate in the body and deposit in joints, contributing to pain and discomfort.

3. Disturbed Energy Flow (Prana Vata):

   • Prana Vata Imbalance: Prana Vata governs the movement of energy and communication within the body. When imbalanced, it may contribute to disruptions in the flow of vital energy, potentially manifesting as pain and fatigue in fibromyalgia.

4. Mental and Emotional Factors (Manasika Dosha):

   • Stress and Emotional Imbalances: Emotional stress, anxiety, and mental strain are acknowledged as factors that can aggravate Vata and contribute to musculoskeletal issues. Ayurveda recognizes the mind-body connection and the impact of emotional well-being on overall health.

5. Toxin Accumulation (Ama):

   • Detoxification Impairment: Impaired detoxification mechanisms can lead to the accumulation of ama. This toxic substance is believed to contribute to inflammation and pain in fibromyalgia.

6. Tender Points (Marma):

   • Marma Points: Ayurveda recognizes the existence of vital points called marma, where physical and energetic pathways converge. Disruptions in these points can lead to pain and tenderness, akin to the tender points identified in fibromyalgia.

7. Treatment Approaches (Chikitsa):

   • Balancing Doshas: Ayurvedic treatments focus on balancing the aggravated doshas through dietary modifications, lifestyle adjustments, and specific herbs to pacify Vata, Pitta, and Kapha.
   • Digestive Fire Enhancement (Agni Deepana): Improving digestive fire is crucial to prevent the formation of ama. This may involve dietary recommendations and the use of digestive herbs.
   • Detoxification (Panchakarma): Panchakarma therapies like Abhyanga (oil massage), Swedana (steam therapy), and Basti (medicated enemas) may be used to eliminate ama and toxins from the body.
   • Herbal Remedies: Ayurvedic formulations containing anti-inflammatory and pain-relieving herbs like Ashwagandha, Guggulu, and Shallaki may be prescribed to alleviate symptoms.
   • Lifestyle and Dietary Guidance: Personalized lifestyle recommendations, including stress management techniques, appropriate exercise, and dietary guidelines, are integral parts of Ayurvedic management for fibromyalgia.

It’s important to note that Ayurvedic treatment is individualized, and the approach may vary based on the unique constitution and imbalances of each person. Consulting with a qualified Ayurvedic practitioner ensures a personalized and comprehensive approach to address the complexities of fibromyalgia.

Here are some Ayurvedic home remedies that may be considered for managing fibromyalgia:

1. Balancing Doshas: Ayurveda emphasizes the balance of the three doshas – Vata, Pitta, and Kapha. Imbalances in these doshas are believed to contribute to various health conditions, including fibromyalgia. Consult with an Ayurvedic practitioner to determine your dosha imbalances and receive personalized recommendations.

2. Herbal Supplements:

   • Ashwagandha (Withania somnifera): Known for its adaptogenic properties, ashwagandha may help the body adapt to stress and promote overall well-being. It can be taken in the form of capsules or powder after consulting with an Ayurvedic practitioner.
   • Turmeric (Curcuma longa): Turmeric’s anti-inflammatory properties may help alleviate pain associated with fibromyalgia. It can be incorporated into the diet or taken as a supplement.

3. Ayurvedic Diet:

   • Follow a dosha-balancing diet tailored to your individual constitution. This may include warm, nourishing foods for Vata imbalance, cooling foods for Pitta imbalance, and lighter foods for Kapha imbalance.
   • Include anti-inflammatory spices such as ginger, turmeric, and cumin in your cooking.

4. Abhyanga (Self-Massage):

   • Regular self-massage with warm sesame oil or a medicated oil prescribed by an Ayurvedic practitioner can help soothe the muscles and improve circulation.

5. Yoga and Pranayama:

   • Gentle yoga postures, especially those focusing on flexibility and relaxation, can be beneficial for managing fibromyalgia symptoms.
   • Incorporate pranayama (breathing exercises) into your routine to promote relaxation and reduce stress.

6. Ayurvedic Herbs for Pain Management:

   • Guggul (Commiphora wightii): Known for its anti-inflammatory properties, guggul may help in managing pain. Consult an Ayurvedic practitioner for appropriate dosage and form.
   • Triphala: This combination of three fruits (amla, haritaki, and bibhitaki) is known for its detoxifying properties and may support overall health.

7. Stress Management:

   • Practice stress reduction techniques such as meditation and mindfulness to promote relaxation and improve mental well-being.

8. Adequate Rest and Sleep:

   • Ensure sufficient and restful sleep as sleep disturbances are common in fibromyalgia. Follow a regular sleep schedule and create a calming bedtime routine.

It’s crucial to approach Ayurvedic remedies for fibromyalgia holistically, considering individualized recommendations based on one’s constitution and imbalances.

Causes of Fibromyalgia disease

There are many causative factors which can be directly / indirectly involved in the chronic pain and tenderness associated with the fibromyalgia syndrome like conditions. These factors are not always the same for each individual and does varies on patient to patient basis. However, in general, as per principles of Ayurveda medicinal science, if we have to analyze minutely then its the aggravation of Vata dosha (due to margavarodha) and accumulation of Ama (toxins) which forms the root cause for development of Fibromyalgia.

If we have to analyze it more deeper, then a condition like Fibromyalgia falls into a subtype of disease known in Ayurveda science as vātavyādhi (diseases caused primarily by vitiated Vāta Dosha). Vātavyādhi as the name signifies is a disease which is of chronic and unpredictable in nature, often very difficult to cure as well if the disease becomes chronic in nature, and lastly involving mainly the musculoskeletal system and the nervous system.

Primarily the pathogenesis of fibromyalgia in principles of ayurveda science originates in the gastrointestinal tract (anna vaha srota) then branches out through the madhyama rogamarga, the middle channels of pathogenic process of disease, with special inclination for shleshma sthana especially muscle tissues (mamsa dhatu) and their corresponding channels. Its this very involvement of vital physiology which makes the treatment approach as well longer in terms of duration and the signs of the disease as well very much higher in severity so patient has to be very perseverant and certainly with a continuous and sincere treatment protocol, illness can be cured with ease. The cardinal sign of this disease is “Intolerability of even light touch in muscles” (sparshasahyata) and its to be noted here.

Ayurveda does not specifically delineate fibromyalgia as a distinct condition, but it provides insights into factors that could contribute to musculoskeletal disorders and pain, which share similarities with fibromyalgia symptoms. According to Ayurveda, the causes of conditions resembling fibromyalgia are multifaceted and involve imbalances in doshas, impaired digestion, and the accumulation of toxins (ama). Here are some potential causes of musculoskeletal disorders in the Ayurvedic perspective:

1. Vata Imbalance (Vata Dosha Prakopa):

   • Description: Aggravation of Vata dosha is considered a significant factor in conditions involving pain, stiffness, and discomfort.
   • Causes:
     • Irregular daily routine and lifestyle.
     • Exposure to cold and windy climates.
     • Lack of proper rest and sleep.
     • Excessive physical or mental exertion.

2. Impaired Digestion (Mandagni):

   • Description: Weak digestive fire (Agni) can lead to the formation of undigested food particles (ama), contributing to toxins in the body.
   • Causes:
     • Irregular eating habits.
     • Consumption of heavy, cold, or processed foods.
     • Suppression of natural urges.

3. Accumulation of Toxins (Ama):

   • Description: Ama, the result of incomplete digestion, can circulate in the body and deposit in joints, muscles, and tissues, leading to pain and discomfort.
   • Causes:
     • Weak digestion and impaired metabolic functions.
     • Dietary imbalances and intake of incompatible foods.
     • Sedentary lifestyle contributing to poor circulation.

4. Emotional and Mental Factors (Manasika Dosha):

   • Description: Mental and emotional stress can contribute to the aggravation of doshas, particularly Vata, influencing musculoskeletal health.
   • Causes:
     • Chronic stress and anxiety.
     • Suppressed emotions.
     • Traumatic experiences or emotional disturbances.

5. Sleep Disturbances (Nidranasha):

   • Description: Inadequate or disturbed sleep patterns can disrupt the body’s natural healing mechanisms, exacerbating musculoskeletal symptoms.
   • Causes:
     • Irregular sleep routine.
     • Mental restlessness and insomnia.
     • Sleeping in uncomfortable positions.

6. Unfavorable Weather Conditions (Ritu Dosha):

   • Description: Changes in weather, particularly cold and damp conditions, can influence Vata dosha and contribute to pain and stiffness.
   • Causes:
     • Exposure to cold and damp climates.
     • Sudden changes in weather conditions.

7. Genetic Predisposition (Janmaja Dosha):

   • Description: Individual susceptibility to musculoskeletal issues may have a genetic component.
   • Causes:
     • Family history of similar conditions.
     • Inherited constitutional imbalances.

8. Dietary Factors (Ahara):

   • Description: Poor dietary choices can contribute to doshic imbalances and the formation of ama.
   • Causes:
     • Consumption of processed and refined foods.
     • Inadequate intake of nourishing and wholesome foods.

9. Chronic Infections (Vyadhi):

   • Description: Chronic infections and low-grade inflammatory conditions may contribute to the aggravation of doshas and musculoskeletal symptoms.
   • Causes:
     • Prolonged exposure to infections.
     • Weak immune system.

10. Excessive Physical Strain (Ati Vyayama):

    • Description: Overexertion or inadequate rest can disturb the balance of doshas, especially Vata, leading to musculoskeletal discomfort.
    • Causes:
      • Intense physical activities without proper recovery.
      • Overuse of muscles and joints.

Addressing these potential causes in an individualized manner is crucial in Ayurvedic management. A holistic approach that includes lifestyle modifications, dietary changes, herbal remedies, and detoxification measures is often employed to rebalance doshas and alleviate symptoms. Consulting with an experienced Ayurvedic practitioner allows for a personalized assessment and tailored recommendations based on an individual’s unique constitution and imbalances.

Illness specific herbs used in preparing ayurveda medications for treatment of Fibromyalgia

The primary medicinal herbs which are used as ingredients in the ayurveda formulation for the treatment protocol of Fibromyalgia patient are as follows:

• Shirish – Moringa oleifera
• Patranga – Caesalpinia sappan
• Kakamachi – Solanum nigrum
• Amalki – Phyllanthus emblica
• Guduchi – Tinospora cordifolia
• Babbula – Acacia nilotica
• Agastya – Sesbania grandiflora
• Varahikanda – Dioscorea bulbifera
• Jeevanti – Leptadenia reticulata
• Rohitaka – Aphanamixis polystachya
• Varuna – Crateva religiosa
• Shatavari – Asparagus racemosus
• Punarnava – Boerhavia diffusa
• Pippali – Piper longum
• Twak – Cinnamomum zeylanicum
• Gokshura – Tribulus terrestris
• Ela – Elttaria cardamomum

While Ayurveda may not have specific medicinal plants explicitly designated for fibromyalgia, it utilizes a range of herbs known for their anti-inflammatory, analgesic, and rejuvenating properties to address musculoskeletal disorders and pain. Here are some Ayurvedic herbs that may be considered in the management of conditions resembling fibromyalgia:

1. Ashwagandha (Withania somnifera):

   • Properties: Adaptogenic, anti-inflammatory, and rejuvenating.
   • Benefits: Ashwagandha is known for its ability to reduce inflammation, alleviate stress, and improve overall vitality.

2. Shallaki (Boswellia serrata):

   • Properties: Anti-inflammatory and analgesic.
   • Benefits: Shallaki is traditionally used to support joint health, reduce inflammation, and alleviate pain associated with musculoskeletal conditions.

3. Guggulu (Commiphora wightii):

   • Properties: Anti-inflammatory and detoxifying.
   • Benefits: Guggulu is believed to have anti-inflammatory effects and may support the body in managing conditions involving pain and inflammation.

4. Turmeric (Curcuma longa):

   • Properties: Anti-inflammatory and antioxidant.
   • Benefits: Curcumin, the active compound in turmeric, has potent anti-inflammatory properties and may help alleviate pain associated with musculoskeletal disorders.

5. Ginger (Zingiber officinale):

   • Properties: Anti-inflammatory and analgesic.
   • Benefits: Ginger is known for its anti-inflammatory effects and may assist in reducing pain and discomfort.

6. Triphala (Emblica officinalis, Terminalia chebula, Terminalia bellerica):

   • Properties: Detoxifying and rejuvenating.
   • Benefits: Triphala is a combination of three fruits known for their detoxifying properties, potentially helping in the elimination of toxins.

7. Guduchi (Tinospora cordifolia):

   • Properties: Immunomodulatory and anti-inflammatory.
   • Benefits: Guduchi is believed to enhance immune function and reduce inflammation, potentially supporting the body in managing musculoskeletal conditions.

8. Vidari Kanda (Pueraria tuberosa):

   • Properties: Rejuvenating and anti-inflammatory.
   • Benefits: Vidari Kanda is traditionally used for its rejuvenating properties, potentially assisting in conditions involving fatigue and discomfort.

9. Amalaki (Emblica officinalis):

   • Properties: Antioxidant and rejuvenating.
   • Benefits: Amalaki is rich in vitamin C and antioxidants, supporting overall health and potentially reducing inflammation.

10. Shatavari (Asparagus racemosus):

    • Properties: Rejuvenating and anti-inflammatory.
    • Benefits: Shatavari is traditionally used for its rejuvenating effects and may assist in conditions involving fatigue and pain.

11. Bala (Sida cordifolia):

    • Properties: Rejuvenating and analgesic.
    • Benefits: Bala is believed to have rejuvenating effects on the musculoskeletal system, potentially alleviating pain and discomfort.

12. Haridra (Curcuma longa):

    • Properties: Anti-inflammatory and antioxidant.
    • Benefits: Haridra, another term for turmeric, is used for its anti-inflammatory properties, potentially assisting in managing pain and inflammation.

It’s important to note that the effectiveness of these herbs may vary from person to person. Additionally, Ayurvedic treatment is highly individualized, and a qualified Ayurvedic practitioner will consider an individual’s unique constitution, doshic imbalances, and specific symptoms when recommending herbal formulations. It’s advisable to consult with a qualified Ayurvedic practitioner for personalized guidance and treatment.

Over the counter ayurveda medications prescribed for Fibromyalgia disease

• Brahma rasayana
• Draksharishta
• Jeerakrishta
• Amalaka rasayana
• Chandraprabha vati
• Shilajatu vati
• Guggulutuktam ghritam
• Kseerbala tailam
• Murivenna
• Brihat Chagaladya ghritam
• Indukantam ghritam
• Lakshadi guggulu
• Aabhadi guggulu

Here are some Ayurvedic formulations that may be considered in the management of conditions resembling fibromyalgia:

1. Maharasnadi Kashayam:

   • Ingredients: A combination of herbs like Dashamoola, Guggulu, and Maharasnadi Kwath.
   • Benefits: Maharasnadi Kashayam is traditionally used for its anti-inflammatory and analgesic properties, potentially aiding in musculoskeletal conditions.

2. Triphala Guggulu:

   • Ingredients: Triphala (Emblica officinalis, Terminalia chebula, Terminalia bellerica) combined with Guggulu (Commiphora wightii).
   • Benefits: Triphala Guggulu is known for its detoxifying effects, potentially assisting in eliminating toxins associated with musculoskeletal disorders.

3. Ashwagandharishta:

   • Ingredients: Ashwagandha (Withania somnifera) along with other herbs fermented in an aqueous solution.
   • Benefits: Ashwagandharishta is believed to have adaptogenic and anti-inflammatory properties, potentially aiding in stress reduction and inflammation.

4. Dashamoola Rasayana:

   • Ingredients: A formulation of the ten roots (Dashamoola) along with other herbs.
   • Benefits: Dashamoola Rasayana is traditionally used for its rejuvenating properties and may assist in conditions involving pain and fatigue.

5. Punarnavadi Kashayam:

   • Ingredients: Punarnava (Boerhavia diffusa) and other herbs.
   • Benefits: Punarnavadi Kashayam is used for its anti-inflammatory effects and may support the body in managing conditions involving pain and inflammation.

6. Mahayogaraja Guggulu:

   • Ingredients: A combination of Guggulu (Commiphora wightii), Triphala, and various minerals.
   • Benefits: Mahayogaraja Guggulu is traditionally used for its anti-inflammatory and detoxifying effects, potentially assisting in musculoskeletal disorders.

7. Brihat Vata Chintamani Ras:

   • Ingredients: A combination of Swarna Bhasma (gold ash), Abhraka Bhasma (mica ash), and various herbs.
   • Benefits: Brihat Vata Chintamani Ras is believed to have anti-inflammatory properties and may be used in conditions involving Vata imbalance.

8. Yogaraja Guggulu:

   • Ingredients: Guggulu (Commiphora wightii), Triphala, and various herbs.
   • Benefits: Yogaraja Guggulu is known for its anti-inflammatory effects and may assist in managing conditions affecting the joints and muscles.

9. Sahacharadi Taila:

   • Ingredients: Sesame oil infused with herbs like Sahachara (Strobilanthes ciliatus) and Guggulu.
   • Benefits: Sahacharadi Taila is traditionally used for external application, potentially providing relief from joint and muscle pain.

10. Vishgarbha Taila:

    • Ingredients: A combination of herbs like Vishatinduka (Strychnos nux-vomica) and Bala (Sida cordifolia) in a base of sesame oil.
    • Benefits: Vishgarbha Taila is used topically for its analgesic effects, potentially alleviating pain associated with musculoskeletal conditions.

It’s crucial to note that Ayurvedic treatment is highly individualized, and the choice of formulations depends on an individual’s unique constitution and specific imbalances. Consulting with a qualified Ayurvedic practitioner is essential to receive personalized guidance and appropriate recommendations based on one’s health status.

Treatment of Fibromyalgia disease in ayurveda

At Nakra Ayurveda Hospitals and Herbals Pvt Ltd, the treatment of fibromyalgia, which is primarily a vātavyadi disease, focuses on both Vāta samshamana (re-balance) and samshodhana (purification) which become deranged due to accumulation of ama (toxins) and mother nature has blessed mankind with many high potent medicinal plants, which we as vaidyas have to use on our patients very judiciously.

Ayurvedic treatment for conditions resembling fibromyalgia focuses on holistic approaches that address the root causes, balance doshas, and enhance overall well-being. The treatment plan is personalized based on an individual’s constitution, doshic imbalances, and specific symptoms. Here are some types of treatment used in Ayurveda for conditions akin to fibromyalgia:

1. Panchakarma Therapies:

   • Abhyanga (Oil Massage): Full-body oil massage using medicated oils to improve circulation, reduce stiffness, and nourish tissues.
   • Swedana (Herbal Steam): Herbal steam therapy to open up channels, eliminate toxins, and alleviate pain and discomfort.
   • Basti (Enema Therapy): Medicated enemas to eliminate accumulated toxins and balance doshas, especially Vata.

2. Herbal Formulations:

   • Internal Medications: Ayurvedic formulations containing herbs with anti-inflammatory, analgesic, and rejuvenating properties. Examples include Maharasnadi Kashayam, Triphala Guggulu, and Ashwagandharishta.
   • External Applications: Herbal oils like Sahacharadi Taila and Vishgarbha Taila may be applied externally to relieve joint and muscle pain.

3. Dietary Modifications (Ahara Chikitsa):

   • Balanced Diet: Emphasis on a well-balanced diet tailored to the individual’s constitution, including fresh fruits, vegetables, whole grains, and adequate protein.
   • Anti-Inflammatory Foods: Incorporation of anti-inflammatory foods like turmeric, ginger, and green leafy vegetables to support musculoskeletal health.

4. Lifestyle Practices (Vihara Chikitsa):

   • Balanced Routine (Dinacharya): Establishing a daily routine that includes regular wake-up times, meals, and sleep schedules to support the body’s natural circadian rhythm.
   • Adequate Rest: Ensuring sufficient rest and sleep, with a focus on quality and duration to allow the body to recover and rejuvenate.
   • Stress Management: Implementation of stress-reducing techniques such as meditation, yoga, and deep breathing exercises to manage mental stress and promote relaxation.

5. Yoga and Pranayama:

   • Gentle Yoga Poses (Asanas): Gentle stretching and strengthening exercises to improve flexibility and circulation without causing strain.
   • Breathing Exercises (Pranayama): Techniques to enhance respiratory health and promote relaxation, such as deep breathing and alternate nostril breathing.

6. Mind-Body Practices:

   • Meditation: Mindfulness meditation to reduce stress, calm the mind, and promote overall well-being.
   • Visualization Techniques: Positive imagery and visualization to foster a positive outlook and mental well-being.

7. Herbal Supplements and Rasayanas:

   • Rejuvenating Herbs: Consumption of herbs like Ashwagandha, Shatavari, and Guduchi to enhance overall vitality and support the body’s natural healing processes.
   • Rasayanas: Formulations like Brahma Rasayana or Chyawanprash, known for their rejuvenating properties, may be recommended to boost immunity and energy levels.

8. Counseling and Emotional Support:

   • Psychological Counseling: Addressing emotional and psychological factors that may contribute to the condition, promoting mental well-being.
   • Stress Reduction Techniques: Guidance on stress reduction strategies and coping mechanisms.

9. Follow-up and Monitoring:

   • Regular Assessments: Periodic evaluations and adjustments to the treatment plan based on the individual’s response and progress.
   • Preventive Measures: Incorporating preventive measures to maintain overall health and prevent the recurrence of symptoms.

Ayurvedic treatment for conditions resembling fibromyalgia is comprehensive, aiming to restore balance and harmony to the entire being. Consulting with an experienced Ayurvedic practitioner ensures a personalized and effective approach to address the unique factors contributing to the condition.

If any questions, you are welcome to send us an email and we shall get back to you with our detailed ayurveda analysis / consultation.