Overview:

Anaemia may be defined as a state, in which the blood hemoglobin level is below the normal range for the patient’s age and sex. Hemoglobin is the iron- containing pigment that gives red color to blood cells and supplies oxygen to the cells. In Ayurveda, aneamia is known by the name Pandu. Pandu refers, pallor that develops when the oxygen supply to the tissues is decreased. Anemia is a quite common condition in women due to monthly blood loss during menstrual cycles and during pregnancy.

Which Hb value will be called aneamia?

When the Hb value is less than 10 gm/dl in female and less than 12 gm/dl in male, we call it aneamic condition. According to World Health Organization, if Hb value is less than 12 gm/dl in female and less than 13 gm/dl in male, it is considered as aneamic condition.

Iron- deficiency aneamia is a globle health crisis, so also in India. As per World Health Organozation report, there are about two billion aneamia cases are reported globly, of which half of them are iron-deficiency – aneamia.

Iron-deficiency aneamia causes serious health problems such as-

  • General debility
  • Lethargy
  • Lassitude
  • Sub-optimal work performance
  • Mental retardation
  • Poor intelligence
  • Abnormal immune response

Iron Deficiency Aneamia During Pregnancy Associated With ?

  • Maternal motility
  • Preterm labour
  • Low birth weight
  • Infant mortality

Iron-deficiency aneamia among children affects their:

  • Cognitive and motor development
  • Increases the susceptibility of infection

Causes of Iron- deficiency?

Increased iron utilization

  • Post natal growth spurt
  • Adolescent growth sourt
  • Erythropoietin therapy

Physiological iron loss-

  • During menstruation
  • During pregnancy

Pathological iron loss

  • Gastro-intestinal bleeding
  • Genito-urinary bleeding
  • Itra-vascular haemolysis

Decreased iron loss

  • Cereal rich diet
  • Pica, food fads and malabsorption
  • Acute or chronic inflamation

In females, during menstruation it causes an average loss of 30mg of iron per month. In pregnancy, there is no menstrual loss. However, additional iron is needed for the foetus, the placenta and for increased red cell mass and for blood loss during delivery .

Iron required in male= 1mg/day, in female= 2mg/day, while during pregnancy it is 3 mg/day.

Treatment?

The state of iron deficiency is being managed with the supplimentation of external iron containing drugs for which several types of modern medicines are available in the market.These modern iron formulations contain one or the other types of iron salts such as-

  • Ferrous furamate
  • Ferrous sulphate
  • Ferrous glycine sulphate
  • Ferric ammonium citrate
  • Ferric hydroxide polymaltose complex
  • Colloidal iron hydroxide
  • Ferrous glyconate
  • Ferrous succinate

It has been further reported that the long term teatment of iron-deficiency aneamia with these drugs is associated with-

  • Constipation
  • Heart burn
  • Nausea
  • Gastric discomfort
  • Diarrhea

How to treat aneamia through Ayurved?

In children:

  1. Punarnava mandoor
  2. Dandimadi ghrit
  3. Trikataradi lauh

In Pregnant women:

  1. Dhatri lauh
  2. Pandughni vati
  3. Punarnava mandoor

In general population:

  1. Navayas lauh
  2. Punarnava mandoor
  3. Dhatri lauh
  4. Pradrantak lauh
  5. Brihit yakrut lauh
  6. Dandimadi lauh

Do not start self medication. Consult your doctor first before taking these medicines.

You can also have these preparations;

  1. Have one bowlful of pomegranate, with a dressing of 1 teaspoon of lime juice for breakfast.
  2. have a glassful of carrot juice mixed with 1 teaspoon of lime juice once a day.
  3. Soak 10 gm raisins in water and leave them overnight, have them in the morning.

By: Dr. Ranjeet Singh

Posted by:Ayur Plus