How Evans Syndrome can be Managed by Natural Remedies?

Introduction

Evans syndrome is a rare autoimmune blood disorder. This syndrome was first explained in 1951. In this disease own immune system starts producing antibodies against the healthy red blood cells, platelets and even destroy some white blood cells. This destruction of cells is also termed as 'Cytopenia'. It is named syndrome because these individuals usually suffer from a group of diseases like - thrombocytopenia (very low level of platelets), hemolytic anemia (premature destruction of red blood cells), etc. Anyperson may present with the symptoms like - weakness, bruises, bleeding, etc.

According to Ayurveda, this condition can be correlated to the Raktapitta. Where the main culprit of this disorder is Rakta dosha (as per Sushruta) and pitta dosha. Basically, pitta is the vitiating factor that leads to vitiation of the other two doshas in our body, these vitiated doshas get localized in Saptadhatus and vitiate them, especially the Rasa and Rakta dhatu.

What are the Causes of Evans Syndrome?

The exact cause is still unknown. But there are some factors that may responsible for this disorder :-

• Aahar Karana (Dietary factors) - Excessive consumption of spicy, sour, oily and fermented foodstuffs, such as - bakery products, junk foods, etc.
• Vihaar Karana (Lifestyle factors) - Excessively indulging in atapasevana (exposure to sunlight), adhwa (excessive walking), vyayam (excessive physical activities), etc.
• Mansik Karana (Mental status) - Krodha (anger), shoka (grief), etc. leads to pitta imbalance.
• Vanshaj Karana (Hereditary factors) - This disease might also be inherited in rare cases.
• Environmental factors like - Hot climate, pollution, excessive exposure to UV rays and other radiations, etc.

All these factors affect our Agni (digestive fire), Ojas (the essence of all the dhatus) and immunity, which leads to the development of the disease in our body.

What are the Signs and Symptoms of Evans Syndrome?

As this is a syndrome it leads to various symptoms that depend upon the underlying cause and disease :-

• Bleeding can happen from any part of the body like - nose (epistaxis), oral cavity, eyes, hair follicles, etc.
• Bruises (blue spots) may be localized or generalized.
• Petechiae - Tiny red dots that can appear at any part of the body.
• Weakness
• Vertigo
• Headache
• Skin Pallor (due to anemia)
• Fatigue
• Shortness of Breath
• Tachycardia (rapid heartbeat)
• Recurrent Infections
• Weight loss
• Emotional distress and irritability

Recommended Diet

As we know, our diet plays an important role in the management of diseases along with that it also helps us to maintain good health. That is why in our classics more emphasis is given on Dinacharya (Daily routine), Ritucharaya (Seasonal regimens) and Aahar (Diet).

• Vegetables - Cabbage, bottle gourd, pumpkin, beans, broccoli, green leafy vegetables like - spinach, lentils, green grass, lettuce, lemongrass, coriander, mint radish leaves, radish, carrot, etc.
• Fruits - Apple, pear, banana, pomegranate, bael, etc.
• Pulses or cereals - Green gram, Bengal gram, finger millets, etc.
• Avoid the use of citrus fruits, milk and milk products, refined sugar, processed foods, bakery products, alcohol, tobacco, etc.
• Restrict salt intake.