सर्दियों में जोड़ों का दर्द सताए? होम्योपैथी आराम पहुंचाए।
लेखकः डॉ. ओमप्रकाश भारद्वाज
सर्दियां चल रही है। इस मौसम में आर्थराइटिस बुजुर्गों को बहुत सताता है। दरअसल, युवाओं में भी जोड़ों की समस्याओं के मामले तेजी से बढ़ते जा रहे हैं। होम्योपैथी में आर्थराइटिस(संधिवात्)की चिकित्सा हेतु उपयोगी औषधियां मौजूद हैं। संधिवात् रोग में साधारणतः शरीर की बड़ी सन्धियों पर रोग का आक्रमण होता है। यह दो प्रकार का होता है, नया और पुराना। नया संधिवात्ः प्रत्येक सन्धि(ज्वॉइंट)के मध्य और प्रत्येक गांठ के क्षेत्र में एक तरह की झिल्ली होती है। इस झिल्ली से एक तरह का तरल पदार्थ जिसे साइनोवियल फ्लूड कहते हैं, निकलता रहता है जो हड्डियों को चिकना बनाए रखता है। इससे हड्डियों के संघषर्ण में हड्डियों को कोई नुकसान नहीं पहुचता। यह झिल्ली साइनोवियल मेम्ब्रेन कहलाती है। नए संधिवात में साइनोवियल मेम्ब्रेन का प्रदाह(सूजन)हो जाता है।
लक्षणः अन्य प्रदाहों की तरह ही नए सन्धिवात् में पहले श्लैष्मिक झिल्ली का प्रदाह होता है। रक्त की अधिकता होती है। इसके पश्चात् सन्धि के भीतर पानी इकट्ठा होता है। आमतौर पर पहले बुखार के साथ घुटनों पर आक्रमण होता है। इसके बाद कोहनी, कलाई, ऐड़ी और कंधों पर आव्रQमण होता है। इस रोग में एक संधि से प्रदाह कम होकर दूसरी सन्धि में बढ़ जाया करता है। रोगित सन्धि गर्म, सूजी हुई तथा सूखी रहती है और उसमें दर्द होता है। सन्धि फूल कर मोटी हो जाती है और उसे हिलाने डुलाने में अत्यधिक दर्द होता है। कभी—कभी एक साथ कई सन्धियां सूज जाती हैं। प्रायः यह रोग रात को अधिक परेशान करता है। दर्द की तीव्रता के कारण रोगी चिल्ली मार-मार कर रो पड़ता है।
इस रोग में किसी-किसी को पेरिकार्डियम, एण्डोकार्डियम प्लूरा और पेरीटोनियम आदि पर भी आक्रमण हो जाता है। युवावस्था के रोगियों में यह रोग हृदय को बहुत जल्दी आक्रांत करता है और घातक हो सकता है। पेरीकार्डियम रोग ग्रस्त होने पर सीने में दर्द, श्वांस में कष्ट, हृदय की गति अनियमित आदि लक्षण उत्पन्न हो जाते हैं। इस रोग में ज्वर 100 से 105 डिग्री फॉरेनहाइट तक हो सकता है। अक्सर प्यास तेज, नाड़ी की गति भारी, बदबूदार पसीना, थोड़ा पेशाब आदि लक्षण भी साथ रहते हैं।
कारणः इस रोग का कारण ज्ञात नहीं है फिर भी ऐसा माना जाता है कि अनुवांशिक दोष, बहुत अधिक सर्दी लगना, गॉनोरिया, सेप्टिक फीवर आदि कारणों से यह रोग हो सकता है।
पथ्यः रोग से आरोग्य होने तक रोगी को पूर्ण विश्राम करना चाहिए। रोगी को शरीर ढककर लेटना चाहिए। गरम करके ठण्डा पानी पीना चाहिए। दूध और छैना का पानी पीना भी लाभदायक है। रोटी, आलू, परवल, साग-सब्जी खाने को देनी चाहिए। मांस-मछली का परहेज रखना चाहिए। रोग वाली सन्धि पर दवा का प्रयोग भी किया जा सकता है।
पुराना सन्धिवातः यह सन्धिवात दो प्रकार का होता है।
1) मांसपेशियों का पुराना सन्धिवात
2) जोड़ों का पुराना सन्धिवात्
मांसपेशियों का संधिवातः इसमें सन्धियों में बीमारी नहीं होती केवल मांसपेशियां ही आक्रांत होती हैं इसमें होने वाला दर्द स्नायुशूल होता है। इस प्रकार के रोग के अंतर्गत आने वाले वात् रोग के प्रकार निम्न हैं:
क्) गर्दन की मांसपेशियों की अकड़नः गर्दन की मांसपेशियों पर रोग का हमला होने पर दर्द और खिंचाव महसूस होता है। सूजन भी हो सकती है। अक्सर गर्दन घूम नहीं पाती।
ख) प्लुरोडानियां: इसमें छाती और हाथों की पेशियां प्रभावित होती हैं। छाती की पेशियों में दर्द के कारण रोगी का श्वांस, प्रश्वांस कष्टपूर्ण हो जाता है। छींकने और खांसने में भी तकलीफ होती है।
ग) कमर का दर्दः इसमें कमर की पेशियों पर रोग का आक्रमण होता है। रोगी झुकने से मजबूर हो जाता है क्योंकि झुकने पर असहनीय दर्द होता है। रोगी सीधा खड़ा भी नहीं हो पाता। उसे बैठने में बहुत तकलीफ होती है।
2) जोड़ों का पुराना सन्धिवातः यह किसी रोगी को धीरे-धीरे प्रारंभ होता है ता किसी को नया सन्धिवात अधिक दिनों तक रहने पर पुराने रोग का रूप ले लेता है। माता-पिता से भी यह रोग बच्चों में आ जाता है। इस रोग में घुटनों पर ही ज्यादा प्रभाव होता है। रोगी महीनों से लेकर सालों तक रोग भोगता है। सन्धियों में दर्द के कारण रोगी का हिलना-डुलना मुश्किल हो जाता है। सूजन ज्यादा नहीं रहती लेकिन सन्धियों में पानी के जमा होने से सन्धियां फूल जाती हैं अगर रोगी चिकित्सा से रोग मुक्त नहीं होता तो सन्धियों की अकड़न के कारण रोगी का हिल-नाडुलना बंद हो जाता है। चलना-फिरना बंद हो जाता है। शरीर दुर्बल हो जाता है। इस तरह के वात रोग में ज्वर नही रहता। कष्ट रात के समय ज्यादा। वहीं मौसम के हिसाब से सर्दियों और बरसात में अधिक होता है।
उपचारः होम्योपैथी में सन्धिवात से निदान के लिए कई दवाएं मौजूद हैं, जो लक्षणों के आधार पर मरीजों को दी जाती हैं।
एकोनाइट नैप : नया संधिवात रोग, सन्धि स्थलों में छेने की तरह का दर्द, तेज बखार, बेचैनी, रोग वाली जगह फूली हुई और लाल रात में उपसर्गों का बढ़ना। सर्द ऋतु की सूखी और ठण्डी हवा से उत्पन्न वात रोग
ब्रायोनिया: ऐकोनाइट के बाद गांठों में दर्द काटने या सुई चुभाने जैसा दर्द हिलने-डुलने से दर्द का बढ़ जाना, शरीर गर्म, कब्ज, जीभ और शरीर सूखा, बहुत पसीना और कंपकंपी।
3) रसटाक्स : रात को लेटने के पश्चात, विश्राम की अवस्था में सुबह उठने पर दर्द का अधिक होना, लगातार चलने-फिरने में दर्द में राहत, ठण्डी और नम हवा लगने पर दर्द अधिक।
4) वैलाडोनाः टपकन की तरह का दर्द, दर्द वाला स्थान बहुत लाल और सूजा हुआ, सिर में जोर का दर्द, रात में दर्द का बढ़ना, दर्द का अचानक शुरू होना और अचानक गायब हो जाना।
5) पल्सेटिला : दर्द एक सन्धि से दूसरी सन्धि बदल लेता है। घुटने, एड़ी और हाथ-पैर की छोटी सन्धियों में दबाने जैसा दर्द बहुत सर्दी लगना, रात में दर्द, विश्राम करने पर दर्द का बढ़ना, खुली हवा में व हिलने-डुलने से घटना, प्रमेह के कारण पैदा हुए वात रोग में।
6) सिमिसिी फ्यूगा 3 एक्सः पीठ, गर्दन के पिछले भाग, छाती और कमर पर रोग का आव्रQमण, गर्दन जकड़ी हुई, गर्मी और सूजन के साथ पैरों में दर्द, शरीर में कंपकंपी चल न पाना, सिर या रीढ़ की हड्डी में तेज दर्द।
7) मर्क वाइवस 3एक्सः एक या अनेक सन्धियों में दर्द, रक्त का सन्धि में इकट्ठा होना। प्रदाह, बदबूदार या तेल की तरह का पसीना, रात में दर्द का बढ़ना।
8) अर्निका : मांसपेशियों में दर्द, पेशियों का कड़ा हो जाना, चोट लगने या गिरने के कारण पैदा हुए वात रोग में विशेष लाभदायक।
9) आरम मैट : एक सन्धि के दूसरी सन्धि में रोग के जाने पर और अंत में वक्षस्थल में वात रोग जाने पर, सोना बहुत मुश्किल, सामने की ओर झुक कर ही बैठ पाता है। सूजाक या उपदंश के कारण पैदा हुआ वात रोग।
10) फास्फोरस 30 : धोबी का काम करने वाले या बहुत अधिक देर पानी में रहकर कोई और काम करने वाले रोगियों में अत्यधिक लाभदायक।
अन्य दवाएंः
युपेट पर्फ 1एक्सः पीठ के दर्द के लिए महाऔषधि, मलेरिया, इन्फ्लुएंजा या अत्यधिक शारीरिक श्रम करने के पश्चात हुए वात रोग के लिए विशेषकर अजीर्ण रोग के साथ वात रोग में।
काली फॉस 6 एक्सः बरसात में रोग बढ़ने पर
लीडम पाल 6 : सभी प्रकार के वात रोग में यदि दर्द नीचे से ऊपर की ओर जाता हो।
रूला 3: कमर के वात में चोट लगने से वात होने और अर्निका तथा रसटाक्स से लाभ न होने पर।
कास्टिकम 6,30 : बांए हाथ की वात में हिलने-डुलने से दर्द का बढ़ना।
काल्मिया3: दाहिने बांह या दाहिने अंग का वात दर्द ऊपर से नीचे की ओर जाता हो।
डल्कामाराः विशेषकर बरसात के पानी में भीगने से होने वाले वात रोग में।
फाइटोलैका, काल्मियाः बांह के वात में।
मैजिरियमः बड़ी हड्डियों के दर्द में।
इलैप्सः बांए पैर में दर्द
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