HERPES / HERPES GENITAILS – हरपिस – नागिन
In Greek language Herpes means which can creep or crawl that means it can easily spread. Herpes is a viral infection.
There are different viruses causing varying types of herpes infections. Herpes viruses are able to establish lifelong persistent infections and undergo periodic reactivation.
There are 2 main types of herpes virus infection appear in humans:
- Herpes Simplex Virus type 1 (HSV-1) or Oral Herpes
- Herpes Simplex Virus type 2 (HSV-2) or Genital Herpes
Herpes Simplex Virus type 1 (HSV 1) or Oral Herpes :-
It is transmitted primarily through saliva. It is also called as oral herpes. It is mostly seen in the children. Most of The blisters are formed on the lips and around the mouth. Sometimes they appear on face and the tounge. These are common places of HSV 1 however the blisters can appear anywhere on the skin.
It can also cause Genital Herpes.
The patent may develop symptoms as flu like fever, muscle pains etc. And there may be association of infection presented with discharge, pain, and sensitivity to light. All above symptoms if start they can last from 2-3 weeks.
Herpes Simplex Virus type 2 (HSV-2) or Herpes Genitalis :-
In the present article we are going to know in detail about Herpes genitalis simply known as Herpes. Caused by herpes simplex virus type 2 (HSV-2).
Herpes simplex type 2 is an important sexually transmitted disease that is associated with genital infections for both males and females.
Transmission of Herpes Genitalis is mainly by direct contact with virus-containing secretions from wound/ulcers either by anal or vaginal sex or oral sex without using any condom. Sometimes one can infected with this virus by using common sexual toys from the infected person.
After the initial infection, a visible outbreak consists of single or clustered vesicles on the genitalia, perineum, buttocks, upper thighs or perianal areas. Anyone can get genital herpes by having vaginal, oral or anal sex with someone who has the disease.
In males, the lesions occur on the glans penis, shaft of the penis or other parts of the genital region, on the inner thigh, buttocks or anus. In females lesions appear on or near the pubis, clitoris or other parts of the vulva, buttocks or anus.
Other common symptoms include discharge from the penis or vagina, fever, headache, muscle pain (myalgia), swollen & enlarged lymph nodes & malaise.Women often experience additional symptoms that include painful urination( dysuria) & cervicitis. After 2 – 3 weeks existing lesions progress into ulcers & then crust and heal, although lesions on mucosal surfaces may never form crusts.
It infects both male and female. If a female is infected with this virus it can spread to the baby while the during process of delivery and causing neonatal herpes infection in the newborn. General symptoms for a baby born with herpes (contracted through a vaginal delivery) may include ulcers on the face, body, and genitals. Babies who are born with genital herpes can develop very severe complications like blindness, brain damage and death. To avoid that infection it is better to deliver the baby through caesarean section.
Symptoms of Herpes genitalis may develop within 7 days after the first exposure. The initial symptoms of herpes are fever associated with tingling or shooting pain, itching and burning sensation while passing the urine. Followed by formation of small blisters or vesicles at that site and associated with lymph node enlargement.
In females the blisters may appear on clitoris, labia, vestibule, vagina, perineum, and cervix and near scrotum and on glans & on shaft of penis, penis in the males.
These blisters may turn into ulcers and they can heal simultaneously. It takes about 1-2 weeks to complete the whole process. After that patient has a symptomless period. There are chances of frequent reoccurrence with herpes infection but with fewer symptoms.
“A typical sign of Herpes Genital is that one starts feeling tingling sensation (Chur-Chur type) on penis, one day before the onset of Herpes Genital. Next day, the blisters (one or more) comes on the site. Blisters look like bunch of grapes or sugar particles. One feels pain, burning, itching, reddness, tingling sensation. It lasts for 4-8 days—then blisters bursts & an open wound is formed—again it remain for 3-5 days & then heals up. One will feel that nothing has happened.
Again this episode is repeated after 10-20-30 days or in months; usually when one takes excessive alcohol or non-veg or smoking or excessive tensions or anxiety or excessive work in heat / sunlight or not taken proper rest for 3/4 days under some work load or tension !!
How to Diagnose
There are different methods to detect virus in a human body either by taking blood sample or taking fluid sample from the blisters.
In Allopathy there is no permanent cure for herpes but we can control it by giving antiviral medications help in reducing the symptoms and chances of recurrence. This therapy also helps in reducing the spreading capacity in an infected patient. Commonly using antivirals are as follows: (any one among these) Acyclovir, Valaciclovir, Famciclovir, valacyclovir.
Maintain genital hygiene and keep it dry. Saline bath may relieve local pain. For itching and pain one can also apply ice packs locally.
Herpes & Ayurveda :-
In Ayurveda Herpes can be correlate with Rati rogas / kuprasanga janya vyadhis / Upadamsha / Visarpa roga.
Rati rogas / kuprasanga janya vyadhis means spresding the disease by abnormal sexual intercourse.
Upadamsha :- Upadamsha is a disease explained in Ayurveda that can also be correlated with Herpes genitalis. There are 5 types of Upadamsha, vataj, pittaj, kaphaj, raktaj, sannipataj. The symptoms include feeling of twitching, Fever, Itching and Blisters in black color.
Visarpa roga :- There is another concept to correlate Hepes genitalis to one more disease in Ayurveda i.e. Visarpa roga. Mainly herpes has meaning of spread. The same terminology may correlate with Visarpa roga in ayurveda which has a meaning of spreading in any directions. It also called as Parisarpa that means it can spread all over the body. In Ayurveda visarpa is explained as general disease but through the above quotations we can adopt the symptoms and treatment for herpes genitalis also.
There are 7 types of visarpa like vataja, pittaja, kaphaja, agneya, granthi, kardama and sannipataja. The common symptoms among all visrapas are fever, giddiness and local numbness followed by blister formation.
The causative factors for herpes mentioned in Ayurveda are as follows:
- Excessive coitus
- Coitus with women of menstruating, dirty, unclean vagina, recently delivered,
- Unnatural sex
- Sex with an infected person
- Excessive coitus in other places than vagina
- Ulceration with nails or teeth
- Coitus with quadruped animals
- Cleaning with dirty water
- Non washing of penis after coitus
- Application of tiksha ointments to penis
Ayurvedic Treatment for Herpes Genitalis :-
In Ayurveda, there is very good treatment available to control Herpes Genitalis. Ayurveda is more than 5000 years old science. It has 8 sections called Ashtang Ayurveda, One of the part of Asthang Ayurveda is Rasayana and Vajikaran. Rasayana part mostly belongs to the treatment to be remain healthy and to increase immunity in the body to fight diseases.
So for the treatment of Herpes Genitalis both the medicines and treatments (Rasayana and Herpes medicines) are given……. One to increase the immunity of the body to avoid the recurrence on the virus and second to treat and control the herpes virus. With this mix therapy of treatment herpes is well controlled to the extent that one can live a happily married life by controlling the virus !!
Local treatment :- Local treatment of ulcers is done by washing and dusting medicines like triphala, kashaya or bringaraja swarasa and dadima twak churna and kasisa bhasma.
Oral medications : – There are many ayurvedic medicines that can be given orally to control and treat Herpes Genitalis like Chopchinyadi churna, Mahaksharadi gutika, Arogya vardhini vati, Varadi guggulu, Kaishora guggulu, Mahatiktakam kashaya, Maha manjishtadi kashaya, Sharibadyasava, Guggulu tiktakam kashayam, Gandhaka rasayana
DO’S & DON’T’S :-
- Take adequate rest till recovery.
- Keep the area dry & clean.
- Apply cold bag or icu cube locally for transient relief.
- Use sun protection like sunscreens.
- Wear loose cotton clothing.
- Keep the affected area dry & clean.
- Don’t eat Non-veg (All types of non-veg), Avoid Alcohol (Beer, Wine, Whisky etc).
- Avoid having sex without condom.
- Avoid sharing sex toys.
- Do not touch the lesion with bare hands.
- Wash hands with soap water if you touch the lesions.
- Children should consciously avoid thumb sucking or nail biting.
- Avoid kissing an infected person.
- Do not share towels, clothing etc with an infected person.
- Avoid using common utensils, spoons, lip balms etc.
- Breast feeding mothers should avoid feeding their infected baby for about 3 weeks.
- Do not scratch the lesions.
- Avoid any sexual contact during symptomatic stages.
- Avoid more spicy, chilly & fried food.
- Avoid Day sleep, getting anger & also exersive physical exersion.
- Avoid more exposure to sunlight.
Excessive intake of spicy, oily foods, Consumption of diet like mutton-fish, excessive walking under the sun, excessive physical exertion, and excessive exposure to warm environment like working near furnace, boiler, bakery etc. Persons who are in constant exposure to fire are more prone to herpes disease.
They are advised to do not work under mental stress, do not consume excessive oil, spicy food, avoid mutton-fish, avoid alcohol & smoking. Do not have sex with prostitute. Do not have sexual relations till completion of treatment; otherwise your partner may also get infected.