Tweet

(Cyriac) Abby Philips

14 Mar, 17 tweets, 8 min read

https://twitter.com/meenaxi2k/status/1370836181470961667

1/
You said, " no #ayurvedic #drug has any adverse effects". This is classical “Like a frog in a well” phenomenon.
Let me clear ur doubts. But Im sure u wil choose 2 remain in the well. Ur wish, but don't drag others into ur well of ignorance
#MedTwitter #livertwitter

A thread

https://twitter.com/meenaxi2k/status/1370836181470961667

2/
Clinical outcomes, histopathological patterns, and chemical analysis of Ayurveda and herbal medicine associated with severe liver injury-A single-center experience from southern India

pubmed.ncbi.nlm.nih.gov/29476406/

3/
Outcomes and Toxicology of Herbal Drugs in Alcoholic Hepatitis - A Single Center Experience from India

pubmed.ncbi.nlm.nih.gov/31915602/

4/
A Single-Center Experience on Outcomes of Complementary and Alternative Medicine Use Among Patients With Cirrhosis

pubmed.ncbi.nlm.nih.gov/31304453/

5/
Clinical Features and Outcomes of Complementary and Alternative Medicine Induced Acute Liver Failure and Injury

pubmed.ncbi.nlm.nih.gov/27045922/

6/
Severe hepatotoxicity by Indian Ayurvedic herbal products: a structured causality assessment

pubmed.ncbi.nlm.nih.gov/19841509/

7/

Ayurvedic drug induced liver injury

ncbi.nlm.nih.gov/pmc/articles/P…

8/
Toxic metals in ayurvedic preparations from a public health lead poisoning cluster investigation

pubmed.ncbi.nlm.nih.gov/29528276/

9/

Chronic arsenic toxicity from Ayurvedic medicines

pubmed.ncbi.nlm.nih.gov/18477160/

10/

A cluster of lead poisoning among consumers of Ayurvedic medicine

pubmed.ncbi.nlm.nih.gov/25843124/

11/

Chronic Arsenic Poisoning Following Ayurvedic Medication

ncbi.nlm.nih.gov/pmc/articles/P…

12/
Comprehensive review of hepatotoxicity associated with traditional Indian Ayurvedic herbs

pubmed.ncbi.nlm.nih.gov/33033566/

13/

Ayurvedic and herbal medicine-induced liver injury: It is time to wake up and take notice

pubmed.ncbi.nlm.nih.gov/29423815/

14/

Complementary and Alternative Medicine-related Drug-induced Liver Injury in Asia

ncbi.nlm.nih.gov/pmc/articles/P…

@APASLnews

15/

Recent Asia-Pacific @APASLnews drug induced liver injury consortium found that herbal medicines including #Ayurveda drugs are the commonest cause for drug induced acute on chronic liver failure

pubmed.ncbi.nlm.nih.gov/31021832/

16/

The problem of #Ayurveda, #Siddha and #Unani related drug toxicity is SO bad and #emerging that, recently, guidelines SPECIFICALLY for management of #Ayurveda related liver injury were made, which I have written for and contributed. #pseudoscience

pubmed.ncbi.nlm.nih.gov/33641080/

17/

Oh by the way, I have ONLY shown severe side effects with Ayurveda on Liver here.
There is more on
Kidneys
Skin
Brain
Heart
Lungs

So #Ayurveda drugs are side effect free, yes I agree - only when its not consumed and left lie on the shelves.

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More from @drabbyphilips

(Cyriac) Abby Philips

@drabbyphilips

16 Mar

1/
A real story of #modern medicine & #Ayush

Sad wen the former messes things up

24 yr male - overweight by 11kg. Routine check up - fatty liver/advised by GP 2 stop eating - yes he said stop eating, eat when hungry or he'll develop cirrhosis +
#MedTwitter #livertwitter

2/
So the guy gets food phobia - loses 2 much weight in 2 months - close to 12 kg - rechecks liver test - AST and ALT enzymes are higher than before - fellow is sure its 2 late and he is going to develop cirrhosis - so he goes 2 a Gastroenterologist at a suburban clinic +
#ethics

3/
Gastro doc does his ultrasound liver - sees grade 3 fatty liver frm prev Grade 1 - says its bad (on radiological assessment). Liver tests show AST 200 ALT 102. Patient repeatedly asks if he had developed cirrhosis
No answer (a silent doctor is either a fool or thinking one) +

Read 14 tweets

(Cyriac) Abby Philips

@drabbyphilips

15 Mar

https://twitter.com/doc_synapse/status/1371449437151588353

1/
My comments:
#quackery is diff frm #pseudoscience
Former may hav secular/political or religious attributes while the latter does hav regional differencs wit respect 2 political/religious practices
Some eg, discuss:
Traditional Chinese Med
Japanese Kampo
Homeopathy
Ayurveda

https://twitter.com/doc_synapse/status/1371449437151588353

2/
"A quack is a "fraudulent or ignorant pretender to medical skill" or "a person who pretends, professionally or publicly, to have skill, knowledge, qualification or credentials they do not possess; a charlatan or snake oil salesman".

3/
"Pseudoscience consists of statements, beliefs, or practices that claim to be both scientific and factual but are incompatible with the scientific method".
#pseudoscience may or may not lead to quackery
Eg
i-red.in
zyropathy.com

Read 6 tweets

(Cyriac) Abby Philips

@drabbyphilips

15 Mar

1/
Y promoting, supporting, advertising, sympathizing or simply ignoring, being neutral abt #Ayurveda, #Siddha or #Unani is dangerous 2 #publichealth. #MedTwitter #livertwitter
Middle aged man with BCLC-B liver #cancer (survival >30 mo) was advised a chemoembolization procedure

2/
Chemoembolization or TACE is relatively safe and adverse event free option in selected patients
It also improves survival
But
This patient luked 4 othr options. He was scared of TACE. Physician failed to gain his confidence bcoz he was busy moving 2 seeing many othr patients

3/
Physician gave the patient an appointment 4 procedure and left it at that. The patient, relatively stable man, went around asking for other options. Landed in arms of a traditional #ayurvedic healer, who advised him a cocktail of herbs and cow urine which he tuk for 3-4 mo

Read 7 tweets

(Cyriac) Abby Philips

@drabbyphilips

15 Mar

https://twitter.com/_dr_anshumalee/status/1371117179161116675

1/
Don't look at it as a JOB

See it as one's DUTY.

A patient is a doctor's extended #family

The art of #medicine goes well beyond the realm of a 'work-shift'

There is no current proven role of #herbal medicines in #cancer even though a lot of basic #science work is ongoing +

https://twitter.com/_dr_anshumalee/status/1371117179161116675

2/
Oral cancer is treatable condition. Please C Indian Clinical Practice Guidelines for oral cavity cancer bit.ly/3vnJoWJ

Ther R guidlines formulated for management in low resource areas too onlinelibrary.wiley.com/doi/full/10.10…

None of these feature #herbal drugs or #Ayurveda +

3/
The professor mite B right in his own terms, but not scientifically

A student must B able to rise to the occasion & correct/question his/her teacher if need B - this is truly success of practical education

Neither the professor, nor the patient, knws abt effect of herbals

Read 6 tweets

(Cyriac) Abby Philips

@drabbyphilips

13 Mar

1/ Cirrhosis patient with new onset fluid in abdomen (ascites) due to excessive salt use in daily foods. Moderate ascites, was advised needle drainage of fluid 4 relief. Heard frm neighbor that once removal starts, then it's transplant. So didnt agree to it. Went 4 #homeopathy 👇

2/
Few wks of #homeopathy, patient very lethargic. No advise 2restrict salt. On the other hand, patient told 2 consume water, #homeo every 2 hours. Came back in few wks in brain failure bcoz sodium level was 114. Admitted. Na corrected.Fluid removed. Stabilizing.
#MedTwitter

3/
#Homeopathy mayb subtle 2 cos any effect, adverse event/ this is what proponents wud say, that its mayb no effect, no side effect, but simple fact is that, it deters patients frm real treatment, that's the real danger.
#worldhomeopathyday,10th April say no to #Homeopathy

Read 4 tweets

(Cyriac) Abby Philips

@drabbyphilips

13 Mar

1/Cirrhosis patient on Madhumardan #ayurvedic tabs by #Jain & Pranada #herbal proprietary drug by #Bipha. Patient now with jaundice, recovered from brain failure and an episode of infection. Listed 4 liver transplant. #Ayurveda prescribed by patient's #BAMS sister
Issues👇

2/
Madhumardan contains 32 herbs.
Yes. 32 herbs. It's just crazy. 32 herbs. I can't get over this. Website mentions no side effects. Human #health has no value in #AYURVEDA. This is the truth about the #science of #life which is actually science of #business. Harmful BS.

3/
Pranada is a proprietary medicine. Look at indications for use. Dropsy, hydropsy and cirrhosis. What are these diseases which are totally different from each other, treated with same drug. Vague idiots. AGAIN, #PSEUDOSCIENCE OF BUSINESS. No regard 4 human health. Stupids.

Read 5 tweets

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