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How Evans Syndrome can be Managed by Natural Remedies?

Evans Syndrome


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


Diagnosis can be made through laboratory investigations that include - CBC (Complete blood count), LFT (Liver Function Test), RFT (Renal Function Test), Urine routine, Coagulating profile (APTT, INR, Platelet count, Fibrinogen), Bone Marrow Aspiration, Biopsy, Antibodies assay, Computed tomography (CT scan).

What are the Natural Remedies for Evans Disease?

There are various herbs that are effective to manage Evans Syndrome. Planet Ayurveda is offering various formulations that are prepared from the purely natural herbs, natural minerals and calcium compounds. To tackle "EVANS SYNDROME" Planet Ayurveda came with the "EVANS CARE PACK" which is composed of various effective herbs. This pack includes -

1. Immune Booster

These capsules are composed of - Bhumi amla (Phyllanthus niruri), Amalaki (Emblica officinalis), Grape seeds (Vitis venifera), etc. As discussed earlier it is an autoimmune disorder thus these capsules are helpful in boosting immunity. The herbs in these capsules balance tridoshas in our body, especially the pitta dosha.

Dosage - 1 capsule twice daily with plain water, after meals.

2. Ashwagandha Capsules

A well-known rasayana in our classics is Ashwagandha (Withania somnifera). It helps to rejuvenate the body cells. In the case of Evans Syndrome this herb has enough potential to stimulate the production of new

Dosage - 1 capsule twice daily with plain water, after meals.

3. Gandhak Rasayan

Gandhaka (Sulphur) is a unique preparation of Ayurveda in which purified natural gandhak is used, after processing with several herbal medicines, for several days and under a particular temperature. This gandhak tablets helps to purify the blood and treats symptoms like bruises, pallor, red spots, etc. Even it helps to increase the cell mediated immunity thus it is an effective medicine to treat Evans syndrome.

Dosage - 2 tablets twice daily with plain water, after meals

4. Green Essentials

The ingredients of green essential capsules are grape seeds, wheat grass, spirulina, green tea, etc. A natural blood purifier, anti-oxidant, and vitamins (especially vitamin C) rich formulation that helps to boost immunity, eliminate toxins and manage the weakness and general debility too.

Dosage - 1 capsule twice daily with plain water, after meals.

5. Giloy Capsules

These capsules contain a pure extract of herb giloy (Tinospora cordifolia). Guduchi has an immune modulator property which is an essential quality required to manage all the autoimmune disorders, as one among them is Evans Syndrome. Moreover it also possesses antioxidant, anti- inflammatory, antibacterial properties which are also helpful in this condition.

Dosage - 1 capsule twice daily with plain water, after meals.

6. Brahmi Chyawanprash

An effective formulation that is composed of various herbs like amla, pippali, maricha, haritki, etc. All these herbs help to correct the hormonal imbalance, generates the neurotransmitters to the target cells for cell production. It helps to subside the aggravated pitta.

Dosage - 1 teaspoon twice daily with plain water, after meals.

What are the Home Remedies for Evans Syndrome?

These are few home remedies that are helpful in this condition :-

  • Boil a ½ teaspoon of each saunf (Fennel), dhaniya (Coriander) and jeera (Cumin) or Anaarchilka (Pomegranate peel) in 3 cups of water till it is reduced to 1 cup, this decoction can be taken twice daily.
  • You can add rose petals, marigold juice, and amla juice in your daily routine.

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.

"Moreover, a potassium-rich diet is very beneficial for all kinds of bleeding disorders."

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