Systemic Lupus Erythematosus (SLE)

Overview

SLE varies from mild to life‑threatening. Common features include fatigue, fevers, photosensitive rashes, oral ulcers, hair loss, joint pain/swelling, anemia, and serositis. Important organ involvement includes kidneys (lupus nephritis), brain, heart, and lungs. Diagnosis relies on clinical evaluation plus labs (e.g., ANA, anti‑dsDNA, complements) and sometimes biopsy.

When to seek urgent care

• New swelling around eyes/feet, frothy urine, or rising blood pressure (possible nephritis).
• Chest pain, shortness of breath, or sudden drop in exercise tolerance.
• New severe headache, seizures, confusion, vision changes, or focal weakness.
• High fevers, persistent infections, or mouth sores when on immunosuppression.
• Pregnancy with SLE: vaginal bleeding, severe swelling, severe headache, or reduced fetal movements.

These symptoms can be serious. Contact your rheumatologist or emergency services.

Conventional Care (evidence‑based)

Treatment is individualized and may include hydroxychloroquine, NSAIDs, short courses of glucocorticoids, steroid‑sparing agents (e.g., azathioprine, mycophenolate, methotrexate), biologics (belimumab, anifrolumab, rituximab in select cases), and BP/proteinuria control for nephritis. Sun protection and vaccination are routine. Family planning should be coordinated; some medicines are avoided in pregnancy while others are preferred.

Do not stop prescribed medicines without clinician guidance.

Ayurvedic Perspective (Supportive)

Classical descriptions align with systemic involvement where agni (digestive/metabolic fire) is impaired, ama (metabolic residue) accumulates, and dhātu (rasa, rakta, māmsa, meda, asthi, majja, śukra) nourishment is disturbed with variable doṣa patterns. Supportive care emphasizes restoration of agni, reduction of ama, nurturing of ojas, gentle vyāyāma (movement), adequate rest, and stress regulation practices (e.g., nāḍi-śodhana, guided relaxation).

Ayurvedic measures are adjuncts and should be coordinated with rheumatology care, especially during active organ involvement.

Diet & Lifestyle (Comfort & Prevention)

• Favor warm, freshly prepared meals; include assorted vegetables, pulses, whole grains; consider anti‑inflammatory patterns (adequate protein, omega‑3‑rich foods).
• Gentle spices that kindle agni without heat excess: cumin, coriander, fennel, dry ginger in moderation.
• Hydration; limit ultra‑processed foods and very salty foods (especially with nephritis/HTN).
• Consistent sleep–wake rhythm; restorative practices (yoga āsana tailored to energy, pranayama, meditation).
• Sun protection (broad‑spectrum, clothing, timing) to reduce photosensitive flares.

Avoid unverified herbs during pregnancy or with immunosuppressants; discuss any supplements with your clinician.

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