What is Evans Syndrome?

Evans syndrome is a rare auto-immune disorder in which our own immune system starts forming antibodies against the healthy RBCs and platelets even destroy some WBCs.The destruction of cells is often called as Cytopenia. Affected people often suffer from a group of diseases like – Thrombocytopenia (too few platelets) and Coombs’ positive hemolytic anemia (premature destruction of RBCs), hence the name Evans syndrome.

Clinical Features of Evan Syndrome

Signs and symptoms may vary from person to person and also may depend upon the type of cells affected (Either RBCs, Platelets and/or WBCs) and the patient may present with the following signs and symptoms-

– Petechiae (tiny red dots) can appear at any part of the body.

– Bruises (blue spots), may be localized or generalized.

– Bleeding (can occur from any part of the body like – nose, oral cavity, hair follicles, eyes, etc.).

– The pallor of the skin

– Headache

– Vertigo

– Recurrent infections

– Shortness of breath

– Weakness

– Fatigue

– Rapid heartbeat

– Emotional distress

– Weight loss

Ayurvedic Perspective of Evans Syndrome

Evans syndrome is a Raktapitta disorder which means the responsible factors of this disorder are Rakta dosha (as per Sushruta) and Pitta dosha. Basically, Pitta acts as a vitiating factor that later leads to vitiation of the other two doshas in our body which are in Saptadhatus (especially the Rasa and Rakta dhatu).

Causes of Evans Syndrome

Evans syndrome is an auto-immune disorder and its exact cause is yet to be discovered but some factors may be responsible, which affect our digestive fire (Agni), the essence of all the dhatus (Ojas) and immunity, leading to the development of this disease in our body.

These factors can be –

Hereditary Factors (Vanshaj Karana) :

This disease can be due to heredity.

Environmental Factors :

Excessive exposure to UV rays, hot climate, pollution, etc.

Mental Status (Mansik Karana) :

Anger (Krodha), Grief (shoka), etc. leads to Pitta imbalance.

Lifestyle Factors (Vihaar Karana) :

Excessive exposure to sunlight (indulging in atapasevana), excessive walking (adhwa), excessive physical activities (vyayam), etc.

Dietary Factors (Aahar Karana) :

 Excessive consumption of oily, spicy, sour and fermented food like – Junk foods, bakery products, etc.

Diagnosis of Evans Syndrome

It is a diagnosis of exclusion which means that a diagnosis is made with Coombs-positive hemolytic anemia and thrombocytopenia in association with an abnormal immune response. Some tests can be done to differentiate it with other auto-immune disorders, having similar signs and symptoms –

– Blood tests (CBC, LFT, RFT, Platelet count, APTT, INR, Fibrinogen)

– Urine routine examination

– Antibodies assay

– Computed tomography

– Bone marrow Aspiration

– Biopsy

Natural Remedies to Treat Evans Syndrome

Evans syndrome can occur due to dietary factors, so some modification in the diet may decrease its severity and the second option can be some home remedies –

1.  Dietary Modification :

Our Classics mainly emphasizes on Aahar (Diet), Dinacharya (Daily routine), and Ritucharaya (Seasonal regimens). Diet modification can be as follows –

– Restrict salt intake.

– Avoid the use of milk and milk products, citrus fruits, processed foods, bakery products, refined sugar, alcohol, tobacco, etc.

– Pulses or cereals – Avoid Bengal gram, can take green gram, finger millets, etc.

– Use green leafy vegetables – Spinach, lentils, cabbage, bottle gourd, beans, broccoli, pumpkin, green grass, lettuce, lemongrass, coriander, mint radish leaves, radish, carrot, etc.

– Use fruits that are fresh- Apple, pear, banana, pomegranate, bael fruit, etc.

2.  Some Home Remedies :

Add Marigold juice, Amla juice and rose petals in your daily routine.

Decoction :

Take half teaspoon of each, saunf (Fennel), dhania (Coriander) and jeera (Cumin) or Anaar chilka (Pomegranate peel) in 3 cups of water and boil it till it is reduced to 1 cup. Now strain it and drink it. This decoction can be taken twice daily.

Herbal Remedies for Treating Evans Syndrome by Planet Ayurveda

Planet Ayurveda offers the best herbal remedies for Evans syndrome treatment in the form of Evans Care Pack. All these herbal remedies are authentic, natural, vegetarian, chemical and preservative-free, free from any side effects and can be used for a prolonged period of time. These products are prepared by using the standardized herbal extract of the herbs and prepared under the vigilant supervision of MD Ayurvedic Doctors by strictly following the principles of Ayurveda.

Evans Care Pack includes

  1. Ashwagandha Capsules
  2. Giloy Capsules
  3. Green Essentials
  4. Immune Booster
  5. Gandhak Rasayan
  6. Brahmi Chawanprash

Herbal Remedies For Evans Syndrome

1.  Ashwagandha Capsules :

Ashwagandha (Withania somnifera) is a well-known rasayana with our classics. In the case of Evans Syndrome, it helps to rejuvenate the body cells and has enough potential to stimulate the production of the new cells.

Ancient verse about Ashwagandha

(Reference – Bhavaprakashanighantu, Verse 189-190)

Meaning – Ashwagandha has various synonyms – Vrahkarni, Hyahriya, Baji, Kusthgandhini, Balda, and Varda. It is astringent and bitter in taste with hot in potency. It helps in managing emaciation problems and enhances spermatogenesis. It is anti-ageing, manages Vata and Kapha in the body. It is a good energy provider.

Dosage – 1 capsule twice daily with plain water after taking a meal.

2.  Giloy Capsules :

 These capsules are prepared by using a pure extract of Giloy (Tinosporacordifolia)herb, which is an immune modulator, helps to manage all the autoimmune disorders, thus also effective in the treatment of Evans Syndrome. It also possesses anti-oxidant, anti-bacterial, and anti-inflammatory properties which are extremely helpful.

Dosage – 1 capsule twice daily with plain water after taking a meal.

3.  Green Essentials :

These capsules are prepared by using various herbs like – Grape seeds, green tea, wheatgrass, spirulina, etc.  Green essential is an anti-oxidant, natural blood purifier, vitamins (especially vitamin C) rich formulation, helps to eliminate toxins, manage the weakness, general debility and also helps to boost immunity.

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

4.  Immune Booster :

This is prepared by using various herbs like – Amalaki (Emblicaofficinalis), Bhumi amla (Phyllanthusniruri), Grape seeds (VitisveniferaVitisvinifera), etc. These capsules are helpful in balancing tri-doshas in our body, especially the Pitta dosha and also helps in boosting immunity.

Dosage – 1 capsule twice daily with plain water after taking meals.

5.  Gandhak Rasayan :

This 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. It is an effective medicine to treat Evans syndrome because it helps to treat symptoms like – bruises, pallor, red spots, etc., helps to purify the blood and helps to increase the cell mediated immunity.

Dosage – 2 tablets twice daily with plain water, after taking a meal.

6.  Brahmi Chawanprash :

It is an effective formulation, composing of various herbs like – Amla, haritaki, pippali, maricha, etc. It helps to subside the aggravated Pitta, generates the neurotransmitters to the target cells for cell production and helps to correct the hormonal imbalance.

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

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Dr. Vikram Chauhan

Dr. Vikram Chauhan (MD - Ayurveda) is a Globally Renowned Ayurveda Physician with Expertise of more than 25 Years. He is the CEO & Founder of, a leading Ayurveda Brand, Manufacturing, and Export Company with a Chain of Clinics and Branches in the US, Europe, Africa, Southeast Asia, India, and other parts of the World. He is also an Ayurveda Author who has written Books on Ayurveda, translated into Many European Languages. One of his Books is "Ayurveda – God’s Manual for Healing". He is on a Mission to Spread Ayurveda All Over the Planet through all the Possible Mediums. With his Vast Experience in Herbs and their Applied Uses, he is successfully treating Numerous Patients suffering from Various Ailments with the help of the Purest Herbal Supplements, Diet, and Lifestyle, according to the Principles of Ayurveda. For More Details, visit. Read More

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