Arbuda – Cancer Treatments in Ayurveda

Introduction:

Arbuda is a large growth. Though signs and symptoms mimic Granthi, they can be differentiated by the sign Paaka(suppuration). Arbuda does not have suppuration, while Granthi can undergo this stage.

 

Nirukti:

Gaatraprades`heKvachid Eva DoshaahSammorchchhitaaMaamsamabhipradooshya|

VrittamSthiramMandarujamMahaantamAnlapamoolamChiravriddhyapaakam ||

KurvantiMaamsopachyamTuS`hopham Tam ArbudamS`haastravidoVadanti ||

S.Ni.11/13-14

Comparison between Granthi and Arbuda

Granthi and Arbuda have the following common factors:

1. Prades`ha(Same manifesting site on the body)
2. Hetu(Causative Factors)
3. Aakriti(Form or shape)
4. Dosha(Responsible Dosha)
5. Dooshya(Involving Dhaatu)

Granthi can have Paaka, while Arbuda do not get suppurate because:

1. Dominance of Kaphaand Meda.
2. DoshaSthiratvaat (Dosha are stable)
3. DoshaGrathanatvaat (Dosha are accumulated)

Therefore, Arbuda can be treated with the same principles as that of Granthi.

Types of Arbuda

1. Vaataja
2. Pittaja
3. Kaphaja
4. Raktaja
5. Maamsaja
6. Medoja

 

SaamaanyaSampraapti:

Dosha gets accumulated (Sammoorchchhita) vitiating Maamsa. These Dosha get manifested as circular, stable, paining mildly, large sized oedema (S`hopha). The root of the oedema is big (Analpamoola). There is growth of Maamsa (Maamsopachaya). This S`hopha is called as Arbuda.

 

Symptoms of Vaataja, Pittaja, Kaphaja and Medoja Arbuda are same as those of Granthi.

 

Raktaarbuda: Sampraapti and signs

Vitiated Dosha entered into Rakta. These Dosha press the Siraa causing elevation of muscular growth without Paaka. It is overspread with Maamsaamkura(muscular elevations). There is continuous oozing of blood. This type of Arbuda is Asaadhya. Then it leads to the complications of Raktakshaya which further develops Paan`d`u.

 

Maamsaarbuda: Sampraapti and signs

 

Any trauma over the muscle, due to vitiation of Maamsa develops S`hopha without pain discolouration and movement. It is Snigdha and does not suppurate. It resembles hardness of a stone. It is Asaadhya (incurable).

 

Adhyarbuda

Adhikam Arbudam Adhyarbudam | Madhukos`ha.

 

When other Arbuda gets manifested over the previous one, it is called as Adyarbuda.

 

Dvirarbuda

DvandvajaatamYugmenaJaatam, YugapadEkadaaKramen`aVaa Tad Dvirarbudam| Madhukos`ha.

 

When two Arbuda develop at a time, are called as Dvirarbuda.

 

Asaadhya Criteria

Arbuda with following signs are incurable.

1. Prasruta (Sraavee)
2. Marmagata
3. Srotogata
4. Sthira (Achala)
5. Adhyarbuda (PoorvajaateYadanyatJaayate)
6. Dvirarbuda (YugapadKramaadVaa)

Also Adhyarbuda and Dvirarbuda are incurable.

 

 

 

 

 

Arbuda: Comparative study of subtypes and saadhyaasaadhyatva

 

Arbuda		Vaataja	Pittaja	Kaphaja	Raktaja	Maamsaja	Medoja
Saadhya							Saadhya
Asaadhya	Prasruta (Sraavee) Marmagata, Srotogata, Sthira (Achala), Adhyarbuda (Poorvajaate Yad anyat Jaayate), Dvirarbuda (Yugapad Kramaad Vaa)				Asaadhya	Asaadhya
Dosha	Tridosha	Vaataja	Pittaja	Kaphaja			Tridosha Prakopa
Dhaatu	Maamsa Dusht`i Maamsopachaya	Maamsa Dusht`i Maamsopachaya	Maamsa Dusht`i Maamsopachaya	Maamsa Dusht`i Maamsopachaya	Maamsopachaya Rakta Dusht`i	MaamsaDusht`i	Maamsa Dusht`i Rakta Dusht`i Meda Dusht`i Meda Vriddhi
Upadhaatu					SiraaPeed`ana
Srotas							Maamsa Rakta Meda

 

 

 

ArbudaChikitsaa

Reference:

C.Chi.12, S.Chi.18, A.H U.30, N.R. (Galagan`d`a, Gan`d`amaalaa, Apachee, Granthi, Arbuda)

 

Introduction:

Arbuda is a larger than without tendency of suppuration. Hence it could be treated similar to Granthi.

 

There are six types of Arbuda as per Sus`hruta

1. VaatajaArbuda
2. PittajaArbuda
3. KaphajaArbuda
4. RaktajaArbuda
5. MedojaArbuda
6. MaamsajaArbuda

 

SaamaanyaChikitsaa:

• For all types of Arbuda,treatment of Granthi should be followed.
• Arbuda should be excised completely from its root (attachment)

 

Vaataja Arbuda Chikitsaa

• Baahya Upakrama: Upanaaha, Raktamokshan`a
• AabhyantaraUpakrama: Siddha Yoga

 

(After Lepa, maggots are produced at the site; they reduce size of Arbuda, after which Lekhana and Agnikarma are indicated.)

 

 

 

 

 

 

 

 

 

 

 

(Treatment of Vran`a should be followed.)

MedojaArbudaChikitsaa

 

(Treatment of Vran`a should be followed.)

Pathya:

• Rasa – Kat`u,
• Gun`a/Karma – Rooksha, Deepana
• Dhaanya – Jeern`aS`haalee, Raktas`haalee, Mudga, Yava
• S`haaka – S`higru Phala, Pat`ola, Kat`t`hilaka, S`haalincha S`haaka, Vetaagra
• Dugdha – Jeern`a Ghrita
• Other – Guggulu, S`hilaajita, Vamana, Rechana,S veda, Nasya, Dhoomapaana, Siraavyadha, Daaha, Kshaara, Lepa, Langhana

Apathya:

• Rasa – Amla, Madhura
• Gun`a/ karma – Guru, Kledakaaraka
• Maamsa – AanoopaMaamsa
• Dugdha – Dugdha, Dadhi
• Other– Paisht`ikaPadaartha, KaphakaarakaPadaartha, Gud`a, Phaan`ita, Lavan`a, IkshuVikaara

 

 

 

 

Arbuda Chikitsaa

Reference:

C.Chi.12, S.Chi.18, A.H U.30, N.R. (Galagan`d`a, Gan`d`amaalaa, Apachee, Granthi, Arbuda)

 

Introduction:

Arbuda is a larger than without tendency of suppuration. Hence it could be treated similar to Granthi.

 

There are six types of Arbuda as per Sus`hruta

1. Vaataja Arbuda
2. Pittaja Arbuda
3. Kaphaja Arbuda
4. Raktaja Arbuda
5. Medoja Arbuda
6. Maamsaja Arbuda

 

Saamaanya Chikitsaa:

• For all types of Arbuda,treatment of Granthi should be followed.
• Arbuda should be excised completely from its root (attachment)

Vishesha Chikitsaa:

Vaataja Arbuda Chikitsaa

• Baahya Upakrama: Upanaaha, Raktamokshan`a
• Aabhyantara Upakrama: Siddha Yoga

Pittaja Arbuda Chikitsaa

Kaphaja Arbuda Chikitsaa

 

 

 

(After Lepa, maggots are produced at the site; they reduce size of Arbuda, after which Lekhana and Agnikarma are indicated.)

 

 

 

 

 

 

 

 

 

 

 

(Treatment of Vran`a should be followed.)

Medoja Arbuda Chikitsaa

 

(Treatment of Vran`a should be followed.)

Pathya:

• Rasa – Kat`u,
• Gun`a/Karma – Rooksha, Deepana
• Dhaanya – Jeern`a S`haalee, Raktas`haalee, Mudga, Yava
• S`haaka – S`higru Phala, Pat`ola, Kat`t`hilaka, S`haalincha S`haaka, Vetaagra
• Dugdha – Jeern`a Ghrita

· Other – Guggulu, S`hilaajita, Vamana, Rechana,S veda, Nasya, Dhoomapaana, Siraavyadha, Daaha, Kshaara, Lepa, Langhana

Apathya:

• Rasa – Amla, Madhura
• Gun`a/ karma – Guru, Kledakaaraka
• Maamsa – Aanoopa Maamsa
• Dugdha – Dugdha, Dadhi
• Other – Paisht`ika Padaartha, Kaphakaaraka Padaartha, Gud`a, Phaan`ita, Lavan`a, Ikshu Vikaara