Introduction:

• Vidradhi is an elevation on the surface of the skin which manifests with Oedema. It is S`hastrakarmasaadhyaVyaadhi.
• Charakaachaarya has explained Vidradhi as one of the types of the PramehaPid`akaa. But he has also stated that without suffering form Prameha, thesePramehaPid`akaa including Vidradhi can get manifested.

 

Nirukti:

 

1. Dusht`aRaktaatimaatratvaat Sa VaiS`heeghramVidahyate |

TatahS`heeghravidaahitvaatVidradhiItiAbhidheeyate | (Cha. Su. 17/95)

2. S`heeghravidaahaadVidradhih | (Su. Ni. 9/1 Gayadaasa)

 

Sampraapti:

 

• Dosha vitiate skin, Rakta, Maamsa and Medas. They are harboured on Asthi. Gradually, these Dosha create serious Oedema. This Oedema (S`hopha) has large base. There is pain. It is circular or rectangular. This S`hopha is called as Vidradhi.

 

Types:

• Baahya :
  • It originates from skin, Snaayu and Maamsa. It resembles to tendons and is extremely painful.
• Aabhyantara :
  • Dosha when enter interior of the body affecting Maamsa and Rakta (Asra), thereby causes deep seated abscess (Granthi), which is very painful.
  • This Aabhyantaar (internal) Vidradhi may happen at heart (Hridaya), Kloma, Yakrit (Liver), Pleehaa (Spleen), Kukshi (Flanks), Vrikka (kidneys), Naabhi(Umbilicus), Vamkshan`a or Basti (Urinary Bladder).
  • Due to vitiation of Blood (Rakta), the Vidradhi get suppurated quickly, due to this quick suppuration only, it is called as Vidradhi. (TatahS`heeghraVidaahitvaatVidradhiItiAbhidheeyate | (Ch. Su. 17/95)
  • AabhyantaVidradhi manifests same as of Gulma (GulmaRoopin`am)

 

• Vidradhi again can be classified as:

 

1. Vaatika
2. Paittika
3. S`hlaishmika
4. Saannipaatika

 

• Types:

It is of 6 types:-

1. Vaataja
2. Pittaja
3. Kaphaja
4. Saannipaatika
5. Kshataja
6. Asrija

 

General guidelines to know:

• When Vidradhi suppurates completely and ruptures, then if Vidradhi is situated at upper side of the body (above the chest), it discharges out through mouth. If Vidradhi is situated at lower side of the body (below the umbilicus), it discharges out through the anus. When the Vidradhi is at umbilicus, after ripening it discharges through both mouth and anus.
• Completely ripened Vidradhi at Hridaya, Naabhi and Basti and SaannipaatikaVidradhi are incurable. They lead to death. So as soon as a person affects from Vidradhi, one should immediately get treated by Snehana, Virechana therapy.
• The general rule to treat Vidradhi is like Gulma.
• It is necessary that Vidradhi should be treated before the complications are manifested.
• Actually, Pid`akaa related to Prameha and those which are manifesting without Prameha have same line of treatment, as Dosha and Dooshya both are same in these types. D`alhan`a.
• It has been described that Pid`akaa are manifested due to negligence to treat Prameha. But it is also possible that without Prameha, Pid`akaa can be manifested. Unless and until these Pid`akaa get substantial root in the Dhaatu they are not manifested.
• S`haraavikaa, Kachchaapikaa and Jaalinee are difficult to tolerate and very serious in nature. They occur in such patients where Medas and Kapha are in excess.
• Sarshapee, Alajee, Vinataa and Vidradhi are due to dominance of Pitta and are possible in a person having moderately vitiated Medas and Kapha. These are curable.

 

Incurable condition for Vidradhi:

If Pid`akaa are manifested in a patient suffering from Prameha, at MarmaSthaana, Amsa, Guda (Anal region), Stana (Breasts), Sandhi (Joints), Paada (feet), then this patient does not survive.

 

Vaataja:

This Vidradhi is black in colour. It is Parusha. There is severe pain. This S`hotha manifests with different ways. This is VaatajaVidradhi. The secretions are thin (Tanu).

Pittaja:

This resembles to ripened fruit of Udumbara. It may be of S`hyaava (gray) color. There is Jvara and Daaha. It manifests quickly. It ripens / suppurates quickly. The secretions are yellow coloured (Peeta).

 

Kaphaja:

It resembles to an earthen vessel. It is whitish and cold to touch. It is stable. There is mild pain. It manifests with longer duration. It suppurates too lately. There is Kan`d`oo also. The secretions are white colored (Sita).

 

Saannipaatika:

There are different colored secretions, pain. The Ghaat`aala (The upper part) of the Vidradhi is large in size. It is irregular in size (Vishama). It is Asaadhya.

Kshataja / Abhighaataja:

Due to the trauma there is formation of wound. The heat at the wound gets spread due to Vaayu which provokes Pitta with Rakta. There is Jvara, Trishn`aa,Daaha. This is AagantuVidradhi which manifests same as Pitta Vidradhi.

 

RaktaVidradhi

 

• The Vidradhi is covered with multiple black colored blisters. It is grey colored (S`hyaava). There is severe burning sensation, pain and Jvara. It manifests with the symptoms of Pitta Vidradhi. This is RaktaVidradhi.
• RaktajaVidradhi manifests in the females only. If there is improper delivery of fetus or if Aparaa (Placenta) is not evacuated properly, then there isRaktajavidradhi which is also called as Makkalla. If this is not pacified within 7 days, then it gets suppurated within seven days.

 

According to the site of the manifestation, Vidradhi is of 9 types

 

1. Gudaja
2. Naabhigata
3. Kukshigata
4. Vamkshan`agata
5. Vrikkagata
6. Pleehaagata
7. Hridayagata
8. Yakritagata
9. Klomagata

 

• When Pleehaagata, Yakritgata, Klomagata, Vamkshan`agataVidradhi_s burst out, they are drained in the upward direction.
• Other Vidradhi_s like Gudagata, Bastigata, Vrikkagata, Vamkshan`agata drain in the downward direction.
• Vidradhi may it be Apakva, Pakva, may it be large or small in size; if it is manifested on the Marma; then it is Krichchhrasaadhya.

 

Difference between Gulma and Vidradhi:-

1. There is no root of the Gulma (Nibandhah NaAsti); where as Vidradhi has its root (Sanibandha)
2. Doshathemselves are turned in to Gulma; in GulmaDosha doe not get harbor in to some other Dooshya; whereas in VidradhiDosha get harboured in to the Maamsa and S`hon`ita.
3. Gulma is like a bubblein the water which manifest in the Srotas, it resembles to VaataGranthi, therefore it does not get suppurate (as there is no involvement of Rakta and Maamsa in the pathogenesis of Gulma); whereas Vidradhi is having Maamsa and Rakta as Dooshya, it gets suppurated.

AsthigataVidradhi:

Vidradhi manifested on the Asthi causes suppuration of Majjaa. When these suppurated MajjaaDhaatu can not drain out then it causes severe burning pain. Due to this heat produced in the Majjaa, there is severe pain. When this gets drained out, there is unctuous (Snigdha), white colored secretions which is cold to touch.

 

StanaVidradhi:

In the lactating or non lactating breasts, Dosha cause S`hotha residing in to the StanaSiraa. This manifests in to Prasootaa or Garbhin`ee. The S`hotha isGhana. This manifests as BaahyaVidradhi.

It does not manifests in the girls as the StanaNaad`ee are small in them.

 

 

 

 

Vidradhi: SampraaptiGhat`aka and Saadhyaasaadhyataa

 

Vidradhi	Baahya	Aabhyantara	Vaataja	Pittaja	Kaphaja	Saannipaatika	Kshatja /Aagantuja	Asrija/ RaktaVidradhi
Rogamaarga
Vyaadhi_class								Streevis`Hisht`aVyaadhi
Avayava	Tvak Snaayu Maamsa Hridaya Kloma Yakrit Pleehaa Kukshi Vrikka Naabhi Vamkshan`a Basti	Guda BastiMukha Naabhi Kukshi Vamkshan`a Vrikka Yakrit Pleehaa Hridaya Kloma
Saadhya	AdhonihsritaVidradhi		Saadhya	Saadhya	Saadhya		Saadhya	Saadhya
Krichchhra	Marmagata AntarvidradhishuBaahyatahBhinnamVidradhi Su. Ni. 9.25 D`alhan`a
Asaadhya	HridayasthaParipakvaVidradhi NaabhijaParipakvaVidradhi BastijaParipakvaVidradhi Saannipaatika UrdhvanihsritaVidradhi Tridoshaja					Asaadhya
Dosha	Tridosha		VaataPrakopa	Pitta Prakopa	KaphaPrakopa	Tridoshaja	Pitta Prakopa	Pitta Prakopa
Dhaatu	RaktaDusht`iMaamsaDusht`i AsthiAas`HrayaSu. Ni. 9.4, 34 D`alhan`a

 

 

 

 

 

VidradhiChikitsaa

Reference:

A.H.Chi. 13, S.Chi. 16, C.Su.17, N.R. Vidradhi

 

SaamanyaChikitsaa:

• Vidradhi in primordial stage should be treated as ApakvaVran`aS`hotha and RaktaMokshan`a should be done frequently.
• Vidradhi in stage of suppuration should be treated as Vran`a (Bhinna)
• In all types of Vidradhi in Pakva /Apakva stage VidradhiNaas`hakaKashaaya (decoction) should be given combined with S`hilaajitu or Guggulu.
• Vidradhi should be treated in Apakvavasthaa (initial stage) and Pakvavasthaa/Paaka should be avoided as it becomes suppurative faster than Vran`ahence, it is termed as Vidradhi.

Treatment of VaatajaVidradhi: – (Aamavasthaa)

• Sechana with BrihatpanchamoolaKvaatha
• Lepa of VaatghnaGan`aSneha
• Upanaaha(Poultice) of Audaka / AnoopaMaamsa, AmlaLavan`a Siddha Sneha,Ves`havaara, Kris`haraa.
• Rakatamoks`han`a
• Siraavedha should be done at KoorparaSandhi (at Elbow Joint).
• Svedana with Dugdha and Paayasa.
• Vran`aRopan`a with BhadradaarvaadiGan`a
• S`hodhana with TrivritadiGan`aSneha
• Vran`a Ropan`a with Vidaryaadi Trivritta Gan`a Sneha (After Vidradhi Bhedana)

VaatajaVidradhi: – (Pakvavasthaa)

• Bhedana followed by Vran`aS`hodhana and Sechana with BrihatpanchamoolaKvaatha
• Vran`aRopan`a with BhadradaarvaadiGan`a, Saalavan`aTaila.

Treatment of PittajaVidradhi: –

• Sechana with KsheeriVriksha Siddha Jala / Kvaatha
• Lepa with Yasht`yaadi Kalka, Saarivaadi Kalka
• Vran`aRopan`a with NyagrodhaadiGan`a Siddha Ghrita and Manjist`haadi Kalka(After VidradhiBhedana)
• Seka with JeevaneeyaGhrita with S`harkaraa, Ikshu Rasa, Dugdha
• Raktamokshan`a
• Siraavedha should be done at KoorparaSandhi (at Elbow Joint).
• To pacify Daaha and Vedanaa (pain and burning sensation) purgation with TrivritaadiChoorn`a should be administered
• Parisheka with KsheeriVrikshaKashaaya and AudakaDravyaKashaaya

Treatment of KaphajaVidradhi: –

• RookshaSvedana with Isht`ikaa, Sikataa, Losht`a, S`hakrit, Tusha, Paamshu and Gomootra.
• Kashaayapaana
• Vamana
• Aalepa
• Raktamokshan`a with (Alaabu) (Refer: – Alaabu Karma)
• Siraavedha in mid axillary line (VaamaPaarshvaKakshaaStanantarashrayaAdhahDes`ha) between Axilla and Mammary gland.
• Sechana / Dhaavana with AaragvadhaadiGan`a Siddha Jala
• Lepa with Saktvaadilepa
• Vran`aRopan`a with KulaatthaadiTaila (After VidradhiBhedana)

Treatment of RaktajaVidradhi: –

• Same as PittajaVidradhi
• Siraavedhaa should be done at KoorparaSandhi (at Elbow Joint).

Treatment of AagantujaVidradhi:

• Same as PittajaVidradhi

Treatment of KshatajaVidradhi: –

• Same as PittajaVidradhi

Treatment of Aabhyantara / Antarvidradhi: –

• General treatment: –

o Snehana

o Svedana

o GulmaChikitsaa

• Aamaavasthaa:

o Vaarun`aadiGan`aKvaatha with OoshakaadiGan`a Kalka Prakshepa

o Ghrita made of Vaarun`aadiGan`a, OoshakaadiGan`a and VairechanikaDravya_s in morning.

o Vaarun`aadiGan`a, OoshakaadiGan`aVairechanikaDravya_s Siddha Taila should be used for Aasthaapana /AnuvaasanaBasti.

o MadhuS`higru Kalka + YathaaDosha Kalka Avaapa (to pacify the specific Dosha_s)

o YathaaDosha Kalka Kvaatha added with S`hilaajatu (to pacify the specific Dosha_s)

o GuuguluPradhaanaDevadaaruKvaatha (for Vaatapraadhaanya) or S`hunt`hee Siddha Kvaatha (for Kaphapraadhaanya)

o Snehana

o Upanaaha

o Anulomana

o Siraavedha should be in mid axillary line (VaamaPaarshvaKakshaaStanantara) if Vidradhi is in left side. (S.Sha 8)

o Siraavedha should be in mid axillary line (Dakshin`aParshvaKakshaaStanantara) if Vidradhi is in right side. (S.Sha 8)

Treatment for AabhyaantraVidradhi with Raktadusht`i and Gambheeranugatatva: –(Deep situated internal abscess with Vitiated blood)

Siraavedha should be done in mid axillary line (KakshaaStanaantaraAdhah Desha) between Axilla and Mammary gland in lower side (S. Sha. 8)

VidradhiChikitsaa:

In Vidradhi bloodletting is done with the help of S`hringa etc. adjacent to the region of abscess (Vidradhi) from Siraa.

 

Treatment of Antarvidradhi:

In internal abscess treatment should be same as Gulma considering Dosha_s.

 

• Pachyamaanaavasthaa:

o Vidradhi situated in Kost`ha when attains Pachyamaanavasthaa protrudes externally, indicating this protuberance as the site of affliction.

o Upanaaha should be applied locally to attain Pakva / BhinnaAvasthaa.

Examination of Pakva / Bhinna or Pakvaavasthaa:

1. Regression of tenderness locally.
2. Regression of symptoms like burning sensation.
3. Oozing of the vitiatedDosha_s from the Vran`a.

• Treatment of VidradhiPakvaavasthaa:

o Similar to Vran`aChikitsaa

o Allow Pus discharge through (Oordhva /Adhah) upper / lower parts of body to flow off.

 

Vaarun`aadiGan`aKvaathaMadhuS`higru Kalka/Yavaagoo. o Management of complications. o After 10- 12 days S`hodhana with Trayamaan`a / TailvakaGhrita o TiktakaGhritaPaana. Treatment in Raktaja Pittaja VaatajaVidradhi: – Siraavedha should be done at Baahu (at Elbow Joint). Treatment of PakvaVidradhi: – o Bhedana o Vran`a vat Upachaara Treatment of PakvaVidradhiBhinna / SraaveeAvasthaa: – o Vaarun`aadiGana or MadhuS`higruChoorn`a added in Maireeya, Dhaanyaamla, Suraa, Aasava o S`higru Moola Jaala Siddha Sidhharthaka Odana o Yava Kola KulatthaYoosha. o TilvakaGhrita (of Vaatvyadhi) in a low dose. o TrivritaadiGan`aKvaatha Treatment of AsthimajjaGataVidradhi (Osteomyelitis) Snehana Svedana Raktamokshan`a AsthiBhedana Treatment of VidradhiVran`a –Devoid of Pus and foreign body Vran`aS`hodhana Vran`aDhaavana with TiktaDravyaKvaatha. Tikta Dravya Siddha Ghrita Paana. Treatment of MajjagataVidradhi (SraaviAvasthaa) Sams`hodhanaDravya_sKvaatha Treatment of StanaVidradhi Similar to Vran`aS`hothaChikitsaa Similar to VidradhiChikitsaa Special precaution: Avoid Upanaaha. Paat`anaS`hastrakarma is done avoiding StanyavahaSiraa and Krishn`aChuchuka (areola) StanaNirdohana(milk extraction) in all type of stages (AamaPachyamaanaPakvaAvasthaa )   Pathya:   Apakvaavasthaa Dhaanya- Jeern`aS`haalee, Kulattha S`haaka- Las`hoona, Rakta S`higru, Nishpaava, Kaaravellaka, Punarnavaa, Naravela,Chitraka, S`hreeparn`ee Other–Madhu Pakvaavasthaa Dhaanya- Jeern`aS`haalee, Raktas`haalee S`haaka- S`haalincha S`haaka, Pat`ola, Karpoora, Chandana S`himbee- Mudga Dugdha- Ghrita Drava- Taila, S`hritas`heetajala Phala- Kadalee Other– Man`d`a, Peyaa   Search Anveshaka Search Dravya, Kalpa, Aahaara, Chikitsaa Karma for Indicated in Vyaadhi Vriddhi Effect on Dosha – Vaataghna, Pittaghna, Kaphaghna Karma Vran`aRopan`a, Vran`aS`hodhana, Krimighna Aahaara Name Equal To Kris`haraa, Paayasa / Ksheerikaa, YavaadiYoosha Chikitsaa Karma Snehana, Svedana, Raktamokshan`a, Siraavyadha

Nirukti:

 

1. Vaata Eva Vyaadhi Vaatavyaadhih |

Vaata itself is treated as Vyaadhi considering its potential to cause Vyaadhi with dominance of Vaata. Here, Vaataitself acts as a Dooshya and manifests diseases all over the body or locally.

 

2. Vaataad Vyaadhih Vaatavyaadhih|

Any disease which is caused due to the dominance of Vaata Dosha, is Vaatavyaadhi.

 

3. Vyaadhipadasaamaanaadhikaran`yaad Vikrito Duhkhakaaree Vaato Vaatavyaadhih | M. N. 22.1-4

 

Introduction:

 

• Vaata is main entity as Dosha in the human body. It is the most potent Dosha as many activities of other Doshaare dependent on it. Jvara and other Vyaadhi are also caused by Vaata Dosha also, but they are not denoted asVaatavyaadhi, because other Dosha like Pitta and Kapha both are equally involved, in the pathogenesis of Jvaraetc. diseases. But in the Vaatavyaadhi pathogenesis and manifestation the major role is of Vaata Dosha. OtherAavrita Vikaara like Kaphaavrita and Pittaavrita Vaata etc. are considered under Vaatavyaadhi because there is major involvement of Vaata Dosha than other Dosha.

 

• Vaata is Atibala, Aas`hukaaree, Gariyas i. e. it is the most potent and powerful Dosha by which other Dosha; i.e.Kapha and Pitta are influenced. As the Vaatavyaadhi are difficult to cure and have specific treatment, they are described separately. But it is not so with the Pittavikaara and Kaphavikaara so they are not described separately.

 

• It is very difficult to describe all the Vaatavyaadhi as there can be innumerable combinations depending upon the site, vitiation of Vaata type etc. Therefore these are to be judged according to the site and the symptoms which are manifested.

 

• The prime Dosha in the pathogenesis of Vaatavyaadhi is Vaata, but it is also necessary to find out the association of other two Dosha with the help of the symptoms.

 

• Vaata gets aggravated due to two major causes:

1. Dhaatu Kshaya
2. Maargaavaran`a

• Vaata is the most potent Dosha. Being Sookshma (subtle), Vaata moves all over the body and vitiates otherDosha. This leads to the diseases at the site at which the Dosha are aggravated. It also causes emaciation ofDhaatu.

 

• Charaka Samhitaa has given the 5 types of Vaata Dosha according to Sthaana (site) and Kriyaa (Vaata responsible for different actions). They are Praan`a, Udaana, Samaana, Vyaana, Samaana, Apaana. When the actions of specific type of Vaata is aggravated or diminished, it is to be taken as a vitiation of Vaata. Actually, 80 types ofNaanaatmaja Vikaaraa are explained in Sootrasthaana of Charaka Samhitaa.

 

• Types of Vaata Dosha

 

1. Praan`a When vitiated causes the diseases like Hikkaa, S`hvaasa, Kaasa.
2. UdaanaWhen vitiated causes the upperclavicular diseases (OordhvaJatrugata Vikaara)
3. SamaanaWhen vitiated cuases diseases like Gulma, Agnisaada, Atisaara, etc.
4. VyaanaWhen vitiated leads to the diseases manifesting all over the body; S`hukradosha, Prameha etc.
5. ApaanaWhen vitiated leads to the diseases related to Basti and Guda; S`hukradosha, Prameha.

 

Sampraapti:

 

• Vaata gets filled in to the dried channels in the body manifesting the diseases all over the body or at the site where it gets aggravated.

 

Lakshan`a:

1. (Parva) Samkochaconstriction
2. (Parva) Stambhastiffness
3. (Asthi and Parva) Bhedapiercing pain in the bones
4. Lomaharshabristling of hairs
5. Pralaapadelirious speech
6. Graha (Paan`i / Prisht`ha / S`hira)catching pain
7. Khaanjyalimping with one leg
8. Paangulyalimping / hobbling
9. Kubjatva the state of being humpbacked
10. S`hoshaatrophic condition
11. Anidrataa insomnia
12. Garbha Naas`hafetal death
13. S`hukra Naas`haabnormality in semen
14. Rajo Naas`haabsence of menstruation
15. Spandana pulsation
16. Gaatra Supti Numbness
17. S`hiro Hun`d`ana Cracking of the scalp (Kes`haBhoomi Sphut`ana)

S`hamkha and Lalaat`a Bheda piercing pain in temporal and frontal bone

 

18. Naasaa Hun`d`ana Ghraan`a Naas`hainability to smell
19. Akshi Hun`d`ana Akshivyudaasa – throwing away of eyes
20. Jatru Hun`d`ana Vaksha Uparodha obstruction on the chest
21. Greevaa Hun`d`ana Greevaa Stambha neck stiffness
22. Todapricking pain
23. Arti pain / injury
24. Aakshepa throwing away of the body parts
25. Moha infatuation
26. Aayaasa exertion

 

Types

• The diseases enlisted in the Vaatavyaadhi Chikitsaa in Charaka Samhitaa

 

1. Kosht`haas`hrita Vaata
2. Sarvaangagata Vaata
3. Gudasthita Vaata
4. Aamaas`hayaas`hrita Vaata
5. Pakvaas`hayaas`hrita Vaata
6. Indriyaas`hrita Vaata
7. Tvaksthita Vaata
8. Raktagata Vaata
9. Maamsamedogata Vaata
10. Majjaasthigata Vaata
11. S`hukrastha Vaata
12. Snaayugata Vaata
13. Siraagata Vaata
14. Sandhigata Vaata
15. Ardita
16. Antaraayaama
17. Bahiraayaama
18. Hanugraha
19. Aakshepaka
20. Dan`d`aka
21. Ekaangaroga
22. Gridhrasee
23. Khallee
24. Aavrita Vaata
    1. Pittaavrita Vaata
    2. Kaphaavrita Vaata
    3. Raktaavrita Vaata
    4. MaamsaavritaVaata
    5. Medaavrita Vaata
    6. Asthyaavrita Vaata
    7. Majjaavrita Vaata
    8. S`hukraavrita Vaata
    9. Annaavrita Vaata
    10. Mootraavrita Vaata
    11. Pureeshaavrita (Varchasaavrita) Vaata
    12. Praan`aavrita Vyaana
    13. Samaanaavrita Vyaana
    14. Udaanaavrita Vyaana
    15. Apaanaarita Vyaana
    16. Vyaanaavrita Praan`a
    17. Udaanaavrita Praan`a
    18. Praan`aavrita Samaana
    19. Samaanaavrita Apaana
    20. Udaanaavrita Apaana
    21. Vyaanaavrita Apaana
    22. Praan`aavrita Udaana
    23. Apaanaavrita Udaana
    24. Pittaavrita Praan`a
    25. Kaphaavrita Praan`a
    26. Pittaavrita Udaana
    27. Kaphaavrita Udaana
    28. Pittaavrita Samaana
    29. Kaphaavrita Samaana
    30. Pittaavrita Vyaana
    31. Kaphaavrita Vyaana
    32. Pittaavrita Apaana
    33. Kaphaavrita Apaana

 

• Actually, Charaka says that there are 20 Aavaran`a_s but explains only 12.
• There is also a type named as Mis`hra Aavaran`a e.g S`hleshma Pittaavrita Vaata; but it is not discussed. Only a guideline is given.

 

Kosht`haas`hrita Vaata

When Vaata gets resided in to Kosht`ha (digestive system), the symptoms manifested are Mootra Nigraha (retention of urine), Pureesha Nigraha (constipation), Bradhna, Hridroga (heart related diseases), Gulma, Ars`ha (piles),Paars`Hvas`Hoola (pain in the sides of the chest).

 

Sarvaangakupita Vaata

 

• When Vaata aggravates all over the body, the symptoms manifested are Gaatra Bhanjana (breaking pain), Gaatra Sphuran`a (pulsation), Vedanaa (pain), Sandhi Sphut`ana (splitting pain in the joints).
• According to Sus`hruta, Vaata gradually aggravates and lodges in the hands, feet, head etc. ultimately harboring all the body and all the Dhatu_s. The symptoms are Stambhana, Aakshepan`a, Svaapa, S`hopha, S`hoola.
• Vaagbhat`a adds some symptoms like Toda, Bheda, Stambhana, Aakshepan`a, Svaapa, Sandhi Aakunchana,Kampana.

 

Gudasthita Vaata

When Vaata aggravates in the Guda, the symptoms manifested are Pureesha Graha (constipation), Mootra Graha(retention of urine), Vaata Graha (flatulence), S`hoola (pain), Aadhmaana (flatulence), As`hma (calculus), S`harkaraa(gravels), Janghaa Paata (debility in Janghaa), Ooru Paata (debility in thighs), Trika Paata (debility in Triak), Prisht`haRoga, S`hosha (emaciation).

 

Aamaas`hayasthita Vaata

 

• When Vaata gets vitiated in Aamaas`haya, the symptoms manifested are Hrit Ruk, Naabhi Ruk, Paars`hva Ruk,Udara Ruk, Trishn`aa (thirst), Udgaara (belching), Visoochikaa, Kaasa, Kan`t`ha S`hosha (dryness in the throat),Aasya S`hosha (dryness in the mouth), S`hvaasa (Dyspnoea)
• The symptoms are Chhardi, Moha, Moorchchhaa, Pipaasaa, Hridgraha, Paars`hva Vedanaa. (Sus`hruta)
• According to Vaagbhat`a, the symptoms of Aamaas`hayagata Vaata are Trid`, Vamathu (vomiting), S`hvaasa, Kaasa, Visoochikaa, Kan`t`hoparodha, Udgaara (belching).

 

Pakvaas`hayastha Vaata

 

• When Vaata gets vitiated in the Pakvaas`haya, the symptoms manifested are Antrakoojana (bowel sounds),S`hoola (pain), Aat`opa (Udare Gud`a Gud`a S`habdah), Krichchhramootrapravritti (difficulty in urination),Krichchhrapureeshatva (difficulty in defecation), Aanaaha (flatulence), Trikavedanaa (pain in Trika).
• The symptom added by Sus`hruta is Naabhi S`hoola.
• Vaagbhat`a adds the symptoms like Aanaaha, Malarodha (constipation), As`hma (urinary calculus), Vardhma, Ars`ha (piles), Trika Graha (catching pain in the lumbar region), Prisht`ha Graha (catching pain in the back), Kat`i Graha (catching pain in the waist) and the diseases manifesting on the lower body.

 

Indriyagata Vaata

The perceptive ability is hampered or lost when Vaata vitiates in the sense organs.

 

Tvak Gata Vaata

 

• Vaata vitiated in the skin manifests the symptoms like Tvak Sphut`ana (cracks in the skin), Tvak Supti(numbness), Kris`ha Tvak (emaciation of skin), Krishn`a Tvak (black Colored skin), Tvak Toda (pricking pain in the skin), Tvak Aatanana (Vistaara), Tvak Raaga (redness in the skin), Parvaruk (pain in the Interphalengeal joints).
• Sus`hruta adds the symptoms like Tvak Sphuran`a, Tvak Raukshya, Chimachimaayana, Nistodana, Tvak Bheda, Paripot`ana (Sarvatah Put`anam Tvahcah Eva D`ahlan`a).
• According to Sus`hruta, there is Sphut`ana (cracks on the skin) and Rookshataa (dryness), when Vaata resides in the skin.

 

Raktagata Vaata

 

• Vaata vitiated in the blood manifests with the symptoms like (Teevra Rujaa) severe pain, Santaapa, Vaivarn`ya(change in the complexion), Kris`hataa (emaciation), Aruchi (Anorexia), Arumshi, Gaatra Stambha after having food.
• According to Sus`hruta, wound is the symptom of Raktagata Vaata.
• Vaagbhat`a adds some symptoms like Raaga (redness on the skin), Anna Visht`ambha, Kris`hataa (emaciation),Bhrama (vertigo).

 

Maamsamedogata Vaata

 

• When Vaata vitiates in Maamsa and Medas Dhaatu, the symptoms are Anga Gaurava (heaviness), Ati Toda[Todaad`hya] (severe pricking pain), Dan`d`a Musht`ihatavat Rujaa (pain as if one is stroking by stick or punch),S`hramita (exerted).
• Sus`hruta says that there are Granthi_s with pain in Maamsagata Vaata. In Medahs`hrita Vaata, there areGranthi_s but relatively less pain and there are no wounds.
• Vaagbhat`a says that when Vaata vitiates Maamsa and Meda, it manifests with Ati Toda (severe pricking pain),Karkas`ha Granthi, S`hrama, Anga Gurutaa (heaviness), Ati Ruk (severe pain), Stabdhataa, Dan`d`aMusht`ihatavat Rujaa (pain as if one is stroking by stick or punch).

 

Asthimajjaagata Vaata

 

• When Vaata aggravates in Asthi_s and Majja, the symptoms manifested are Asthi Bheda (Breaking pain in bones),Parva Bheda (breaking pain in Interphalangeal joints), Sandhis`hoola (joint pain), Maamsa Kshaya (depletion ofMaamsa), Balakshaya (loss of physical strength), Asvapna (insomnia), Santataa Ruk (Continuous pain).
• According to Sus`hruta, there is emaciation of Asthi, Asthi Prabheda (breaking pain) and S`hoola (pain); and inMajjaas`hrita Vaata, there is Continuous pain (not relieving for a while).
• There is Sakthi S`hoola (pain in waist region), Asthi S`hoola (bony pain), Sandhi S`hoola (joint pain) and Teevra Balakshaya (severe debility).
• In Majjaagata Vaata, there is Asthi Saushirya (osteoporosis), Asvapna (Nidraa Naas`ha), Santata Rujaa(Continuous pain).

 

S`hukrastha Vaata

 

• When aggravated Vaata aggravates in the S`hukra Dhaatu, the symptoms manifested are Kshipra S`hukra Mochana (early ejaculation of S`hukra) or delayed ejaculation of S`hukra at the time of sexual act. Premature births or not causing labor pains after the fetal maturation period. The fetus may have some congenital anomalies. There may be the abnormalities in the semen.
• According to Sus`hruta, there may be early or delayed ejaculation of semen or there may be the abnormalities in the S`hukra (semen).

 

Snaayugata Vaata

 

• When Vaata aggravates in the Snaayu_s, the symptoms manifested are Baahyaayaama, Antaraayaama, Khalli,Kubjatva, Sarvaangaroga, Ekaangaroga.
• It manifests with Gridhrasee, Aayaama, and Kubjataa.

 

Siraagata Vaata

 

• When Vaata gets vitiated in the Siraa, the symptoms manifested are S`hareera S`hosha (emaciation of body), (Manda Ruk) mild pain, S`hareera Spandana (pulsation of body), Siraa Supti (Non-pulsatile vessels / numbness in the Siraa), Siraa Tanutva (thinness of Siraa), Siraa Mahatee (enlargement of Siraa). There is Manda Ruk (mild pain) and Manda S`hopha (mild Oedema).
• According to Sus`hruta, there is S`hoola, Siraakunchana (Kut`ilaa Siraa D`alhan`a), Siraa Pooran`a.
• There is Siraa Aadhmaana (Siraa Pooran`a) or Siraa Riktataa (emptiness of the vessels).

 

Sandhigata Vaata

• When Vaata gets aggravated in the joints, there is Oedema on the joints. Joint feels like an inflated bag. There is pain while flexing and extending the limbs.
• According to Sus`hruta, there is inability of joints to move. There is S`hoola (pain) and S`hopha (Oedema) on the joints.
• These are the Vyaadhi_s which are not that much powerful but relatively can be treated easily. Hence forth, relatively serious Vaatavyaadhi_s are explained.

 

Ardita (Ekaayaama)

• Ardayitvaa Anilo Vaktram Arditam Janayati Atah | S.Ni.1/69
• Vaata severely aggravated gets harbored in the left or right half of the body. It emaciates and constricts (Upas`hoshan`a and Samkocha) Rakta, Baahu, Paada and Jaanu. The face, nose, eyebrows, forehead, eyes and mandible get crooked. Patient eats with the crooked face. The eyes become still while talking. The sneezing remains obstructed. The speech of the patient becomes Deena (depressed sound), Jihma (crooked sound),Samutkshipta, Kalaa (Avyaktaa). There is Dantachaalana (crackling sounds of teeth). Both the ears S`hravan`aBaadhaa (become deaf). There is Svara Bheda. There is pain in feet, hands, eyes, Janghaa, Ooru, S`hamkha, ears,Gan`d`a. Thus, Ardita manifests on the right or left half of the body part or only half of the face.
• According to Sus`hruta, Vaata residing at S`hira, Naasaa, Osht`ha, Chibuka, Lalaat`a moving them restlessly (Ardayitvaa) leads to the Ardita. In this half of the face and neck (Greevaa) gets twisted. There is tremor in the head, can not speak, there is deformity in the Netra etc. sense organs. There is pain in the Greevaa, Chibuka,Danta. This is the disease called as Ardita.
• According to Vaagbhat`a Ardita is also called as Ekaayaama. There is severe pain in upper clavicular pain or in right or left half of the body. There is major loss of sense organs like; Vaaksanga, Stabdhanetrataa,Gandhaadnyaana, Smriti Moha.

 

 

Difference between Ardita and Ardhaanga

Ardita has paroxysms but the Ardhaanga is not manifested in paroxysms. Chakrapaan`i

 

Asaadhya Criteria for Ardita

 

1. In Ksheen`a(emaciated) person
2. Animisha Akshi
3. Prasakta Bhaashan`a
4. Sakta Bhaashan`a
5. After 3 years (Trivarsha Samvatsara Ateeta)
6. SaVepana / Kampanas`heela

 

Antaraayaama

 

• Vaata gets lodged in to the Naad`ee (Manyaas`hrita Siraa). It manifests in the stiffness of the neck. This isAntaraayaama. Neck gets stiffed anteriorly. Other symptoms are Dantadas`hana, Laalaa, Prisht`haayaama,S`hirograha, Jrimbhaa, Vadana Sanga.
• According to Sus`hruta, when Vaata jerks the Snaayu Prataana at Angulee, Gulpha, Jat`hara, Hridaya, Ura andGala forcefully, the body bends down like a bow anteriorly. This is Antaraayaama. The symptoms are; Aksha Visht`abdha (still eyes), Stabdha Hanu (locked jaw), Bhagna Paars`hva, Kapha Vamana (vomiting of Kapha).
• Vaagbhat`a has given the involvement of the Dhamanee in Antaraayaama.

 

Bahiraayaama

• Baahya Siraa in the back and Manyaa are atrophied by the aggravated Vaata causing Hanustambha which is called as Bahiraayaama. Like a bow body is bended posteriorly. There is Ura Utkshepan`a, Danta Das`hana, Jrimbhaa,Laalaasraava, Vaaggraha. At the time of paroxysm, it kills the patient or causes deformity in the body (Vaikalyakara).
• According to Sus`hruta, when Vaata jerks out the Snaayu Prataana at the posterior side, it causes bending posteriorly. There is breaking pain in Kat`ee, Uras, Ooru.

 

• Synonyms

1. Baahyaayaama
2. Dhanushkambha
3. Vegin

 

• Vaagbhat`a has given the involvement of Kan`d`araa in Bahiraayaama. He has added some symptoms like Ura Ukshepan`a, Kandharaa Avamridyate, Danta Vaivarn`Ya, Aasya Vaivarn`Ya, Prasveda (perspiration),Srastagaatrataa (displacement of body parts).

 

• Baahyaayaama, Abhyantaraayaama, Khallee, Kubjatva, Sarvaroga, Ekaangaroga these are the diseases caused by the Snaayugata Vaata.

 

• But in the text Antaraayaama and Bahiraayaama are described as Siraagata Vaata. Here, Chakrapaan`i opines that Antaraayaama and Bahiraayaama are to be considered as Siraa and Snaayugata Vaata.

 

• Hanustambha (Hanusramsa)

• Vaata situated in the root of mandible (Hanu Moola) displaces the Hanu from its position. The mouth remains open or it may remain closed. The Hanu becomes stiff. But there is no pain.

 

Jihvaastambha

Vaata residing at Vaagavaahee Siraa, causes stiffness of tongue, this is Jihvaastambha. Therefore a patient can not eat drink or talk.

 

Aakshepa (Aakshepaka)

• There is repeatedly throwing away of body parts due to the aggravated Vaata. There is emaciation (S`hosha) of hands, feet, Siraa, Snaayu, Kan`d`araa.

 

• Muhuh Eva Deham Aakshipati, Sa Aakshepan`aad Aakshepaka Iti Nirukti

S.Ni.1/50 Gayadaasa

 

• Vaagbhat`a and Sus`hruta has given the involvement of Dhamanee in Aakshepaka. The aggravated Vaata, harbors in the Dhamanee throwing away the body parts. This throwing away of the body parts is Aakshepaka.

 

• Types of Aakshepaka

 

Kaphaanvita	Pittaanvita	Kevalavaatakrita	Abhighaataja
		Dan`d`aapataanaka
		Antaraayaama
		Bahiraayaama

 

 

Apataanaka

 

• Yah Aakshepakah Antaraa Antaraa Paatayati So Apataanakah |

S.Ni.1/52-58

 

• Apataanaka is a type of Aakshepaka where a person gets seizures in episodes.

 

• Asaadhya Criteria for Apataanaka

 

o Garbhapaatanimittaja

o S`hon`itaatisraavaja

o Abhighaatanimittaja

Dan`d`aka

 

• There is stiffness of hands, feet, head, back and groin region like a pillar (Dan`d`a) so it is called as Dan`d`aka. It has no treatment.
• In the Vaatavyaadhi_s like Ardita, Antaraayaama, Bahiraayaama, Hanustambha, Dan`d`aka Vegaavasthaa andAvegaavasthaa are seen. It is stated that when there is paroxysm there is pain. But when the paroxysm is over there is relief to the patient.

 

Dan`d`aapataanaka

• Dan`d`avat Stambhayati Iti Dan`d`aapataanakah | Su. Ni. 1.53 D`alhan`a

 

• Dan`d`avat Dan`d`akam | A. H. Ni. 15.42

 

• This is a type of Apataanaka, where Vaata is associated with Kapha and it resides in the Dhamanee_s causing a stiffness in the body, is called as Dan`d`aapataanaka.
• According to Vaagbhat`a, when Vaata is associated with Kapha and the Srotasa_s are blocked with the Aama then it causes stiffness of the whole body like a pillar. This is incurable.

 

Dhanustambha

 

• Dhanustulyam Named Yastu Sa Dhanustambhasamdnyakah |

 

• When body bends like a bow wither anteriorly or posteriorly it is called as Dhanustambha.

 

Ekaangaroga and Sarvaangaroga

 

• Right or left half of the body is affected due to vitiated Vaata. The symptoms manifested are: a person can notmove the affected part (Chesht`aa Nivritti). There is pain and patient can not speak (Vaak Stambha). The Vaatagets vitiated in to the Siraa and Snaayu of the right or left half of the body. There is constriction of the right or left foot or hand. There is pricking pain. As a side of the body is affected it is called as Ekaangaroga. If this pathogenesis occurs all over the body, it is called as Sarvaanga Roga.
• When Vaata is associated with Pitta, it manifests with Daaha, Santaapa, Moorchchha.
• If Vaata is associated with Kapha, it manifests with S`haitya, S`hotha, Gurutva.
• When a side only is affected it is called as Pakshavadha.
• This is also called as Pakshavadha or Ekaangaroga.

 

Hanugraha

In Dan`d`aapataanaka, Vaata causes locked jaw which is called as Hanugraha.

 

Gridhrasee

• Gridhrasee is a Vaatavyaadhi in which the pain starts from the Sphik (buttocks). Then it traverses to the Kat`ee(waist), Prisht`ha (back), Ooru (thighs), Jaanu (knee joints), Janghaa (region between knee and ankle joint), Pada(foot / paddle region) successively.
• There is Stambha (stiffness), pain, constriction (Graha), Spandana (pulsations) repeatedly.
• There are two types of Gridhresee >>

o Vaataja Gridhrasee The Gridhrasee itself is due to vitiation of Vaata.

o Vaatakaphaja When there is association of Kapha, then there is association of the symptoms of Kapha Doshalike Tandraa, Gaurava, Arochaka, Bhaktadvesha etc.

• Kan`d`araa of Paarshn`i and Anguli is vitiated by Vaata and the thighs are thrown away, which is a sign ofGridhrasee.

 

Khallee

 

• Khallee is a Vaatavyaadhi in which there is crushing / grinding / destroying / strangling pain in foot (Paada),Janghaa, Ooru, Karamoola (root of the hand Axillary region)
• Some has quoted Khallee as combination of Vis`hvaachee and Gridhrasee. S.Ni.1/75 Gayadaasa and D`alhan`a

 

Pakshaaghaata

• Vaata gets aggravated and harbored in the Dhamanee going downward, upward and lateral. It hampers either right or left half of the body causing laxity in the Sandhibandha. It is Pakshaaghaata.
• If the pathogenesis has occurred all over the body then whole body becomes immobile. Patient falls down and become dead.

 

• Asaadhya Criteria of Pakshaaghaata

1. Kevala Vaataja Pakshaaghaata
2. Pakshaaghaata due to Kshaya

 

• Saadhya Criteria of Pakshaaghaata

1. Anya Dosha Samsritsht`aPakshaghaata

 

Apatantraka

• Vaata associated with Kapha goes upward causing pain in the S`hira, Hridaya, S`hamkha throwing the body parts and body bends down. The eyes remain closed. A person become still. There is gurgling sound like a dove. The exhalation is difficult. The sensation is lost (Nasht`a Chetana).
• The patient gets comfort when the Hridaya is free from Dosha and when it gets concealed by Dosha it manifests the disease Apatantraka.

 

• It is Asaadhya when it is

o Garbhapaatanimittaja

o S`hon`itaatisraavaja

o Abhighaatanimittaja

Manyaastambha

 

• Some opines that Manyaastambha is a succession of Apataanaka. Or it may manifest without Apataanaka.
• Due to nap in day, staring crookedly, there may be Manyaastambha, due to aggravated Vaata, associated byKapha.

 

Vis`hvachee

When Kan`d`araa at the hand and fingers is vitiated by Vaata posteriorly hampering the movements of the hand. This is Vis`hvaachee.

 

Krosht`ukas`heersha

Due to vitiation of Vaata and Rakta at the knee joint, large Oedema with severe pain gets manifested. This Oedemaresembles to the head of wolf. (S`hrigaala Mastaka)

 

Khanja

Vaata at Kat`ee (waist), when constricts the Kan`d`araa in the Sakthi (thighs), then the locomotion becomes difficult (Vikala Gati), it is Khanja. If both the thighs are involved then a person can not walk, it is called as Pangu.

 

Kalaayakhanja

At the onset of the locomotion, a person walks like a Khanja. The Sandhibandha are dislocated, and then it is called asKalaayakhanja.

 

Vaatakan`t`aka

When foot is placed on the ground in uncomfortable position, it causes pain in the foot. It is called as Vaatakan`t`aka. The Vaata aggravates in the Khad`uka or Gulpha (joint of foot and leg ankle joint)

 

Paadadaaha

Vaata associated with Pitta and Rakta causes burning sensation in the foot due to excessive walking called as Paada Daaha.

 

Paadaharsha

Due to vitiation of Vaata and Kapha, there is numbness and Lomaharsha in the feet.

 

Avabaahuka

Vaata residing at Amsa (Scapular region) dries out the ligaments and constricts the Siraa manifesting Avabaahuka.

 

Amsas`hosha

Vitiated Vaata at the site Amsa, emaciates the Amsabandhana, it is Amsas`hosha.

 

Baadhirya

If Vaata or Vaata associated with Kapha covers the S`habdavaha Srotas causes Baadhirya (deafness).

 

Karn`as`hoola

Vaata causes breaking pain in Hanu, S`hamkha, S`hira, Greevaa, Karn`a called as Karn`as`hoola.

 

Mooka, Minmin`a, Gadgada

Vaata associated with Kapha covers S`habdavaahee Dhamanee causing Mookatva (speechless), Minmin`atva (speaking indistinctly through the nose), Gadgadatva (stammering / stuttering / convulsive utterance).

 

Vran`aayaama

When a wound is at the vital spot (Marma), gets vitiated by Vaata. This Vaata causes all the Dosha to traverse all over the body. Thus the Dosha get spread all over the body. There is thirst (Trishn`aa). The patient becomesPaan`d`u. this is called as Vran`aayaama.

 

Siraagraha

Vaata in the Moordhadharaa Siraa aggravates in the Rakta Dhaatu, it causes pain. The Siraa turns into dried state (Rooksha) and black colour (Krishn`a). This is incurable.

 

Toonee

In Toonee, pain traverses to the downward direction which is originated from Pakvaas`haya and Mootraas`haya. It causes piercing pain (Bhedana) at Guda and Upastha.

 

Pratitoonee

In Pratitoonee, pain traverses from Guda and Upastha to the Pakvaas`haya.

 

Aadhmaana

When there is Aat`opa, Ati Ugra Rujaa, Aadhmaana (distension) then it is called as Aadhmaana. It is caused due to the Vaata Rodha.

 

Pratyaadhmaana

When Aadhmaana originates from Aamaas`haya it is called as Pratyaadhmaana. It is caused due to the Kaphaavrita Vaata.

 

Vaatasht`heelaa

 

• Below the umbilicus a Granthi resembling Asht`heelaa (an instrument like a stone), which is immovable or movable. It is an elevated outward and spread growth. It is called as Asht`heelaa.
• It obstructs the outer channel.

 

Pratyasht`heelaa

When Asht`heelaa is associated with pain and obstructs Vaata, Mootra (urine), Pureesha (stools); it is called asPratyasht`heelaa.

 

Vepathu

Tremors all over the body with the head is a vitiated Vaata called as Vepathu.

 

Oordhvavaata

Vaata obstructed at the lower end causes Udgaara (belching), it is called as Oordhvavaata.

 

Krichchhrasaadhya Criteria

Kaalena

 

Saadhya Criteria

• Balavaan Rugn`a
• Nirupadrava

 

Aavaran`a

 

References:

C.Chi.28, Su.Ni.1, A.H.U.Ni.16

 

Introduction:

Aavaran`a means covering, hiding or concealing. It is special pathology types related to Vaata. Vaata may cover the other entities in the body or it itself may get covered by something. In either case symptoms get manifested. One who gets covered (Aavrita) remains dormant and one who covers (Aavaraka) manifests itself in the symptoms.

 

It is also possible that the different types of the Vaata (i.e. Praan`a, Udaana, Vyaana, Samaana, Apaana) may cover each other; which is called Anyonya Aavaran`a.

 

Aavaran`a of Vaata by other entities:

1. Pittaavrita
2. Kaphaavrita
3. Raktaavrita
4. Maamsaavrita
5. Medaavrita
6. Asthyaavrita
7. Majaavrita
8. S`hukraavrita
9. Annaavrita
10. Mootraavrita
11. Varchasaavrita

 

Pittaavrita Vaata

 

• Vaata concealed by Pitta manifests with Daaha (burning sensation), Trishn`aa (thirst), S`hoola (pain), Bhrama(vertigo), Tama (feeling of entering into the darkness), Vidaaha, S`heetakaamitaa (desire for cold things).
• According to Sus`hruta, there is Daaha, Santaapa, Moorchchhaa in Pittaavrita Vaata.

 

Kaphaavrita Vaata

 

• Vaata concealed by Kapha manifests with the symptoms like S`haitya (cold), Gaurava (heaviness), S`hoola(pain), patient desires for Langhana (fasting), Aayaasa (exercise), Rooksha (dry) and Ooshn`a (hot) food. There is decrease in the symptoms by use of Kat`u (pungent) drugs.
• According to Sus`hruta, there is S`haitya, S`hopha and Gurutva in Kaphaavrita Vaata.

 

Raktaavrita Vaata

 

• When Vaata is concealed by Rakta, it manifests with Daaha, Arti (pain), Oedema in the space between Tvak andMaamsa (Tvak Maamsaantara S`hopha) with redness, circular skin eruptions (Man`d`ala), hard and discolouredboils (Pid`akaa) and Oedema.
• According to Sus`hruta, Pricking pain, hatred to touch, Supti (numbness), other Pitta Vikaara are manifested inRaktaavrita Vaata.

 

Maamsaga (Maamsaavrita) Vaata

When Vaata is concealed by Maamsa Dhaatu, it manifests with Harsha (bristling), Pipeelika Sanchaara feeling as if the ants are traveling on the skin).

 

Medaavrita Vaata

When Vaata gets concealed by Medas, it manifests with moving (Chala), unctuous (Snigdha), soft (Mridu), S`heeta(cold) S`hopha (Oedema). There is Aruchi. It is called as Aad`hyavaata, which is difficult to cure.

 

Asthyaavrita Vaata

Vaata concealed by Asthi manifests with Saada (sinking down), Bhanjana (breaking pain), Soocheetoda (pricking pain). Patient gets relief by Peed`ana and Ooshn`a food or drugs.

 

Majjaavrita Vaata

When Vaata gets concealed by Majjaa it manifests with Vinaama (crookedness), Jrimbhan`a (yawing), Parivesht`ana,S`hoola (pain). The pain released by Peed`ana by hands.

 

S`hukraga Vaata

When Vaata is concealed by S`hukra, it is manifested with S`hukra Aavega (agitation), S`hukra Ativega (quick ejaculation).

 

Annaavrita Vaata

When Vaata is concealed by food then it causes pain in the abdomen / in the flanks. The pain subsides after the digestion of the food.

 

Mootraavrita Vaata

When Vaata is concealed by Mootra (urine), it manifests with the retention of urine and anurination.

 

Pureeshaavrita (Varchasaavrita) Vaata

When Vaata is concealed by Pureesha, it manifests with Pureesha Ativibandha (constipation), Parikartikaa (cutting pain in the anal region), Aas`hu Sneha Jaran`a (quick digestion of Sneha), Bhojanapas`hchaat Aanaaha (flatulence after food), faeces are passed out with difficulty, there is pain in groin region (S`hron`i), Vamkshan`a and Prisht`ha. There is malaise in the heart (Asvastha Hridaya).

 

 

Aavaran`a of Vaata

• Vaata which conceals other may manifest with the symptoms but if Vaata which is concealed is aggravated then concealed Vaata will manifest with the symptoms.
• Total 20 Aavaran`a are there due to 5 types of Vaata Dosha, but in the text only 12 are described.

 

Praan`aavrita Vyaana

There is Indriya S`hoonyatva, Smriti Kshaya and Bala Kshaya.

 

Samaanaavrita Vyaana

There is Moorchchhaa, Tandraa, Pralaapa, Angasaada, Agnikshaya, Ojokshaya, Balakshaya.

 

Udaanaavrita Vyaana

There is Stabdhataa, Alpaagni, Asveda, Chesht`aa Haani, Nimeelana.

 

Apaanaarita Vyaana

There is excessive passing of Urine, Faeces and S`hukra.

 

Vyaanaavrita Praan`a

Ati Sveda Pravritti, Lomaharsha, Tvag Dosha, Gaatra Supti

 

Udaanaavrita Praan`a

There is loss of locomotion, Ojas, and Bala (strength). There may be death also.

 

Praan`aavrita Samaana

There is Jad`atva, Gadgad, Mookatva

 

Samaanaavrita Apaana

This manifests in Grahan`ee, Paars`hva and Hridaya S`hoola (Hridgada)Aamaas`haya S`hoola.

 

Udaanaavrita Apaana

There is Chhardi and S`hvaasa in Udaanaavrita Apaana.

 

Vyaanaavrita Apaana

There is Vami (Chhardi), Aadhmaana, Udaavarta, Gulma, Parikartikaa in Vyaanaavrita Apaana.

 

Praan`aavrita Udaana

 

• There is S`hirograha, Pratis`hyaaya, Nihs`hvaasa and Uchchhvaasa Sangraha, Hridroga, Mukha S`hosha.
• According to Vaagbhat`a, there is Nihs`hvaasa and Uchchhvaasa Nirodha, Pratis`hyaaya, S`hirograha, Hridroga, MukhaS`hosha.

 

Apaanaavrita Udaana

There is Moha, Alpa Agni, Ateesaara in Apaanaavrita Udaana.

 

Though it is said that there are 20 Anyonya Aavaran`aa; only 12 have been explained.

 

These are:

Praan`a Aavrita	Vyaana Aavrita	Udaana Aavrita	Samaana Aavrita	Apaana Aavrita
Vyaana	Praan`a	Praan`a	Apaana	Udaana
Samaana	Apaana	Apaana	Vyaana	Vyaana
Udaana		Vyaana

 

The remaining 8 Anyonya Aaavaran`aa_s are:

Apaana	Udaana	Samaana	Udaana	Praan`a
	Samaana		Praan`a	Samaana

 

Aavaran`a of Vaata by other entities.

 

Pittavrita Praan`a

• It manifests with Moorchchhaa, Daaha, Bhrama, S`hoola, Vidaaha, S`heetakaamitaa, Vidagdha Chhardi.
• According to Sus`hruta, there is Chhardi and Daaha in Pittaavrita Praan`a.

 

Kaphaavrita Praan`a

• It manifests with Sht`hivana, Kshavathu, Udgaara, Nihs`hvaasam Uchchhvaasa, Aruchi, Chhardi.
• According to Sus`hruta, there is Daurbalya, Sadana, Tandraa and Vaivarn`ya in Kaphaavrita Praan`a.

 

Pittaavrita Udaana

• It manifests with Moorchchhaa, Naabhi Daaha, Uro Daaha, Klama, Ojobhrams`ha, Saada.
• According to Sus`hruta, there is Moorchchaa, Daaha, Bhrama, Klama in Pittaavrita Udaana.

 

Kaphaavrita Udaana

• It manifests with Vaivarn`ya, Vaak Graha, Svara Graha, Daurbalya, Gurugaatratva, Aruchi
• According to Sus`hruta, there is Asveda, Harsha, Agnimaandya, S`heeta, Stambha in Kaphaavrita Udaana.

 

 

Pittaavrita Samaana

• It manifests with Ati Sveda, Trishaa, Daaha, Moorchchhaa, Aruchi, Ushmaa Upaghaata
• According to Sus`hruta, in Pittaavrita Samaana there is Sveda, Daaha, Aushn`ya, Moorchchhaa, in Pittaavrita Samaana.

 

Kaphaavrita Samaana

• Asveda, Vahnimaandya, Lomaharsha, Gaatra Atis`heetataa.
• According to Sus`hruta, there is Kaphaadhikya in Pureesha and Mootra, Romaharsha.

 

Pittaavrita Vyaana

• Daaha, Sarvaagaga Klama, Gaatra Vikshepa, Gaatra Sanga, Santaapa, Vedanaa
• According to Sus`hruta, there is Gaatra Vikshepan`a, Klama in Pittaavrita Vyaana.

 

Kaphaavrita Vyaana

• Sarva Gaatra Gurutaa, Sarva Sandhi Rujaa, Asthi Rujaa, Gati Sanga
• According to Sus`hruta, there is Sarva Gaatratva, Asthi Stambhana, Parva Stambhana, Chesht`aa Stambha inKaphaavrita Vyaana.

 

Pittaavrita Apaana

• Haaridra Mootra, Haaridra Pureesha, Taapa, Raja Atipravartana
• According to Sus`hruta, there is Daaha, Aushn`ya and Raktapradara.

 

Kaphaavrita Apaana

• Bhinna Varcha Pravartana, Aama Samsrisht`a Pureesha, Guru Pureesha, S`Hleshma Samshrisht`a Pureesha,Kapha Meha.
• According to Sus`hruta, there is Adhah Kaaya Gurutva (heaviness in the lower body).

 

There are some conditions in Aavaran`a of Vaata that Pitta and Kapha Dosha collectively conceal Vaata, this is called as Mis`hra Aavaran`a.

 

• S`hleshma Pitta Aavrita Udaana
• S`hleshma Pitta Aavrita Praan`a

 

o These both the conditions are serious. They may lead to death or loss of physical strength.

 

Asaadhya criteria for Aavaran`a

1. Aparidnyaata
2. Parisamvatsarottha
3. Upekshaa
4. Durupakrama

 

Complications of Aavrita Vaata

 

1. Hridroga
2. Vidradhi
3. Pleehaa
4. Gulma
5. Atisaara
6. Agnisaada

Krichchhrasaadhya Vaatavyaadhi

 

• Sandhichyuti, Hanustambha, Kunchana, Kubjataa, Ardita, Pakshaaghaata, Angsams`hosha, Pangutva, Khud`avaatataa, Stambhana, Aad`hyavaata, Majjaa Asthigata Vikaara these all are very difficult to cure or they may not be cured.
• These diseases at the early stage (Nava), in a strong person and without complication can be cured.

 

 

 

VaatavyaadhiChikitsaa

Reference:

Ch.Chi.28, N.R. Vaatavyaadhi

Chikitsaa:

Before treating any Vaatavyaadhi Physician should think of following things:

 

• Sthaana: Pakvaas`haya, Aamaas`haya etc. Physician should give first preference to treatment of BalavaanaDosha. In case of Anubandha of Pitta & Kapha, Physicain should treat Pitta first because it is more Aas`hukaaree than Kapha.

 

• Dooshya: Rasa, Rakta etc. Dhaatu

 

• Aavaran`a

Physician should consider following ChikitsaaAvasthaa:

• Nirupastambhita: a) Saamaanya b) Vis`heshaChikitsaa
• Upastambhita: a) Saamaanya b) Vis`heshaChikitsaa

Nirupastambhita:

• SaamaanyaChikitsaaKrama:

 

o Snehapaana

o Snehaklaanta

o As`hvaasana (Vis`hraama)

o Dugdhapaana (PunahSnehanaartha)

o Aahaara: – Yoosha, AanoopaMaamsarasa, GraamyaMaamsarasa + Sneha, Paayasa, Kris`haraa (Amla & Lavan`aRasayukta)

o Panchakarma: – AnuvaasanaBasti&Nasya

o TarpakaAahaara

o Snehana

o Svedana ( SnehasamyuktaNaad`ee / Prastara / Sankara / Kut`ee etc. Sveda )

o Sams`hodhana

o Samsarjana Karma

o Agni Deepana

o Snehana followed by Svedana

o Constant use of Amla, Lavan`a & SnehayuktaAahaara

o Nasya & Dhoomapaana

 

• Aahaara: – Ghrita, Taila, Vasaa, Majjaa, Maamsarasa, Madhura, Amla & Lavan`aRasayuktaAahaara, Brihan`aAahaara.

 

• Chikitsaa Karma: – Parisheka, Abhyanga, Basti, Snehana, Svedana.

 

• Vihaara: – Praavaran`a, NivaataS`hayana.

 

• Kalpa: – VaataharaDravya Siddha S`hatapaakee / SahastrapaakeeTaila, TailaKalpana used in Vaatarakta useful in Vaatavyaadhi.

 

AavasthikaChikitsaa: –

o Avasthaa: – Stambha / Harsha / Toda / Aayaama / S`hotha / Gaurava – Abhyanga (Ekaanga / Sarvaanga) & Svedana.

o Effect of all above treatment: – Kosht`haMaardavata: – Which in turn pacify Vaatavyaadhi.

o Avasthaa: – Bahudhaavasthaa: – SnehayuktaVirechana: – Tilvaka Siddha Yoga / Saatalaa Siddha Ghrita / Erand`aTaila Yoga.

o HetuPratyanikaChikitsaa: – Snigdha, Amla, Lavan`a & Ushn`aAahaara leads to Mala Sanchiti in PureeshavahaSrotasa: – VaataPratiloma: – VaataanulomakaChikitsaa.

o Avasthaa: – Vaatavyaadhi + DurbalaRugn`a + VirechanaAnarha: – NiroohaBasti followed by Paachaka & DeepakaAahaara.

 

• Vis`heshaChikitsaa:

o Kosht`hagataVaata: – Mala Paachanaartha: – Kshaara, Paachana, Deepana&AmlaPadaartha. (Search for Amla Rasa Dravya + Ka

o GudagataVaata: – Similar Chikitsaa: – Udaavarta. (See UdaavartaChikitsaa)

o Pakvaas`hayagataVaata: – Similar Chikitsaa: – Udaavarta.

o SarvaangagataVaata: – Nirooha & AnuvaasanaBasti.

o TvakgataVaata: – Abhyanga + AvagaahaSveda + HitakaraAnnapaana + HridyaAnnapaana.

o RaktagataVaata: – Virechana + Raktamokshan`a.

o MaamsagataVaata: – Virechana + NiroohaBasti + VaataghnaChikitsaa.

o MedogataVaata: – Virechana + NiroohaBasti + VaataghnaChikitsaa.

o AsthimajjaagtaVaata: – BaahyaSnehana & AabhyantaraSnehapaana.

o S`hukragataVaata: – Harshan`a + BalavardhakaAahaara + S`hukravardhakaAahaara.

o S`hukraavarodha: – Virechana: – Peyaa, Vilepee etc. SansarjanaKrama: – Jaat`haraagniDeepana: – S`hukravardhakaChikitsaa.

o Garbhaas`hayagataVaata: – S`hushkaGarbha :- Yasht`yaadi Siddha Ksheera.

o HridayagataVaata: – S`haaleeparn`ee Siddha Ksheera.

o NaabhigataVaata: – BilvaKvaatha Siddha MatsyaMaamsa.

o Vesht`na: – UpanaahaSveda.

o Samkocha: – MaashaSaidhavaTailaAbhyanga.

o BaahugataVaata: – Nasya + AuttaraBhaktikaSneha.

o S`hirogataVaata: – Nasya + AuttaraBhaktikaSneha.

o NaabhiAdhobhaagagataVaata: – Basti + GhritaPaana followed by Annapaana.

o Ardit: – Nasya + S`hirahTarpan`a (S`hirobasti, S`hirodhaaraa, S`hiropichu)+ Naad`eeSveda + AanoopaMaamsaUpanaaha.

o Pakshaaghaata: – Svedana + SnehayuktaVirechana.

o Gridhrasee: – Agnikarma (Near Kan`d`araa + Gulpha).

o Khallee :- SnehayuktaPaayasa / Kris`haraa / Maamsa.

o VivritaMukha: – Svedana + Joint fixing.

 

Upastambhita: –

• SaamaanyaChikitsaa: –

o Chikitsaa According to type of Vaata: –

UdaanaVaayu: – Vamana.

ApaanaVaayu: – Anulomana.

SamaanaVaayu: – S`hamana.

VyaanaVaayu: – Vamana, Anulomana, S`hamana.

Praan`aVaayu: – Physician should give first priority to treatment of Praan`aVaayu.

o Kalpa /Aahaara / Dravya: – Should be of following characteristics:

Anabhishyandi, Snigdha, Srotovis`hodhaka, Vaataanulomaka, Kapha Pitta Avirodhee, Rasaayana (e.g. S`hilaajatu, Guggula, Dugdha, Chyavanapraash`a, BraahmaRasaayana etc.) are useful in Vaatavyaadhi.

o Chikitsaa Karma: – Abhyanga, Basti, YaapanaBasti, Madhura Rasa Dravya Siddha AnuvaasanaBasti.

 

o PittavritVaata: –

SaamaanyaChikitsaaSootra: – Pittaghna + VaataAvirodhiAnnapaana, Aushadha

S`heeta&Ushn`aVyatyaasaatChikitsaa, JeevaneeyaGhrita

Karma: – YaapanaBasti, KseeraBasti, Virechana, Parisheka

 

o KaphaavritVaata: –

Kaphaghna + VaataAvirodhiAnnapaana, Aushadha

Aahaara: – YavaBhojya, JaangalMaamsa, Puraan`aGhrita, TilaTaila, SarshapaTaila

Karma: – Teekshn`aSvedana, NiroohaBasti, Vamana, Virechana

• VisheshaChikitsaa: –

o Aamaas`hayagataKapha: – Vamana

o Pakvaa`hayagataKapha: – Virechana

o SarvaS`hareeragata Pitta: – Virechana

o Avasthaa: – Svedana: – Pakvaas`hayagataKapha or Pitta: – Basti

o Avasthaa: – VaataKaphaanubandhi: – GomutraYuktaNiroohaBasti

o Avasthaa: – VaataPittaanubandhi: – NiroohaBasti(DugdhaYukta ) or AnuvaasanaBasti ( MadhuraSkandha Siddha Taila )

o S`hirogataVaata + Kaphaanubandhi: – Dhoomapaana + Nasya

o RaktaavritaVaata: – Similar ChikitsaaVaatarakta

o AamadoshaavritaVaata: – Pramehaghna + Vaataghna + Medoghna

o MaamsaavritaVaata: – Sveda + Abhyanga + Maamsarasa + Dugdha + Ghrita

o AshthiMajjaagataVaata: – MahaaSneha

o AnnaavritaVaata: – Vamana + Paachaka + Deepana + LaghuAahaara

o MootraavritaVaata: – MootraVirechakaAushadha + Svedana + UttaraBasti

o PureeshaavritVaata: – Eran`d`aTaila: – SnigdhaDravyaSevana + AnulomakaChikitsaa (similar Chikitsaa: – Udaavarta)

Pathya-

• Rasa- Madhura, Amla, Lavan`a

• Veerya- Ushn`a
• Gun`a- Snigdha, Guru
• Dhaanya- Godhuma, Puraan`aShasht`ikaS`haalee, S`haalee, Yava
• S`haaka- Pat`ola, S`higru, Vaartaaka, Rasona, S`hun`t`hee, Gokshura, Nimba,
• S`himbee- Kulattha, Maasha,
• Maamsa- Kukkut`a, Mayoora, Tittira, Varaaha, AanoopaMaamsa, GraamyaMaamsa
• Dugdha- Ghrita, Dadhi, Kilaat`a, Kurchikaa
• Drava- Taila, Eran`d`a Taila, Gomootra, Dhaanyaamla,
• Phala- Madhura Daad`ima, Amla Daad`ima, Pakva Taalaphala, Aamra, Parushaka, Nimbuka, Badara, Draakshaa, Madhooka Phala, Naaranga
• Kritaanna- Panchamoola Siddha Ksheera, Amla Phala Rasa, Dhaanya Yoosha, Mudga Yoosha, Maamsarasa, Jangala Maamsarasa, Sasneha Dhaanya Yoosha, Dugdha Krit Amla-Saindhava Yukta Kris`haraa, Das`hamoola Ksheerapaaka, Das`hamoola Siddha Maamsa+ Sneha, Maamsarasa+Dadhi+S`hun`t`hee+Pippalee+Lavan`a

Other- Guggula, Khan`d`a S`harkaraa, Maricha, Das`hamoola, Vasaa, Majjaa, Taambula, Tarpan`a, Abhyanga, Mardana, Basti, Sneha, Sveda, Avagaaha, Samvaahana, Agnikarma, S`hirobasti

Apathya-

• Rasa- Kat`u, Tikta, Kashaaya

• Dhaanya- Trin`aDhaanya, Trin`aBeeja, Vetraagra, Paripelava, Nivaara, Ven`uYava
• S`haaka- Kaaravellaka, S`haaka
• S`himbee- Mudga, Chan`aka, Sateena, Raajamaasha
• Dugdha- Gardabhee Dugdha
• Drava- S`heeta Jala, Naadeya Jala
• Phala- Taalaphala, Jamboo,

Other- Vetraagra, Kaseru, Kamala, Viruddhaahaara, Kshaara, Maithuna, Pravaasa, Chintaa, Jaagaran`a, Vegaavarodha, Chchhrdi, Shrama, Anas`hana, Dantadhaavana

 

 

Introduction:

Upadhaatu are the byproducts formed during the process of formation of Dhaatu (body constituent). As they are derived from Dhaatu, they are called as Upadhaatu.

Following chart describes relation of Upadhaatu and Dhaatu.

 

Dhaatu	Upadhaatu
Rasa	Stanya, Aartava
Rakta	Kan`d`araa, Siraa
Maamsa	Vasaa, Tvak
Meda	Snaayu
Asthi	Danta*
Majjaa	Kes`ha*
S`hukra	Ojas*

(* According to S`haarangadhara Samhitaa)

 

According to some Aachaarya; Danta and Kes`ha are Mala of Asthi and not the Upadhaatu. Similarly Ojas is also not an Upadhaatu but epitome of all the Dhaatu.

These Upadhaatu get affected by various causative factors producing signs and symptoms and diseases. Some of the signs and symptoms are very prominent and hence treated as major diseases but some remain dormant and at times participate as one of the factors of Sampraapti Process.

 

Saamaanya Chikitsaa

While treating these diseases it is advisable to administer all the therapies indicated for vitiation of respective Dhaatu also. E.g. for Stanya Dusht`i the Saamaanya Chikitsaa of Rasapradoshaja Vyaadhi should also be administered along the other line of treatment.

 

Vis`hesha Chikitsaa

• Stanya Dusht`i Following should be the line of treatment for Stanya Dusht`i for the feeding mother

1. Snehana
2. Svedana
3. Vamanafollowed by Samarjana Krama
4. Snehana
5. Virechanaconsidering Dosha, Kaala, Bala followed by Samarjana Krama
6. S`heshadosha Paachanaartha Aahaaraand Kalpa

o The child should also be treated in same way but following some precautions.

The treatment of diseases for children should be done similar to adults but the medicines should be mild.

Dose of the medicine should be small (Kaneeyasee Maatraa) as children are delicate (Sukumaara Alpakaaya) and eat small quantity (amount and food items) of food (Sarva Anna Anupasevana).

In Ksheeraada and Ksheeraannaada Baalaka i.e., in breast fed children before weaning, the medicine is applied to the nipple and areola of the nursing mother before each feed.

 

• Rajodusht`i This should be treated by treatment similar to S`hukradoshahara Chikitsaa in male.
  • Rajodusht`i should be treated by Snehana, Svedana followed by Vamana, Virechana, Anuvaasana Basti, Aasthaapana Basti and mainly Uttarabasti. The medicines to be used for the S`hodhana therapy should be decided according to the vitiated Dosha.

 

Search Anveshaka –

 

Upadhaatu RelatedNidaana	Guidelines
Stanya Dusht`i	Effect on Upadhaatu – Stanya Dusht`ihara, Stanyas`hodhaka
Stanya Dusht`i :- Kaphaja	Effect on Upadhaatu – Kaphaja Stanya Dusht`ihara, Stanyas`hodhaka
Stanya Dusht`i :- Pittaja	Effect on Upadhaatu – Pittaja Stanya Dusht`ihara, Stanyas`hodhaka
Stanya Dusht`i :- Vaataja	Effect on Upadhaatu – Vaataja Stanya Dusht`ihara, Stanyas`hodhaka
Stanya Kshaya	Karma – Stanyajanana, Effect on Upadhaatu – Stanya Vardhaka
Raja Vriddhi	Effect on Upadhaatu – Raja Dusht`ihara, Raja S`hodhana, Effect on Dhaatu – Rasapaachana, Rasas`hodhana, Karma – Vamana, Balya, Jeevana, Stambhaka, S`hon`itasthaapana
Raja Dusht`i	Effect on Upadhaatu – Raja Dusht`ihara, Raja S`hodhana, Karma – Prajaasthaapana, Garbhasthaapana Effect on Dhaatu – Rasapaachana, Rasas`hodhana, Chikitsaa Karma – Virechana, Basti, Vamana, Raktamokshan`a
Raja Kshaya	Effect on Upadhaatu – Raja Pravartaka, Raja Vardhaka, Effect on Dhaatu – Rasavriddhikara, Raktavardhaka, Karma – Rasaayana, Brimhan`a, Tarpan`a, Preen`ana Chikitsaa Karma – Snehana, Anuvaasana, Yaapana Basti, Balya, Pusht`eekara
Kan`d`araa Dusht`i	Chikitsaa Karma – Abhyanga, Snehana, Maatraabasti, Anuvaasanabasti, Yaapanabasti, Upanaaha (All types),Pin`d`a Sveda, Agnikarma, Virechana, Raktamokshan`a
Siraa Dusht`i	Effect on Upadhaatu – Siraamukha Vivaran`akara, Chikitsaa Karma – Abhyanga, Snehana, Maatraabasti, Anuvaasanabasti, Yaapanabasti, Upanaaha (All types),Pin`d`a Sveda, Agnikarma, Virechana, Raktamokshan`a
Tvak Dusht`i	Effect on Upadhaatu – Tvak Prasaadana, Tvak Doshahara, Tvak Daard`hyakara, Tvak Maardavakara, Effect on Dhaatu Maamsas`hodhana
Snaayu Dusht`i	Chikitsaa Karma – Abhyanga, Snehana, Maatraabasti, Anuvaasanabasti, Yaapanabasti, Upanaaha (All types), Pin`d`a Sveda, Agnikarma, Virechana, Raktamokshan`a
Danta Roga	Karma – Dantya, Refer Mukha Roga Danta Roga
Kes`ha Khaalitya,Paalitya	Karma – Kes`hya, Effect on Mala – Kes`ha Vriddhi, Kes`ha Drid`hatva, Kes`ha Paatahara
Oja Kshaya	Oja Vardhaka, Rasa – Madhura, Karma – Jeevaneeya, Balya, Brimhan`a (Refer: Oja Chikitsaa)