Introduction:

Characteristic feature of Oorustambha is stiff and stable thighs. Oorustambha is a single disease caused by the vitiation of all the three Dosha. It is not divided into types in accordance with the Dosha. In this disease Panchakarma is totally contraindicated.

Synonym: Aad`hyavaata

Nirukti:

Stambhayet Sthairya S`haityabhyaam Oorustambhah tatah tu Sah | Ch. Chi. 27.14

(When both the thighs become stiff due to stability and coldness, this is Oorustambha)

Hetu:

Causative factors of Oorustambha are

o Consumption of unctuous, hot, Laghu (easy to digest), cold food when earlier food is undigested.

o Consumption of liquid, dry, curd, milk, meat

o Liquor prepared from Pisht`a (Starchy) material

o Sleep in day time, suppressing natural urges etc.

(These factors aggravate Aama and provoke Dosha, especially Kapha)

Sampraapti:

1. Aamais aggravated due above causative factors.
2. Aamaaccumulates in Kosht`ha. It further coats internal organs.
3. This Aamagets associated with Meda and obstructs Vaata, Pitta and Kapha.

Due to the heaviness, this Aama with Meda and Tridosha traverse to the thighs (Ooru) quickly through the channels going downward (Adhogaami Siraa) filling the channels in the thigh and leg.

4. Kaphawith Meda defeating Vaata and Pitta causes stiffness, stability, and coldness in the thighs.

Lakshan`a (Clinical presentation):

Patient can not lift up the limb or can lift it with difficulty or pain.

Other signs and symptoms are heaviness, stiffness, burning sensation, pain, numbness, and tremors in the thighs.

Status of Sampraapti related factors Oorustambha

Oorustambha Chikitsaa

Introduction:

Oosrustambha (Oorugraha) is the disease in which the movement of the thigh muscles is hampered due to severe stiffness. Kapha and Medas along withVaata are the responsible factors.

Precaution:

Oosrustambha (Oorugraha) is the only disease where Panchakarma like Basti, Virechana and Vamana are contraindicated. Poorvakarma like Snehana is also contra-indicated.

The reason for contraindication is that, Snehana (Oleation therapy) and Anuvaasana Basti; both aggravate Kapha. In the pathogenesis of Oosrustambha,Kapha and Medas are the two mainly involved entities. As has been explained by Charaka, Kapha, Aama and Medas are accumulated in the Ooroo andJanghaa (thighs and leg) causing their stiffness due to their Sthira and S`heeta attributes. Therefore, if Snehana and Basti are done in the patients suffering from Oosrustambha, it will again aggravate Kapha, which in turn will boost up the pathogenesis of Oosrustambha. The prognosis will become graver then before in this situation.

Virechana is also contraindicated as Virechana acts on Pitta dominated Dosha. As in the Oosrustambha, Kapha is the main vitiated Dosha, Virechana has got no potency to remove Kapha, which is vitiated and harboured in the thighs.

Vamana and Virechana, both the Karma are potent to root out the vitiated Kapha and Pitta in their own sites (Kosht`ha). But when Dosha are aggravated in the thighs (other than their own sites), they are unable to expel them out making any Panchakarma useless in this disease as it becomes very difficult to get the water from deep well. Therefore, Poorvakarma Snehana and Panchakarma like Basti, Vamana and Virechana are contraindicated in Oosrustambha.

In Oosrustambha, it is necessary to do the Kshapan`a, S`hoshan`a and Sams`hamana continuously, as there is dominance of Kapha.

There should be all the Rooksha Upachaara i.e. use of food and drug having dry attributes.

After doing the Rooksha Upachaara (Apatarpan`a), if it has happened in excess, it is necessary to do the Santarpan`a. It is because while doingApatarpan`a to deplete the Kapha, Vaidya should take care of strength of patient. There should not be the depletion of strength while carrying out the depletion of Kapha. If debility appears, then Charaka has given the food regime to get back the strength.

Saamaanya Chikitsaa:

Aabhyantara and Baahya both are mentioned.

Baahya Chikitsaa:

1. Utsaadana
2. Pralepana
3. Sechana

Vishesha Chikitsaa:

o Associated with excess of Kapha and Aama Dosha Sams`hamana, Ksapan`a , S`hoshan`a and Yuktyapeksha should be the line of treatment

Vihaara:

1. Vyaayaama
2. Yathaa S`hakti Naaree S`heelana(sexual gratification as per Bala)
3. Swimming
4. A special treatment has been mentioned as jumping, walking etc in sand as these bring about Rookshan`aof Kapha

o Generally, it has been said that Kapha should be depleted (Kapha Kshapan`a) but without aggravation of Vaayu. Anything that can achieve this principle can be done as treatment of Oosrustambha. Digestive capacity (Agni) and physical strength (Bala) should be maintained in the treatment procedure.

o According to Sus`hruta, Kapha Medaavrita Vaayu is the causative factor in Oosrustambha. Sus`hruta has advised to treat Oosrustambha as per Kapha Medaavrita Vaata. He also says to treat it as S`hotha (specifically Apakva S`hotha).

o When Kapha and Meda get depleted in substantial amount, then Karma like Snehana can be done.

o Sus`hruta has advised to use Guggulu in Oosrustambha. The reasons are:-

1. Gugguluis Kaphavaataghna due to its Teekshn`a and Ushn`a attribute.
2. Guggulupacifies Mala and Pitta due to its Sara attribute.
3. It is Sugandhi(having aroma), therefore it cures Pooti Kosht`ha Vaataghna.
4. It increases Agniby its Sookshma attribute. (Su. Chi. 5.30)

Pathya:

Rasa- Kat`u, Tikta, Kashaaya, Lavan`a,

Gun`a- Rooksha

S`hooka- Yava, Rakta S`haalee

S`haaka- S`higru, Kaaravellaka, Pat`ola, Vaastuka, Sunnishan`n`aka, S`haalee, Kaakamaachee, Vetraagra, Rasona, Nimba, Haritakee, Arka

S`himbee- Kulattha, S`hyaamaaka, Kodrava

Maamsa- Krita Jaangala Maamsa

Drava- Ushn`odaka, Arisht`a, Gomootra, Kshaara

Other- Saktu, Svedana, Kshaara, Lavan`a Varjita S`haaka, Lekhaneeya Aahaara

Apathya:

Gun`a- Guru, S`heeta, Drava, Snigdha

Other- Viruddhaanna, Asaatmya Bhojana, Virechana, Snehana, Vamana, Raktmokshan`a, Basti

Mootrakrichchhra (Dysuria)

Saamanya Chikitsaa:

All such measures i.e. formulations and procedures which are employed in the treatment of As`hmaari and Mootrodaavarta should be adopted here.

Vaataja Mootrakrichchhra

Vaataahara Chikitsaa

• Snehana
• Svedana
• Abhyanga
• Aasthaapana Basti / Nirooha Basti
• Anuvaasana Basti
• Avagaaha Sveda
• Uttara Basti
• Parisheka
• Sankara Sveda
• Upanaaha Sveda
• Shamana Kalpana

Pittaja Mootrakrichchhra:

S`heeta Dravya

• Avagaaha S`heeta
• Basti
• Lepana
• Parisheka
• Parisheka S`heeta
• Virechana
• Shamana Kalpana
• Seasonal regime like Greeshma Ritu

Kaphaja Mootrakrichchhra

Ushn`a and Teekshn`a

• Abhyanga
• Svedana
• Vamana
• Nirooha Basti
• Kshaara
• Kat`u rasa Pradhaana Annapaana
• S`hamana Kalpana

Sannipaataja Mootrakrichchhra

The line of treatment should be decided after assessing the Sthaana of Vaata, i.e.

• If Kapha Dosha is predominant then Vamana is to be administered first,
• If Pitta Dosha is predominant then Virechana is to be administered first,
• If Vaata Dosha is predominant then Basti is to be administered first,

S`hukraja Mootrakrichchhra

• Avagaaha Sveda
• Abhyanga
• Basti
• Choorn`a Kriya as mentioned in Vaatavyaadhi
• Uttara Basti

Mootra Dosha Chikitsaa:

• Snehana
• Svedana
• Virechana
• After proper S`hodhana Uttara Basti

Pathya –

Gun`a – Ushn`a

Dhaanya – Puraan`a S`haalee, Yava

S`haaka –Pat`ola, Gokshura, Aardraka, Kumaaree, Tand`uleeyaka, Karkat`ee

S`himbee – Mudga

Maamsa – Jaangala Pas`hu Maamsa

Phala – Kushmaan`d`a, Kharjoora, Naarikela

Kritaanna – Mudga Yoosha

Other –S`harkaraa, S`heeta Jala, Saktu, Kaanjika

Apathya –

Rasa – Amla, Lavan`a

Gun`a – Teekshn`a, Vidaahee, Rooksha

S`haaka – Aardraka, Hingu, Vetraagra

S`himbee –Tila, Maasha

Maamsa – Matsya

Drava – Madya

Other –Pin`yaaka, Taamboola, Saindhava, Vishamaas`hana, Vidaahee, Viruddhaanna, Mootravegaavarodha, Shrama, Maithuna, Pravaasa

Mootraaghaata Chikitsaa

Reference

A.H.Chi.11, C.Si.9, S.U.58, N.R. Mootraaghaata

Introduction

Mootraaghaata is a disease where Mootra is depleted or its formation is hampered.

13 types of Mootraaghaata are described by Charaka while 12 types according to Sus`hruta and Vaagbhat`a. ( in Mootraghaata the obstruction to passage of urine is the cardinal sign formation is depleted in Mootrakricchra)

Mootraaghaata is a disease where Mootra is depleted or its formation is hampered.

Mootraaghaata Types

Saamaaanya Chikitsaa

Mootraaghaata

• S`hodhana
  • Svedana
  • Uttarabasti
• S`hamana

o Kashaaya

o Kalka

o Ghrita

o Siddha Ksheera

o Kshaara

o Madya

o Aasava

o Leha

All such measures i.e. formulations and procedures which are employed in the treatment of As`hmaari and Mootrodaavarta should be adopted here.

Vis`hesha Chikitsaa

Mootra Dosha Chikitsaa:

• Snehana
• Svedana
• Virechana
• After proper S`hodhanaUttara Basti

Mootraukasaada

Kaphaghna and Pittaghna Dravya should be used

Mootra Jat`hara

Mootravirechaneeka Chikitsaa and Hingudviruttara choorn`a should be used

Bastikun`d`ala

Basti /Uttara basti and Chikitsaa similar to Mootrakrichchhra.

Vaataja Mootraaghaata

Vaataja Mootraaghaata

o Vaataghna Taila Abhyaanga

o Snehana

o Avagaaha Svedana

o Upanaaha

Pittaja mootraaghaata

Pittaja mootraaghaata

Sheeta Lepa Seka Avagaaha

Kaphaja Mootraaghaata

Kaphaja Mootraghaata

• Vamana
• Svedana
• Teekshn`a ,Kat`u Bhojana
• Yavaana
• Takra

Saanipaatika Mootraaghaata

In this condition the patient should be treated as per the status of Dosha.

Pathya –

• Dhaanya – Yava, Puraan`a S`haalee
• S`haaka – Pat`ola, Aardraka, Karakat`ee, Kushmaan`d`a
• S`himbee –Kulattha
• Maamsa –Jaangala Pas`hu Maamsa, Kukkut`a Maamsa
• Dugdha – Dugdha, Takra, Dadhi, Ghrita, Dadhimand`a
• Drava –Madya, Gaud`eeka, Kaanjika, Suraa, Maardvika, Paryusheeta Jala, Taila
• Phala –Kushmaan`d`a, Karkat`ee, Kharjoora, Naarikela, Mridvikaa, Draakshaa, Badara, Aamalakee, Daad`ima
• Kritaanna – Maasha Yoosha/Man`d`a, Leha, Ksheera Vikritee, Tan`d`ulodaka, Man`d`a, Draakshaa Kalka/ Siddha Jala( Anupaana – Paryusheeta Jala)

Other –Abhyanga, Basti, Seka, Svedana, Virechana, Kesara, Kachoraa, S`hataavaree, Das`hamoola, Gomootra, Elaa, Tvak

Apathya –

• Gun`a – Rooksha, Vidaahee, Visht`hambhee
• Other – Viruddhaanna, Vyaayaama, Maithuna, Mala Mootra Avarodha, Vetraagra, Vamana

Introduction:

It is also known as fainting. It is caused by Pitta and Tama. Pitta is in dominance in all types of Moorchchhaa. It is of following types

1. Vaataja
2. Pittaja
3. Kaphaja
4. S`hon`itaja
5. Madyaja

Saamaanya Chikitsaa:

Pittaghna + Vaataghna

S`hamana

o S`heeta Dravya

o Lepa, Snaana, Vihaara,

o Rasaayana

S`hodhana

o Vamana

o Virechana

o Raktamokshan`a

o Nasya

Aahaara

o Madhuravarga Siddha Yoosha

o Daad`ima

o Shasht`ika

o Rakta S`haalee

o Yava

o Ghrita

Vihaara

o S`heeta Seka

o Man`i Dhaaran`a

o S`heeta Vaayu Sevana

Aavasthika Chikitsaa

• Prasakta Vega Avasthaa

Mukha-Naasaavarodhana (Close the orifice of mouth and nose) Followed by Nasya, S`hamana

• Based on the predominance of the Dosha the treatment should be adopted accordingly.
• Satvaavajaya Chikitsaa should be adopted as and when necessary.
• Chikitsaa Similar to – Sannyaasa in Pravridha Avasthaa

If this is due to Visha, then Visha Chikitsaa should be adopted.

Pathya

Rasa – Madhura

Gun`a – Ushn`a Veerya, Ladhu, Teekshn`a

Dhaanya – Yava, Shasht`ika S`haalee, Lohita S`haalee

S`haaka – Pat`ola, Haritakee, Madhooka Pushpa, Tan`d`uleeyaka, Upodikaa, S`hveta Chandana, Karpoora

S`himbee – Mudga

Maamsa – Jaangala Maamsarasa

Dugdha – Godugdha, S`hatadhuata Ghrita, Puraan`a Ghrita

Drava – Naadeya Jala

Phala – Kushmaan`d`a, Kadalee, Daad`ima, Naarikela, Nimbuka, Parushaka, Amlikaaka

Kritaanna – Puraan`a Yava, Raktas`haalee, Mudga, Sateena Yoosha, Laajaa Mand`a, Raaga, Khaand`ava

Other – S`harkaraa, Dhoomapaana, Anjana, Nasya, Raktamokshan`a, Virechana, Vamana, Langhana, S`hatadhuata Ghrita Lepa

Apathya

Rasa – Kat`u

S`haaka – Patra S`haaka

Dugdha – Takra

Other – Viruddhaanna Sevana,Taambula, Dantadhaavana, Aatapa Sevana, Maithuna, Svedana, Mala Mootra Avarodha

Introduction:

These are diseases caused by inappropriate consumption of Madya (alcohol or liquor). If any of the Madya (Suraa)should be prepared and consumed as per rules and regulations for its benefits and to avoid unwanted effects.

Though there are different types of liquors mentioned in the text (Naama Vis`hesha), though they are prepared from different origins like leaves, roots etc. (Madya Yoni), though they are prepared with various processes (Samskaara), they all can be categorized as a single entity, as they produce Mada (hilarity)

Mythological origin:

Suraa (wine or spirituous liquor) was used for Havana in Sautraaman`i Yadnya which was carried out in honor of Indra.He fell down after consuming Suraa in excessive amount. He became devoid of Ojas, felt as if he was entering into the darkness (Tamasaa Aavisht`ah).

Synonyms:

Paanaatyaya

Paanahata

Nirukti:

1. Mada Saamaanya Lakshan`aat Madah| C.Chi.24/6 Chakrapaan`i

2. Mada Eva Aatyayiko Madaatyaya Iti Niruchyate| C.Chi.24/101-106

3. Jaayante Mohanidraantaa Madyasyaatinishevan`aat|

Sa MadyaVibhramo Naamnaa Mada Iti Abhidheyate || C.Chi.24/40

Due to excessive consumption of Madya (alcohol), Moha and Nidraa are manifested. This is perversion in mental traits, so called as Mada. It is cardinal sign of consumption of any liquor.

The disease manifested needs to be treated immediately without passing time, so it is called as Aatyayika (should be treated as emergency)

Considering social effects, Madaatyaya is a cause of disgrace, bad character of a person.

Effects of Madya:

Suraa offers benefits and included as a formulation type. It has potent effects on body and mind. It is effective forS`hoka (sorrow), Arati (dulness), Bhaya (fear), Udvega (anxiety).

It also causes Preeti (pleasure), Rati (the pleasure of love), Vaag (speech), Pusht`i (nourishment), Nirvritti(completion) in gods, Gandharva, Yaksha, Raakshasa and human beings.

Madya Sevana Vidhi:

Before having liquor, a person should bath and wear nice, clean clothes. He can apply scents etc. fragrances. He can become beautiful with garlands of flowers and precious stones etc. he should pray to god and chant Stotra.

After spreading the flowers, burning Dhoopa etc., arranging pillows and bed for comfort, a person can sit or have any comfortable position. He should drink the liquor using the clean pots of gold, silver etc. He should consume fruits, meat with liquor.

Madya and Ojas:

Madya with its 10 attributes irritates all the 10 attributes of Ojas after entering into the Hridaya. It causes perversion in the functions of mind. (Cheto Vikraya)

Madya after entering in Hridaya, irritates Sattva (mind) causing hilarity, exitement. It depletes all the attributes ofOja. Hridaya is a site of Rasa etc. Dhaatu, Sattva (Manas), Buddhi, Indriya, Aatman and Ojas. When Madya is consumed in excessive amount, the Ojas is destroyed. There is vitiation of Hridaya and the Dhaatu (Sattva, Buddhi, Indriya, Aatman etc. Chakrapaan`i) related to it.

Types of Madaaatyaya:

1. Prathama Mada
2. Madhyama Mada
3. Antya Mada

1. Prathama (Poorva) Mada:

When the Madya is consumed, Buddhi, Sattva, Indriya, Aatman etc get awakened and stimulated. This is stage ofPrathama Mada. This Mada makes a person happy and gives pleasure.

2. Madhyama (Dviteeya) Mada:

Madya hampers the attributes of the Ojas relatively at high level; this is Madhyama Mada. In this state, there is mild perversion in Smriti, Moha, speech etc. A person cannot enjoy the immediate effective pleasure of the things (Taadaatvaka Sukha Na Anubhavati).

3. Uttama (Triteeya / Antya / Pas`hchima) Mada:

There is severe destruction of the attributes of Ojas in this stage. When person reaches in this state, there is nothing that cannot be done by Raajasa or Taamaasa person. He can act like an elephant that is not controlled and hilarious. This stage correlates with Unmaada.

A person becomes helpless like a broken pillar. Though he is living, he is as much as dead whose mind is covered byMada and Moha. He cannot get satisfaction or pleasure from the things for which he had Madya.

He cannot differentiate between the dos and donts; happiness and pleasure, Hitaka anda Ahitakara. He becomes disgraced and refused by all others. He becomes passionate for the Madya (Vyasana). Ultimately, suffers from the disease Madaatyaya. In this stage person becomes calm like a dead. Madya is responsible for Smriti Vibhrams`ha,which is a cause of Pradnyaaparaadha and all the sinful and bad acts.

Madya leads to the Moha, Bhaya, S`hoka, Krodha, Apasmaara, Unmaada, Mada, Moorchchhaa and death. If only Madyais consumed without food, it causes the difficultly curable diseases and the death. Madya consumed by a person who is angry, feared, thirsty, sorrowed, hungry, exercised, carried load on his head, walked a long distance, suppressing natural urges, eaten sour things in excess, having indigestion, unhealthy, got hot in the sunlight suffers with the diseases like Paanaatyaya, Paramada, Paanaajeern`a, Paanavibhrama.

Actually, if Madya is consumed with the proper way it is good for health; otherwise it causes death.

Conditions not prone to Madaatyaya:

Madaatyaya is not manifested or mildly manifested in the persons who are strong, whose intake is high, who are unctuous, whose mental ability is high (Sattvayukta), who are young, who consume Madya regularly, persons having aggravated Medas and Kapha, in whom Vaata and Pitta are not dominant.

Paisht`ika Madya is not opposite to the attributes of Ojas and Vikaas`hee, Rooksha and Vis`hada attributes are not too dominant; therefore it does not cause Mada

Triteeya Mada is counted as Chaturtha Mada by Maadhava Nidaana and Triteeya Mada separately explained.

Triteeya Mada – explained by Maadhava Nidaana :

Actually, this state is explained by Charaka as the mediator phase of Dviteeya and Triteeya Mada. In this state, a person disgraces or dishonors the teachers (Guru), travels with the defected vehicles, he does the things which he doesnt do otherwise, eats uneatable things, loses his senses, talks out the secrets.

The transitory phase between Dviteeya and Triteeya Mada is explained as Triteeya Mada by Sus`hruta; whereasTriteeya Mada explained by Charaka is Chaturtha Mada explained by Sus`hruta.

Other Types:

Actually, Madya causes vitiation of all the three Dosha. Considering the dominance of the symptoms Madaatyaya is denoted by that Dosha. It should be treated as per dominance of Dosha or manifestation of the symptoms.

1. Vaataja Madaatyaya
2. Pittaja Madaatyaya
3. Kaphaja Madaatyaya
4. Saannipaatika Maadaatyaya

Dhvamsaka and Vikshaya:

A person, who kept himself away from Madya for long days, consumes it suddenly and excessively; it leads to the diseases like Dhvamsaka and Vikshaya.

They are very difficult to cure; especially in a person who is emaciated due to the disease. One who is averted fromMadya, has control on his senses, remains always free from the somatic and psychic diseases.

Asaadhya Madaatyayta:

Amandadaaha (Teevra Daaha)

Asita Danta

Asita Jihvaa

Asita Osht`ha

Atis`heeta

Heenottarausht`ha (Pralambamaana Uparitana Osht`ha)

Neela Danta

Neela Jihvaa

Neela Osht`ha

Peeta Nayana

Rakta Nayana

Tail Praabhaasya (Tailaakta Mukha)

Madaatyayta Upadrava:

Hikkaa

Jvara

Vamathu

Vepathu

Paars`hvas`hoola

Kaasa

Bhrama

Introduction:

In pathogenesis of Kusht`ha, all three Dosha are involved which in turn vitiate Tvak (skin), Rakta (blood), Maamsa (muscle tissue) and Ambu. Considering dominance ofDosha, treatment should be planned. This disease requires It is Nitya S`hodhanaarha Vyaadhi.

Saamaanya Chikitsaa:

All the types of Kusht`ha are Tridoshaja. The treatment is depends upon the symptom and condition of the Dosha which is more predominant and the Anubandhita Dosha is treated consequently.

S`hodhana is indicated in Bahudosha Avasthaa.

Physician should be vigilant about the life of the patient, as excessive elimination makes the patient weak, hence the aggravated Vaata can be dangerous.

In this condition Vamana procedure should be done once in 15 days, Virechana procedure once in a month, S`hirovirechana once in 3 days and Rakta mokshan`a once in 6 months.

S`hamana is indicated in Alpa Doshaavasthaa.

o Vaatakaphaja Kusht`ha: Kaphaghna + Vaataghna + Rakta Dusht`ighna

o Pittaja Kusht`ha: Kaphaghna + Pittaghna + Rakta Dusht`ighna

After Blood letting, when the patient regains strength should be oleated and carefully subjected to Vamana with drastic formulations, followed by purgation and bloodletting.

In case where in the indicated S`hodhana is not done, the aggravated Dosha permeate the whole body and the disease becomes incurable; hence Dosha should be eliminated completely. Every morning suitable purgatives should be used for 5, 6, 7 or 8 days so that the Dosha do not raise their heads again.

Similar Chikitsaa: Visarpa

Avasthika Chikitsaa:

Alpa Dosha Avasthaa: – Prachchanna

After only the Dosha are eliminated from the Kosht`a and Rakta, the patient should be administered oleation therapy as Vaayu gets aggravated after the elimination therapies.

Rakta Visraavan`a in Lalat`a (forehead), Hasta (hand) and Paada (legs). By administering proper blood letting, internal and external alleviation therapies and oleation at appropriate time Kusht`ha which are curable finally get cured.

Kusht`ha is very difficult to cure. To get rid of this disease it is necessary to have faith in the dietary and behavioral regimen as told by Ayurveda. It is also necessary to consume specific treatment, to get in to religious austerity. Then only, person become free from the disease and also attains the perpetual happiness (peace or calmness of mind, absence of passion)

Dhaatugata Kusht`ha Chikitsaa:

o Tvakgata(Rasagata)Kusht`ha: S`hodhana and Lepana

o Raktagata Kusht`ha: S`hodhana, Lepana, Kashaaya Paana, S`hon`itaavasechana

o Maamsagata Kusht`ha: S`hodhana, Lepana, Kashaaya Paana, S`hon`itaavasechana, Arisht`a, Mantha, Praasha.

o Medagata Kusht`ha: The disease becomes manageable if the patient has self -control and has all adequate means of treatment. In such case use ofBhallataka, S`hilaajatu, Maaks`hika etc. should be adopted.

If the disease proceeds to Asthi Dhaatu it is considered as incurable, hence should not be treated.

Pathya:

Rasa – Tikta

Gun`a – Laghu

Dhaanya – Yava, Jeern`a Shasht`ika S`haalee, Godhuma

S`haaka – Vetraagra, Pat`ola, Vaartaaka, Nimba, Krishn`a Saarivaa, Rasona, Vaastuka, Punarnavaa, Meshas`hringee, Khaira, Chitraka, Haritakee, Bibhitakee, Aamalakee, Jaatiphala, Naagakes`hara, Karanja, Sarala, Devadaaru, Aguru, Kasturee, Chandana, Kut`akee, Chakramarda, Bhallaataka, Dhaamaargava, Sarshapa, S`hinshapaa

S`himbee – Mudga, Masoora, Kulattha

Maamsa – Jaangala Maamsarasa

Dugdha – Takra + Baakuchee, Ghrita

Drava – Sneha, Gomootra, Gardabha Mootra, Usht`ra Mootra, Ashva Mootra, Maahisha Mootra, Khadira/Vid`anga Siddha Jala

Phala – Taad`aphala, Aamalakee, Aashaadha Phala

Kritaanna – Siddha Takra, Nimba, Khadira Siddha Yavaagoo, Kulattha Siddha Bhakta, Yava Vikriti, Kulmaasha, Apoopa, Utkaarikaa, S`hashkulee, Mantha, Ladduka

Other Vamana after every 15 days, Virechana after every one month, Nasya after every three months and Raktamokshan`a after every six months, Kshaarakarma, Madhu, Gandhaka

Apathya:

Rasa – Amla, Lavan`a

Gun`a/ Karma – Ushn`a, Drava, Visht`hambhee, Snigdha, Guru

S`hooka – Tila, Maasha, Navaanna

S`haaka – Moolaka

Maamsa – Aanoopa Maamsa, Matsya

Dugdha – Dadhi, Dugdha

Drava – Madya

Kritaanna – Pisht`aanna

Other – S`heetoshn`a Krama Sevana, Viruddhaanna, Nava Dhaanya, Gud`a, Ikshu, Svedana, Maithuna, Chchhardi Vegaavarodha, Krodha, Vyaayaamottara Bhojana, Shrama, Bhaya, Aatapa Sevanoparaanta S`heeta Jala Sevana