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Bhasmaka Chikitsaa

Dr Shameen Salim
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Introduction:

This is a disease caused due to the hyper-functioning of the digestive capacity (Teekshn`aagni). In this condition, Pitta and Vaata are aggravated. Patient gets relief after having food and becomes irritated when hungry.

 

Saamaanya Chikitsaa:

Pouring water on fire definitely douses it similar principle is employed in the management of this condition. The patient should be feed frequently before the previous food is digested.

 

S`hodhana:

Virechana should be administered to alleviate Pitta and Paayasa should be given after the Virechana. Formulations like Trivrit S`hyaamaa Siddha Ksheera

Siraavyadha should be performed followed by following formulations:

  • Godhooka Choorn`a Mantha or Jeevaneeya Gan`a Siddha Ghrita.
  • Vasaa, Majjaa, Ghrita should be used for Snehana.
  • Taila should not be used.

Pathya Aahaara:

Diet should be administered having following properties.

Gun`a: Guru, Snigdha Sheeta, Manda, Saandra, S`heeta, Sthira, Pichchhla

Rasa: Madhura Rasa

Karma: Kaphakara, Medura, Pusht`eekara

Dravya: Paayasa, Vasaa, Majjaa,

Though indigestion is caused by this dietary regime, in this stage, diet should be given continuously to avoid depletion of Dhaatu and to avoid complication and death. Diet like fish, which are having Slakshn`a sthira gun`a should be used. Other diet items

Dugdha and Ghrita added with Madhuchchhisht`a should be used for thirst.

 

Pathya Vihaara:

Divaasvaapa should be advised as Pathyaa Vihaara.

 

Precautions:

The patient should not be kept without food for long.

The Virechana should be administered cautiously according to the condition of the patient

All measures should be taken to protect the Agni and to maintain in its normal functions.

 

Apasmaara Chikitsaa/Epilepsy Treatment in Ayurveda

Dr Shameen Salim
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Introduction:

Apasmaara is one of the Maha Agadha. Apasmaara is a disease in which memory (Smriti), intellect (Buddhi) and mind (Sattva) get flowed out all together, characterized by loss of consciousness and disgusting movements by the patient. This is a momentary phase (Aavasthika) in which patient grope in the dark (Tamah Praves`ha).

 

Classification of Apasmaara:

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

 

Saamaanya Chikitsaa:

Foremost aim of the physician here should be getting rid of the occlusion caused due to the Dosha in the channels ofHridaya and Manas.

To restore the normalcy such of the remedial measures which are Teekshn`a in nature are to be adopted.

All such measures which are described for Unmaada should be adopted especially Puraan`a Sarpi paana andAbhyanga with the same. Also, Graha chikitsa should be applied.

Sus`hruta has also advised the worship of Lord Rudra.

Vein should be punctured in temporal, forehead and chest regions.

 

Vis`hesha Chikitsaa:

Vaataja Apasmaara: Basti

Pittaja Apasmaara: Virechana

Kaphaja Apasmaara: Vamana.

 

  • After the patient is being given conditioned S`hodhana, should be consoled well and then proper palliative treatment is to be adopted. Other treatment modalities like Dhoopana, Anjana, Lepa, Abhyanga, Utsaadana, Avasechana, Pradhamana Nasya etc. are very useful.

 

  • In cases where Aagantuja (external) factors are involved secondarily, there may be signs and symptoms which are different to that of the Doshaja Apasmaara; in such cases line of treatment as per Aagantuja Unmaada should be adopted.

 

  • As this disorder is as a result of vitiation of both the S`haareerika and Maanasika Dosha and takes Aashraya in the Maha Marmas i.e, Hridaya and Manas, Rasayana treatment should be adopted as it is a Krichra SadhyaVyadhi.

 

Precautions:

The patients suffering from the above should be always protected from water, fire, trees, stones and stony surface and uneven places

 

Pathya:

Rasa – Lavan`a

Dhaanya – Lohita S`haalee, Godhuma, Mudga,

S`haaka – Pat`ola, Vachaa, Vaastuka, S`higru, Haritakee, Rasona

Maamsa – Kachchhapa Maamsa, Jaangala Maamsarasa

Dugdha – Ghrita, Dugdha

Drava – Braahmee Svarasa, Tail, Gomootra, As`hvamootra, Gaganaambu

Phala – Puraan`a Kushmaan`d`a, Madhura Daad`ima, Draakshaa, Aamalakee, Parushaka

Kritaanna – Talita Rasona, Dugdha + Bhakta

Other – Nasya, S`hirovirechana, Daana, Traasana, Bhaya, Harsha, Dhomapaana

Apathya:

Gun`a – Teekshn`a, Ushn`a, Guru

Dhaanya – Maasha, Aad`hakee

S`haaka – Bimbee

Maamsa – Matsya

Drava – Madya

Other – Malina, As`huchi Bhojana, Viruddhaanna Sevana, Chintaa, S`hoka, Bhaya, Krodha, S`hrama, Trishn`Aad`hakee, Nidraa, Kshudhaa Vegadhaaran`a

Amlapitta Chikitsaa/Gastritis Treatment in Ayurveda

Dr Shameen Salim
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Introduction:

For diagnostic & treatment purpose Amlapitta is divided in to following types

  • According to direction:- Urdhvaga and Adhoga
  • According to duration:- Nava and Jeern`a
  • According to Dosha:-
  • Kaphapittaja
  • Vaataanubandhi
  • Kaphaanubandhi
  • Vaatakaphaanubandhi

 

Saamaanya Chikitsaa:

  • Vamana –> Mridu Virechana Snehana –> Snigdha Anuvaasana
  • Paachana
  • Tikta Rasa Pradhaana Dravya
  • Kaphapittaghna

Aavasthika Chikitsaa:

  • Urdhvaga: Vamana –> Nirooha basti
  • Adhoga: Virechana –> Nirooha basti
  • Jeern`a: Considering Dosha Status Aasthaapana Basti
  • Amlapitta + Daaha :- S`hodhana –> Aushadha
  • Vamana, Virechana Pas`hchaat Anupas`haya: Raktamokshan`a + S`heeta Dravya Lepa

 

Pathya:

  • Rasa – Tikta
  • Dhaanya – Yava, Godhooma, Puraan`a Raktashaalee
  • S`haaka – Vetaagra, Karkot`aka, Kaaravellaka, Kadalee Pushpa, Vaastooka, Pat`ola, Hilamochikaa
  • S`himbee Mudga, Haren`u
  • Maamsa – Jaangala Maamsarasa
  • Drava S`hrita S`heeta Jala
  • Phala – Daad`ima, Aamalakee, Kooshmaan`d`a
  • Other – Madhu, Nirooha Basti, Yava, S`harkaraa, Madhu, Kaphapittanaas`haka, Mudga Yoosha

Apathya:

  • Rasa – Amla, Lavan`a, Kat`u
  • Gun`a – Guru
  • Dhaanya – Tila, Maasha, Kulattha, Nava Dhaanya
  • Dugdha – Ajaa Dugdha, Dadhi
  • Drava – Dhaanyaamla, Madhu, Madya
  • Other – Viruddhaanna, Vamanavegaavarodha, Chintaa, Divasvaapa, Jaagaran`a, Talita Padaartha

Ajeerna Chikitsaa/Treatment for Indigestion

Dr Shameen Salim
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Introduction:

Ajeern`a means indigestion.

Saamaanya Chikitsaa:

Us`hn`odaka should be advised.

Laghu Aahaara / Langhana.

Vis`hesha Chikitsaa:

  1. Aamaajeen`a:– Langhana
  2. Vidadhaajeern`a:– Vamana
  3. Vishtabdhaajeern`a:– Svedana
  4. Rasas`heshaajeern`a:– Divaasvaapa(day time sleep when stomach is empty) after that light food in small quantity.
Do not require treatment as the do not cause any symptom and these are normal stages in digestion.

 
  1. Dinapaaki Ajeern`a
  2. Praakrita Ajeern`a

Pathya:

Rasa: Kat`u, Tikta

Gun`a: Laghu

Dhaanya: Lohita S`haalee, Yava

S`haaka: S`haalicha, Vetraagra, Vaastuka, Moolaka, Rasona, S`higru Phala, Pat`ola, Vaartaaka, Kamala, Kaaravellaka, Kant`akaaree Phala, Aardraka, Prasaaran`ee, Chukra, Parpat`a, Methikaa, Dhaanyaka

Maamsa: Hareen`a, Mayoora, S`has`ha, Laavaa, Kshudra Matsya

Dugdha: Dadhi, Takra, Navaneeta, Ghrita

Drava: Kaanjika, Sarshapa Taila, Suraa

Phala: Kushmaand`a, Kadalee, Aamalakee, Daad`ima, Amlavetas, Nimbu, Maatulunga

Kritaanna: Laajaa Man`d`a, Vilepee, Mudga Rasa

Other: Hingu, Lavan`a, Ajamodaa, Maricha, Jeeraka, Tambula, S`hunt`hee, Madhu

Apathya:

Gun`a: Guru

S`haaka: Kamala Kanda, Upodikaa, Kanda, Us`heera

S`himbee: Dvidala Dhaanya

Maamsa: Matsya

Dugdha: Dugdha, Kurchikaa, Kilaat`a, Moraat`a,

Drava: Viruddha Asaatmya Peya, As`huddha Jala

Phala: Jamboo, Apakva Taalaphala, Priyaala

Kritaanna: Paanaka

Other: Atyadhika Jala Sevana, Visht`ambhakara Aahaara, Sneha Padaartha, Virechana, Mala Mootra Avarodha, Adhyas`hana, Jaagaran`a, Raktasraava

Aamavata Chikitsa/Rheumatic Arthritis treatment in Ayurveda

Dr Shameen Salim
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Aamavaata Chikitsaa

Introduction:

When all the three Dosha are vitiated simultaneously at the Trika Sandhi causing rigidity in the body, this situation is called as Aamavata. It is a Dreadful and difficult to cure condition.

 

Saamaanya Chikitsaa:

General treatment includes Langhana, Svedana, Tikta Kat`u rasa, Deepana dravya, Virechana, Snehapaana and Basti.

Langhana

Deepana Dravya & Aahaara.

Rasa: Tikta, Kat`u, Dravya & Aahaara (Kapha Vaata Nashana Dravya)

Chikitsaa Karma:

o Svedana

Sneha Varjita Upanaaha Sveda

Vaalukaa Pot`t`alee Sveda

o Snehapaana: It should be administered in Aamvaata only after Aamakshaya (due Langhana). It pacifies Rookshatva of Vaata.

Eran`d`a Taila: It is drug of choice for internal oleation as it has Aamapaachana and Virechana properties. It should be consumed with Raasnaadi Kvaatha in Aamavaata associated with S`hoola.

o Virechana

o Basti: S`hodhana Basti, Saidhavaadya Basti, Kshaara Basti should be administered.

o Lepa: Paachana, S`hothahara, Shoolahara

 

Aahaara

o Ushn`odaka

o Ruchya Aamavaata hara Aahaara.

Aamavaata associated with Pipaasaa:- Panchakola Siddha Jala

Aamavaata associated with S`hoola: – Raasnaadi Kvaatha + Eran`d`a Taila.

o Rooksha Bhojana is advised with S`hat`hyaadi Kashaaya to achieve Aamapaachana.

o Kat`u Tikta Rasa Pradhaana Dravya and Deepana Dravya are useful in Aamavaata.

o Abhishyandi, Guru, Pichhila Dravya should be avoided.

o Poorva vaata, Asaatmya Padaartha, Dooshita Jala should be avoided.

Avasthika Chikitsaa:

S`hoola Kaarpaasthyaadi Sveda

Sandhi Asthi Majja gata S`hoola Raasnaa Panchaka Kvaatha

Janghaa Ooru Prisht`ha S`hoola Raasnaa Saptaka Kvaatha

Bhagna Bhrihat Yogaraaja Guggulu

Pathya:

Rasa – Kat`u, Tikta

Dhaanya – Puraan`a S`haalee

S`haaka – Punarnavaa, Rasona, Pat`ola, Dhattura, Kaaravellaka, Vaartaaka, Nimba, S`higru, Mandaara, Gokshura, Vriddha Daaruka,

S`himbee – Kulattha, Kodrava

Maamsa – Jaangala Maamsarasa

Drava– Puraan`a Madya, Takra, Erand`a Taila, Ushn`a Jala, Gomootra

Kritaanna – Chan`aka, Sateena Yoosha

Other – Rookshan`a, Svedana, Langhana, Snehapaana, Basti, Lepa, Virechana, Guda Varti, Vaata-Kaphaghna Padaartha

Apathya:

Gun`a – Guru, Abhishyandee

Dhaanya – Maasha

Maamsa – Matsya

Dugdha – Dadhi, Dugdha

Other – Gud`a, Upodikaa, Viruddhaanna, Dushita Jala, Asaatmya Bhojana, Mala Mootra Avarodha, Jaagaran`a, Vishamaas`hana, Purovaata Sevana

Bhagna Chikitsa/Fracture treatment in Ayurveda

Dr Shameen Salim
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Bhagna Chikitsa/Fracture treatment in Ayurveda

 

Bhagna Chikitsa – Fractures in Ayurveda

Introduction:

Bhagna is fracture or dislocation of joint or bone. Charaka Samhitaa has described Asthi Bhagna in the Vran`a chapter. It is said that a wound with a Bhagna heals with difficulty. General treatment of Bhagna includes Asthi Sandhaana.

 

Saamaanya Chikitsaa:

Asthi Bhagna is considered as Vran`a according to Charaka.

In the condition, Asthi Bhagna (fracture) or Asthi Chyuta (dislocation), the bones should be placed in the original anatomical position properly (Reduction of the fracture). With the cotton pads (Kavalikaa) and the Kus`hikaa, using abundant Ghee (Ghrita); the bones should be placed properly and stabilized so that the reduced bone ends do not undergo displacement and result in non or mal union.

Lepana: (ointment or plaster) is carried on the fractured site. Lepana Should be prepared using Manjisht`haa, Madhuka, Raktachandana with S`hatadhauta Ghrita.

Bandhana: In the cold season, the bandage or plaster should be changed after every 7 days. In temperate climate (Saadhaaran`a), the bandage or plaster should be changed after every 5 days. In the hot season, the bandage or plaster should be changed after every 3 days. Or in general, the plaster can be changed by looking at the condition of Dosha at the fractured site. Bandha should not be loose or too tight. In either case, the bones can not be stabilized properly. There may be S`hopha (oedema), Ruk (pain), Paaka (suppuration) at the site of fracture. Therefore, proper bandaging is imperative in healing of fracture.

Parisechana: It is pouring the decoctions over the wound or Bhagna site. The cold Nyagrodhaadi Kashaaya orPanchamoolee Ksheera should be used for this purpose. Pleasantly warm (Sukhoshn`a) Chakrataila should be used for Parisechana. Vaagbhat`a suggests use of pleasantly hot Chakrataila with Vaata pacifying drugs.

Pradeha: It is a thick or viscid ointment which is applied on the wound. It should be cold or may be hot as per the condition of the Dosha_s.

Seka and Lepana: These should be performed repeatedly and continuously. The drug used for this should be cold.

Sandhi / Bhagna Sthaapana (fixation of the joint or fracture):

  • Avanaamita (depressed) Bhagna should be elevated.
  • Unnata (elevated) Bhagna should be pressed down (Avanamana).
  • Atikshipta (thrown beyond / dislocation)
  • Bhagna should be set properly after maneuvering in the opposite direction of displacement (Aanchana).
  • Adhogata (lowered down) Bhagna should be stretched upward.

If there is any complication like Visarpa then as per the complication it should be treated.

 

 

Vis`hesha Chikitsaa:

Utpisht`a and Vis`hlisht`a Bhagna:

o Any movement should be avoided in this type of Bhagna.

o S`heeta Pariseka and Pradeha should be carried out.

o Ghritadigdha Pat`t`a (bandage soaked in Ghee) should be used to plaster which enhances the union of the bones.

o Kus`haa should be placed over this bandage and tied properly.

Savran`a Bhagna (fracture with wound /compound fracture):

Pratisaaran`a should be carried out using Nyagrodhaadi Kalka with Sarpi and Madhu; else should be treated as Bhagna.

 

S`hotha without Vran`a:

Is a condition where there is S`hotha due to trauma but there is no wound then it should be treated with S`heeta Pradeha, Seka.

 

Chirakaalina Sandhi Bhagna:

In a long standing joint dislocation, Snehana, Svedana should be carried out to fix the joint in original position.

 

Vishama Ulban`asamhita Prarood`ha Kaan`d`a Bhagna:

Malunited fracture of long bone with deformity should surgically refractured and put in apposition / reduced and stabilized properly till union.

Savran`a Bhagna:

When there is a fracture with the wound then the protruding bone should be surgically excised from the wound and then the treatment of Vran`a and Bhagna should be carried out.

Oordhvakaayika Bhagna:

When there is Bhagna in the supraclavicular portion then the treatment given should be Maastishkya, Karn`apooran`a, Ghritapaana and Nasya.

Pralambamaana Vran`a Maamsa:

In the wound where the muscular tissue is hanging down, it should be smeared with the Madhu and Ghrita and carefully replaced in its proper place and bandaging should be done. It should be followed by Avachoorn`ana withSamangaa, Dhaatakee, Rodhra, Kat`phala etc. which help to heal the wound quickly.

 

Samutpisht`a (Choorn`ita) Nakha Sandhi : –

This is the crushed nail which causes accumulation of the blood at the site. It should be removed using the instrumentAaraa. After the blood letting, it should be plastered by S`haalipisht`a (flour of S`haali variety of rice)

 

 

Anguli Bhagna:

Dislocated or fractured finger should be fixed properly at its original position. It should be bandaged with fine bandage. After that Ghrita Seka should be carried out. Normal finger adjacent to the affected should be used in bandaging to stabilize the affected finger

(Paada) Tala Bhagna:

Paada Tala should be massaged gently with Ghrita (Ghee). It should be then bandaged with a bandage and a Kus`haa.Vyaayaama is prohibited strictly.

 

Janghaa and Ooru Bhagna:

Janghaa and Ooru both are plastered with the skins of the trees like Madhooka etc. the barks selected should be of cold attribute and potency.

  • Aanchana: Both the ankle joints should be held firmly by a strong man and the distal bone fragment is rotated in circular movements till both the fragments are in complete apposition. This should be carried out in the types ofBhagna like Sphut`ita and Pichchita.
  • Pas`hchaat Karma: Kapaat`a S`hayana is advised by Sus`hruta. It is useful for the immobilization of a patient. This helps to keep the fractured site immobile. Five bolts are to be used for the Kapaat`a S`hayana.

 

Kat`i Bhagna:

Upward or downward Aanchana (traction) should be carried out in Kat`i Bhagna. When Sandhi is properly fixed then it should be treated with Basti (Sneha Basti D`alhan`a)

 

Pars`hukaa Bhagna:

In the fracture of ribs, massage with Ghee should be carried out wherever there is fracture. Proper bandaging should be done after keeping Kavalikaa (a piece of cloth) at the site of the fracture. A person should have oil tub bath (Tailapoorn`a Kat`aaha or Dron`ee)

 

Skandha Bhagna:

With the help of a wooden pestle (round end of a Musala), axilla should be elevated, when there is dislocation or fracture in the shoulder joint. When it is fixed properly, it is bandaged with Svastika Bandha.

Koorpara Sandhi Bhagna:

In the fracture of elbow joint, it should be massaged with the thumb. The dislocation should be fixed properly. The joint should be flexed after extension. Snehaseka should be carried out.

 

Jaanu Bhagna:

Procedure same as in Koorpara Sandhi should be carried out.

 

Gulpha Bhagna:

Procedure same as in Koorpara Sandhi should be carried out.

 

Man`ibandha Bhagna:

Procedure same as in Koorpara Sandhi should be carried out.

 

Hasta Tala Bhagna:

The palm should be made even and tied with the wood measuring same as of the palm.

Pariseka with Aama Taila should be carried out. Then, Mritpin`d`a or Paashaan`a (stone) should be held to regain the strength of the hand. The clay ball should be replaced by heavier balls like stone and then metal with increase in the physical power and suppleness of the palm musculature

 

Akshaka Bhagna:

With the help of a wooden pestle (Musala), depressed Akshaka Asthi should be elevated. If it is depressed, then it should be elevated. It should be tightly bandaged.

 

Baahu Bhagna:

Procedure same as Ooru should be carried out in Baahu Bhagna.

 

Greevaa Bhagna:

When the neck is tilted or it is moved to the downward direction, then it should be elevated. It should be covered with the Kus`haa and cloth. Person should be lying on the back (Uttaana) for 7 days.

 

Hanu Bhagna:

In the dislocation of mandible, the bone should be fixed at its original position by using ball of the thumb in the mouth cavity bilaterally. After Svedana, Panchaangee Bandha should be applied. Nasya by Vaataghna and Madhura Ghritashould be carried out.

 

Danta Bhagna:

Moving but not fractured teeth with bleeding should be plastered with cold drugs externally. Sandhaaneeya Dravyashould be used. Danta Chaalana is not curable in the old age. Hollow stalk of lotus is used to feed the patient.

 

Naasaa Bhagna:

Naasaa which is depressed internally should be elevated using a probe. Hollow probe (Dvimukhee Naad`ee) should be used for this purpose. It should be bandaged with cloth and Ghrita Seka should be carried out. Fixation by GhritaplutaPichu in the Naasaaput`a is necessary.

Karn`a Bhagna:

Fractured ear should be evenly fixed using Ghrita. All the treatment of Sadya Kshata should be carried out then.

 

Kapaala Bhagna:

When there is no secretion of Mastulunga and the bone is fractured then Madhu and Ghrita (Ghee) should be administered. Ghrita should be consumed internally for 7 days.

Supporting instruments to treat Bhagna:

Kus`haa These are the skins of the trees like Vams`ha (Bamboo), Madhooka, Udumbara, As`hvattha, Palaas`ha,Kakubha, Sarja etc. which are used to tie the fractured site.

Kapaat`a It is a panel prepared from the wood, for lying down a patient with the help of which mobilization of a patient is possible. With the 5 bolts, the body parts are fixed to the panel so that fractured site can not be moved and the union of the bones becomes easier. This is called as Kapaat`a S`hayana. It is a molded wooden bed where the patient with a fracture of the vertebral column can lie after reduction to ensure stability and prevent delayed union. A flat bed is also used with strategically placed five nails to prevent foot drop and external rotation of the affected leg.

 

Kalpa Used for treatment of Bhagna:

Gandha Taila Su.Chi. 3/55 – 66; A.H.U.27/36 – 41

 

Trapusaadi Yamaka (Taila and Vasaa) Su. Chi. 3/66 – 68

Milk of a cow which has had only one calf (Grisht`i) with Ghrita and Laakshaa and Madhura Aushadha should be given in the morning to drink. This milk should be cold.

All the Sneha Kalpa which are mentioned in the Vaata Vyaadhi along with Bastikarma.

 

Period for recovery from Sandhi Moksha:

In earlier age Sandhi gets fixed within one month. In middle age Sandhi gets fixed within two months. In later ageSandhi gets fixed within three months.

 

Pathya:

Rasa – Madhura, Kashaaya

Gun`a/Karma – Brimhan`a, Snigdha, Guru

S`hooka – S`hasht`eeka S`haalee

S`haaka – Pat`ola, Las`hoona, S`higru, Aamalakee, S`haalincha, Baala Moolaka

S`himbee – Sateena

Maamsa – Maamsa, Maamsarasa

Dugdha – Ghrita, Santaanikaa Dugdha

Drava – Madhura Rasaatmaka Aushadha, Draakshaasiddha Jala, S`heeta Jala

Kritaanna – Mudga Yoosha, Sateena Yoosha, Maamsarasa

Other – Ghrita, Dugdha, Sneha, Bandhana Brimhan`a Annapaana (nourishing diet)

Diet should be Avidaahee (non spicy food) and Paisht`ika (made of flour).

Apathya:

Rasa – Lavan`a, Kat`u, Amla

Gun`a/ karma – Rooksha

Other – Maithuna, Aatapa, Vyaayaama, Kshaara

 

Precautions (to be avoided):

Glaani (fatigue to the point of drowsiness) should be avoided as it may cause delayed union of the bones.

Lavan`a (salty diet), Kat`uka (pungent diet), Kshaara (alkaline food), Amla (sour diet), Rooksha Aahaara (dry food),Maithuna (sexual intercourse), Aatapa (sunshine), Vyaayaama (exercises) should be avoided.

All care should be taken to prevent suppuration of the fracture site or wound.

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