Introduction:

Grahan`ee is a disease of impaired activity of Agni, hence Agnideepana and Paachana is basic treatment.

 

Examination of Pureesha:

It is very important to examine the Pureesha whether it is Aama or Pakva. This examination helps physician to select proper treatment option.

Pakva Pureesha: (perfectly processed) Floats on the water whereas, Aama Pureesha: Sinks down to the bottom of water due to its Guru nature.

 

Saamaanya Chikitsaa:

Langhana

Paachana.

Agnideepana

Dosha specific treatment

 

Vis`hesha Chikitsaa:

Vaataja Grahan`ee:

 

Pittaja Grahan`ee:

Pitta aggravated at its own site, and obliterating Agni should be removed out of the body with the help of Virechana or Vamana.

 

Kaphaja Grahan`ee:

Grahan`ee vitiating Kapha should be eliminated by Vamana. By using Ks`haara, Kat`u, Amla and Lavan`a, Tikta Rasa, Agni has to be increased.

 

Procedures advised in Grahan`ee Chikitsaa:

1. Snehana
2. Svedana
3. S`hodhana (Virechana and Vamana.)
4. Langhana

Formulations advised in Grahan`ee Chikitsaa

1. Choorn`a
2. Lavan`a
3. Ks`haara
4. Madhvarisht`a
5. Suraa
6. Aasava
7. Takra Yoga
8. Ghrita

 

Treatment of Grahan`ee according to Sus`hruta: (Su. U. 40/77 – 182)

As per the dominance of the Dosha, the disease should be treated.

Paachaneeya, Deepaneeya, Sangrahan`eeya Gan`a are to be administered early in the morning with Suraa / Arisht`a / Sneha / Mootra / Ushn`aambu / Takra

Everything that is Deepana should be used in Grahan`ee.

Grahan`ee is to be treated avoiding any contrast to the treatment of other concurrent diseases.

Treatment of Krimi, Gulma, Udara and Ars`ha is also to be adopted in this disease named Grahan`ee.

 

Diet in Grahan`ee:

Diet should have Laghu, Deepaneeya, Ushn`a properties.

Peyaa is advised to be used which is made up of Deepaneeya Aushadha.

If food is taken after complete digestion of previously taken food, and if taken in amount which can be digested easily, then it leads to perfect balance of Dhaatu. This increases life and health. Otherwise, it leads to the imbalance of Dhaatu.

Role of Snehana in Grahan`ee:

Sneha is the best entity to enhance activity of Agni. Very heavy diet also is unable to suppress the digestive activity of Agni, which is enhanced by Sneha. Any diet howsoever heavy is unable to suppress Agni that is kindled by Sneha

Therefore, it is necessary to administer Sneha in Grahan`ee. Therefore Sneha enjoys a place of eminence in the management of Grahan`ee.

 

Role of Takra (Buttermilk) in Grahan`ee:

Takra is useful in diseases due to depletion of Agni as Grahan`ee, Ars`ha, Udara. Takraarisht`a is also useful in this disease. Due to following properties it is indicated in Grahan`ee.

Graahee (arrests excessive motions by absorbing the excessive fluid)

Deepana (enhances digestive activity).

Laghu (easy to digest)

Kashaaya, Ushn`a, Vikaas`hee, Rooksha hence pacifies Kapha

Madhura, Amla, Saandra, Avidaahee hence pacifies Vaata

Pathya:

Rasa – Kashaaya

Gun`a & Karma – Snigdha, Deepaka, Paachaka, Sangraahi

S`hooka Dhaanya – Puraan`a Shasht`eeka S`haalee, Godhooma

S`himbee – Mudga, Kulattha

Maamsa – S`has`ha, En`a, Tittira Maamsa Rasa, Kshudra Matsya, Biles`haya

Dugdha – Godugdha, Aja Dadhi, Avi Dadhi, Ajaa Navaneeta, Dadhi, Ghrita, Snehodhrita Takra.

Drava – Ushn`odaka, Mastu, Kaanjika, Areesht`a, Mootra, Tila Taila, Madya

Phala – Kshudra Panasa, Daad`ima, Karmaranga, Bilva, Kapittha, Vat`a, Jamboo, Kadalee, D`in`d`is`ha, Tinduka

Kritaanna – Masoora, Aad`hakee, Mudga Yoosha, Suraamand`a, Sauveeraka, Tushodaka, Kaanjika, Mastu, Kravyaad /Jaangala Maamsa Rasa, Dadhi Siddha Yavaagoo, Mudgaadi Yoosha, Kulattha Yoosha, Paayasa, Kris`haraa, Godhooma Choorn`a Mantha, Laajaa Mand`a.

Other – Madhu, Kamalakanda, Kadalee Pushpa, Shringaat`ka, Chukra, Bhangaa, Kut`aja, Jeeraka, Karchura, Jaateephala, Dhaanyaka, Nimba, Ativishaa, Ahiphena, Alaaboo, Takraarisht`a, Takrasidha Padaartha, Suraa, Sauvarchala, Maricha, Vaarun`ee

Apathya:

Rasa – Amla, Lavan`a

Gun`a – Guru

Dhaanya /S`hooka – Godhuma, Yava

S`haaka – Upodikaa, Vaastuka, Kaakamaachee, Kushmaan`d`a, Tumbee, Madhus`higru Kanda, Moorvaa, Punarnavaa

S`himbee – Maasha, Raajamaasha, Nishpaava, Kalaaya

Dugdha – Maahisha Dugdha, Dadhi

Drava – Kaanjee, Sauveeraka, Tushodaka, Naarikela Jala,Gomootra.

Phala – Ikshu, Aamara, Draakshaa, Rasona, Puga, Badara, Naarikela, Kant`akaaree, Bilva, Karakat`ee

Kritaanna – Rasaalaa

Other – Gud`a, Dhaanyaamla, Sauveeraka, Mastu, Vrikshaamla, Tushodaka, Kasturee, Kshaara, Viruddhaanna, Jaagaran`a, Raktamokshan`a, Jalapaana, Snaana, Maithuna, Vega Dhaaran`a, Nasya, Anjana, Svedana, Dhumpaana, Shrama, Aatapa Sevana