Chikitsaa Description:

The disease in which colour of the skin becomes Paan`d`u Varn`a i.e Ketaki Dhoola Sannibha (Yellowish white) is called as Paan`d`uroga.

It is of five types as below-

Vaataja

Pittaja

Kaphaja

Sannipaataja

Mridbhakshan`ajanya

 

Synonyms: – Kaamalaa , Apaanakee, Laagharaka, Alasakhya, Kumbhaahvyaa.

 

Saamanya Chikitsaa:

S`hodhana

o       Vamana + Virechana

S`hamana

o       Kalpa + S`hopha Adhikaarokta Kalpa

Vaataja à Sneha Pradhaana

Pittaja à Tikta + S`heeta

Kaphaja à Kat`u + Tikta + Rooksha + Ushn`a

Mridbhakshan`ajanya à Teekshn`a S`hodhana

Sannipaataja à Mis`hra

 

Description of Saamaanya Chikitsaa:

The basic treatment of Paan`d`uroga is as below.

o       Vamana and Virechana (S`hodhana) should be given after proper Snehana (oleation therapy) with the help of Teekshn`a Dravya. For the same ghee medicated with S`hodhana Dravya can be used.

o       For Snehana Kalyaan`aka Ghrita, Panchagavya Ghrita ,Daadhika ghrita, Kat`vara Ghrita.Aaragvadhaadi Gan`a Siddha Ghrita should be used.

o       Though Vamana is contraindicated in Paan`d`u Vamana should be administered with Mridu Dravyaa_s should be used according to Des`ha Kaala Prakriti etc are used.(D`alhan`a T`eekaa S.U.44 )

o       Pathyakara Aahaara should be given after proper S`hodhana.

o       S`hamana Kalpaa_s should be given after S`hodhana.

o       Ayas i. e. iron is the best S`hamana Medicine for Paan`d`uroga. Therefore, various Loha formulations should be used e.g. Navaayas Loha, Taapyaadi Loha etc. according to Dosha domination.

o       The formulations used for treating S`hotha are also useful in treating Paan`d`uroga.( A. H. Chi. 16/57)

o       Laghu Panchamoola Siddha Jala (Decoction of Laghu Panchamoola)or Juice of Aamalkee is used for Dietary regime and to drink.

 

Precaution to be taken: – In Paan`d`u, S`hodhana should be done multiple times to expel Dosha Situated in Srotas Dhaatu and Aas`haya completely, as the residualDosha may cause edema.

 

Vaataja Paan`d`u:

S`hodhana as mentioned above.

The S`hamana medicine should be predominantly Siddha Ghrita (medicated ghee preparations)

 

Pittaja Paan`d`u:

S`hodhana as mentioned above.

S`hamana Dravya should be Tikta (bitter) and S`heeta (cold) medicines.

 

Kaphaja Paan`d`u

S`hodhana as mentioned above

S`hamana Kalpa should be Tikta (bitter), Kat`u (pungent), Rooksha (dry) and Ushn`a (hot). Haritakee soaked in cows urine should be used for Virechana.

 

Sannipaataja Paan`d`u:

S`hodhana as mentioned above.

S`hamana Kalpa should be selected examining the dominance of Dosha at the respected time.

 

Mridbhakshan`ajanya Paan`d`u:

S`hodhana as mentioned above. Teekshn`a S`hodhana Dravyaa_s should be used by examining Vyaadhi Bala (stage of disease) and Rugn`a Bala (condition and strength of suffering person).

After S`hodhana, medicated ghee should be used to improve strength.

For withdrawal / elimination of the addiction of eating soil, the soil medicated with Krimighna and Tikta (bitter) medicines is used.

 

Counter references if any

Goudarisht`a i.e. Abhayarisht`a , Madhvaasava , S`harkaraasava, Mootraasava from Kusht`ha Chikitsaa ,Kshaarakrita Aasava from S`hleepada should be used. In addition, diet that is suitable and wholesome should be administered.

 

Pathya:

Rasa- Kashaaya

Gun`a- Snigdha, Anulomaka

Dhaanya- Jeern`a Yava, Godhuma, Bhakta, S`haalee

S`haaka- Pat`ola, Jeevantee, Kshaara, Matsyaakshee, Gud`oochee, Tan`d`uleeyaka, Punarnavaa, Dron`apushpee, Palaand`u, Moolaka, Rasona, Hareetakee, Haridraa, Naagakes`hara, Chandana, Bimbee

S`himbee- Kulattha, Tila, Aad`hakee

Maamsa- S`hringee Matsya, Kukkut`a

Dugdha- Maahisha Ghrita, Godugdha, Ghrita, Takra, Navaneeta

Drava- Taila, Sauveeraka, Tushodaka, Gomootra, Laghu Panchamoola Siddha Jala

Phala- Jeern`a Kushmaand`a, Kadalee(Apakava), Aamara, Aamalakee, Draaksha

Kritaanna- Mudga, Aad`hakee, Masoora Yoosha, S`higru Beeja + Saindhava, Jaangala Maamsa Rasa

        Other- Chhardi, Virechana, Yavakshaara, Loha Bhasma, S`hunt`hee, Mand`oora

 

Apathya:

Rasa- Alma, Lavan`a

Gun`a- Ati Ushn`a, Vidaahee, Kshaara, Viruddha, Asaatmya, Teekshn`a

S`haaka- Patras`haaka, Sarshapa

S`himbee- S`himbee Dhaanya, Maasha, Nishpaava, Tila

Drava- Ambupaana, Dusht`a Jala Sevana, Madya

        Other- Hingu, Yava, Pin`yaaka, Dhoomapaana, Chhardi, Mala Mootra Vega Dhaaran`a, Svedana, Maithuna, Pin`yaaka, Taambula, Mrittikaa Bhakshan`a, Divaasvaapa

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