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I am Dr.Pouse Poulose MS (Ay) ,currently working as an Ayurvedic Surgeon in Sitaram Ayurveda Speciality Hospital,Thrissur.Here under my department we are doing Ayurvedic Surgical management of all Anorectal disorders especially Hemorrhoid, fissure, fistula,pilonidal sinus,rectal polyp etc..If you want my consultation contact 

For Booking please contact

Sitaram Speciality Hospital,Veliyannur Road, Thrissur, Kerala -680021. INDIA

+91-8137899899 or +91. 487 2443891

hospital@sitaramayurveda.com 

  • I had my B.A.M.S (Bachelor of Ayurveda medicine and surgery) from Vaidyaratnam Ayurveda Colleges Ollur, Thrissur
  • Complited my MS (Ay) in Shalya Tantra (Ayurvedic Surgery) from Alvas Ayurvedic Medical College,Moodbidri.
  • I have worked with Ashtavaidyan Alathiyur Narayanan Nambi in S.N.A Nursing home, Kottapuram ,Thrisssur.
  • Also had a proven expertise as a monthly visiting physician in Kottakal Arya Vaidya Sala Agency, Khammam ,Anthra Pradesh in general medicine .
  • Specialized in Ayurvedic surgical management of Anorectal diseases such as hemorrhoid,fistula,fissure,pilonidal sinus etc..with  Kshar soothra and by kshara karma.
  • Doing blogging for the last 5 years treated more than 4000 patients online.


|| Satyameva Jayate ||

लोकाः समस्ताः सुखिनो भवंतु

 

Saturday, February 7, 2015

A scientific approach to Uttara Vasti

A scientific approach to Uttara Vasti

Uttara Vasti, as Chakrapani commented “Shrestanam”  “Shrestagunataya” , which means
the best and gives rise the best results.The Uttara Vasti is administered through the mootra and yoni marga. These two are of uttramarga where as guda becomes “Adhra Marga” . Uttara Vasti also has the Netra and Putaka. The Uttara Vasti Netra is called as “Pushpanetra”. Thepushpa refers to the “Artava” or “Rajas” of female and to the
“Sukra” of the male. Thus the treatment Uttara Vasti is used for the Sukra and Artava
diseases justifiable.It becomes a best treatment in the Panchakarma.The methods of administration of medicament i.e. drug evolution, drug sources and routes of drug
administration is necessary to discuss here. American Medical association (Ama) council defines Drugs as “a comprehensive, convenient and authoritative reference book that includes information on both old and new single entity drugs and mixtures”. This book of modern medicine refers Charaka and Susruta as the fathers of medicine 5. The pharmacology book refers the various routes of drug administrations. Out of those “Trans Urethral or Trans Uterine” routes are not mentioned. They have the rest of routes and described “Trans rectal” as only enemata, but not given any specified interest or identification to the Trans rectal route of administration of medicine. The Uttara Vasti as discussed will have an apparatus made of Uttara Vasti Netra and Putaka. These are replaced now a day with rubber catheters such as Folley’s catheter or metallic catheters.


Uttara Vasti Netra:

The types of Uttara Vasti Netra differ for male and female. The male Uttara Vasti can be
administered at any time but for female it is necessary to wait for the “Ritukala” i.e. menstruation,as the Os is open at that time.The sizes of Uttara Vasti Netra mentioned by Acharya is as under –


Size of the Netra Description
Male 12 cms (Anguli) resembling jasmine flower stalk,
tail of the cow,
hole equal to mustard seed (Charaka)
14 (Anguli) cms – (Susruta)
Female 10 cms (Anguli) comfortable size to pass the urethra,
hole equal to Green gram seed
for full grown nulli paras 4 (Anguli) cms
virgins 1 (Anguli) cm
Garbhashaya sodhana should not be performed in the virgins.

Uttara Vasti Putaka:
Putaka is a sac made up of sheep, goat or hog urinary bladder . If it is not available it
is better to use the skin of eagle. Now a days for the sterile conditions to adopt we are using
plastic bags.


Eligible:,

This is used for the people who have
the following conditions;


Male:
1. 13 varieties of mootra Dosha – Mutouksada, Mutra jathara, Mutra krichra, Mutrotsanga,
Mutra kshaya, Mutraateeta, Asteela, Vtavasti, Ushnavata, Vtakundalika, Raktagrandhi, Vidwighata, and Vasti Kundalika

2. Mutra sharkara
3. Ashmari
4. Vasti shoola
5. Vankshana shoola
6. Shukra Dosha
7. Sukraotseka
8. Dhwajabhanga
9. Klaibya

Female:
1. 13 varieties of mootra Dosha – Mutouksada, Mutra jathara, Mutra krichra, Mutrotsanga,
Mutra kshaya, Mutraateeta, Asteela, Vtavasti, Ushnavata, Vtakundalika, Raktagrandhi, Vidwighata, and Vasti Kundalika

2. mootra Vyadhi
3. artava Dosha
4. yonivyapat
5. yoni shoola
6. Rajosrava (Adhika)
7. Rajonasha
8. Akala rajopravritti
9. vandhya
10. garbhashaya Vyadhi
11. placental retention


Non eligible:
Prameha – as in prameha no balder is involved and have the “Prabhuta mutrata and
Avila mutrata” the uttra Vasti has no value in this disease. Virgins – as garbhashaya shodhana


Administration time:


Male: at any time after the evacuation of the Bladder

Female: at the time of menstruation and at any time in case of Asrigdhara and Yoni vyapat

Dravya:
The quantity is differed as the size of urinary bladder and uterus differs. No classical
texts dealt this point better. But in practice it i seen approximately 2-tola i.e. 25ml of the liquid
is administered in to bladder and 10 to 12 ml in to uterus. As snehika and Nirooha are the methods used in regular Vasti of rectal root, in the same way the difference is noticed here also.

Table showing the quantities of Uttara Vasti dravya according to different Acharyas

Acharya Vasti Ashaya M/F/C Quantity Equal measure in ml

Charaka Sneha Mutra M ½ Pala or 2-tola 25ml

Vagbhata Sneha Mutra F 1 Prakuncha 4-tola 50ml

Vagbhata Sneha Mutra C 1 Sukti or ½ pala 25ml

Susruta Sneha Mutra F hand full 25ml

Susruta Sneha (Sodhana) Mutra F double 50ml

Susruta Kwatha Mutra F 4times 100ml

Susruta Kwatha Mutra M 2 times of Female 200ml

Vagbhata Sneha Garbha F 1 pala 50ml

Vagbhata Sneha (Sodana) Garbha F 2 Pala 100ml

Vagbhata Kwatha Garbha F 2 pala 100ml

Vagbhata Kwatha (Sodana) Garbha F 4 Pala 200ml


The sodhana of the garbhashaya with Nirooha Uttara Vasti may disturb the internal
lining and also the ovaries with huge quantities. Thus for the delivered females 2 pala and
others 1 pala is administered. But if the block of the ovarian tubules is to be removed under
guided supervision the higher dose is recommended. Thus the Vagbhata promoted the
medium dose of 1 pala for every body.Uttara Vasti according to Charaka consists of Ardhapala Sneha i.e. 2-tola (24ml) . This dose is meant for the adult of the age 25 years. This seems to be the ultimate dose for the males. Vagbhata mentioned one Prakuncha Sneha i.e. 1 pala (4-tola) is madhyama matra in females for Uttara Vasti. Susruta also mentioned 4-tola for females and said the dose has  to be assessed by the physician by yukti .Other wise a hand full of the Sneha is administered for the females as Uttara Vasti 1. When the Uttara Vasti is done for the shodhana double the quantity is used 22. If the kwatha is used for the Uttara Vasti it will be double to the Sneha i.e. 2 prasruta (4-pala or 200ml) Charaka did not mention any differences in Sneha quantity for male and females. It is as the same quantity of ½ pala (2-tola or 25ml).Vagbhata mentioned the Uttara Vasti pediatric dose as shukti (1/2 pala or 2-tola or 25ml) When the drug is discussed we have to understand the method of drug administration and its mode of action on the area where it is administered.


Poorvakarma:
The poorva karma is as that of Anuvasana Vasti karma . Initially Sneha Sweda has to be
performed. Then the patient asked to take bath and food with milk 27. Then the patient will be
given Kangi with milk and ghee.

Pradhana karma:
Patient initially instructe to evacuate the bladder. Before initiating the Uttara Vasti ask the patient to lay down and soft application of Vata hara taila over the genitalia . Because of this
procedure the penis stiffens and easy penetrability of Pushpa Netra (catheter) is possible. This procedure is administered in sitting position for the males and in supine for females.
In case of the females mutrashaya gata Uttara Vasti either rubber catheter or Foley’s
catheter is used. Otherwise for the Garbhashaya gata Uttara Vasti a standard dilatation of the os and administration of the medicin is done.At this lecture the limitation is for male Uttara VastiThus now male Uttara Vasti is dealt in detail. Male urethra is approximately
20 cms long. When the penis is stiff and acceptable for the “Eshani” (probe) penetration,
in sitting position (Now a day’s supine position is also followed) slowly the probe is pushed in
to the urethra. The insertion of probe is for the patients those who have any obstruction or Mutra krichraetc. lakshanas. Other wise for the treatment Sukra or klaibya, a direct catheter will serve the purpose. When the catheter passes deep in to the urethra it stuck at the vesico urethral junction. Then slowly introduce further in to the urinary bladder. A small amount of the residual urine is passed through the catheter and it conforms that the catheter is inside the bladder. When the Sneha is inside the bladder the Anuvasana Vasti vidhi (procedures) has to be performed.


Vasti dravaya pratyagamanam:
The contents of the Vasti retain inside for more time if the quantity is less (25ml of Sneha) and forcibly evacuated as the quantity increases to the 200ml (Kwatha). The medicine introduced in to the uterus retains for much time and may dribble in to the vagina.

Complications
Common complications are –
1. Burning sensation and
2. Bleeding.

If the Vasti dravya retains for more time associated
with burning sensation –
1. Sodhana gana Uttara vasti
2. Massage over the pubic region
3. Introducing Eshani
4. Varti prayaogam through urethra or and rectum

For the Vasti daha –
1. Ksheeri vriksha kashaya Uttara Vasti
2. Yastimadu kashaya Uttara Vasti
3. Ksheera Vasti

Paschat karma:
After the main procedure completed we
look for the symptoms of complications. When
no complications are observed light meal with
either green gram or milk can be given 30. It is
preferred to give –
Mamsarasa in Vata Dosha
Ksheera in Pitta Dosha
Mudga Yusha in Kapha Dosha

As the dravya comes out on the same day 2, 3 or 4 such Uttara Vastis has to be practiced. This procedure is followed for 3 days subsequently . Give a gap of 3 days and start the procedure for once again . The other vyapats resembles the Anuvasana Vasti and to be treated as the same .

Sunday, July 20, 2014

JARANA AND ITS IMPORTANCE IN RASASHASTRA

JARANA  AND ITS IMPORTANCE IN RASASHASTRA

According  to  vachaspathya:

             “jaarayathi jaraka”
‘jaraka’ –  substance which are to be digested , digestive.
One which causing decay  of any substance which can decay.
              “jaaryate anena eti “
         
 one which cause decay……

In Sanskrit -English dictionary of Monier Williams –
     
    (a) A process of causing decay
    (b) process of digesting
    (c) oxidation of minerals
    (d) consumer
    (e) condiment
      Jarana is an important process of parada (mercury) in which parada is made to consume/ingest & digest various satvas obtained from minerals & some of the metals in different proportions in order to make the parada highly potentiated for both lohavedha & rasayana point of view.

 ‘Jarana’ is one among the 18 samskaras mentioned for parada(13th samskara).
18 samskaras of PARADA are
1.SWETANA                 (11) GARBHA DRUTI
2.MARDANA                (12) BAAHYA DRUTHI
3.MOORCHANA           (13) JARANA
4.UTTHAPANA             (14) PARADA RANJANA
5.PAATANA                 (15) SARANAM
6.ROODHANA              (16) SANKRAMANAM
7.NIYAAMANA              (17) VEDHAKARMA
8.SANDEEPANA            (18)SHAREERA YOGA.
9.GAGANABAKSHANA  
10.SANCHARANAM        
          
Assimilation of various liquefied offerings like lohas, satvas, ratnas etc by parada with the help of vida & yantra is called ‘Jarana’,it can be achieved by several methods.              
 Grasa  – offerings like loha satvas ,mineralsetc.
 Druta  – liquefied.
 Bida   -  inorder to digest grasa put into the parada , a special kind of preparation  called ‘Bida’ is used. It is prepared by ‘ksharas’ ‘lavanas’ ‘amlas’, ‘khanijas’ & ‘Gomutra’.                         in ‘Parada samhitha’- 14/1-4                
 lots of ‘vida yogas are mentioned for various ‘Jarana’.
Eg :- For ‘Bija jarana’-


Ø Prepared out of  yava kshara ,jambeeraswarasa  gandhaka & gomutra. 


  The process by which ‘Parada assimilates various metals as well as minerals without the procedures such as ,Galana, Patana etc & the ‘Parada’ remains as such without any change ie, no gain of weight as well as no loss of Wt.

        
   It is the process of putting gandhakadi dhathus into the parada & there by subjecting them for degeneration with the help of various yantras such as valuka yantra , kacchapa yantra .Jarana is a process of dissolving various ‘bijas’ in parada, there by make the parada capable of ingest or digest various ‘Bijas’ as well as for adding various pharmacological properties.

                                                                                         
Importance of ‘Jarana’
To potentiate parada for rasayana & lohavada.
The parada treated with jarana process should returns to its original form & appearance without being subjected to any patana & galana.
After completion of jarana process, the parada should not gain weight then only it has to be considered as the process is completed.
It has to be clarified that in jarana process parada does not essentially acquires disease curing property rather it is done to prepare parada suitable for further samskaras meant for lohavada (transformation process).
‘Jarana Bheda’- Types
Bheda-1  (a) Bhuchari jarana
                  (b) Khechari jarana.
Bheda- 2  (a) Bala jarana.
                   (b) Vridha jarana.
Bheda- 3(a)  Samugha jarana.
                  (b)  Nirmugha jarana.
                  (c)  Vasanamugha jarana.
Bhuchari – jarana of metals & minerals.
Khechari – jarana of ratna.



Without making mouth bijas of specific quantity fed by parada

Vasanamukha

  First  put gandhaka for jarana in parada after that 16 times swarasa of divyaoushadhis are taken in dola yantra as drava dravya and subject the parada for swedana…the process is called vasanamukha. 
Divyoushadhis

Parada which treated with divyaoushadhi    by keeping it in a musha & which was able to consume all types of metals and minerals is called rakshasa vaktran 
Steps of ‘ Jarana’(RRS-8/69)

Step 1-’Grasasya charanam’-putting beejas into
             parada -  ‘Grasa’.
Step 2- ‘Garbha dravana’ – liquification of beejas in
             parada – ‘Pinda’.
Step 3 –’jarana’ – ingestion of beejas by parada
            ‘parinama’.


     ‘Jarana phalam-( ayur:pra-1/108)
Ø Rasa jarana capable of sarva papakshaya (origins by birth as well as other way).
Ø If a person gets a chance for rasa jarana surely he will get a good knowledge about all procedures related to rasa.
Ø By performing rasa jarana & worshiping rasa the Physician may acquires ‘moksha’.
Ø Performing jarana is like worshipping ‘Shivalinga’
Ø Doing ‘mardana’ over parada is like smearing the paste of chandana over fore head.

Ø Putting swarnadi beejas into parada is like performing pooja or worshipping the parada.
Ø How many days we put parada in agni for jarana that much thousand years that person may get ‘shiva sayujya’ and get a good life with all luxuries.
Ø Even if we put parada over agni for a single day he may get rid of papas of ‘aneeka jenma’ as well as in this life.
Ø ‘Jarana phalam’ 
(AYU:PRA-1/108-109)

Gandhaka should subjected to JAARANA  first then otters such as HEMA, RAJATA,  then the other rasoushadis , then the RATNAs Respectively.

Without gandhaka we cannot do the JAARANA .

Without GANDHAKA the PARADA cannot get ‘KSHUTA’  for JAARANA of DHATUS.

Due to the GANDHAKA JAARANA  the PARADA’S AGNI get increased.
According  to some acharya’s 

In Anandakanda as well as parada samhitha there is reference that is why Abhraka as well as gandhaka added first for jarana ?

Parada is considered as shiva theja  and  abhraka as well as gandhaka is considered as gauri thejas.
Due to samana swabhavthwat they can interact easily and able to built a strong bond between them.
Chemically mercury (Hg) being a large element,it contains lots of spaces between the orbits as well as electrons. So being a small element the sulphur can easily get into the vacant space and can form a strong bond between them.


 ‘Gandhaka’ should be given as ‘grasa’ first during  ‘Jarana’.
Ø The first jarana should be that of gandhaka with ‘kacchapa yantra’ ,after that ‘Abhraka’,’Swarna makshika satva’,dravyas like hema etc,after that naga,’Vanga’ & ‘ratna’.should  under go jarana respectively. This is the order in which jarana should be done.
Ø ‘Gandhaka Jarana’
Ø First jarana.
Ø Important process in which ‘gandhaka’ is added into ‘parada’in different proportion or in equal proportion & allowed to burn in it with fire.
Ø The above shloka (jaranakrama) also highlights that due to ‘Gandhaka jarana’ the ‘parada’ acquires many pharmacological & therapeutically properties according to the proportion of gandhaka which was used for jarana.

In ‘Ayur: prakasa:-

}‘Tulya guna gandhaka jaritha’ – 100 yimes powerful than simply purified parada.
}‘Dwiguna jaritha parada’ – ‘sarva kushtaharam’
}‘Thriguna jaritha parada’ - ‘Jadya vinashana’.
}‘Chatur guna gandhaka jaritha parada’ – ‘vali palitha nasaka’.
}‘Pancha guna gandhaka jaritha parada’ – ‘kshaya kshayakaram’.
}‘Shadguna gandhakajaritha parada’ – ‘sarvaroga haram’.
}So ‘Shad guna bali jaritha parada is considered as superior one.

    
Apparatus for ‘Gandhaka Jarana’

}Most popularly used yantras are –
}Kacchapa yantra , kupi yantra, garbha yantra, musha yantra,bhudhara yantra,valuka yantra, Tula yanthra,Ishtika yantra etc.
Points to remember- ‘Gandhaka Jarana’.
}How the potency of parada increases during ‘Gandhaka Jarana’ ?
}How to add Gandhaka ?
}Heating time & temperature?
}Quantity of Gandhaka to be made Jaritha?

How their potency increases during ‘Gandhaka Jarana’ ?

}In ayur:prakasa 1/125-126 –
}Parada ,Gandhaka & Abhraka possess almost the same properties, hence they mixed each other they are likely to react greatly & on heating they may burn & leave their properties.
}This is more true in the case of ‘Gandhaka’.
}Hence according to the Gandhaka ‘s proportion more properties are in cooperated in parada.

How to add ‘Gandhaka’?

}Generally six times (shad guna) gandhaka is added & burnt with parada for its potentiation.
}It should be added in a phased manner.
}First add equal quantity(sama guna) of gandhaka & allow it to burn, when its jarana completed add some more amount & allow it to burn. In this way any amount of gandhaka can be added & allowed to burn.

Heating time &Temperature.
In ayur: prakasha – 1 /190

}The temperature of the apparatus should neither be very high nor be very low manner.
}Adjust it to ‘madhyamagni’(moderate fire) that is 350 - 400.
}Some scholars adviced to do Gandhaka jarana in kachakupiwrapped several times with rag & mud in order to maintain continuous heat, in this method heat should be given in ‘Mridhu’, ‘Madhya’ & ‘Tibraagni’manner. The time should be followed as 4Hrs for each agni.

Quantity of Gandhaka to be made ‘Jaritha’.

}Already mentioned that according to the quantity of gandhaka added and burnt the potency of the parada increases.
}If 6 times gandhaka is added the parada may develop the disease curing properties.
}If 100 times gandhaka is added the parada may develop ‘Vedha’(transformation power) & become useful for ‘lohavedha’.
}In Rasaretnakara it has been mentioned that ‘shad guna bali jaritha parada’ acquires the power of ‘shata guna bali jaritha parada’

Conclusion

}The process of Jarana is important in all aspect of rasa sasthra that is loha vadha & deha vadha.
}Being 13th samskara Jarana is capable of adding more pharmaceutical as well as chemical properties to the parada.
}Jarana is the basic process behind the whole samskaras comes after sandeepana samskara, that is from 9th-18th samskara.
}In treatment point of view ‘gandhaka jarana’play a major role in eradicating almost all disease as well asit make the parada capable to digest almost all metals for the transformation of lower metal to the higher metal.
}‘shad guna bali jaritha’ parada has importance in both dhatu vada & dehavada.  


Monday, June 9, 2014

Standardization of Vamana karma

Standardization of Vamana karma 


The verb “to standardize” means average out, equalize, homogenize, systematize,make uniform, regulate, normalize, regiment or bring into line.

The available References are dated from B.C  where the technology has not developed but in the  Present era, science is developing drastically where objectivity is mandatory.
In classics for each procedure there are different explanation where understanding the context is  found to be difficult.

If Physicians are having Alpa Buddhi like in the present day, then the basic understandings of the concept is found to be difficult for its application.


To remove  misconception  regarding Panchakarma therapy  in Allied sciences.
Awareness in Public.
Uniformity in adaption of treatments like Modifications in Procedures, Use of New Instrument…...



References in classics 

¨Charaka 1st time described Vagiki, Maniki, Antiki &  Langiki  Lakshana as criteria for Assessment
¨1 Mhuhurta Nirikshana Kala for Vamana
¨Sarangadhara mentioned different Pramana for administration of  Vamana Dravya.
¨Dose of Niruha Basti according to Age
¨Dose of Nasaya
¨Arohana Snehapana krama( Vangasena)

General Guidelines

 ¨All the Panchakarma Procedures should be performed by the same Therapist/ Physician till the completion of Clinical trial.
¨The Medicine which is used in the trial for the Participants shouldn’t be changed.
¨The Participants belonging to the same region should be considered for the clinical Trial.
¨The shodhana therapy should be conducted in the respective season  Eg- vamana in Vasanth Rutu
Steps of Standard Operative procedures….(sop)

Pre-operative Procedure

¨Material required with Quantity and specifications
¨Therapist requirement
¨Drugs required for therapy- Number, Quantity
¨Formulation/Medicine preparation method
¨Selection of medicine based on Prakriti, Dosha and Dushya.
¨Use of the genuine drugs
¨In case of non availability of genuine drugs, the best possible alternatives should be used.

Operative procedure

¨Procedure step by step
¨Suitable time
¨Frequency of Therapy
¨Duration of Procedure
¨Course  of Therapy

Post operative procedure

¨Rest duration
¨Bath - Medicated or non medicated
¨Meals - Quantity, Quality, Frequency
¨Dietetic at Behavioral restrictions
¨Oral medicines  (Dose, Time,Anupana)

Vamana Karma

¨Vamana – 1st Shodhana karma
¨Vamana – Reference found in Vedic period
¨Vamana – Tatra Dosha Hara Urdhwabhagam
¨Vamana – Kaphaja Disorders…
¨Vamana – Acute to Chronic disorders.
¨Vamana – Dravyas

Poorva karma

¨Sambhara Sangraha
¨Atura Pariksha
¨Matra Nirnaya
¨Atura Siddhata includes-
    - Vamana Poorva Bhojana Vyavastha
    - Snehana and Svedana
    - Manasa Upacara

Pradhana karma

¨Administration  of Vamana Yoga
¨Observation of the Patient
¨Vega Nirikshana and Nirnaya
¨Observation of Yoga, Ayoga and Atiyoga
¨Vamana Vyapad and Chikitsa

Paschatkarma

¨Dhumapana
¨Pariharya Vishaya
¨Samsarjana Krama

Standardization of vamana

Materials required:-

¨Large Basin      - 1
¨Medium sized vessel     - 2
¨Steel glass (capacity-250ml) - 2
¨Table spoon                       - 2
¨Khalwa Yanthra                 - 1
¨Stool                                 -1
¨Chair with arm rest     - 1
¨Cotton cloth                 - 2
¨Hot water bath vessel    - 1
¨Stove    - 1

Pre-operative procedure

1. Preparation of the Patient:-

¨The Patient should be made Samyak Snigdha by proper Snehapana.
¨On attaining Samyak Snigdha Lakshanas, Abhyanga and Ushma Sveda are done on next day.
¨ Kaphothkleshakara Aharas are given in the afternoon.
¨On the day of Vamana  Abhyanga and Ushma Sveda

2. Preparation of medicine:-

Vamana Dravya
¨Madanaphala Choorna               -  3 to 5 grams
¨Vacha                                         -  5 grams
¨Yashtimadhu Choornam            -  7.5 grams
¨Honey                                        -  QS
¨Saindhava                                  - 15 grams
¨Milk                                           -  4 to 6 liters
¨Hot water                                    - QS
¨Karpooradi or Haridradi Varthi  -  1
¨Oil                                               -  QS

Operative procedure

¨The patient should be anointed with proper oil followed by proper Svedana.
¨All these process should be completed around 7am.
¨He should then be seated on a chair facing a basin kept on a stool.
¨At first the patient should be given around 6 glasses of milk to facilitate easy bouts of vomiting as well as to prevent the complication of forceful vomiting.
¨After that the medicine for Vamana should be administered.
¨Advice the patient to sit comfortably and concentrate on the forth coming signs of vomiting.
¨The maximum time interval for the first bout to occur should not exceed more than 48 minutes after the medicine is given
¨The physician should observe for the following signs
¤Sweating
¤Horripilations
¤Distention
¤Salivation
¤Oppression in chest etc
¨Vomiting usually occurs following the appearance of this/these signs.
¨The patient is asked to bend forward and vomit into the basin kept in front.
¨Simultaneously the two flanks and fore head of the patient should be held by another person
¨His umbilical region and back should be massaged in upward direction.
¨The appropriate Drava Dravyas are administered in between if necessary.
¨If the bouts are not coming up easily, then the patient is asked to bring the bouts manually by tickling his throat either with his fingers or a soft tube without injuring the throat.
¨Vamana is continued till the Samyak Lakshanas are seen viz. Pittanta (most preferable)/ sufficient Kapha Chardhana/Shareera Laghuta-Kosta Laghavata/Dourbalya.
¨The patient should be asked to wash his face with Luke warm water followed by Dhoomapana with Karpooradi or Haridradi Varti.


Vamana yoga

¨Classical method- On Previous day  Antarnakamusti Pramana of Madhana Phala Pippali is taken & mixed with  Yastimadhu Kashaya . On the day of Vamana, Kashaya is filtered & mixed with Madhu & Saindhava

¨Traditional method- Madhanaphala Pippali Churna , Vacha Churna & Saindhava mixed with Madhu.

¨Standardized method- Yastimadhu Kashaya prepared in the ratio 1:8

Vega Pratikshakala

¨Classical Method :-  1 Muhurtha
¨Standardization :- 20-25 mins


Vega Nirikshana

¨Classical  Method - , Vaigiki, Maniki, Antiki & Laingiki
¨Standardization – Colour, Consistency, Odour
                                 Sound

Vaigika lakshana

¨Quantity - At least the quantity of Vega should be more than that administered at a time; was taken as Quantity Parameter.
¨Duration – Average time 5-6 sec
¨Force

Conclusion

¨Standardization is not a new topic in Ayurveda , though the reference are dated from B.C  but Acharyas have concluded only after various clinical studies.

¨Standardization is required for the physicians for performing Effective and Safe Panchakarma

Saturday, May 17, 2014

Types of Nasya and its Details

Types of Nasya and its Details

According to charaka

Navana
Avapeedana
Dhmapana
Dhuma
Pratimarsha
Sushruta
shirovirechana

According to Kashyapa

Shodhana
Poorana

Acc.to vagbhata

Virechana
Brimhana
shamana

Nasya karma


Poorva karma-head lowered position
                        Abhyanga
                        Swedana
Pradhana karma-Nasyavidhi
                           lukewarm sneha    
Paschat karma-Abhyanga
                         Swedana
                         Shteevana


yoga

Samyak yoga
Shirolaghava
Srotoshuddhi
Vyadhiprashamana
Prasannata
Sukhaswapnaprabhodhana.


Ayoga

Indriya rukshata
Vyadhi aprashama
Kapha praseka
Shirogourava
rukshavidhi


Nasya vyapat


Chardi
Kaphapraseka
Kandu & Timira in eyes
Vibhrama
pratishyaya

Pathyaapathya

Pathya
Ushnajalapana
Sukhoshna laghu ahara
Nirvata gruhavasa


Apathya

Sheetala jala snana
Sheetala ahara vihara
Atapa sevana
Exposure to wind
Madyapana
Dust

Nasya in Paediatrics

Nasya in Paediatrics

Acc.to Charaka,Vagbhata & Sushruta
Pratimarsha nasya
Sanjnaprabhodhana nasya
Nasya in pumsavana
Acc.to Kashyapa –fm Ksheeraada period
     
Because Nasya karma
            - Choice of ttt in shiroroga
            -Shodhana of Doshas
If these doshas are neglected-act as visha.
         
Nasya oushadha should not be adm veryfast nor very slow
Not very much conc. nor very thin
It should not be hot nor very cold
Not in excessive amount
Should not be very teekshna

Virechana-shirogourava,shopha,kandu,arochaka,swarbheda,krimi,pratishyaya,apasmara,gandha ajnana…etc kaphavikara.

Brimhana-suryavarta,ardhavabhedaka,akshisankocha, timira,karnashula,karnanada,nasashosha,   mukhashosha,vaksangha..etc vata vikara.

Shamana-akalavalipalita,darunaka,vyanga, neela,raktapitta..etc pitta vikara.

Indications of pratimarsha nasya

Prataha kala
After intake of food
Foll. daefecation
After passing urine
After applying oil to head
After applying anjana
After kavaladharana
After dantadhavana
Foll. Shrama
After vyayama
After day sleep
Foll.excessive laught
After chardi
Evening

Contra indications

Naveena pratishyaya
Pakwa pratishyaya
Foll.jalapana
When feeling thirsty
While feeling hungry
Ajeerna
Jwara
Vata roga
Planning to take head bath
Foll. Head bath
In rajaswala
In rutusnata-4th day
In garbhini


Drugs


Vrischiika
Pippali
Ikshvaku
Pravaraka
Shigrubeeja
Shirisha beeja
Apamarga beeja
jyotishmati
Mayuraka
Vishwabheshaja
Varanga
Amalatasa beeja
Lashuna beeja
Saindhava lavana
Souvarchla lavana

Nasyakarma in children

In children below 3yrs of age nasya karma shd be done while he is sitting in his mother’s lap,holding him tightly.

In a child belonging to ksheerada period lukewarm katutaila/saindhavayukta ghrita

Is instilled into the nostril with rt index finger,only the tip is dipped in oil & the dose should be 2-3drops, nostrils are closed with cotton for little time.this helps in paka of shleshma,which is not harmful to the baby.
 


Wednesday, April 23, 2014

VAJRAKA GHRUTAM AND ITS INDICATION WITH USAGE




VAJRAKA GHRUTAM AND ITS INDICATION WITH USAGE

Reference:Ashtangahrudayam(Kushta chikitsa)

Indications: Visarpam, jeernajwara,raktapitta, skin diseases etc.

Dose and Mode of use: 10-15 gms.

VARANAADI GHRUTAM AND ITS INDICATION WITH USAGE

VARANAADI GHRUTAM AND ITS INDICATION WITH USAGE
Reference:Ashtangahrudayam(Shodhanaadi ganam)

Indications: Head ache,indigestion,hydrocele,internal abscess,gulma etc.

Ingredients : crataeva religiosa (varuna), strobilanthus heynianus (sahachara), Asparagus racemoses (shathavari), plumbago ceylanica (agni), aegle marmelos (bilwa), bark of pongamia glabra (karanja), bark of holoptelea integrifolia (chiruvilwa),seed of semicarpus anacardium  (bhalLathaka) etc.

Dose and Mode of use: 10-20 gms.

Place of Dr.Pouse Poulose Puthusserry

This is the google map view of my small village Kokkunnu.Its here I spent my childhood times.But now I am staying at thrissur at thaikkattussery.

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