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POST NATAL CARE IN AYURVEDA (SUTIKA PARICHARYA)

SUTIKA PARICHARYA / POST NATAL CARE IN AYURVEDA
l After Delivery the mother needs to be looked after with great care and vigilance.
l During pregnancy the fetus attains its nourishment from mother’s body. This makes the sapta Dhatus of the mother weakened and diminished from the usual state.
l After delivery the mother’s health becomes weak due to the loss of fluids and blood and the emptiness created in the body after the expulsion of fetus from the uterus.

l This phase is called as the soothika period.
l These ranges from 6 weeks to 6 months and some believe that it lasts until the restoration of the menstrual cycle.
l Ayurveda says that after delivery mother’s Agni will be low and Vata is vitiated immediately after the delivery.

AIMS OF POSTNATAL CARE
l Agni Deepanam
l Yoni Shodhanam
l Vata Shamanam, Vatanulomanam
l Stanya Jananam 
Medicines that are useful in post natal period
Kashaya Kalpana
Dose: 50 ml b.d half an hour before food.
l Dhanwantaram Kashayam
l Vidaryadi kashaym
l Sukumara kashayam
l Bhadradarvadi kashayam

Gulika Kalpana
Dose: 2 b.d after food.
l Dhawantaram Gulika
l Mahadhawantaram Gulika
Lehya Kalpana
Dose: 10 gm b.d after food
l Soubhagya shunti lehyam
l ‘pancha jeeraka gudam
l Puli kuzhambu and Dhatu kalpam lehyam’
Arishta Kalpana
Dose: 25 ml b.d after food
l Dhanwantararishtam’
l Dasamoolarishtam
l Jeerakadyarishtam
l Dasamoolajeerakadyarishtam
l Draksharishtam
l Ashwagandarishtam
l Balarishtam
Taila Kalpana
For External Use:
l Dhanwantaram Tailam: - vata pitta shamanam, agnimarda shamanam, shula prashamanam, sutika roga haram.
l Bala tailam : Tridosha shamanam especially vata pitta shamanam, sutika roga haram
l Narayana Tailam : pitta vata Haram, Balyam, bhrmhanam.

For Internal Use
l Dhanwantara Taila Avarthi - 10 drops with milk at bed time after food.
l Gandharvahastyadi erandam - 5-25 ml with gandharvahastyadi kashayam in morning on empty stomach. It is malanuloimanam pakwashayagata vata shamanam.

Ghrta Kalpana
Dose: 10 ml with milk at bed time after food.
l dadimadi ghrtam
l Vidaryadi ghrtam
l Sukumara ghrtam
l Kalyanaka ghrtam
l Maha kalyanaka ghrtam
l Vidaryadi ghrtam

Asava Kalpana
Dose: 25 ml b.d after food.
l Panchakolasavam
l Kumaryasavam
l Lohasavam
Loha - Mandura Kalpana:
Dose: 500 mg - 1 gm b.d after food with madhu/ghrtam
l Dhatri lauham
l Navasya lauham and Tapyadi lauham

SUTHIKA PARICHARYA
1st Section Of Medicines
1. Panchakola Choornam -      (50 gm)  X    5 days
l Take 5 g of the choornam ----> Make it into a Kizhi (As a bolous tied in a cloth)
l Take handful of broken rice and add sufficient water.
l Immerse the kizhi made into it and prepare Kanji (Gruel)
u  This should be taken as the first food both in the morning and also in the afternoon at around 3 pm.
Ø From the remaining choornam -----> take 1 tsp ----> mix it with 6 glasses of water---->boil it.
u  Drink the above prepared water in a day.
2. Pulikuzhambu Lehyam      -      (50 gm)  X    5 days
u   Take 5 gm bd before food.
1-7 days post delivery,
Ø Abhyangam - with bala tailam or Dhanwantara tailam.
Ø Snanam - water medicated with badradarwadi gana dravyas can be used.
Ø Abdomen should be properly wrapped with big clean cloth.
2nd Section Of Medicines
1. Recipe for improvement in the production of breast milk          X     3 Weeks
Ingredients needed
For Kanji
1. Broken rice         -       1 Handful
2. Green gram        -       1/2 Handful
3. Methi Seeds               -       1 tsp


Additives
1. Muringa Leaves (Curry leaves)                -       1 Handful
2. Grated coconut                                  -       1 Handful
3. Pure Ghee                                          -       1 tsp
4. Salt                                                     -       As required




Method of Preparation
1. Make Kanji in pressure cooker with the broken rice, green gram and methi seeds adding sufficient QTY of water.
2. When the pressure is decreased open the lid and add Muringa leaves and grated coconut (Only the white portion) and immediately close the lid.
3. Leave it for 10 minutes, after that add 1 tsp pure ghee and salt as required.
ü Take this as the first food in the morning and also in the afternoon at aruond 3 pm.

2. Dhanwantaram Kashayam + Dhanwantaram Gulika
ü 20 ml kashayam + 30 ml luke warm water + 1 Dhanwantaram Gulika
Ø Morning 6 am and Evening 6 pm at empty stomach.
3. Dasamoolajeerakarishtam + Dhanwantararishtam
ü Mix the arishtam and take 30 ml together at 8 am and 8 pm after food.
4. Ashta Choornam
ü     1 tsp along with hot water ----> bd in between food
5. Panchajeeraka Gudam
ü 1 tsp bd before food.
6. Dhanwantaram Tailam + Sahacharadi Tailam
l Take both the Tailas in equal QTY.
l Heat the pan and add the thailas over the heated pan.
l don’t heat the Tailas directly.
l In slight luke warm condition apply the Tailas over the whole body.
l Massage for 1/2 hour.

For bathing after oil application
v Nirgundi leaves, Panasa leaves, Eranda Leaves, and Vata Kodiyila.
v All the above leaves together or any one of the above leaves is taken.
v And added with broken coconut shell.
v The above are mixed with water and made to boil.
v And it is to be used for bathing.
Note:      For those who have undergone LSCS or having stitches, should apply the Taila after the wound have fully healed. But can take the other medicines.
One can apply the taila after delivery for 56-90 days.
7. Dermocherm Powder
Ø This can be used for bathing purpose instead of soap
8. Triphala Choornam
Ø Add 2 tsp choornam to water and boil it ----> used for bathing.
9. Narasimha Oil
Ø For external application over head -----> and take bath.
10. Narasimha Shampoo
Ø Shampoo once a week

3rd Section Of Medicines          -      2nd  Month
1. Thenginpookula Rasayanam
1 tsp bd before food.
2. Sukumara Ghritam + Ashtachoornam
1 tsp ghritam and 1 tsp choornam -------> bd after food.
1 & 2 ----> 2 bottles



Contraindications:
l Anxiety, stress
l Sexual intercourse
l Cold wind
l Exercise
l Swedanam, virechanam, ashtapana basti, sira vyadhanam, nasyam.



For Baby
Lakshadi Keram
External Application -----> Over head
Bala Tailam - External Application ----> Over body
Gopichandanadi Gulika
1 Tablet mixed with breast milk three times after food in a day.
From 20 Days - Saraswatha Ghritam - 2 drops apply over the breast before feeding.

For fever - Gorochanadi Gulika - 1/4 Gulika mixed with breast milk ----> Make it into a paste and give.

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