Ayurvedic management of Hematological disorders — Anemia and Coagulopathies — with appropriate Sanskrit references and modern-Ayurveda correlation,

Ayurvedic management of Hematological disorders — Anemia and Coagulopathies — with appropriate Sanskrit references and modern-Ayurveda correlation, 

---

🔴 1. Anemia (Pāṇḍu Roga)

---

🔹 Ayurvedic Correlation:

• Anemia = Pāṇḍu Roga (पाण्डुरोगः)

• Described in detail in:

  • Charaka Samhitā Cikitsāsthāna 16

  • Aṣṭāṅga Hṛdaya Cikitsā 13

  • Suśruta Uttara Tantra 44

---

🔹 Samprāpti (Pathogenesis):

• Vitiation of Pitta doṣa, especially Ranjaka Pitta

• Along with Rasa-Rakta dhātu kṣaya → leads to Pāṇḍutva (pallor), fatigue, breathlessness

---

🔹 Types of Pāṇḍu (per C.S. Cikitsā 16/10–12):

1. Dōṣaja (Vāta, Pitta, Kapha, Tridoṣa)

2. Mṛṇāla Pāṇḍu – Resembling lotus stalk color

3. Kṣaya-Pāṇḍu – Due to loss of dhātu like Rakta

4. Dhātu-kṣaya-janya Pāṇḍu – Nutritional or chronic disease induced

---

🔹 Chikitsā Sūtra (C.S. Cikitsā 16/20):

“स्नेहस्वेदवमनविरेचनबस्तिशय्यासनैः
सम्भोज्य सात्म्ये पाण्डुं साध्यं हन्यात् प्रकल्पितैः॥”

— Use of Shodhana + Rasāyana with proper nutrition

---

🔹 Treatment Protocol:

✅ If Sāma Lakṣaṇa (Ama signs):

• Deepana-Pācana

• Trikatu Churna, Hingvāṣṭaka Churna

✅ If Nirāma (clear signs):

1. Br̥ṃhaṇa Rasāyana therapy

2. Raktavardhaka dravyas

3. Dhatvagnivardhaka therapy

---

🔹 Classical Formulations:

• Dādhimastu + Loha Churna (C.S. Cikitsā 16)

• Punarnava Mandura

• Navāyas Loha

• Tapyādi Loha, Mandura Bhasma

• Abhraka Bhasma, Yashada Bhasma

• Drākṣādi Rasāyana

• Saptamrita Loha – if eye/vision involvement

---

🔹 Useful Herbs:

• Drākṣā, Āmalakī, Punarnavā, Trivṛt, Guda, Bhringarāja

• Harītakī, Yasṭimadhu, Shatavari, Ashwagandhā

---

🔹 Modern Research Correlation:

• Mandura Bhasma – proven to contain iron oxide

• Punarnava Mandura – improves hemoglobin in iron deficiency anemia

• Clinical trials (AYU Journal, IJAR) show 60–70% improvement in Hb% within 4–6 weeks

---

🔴 2. Coagulopathies (Bleeding Disorders)

---

🔹 Ayurvedic Correlation:

• Coagulopathies = Raktapitta (रक्तपित्त), Raktakṣaya, Raktavikāra, Kṣataja Roga

---

🔹 Types (C.S. Cikitsā 4):

• Urdhva Raktapitta – Epistaxis, hemoptysis

• Adho Raktapitta – Hematuria, GI bleeding

• Tiryag Raktapitta – Skin bleeding, petechiae

---

🔹 Samprāpti:

• Vitiation of Pitta + Rakta dhātu due to excess ushṇa (heat), kāṭu (pungent), amla (sour) diet

• Leads to rasa–rakta dhātu dushti, and loss of clotting integrity

---

🔹 Chikitsā Sūtra (C.S. Cikitsā 4/38–40):

“शीतलीभूतं रक्तं स्नेहसिद्धैः कषायैः शमयेत्॥
... रक्तपित्तं तु लङ्घनैः शीतैः स्निग्धैः च साधयेत्॥”

– Use of cooling, astringent, snigdha therapies

---

🔹 Treatment Approach:

✅ Acute Bleeding Episodes:

• Sita-pitta-shamana chikitsā

• Amla–katu–tīkṣṇa varjana

✅ Long-term Correction:

• Raktapitta hara dravyas

• Raktavardhaka + Raktashodhaka

• Raktasthambhaka (clotting supportive) herbs

---

🔹 Classical Formulations:

• Kamadudha Rasa (with Mukta)

• Bolabaddha Rasa

• Lodhrasava

• Drākṣādi Kaṣāya, Chandanāsava

• Sītāphalādi Vati, Pravāla Pishṭi, Mukta Bhasma

---

🔹 Useful Herbs:

• Lodhra, Musta, Āmalakī, Chandana, Durvā, Nagakesara

• Bala, Nāgakesara, Kāmadhenu Rasa (modern-day platelets support)

• Amrutottara Kaṣāya – cooling & astringent

---

🔹 Modern Integrative View:

• Herbs like Lodhra, Durvā, Nagakesara support clotting and capillary integrity

• Mukta, Shankha Bhasma stabilize Pitta

• Effective in ITP, Epistaxis, Menorrhagia, Hematuria

---

✅ Classical Text Summary

Disease	Ayurveda Term	Text Reference
Anemia	Pāṇḍu Roga	Charaka Cikitsā 16, Suśruta Uttara 44
Coagulopathies	Raktapitta	Charaka Cikitsā 4, A.H. Cikitsā 4
Bleeding disorders	Kṣataja Roga	Suśruta Nidāna 2

---

📘 Additional References:

1. Charaka Samhitā, Cikitsāsthāna 4 & 16

2. Suśruta Samhitā, Uttara Tantra 44

3. Aṣṭāṅga Hṛdaya, Cikitsā 13 & 4

4. CCRAS Formulary, Vol 1–3

5. J-AIM, IJAR, Clinical studies on Loha Bhasma & Raktapitta drugs