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The modern equation of disease:Damage done by Harmful agent + Bodys reaction =
Disease
Our science follows a distinctive discretion of thedisease, centered for the purpose of treatment:
Vikara prakrti : adhnntari: hetuviea =upakramam.
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Ayurveda never visualizes cohorts but it views through individual phenotypes.
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In clinical medicine dont be satisfied byseeing the flower (the obvious), try to seethe insect sitting over it (the minute); butmissing the obvious and seeing theminute is unpardonable.
Dr Kashinath padhiary
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Concept of disease in routine ayurvedic clinical
practice . .-
ka punarasau roga iti. avasthviio
doa.narasihabhyam. 1-1
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-
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Message from Caraka
-
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Line of treatment
R.V.Su.-
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Cikits
Apakaraa Prakrti vighta nidna tyga
bhyantara bhya bhyantara
Bhya abhyagasvedapradehapariekdi
Prakrtivighta duasya dode dehasthasya amanasmyakaram
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Vikprakrti :
General components analysed (Like dovastha) : ma, lna, utkliha etc.
Specific disease pattern, like (roge dovasth)Raktotleda ( rakta pitta , visarpa)Bahu, abaddha medo-msa arraja kledaRakta mrga nihanana (vtarakta)Dhtu aithilya (pu, kutha )Sahata doa (otha)
And the basic knowledge ofsmnya vydhinntmaja vydhi
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vikraprakrti
smnydodyavsth
vydhiviiha
dovastha
duyvasth
Smnyaja or nntmaja vydhisvabhva
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odhana
And
Bhya kriy kram
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Kutha opha- visarpaotha Visarpa kutha
Tridoa tridoa tridoaTvak tva tvaMsa lask laskAsrk asrk asrk
mia mia
Bahi sir bahi sir tiryagg sir
Sahata sopha utklita svabhva dayanti lath krtya
odhana Nirhrte asre odhana- less Viuddhe anta
Doe tva-mmsa Saraye
bahi kriya
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Vta vydhi
Kevala varaaja vta oita
Dhtu srata kaya pratibandhakatvt margvaraa and rakta dui
Sneha svedau odhana meda-kapha smevaraa
Sauddhasya hya vtokta sveda,Utthite agni vidhi
laghana-
pcana
Sneha svedau vta oitak
Kriykevala
vtacikits
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Kevala vta- dhtu srakaya
Sneha Sveda
Sauka dhtn vakraPuti stabdha
Bala savedanaAgni bala Pui yatheha namayitu
akyatePrcbhivardhayati
E x i { M: nSxEh* vx i Mhi v **
SSV
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Role of the different modes ofbhya sneha / sveda
To meet the different nuances of doas / expression of same disease
Ayurveda never visualizes cohorts but it views through individual phenotypes.
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vte kaphe dvayo
snigdha rka sdhra
The variant forms ofsveda and the clinical states where they have to beadministered are well expounded in Brhadyogataragi.xi {E]Ox*Jnhb{ix S xn{Vi**>i VpInnx EE:**xiRMRESRMnOl:*nxi: Cl: nxS MVi*+{ixh xh SEii:*+RMIi E{EE inx**n h xnxi*
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In conditions like bhyyma, antaryma,
prvala, kaigraha, khall, dapatnaka,sneha sveda is the first line of management. In conditions like rustambha rka svedahas to be implemented primarily. In vmana, agasakoca, bhaga,bheda,graham and vyath sveda is indicated. In agaraukya, stambha, kampa, krya,
toda, daurbalya, sphuraa, bhraasnehamardana is recommended.
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Bhya kriykram
Mrdha sekdividaya sahitsvapi scit.Keralydrta cai sdhuvakye kriykrama.
Abhyaga seka picavo vasticaiva caturvidha.
Dvitya secana tatra pradhnam r ibhi smr tam. SSV
The bhya kriykrams are basically grouped into four categories viz.abhyaga; seka ; Picu Vasti
And the variant procedres; of which seka is given higher importance.
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irodhra21
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Seka
Procedure:
irassekaKya seka
Dravya
KayaKraDhnymla
SnehaTakra
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irasseka
1. fever with burning sensation & dizziness milk Y 2/57
2. nocturnal fever ,, Y -23. Arocaka ,, C.M4. Somaroga ,, C.M
5. Svarasda rodhr and vasti Y 11/16.jvara (antarvraa) takradhra Y 2/767. ardita irodhra and kyaseka
With baltaila Y 408. Prameha Takradhra Y 26
9. asrgdhara milk Y 2610. ardhvabhedaka irodhra AKD
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Experiments on irodhr elucidate some of its actions over thephysiological and psycho-somatic strata of the body.
irodhr induced bradycardia, and the expired gas analysis showed adecreased tidal volume and CO2 excretion. A power frequency analysis of R-R variability in ECG duringshirodhara, in order to assess the balance of the autonomic nervoussystem, indicated that the cardiac sympathetic activity was suppressed
during and after irodhra.The EEG results monitored during the process ofirodhr indicatedrestful alertness in which the frontal lobe, limbic system and medullaoblongata were activated. These metabolic, ECG, and EEG findingssupport the reported experiences of relaxed and low metabolic states
during irodhr.The differences in heart rate, CO2 excretion, sympathetic tone, and EEGwere quite similar to the findings reported in the study of meditation, andthey indicate a change in the function of the frontal lobe, limbic system,brain stem, and autonomic nervous system.
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The assessment of POMS (Profile of Mood States) score after acourse ofirodhr revealed anxiolytic effects. The result indicateda significant decrease of tension and anxiety, and a tendency towardsa decrease in exhaustion. It also showed some kinds of ASC (AlteredStates of Consciousness). The highest ASC scores were obtained inthe domains of trance, passiveness, timeless sensation, wordlesssensation, and concentration.
A study showed that irovasti and irodhra, in progressivedegenerative cerebellar ataxia showed subjective improvement inwalking and there was a statistically significant improvement in theoverall and anteroposterior balance indices of dynamic stability.
- Sriranjini SJ, etal Improvement of balance in progressivedegenerative cerebellar ataxias afterAyurvedic therapy: Apreliminary report. Neurol India 2009;57:166-71; Department ofNeurology, National Institute of Mental Health and Neurosciences,Bangalore
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26
Kya seka
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In Dhrkalpa we find a very brief mentioning of theprocedure, kyaseka. The first detailed description
regarding the procedure ofkyaseka is found in theHrdayapriya of Paramevaraivadvija (VaikkaittuPccumuttatu):
vatavatottara rogarukshitanga
Duration - yamardha
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Sneha seka Benefits
Drudhatha of DhathusVrushatha, Deha, Agni, Varna, OjasSthairyamIndriyapatavamJaraso mandyam, Chira jeevitham
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Indications of kyasekayma
oa vtaPakghta apabhukakepakaApatanra
jihvstambha hanugrahagrdhrasvivcrakta vta
kampastambhaPrasuptiSramsa vysa vyathsarvga ekga vta gulma mehdikeu api
KPC.
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Kyaseka
1. burning sensation and thirst
inprameha sarvga takradhra
2. kepa , yma,and apatnaka Snehadhr and
ika pia sveda Y 40
3. Ati vta vikras taila ghrta CM
4. apatnaka traivritsneha Suruta
5. bhyyma, paguvta rasataila AKD
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Picu
dapatnaka vtani taila AKD
manystambha vtan tailadhnvantara taila
Nasal discharge / blockWithout oil sigru / thulasi swarasa withbreast milkWith Eranda thaila with thrikatu etc
irovastiArdita trimiraka taila
baldhtrydi taila Y 40
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Oil is warmed tocomfortabletemparature
Oil poured into thevasthiputaka through astrip of cloth &coconut leaflet which
touches the scalp Filled up to a height of
2-3cm above the hairroot.
Sirovasthi
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Time - between 3 to 6 pm
Pre operative procedure:
Shave the headcompletely.
Make sure to empty boweland bladder
Keep cotton /cloth in bothears
to prevent the entry ofoil in to the ear.
Do generalisedabhyanga.
Siro Vasthi
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Sirovasthy - indications
Arditha Thrimisraka thaila / baladhathryadi
Darunaka
Darunaka thailam / durdhoorapathradi Sirograha
sirovasthi with dasamoola, mathulunga etc. >>> oil
Insomnia, Indriyasada, dryness of eyes etc
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Piasveda
C.S.Su.14/25-26
Tila Ma
Kulattha Odana mia Ghrta Taila
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The indications ofikasveda
.
A.S.Ci.23
sarvanga ekanga sosha ghoreshu anila vyadhishu
Ayama- akshepa Sankoca stambha pakshavadhadishu
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1. It is clear from Agasagrahakra, vtavydhi cikitsa that the diseasedcondition of vta which is not associated with any other do-s (i.e., kevalnilaavasth), is ideal for administration of pia sveda.
2. The first reference regarding this procedure is detected in the rjayakma cikits-adhikra of Carakasahit; wherein svedana with a preparation of grains boiled inmilk is mentioned in condition of la( caused by vta doa) in the regions of thehead (ira), flanks (prva) and shoulder blade (asa).
A.H. Ci. 4/143. The reference from vsa also clarifies that the svedana using milk etc., is ideal inconditions where the benefits of svedana are looked for but the patient is not suitablefor the svedana.
4. ikapia sveda is advocated in vtika ksa associated with emaciation
5 In vsa ikapiasveda and sneha dhr with ghee and oil is beneficial
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6. ika piasveda and snehadhr are also employed similarly in the m anagementof hiccup (hidhm)
7. In hemiplegia (pakghta), sudation with the bolus of sesame seeds or ika rice
is recommended, or godhmapiasveda processed in the milk decoction of bal andthe flesh soup of wild cock is also recommended
8. ika piasveda is also advocated in the management of chardi, udvarta,halmaka, vtalemajmar.9. In the management of diseases of vta (vtavydhi) ikapiasveda plays anessential role, it is prescribed in the treatment of ardita, apabhuka, kepa, yma,sarvgavta, jaghgraha, rugraha, trikagraha, prhagraha and kaigraha,sakthisvpa, jihvstabha, saktioa and la.
10. In khalyakhaja, godhma pidasveda processed in milk and saireyakadecoction is indicated11. ika pia sveda is indicated in khaja vta.12. Sveda with tilakalka is advocated in vtaja la
13. In ardhvabhedaka and sryvarta sudation with tila triturated in milk and jvanyagroup of drugs is beneficial;
14. I n vtaja mtrakrcchra, snigdha sveda, lepa, seka and avagha are indicated.
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ma sveda
The other treatment processes which are in vogue at Kerala are:
patra poala sveda,jabra poala sveda,dhnya poala sveda andcra poala sveda.
A.H.Su. 17/6
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Some of the materials used for ma sveda are:
utkrik - It is a ball-like cake prepared by boilinggrains or pulses and seeds like atas, kusubha etc.
loa - earthen lumpkapla - brick fragmentsupala - stone
psu - sandpatrabhaga - chopped leavesdhnya - grains and pulseskara - dung of cow and other animalssikat - gravelstua - husk.
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Patrapoala sveda
The process of sudation using a bolus of chopped leaves is calledpatrapoala sveda.This procedure is extension of the verse patrabhagena in m sveda. ridsapaitaexplain thatpatrabhaga refers to a cluster of chopped leaves and sprouts.
Aruadatta.
, ridsapaita
A direct reference regardingpatra poala sveda is available in the traditional text ofKerala, rogya kalpadruma, under the context ofvtavydhi cikits.
A.K.D. 17/36,37
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The leaves of the following plants are usually used for this purpose, either entirely orselectively as necessary:eraa - Ricinus communis Linn.arka - Calotropis gigantica R.Br
Dhattra - Datura metel.Linn.nirgu - Vitex nigundo Linn.igru - Moringa oleifera Lam.varaa - Crataeva religiosa Forst.vsa - Adhatoda vasica Nees.karaja -Pongamia pinnata(Linn)vrkmla - Tamarindus indica Linn.
Method of preparationThe fresh leaves are cut into small pieces and fried in a pan with grated coconut
and a suitable medicated oil till it assumes a brownish colour. In certain cases,powdered drugs may also be added. This mixture is divided into two or four equalparts, added into the pieces of cloth and tied in the form of a bolus with a tuft ofcloth above it to hold.
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Some of the clinical conditions wherepatrapoala sveda is indicated are: patrapoala sveda with castor leaves and coconut gratings is beneficialin painful state ofntravrddhi
sveda with the leaves of tamarind and coconut gratings is indicated inudvarta
the samepoala is also beneficial inpakghta and sarvga vta
the sudation with the leaves of castor is indicated in kagraha
inprvala, poala sveda with arkapatra is applied after anointingeither with dhnvantara taila, krabal taila or vtan taila.
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Vluksveda
The sveda from vluka is also a variety ofma sveda.
In the early texts the vluksveda is indicated for sanniptajvara; and in thelater texts it is extended to other conditions like mavta. Vluksveda is oneof the primary treatment processcess in tridoaja jvara and in vtakapha jvaraThe purpose of its indication is mainly to eradicate the kapha, by which the
pitta and vta can be pacified easily. By the depletion ofkapha the channelsget clarified resulting in lightness of the body.
It is in Bhvapraka and later texts that the vluk sveda is indicated in thetreatment ofmavta.
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1. Udvartana with tvak, patra, rsn, aguru, igru, kuha, vac and athv trituratedin dhnymla cures khalland viscik.
2. Udvartana with the paste ofsiddharthaka, rajan, prapunna , tila mixed in oil is recommendedin tapitta.
3. Eldi gaa is also used for udvartana.
4. Udvartana withpicumana and other drugs is indicated in rustambha.
5. Nimbdi and mustdi udvartana formulations are also mentioned. Udvartana with the leaves of
ragvadh, kkamctriturated in buttermilk is mentioned in kha.
6. In sidhma, udvartana with the friut ofdhtr, sarjarasa, pkya (yavakra), triturated in sauvrais beneficial.
7. Rk udvartana is advocated inprameha.8. In kaya, udvartana with the paste ofavagandha, apmrga, nkul, gaurasarapa, til and
bilva is indicated.
9. Udvartana with burnt turmeric removes the bad odour of the body10. Udvartana with tila andother drugs cures the bad odour caused by vitiated medas.
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7. In sidhma, udvartana with the friut ofdhtr, sarjarasa, pkya (yavakra), triturated insauvra is beneficial.
8. Rk udvartana is advocated inprameha.
9. In kaya, udvartana with the paste ofavagandha, apmrga, nkul, gaurasarapa, tiland bilva is indicated.
10. Udvartana with burnt turmeric removes the bad odour of the body
11. Udvartana with tila andother drugs cures the bad odour caused by vitiated medas.
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Na amula likhyate kicit na anapekita muchyate
ubha