53
YS% ,xldfõ nyq,j YS% ,xldfõ nyq,j yuqjk yuqjk úI iys; Ydl úI iys; Ydl cd;sl úI yd U!IO f;dr;=re uOHia:dkh cd;sl úI yd U!IO f;dr;=re uOHia:dkh YS% ,xld cd;sl frday," fld<U' YS% ,xld cd;sl frday," fld<U'

YS% ,xldfõ nyq,j yuqjk úI iys; Ydl

  • Upload
    tegan

  • View
    22

  • Download
    0

Embed Size (px)

DESCRIPTION

YS% ,xldfõ nyq,j yuqjk úI iys; Ydl. cd;sl úI yd U!IO f;dr;=re uOHia:dkh YS% ,xld cd;sl frday," fld

Citation preview

Page 1: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

YS% ,xldfõ nyq,j YS% ,xldfõ nyq,j yuqjk yuqjk

úI iys; YdlúI iys; Ydl

cd;sl úI yd U!IO f;dr;=re uOHia:dkhcd;sl úI yd U!IO f;dr;=re uOHia:dkhYS% ,xld cd;sl frday," fld<U' YS% ,xld cd;sl frday," fld<U'

Page 2: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

oaús l¥reoaús l¥re(Tabernaemantana dichotoma(Tabernaemantana dichotoma))

Page 3: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

oaús l¥reoaús l¥reYdlh y÷kd .ekSu(-Ydlh y÷kd .ekSu(-YdlhYdlh - l=vd folg fnfok w;= iys;hs'- l=vd folg fnfok w;= iys;hs'm;% m;% - ´j,dldr" m%;súreoaO" os.dkq.;j - ´j,dldr" m%;súreoaO" os.dkq.;j

msysgd we;'msysgd we;'M,hM,h - uia iys;h' yria w;g t,a,d jefgk w;r - uia iys;h' yria w;g t,a,d jefgk w;r fldgia follg fnoS we;' lyg yqre ;eô,s fldgia follg fnoS we;' lyg yqre ;eô,s mdg M,hls'mdg M,hls'wegweg - ;o r;= meye;s uohlska wdjrKh ù we;'- ;o r;= meye;s uohlska wdjrKh ù we;'

wegj, úfrApl" fõokd kdYl$u;a lrjkiq,Q wegj, úfrApl" fõokd kdYl$u;a lrjkiq,Q yd úI iys; ix>gl we;' yd úI iys; ix>gl we;'

YrSr.;jQ úg wefg%dmska (A tropin) YrSr.;jQ úg wefg%dmska (A tropin) wê-YrSr.;ùug iudk frda. ,CIK we;s wê-YrSr.;ùug iudk frda. ,CIK we;s lrhs'lrhs'

Page 4: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

u| muKska YrSr.;jQ úg fmkajk u| muKska YrSr.;jQ úg fmkajk frda.S ,CIKfrda.S ,CIK(-(- ysi roh" Tlaldrh" jukh" mdpkh'ysi roh" Tlaldrh" jukh" mdpkh'

wèl f,i YrSr.;jQ úg fmkajk frda.S wèl f,i YrSr.;jQ úg fmkajk frda.S ,CIK,CIK(-(- f;d," lg úh<d hEu'f;d," lg úh<d hEu'j;=r msmdih weia lKSksldj úYd, ùu" j;=r msmdih weia lKSksldj úYd, ùu" uqyqK r;= uqyqK r;= ùu" yDo iamkaok fõ.h jeäùu" udkislùu" yDo iamkaok fõ.h jeäùu" udkisl

wiunr;djh" widudkH yËd jeàï" isysh wiunr;djh" widudkH yËd jeàï" isysh úl,aùu" Wkaudoh yd j,smamqj'úl,aùu" Wkaudoh yd j,smamqj'

oaús l¥reoaús l¥re

Page 5: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

frda. m%;sldr woshrfrda. m%;sldr woshr(-(-

1 1 iajdi kd, udrA.h mrSCId lsrSu" yqiau .ekSu iajdi kd, udrA.h mrSCId lsrSu" yqiau .ekSu yd yd

reër ixirKh ;sfíoehs mrSCId lsrSu' reër ixirKh ;sfíoehs mrSCId lsrSu'

tfia ke;fyd;a - lD;su iajikh yd yDo tfia ke;fyd;a - lD;su iajikh yd yDo

iamkaokh ,nd oSu - blaukska úfYaI{ ffjoH iamkaokh ,nd oSu - blaukska úfYaI{ ffjoH

iyh ,nd .eksu' iyh ,nd .eksu'

22 wdudY fldapkh - kej; jukh lrùu u.skawdudY fldapkh - kej; jukh lrùu u.ska

^YrSr.;ù meh 1 - 2 ;=<&'^YrSr.;ù meh 1 - 2 ;=<&'

oaús l¥reoaús l¥re

Page 6: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

oaús l¥reoaús l¥re

33 wÕ=re iys; T!IO wÕ=re iys; T!IO (Activated charcoal)(Activated charcoal)

50-10050-100gg muK 100 muK 100ml ml l osh fldg meh 2 l osh fldg meh 2 la ;=< îug ,nd oSu'la ;=< îug ,nd oSu'

;on, Wkaudo ,CIK ;sfí kï-;on, Wkaudo ,CIK ;sfí kï-PhysostigminePhysostigmine j,smamqj i|yd - vhismEï j,smamqj i|yd - vhismEï DiazepamDiazepam frda.S ,CIKj,g wkql+,j ,nd fok fjk;a m%;sldr' frda.S ,CIKj,g wkql+,j ,nd fok fjk;a m%;sldr'

Page 7: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

f.dv lÿref.dv lÿre(Strychnos nux vomica)(Strychnos nux vomica)

Page 8: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

f.dv lÿref.dv lÿre Ydlh y÷kd .ekSuYdlh y÷kd .ekSu(-(-

Ydlh -Ydlh - uDÿ ly-w¿ ñY% l| iy os,sfik m;%'uDÿ ly-w¿ ñY% l| iy os,sfik m;%'M,h -M,h - f.da,dldr Yla;su;a os<sfikiq¨ ;eò,s f.da,dldr Yla;su;a os<sfikiq¨ ;eò,s

meye;s M,hls' tys lyg yqre fc,s meye;s M,hls' tys lyg yqre fc,s jeks jeks m,amhla we;'m,amhla we;'weg -weg - w¿ meye;s weg tla me;a;la W;a;, w;r w¿ meye;s weg tla me;a;la W;a;, w;r

wfkla me;a; wj;,h'wfkla me;a; wj;,h'úIldrl ix>glhúIldrl ix>glh - we,alf,dhsÙ iaá%Ékska - we,alf,dhsÙ iaá%Ékska (Alkaloid (Alkaloid strychnine) strychnine) wegj,wegj, we;s fuh m%Odk iakdhq we;s fuh m%Odk iakdhq moaO;shg n,mdhs'moaO;shg n,mdhs'

udrl ud;%h - tla weghla jqjo udrl m%;sM, we;s udrl ud;%h - tla weghla jqjo udrl m%;sM, we;s lrhs' lrhs'

Page 9: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

f.dv lÿref.dv lÿre úI ldrl l%shdldrs;ajhúI ldrl l%shdldrs;ajh(-(-

fud<fha iy iqIqïkdfõ mj;sk .a,hsiSka fud<fha iy iqIqïkdfõ mj;sk .a,hsiSka (glycene)(glycene) keue;s ksfIaOl .kfha iakdhq keue;s ksfIaOl .kfha iakdhq ikakdhlh wjls%hdldrs;ajhg m;a lsrSu' ikakdhlh wjls%hdldrs;ajhg m;a lsrSu'

fuu l%shd uiamsvqj, w;s W;af;ackl ;;ajhla fuu l%shd uiamsvqj, w;s W;af;ackl ;;ajhla we;sfõ'we;sfõ'

Page 10: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

f.dv lÿref.dv lÿre YrSr.; ùfuka miq we;sjk YrSr ,CIK'YrSr.; ùfuka miq we;sjk YrSr ,CIK'

iq¿ jYfhka kï - uiamsvq fmr,Su" flkavd iq¿ jYfhka kï - uiamsvq fmr,Su" flkavd fmr,Su" m%;Sl wêl%shdldrs;ajh fmr,Su" m%;Sl wêl%shdldrs;ajh (hyperreflexia)(hyperreflexia)

wêl f,i kï - iuñ;sl kej; isÿjk fõokdldrS wêl f,i kï - iuñ;sl kej; isÿjk fõokdldrS j,smamqjla$lïmkhla'j,smamqjla$lïmkhla'

;o WK" YrSr whk iu;=,s;;dj Ä| jeáu ;o WK" YrSr whk iu;=,s;;dj Ä| jeáu (metabolic (metabolic acidosis)acidosis)" uia msvq ffi, Ä| jeáu iy tu ksid " uia msvq ffi, Ä| jeáu iy tu ksid jl=.vq wl%Sh ùu" õI YrSr.; ùu ksid we;sjk ;j;a jl=.vq wl%Sh ùu" õI YrSr.; ùu ksid we;sjk ;j;a ,laIKhlah',laIKhlah'

Page 11: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

f.dv lÿref.dv lÿre

j,smamqj usks;a;= 1$2 isg 2 olajd mj;sk w;r j,smamqj usks;a;= 1$2 isg 2 olajd mj;sk w;r bkamiq uiamsvq nqre,a iajNdjhla fmkajhs'bkamiq uiamsvq nqre,a iajNdjhla fmkajhs'

fuu fõokdldrS j,smamqj we;s jkafka frda.shd fuu fõokdldrS j,smamqj we;s jkafka frda.shd isysfhka isák úgoSh'isysfhka isák úgoSh'

tf;la j,smamqj os.gu mej;=kfyd;a isysh tf;la j,smamqj os.gu mej;=kfyd;a isysh ke;sjk w;r tu ksid wdiajdi m%iajdi kej;Su ke;sjk w;r tu ksid wdiajdi m%iajdi kej;Su ksid frda.shd ñh hhs'ksid frda.shd ñh hhs'

Page 12: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

f.dv lÿref.dv lÿre m%;sldr l%u(-m%;sldr l%u(- m<uqj iajdikd, udrA.h yqiau .ekSu yd reèr m<uqj iajdikd, udrA.h yqiau .ekSu yd reèr

ixirKh ;sfíoehs mrSCId lsrSu'ixirKh ;sfíoehs mrSCId lsrSu' j,smamqj i|yd - vhismEï 5-10j,smamqj i|yd - vhismEï 5-10mgmg Oukshg Oukshg

úoSu úoSu (intravenous). (intravenous). tfukau *sfkdandìfgdaka yd f*ksfgdhska tfukau *sfkdandìfgdaka yd f*ksfgdhska

fidaähï jeks T!IO o j,smamqj md,khg fhd¯.; fidaähï jeks T!IO o j,smamqj md,khg fhd¯.; yel'yel'

j,smamqj kej;=k miq wdudY fOdajkh iy j,smamqj kej;=k miq wdudY fOdajkh iy wÕ=re ldrlhla wÕ=re ldrlhla (Activated charcoal) (Activated charcoal) Åug oSu'Åug oSu'

Page 13: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

f.dv lÿref.dv lÿre

fidaähï nhsldfndfkaÜ reèr wï,sl;djh md,kh fidaähï nhsldfndfkaÜ reèr wï,sl;djh md,kh reèr idïm, th i|yd mrSCIdj'reèr idïm, th i|yd mrSCIdj'

j,smamqj úIùug kï fuu ish,q m%;sldr l< j,smamqj úIùug kï fuu ish,q m%;sldr l< hq;af;a ksIaYío ksoyia mrsirhloSh'hq;af;a ksIaYío ksoyia mrsirhloSh'

Page 14: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

osh lÿre $ fj,a lÿre $ f.dka lÿreosh lÿre $ fj,a lÿre $ f.dka lÿre((Cerbera manghas)Cerbera manghas)

Page 15: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

osh lÿreosh lÿre Ydlh y÷kd .ekSuYdlh y÷kd .ekSu(-(-

f;;a yd úh,s l,dmj, uqyqÿnv fjr< ;Srfha'f;;a yd úh,s l,dmj, uqyqÿnv fjr< ;Srfha'

u,a - iy meye;s uOHu m%foaYhla iys; iqÿ u,a - iy meye;s uOHu m%foaYhla iys; iqÿ meye;s m;%'meye;s m;%'

M,h - f.da,dldr fld< meyeh ----@ frdai M,h - f.da,dldr fld< meyeh ----@ frdai meyehg yefrA' bÿKq úg wU f.ähla jeksh' meyehg yefrA' bÿKq úg wU f.ähla jeksh' msg; we;s ;ka;=uh wdjrKh c,fha mdùug msg; we;s ;ka;=uh wdjrKh c,fha mdùug WmldrSfõ' WmldrSfõ'

Page 16: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

osh lÿreosh lÿre

úIldrlh - uofha yDoh jia;=jg úIldrl jk úIldrlh - uofha yDoh jia;=jg úIldrl jk irAfnrskairAfnrska(cerberine)(cerberine)"" (odonllum) (odonllum)"" f;jákaf;jáka(thevetin) (thevetin) we;'we;'

M,fha uoh úI iys; jk w;r M, folla urKh M,fha uoh úI iys; jk w;r M, folla urKh f.koSug ;rï úI iys;h' f.koSug ;rï úI iys;h'

Page 17: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

osh lÿreosh lÿre

úI YrSr.;jQ úg we;sjk YrSr ,CIK(-úI YrSr.;jQ úg we;sjk YrSr ,CIK(- mqmqre .ik iajNdjh yd uqLfha úh<s mqmqre .ik iajNdjh yd uqLfha úh<s

iajNdjh" Tlaldrh" jukh" mdpkh yd nfÙ iajNdjh" Tlaldrh" jukh" mdpkh yd nfÙ oeú,a, uQ,sl ,CIKhkah' oeú,a, uQ,sl ,CIKhkah'

yDo iamkaok fõ.h wvqùu" reèr mSvkh yDo iamkaok fõ.h wvqùu" reèr mSvkh wvqùu yd yDo iamkaok rgdj wl%uj;a ùu'wvqùu yd yDo iamkaok rgdj wl%uj;a ùu'

j,smamqj yd isysuqrAPdùuo we;súh yel' j,smamqj yd isysuqrAPdùuo we;súh yel'

Page 18: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

osh lÿreosh lÿre

frda. md,kh(-frda. md,kh(- wdudY fOdajkhwdudY fOdajkh wÕ=re ñY%Kh wÕ=re ñY%Kh (Activated charcoal) (Activated charcoal) îug îug oSu'oSu' wjYH reèr mrSCIK lsrSu'wjYH reèr mrSCIK lsrSu' frda. ,CIK wkqj lrk m%;sldr' frda. ,CIK wkqj lrk m%;sldr'

Page 19: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

lfkarelfkare Nerium oleander Thevetia peruvianaNerium oleander Thevetia peruviana

Page 20: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

lfkarelfkareYdlh y÷kd .ekSu(-Ydlh y÷kd .ekSu(-

lsrs jeks hqIhla iys; l=vd Ydlhlas' ;o fld< lsrs jeks hqIhla iys; l=vd Ydlhlas' ;o fld< meye;s os,sfik iq¿ frAÇh m;% iys;h'meye;s os,sfik iq¿ frAÇh m;% iys;h'mqIamh - úYd, mqkS,dldr iy frdai r;= iy iqÿ mqIamh - úYd, mqkS,dldr iy frdai r;= iy iqÿ meye;s u,a lel=¿ w;= w. we;'meye;s u,a lel=¿ w;= w. we;'M,h - fkdbÿkq M,h fld< meye;sh' bÿkq úg M,h - fkdbÿkq M,h fld< meye;sh' bÿkq úg iyg yqre fld< meye;sh' iyg yqre fld< meye;sh' ;%sfldaKdldr yeve;s w;r ueo tijqkq ¯rhla we;';%sfldaKdldr yeve;s w;r ueo tijqkq ¯rhla we;'úI ldrlh - f;jÜka úI ldrlh - f;jÜka AA iy iy B, cardiacglycosides.B, cardiacglycosides.úI ix>glh - ish¿ Ydl fldgia úfYaIfhka M,h‘úI ix>glh - ish¿ Ydl fldgia úfYaIfhka M,h‘Ydlfha M,fha uofhka fldgila jqjo orefjl=g Ydlfha M,fha uofhka fldgila jqjo orefjl=g udrdka;sl úh yel' udrdka;sl úh yel'

Page 21: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

lfkarelfkare M,h YrSr.;jQ úg uq,ska Tlaldrh yd jukh we;s M,h YrSr.;jQ úg uq,ska Tlaldrh yd jukh we;s

jkafka wdudYh WoaoSmkh ùu ksidh'jkafka wdudYh WoaoSmkh ùu ksidh' YrSr.; ùfuka meh 6-12 miq jukh we;sùug kï YrSr.; ùfuka meh 6-12 miq jukh we;sùug kï

úI úYd, m%udKhla YrSrhg wjfYdaIKh úh úI úYd, m%udKhla YrSrhg wjfYdaIKh úh hq;=h' hq;=h'

yDo jia;=jg úI ùu ksid yDo iamkaok fõ.h yDo jia;=jg úI ùu ksid yDo iamkaok fõ.h wvqùu" reèr mSvkh wvqùu yd yDo jia;=fõ wvqùu" reèr mSvkh wvqùu yd yDo jia;=fõ iamkaok rgdj wl%uj;a ùu'iamkaok rgdj wl%uj;a ùu'

wks;a úI ùï ksid j,smamqj“ isys ùu' oDIaÀ wks;a úI ùï ksid j,smamqj“ isys ùu' oDIaÀ m:h iy meye ùu jeks ,CIK oelsh yel' m:h iy meye ùu jeks ,CIK oelsh yel'

Page 22: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

lfkarelfkarefrda. md,kh(-frda. md,kh(- frda.frda. ,CIK fkdue;s úI YrSr.; jQjkao frdayf,a meh 24 ,CIK fkdue;s úI YrSr.; jQjkao frdayf,a meh 24

ksrSlaIKh l< hq;=h'ksrSlaIKh l< hq;=h' wdudY fYdaOkh wjYH kï l< hq;=h'wdudY fYdaOkh wjYH kï l< hq;=h' wÕ=re ñY%Kh wÕ=re ñY%Kh (Activated charcoal) (Activated charcoal) îug oSu'îug oSu'

wjYH kï iEu meh 4 jrla 12'5-25 m%udKhla îug oSu'wjYH kï iEu meh 4 jrla 12'5-25 m%udKhla îug oSu' yDo iamkaok fõ.h reêr mSvkh wdYajdi m%iajdih yDo iamkaok fõ.h reêr mSvkh wdYajdi m%iajdih

ióCIKh yd fndk m%udK yd uQ;%d msgùu ióCIKh yd fndk m%udK yd uQ;%d msgùu ksrSCIKh'ksrSCIKh'

reêrfha whk ixhq;sh reêrfha whk ixhq;sh (SE)(SE) meh 4 jrla mrSCId lsrSu' meh 4 jrla mrSCId lsrSu' yDo jia;=fõ l%shdldrs;ajh mrSCId lsrSu yDo jia;=fõ l%shdldrs;ajh mrSCId lsrSu (ECG)(ECG) j,smamqj i|yd - vhismeï 5-10 j,smamqj i|yd - vhismeï 5-10 mgmg jrla jrla n%eäldähd i|yd - wefg%dmska 0'5-2 n%eäldähd i|yd - wefg%dmska 0'5-2 mgmg jrla jrla

Page 23: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

T<s|T<s|(Abrus precatorius(Abrus precatorius))

Page 24: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

T<s|T<s|

Ydlh y÷kd .ekSuYdlh y÷kd .ekSu(-(-

tlla yer tlla f,i fld<j,ska hq;= isyska je,ls'tlla yer tlla f,i fld<j,ska hq;= isyska je,ls'

oï meye;s u,a fmdl=rl keÜfÜ w. we;'oï meye;s u,a fmdl=rl keÜfÜ w. we;'

weg - Yla;su;a os<sfikiq,q weg ;o r;= mdg weg - Yla;su;a os<sfikiq,q weg ;o r;= mdg jk w;r tys ueo l¿ meye;s ;s;la we;'jk w;r tys ueo l¿ meye;s ;s;la we;'

úI ldrlh - fgdlaie,aÅhqñka >kfha weírska'úI ldrlh - fgdlaie,aÅhqñka >kfha weírska'

úI iys; fldgi - weg b;d úI iys;h'úI iys; fldgi - weg b;d úI iys;h'

levqkq tl weghla jqj;a urKh f.k osh yel'levqkq tl weghla jqj;a urKh f.k osh yel'

Page 25: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

T<s|T<s|  

frda. ,CIK(-frda. ,CIK(- Tlaldrh" jukh" mdpkh" nfÙ fõokdj hkdos frda. ,CIK Tlaldrh" jukh" mdpkh" nfÙ fõokdj hkdos frda. ,CIK

weírska u.ska wdka;%sl udrA.hg ydks lsrSu weírska u.ska wdka;%sl udrA.hg ydks lsrSu ksid we;sfõ'ksid we;sfõ'

tfukau wdka;%h ;=jd, ùu ksid f,a jukh yd iy meye tfukau wdka;%h ;=jd, ùu ksid f,a jukh yd iy meye wiQÑ msgùu oelsh yel'wiQÑ msgùu oelsh yel'

wlaudj bosóu yd ydks ùuo oelsh yel'wlaudj bosóu yd ydks ùuo oelsh yel' r;= reêrdkq úkdY ùu" wvq reêr mSvkh yd Rcq úI r;= reêrdkq úkdY ùu" wvq reêr mSvkh yd Rcq úI

ùu ksid jl=.vq l%shdldrs;ajh ì| jeàu is¥fõ'ùu ksid jl=.vq l%shdldrs;ajh ì| jeàu is¥fõ' oDIaÀú;dkhg f,a .e,Su" rla;ySk;djh" f,aj, iSks u| oDIaÀú;dkhg f,a .e,Su" rla;ySk;djh" f,aj, iSks u|

nj" ksosu; .;sh yd j,smamqjo we;súh yel' nj" ksosu; .;sh yd j,smamqjo we;súh yel'

Page 26: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

T<s|T<s|frda. md,kh(-frda. md,kh(- weg fl<ska yemSfuka f;drj .s, we;akï úI ùï weg fl<ska yemSfuka f;drj .s, we;akï úI ùï

fndafyda úg fkdolajhsfndafyda úg fkdolajhs tfy;a th meyeos,s ke;akï wÕ=re uqiq mdkhtfy;a th meyeos,s ke;akï wÕ=re uqiq mdkh

(Activated charcoal) (Activated charcoal) îug oSu'îug oSu' reêr mSvkh" wdYajdi m%iajdih" kdä jeáu" reêr mSvkh" wdYajdi m%iajdih" kdä jeáu"

YrSrfha YrSrfha c, iu;=,s;;djh ióCIKh l< hq;=h'c, iu;=,s;;djh ióCIKh l< hq;=h'

reêrfha whk m%udKh ióCIKh lrkak'reêrfha whk m%udKh ióCIKh lrkak' frda. ,CIK wkqj lrk m%;sldro wjYHh'frda. ,CIK wkqj lrk m%;sldro wjYHh'

Page 27: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

fydË,fydË,(Adenia Palmata)(Adenia Palmata)

Page 28: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

fydË,fydË,

Ydlh y÷kd .ekSuYdlh y÷kd .ekSu(-(-f;;a l,dmfha jefjk nyqjrAIsl Ydlhls'f;;a l,dmfha jefjk nyqjrAIsl Ydlhls'

M,h -meIka ‘DÜ f.ähl yevhg iudkh' tu ksid w;aM,h -meIka ‘DÜ f.ähl yevhg iudkh' tu ksid w;a

jeroSfuka <uhska w;r úI ùu we;s lrhs'jeroSfuka <uhska w;r úI ùu we;s lrhs'

wuq M,h - fld< meye;s w;r b¥Kq M,h lyg yqrewuq M,h - fld< meye;s w;r b¥Kq M,h lyg yqre

;eô,s fyda r;= jrAKfhka hq;=h th ;=ka fldgilg ;eô,s fyda r;= jrAKfhka hq;=h th ;=ka fldgilg fnoSfnoS

we;' weg uD¥ fc,s wdldr wdjrKhlska jeiS we;' th we;' weg uD¥ fc,s wdldr wdjrKhlska jeiS we;' th

ihfkdfcksla .a,hsfldihsâ yd fgdlaie,aìhqñka j,ska ihfkdfcksla .a,hsfldihsâ yd fgdlaie,aìhqñka j,ska

iukaú;h' úI ix>glh iys; fldgi M,h fõ' iukaú;h' úI ix>glh iys; fldgi M,h fõ'

Page 29: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

fydË,fydË,frda. ,CIK wjê ;=klska fmkajhs'frda. ,CIK wjê ;=klska fmkajhs'

1 jk wjêh - nfâ reodj mdpkh lrleú,a, yd 1 jk wjêh - nfâ reodj mdpkh lrleú,a, yd fkdikaiqïlu uQ,sl ,CIK fõ'fkdikaiqïlu uQ,sl ,CIK fõ'

2 jk wjêh - f,a iy iSoï iu. mdpkh'2 jk wjêh - f,a iy iSoï iu. mdpkh' lelal=u yd nfâ ol=Kq my< m%foaYh we,a¨úg lelal=u yd nfâ ol=Kq my< m%foaYh we,a¨úg

we;sjk ;on, fõokdj' we;sjk ;on, fõokdj' fuu ,CIK we;sjkafka fuu ,CIK we;sjkafka wdka;%sl moaO;sh úkdYùu ksihs' wdka;%sl moaO;sh úkdYùu ksihs'

33 jk wjêh - fuh we;sjkafka wê ixfõos;dj ksid jk jk wjêh - fuh we;sjkafka wê ixfõos;dj ksid jk w;r" frda.S ,CIK úI YrSr.; ùfuka i;s 2-3 miq w;r" frda.S ,CIK úI YrSr.; ùfuka i;s 2-3 miq fmkajhs' tysoS yDo jia;=jg úI ùï ^fmkajhs' tysoS yDo jia;=jg úI ùï ^ECGECG fjkia ùï fjkia ùï iu.& wlaudj bosóu" wefia oDIaÀ ú;dkhg iu.& wlaudj bosóu" wefia oDIaÀ ú;dkhg f,a .e,Sï fyda bosóu u.ska ydks ùu oelsh yel'f,a .e,Sï fyda bosóu u.ska ydks ùu oelsh yel'

Page 30: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

fydË,fydË,

frda. md,kh(-frda. md,kh(- wdudY fYdaOkhwdudY fYdaOkh wÕ=re uqiq mdkh wÕ=re uqiq mdkh (Activated charcoal) (Activated charcoal) îug îug

oSu'oSu' frda. ,CIK wkqj lrk fjk;a m%;sldr'frda. ,CIK wkqj lrk fjk;a m%;sldr'

Page 31: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

fnfy;a tËre $ f;,a tËrefnfy;a tËre $ f;,a tËre

(Ricinus communis)(Ricinus communis)

Page 32: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

tËre tËre

Ydlh y÷kd .ekSuYdlh y÷kd .ekSu(-(-b;d m<,a" rjqï yeve;s m;% fldgia y;lg fnoS b;d m<,a" rjqï yeve;s m;% fldgia y;lg fnoS we;' odrhla oe;s iys;h'we;' odrhla oe;s iys;h'M,h - lgq iys; wdjrKhlska hq;=jk w;r th M,h - lgq iys; wdjrKhlska hq;=jk w;r th idkqLKaälh'idkqLKaälh'weg - ´j,dldr weg" ¥Uqre meye;s miqìfï wˆ weg - ´j,dldr weg" ¥Uqre meye;s miqìfï wˆ meye;s mq,a,s iys; lefvkiq,q wdjrKhlska meye;s mq,a,s iys; lefvkiq,q wdjrKhlska hqla;h'hqla;h'úI ldrlh - fgdlaie,aìhqñka >kfha rsiska jk úI ldrlh - fgdlaie,aìhqñka >kfha rsiska jk w;r" th uqˆ Ydlfhau we;' jeäu idkaøkh w;r" th uqˆ Ydlfhau we;' jeäu idkaøkh we;af;a wegj,h' tl weghla jqjo fyd|ska imd we;af;a wegj,h' tl weghla jqjo fyd|ska imd lEfuka cSú;CIhg m;aùug ;rï úI iys; fõ'lEfuka cSú;CIhg m;aùug ;rï úI iys; fõ'

Page 33: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

tËre tËre

a a tËretËre

fnfy;a tËre jeg tËrefnfy;a tËre jeg tËre(Ricinus communis) (Jatropha curcas)(Ricinus communis) (Jatropha curcas)

Page 34: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

RICINUS COMMUNIS J ATROPHA CURCAS

Page 35: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

jeg tËrejeg tËre (Jatropha curcas)(Jatropha curcas)

Ydlh y÷kd .ekSu(-Ydlh y÷kd .ekSu(-

myg fn¥Kq m;% iy lyg yqre fld< u,a iys; myg fn¥Kq m;% iy lyg yqre fld< u,a iys; l=vd m÷rls'l=vd m÷rls'

úI ldrlh - fgdlaie,aìhqñka >kfhaúI ldrlh - fgdlaie,aìhqñka >kfha liska Ydl u;liska Ydl u; mj;sk W.%mj;sk W.% úI ldrlhla jk fuys Wmrsu úI ldrlhla jk fuys Wmrsu idkaøKh wegj, we;' idkaøKh wegj, we;'

Page 36: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

tËretËre frda. ,CIK(-frda. ,CIK(- frda. ,CIK fmkajkafkafrda. ,CIK fmkajkafka YrSr.;ù meh lsysmhlg YrSr.;ù meh lsysmhlg

miqjh'miqjh' Tlaldrh" jukh" nfâ oeú,a, yd rsoSu" mdpkh Tlaldrh" jukh" nfâ oeú,a, yd rsoSu" mdpkh

hkdosh we;sjk w;r tajd ksid úc,kh" whk hkdosh we;sjk w;r tajd ksid úc,kh" whk iu;=,s;;djh ì| jeàu" flKavd fmr,Su yd iu;=,s;;djh ì| jeàu" flKavd fmr,Su yd isysiqkaùu oelsh yel'isysiqkaùu oelsh yel'

tfukau f,aj, iSks uolu" oDIaÀú;dkhg f,a .e,Su" tfukau f,aj, iSks uolu" oDIaÀú;dkhg f,a .e,Su" uQ;%d iu. f,a hEu" j,smamqj yd isysuqrAPd uQ;%d iu. f,a hEu" j,smamqj yd isysuqrAPd ùu we;sfõ'ùu we;sfõ'

wlaudj úkdY ùu yd yosis jl=.vq wl%Sh ùuo wlaudj úkdY ùu yd yosis jl=.vq wl%Sh ùuo iuyr úg is¥ úh yel' iuyr úg is¥ úh yel'

Page 37: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

tËretËre frda. md,kh(-frda. md,kh(- wjYH úg wdudY fYdaOkh lsrSuwjYH úg wdudY fYdaOkh lsrSu wjYH úg wÕ=re iys; mdkh wjYH úg wÕ=re iys; mdkh (Activated (Activated

charcoal) charcoal) îug oSu'îug oSu' reêrfha whk iajNdjh" wlaud tkaihsu mreêrfha whk iajNdjh" wlaud tkaihsu m

%udKh" r;= reêrdKq m%udKh ksrSCIKh l< %udKh" r;= reêrdKq m%udKh ksrSCIKh l< hq;=h'hq;=h'

frda. ,CIK md,khg wjYH wfkla m%;sldro ,nd frda. ,CIK md,khg wjYH wfkla m%;sldro ,nd osh hq;=h'osh hq;=h'

Page 38: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

kshÕ,dkshÕ,d(Gloriosa superba)(Gloriosa superba)

Page 39: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

kshÕ,dkshÕ,d

.ïno m%foaYj, ish osú ydks lr .ekSug nyq,j .ïno m%foaYj, ish osú ydks lr .ekSug nyq,j fhdod .efkafhdod .efka

Ydlh y÷kd .ekSu(-Ydlh y÷kd .ekSu(- w,xldr oSma;su;a mqIamhw,xldr oSma;su;a mqIamh Ydlfha ish¿ fldgia úI iys;hYdlfha ish¿ fldgia úI iys;h úI ix>gl ldrlh - úI ix>gl ldrlh - Alkaloid ColchicineAlkaloid Colchicine udrdka;sl ud;%dj( jeâysàhka-úI ldrlh udrdka;sl ud;%dj( jeâysàhka-úI ldrlh 6 mg6 mg isg isg

20 mg20 mg ^Ydlfha w, ^Ydlfha w, 10 g colchicine10 g colchicine 6 mg 6 mg we;& we;& <uhska -<uhska - 0.5 0.5 isgisg 0.8 mg/kg 0.8 mg/kg we;'we;'

Page 40: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

kshÕ,dkshÕ,d

úI ,CIK we;s jkafka YrSr.; ùfuka meh 6-12 g úI ,CIK we;s jkafka YrSr.; ùfuka meh 6-12 g miqjh'miqjh'

frda. ,CIK(-frda. ,CIK(- nfÙ lelal=u" Tlaldrh" jukh" f,a iys; mdpkh" nfÙ lelal=u" Tlaldrh" jukh" f,a iys; mdpkh"

úc,kh iu. W.% wdka;%sl wdndO'úc,kh iu. W.% wdka;%sl wdndO' tfukau reèr mSvkh wvqjQ úg úc,kh yd isys tfukau reèr mSvkh wvqjQ úg úc,kh yd isys

uqrAPd ùu we;s úh yel'uqrAPd ùu we;s úh yel' uq,a meh 24 g miq - iq¥ reèrdKq wvqùu" uq,a meh 24 g miq - iq¥ reèrdKq wvqùu"

reèr mÜàld wvqùu" reèr leà .eiSu wvq ùu" reèr mÜàld wvqùu" reèr leà .eiSu wvq ùu" hkdos widudkH YrSr f,a .e,Sïj,g u. mdohs'hkdos widudkH YrSr f,a .e,Sïj,g u. mdohs'

Page 41: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

kshÕ,dkshÕ,d yDo jia;=fõ rgdj wl%uj;a ùu" wlaudj wl%sh yDo jia;=fõ rgdj wl%uj;a ùu" wlaudj wl%sh

ùu" jl=.vq wl%sh ùu" fmky¿ wl%sh ùu" ùu" jl=.vq wl%sh ùu" fmky¿ wl%sh ùu" j,amamqj yd isys uqrAPd ùu oelsh yel' j,amamqj yd isys uqrAPd ùu oelsh yel'

frda. md,khfrda. md,kh(-(- wdudY fYdaOkh wdudY fYdaOkh wÕ=re iys; mdkh wÕ=re iys; mdkh (Activated charcoal) (Activated charcoal) îug îug

oSu' wjYH jqjfyd;a kej; kej; îug oSu wjYH fõ'oSu' wjYH jqjfyd;a kej; kej; îug oSu wjYH fõ' frda. ,CIK md,khg lrk m%;sldr'frda. ,CIK md,khg lrk m%;sldr'

Page 42: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

w;a;kw;a;k(Datura stramonium)(Datura stramonium)

Page 43: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

w;a;kw;a;kYdlh y÷kd .ekSu(-Ydlh y÷kd .ekSu(- l| fld< mdg" W,ajQ m;% iys; l=vd Ydlhls'l| fld< mdg" W,ajQ m;% iys; l=vd Ydlhls' mqIamh iq¥ fyda oï meye;s w;r .mqIamh iq¥ fyda oï meye;s w;r .

%euf*dakhl yevfhka hqla;h'%euf*dakhl yevfhka hqla;h' M,h lgq iys; f.da,dldrjk w;r rUqgka M,hg M,h lgq iys; f.da,dldrjk w;r rUqgka M,hg

iudk fõ'iudk fõ' Wegh ;, weg j.g iudk lyg yqre ¥Uqre Wegh ;, weg j.g iudk lyg yqre ¥Uqre

meyefhka hqla;h'meyefhka hqla;h' úI ldrl ix>glhka jkafka we,alf,dhsÙ wefgúI ldrl ix>glhka jkafka we,alf,dhsÙ wefg

%dmska %dmska hyosine hyosine iy iy hyoscyamine.hyoscyamine. uq,q Ydlhu úI ldrlh iys; jqjo jeâu idkaøKh uq,q Ydlhu úI ldrlh iys; jqjo jeâu idkaøKh

we;af;a wegj,h'we;af;a wegj,h' tla weghla YrSr.; ùuo udrdka;sl úh yel'tla weghla YrSr.; ùuo udrdka;sl úh yel'

Page 44: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

w;a;kw;a;k

frda. ,CIK(-frda. ,CIK(- frda. ,CIKfrda. ,CIK anticholinergic anticholinergic úI ùïj,g iudk fõ'úI ùïj,g iudk fõ' W.=r lg úh,Su'W.=r lg úh,Su' yDoh jia;=fõ iamkaok fõ.h jeâùu" wè reèr yDoh jia;=fõ iamkaok fõ.h jeâùu" wè reèr

mSvkh" yDo iamkaok rgdj fjkiaùu'mSvkh" yDo iamkaok rgdj fjkiaùu' lkSKsldj úYd, ùu iy oDIaàh fnd| ùu'lkSKsldj úYd, ùu iy oDIaàh fnd| ùu' prAuh úh,s ùu yd r;= meye ùu'prAuh úh,s ùu yd r;= meye ùu' W.% úI ùu" wdfõ.YS,s ùu" uxuq,djQ W.% úI ùu" wdfõ.YS,s ùu" uxuq,djQ

iajNdjh" oDIaàuh YÄo udhdjla weiSu" iajNdjh" oDIaàuh YÄo udhdjla weiSu" j,smamqj" iajikh kej;Su yd isysiqka ùu'j,smamqj" iajikh kej;Su yd isysiqka ùu'

Page 45: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

w;a;k w;a;k

frda. md,khfrda. md,kh(-(- wdudY fYdaOkh' wdudY fYdaOkh' wÕ=re iys; mdkh wÕ=re iys; mdkh (Activated charcoal) (Activated charcoal) wjYH wjYH

úg îug oSu' úg îug oSu' j,smamqj i|yd Ysrd u.ska vhismEï 5-10j,smamqj i|yd Ysrd u.ska vhismEï 5-10mgmg'' reèrfha whk reèrfha whk (SE) (SE) iy jdhq iy jdhq (blood gas) (blood gas) mrSCIdj'mrSCIdj' frda. ,CIK wkqj lrk wksla m%;sldr'frda. ,CIK wkqj lrk wksla m%;sldr'

Page 46: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

ynr,ynr, (Alocasia macrorrhiza)(Alocasia macrorrhiza)

HABARALA DUMB CANEHABARALA DUMB CANE

Page 47: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

ynr,ynr,(Alocasia macrorrhiza)(Alocasia macrorrhiza)

Ydlh y÷kd .ekSu(-Ydlh y÷kd .ekSu(- w, iys; úYd, me<Eàhls'w, iys; úYd, me<Eàhls' m;% ir, úYd, m%udKfha tajdh'm;% ir, úYd, m%udKfha tajdh' úI ldrlh ld,aishï Tlaif,aÜ iaMàl iy y÷kd úI ldrlh ld,aishï Tlaif,aÜ iaMàl iy y÷kd

fkd.;a jdIamYS,s ix>gl'fkd.;a jdIamYS,s ix>gl' ;j;a .Dy w,xlrk Ydlj,o ^ yd le,aishï & by; úI ;j;a .Dy w,xlrk Ydlj,o ^ yd le,aishï & by; úI

ldrl wvx.=h' ldrl wvx.=h'

Page 48: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

ynr,ynr,frda. ,CIK(-frda. ,CIK(- Ydlfha l| wdydrhg .ekSfuka miq uqLfha Ydlfha l| wdydrhg .ekSfuka miq uqLfha

fõokdj" oefjk iajNdjh iy wèl f,I fl< .e,Su fõokdj" oefjk iajNdjh iy wèl f,I fl< .e,Su oelsh yel'oelsh yel'

miqj osfõ" f;d,aj," lïuq,aj," fÄg .%ka:sj, yd miqj osfõ" f;d,aj," lïuq,aj," fÄg .%ka:sj, yd W.=frA bosóu ksid .s,Su yd l:d lsrSu wmyiq W.=frA bosóu ksid .s,Su yd l:d lsrSu wmyiq ùu'ùu'

úYd, jYfhka wdydrhg .;fyd;a wkakfida;%h úYd, jYfhka wdydrhg .;fyd;a wkakfida;%h yd wdudYfha jK ùï is¥ fõ' iajrd,fha bosóu yd wdudYfha jK ùï is¥ fõ' iajrd,fha bosóu ksid úh yel'ksid úh yel'

yDo iamkaok fõ.h wvqùu" fjõ,Su" uqLh yDo iamkaok fõ.h wvqùu" fjõ,Su" uqLh werSug wmyiq ùu" j,smamqj" yosis jl=.vq werSug wmyiq ùu" j,smamqj" yosis jl=.vq wl%shNdjho we;s úh yel' wl%shNdjho we;s úh yel'

Page 49: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

ynr,ynr,

frda. md,kh(-frda. md,kh(- wèl fõokdldrS kï Ouks u.ska fõokd kdYl wèl fõokdldrS kï Ouks u.ska fõokd kdYl

wjYHhs'wjYHhs' uqLh bosóu je,elaùug whsia yd lsrs Wrd îu uqLh bosóu je,elaùug whsia yd lsrs Wrd îu

wjYHhs'wjYHhs' iajrd,h bosóu yd yqiau.ekSfï wmyiq;d i|yd iajrd,h bosóu yd yqiau.ekSfï wmyiq;d i|yd

wld,kh wld,kh (intubation) (intubation) fyda Yajdikd, oajdrKh fyda Yajdikd, oajdrKh (tracheostomy) (tracheostomy) wjYH fõ' wjYH fõ'

jl=.vq l%shdldrs;ajh mrSCIdj'jl=.vq l%shdldrs;ajh mrSCIdj' YrSrfha øj iu;=,s;;dj mrSCIdj'YrSrfha øj iu;=,s;;dj mrSCIdj' fjk;a frda.S ,CIK wkqj lrk m%;sldr' fjk;a frda.S ,CIK wkqj lrk m%;sldr'

Page 50: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

lemqkalSrshlemqkalSrsh (Euphorbia hirta)(Euphorbia hirta)

Page 51: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

lemqkalSrshlemqkalSrsh

Ydlh y÷kd .ekSu(-Ydlh y÷kd .ekSu(- frdauj,ska wdjrKh jQ Yla;su;a oKavla iys; frdauj,ska wdjrKh jQ Yla;su;a oKavla iys;

me<Eáhlsme<Eáhls M,h Wäka yd háka ;=kg fnoS we;s w;r M,h Wäka yd háka ;=kg fnoS we;s w;r

frdau iys; wdjrKhlska jeiS we;frdau iys; wdjrKhlska jeiS we; weg ´j,dldr weUrS we;s w;r r;g yqre ¥Uqre weg ´j,dldr weUrS we;s w;r r;g yqre ¥Uqre

mdghmdgh úI ldrlh úI ldrlh Alkaloid xantharomine, gallic acid, Alkaloid xantharomine, gallic acid,

phenolic.phenolic.

Page 52: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

lemqkalSrshlemqkalSrsh

frda. ,CIK(-frda. ,CIK(- Tlaldrh jukh yd ksosu; .;sh'Tlaldrh jukh yd ksosu; .;sh' ihkhsâ úI ùfï ,CIKo oelsh yel'ihkhsâ úI ùfï ,CIKo oelsh yel'

frda. md,kh(-frda. md,kh(- m<uqj iajdYkd, udrA.h" yqiau .ekSu yd reèr m<uqj iajdYkd, udrA.h" yqiau .ekSu yd reèr

ixirKh ;sfÄ ±hs mrSCId lsrSu'ixirKh ;sfÄ ±hs mrSCId lsrSu' wÕ=re øj ñY%Kh wÕ=re øj ñY%Kh (Activated charcoal) (Activated charcoal) 100100 g g" "

c,h c,h 200 200 ml ml oshlr" YrSr .;ù meh 1-2 ;=, Åug oSu'oshlr" YrSr .;ù meh 1-2 ;=, Åug oSu'

frda. ,CIK wkqj lrk fjk;a m%;sldro wjYHh'frda. ,CIK wkqj lrk fjk;a m%;sldro wjYHh'

Page 53: YS% ,xldfõ nyq,j yuqjk  úI iys; Ydl

ia;+;shsia;+;shs