Pittadhara ksr

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Clinical importance of Clinical importance of Pittadhara KalaPittadhara Kala

Dr. K. Shiva Rama PrasadDr. K. Shiva Rama PrasadM.D.(KC), M.A, M.D.(KC), M.A, Ph.DPh.D ((JyoJyo))

HAVEHAVE KnowledgeKnowledge

Guest lecture at AMC, Davangere

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Need to knowNeed to knowKala are very much neglected in the clinical Kala are very much neglected in the clinical medicinemedicineKala possess major importance in the bodyKala possess major importance in the bodyMany diseases of present day are specifically Many diseases of present day are specifically Kala concern, such as Kala concern, such as ––GrahaniGrahani ((PittadharakalaPittadharakala))DurmedasDurmedas ((MedodharaMedodhara Kala)Kala)Infertility (Infertility (SukraSukra dharadhara kalakala))MusculoMusculo skeletal problems (skeletal problems (MamsadharaMamsadhara kalakala))I.B.S ( I.B.S ( PureeshadharaPureeshadhara kalakala) etc.) etc.


Many a times we never think of Many a times we never think of understanding the structural disturbances understanding the structural disturbances in the body and rectification of the in the body and rectification of the structural integrity disturbed by the structural integrity disturbed by the doshadosha in the bodyin the bodyApart from the rectification and Apart from the rectification and pacification of the pacification of the doshadosha out of out of srotodustisrotodusti lakshanalakshana –– AtipravruttiAtipravrutti & & ApravruttiApravrutti ((SangaSanga) ) –– SiraSira granthigranthi & & VimargagamanaVimargagamana are essential to examine in detailare essential to examine in detailRectify the structural and functional Rectify the structural and functional disturbances of Kala With special disturbances of Kala With special reference to Kayachikitsa reference to Kayachikitsa


Pittadhara KalaPittadhara Kala

Pitta & AgniPitta & Agni

AmaAmaAmaAma PradoshajaPradoshaja

PittadharaPittadhara kalakala JanyaJanya VyadhiVyadhi

Pittadhara Kala Pittadhara Kala ChikitsaChikitsa


SaptakalaSaptakala VijnanaVijnana

Kala are seven in number Kala are seven in number Kala lies in between the Dhatu and Kala lies in between the Dhatu and AshayaAshayaKala are like pith of the steam in the Kala are like pith of the steam in the TissuesTissues

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Kala NomenclatureKala NomenclatureThe fluid between the The fluid between the DhatuDhatuand and AshayaAshaya subjected to the subjected to the heat developed from heat developed from UshmaUshmagives rise the Kalagives rise the KalaThe Kala is covered by the The Kala is covered by the layer of phlegm layer of phlegm

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Kala DivisionKala Division

1)1) MamsadharaMamsadhara kalakala2)2) RaktadharaRaktadhara kalakala3)3) MedodharaMedodhara kalakala4)4) ShleshmadharaShleshmadhara kalakala5)5) PureeshadharaPureeshadhara kalakala6)6) Pittadhara Pittadhara kalakala7)7) ShukradharaShukradhara kalakala


Difference of opine Difference of opine Kala is defined as a layer between Kala is defined as a layer between –– RasaRasa-- RaktaRakta –– MamsaMamsa –– MedoMedo-- Asti Asti –– MajjaMajja –– ShukraShukra, 7 , 7 dhatudhatu and Vata and Vata –– Pitta Pitta –– ShleshmaShleshma –– Ama Ama –– Mala Mala –– MootraMootra –– RaktashayaRaktashaya of 7 of 7 AshayasAshayas22ndnd opine is opine is –– dhatudhatu means means MamsaMamsa –– RaktaRakta –– MedasMedas –– ShleshmaShleshma and and SukraSukra along with the along with the AshayaAshaya as as PittashayaPittashaya, Pakwashaya., Pakwashaya.Both of the above are considered & needs Both of the above are considered & needs further discussion to specify any one of themfurther discussion to specify any one of them


Pittadhara Kala Pittadhara Kala

Pittadhara Kala is 6Pittadhara Kala is 6thth in orderin orderReceives when the food is propelled from Receives when the food is propelled from Amashaya Holds in the Pakwashaya Amashaya Holds in the Pakwashaya -- The four verities of food ingested The four verities of food ingested –– viz. viz. AsitaAsita, , KhadiataKhadiata, , PeetaPeeta and and LeedaLeeda

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Structural Aspect of Structural Aspect of Pittadhara Kala Pittadhara Kala

In between Pakwashaya and AmashayaIn between Pakwashaya and AmashayaHolds the food at Pakwashaya Holds the food at Pakwashaya These statements refer to the activity These statements refer to the activity concern and states that the Pittadhara concern and states that the Pittadhara kalakala is is as such below to that of the as such below to that of the AshayaAshaya which which holds the undigested food and in the holds the undigested food and in the AshayaAshaya which propels the digested food for which propels the digested food for absorption With the function of assimilation absorption With the function of assimilation

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As the Sigmoid colon and Rectum are termed with “Pureesha Vaha srotas” and lined by “Pureeshadhara Kala” – these parts of GIT are ruled out of the discussion of pittadharakala


From mouth till to and in the Amashaya – 4 food varieties are passed in undigested form – thus comfortably can be termed as Amashaya


Consideration of Amashaya Consideration of Amashaya Amashaya is with undigested foodAmashaya is with undigested foodContemporary science explains as Contemporary science explains as –– carbohydrate digestion starts at mouth and carbohydrate digestion starts at mouth and protein at stomach and fats at duodenumprotein at stomach and fats at duodenumAs the fat digestion is continued till to that of As the fat digestion is continued till to that of Jejunum Jejunum –– it has to be considered even the it has to be considered even the duodenum is also as a part of Amashayaduodenum is also as a part of AmashayaEven at the Jejunum, absorption doesnEven at the Jejunum, absorption doesn’’t takes t takes place thus till to that of Ileum jejunum junction place thus till to that of Ileum jejunum junction –– Amashaya extendsAmashaya extends


The part between Jejunum and Sigmiod colon is the Ileum – Pakwa-Amashaya madhya is the part anatomically to consider as Grahani or

Pittadhara Kala


Functional Aspect of Functional Aspect of PittadharakalaPittadharakala

It digests the 4 verities of foodIt digests the 4 verities of foodDigestion in terms of Digestion in terms of –– Pachana Pachana –– VivechanaVivechana –– MumchanaMumchanaAll the functions of Pitta are attributed to All the functions of Pitta are attributed to PittadharakalaPittadharakala based on the concept of based on the concept of AdharaAdhara--AdheyaAdheya bhavabhava. The integrity of . The integrity of the Pittadhara the Pittadhara kalakala ((GrahaniGrahani) depends ) depends upon the proper function of Agni so it can upon the proper function of Agni so it can be termed as even be termed as even ““AgnidhraAgnidhra KalaKala””

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Enumeration & Examination Enumeration & Examination of Functions of Functions

Functions of Functions of PittadharakalaPittadharakala are enumerated by are enumerated by --

GrahanaGrahana -- collection collection ((GrahanaGrahana PittadharakalaPittadharakala -- AmashayasthaAmashayastha))Pachana Pachana -- digestion digestion (Pachana (Pachana PittadharakalaPittadharakala -- PachyamanashayasthaPachyamanashayastha))VivechanaVivechana & & MumunchanaMumunchana –– Separation Separation & Absorption& Absorption ((VivechanaVivechana PittadharakalaPittadharakala -- PakwashayasthaPakwashayastha))


GrahanaGrahana -- collectioncollectionThe collection anomalies (Functional or The collection anomalies (Functional or Organic) are subjected to the movements Organic) are subjected to the movements of the stomach to make the food as of the stomach to make the food as amalgam and amalgam and To initiate the normal peristaltic To initiate the normal peristaltic movements in the intestinesmovements in the intestinesMain diseases pertained are of Main diseases pertained are of GrahaniGrahani rogaroga –– KostaKosta stabdhatastabdhata -- srotosroto sangasanga (carcinoma, etc)(carcinoma, etc) -- etc,. Even Dosha wise etc,. Even Dosha wise diseases can be enumerated diseases can be enumerated


Pachana Pachana -- digestiondigestionThe digestion disturbances are well The digestion disturbances are well narrated in Ayurveda and many Agni inter narrated in Ayurveda and many Agni inter linked diseases are explainedlinked diseases are explainedTo initiate the normal Agni, examination of To initiate the normal Agni, examination of Agni is necessary Agni is necessary Main diseases pertained to Agni are Main diseases pertained to Agni are -- AgnimandyaAgnimandya, , AjeernaAjeerna, , ParinamaParinama shoolashoola, , AnnadravaAnnadrava shoolashoola, etc,. , etc,.


Summary of chemical events in digestion


VivechanaVivechana & & MumunchanaMumunchana –– Separation & AbsorptionSeparation & AbsorptionWater, electrolytes, and vitamins can be absorbed without preliminary processing, but special transport mechanisms are commonly involved. The intestinal epithelium then absorbs the monosaccharides by facilitated diffusion and cotransport mechanisms.cells lining the small intestine will continue to absorb glucose when glucose concentrations inside the cells are much higher than they are in the intestinal contents.


triglycerides, in company with absorbed steroids and phospholipids, are then coated with proteins, creating complexes known as chylomicronsamino acids, as well as those produced by the pancreatic enzymes, are absorbed through both facilitated diffusion and cotransport mechanismsThe anions chloride, iodide, bicarbonate, and nitrate may be absorbed through diffusion or carrier-mediated transport. Phosphate and sulfate ions enter epithelial cells only through active transport.


Here I wish to make a commentHere I wish to make a commentAyurveda and Contemporary medicines are Ayurveda and Contemporary medicines are appropriative and doesnappropriative and doesn’’t fit one to another as t fit one to another as like like Relative theory and Quantum theoryRelative theory and Quantum theoryAyurveda is like a Relative theory of Ayurveda is like a Relative theory of EinsteenEinsteen, , which speaks about the which speaks about the ““GG”” –– GravityGravityOn the other hand On the other hand –– contemporary medical contemporary medical sciences speak of Quantum theory of sciences speak of Quantum theory of –– Electromagnetism, Strong force and Weak force Electromagnetism, Strong force and Weak force A major exercise is necessary to understand and A major exercise is necessary to understand and bind the two poles of Health sciencesbind the two poles of Health sciences


Secretion and water absorption in the Digestive tract - suggests the placement of the Pittadhara Kala physiologically after the Duodenum and before to the Ileoceacal Valve

Pittadhara Kala

Pureeshadhara Kala




AmaAmaAma Ama PradoshajaPradoshaja


Pittadhara Kala ChikitsaPittadhara Kala Chikitsa


Examination of Pitta & AgniExamination of Pitta & AgniThere is no other Agni available in the There is no other Agni available in the body other than that of Pitta body other than that of Pitta 11

Agni is examined by the Agni is examined by the ““JaranaJarana shaktishakti””JaranaJarana ShaktiShakti is the capacity of digestion is the capacity of digestion in terms of food taken under the in terms of food taken under the stipulations and norms stipulations and norms For this only questionnaire are sufficient For this only questionnaire are sufficient Few of the concern terms are Few of the concern terms are --1 lÉZÉsÉÑ

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Food in connection with Food in connection with digestion digestion

AahaarasaktiAahaarasakti (Pachana (Pachana PittadharaPittadhara kalakala))means the capacity to the intake of food and means the capacity to the intake of food and digestiondigestionHow much a person can consume food without How much a person can consume food without any discomfort is considered as any discomfort is considered as AbhyavaharanaAbhyavaharana saktisakti ((GrahanaGrahana PittadharaPittadharakalakala) ) The proper digestion of food in time with out any The proper digestion of food in time with out any discomfort is considered as the capacity of his discomfort is considered as the capacity of his digestion is digestion is JaranaJarana saktisakti ((VivechanaVivechana PittadharaPittadhara kalakala))


AVIPAAKAH (Indigestion) is AVIPAAKAH (Indigestion) is resultant of improper Agni resultant of improper Agni

AjarakamAjarakamAjeernamAjeernamApaakahApaakahApaktisaktihApaktisaktihPaktinaasahPaktinaasah are the synonyms of are the synonyms of AvipakaAvipaka..


Impaired Pittadhara Kala means Impaired Pittadhara Kala means impaired Agni and development impaired Agni and development

of Ama of Ama

Ama Produces at GIT and also in Ama Produces at GIT and also in DhatusDhatusat Biochemical expression Ama can beat Biochemical expression Ama can be

Improperly metabolized intermediate byproductsImproperly metabolized intermediate byproductsIncreased Increased antigenicityantigenicityFree radicalsFree radicals








Ama Definition Ama Definition By definition Ama is By definition Ama is --ApakwaApakwa Ahara Ahara -- undigested foodundigested foodShuktaShukta Ahara Ahara -- fermented foodfermented foodVisharoopaVisharoopa Ahara Ahara -- toxic like foodtoxic like foodMala Mala sanchayasanchaya -- eliminative accumulationeliminative accumulationAhara rasa Ahara rasa sheshashesha -- left of rasa in left of rasa in Amashaya Amashaya first stage of Dosha first stage of Dosha DustiDusti

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Enumeration and Examination of AmaEnumeration and Examination of AmaIt is difficult to enumerate quantitatively Ama in It is difficult to enumerate quantitatively Ama in clinical aspect clinical aspect But it is not an Impossible taskBut it is not an Impossible taskThe normal terms come across are The normal terms come across are -- UshmaUshma -- AdyadhatuAdyadhatu and Amashayaand AmashayaHere the Here the UshmaUshma -- Heat is the concernHeat is the concernUshmaUshma maintenance is done by Pitta of maintenance is done by Pitta of Amashaya (Pachakapitta) and Pitta of Amashaya (Pachakapitta) and Pitta of TwakTwak (Bhrajakapitta) (Bhrajakapitta) So, to examine Ama clinically is possible by So, to examine Ama clinically is possible by examining the contextual Ama examining the contextual Ama LakshanaLakshana and and TwakTwak


Ama Ama LakshanaLakshana (A.H.Su.13/24)(A.H.Su.13/24)SrotorodhaSrotorodha -- obstruction to channelsobstruction to channelsBalabhramshaBalabhramsha -- loss of strength loss of strength GouravaGourava -- heavinessheavinessAnilaAnila moodhatamoodhata -- loss of impulses loss of impulses AalasyaAalasya -- lazinesslazinessApaktiApakti -- loss of digestion loss of digestion NisteevaNisteeva --spitting spitting MalasangaMalasanga -- accumulation of wasteaccumulation of wasteAruchiAruchi -- tastelessnesstastelessnessKlamaKlama -- fatigue fatigue --out of these except out of these except SrotorodhaSrotorodha, , AnilaAnila MoodhataMoodhata and and MalasangaMalasanga rest are self explainablerest are self explainable


SrotorodhaSrotorodha examinationexamination

Out of the 13 Out of the 13 srotassrotas explained each and explained each and every every srotassrotas are individually examined are individually examined along with specificity of Rasa and along with specificity of Rasa and RaktaRakta as they are related to as they are related to pittadharakalapittadharakala directly. directly. Any Any AtipravruttiAtipravrutti -- ApravruttiApravrutti with reference to with reference to functions andfunctions andSiraSira GranthiGranthi and and VimargaVimarga GamanaGamana with the with the structure is consideredstructure is considered


MalasangaMalasanga examinationexaminationMala are Mala are PureeshaPureesha -- MootraMootra -- Sweda Sweda at present context Pittadhara Kala separates the Mala at present context Pittadhara Kala separates the Mala and Sara in general is impaired to accumulate the Mala and Sara in general is impaired to accumulate the Mala and obstructs orand obstructs oranother understanding is the mala which is formed is not another understanding is the mala which is formed is not separated by the Pittadhara Kalaseparated by the Pittadhara KalaThe Mala are The Mala are -- biological end products which interfere biological end products which interfere the digestion and metabolism the digestion and metabolism --egeg. . Enteroendocrine cells (Glands in the pylorus) produce at least seven different hormones, most notably the hormone gastrin (G cells) in the gastric pits of the pyloric antrum. The pyloric glands also contain D cells, which release somatostatin a hormone that inhibits gastrin release.


AnilaAnila MoodhataMoodhata examinationexaminationThe neural output proceeds via the parasympathetic division of the ANS and reaches the stomach by means of the vagus nervesAs par Ayurveda - the Vata (Samana) in the Kosta is responsible for the Anna Grahana, Pachana, Vivechanathus the Kostashrita Vata is much clinically evaluated When Vagatomy or any surgical procedures under taken impulsive nerve reflexes lessens the enzymatic secretion in the Stomach or vice versa


Skin in the examination of AmaSkin in the examination of AmaThe importance of the The importance of the TwachaTwacha should not should not be forgotten as the be forgotten as the ““UshmaUshma”” is regulated is regulated by the it selfby the it selfSkin respires even Skin respires even the examination of the examination of TwachaTwacha includes with includes with the the -- temperature variances, Temperature temperature variances, Temperature disturbances over the enzyme secretions disturbances over the enzyme secretions and digestion and digestion


TwakTwak GourawaGourawa, , TwakTwak RodhataRodhata, , PrabhaPrabha-- ChayaChaya nashanasha, , twakgatatwakgata vatavata ((VyanaVyana) ) karma karma hanihani, Non absorbability of skin, skin , Non absorbability of skin, skin fatigue, Depositions of eliminative fatigue, Depositions of eliminative materials (materials (MalasangaMalasanga) ) –– swedasweda abhavataabhavata –– are common conditions of Ama in are common conditions of Ama in TwakTwakAt the time of At the time of AbhyangaAbhyanga -- the Drug the Drug designated is absorbed and assimilated designated is absorbed and assimilated well by the Skin is witnessed as an well by the Skin is witnessed as an example through example through BhrajakaBhrajaka Pitta (Agni) Pitta (Agni)


Clinical Identification of Ama Clinical Identification of Ama

Where ever Ama is seated thereWhere ever Ama is seated there --SthambhaSthambha -- immobility immobility GouravaGourava -- HeavinessHeavinessStaneeyaStaneeya DehaDeha VisheshaVishesha VikaraVikaraDosha Dosha visheshavishesha SaamaSaama LakshanaLakshanaDhatu Dhatu visheshavishesha SaamaSaama LakshanaLakshana --are seenare seen




AmaAmaAma Ama PradoshajaPradoshaja Pittadhara Pittadhara

kalakala JanyaJanya VyadhiVyadhi



Ama Ama PradoshajaPradoshaja VyadhiVyadhiIf spreads upward If spreads upward -- VishuchikaVishuchikaIf spreads down ward If spreads down ward -- AlasakaAlasakawith the with the AjeernaAjeerna it is called as it is called as AmavishaAmavishaAmadoshaAmadosha, , AmavatagrahaniAmavatagrahani ((SangrahaSangraha grahanigrahani), ), AmavataAmavata, etc are considered as , etc are considered as AmajaAmaja VyadhiVyadhiApart from all the basic definition of Apart from all the basic definition of ““AmayaAmaya”” includes all diseases in includes all diseases in AmaAma with special reference to the with special reference to the Pittadhara Pittadhara Kala Kala JanyaJanya vydhivydhi


Vardhakya & Pittadhara Kala AGING AND THE DIGESTIVE SYSTEM

The rate of epithelial stem cell division declinesThe digestive epithelium becomes more susceptible to damage by abrasion, acids, or enzymes. Amlapitta, Parinama Shoola etc, Acid Peptic disorders, therefore become more likely. In the mouth, esophagus, and anus, the stratified epithelium (Pittadhara Kala) becomes thinner and more fragile.


Smooth muscle tone decreasesGeneral motility decreases (Anila

Moodhata), and peristaltic contractions are weaker.

These changes slow the rate of fecal movement and promote constipation (Malasanga)

Sagging and inflammation of the haustra in the colon can produce symptoms of diverticulosis (Vimargagamana)


Straining to eliminate compacted fecal materials can stress the less-resilient walls of blood vessels, producing hemorrhoids (Arshas) Problems are not restricted to the lower digestive tract. For example, weakening of muscular sphincters can lead to esophageal reflux and frequent bouts of "heartburn." (Apakti-Amlodgara)


The effects of cumulative damage become apparentA familiar example is the gradual loss of teeth due to dental caries or gingivitis. Cumulative damage can involve internal organs as well. Toxins (visha) such as alcohol and other injurious chemicals that are absorbed by the digestive tract are transported to the liver for processing (Bhutagnipaka). The cells of the liver are not immune to these toxic compounds, and chronic exposure can lead to cirrhosis or other types of liver disease.


Cancer rates increase. Not surprisingly, cancers are most common in organs in which stem cells divide to maintain epithelial cell populations. Rates of colon cancer and stomach cancer rise in the elderly; oral and pharyngeal cancers are particularly common among elderly individuals who smoke. Changes in other systems have direct or indirect effects on the digestive system. For example, the reduction in bone mass and calcium content in the skeleton is associated with erosion of the tooth sockets and eventual tooth loss.

The decline in olfactory and gustatory sensitivity with age can lead to dietary changes that affect the entire body.


Ama (Mandagni) Nadi

Ajeerna, Ama Dosha, invasion of Fever, Appetite, Vitiated Vata, Pitta and Kapha are known by the Hasta Nadi - Basava Rajeeyam

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Normal patterns of Management Normal patterns of Management Nidana Nidana ParivarjanaParivarjanaPachana Pachana DeepanaDeepanasnehanasnehanaswedanaswedanaShodhanaShodhanaAre they sufficient to combat Are they sufficient to combat PittadharaPittadhara Kala Disease, which is Kala Disease, which is deep rooted, wide spread and deep rooted, wide spread and embedded with Ama?embedded with Ama?


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Pitta Pitta vsvs VataVata

The contextual thoughts of the The contextual thoughts of the interference of Vata and interference of Vata and MajjadharaMajjadhara kalakala makes panic to one makes panic to one –– who wish to treat who wish to treat Ama in Vata Vyadhi (Ama in Vata Vyadhi (PakshaghataPakshaghata))As already it is discussed about Ca+ As already it is discussed about Ca+ absorption from the Ileum absorption from the Ileum ((PittadharaPittadhara Kala)Kala) is the right answer is the right answer –– that the Ca+ that the Ca+ interference with the interference with the synapesynape at at NeuroNeuro-- muscular junctions makes to either vitiate muscular junctions makes to either vitiate or pacify the or pacify the vatavata (Expressional) (Expressional)


AnulomanaAnulomana (Minor purgation)(Minor purgation) is the is the treatment for the Vata and treatment for the Vata and Virechana Virechana (Major purgation)(Major purgation) for that of Pitta and for that of Pitta and based upon based upon AshrayasrayeeAshrayasrayee bhavabhava even to that of the even to that of the PittadharaPittadhara Kala Kala Thus it is evident that the Ama of Thus it is evident that the Ama of PittadharaPittadhara kalakala can be nullified can be nullified appropriately used appropriately used ““Virechana Virechana –– eliminationelimination”” along with along with DeepanaDeepana and and Pachana Pachana


The present discussion opens new The present discussion opens new thoughts as such thoughts as such ––No specific patterns of treatment is used to No specific patterns of treatment is used to eliminate the eliminate the ““PittadharaPittadhara kalakala”” associated associated diseases of either exclusively structural or diseases of either exclusively structural or of functionalof functionalApart from above problem Apart from above problem –– UthanaUthana and and LeenaLeena Ama Ama doshadosha is also seated is also seated Amashaya/Pakwashaya (Amashaya/Pakwashaya (PittadharaPittadhara Kala) Kala) and and DhatusDhatus respectivelyrespectively


As the problems of As the problems of GrahanaGrahana –– Pachana Pachana –– VivechanaVivechana –– MumunchanaMumunchana are individual; at a are individual; at a streachstreach management is not management is not adoptableadoptable

What to do then?What to do then?


DeepaneyaDeepaneya–– ChurnaChurna–– AristaArista–– GhrutaGhruta –– according to the according to the

situation has to be administeredsituation has to be administered

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AgnikarmaAgnikarma –– will it be a good will it be a good treatment? treatment?

It is told as when a disease of the It is told as when a disease of the PittadharaPittadhara Kala is not possible to be Kala is not possible to be treated with normal protocols treated with normal protocols –– adopt adopt ““AgnikarmaAgnikarma””AgnikarmaAgnikarma has to be performed at has to be performed at ““VeenastiVeenasti moolamoola -- TrikaTrika”” or 2 inches below or 2 inches below to the Umbilicusto the Umbilicus


Forgotten but best even Forgotten but best even not available for the divine not available for the divine --

The Buttermilk The Buttermilk –– TakramTakram is the best is the best for any of the for any of the PittadharaPittadhara kalakala janyajanya VikaraVikaraThis is not This is not LassiLassi –– A shaken CurdA shaken CurdButter milk is to be prepared with Butter milk is to be prepared with always with 1 part of curd to 4 parts of always with 1 part of curd to 4 parts of water churned well and filtered with a water churned well and filtered with a cloth and with cloth and with HinguHingu, , JeeraJeera, , SaindhavaSaindhava, , SarshapaSarshapa ((BhavaBhava PrakashaPrakasha) )


KayasyaKayasya AntaragniAntaragni chikitsachikitsa is Kayachikitsa is Kayachikitsa Agni and Pitta are similar according to Agni and Pitta are similar according to SusrutaSusrutaNo other Agni is available in the body No other Agni is available in the body other than that of Pittaother than that of PittaPittadharaPittadhara Kala associates with PittaKala associates with PittaPitta management is adoptable for Pitta management is adoptable for PittadharaPittadhara kalakala Diseases evenDiseases evenProper care of Proper care of PittadharaPittadhara Kala can prevent Kala can prevent the Dosha Vitiation and Disease the Dosha Vitiation and Disease manifestation manifestation


AmashayasthaAmashayastha GrahanaGrahana PittadharakalaPittadharakala –– in comparison with the intrinsic factor in comparison with the intrinsic factor is having the is having the RaktaRakta kalakala maryadamaryada (Blood)(Blood)PachyamanashayasthaPachyamanashayastha Pachana Pachana PittadharakalaPittadharakala has the relation with the has the relation with the Rasa Kala Rasa Kala MaryadaMaryadaPakwashayasthaPakwashayastha VivechanaVivechana PittadharakalaPittadharakala establishes the establishes the relationship with relationship with MajjaMajja kalakala maryadamaryada by by absorbing Ca+absorbing Ca+The The kalakala maryadamaryada is used to establish is used to establish the disease entity to treat appropriatelythe disease entity to treat appropriately


After hearing all one has to decide what After hearing all one has to decide what management protocol is to be adopted management protocol is to be adopted

for an individual disease entity of for an individual disease entity of PittadharaPittadhara Kala at the interference of Kala at the interference of Dosha and Ama in the continuity of Dosha and Ama in the continuity of Amashaya Amashaya –– AnnavahaAnnavaha srotassrotas and and

beginning of the Pakwashaya beginning of the Pakwashaya -- PureeshaPureesha VahaVaha srotassrotas ––

PureeshadharaPureeshadhara Kala Kala –– appropriately appropriately according to the situation and the according to the situation and the

symptomatologysymptomatology



HaralHaral’’ss Academy of Vedic Academy of Vedic Education, HyderabadEducation, Hyderabad

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