Sootikopachara

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Sootikopachara

  1. 1. Sootikopachara By Dr. Mamatha K.V. Professor Dept of Prasooti Tantra SDM College of Ayurveda, Udupi
  2. 2.  Health of a sootika if lost it can never be corrected – a  folklore saying. Indian tradition inherits the wealth of this through their  ancestors – needs no special training. Sootikopachara a rejuvenation ‐ shodhana followed by  brihmana.Care of soothika compared to walking with taila poorna patra on head
  3. 3. Problems  are multiple Garbha vriddi, prasava vedana, kleda and rakta nisruti Agnimaandya Vaata Prakopa Dhatu Shaithilya Dhatukshaya Shunya Sharira
  4. 4. Soothikopachara to make it punarnavaby achieving Agnisandhukshan. Vata shamana. Garbhaashaya shodhana. Yoni SamrakshanKumarabharana with good breast care, stanya pravartan and stanya pushti. 
  5. 5. Comparison of brihatrayis view Charaka Sushruta VagbhataUshnajala parisechana Balataila abhyanga and  AbhyangaSneha pana with any of  vatahara kashaya Snehapana with yavanithe chatusneha upachara upakunchika panchakolaUdara vestana Panchakola choorna with  drugsSneha yukta yavagu gudodaka for 2‐3 days Udara vestana after Ushnajala parisechana Sneha yavagu or ksheera yamaka snehabhyanga yavagu of vidari Yavagu pana gandhadi gana drugs. Apyayana with Jangala Yava kola kulatta sidda mamsa rasa jangala mamsa rasa with  shalyodana
  6. 6. Contributions of Kashyapa  Individualized the paricharya based on the desha, kula,  satmya and  sex of the child.  Samanya and vishesha paricharya. Samanya paricharya:  Rakshoghna karma –nyubja shayana –udara patta bandhana – asandika – priyangu krashara abhyanga /swedanam‐ ushnaambu snana – dhupana – sasneha manda yavagu paana
  7. 7. Vishesha paricharya – deshanusara  In anupa desha – sneha should not be used in the  beginning  Agni vardhaka & bala vardhaka mandadi prayoga,  Swedana, Nivaata shayana, Ushna dravya sevana.  In jangala desha – sneha pana with pippalyadi kashaya anupana for the strong woman and snaha yavagu or snigdanna prayoga for weak.  Sadharana desha – sadharana kriya
  8. 8. Vishesha paricharya In kumari prasava – snehanarta taila prayoga In case of kumara prasava – ghrita prayoga. Mleccha – kanda moola phala, mamsa rasa acc  to their saatmya. Given the freedom to change the diet and  oushadas as per the kula saatmyata
  9. 9.  Bhava prakasha ‐ Hita aahara vihara, vyayama,  vyavaya,krodha,sheeta sevana varjana, daily massage  & swedana for one month. Yoga ratnakara has added that immediately after  delivery ,vaginal canal should be compressed to  avoid entry of air.
  10. 10. Harita opines Kashaya pana ‐lodhra, arjuna,kadamba, bijaka, devadaru,, &  karkandu for rakta & yoni shodana. Yoni purana with oil. Abhyanga and swedana. fasting on first day,  2nd day morning  nagara, haritaki + jaggery,  afternoon kulattha yusha pana. 3rd day panchakola yavagu 4th day chaturjata mishrita yavagu From 5th day shali anna sevana till 10thor 15th day. 
  11. 11. Physiological considerations of soothika  Pulse  Temperature  Weight loss  Diuresis  Care of the bowel  Involution of uterus  Lochial discharges  Personal hygiene  Perineal care  Breast care  Menstruation and ovulation
  12. 12. Practical problems encountered in wards Early  Exhaustion Giddiness, black outs  Vomiting Bleeding Hematoma Retention of urine After pains Pain in wound Feeding difficulties
  13. 13. IntermediateAfter painsConstipationPain in episiotomy woundInadequate lactationCracked nipples, breast engorgementInfections leading to sepsis ‐ UTI, genital tractThrombophlebitis in the i.v lineEpisiotomy wound gaping
  14. 14. Late Secondary pphPuerperal sepsisFistulasVenous thrombophlebitis / embolismWound problems of the LSCS woundBreast abscess
  15. 15. Special cases in puerperiumPost abortal managementCounseling – loss of fetus/ childCare after multiple pregnancyCare in case of placenta previaCare in retained /adherent placentaCare after LSCS or forceps deliveries
  16. 16. Recipes of sutika used in costal belt of ‐KarnatakaAhara / oushada –Anna with rasam or pickles or chutneyKrishna jeeraka kashaya pana – 3 daysShunti choorna with guda and ghee – for 3‐5 daysPreparations of ajamoda ‐3 daysLashuna paka next 5 daysBrihmana payasam of different spices /chicken soupsPaka of dry fruits with coconut scrapings with lot of ghee.Abhyanga Snana –with kashaya of vasa/ pancha valkala.Udara bandhana ‐Dhoopana – gandha dravyas
  17. 17. Thank you

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