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Scientific understanding of jataharini and graha rogas


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Scientific understanding of jataharini and graha rogas

  1. 1. Scientific Understanding of Jataharini and Graha Rogas Dr. Shrinidhi K. Acharya M.D.(Ay), PhD National Institute of Ayurveda, Jaipur
  2. 2. Jataharini – Graha roga what exactly is this ?  What will be your answer ?  What you except from a BAMS student ?  What you except from a clinical practioner ?  How to understand it?
  3. 3. Why it looks like out dated topic?  Untouched topics  More mythological explanation  Difficult to understand the concept  Don't know the clinical utility of the subject  Scientific truth has been explained under religious bottle
  4. 4. Graha Roga – Graha Chikitsa are you confused?  Grahas explained in Astanga Ayurveda –i.e. Graha chikitsa as a separate Branch - and Grahas of Kauamarabrithya?  Definitions of Kaumarabrithya giving more importance for the Graha.  Charaka is silent about Bala Grahas, Shusrutha and Asthanga Sangraha explained, Astanga Sangraha also dedicated separate chapters for Graha in Uttara Tantra  Later books like Ravana krita Kumara tantra, Chakradatta , Gadanigraha , Bhaishajjya Ratnavali also mentioned Graha Rogas.
  5. 5. Does Graha Roga – Graha Badha are one and same ?  Less subjective – More objective symptoms in Graha Roga  Different morphological structure explained for Graha Roga  Definite causative factors for its affliction has been explained  No periodicity is mentioned  Definite Dosha vitiation and pathological changes  Onset and progression is very rapid . So difficult to diagnose and treatment
  6. 6. Then What is Graha-Badha?  In certain Graha- there may be personality change and behavior changes –  There will be sudden personality change in a normal person  Start behaving like Deva , Gandharva , Asura etc  Such explanations are also available in Astanga sangraha Uttara Tantra  Fever is must as a Porva Roopa – not seen in Graha Badha
  7. 7. What to do when cause is invisible ?  Every happening, disease, has got a cause.  Some time causes is visible – some time invisible  Contemporary science - Go for certain investigation when causes is not found.  If still not identified - Disease of unknown origin – Idiopathic.
  8. 8. How to name and identify the unknown causes in Ayurveda ?  Disease can’t exists without a cause-Ayurveda believe in Karya karana vada.  Analpam- Aprathyaksham, Invisible entity are enormous in this world.  Cause unknown - chronic presentation  ( Hereditary disease, etc) poorva Janma kritha papa, Daivika shakti , Atma karma etc  Cause unknown but acute presentation -  Bhoota , Preta , Pishacha , Graha , Jataharini martikaya , Rakshasha Asura , etc  Hence Graha Rogas are counted in acute/emergency / severe presentations with cause unknown .
  9. 9. What contemporary sciences say when cause is not visible ?  Cause not found by physical examination  Cause not found by even advanced investigation  Cause is so potent that it runs unnoticed  Idiopathic, Cause is not clearly known  Fever of unknown origin  Idiopathic epilepsy  Idiopathic Thrombocytopenia , Nephrotic syndrome etc
  10. 10. Hypothesis……… becomes theory ‘Graha, Bhuta, Preta, Rakshasa, Pishacha, Jataharini, Asura can be considered as different microorganism like Virus, Bacteria, Protozoa, spirochetes, etc which are widely spread in this universe ’
  11. 11. How to understand the Graha  Attack the body – hence living  Cause Himsa- Torturing  Bayanaka , Amanusha …Mortality rate is very high Moves out during -night hours  Cause the Pracchana Vyadhi  Cause severe disorders- Teevra  Frequently changes the size and shape  Invisible by the naked eye  Aptha vakya should be considered.  Shastra chakshu- Divya chakshu – Jyana chakshu- can visualize the Graha
  12. 12. Similarities between Graha and Micro organisms  Living – moving  Low temperature areas – humidity areas  Invisible but living – not seen by naked eye  Seen by a special aide  Change the shape and size as per situation  It cause – Himsa ( pain )- Antigenic property  Cause physical and psychological disturbance – Generalized involvement  Need empherical treatment –Aptha vakya
  13. 13. What is Buta- Preta-Pishacha…?  Buta – Pishacha  This is also type of Bhuta  Like to reside in Mamsa ( Pishita)  Preta – Punaruthpathi Hetu  Craving for Re-existence  Atma -when didn't find body it is called as Preta  Type of Bhuta  Rakshasa  From which one has to be protected.  Like to reside in Mamsa, rakta Vasa  Rakshoghna gana – Siddartaka , sala , Guggulu, vacha sarshapa etc  Amasusha in nature
  14. 14. Non zygotic nature of Graha etc  Story of skanda Purana  Skanda is main Graha – Baladhara  Asexual type of reproduction , spores etc  All microorganisms are Non zygotic products
  15. 15. So Graha is ……  Invisible , living entity – microscopic nature  Passes through different phases of life cycle  Antigenic to the body and cause pain and torture  Can be visualized by special aide like microscope  Leads to generalized disease with acute rapid severe presentation  Follows the incubation period  Fever is the first symptom in any infections.  Himsa – Rati- Archana  So Graha Roga = Micro organisms
  16. 16. So…Grahas can be ….  Terrible or Bhayanaka  Desperately need a host for its existence  Moving towards the host is its natural tendency  Movement towards those area with less resistance
  17. 17. Similarities between Graha and Micro organisms Nature Graha Rogas Micro organisms Living Living (as they move and attack) Living Prone time of movement Night hours Dark areas/low temperature areas humidity Method of invasion Hold/seize the body, attack and cause Pracchana Vyadhi Entry will be identified only after the first symptom Incubation period Can’t be idendetified like entry of Atma inside the body,image inside a mirror Follows the incubation period Size and shape Change size and shape frequently as per demand Pass through different stages of life cycle like larva,egg, spores etc.
  18. 18. Nature Graha Rogas Micro organisms Generalized/localised Cause generalized affliction of body requiring both Yukti and Daiva vypashraya chikitsa Cause generalized involvement (both body and mind) Presence of fever Cause fever as a purva rupa Usually causes fever as the first symptom Visibility Invisible and visible only through certain visual aids or special vision power Invisible by naked eye - visible by a microscope Entry inside the body Enters the human body who follows Adharma Enters the human body in search of definite and indefinite host in an immuno-deficient person Diagnosis Difficult due to rapid onset, progression and severity Diagnosis of an individual organism is impossible without culture study
  19. 19. Nature Graha Rogas Micro organisms Treatment Apta vakya should be followed suggesting need of an expert’s opinion Previous experiences, prevalence rate of infection in a given area and empirical treatment will be followed Intention of entry Himsa (tissue injury), Rati(sexual thrust to complete life cycle), Archana(nourishment) In search of host, to get nourishment and to complete reproductive cycle are the three main intention Out come of invasion Does Raksha (protection) of the body Infection leave back certain immunity
  20. 20. Why Micro organism attack the body?  Hygienic issue- personal, community  Low socio- economical status  Improper food habits, life style  Adulteration of food  Contamination of Air, water and milk  Epidemic and Endemic – break down  Environmental Hazards - sudden changes in Climate  Early rain – late summer season, late rainy – early winter season
  21. 21. Why Micro organism attack the body?  Drought , flood , war , excess destruction  Improper dispose of waste, dead body etc.  Contionus work – Sahasa Karma  Contact of contaminated person  Travelling from one area to other  Neglecting the time to time health tips by concerned authority.  Over coming the experts advice  Any conditions which weakens our Immune system
  22. 22. Why Grahas – Jataharini etc attack the body?  Adharma – Wrong way of living  (Skanda’s Order- Go and attack those who follows the Adharma)  Adharma is that acts – which disturbs the Physical, psychological , spiritual , social health will be afflicted.  Not following Swasta vritha, Sad vritha , Dinacharya, Ritu charya, Achara Rasayana, personal hygiene, Dashavida papa.  Adharma create loop holes in the body and make body more vulnerable to Graha Rogas.  This create the loop hole in the Immune system of the body
  23. 23. Why Grahas – Jataharini etc attack the body?  Praluptha Dharma – Deviation from Dharma  Kama- Krodha – Lobha , Mada etc  Bhinna Vrutha –Change in the conduct  Bhinna Achara - Change in life style  Ashoucha , Maliyasa – Unclean , unhygienic
  24. 24. Why Grahas – Jataharini etc attack the body?  Treatment of infectious disorders need support by many ways, experts opinion, investigation reports etc.  Consultation by Bhramanis, Gurus, Sages who were the source of knowledge in those days.  Lack of consultation may leads to wrong management and diagnosis- which is quoted as Guru shapa, Deva shapa.  They are respected with religious outlook so there may be certain Psychological effects also. Role of Consultation
  25. 25. Why Grahas – Jataharini etc. attack the body?  In the context of Bhuta it is told that-  Sadhya Prajnaparadha  Poorva Kritha Prajayaparada  Poorva Krita Karmasya Parinama Kala  Papa Karma
  26. 26. Cont…  Role of Manas – faith  Movement in Lonely and inauspicious places  Fearful condition -  Taking food in broken vessels  Sharing the garlands , vessels, dress , food etc  Anger, frighten , cruel minded  Mithya Ahara Vihara  Neglecting the hygiene – social, personal. Community
  27. 27. Entry of micro-organism in to the Human body  From different route it can enter  Individual organism has got its own preference  Enter in search of a definite and indefinite host  To complete the life cycle  To get nourish , comfort , to increase colonies  Like to take the ready made food  Able to enter – if it is able to over come body immune system which creates solid barrier  Only immune compromised states, extreme degree of unhygienic , malnutrition , abnormal life style which disturbs the biological rhythm leads to its entry.
  28. 28. Entry of the Grahas  Himsa  Torture or giving the pain is the only intention  Bayanaka – Amanusha – virulent  Antigenic nature  Viral infection is best example  Deha dhatu Pratyaneeka bhutani ….  Antigen – antibody reaction  Allergy – hypersensitive reaction, sneezing etc  Severity of Himsa depends on strength of body immune system.
  29. 29. Rati  Body manipulation – desired body movements  Searching for host  Completion of life cycle – asexual life cycle  Example of malaria  Worm infestation
  30. 30. Archana  In the context of Bhuta –  ‘Sarvepi cha prayena Ahara Kama..mamsa asruk vasashina ’  Nourished, pleased, worshipped  few enters only with intention of getting nourishment and for causing the disease or Himsa.  Tubercular bacteria
  31. 31. Entry of Bhuta ---  Likely to afflict those with Jwara  Those suffering from Vruna ( ulcer . Wounded)  Even in the treatment – care should be taken just like Vranita  Those with smell of pus , Mamsa, Rakta Sneha Ganda
  32. 32. Most vulnerable area / timing of Graha’s entry  Ekantha vasa- Shoonya Graha vasa  Meeting of Four roads  Copulation during the Dust and dawn  During days fort night , full moon days  Copulation during menstrual cycle  Wrong procedure of Reading, teaching etc  Time of great war/ destruction of property , city / community /  Near the tree, temple , crematorium
  33. 33. Most vulnerable area / timing of Graha’s entry  Streeyam prajanana Kale – during the time of delivery  Over coming the rules of Brahmacharya  ( Niyame Bhramacharye vritha bhange )  During the time of Vomiting , purgation etc  While touching the inauspicious things  Entering the temple with out taking bath  Eating without bathing  Intake of meat honey jaggery Tila , Madya( wine etc which is left by others  Wondering at night hours at street and Burial ground
  34. 34. Incubation period  This is the unique nature of micro organism  Every organism has got its own incubation period  Period after entering inside the body to production of the first symptom  Patient has no clue about the disease till production of symptom  Never visualized a micro organism entering inside the body
  35. 35. Incubation period of Graha  Grahas will also fulfill the nature of Incubation period.  They cause Pracchanna Vyadhi – Hidden disorder  Just like entry of Atma – inside the body  Just like entry of Light inside the mirror to produce the image  Just like Talia entering inside the Beeja
  36. 36. World of Micro organisms  Infinite number –  Prathyaksham Alpam, Aprathyaksham – analpam  They are invisible- but inseparable  Maintains the Echo- system of the world  First living organisms which evolved in the earth.  You cant imagine our existence without micro organism  They never intended to attack- but it is the host tendency  Bubuksita Kim Na Karothi Papam  It is just a host tendency
  37. 37. World of Bhuta and Graha ….  Parivaro ethi anantho Bhuta loke – The family of the Bhuta etc is infinite  There are 18- Bhutadipathi-  (Sura, Asura , Gandharva , Uraga, Yaksha, Bhrahma rakshasa , Rakshasa Pishacha, Preta, Kushmandaka, Akshodha, Manu kirana , Vetala pitara , Rishi , Vrudha sidda etc )  Each is further divided in to cores of subtypes  Why this name has been given ?  Surasuradhi Samvasa, Samsarga, Sheelachara, Karma  They live in the same body  live within same Dhatus  Follows conduct and nourishes  Do the same karma  By nature they want to attack the body – due to host dependency , and use the host body for all its activity
  38. 38. World of Bhuta and Graha –portal of entry  Their virulence varies a lot  Portal of entry is different  Sura – Asura – First produce disease of mind –just by looking  ( avalokayanthe )  ( Psychological disturbance followed by physical disturbance)  Gandharva- By touch( Sparsha )- (skin, mucus membrane )  Uraga –(Samvishathe ) – enter inside the body ( Respiratory, GIT etc)  Yaksha- Out bursting a specific odor  Rakshasa- Pishacha –Vahayantho Adhi ruda –By riding on the person  Pirtu-By observation
  39. 39. Origin of Graha –Its Physiological  Graha s are produced for protective purpose.  They protect the Universe and the people of the world  Microorganism and the ecosystem of the universe  Role of micro organism in degradation , photosynthesis, fermentation , nitrogen balance , etc  They are also present in the Intestinal bacterial flora  Infection leaves back immunity  They continuously search a host for survival and attack the human body which was made vulnerable for its entry  Due to the effect of Adharma which suppress the body immune system.
  40. 40. Why Graha turns pathological?  Role of Adharma  Human Errors  All the endogenous disorder are due to human error- HTN, Auto immune Disorders , DM, Obesity etc  Similarly- Grahas are exogenous disorders due to human errors  ( It is not the error of micro organism)  Adharma followed by baby, Mother, Dhatri, and the care taker  Overcoming the rules and regulation of Swasta Vritha, Sadavritha, Dinacharya etc  Not maintaining the Hygiene of self, surroundings , social , psychological  Improper food style , vihara etc  Heena, Mitya, Ati Yogas
  41. 41. Micro organism / Graha s and fever Fever is the first symptoms in infections  Continuous, unconsolelable cry  Fever  Indicative of infection  In Graha Rogas - The first symptom is Fever
  42. 42. Breast milk Vitiation and Microorganism  Grahas may even cause Breat milk Vitiation  Shri Krishna – Putani  Relation ship between Jatha harini- Graha ( They are of same Category).  Shakuni- Katu thikta  Skanda Putana -  There will be change in qualitative and quantitative and palatability.  Organism can pass through the Breast milk or at least due to close contact during feeding if mother is suffering.
  43. 43. Morphology of Grahas  Mahabharata, Shusrutha- Explains the Morphology  Virulent organism  Red color- Blood related  Aquatic Bacteria  Acid Resistant  Anaerobic- Aerobic  Fungi  They live near to their vectors, Habitat,
  44. 44. Mythological explanation  Story of Revathi, Putana Niaigameha , Mukha madika – Indicate some struggle war which may indicate the same struggle between body immune system and Pathogen.  People of those days believe in religious things rather than scientific things now days it is vise versa.  Ayurveda cleverly introduced the health principles in life style by producing the scientific health principle in Religious bottle.
  45. 45. Symptoms  Symptoms of central nervous system  Respiratory system  Dermatological system  Gastro Intestinal system  Urinary system  Genital System  Psychological  This implies that Grarhs causes the multi system disorders which is commonly seen in infectious disorders.
  46. 46. Different smells in Graha Roga- and metabolic consideration  Out bursting of different smells in all Graha  From body surface, urine, fecal materials  Common in metabolic problems ( inborn/acquired)  Collection of the intermediate metabolic waste ( dm, phenyl ketonuria, maple syrup syndrome etc)  Extreme unhygienic condition also leads to bad smell  Collection of the Aporcine secretions gives bad smell and also gives shelter to infections.  Even in fever we experience a atypical subjective smell
  47. 47. What is Jataharini ….?  Jataharini is the word which is only mentioned in Kashyapa Samhita but  Jataharini is nothing but Transformation of the Revati  All other authors mentioned Revati as Graha while Kashyapa explained under Graha and Jataharini .  Revati is considered as Sarva lokha Bhyanakari.  Story of entry of Revati …
  48. 48. Causes which make the female Prone to Jatha harini  Abnormal , illegal sexual relationship of the female with husband and also other than husband  Sexual hygiene between husband and wife  Contact with husband who has illegal sexual relationship  Not following the rules of Naisthika and Vaivahika Brahmacharya  Not following Rajaswala, Ritumati , paricharya
  49. 49. Symptoms of lady seized with Revati  Loss of mental stability  Improper nourishment  Loss of interest , Looks very ugly  Development of many disorders  Do every work in a opposite way  Consume opposite and Non congenial food  Do every work in abnormal and improper way  Do not get success in money and property is lost  Attain widowwood ness  Kulakshaya -
  50. 50. Symptoms in a child seized with Revati Jataharini  Child cries with loud voice with fear  Breast milk is vitiated- leads to Stanya dusta janya Rogas  Jwara – Tandra – Praleemaka – Fever with decreasing consciouness  Shiroabhitapa  Viavarnya , pandu peetata  Trishna , Atisara , swarakshaya, talu shosha  Frequent awakening- crying  Shwasa- kasa – Kshavathu  Sudden Hypothermia- Sheeti bhavati kshanth  Nichestho Mrita kalpascha…
  51. 51. Treatment of Graha Rogas Micro organism Graha Roga Identification of the case Identify the Graha Rogi by symptoms Isolation of the case Restriction for entry – to prevent the spreading Isolation of the case – keep in separate room – Don’t allow anybody inside except one care taker , who is strictly aseptic measures, Prevention of cross infection Strict aseptic measures Room is cleaned twice, spread few Ushna drugs , Basma etc Symptomatic treatment Snana, Ghrita paryoga , Parisheka Lepas , Avagaha , Oushadha dharana , Dhoopana , Dhooma pana , Agni dannda Homa Target treatment Assurance / mental support Counseling Daiva Vyapashraya Chikitsa , Swasti vachana , Mantra Prayoga Identify the pathogen by culture study Prevent complications Prevent the spreading in the society Bali karma , Dhoopana , Dhooma pana , Homa
  52. 52. Rules for the Attendees No body is allowed except -- one attender He may spred the infection to others in the society Should not be involved in unethical, ill legal activities No consumption of alcohol , wine meat and other Ahitakara Ahara Not involved in Sexual activities Should take bath daily followed by Lepa
  53. 53. Isolation of the Child  First priority in any infection – Epidemic, contagious infections  Same is mentioned in Ayurveda Kept in separate room Room has been cleaned twice daily Burning the fire in the room with sprinkling of water Ash prepared by different flowers, fruits seeds and leaves of Yava, Tila, Sarshapa are spreaded which are anti infective Lit the mustard oil lamp – keep illuminated and prevents the dryness Lepa to the body – To prevent the cross infection
  54. 54. Role of Daiva vyapashrya Chikitsa Generalized involvement of Graha Roga Counseling Global approach- correction of disturbed mind Psycho somatic nature of the disease Concept of faith therapy Control the stress Jwara leads to Mana Santapa Faith is quality of patient – need to enhance it
  55. 55. Oushadhi Dharana Method Buddhist method basically Pottali is tied around the neck or wrist or any body surface. Method of keeping the self and surrounding aseptic Drugs are powdered – Mardana – Bhavana is done and prepared in to Pottali Drugs used are strong aromatic smell and disincentive quality Drugs have anti infective, disinfective, antiseptic, bactericidal, bacteriostatic Out bursting of strong smell keeps away the infections. Aparajitha is the main drug Vacha, Pippali, Sarshapa, Sahadevi -Nagadanti etc
  56. 56. Mantra Chikitsa Wrongly understood that mere chanting Mantra chikitsa is form of counseling the patient Keep the mind in positive attitude and remove the negativity And removing the confusions in the mind Mananath iti Mantra –Those facts which needs to be understood, accepted and implemented in routine health practice Bringing he positive thinking Hidden secret pockets which guide us Music therapy – Electro magnetic waves
  57. 57. Bali Chikitsa Bali chikitsa – Both psychological and preventive Host – habitat tendency , positive chemo taxis Concept of culture media Again wrong thinking among the patients Place of the Bali is specific – Area of maximum infection Concept of vegetarian Bali material Method of mass disinfection– community disinfection How Bali material is prepared , Nonvegitarian- Blood, meat flesh , urine , fecal materials etc - Different organism grows in different host – similarly different Graha got different bali materials. Helps to control virulent spreading of infection Organism use Bali material as artificial non resisting host Before any function , opening of home etc also we give Bali
  58. 58. Dhoopana Prevention of infection Fumes inhaled- absorbed through highly vascular mucosa of respiratory tract. Inhalational therapy Compared to Nebulisation - Not skilled procedure , passive process , non invasive Performed inside the room – Individual We need it make this procedure little attractive and modification to prevent the irritation . Chemical contents burned in ghee media – Oxide form Drugs –used puti karanja, Bhallataka , Ajamoda , Kustha and leaves of sarshapa Nimba, Ashwakura , vacha
  59. 59. Dhoopana – Dhooma pana – Homa Extended form of Dhoopana Burning of the drugs in liquid or ghee media Dhooma pana is – Highly individualistic Liberation of oxide form of the drug Dhoopana – Individual and to sterilize the room , bed , linens, and other belongings of the patient Thy also clean the environment Homa and Havana – For whole house/ street / city Fogging etc
  60. 60. Bath to child  .Drugs with Aromatic nature They keep the skin surface clean and keep away the infection Drugs which are Katu, Tikta Kashaya nature This keeps away the vectors, Insects To maintain Ph of the skin Bad smell from the body can be also prevented
  61. 61. Lepas and Parisheka For different Grahas different Lepa Parisheka is explained. Aromatic They are bactericidal, bacteriostaic Anti infective, antiseptic, disinfectant. Decrease the cross infections and smell and maintain the Acidic PH.
  62. 62. Ghrita preparations  They are lipid soluble preparation  Shubhakara , Tridosha nashaka , Graha dosha hara  Kumbha Ghrita, Maha kumbha Ghrita, Purana Ghrita , Prapurana Ghrita