HRIDROGA DEFINATION, NIDANA, TYPES, LAKSANA, TREATMENT

1. HRIDROGA
CHIKITSA
Dr. K.MALATHI
2ND YEAR PG SCHOLAR
DEPT OF KAYACHIKITSA
DR.N.R.S. GOVT AYURVEDIC COLLEGE
VIJAYAWADA

2. CONTENTS
 INTRODUCTION
DEFINITION
NIDANA AND SAMPRAPTI
TYPES OF HRIDROGA
TREATMENT
MODERN CORRELATION
INVESTIGATIONS
ECG
TREATMENT ACCORDING TO MODERN

3. INTRODUCTION
• The word Hridaya in Ayurveda means heart.
According to Ayurveda, it is a site of Mana(mind),
Chetana(consciousness) and origin of Rasavaha and
Pranavaha Srotasa (body channels)
• Acharya Sushruta has described another specific
Hridroga named Hritshool which can be correlates with
Angina or Ischemic Heart Disease (CAD) as per
modern sciences.
• According to Ayurvedic texts Hridaya is described as a
Marma and its measurement is Musthi Pramana Also,
it is a site of Vyana Vayu, Sadhaka Pitta, Avlambaka
Kapha, Oja and Rasa Dhatu.

4. HRUDAYA –
HRU - means Harathi [ to receive from ]
DA – means Dadati [ To give ]
YA – means yagati [ to control ]
 Hridroga is a disease of marma
(vitalorgan) which is the seat of
many vital activities.
 Definition of the heart disease,
etiology, pathogenes is and
management has been described in
Charak samhitha sutra, chikitsa

5. HRIDROGA
हृद्रोगमिमि वा शोकयञ रोगेषु इि रोगेपरे हृदयस्य
हृदयस्य हृद्भावा: अथवा हृदरोगो हृद्रोग (िा. न. 29/2)
NIDANA
व्यायाि िीक्ष्णा अमिमवरेका बस्तिम िंिा भय त्रासा गदाथी ारा :
छमदि आिा सिंधारण कषिनामन हृद्रोगा किृण िथा अमभघाि:
Cha.Chi.26/77

6. VATAJA
HRIDROGA
PITTAJA
HRIDROGA
KAPHAJA
HRIDROGA
KRIMIJA
HRIDROGA
VIHARAJA,
MANASIKA
ANYA NIDANA
• ATISOKA
• UPAVASA
• ATI RUKSHA
SUSKA ALPA
BHOJANA
• ATISRAMA
• ATI
LANGHANA
• ATI USHNA
AMLA
LAVANA
KSHARA
KATU
• AJIRNA
BHOJANA
• ATI
PRADESHA
• ATI GURU
SNIGDHA
BHOJANA
• ACHINTANA
• ACHESTANA
M
• ATINIDRA
• TILA GUDA
KSHEERA ATI
SEVANA
• GRANTHI
OVER
MARMA
PRADESA
• ATI
MADHURA
• DIVASAYANA
,
AVYAYAMA,
ALASYA
• KRODA
• PARIVARIKA
ITIVRITHA,
MADYAVAST
HA
NIDANA

7. SAMANYA SAMPRAPTI
दू शमयत्वा रसिं दोषा मव गुणा ह्रदय ििा
क
ु विस्ति ह्रदये बाधााँ ििं ह्रदरोगािि प्र ाक्षिे (su.ut.43/4)
Sarvaprakopaka nidana sevana
Ahara vihara vyatikrama
Agnimandhya
Sama rasa dhatu utpathi
Srotorodha, dhamani pratichaya
Uroruja
Hridroga

8. KRIMIJA HRIDROGA SAMPRAPTI
Tridosaja hridrogi
Excessive intake of krimija nidana ahara sevana
Granthi formation (thrombosis?)
Kledotpathi in rasavaha srotas
Vulnerable to worm infestation Krimi utpathi
Hriday Bhakshan
Krimija Hridroga

9.  PURVARUPA – Avyakta laksana
 BHEDA – Panchaiva hridayamayah
CHARAKA, VAGBHATA – vata, pitta, kapha,
sannipathaja and krimija
SUSRUTA – vata, pitta, kapha and krimija
 SAMANYA LAKSANA –
• Vaivarnya
• Murcha
• Jwara
• Kasa
• Swasa
• Asyavairasya
• Trsna
• Pramoha
• Chardi
• Kaphotklesa
• Aruci
• Vividhastatha

10. TYPES OF HRIDROGA - LAXNAS
VATAJA
HRIDROGA
PITTAJA
HRIDROGA
KAPHAJA
HRIDROGA
SANNIPATHAJA
HRIDROGA
KRIMIJA
HRIDROGA
• VEPATHU -
FIBRILLATION
• VESTANAM –
CARDIAC
CRAMPS
• STHAMBA –
PAUSES IN
CARDIAC
BEATS
• PRAMOHA –
STUPOR
• SHUNYATA –
EMPTINESS IN
CARDIAC
REGION
• DARAH-
MURMUR
• HRITDAHA –
BURNING
SENSATION
AT HEART
REGION
• TIKTATA
VAKTRE –
BITTER TASTE
IN MOUTH
• AMLODGARA
-SOUR
ERUCTATION
• KLAMA –
EXHAUSTION
• TRISHNA,
MURCHA,
BRAMA,SWED
• SUPTHAM –
NUMBNESS
• STHIMITHA
BHARIKAM-
STIFFNESS
AND
HEAVYNESS
• TANDRA-
DROWSINESS
• ARUCHI-
ANOREXIA
ALL THE
TRIDOSA
DOMINANT
TYPES OF
HRIDROGA
• SEVERE PAIN,
• KANDU
• SHASTRAIRJA
TA
• MAHARUJAM

11. TREATMENT
PAIN
(KAPHA)
Immediate after food Devadaru kusta, tilvaka
saindava and
souvarchala lavana with
warm water
PAIN (PITHA) During the digestion Purgation with draksha,
kasmarya
PAIN (VATHA) After the digestrion Purgation with oil, ghee
etc.,
PAIN (TRIDOSHA) All the three periods Theekshna virechana
VATHAJA – Snehana (Bahya and Abhyantara), Vamana,
Basti(su.ut)
PITTAJA - Sitala pradeha, pariseka, Mriduvirechana,
KAPHAJA – Vamana, Langhana, Rasayana prayoga,
Basti
SANNIPATAJA – Langana, Purification based on
predominant dosa
KRIMIJA – Snehana, Virechana, Nasya

12. Vataja Hridroga: Can correlate Vataja Hruday Roga
with angina. Due to Laghu and Ruksha Guna Vata
aggravates and cause hardness and calcification of
arterial wall.
Pittaja Hridroga: Can correlates with Pericarditis and
Inflammatory disease of heart
Kaphaja Hridroga: Can be correlate with Myocardial
Infarction because of heaviness feels in MI.
Sannipataj Hridroga: Due to Vata, Pitta, Kapha, all
symptoms are present in Sannipataj Hridroga. It can

13. ACCORDING TO MODERN SCIENCE
• According to modern science heart is a
hollow muscular organ that pumps and
circulate blood throughout the body . Heart is
located near the anterior chest wall, posterior
to the sternum and surrounded by the cavity
called as pericardial cavity.
•
• Main two factors are responsible first one is
obstruction in the lumen of coronary Arteries
due to hypercholesterolemia (Sama Dosha) and
second one is spasm (Vikrut Gati Of Vata dosha
Sankoch due to increased Vata Dosha) of

14. All conditions may cause following
consequences
A. Asymptomatic state
B. Angina Pectoris
C. Acute Myocardial Infraction (MI
D. Chronic Ischemic Heart Disease
/Myocardial Fibrosis
E. Sudden Cardiac death.

15. Cardiovascular diseases (CVDs) are a group of disorders of the heart
and blood vessels. They include:
▪ Coronary heart disease – a disease of the blood vessels supplying
the heart muscle;
▪ Cerebrovascular disease – a disease of the blood vessels supplying
the brain;
▪ Peripheral arterial disease – a disease of blood vessels supplying
the arms and legs;
▪ Rheumatic heart disease – damage to the heart muscle and heart
valves from rheumatic fever, caused by streptococcal bacteria;
▪ Congenital heart disease – birth defects that affect the normal
development and functioning of the heart caused by
malformations of the heart structure from birth; and
▪ Deep vein thrombosis and pulmonary embolism – blood clots in the
leg veins, which can dislodge and move to the heart and lungs.

16. EXAMINATION –
INSPECTION
PALPATION
PERCUSSION
AUSCULTATION
MAJOR SYMPTOMS:
• Chest pain
• Shortness of breath
• Heaviness
• Tightness of the chest
• Radiating towards ….

17. DIAGNOSIS-
 CHEST X-RAY
 ELECTROCARDIOGRAPHY
 ECHOCARDIOGRAPHY
 STRESS ECHOCARDIOGRAPHY
 DOPPLER ECHO
 CT
MRI
CARDIAC ANGIOGRAPGY
PULMONARY ANGIOGRAPHY
 CARDIAC ENZYMES- CK-MB,
TROPONIN T AND I

18. FORMULATIONS
• Drakshyadi grita
• Baladya grita
• Vallabha gritam
• Arjuna grita
• Swadamstra grita
• Punarnavadya tailam
• Piskaramuladi kvata
• Dasamula kvatha
• Pippaluyadi churna
• Draksadi churna
• Hingvadi curna
• Prabakara vati
• Hridayarnava ras
• Trinetra ras