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Kamala final

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Kamala final

  1. 1. Stages of Kamala • Dr. Amrit Godbole • B.A.M.S. (State Ayurvedic College, Lucknow) • M.D. (Kayachikitsa) IMS,BHU • C.C.Y.P(BHU)
  2. 2. KAMALA KOSHTHA- SHAKHAASHRITA SHAKHA- ASHRITA KUMBHAKAMALA LAGHARAKA /ALSAKHYA HALIMAKA
  3. 3. KUMBHAKAMLA  As per Acharya Carak कारान्तयात ् खयीबूता कृ च्छ्रा स्मात ् कु म्बकाभरा| When koshthaashrita kamala becomes chronic in nature and causes dryness in body which is difficult to treat,then only it is called as Kumbha kamala  As Per Acharya Sushruta- बेदस्तु तस्मा् खरु कु म्बसाह्व् शोपो भहाांस्तत्र च ऩववबेद् Kamala when accompanied with odema and joints pain, then it is termed as Kumbha kamala.
  4. 4. कारान्तयात ् खयीबूता कृ च्छ्रा स्मात ् कु म्बकाभरा कृ ष्णऩीतशकृ न्भूत्रो [१] बृशां शूनश्च भानव्||३७|| सयक्ताक्षऺभुखच्छ्छर्दवववण्भूत्रो मश्च ताम्मतत| दाहारुचचतृषानाहतन्राभोहसभन्न्वत्||३८|| नष्टान्ननसञ्ज्ऻ् क्षऺप्रां र्ह काभरावान ् ववऩद्मते Ca.chi.16/38 The description of kumbha kamala denotes the advanced stage of Kostha-shakhasrita kamala. Kumbha is one of the synonyms of koshtha. The sysmptoms of kumbhakamala are the result of end stage liver disease.
  5. 5. • The coagulation profile gets affected leading to increased prothrombin time causing bleeding disorders. (सयक्ताक्षऺभुखच्छ्छर्दवववण्भूत्रो) • The derangement of liver structure(fibrosis/ nodulation/ cirrhosis) in chronic state leads to obstructive of intra hepatic biliary channels causing obstructive jaundice leading to conjugated bilirubin which does not enter intestine becomes urobilinogen giving urine dark color. representing as dark colored urine. (कृ ष्ण ऩीत भूत्र ) • As liver disorders progress, coagulatory defects begin leading to upper G.I. track bleed causing black stools/malena. (कृ ष्ण शकृ ता)
  6. 6. • Loss of blood in stools, urine and in the form of hemetemesis causes circulatory shock leading to syncope at the same time various electrolyte or metabolic disturbance gets established. (ताम्मतत) • The production of majority of proteins as albumin, few globulins, cerulo-plasmin etc., is hampered leading to edema in the various body parts. (बृशां शूनश्च भानव्) • The stage of altered consciousness in later stages because of hepatic encephalopathy.(तन्राभोहसभन्न्वत्) • Later stage of HE leads to hepatic coma and reduced levels of metabolism. (नष्टान्ननसञ्ज्ऻ्)
  7. 7. मो ह्माभमान्ते सहसाऽन्नभम्रभद्मादऩथ्मातन च तस्म वऩत्तभ् ||१ ०|| कयोतत ऩाण्डुां वदनां ववशेषात ् ऩूवेरयतौ [१] तन्न्रफरऺम च |११| बेदस्तु तस्मा् खरु कु म्बसाह्व् शोपो भहाांस्तत्र च ऩववबेद् (Su.uttar.44/9-12)
  8. 8. ज्वयाङ्गभदवभ्रभसादतन्राऺमान्न्वतो राघय(व)कोऽरसाख्म् (Su.uttar.44/13) Kumbhakamala when gets accompanied with fever, aching pain in the limbs,vertigo,drowsiness and emaciation comes to be known as LAGHARAKA/ALSAKHYA
  9. 9. Haleemaka • मदा तु ऩाण्डोववणव् स्माद्धरयतश्मावऩीतक्||१३२|| • फरोत्साहऺमस्तन्रा भन्रान्ननत्वां भृदुज्वय्| स्त्रीष्वहषोऽङ्गभदवश्च श्वासस्तृष्णाऽरुचचभ्रवभ्||१३३|| • हरीभकां तदा तस्म ववद्मादतनरवऩत्तत्|१३४| • तां वातवऩत्ताद्धरयऩीतनीरां [२] हरीभकां नाभ वदन्न्त तज्ऻा् ||१२ || (Su.uttar.44/14) It is a clinical condition resembling to chronic cholestasis. When symptoms of lagharak are marked by excessive preponderance of derranged vata and pitta then is called as Haleemaka.
  10. 10. ऩानकीतत तन्त्रान्तयीमा् ऩठन्न्त| तद्मथा- “सन्ताऩो भबन्नवचवस्त्वां फर्हयन्तश्च ऩीतता| ऩाण्डुता नेत्रयोगश्च ऩानकीरऺणां वदेत्” Panaki is well corelated with infectious hepatitis as in case of acute infectious hepatitis the symptoms like fever, jaundice, lethargy, anorexia and loose stools are present.
  11. 11. All the best

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