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Prof.Dr.k.v.nageswara rao
MD(AYUR) (Phd) , Msc(clinical
psycology)
PROFESSER PG UNIT KAYACHIKTSHA JAMMU INSTITUTE OF AYURVEDA.
JAMMU
EMAIL :drkvnageswararaohyderabad@gmail.com
9948094903
TREATED WITH AYURVEDIC PRINCIPAL CASIDERNING
AS JWARA (VERIOS AVASTAS as vata kapha
jwara,kaphadhika vata jwara sach as)
Treatment protocal
LUNGANUM
DEPANUM
PACHANUM
SYMPTMATIC TRETMENT (DEPENDING UP ON THE
CONDITION )
This a single standard treatment protocol for COVID 19 and will vary depending on
factors that include disease presentation, severity of the disease, respiratory distress
and pre-existing co- morbidities. In ayurveda, Jwara is a condition where the Agni
(metabolic fire) is hampered and agni dissipates to the whole body causing Tapam
(Hyperthermia) in the body. The Symptoms of covid 19 known to us are fever, sore
throat, Dry cough, Breathlessness, body aches, loss of taste or smell and severe
tiredness. Some less common symptoms include diarrhea and rashes on the skin.
Based on the common symptoms, COVID 19 can be categorized either as kapha-
vatajvara or vata-kaphajvara. (Avastha varies between the two from case to case based
on our observation) Depending on the condition of each patient, the confirmation of
diagnosis must be made.
The site of disease manifestation is at the seat of Kapha. Symptoms infer a kapha-
vata predominance largely. Both kapha and vata doshas are cold in nature. With
restricted diet regimen
A light diet that is cooked rice water with spices are recommended. Bala of the
patient kept in mind in the entire treatment .8 covid patient after development of
symptoms like fever with chills ,myalgia ,rhinitis ,sour thought ,weakness, loss of
appetite, dry cough ,tiredness.
Patient details
10 patients two are same family , age between 30 to 60 ,3 male
patients 5 female patients ,one patient age 15 years . 8
members tested positive (RT-PCR) 2 PERSONES not tested.
these 2 patents having all covid symptoms .
Investegations
Complate blood test
CRP
D diamer
Rbs
Electolytes
Serum ferritin
Sr creatin
LFT
CT CHEST
DIET
In initial stage patients advised to take boiled water cooked with dhanyaka ,jeerak
,shonthi .as requried .once the apatite is restored normally they can rice with
buttermilk or with rasam .
Dairy products were completely avoided in the initial stages that is 7 days
Patients were advised to take only hot water for drinking. Avoid of bread and
sweets
No vitamin supplements
No paracetamol tablet if temperature raised typoid sponging any red flag sings
like
If spo2 is less than 90 immediately they are informed ,blood presser cheak 3
times in a day at 8am,1pm,8pm in any change they have to inform ,pulse rate
along with spo2 inform 8 times in a day .
Medication
Shatdharana churnum
Bilvadi gulika
Gorochanadi vati
Amrutotharam kashayam
Shadanga panium
Sameer pannaga ras
Chitrakadi kashayam
SADDHARANAM churnum (Astanga Hrdayam Kustha Cikitsa and Vata
Vyadhi) Ingredients 1. Citraka 2. Pata 3. Indrayava 4. Kana 5. Ativisa 6. Abhaya β€’
It is katu, tikta rasam, usna virya, kapha hara, ama pacanam. Ama jvara haram
GOROCANADI VAT8I – Vaidyayogaratnavali - Sarva roga cikitsa ratnam -
Sannipa#ta cikitsa prakaranam Ingredients 1. Gorocana, 2. Rudraks8a, 3.
Candana, 4. Vaca, 5. Kiratatikta, 6. Anjana, 7. Pata, 8. Sunti, 9. Pippali, 10.
Marica, 11. Satahva, 12. Karpura, etc..
Katu, tikta rasa, usna virya, kapha vata s$amanam β€’ Jvaram, kasam, svasam,
murccha and apasmaram.
. SADANGA PANIYAM Astanga Hrdayam – Jvara Cikitsa) Ingredients 1. Mustha
2. Parpat8aka 3. Usira 4. Candana (White variety) 5. Udicyam 6. Sunti β€’ This
helps in alleviating fever and also burning sensation. β€’ This medicine contains
six herbs. β€’ This helps in alleviating pitta. Used in reducing tiredness in fever β€’
This is used as a toya.
Vilwadi Gulika (also called Vilwadi Agada, Bilwadi Vati, Bilwadi Gutika) is
a polyherbal ayurvedic medicine used for the treatment of snake bite, scorpion sting,
spider bite, rodent bite, gastroenteritis, cholera, indigestion, and fever. Generally, it is
a drug of choice for toxic effects developed in human body due to any underlying
cause or toxic substance of animal origin.
Ingredients (Composition)
Bilva (Indian Bael) Root Bark – Aegle Marmelos1 PartTulsi (Holy Basil) leaves –
Ocimum Sanctum1 PartKaranja (Karanj) fruit – Pongamia Pinnata1 PartTagara –
Valeriana Wallichii1 PartDevdaru (Deodar Cedar or Himalayan Cedar) – Cedrus
Deodara1 PartHaritaki or Harad (Chebulic Myrobalan) – Terminalia Chebula1
PartBibhitaki (Bahera) – Terminalia Bellirica1 PartAmla (India Gooseberry) –
Phyllanthus Emblica1 PartSonth (Ginger Rhizome) – Zingiber Officinale1 PartKali
Mirch (Black Pepper) – Piper Nigrum1 PartPippali (Long Pepper) – Piper Longum1
PartHaldi (Turmeric) – Curcuma Longa1 PartDaruhaldi (Daruharidra) – Berberis
Aristata1 PartBasthamuthraQ.S.REFERENCE: ASHTANGA HRIDAYA, UTTARA
STHANA, CHAPTER 36, SARP VISH PRATISHEDH ADHYAYA, VERSE: 84 – 85
Sameer Pannag Ras
Sameer Pannag Ras ingredients:
Shuddha Parada – Purified and processed Mercury – 10 g
Shuddha Gandhaka – Purified and processed Green Vitriole – 10 g
Malla – Puirified Arsenic Oxide – 10 g
Shuddha Haratala – Purified Orpiment (Arsenis tri sulphide) – 10 g
Manashila – Purified Realgar – Arsenic Di Sulphide – 10 g
It is prepared with a special Kupipakwa technique.
Sameer Pannag Ras is an Ayurvedic medicine, with herbal and mineral
ingredients, in powder form It is used to chronic and complicated diseases, joint
diseases with stiffness, fever, Asthma, Bronchitis, cold and cough. It is sroto
shodhana ,vatakapha haram ,remove vata avaranam
AMRTTOTARAM KASAYAM (Sahasrayogam) Ingredients
1. Guduci – 6 parts, 2. Haritaki – 4 parts, 3. Sun8t8i- 2
parts are the ingredients. β€’ Here, sarkkara is used as an
adjuvant. β€’ This yoga helps in alleviating sannipata jvara. β€’
Sunti helps in ama pacanam and haritaki helps in mala
sodhanam. β€’ This is used in the Ama avastha. β€’ Sarkkara
refers to jaggery here.
ο‚—
ο‚— 47 years female with temp 103F β€’ Body pain +++ β€’
Headache β€’ Loss of appetite β€’ SpO2- 96% β€’ P.R- 74
b/m TEST RESULTS β€’ COVID – POSITIVE
ο‚— MEDICATION SHATDHARANA CHURNUM
GIVEN BY PINCH BY PINCH WITH LUKE WARM
WATER fasting advised In initial stage patients
advised to take boiled water cooked with dhanyaka
,jeerak ,shonthi .as requried .once the apatite is
restored normally they can rice with buttermilk or
with rasam .
ο‚— Dairy products were completely avoided in the
initial stages
ο‚— Patients were advised to take only hot water for
drinking. Avoid of bread and sweets
ο‚— After 24 hours temp reduced to 100F
ο‚— PAINS ++ SPO2 98 ADVISED BILVADI GUTIKA 1
BD ,AMRUTHOTTARA KASHAYAM 15ML
BD,SHADANGAPANIUM AS REQURIED
CANTINUED FOR 7 DAYS
ο‚— AFTER 7 DAYS TESTED COVID NEGITIVE
ο‚— 40 years male 12/7/20 got temperature
with 103F ,WITH COUGH ,APITATE
GOOD NO WEAKNESS PAINS+BP
130/80.STARTED WITH
SHADDHARANA TAB 1 TID WITH
LUKE WARM WATER GRADUVALLY
TEMP REDUCED AFTER 28 HOURS TO
100F ,DEITRY RESTICTED ASPER
PROTOCAL .ON 14/07/20,TEMP 102F
gradually its increased to 104 f ,pt tested
covid positive .body pains+++ loss of
appetite ,weakness.bp.-90/70 sgo2 92 PR
102.BILVADI GUTIKA
1BD,GOROCHANADIVATI 1BD
SHATDHARANUM 1TID
,SHADANGAPANM 30ML TID GIVEN
FOR 7 DAYS GRADUVALLY PT
IMPROVED AND GOT TESTED ON
24/07/20 COVID NEGITIVE. continued
same prescription for another 5 days .
CASE NO 3
ο‚— 60 years male pt on 30/7/20 with temp 103f h/o
DM non htn with dry cough started with
shatdharanum 1tid after 12 hours tep raised to
104f advised amrutottara kashayam and
shadanga panium 15 ml tid tep gradually
decreased on 2/o8/20 temp 97.6f Fever
subsided (But intermittently fever) β€’ Body
Temperature 98.4’F, β€’ Body Pain β€’ SpO2- 97% β€’
P.R- 73 b/m .but on 3/8/20 morning 11am
gradually pt reducing oxygen saturation it
became SPO2- 73 BP 13/70 TEP 98.7 THEN
STARTED SAMEERA PANNAGA RAS 80 MG
WITH GOROCHANADI VATI GIVEN
gradually oxygen saturation increased SGO2
90 ,PT CONDITION STABLE ,ADVISED
CONTINUE SAMEERA PANNAGA RAS 80
MG WITH GOROCHANADI VATI FOR 4
DAYS along with other medication .gradually
pt improved with out any complications .
Bilvadi gutika for 10 days morning and evening
CASE NO 3
CASE NO 3 Case no 3
ο‚— 40 years female non DM ,NON HTN day 1
ο‚— developed β€’ Body pain+++ β€’ Fever β€’ Temp: 99F
GRADUVALLY temparacture rised up to Fever (102’F) β€’
Shifting body pain ++++ and variation in temperature β€’
Tiredness ++++ β€’ SpO2 – 96% β€’ P.R - 77 b/m started
with shatdharanum 1bd with shadanga panium dose of
20ml tid . day 2 Fever subsided (But intermittently
fever) β€’ Body Temperature 98.4’F, β€’ Body Pain β€’ SpO2-
97% β€’ P.R- 73 b/m day 3 Tiredness +++Temp- 97F β€’
SpO2 – 93% β€’ P.R- 80 b/m suggested for ct ,covid
positive day 5 pt comfortable no tiredness no
temperature apatite good but medications continued
for 10 days after 15 days tested negative
Case no 5
31 years male pt non HTN non DM Fever – 100.5’F β€’ Loss of taste β€’ Tiredness +
β€’ Confusion β€’ Drowsy β€’ SpO2- 95% β€’ P.R- 80b/m β€’ Nose block TEST RESULT
FOR COVID 19- POSITIVE
TAB SHATDHARAN 1TID SHADAGA PANIUN 23 ML TID Restricted diet day
2 URI and cough β€’ Loss of taste shaddharana,gorochanadi gulika 1
oODamrutottara kashayam 20 ml bd day 4 pt comfortable medicines
continued for 10 days
ο‚— 55 YEARS FEMALE DM NON HTN Fever – 100.5’F
(Intermittently fever) β€’ Shifting body pain and
variation in temperature β€’ URI and cough β€’ Loss of
taste β€’ Tiredness ++++ β€’ Confusion β€’ Drowsy β€’ SpO2-
96% β€’ P.R- 77 b/m TESTED FOR COVID 19
SHATDHARANUM ,AMRUTOTTARA KASHAYAM 20
ML bd after 3 days Fever - 99.5’F β€’ Loss of appetite β€’
Tiredness+++ β€’ Painful defaecation β€’ SpO2 – 98% β€’
P.R- 75b/m Amrutaristoram β€’ Sudaranam β€’ Sadanga
paniyam after 5 days Tiredness++ β€’ SpO2- 96% β€’ P.R-
75 b/m β€’ Very good agni bala . After 15 days FOLLOW
UP COVID TEST DONE nagitive
31 years male TEST RESULTS β€’ COVID – POSITIVE Fever -
101’ β€’ URI and cough β€’ Loss of appetite β€’ Loss of smell β€’
Headache β€’ Body pain ++++ shatdharanum ,amrutottam
kashayam 20 ml bd 3 days Light diet a
s advised Rice with pepper rasam β€’ Boiled vegetables with
turmeric, cumin seeds and salt. After 7 days pt Tiredness-Nil
β€’ Good agnibala β€’ SpO2- 98% β€’ P.R- 66b/m TEST RESULTS
COVID- NEGATIVE
ο‚— 25 years female TEST RESULTS β€’ COVID – POSITIVE
Fever 102’F β€’ Loss of appetite and smell β€’ Body pain
++++ β€’ Mild dyspnoea β€’ Tiredness +++++ β€’ Abdomen
discomfort β€’ SpO2- 96% β€’ P.R- 77 b/m treated with
shatdharanum, gorochanadi vati ,bilvadi gutika along
with shadanga paniya for 10 days Tiredness-Nil β€’ Good
agnibala β€’ SpO2- 98% β€’ P.R- 66b/m after 10 days tested
negitive
OBSERVETIONS
SYMPTYS LIKE FEVER WITH CHILSS 60% ,TIREDNESS 40% ,LOSS OF
APITATE 30% COLD 30% dry cough body pains are most common after 24
hours or 48 hours if the patient complaint weakness jwara is going deep seted
into verios dhatus (various tissue level ) if we manage the initial stage we can
prevent further stage .
First 3 days are most crucial to manage the covid cases .
Diet pattern diet restrictions are most important
After the medication pt gradually improved after 24 hours
Medication should be continued minimum of 15 days
If the pt comes after 2 days of temperature at that time these are the medicines ie
shatdharanun ,amrutotaram kashayam ,shadangapanum ,bilvadigutika.
Medication after the 3 days of symptoms stated shatdharanum, bilvadi gulika
,gorochanadi vati, amrutotarum kashayam
Samerapannaga ras is observed best of desaturation condition .
Samerapannaga ras and gorochanadi vati best for aged persons (non DM non
HTN) TO RESTORE THE lung capacity .and prevention of fibrosis .
Avoid sweets ,curd, dairy products light food like Rice with watery moong dal β€’
Boiled vegetables , Rice with pepper rasam Parboiled gruel with cumin seeds β€’
Soups After the fever subsided, they were suggested to take strained rice and
watery moong dal with ginger, turmeric, cumin seeds and pepper. Pepper rasam
was also advised. They were allowed to blanch vegetables like carrot, snake gourd,
beans seasoned with salt pepper and turmeric as sides. Alternatively, they also
took Rice gruel. β€’ Once, the appetite was restored to normalcy they started
including a few spoons of melted ghee. Milk processed with dry ginger was also
taken at this stage. β€’ Dairy products were completely avoided in the initial stages.
β€’ Patients were advised to take only hot water for drinking. β€’ They also boiled
water with ginger, cumin seeds and pepper and took this water for drinking
alternatively.
Conclusion
The cases presented recovered most of the symptoms 5to 10 days
Illness feeling recovered 3 to 5 days
No dearth has happened
The experience of the treatment is giving ray of hope to complete recovery from
covid with out damaging body tissues
Agni deepanam and ama pachana is very important in the initial stage .
Based on avasta medicines has to be given if respiratory symptys are more
gorochanadi vati
Fever with diarrhea shat dharana along with bilvadi gutika is helful
Fever tiredness body pains shadanga pania along with shatdharana is helpful
High temperature with tiredness amrutotharakashayam with shadanga
panium.

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AYURVEDIC COVID TREATMENT

  • 1. Prof.Dr.k.v.nageswara rao MD(AYUR) (Phd) , Msc(clinical psycology) PROFESSER PG UNIT KAYACHIKTSHA JAMMU INSTITUTE OF AYURVEDA. JAMMU EMAIL :drkvnageswararaohyderabad@gmail.com 9948094903
  • 2. TREATED WITH AYURVEDIC PRINCIPAL CASIDERNING AS JWARA (VERIOS AVASTAS as vata kapha jwara,kaphadhika vata jwara sach as) Treatment protocal LUNGANUM DEPANUM PACHANUM SYMPTMATIC TRETMENT (DEPENDING UP ON THE CONDITION )
  • 3. This a single standard treatment protocol for COVID 19 and will vary depending on factors that include disease presentation, severity of the disease, respiratory distress and pre-existing co- morbidities. In ayurveda, Jwara is a condition where the Agni (metabolic fire) is hampered and agni dissipates to the whole body causing Tapam (Hyperthermia) in the body. The Symptoms of covid 19 known to us are fever, sore throat, Dry cough, Breathlessness, body aches, loss of taste or smell and severe tiredness. Some less common symptoms include diarrhea and rashes on the skin. Based on the common symptoms, COVID 19 can be categorized either as kapha- vatajvara or vata-kaphajvara. (Avastha varies between the two from case to case based on our observation) Depending on the condition of each patient, the confirmation of diagnosis must be made. The site of disease manifestation is at the seat of Kapha. Symptoms infer a kapha- vata predominance largely. Both kapha and vata doshas are cold in nature. With restricted diet regimen A light diet that is cooked rice water with spices are recommended. Bala of the patient kept in mind in the entire treatment .8 covid patient after development of symptoms like fever with chills ,myalgia ,rhinitis ,sour thought ,weakness, loss of appetite, dry cough ,tiredness.
  • 4. Patient details 10 patients two are same family , age between 30 to 60 ,3 male patients 5 female patients ,one patient age 15 years . 8 members tested positive (RT-PCR) 2 PERSONES not tested. these 2 patents having all covid symptoms . Investegations Complate blood test CRP D diamer Rbs Electolytes Serum ferritin Sr creatin LFT CT CHEST
  • 5. DIET In initial stage patients advised to take boiled water cooked with dhanyaka ,jeerak ,shonthi .as requried .once the apatite is restored normally they can rice with buttermilk or with rasam . Dairy products were completely avoided in the initial stages that is 7 days Patients were advised to take only hot water for drinking. Avoid of bread and sweets No vitamin supplements No paracetamol tablet if temperature raised typoid sponging any red flag sings like If spo2 is less than 90 immediately they are informed ,blood presser cheak 3 times in a day at 8am,1pm,8pm in any change they have to inform ,pulse rate along with spo2 inform 8 times in a day .
  • 6. Medication Shatdharana churnum Bilvadi gulika Gorochanadi vati Amrutotharam kashayam Shadanga panium Sameer pannaga ras Chitrakadi kashayam
  • 7.
  • 8. SADDHARANAM churnum (Astanga Hrdayam Kustha Cikitsa and Vata Vyadhi) Ingredients 1. Citraka 2. Pata 3. Indrayava 4. Kana 5. Ativisa 6. Abhaya β€’ It is katu, tikta rasam, usna virya, kapha hara, ama pacanam. Ama jvara haram GOROCANADI VAT8I – Vaidyayogaratnavali - Sarva roga cikitsa ratnam - Sannipa#ta cikitsa prakaranam Ingredients 1. Gorocana, 2. Rudraks8a, 3. Candana, 4. Vaca, 5. Kiratatikta, 6. Anjana, 7. Pata, 8. Sunti, 9. Pippali, 10. Marica, 11. Satahva, 12. Karpura, etc.. Katu, tikta rasa, usna virya, kapha vata s$amanam β€’ Jvaram, kasam, svasam, murccha and apasmaram. . SADANGA PANIYAM Astanga Hrdayam – Jvara Cikitsa) Ingredients 1. Mustha 2. Parpat8aka 3. Usira 4. Candana (White variety) 5. Udicyam 6. Sunti β€’ This helps in alleviating fever and also burning sensation. β€’ This medicine contains six herbs. β€’ This helps in alleviating pitta. Used in reducing tiredness in fever β€’ This is used as a toya.
  • 9. Vilwadi Gulika (also called Vilwadi Agada, Bilwadi Vati, Bilwadi Gutika) is a polyherbal ayurvedic medicine used for the treatment of snake bite, scorpion sting, spider bite, rodent bite, gastroenteritis, cholera, indigestion, and fever. Generally, it is a drug of choice for toxic effects developed in human body due to any underlying cause or toxic substance of animal origin. Ingredients (Composition) Bilva (Indian Bael) Root Bark – Aegle Marmelos1 PartTulsi (Holy Basil) leaves – Ocimum Sanctum1 PartKaranja (Karanj) fruit – Pongamia Pinnata1 PartTagara – Valeriana Wallichii1 PartDevdaru (Deodar Cedar or Himalayan Cedar) – Cedrus Deodara1 PartHaritaki or Harad (Chebulic Myrobalan) – Terminalia Chebula1 PartBibhitaki (Bahera) – Terminalia Bellirica1 PartAmla (India Gooseberry) – Phyllanthus Emblica1 PartSonth (Ginger Rhizome) – Zingiber Officinale1 PartKali Mirch (Black Pepper) – Piper Nigrum1 PartPippali (Long Pepper) – Piper Longum1 PartHaldi (Turmeric) – Curcuma Longa1 PartDaruhaldi (Daruharidra) – Berberis Aristata1 PartBasthamuthraQ.S.REFERENCE: ASHTANGA HRIDAYA, UTTARA STHANA, CHAPTER 36, SARP VISH PRATISHEDH ADHYAYA, VERSE: 84 – 85
  • 10. Sameer Pannag Ras Sameer Pannag Ras ingredients: Shuddha Parada – Purified and processed Mercury – 10 g Shuddha Gandhaka – Purified and processed Green Vitriole – 10 g Malla – Puirified Arsenic Oxide – 10 g Shuddha Haratala – Purified Orpiment (Arsenis tri sulphide) – 10 g Manashila – Purified Realgar – Arsenic Di Sulphide – 10 g It is prepared with a special Kupipakwa technique. Sameer Pannag Ras is an Ayurvedic medicine, with herbal and mineral ingredients, in powder form It is used to chronic and complicated diseases, joint diseases with stiffness, fever, Asthma, Bronchitis, cold and cough. It is sroto shodhana ,vatakapha haram ,remove vata avaranam
  • 11. AMRTTOTARAM KASAYAM (Sahasrayogam) Ingredients 1. Guduci – 6 parts, 2. Haritaki – 4 parts, 3. Sun8t8i- 2 parts are the ingredients. β€’ Here, sarkkara is used as an adjuvant. β€’ This yoga helps in alleviating sannipata jvara. β€’ Sunti helps in ama pacanam and haritaki helps in mala sodhanam. β€’ This is used in the Ama avastha. β€’ Sarkkara refers to jaggery here.
  • 12. ο‚— ο‚— 47 years female with temp 103F β€’ Body pain +++ β€’ Headache β€’ Loss of appetite β€’ SpO2- 96% β€’ P.R- 74 b/m TEST RESULTS β€’ COVID – POSITIVE ο‚— MEDICATION SHATDHARANA CHURNUM GIVEN BY PINCH BY PINCH WITH LUKE WARM WATER fasting advised In initial stage patients advised to take boiled water cooked with dhanyaka ,jeerak ,shonthi .as requried .once the apatite is restored normally they can rice with buttermilk or with rasam . ο‚— Dairy products were completely avoided in the initial stages ο‚— Patients were advised to take only hot water for drinking. Avoid of bread and sweets ο‚— After 24 hours temp reduced to 100F ο‚— PAINS ++ SPO2 98 ADVISED BILVADI GUTIKA 1 BD ,AMRUTHOTTARA KASHAYAM 15ML BD,SHADANGAPANIUM AS REQURIED CANTINUED FOR 7 DAYS ο‚— AFTER 7 DAYS TESTED COVID NEGITIVE
  • 13.
  • 14. ο‚— 40 years male 12/7/20 got temperature with 103F ,WITH COUGH ,APITATE GOOD NO WEAKNESS PAINS+BP 130/80.STARTED WITH SHADDHARANA TAB 1 TID WITH LUKE WARM WATER GRADUVALLY TEMP REDUCED AFTER 28 HOURS TO 100F ,DEITRY RESTICTED ASPER PROTOCAL .ON 14/07/20,TEMP 102F gradually its increased to 104 f ,pt tested covid positive .body pains+++ loss of appetite ,weakness.bp.-90/70 sgo2 92 PR 102.BILVADI GUTIKA 1BD,GOROCHANADIVATI 1BD SHATDHARANUM 1TID ,SHADANGAPANM 30ML TID GIVEN FOR 7 DAYS GRADUVALLY PT IMPROVED AND GOT TESTED ON 24/07/20 COVID NEGITIVE. continued same prescription for another 5 days .
  • 15. CASE NO 3 ο‚— 60 years male pt on 30/7/20 with temp 103f h/o DM non htn with dry cough started with shatdharanum 1tid after 12 hours tep raised to 104f advised amrutottara kashayam and shadanga panium 15 ml tid tep gradually decreased on 2/o8/20 temp 97.6f Fever subsided (But intermittently fever) β€’ Body Temperature 98.4’F, β€’ Body Pain β€’ SpO2- 97% β€’ P.R- 73 b/m .but on 3/8/20 morning 11am gradually pt reducing oxygen saturation it became SPO2- 73 BP 13/70 TEP 98.7 THEN STARTED SAMEERA PANNAGA RAS 80 MG WITH GOROCHANADI VATI GIVEN gradually oxygen saturation increased SGO2 90 ,PT CONDITION STABLE ,ADVISED CONTINUE SAMEERA PANNAGA RAS 80 MG WITH GOROCHANADI VATI FOR 4 DAYS along with other medication .gradually pt improved with out any complications . Bilvadi gutika for 10 days morning and evening CASE NO 3
  • 16. CASE NO 3 Case no 3
  • 17.
  • 18.
  • 19. ο‚— 40 years female non DM ,NON HTN day 1 ο‚— developed β€’ Body pain+++ β€’ Fever β€’ Temp: 99F GRADUVALLY temparacture rised up to Fever (102’F) β€’ Shifting body pain ++++ and variation in temperature β€’ Tiredness ++++ β€’ SpO2 – 96% β€’ P.R - 77 b/m started with shatdharanum 1bd with shadanga panium dose of 20ml tid . day 2 Fever subsided (But intermittently fever) β€’ Body Temperature 98.4’F, β€’ Body Pain β€’ SpO2- 97% β€’ P.R- 73 b/m day 3 Tiredness +++Temp- 97F β€’ SpO2 – 93% β€’ P.R- 80 b/m suggested for ct ,covid positive day 5 pt comfortable no tiredness no temperature apatite good but medications continued for 10 days after 15 days tested negative
  • 20.
  • 21. Case no 5 31 years male pt non HTN non DM Fever – 100.5’F β€’ Loss of taste β€’ Tiredness + β€’ Confusion β€’ Drowsy β€’ SpO2- 95% β€’ P.R- 80b/m β€’ Nose block TEST RESULT FOR COVID 19- POSITIVE TAB SHATDHARAN 1TID SHADAGA PANIUN 23 ML TID Restricted diet day 2 URI and cough β€’ Loss of taste shaddharana,gorochanadi gulika 1 oODamrutottara kashayam 20 ml bd day 4 pt comfortable medicines continued for 10 days
  • 22.
  • 23. ο‚— 55 YEARS FEMALE DM NON HTN Fever – 100.5’F (Intermittently fever) β€’ Shifting body pain and variation in temperature β€’ URI and cough β€’ Loss of taste β€’ Tiredness ++++ β€’ Confusion β€’ Drowsy β€’ SpO2- 96% β€’ P.R- 77 b/m TESTED FOR COVID 19 SHATDHARANUM ,AMRUTOTTARA KASHAYAM 20 ML bd after 3 days Fever - 99.5’F β€’ Loss of appetite β€’ Tiredness+++ β€’ Painful defaecation β€’ SpO2 – 98% β€’ P.R- 75b/m Amrutaristoram β€’ Sudaranam β€’ Sadanga paniyam after 5 days Tiredness++ β€’ SpO2- 96% β€’ P.R- 75 b/m β€’ Very good agni bala . After 15 days FOLLOW UP COVID TEST DONE nagitive
  • 24.
  • 25.
  • 26.
  • 27. 31 years male TEST RESULTS β€’ COVID – POSITIVE Fever - 101’ β€’ URI and cough β€’ Loss of appetite β€’ Loss of smell β€’ Headache β€’ Body pain ++++ shatdharanum ,amrutottam kashayam 20 ml bd 3 days Light diet a s advised Rice with pepper rasam β€’ Boiled vegetables with turmeric, cumin seeds and salt. After 7 days pt Tiredness-Nil β€’ Good agnibala β€’ SpO2- 98% β€’ P.R- 66b/m TEST RESULTS COVID- NEGATIVE
  • 28.
  • 29. ο‚— 25 years female TEST RESULTS β€’ COVID – POSITIVE Fever 102’F β€’ Loss of appetite and smell β€’ Body pain ++++ β€’ Mild dyspnoea β€’ Tiredness +++++ β€’ Abdomen discomfort β€’ SpO2- 96% β€’ P.R- 77 b/m treated with shatdharanum, gorochanadi vati ,bilvadi gutika along with shadanga paniya for 10 days Tiredness-Nil β€’ Good agnibala β€’ SpO2- 98% β€’ P.R- 66b/m after 10 days tested negitive
  • 30.
  • 31. OBSERVETIONS SYMPTYS LIKE FEVER WITH CHILSS 60% ,TIREDNESS 40% ,LOSS OF APITATE 30% COLD 30% dry cough body pains are most common after 24 hours or 48 hours if the patient complaint weakness jwara is going deep seted into verios dhatus (various tissue level ) if we manage the initial stage we can prevent further stage . First 3 days are most crucial to manage the covid cases . Diet pattern diet restrictions are most important
  • 32. After the medication pt gradually improved after 24 hours Medication should be continued minimum of 15 days If the pt comes after 2 days of temperature at that time these are the medicines ie shatdharanun ,amrutotaram kashayam ,shadangapanum ,bilvadigutika. Medication after the 3 days of symptoms stated shatdharanum, bilvadi gulika ,gorochanadi vati, amrutotarum kashayam Samerapannaga ras is observed best of desaturation condition . Samerapannaga ras and gorochanadi vati best for aged persons (non DM non HTN) TO RESTORE THE lung capacity .and prevention of fibrosis .
  • 33. Avoid sweets ,curd, dairy products light food like Rice with watery moong dal β€’ Boiled vegetables , Rice with pepper rasam Parboiled gruel with cumin seeds β€’ Soups After the fever subsided, they were suggested to take strained rice and watery moong dal with ginger, turmeric, cumin seeds and pepper. Pepper rasam was also advised. They were allowed to blanch vegetables like carrot, snake gourd, beans seasoned with salt pepper and turmeric as sides. Alternatively, they also took Rice gruel. β€’ Once, the appetite was restored to normalcy they started including a few spoons of melted ghee. Milk processed with dry ginger was also taken at this stage. β€’ Dairy products were completely avoided in the initial stages. β€’ Patients were advised to take only hot water for drinking. β€’ They also boiled water with ginger, cumin seeds and pepper and took this water for drinking alternatively.
  • 34. Conclusion The cases presented recovered most of the symptoms 5to 10 days Illness feeling recovered 3 to 5 days No dearth has happened The experience of the treatment is giving ray of hope to complete recovery from covid with out damaging body tissues Agni deepanam and ama pachana is very important in the initial stage . Based on avasta medicines has to be given if respiratory symptys are more gorochanadi vati Fever with diarrhea shat dharana along with bilvadi gutika is helful Fever tiredness body pains shadanga pania along with shatdharana is helpful High temperature with tiredness amrutotharakashayam with shadanga panium.

Editor's Notes

  1. Patient details 10 patients two are same family , age between 30 to 60 ,3 male patients 5 female patients ,one patient age 15 years . 8 members tested positive (RT-PCR) 2 PERSONES not tested.these 2 patents having all covid symptoms . Investegations Complate blood test Crp D diamer Rbs Electolytes Serum ferritin Sr creatin LFT CT CHEST 1
  2. DIET In initial stage patients advised to take boiled water cooked with dhanyaka ,jeerak ,shonthi .as requried .once the apatite is restored normally they can rice with buttermilk or with rasam . Dairy products were completely avoided in the initial stages Patients were advised to take only hot water for drinking. Avoid of bread and sweets.
  3. SADDHARANAM VATI (Astanga Hrdayam Kustha Cikitsa and Vata Vyadhi) Ingredients 1. Citraka 2. Pata 3. Indrayava 4. Kana 5. Ativisa 6. Abhaya β€’ It is katu, tikta rasam, usna virya, kapha hara, ama pacanam. Ama jvara haram GOROCANADI VAT8I – Vaidyayogaratnavali - Sarva roga cikitsa ratnam - Sannipa#ta cikitsa prakaranam Ingredients 1. Gorocana, 2. Rudraks8a, 3. Candana, 4. Vaca, 5. Kiratatikta, 6. Anjana, 7. Pata, 8. Sunti, 9. Pippali, 10. Marica, 11. Satahva, 12. Karpura, etc.. Katu, tikta rasa, usna virya, kapha vata s$amanam β€’ Jvaram, kasam, svasam, murccha and apasmaram. . SADANGA PANIYAM Astanga Hrdayam – Jvara Cikitsa) Ingredients 1. Mustha 2. Parpat8aka 3. Usira 4. Candana (White variety) 5. Udicyam 6. Sunti β€’ This helps in alleviating fever and also burning sensation. β€’ This medicine contains six herbs. β€’ This helps in alleviating pitta. Used in reducing tiredness in fever β€’ This is used as a toya. Vilwadi Gulika (also called Vilwadi Agada, Bilwadi Vati, Bilwadi Gutika) is aΒ polyherbal ayurvedic medicineΒ used for the treatment of snake bite, scorpion sting, spider bite, rodent bite, gastroenteritis, cholera, indigestion, and fever. Generally, it is a drug of choice for toxic effects developed in human body due to any underlying cause or toxic substance of animal origin. Ingredients (Composition) Bilva (Indian Bael) Root Bark – Aegle Marmelos1 PartTulsi (Holy Basil) leaves – Ocimum Sanctum1 PartKaranja (Karanj) fruit – Pongamia Pinnata1 PartTagara – Valeriana Wallichii1 PartDevdaru (Deodar Cedar or Himalayan Cedar) – Cedrus Deodara1 PartHaritaki or Harad (Chebulic Myrobalan) – Terminalia Chebula1 PartBibhitaki (Bahera) – Terminalia Bellirica1 PartAmla (India Gooseberry) – Phyllanthus Emblica1 PartSonth (Ginger Rhizome) – Zingiber Officinale1 PartKali Mirch (Black Pepper) – Piper Nigrum1 PartPippali (Long Pepper) – Piper Longum1 PartHaldi (Turmeric) – Curcuma Longa1 PartDaruhaldi (Daruharidra) – Berberis Aristata1 PartBasthamuthraQ.S.REFERENCE:Β ASHTANGA HRIDAYA, UTTARA STHANA, CHAPTER 36, SARP VISH PRATISHEDH ADHYAYA, VERSE: 84 – 85 Sameer Pannag Ras Sameer Pannag RasΒ ingredients: Shuddha Parada – Purified and processed Mercury – 10 g Shuddha Gandhaka – Purified and processed Green Vitriole – 10 g Malla – Puirified Arsenic Oxide – 10 g Shuddha Haratala – Purified Orpiment (Arsenis tri sulphide) – 10 g Manashila – Purified Realgar – Arsenic Di Sulphide – 10 g It is prepared with a special Kupipakwa technique. AMRTTOTARAM KASAYAM (Sahasrayogam) Ingredients 1. Guduci – 6 parts, 2. Haritaki – 4 parts, 3. Sun8t8i- 2 parts are the ingredients. β€’ Here, sarkkara is used as an adjuvant. β€’ This yoga helps in alleviating sannipata jvara. β€’ Sunti helps in ama pacanam and haritaki helps in mala sodhanam. β€’ This is used in the Ama avastha. β€’ Sarkkara refers to jaggery here. Sameer Pannag RasΒ is an Ayurvedic medicine, with herbal and mineral ingredients, in powder form It is used to chronic and complicated diseases, joint diseases with stiffness, fever, Asthma, Bronchitis, cold and cough. It is sroto shodhana ,vatakapha haram ,remove vata avaranam Chitrakadi kashayam IngredientsQuantityChitrak – Plumbago Zeylanica1 PartIndrayava – Holarrhena Antidysenterica1 PartPatha – Cyclea Peltata1 PartKutki – Picrorhiza Kurroa1 PartAtivisha – Aconitum Heterophyllum1 PartHaritaki – Terminalia Chebula1 Part The main action of Chitrakadi Kashayam is observed onΒ Vata DoshaΒ andΒ Kapha Dosha. Due to the equal content of Chitrak, it should not be used in increasedΒ Pitta DoshaΒ because it is likely to increase the Pitta Dosha in the body.
  4. SADDHARANAM VATI (Astanga Hrdayam Kustha Cikitsa and Vata Vyadhi) Ingredients 1. Citraka 2. Pata 3. Indrayava 4. Kana 5. Ativisa 6. Abhaya β€’ It is katu, tikta rasam, usna virya, kapha hara, ama pacanam. Ama jvara haram GOROCANADI VAT8I – Vaidyayogaratnavali - Sarva roga cikitsa ratnam - Sannipa#ta cikitsa prakaranam Ingredients 1. Gorocana, 2. Rudraks8a, 3. Candana, 4. Vaca, 5. Kiratatikta, 6. Anjana, 7. Pata, 8. Sunti, 9. Pippali, 10. Marica, 11. Satahva, 12. Karpura, etc.. Katu, tikta rasa, usna virya, kapha vata s$amanam β€’ Jvaram, kasam, svasam, murccha and apasmaram. . SAD8ANGA PANIYAM Astanga Hrdayam – Jvara Cikitsa) Ingredients 1. Mustha 2. Parpat8aka 3. Usira 4. Candana (White variety) 5. Udicyam 6. Sunti β€’ This helps in alleviating fever and also burning sensation. β€’ This medicine contains six herbs. β€’ This helps in alleviating pitta. Used in reducing tiredness in fever β€’ This is used as a toya. Vilwadi Gulika (also called Vilwadi Agada, Bilwadi Vati, Bilwadi Gutika) is aΒ polyherbal ayurvedic medicineΒ used for the treatment of snake bite, scorpion sting, spider bite, rodent bite, gastroenteritis, cholera, indigestion, and fever. Generally, it is a drug of choice for toxic effects developed in human body due to any underlying cause or toxic substance of animal origin. Ingredients (Composition) Bilva (Indian Bael) Root Bark – Aegle Marmelos1 PartTulsi (Holy Basil) leaves – Ocimum Sanctum1 PartKaranja (Karanj) fruit – Pongamia Pinnata1 PartTagara – Valeriana Wallichii1 PartDevdaru (Deodar Cedar or Himalayan Cedar) – Cedrus Deodara1 PartHaritaki or Harad (Chebulic Myrobalan) – Terminalia Chebula1 PartBibhitaki (Bahera) – Terminalia Bellirica1 PartAmla (India Gooseberry) – Phyllanthus Emblica1 PartSonth (Ginger Rhizome) – Zingiber Officinale1 PartKali Mirch (Black Pepper) – Piper Nigrum1 PartPippali (Long Pepper) – Piper Longum1 PartHaldi (Turmeric) – Curcuma Longa1 PartDaruhaldi (Daruharidra) – Berberis Aristata1 PartBasthamuthraQ.S.REFERENCE:Β ASHTANGA HRIDAYA, UTTARA STHANA, CHAPTER 36, SARP VISH PRATISHEDH ADHYAYA, VERSE: 84 – 85
  5. CASE NO1
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  7. 60 years male pt on 30/7/20 with temp 103f h/o DM non htn with dry cough started with shatdharanum 1tid after 12 hours tep raised to 104f advised amrutottara kashayam and shadanga panium 15 ml tid tep gradually decreased on 2/o8/20 temp 97.6f Fever subsided (But intermittently fever) β€’ Body Temperature 98.4’F, β€’ Body Pain β€’ SpO2- 97% β€’ P.R- 73 b/m .but on 3/8/20 morning 11am gradually pt reducing oxygen saturation it became SPO2- 73 BP 13/70 TEP 98.7 THEN STARTED SAMEERA PANNAGA RAS 80 MG WITH GOROCHANADI VATI GIVEN gradually oxygen saturation increased SGO2 90 ,PT CONDITION STABLE ,ADVISED CONTINUE SAMEERA PANNAGA RAS 80 MG WITH GOROCHANADI VATI FOR 4 DAYS along with other medication .gradually pt improved with out any complications . Bilvadi gutika for 10 days morning and evening
  8. 40 years female non DM ,NON HTN day 1 developed SYMPTYMS β€’ Body pain+++ β€’ Fever β€’ Temp: 99F GRADUVALLY temparacture rised up to Fever (102’F) β€’ Shifting body pain ++++ and variation in temperature β€’ Tiredness ++++ β€’ SpO2 – 96% β€’ P.R - 77 b/m started with shatdharanum 1bd with shadanga panium dose of 20ml tid day 2 Fever subsided (But intermittently fever) β€’ Body Temperature 98.4’F, β€’ Body Pain β€’ SpO2- 97% β€’ P.R- 73 b/m day 3 Tiredness +++Temp- 97F β€’ SpO2 – 93% β€’ P.R- 80 b/m suggested for ct ,covid positive day 5 pt comfortable no tiredness no temperature apatite good but medications continued for 10 days after 15 days tested negative
  9. Case no 5 31 years male pt non HTN non DM Fever – 100.5’F β€’ Loss of taste β€’ Tiredness + β€’ Confusion β€’ Drowsy β€’ SpO2- 95% β€’ P.R- 80b/m β€’ Nose block TEST RESULT FOR COVID 19- POSITIVE TAB SHATDHARAN 1TID SHADAGA PANIUN 23 ML TID Restricted diet day 2 URI and cough β€’ Loss of taste shaddharana,gorochanadi gulika 1od amrutottara kashayam 20 ml bd day 4 pt comfortable medicines continued for 10 days .
  10. 31 years male TEST RESULTS β€’ COVID – POSITIVE Fever - 101’ β€’ URI and cough β€’ Loss of appetite β€’ Loss of smell β€’ Headache β€’ Body pain ++++ shatdharanum ,amrutottam kashayam 20 ml bd 3 days Light diet a s advised Rice with pepper rasam β€’ Boiled vegetables with turmeric, cumin seeds and salt. After 7 days pt Tiredness-Nil β€’ Good agnibala β€’ SpO2- 98% β€’ P.R- 66b/m TEST RESULTS COVID- NEGATIVE
  11. 25 years female TEST RESULTS β€’ COVID – POSITIVE Fever 102’F β€’ Loss of appetite and smell β€’ Body pain ++++ β€’ Mild dyspnoea β€’ Tiredness +++++ β€’ Abdomen discomfort β€’ SpO2- 96% β€’ P.R- 77 b/m treated with shatdharanum gorochanadi vati ,bilvadi gutika along with shadanga paniya for 10 days Tiredness-Nil β€’ Good agnibala β€’ SpO2- 98% β€’ P.R- 66b/m after 10 days tested negitive
  12. OBSERVETIONS SYMPTYS LIKE FEVER WITH CHILSS 60% ,TIREDNESS 40% ,LOSS OF APITATE 30% COLD 30% dry cough body pains are most common after 24 hours or 48 hours if the patient complaint weakness jwara is going deep seted into verios dhatus (verios tussue level ) if we manage the initial stage we can prevent further stage . First 3 days are most crucial to manage the covid cases . Diet pattern diet restrictions are most important Avoid sweets ,curd, dairy products light food like Rice with watery moong dal β€’ Boiled vegetables , Rice with pepper rasam Parboiled gruel with cumin seeds β€’ Soups After the fever subsided, they were suggested to take strained rice and watery moong dal with ginger, turmeric, cumin seeds and pepper. Pepper rasam was also advised. They were allowed to blanch vegetables like carrot, snake gourd, beans seasoned with salt pepper and turmeric as sides. Alternatively, they also took Rice gruel. β€’ Once, the appetite was restored to normalcy they started including a few spoons of melted ghee. Milk processed with dry ginger was also taken at this stage. β€’ Dairy products were completely avoided in the initial stages. β€’ Patients were advised to take only hot water for drinking. β€’ They also boiled water with ginger, cumin seeds and pepper and took this water for drinking alternatively. After the medication pt gradually improved after 24 hours Medication should be continued minimum of 15 days If the pt comes after 2 days of temperature at that time these are the medicines ie shatdharanun ,amrutotaram kashayam ,shadangapanum ,bilvadigutika. Medication after the 3 days of symptoms stated shatdharanum, bilvadi gulika ,gorochanadi vati, amrutotarum kashayam Samerapannaga ras is observed best of desaturation condition . Samerapannaga and gorochanadi vati best for aged persons (non DM non HTN) TO RESTORE THE lung capacity .and prevention of fibrosis .