Heavy rain fall Increase humidity, pH and oxygen Water availability Sudden variation in temperature Heat to cold Prevention of sunlight Rapid growth of micro-organisms Mosquito breeding decreased immunity Agni become weak, and make the body highly susceptible to any kind of infection. Therefore always eat light food and avoid as far as possible too much spicy and fried foods

1. Monsoon diseases
Dr.Simi Ravindran
Assistant professor
Govt.Ayurveda college Kannur
simisreehari@gmail.com
Watts up-9496370179

2. Heavy rain fall
Increase humidity, pH and
oxygen
Water availability
Sudden variation in
temperature
Heat to cold
Prevention of sunlight
Rapid growth of micro-
organisms
Mosquito breeding
decreased immunity

3. •Children and old
age persons
•Patients suffering
from chronic
diseases
–Diabetes mellitus
–Lung ailments
–Heart diseases
–Chronic
rheumatism
etc.sneezing cough
fever body pain,joint
pain

4. Kalaswabhavat
Tridosh dusti
Agnimandya
Roga karanas
Kala not prevented
But karma and artha
Can be prevented

5. Agni become
weak, and make the body
highly
susceptible to any kind of
infection.
Therefore always eat light food
and avoid
as far as possible too much
spicy and fried
foods.

6. • Improve Yuktikrita bala
• Ahara
– Deepana / Pacana /
Deepanapacana
– Pana
• Chesta
– Rakshoghnaoushadha
– Dhoopana
– Avoid exposures
• Yogaja
– Thridoshaghna
– Deepana / Pacana /
Deepanapacana
– Balya
– Rasayana

7. • Dhoopana
– Fumigation to purify the air
– Aparajitha dhoopana
– Lasuna, vaca, sarshapa, sigru,
karpoora, jatamanji, tagara,
hingu, aragwadha, nimba
• Fire – to maintain humidity
• Drying
• Cleanliness
– Desa sudhi
– Prakshalana
• Water purification –
Udaka sudhi
– Tulasi, jeeraka, dhathri,

8. • Water purification –
Thettambaral
• Water Purification –
Medicated Powders and
Bhasmas –
Nimba,Njama,Karinochi,Ara
gwada etc
• bhoomi suddhiSprinkling
of medicated liquids
• - Vidanga,Karuka,Pata etc
• Suitable Panchakarmas in
suitable seasons
• - Medicated Purgation
before Rainy season is a
good preventive step in
communicable diseases.
• Drug selection is left to the
physician
•
• Immunomodulatory drugs
• - Chyavanaprasa
• - Indukanthaghritha

9. • Nails must cut once in a
week
• Wash your hand with
soap after defecation and
before intake of food
• Warm and fresh should
take..avoid overnight food
• Don’t allow stagnant
water around your home
• Use mosquito nets
• Always use full sleeve
shirts etc
• House hold garbage
should disposed properly

10. Special care…..
• Kids
• Precautions are mandatory
• Home cooked food
• Boiled water
• Mosquito net
• No nail biting
• Shoes- skin infections..
• Give plenty of soups

11. Skin care
• Fungal infections
• Athlete's Foot
• Scabies
• Clensng
• Toning etc..
• Abhyaga,mukhalepa etc

12. Prevalent diseases
• Leptospirosis
• Dengue fever
• Chikungunya
• H1N1
• Viral hepatitis
• Diarrhoea
• Common cold
• Typhoid fever

13. leptospirosis

14. It is a rapid spread Zoonosis,caused especially
by leptospira specias,L.icterohaemorrhagica
causes weils dis.
Rat,pig,dog mammels are longterm crriers.
stays in Kidney and shed in urine
occupational as in farmers,slaughter
house,veterinariansetc.
They Survive for weeks in water or mud and
spread -indirectcontact,infected urine, tissue
secretions
not spread by animal bites/insect vectors,
Man to man spread rare,Congenital lepto-rare

15. 1. First phase – Flu like symptoms
Fever, chills, myalgias, intense headache.
Vomiting, Abdominal pain red eyes

16. Leptospirosis
Medicines in 1st stage
Kwatham
– Pachanamrita
kwatha
– Amrutashatamgam
kwatham
– Patolakaturohinyadi
kwatham
– Punarnavadi
kwatham
– Gduchyadi kwatham
Gulika
– Sudarshanam
gulika
– Vilvadi gulika
– Dooshivishari
– Gorochanadi
– Dasangam
– Arogyavardini

17. Leptospirosis
Medicines in 1st stage
• Arishtam
Parpatadyarishtam
Sudarshanarishtam
Sirisharishtam

18. Leptospirosis
Apathya in 1st stage
• Ahara
– Milk
– Ghee
– Buttermilk,
– Alcohol
• Vihara
– Shower Bath
– Purgation
– Exercise
– Oil Application

19. 2. Second Phase –
Hepatic and Renal involvementMeningitis
Liver damage (causing jaundice)
Renal failure.

20. Leptospirosis
Second stage – Icteric or hepatic (below 30 days)
• Treatment Principle
• Raktapitta samana
• Hepato protective
• Kamilahara

21. Complications
Meningitis
Extreme fatigue
Renal interstitial tubular necrosis.
Liver failure
Cardiovascular problems are also possible

22. 3rd Stage
All Dhatu vitiate and leads to
Ojokshaya and death

23. Treatment ,prevention ,control
• Rodent control
• Appropriate waste disposal
• Use of protective foot wear
• Cover cuts and abrasions
• Appropriate disinfections of contaminate
water
• Vaccination of livestock pets

25. Also called breakbone fever, is an
infectious tropical disease caused
by the dengue virus . Dengue is
transmitted by several species of
mosquitoof the Aedes genus,
principally A. aegypti ,a day biting
mosquitos which can meet another
person only 8-10 days after blood
meal.rainfall-peak breeding time
especially in small collections of
water-coconut shells,discarded
tyres

26. DF
• Fever with head ache
• Muscle and Joint pain –
Break bone fever
• Generalized
maculopapular rash
• Abdominal discomfort -
Abdominal
pain,Nausea,Vomiting
and diarrhea

27. DHS,DSS
• Fluid and electrolyte
imbalance
• Hyperpyrexia
• Shock and febrile
symptoms
• Haemorrhage
• Dengue shock
syndrome is defined
as dengue
hemorrhagic fever
plus
• Weak speedy pulse
• Narrow pulse
pressure ( Less than
20 mm of hg)
• Cold clammy skin and
restlessness

28. Lab investigations
• low levels of white blood cells (leukopenia) and
platelets (thrombocytopenia) and, often, an elevated
level of the enzyme serum aminotransferase.
• antigen-detection ELISA during the acute phase of the
disease or by IgM ELISA or paired serology during the
recovery phase of dengue fever

29. DENGUE FEVER
Management of Fever
• Thoyam
– Shadanga toya
• Kwatham
– Guduchyadi Kwatham
– Drakshadi Kwatham
– Vasaguduchyadi Kwatham
• Arishtam / Asavam
– Amritarishtam
– Sudarshanasavam
• Choornam
– Talisapatradi churna

30. DENGUE FEVER
Prevention of Hemorrhagic symptoms
• Kwatham
– Drakshadi Kwatham
– Patolakaturohinyadi Kwatham
– Saribadi Kwatham
• Svarasam
– Vasasvarasam (Plain/Putapaka) 30ml twice
daily with madhu.
– Durvasvarasam (platelets <40,000)
– Gorochanadi gudika is very effective in
thrmbocytopaenia.

31. DENGUE FEVER
Recovery stage
• Vasarishtam
• Indukantam ghritam
• Vidaryadi ghritam
• Mahatiktaka ghritam
• Amritaprasha rasayanam
• Brahmarasayanam

32. DENGUE FEVER
Prevention of Hemorrhagic symptoms
• Others
– Pushyanuga churnam
– Guduchi sattvam
– Chandrakala rasa
– Gandhakarasayanam
– Annabhedi sindhooram
– Pravalabhasma+dhatri svarasam
• Kriyakramam
– Lepanam - Kachuradi (forehead)
– Ksheera Dhara- Nalpamara / Guduchi (at area of
rashes ),

34. • Arthropod borne viral infection.
• Characterized by fever, arthritis and skin rash.
• Toga virus family, alpha virus species.
• 27 alpha viruses are there, all of which are
mosquito borne.
• Transmitted by “Aedes aegypti”.
• Presents with dengue like features but in milder
form.

35. • Viruses infect the vector after they feed from
a viremic vertebrate.
• This vector develops chronic infection.
• Then moves to “extrinsic incubation”.
• This arthropod is competent to spread the
infection.
• Arthropod is generally unharmed.

36. Disease profile
Fever
Arthritis Skin rash

37. • Migratory poly arthritis.
• Pain, stiffness and less prominent swelling.
• Mainly small joints of hand and feet.
• Lesser involvement of larger joints like wrist and ankle.
• joint pain will be so severe resulting in bending of body
rendering the patient immobile
• Maculopapular rash
• Appear at onset or after 2-3 days.
• More intense on trunk and limbs.
• Occasionally petechiea are seen.

39. • Recovery may require weeks.
• Some patients continue to suffer from
stiffness, joint pain and recurrent effusions
for several years.
• Rare complications like meningitis and
pneumonia may occur in some cases.

40. Chikungunia
In fever, and pain
1. Amrutharishtam + Punarnavasvan 20-30
ml tds
2. Vettumaran gulika with ginger juice +
Honey 2 tds
3. Sudarsanam gulika
2 tds
4. Sudarsanachoornam ¼ tsp
with Amrutharishtam tds
5. Mukkamukkadukadi gulika
2 tds
6. Sooryaprabha gulika with ginger juice
2 tds
7. Amruthotharam kashayam + Vettumaran

41. Chikungunia
In nausea and vomiting
i. Thaleesapathradi vatakam sos
ii.Vilwadi gulika with honey ½
tds
iii. Vilwadi lehyam sos
iv. Dhanwantharam gulika with shadamgam
2 tds
v.Water boiled with
1. Dhanyakam
2. Sunti
3. Ela
vi. Water boild with Guloochi stem
vii.Tender coconut watermedicine contained
bhoonimba is very effective

42. Chikungunia
Dhoopanam
1. Aparajitha dhoopachoornam should be
fumed in the room of the patient. It will
stimulate the resistance of the patient
against the infection. It is not meant for
mosquito eradication.
2. Mustard,Neem leaves,
Inthuppu(Saindhavam)and little ghee.
3.Gulgulu,Akil,Chenchalyam,Vayambu,Kaduku,
Neemleaves, Inthuppu and little ghee.

43. Vatha predominant symptoms
(Polyarthralgia with minimal inflammation )
1. Dasamoolam kashayam
2. Balapunarnavadi kashayam
3. Indukantham kashayam
4. Yogarajagulgulu
5. Shaddharanam
6. Karpooradi thailam (local application)
7. Formula for fresh decoction
· Guloochi 6 parts
· Musta 4 parts
· Sunti 2 parts
8. IP management
· Upanahasewdam
· Dhanyamladhara
· Naleeswedam with Thulasi leaves or Manjal

44. Chikungunia
Pitha predominant symptoms
1.Patechial maculo papular rashes
2.Desquamation in feet, testes, vulva, etc
3.Oral lesions
4.Paraesthesia
5.Restlessness
6.Apathy
7.Confusion

45. Chikungunia
Pitha predominant symptoms
1. Guloochyadi kashayam
2. Punarnavadi kashayam
3. Amruthagulgulu
4. Chandraprabha
5. Formula for fresh decoction
· Guloochi 6parts
· Bhoonimbam 4patrs
· Sunti 2parts
6. Jadamayadilepachoornam local
7. IP Management
· Lepam

46. Chikungunia
Kapha predominant symptoms
1. Swellings of legs, feet, nape, wrist
joints etc
2. Cervical and inguinal lymph
adenitis.

47. Chikungunia
Kapha predominant symptoms
1. Gulguluthikthakam kashayam
2. Varanadi kashayam
3. Raasnasapthakam kashayam
4. Gokshuradigulgulu
5. Simhanadagulgulu
6. Formula for fresh decoction
· Guloochi 6 parts
· Aamalaki 4 parts
· Musta 2 parts
7. IP Management
· Valooka swedam ( Manal Kizhi)
· Dhanyamladhara
· Naleeswedam
8. In all cases Sallaki preparations are found very effective

48. Chikungunia
Diet
Dos
1. Light food like kanji
2. Yoosha of mudga, kulatha
3. Vegetable curry with low oil and coconut
1. Carrot
2. Koval
3. Snake guard(Padavalam)
4. Kaipa (Bitter guard)
5. Muringa (Drum stick)
6. Amara ( beans)
7. Small fishes
8. Bread
4. Drinking water
1. Sunti
2. Pepper
3. Dhanyakam
4. Kattu thulasi

49. Chikungunia
Donts
1. Leafy vegetables
2. Uzhunnu (Black gram)
3. Curd
4. Banana
5. Sour substance
6. Big fishes
7. Meat
8. Heavy foods
9. Oily foods

51. HI NI
• Swine influenza (also called Influenza A (H1N1), is
an infection by any one of several types of swine
influenza virus.
• Swine influenza virus (SIV) is any strain of the
influenza family of viruses that is endemic in pigs.
Influenza A and C in Pigs
• Three subtypes of Influenza A in Pigs-
• - H1N1
• - H1N2
• - H3N2

52. Fever
• Cough
• Sore throat
• Body aches
• Headache
• Chills and fatigue.
• The 2009 outbreak has shown an increased
percentage of patients reporting diarrhea and
vomiting.

53. • The most common cause of death is respiratory
failure, other causes of death are pneumonia
(leading to sepsis), high fever (leading to
neurological problems), dehydration (from
excessive vomiting and diarrhea) and electrolyte
imbalance.
• Fatalities are more likely in young children and the
elderly.

54. SWINE FLUE (H1N1)
Management of first stage
(Vatakapha dominance)
• Kwatham
– Vyaghryadi Kwatham with Shunti+Pippali Churna
– Dashamoola katutrayam Kwatham
– Pathya Kustumbaradi Kwatham
• Toyam
– Dhanyaka+Tulasi+Shunti
– Amritottaram with sugar
• Dhupanam
– Aparajita dhupam
– Haridra+Vacha+Nimbatvak
– Palankushadi dhupam

55. SWINE FLUE (H1N1)
Management of first stage - Cont:
(Vatakapha dominance)
• Vati / Gulika
– Vettumaran( with ardraka / madhu)
– Suryaprabha (Adults)
– Tribhuvanakirthi Ras
– Lakshmivilas Ras
– Shvasanandam
– Mukkamukkatukadi (Children)
– Chukkumtippalyadi (Children)
– Vilvadi gulika
• Churna
– Talisapatradi Churna
– Vyoshadi Vataka

56. SWINE FLUE (H1N1)
Management of first stage - Cont:
(Vatakapha dominance)
• Arishta / Asava
– Amritarishta
– Vasarista
– Sudarshnarista
– Kanakasava
• Inhalation
– Bashpasveda with Haridra, Tulasi (Inhalation),
Eucalyptus, Camphor
• Talam (with minimum required dravadravya)
– Rasnadi churna with Tulasi, Nirgundipatra, (For
Children with Panikurka)

57. SWINE FLUE (H1N1)
Second Stage (In-patient Management)
• Signs and Symptoms
– High fever (leading to neurological problems)
– Pneumonia (leading to sepsis)
– Diarrhea and vomiting (rare).
– Dehydration
– Electrolyte imbalance
– Death due to respiratory failure

58. SWINE FLUE (H1N1)
Recovery Phase-Management
• Indukanta ghritam
• Rasnadashamuladi
ghritam
– Agastyarasayanam
– Chyavanaprasham
• Ashvagandharishtam
• Draksharishtam
• Dashamularishtam
• Gorocanadi
• Suvarnamuktadi
• Siddha makardhvaja
• Pippali ksheerapakam
• External Application
– Nirgundyadi keram
– Vachadikeram
– Shuddhabala tailam

59. Diarrhea
• Bacterial and protozoal diarrhoea
• Bacteria-cholera-via contaminated water
• Rice water stools
• May be rapidly fatal

60. • Bacillary Dysentery / Shigellosis
• Symptoms:
• Abdominal pain, watery diarrhea, mild fever,
abdominal cramps, painful
• stools and frequent stools with bloody mucus
• Transmission:
• It is transmitted by four species of the genus
shigella and is spread by faecal – oral

61. • Atisara hara treatment
• Patakranjadi kasaya,kutajarista,astaksharietc
• Prompt rehydration is essential
• ORS IV fluids
• Other pathogens-entamoeba, giardia
• Microscopy,culture
• personal hygiene
• Keep food covered

62. • Malaria
• Symptoms:
• High grade fever with chills and rigors,
sweating, headache, muscles pain,
• nausea and vomiting
• Transmission:
• Transmission of parasite plasmodium species
from infected person to other
• person by bite of female anopheles mosquito
• Sannipatha jwara trreatmnt

63. Common cold
• Virus group-rhino virus etc
• cough, sore throat, runny nose, and nasal
congestion, conjunctivitis (pink eye), muscle
aches, fatigue, headaches, shivering, and loss of
appetite.
• Fever is often present thus creating a symptom
picture which overlaps with influenza. The
symptoms of influenza however are usually more
severe.
Pratisyaya treatment

64. Typhoid fever
• Enteric fever,occours throughout the year
• Salmonella thyphi&paratyphi A B C
• Patient is the carrier
• Mode of infection via contaminated water,
milk and food
• Culture of organisms from blood feces
• Serological test for detection of Ab-widal test
• Control-Hygienic measures

65. Viral hepatitis
• Hepatitis A
• Symptoms:
• Anorexia, malaise, vomiting sensation, pain
abdomen, fever and jaundice
• It is transmitted by mostly faecal
contamination of drinking water. infective
hepatitis where mortality rate may be as high
as 0.5%
• kamila hara tmt