This document presents information on Madatyaya or alcoholism and chronic alcohol use. It discusses the stages of acute alcoholism, symptoms of chronic alcoholism according to doshas, systemic effects, withdrawal symptoms and conditions like delirium tremens. It outlines the diagnostic tests for drunkenness and drunk driving laws. The document presents the Ayurvedic view of the treatment of acute alcoholism, chronic alcoholism, withdrawal symptoms and dependence, including the use of medicated enemas, herbs and Panchakarma procedures.
Swasa Roga is a typical respiratory problem mentioned in classical Ayurveda texts. This presentation has tried to include classical as well as modern perspectives of respiratory problems that has difficulty in breathing/dyspnoea as the major symptom.
Swasa Roga is a typical respiratory problem mentioned in classical Ayurveda texts. This presentation has tried to include classical as well as modern perspectives of respiratory problems that has difficulty in breathing/dyspnoea as the major symptom.
Kayachikitsa IMP Schlok – Part 7 - PPT
By Prof. Dr. R. R. Deshpande
• This PPT has following features –
• Imp Contents – Vata Vyadhi Chikitsa,Gudagat-Aamashayagat –Pakwashayagat – Siragat, Asthi Majjagat –Vata ,Ardit or Facial Palsy ,Pakshaghat or Hemiplegia, Grudhrasi or Sciatica ,Pashangardabha or Mumps, Kadar or corn ,Indralupta or Alopecia areata ,Darunak or Dandruff, Niruddha Prakash or Phimosis ,Unmad or Hysteria ,Apasmar or Epilepsy ,
• Visit – www.ayurvedicfriend.com
Phone – 922 68 10 630
In Charaka explains Dashavidha Pariksha Bhavas and
while explaining the aspect of of Desha, Desha is divided into
Bhumi and Deha Desha,Under Deha Desha, Dasha Vidha Atura Pariksha are explained,Dashavidha pariksha is one of important daignostic tool explained in Ayurveda ,in the context of दशविध परीक्षा भािा’ s.
Kayachikitsa IMP Schlok – Part 7 - PPT
By Prof. Dr. R. R. Deshpande
• This PPT has following features –
• Imp Contents – Vata Vyadhi Chikitsa,Gudagat-Aamashayagat –Pakwashayagat – Siragat, Asthi Majjagat –Vata ,Ardit or Facial Palsy ,Pakshaghat or Hemiplegia, Grudhrasi or Sciatica ,Pashangardabha or Mumps, Kadar or corn ,Indralupta or Alopecia areata ,Darunak or Dandruff, Niruddha Prakash or Phimosis ,Unmad or Hysteria ,Apasmar or Epilepsy ,
• Visit – www.ayurvedicfriend.com
Phone – 922 68 10 630
In Charaka explains Dashavidha Pariksha Bhavas and
while explaining the aspect of of Desha, Desha is divided into
Bhumi and Deha Desha,Under Deha Desha, Dasha Vidha Atura Pariksha are explained,Dashavidha pariksha is one of important daignostic tool explained in Ayurveda ,in the context of दशविध परीक्षा भािा’ s.
Case Study: Efficacy of Rakshoghna Dravya Dhupana in Managment of KarnaStrav.DR. SEJAL D. GAMIT
A Successfull Case Study of
Kranastarava in Terms of Nidan, Samprapati, Samprapti Ghatak and Samanya And Vishesh Chikitsa with Rakshoghna Dravya Karna Dhupan Karma and Internal Medications.
Case Study Full Article:
A study on the Efficacy of Rakshoghna Dravya Dhupana in the managment of Karnastrav.
https://medicaljournals.stmjournals.in/index.php/JoAYUSH/article/view/3337
Publication:
Journal Of AYUSH: Ayurveda, Yoga, Unani, Siddha and homeopathy.
Preparation to yogic breathing as well as some popular methods of yogic breathing (pranayama) are mentioned here, along with some additional health tips.
Ksheerabala Taila is a classical ayurvedic medicine manufactured using Bala, Milk and Tila taila which helps in conditions like sciatica, arthritis, lowbackache, cervical spondylosis, facial paralysis and as a rasayana (rejuvenation).
Role of Vamana & Virechana in Lifestyle disorders by Ayurmitra Nadi Bhishak Prof KSR Prasad (Technoayurveda) in National Webinar On Role of Panchakarma in Lifestyle Disorders
On 15-09-2020 @ 2PM Panchakarma Dept, Govt PG Ayurveda College, Varanasi
Role of Vatatapika Naimittika Rasayana as an Adjuvant Therapy in the Manageme...ijtsrd
Rajayaksma is considered as one among the Astamahagada. It clinically represents a syndrome affecting many srotas. In modern era Rajayakshma which affecting the Prana vaha srotas resembles respiratory dominant pulmonary tuberculosis. It is an major global health problem with increasing morbidity and mortality at an alarming rate especially in the developing countries due to environmental changes, poverty, lack of nutritional diet, overcrowding poor ventilation and lack of awareness about the communicable nature of the disease. Puja Yadav | Fareeda Begum Sheikh | Madhava Diggavi "Role of Vatatapika Naimittika Rasayana as an Adjuvant Therapy in the Management of Rajayakshma Along with AKT w. s. r to Pulmonary Tuberculosis - A Case Study" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-5 , August 2022, URL: https://www.ijtsrd.com/papers/ijtsrd51794.pdf Paper URL: https://www.ijtsrd.com/medicine/ayurvedic/51794/role-of-vatatapika-naimittika-rasayana-as-an-adjuvant-therapy-in-the-management-of-rajayakshma-along-with-akt-w-s-r-to-pulmonary-tuberculosis--a-case-study/puja-yadav
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
1. MADATYAYA
PRESENTED BY-
DR. GOPENDRA CHANDRA KAMAL
PG-2ND YEAR
GUIDED BY-
DR. ASHWINI KUMAR S. BHARATI
PROFESSOR
DEPARTMENT OFAGADA TANTRA, SDM COLLEGE OFAYURVEDA AND HOSPITAL, HASSAN
1
2. CONTENTS-
1. INTRODUCTION
2. ACUTE ALCOHOLISM/ STAGES OF MADA
3. CHRONIC ALCOHOLISM/ MADATAYAYA
4. WITHDRAWL SYMPTOMS
5. DRUNKENNESS
6. DRUNK DRIVING
7. TREATMENT
8. CASE STUDY
9. ARTICLE
10.DISCUSSION
11.CONCLUSION
2
3. INTRODUCTION
• MADYA- The Dravya which vitiates the buddhi and
causes Mada, such dravyas are tamo guna pradhana and
hence called as madya or madakari which is available in
the form of Asava, Arishta, Sura, Varuni, Sithu.- (Sha. Sa.
P.kh-6)
• ALCOHOL- The term alcohol originally refers to
ethanol , the predominant alcohol in alcoholic beverages. It
is classed as a CNS Depressant.
3
4. GUNAS OF MADA VS OJAS-
• Laghu -------------------------- Guru
• Ushna -------------------------- Sheeta
• Amla -------------------------- Madhura
• Teekshna -----------------------Mridu
• Aashuga-------------------------- Prasanna
• Rooksha-------------------------Snigdha
• Vyavayi --------------------------Sthira
• Vikasi -------------------------- shlakshna
• Visada -------------------------- Picchila
• Sukshma-------------------------bahala Ch. Chi- 24/30-31 4
6. ALCOHOLISM IN INDIA
• About 30% of indian
consumes alcohol regularly.
• An individual consumption
of alcohol per year in India
is -4.3 litres.
• 1 death every 96 minutes
occur in India due to alcohol.
• Supreme court has banned
the sale of alcohol within 500
meters of national highway.
6
7. STAGES OF MADA/ ACUTE
ALCOHOLISM
STAGES LAKSHANAS
(Su.Ut. 47/11-12))
BEHAVIOURAL
CO-RELATES
OJAS AWASTHA
(Ch. Chi. 24/37)
BAC
FIRST पूर्वे
र्वीर्यरतिप्रीतिहर्यभाष्र्ादिर्वर्यन
म् |
STATE OF
EXCITEMENT
ओजस्र्वर्वहिे
पूर्वो हृदि च
प्रतिबोधर्िे|
50-150 mg%
SECOND प्रलापो मध्र्मे मोहो
र्ुक्िार्ुक्िक्रिर्ास्िथा |
STATE OF IN-
COORDINATION
मध्र्मो
वर्वहिेऽल्पे
150-250 mg%
THIRD वर्वसञ्ज्ञः पश्चचमे शेिे
नष्टकमयक्रिर्ागुणः |
STATE OF COMA वर्वहिे िूत्तमो
मिः|
>250 mg%
7
8. 1. STAGE OF EXCITEMENT- person is euphoric, action, speech
and emotions are less restrained, increased confidence , low self-
control, poor concentration, impaired judgement and memory.
2. STAGE OF INCOORDINATION- person my become cheerful/
irritable / ill-tempered. Incoordination of fine and skilled
movements, alteration in speech, nausea, vomiting, flushed face,
rapid pulse, hypothermia, breath smells of alcohol, pupil dilated.
3. STAGE OF COMA- thick, slurred speech, becomes giddy,
stagger and fall, rapid pulse, hypothermia, pupils contracted,
McEwan’s sign positive.
8
11. • RECOVERY is the rule unless large quantity of alcohol is
consumed within a short time. About 35% drinkers may
experience a blackout.
• With recovery, coma gradually lightens up into deep sleep
followed by alcohol hangover (depression of mood, nausea,
headache).
• If victim does not return from coma within 5 hour,
prognosis is bad and may result in death from shock,
respiratory centre depression or aspiration.
11
12. • FATAL DOSE- 150- 250 ML consumed within 1
hour.
• Death is typical if the BAC is between 300- 400
mg/dl
• FATAL PERIOD- 12- 24 HOUR
12
13. TREATMENT FOR ACUTE ALCOHOLISM
• Patient must be kept warm to treat hypothermia.
• Patient made to lie on side to prevent aspiration.
• Gastric lavage with alkaline solution within 2 hours of
ingestion.
• One litre of normal saline or 10% glucose with 15 unit insulin
to check hypoglycaemia.
• Thiamine 100 mg to prevent neuropathy.
• Respiratory support.
• Dialysis may be required.
13
14. CHRONIC ALCOHOLISM/
MADATYAYA
• मिेनात्र्र्ो मिात्र्र्ः - A.SA.NI.6
• Excess intake of madya may cause excess
excitement which is madatyaya.
• One should consider the anna, pana, vaya, vyadhi,
bala, kala, three dosas(vata, pitta , kapha) and three
types of manas - satwa, rajas and tamas before
taking madya. (Ch.Chi. 24/68 )
14
16. TYPES OF MADATYAYA- ACC TO CHARAKA-
Ch. Chi.-24/89-97
DOSHAS NIDANAS LAKSHANAS
VATA Indulges in stree, shoka, bhaya
shrama, disturbed sleep and
ruksha madya.
Hikka, shwasa, kampa,
parsva shula, prajagara,
pralapa
PITTA tikshna and ushna food
tiksna and amla madya
Trushna, daha, jwara,
sweda, murcha, atisara,
bhrama.
KAPHA Intake of madhura, sneha,
guda, day sleep and not
properly fermented alcohol.
Chardhi, arochaka,
hrillasa, tandra, gaurava
and sheeta.
SANNIPATA Mixed nidana of tridoshas,
effect will be as of visha, but
not as powerful as visha.
Mixed signs and
symptoms, may cause
death or leads to disease.16
18. ACC TO SUSHRUTA- Su. Ut. 47/17-21
TYPES LAKSHANAS
PANAATYAYA • VATA- Sthambha, angamarda, hrudaya graha,
toda, kampa, shiroruja
• PITTA- Sweda, pralapa, mukhashosha, daha,
murcha
• KAPHA-Vamathu, sheeta, kapha praseka
• SANNIPATA- Presence of all symptoms
PARA MADA Ushma, guruta, Loss of taste sensation, Aruchi,
Malamutra sanga, Trishna, Shiroruja and
sandhibheda.
PANAAJIRNA Adhmana, vomiting, sour taste sensation in
mouth, daha- during digestion, pitta prakopa
lakshana .
PANAVIBHRAMA Hrudgatra toda, chardi, jwara, murcha, shiroruja,
daha, Dvesha- towards sura and food. 18
19. SYSTEMIC EFFECT OF CHRONIC ALCOHOLISM-
1. PHYSICAL- lack of personal hygiene, gastroenteritits,
wasting, loss of appetite, neuropathy, sterility, impotency,
cirrhosis, fatty changes in heart and liver, tremors, insomnia,
intermittent infections.
2. MENTAL- loss of memory and impaired power of judgement.
3. MORAL- it manifests as crime, domestic violence, suicides.
19
20. 1. DELIRIUM TREMENS-
Clouding of consciousness with disorientation in time and
space.
Coarse muscular tremors of face, tongue and hands.
Insomnia, loss of memory, agitation, ataxia.
Tendency to commit suicide, homicide.
Fever, sweating, hypertension and pupillary dilatation.20
22. TREATMENT FOR CHRONIC ALCOHOLISM AND WITHDRAWL
SYMPTOMS
• Withdrawal of alcoholic drinks.
• Ant abuse- Disulfiram
Dose- 250-500 mg/day for 1-2 weeks followed by
maintenance dose of 250 mg/day at bed time.
• Metronidazole
• Nutrients and vitamins. Thiamine 50-100 mg daily
for a week.
• Diazepam 40-80 mg/ day in divided dose
22
23. DRUNKENNESS
• DRUNKENNESS – it is a condition which
results from excessive intake of alcohol.
Loss of self-control
Inability to perform the duty
Dangerous to himself and others.
23
27. DRUNK DRIVING
• Permissible BAC in India- 30 mg/dl
• According to Motor vehicles act 1988, punishment for up to BAC
60 mg/dl-
First offence- 6 months imprisonment or fine Rs. 2000 or both
Second offence within 3 years- imprisonment for 2 years and Rs
3000 fine.
• For BAC 60-150 mg/dl-
imprisonment for 1 year and/or RS 4000 fine.
If repeated within 3 years- imprisonment for 3 years and Rs. 8000
fine
• For BAC more than 150 mg/dl-
imprisonment for 2 years and /or fine Rs.5000
If repeated , imprisonment for 4 years, fine of Rs. 10, 000 and
cancellation of license.
• Age of possession of and consumption of beverages- 18-25 years.27
28. GENERAL LINE OF TREATMENT
• सर्वं मिात्र्र्ं वर्वद्र्ाि् त्रििोर्मधर्कं िु र्म्
िोर्ं मिात्र्र्े पचर्ेि् िस्र्ािौ प्रतिकारर्ेि्
कफस्थानानुपूर्वर्ाय च क्रिर्ा कार्ाय मिात्र्र्े
वपत्त मारुि पर्यन्िः प्रार्ेण दह मिात्र्र्ः
(च.चच.२४/१०७-
१०८)
• All types of madatyaya are tridosaja. Treatment should be based on
the dominant dosa. However, most of the time treatment is started
for kapha dosa as pitta and vayu are manifested towards the end in
most of the cases of madatyaya.
28
29. Justification for Giving Alcohol in
Alcoholism
• The excessive intake of usna, tiksna madya causes vidagdha avastha
of anna rasa. This turns to kshara rasa/ alkaline in stomach. To
neutralize this, one needs amla rasa/ acid. And alcohol is best among
those having amla rasa by virtue of the 14 properties (10 guna and
madhura, kasaya, katu, tikta anurasa). Ch. Chi 24/112-113
• Also the dosas which have been aggravated by intake of madya,
obstructs the vayu in srotas causing headache, bone pain and joint
pain. This may be relieved on clearing the srotas. This requires amla
rasa. Madya is suitable for this purpose. Ch. Chi 24/118
29
30. • Ethanol is considered as antidote for methanol.
• It is given in case of alcohol poisoning ( methnol poisoning
) as it acts as competitive antagonist with methanol.
• Ethanol has higher affinity for alcohol dehydrogenase
enzyme than methanol and hence prevent the formation of
formaldehyde and formic acid.
30
31. PRACTICAL APPROACH
• SCREENING – ASSESMENT-
TREATMENT
• SCREENING- CAGE QUESTIONAIRE
1. Have you ever felt you needed to Cut down on your
drinking?
2. Have people Annoyed you by criticizing your
drinking?
3. Have you ever felt Guilty about drinking?
4. Have you ever felt you needed a drink first thing in
the morning (Eye-opener) to steady your nerves or
to get rid of a hangover? 31
39. CASE STUDY
• Pt.name: XYZ Age-35 yrs. Sex: male. OP-001724
Presenting complaints:
• Pt. was brought by his friends with c/o generalized body
ache, pain in the sides of chest, tremors, severe thirst,
sweating with burning sensation, irrelevant talk.
History of present illness:-
• k/c/o of alcoholic since 1 year. patient had consumed
around 300-400ml of alcohol with out taking food since last
4 days.
39
41. 40 diagnosed patients of madatyaya, aged between 16 – 70 years attending OPD of N.I.A Jaipur,
were randomly selected and assigned into two groups. Vamana with Madana Phala yoga &
Draksha kashaya followed by Astanga Lavana with dose 6 gram b.i.d & in control group vamana
followed by placebo capsule b.i.d for duration of 1 month was given. Follow up was done for 2
months. Assessment done on the basis of self scoring symptoms based on subjective and
objective parameters of Madatyaya.
The study clearly showed that there is marked improvement in both group with added effect in
group 1. Patients of Madatyaya is better treated with Vamana followed by Astangalavana as
Shamana Oushadhi
41
42. Clinical researches done on Ashwagandhadyarishta shows its very good
effect on Anxiety neurosis and its symptom like nervousness,
palpitation, tremors, headache, anorexia, fatigue, irritability, lack of
concentration, etc. As we know that all above symptoms are also seen in
alcohol withdrawal. By this study we can conclude that
Ashwagandhadyarishta is a good drug for treating Vataja Madatyaya
patients and it also strengthens the chikitsa sutra or line of treatment
42
43. DISCUSSION
• In charaka samhita, we find madatyaya being discussed elaborately
after visha chikitsa and before dvivraniya chikitsa. As properties of
madya are same as those of visha and after taking madya , intoxicated
person has high chance to get trauma and get wounds.
• Acharya Sushruta has used the word panatyaya instead of madatyaya.
And he has described it after description of murcha and before trisna.
Mostly because madya is one of the reason for both murchha and
trisna.
• In most of the text (Vagbhatta, yogratnakara, madhava nidana,
kashyap samhita) description of madatyaya comes along with
description of bhrama, murcha, trisna , daha, krimi roga and visha.
43
44. • Gunas of madya are similar to those of visha , however
less potent. Acharya Charaka and Acharya Vagbhatta has
considered “amla” as one of the property of madya.
• Panatyaya is acute alcoholism. Paramada is immediate
effect after the paka of mada leading to slesmaadhikya.
Paanajirna occurs if madya is not digested.
Panavibhranma is chronic alcoholism.
44
45. CONCLUSION
• Madatyaya is a disease affecting annavaha, rasavaha and
manovaha srotas predominantly.
• When used appropriately, madya acts as fortune drink
giving pleasure to all the sense organs. However,
excessive and improper intake of madya affects the ojas by
virtue of opposite gunas and hence cause disease like
madatyaya which has physical, mental and social effects.
45
46. REFERENCE
1. Gautam Biswas. Review of forensic medicine and
Toxicology. 3rd edition, New Delhi:jaypee Brothers
Medical Publishers (p)Ltd.;2015
2. K.S. Reddy. The Essentials of Forensic Medicine
and Toxicology.26th edition, hyderabad;2007
3. Charak samhita
4. Sushruta samhita
5. Astanga hridaya
6. Rajmane NM, Wali DS, Kadam AA. International
Journal of Applied Ayurveda Research ISSN: 2347-
6362 MADATYAYA (ALCOHOL
INTOXICATION) A REVIEW.
7. www.googlescholar.com
46
Charaka Visa has sukshma and anirdesiya rasa guna also, mada has amla rasa. Susruta has not included amla rasa for madya, he included apaki instead of anirdesiya ras for visa. Bagbhatta has included amla rasa as guna of visa.
Blackout- does not remember what happened during drinking period.
Ideal dose- 2 glass by Bagbhatta
Severity of disease persists for 7-8 days by- Bagbhatta and Yogaratnakar
Charak and bagbhatta has considered these two. If the person has stopped drinking, but he suddenly starts drinking again, he will have dhvamsaka and vikshya.
Madhava nidana-
panatyaya is acute alcoholism. Paramada is immediate after effect, paka of mada leads to slesmaadhikya. Paanajirna occurs if madya is not digested. Panavibhranma is chronic alcoholism.
Hallucination- experience involving perception of something which is not present, illusion –an instance of wrong or misinterpreted perception, delusion- beliefs that are contraindicated by reality. ALCOHOLIC HALLUCINOSIS- state of hallucination , mainly auditory.
3. WERNICKE’S ENCEPHALOPATHY- this is an acute reaction due to severe thiamine deficiency.
Coarse nystagmus.
Peripheral neuropathy
Disorientation, ataxia, memory disturbances.
Paranoia- false belief that other person is not liking you or going to harm, unjustified mistrust or suspicion of other people. tonic- rigid body, clonic- jerky movement, status epilipeticus- episode one after anoother without recovery time in between. KORSAKOFF’S PSYCHOSIS- Inability to learn new information, impairment of short term memory.
5. ALCOHOL PERIPHERAL NEUROPATHY
6. ALCOHOLIC PARANOIA
7. MARCHIAFAVA- BIGNAMI SYNDROME- disorientation, epilepsy, ataxia, dysarthria, paralysis.
8. ALCOHOL SEIZURE - tonic-clonic seizure (rum fits) after 12-18 hrs.. May precipitate status epilepticus.