This document discusses Panchakarma treatment approaches for visha (poisoning or toxicity) according to Agada Tantra. It describes the five main Panchakarma treatments - vamana, virechana, nasya, lepa and basti. It provides details on how each treatment is used differently depending on the type of poison (sthavara, jangama etc.), which vega (stage) of poisoning it is being used for, and examples of herbal formulas and procedures used for each Panchakarma treatment in cases of various poisons. The document aims to explain the rationales behind these Panchakarma approaches and how they help remove toxins from the body quickly
This is the second part of presentation regarding definitions in Rasa shastra. An attempt is made to clarify the definitions in more clear way also useful images are added to further improvise the presentation.
Asrigdara is an Ayurvedic term for Abnormal Uterine Bleeding. It is one of the most common gynecological problems found in Stri Rog OPD. I have tried to compile all the important points mentioned in various Ayurveda Literatures regarding Asrigdara.
• Rasashastra deals with metallic, mineral and poisonous drugs.
• These drugs are pharmaceutically processed and rendered fit for internal administration.
• For the various processing of rasa uparasadi dhatus and for the preparation of medicines, specific apparatuses called ‘Yantras’ are needed.
• Metals and minerals are required to undergo certain processes like shodhana, jarana, marana, satwapatana etc before they could be administered into the body and all these processes could only be achieved with the help of yantras.
• For exploring and utilizing the knowledge of Rasasastra, a better understanding of yantras is needed.
• Textbooks of Ayurvediya Rasasastra including Rasatarangini, Rasaratna samuchaya, Rasarnavam and Rasendra Choodamani have been the sources of literature along with other published works on Rasasastra.
This is the second part of presentation regarding definitions in Rasa shastra. An attempt is made to clarify the definitions in more clear way also useful images are added to further improvise the presentation.
Asrigdara is an Ayurvedic term for Abnormal Uterine Bleeding. It is one of the most common gynecological problems found in Stri Rog OPD. I have tried to compile all the important points mentioned in various Ayurveda Literatures regarding Asrigdara.
• Rasashastra deals with metallic, mineral and poisonous drugs.
• These drugs are pharmaceutically processed and rendered fit for internal administration.
• For the various processing of rasa uparasadi dhatus and for the preparation of medicines, specific apparatuses called ‘Yantras’ are needed.
• Metals and minerals are required to undergo certain processes like shodhana, jarana, marana, satwapatana etc before they could be administered into the body and all these processes could only be achieved with the help of yantras.
• For exploring and utilizing the knowledge of Rasasastra, a better understanding of yantras is needed.
• Textbooks of Ayurvediya Rasasastra including Rasatarangini, Rasaratna samuchaya, Rasarnavam and Rasendra Choodamani have been the sources of literature along with other published works on Rasasastra.
this is an ppt presentation by dr.b.arun kumar, who is working as a lecturer in MNR ayurvedic medical college, sangareddy, near hyderabad. in this presentation i given all details of virechana karma.
Nasya karma is the special procedure where the aushada (drug) is administered through the nose. How the Different types of Nasya Kalpas act on Different Vyadhis has been described
Panchakarma Made easy. Vamanan practical guidelines are revealed. Principles of Vamana, Practice of Vaman, assessment of Vamana Shuddhi, drugs used in Vamana, Management of complications are discussed.
Charak & 50 Mahakashay – Part 1 – By Prof.Dr.R.R.deshpande
• This Topic is very Popular in Ayurvedic field .This 50 Groups are like Readyrecknor or Practical Prescriber for Ayurvedic Medical Practice. This Topic is a part of Syllabus in 2 subjects of BAMS course –1) Dravyaguna vignyan ( Paper 1 Part A ,Point 10 –Dashemani Gan 2) Charak Purvardha ( Charak Sutrasthan ,Chaper 4 –Shadvirechan Shatiya) .Each group consists of 10 Herbs .So 50 x 10 = 500 Herbs .But unfortunately many Herbs are controversial & many are not available .Students will easily now note ,which plants are not available from this PPT .Also this PPT will explain the Pharmacodynamics of these herbs .So students by their own intelligence can add other herbs also in this Group
• Visit – www.ayurvedicfriend.com
Phone – 9226810630
Role of Panchakarma in the management of
Hypothyroidism
Dr. Suraj Kumbar,1 Dr. Lohith BA,2 Dr. Ashvinikumar M,3 Dr. Amritha R,4 Dr. Shameem Banu5
1,5Post Graduate Scholar, 2Professor, 3Professor & HOD, 4Assistant Professor, Department of Panchakarma, Sri
Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, Hassan, Karnataka, INDIA.
A B S T R A C T
We are in technical era where there is more of sedentary life style and stress along with this
urbanization is affecting our quality of food and health. This is leading to many lifestyle disorders and
hormonal imbalances in our body. Hypothyroidism one among the endocrinal disorder. Thyroid is an
endocrinal gland secrets T3 and T4 hormones regulated by TSH which is secreted by Pituitary gland.
These hormones have two major effects on the body, 1) To increase the overall metabolic rate in the
body 2) To stimulate growth in children. Hypothyroidism is common health issue in India. The highest
prevalence of hypothyroidism (13.1%) is noted in people aged 46-54yrs old. With people aged 18-35
yrs being less affected (7.5%). To prevent these hazards Panchakarma is beneficiary to maintain
metabolic rate. Here an attempt is made to diagnose hypothyroidism in the light of Ayurveda and
management guidelines through Panchakarma.
Article is published by IAMJ
Authors- Dr.Meenakshi 1, Dr B.A. Lohith 2
1 PG Scholar, 2 Associate Professor
Department of Panchakarma
SDM college of Ayurveda & Hospital, Hassan.
http://www.iamj.in/current_issue/images/upload/273_276.pdf
ANALYSIS OF PANCHAKARMA RESEARCHES DONE IN THE MANAGEMENT OF GRIDHRASI
Presented by Dr.Annie sebastien ,PG Scholar, Department of Panchakarma, SDMCAH Hassan
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.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
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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
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.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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7. AGNIKARMA
• दम्शम ् मन्डलिनाम ् मुक्त्वा पित्ति्वादथािरम ् ।
प्रतप्तैर्हेमिोर्हाधैदेर्हदाशुल्मुके न वा ।
करोतत भस्मसात ् सध्यो वह्नन: ककम ् नाम क्त्णात ् ॥ -अ.स.उ.४२/९
• ्वक् माम्सगतम ् दार्हो दर्हतत पवशम् । -च.चच.२३/४५
6 April 2018
7
8. • INDICATIONS: Twak-Mamsa gatha visha
• Dalhana opines that in Mandali sarpa damsha agnikarma is contraindicated , it causes pitta
aggravation and leads quick spread of visha
• MATERIALS REQUIRED:- Hema
Plotha
Loha
• In modern it is known as Cauterization. It destroys affected tissues/minimize infection.
• Here coagulation of protein occurs, so the poison will not go to other sites
6 April 2018
8
9. PARISHEKA
• To be done after raktamokshana
• चन्दनोशीर युक्ततेन वाररणा िररषेचयेत ् ॥ -सु.क.५/१६
PRADEHA
• प्र्देहसेकैस्तत् । शीतै: स्कन्दतत ततस्िरन् स्कन्ने व्यपयातत तिषिेग ॥ - च.तच.२३/४२
6 April 2018
9
10. RATIONALITY
• After Raktamokshana the remaining rakta will attain leenata because of the ushna
guna of visha. For this sheethala gunayukta lepa and parisheka should be done.
(अ सं उ ४२/१३)
• Viper bite-Panchavalkala kwatha dhara
• Cobra bite-Gritha saindhava dhara
6 April 2018
10
11. • Condensation of blood help to pacify the intensity of poison. Appropriate irrigation
of the bite site shown to decrease the rate of absorption of poison
• Cold character of drug help in reduction of further infection in the wound
• Contraction of blood vessels
• Prevent further spread of poison
6 April 2018
11
12. AVAGAHA
• Avagaha means immersion or dipping the affected part in the medicated decoction
or oil.
• Modern it is known as immersion bath. They help in proper circulation and
eliminates toxic matter from the body
6 April 2018
12
13. RAKTAMOKSHANA
• पवषे प्रपवस्रुते पवध्येह््सरा सा िरमकिया। अ सं उ ४२/१०
• Once the visha has entered the shareera ,Rakthamokshana is said to be the parama chikitsa.
SELECTION OF VEIN-
• In all cases of snake bite , the wise physician should puncture the vein in the shaaka, lalata
region. By this visha will go out with rakta quickly and can save the life of the person.
• If it is enable to visualize the siras properly one can go for Raktamokshana through
Shrunga and Jalouka.
6 April 2018
13
14. • As the spread of poison the patient will suffer from Mada, Moorcha, Vishada,
Hrdayadrava
• If blood does not come from the site of bite-pragarshana(rubbing) should be done
with Trikatu, Grihadhuma, Rajani, Varthaka.
• Sheetala chikitsa alleviate such complication.
• The patient should be fanned with vyanjana , pavana till loma harsha
(च चच २३/३९,४०)
6 April 2018
14
15. VAMANA
INDICATION:-
• वामयेत ्ततष्चैवं पवषशेषोिशान्तये।
्िेष्मिं ्िेष्मिैददष्टं नाभेरूध्वं पवशेषतः॥ अ.स.उ ४२/३८
• Kaphaja bites,
• Being bitten in sheeta kala
• Associated with praseka, mada, moorcha.
• Sthavara visha-first visha vega-
• Sangrahakara -vamana should be done, if snake bite is above nabhi pradesha.
• Dooshi visha and gara visha also vamana is the first line of treatment.
• Emesis is useful for removing ingested unabsorbed poison above pylorus, mainly using salt solution
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17. PROCEDURE:-
• Neelini choorna with milk
• Trivrit choorna along with Triphala kwatha
• Neelini phala mixed with danti and along with paya or mustu is given.
(अ.स.उ ४२/४०)
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18. NASYA
• In Shirogata visha nasya is said to be main line of treatment.
INDICATION:-
• Charaka- if there is obstruction in Nasa, Akshi, Karna, Jihwa, Kanta nasya should be done
• DIFFERENT COMBINATIONS USED FOR NASYA KARMA
• Bandhujeeva mula, Bharangi mula, Krushna tulasi - nasya is done.
( अ.स.उ ४२/२९)
• Using Vaartaka, Beejapura, Jyotishmati etc in churna form - nasya should be done.
( च.चच २३/६८)
• Pradhamana with Katabhi, katuka, katphala choornas
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19. DHOOPANA
• It is the procedure, in which giving medicated smoke which helps to nullify the
adverse effect of the poison.
• Nrikeshadi dhoopana-keeta visha(AH/U/37/23)
• Anti toxic material that emitted from smoke enters the body and clear channels of
circulation and nullify toxic effect of poison
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20. PRATISARANA
प्रघषदणेन प्रततसारणमुििमेषूक्ततम्। -च.चच २३/३८ चििाणण
• Method-By applying and rubbing with powders.
• Indicated in Raktamokshana when blood fails to come out.
• Drugs used-
• Trikatu, Pancha lavana, Gruhadooma, Haridra, Bruhathi
(च चच २३/४१)
• Preparation-pippali, nagara , navaneeta used in damsha pradesha as pratisarana.
(च.चच २३/१८९)
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21. LEPA
• If a pitta prakrithi person suffering from Trishna , Daaha , Moha- sheethala lepa should
done.
• After Rakta mokshana for the removal of avashista visha, Lepa should be applied in
the damsha sthana.
• Agaradhoomaadi lepa-In aakhu visha ( A.S.U 46/20 )
• Shigru punarnavadi lepa-allergy caused by viper bite
• Bilvadi gulika/Dashanga lepa-insects poisoning
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23. DISCUSSION
• In dooshi visha, susvinna paschat vamana is indicated(snehana is contra-indicated).
• Basti is the only karma which in contra-indicated in visha chikitsa.
• Panchakarma is necessary in visha chikitsa due to its quick action in visha nirharana .
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24. CONCLUSION
• Visha due to its gunas spreads all over the body very quickly.
• Most of the chikitsa mentioned are panchakarma and bahirparimarjana chikitsa.
• Visha has opposite gunas of ojus.
• Hence after visha nirharana, ojo vruddhikara chikitsa should be done.
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