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PRAMEHA ppt pdf.pdf
- 1. PRAMEHA Dr. K. Malathi Second Year PG Scholar Dept. of. Kaya Chikitsa Dr. N.R.S. Govt Ayurvedic College Vijayawada
- 3. NIRUKTI: PRAMEHA - is a combination of two words : Pra – upasarga Meha – dhatu The word MEHA is derived from the root “Miha secane” – SINCHANA (TO MOISTEN) KSHARANA ( TO FLOW), PRASRAVA ( TO FLOW EXCESSIVELY) In terms of urine. PRA It illustrates excessive in both frequency and quantity. कशण मेहित शरित वीयािदरनेनाित॥ That which causes excessive excretion of the urine associated with Flow out of energy is called Prameha . (sa.ka.dri)
- 4. कशण मेदोम स लेदािद मेहतीित मेहः ॥ (Adamalla) BHEDHA: मेहा िव शित त शेषमतो दश, िप तः ।षट्, च वारो अिनलात्॥ Based on pre dominance of dosas : Kaphaja - 10 Pittaja - 6 Vathaja - 4 PRAMEHA PRAMEHA PITHAJA PITHAJA VATHAJA VATHAJA KAPHAJA KAPHAJA
- 5. Dhatukshaya Avrtajanya Santarpana janya Apatarpana janya Sadhya Yapya Parityajya VAGBHATA Avaranajanya Dhatukshayajanya Purvarupa sahita Purvarupa rahitha Sthula Krisa CHARAKA - Sahaja Apathyanimithaja SUSRUTA - Prakritija – Sahaja Svakritaja - janmotaraja BHELA
- 6. NIDANA: आ यसुखं व नसुखं दधी न ा यौदकानूपरसाः पयां स । नव नपनं गुदवैकृ तं च मेहहेतुः कफकृ च सवम ् ॥ च. च. ६।४ Pleasure of sedentary habits Comfortyable sleeping Excessive intake of curds Meat soups of domestic, marshy animals Milk Diet with newly harvested grains Preperations with Jaggery
- 7. • Dushyas = Rasa, sonita, mamsa, medas, ,majja, sukra, vasa, majja, lasika and ojas • Kaphaja prameha – Sadhya – samakriyatva • Pittaja prameha – Yapya – Asamakriyata • Vataja prameha – parityajya – mahatyayata ( severity involved)
- 8. Samprapti: Aggravated Kapha Vitiates mamsa, meda and kleda Located in basti Kaphaja prameha Intake of Ushna substances Pitta aggrevates Locates in basti Pithaja prameha When kapha and pitha in decreased state Vata aggravatres Pulls dhatus – majja, ojas, lasika to the basti Vataja prameha
- 9. Kapha pradana tridosa DOSA Rasa, Rakta, Mamsa, Meda, Majja, Sukra, Vasa, Lasika, Ojas, and Kleda DUSHYA Jataragni dhatvagni mandajanya ama AMA Rasa, Rakta, Mamsa, Meda,Majja, Sukra, Udaka, Mutravaha SROTAS Sanga, Vimarga gamana, Atipravriti SROTODUSTI Amasaya UDBHAVASTANA Basti and Sarva Sareera VYAKTASTHANA Madyama ROGAMARGA SAMPRAPTI GHATAKAS
- 10. Sweda Angaganda Sithilangata Sayyasana swapnasuke ratischa Ghanangata Kesanakha ati vridhi Sitapriyatva Galatalu sosha Madhuryam asye Karapadadaha Mutre abhidhavanti pipilikasca PURVAROOPA(Cha.Chi 6/13)
- 11. SAMANYA LAKSHANA: SAMANYA LAKSHANAM TESHAM PRABHUTA AVILAMUTRATA A.HR.NI.10/7 • Avila mutrata – turbid urination • Prabhuta mutrata – excessive micturition Acharya vagbhata, all the Prameha left untreated becomes Madhumeha in course of time. Some opines Madhumeha is a particular type of Prameha and others opines Madhumeha is the last stage of Prameha.
- 12. VISESA LAKSANAS OF PRAMEHA : KAPHAJA PRAMEHA Acham, Bahu, Sita, Seeta, Nirgandha, Udakopamam Udakameha Athyartha Madhura, seta, Isatpichila, Avilam, Kanmdekshu Sankasham Ikshumeha Sandram - viscosity Sandrameha Kinchit kinchit prasidatr- Partially viscous, Partially clear Sandraprasadameha Sukla, Pistanibham, Mutrabhikshnam Suklameha Sukrabham, Sukramishram, Muhurmehati Sukrameha Arthyarta Madhura, Seeta, Mehati yo Brisam Sitameha Katina – hard small particles Sikatameha Mandam, Mandamavegam, Krichram Sanairmeha Tanthiubadhaiva, Pichilam, Alalam Alalameha
- 13. Kshara – Ganda varsa rasa Sparsha Ksarameha Masivarna, Ajasram, Usnamutra Kalameha Amlamutra, Chasapaksanibham Nilameha Lavanam ushnam cha raktam, Visram Raktameha Manjista udakasankasam brisam, Visram Manjistameha Katu mutram, Haridrodaka sankasam Haridrameha PITTAJA PRAMEHA :
- 14. VATAJA PRAMEHA: Vasamisram, Vasabham va, Muhurmehati, Asadhya Vasameha Majjanam, Asadhya Majjameha Hastimata ivajasram mutram ksarati yo brisham, Asadhya Hastimeha Kashayamadhura, Pandu, Ruksham.Kshoudrarasa varna, Asadhya Madhumeha/ Kshaudrameha
- 15. SAMANYA UPADRAVA OF PRAMEHA: Cha.Ni. 4/48 • Trishna • Atisara • Jwara • Daha • Daorbalya • Arocaka • Avipaka • Putimamsa pidaka • Alaji • Vidradi
- 16. SADHA ASADHYATA OF PRAMEHA : Cha. Chi. 6/57 • Person born with prameha is Asadhya • Kaphaja and Pittaja prameha preceded with Purvarupa are Asadhya • Vataja prameha is Asadhya even without any Purvarupa • Pittaja prameha is Yapya, but without vitiation of Medas it becomes Sadhya.
- 17. SAMANYA CHIKITSA : tatra sadhyan pramehan samshodghana upasamanairyatharhamupadayaschikitsediti Cha. Ni. 4/49 • All sadya pramehas should be treated with appropriate samsodana, and Upasamana . Sthula pramehi balavanihaikah krishasthathaika paridurbalascha Cha. Chi. 6/15 • Sthula pramehi – balavan –samshodanba • Krisha pramehi – paridurbala – brimhana
- 18. Kaphaja prameha – Samsodana, Ullekhana and Langhana Pittaja prameha – Virechana, Santarpana and Samshamana Kleda, Medas and Kleda gets increased and causes the disease Prameha. Hence the physician should administer the Apatharpana initially in case of Kaphaja and Pittaja prameha.
- 19. ADRAVYABHUTA CHIKITSA IN PRAMEHA: • Vyayama Vividhayogai pragada • Udvartanam • Snana • Avaseka • Lepa of sevya, tvak, ela, Chandana aguru • Vyayama • Niyudha • Krida • Riding horse, gaja,ratha • Padati • Charyaparikrama SU.NI.11/11:
- 22. PRAMEHA PIDAKA: If prameha is neglected, then it causes seven types of Daruna pidaka in the Mamsa, Marma and sandhi of the body Size of earthen saucer with depression in the centre Saravika Shape of tortoise associated with burning sensation Kachapika Surrounded by a network of muscles Jalini Shape and size of white mustard Sarsapi Reddish white indurated blisters Alaji Big and blue boil Vinata Boil associated with the vidradi features Vidradi
- 23. Prameha pidaka should be treated by the surgeons with the help of Sastra, Samsodana and Ropana Acc. To cha. Chi. 6/58 PATHYAPATHYA: • SHYAMAKLA • KODRAVA • UDDALAKA • GODHUMA • CANAKA • ADHAKI • SALI • MUDGA, KULATHA • YAVA- MEDHOGNA • TIKTASAKHA PATOLA • JANGALA MAMSA RASA • SAINDAVA AND MARICHA
- 24. KWATHA : Durvadi kwath Kharjuradi kwath Pathadi kwath Mustadi kwath Vidangadi kwath Nishakatakadi kwath Manjistadi kwath Phalatrikadi kwath
- 25. • Eladi churna • Saladi churna • Kusavaleha • Salasaradi leha • Dghanvantara gritam • Salmali gritam • Mahadadimadhya gritam • Devadarvarista • Lodrasava • Mehakalantaka rasa • Chandrakala rasa • Prameha kulantaka ras • Chandraprabha vati • Vasantakusumakara ras • Vangeswar ras • Sarveswar ras
- 26. THANK YOU Dr. K. Malathi malathi8514@gmail.com