This document discusses Vanni pitham, a condition in Siddha medicine characterized by excess heat in the body. It presents the clinical features of Vanni pitham such as abdominal pain, excess head heat, bloody mucus stool, and inability to eat. It compares these features to Crohn's disease and inflammatory bowel conditions. The document outlines treatments like herbal medicines, dietary changes, and lifestyle modifications to balance aggravated heat and strengthen the body.

1. Vanni Pitham
F.R.M. Ramees
13/SM/10
Siddha Medicine
USM-TC/EUSL

2. Contents
 Introduction
 Quotation of Vanni pitham
 Clinical features of Vanni pitham
 Western aspect of this condition
 Treatment
 Reference

3. • Introduction
• In this presentation contain clinical features vanni pitham according
to Yugi vaidhya chindamani. There are 42 types mentioned.
• The vanni mean in tamil fire. The same meaning of this mention as
Azhal pitham in an another classification of pitha noi according to
Theraiyar vadakam. there are 21 types of pitha noi mentioned.

4. Kolkaiyaaip pethamaai vayiru ulainthu
Kodithaana kanal thaanum kabaalam eeri
Valkaiyaai seethmaai senneer paainththu
Vaatamaai karukiye udal veluththu
Mangaiyaai mayakkam oodu thiyakkamaahi
Vaaraana asanam miha ththanum sella
Nangaiyaai naa azhanru pulippu kaanum
Nalinamaam vanni pitha naattalame.
Quotation of Vanni pitham

5. Clinical features of Vanni pitham:
 Different type of pain in abdomen.
 Excess heat spread to head.
 Stool / urine pass with mucus and blood.
 Body become blackish and the pallor.
 Fainting and exhaustion.
 Unable to ingest the food.
 Burning sensation / Heat sensation of tongue.
 Sour taste in tongue.

6. • In this condition, pitha dosha aggravate beyond it normal level. The clinical
features of this condition mostly similar with other pitha imbalanced origin
diseases.
• Body heat increase  Burning sensation of tongue  due to this person
can’t ingest the food properly.
• Stool pass with mucus and blood  Pallor of body  Fainting and
exhaustion.
• So, Vanni pitham also arise due to over heat in the body as well as expouse
to environmental heat.

7. Western aspect of this condition
• During a heat wave (increase heat in body) , there's an increased risk for
inflammatory bowel disease flare-ups, and a greater risk of infectious
gastroenteritis (IG) (Nierenberg, 2013).
• And also The relative risk of developing Crohn's disease in the
gastroenteritis cohort was greater than that of ulcerative colitis,
especially during the first year after the infective episode (Rodríguez &
Panés, 2006 ).

8. Crohn's disease Vanni Pitham Remarkes
Abdominal cramps Different way abdominal pain Both have abdominal pain.
Diarrhea that may be bloody
with mucus.
Stool pass with mucus and
blood.
Crohn's disease
characteristic are mucus and
bloody (not fresh) stool,
unless ulcerative colitis (
fresh blood). The black color
of stool in vanni pitham
remarks Crohn's disease.
Severe urgency to have a
bowel movement.
Fever Heat over head, burning
sensation in tongue.
Both have similarities

9. Weight loss. Due to poor appetite,
weight loss may occur.
Loss of appetite. Unable to ingest the food Both features are same.
Iron deficiency anemia due to
blood loss
Pallor of body Fainting and exhaustion are
presented in vanni pitham.
Oral aphthous ulcers, oral
lesions
Burning sensation of tongue Both similarities are same
• So in this above condition, the most of the vanni pitham clinical feature
are merely related with the sign and symptom of crohn’s disease.

10. Treatment
• Piththam act in our body and as well as in mind. It posses fire character in
body and rajov gunam in mind. This is normal state of pitham.
• But due to improper food habits and activities it causes the disease. So,
the body is affected as well as the mind also affected.
• While treating should consider the above condition. To balance the
aggravated pitham, seetha veeriya drugs and foods given to patient.
• Treatment given to pacify the aggravated rajov gunam and increase the
sathva gunam. To this the surround environment should be clam, cool and
being good to mind.

11. • So, the treatment given for
1. To cure the disease
2. Pacify the pitha dosham
3. To strengthen the body
• To pacify the pitham give medicine to induce vomiting according to “
vamanaththal pitham thaazhum”.
• Then give medicine for induce purgation.
• Finally given medicine for sign and symptoms.

12. Medicine for vomiting.
1. Nei
Pei peerku seed -1 palam Patpadakam, Seenthil, Sooraththu nilaavarai,
Sivathai, Kadukkaai, Athimathuram and Seemai saamanthi each 4 palam.
All chopped well and add 2 padi water and boiled up to 1 uzhakku and
filter. Then added 1 padi cow gee and boiled up to kaduku patham
(consistency). And sprinkle powder of poonaikan kunguliyam half palam
over the prepared nei.
Dose: ½-1 spoon
Therapeutic effect: Induce vomiting and purgation.

13. Nei-2
Fruit of marukkaarai, Rhizomes of Seenthil, thaneervittan, Roots of sivathai,
Kaakattaan, Siraamanakku, Pei pudol, Patpadaakam, Kadukkaai, Thaanrikkaai,
Nellikaai, White neermuli flower each 4 palam. Add 4 padi of water and boiled up
to half padi and filter the decoction. Then add I padi milk and ½ padi ghee again
boil it. Keep it for one month.
Dose: one uchchik karandi
Therapeutic use: Induce vomiting

14. Decoctions
1. take pei pudol, Seenthil, patapadaakam, kottai mundri, rose flower petals,
fruit of aththi, root of kaakanam, root of marukkaarai each ¼ palam . add
enough water and make decoction amount of 1 padi. Take ½ azaakku from
the perepared decoction and add some amount of honey. therapeutic use:
induce vomiting and purgation.
2. Root of sivathai, stem of Seenthil, nila vila root, root of mookirattai, root of
saaranai, peri peerku, kottai mundiri, vasambu, soombu, seerakam each ¼
palam. Add half padi water and boil up to ½ azhaku and filter. Add some
amount of ghee.

15. Prepared Medicines
There are no specific treatment for vanni pitham. So need to treat the condition
with symptomatic treatment
1. Kudineer : Thiripala kudineer
2. Chooranam : Thiraatchathi chooranam, Parangiyaathi chooranam,
Piththasangaari chooranam, Mandoora chooranam, Thamarai valaiya
chooranam, thayir chundi chooranam, Panchtheepakkini chooranam, Malli
chooranam.
3. Thailam : Keezha nelli thailam, Seeraha thailam, sukku thailam, thiripala
thailam, Mahizhapoo Sandanaathi ennai, Siththamatti ennai, Ilaneer
ennai, Kumari ennai
4. Manapaahu : Vilava paani, Seenthil paani, elumichcham pazha paanam.

16. 5. Maathirai : Kapaada maathirai, thiripala maathirai
6. Nei: Seenthil nei, thaneer vittaan kizhangu nei, vallarai nei, Naayuruvi nei,
Seethevi nei,Ponaagani nei,
7. Patpam: Patpam of Aya, muththu, pavalam, muththu sippi, maanikkam,
ayanaagam, silaasaththu, velvangam.
8. Chendooram : Aya kantha chendooram, Annabedi chendooram.

17. Diet
Consume foods which do not increased the piththam as well as balanced
the aggravated piththam.
Rice: Mankkaththai arisi, kuruvai arisi, kaara arisi
Vegetables: tender brinjol, tender murungai, tender aththi, peerku, pudol,
vaazhaikachchal, puliyaarai keerai, manaththakkaali keerai, thaaliki keerai,
Koththamalli keerai, poondu,
Thaaniyangal: uluththu, thuvarai, green gram, vendayam, coriander,
soombu

18. Dairy products: ghee, milk, curd, moor
Meats: maarkandam, kaadai and kovthaari, avoid fish.
Bed : ilavam panju bed most preferable.

19. Reference
• Nierenberg, C., 2013. Extreme Heat May Aggravate Gastrointestinal Problems.
[Online]
Available at: https://www.livescience.com/38842-extreme-heat-may-aggravate-
gastrointestinal-problems.html [Accessed 27 05 2020].
• Rodríguez & Panés, 2006 . Acute Gastroenteritis Is Followed by an Increased Risk of
Inflammatory Bowel Disease. Pubmed, 130(6), pp. 1588-94.
• Muthaliyar, K, 2016, 8th Ed, Siddha maruththuvam, Indian medicine, homeopathy
department, Chennai.
• Rajeswari, K., 2005, Siddha maruththuvam: Pitham thodarpaana nooikal (part-5),
Indian medicine, homeopathy department, Chennai.