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Aids in Ay

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ROLE OF AYURVEDIC SYSTEM OF MEDICINE IN AIDS

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Aids in Ay

  1. 1. ROLE OF AYURVEDIC SYSTEM OF MEDICINE IN AIDS * Dr. S.K. Tiwari & * * Prof. Dr. K. Shiva Rama Prasad * B.A.M.S., P.G.D. In H.C.A., (M.D.) Assistant Research Officer, R.R.I. Bangalore (C.C.R.A.S) * * M.A. (Jyo), M.D. (Ayu), Reader in Kayachikitsa, PGARC, DGMAMC, GadagABSTRACT AIDS is a latest disease/ syndrome, which has no proper treatment as on today. ButRasayana and Rakta Sodhana Chikitsa from Ayurveda can promise some relief for it. Here weprovide a rational treatment along with the pathophysiology explained in Verses.INTRODUCTION OF THE DISEASE AIDS is caused by a human immuno-deficiency virus, till now the cure is positively not avail-able. In Ayurveda, treatment of this syndrome is possible through Rasayana (Brinhan) and RaktaSodhana Chikitsa as the symptoms directs. Mainly three types of HIV varieties are being de-tected and still some more are coming up rapidly. Ayurveda treat the human body in total as a unitincluding Atma, i.e. from inside and outside. In Ayurveda, immunity is described as a Vyadhikshamatwam and Vyadhi balavirodhitwam. The Kapha (Bala - strength of the body) includes theOjas, which is an essence of all the tissues, intended for the protection of the body. The Ojas isof two types. 1. Para Ojas and 2. Apara Ojas. Para Ojas is of 8 drops placed in the heart (Hridaya). The 8 units (Drops) are collectedone drop each from tissues, as essence. The Para Ojas control the Ardhanjali pramana AparaOjas. The Apara Ojas have kshaya, vyapati and vibhranshan as the phases of deficiency causethe illness in the body. Human body has protective cells known as CD-4 helper cells. Its normalrange is 8 hundred -12 hundred /micro liter. If this is lesser than 800 than it can give rise theimmuno deficiency in the body. This can be considered as Ashtavindu Para Ojas. The depletedPara Ojas disturb the Apara Ojas and give rise Ojas kshayam, in nutshell. Description of the AIDS in Sanskrit (+ɪÉÖ´ÉænùÉxÉÖºÉÉ®äúhÉ BbÂ÷ºÉ ®úÉäMÉ: +ÉäVÉ:IÉªÉ ºÉ¨ÉÉxÉ {ÉÊ®úEò±{ªÉiÉä)BbÂ÷ºÉ ®úÉäMÉ|ÉÉnÖù¦ÉÉÇ´É: nùÊIÉhÉ +Ê£òEòÉnäù¶Éä ½þÊ®úiÉ´ÉhÉÇ EòÊ{É: ´ÉiÉÇiÉä* ʽþ´É <ÊiÉxÉɨɮúÉäMÉÉxÉÖB´É iɶSÉ ¶É®úÒ®äú´É Êiɹ`öÎxiÉ, ʺÉʨɪÉxÉ xÉɨɺÉɨÉÉxªÉ¯û{ÉähÉ |ÉÉ®ú¤vÉiÉ:* ÊJÉʥɹ]õɤnù: ºÉ{iÉ{ÉSÉɶÉiÉÉäkÉ®ú BEòÉäxÉ˴ɶÉÊiÉ ¶ÉiÉiɨÉä´É¹Éæ (1957)* ½þÉ<bÅ÷ÉäVÉxÉ ¤Éɨ¤ÉÂʴɺ¡òÉä]õ EòÉ®úhÉäxÉ ºÉƺÉÞ{iÉ EòÊ{É: ºÉÆGò¨ÉÊhÉiÉÉ:* EòÊ{É: ºÉƺÉMÉǺªÉ VÉxÉÉ: +Ê{É ºÉÆGò¨ÉÊhÉiÉÉ:* ʽþ´É ®úÉäMÉÉhÉÖ ºÉÆGò¨ÉÊhÉiÉVÉxÉÉ: BbÂ÷ºÉ ®úÉäMÉähÉ EòɱÉGò¨ÉähÉ ´ÉÉÊvÉiÉÉ:*ÊxÉnùÉxÉ Ê½þ´É®úÉäMÉ ºÉÆGò¨ÉhÉäxÉ Eò¡ò iÉlÉÉ +ÉäVÉ: IɪÉ: ¦É´ÉÊiÉ* iɺ¨ÉÉiÉ |ÉEÖòÊ{ÉiÉÉä ´ÉÉiÉÊ{ÉkÉÉè IÉÒhÉ EòɪÉÉiÉ VÉ®úÉ´ªÉÉÊvÉ´ÉEÖò´ÉÇiÉ:* +´ÉÉÇÊSÉxÉ ¨ÉiÉÉxÉÖºÉÉ®äúxÉ ºÉÒ b÷Ò SÉi´ÉÉ®ú: ®úHòÉhÉÖ ºÉɨÉÉxªÉ°ü{ÉàhÉ +¹]õ¶ÉiÉ - uùÉnù¶ÉÉèiÉ |ÉÊiɨÉÉ<GòÉä±ÉÒ]õ®ÂúMÉhÉiÉÒªÉ |ɨÉÉÊhÉiÉ: *ʽþ´ÉºÉÆGò¨ÉhÉäxÉ uùªÉ¶ÉiÉ: ´ÉÉ ÊxɨxÉÉÆMÉiÉÉä ¦É´ÉÊiÉ *<nÆù {ÉÊ®úhÉÉ¨É ÊxÉÌ´É´ÉÉnù°ü{ÉähÉ BbÂ÷ºÉ ®úÉäMÉ <ÊiÉ
  2. 2. EòlªÉiÉä*ºÉÆGò¨ÉhÉ: ®úHònùÉxÉ ºÉÆGòʨÉiɺÉÚÊSÉ´ÉävÉ ®úÊiɺÉƺÉMÉÉÇiÉ nùÉä¹ÉnÚù¹ªÉºÉ¨¨ÉÚSUÇôxÉ: ¦É´ÉÊiÉ* ¨ÉɺÉjɪÉÉä{É®úÉxiÉÆ ºÉÆGòʨÉiÉVÉxɺªÉ ®úHäòʽþ´É®úÉäMÉÉhÉÖ où¶ªÉiÉä* ʽþ´É ºÉÆGòʨÉiÉÂVÉxÉÉ: ={É®úÉäHò Gò¨ÉähÉ +xªÉÉä%Ê{É ºÉÆGò¨ÉhÉÆ Eò®úÉäÊiÉ* ʽþ´É®úÉäMÉÉhÉÖ |É´Éä¶ÉÉä{É®úÉxiÉÆ+ÉuùÉnù¶É {ÉxSÉnù¶É ´É¹ÉÇ{ɪÉÇxiÉÆ ´ÉÉ {ÉÚ´ÉÈ BbÂ÷ºÉ ®úÉäMÉÉ: ¦É´ÉÊiÉ*ÊVÉ´ÉÉhÉÖ {ÉÊ®úSɪÉ ʽþ´É ®úÉäMÉÉhÉÖ ®úIÉEòMÉhɺªÉ ºÉ¨ÉÉxÉ B´É {ÉÊ®úoù¶ªÉiÉä* ºÉÆGò¨ÉhÉ EòɱÉà ®úIÉEòMÉhÉÉ: º´É®úSÉxÉÉ uùªÉMÉÖhÉEòÉ®úhÉä¹ÉÖº´É®úIÉhÉÉlÉÈ +ºÉ¡ò±ÉÆ ¦É´ÉäªÉÖ:* iÉnÂù {ÉÊ®úhÉɨÉä ʽþ´É ®úÉäMÉÉhÉÖ º´É´ÉÞËrù EòÊ®ú¹ªÉiÉä* ʽþ´É ®úÉäMÉÉhÉÖ {ÉÚhÉÇ´ÉÞËrù ½þxiÉÉ®ú: ®úÉäMÉ®úIÉEÂòMÉhÉɦªÉÉÆ ¦É´ÉÊiÉ* iɺ¨ÉÉiÉ VÉÒ´ÉxÉä ®úÉäMɺɨÉÚ½äþ¦ªÉ:VÉɪÉiÉä *®úÉäMɱÉIÉhɨÉ iɺªÉ ºÉɨÉÉxªÉ ±ÉIÉhÉÆ xÉÉκiÉ, iÉlÉÉÊ{É Ê´ÉʦÉzÉ VÉxɺªÉ Ê´ÉʦÉzÉ ±ÉIÉhÉÉÊxÉ où¶ªÉÎxiÉ, ʴɶÉä¹ÉiÉ: IÉÒhÉEòɪÉÉ:nùÉè¤ÉDZªÉÆ ´É汃 {ÉʱÉiÉ JÉÉʱÉiªÉ VÉ®úÉ´ªÉÉÊvÉ {ÉÒÊb÷iÉÉä ¦É´ÉÎxiÉ iÉlÉÉÊ{É +VÉÒhÉÇ +ÊiɺÉÉ®ú V´É®úÉÊhÉ +Ê{É ¨ÉÖ½Öþ¨ÉÖǽÖþ: {ÉÒb÷¬xiÉä* iÉκ¨ÉxÉ EòɱÉä ºÉ´Éæ +Éè¹ÉvÉÉ: +ºÉ¡ò±ÉÉ: ¦É´ÉÎxiÉ *ÊSÉÊEòiºÉÉ BiÉä ºÉ{iÉɶSɪÉÇVÉxÉEò ´ÉxÉÉè¹ÉÊvÉ: {ÉÊ®úhÉɨÉEòÉ®úÒ où¶ªÉiÉä* iÉä iÉֱɺÉÒ, +·ÉMÉxvÉÉ, {ÉÖxÉxÉÇ´ÉÉ, MÉÖbÚ÷ÊSÉ, ¥ÉÉÊÀ,xÉÒ®ú¥ÉÉÊÀ, ¶ÉiÉÉ´ÉÊ®ú ½þ®úÒiÉÊEò ʴɦÉÒiÉEòÒ SÉ ÊEò®úÉiÉÊiÉHò: BiÉä ¨É½þÉè¹ÉvɪÉ: SÉÚhÉÇ ´É {ÉxSÉEò¹ÉɪÉEò±{ÉxÉÉxÉÖºÉÉ®äúhÉ |ɪÉÉäVªÉxiÉä* +ÉäVÉ: ºÉÉä¨ÉÉi¨ÉEÆò κxÉMvÉÆ ¶ÉÖC±ÉÆ ¶ÉÒiÉÆ ÎºlÉ®Æú ºÉ®Æú Ê´ÉÊ´ÉHÆò ¨ÉÞnÖù ¨ÉÞiºxÉÆ SÉ |ÉÉhÉɪÉiÉxɨÉÖkɨɨÉ - ºÉÖ ºÉÚ 15/21 iÉäVÉÉäªÉiºÉ´ÉÇvÉÉiÉÚxÉɨÉÉäVɺiÉi{É®ú¨ÉÖSªÉiÉä ¨ÉÞnÖùºÉÉä¨ÉÉi¨ÉEÆò ¶ÉÖrÆù ®úHò¨ÉÒ¹ÉiºÉ{ÉÒiÉEò¨ÉÂ* + ºÉÆ ºÉÚ 19/34 iÉjÉ ®úºÉÉnùÒxÉÉÆ ¶ÉÖGòÉÆiÉÉxÉÉÆvÉÉiÉÚxÉÉÆ ªÉiÉ {É®Æú iÉäVɺiÉiÉ Jɱ´ÉÉäVɺiÉnäù´É ¤É±ÉʨÉiªÉÖSªÉiÉä, º´É¶ÉɺjÉʺÉrùÉÆiÉÉiÉ - ºÉÖ ºÉÚ 15/19 Being from Rasa to sukra Dhatu, Ojas is the essence of all the Dhatus. As per Susruta,bala is the synonyms of Ojas. Due to effect of Ojas, muscles have a strength and normal func-tion, a person can discharge his duty. Signing of body voice and normal physiological activity willdepend upon ojah. iÉjÉ ¤É±ÉäxÉ ÎºlÉ®úÉä{ÉÊSÉiɨÉÉƺÉiÉÉ ºÉ´ÉÇSÉä¹`öɺ´É|ÉÊiÉPÉÉiÉ: º´É®ú ´ÉhÉÇ|ɺÉÉnùÉä ¤ÉÉÁxÉɨÉɦªÉÆiÉ®úÉhÉÉÆ SÉ Eò®úhÉÉxÉɨÉÉi¨ÉEòɪÉÇ|ÉÊiÉ{ÉÊkɦÉÇ´ÉÊiÉ* ºÉÖ ºÉÚ 15/20Dalhan has commented on above-mentioned line in 10 century AD ºÉ´ÉÇSÉä¹]õɺ´É|ÉÊiÉPÉÉiÉ: th as loss ofdefense from the another disease. Dalhan commentary as follows +|ÉÊiÉPÉÉiÉÉä%|ÉÊiɽþiɶÉÊHòi´É¨ÉÂ, BiÉnÂù¦ÉÉ®ú½þ®úhÉÉÊnù¶ÉÊHò±ÉIÉhÉäxÉ ¤É±ÉäxÉ - ºÉÖ*ºÉÚ*15/20 b÷±½þhÉIn 11th century AD the great commentator of Charak samhita, Acharya chakrapani has given thedetail highlight of ojah and ojahkshaya. As per his description, ojah has divided in two part.1. Para ojah - para= pradhan, main, para ojus is amounted 8 drops and his place in heart. |ÉÉhÉɸɪɺªÉÉèVɺÉÉä%¹]õÉè ʤÉxnù´ÉÉä ¾þnùªÉɸɪÉÉ: <ÊiÉ* BiÉSSÉɹ]õʤÉxnÖùEÆò {É®ú¨ÉÉäVÉÉäYÉäªÉ¨ÉÂ* SÉ®úEò ºÉÚjÉ 17/73-75 SÉGò{ÉÉÊhÉ2. Apara ojah - secondary important ojus amounting ardha anjali pramana. In madhumeha dis-
  3. 3. ease it will be come out through urination. Kshaya causes weakness but not death. +vÉÉÇVÉʱÉ{ÉÊ®ú¨ÉÉhÉÆ iÉÖ ªÉnùÉäVɺiÉnù|ÉvÉÉxÉÆ ªÉSUôÉ®úÒ®äú ´ÉIªÉÊiÉ - iÉÉ´ÉSSÉè´É ¶±Éèι¨ÉEòºªÉÉèVɺÉ: |ɨÉÉhɨÉ <iªÉxÉäxÉ iɺ¨ÉÉÊuùÊ´ÉvÉʨɽþÉèVÉ:* SÉ®úEò ºÉÚjÉ 17/73-75 SÉGò{ÉÉÊhÉ2000 year BC Acharya susruta has mentioned about the disease caused by ojahkshaya. iɺ¨ÉÉnùÊiÉEòɺªÉȦɴÉÊiÉ* ºÉÉä%ÊiÉEÞò¶É:IÉÖÎi{É{ÉɺÉɶÉÒiÉÉä¹hÉ´ÉÉiɴɹÉǦÉÉ®úÉnùÉx´É乴ɺɽþ¹hÉÖ ´ÉÉÇiÉ®úÉäMÉ|ÉɪÉÉä%±{É|ÉÉhɶSÉ ÊGòªÉºÉÖ ¦É´ÉÊiÉ, ¶ÉɺÉEòɺɶÉÉä¹É {±ÉÒ½þÉänù®úÉÎMxÉ ºÉÉnùMÉÖ±¨É®úHòÊ{ÉkÉÉxÉɨÉxªÉiɨɨÉɺÉÉt ¨É®úhɨÉÖ{ɪÉÉÊiÉ, ºÉ´ÉÇ B´É SÉɺªÉ®úÉäMÉ ¤É±É´ÉxiÉÉä ¦É´ÉÆiªÉ±{É|ÉÉhÉi´ÉÉiÉ * ºÉÖ ºÉÚ 15/33 ʴɦÉäÊiÉ nÖù¤ÉDZÉÉä%¦ÉÒIhÉÆ vªÉɪÉÊiÉ ´ªÉÊlÉiÉäÎxpùªÉ:* nÖù¶UôɪÉÉä nÖù¨ÉÇxÉÉ ¯ûIÉ: IÉɨɶSÉè´ÉÉèVɺÉ: IɪÉä* ¾þÊnùÊiɹ`öÊiÉ ªÉSUÖôrÆù ®úHò¨ÉÒ¹ÉiºÉ{ÉÒiÉEò¨ÉÂ* +ÉäVÉ: ¶É®úÒ®äúºÉÆJªÉÉiÉÆ iÉzÉɶÉÉzÉÉ Ê´ÉxɶªÉÊiÉ*SÉ®úEò ºÉÚjÉ 17/73-74 Loss of imune power, patient have a very lean and thin body. His body is not able toprotect from other disease, viz. And that condition. These are loss of appetite, thirst, hot, cold,rain, air/wind force, due to the above the patient can be suffered from swasa, kasha, sosha,pleeha vriddhi, udarvriddhi, agnimandhya, gulma add raktapitta. Patient can be died by the effectof any one disease which is mentioned above. Charaka also mentioned in 5000 to 3000 year Bc about sign and symptom of the ojahkahayaas unnecessary feared thinking mood/sad mood, dull sense organs and change of the complex-ion. Charak and susruta both were described the sign add symptom of ojahkshaya which aresimilar to AIDS. Aetiology of ojah kshaya which are mentioned in the text is also similar to AIDS.These are 1. Excess of sukra - main cause of HIV infection. 2. Rakta - important factor of HIV infectio (professional blood doners) 3. Kapha - general power 4. Others are excess exercise, fasting, sadness, improper diet etc. ´ªÉɪÉɨÉÉä%xɶÉxÉÆ ÊSÉxiÉÉ ¯ûIÉɱ{É|ÉʨÉiÉɶÉxɨÉÂ* ´ÉÉiÉÉiÉ{ÉÉè ¦ÉªÉÆ ¶ÉÉäEòÉä ¯ûIÉ{ÉÉxÉÆ |ÉVÉÉMÉ®ú:* Eò¡ò¶ÉÉäÊhÉiɶÉÖGòÉhÉÉÆ ¨É±ÉÉxÉÉÆ SÉÉÊiÉ´ÉiÉÇxɨÉÂ* SÉ®úEò ºÉÚjÉ 17/76-77 Sushruta has mentioned that the aetiology as a first injury. Injury is the now a days one ofthe factor for spreading the disease. Others aetiology are the similar to charaka. +ʦÉPÉÉiÉÉiÉ IɪÉÉiÉ EòÉä{ÉÉSSÉÉäEòÉnÂùvªÉÉxÉÉSTɨÉÉiÉ IÉÖvÉ: +ÉäVÉ: ºÉÆIÉÒªÉiÉä Á䦪ÉÉä vÉÉiÉÖOɽþhÉÊxÉ:ºÉÞiɨÉÂ* ºÉÖ ºÉÚ 15/23
  4. 4. A comparative statement of Ojahkshaya with reference to AIDS is as follows OJAHKSHAYA AIDS It is because of deficiency of ojus It is by deficiency of CD-4 helper cells. Body protective machanism Body immunity capacity lost. (vyadhikshamatwam) and vyadhi balabirodhitwam is lost. Loss of apara ojus causes vyadhi of various Decrease of immunity causes various problem process. in system. Causes of ojahkshaya is ativyavaya and Source of infection is unnatural sexual inter- agamyavyavaya (causes pratiloma kshya) course. Appear with impair sequencal progress of One of the important root of spreading virus is dhatus as rasa rakta etc. blood transfusion and appear malnourished process. Rasa kshaya lead to ojah kshaya causes AIDS causes uncontrolled Diarrhoea. mantal confusion and mainly G.I.T problems (annavaha srotojanya vikara). Rasa viz twak as bahya rog marga causes So many skin disease viz fungal infections are skin erruption or kushtha. common. At sequencal progression of dhatus, Lack of CD-4 cells give rise disterbance in dhatwagnis are going to be involve and others metabolic process and causes disease. causes respective disease substantially. Ojus is eaten by rajnichara. (is pishacha as a CD-4 cells is going to be infected by HIV virus. agantuz karana) +ÉäVÉÉä¶ÉxÉÉxÉÉÆ ®úVÉxÉÒSÉ®úÉhÉɨÉɽþÉ®ú½äþiÉÉäxÉÇ ¶É®úÒ®úʨɹ]õ¨ÉÂ* SÉ®úEò ¶ÉÉ®úÒ®ú 2/10TREATMENTTill now there are no treatment accept to protect the non infected cells by introducing zidovidine,AZI, ATC, DPT etc., of aelopathic system. These medicines are very costly and much toxic. Permonth expenditure for treatment is Rs. 20000/=. Result is not curative but only to delay in death.Loss of immune power is not a big issue, it can seen in case of diabeliease, leprosy and pandualso, but main problem is that, HIV infected person can infect to others healthy persons by themode of infection and infected person have a no ability to discharge his duty. To study the abovesituation, ayurvedist duty to search the new medicine for this unmentioned disease. As per folllowingreference of charak samhita sustra 18/44-47. As per analysis of dosha, dusya, place and nidanaetc., a physician have to be identify the cases and select the tools for treatment. Charak guide line as follows for the diagnosis and treatment of unmentioned cases. Ê´ÉEòÉ®úÉäxÉɨÉEÖò¶É±ÉÉä xÉ ÊVÉ¿ÒªÉÉiEònùÉSÉxÉ* xÉ Ê½þ ºÉ´ÉÇ Ê´ÉEòÉ®úÉhÉÉÆ xÉɨÉiÉÉä%κiÉ wÉÖ´ÉÉ ÎºlÉÊiÉ:* ºÉ B´É EÖòÊ{ÉiÉÉä nùÉä¹É: ºÉ¨ÉÖilÉÉxÉʴɶÉä¹ÉiÉ:* ºlÉÉxÉÉxiÉ®úMÉiɶSÉè´É VÉxɪÉiªÉɨɪÉÉxÉ ¤É½ÚþxÉÂ* SÉ®úEò ºÉÚjÉ 18/44-45On the base of analysis of above guideline of charaka we given the name of this disease ohahkshaya. For treatment of this disease charak has given another guide line. º´ÉºlɺªÉÉäVÉǺEò®Æú ªÉkÉÖ iÉ´qÞù¹ªÉÆ iÉpùºÉɪÉxɨÉÂ* SÉ®úEò ÊSÉÊEòiºÉÉ 1/1/5
  5. 5. Rasayan chikitsa is swasthya (healthy) and urjaskar (a medicine which can grow ojus, known asurjaskar). Therefore on the base of above we selected all the rasayan groups of single herbs. Wealso taken some magazine and news paper description. And inter in the field of ojus kshayatreatment. Maharshi sushruta have also given guide line as. =i{ÉzÉä iÉÖ {ɪɺªÉÉ·ÉMÉÆvÉÉÊ´ÉnùÉÊ®úMÉvÉɶÉiÉÉ´É®úҤɱÉÉÊiɤɱÉÉ xÉÉMɤɱÉÉxÉÉÆ ¨ÉvÉÖ®úÉhÉɨÉxªÉɺÉÉÆ SÉÉè¹ÉvÉÒxÉɨÉÖ{ɪÉÉäMÉ:, IÉÒ®únùÊvɨÉÉƺɶÉÉʱɹÉι]õEòMÉÉävÉÚ¨ÉÉxÉÉÆ SÉ, Ênù´Éɺ´É{xÉ¥ÉÀSɪÉÉÇ´ªÉɪÉɨɤÉÞƽþhɺiªÉÖ{ɪÉÉäMɶSÉäÊiÉ* ºÉÖ ºÉÚ 15/33Brahmacharya and exercise have to be followed alongwith brinhan (tonic) medication. Rasayanis the best way of healthy medication.Therefore following medicine has been selected. These medicines are under trial to nizeria andsome another countries.Ref;1. Ayurved answer of AIDS, indian exp. 15-5-932. Ayurvedic works on AIDS do 30-6-933. Prevention add control of communicable disease with a special reference to AIDS by Dr. S.K. Tiwari (A thesis for P.G.D. in H.C.A. SJMCH Bangalore)These medicines are1. Tulasi - ocimum sanctum linn2. Aswagandha - withania somnifera3. Punarnava - boerrhavia diffusa4. Giloia satwa - tinospora cordifolia5. Shatavari - asparagus recemosus6. Brahmi - centella asiatica7. Neer brahmi - bacopa monnieri8. Powders dose 2-4 gms with milkOther medicine with combinatio as per condition for patient such as if fungal infection or skindisease then decoctio of1. Kiratatikta - swertia chirata2. Nimba - azadirachta indicaAs a rakta shodan and given as a decoction twice a day.Another important combination can introduce with 1st seven as a vidarikhand - ipomcea digitataVibhitaki - terminalia bellericAmalaki - emblica officinalisIt is also preferred to give haritaki churna as per katu charya by instruction of bhavaprakashnighantu,Haritaki churna likeVasanta ritu haritaki with honeyGrishma ritu haritaki with guoVarsha ritu haritaki with saindhavaSharad ritu haritaki with gudasarkaraShishira ritu haritaki with pippaliHemanta ritu haritaki with sunthiThe above line for all the cses are indicated. Group of medicines as follows1. 1st group - composed by first 72. 2nd group - decoction of kiratatikta and nimba root bark3. 1st group + vidhari khanda4. haritaki, vibhitaki and amlakiour duty to select the treatment as per condition and requirement of patient.

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