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COVID -19 (CORONA) AN A#YURVEDA APPROACH AND DIETETICS Dr.L.Mahadevan, BAMS,MD,Ph.D. Dr.K.Sheik Farith, BAMS.

COVID -19 (CORONA) AN A#YURVEDA APPROACH AND DIETETICSsaradaayurveda.com/img/covid-19-ayurveda-english.pdf · COVID -19 (CORONA) AN AYURVEDA APPROACH AND DIETETICS 11 Dr. L. Mahadevan

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Page 1: COVID -19 (CORONA) AN A#YURVEDA APPROACH AND DIETETICSsaradaayurveda.com/img/covid-19-ayurveda-english.pdf · COVID -19 (CORONA) AN AYURVEDA APPROACH AND DIETETICS 11 Dr. L. Mahadevan

COVID -19 (CORONA)AN A #YURVEDA APPROACH

AND DIETETICS

Dr.L.Mahadevan, BAMS,MD,Ph.D.

Dr.K.Sheik Farith, BAMS.

Page 2: COVID -19 (CORONA) AN A#YURVEDA APPROACH AND DIETETICSsaradaayurveda.com/img/covid-19-ayurveda-english.pdf · COVID -19 (CORONA) AN AYURVEDA APPROACH AND DIETETICS 11 Dr. L. Mahadevan

Disclaimer

Many queries regarding the corona virus has been constantly asked by the A#yurveda student community. So far, we have not treated any Covid 19 positive patients. However, conditions with similar symptoms and infections associated with lungs have been treated successfully. This disease indicates a predominance of va#ta kapha or kapha va#ta dos8a#s.This is an effort to share our understanding and experience in treating similar conditions using A#yurveda concepts for the A#yurveda student community only and not a replacement to a physician’s direct examination and treatment. This is not a government approved treatment protocol for Covid-19. Those intending to understand the A #yurveda s$a#stra will find this useful. Our interpretation and opinion stand subjected to corrections.

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A#YURVEDA MEDICAL TEAM

DR.L.MAHADEVAN, BAMS,MD, Ph.D.DIRECTOR / CHIEF PHYSICIAN

DR.Y.MAHADEVA IYER’S SRI SARADA AYURVEDA HOSPITAL AND RESEARCH CENTRE, DERSINAMCOPE, AZHAGIAPANDIAPURAM POST, KANYAKUMARI DISTRICT -629851

PHONE: 04652-282239/282449/ 9443362982

DR.K.SHEIK FARITH, BAMS. ASSISTANT MEDICAL OFFICER (AYURVEDA) GOVERNMENT PRIMARY HEALTH CENTRE,

MELAKKAL,MADURAIPHONE: 7010238939.

TRANSLATED FROM TAMIL TO ENGLISHDR.G.AISHWARYA, BAMS.

PHONE: 7550187185

CONTENTS

INTRODUCTION 4 DETAILS ON INFECTIOUS DISEASES 7

PREVENTIVE LIFESTYLE MANAGEMENT 9

PREVENTIVE MEDICINE MANAGEMENT 13

POST RECOVERY PHASE MANAGEMENT 14

MEDICINE MANAGEMENT FOR INFECTION EXPOSED INDIVIDUALS 15 (POLICE PERSONNEL, DOCTORS, NURSES,MEDICAL STAFF,COMMUNITY SERVICE STAFF)

DETAILED EXPLANATIONS ON MEDICINES 20

POST RECOVERY DIETETICS TO IMPROVE IMMUNITY 23

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IntroductionWe are aware that corona virus particularly Covid 19 transmission

originated in Wuhan, China. At a time when the Covid 19 situation

seemed in control in china has once again shown an increase in the

number of positive cases. The incubation period (the active carrier

state of the virus) is found to be 14 days from the time of contact.

Although, the common symptoms of hyperthermia (increased body

temperature), cough, pneumonia,dry throat indicates an affliction

in the Pra#n8avahasrotas, renal failure and irregular cardiac rhythms

are also observed. It is at this phase of the disease, critical care with

ventilators become indispensable.

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COVID -19 (CORONA) AN AYURVEDA APPROACH AND DIETETICS 5

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How long can self-isolation be a solution? Shouldn’t physicians

cater to patients? What happens to life sustenance? Shouldn’t

we seek to identify patients? Is it just enough to address fever

alone? Such questions definitely have been raised.

Corona virus is certainly threatening. Wearing a mask is

mandatory. Washing the hands thoroughly, safe disposal of

the masks etc., have been constantly emphasized. The world

has witnessed the plague and so has it seen the smallpox.

This is called as janapadodvamsam in A#yurveda. As a general

hygiene care, keeping the hands clean, avoiding proximity

to those afflicted with cough and cold, use of elbows while

sneezing, refraining direct care for wild and farm animals for a

short period of time are recommended. Thorough wash of meat

before cooking, bathing or washing hands after spending time

withpet animals, contact a nearby doctor if any symptoms are

noticed, avoid spitting out in public are common precautions

known to all now.

Introduction

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A#ca#rya Caraka’s janapadodvamsam has been talked

about by many. “Samkra#manthinara#nnaram”

“Aupasargika Rogam” - Here, they have mentioned

specifically about human to human transmission.

It is a must to wash the hands before and after a meal, after a sneeze, after touching any

surface and after using the toilet. The co-operation of the people is important. A fear has

certainly been instilled in the people. However, lack of responsibility still prevails.

An obedience in public places are seldom seen.Without the co-operation of the people ,

handling a grave situation as this is questionable. People are aware but not responsible

yet. Although, many kas8a#ya#s on the basis of A#yurveda concepts can be addressed for this

disease, government approved research is certainly required. A conflicting scenario prevails

with few modern medical practitioners completely rejecting A#yurveda and a few others

overwhelming us with appreciation.

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COVID -19 (CORONA) AN AYURVEDA APPROACH AND DIETETICS 7

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DETAILS ON INFECTIOUS DISEASESA#ca#rya Sus8rutha mentions

PRASAN*GA#TH - Coitus

GA#THRA SAMSPARS$A#T - Touch from person to person

NIS 8WA#SA#TH – Breath , cold , cough and sneeze

SAHA BHOJANA#T – Eating unhygienic food with those afflicted with

diseases

SAHA S8AYYA# – Using the bed or pillow or bedcover of the infected.

SAHA A#SANA#TH – Using the same seat as those of infected (this is

seen in public transports like bus, train, aeroplanes, etc..,). This can

also cause disease transmission.

GANDHAM - using fragrances , accessories and clothes as those of

the infected.

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Vaidya#s should certainly be well read in the treatment of Jvara. Relevance to the strength of the individual is seen mentioned in various texts on the treatment of jvara.

“BALA#DHIS 8TA#NAM A#ROGYAM,

A#ROGYA ARTHA#TH KRIYA# KRAMAHA”

is a well-known verse to all.

Every medical professional has made an attempt to understand this disease and have developed treatment hypothesis and a prophylactic protocol.

The ministry of AYUSH has requested the A#yurveda practitioners to make their contribution at this critical period. In Kerala, an integrated approach has been created by all the top physicians. They have also had a discussion based on the tridosha siddha#ntha to categorize the condition.

CASES THAT CAN BE ADDRESSED BY AN

A#YURVEDA PHYSICIAN AT THIS PHASE:

1. COVID19 negative cases

2. Quarantined Patients due to contact with

a positive case.

3. Patients with mild symptoms

4. Patients after recovery

5. Infection exposed individuals – commu-

nity service providers, police personnels,

utility vendors, staffs.

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COVID -19 (CORONA) AN AYURVEDA APPROACH AND DIETETICS 9

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• At a time like this, the lifestyle takes a huge stake

as physical activity reduces, and snacking becomes

more common. It is advisable to reduce unnecessary

snacking at odd times of the day and night.

• Fried food is best avoided and intake of food when

hungry is recommended.

• Eating dry fruits,almonds and fruits are suggested.

• Diabetic patients should avoid intake of fruit juices.

• For those with random blood sugar levels below

200 mg/dl, can take one banana a day. Also, it is

important to avoid gruels (called yava#gu in A#yurveda)

must be avoided.

• Fruits like papaya, guava, pomegranate,apple, pear

can be taken in moderation.

• Reducing the food quantity by a quarter is

recommended.

PREVENTIVE LIFESTYLE MANAGEMENT

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• Vegetarianism should be followed and eating non vegetarian food at

night should be avoided. Finish your meal within 7 pm – 7 30 pm at

night.

• Adding dry ginger powder in food is important as it maintains the Agni

(the digestive fire) to function at its best. Sama #gni(A balanced digestive

fire) is an indicator of health and thereby, is responsible for immunity.

A sluggish digestive activity shows antagonistic action leading to

disease manifestation.

• A chutney of amla, ginger is beneficial.

• Green gram has to be sufficiently added in diet. Black gram is to be

best avoided as it has the quality of Abhis8yandi.

• A measured use of black gram,curd, sesame seeds, fish is advisable.

• Diet must be planned based on the digestive capacity.

• Avoid intake of pickles and oily food substances.

• A#yurveda recommends the use of Toya Kalpana – a process of boiling

water with herbal medicines. This water is strained and par taken.

PREVENTIVE LIFESTYLE MANAGEMENT

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Use of ginger, coriander seeds, tulasi leaves, hr8beram, musta#, parn8a yava#ni,

ajamoda, turmeric is a good example for this type of preparation.

• Increased intake of coffee and tea develops sour medium in the body.

• Dry Ginger coffee (Commonly called chukkukaapi) is recommended. It is a

carminative and cleanses the channels. Similar drink prepared with coriander

seeds (dha#nyaka), and tulasi (basil leaves) are also beneficial.

• Cow’s milk should be diluted and taken. Milk with dry ginger and turmeric

powder are recommended. The ministry of AYUSH named this as the golden

milk. Goat’s milk is seldom used however its beneficial.

• During hot seasons, intake of water from mud pot infused with sa#riva roots

are beneficial.

• Use of buttermilk with rock salt, ginger and curry leaves can be used both as

a drink and with food. Use of curd should be avoided especially at nights.

• Refrigerated coldwater intake must be avoided as it may lead to throat pain

• The three pillars of life include food, sleep and regulated coitus. Given the

importance of sleep, untimely sleeping habits must be avoided. Sleep during

the day is allowed only during the summer seasons. Sleeping during the day

increases body weight.

• Indulge in reading good books.

• Quality time with family should be allocated.

• Engage in cooking, painting, tailoring, gardening and sports.

• Include brushing the teeth at bedtime.

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• Nasyam (medicated nasal instills) – Instilling drops of oil into the nostrils is

recommended. Two drops of An8u tailam can be instilled in each nostril. An8u tailam

is a medicated nasal oil that is available in all A#yurveda pharmacies. This can also

be replaced with coconut oil or sesame oil.

• Nasyam should be avoided if you are afflicted with cough, cold, fever, throat pain

and also during menstruation.

• Bathing immediately after food has to be avoided

• A minimum of 20 mins exercising is highly recommended.

• A practice in Yoga, Pra#n8a#ya#ma (breathing exercises) and meditation is beneficial

• Walking inside the house is also recommended. The environment must be well

maintained. This has been well established by the government and the media.

• Fumes of turmeric, garlic, nirgun8d8i, mustard seeds, salt, vaca#, kus8t8a#, hari#taki should

be well dispersed in the house. Add few drops of ghee to this for best benefits.

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Fumigation of Apara#jithadhu#pam has to done everywhere. It is believed to

cleanse the environment and destroy germs.This has been followed in all the

government hospitals of Kerala..

PREVENTIVE MEDICINE MANAGEMENT

APARA#JITHA DHU#PAM

• Healthy individuals do not need any medications.

• Following daily regime and the seasonal regime (dinacarya & r8tucarya) are

sufficient.

• Nasyam – Nasal medication can be followed

• As a protection to the throat, gargling with Saptaccada#di kas8a#yam (As8t8a#n*ga

hr8dayam/ mukha rogam), Tr8phala gandu#s8am can be done.

• Gargling with water infused of ginger, turmeric, parn8ayava#ni, salt is beneficial

• Induka#ntham kas8a#yam – 20 ml with 60 ml of luke warm water can be taken

twice before food.

• Ku#s8ma#n8d8a Rasa#yanam or Agasthya Rasa#yanam are recommended (10 gm

morning and evening (twice) after food.

• Those with a good appetite can take ku#s8ma#n8da rasa#yanam and those with a

moderate appetite can take agasthya rasa#yanam as mentioned in the s$a#stra#s.

• Ku#s8ma#n8d8am(white gourd) is good in alleviating vata pitta dos8a#s. Hari#taki is

good in alleviating va#ta kapha dos8a#s. However, it is best to seek the advice of

physician for appropriate management.

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POST RECOVERY PHASE MANAGEMENT

• Daily hair wash must be avoided. Bathing everyday only for the body is

recommended.

• On the days of hair wash, application of 10 – 20 drops of bala# as$vagandha la#ks8a#di tailam / Tekara#ja tailam / Nirgun8d8i tailam over the

head, half an hour before the hair wash is recommended.

• After the hair wash, application of Ra#sna#di cu#r8n8am over the head is

recommended.

• Avoid oiling the head and washing the hair 14 days from recovery.

Additionally, Self-isolation must be followed.

• Diet as mentioned previously can be followed during this phase also.

• Milk infused with turmeric or ginger is useful during this phase.

• During this phase, Ela# kan8a#di kas8a#yam with cumin seed powder

(ji #rakam) is beneficial. Non-diabetic patients, can add honey in this

kas8a#yam.

• Kas8a#yam with similar effects include das8amu #la kat8utrayam kas8a#yam,

• Induka#ntham kas8a#yam, vya#ghra#di kas8a#yam & Pathya# kusthumbara#di

kas8a#yam. Use of these kas8a#yams are advised with physician’s

supervision.

• Rasa#yanam takes an important role at this phase as it helps in protecting

the pra#n8avaha srotas.

• Some of the rasa#yana#s that can be used include - Ku#s8ma#n8d8a

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• All the aforesaid suggestions stand recommended for this group also. A juice made of three amlas (gooseberry) and a few cardamoms will be beneficial.

• Cyavanapra#s$a lehyam twice after food followed by warm water is recommended. This is not recommended for diabetic patients.

• Two tablets of Tr8kat8u twice after food is recommended.

• Individuals with good appetite can have ½ - 1 teaspoon of S$ad8phala Ghr8tam before food, followed by luke warm water.

• Individuals with cough and cold, can take the following medicines

Ta #lisa#di cu#r8n8am

Kasthu#ri gulika

Gorocana#di gulika

Siddhamakaradvajam

Va#sa#r8s8t8am

• These medicines can be given in the initial phases under the physician’s supervision.

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MEDICINE MANAGEMENT FOR INFECTION EXPOSED INDIVIDUALS

(POLICE PERSONNEL, DOCTORS, NURSES,MEDICAL STAFF,COMMUNITY

SERVICE STAFF)

Rasa#yanam, Agasthya Rasa#yanam, Cyavanapra#s$a lehyam,

Pippali rasa#yanam, Induka#ntham ghr8tam and s$ad8phalam

ghr8tam strictly under physician’s supervision.

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• Diabetic patients are advised to reduce the intake of rice. Wheat and Ragi

must be alternatively used. Small lentils should be used sufficiently. Water

boiled with 3 parts of dry amla powder and 1 part of turmeric powder must

be used regularly. This helps in reducing the blood sugar levels. Fenugreek

seeds fried and ground can be taken with warm water. Intake of 1 tsp of

tr8phala#di cu#r8n8am with warm water at bed time is recommended. This also

prevents constipation. Water boiled with coriander, cumin seeds, jack fruit

leaves, mango leaves, parn8ayava#ni can be used.

• Medications for diabetes must be continued. Some medicines for diabetes

include:

Neerizhivu cu#r8n8am

Nisa #kathaka#di kas8a#yam

Niru#rya#di gulika

Kathaka khadira#di vat8i• Individuals with a pre-existing hypertension condition must reduce the

intake of spicy, sour and salty foods. Continued use of the prescribed anti-

hypertensive drug (allopathy) should be ensured. Practice of meditation will

be useful for these patients.

• Individuals diagnosed with carcinoma (cancer) should be given Brahma

Rasa#yanam, two teaspoon twice after food. Use of karisa#lai karpam, tr8phala

karpam two tablets twice a day will also be beneficial.

• Immunity is based on the strength of the agni. This is called as ‘balam’ in

A#yurveda. Some are naturally bestowed with balam. This is called as ‘Sahaja

balam’. At certain times, depending on the seasonal changes, the balam

gets enhanced. This is called as ‘ka#lajam’. An appropriate lifestyle, diet and

medications can help in the betterment of the body’s defense mechanism.

This is called as ‘yuktijam’. A #yurveda gives importance to daily regime and

seasonal regime. Importance is given specially to drinking hot water.

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• Tulasi leaves, cinnamon, black pepper, ginger, raisins, jaggery, milk and turmeric

powder can be made into a kas8a#yam and used. Powder of cloves are very beneficial

too.

• In the initial stages when there is throat pain, use of the following A #yurveda medicines

are beneficial.

Pathya # kusthumbara#di kas8a#yam

Amr8ta#ris8t8am

Pa #cana#mr8tam kas8a#yam

S $ad8an*ga pa#ni #yam

Das8amu#lakat8utrayam kas 8a#yam

Vya #ghra#di kas8a#yam

Bha #ran*gya#di kas8a#yam

• Sudars$ana vat8i, Vilva#di gulika, Mukka#mukkat8uka #di gulika, Vettuma#ran gulika can be

taken with ginger juice.

• Sudars$ana vat8i contains Kira #ta tiktam. Therefore, use of room temperature water is

advisable for this medicine.

• Mukka#mukat8uka #di gulika is va #ta kapha s$amanam. Vilva #di gulika is va #takapha haram

and also vis8a haram.

• Vet8t8uma#ran gulika is va #takapha haram, us8n8am, ti#ks8n8am, a#mapa#canam, jvara haram

and s$u#la haram.

• After passing the a#ma phase of the condition, bala# ji#raka#di kas8a#yam, dra#ks8a#di kas8a#yam

can be given. In the a#ma phase, loss of appetite, manda#gni, fatigue, headache, body

ache and constipation are observed. Dosage of the medicine for children should be

administered with care.

• In fever associated with throat pain and cold, Pathya # kusthumbara#di kas8a#yam should

be administered.

• In fever associated with body pain and constipation, Amr8ttotaram kas8a#yam should be

the choice of medicine administered.

• For pitta s$amanam, pa#cana#mr8tam kas8a#yam, s$ad8an*ga pa#ni #yam should be given.

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• To alleviate va#takapham, das8amu#la kat8utrayam kas8a#yam is best suited

• In intermittent fevers, bha#ran*gya#di kas8ayam is the best choice.

• In fevers of kapha dominance, vya #gra#dhi kas8a#yam is chosen. Pippali cu#r8n8am is used

as an adjuvant in this kas8a#yam.

• In pitta kapha dominant fever, gud8u#cya#di is chosen.

• Vyos$a#di vat8akam helps in alleviating kapha va #tam. In pitta predominance, it should be

avoided. The same holds good for ‘Ta#li #sa#di cu#r8n8am’also.

• Sitopala#di cu#r8n8am is given in pitta predominant condition. Vibhi #taki cu#r8n8am, again

acts in pitta predominance. Similarly, Yas8t8imadhu. These should be kept in mind.

• Confusion to categorise Covid 19 as va#takapham or kaphava#tam may occur.

• Depending on the avastha of the patient, the confirmation must be made. The site of

disease manifestation is Kapha stha#na. Symptoms infer a kaphava#ta predominance.

Both kapha and va#ta are s$ita (cold) in nature. Hence, treatment should be hot in

potency.

• This disease originates from a #ma#s$aya (stomach). Hence, medicines that are agni

di#pana should also be administered. S $odhana cikitsa cannot be done in this condition.

• Performing nasya karma in a #ma avastha is not suitable. Mala s$uddhi can be done in

those with no symptoms also. Morning at 8:30 am, 15 gm of avi#patthi cu#r#8n8am with hot

water should be taken. The following afternoon, rasam rice should be taken. This aids

in cleansing the intestines.

• Symptoms of pitta may also be presented. In that case, va #sa, gud8u#ci, yas8t8imadhu can

be used based on yukti.

• In single drug treatment, gud8u#ci, turmeric, pippali, yas8t8imadhu, tulasi, kira#tatiktam,

bhu#mi a#malaki show important characteristics.

• In the north of India, the use of maha#sudars$ana kha #d8a, Sams$amana vat8i and tr8bhuvana

ki #rthi rasa are seen commonly. After identifying va #ta kapha and va#ta pitta, in conditions

predominant of va#ta pitta, the use of vida#rya#di ghr8tam is also seen.

• They are also found to use frequently medicines such as Bala #cathurbadram and

kuma#ra kalya#n8a rasa. Other frequently used medicines in the north of India is also

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found to be sva#sa chinta#mani and mr8tyun)jaya rasa.

• If fever with diarhhoea is presented, hr8bera#di kas8a#yam and mustaka vilva #di kas8a#yam

give good results.

• In cough with phlegm, that is vata predominant, bala# ji #raka#di kas8a#yam is chosen for

treatment.

• In kapha va#ta predominance, das8amu#la kas8a#yam yields good results.

• In loss of taste and appetite, use of agni mukha cu#r8n8am, as8t8a cu#r8n8am, induppu ka#n8a

cu#r8n8am are found to be beneficial.

• There are many choorna kalpana#s for cough. Karpu#ra#di, ta#lisa#di, tr8kat8u, sitopala#di,

vibhi #taki and ja#thi lavan*ga#di cu#r8n8am are a few cu#r8n8a#s for cough.

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DETAILED EXPLANATION ON MEDICINES

INDUKA #NTHAM KAS8A#YAM (SAHASRAYOGAM)

Pu#ti#karan)jam, devada#ru, das8amu#lam, pan )cakolam are the ingredients of this kas8a#ya.

Either saindhava lavan8am or yavaks8a#ram is added alternately. This kas8a#yam is given in

prolonged fevers and va#ta disorders. It is considered as one of the important medicines

to enhance the defence mechanism of the body in kerala. This helps in alleviating kapha

va#ta. It is mildly us8n8a vi #ryam and also has the property of agni di#panam.

DAS 8AMU#LA KAT8U TRAYAM KAS8A#YAM (SAHASRAYOGAM)

Das8amu#lam alleviates va#takapha. Tr 8kat8u helps in igniting the agni and changes the

a#ma state. Va#sa helps in alleviating cough. This formulation is suitable for cough,

breathlessness and fever.

VYAGHRA#DI KAS8A#YAM (AS 8T8A#N*GA HR8DAYAM, JVARA CIKITSA)

Kan8t8aka#ri, s$un8t8i and gud8u#ci are ingredients of this kas8a#yam. Pippali cu#r8n8am is added

as an adjuvant.This helps in relieving va #ta kapha jvaram, sva#sam, ka#sam, pi #nasam and

s$iras$u#lam.

PATHYA#KUSTUMBA#RA#DI KAS8A#YAM (AS8T8A#N*GA HR8DAYAM, JVARA CIKITSA)

Hari#taki, dha#nyaka, mustha#, s$un8t8i, parpat8a, ka#s8mari, vaca#, bha #rn*gi, devada#ru are the

ingredients of this kas8a#yam. Honey and Asafoetida are adjuvants used here. It helps in

alleviating kapha va#ta jvara, hr8ds$u #lam, pa#rs$va s$u #lam, kan8t8a s$u #lam, kan8t8a uparodham,

ka#sam, pi #nasam and sva#sam. Dalhan8a specifies the quantity of honey as half palam

and that of asafoetida as one ma#s8a in this formulation.

BHA#RAN*GYA#DI KAS8A#YAM (SAHASRAYOGAM)

This is the best yoga for vis 8ama jvaram. In fevers that are influenced by vis 8a and shows

vis 8amata (irregularity in the onset and remission), this yoga shows very good efficacy.

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AMR8TTOTARAM KAS 8A#YAM (SAHASRAYOGAM)

Gud8u#ci – 6 parts, hari #taki – 4 parts, s $un8t8i- 2 parts are the ingredients. Here, s $arkkara is

used as an adjuvant. This yoga helps in alleviating sannipa #tajvara. S $un8t8i helps in a #ma

pa#canam and hari#taki helps in anulomanam. This is used in the a#ma avastha. Sarkkara

refers to jaggery here.

DA#RUNA#GARA#DI KAS8A#YAM (SAHASRAYOGAM)

Devada#ru, s$un8t8i, kira#tatiktam, dha#nyakam, vasa#, gava#ks8i #ri, gaja pippali, das8amu#lam,

musta# are the ingredients. This helps in alleviating severe forms of fever. This is not in

use in current times however, this medicine needs research.

PA #CANA #MR8TAM KAS8A#YAM (SAHASRAYOGAM)

This is also called Amr8ta# us8i #ra#di kas8a#yam. This helps in ama pa#canam. This is also used

in va#tarakta. Useful in alleviating pitta.

AGASTHYA RASA#YANAM (AS8T8A#N*GA HR8DAYAM, KA#SA CIKITSA)

A formulation with hundred hari #taki, also has yavadha#nyam in it. This has both ghr 8tam

and tila tailam (yamakam). Va#gbhat8a suggests the use of this linctus with two hari#taki.

Sus8r8uta suggest the use of half a pala of the linctus with two hari #taki. This is also

used in those with manda#gni. The vises8a gun8a is ka#sa haram. It is traditionally used in

kapha#nubandha and va#ta#nubandha conditions. It acts as a laxative, due to the presence

of yava and hari#taki.

KU#S8MA#N8D8A LEHYAM (AS8T8A#N*GA HR8DAYAM, KA#SA CIKITSA, BHAIS $AJYA RATNA#VALI)

This has a property of sva#sa – ka#sa haram and uraks8ata haram. This is made of ku#s8ma#n8d8a

(white gourd). Ghee, pippali and ji #rakam are also present in this yoga. This is a manda

kalpana that needs to processed slowly using a wooden hand mixer. This enhances the

activity of medha# (intellect). It promotes strength in the body. It is a good cardiotonic. This

is a rasa#yana.

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CYAVANAPRA #SA LEHYAM (AS8T8A#N*GA HR8DAYAM, RASA#YANA PRAKARAN 8AM)

Cyavana refers to the name of a r 8s8i while pra#s$a refers to intake. This rasa#yanam is also

known by the name “Bha #rgava rasa#yanam”. This contain 500 a#malaki in it. Sus8r8ta has

not mentioned this formulation. This is a yamaka yogam as it contains both ghr8tam and

tila tailam. This lehyam is used in treating sva#sa-ka#sa and also in other conditions. This

enhances the strength of the agni and also, acts as a va#ta#nulomana.

SUDARS $ANA CU #R8N8AM (S$A#RAN*GADHARA SAMHITA, MADHYAMA KHA#N8D8AM)

A total of 54 ingredients are present in this formulation. The most important ingredient of

this yoga is kira #tatiktam. This also contains sphat8ika. One spoon of this medicine taken

with half glass of room temperature water twice a day is advised. This helps in treating all

kinds of jvara specially pitta jvara and kapha jvara.

VILVA#DI GULIKA (AS 8T8A#N*GA HR8DAYAM, UTTARA STHA#NAM - VIS8A CIKITSA)

This has 13 herbs as ingredients in it. Using white goat’s urine, the medicine is ground and

made into tablets. Two tablets with water must be taken four times a day. This is helpful in

treating a#ma jvaram, aji#r8n8a jvaram, vomiting and diarrhea. It also has the property of vis 8a

haram and kr8mi haram.

S$AD8AN*GA PA#NI #YAM (AS8T8A#N*GA HR8DAYAM – JVARA CIKITSA)

This medicine contains six herbs. This helps in alleviating pitta. This includes musta #, parpat8aka, us8i #ra, candana (white variety), bala# and s$un8t8i. This is used as a toya. This

helps in alleviating fever and also burning sensation.

PA #NI #YAM PREPARATION

In one and half liters of water, add 50 grams of the medicine and allow it to boil. Strain the

boiled water and use it as drinking water at room temperature.

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POST RECOVERY DIETETICS TO IMPROVE IMMUNITY

LA#JA PEYAM (PUFFED RICE GRUEL)

One part of puffed rice with fourteen parts of water is cooked together. Das8amu#lam, honey and ginger can be added with this. This is considered best for post recovery phase.

YU#S8AM

Kulattha and mudga with eighteen parts of water should be reduced to two parts. This is strained and used as a drink. This is light to digest and rich in protein. Those with diar-rhoea, can add musta#, kira#thatiktam, s$un8t8i and gud8u#ci to this yu#s8am.

Nava#n*ga yu#s8am is considered best for cold and cough. This is done using mudga, amla, yava, da#d8ima, badaram, mu #laka, s$at8i, pippali and kulattha.

GRUEL MADE OF PARBOILED RICE AND GARLIC

Ingredients

• Parboiled rice – 100 gm

• Garlic- 5 cloves

• Salt – as required

• Buttermilk – 2 cups

Procedure

• Parboiled rice should be broken in a mixer grinder. The broken rice, peeled garlic should be boiled together until they are completely cooked. After it reaches room temperature, add salt and buttermilk. This is now ready for use.

• This immunity boosting gruel with garlic can be given to those suffering from fever as it quickly helps in strengthening the defense mechanism of the body.

PARBOILED RICE -GRUEL PREVENTS DISEASES

• In any disease condition, drinking watery parboiled rice gruel when hungry helps in re-covery in two to three days even without medication. Also, as a household habit having this gruel weekly once will help in prevention of disease manifestation.

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PAR BOILED RICE GRUEL WITH AJAMODA

Ingredients

• Parboiled rice rava – ½ cup

• Salt – as required

• Ajamoda- 1 tbsp

• Buttermilk – 2 cup

Procedure

• Cook parboiled rice rava and water together. Boil a well ground ajamoda with water. Strain and take the ajamoda water. Mix this water well with the boiled rava, salt and buttermilk. Those with weak appetite can use this both as food and medicine.

RAGI GRUEL

Ingredients

• Ragi flour – ½ cup

• Salt – as required

• Buttermilk – 2 cups

Procedure

• Mix ragi flour with water. Make sure to break the lumps and have a smooth mixture. Now, cook this mixture on a low flame.Mix with a ladle to avoid lumps. To test the cooked mixture, wet the hand with water and touch the mixture, if the mixture doesn’t stick to the finger, it indicates the mixture is cooked. Switch off the stove at this point. After the mixture is brought to room temperature, a small amount of this thick mixture is added with salt and buttermilk. After a good mix, this is ready for use. This gruel, taken with pickle or small onions or non- spicy tender chillies as a good combination.

WHEAT RAVA GRUEL

Ingredients

• Wheat rava – ½ cup

• Water – 1 cup

• Finely chopped beans- a few

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• Finely chopped fenugreek leaves – a few

• Salt – as required

Procedure

• Add the wheat rava in the boiling water. Also, add the finely chopped beans and fenugreek leaves. After a few minutes, the rava will be cooked.Add the required salt. This gruel is ready to be taken. Non-diabetics can take this gruel with 1 cup of milk and 2 tsp of sugar.

MUD 8GA YU #S8A (MOONG DAL GRUEL)

Ingredients

• Moong dal -1/4 cup

• Water – 1 cup

• Milk – ½ cup

• Powdered Jaggery – 1/4cup

• Cardamom powder – 1 pinch

Procedure

• One cup of moong dal with water should be well cooked. In another pan, Dilute the jaggery with water by boiling. Now strain the jaggery water. Mix the jaggery water with cooked moong dal. Also, add milk and cardamom powder and mix thoroughly. This moong dal gruel is ready for drinking.

AN *GA#YA KAN)JI

Ingredients

• Dried br8hatiphala– 1 tsp

• Dried ka#kama#ciphala – 1 tsp

• Dried neem flowers – 1 tsp

• Dried bimbi seeds – 1 tsp

• Curry leaves- a few

• Hin*gu – ½ tsp

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• Salt – as required

• Buttermilk – 1 cup

Procedure

• Dry fry all the dry ingredients in a pan.Without burning the curry leaves, dry fry them and also dry fry hin *gu (asafoetida). Now, grind them all together to make a powder.Add 1 tsp of the powder to buttermilk and add salt as required. This is one method of taking this powder. Another method is to add 1 tsp of this powder to 1 cup of water in a vessel and allow it to settle for 1hour with a closed lid. Take the water without disturbing the settled powder. To this add, buttermilk and required salt. This is also used.

KERALA GRUEL WITH GREENMOONG DAL

Ingredients

• Kerala matta rice- 1 cup

• Water – 4-5 cups

• Salt – ½ tsp

• Ghee – 1 tsp

• Green moong dal – ½ cup

• Curry leaves – 1 bunch

• Coconut oil – 1 tsp

• Mustard seeds – 1 tsp

• Urad dal (Black gram) – ½ tsp

• Shallots – 5- 6

• Grated coconut – 1/8 cup

• Turmeric powder – ¼ tsp

• Salt- 1 tsp

Procedure to make the gruel

• Wash the Kerala matta rice well and cook it in a cooker for 12 – 13 whistles long.

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Procedure to cook the green gram

• Cook the sprouted green gram in a cooker for 6 whistles

• In a pan, add mustard seeds and black gram in hot coconut oil. Wait for the mustard to pop.

• Now,add curry leaves, green chillies and shallots. cook them until they turn golden brown.

• Add the boiled sprouted green gram, turmeric and salt. Mix them well.

• Now,add grated coconut and allow it to cook for 2 – 3 mins

To serve

• In a bowl, pour the gruel prepared, add ghee and salt to this. A best side for this would be pappad, green gram curry and coconut chutney.

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DR.Y.MAHADEVA IYER’S SRI SARADA AYURVEDA HOSPITAL AND RESEARCH CENTRE

DERSINAMCOPE, AZHAGIAPANDIAPURAM POST,

KANYAKUMARI DISTRICT -629851

PHONE: 04652-282239/282449/ 9443362982

Email – [email protected]

Website – www.saradaayurveda.com