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“na hi jyanenasadrishamkinchitehavidyate”
Fresher’s Day
H.A.S.S.’s
Ayurveda Mahavidyalaya,Dept.of Post Graduate Studies’
Prerana …the inspiration
February 2013 Vol. 1 Issue 6
Dear Readers, World Cancer Day was celebrated on 4th of February. The targets set on this occasion are
Effective cancer control programmes.
Reduced risk factors such as tobacco use, alcohol consumption and obesity.
Universal vaccination programmes.
A better informed public. Improved diagnosis methods. Universally available pain control. Improved training for medical
staff. Better survival rates for cancer
patients. The principles of Ayurveda if adopted properly, will certainly reduce the incidence of this disease. We shall all involve ourselves to implement these targets and help the suffering human beings to lead a quality life.
- Dr.SrinivasBannigol Chief Editor
Editorial
Inside
CLINICAL MANAGEMENT OF
HANDIGODU SYNDROME (HANDIGODU
DISEASE) THROUGH AYURVEDA
INCORPORATION OF PHILOSOPHY IN
UNDERSTANDING DISEASE
IMPORTANT EVENTS AT AMV
Inaugration of Asttitva
“na hi jyanenasadrishamkinchitehavidyate”
CLINICAL MANAGEMENT OF HANDIGODU SYNDROME
(HANDIGODU DISEASE) THROUGH AYURVEDA
Author: DR.PRASHANTH.A.S,Professor
Department of Post Graduate Studies in Panchakarma
Ayurveda Maha Vidyalaya,Hubli
………continued from last issue
PLAN OF TREATMENT
Treatment should commence from the administration of Deepana and Pachana
drugs,ultimate and due consideration should be given to Kostagni,Saamadosa should be
targeted and treated.
Formulations and drugs recommended for Deepana and Pachana
1. Vaishwanarachurna
2. Shaddharana yoga
3. Agnitundivati
4. Amruta arista
The next step of treatment is to target and treat Asthidathugatavikriti. The following
formulations may be recommended for the involvement of Asthidhatu.
1. Guggulutiktaka yoga
2. Abhaguggulu
3. Lakshaadichurna
4. Ketakyaaditaila
5. Bala,Amrutachurna
6. Bala, Amrutakshira
7. Sudhavargadravya (Pravalapanchamruta like yogas)
Vedanasthapaka and ShotaghnaYogas
Sandi shula, Parvashula, Parvabeda, Sthanikasopha, is the commonest finding. Following
formulations may be recommended for these findings
1. Tab. Punarnavadiguggulu
2. Tab. Gokshuraadiguggulu
3. Tab. Amrutaadiguggulu
4. Tab. Trayodashangaguggulu
5. Tab. Kaisoraguggulu
6. Tab. Yogarajaguggulu
7. Tab. Swarnamahayogarajaguggulu
“na hi jyanenasadrishamkinchitehavidyate”
And the suitable Anupana may be:-
1. Maharasnaadikwatha
2. Punarnavadikwatha
3. Rasnasaptakakwatha
4. Dashamulakwatha
5. Guggulutiktakakwatha
Once after, Aamajalakshanas are relieved, and then taila abhyanga over the
Sthanikapradesha, Sarvangasharira can be planned. However in patients directly
reporting with Niraamalakshanas, Tailaprayoga can be directly made. The following
Sneha/Tailayogas can be recommended for Bahyaprayoga
1. Kottamchukkaditaila
2. Vishagarbhataila
3. Mahavishagarbhataila
4. Karpuraaditaila
5. Murivenna oil
6. Parinetakeraksheerataila
7. Panda taila
Scope of Panchakarma Treatment in Handigodu syndrome
After understanding the clinical aspects of Handigodu syndrome it can be said that
Panchakarma line of treatment is having a wide scope in improving the quality of life
among the suffering victims. It is useful to improve the rehabilitation status, which is
preventive and curative also. In the following way the Purva karma, Pradana karma,
and Paschat karma can be planned.
1. Amapachana
2. Snehapana with Guggulutitakaghrta/ Indukantaghrta/Karsakaraghrta for 3-
7days.
3. AbhyangaSarvangasweda for 3days
4. Virechana with Erandataila/ Gandharvahastaaditaila/ Nimbaamrutaeranda/
Nirgundieranda/ Erandasukumara.
5. Samsarjanakrama and Vishranti.
The plan of Peyaadikrama (Samsarjanakrama) is made according to the Shuddhi
achieved by the patient and pradhana, madhayama and avarasudhilakshanas has to be
observed, proper dietary planning should be made for Agni balavardhana.
“na hi jyanenasadrishamkinchitehavidyate”
Basti in Handigodu Syndrome
There is a wide scope for the basti karma in the clinical management of
Handigodu syndrome.Basti being an important vataharachikitsa, and basti is also
advised for the rectification of the doshas seated in Asthidhathu, is useful as tarpan of
Asthi (ksheerabasti).The rogaafflicatingmadhyamarogamarg is also treated by basti
karma.
SAGHRITHA KSHEERA BASTI
1. Guduchyadikashayasidhaksheera
2. Gugguluthikthaghritha
3. Madhu
4. Saindhava
5. Kalka(shathahva)
Sidhaksheerabasti in yoga basti or in kalaBasti schedule
The ksheeraBastikalpana can be modified according to the need
1. Manjishtadiksheera
2. Kethakyaditaila or Madhuyashtitaila
3. Madhu : saindhava
4. Kalka (sathahva and Balamoolachoornam)
SPECIALISED PROCEDURES
Since Dhatukshayavatakopa involvement of Asthisandhi and lakshanas of
khubjatva are observed specialized procedures like patrapindasveda ,pizhichil
(kayaseka , shashtikaSalipiundasveda ,dhanyuamlaparisheka) upanahasveda and
abhyangaksheerabashpasweda may be recommended according to the need.
Other shaman yogas
1. Rasnadichoornam
2. Aswagandhachoornam
3. Sudhaguggulu
4. Lashunadivati
5. Tab Kokilaksha
6. Ksheerabalataila 101
“na hi jyanenasadrishamkinchitehavidyate”
RASAYANA
Rasayanachikitsa is aimed as a preventive as well as curative recipe, rasayana
yoga can be recommended in vatatapikavidhana,rasayanachikitsa is very much useful
in improving the nutritional status of the patient.
The following yogas may be recommended:-
1. Chyavanaprash
2. Aswagandhaavaleha
3. Amalakirasayana
4. Swarnamalinivasantha
The schedule of Panchakarma procedures like Basti karma, Abhyangaswedana etc.,
procedures are repeated as per the need.
EXTABLISHMENT OF AYURVEDA TREATMENT CENTRE
In the Handigodu syndrome affected area, an independent hospital setup with
well-equipped Panchakarma theatre, rehabilitation center can be established for the
benefit of the patients.
Separate sections for male and female patients along with the well-trained
panchakarma therapist should be posted for this ayurveda treatment centre the therapy
should be conducted under the observation of a qualified Ayurveda physician. For the
Samsarjanakrama and to advice Pathya during the course treatment a kitchen providing
essential pathyakalpana and peyadivarga has to be designed.
Outpatient Ayurveda Panchakarma therapy has to be started in the nearby
Community medical centre, Primary health centreand Taluk hospital
HASSAyurveda Mahavidyalaya Hospital, Hubli has been working for the last 58
years consisting about 200 bed with post graduation courses in 3 clinical branches
namely Panchakarma, Kayachikitsa and Shalyatantra, has taken interest in providing
the essential treatments for the Handigodu Syndrome affected Population.
“na hi jyanenasadrishamkinchitehavidyate”
Incorporation of philosophy in
understanding disease process – The
Ayurveda way
Authors: Dr.K.T.Jayakrishnan*
Dr.Paritosh Bhatt** …….continued from last issue
Disease is a state of dysfunction of any system of the body. Function is the result
of movement and its failure is attributed to vata. This is created because of the
structural weakness in lack of assimilation of nourishment. Generally the nourishment
is Snigda ,Sita dominated which is nothing but Kapha,and assimilation is done by
Ushna nature of Pitta which breakdown the food into assumable form. Hence the
healthy state of the body is reflected by Snigda, Sita and Agneya properties. In such a
healthy state the movements become very smooth and functions take place without any
friction.
This state of Snigda,Sita, Agneya properties have to be continuously
maintained to sustain health in all organs which are made up of dhatus. These
properties have to be supplied and maintained from the kosta where the preliminary
breakdown of food takes place. In any form of digestion Koshtam will maintain the
madhura, Amla and Katu nature implying the properties of kapha, pitha, vata in
different parts of the Koshta.It is based on the maintainence of these states in the koshta
at the optimum level, that similar states can be maintained / supplied to the entire
structures of the body. If there is a domination of katu vipaka in this koshta, that will
reflect too much of dryness and movement in the koshta. After a long period of time the
same properties will be dominating in dhatus and organs. Then we claim that vata is
spreading from “koshtad sakhasthi marmanam”.
This state of dryness or roughness is a weakness as far as an organ is
concerned since it is opposite to the natural state i.e snigda, sita of the body. That will
gradually induce dysfunctions in different systems and then that is termed as diseased
status.In small disease the dysfunction due to vata will be more serious and that may be
happening because of pitta and kapha nature. If this weakness / dryness in the koshta
is managed properly it will lead to similar atmosphere in dhatus. If it is not managed
there the madyama roga marga will be affected with similar atmosphere. This is the
subtle or deepset part and hence dominated by vata. If this part is dried or weakened its
dysfunctions will be dominated with loss of movements( major or minor) which is main
function of vata. Then only it is termed as VATAVYADHI.
“na hi jyanenasadrishamkinchitehavidyate”
In any disease weakness / dryness is created in the structures either due to
lack of nourishment, (Ruksha Aharas ), lack of assimilation or due to the accumulation
by kapha. All these states are resulted according to how kapha, pitta, and vata are
maintained in the koshta. Disease are named differently according to the different ways
it creates dysfunction in different systems in the body. Few examples have been given
as major diseases as affecting Koshta, shakha, and Madhya roga margas. All these states
vata symptoms / dysfunction are more significant. These dysfunctions themselvels
become the main symptoms of the disease,there it is a vatavyadhi.
Koshta,sakha and asthisandhi are the normal routes for the nourishment
which will have reflections of panchamahabhoothas ie three doshas. So kapha, pitta,
and vata are first formed in the koshta and then migrate to dhatus on a regular basis.
The dhatus form organs and gain functional importance, hence become Asthi sandhi or
marmas. These routes have been constantly nourished to ensure a smooth conduction /
movement throughout the body. Any structural weakness in such areas will result in
restricted movements of gross structures in the body. Direct manifestations of such a
state is known as Vatavyadhi, all other diseases also will be moving towards such
situation if they are not properly dealt with. Few typical vatavyadhis are explained in
samhithas as an example only, definitely more number and varieties of vatavyadhis are
treated by physicians.
Diseases are explained from Jwara to Vatavyadhi and then Vatarakta which is
also a vatavyadhi with degeneration induced by Raktha. This will be clearer if we try to
analyze what is happening in Diabetic stroke (Prameha – Vatavyadhi). Prameha is a
state of the body where more kleda is formed during the transformation of dhatus. All
dhatus are kapha dominated and prominently snigdha in nature. During process of
normal transformation, Snigdha content is changed into next dhatu and the by product
of this transformation is also a snigdha content, called kleda which has to be excreted
through urine, since it is an unwanted state of snigdha. This state of kleda is more
produced, the healthy state of snigdha content in the dhatus is less produced in
Prameha, due to various factors capable of producing similar kleda atmosphere. In the
initial stages the formation of kleda will be the main factor to deal with and this state is
known as kapha dominant. This is not going to create any major difficulty because
kleda is a waste of snigdha which is satmya to the body. After some years kleda gets
less important as gradually there is deficiency in snigdha nature or ruksha nature gets
dominated, hence the nature is known as vata dominant.This vata dominant
atmosphere can spread from dhatu to any other organ which is a part of madhyama
Rogamarga. If it is affected with same level of ruksha atmosphere, at one stage it will
result in a total dysfunction or movement and results in Vatavyadhi.
“na hi jyanenasadrishamkinchitehavidyate”
In this Vatavyadhi will be more important and Prameha less important. This explains
the way in which we will be evaluating the pathogenesis of Vatavyadhi and it will have
a definite role in the scheme of things as far as the management of stroke is concerned.
Since diabetic stroke is a prevailing condition the above understanding is
reasonable. All other diseases, right from Jwara have a similar effect on the body.
Especially diseases such as Gulma, Grahani, Arsas, Atisaram etc are having their main
impact in koshta. The vata atmosphere is more prominent in the koshta in the above
conditions and if they are not managed properly, the vata atmosphere will have to
spread to dhatus and Madyama Rogamargas. It will ultimately lead to vata dominant
atmosphere in madyama Rogamargas to have a Vatavyadhi, whenever body is strained
too much. This understanding of Vatavyadhi will help a lot in differentiating the
Vatavyadhi and accordingly in making different programs for the same disease in two
individuals for the effective management.
Briefly speaking, the snigda, sita atmosphere of the gross structures is maintained by
usna, snigda nature on one side and sita, ruksha nature on the other side. Once the
snigda nature is emaciated it is a weakness for the structure or Vata. If the vata
prominent parts are dominant with such atmosphere it may result in a dysfunction with
regard to a major movement and then it is known as Vatavyadhi.
The Snigda sita atmosphere of the body (Madura) is gradually turned into ushna
Snigda nature( Amla) and later into ruksha sita nature ( kadurasa). Acute state of this
kind of change is known as Jwara and all other diseases this process is repeated.
Vatavyadhi reflects the emaciated nature of dhatus and Madhyamarogamarga, and its
management will be a programme to reverse the emaciated state. Since, emaciation is a
state attained over a long period of time through different ways for different persons.
As samprapti vighatanam is the treatment, the programme to achieve this wiil be
different in the same diseases. Once we clear the way by which the emaciation was
effected, then the induction of sneha dravya will be an easier programme. Over all
understanding of the background atmosphere is more important because rest of the
part is almost same for all individuals. The state where we can directly induce
snehadravya has to be achieved and that state is known as Kevalavata. Management of
vata dosha is described in sootrastana as Snehanam, Swedanam, Sodhanam etc.
Same programme is further elaborated in Vatavyadhi chikitsa and in the context of
different diseases, many variations of these treatments are explained. What exactly
happens when snigda dravyas are introduced. Snigda is indicated because of two
reasons 1. In Vatavyadhi snigda guna is reduced and naturally ruksha guna is
prominent and to relieve it snigda has to be induced. 2. To maintain the normal state of
snigda nature of the body, a normal person also can undertake this therapy.
“na hi jyanenasadrishamkinchitehavidyate”
Vatavyadhi will reflect ruksha and sita properties and sita nature will create
constriction (stambanam) because of which srotases will be partially closed.
*Former Principal, SJS Ayurveda College, Chennai
** PG scholar, Dept of Rasa Shastra, AMV, Hubli [email protected]
Events at Ayurveda Mahavidyalaya, Hubli
Asttitva – A workshop on synopsis and dissertation writing
The institution has come up with yet another fruitful workshop
on synopsis and dissertation writing. 9th and 10th Jan 2013 were
the dates when the best brains were gathered under the umbrella.
Dr.Prashanth Kumar Jha was the chief guest. Dr.Akash
Khambavi, Dr. Suhas Kumar Shetty and Dr.Madhav diggavi were
the key speakers for the scientific sessions. We emphasized on
giving more time to the speaker, providing more dialogue
between the presenter and the delegates. Dr.R.N.Joshi has
formally inaugurated the workshop.
Fresher’s Day Celebrations for New PG Scholars
Institution welcomes fresh PG scholars. On Jan 10th 2013 we all have
formally welcomed our new friends to the respective departments. With
the presence of two eminent personalities of the city, Dr.R.N.Joshi and
Dr.Bharat Kshatri, we received kind blessings in the form of their
intellectual speeches. The activities and future plans of various
departments were presented in the form of PPTs and videos, which were
very well accepted.
“na hi jyanenasadrishamkinchitehavidyate”
To,
Chief Editor – Dr.S.K.Bannigol
Editor - Dr.M.A.Hullur
Dr.A.I.Sanakal
Dr.B.B.Joshi
Dr.J.R.Joshi
Dr.A.S.Prashanth
Co – Editors - Dr.Paritosh Bhatt
08867271306
VijetaTalikoti
Published by,
Dept. of Post Graduate Studies
Ayurveda Mahavidyalaya
Heggeri Ext.
Old Hubli
Hubli - 580024
Bi monthly news letter
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Conceptual articles, research papers, or any
other intellectual work is invited. For further
details please contact as under.
Contact:
Dr.S.K.Bannigol, Dean, Dept. of PG Studies
Phone - 09448133074
Email: [email protected]
Dear readers,
We are celebrating one year of Prerana. The special issue is scheduled in April 2013. We request you to kindly contribute your esteemed intellectual work for the special issue. Also, we request our members to renew their subscription.
- Team Prerana