Dr.Shantala Priyadarshini.M.S(shky)M.A(San)

Asst Professor,(shantala301@gmail.com)

Government Ayurveda Medical College,

Mysore

Aturopdrava chiktsa

• Prayena panchakarmanimitha vyapadah• Ati yoga-heena yoga-mitya yoga.• Matrakala satmya,vayaha…. • Mandaagni –samasrjan krama• Snehapaana to niruha basti…..• Seka,nasya,anjana,karnapoorana….• Always benefit patient –do no harm• Panchakarma without side effects

Ch.su.2/15

A person undergoing –snehapana or nasya / vamana /virechana / basti or a vran rogi-akshi rogi is like a new pot or wet pot filled with oil.

Agni is delicate –be cautious

sneha

vamana

virechana

Rakta mokshana

Akshi rogi

Basti

Aksi rogi

Andhya

Adimantha

Netra sthambha

NimeshaVayu

Head

S. CHI-39 \31

Yana yana

Indriya vibrama

Shomshuda deha shirasi (su.ut 18/5) pre requisite for tarpana…

Vyakta rupeshu dosheshu shuda kayasya kevale(su.ut 18/51)

Pre requisite for rasayana –drsti prasadanartha,indriyahita

Pre requisite for shalya chikitsa …prevents surgery

As treatment in many conditions

Prevents,preserves ,promises management.

Faster ,effective and less expensive therapy.

sneha

vamana

virechana

Rakta mokshana

Akshi rogi

Basti

Aksi rogi

Agigratwam

Badriya

Mookhata

Dantachaal

IndriyavibramaVayu

Head

S. CHI-39 \31

Yana yana

Indriya vibrama

Patients who have very frequent headaches (more than 2 / week)Patients who have very frequent headaches (more than 2 / week)Attack duration is > 48 hoursAttack duration is > 48 hoursHeadache severity is extreme-doshaadikyataHeadache severity is extreme-doshaadikyataMigraine attacks are accompanied by prolonged auraMigraine attacks are accompanied by prolonged auraUnacceptable adverse effects occur with acute migraine treatmentUnacceptable adverse effects occur with acute migraine treatmentContraindication to acute treatmentContraindication to acute treatmentMigraine substantially interferes with the patient’s daily routine, Migraine substantially interferes with the patient’s daily routine, despite acute treatmentdespite acute treatmentSpecial circumstances such as hemiplegic migraine or attacks with Special circumstances such as hemiplegic migraine or attacks with a risk of permanent neurologic injurya risk of permanent neurologic injuryWhen shamana is insufficientWhen shamana is insufficientPatient preferencePatient preference

Karna swedana is essential in vata -kapha vikaras

Nadisweda,pinda swedana …..

Avapidana nasya –choice for immediate relief

Shunti + guda/agasthyarasa/shigru rasa /vamshamoola +karpoora/vacha +magadi / karanjapatra ras +guda

Snehanasya-sadbindutaila/KBT /CBLT/AT

Seasonal purificatory nasya

Vatahar sneha nasya

Karnapoorna-deepika taila,swarasa…

Marsha -pratimarsha

=

Gradually and steadily

Systematically but cautiously

Prime factor to be considered

At all stages agni is protected,preserved

Diet –samsarjana krama

Pitta sthana –so virechana

Rakta sthana –raktamokshana

Kapha dusti –vamana

Vata dusti –basti

Best shodana -urdwajatru –nasya

All shodhana –to administer rasayana

Pachakarma vyapat

Atiyoga of vaman

Vega dharana

Not following dina –rtu charya

Ati-amla-katu –ushna ahara

Ushnabhitaptasya jala pravesha

Adyashana-atimadyapana-ambupana

Krodha-shoka –anidra-divaswapna etc

Paana –shodana –shamana

Puraana,accha,triphala,tilwaka,jeevantyadi,patoladi

Gandravhastadi,neembamruthadi taila,tila taila.

Bahya sneha –moordha taila,nasya,purana,tarpana….

Redness,ciliary congestion

Bleeding – internal –external-rakta pitta in netra

Daha,osha,chosha,gurutha

Chardi vighata –reverse peristalsis –netra nidana

Vamana in timira rogi is contra indicated.

Vamana may be a choice in kaphaja vikaras

Can be done in dosha utkelsha-prefered mrudu

Vamana in timira rogi is contra indicated

Improves vision

Preserves vision

Prevents eye problems

Cures shoola,daha,toda….

For most eye problems

Highly recommended

Safe –effective,inexpensive

Pratimarsha –anu taila,jeevantyadi grta,purana grta

Marsha –shadbindu,thungadrumadi,triphaladi

Drstiprasadanartha –goshakruthadi taila,purana grta

Shodanartha,prasadanartha,shamanrtha

Lipid soluble –ghee,oils,yamaka

Penetrates ,spreads faster effectively

Volatile oils move upwards with active principles

No first pass effect –better absorption

Marvelous technique to reap multiple benefits

Water soluble –local effect,fast elimination

Formulated for specific purposes

Jeevantyadi taila-grta,purana grta,101 avarthitha,Anu taila,nasya with teekshna dravyas

Goshakruthadi taila,drumra yoga…

Who should not be administered nasya ?

Who should not be advised dhoomapaana ?

What should the diet –life style be during nasya ?

Why nasya ?How long ?

What happens if rules are not followed ?

Prevent vyapat –save vision

Cautious nasya is highly beneficial

If a person who is under snehapanam or has consumed madhya or is thirsty is administered nasya he develops timira.

If nasya karma is not performed properly ( atiyoga or heena yoga )the patient may develop eye problems.(S.CHI-40\35)

Ati yoga of nasya causes akshi toda ,timira,( c-si-1\51 ) In Charaka Siddi sthana it's given that if nasya is administered to a patient suffering from jwara or shoka then timira increases or manifests.

If nasya is administered to a patient after virechana then vision problems may manifest.(on the day of virechana )

(Su.ut 9/3)

Should the eye be subjected to fomentation ?

Every rule has an exception.

But protect the delicate part from swedana

•As per dosha-dushya-satmya-kala

•Both as preventive and cure

•Abhyana as preventive also

•Choice of medicated kshira –taila…takra

•Picchu –basti-if condition warrants

•Only after kaya-shirovirechana

•Stress triggered eye problems benefits most

•Vatharasneha-pittahara kshira-kaphahara qwatha –sthanya-takra-ikshurasa,multiple choices

Anything in excess can be harmful

Without rules & regulations

Headache,sinusitis,sneezing,allergy….

Maintain agni at all levels,always

Shirobyanga,padabyanga daily prevents ageing,improves vision, calms the mind,enhances immunity.

Manjistadi taila,triphaladi, ksheerabala, dhanwantaram,til taila, thungadrumadi…..

Rasna churna lepa,dry it well,swedana followed…

Improves vision remarkably

Stress reduction,induces quality sleep,energizes eyes

SIMC with generalized skin problems,allergic conditions, DR,retinopathies,bleeding,floaters,auto immune eye disorders

Beneficial in all urdwajatru vikaras,indirectly benefits eye

Medicated takra

All complications of DM

ARMD after mild shodana

Doctor’s choice is best

Hastapada sweda after nasya

Vartma roga kriya –swedana before & after lekhana,sastrakrma\ As per each case swedana can be administered

Specialized swedana

Pindi.

gundana,

seka,

(Ch.su 14/10)

Vyadhana saadya vyadhi benefit most

Excess of raktasruthi causes urdwjatru diseases

Healthy people undergoing seasonal raktasruthi –improve all sense organs

Urdwaraktapitta handle cautiously

Jalouka charana

Siravyadha

Prachanna

Ati rakta sruthi results in

Blindness

Adimantha

Timira

Lalatya sira

Upanasika

Apangya sira

Least prescribed in urdwajatru vikaraha

Virechana and vamana are pradhana tara

Basti –pradhanatama

Vamati yoga –netra roga nidana

Cautiously adopt this procedure to eliminate kaphaja vikara

Snigdha virechana

Classical virechanais highly efficacious

Eranda taila,gandarvahastadi taila,

Avipatikara churna,triphala churna,swadis virechana churna

Sukha virechnanam srestah –trivrtha lehya,tilwaka grta

IB pill,teekshna virechana

IOP reduces fast

Infection-inflammation,redness decreases effectively

Shodana,shamana,chakshu preenayathi –nourishes the whole eye

In acute pain as in adhimantha,shirashoola,netrashoola

In timira,drsti rogas,as rasayana

Chakshyshaya basti

Sadya drstiprada basti

Matra basti

Yukta ratha basti

Maadhu tailika basti

Chakshushya basti

Matra basti

Snehapana atiyoga- guda srava –disturbs absorption –vision too

If patient laughs during instillation of nasya –akshigada manifests

Akala peeta dhooma –daruna netra roga,timira,raktapita in netra

Timira rogi given vamana-akshi shoola,drstinasha

Prajagara –shuddha-netra sthambha,nemesha,…..

Virudha-adyashana –ghora indriya rogaha

Brughu rasayana

Shilajitu rasayana

Amalakirasayana

Vardhmana pipalli rasayana

Mahadrakshadi rasayana

Amalali.madhuyasti,vaccha,triphala….

Suvarna,prawala,gandaka.loha,abraka…..