Ayurveda- Hepatitis B

KAYACHIKITSA IN AYURVEDA

Sunday, 14 July 2013

An Ayurvedic  Approach To The Management Of Hepatitis B

Hepatitis B is a potentially life-threatening liver infection caused by the hepatitis B virus.

It is a major global health problem and the most serious type of     viral hepatitis.

The hepatitis B virus is 50 to 100 times more infectious than HIV

Two billion people worldwide have been infected with the virus and about 600,000 people die every year due to the consequences of hepatitis B. Total HBV occurrence in india is around 3-4%
   
Top  10 causes of death worldwide

Transmission
    Perinatal                                                                                                              

    Unsafe injection practices

    Unsafe blood transfusions

    Unprotected sexual contact

    Early childhood infections
Most people do not experience any symptoms during the acute infection phase.

Clinical features
 Some  have acute illness with symptoms including
Yellowing of the skin and eyes (jaundice),
Dark urine,
Extreme fatigue,
Nausea, vomiting
Abdominal pain lasting for several weeks.

Complications:

Chronic liver infection
Cirrhosis of the liver
 Liver cancer.
90% of infants infected during the first year of life develop chronic infections

30–50% of children infected between one to four years of age develop chronic infections.

25% of adults who become chronically infected during childhood die from hepatitis B-related liver cancer or cirrhosis

90% of healthy adults who are infected with the hepatitis B virus will recover and be completely rid of the virus within six months.



Do’s & Don’ts

Limit Alcohol & Caffeine consumption

Stay Hydrated

Avoid processed foods

Avoid Preserved, Processed , Cured& Fatty foods

Avoid eating Shell fish


AYURVEDIC MANAGMENT

कषाय(Kashayam)
गुडूच्यादि(gudchadi)
    पित्तश्लेष्मज्वरछर्द्दिदाहतृष्णाघ्नमग्निकृत्II(अ.सू.१५/१६)

पटोलादि (patoladi)
     निहन्ति कफपित्तकुष्ठज्वरान्I
      विषं वमिमरोचकं कामलां II (अ.सू.१५/१५)

परूषकादि(puskaradi)
     ………..तृण्मूत्रामयवातजित् II(अ.सू.१५/ ११)
 
 सारिवादि(sarivadi)
       ……….हन्तिदाहपित्तास्रतृड्ज्वरान् II (अ.सू.१५/ १६)

एकमूलिक प्रयोग (single drugs)
भूम्यामलकी
     पिपासकासपित्तास्र्कफकण्डूक्षतापहा II
भृङ्गराज
    मार्कवःकफपाण्डुघ्नःकेश्य श्वित्राक्षिरोगजित् II
  कटुरोहिणी
     …………..अस्रदाहजित्
    बलासारोचकान् हन्ति विषमज्वरविनाशिनि II
रोहीतक  
    रोहीतको यकृत्प्लीहगुल्मोदरहरः सर II
 मुस्तक
    पित्तज्वरातिसारारुचि तृष्णादाहनाशनी श्रमहृत् II

वटि:(Tablets)
अरोग्यवर्धिनि वटि
पन्चाम्रुतलोहमण्डूर
कामलान्तकलौहं
रसायन
धात्र्यावलेह
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medicines mentioned available in india,but dosage should fixed after proper consultation.
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Friday, 23 November 2012

Yuvānapidakā = Acne vulgaris

it is Kapha vāta raktha disease in ayurveda.Acne vulgaris is papule on face with sebum.In ayurveda it can be compare to

Thorns of śālmali

Ayurvedic Treatment

Internal medicines

Khadirāriştam

Āragvadāriştam

Madhusnuhi rasāyanam

Mahātiktaka ghŗtam

Mahā elādi gulika

Virecanam

 Avipatti churnam

External application

paste of lodra, dhānyaka, vaca / paste of vata pallava and coconut shell.

Kuńkumādi taila nasyam

Kuńkumādi lepam

Parańkipattai cūrņam

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Molluscum Contagiosum

It is a tumour produced by virus.

Dome shaped, waxy, pink papules or nodules 2 to 5 mm in size.

Central umbilication.

Usually asymptomatic and self limiting.

Treatment.

Surgical removal of the lesion.

Cryo therapy with liquid nitrogen. 

Electro desiccation.

                                                         

Ayurvedic Treatment

Unripe stage – Rakthamoshana mainly Jalaukavacharana   

External application

·     Chirattai Tailam

·     Spadika Drāvakam (Spadikam, karpūram, ţankaņam, varāţika bhasmam + dhānyāmlam or tamarind juice)

Internal medicines

·    Bhallātaka sarpi

Alopecia areata, Alopecia Totals,    alopecia universalis

Alopecia Totalis

Alopecia areata,

Indralupta
Indralupta – Alopecia areata,
Khalati – Alopecia Totals,
Ruhya – alopecia universalis
 If it is occurs on face, it is called indralupta, on head – kalathi,if all over the body ruhya

First pitta vāta, later kapha rakta
Commonest form is hereditary.
Can be caused by Old age, disease, chemotherapy

Treatment with Thallium compounds.
Scarlet fever can cause toxic alopecia.
It can occur in myxoedema, early syphilis and pregnancy.

AYURVEDIC TREATMENT
Not all conditions are successfully curable.
Androgenic factors should be considered.

Internal Medicines.
Saptamŗtha loham
Nārasimha ghŗtam
Ayabrińgarāja kalpam

External Application

Cleaning the area with spirit.
Application of Triphala maşi / Hasti danta maşi / Indralupta maşi mixed with lemon juice or nīli oil.
Mālatyādi tailam
Kaiyan tailam

Nasyam

 Şadbindu tailam, Nimba tailam.

Tuesday, 13 November 2012

KUSTHA THE SKINMANIFESTATION IN AYURVEDIC MANGEMENT
“Sarvam kushņāti tat vapuh”
The disease is called kuşţha because it disfigures the body, if not treated in time.
There are seven mahā kuşţhas and eleven kşudra kuşţhas.
The terms mahā (severe) and kşudra (less severe) indicate the intensity of the disease

 Causative factors
Āhāra (Food factors)
Continued use of incompatible foods and drinks.
Excessive use of new cereals, yogurt, fishes, salty and sour foods.
Excessive use of sesamum, milk, jaggery, pulses.
Indigestion, eating before the previous meal has been digested.

Vihāra (Activities)
Suppression of natural urges especially vomiting.
Avoidance of periodical elimination procedures (Paňcakarma).
Drinking cold water immediately after exposing to sun, physical exertion.
Too much of physical exertion

Others
Not respecting elders.
Committing sinful acts (Dasa vidha pāpa)
Main skin manifestation are Tuberculoid leprosy,Nummular eczema ,Allergic VasculitisTinea variant, chronic stage with  secondary infection.,Melanoma (Skin cancer)

Treatment
निदानपरिर्वजनं avoid caustive factor
अपकर्षणं-complete wash out of dosha
प्रकृति विघातनं-inernal medicine to prevent re occurance
these three are main and three fold of treatment

अपकर्षणं-complete wash out of dosha
Kustha disease occurs due dosha bahulyata,in this case shodana is essentional

    पक्षात् पक्षात् –छर्दनं  every 15 days vomiting therapy
    मासान्मासात् – स्रसनं every month purgation
    वत्सरे हि व्दौ – रक्तस्राव्यं once in two time in year
    नस्यं        - त्रिरात्रात्रिरात्रं three days gap
first start with sneha panam prior to above procedure snehana (medicine with oil or ghee or vasa or majja to loose dosha from main seat)

Snehana (Uttama matra)
Snehana given in purvarrupa stage
    vata – meshasrgadi oil,ghee
    pitta- asvakarnaadi ghee
    kapha- priyalaadi
    सर्षेषां तुवरकतैलं भल्लातक तैलं वेति
    tikathakam and maha tikatham

Swedana
    Nadi or baspa short period

Sodhanam
    Virechana
    Vamana

Vamana –above abdomen (drugs like madana phala ,yasthimadhu,patola,nimbha kvatha)

Virechana Vamana–trivrit ,dathi,jayapala,triphalait can be usedsouviraka,tushodaka,asava,sidhucan be use

प्रकृति विघातनं-inernal medicine to prevent re occurance
Shamanam         1.Ekamoola dravya
                    2. yogas
                    3. lepana
Ekamoola dravya( single drugs)
Chiratta tailam-ring worm
amalaki+vidanga
Harithaki+vidanga+ballathakam
Amritha swarasa


इति दोषे विजितेऽन्तसूत्वक्स्थे शमनं बहि: प्रलेपादि हितम्।
    तीक्ष्णालेपोत्क्लिष्टं कुष्ठं हि विवृद्धिमेति मलिने देहे॥
    after ghrtha pana –siravyadhana
    after  that prachana by goji etc –grishta
    then alepana 7 lepas
Specailly dadru lakshaadi lepa
Saidhavadi
Hemaksheriadi
Pudarika- badradi
    Sidhdarthak snana :
musta, madanphala, triphala, karanja, aaragvadha , indrajava, daruharidra, saptaparna siddha jal snana

KASAYAM
1. SODHANAM-Patolakaturohinyadi,patolamuladhi
2. SAMANAM-Manjistadi kasayam
Tiktakam kasayam
Candana parpatakadi kasayam
Nimbadi kasayam
Aragvathamrutadi kasayam
Nishothamadi kasayam
MTkasayam
Dasmula amritha kasayam
Patola mula triphala kasayam
GTkasayam
Khadiraristadi kasayam

CURNAM

Avalgujabijadi churnam
Eladi churnam
Aragvadhapatradi churnam
Argvadhaamrithaadi churnam
Guggul panchapal churnam
Nimbadi churnam
Patoladi churnam
Musthamrithadi churnam
Saddhara churnam

    GULIKA
Guggulu pancapala gutika
Kaisora guggulu gutika
Avalguja bijadi gutika
Arogyavardhini gutika

    Asava/arista
Mulakasavam
Nimbasavam
Khadiraaristam
Gomutraasavam
Usirasavam   
Nimbaamrithasavam
Lodhrasavam
cithrakasavam

Rasa medicine
Rasa first medicine and it is used in small dosage and capable to cure
 Gandhaka rasayanam,Tamra bhasmam,Tamra bhasamam,Talaka bhasmam,Rasa sinduram,Rasa manikam

LEHYAM
inernal medicine to go out dosha from body completely and to prevent reoccurence
kalyana gulam ,madusunhi rasayanam,guggulu tiktaka madusnuhi,,manibhadram lehyam good amoung them

SEVYAM
inernal medicine to go out dosha from body completely and to prevent reoccurence nithya virchana drugs like 
Nimbhaamruthadi Aavanakkenne
Ayaskrithi can be used
TAILAM
external oinment is good for local cure to skin manifestation so oil application play good roles some of oil preparation
Vajraka tailam-ushnam
Maha vajrakam tailam
Tuvaraka tailam
Maha marichadi tailam
Kunkumadi tailam
Nalpamaradi tailam
Dinesavalyadi kuzhambu
Dasamulaamrithadi tailam

In kusta Bhallataka Rasayana in form of sarpi,ksiram,yusham etc are useful
Tuvaraka Rasyanam-this as Naimithika Rasyanam by susruta and vagbhata used to cure extreme case of kusta
Used as Tailm or with khadira kvatha,in the form of nasya,majja also used
Citraka Rasyanam
शिलाजतु प्रयोग – शिलाजतु + वज्रभस्म


PATHYA
it plays a vital role that is food regimen here, i am giving some food that suitable for skin disease
Shali- rice
Yava-barly
Godhuma-wheat
Kodrava-rice water
Priyangu-one type fruit
Mudga-green gram
Masoora-masoor daal
Tuvara-
Tiktha Shakham-bitter leafy vegitables
Triphala-
            {A.H. chi 19/25,26
DONOT’S
Dhadhi-curd
Dugdha-milk
Guda-jaggery
Aanoopa Maamsa-fish type meat
Tila-gingely oil
Maasham -hourse gram
                {A.H.chi19/27


    psychological factors
In India, psychological factors are responsible for skin diseases in about 10 -15% of cases affecting mainly the educated

Yama,tyagasila satvritta are to followed
Dvija and daiva puja should be make then good psychic

ASANA –
 Sirsh Asana, uttanasana, janu sirsasana
PRANAYAMA-
Sheetali Pranayama ,bastrika etc..

Naturopathy
Fasting:It is the best way to detoxify the body.
Diet therapy:Fresh fruits and vegetables, sprouts, fiber rich foods
Mud therapy
Heliotherapy:These adverse effects can be avoided by the application of natural moisturizers like Neem oil, oat derivatives and with the application of essential oils like tea tree oil, primrose oil, etc. while having the sun bath
 

KUSTHA THE SKINMANIFESTATION IN AYURVEDIC MANGEMENT

·          “Sarvam kushņāti tat vapuh”

·          The disease is called kuşţha because it disfigures the body, if not treated in time.

·          There are seven mahā kuşţhas and eleven kşudra kuşţhas.

·         The terms mahā (severe) and kşudra (less severe) indicate the intensity of the disease

Kustha Nidāna
 Causative factors

·            Āhāra (Food factors)

·          Continued use of incompatible foods and drinks.

·          Excessive use of new cereals, yogurt, fishes, salty and sour foods.

·          Excessive use of sesamum, milk, jaggery, pulses.

·          Indigestion, eating before the previous meal has been digested.

·            Vihāra (Activities)

·          Suppression of natural urges especially vomiting.

·          Avoidance of periodical elimination procedures (Paňcakarma).

·          Drinking cold water immediately after exposing to sun, physical exertion.

·         Too much of physical exertion

·            Others

·          Not respecting elders.

·          Committing sinful acts (Dasa vidha pāpa)

Main skin manifestation are Tuberculoid leprosy,Nummular eczema ,Allergic VasculitisTinea variant, chronic stage with  secondary infection.,Melanoma (Skin cancer)

चिकित्सा

       निदानपरिर्वजनं

       अपकर्षणं

       प्रकृति विघातनं

·            Kustha disease occurs due dosha bahulyata,in this case shodana is essentional

पक्षात् पक्षात् –छर्दनं

    मासान्मासात् – स्रसनं

    वत्सरे हि व्दौ – रक्तस्राव्यं

    नस्यं       - त्रिरात्रात्रिरात्रं

Snehana (Uttama matra)

       Snehana given in purvarrup stage

       vata – meshasrgadi oil,ghee

       pitta- asvakarnaadi ghee

       kapha- priyalaadi

       सर्षेषां तुवरकतैलं भल्लातक तैलं वेति

       tikathakam and maha tikatham

Swedana

       Nadi or baspa short period

Sodhanam

       Virechana

       Vamana

·            Vamana –above abdomen (drugs like madana phala ,yasthimadhu,patola,nimbha kvatha)

Virechana Vamana–trivrit ,dathi,jayapala,triphalait can be usedsouviraka,tushodaka,asava,sidhucan be use

Shamanam 1.Ekamoola dravya

                          2. yogas

                          3. lepana

·            SÉÂWûËUSìè + aÉÉåqÉÔ§É

·            ApÉrÉÉ + aÉÉåqÉÔ§É

·            ̧ÉMüOÒû+ aÉÑQû+ ÌiÉsÉ iÉæsÉ + WûUÏiÉMüÐ

·            sÉåsÉÏiÉMü mÉërÉÉåaÉ-aÉÇkÉMü mÉërÉÉåMü,aÉÇkÉMü UxÉÉrÉlÉ

·            Chiratta tailam-ring worm

·            amalaki+vidanga

·            Harithaki+vidanga+ballathakam

·            Amritha swarasa

·            इति दोषे विजितेऽन्तसूत्वक्स्थे शमनं बहि: प्रलेपादि हितम्।

    तीक्ष्णालेपोत्क्लिष्टं कुष्ठं हि विवृद्धिमेति मलिने देहे॥

    after ghrtha pana –siravyadhana

    after  that prachana by goji etc –grishta

    then alepana 7 lepas

·            Specailly dadru lakshaadi lepa

·            Saidhavadi

·            Hemaksheriadi

·            Pudarika- badradi

       Sidhdarthak snana :

·                  musta, madanphala, triphala, karanja, aaragvadha , indrajava, daruharidra, saptaparna siddha jal snana

·            KASAYAM

1. SODHANAM-Patolakaturohinyadi,patolamuladhi

2. SAMANAM-Manjistadi k

Tiktakam k

Candana parpatakadi k

Nimbadi k

Aragvathamrutadi k

Nishothamadi k

MTK (VP)

Dasmula amritha k

Patola mula triphala k

GTK

Khadiraristadi k

CURNAM

·            Avalgujabijadi ch

·            Eladi

·            Aragvadhapatradi

·            Argvadhaamrithaadi

·            Guggul panchapal c

·            Nimbadi

·            Patoladi

·            Musthamrithadi

·            Saddhara

GULIKA

Guggulu pancapala gutika

Kaisora guggulu gutika

Avalguja bijadi gutika

Arogyavardhini gutika

Asava/arista

Mulakasavam

Nimbasavam

Khadiraaristam

Gomutraasavam

Usirasavam    -p

Nimbaamrithasavam- kp

Lodhrasavam

cithrakasavam

·            Rasa medicine-

·              Gandhaka rasayanam,Tamra bhasmam,Tamra bhasamam(p),Talaka bhasmam,Rasa sinduram,Rasa manikam(K)

·            LEHYAM-

kalyana gulam (k),madusunhi rasayanam,guggulu tiktaka madusnuhi,(VK),manibhadram lehyam

SEVYAM-

Nimbhaamruthadi Aavanakkenne

Ayaskrithi

TAILAM

Vajraka tailam-ushnam so kaphaanubanda

Maha vajrakam –same

Tuvaraka tailam

Maha marichadi

Kunkumadi (P)

Nalpamaradi

Dinesavalyadi kuzhambu

Dasamulaamrithadi (V)

In kusta Bhallataka Rasayana in form of sarpi,ksiram,yusham etc are useful

·            Tuvaraka Rasyanam-this as Naimithika Rasyanam by susruta and vagbhata used to cure extreme case of kusta

·            Used as Tailm or with khadira kvatha,in the form of nasya,majja also used

·            Citraka Rasyanam

·            शिलाजतु प्रयोग – शिलाजतु + वज्रभस्म

PATHYA

·            Shali

·            Yava

·            Godhuma

·            Kodrava

·            Priyangu

·            Mudga

·            Masoora

·            Tuvara

·            Tiktha Shakham

·            Triphala

           {A.H. chi 19/25,26

DONOT’S

·            Dhadhi

·            Dugdha

·            Guda

·            Aanoopa Maamsa

·            Tila

·            Maasham

                {A.H.chi19/27

·            In India, psychological factors are responsible for skin diseases in about 10 -15% of cases affecting mainly the educated

·            Yama,tyagasila satvritta are to followed

·            Dvija and daiva puja should be make then good psychic

·            ASANA –

·             Sirsh Asana, uttanasana, janu sirsasana

·            PRANAYAMA-

Sheetali Pranayama ,bastrika etc..

Naturopathy

·            Fasting:It is the best way to detoxify the body.

·             Diet therapy:Fresh fruits and vegetables, sprouts, fiber rich foods 

·            Mud therapy

·          Heliotherapy:These adverse effects can be avoided by the application of natural moisturizers like Neem oil, oat derivatives and with the application of essential oils like tea tree oil, primrose oil, etc. while having the sun bath

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