MEDO ROGA
Historical glimpses - earliest study of sthoulya was conducted by acharya charaka . he is the father of indian medicine. he mentioned medo roga under ashtanindita purusha also mentioned as sleshma nanatmaja vyadhi , adhika doshayukta roga.
sushrita samhita - it is rasaja nanatmaja vyadhi explained as meda dosha and resulted due to medavaha sroto dushti.
Ashtanga sangraha - mentioned as atibrimhanajanita vyadhi. use of langhana.
kashyapa samhita - raktamokshana is one of the best treatement for medas vidhatri.
sharangadhara samhita - sweda is upadhatu of meda
Bhavaprakasha 39th chapter madhyama khanda- chikitsa has been exlained.
chakrapani - gru property helps to aleviate kshudha while apatarpana helps to reduce medha.
Dalhana - 1. poshaka medo dhatu
2.poshya medo dhatu
utpatti - sukshmabhaga of mamsa dhatu acted upon by medodhatvagni , jaliya guna present in medas facilitates increse in sneha guna. mamsa dhatu under goes pakadue to its agni and jala guna and form meda dhatu.
Nidana - adhyasana , atisampurana , bhojanottara jala pana, ikshu vikara sevana, madhura ahara sevana , mamsa sevana, santarpana.
Roopa - ALASYA ,ALPA PRANA,alpa vyavaya , anga shaithilya , anutsaha, chala sphik ,udara dourgandhya, gatra sada , kshudha ati matra , kshudra shwasa , pipasati yoga , udara parshva vriddhi .
Types of medo roga - 1. sthoulya( enlarge ment of abdomen due to deposition )
2.medodosha - ( lipid disorder )
Samprapti ghatakas - dosha- kapha kledaka ,pitta pachaka , samana and vyana vata
dushya - rasa , meda , mamsa dhatu
agni - jatharagni , rasa and medo dhatvagni
srotas - rasavaha ,medo vaha ,mamsavaha
srotodushti - sanga
adhishtana - sarva shareera
udbhava sthana - amashaya
sachara sthana - rasayani
roga marga - bahya
Ama - jatharagni mandya janita , dhatvagni mandya janita ama.
vyakti sthana -sarvanga
CHIKITSA
1,nidana parivarjana
2. samshodhana 1.langhana 2.shodhana
sneha having kapha and medo hara property ushna,tikshna guna to be selected for snehana anuvasana svasti.
3.samshamana -shilait, triphala ,guggulu prayoga
externally like udvartana ,udgarshana. intake of medicine should be
bfore meal for karshana.
LEKHANA VASTI IN MEDO ROGA
vasti prepared of taila ,gomutra,kanji , saindhava lavana, lekhana ,karshana,ushna, and tikshna dravyashelps in reduction of medo roga.
sushrut a explained lekhanabasti by gomutra,triphala kwatha and madhu, yava kshara ,saindava lavana and ushakadi gana dravyas.
quantity of drugs 12 prasrita and the present study the quantity of basti was taken in madhyama matra,explained by sharangadhara as 8 prasrita or 16 palas.( 768 ml)
anuvasana basti -5
lekhana vasti - 3
quantity by dalhana quantity forpresent
madhu 4pala or192 ml 120 ml
saindhavalavana 1 aksha/12gms 8gms
sneha 6 pala /288ml 190 ml
(brihat saindavadhya taila )
kalka ( ushakadi gana) 2 pala /96 ml 60 gms
yava kshara 3 aksha /36 gms 24 gms
kwatha ( triphala kwatha ) 9 pala (432 ml) 273 ml
avapa ( gomutra) 3 pala / 144ml 96 ml
total 24 pala / 1164ml 768 ml
Administration of lekhana vasti ;
preparation of triphala kwatha ;
drug : triphala kwatha churna - 140 gms
water : 8 times to kwatha churna - 1200ml
equipment :vessel , measuring glass,stirrer, stove,seive etc
procedure : 140 gms of triphala kwatha churna added with 1200ml in a vessel on stove andreduced to 1h i.e300 ml and out of that 273 ml is used in vasti .
preparation of ushakadi gana kalka : 60 gms of ushakadi gana churna and even yava kshara of 24 gms added with water q.s and made it in to bolus form and used in vasti.
preparation of brihat saindavadhya tailam :
kalka : saindhavadi drugs - 1 part
taila : eranda taila - 4parts
drava dravya : shata pushpa kwatha , kanjika , mastu - 16parts
procedure - the taila is prepared as per the classical method of taila preparation mentioned in sharangadhara samhita.
preparation of vasti dravya : the different ingredients of lekhana vasti were mixed in following manner.
initially madhu (120 ml) and saindhava lavana (8gm) were taken and mixed thoroughly with the help of wooden churner ,then brihat saindhavadya taila 190 ml was added slowly and mixed well. to this mixture ushakadi gana kalka 60 gms along with yava kshara 24 gm is added and mixed thouroughly and homogenous mixture is made with out any sedimentation.to this triphala kwatha 275 ml and gomutra 96 ml were added and churned well.the prepared vasti dravya was filtered and made sukhoshna by heating it over water bath before administration.
Anuvasana vasti :the usualdose of anuvasana vasti is half of sneha vasti.dose of sneha vasti is 1/4th of niruha vasti.
as the dosage of niruha vasti is 16 pala in this study , so 1/4th of this is 4 pala and half of it is 2 pala i.e 96 ml was taken for present study.
METHOD OF ADMINISTRATION OF LEKHANA VASTI
using vasti netra and putaka consists of 2 anuvasana followed by 3 lekhana and 3 anuvasana vasti alternatively counting to 8 vastsssis.
anuvasana \anuvasana \ lekhana\ anuvasana \lekhana\anuvasana\lekhana\anuvasana
Historical glimpses - earliest study of sthoulya was conducted by acharya charaka . he is the father of indian medicine. he mentioned medo roga under ashtanindita purusha also mentioned as sleshma nanatmaja vyadhi , adhika doshayukta roga.
sushrita samhita - it is rasaja nanatmaja vyadhi explained as meda dosha and resulted due to medavaha sroto dushti.
Ashtanga sangraha - mentioned as atibrimhanajanita vyadhi. use of langhana.
kashyapa samhita - raktamokshana is one of the best treatement for medas vidhatri.
sharangadhara samhita - sweda is upadhatu of meda
Bhavaprakasha 39th chapter madhyama khanda- chikitsa has been exlained.
chakrapani - gru property helps to aleviate kshudha while apatarpana helps to reduce medha.
Dalhana - 1. poshaka medo dhatu
2.poshya medo dhatu
utpatti - sukshmabhaga of mamsa dhatu acted upon by medodhatvagni , jaliya guna present in medas facilitates increse in sneha guna. mamsa dhatu under goes pakadue to its agni and jala guna and form meda dhatu.
Nidana - adhyasana , atisampurana , bhojanottara jala pana, ikshu vikara sevana, madhura ahara sevana , mamsa sevana, santarpana.
Roopa - ALASYA ,ALPA PRANA,alpa vyavaya , anga shaithilya , anutsaha, chala sphik ,udara dourgandhya, gatra sada , kshudha ati matra , kshudra shwasa , pipasati yoga , udara parshva vriddhi .
Types of medo roga - 1. sthoulya( enlarge ment of abdomen due to deposition )
2.medodosha - ( lipid disorder )
Samprapti ghatakas - dosha- kapha kledaka ,pitta pachaka , samana and vyana vata
dushya - rasa , meda , mamsa dhatu
agni - jatharagni , rasa and medo dhatvagni
srotas - rasavaha ,medo vaha ,mamsavaha
srotodushti - sanga
adhishtana - sarva shareera
udbhava sthana - amashaya
sachara sthana - rasayani
roga marga - bahya
Ama - jatharagni mandya janita , dhatvagni mandya janita ama.
vyakti sthana -sarvanga
CHIKITSA
1,nidana parivarjana
2. samshodhana 1.langhana 2.shodhana
sneha having kapha and medo hara property ushna,tikshna guna to be selected for snehana anuvasana svasti.
3.samshamana -shilait, triphala ,guggulu prayoga
externally like udvartana ,udgarshana. intake of medicine should be
bfore meal for karshana.
LEKHANA VASTI IN MEDO ROGA
vasti prepared of taila ,gomutra,kanji , saindhava lavana, lekhana ,karshana,ushna, and tikshna dravyashelps in reduction of medo roga.
sushrut a explained lekhanabasti by gomutra,triphala kwatha and madhu, yava kshara ,saindava lavana and ushakadi gana dravyas.
quantity of drugs 12 prasrita and the present study the quantity of basti was taken in madhyama matra,explained by sharangadhara as 8 prasrita or 16 palas.( 768 ml)
anuvasana basti -5
lekhana vasti - 3
quantity by dalhana quantity forpresent
madhu 4pala or192 ml 120 ml
saindhavalavana 1 aksha/12gms 8gms
sneha 6 pala /288ml 190 ml
(brihat saindavadhya taila )
kalka ( ushakadi gana) 2 pala /96 ml 60 gms
yava kshara 3 aksha /36 gms 24 gms
kwatha ( triphala kwatha ) 9 pala (432 ml) 273 ml
avapa ( gomutra) 3 pala / 144ml 96 ml
total 24 pala / 1164ml 768 ml
Administration of lekhana vasti ;
preparation of triphala kwatha ;
drug : triphala kwatha churna - 140 gms
water : 8 times to kwatha churna - 1200ml
equipment :vessel , measuring glass,stirrer, stove,seive etc
procedure : 140 gms of triphala kwatha churna added with 1200ml in a vessel on stove andreduced to 1h i.e300 ml and out of that 273 ml is used in vasti .
preparation of ushakadi gana kalka : 60 gms of ushakadi gana churna and even yava kshara of 24 gms added with water q.s and made it in to bolus form and used in vasti.
preparation of brihat saindavadhya tailam :
kalka : saindhavadi drugs - 1 part
taila : eranda taila - 4parts
drava dravya : shata pushpa kwatha , kanjika , mastu - 16parts
procedure - the taila is prepared as per the classical method of taila preparation mentioned in sharangadhara samhita.
preparation of vasti dravya : the different ingredients of lekhana vasti were mixed in following manner.
initially madhu (120 ml) and saindhava lavana (8gm) were taken and mixed thoroughly with the help of wooden churner ,then brihat saindhavadya taila 190 ml was added slowly and mixed well. to this mixture ushakadi gana kalka 60 gms along with yava kshara 24 gm is added and mixed thouroughly and homogenous mixture is made with out any sedimentation.to this triphala kwatha 275 ml and gomutra 96 ml were added and churned well.the prepared vasti dravya was filtered and made sukhoshna by heating it over water bath before administration.
Anuvasana vasti :the usualdose of anuvasana vasti is half of sneha vasti.dose of sneha vasti is 1/4th of niruha vasti.
as the dosage of niruha vasti is 16 pala in this study , so 1/4th of this is 4 pala and half of it is 2 pala i.e 96 ml was taken for present study.
METHOD OF ADMINISTRATION OF LEKHANA VASTI
using vasti netra and putaka consists of 2 anuvasana followed by 3 lekhana and 3 anuvasana vasti alternatively counting to 8 vastsssis.
anuvasana \anuvasana \ lekhana\ anuvasana \lekhana\anuvasana\lekhana\anuvasana
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