Posts Tagged ‘panchakarma’

‘Anupan’ – By : Dr. Sachin Sharma

Thursday, September 10th, 2009

Every liquid eg.- Madhu, ghee, etc. which is taken with drug or food or after drug or food intake are called Anupana. Acharya charka said that every lipuid which intake after Ahar (Food) is Anupana but it is only for directional view. Acharya Dalhan also agree with Acharya charka they said that –

|| Annadanu paschat piyate ityanupanam || Ch. Su. 46/419
Anupana itself has meaning in its name-
Anu- After but Acharya Dalhan said that it is an indication for food.
Pan- Drinkable liquid

In Ayurveda Acharyas did not mention anupana as a part of fun but a deep knowledge of ancient science present behind these theories. Anupana have some specific characters like –

1. Just opposite nature to food – ex: – hot nature anupana after cold nature food intake.
2. Not opposite to Dhatus – ex: – curd after milk
3. Just opposite to Dosas – ex: – in case of kaphaj disease we should take hot anupana.
4. Same nature to Medicine – ex: – cold anupana after pitta shamak medicine
5. Dependable upon disease and time – ex: – in primary case of fever we should take Usnodak (samehot water). Or liquor is good in Vat rogas in winter season but not in summer.
If we take anupana before food it creates weakness, in the middle of food it does not creates weakness or heaviness and if we take after food it creates heaviness in the body. So we can take anupana according to our requirements.

In Ayurveda best Anupana- Madhu.

According to doshas

1. V- Snigdha and Ushna
2. P- Madhur and Cold
3. K- Ruksha and Ushna
4. For week person – Alcohal is very good anupana also mandagni, Anidra etc.
5. For obes person – Madhu
6. Upvas, Marggaman, exercise after coming from hot temperature environment in these conditions best anupana is – milk
According to diseases

1. Fever – Tulsi leaf swaras , Adrak swaras , madhu, chiraita, sugandha bala, Pitpapda, shading water.
2. Chronic fever and cough – Vardhman piplli, sitopladi + Madhu, Ghee, Boiled milk
3. Shwas – Vasa juce + Adrak juce + Madhu
4. T.B. – Pure shilagatu
5. Prameha – Amla ras + Haridra churn.
6. Vat rog – Pure gugglu + Lahasun
7. Aam vat – Gomutra + castar oil
8. Anaemia – Mandoor Bhasm
9. Worm – Vidang churna
10. Diarrhea – Kutaj twak churna
11. Grahni – Takra
12. Unmad – old cow ghee
13. Khustha – khader and sariva kwatha
14. Shvttra – Bakuchi seeds
15. Ajirna – Shayan
16. Urdvajatrugat rog – Tekshna aushadi nasya
17. Pashrva shula – Pushkar mula
18. Ashmari – Pashan bhad, kulatha seeds, Varun twak kwatha
19. Gulma – Shegrumul twak
20. Vidradhi – Raktamokshna
21. Swarabhed – Gargal with hot water and salt or pushkarmul kwatha with madhu
Contraindications after anupana: – we should avoid study, singing songs, bad rest and walking after anupana because it creates bad effects on doshas.

Now a days we have forgotten the anupana’s concepts which can helpful to us to gain good results of medicine in particular disease.

Ayurvedic Management of Thyroid disorders

Thursday, September 10th, 2009

Thyroid disorders are the most common disorders we see in our daily practice. These are mainly Hypothyroidsm, Hyperthyroidism and Goiter.
Many ayurvedic practioners are adopting a vague approach by simply prescribing Kanchanara guggulu. Because the main obstacle in understanding the thyroid disorders is that there is no exact correlation of the thyroid gland in Ayurveda. But the ayurvedic system of medicine is very futuristic and it doesn’t emphasize on naming the disease. It rather insists on understanding the constitutional status of the disease and adopting the appropriate treatment principles.
The main action of thyroid hormone is to act as a spark to pep-up body metabolism by increasing the oxidative phosporylation in the mitochondria. In Ayurveda parlance it can be correlated with the actions of agni.
As per the place, the agni located in the Jathara (digestive fire) is responsible for the digestion and absorption of the food. The Bhutagni is responsible for the transformation of heterogeneous substance to homogenous substances and dhatwagni (the agni located in the body tissues) is responsible for the metabolism.
So the factors which regulate the metabolism are nothing but the dhatwagni amshas. Thyroxine is also one of the factors which regulate the metabolism, can be correlated with dhatwagni amsha. Its action is influenced by pitta, samana vata and kapha up to some extent and these are ultimately regulated by vata. These concepts are described elaborately in the consecutive chapters.
This book is divided into 4 parts. First part deals with the normal physiology, second part is hypothyroidism, third part is the hyperthyroidism and the fourth part is goiter.
Thyroid disorders are the most misdiagnosed diseases. For accurate diagnosis of the disease, more than 80 clinical features of hypothyroidism and nearly 120 clinical features of Hyperthyroidism are compiled in this book.
It would be unwise to try in vain to tackle the disease by drug only. That is why pathyapathya (wholesome and unwholesome diet and regimen) are mentioned for the above diseases.
An attempt has been made to elaborate the treatment principles (keeping the etiology in view) about the thyroid disorders without distracting the basic philosophy and precincts of Ayurveda.
Autoimmunity is the main etiological factor in thyroid disorders. The views of eminent scholars about autoimmunity in ayurveda are mentioned and the orjaskara (which gives strength to the ojus (immunity)) treatment is mentioned to prevent the triggering of the autoimmunity.
Some useful drugs and their different preparations like swarasa, kwadha, vati, lehya, ghrita (juice, decoctions, pills, medicated ghee etc.) are mentioned in this book for the convenience of the practioners.
Some popular drugs which are found in usage by ayurvedic practioners are included in this book.
It is hoped and believed that this small effort will prove to be some benefit to the students, practioners, researchers and those who are interested in science.

‘AYURVEDIC PSYCHOLOGY ‘ By: Dr. Bhaskar Patil

Thursday, September 10th, 2009

‘AYURVEDIC PSYCHOTHERAPY (Manas Roga Chikitsa)’.

Scientific information about psychology and Ayurveda is not easily available. Because these topics are scattered throughout the Ayurvedic classics like Charaka, Sushruta, and Vagbhata etc. rather than organized in one place only. They are also cross over references in Yoga related to spiritual topics and other methods. Therefore the main needs of Ayurveda today is to present a better psychological model and understanding that is useful in the present cultural context.

process. If we compare other centuries and history of evolution, the change in last centuries was gradual but continuous one. This century denotes radical and fast change (like mutation) which, to some extent is difficult for a mankind to cope up with speed of its transformation. This has resulted in lot more psychological than physical suffering. Developed and developing countries as well today are facing these problems.

Mental-psychological conditions are almost epidemic today. Even children are commonly suffering from these conditions. The current drug-based medicine is developing special designer medications to treat these conditions, which try to follow the rule of radical change, which again becomes difficult for the body to cope up with and results in reactive phase, named as ‘side effects’.

process. If we compare other centuries and history of evolution, the change in last centuries was gradual but continuous one. This century denotes radical and fast change (like mutation) which, to some extent is difficult for a mankind to cope up with speed of its transformation. This has resulted in lot more psychological than physical suffering. Developed and developing countries as well today are facing these problems.

Mental-psychological conditions are almost epidemic today. Even children are commonly suffering from these conditions. The current drug-based medicine is developing special designer medications to treat these conditions, which try to follow the rule of radical change, which again becomes difficult for the body to cope up with and results in reactive phase, named as ‘side effects’.

Modern era is a remarkable era in the field of innovation, research and entire development of mankind. World is going through a phase of enormous change in the developmental process. If we compare other centuries and history of evolution, the change in last centuries was gradual but continuous one. This century denotes radical and fast change (like mutation) which, to some extent is difficult for a mankind to cope up with speed of its transformation. This has resulted in lot more psychological than physical suffering. Developed and developing countries as well today are facing these problems.

Mental-psychological conditions are almost epidemic today. Even children are commonly suffering from these conditions. The current drug-based medicine is developing special designer medications to treat these conditions, which try to follow the rule of radical change, which again becomes difficult for the body to cope up with and results in reactive phase, named as ‘side effects’.
Ayurveda provides the best choice for mind and psychological disorders through various formulations and allied therapies. This cultural disturbed psychology requires that Ayurvedic practitioners have the psychological tools to deal with it. Many of the patients who come to Ayurvedic practitioners today do so seeking some spiritual or psychological relief. They will expect that the Ayurvedic practitioner can handle emotional and spiritual issues and not just treat them on a physical level. So the role of Ayurveda in psychology is quite important and Psychology is an integral part of practice of an Ayurvedic practitioner.

The branch which we describe today as “Psychiatry’ was termed as “Bhoot Vidya” during Veda period. Atharvaveda (of which ayurveda is upaveda /sub branch) describes this branch in details, of which some part is mentioned in ayurvedic scripts. “Graha chikitsa” is one of the eight branches of Ayurveda, which describes psychological and spiritual aspect.

All four Vedas- viz. Rig-Veda, Sama-Veda, Yajur-Veda and Atharva-Veda describes mantras, music, art, rituals for the betterment of mankind. The intension of all these acts is not merely for physical goodness but is for mental and spiritual betterment of mankind.

From health point of view, Atharva-Veda describes most of this psychological aspect and Ayurveda explains all these practices in the form of daily regimen, seasonal regimen, do’s and don’ts, behavioral rasayana etc.
One of the basic concepts of Ayurveda is constitution / Prakruti. Ayurveda describes both physical and mental constitution. Mental constitution is vital in diagnosing and treating the disease and many a times ignored by Ayurvedic physicians and merely physical constitution is analyzed. We should know that, mental constitutional evaluation is as important as physical constitutional analysis.

While examining and treating a patient “Sattva Parikshan” or mental examination of a patient is one of the important factors and should be thoroughly examined by Ayurvedic physician as it is very helpful in understanding the response of medications prescribed to him.

In case of line of treatment of psychological disorders, threefold treatment is described. Viz –
1) Yuktiva-vyapashraya / Rational therapy:
2) Sattvavajaya / Psychotherapies:
3) Daiva-vyaapashraya / Divine or Spiritual therapies

In case of medications and various formulations described for psychological disorders it is easy to describe relationship of the medication with the dosha vitiation and the action of medication.

In psychological disorders Counseling is an integral part of the treatment. Ayurveda, particularly in the West today, is largely a counseling based system of medicine. It consists of educating the patient how to change their life-style to prevent disease from arising and to optimize their health, as well as to treat specific diseases. While this may center outwardly on dietary, herbal and exercise recommendations, it requires an understanding of the psychology of people. Otherwise we will not have the proper rapport with the patient to ensure right communication and compliance with treatment recommendations.

It is not enough in that we as practitioners can arrive at a correct diagnosis and treatment plan, we must have the counseling skills to enable patients to effectively implement these.

In case of divine or psychotherapies, many a times it is difficult to understand the relationship between described procedure and pathogenesis of disease. In evidence based practices, it is difficult to show mathematical calculation for the explanation of physiological and pharmacological actions.

In such situation, we should know basic principles and metaphysics of Ayurveda. If we look at “Pramana”, “Aptopadesha / Teachings of Guru’s” is one of the important pramana’s on which Ayurvedic concepts are based on. Entire Ayurvedic science is based on “Aptopadesha” pramana, along with other pramana’s.

So as an Ayurvedic practitioner, it is important for all of us to follow the science with full faith in it and unless and until we do so, it is difficult to convince and counsel the patient to follow the regimen and take Ayurvedic formulations and perform the prescribed rituals etc.

Now a days, we are just proving the said effects of particular herb and formulations and name it as “Research”. That means we are re – searching, already existed/proven things. So instead of wasting time in re searching it, concentrate on the available proven Ayurvedic formulations and follow it with full faith and confidence. Positive results are bound to happen……