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Management of pandu roga (1)

Management of Pandu roga in Ayurveda

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Management of pandu roga (1)

  1. 1. Amrit_talks #TRUE VEDA
  2. 2. Management of Pandu roga Dr. Amrit Godbole B.A.M.S (State Ayurvedic College, Lucknow) M.D Kayachikitsa (FOA, IMS, BHU) C.C.Y.P (BHU)
  3. 3. Prognosis of Pandu  ऩाण्डुयोगश्चियोत्ऩन्नः खयीबूतो न सिध्मतत| कारप्रकर्ााच्छू नो ना मचि ऩीतातन ऩचमतत||३१||  फद्धाल्ऩविट्कं िकपं हरयतं मोऽततिामाते| दीनः चिेताततददग्धाङ्गचछददाभूच्छाातृर्ाददातः||३२||  ि नास्तत्मिृक्क्षमाद्मचि ऩाण्डुः चिेतत्िभाप्नुमात ्| इतत ऩञ्िविधस्तमोक्क्तं ऩाण्डुयोगस्तम रषणभ ्||३३||
  4. 4.  Chronicity of any ailment leads to dhatu kshaya which results into vata prakopa. Long standing Pandu rog due to vitiation of Vata dosha and depletion of snehansh and oja which is represented as appearance of excessive dryness over body leads to its incurable state.  Precipitation of edema over body and patient visualizes everything to be yellow in colour;  Passes very hard stool or less amount of stool or passes loose stool associated with mucus and green in color;  Feels exceedingly prostrated;
  5. 5.  Body becomes excessively white as if be smeared with whiteness; has vomiting, fainting and excessive thirst and when the patient develops excessive whiteness in the body as a result of loss of blood.  All these features establishes the chronic and incurable stage of the Pandu rog.
  6. 6. Principles of treatment तत्र ऩाण्ड्वामयी स्ननग्धनतीक्ष्णैरूर्धवाानुऱोममकै ैः| संशोर्धयो मृदुमिस्नतकतैैः कामऱी तु ववरेचनैैः||४०|| the order of treatment will be :----- Snehana Snehana is done by various Ghrita preparations in Pandu rog reason behind is that it pacifies Vata and Pitta and at the same time ignites the Agni. Teekshna vaman and virechana
  7. 7.  ताभमां िंशुद्धकोष्ठाभमां ऩथ्मान्मन्नातन दाऩमेत्| शारीन् िमिगोधूभान् ऩुयाणान् मूर्िंदहतान्||४१|| भुद्गाढकीभिूयैचि जाङ्गरैचि यिैदहातैः| मथादोर्ं विसशष्टं ि तमोबैर्ज्मभाियेत्||४२||  After samyak sanshodhan i.e. Urdhwa (vamana) and anulomana (virechana), pathya anna is advised to the patient so that maintainence of agni takes place.  And along with pathya anna dosha specific medicinal treatment is also advised.
  8. 8. For maintainence of agni Pathya anna sevana and Doshanusaar chikitsa To expell out excess dosha Vaman and virechan For pacification of vata, pitta and ignition of agni Snehana chikitsa
  9. 9. Role of Ghrita in Pandu as per modern science  “Ghee (clarified butter) is known as Ghrta (commonly spelled Ghrita) in Sanskrit. It is an excellent Anupana (therapeutic vehicle) for transporting the properties of herbs to the deeper tissue layers of the body. Proper digestion, absorption, and delivery to a target organ system are vitally important for obtaining the maximum benefit from any therapeutic formulation. ”  https://www.sciencedirect.com/science/article/pii/B978 0124114623000187  “Lipids increases the intestinal absorption of iron from the dietary substances.”  https://academic.oup.com/ajcn/article-abstract/105/6/1521/4569780
  10. 10. Role of Gomutra in Pandu Samanya guna-karma of Mutra  उष्णं तीक्ष्णभथोऽरूषं कटुकं रिणाश्न्ितभ्||९४|| भूत्रभुत्िादने मुक्क्तं मुक्क्तभारेऩनेर्ु ि| मुक्क्तभास्तथाऩने भूत्रं मुक्क्तं िावऩ वियेिने||९५|| स्तिेदेष्िवऩ ि तद्मुक्क्तभानाहेष्िगदेर्ु ि| उदयेष्िथ िाशाःिु गुश्ल्भकु श्ष्ठककरासिर्ु ||९६|| तद्मुक्क्तभुऩनाहेर्ु ऩरयर्ेके तथैि ि| दीऩनीमं विर्घ्नं ि किसभघ्नं िोऩददचमते||९७|| ऩाण्डुयोगोऩिृष्टानाभुत्तभं शभा िोच्मते| चरेष्भाणं शभमेत् ऩीतं भारुतं िानुरोभमेत्||९८|| कर्ेत् वऩत्तभधोबागसभत्मश्स्तभन् गुणिङ्रहः|
  11. 11. Properties of indigenous cow urine  गव्मं िभधुयं ककश्ञ्िद्दोर्घ्नं किसभकु ष्ठनुत्| कण्डूं ि शभमेत् ऩीतं िम्मग्दोर्ोदये दहतभ ्||१०१||  The urine of cow is slightly sweet, alleviates discordance of dosha and cures worms and chronic dermatoses (kushtha) and relieves pruritis. Its proper intake cures disorders of abdomen  “Gomutra is capable of removing all the imbalances in the body, thus maintaining the general health. Cow Urine contains 95% water, 2.5% urea, minerals, 24 types of salts, hormones, and 2.5% enzymes. It also contains iron, calcium, phosphorus, carbonic acid, potash, nitrogen, ammonia, manganese, sulfur, phosphates, potassium, urea, uric acid, amino acids, enzymes, cytokine and lactose.”
  12. 12.  “The indigenous CU contains „Rasayana‟ tatva, which is responsible for modulation of the immune system and also act as a bioenhancer. This bioenhancing activity of CU has been aptly and widely used in various ayurvedic formulations like Mandurvatak, Darvi ghrita, and Punnarvamandur.” (Randhawa GK, Sharma R. Chemotherapeutic potential of cow urine: A review. J Intercult Ethnopharmacol. 2015;4(2):180‐186. doi:10.5455/jice.2015022210032)
  13. 13. Medicated water  श्स्तथयाददसबः शृतं तोमं ऩानाहाये प्रशस्तमते Water boiled with the drugs belonging to sthiradi (laghu panchmoola)group is useful for drinking and the preparation of foods for pandu rogi. Laghu Panchamool is vata-pitta shamak at the same medicated water is going to do dosha pachana and agni deepana due to ushna guna of jala
  14. 14. Treatment of mrittika bhakshanajanya pandu  तनऩातमेच्छयीयात्तु भृवत्तकां बक्षषतां सबर्क्||११७|| मुश्क्क्तज्ञः शोधनैस्ततीक्ष्णैः प्रिभीक्ष्म फराफरभ ्| शुद्धकामस्तम िऩींवर् फराधानातन मोजमेत्||११८||  Teekshna sanshodhana in order to remove the swallowed mud from the body as per the body built of the patient. This is followed by medicated ghee for promotion of strength.
  15. 15. Ghrita preparation for oleation purpose  Panchagavya ghrita,  Mahatikta ghrita  Kalyanaka ghrita  Dadimadya ghritam  Katukadyam ghritam  Pathya ghritam  Danti ghritam  Drakshaghritam  Haridradi ghritam  Darvyadi ghritam
  16. 16. Preparations in Pandu roga for samshodhana purpose  Milk with cow‟s urine or milk alone  lukewarm infusion of danti sprinkled with the powder of one anjali of kashmarya  half pala of trivitta mixed with one pala of sugar  haritaki churna immersed in cow‟s urine.  decoction of triphala along with cow‟s urine  Suvarnakshiri Yog  Go-mutra haritaki  Vishaladi phant
  17. 17. Lauh preparations for Pandu rog  Navayasa churnam  Mandura vataka  Tapayadi lauha  Yogaraja  Punarnava Mandura  Shilajatu vataka  Darvyadi leha
  18. 18. Role of Arishta in Pandu  Arishtas have some characteristic properties like Sukshma, Ushna, Vyavayi Gunas; they are easily assimilating in the body. Arishtas having agni deepana property and are popularly used in different conditions successfully. (Dighe Dattatray Pandurang et al. Review on pharmacological properties of arishta kalpana with glance on arishta kalpas of bhaishajya ratnavali. Int. J. Res. Ayurveda Pharm. 2018;9(2):6- 11 http://dx.doi.org/10.7897/2277-4343.09226)  Gauda arishta  Beejakarishta  Dhatryarishta
  19. 19. Mode of action of Arishta.
  20. 20. Correlation of Pandu with different types of Anaemia’s
  21. 21. Correlation of Vataja Pandu Megaloblastic anemias (Vitamin B12 and folic acid deficiency) "Pins and needles" sensation Blackish discoloration of the skin Dryness of stool or constipation Dry skin or body Loss of taste/aguesia Tremors
  22. 22. Hemolytic anemia / Thrombocyto -penia Bloody urine/Blackish urine/stool Reddish discoloration of body parts/petechiae Reddish or Blackish discoloration in eyes, face and nails Correlation of Pittaja Pandu
  23. 23. Co-relation of Kaphaja Pandu Agni mandyata leads to poor assimilaton of ahara rasa and production of rasa dhatu which furthrer leads to uttarottara dhatukshaya and ama makes a coating over cells which creates a kind of hindrance in absorption of nutrients per se iron. Thus the resultant is iron deficinecy anaemia amotpatti Kapha vardhak nidan sevana leads to Agni mandyata
  24. 24. Summary http://www.carakasamhitaonline.com/mediawiki-1.32.1/index.php?title=File:Pandu.png
  25. 25.  िाततके स्तनेहबूतमष्ठं, ऩैवत्तके ततक्क्तशीतरभ ्||११६|| चरैश्ष्भके कटुततक्क्तोष्णं, विसभश्रं िाश्न्नऩाततके |११७| The therapy should be dominated by unctuous drugs (oil, ghee etc) for vatika type of pandu; by bitter and cooling drugs for paittika type and by pungent, bitter and hot drugs for kaphaja type of pandu. Principles of treatment according to Dosha
  26. 26. CONCLUSION  Pandu can be related with the disorders of improper formation of blood tissue due to vitiation of pitta dosha. Pitta dosha is considered to be responsible for all digestion, transformation and metabolism processes in the body. Therefore, the disorders like anemia, nutritional deficiency are mainly considered under pandu roga.  The disorders which include pathologies of impaired metabolism and formation of plasma, blood, muscles and fat can also be referred under the umbrella of pandu roga. These include thyroid function disorders, hematological disorders like thalessemia, jaundice etc.  Therefore a clinician needs to assess the dosha, dhatu dushti, status of agni and rogi bala and after that should plan the treatment accordingly.
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