This document discusses Kamala, a type of pitta disorder, its causes, symptoms, and treatment using Panchakarma. Kamala is caused by indulging in pitta-aggravating foods and behaviors, which cause pitta to damage tissues. There are two types - Koshtasrita located in the gut and Sakhasrita located in the limbs. Treatment includes mild purgation, snehapana, virechana, nasya, medicated enemas, and a pitta-pacifying diet and medications. Panchakarma plays a key role in cleansing the channels of vitiated doshas and tissues to manage the disease.

1. ROLE OF
PANCHAKARMA IN
KAMALA

2. NIRUKTI
Kamam asham lathi iti kamala |
काम+ ला+क : | (shabd.kal.dr)
Disease in which all likes and dislikes disappears
 One among chaturvimshathi pitta vikaras
 Rakta pradoshaja vikaras

3. NIDANA &SAMPRAPTI
य: पाण्डुरोगी सेवेत पपत्तलं तस्य कामलाम् |
कोष्ठ शाखाश्रयां पपत्तं दग्ध्वाSसृङ्ांसमावहेत् || AH.Ni.13/15
PANDU ROGI indulging in pitta prakopa ahara and vihara
CAUSE DAHANA OF RAKTA AND
MAMSA DHATU
PITTA PRAKOPA IN
BODY
KAMALA

4. TYPES
1
• SAKHASRITHA KAMALA
(VATA KAPHA PRADHANA)
2
• KOSTHASRITHA KAMALA
(PITTA PRADHANA)

5. KOSHTASRITHA KAMALA
हाररद्रनेत्रमूत्रत्वक
् नख वक्त्र शक
ृ त्तया |
दाहापवपाक तृष्णावान् भेकाभो दुर्बलेन्द्रिय:|
भवेन्द्रित्तोल्बणस्यासौ पाण्डुरोगादृतेSपप च | (AH.Ni 13/15)

6. SHAKHASRITHA KAMALA
रूक्षशीतगुरुस्वादु व्यायाम र्लपनग्रहे: |
कफ समून्द्रछब तो वायुयबदा पपत्तं र्पह: पक्षपेत् |
हाररद्र नेत्र मूत्र त्वक
् श्वेत वचबस्तदा नर : |
भवेत् साटोप पवष्टम्भो गुरुणा हृदयेन च ||
दौर्बल्याल्पापि पाश्वाबपतब पहध्मा श्वासारुपच ज्वरै :|
क्रमेणाल्पेSनुषज्येत पपत्ते शाखा समापश्रते || (AH.Chi.16/46-51)
VATA+KAPHA

7. Nidana sevana vata prakopa along with kapha
Expel the pitta to Sakha from koshta
Produce symptoms …. like Haridra varna in netra twak mutra, Sakrt
becomes white, Atopa,Vishtamba etc…

8. LAKSHANA
KOSHTASRITHA KAMALA :
 Haridratva of netra twak etc..
 Daham
 Avipaka
 Trishna
 Bhekabha (complexion resembling frog)
 Weakness of sense organs
SAKHASRITHA KAMALA:
 Haridra varna in netra twak mutra
 Sakrt becomes white
 Atopa
 Vishtamba
 Gurutva in hridaya pradesha
 Weakness
 Agnimandya
 Parswa shola
 Swasa- hidhma
 Aruchi
 Jwara

9. साध्या-असाध्यता
सरक्तापक्ष मुखछपदब पवण्मूत्रो यश्च ताम्यपत |
दाहारुपच तृषानाह तिामोह समन्द्रितः ||
नष्टापिसंज्ञ: पक्षप्रं पह कामलावान् पवपद्यते || (cs.chi 16/38-39)
Asadhya- bleeding from nose etc..

10. ROLE OF PANCHAKARMA
KOSHTASRITHA KAMALA CHIKITSA
कामलायां तु पपत्तघ्नं पाण्डुरोगापवरोपि यत् |(AH.Chi 16/40)
संशोध्यो मृदुपभन्द्रस्तक्तै : कामली तु पवरेचने : ||
Tikta rasa pradhana gritha – mrdu virechana
रेचनं कामलातबस्य पिग्धस्यादौ प्रयोजयेत् |
तत: प्रशमनो कायाब पक्रया वैध्येन जानता || (vangasena)

11. VIRECHANA
Mridu tikta dravya
 mridu virechana
katuki- virechana aushadha

12. ताभ्ां शुद्ध कोष्ठाभ्ां पथ्यान्नपानापन दापयेत् |
शालीन् सयवगोिूमान् पुराणान् यूष संपहतान् ||
मुद्गाढकी मसूरैश्च जाङ्गलैश्च रसैपहबतै: ||
यथादोषं पवपशष्टं च तयौभैषज्यमाचरेत् | (CS.Chi.16/41-42)

13. SNEHAPANA
पञ्चगव्यं महापतक्तं कल्यणकमथापप वा |
िेहनाथं घृतं दद्यात् कामला पाण्डुरोपगनणे ||(cs.chi 16/43)
…..
Indukantham grtham
Pancha tikta gritha
Tiktaka grtham
Draksha grtham (cs.chi 16/52)
Haridradi grtham (cs.chi.16/53)
Pathya grtham(ah.chi 16/40)

14. SAKHASRITHA KAMALA CHIKITSA
रसैस्तं रूक्षकट्वम्लै : पशन्द्रख पतपत्तरर दक्षजै : |
शुष्क मूलकजैयूबषै: क
ु लत्थोत्थैच भोजयेत् ||
भृशाम्ल तीक्ष्ण कटुक लवणोष्णं च शस्यते |
सर्ीजपूरकरसं पलह्याद्व्योषं तथा//शयम् |
स्वं पपत्तमेपत तेनास्य शक
ृ दप्यनुरज्यते |
वायुश्च यापत प्रशमं सहाटोपाद् युपद्रवे: ||
पनवृत्तोपद्रवस्यास्य कायब: कामपलको पवपि : | (AH.Chi.16/50-52)

15. • Ruksha katu amla rasa shikhi etc..mamsa rasa
• Sushka moolaka yusha/kulatha yusha
• Anna- भृशाम्ल तीक्ष्ण कटुक लवणोष्णं
• Beejapooraka rasa with trikatu-lehya

16. NASYA
• Jimutaka avapeeda nasya
• Karkota moola churna pradhamana nasya
• Jaalini phala churna pradhamana nasya

17. Aschothana anjana
• Dronapushpi swarasa aschothana
• Haridra gairika amalaki-kamalapahamanjanam (Ah.Chi.16/44)
• arishtaka beeja anjana

18. SHAMANA CHIKITSA
• Patola katurohinyadi ksh
• Vasa guluchyadi ksh(AH.Chi 16/13)
• Nimbadi ksh
• Dhatri avaleha
• Kumaryasava
• Amruthottaram ksh
• Arka lavana
• Vardhamana pippali rasayana
• Patola mooladi ksh

19. AH.Chi.16/40-43
 Pathya ksh(100no:s)+pathya vrintha –artha shata(50)- prepare
kalka -make 1 prastha grtha
 Aragwadha +ikshu rasa+ vidaryadi/amlaki rasa +trikatu ch (1 pala
ie; bilwa matra )-kamalapaham (also cs.57)
 Nikumbha kalka+dwi gudam in sheeta jala or kumbhasya ch
(trivrt) along with kshoudra in triphala ksh
 Triphala/guduchi/darvi/nimba swarasa along with madhu during
pratha: (morning hours)

20. CS.Chi.16/52-54
 Purana sarpi-1 prastha+ draksha –ardha prastha – kamalapaha
 Kamalaharamuttamam :haridradi ghrta
mahisha ksheera- prepare sarpi+ paste of
haridra+triphala+nimba+bala+madhuka
 Mahisha ghrta-1 prastha 1)darvi kalka-aksha+dvi guna gomutra
2)Darvi kwatha –panchapala+kalka-kaliyaka(aksha)
 Lauha bhasma churna+haritaki +haridra(all in eql qnty)with honey
and ghee OR haritaki with guda and madhu
 Lehya-triphala,haridra,darvi,katurohini,lauha bhasma with honey

21. SS.Ut 44/28-30
 Vidanga,musta,triphala,ajamoda,parushaka,vyosha,vinirdahani(chitraka)
along with guda and sharkara- make churna and mix well with sarpi and
madhu – vipachayet after mixing with equal qnty of salasaradi ksh – make it
into lehya – store it in mokshaka vessel –cures ugraamapi kamala
 Tribhandi with sarkara, gavakshi with guda or shunti,
 Kaleyaka grtha with rajani

22. Common drugs used
• Chitraka
• Bhumyamlaki
• Katuki
• Bhringaraja
• Guduchi
• Kalamegha
• Nimba

23. ARISHTAM GUTIKA
Rohitakarishtam Kamadutha rasa
abhayarishtam Laghusuthasekhara rasa
duralabharishtam Shanka vati
Jeerakadyarishtam Sanjeevani vati
Kutajarishtam Arogyavardhini vati
mustarishta Punarnava mandura(93-96)
Beejakarishtam
(CS.chi .16/106-110)
Mandura vataka
(cs.chi 16/72-77)
Dhatryarishtam
(cs.chi.16/111-113)
Yogaraja (cs.chi 16/80-86)
Tapyadi vatakam(ah.chi 16/20-
22)

24. AVALEHA CHURNA
Dhatri avaleha (cs 100-101) Bhaskara lavana
Drakshadi leha (ah.chi .16/29-31) Hinguvachadi churna
Vaiswanara churna
Mayura picha bhasma
Shanka bhasma
Kaparda bhasma
Navayasa churna(ah.chi 16/14)
along with takra madhu ajya,or
ushna jala(cs)
पान भोजन : कामलाताबनां मृद्वीकामलकाद्रस : |(अह.पच .16/32)

25. PATHYA
 Jeerna yava
 Godhuma
 Shali
 Mudga
 Aadaki
 Yusha
 Jangala mamsa rasa
 Vartaka
 Lashuna
 Pakwa amra
 Abhaya
 Bimbi
 Haridra
 Nagakesara
 Kooshmanda
 Taruna kadali

26. Thank you

27. REFERENCES
AH.Ni.13
CH Chi 16 panduroga chikitsitam
SS.Ut 44 panduroga pratisedham