This document discusses various types of contraindications for Ayurvedic medicines. It begins by asking questions about whether Ayurvedic medicines are safe, cause side effects, are efficacious, genuine, properly prepared, presented, and affordable. It then discusses contraindications related to dosage form, specific formulations, diseases, dosages, dosha affinity, and manufacturing methods. It emphasizes the need to be aware of original classical references, ingredients, and cautions against indiscriminate use without thorough understanding. The document stresses having faith while also accepting science's limitations.

1. CONTRA -INDICATION OF
AYURVEDIC MEDICINES
Dr M S Krishnamurthy M.D Ph.D
Associate Prof and Head,
Post Graduate Dept of Bhaishajya Kalpana
Alva’s Ayurveda Medical College
Moodabidri 574227
srimuliya@gmail.com
+919448984445

2. AYURVEDIC MEDICINES
Are they safe ?
Are they cause side effects?
Are they efficacious ?
Are they genuine ?
Are they prepared properly ?
Are they presented properly ?
Are they affordable ?

3. DO OUR MEDICINES HAVE CONTRA
INDICATOINS ?
IF NOT –WHY?
IF YES-HOW?
IS IT APPLICABLE UNIVERSALLY ?
ARE WE AWARE OF ORIGINAL REFERENCES ?
DO WE KNOW THE INGREDIENTS AND THEIR
HYPERSENSIVITY?
DO WE ARE CONFIDENT REGARDING AYURVEDIC
PRESCRIPTIONS?

4. CONTRA INDICATIONS –HOW AND
WHY ?
Dosage form specific
Formulation specific
Disease specific
Dose specific
Doshic affinity
Manufacturing method
Bala – Desha – Kala – Agni –
Prakriti – Satwa – Satmya etc

5. DOSAGE FORM SPECIFIC CONTRA
INDICATIONS
Fresh Drug – Acute conditions (Psychological Setup),
Children, Susceptible individuals (Garlic, Onion, Ajawain,
Colour specific,Cow’s urine etc)
Decoction – Children, women, poor mental ability,Minor
sufferings,Non accustomed,Religious
Tablets-Younger age group(size of tablet),Higher society,
Extraawareness, Vomitting, Tastelessness, Constipation,
Indigestion etc
Powders-Younger age group,women,Nausea,Mental disliking
Syrup-DM, Disliking towards Preservatives and colouring
agents,Consistancy specific

6. DOSAGE FORM SPECIFIC CONTRA
INDICATIONS……
Asava-Arishta-
Religious,Women,Nausea/Succeptible,Paittic
individuals,DM
Leha-DM,Haftyness,Indigestion
Ghee and Oil-Haftyness,Indigestion and
Nausea,Liver disorders,Renal insufficiency
Rasoushadhas-Renal –Cardiac-Hepatic-
Neurological-Pancreatic disorders

7. FORMULATION SPECIFIC CONTRA
INDICATIONS
Choorna-
Sitopaladi,Talisadi-DM
Avipattikara-Diarrhoea
Pushyanuga-Constipation
Hingu vachadi, Hingwashtaka-Leucorrhoea,
Bleeding disorders, BPH
Vaishwanara-APD
Shivakshara –Urinary incontinency, BPH
Shatavari-Sore throat

8. FORMULATION SPECIFIC CONTRA
INDICATIONS
Tablets-
Dhanvantari –Constipation
Yogaraja guggulu-Constipation, Reduced urine
output
Gokshuradi and Punarnavadi- Diuresis,
Sleeplessness
Chitrakadi –Stomatitis
Laghu sootashekhara – Constipation, mouth
ulcer
Rasnadi-Constipation
Lashunadi-Constipation, Burning

9. FORMULATION SPECIFIC CONTRA
INDICATIONS
Nimbadi-Paittic disorders and individuals
Shirashooladi vajra rasa-Paittic disorders
Arogyavardhini-Paittic disorders,Reduced urine
output
Bolabaddha rasa-Constipation
Shwasakutara, Kaphaketu Rasa-Mouth ulcers, APD,
Back ache, Reduced urine output, Gaseous
distention of abdomen
Kombanchadi gulika-Reduced urine output
Gandhaka rasayana-Mouth ulcer
Raja pravartini vati-Burning sensation, abdominal pain

10. FORMULATION SPECIFIC CONTRA
INDICATIONS
Leha-
Shatavari-Sore throat, Cold, Cough,
Asthama, Indigestion
Chyavana prasha,Dashamula hareetaki-
Constipation, Burning of the body, Non
specific headache
Manibhadra guda-Nausea
Ajamamsa Rasayana-Indigestion
Pancha jeeraka guda-Excess appetite

11. FORMULATION SPECIFIC CONTRA
INDICATIONS
Trivrit lehya-Ulceration
Haridrakhanda rasayana-Dry skin
Madhusnuhi Rasayana-Acute skin diseases,Burning
sensation
Asava-Arishta
Lodhrasava,Saraswatarishta-DM
Dashamula-Constipation
Sariva,Usheera-Kaphaja disorders
Kharjoora,Shreekhanda-DM
Kutaja-Constipation,Vatic disorders
Kumari no 1-Menorrhagia
Ashoka-Constipation

12. FORMULATION SPECIFIC CONTRA INDICATIONS
Ghrita and Taila-
Kalyanaka-Menorrhagia
Shatavari-Cold,Sore throat
Pinda taila-Internal administration
KBT Avartana-Hyper cholesterol
Most Taila/Ghrita-Rhumatoid arthritis
Maharaja prasarini-Burning chest
Gelatinous capsules-Indigestion,Nausea

13. FORMULATION SPECIFIC CONTRA
INDICATIONS
Rasaushadhas-
Shwasakutara , Shwasananda, Kaphaketu, Kasakutara-
Lethergy, Shivering, Burning chest, APD, Sleep
disturbance, Stomatitis,Constipation
Makaradhwaja, Rasa sindura-Renal insufficiency,
Recent recovery from Hepatic disorders
Arogyavardhini-Constipation, Burning chest, Paittic
disorders, Haemorrhoids

14. FORMULATION SPECIFIC CONTRA
INDICATIONS
Tribhuvanakeerti,Vettumaran,Ananda bhairava rasa-
Paittic disorders and Prakriti, Constipation, Burning
chest, APD, Reduced urine output / Burning
micturition, Migraine headache
Vatsanabha,Hingula formulations-Debility, Excess
perspiration, Stomatitis
Tamra bhasma, Naga bhasma, Vanga bhasma, Loha
bhasma-Constipation, Dysuria, Lethergy, Excess
perspiration, Haemorroids, APD

15. FORMULATION SPECIFIC CONTRA
INDICATIONS
 Manashila, Haratala, Somala formulations-APD, Sleep
disturbance, Thirst, Peripheral neuritis
 Bilva gulika-Constipation, Severe vomitting
 Vishamushti vati-Constipation, Paittic headache,
Hypertension
 Icchabhedi rasa-Ulcers, h/o perforation, Recent
affliction of Typhoid

16. DISEASE SPECIFIC CONTRA
INDICATIONS
 Hepatic/ Biliary Disorders-Haratala, Manashila,
Vatsanabha, Naga, Vanga, Dhattura, Hingula
 Anaemia-Constipatives, Hingula, Vatsanabha, Gandhaka,
Navasagara
 Fever-Gastric irritants,Khadira-Ashoka-Lodhra-Arjuna-
Bilva-Shilajatu
 Mouth ulcers-Haratala, Manashila, Dhattura, Hingula,
Dashamula katutraya, Kanakasava, TBKR, A Bhairava
 Back ache-Constipatives, Causing reduced UOP

17. DISEASE SPECIFIC CONTRA INDICATIONS
 Aphrodisiacs-Vatsanabha, Jayapala, Navasagara, Kshara, Lavana
 Head ache-Constipation, Dysuria, Irritant drugs
 Peripheral neuritis-Hingula, Manashila, Vanga
 Scanty menstruation-Chandrakala rasa, Bolabaddha rasa,
Ashokarishta(mere)
 Menorrhagia-Formulations containing Manashila, Haratala,
Jayapala, Hingu, Kumari, Shanapushpi
 Eye disorders-Manashila, Naga, Vanga, Bhallataka
 Ear disorders-Unless specified oils(mridupaka),Acidic substances
 Tonsilitis-Shatavari yoga, Coolants to scalp, Ghrita preparations
 Cold, Cough, Asthama-Coolants, medicated Ghee –if not
specified
 Cardiac diseases-Hingula, Vatsanabha, Jayapala, Dhattura
 Urinary calculi-Hingula, Tamra bhasma, Vanga, Naga, Dhattura

18. DISEASE SPECIFIC CONTRA
INDICATIONS
 Oligospermia-Irritants and depending upon other
associated complaints
 PCOD-Careful usage of irritants
 Lactation-Anti diabetic, Sthoulyahara medicaments
 Gynaeco-mastia- Galactogogues

19. DOSE SPECIFIC CONTRA INDICATIONS
Sanjeevani vati ,Shwasakutara, Kaphaketu, Icchabhedi,
Sameerapannaga, TBKR, AB, Swarna vanga, Arogya vardhini,
GR, Ekangaveera, Rajapravartini, Nimbadi guggulu,
Chitrakadi vati, Trayodashanga guggulu, Mamajjaka
ghanavati, Vasantakusumakara, Various bhasmas
Chyavana prasha, Dashamoola hareetaki, Kachhoradi
choorna, Karpooradi choorna
Katakakhadiradi, Asanadi, Patolakaturohinyadi KS

20. DOSHIC AFFINITY RELATED C/I
Vatadhika-Asanabilvadi taila
Pittadhika-Durdurapatradi taila
Kaphadhika-Himasagara taila
Obstructed Vata-Saptavimshati guggulu
Obsructed Pitta-Lavana preparations
Obstructed Kapha-Leha preparation (nutritive) / Rasayana
 Vidagdha Vata-Constipatives
 Vidagdha Pitta-Ghrita preparations
 Vidagdha Kapha-Taila preparations

21. BE CAUTIOUS while penning
Yastimadhu,Kantakari
Sarpagandha
Bilva, Dhattura, Vacha, Bakuchi, Bhallataka
Trivrit, Danti, Sonamukhi, Katukarohini
Vatsanabha, Vishatinduka
Naga, Vanga, Tamra, Parada, Hingula, Haratala, Manashila
Un known/Less known

22. Manufacturing method related C/I
Amapaka-Jatyadi taila,Amalaki taila-Increase itching
Kharapaka-KBT, Gomutrarka,Thenginpookuladi
rasayana-Cause burning sensation, Nausea
Dagdhapaka-Dhanvantara, Kottamchukkadi-Burning,
increase dryness and body ache
Much moisture/Not dried-Shirastoda gulika,
Marmani, Karuttha gulika-Increase the complaints

23. MISCELLANEOUS aspects….
Bala
Desha
Kala
Agni
Prakriti
Satwa
Satmya

24. LET ME KNOW…..C/I
Saptamrita loha
Chandraprabha
Dhatri loha
Tapyadi loha
Kaishora guggulu
Balarishta
Chandanasava…..

25. Last sip….
A look into original classical references
Knowledge of recipe and related ingredients
Thinking before acting
A thorough re-view/case study
Faith and confidence
Acceptance of truth
Self limitation and limitation of science