Vinaya Ballakur:
Charaka has described two separate formulations of Takrarishta –

ARSHA Chikitsa, Chapter 14, Verse 72 to 75

GRAHANI Chikitsa, Chapter 15, Verse 120-121

The following formulation of Takrarishta is described in Charaka Samhita (ARSHA Chikitsa).

Ingredient NameRatio (In %age)Quantity (In Grams)Buttermilk – Takra84.21%3.072 literCarum Roxburghianum – Celery Seeds (Ajmoda)1.32%48 gramsTrachyspermum Ammi – Ajwain1.32%48 gramsPlumbago Zeylanica – Chitrak1.32%48 gramsPiper Longum Roots – Pippali Mool1.32%48 gramsPiper Longum – Pippali1.32%48 gramsCoriander (Coriandrum Sativum) – Dhania1.32%48 gramsPothos Scandens – Gaja Pippali1.32%48 gramsHedychium Spicatum – Kapoor Kachri1.32%48 gramsCarum Carvi – Caraway – Kala Jeera1.32%48 gramsCuminum Cyminum – Cumin – Jeera1.32%48 gramsNigella Sativa – Kalonji1.32%48 gramsJuniperus Communis – Hapusha1.32%48 grams

The following formulation of Takrarishta is described in Bhaishajya Ratnavali and Charaka Samhita (GRAHNI Chikitsa). This formulation is commonly available in the market. It is also called Takrasava.

This contains five salts.


Dr.Ganesh kumar:
sometimes main content will not decide the action. eg All sudha varga dravya main content calcium but show such varied action that it is difficult to explain difference of action. and in ayurveda samskara becomes primary than the content.
in takrarista of grahani roga salts are added.
total ingedients 12 * 4 = 48 tola = 576 gms
salts 5* 4 = 20 tola = 240 gms
takra 512 tola = 6144 gms
for 6 liters 250 gms ie. 40 gms of salt and double of that prakshepa
it is almpst what we add in cooking. or ahara.

if you look at web data on takrarista
Takrarishta was screened for antibacterial activity against ten bacterial species namely Staphylococcus aureus, Salmonella typhi, Bacillus subtilis (MTCC 441), Pseudomonas aeruginosa (MTCC 424), Proteus vulgaris (MTCC 1771), Micrococcus luteus (MTCC 1541), Bacillus cereus (MTCC 430) Escherichia coli (MTCC 739), Shigella flexneri (MTCC 1457) and Clostridium perfringens (NCIM 2677). The formulation as well as individual component exhibited antibacterial activity against different strains. The formulation has been suggested to be useful in gastrointestinal (GI) infections and in the condition of food poisoning.
this is for arsha roga adhikara
not grahani rogadhikara

Vinaya Ballakur:
Takrarishta is srotoshodhaka .As Ganesh sir pointed out sanskara is primary here than the ingredients. Just an aside. Hydrogen is a gas. Oxygen is a gas. Their unique combination produces a liquid , water. We really have no information on all the interactions that happen between the various ingredients in different proportions outside and again when this preparation meets the Agni of the body another level of interactions take place.
For shotha to happen, some amount of rodha of srotas is expected, which is not observed as takrarishta is srotoshodhaka and not rodhaka.

This is why , Ayurvedic medicines with their variety of ingredients can not be subjected to research like allopathic medicines which make up one single active constituent in a capsule.
Such research too is narrow in outlook because it does not take into consideration the dinacharya, aahara , vihaara etc.
A person consists of a whole. The terrain is as important as the target area.
So actually the researches that just think of drug and target tissue are only giving us half the picture. That is why I asked if the new book on research methodology for Ayurvedic professionals offers something more applicable yesterday ?

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A case of body Itching and dandruff

Sumalatha Pulibandla:
Gud mng vaidyas pt age 45 female. c/o of total body itching(sever)and raise red spots she used citrizen alter days. but problem re occured she is suffering since 2years , agni is good , vata kapha prakriti. No H/o of DM ,HTN plz suggest treatment above the case

Dr Sridevi C:
Tab Gandhak Rasayan 1tid
Tab Laghu Sootasekhara Rasa 1tid
Panchatikta kashaya

I usually get good results with the above combination

Gandhak Rasayan and Panchatikta from Dhootapapeshwar
Laghu Sootasekhara Rasa from SDM, Udupi

Sumalatha madam...

Continue with Dr.Sridevi Madam Rx

Once check AEC...
if aec raised...add haridhrakhanda..

Avoid brinjal sour items fry items curd sea food..

Daily intake of boiled veg curries.. plenty of buttermilk..

Daily 3 hrs before bath eladi or nalpamaradhi tailam application

Bath with eladi or nalpamaradhi soap..

Kashaiah Vasam:
5year boy. Dundruff devoped after removing hairs looking like infection
Please diagnosis and treatment suggest me vaidyas

Duration is 4month

Yastimadhu taila application
Scurfol shampoo

One day krimisodhini...

One day gap
Then start..
Khadhiraristam and vidangasava mix
Arogyavardhini vati

Sukashanth Padmashali:
Madhusnuhi rasayana is good

For external application kutaja oil mix with tankana....

.s.s Sir:
Tankan Bhasma with Apamarg Thailam for application..
Talakeshwaro Ras 1-1 tab twice daily...

gopi krishna:
Local application of panchavalkala grita

Wash/prakshalan with Triphala kwatha

Orally tg ,  gr

Triphala guggulu,
Gandhaka rasayana

Kutaja taila or sweta kutaja taila (in market as 777 oil, reaearh done in CCras lincened to company)
it is useful in darunaka, and kitibha. (Not useful in patients with h/o of mental stress or excessive sorrow)

Polycystic ovarian syndrome


Polycystic ovary syndrome (PCOS) is a common endocrine system disorder among women of reproductive age. Most women with PCOS have many small cysts on their ovaries. Hence, it is called polycystic ovarian syndrome. The cysts are not harmful but lead to hormone imbalances. One hormone change triggers another, which changes another forming a vicious cycle.

The incidence of PCOS appears to be rising in India day by day. It is seen in as many as 5% to 10% of women in their reproductive age. The incidence is increasing may be due to unhealthy lifestyle.

Main Causes of PCOS

1.Hereditary – Genetics may be a factor. PCOS seems to run in families, so your chance of having it is higher if other women in your family have it or have irregular periods or diabetes. PCOS can be passed down from either your mother’s or father’s side.2.Hormonal imbalance – In PCOS there is abnormality in secretion of androgens, luteinizing hormone(LH), sex hormone-binding globulin (SHBG), prolactin. This may cause you to stop ovulating.3.Insulin resistance- Your body may have problems in using insulin leading to abnormal blood sugar levels. This increases the levels of insulin in your body, which increases androgen secretion again leading to hormonal fluctuations. The exact reason why these hormonal changes occur isn’t known.4.Mild inflammation- Women with PCOS have mild inflammation, this type of low-grade inflammation stimulates polycystic ovaries to produce androgens in the body.


Risks of pcod

Infertility or Subfertility- Infertility or subfertility is a common problem for women with PCOS.This may be due to the imbalance of hormones, overproduction of the male hormone like testosterone. The ovaries may release eggs only infrequently. PCOS may reduce a woman’s chances to become pregnant. Many women with PCOS do become pregnant naturally or with medical assistance also.

.Endometrial Cancer – Women with PCOS appear to be at increased risk for developing cancer of the endometrium later in life. Women with PCOS also experience the monthly buildup of the endometrial lining. However, the lining is not sufficiently shed because of infrequent menstrual periods. Thus, the lining continues to build and can increase the risk of endometrial cancer.

Diabetes- Insulin resistance or impaired glucose tolerance in PCOS builds up insulin level in the body stimulating the production of testosterone, which aggravates the PCOS again. By the age of 40 years, up to 40 percent of women with PCOS have some level of abnormal glucose tolerance, in the form of either diabetes or impaired glucose tolerance.

Lipid Abnormalities- Increased testosterone can lead to an unfavorable lipid profile in women with PCOS. Woman with PCOS may have an unfavorably high level of fat substances in blood. In some women, there may be low-level of high-density lipoproteins or good cholesterol and a higher rate of low-density lipoproteins or bad cholesterol. This imbalance increases the risk for cardiovascular disease.

Cardiovascular Risks– PCOS women being obese and having abnormality in lipid levels,are at increased risk for heart disease and other cardiovascular diseases. The risk of heart attack is 4 to 7 times higher in women with PCOS than women of the same age without PCOS.

Hypertension- Women with PCOS are at greater risk of having high blood pressure.

Signs and symptoms of PCOS

Irregular periods-This is the most common characteristic of PCOS. It include menstrual intervals longer than 35 days, fewer than eight menstrual cycles a year.Amenorrhea- Absence of menstruation for four months or longer.

Variation in menstrual bleeding- Prolonged periods that may be scanty or heavy flow with clots. Bleeding may extend to more than 9 days.

Infertility- Not able to get pregnant because of not ovulating.

Hirsutism- Increased male hormones causes excess hair growth on the face, chest, stomach, back, thumbs or toes.

Skin changes – Includes Acne, oily skin, or dandruff.

Obesity – Abnormal weight-gain, usually with extra weight around the waist and difficulty in reducing weight.

Hair thinning – Increased androgen levels may cause male-pattern baldness due to excessive hair fall.

Acanthosis nigricans- Patches of skin on the neck, arms, breasts, or thighs that are thick, velvety, dark brown or black.

Skin tags– Excess flaps of skin in the armpits or neck area

.Pelvic pain- Few women with PCOS experience dull aching pain in lower abdomen. This is may be due to low-grade inflammation.

Abnormality in mental health– There may be anxiety or depression, low level of confidence due to change in their physical appearance.

Sleep apnea– Breathing stops for short periods of time while sleeping, which make you feel tired even after sleeping.

Effects of PCOS in pregnant woman-

Woman with PCOS have higher chance of-

MiscarriageGestational diabetesPIH- Pregnancy induced hypertension, preeclampsiaPremature delivery.Multiple pregnancies (if ovulation is induced by medications)

Diagnosis of PCOS

Blood tests – Your blood is tested for various hormones, Thyroid function test, Lipid and diabetic profile.Ultrasound scan – To examine your ovaries, uterus and endometrium.

Management of PCOS in Modern Medicine

According to modern medicine there is no cure for PCOS, it can be only managed by medicines and lifestyle modifications. But medications used to manage PCOS have their own side effects like nausea, vomiting, sleep disturbance, unusual vaginal bleeding other than menstruation, nervousness, fatigue, breast tenderness, diarrhea or constipation, stomach bloating, change in appetite, weight gain or loss, acne and vision disturbance. PCOS treatment in Ayurveda is therefore all about managing it well with all the lifestyle changes and thus, minimizing all the side effects slowly.


Treatment includes

Medications- Birth control pills to regularize periods, metformin to reduce insulin resistance.

Fertility treatment to induce ovulation, artificial insemination,IVF, etc.Surgical procedure like ovarian drilling and cyst aspiration.

Laser treatment or medication to reduce hirsutism.

Benefits of Panchakarma in Women with PCOS

  • Reduces body weight.
  • Decreases insulin resistance.
  • Regulates normal hormone secretion. Fine tunes the endocrine system.
  • Remove toxins.
  • Corrects body metabolism.
  • Mental faculties, strength and vitality are enhanced.
  • Promotes fertility.

Internal medicines useful in PCOS

  • Saptasaram kashayam, Varunadi kashayam, Dashamoola kashayam, Tila kashaya and Sukumaram kashayam.

  • Kumaryasava, Ashokarishta

  • Hinguvachadi churna, Shatavari, 

  • Ashwagandha churna.

  • Raja pravartini vati, Chandraprabha vati, Kanchanar guggulu.

  • Pippalyadi taila.

All these medicines destroy the cyst, stimulates ovulation, induces menstruation, regulates flow during menstruation and aides conception naturally.


  • Minimise the quantity of milk intake. Avoid curds and other milk products. Drink well churned butter milk.
  • Avoid day sleep and waking up at night times.
  • Avoid junk and non-vegetarian foods (You can eat fish occasionally)
  • Use garlic, fennel seeds, sesame seeds regularly in cooking.
  • Drink a detoxifying Tea like the 
Yoga in PCOS

Practise pranayama and meditation.  Here are some yogasanas that are beneficial for treating PCOS-related symptoms:

  • Suryanamaskar
  • Bhujangasana
  • Salabhasana
  • Badha konasana
  • Dhanurasana
  • Supta vajrasana
  • Sirsasana
  • Sarvangasana
  • Matsyasana

Get rid of PCOS and its complications through ayurveda and by following a healthy lifestyle.  Let us know in the comments how you manage PCOS and if any of these tips are useful in dealing with the symptoms of PCOS.

Kitibha kushta

A case of 55yrs old man Itching all over body along with skin lesions all over body. Occupation cloth merchant
Sleep - disturbed due to itching
No scaling
Powder ingredients of skin


Vinaya Ballakur:
This is the season for Vaman. If  patient is balavan it may be the best option for him after snehan with guggulu thikta ghritham.

If Vaman is not possible a mild regular virechana is a must and I have noted that you have given it.

Try avipathikara churna 10 gms at bedtime everyday with warm water for a week to 10 days. It has worked for me.
Guggulu thikta ghritham a teaspoon before every meal.
Guduchi churna ,  a tsf in boiled drinking water 3 litres per day Patient must drink only this water warm for a week . In autoimmune disorders this will help.
Externally you may try Eladi thailam.

Dr Nikhil Jain:
Thank you so much mam....🙏🙏🙏

Guduchi choorna or satva ? Mam

Vinaya Ballakur:

Koti Nagarjuna Vejendla:
Dear dr your case presentation is superb to reduce itching give him rasamanikya Ra's  5 grams with chopachinyadi choorna 60 grams internally , for external application gugulu tikthakam ghritam

60 divided doses mam

It will give fast relief for kapha vataja prakrithi patients mam

Vd ji first do deepana pachana drugs followed by tiktaka ghrita pana
Next virechana
Then after you can give shamana chikitsa

Amragandha haridra(curcuma amada) has best kandugna property and should be given as ahara Dravya in form of chutney etc

Add Tankan along with external applications

Kitibha kusta...

First start sirodhara with ksheerabala taila..do it for at least 7 days..

Then Do siravyadhana 60-80ml

Then give light diet and start deepana pachana for at least 3 days..

After that start tiktaka ghrita snehapana

Abhyanga with brihathdanthapala and yastimadhu taila

Virechana...( Trivruth with triphala)

Advise samsarjana krama

After that...
Shaman sneha
Nitya virechana
Arogyavardhini vati

Same abhyanga tailam before bath
Sorion ointment application After bath

Psorolin soap for bathing..

Advise Daily morning walk

Avoid brinjal curd all outside food non veg Jaggery sesame fry items sour items tomato potato pickles

Advise boiled veg curries plenty of buttermilk

If not possible do sodhana...

First do siravyadhana

Then give chitakadi vati and arogyavardhini vati for 3 days..

Then start..
Tiktaka ghrita 1 tsp bd 1 hr before food
Arogyavardhini vati BD
Avipathikara choorna night time for 15 days

Wright oil application
Sorion ointment application

Ksheerabala and brahmi taila application on scalp

After that 1 day abhyanga

Then do virechana ( sadhyovirechana)

Sir why kshirabala taila dhara in this case

10yrs psoriasis history...
Business person

Because of disease history, business stress...and he used all types of allopathy medication but he didn't get relief...so mostly he always thinking about disease.....and stress also increases...

May be in psoriasis...main reasons
Stress and tension..

So dis type of chronic psoriasis cases... shirodhar 💯 percent effective

Thats why I suggested dhara

In such condition amalaki takra dhaara also helps a lot. Which reduces anxiety, and if any fungal infection is there even that will be reduced,

I would like to give my suggestion  in this case  - in psoriasis , as said by Dr Vijayalakshmi, takra  dhara  is effective. It will be more beneficial when Aragwadadi  ksheerapakam  converted  to takram  and when that is used for dhara. If helps in alleviating  psoriasis and stress.

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