Discussion on akshi tarpanam

Dr Rashmi Patil:
Good morning vaidya gurus yesterday a female patient age 24 yrs came with complaint of imbalance while walking , sitting sleeping postures...in all postures. In a day it occurs any time and many times. Not fixed time not fixed postures also...so pls help me to treat the condition.
MRI is normal
ENT also normal

Dr.pradp Noori:
Bhrama
Pitta vata

Dr Rashmi Patil:
Sir further guidance for chikitsa. please

Dr.pradp Noori:
I start with soothasakharras 500mg after food threetimes wit Aswagandharista 15 ml

Dr.Rekha Hegde:
Usually Ghritamanda is used for Tarpana or Mahatriphaladya ghrita, patoladi ghrita.  "Tailam ... Achakshushyam"". Find details in A.H.S.24

ACC. To Sushruta maximum 5 days. Duration depends on involved dosha and patala. 100 matrakala is approximately 32secs. Practically considering 5mins

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Parpati pottali kupipakwarasayana

vijayalakshmi:
why action is different  between swarna sindoora and hemagarbha without tamra.
i.e. combination is same action is different. parada, gandhaka swarna in both

gopi krishna:
Samskaram gunantaraadaanam , the very processing of both preparation is entirely different , even the ingredients are same .
In kupi pakwa preparation, because of high temperature given is high and in most preparations the medicine is attained at kantastha .... ie., prayah laghu guna is attributed in this type of phramaceutical processing - so used in Clinical conditions where you have cases presenting with jadatha and anga gouravata ( primely kapha vriddhi and vata kshaya conditions).
In pottali because of added gandhaka jarana and pharmaceutical processing of boiling the drug in anaerobic condition in a sulphur bath , there is a introduction of guru guna and more of rasayana property introduced , so,  adviced clinically where in chala guna observed ( vata vridhi , kaphaja and pittaja vyadhies) where we expect to introduce sthirata in pt .
And most are rasayana by its very guna and processing.

So even though drugs are same , because of varied pharmaceutical processing the action are different in both yogas )

Even as per chemistry, its lattice bonding in kupipakwa preparation and ionic bonding.

But in pottali kalpas , its amorphous bonding and covalent bonding between 2or more elements , so the chemistry on grounds of clinical action varied.

Dr.Ganesh kumar:
Bit of background
I came to know about pottali from my grandfather, when I was in PUC.
He was a visha, visarpa, and infertility specialist with 18 yrs of gurukula education and family background.
Whatever he said was always truth, no hype. Till DPL started production I could not get pottali so did not use it.
Now we have used it with results. But understanding results is difficult.

Dr.pradp Noori:
Sir namaste and thank you .can you elobarate the bonding in genral rasa aushadi's /kupipakwa rasayanas/ pottali.
Bhavana jarana mardana moorchana-utthapana aspects

gopi krishna:
Sir,  its a big explanation , difficult to discuss by typing .

As a gist to say
Kharaliya rasayana are covalent and mettalic bonding in nature.

Parpati kalpas _ covalent and ionic bonding

Kupipakwa rasayana _ lattice and covalent bonding.

Pottali kalpas _ amorphous bonding

So,  the clinical action varied in kajjali , rasaparpati ,rasasindoor and Rasagarbha pottali even though all are similiar ingredients. Therapeutically active in various forms

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Chronic hepatic parenchymal disease

A case of Chronic hepatic parenchymal disease with mild splenomegaly

Dr.Vishwanath Dixit:

Namaste all ...had a patient of 52yrs male  diagnosed with Liver Parenchymal disease.& urine sugar-0.5%..presenting with laxanas of pain after food intake & improper mala pravruti... had prescribed Sukumaram Kashaya+Drakshadi kashaya & Avipathi churna at bedtime Kamaduga Kamaduga with mouktika ...your suggestions please...

Jayakrishna Kulamarva:
Both Sukumaram and drakshadi  and avipathikara better be avoided in diabetics

Go for arogya vardhini

Gandharvahasthadi is preferable

Your prescription shows that you diagnosed it as a pitta Pradhan condition

Was there any aasyapaka

Or burning sensation in the chest

Dr.Vishwanath Dixit:
Pain after taking food ...parinama shoola

In epigastrium

Jayakrishna Kulamarva:
In that case dhathri lauha will works better

Dr.Vishwanath Dixit:
On alternate days..was prescribed by another Ayur physician Suvarnasoota shekara

Jayakrishna Kulamarva:
What's the reason for hepatic pathology

Alcohol?

Drug induced?

Malaria or typhoid

Bcz there's splenomegaly

In that case think about using patolakatutohinyadi with punarnavadi

Make the right dosha diagnosis

Dr.Vishwanath Dixit:
To take early food in night & in morning, curd

Jayakrishna Kulamarva:
No curd

Dr.Vishwanath Dixit:
Ok sir...groundnut oil is Ok?

Jayakrishna Kulamarva:
Only buttermilk

Yes

Dr.Vishwanath Dixit:
Blood sugar could be resultant of this?problem..

Jayakrishna Kulamarva:
That which has damaged the liver has damaged the pancreas too

Dr.Vishwanath Dixit:
Very recently he has started oral hypoglycemic drug

Jayakrishna Kulamarva:
Anti cholesterol Buster's are one nidana to be ruled out

Middle age and cholesterol Buster's prescription is common

Get a lipid profile and lft done next time

Select something which doesn't aggravate the underlying problem

Like thikthaka kashayam

Dr.pradp Noori:
Gomutra haritaki 3 gms in divided dose
Soothasekhar ras 500 mg before food
Hinguvachadi choorna 1 gm
Bed time swadistavirachan choorna 3 gms . For 14 days .
Will be my prescription .
Your Rx as sir said .
How to analyze this

It is a vikara in pitta sthana.
⚡️pain is avarodha vata . ( if burning and pain it is vata +pitta)2. Only pain it may be due to constipation and avarodha of gas then it is vata +kapha )
Vatanulomana is needed to relief the malapravrutti .

So ask them about type of pain, duration and frequency, associated with burning or not   and how does it subside .
In this case we have to clearly have a line of treatment for liver ,reduce the pain and relieve the constipation or correct the mala (v+p or v+k)
If vata pitta involved multiple times or burning  will be there .
If vk it will be constipation dry stools or like piles problem will be there .
Pure vata constipation
Hard dry and sever constipation will be there .
So my prescription is a guess work .but safe in all conditions

Correction of samana and apana vata

Dr,Dilkhush (DK) Tamboli:
Udrshul.....After food intake ..Is it immediate or after some time....

Any other symptom...
At First forget investigation....
Pl.tell in detail... symptoms
Everytime Liver parenchymal disease..In report doesn't mean liver is basic cause ....Liver changes may due to another reason....
Pls.give details of symptoms
Then prakruti for e.g.
        
...  Dosh pradhanata
...  Kled bahul sharir
...  Medorog
.... Ruksh sharir
.... Sukumar sharir
.... Like this......

Sorry for asking ...

But it is not ordinary case ..That's why

🙏🙏🙏🙏🙏🙏🙏🙏

Swati Totla:
Jeera kashyam +ghritam,munakka soaked in water (simple and effective solution for shool,aadhmana,amlapitta,malavbandha etc

Ghee is lubricating in intestine as well as pitta shamak. Munnakka mild laxative and pittashamak

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Anemia treatment

Quick response with ayurvedic drugs

A case of anemia
A case of intestinal sussception

Jayakrishna Kulamarva:
Follow up of a case of Anemia

Started treatment at 2.8 Hb percentage on 6th may

11.2 gms after almost one month treatment

Tapyadi and punarnavadi kashayam with punarnava mandoor

A case of intestinal sussception presented with no bowel movements for five days

Cause was found to be a growth in the intestine leading to severe narrowing of intestinal lumen

Pt female,aged 82 yrs was advised colonoscopy and biopsy for further management

And came for Ayurvedic treatment

Gave her bhallataka vati, Sukumara ghritha and Sukumara erandam

Symptomatic treatment for abdominal fullness was done with shankha vati and kankayana guti

After one month of treatment 👆

Patient started having bowel movements after 48 hours of starting treatment

Earlier she used to pass Frank blood and pus only

Cause of intussusception in this case:
In some cases, the telescoping is caused by an abnormal growth in the intestine, such as a polyp or a tumor (called a lead point). The normal wave-like contractions of the intestine grab this lead point and pull it and the lining of the intestine into the bowel ahead of it. In most cases, however, no cause can be identified for intussusception.

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Proper sleep is must to be healthy

almost all the information says getting up late in the morning will lead to obesit, diabetes, and cardiac disorders. affects the cricardian cycle.

Another way to get more sleep is to avoid sleeping in too late on weekends. It may seem counterintuitive because if you are not getting enough sleep during the week, your body will urge you to stay in bed on weekend mornings to make up for your lost sleep. But the reality is that sleeping in on weekends can confuse your body’s biological clock, making it even tougher to wake up on weekdays.
Interestingly, people who sleep for 9 or more hours also have higher rates of diabetes, so perhaps both insufficient sleep and too much sleep are both unhealthy when it comes to insulin and the development of diabetes62. Orexin plays an important role in glucose metabolism (including through its involvement in the production of a circadian glucose rhythm), preventing or promoting insulin resistance63 64.

Dr.Ganesh kumar:
if advertisement is displayed type only
"regularly-sleeping-too-long-may-indicate-a-health-problem" in searchbox

The person who got nobel in 2016 "I think " for medicine worked on affects the cricardian cycle getting affected by sleep pattern. which we give 33% in healing.
Now we can pat our back on our knowledge of sleep is cerified by Nobel winners.

Here is a list of diseases that are corrected by proper sleep associated with kala bhojana
Tapna / tension
Pittaja / vataja agni dushti
thyroid malfunctions
respiratory disoreders
cardiac malfunction
skin disorders
kidney failure (partially)
Fat metabolisum
circulatory disorder.

Actually we have applied sleep and kaala bhojana to almost all patients above 12 years in diseases like shwasa, thyroid, gandamala, galashotha, galashundika with great results.

Diet comes after that. sada pathya and sada apathya gets affected by desha. but not kala bhojana and sadvrutta.

why kala bhojana becomes important?
what is part played by kala bhojana and bhojana vidhi?
should we post / discuss?
I am not going out of subject of pottali. Since i don't know anybody personally I am assuming madyamasdikari
few are uttama. And not considering anybody as heena adhikari. (who don't know basics)

There are too many hiranya / hema garbha pottali in the text.
This is basically tamra bhasma yoga- Swarna is < than tamra.  here it does not contain raw gold. bhasma is advised.
So look at contents quantity than name.
Anyway this is visha yoga with action on liver and blood more than on nervous system. Needs proper anupana to control and manipulate action.
Dose is if gandhaka Jarana is done then 3 to 5 mg. putapaka up to 20 to 60 mg.
how Khalva is used I don’t have any idea.
Speed of action In acute distress - 30 sec to one minute.
Non acute 30 minute to one week

In case of vata - if disease is due to स्तम्भ removing avarodha will reduce the symptoms immediately. i.e. why in villages they treat  vata vyadhi -like paksha vadh a with faster results. 
Same vata vyadhi due to bala khaya बलक्षय - then also you get faster results.

In नानत्मज diseases results will vary. In samanyaja vyadhi it will follow proper samprapthi vighatana.
this is the reason we get better reasuts in functional disorders and slow reasults in structural disorders.

Dr Pranesh Kulkarni:
In stambha, as stambha is due to rooksha guna, by snehana roukshya will reduce was my thinking. But how avarodha lead will lead to stambha?

vijayalakshmi:
Technically speaking stambha due to ruksha guna is sclerotic changes and avarodha resulting in stambha is block due to external cause

Dr.Ganesh 
I will give example in pakshavadha if it is due to brain haemorage then it is vata vyadhi - but vata kahsya lakshana. If avarodha is removed then it will function normally. In sambhana due to sheeta also vata kshaya lakshana is seen. Same thing can happen due to dhatu kashaya also - white matter atrophy. then it reasults will be slower also total cure may not be possible.
वायोः धातु क्षयात् कोपो मार्गस्यावरणे न च

Dr Pranesh Kulkarni:
I considered stiffness as stambha and analyzed. So got confused. Thank you for clearing the doubt madam

Dr.pradp Noori:
Stambha may be due to Guru sthira sheeta and manda gunas   of kapha   or sheeta rooksha of vata .
Former ushna rooksha treatment  and for latter ushna snigdha . Like 1st.   removing clot from a drain
2nd over-oiling a door or wheel

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