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

Pottali effective in cardiac valve stenosis

Dr.Ganesh kumar:
Always in stenosis you can use cardorium or arborium tonic. Best is patola patra kashaya / paneeya.
along with these two use Hemagarbha pottali / abra garbha pottali.
What exactly you mean by stenosis of valve? It is narrowing.  narrowing is two methods
1. vessel becomes narrow due to lack of strength
2. there is deposition inside the vessel
each need a different treatment.

In cases where panchakarma is indicated - like snehana, swedana then vamana virechana basthi, nasya, rakta mokshana are indicated surgery is not indicated then; if pancha karma can't be done, absence of chatushapada,  improper  desha kala then use pottali.
panchakarma is indicated for sukumara and dosha chaya.
pottali in vyakta or bheda, arishata lakshana, upadrava etc pottali is indicatted.

Dr Kaveti Rajyalakshmi:
Sir is there any seasonal restrictions for pottali prayoga?

Dr.Ganesh kumar:
No that is the specialty of Pottali

not only pottali all rasa yoga can by-pass pancha karma. except in cases where muscle (mamsa dhatu is defective.) In majja dhatu dusti also pancha karma becomes second.  In village treatment of maha vaydhi moolika prayoga becomes 1st, ras / visha 2nd. kashoushadha 3rd. finall is panchakarma. it is indicated only for people dwelling in towns.

So if we use rasa yoga properly we can reduce load on environment, dependency on assittence and family. Time needed for each patient.

Bindu Vedantam Bindu Vedantam:
Sir. How can we know because of weakening or deposition because in 2d echo we get diagnosis as stenosis of valve and rheumatic heart disease.
As it is rheumatic heart disease i am assuming as deposition. Kindly enlighten me

Dr.Ganesh kumar:
if vessel thickness is more then it is depstion. generally they give it as block or narrowing by depostion of chlosterol, if vessel wall thickness is more then depostion. thickening is absent but narrowing is present thenit is weakening.

Bindu Vedantam Bindu Vedantam:
Thickness increased sir

Dr.Ganesh kumar:
So kshara karma is needed. Kalyanaka kshara along with arboreum /cardorium may help.
We advice patola (long one) patra paneeya. else depending on manobala add pottali

Bindu Vedantam Bindu Vedantam:
Thank you so much sir. Here hemagarbha or abragarbha will be helpful or not needed sir?

Dr.Ganesh kumar:
You can use hemagrbha as it increases ojus, it will protect cardiac functions during kshara prayoga.
Be careful that she takes early dinner always.

Bindu Vedantam Bindu Vedantam:
Ok sir. Early dinner important in cardiac prblms sir?

Dr.Ganesh kumar:
any thorasic problems.

Bindu Vedantam Bindu Vedantam:
Thank you so much sir

Dr.pradp Noori:
How Does pottali preparations work so fast and effective in less time and minimal doseage ?
What happens in the samsara of pottali kalpana?

How does it get obsorbed and reach the target ?

What are the Pathya pathya of these kalpana ?

Dr.Ganesh kumar:
To understand pottali we need to start at h/o rasa Shastra and travel through time.
Or we need to make a list of contents of pottali.
Actually they are not fast in real meaning of term. If onion rasam / yavagu can increases o2 level from 78 to 94 in 30 min is it not fast.? If we look at cost, material and action it is fast.
If SMV can increase platelet count from 16000 to 62000 in one night is it not fast?

It is the action of pottali on shwasa / hrudaya makes it to consider as fast. Even in patients with tracheotomy etc. also it shows the action.
There is absence of doshavilayana, dosha parivartana is seen. Mala utpatti is reduced or corrected
These are things that happen in pottali prayoga. Patient conscious or not, able to swallow or not does not count.

It is sublingual absorption as far my knowledge goes.  depending anupana it reacts on brain not on organ and rectifies. There is no need to reach disease site.

generally pottali used in critical condition diet according disease or situvation need to be prescribed.

vijayalakshmi:
Pottali reduces the symptoms very fast. But simply one or two doses are not sufficient. It should be consumed continuously. One cardiac pt was taking pottali for more than four years. Gradually the dose of allopathic medicines has reduced and immunity increased cardiac efficiency also increased by 48 %to 54 %if I remember properly. And in one carcinoma pt who is still under treatment he feels taking pottali will give him strength to his day to day work he will not feel tired. He is on allopathic medication also. He has noticed there will not be hair fall if he takes pottali regularly if by any chance stops it for 4 to 5 days hair fall starts drastically. From this can we come to any samprapthi of how pottali's work?

Dr,Dilkhush (DK) Tamboli:
Yes sir...
Though acharyas not mentioned sublingual track .....But they have mentioned the importance of it indirectly....In दंत धावन विधी

कटू तिक्त कशाय रस  are अहृद्य
And these अहृद्य रसात्मक दंतधावन is contraindicated in ह्रद्रोग.....

Pls.correct.

Dr.Vijaya Palathadka:
Charaka 's definition and explanation of veerya in sutra sthana says about sublingual absorption

Dr.Ganesh kumar:
Nothing to correct you are right -
additional information
actuvally I should have said "oral" the moment it fall on tongue - रसाग्नि will digest it and action is seen

आत्रेयभद्रकाप्य ——
रसो निपाते द्रव्याणां, विपाकः कर्मनिष्ठया। वीर्यं यावदधीवासान्निपाताच्चोपलभ्यते।।६६।।
रसादीनामेकद्रव्यनिविष्टानां भेदेन ज्ञानार्थं लक्षणमाह- रसो निपात इत्यादि। निपात इति रसनायोगे।
रसादीनामेकद्रव्यनिविष्टानां भेदेन ज्ञानार्थं लक्षणमाह- रसो निपात इत्यादि। निपात इति रसनायोगे। कर्मनिष्ठयेति कर्मणो निष्ठा निष्पत्तिः कर्मनिष्ठा क्रियापरिसमाप्तिः, रसोपयोगे सति योऽन्त्याहारपरिणामकृतः कर्मविशेषः कफशुक्राभिवृद्ध्यादिलक्षणः, तेन विपाको निश्चीयते

since action of rasa is nipata on tongue; we can say sub or supra. then why sub lingual patient will spit it if put on tongue to prevent it is given as sublingual.
Better if we say lingual absorbtion; due to adaptation sub-lingual is used.
Finally agni present in rasana digests some portion of food / medicine is clearly memtioned.

Hemagarbha pottali for heart diseases

Dr.Ganesh kumar:
My aim is understanding formula and using ingredients action for eg:- lakshmivilasa rasa (naradeeya) two formula are there in the market. one with tamra bhasma another with Abraka bhasma only. one is brumhana another is lekhana. So without ingredients we can't proceed.

Sam:
TAMRAGARBHA POTTALI is composed of shodhit parada, shodhit gandhaka, suvarna bhasma and Tamra  bhasma. It is well known for its use in disorders of pranava srotas.

TARAGARBHA POTTALI is composed of rasasindoor, shodhit gandhaka, suvarna bhasma and rajata bhasma. It is well known for its use in prameha and disorders of moothravaha and shukravaha srotas.

TRIDHATUGARBHA POTTALI is composed of shodhit parada, shodhit gandhaka, suvarna bhasma, naga bhasma, vanga bhasma and yasada bhasma. It is well known for its use in prameha and disorders of shukravaha srotas and artavavaha srotas.

ABHRAGARBHA POTTALI is composed of shodhit parada, shodhit gandhaka, suvarna bhasma and abhraka bhasma.It is well known for its use in disorders of pranavaha srotas.

HEMAGARBHA POTTALI is composed of shodhit parada, shodhit gandhaka, suvarna bhasma and Tamra bhasma and kumari leaf swarms. It is well known for its use in disorders of pranavaha srotas.

RASAGARBHA POTTALI is composed of shodhit parada, shodhit gandhaka, suvarna bhasma and rasasindoor. It is well known for its use in various ailments.

Dr.Ganesh kumar:
prepared tara garbha pottali 120gms approx. by gandhaka jarana, putapakva, and khalvi (Bhavana vidhi)
If action is same why we should go for gandhaka jarana or puta pakva only bhavana vidhi sholud be done and used.
If there is action difference then we need to differentiate between each process.

So search /ask/ research and post.
unless involvement is seen I can't proceed. If go through Charaka samhita each topic starts with a place, question and answer to that particuler question.
So if members ready pay interest then only loan of knowledge is given not otherwise.

What is the meaning of AMA garbha what's to be used

Dr Pranesh Kulkarni:
Ama garbha is anda (egg), the garbha which is not ripened yet

It is advised in the context of dhatu poshana गर्भं आमगर्भेण

Dr.Ganesh kumar:
It is a side tract. Not related to pottali directly.

One of the group asked what is treatment for brain atrophy.
What is atrophy -degeneration - treatment reverse- - regeneration (reproduction)

But it can’t be Vajeekara (union is needed)  reproduction which is already joined but not climaxed is needed.

So ama garbha is advised- along with pottali / rasa yoga if ama garbha is added then result is seen faster, better.
But what is ama garbha - it is not complete but growing ---vyakta - shape not formed is called ama garbha .
Example - in rasayanadhyaya Charaka says
(चिकित्सास्थानम् - २/२. आसिक्तक्षीरीयो वाजीकरणपादः)
आसिक्तक्षीरमापूर्णमशुष्कं शुद्धषष्टिकम् | उदूखले समापोथ्य पीडयेत् क्षीरमर्दितम्||३||

shali which is not ripened just milky is to be used. This also ama garbha, same applies wheat, ragi etc. when we use pottali we need pathya sometimes. In de-generative diseases it is regenerating tissue / ahara is needed. So remove confusion of ama garbha also to accept use of placenta etc, asked the question. Since there is a response I am elaborating on ama garbha.
It can be plant animal origin only condition absence of completion of structure formation

Dr Pranesh Kulkarni:
Sir then we can advise hombale chikitsa along with pottali wherever regeneration is needed??

Narikela hombale??

Dr,Dilkhush (DK) Tamboli:
Hombale means...??

Dr.Ganesh kumar:
Unopened tender flower of coconut

Dr Kaveti Rajyalakshmi:
These flowers are useful in ashmari. I never used but I read somewhere. Do you have any experience sir.

Dr.Ganesh kumar:
flowers of maize are used in ashnaree, coconut flowers in mootra kruchra logical, mootrashamaree hearing for 1st time.
any idea how it should be used?

Dr.Madhavi Rao:
A pt of mine with hypothyroidism taking allo medicine 75 mg....

She for her vata kantaka...wanted ayur rx from me..
Is it okay to give vatavidwamsi
Vatagajankusa
Vata chintamani ras...

While taking thyroid medication allopathic?

Dr.Ganesh kumar:
yes but why three medicnes for vata kantaka ? try with two if response is not there then add third one.

contd...
So in emergency any diseases related to heart functioning i.e. ichemia  use hemagrabha pottali
In neuro related malfunctions also hema garbha
In neuro related structral defects use taragarbha pottali
In hepatic disorders use tamra garbha pottali
kidney related disorders use tri(dhatu) vanga pottali

Then there are innumerable formulation of hema /hiranya garbha with difference in place / action/speed etc.

What we need to know is always pottali may not be the right answer.
for eg we have a patient with low O2 concentration. Giveing hema garbha maintaing from 48% to 70  changed to 68 to 88%.
Then I said it is not expected result; so give her onion rasam. In 30 minutes O2 concentarion increased from 78 to 92 later by evening went upto 94 or 98%.
Is onion better than pottali no. But it worked due to proper analysis of samprapthi.

Bindu Vedantam Bindu Vedantam:
Sir in valve dysfunction does hemagarbhapotali work?

Dr.Ganesh kumar:
Yes if valve size is OK.
If valves are week , then need to go for kashoushadha.

Pottali


Pottali plays a greater role in ayurvedic treatment.

Dr.Ganesh kumar:
Actual quantity of swarna, tamra, rasa not mentioned.

To all members how may are graduates, double graduates and PHD?
practicing / teaching ?

As data regarding pottali is very little and if properly done may end in 3 to 4 weeks.
also practical experience is very little.

For practitioner result oriented / teacher data oriented.  Funny part is no body discussed why it is fast. Even DPL does not say why it is different other than processing procedure.

There is a reference  that as long as pottali is given action of other medicine is not felt. In our experience it is not true. we have used hemagarbha pottali, tara garbha, abhra garbga pottali not others.
Still question remains why, how, and when pottali acts differently.
Please put forth your thoughts / idea/ questions /experience so as to pool the knowledge for mutual benefit.

Sam:
Sir 🙏 .. Rasa Pottali of dootpapeshwar is mentioned for jwara. How much and how to give it for my next patient or myself? Will it work quick like paracetamol ?

Dr.Ganesh kumar:
Regarding Jwara - jwara as lakshana jwara as vyadhi are different. selection of medicine will depending on associte lakshana's.
Jwara with atisara - amoebica / kutaja / musta / abananda bhairava /kamadugha / gopichandana
Jwara with malavarodha - gorochana vati, sudarshana
jwara with pratishaya - rasna sapthaka quatha
Jwra wirh rasa dushti - Sapthasaara kashaya
like this.
reverse atisaara with jwara then nidana for atissara to be elicitated and medicine is given.
direct use of pottali in any condition directly may not be helpful.
Gopichandana / gorochana /rasna sudarshana / godanthi mishrana act like paracetamol.

Dr Kaveti Rajyalakshmi:
I just heard about pottali. No experience at all. But my grandmother used to say pottali  requires strict pathya.

Dr.Ganesh kumar:
What we need to cover
1.Ingredients -cost- collection substitute dilution of formula 
2.Preparation
3.Difference from other rasa yoga
4.Method, dose of  pottali
5.How to identify a person is fit for pottali kalpana
6.Diet during use
7.Speed of action
8.Stability of results
9.Random use safe or not

any other topic to be added?

Probably one reason for loss of use is
1.Unlike  vaccination it prevents all spreading diseases; specially in case of children. So reducing number of persons who are  ill.
2.It does not show major action in chaya poorvaka vyadhi
3.Time and cost of preparation making gold amalgam is very difficult with shuddha parada. (with raw mercury gold mixes easily) shuddha parada needs approx. 20 -30 hrs of gringing to mix 7gms of gold with 40 gms of mercury.
Other reasons are there I will list gradually.

Basically if properly used pottali works out very cheap. For e.g.:- 1 g m Hemagarbha pottali cost is 1600. Dose is 3mmg per day then 1600/3 = 60 per day. Which very cheap than prent day therapy which costs approx.. 2000 to 10000 per month.

In case of cardiac patients it reduces cost of maintenance for patient along with protecting organs and acting as Ojo-vardhaka

NEELAKANTA J SAJJANAR:
Nice info sir. Apart from Ojo-vardhaka, can we describe how it works in cardiac patients like ischemic heart or history of MI, congestive heart etc, where the pathology is different

Dr.Vijaya Palathadka:
In my opinion where there is a connective tissue or collagen related problems, in other words kala related problems in terms of Ayurveda pottali gives very good results. It helps in the construction of connective tissue also. This is my vague observation. Since I have used in 2or 3 cases where reconstruction of the tissue has taken place. In one collagen problem case diagnosed by allopathic physician it is working
She is still under treatment. But lot of improvements are there.

Dr.Ganesh kumar:
Our approach is slightly different primary - organ involved -it is not cardiac but हृ-द-य

तत्र प्राणवहानां स्रोतसां हृदयं मूलं महास्रोतश्च, प्रदुष्टानां तु खल्वेषामिदं विशेषविज्ञानं भवति;
तद्यथा- अतिसृष्टमतिबद्धं कुपितमल्पाल्पमभीक्ष्णं वा सशब्दशूलमुच्छ्वसन्तं दृष्ट्वा प्राणवहान्यस्य स्रोतांसि प्रदुष्टानीति विद्यात्|

रसवहानां स्रोतसां हृदयं मूलं दश च धमन्यः|

क्षयात् सन्धारणाद्रौक्ष्याद्व्यायामात् क्षुधितस्य च| प्राणवाहीनि दुष्यन्ति स्रोतांस्यन्यैश्च दारुणैः||१०||
गुरुशीतमतिस्निग्धमतिमात्रं समश्नताम् | रसवाहीनि दुष्यन्ति चिन्त्यानां चातिचिन्तनात्||१३||

1.Rsavara srotomoola 2.Pranavaha srotomoola
If you apply these principles you will find all present life style leads to prana dushti then to hrudaya dushti
or rasa dushti and then hrudaya dushti
pranavaha dushti will become gulma samprapthi
rasavaha sroto dushti will lead to Ajeerna, avipaka, etc.
so eliciting nidana is important and finding route of hrudaya dushti vidhana.

This derivation was from one person who was affected by haemophilia and got cured by Ayurvedic vaidya in madhurai.
Vaidya told the patient you are haveing rsagnimandhya and treated him. patient was without symptom for 15 years. then in net somebody posted swiming is good even throuh vaidya specifically warned not to swim; he went for simmimg and devoloped all old symptoms.

This way rasagnimandya can affect either heart or blood.

Raghunath:
Actually I want use pottali kalpa for one of my uncle who is suffering from AML.

Dr.Ganesh kumar:
yes you can use it. first try Swarna malini vasantha 1-1-1
in 5 to 7 days if there is change then use SMV only not pottali if not go for pottali

in case of dengue we have used it with results in 24 hrs. from 25000 to 70 to 80000 in one day.
What we sugest is analze acoording to Ayurveda dhatu involve, srotas, srotomoola. And then treat poorva dhatu pradhana dhatu and uttara dhatu.
if totally difficult check upastamba and treat as anuloma or prathiloma kshaya.

But have you drcided the dose and cost and who will pay?

Raghunath:
it was diagnosed 6 months before .He is on milder chemotherapy. I have giving him guluchi Ghana vati and arogya vardhini .

His hb levels and WBC counts keep falling frequently.

His general condition is good

Dr.Vijaya Palathadka:
As Dr. Ganesh said first give either SMV or Rajamriganka, and Tapyadi loha with silver. Hb increases and WBC counts reduces and SGOT AND SGPT is normal then continue with this along with any brumhana dravya that acts on Rasa agni like shata

Shatavari etc

This will help a lot. And give him black grapes juice boiled and cooled regularly this will definitely improves the quality of life

Dr.Ganesh kumar:
Arogyvardhi is one item which properly prepared will act on 5 pittaha, pitta sthana and pitta ashraya. very delicate procedure of administration but effective.
So when in confusion general principle is give arogyavardhhini in pitta /rakta vikara.

vijayalakshmi:
Usually in carcinoma treatment we have to protect the liver. So best pitta rechaka and safe liver protective is arogya vardhini it is both protective, preventive and curative medicine.

Swati Totla:
Hemagarbhapottali ras-shuddha parad-4 parts,shuddha gandhak-2 parts,tamra bhasma -3 parts= 7 days khal in aloe Vera juice after that valukayantra procedure
Matra-1/8-1 Gina
Visuchika,sannipatik jara,all types of shwas,prasuti vaat and all types of vaat rog

Dr.Ganesh kumar:
My aim is understanding formula and using ingredients action for eg:- lakshmivilasa rasa (naradeeya) two formula are there in the market. one with tamra bhasma another with Abraka bhasma only. one is brumhana another is lekhana. So without ingredients we can't proceed.

Dr.Ganesh kumar:

Basically when I mean pottali - it is gandhaka jaritha not bhavana /khalva rasayana /putapakva. Attaining microparticle state is difficult with khalva. Also formula it self needs gandhaka jarana.


Where to use - any disease or pathologhy where transmission is damaged and pitta and manas arre involved.


Primary diseases - Shwasa, kaasa, atisara, amala pitta, hrudroga, mootra roga, pakshavadha.

It better not used in shukra dosha, kaibya.


Likhith D Raju:

Sir can these cases like vata nanatmaja vyadhis can be treated with just rasayogas.


Dr.Ganesh kumar:

In my observation nanatmaja vata vyadhi need food supliments along with medicine.


In these diseases dose of gandhaka jarita pottali is somewhere around 3 to 10 mg repeatedly once in 12 minutes, if no change in first 1minute then need to change anupana.

Non acute sonditions - dose 10 mg daily one or daily twice in snadya kala.

In chronic conditions it is 15 mg daily once at sunrise for 49 days, with appropriate anupana.


In neurological cases taragarbha is better

neuro-muscular problems - Hemagarbha is better.

In rasa dhatu vikruthi also Hemagarbha is better.

In skin disorders to reduce severity it may be better.

circulatory disorders Hemagarbha with tamra is better. - duration one year.

In intestinal disorders we have not tried. 


End of our knowledge.


Pandu roga treatment

Jayakrishna Kulamarva:
Follow up regarding the case of severe Pandu,the pt did not opt for blood transfusion and instead asked me to treat with our meds

A case of a girl 17 yrs with h/o excess menstrual bleeding presenting with severe Anemia Hb is 2.6 percentage

The lab report came yesterday with Hb level at 6.2 and it was 2.6 at the point of starting treatment

Gave:
Punarnavadi kashayam 15 ml thrice
Punarnavadi mandoor
Tapyadi lauha
Ajamodadi choorna

And the paleness has disappeared,the severe exertional dyspnea is gone

Will post the lab reports,have requested the patient party to forward it to me

Another three cases of severe Anemia receiving treatment,will post the follow up

Hb levels at 6.2 of one
Another at 5.2
One more at 6.7

Severe bleeding during menstruation controlled with cap point at 2 cap every two hours

This is for those who have the Anemia due to menorrhagia and the caps are to be started in the second day

Point ingredients
Godanti Bhasma – Calx of Gypsum – 300 mg
Siddamruta rasa – 100 mg
Pravala Bhasma – Bhasma (Calx) of Coral – 40 mg
Kerba pisti – 20 mg
Bolaparpati – a traditional Ayurvedic Medicine – 20 mg
Chandrakala rasa – a traditional Ayurvedic Medicine – 20 mg

Excellent med, beautiful combination

At the start

Dr.Vijaya Palathadka:
In my experience, In such conditions it is better to give Rakta pitta chikitsa

Venkatacharya PBA:
Bola is wonderful drug
In state govt dispensaries they used to supply Raktabhandhini and used to work wonderfully and Bolabaddarasa is also available in the market and Chandrakalarasa  given is also good
Tapyadilouha is also good
Congrats Dr Jayakrishna

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