Discussions on 27th may 2017

vijayalakshmi:
From Dr.Ganesh
This addtion to kampa vata data-
In kampa vata where only hands are involved Bramhi gritha of north indian companies worked, with in one week
Shiro lepa 1/2 tsf; internally 1/2 tsf
Bramhi of south indian companies did not give relief so fast
Patient is a medical rep. and traveller.
Just return information.

Vinaya Ballakur:
Thanks mam and sir for remembering even old cases and posting necessary information on those.
You both are always ready to share your clinical experiences .

In my case I had given brahmi ghritham from kotakkal. Patient is doing very well. No symptoms of kampa vata now.
He subsequently got an MRI scan done which revealed ischaemic changes in brain.
I advised him to continue brahmi ghritham life long.

Patient response very much dependant on ashthavidha, dasavidha pareeksha.

A frequent traveller as a patient means doctor has to take into consideration the specific vata prakopa that happens as a result

vijayalakshmi:
From Dr.ganesh—
earlier I said that  "In any Variety of manasika vyadhi Madiphala rasayana helps. (using regulerly)."
20 days back a supposed epileptic 13 yrs old with h/o 19 attacks per day. Allopathic treatment since 11/2 yrs.
they stoped medicine and declared psychichatric therapy.

patient was refered to us; as usual I gave madiphala and BVC. treatment started evening 6 PM next day reduced after 48 hrs convulsion stoped.
Then they went to pshychatirc therapy.
So following text is best; not follwing as slaves to Allopathy. thinking and accepting their diagnosis.

Suresh Kumar:
Good evening cavians.8years female baby suffering with  rvd+ve.1month back suffered with mumps at that rvd+ve found.present complaint is ithing on&off.No other complaints.for increasing her resistance power &reduce viraload suggest treatment.presently viraload is 216iu/ml.cd4 count 520.

Rvd means Hiv, retroviral disease.8years.mother have Hiv died 1 year back.

Today I started syp.livomyn,syp.Extraimmune.

Vinaya Ballakur:
Have no experience treating HIV positive cases but regarding immunity some measures can surely be done.

Bhumyamalaki is excellent to counter viral overload.
Balamrutham from kotakkal is a good pediatric tonic , improves immunity in the long run.
A regular small dose 5-10 ml of Amrutharishta is a good immunomodulator.
Manjishthadi kashayam in a low dosage over long time works similarly.

It might help to look up ojovardhakas from texts and decide on a proper plan for her.

Nirocil syrup or tabs if you decide on bhumyamalaki

Motamarry Harika:
🙏🙏
Dosage of madhiphala rasayana, BVC

Mamata Bhagwat:
Kindly pardon me for interrupting the discussion. Respected Vaidya gana,
Please help me in understanding ITP
Ideopathic thrombocytopenic purpura.

The Patient is adult female. With chronic history detected at her age of 8
Now normal Diet and lifestyle being followed.
Platelets count suddenly falls to 18- 20 k. Had gone down up to 3000.
Transfusion done several times.
Bone marrow investigation normal. No splenomegaly.
Seeking Ayurvedic help.

Vinaya Ballakur:
Dear mam, what made you to try madiphala rasayana in manasika roga . Just trying to understand the thought process behind selection of drug. 🙏

Dr.nageswr Gokul:
Arogya vardhani,
Chyavana prasha
Moukthika bhasmha
Aswagandha ch.

Jambeeradi panak.

Papaya leaf juice.

Rishi Vashishth:
Guduchi satva125
Praval 250
Navayas louh250
Sidh Makardhvaj 60mg
Bolbadh Rasa 125
With honey

Dr.nageswr Gokul:
Jambeeradi panak:
Jambeera :500 gr.
Ardham sarasa :250 gr.
Sugar: 500 grams .
1st 2nd drugs put in vessel then add sugar, mix well ,put on the stove, Make it as panak .

Reference I am un able to recollect:

Depends on the condition you can use this with different  anupanas like nagakesara,Shalmali, etc.

Dose: 5 to 10 grams
BD,or TID dose

vijayalakshmi:
Impcops -
Jambeera rasa 2 part
Ardraka rasa 1 part
Sharkara 2 part

Matulunga rasayana
Matulunga 1/2 liter
Jambeera rasa 1/2 liter
Ardraka 125 gms
saindhava 50 gms
sharkara 1250 gms
There are many variations of Mtulunga / madiphala rasayana
It is because of food variation and desha variations
I know at least 6 variations of above formla

each effective

Discussions on 24th May 2017

Motamarry Harika:
Good morning vds
35 yrs male pt c/o 4yrs back he met with an accident , humerus fractured under gone for surgery inserted plate.
After surgery he had pain in upper arm region he is using pain killers,
Before 20 days he went to arthopedician he advised to remove the plate after removing the plate wrist dropped
Now he is asking  treatment for wrist drop
Vata kapha prakruthi
No htn,DM
Vds pls give me ur valuable suggestions

vijayalakshmi:
3 treatments
Do mucle impulse conduction test
Patient financial status and help in house available.

1. dhara with maha sneha 22 minutes for 7 days
2. navarakili
3.chincha patra (putapaka - local term) bandhana for 7 days. (highly restricteddiet for 15 days.)
Along with BVC for 15 days.
needsfollowup for 3months.

Dr.varalaxmi:
Grahi classification according to Adamalla 1. Ushna grahi 2. Seetha grahi

Ushna Grahi is consider As  sangrahi - used in Grahani disease

Seetha Grahi pakwamala sthambanana -used in atisara

Sahithi:
Is there any significance of specification of 22 minutes mam

vijayalakshmi:
one muhurtha is 48 minutes.1/2 is 24 if you stop at 22 heat of dhara will be normal at 24 approx.
it's a village remedy, but effective.
basically Time is decided acco. to sushruta; here it is upadesha with shastra behind it.

Avinash Jadhav:
AyurConnect - Social Community for Ayurveda Professionals
https://4uhr.app.link/J9v8TF0MlD

Take a look at "Dravya"
https://play.google.com/store/apps/details?id=com.dravya.app

These two apps I use regularly. Useful for Ayurveda Practitioners.

Dr.kamal:
Namaste gurus...

Please discuss...

What is the line of treatment for excessive sweating in palmoplantar region???

.s.s Sir:
I'm getting good results with Chanakadyudhulanam choorna in Palmoplantar region In excessive Sweating...
🙏🍀🌷

Dr.nageswr Gokul:
Lagu soothi sekara ras is the  best medicine for your case.

Vd.Saraswathi Sharma. K:
Kamal is an experienced vaidya. He wouldn't have posted this case if it was really simple. So if it's ok for him, we can start with this case only or else any other case posted in the recent past. But let's have a thorough and meaningful discussion

Discussions on 21st May 2017

Bindu Vedantam Bindu Vedantam:
31/2 yrs male child suffering with these kind of papules n oozing later becoming black ulcers n patches. Child sleep disturbed due to severe itching. Hard stools. Diagnosed as atopic eczema using allopathic medicines atarax n topical applications. Reoccurence strong. Please kindly suggest medications Gurus🙏

gopi krishna:
Rasamanikya
Yasti
Manjist
Avipathikar choorna Godanti bhasma.

External application of panchavalkala grita

Bindu Vedantam Bindu Vedantam:
3 n half years only sir rasa manikya ok? Please let me know the dose also. Thank you 🙏

How many days to continue this  prescription sir godanthi n ras manikya🙏

.s.s Sir:
Ras Manikya 25mg+ Gandhak Parpam25mg in d morning with honey...
For application...
Triphala and mustered oil rost for few minutes than grind it. And apply twice daily...
🙏🍀🌷

Dr.suresh Jakotia:
Add Brahmi vati

Dr Ravi Kumar Sivva:
Pt is 3 1/2 yr old.....lets not advice Rasaushadas orally..
Local application with a mix of Karanj...Gandhapuran...Mint oils hav amazing result....

Yuvaraj Toraskar:
One patient 28yrs female complaint of amenorrhea since 5MONTHS .sonography report shows PCOD .,She is on ayurvedic medicines i.e rajpravarrini vati,ashokarisham,arogyavardhini vati,kanchanar guggul,PLEASE SUGGEST me expert opinion .

.s.s Sir:
Than why kumar kalyan Ras is indicated in Bal Roga.... Why Swarna prashana is advised immediately after birth.....
🙏🍀🌷

Dr Ravi Kumar Sivva:
Inmunity n Adoptions levels keep diminishing from generation to generation......moreover disease pattern is different for elderly and infants in the same family.....

ANOVA done by WHO for swarnaprashan results nothing......how can we justify then....?
And WHO view cannot b subdued....😁

Vd.Saraswathi Sharma. K:
If you have any proven data that the drugs mentioned cause hepatotoxicity pl share. At what dose and for what duration. What were the complications noted. Rather than quoting views or opinions such data helps if REALLY they are not SAFE

gopi krishna:
Why to avoid ,RASOUSHADHI .....???? any contraindications ??? In any text.

The assessment criteria afford by modern scientist and Ayurveda personality is entirely different, the way we assess is different.

Mamata Bhagwat:
In classics Rasoushadhi are prescribed from newborn too.
There is no mentioning of contraindications.
Yes I am also scared of the quality of the dravya.
Preparing oneself or procuring from reliable source can help instead of refraining in need also.

.s.s Sir:
Since my childhood I'm using
Vaishnavi Ras, laxmivilas Ras,  anandbhirav Ras,  kumar kalyan Ras etc... Since 55 years I'm using Ras Aushadhi only....

Bindu Vedantam Bindu Vedantam:
Vaidya Gurus this is the recent report of same child. Will those medicines will be sufficient?? Please kindly guide me🙏

Dr Ravi Kumar Sivva:
Ur 55 and the pt is 3 1/2 yrs.....dont adopt the same line of Rx works in both .....consider disease pattern ....environ changes..  satmya levels....in younger generations

Allpathy emphasizes on Evidence base......we practice shastra based .......Cant we b on line with allopathy.....Thats where v r lagging behind......

.s.s Sir:
Why not....?? 
To both my children's I'm using Ayurvedic medicine only...  Since birth... Done Swarna prashana also to both my kids....
For fever I will give them Vaishnavi Ras only....

When my son was 6month old I gave him Mrigank Potali Ras prepared with Ashta Sanskarit Parad... For abt 45 days...

Discussions on 19th May 2017

Dr.aparna:
Good morning vaidyas.
A female aged 35yrs,complained of lump in rt.breast ,since past few days.had a history about 10years back and operated.sent her for scan,followed by FNAC,which suggested fibroadenoma,measuring 14×8mm.impression given as,BENIGN PROLIFERATIVE BREAST DISEASE.
kindly suggest our line of treatment.Does she need surgery or can be managed with our medicines.please give your valuable suggestions.
Vd.Aparna

vijayalakshmi:
Dr.Ganesh :- soaps were very recent in history. (produced by bhasma any hydroxide.) main cause of destruction of natural water.
Before it; use of amala rasa yukta dravya like amala, powder of various plants (product in market by by prakruthi remedies called siddrthaka snana churna ref:- charaka). people go for ads but to remove odour you can use natural scents from khadi. but specifically ask natural. scents of jasmine, rose (attar), sandlewood, kevda, champaka etc. are in the market.
If tender mango levaes are put in to bathing water it also works. 
I have used the flower treatment in rutu shoola. also refer bach flower remedies to know what scents can do.
If it can cure then it can cause.
So my standered advice to all PMT, rutu shoola, pregnent, and PMs patients is use natural scents not chemicals.

Use of mango leaves and PVK in bathing water gives fast relief.
Or usheerasava with prakshepa of vacha also works

Dr Ravi Kumar Sivva:
Is any reference for Magnesium in Ayurvedic texts available.....?
Pl post .....Thnk u

Dr.nageswr Gokul:
👆Goat blood useful for thalassemia patients.

It  is big boost for RAKTA VASTHI.

Dr Ravi Kumar Sivva:
Any exclusive Magnesium compound References......?

Abhrak n Mica compounds has Mg as one of its constituents....

Dr.suresh Jakotia:
Herbs having Magnesium.Tulasi.Dhaniya.mint.Sounf.Karyapak.Saffron.Marich.Methi.Sarsoo.Haldi.Elachi.Chilli.Ricebran.  Spices&aromatic plants .Kitchen food.

Dr.srilakshmi:
Male Pt  age 25yrs.c/o bloody stools since 3days associated with severe pain and heavy bleeding.Having history of fissure in ano since 1yr.no other complaints.given chirubilvadi kashayam, bhallataka lehyam,styplon .kindly suggest the line of treatment for permanent cure.

Anal canal became narrow , adviced self dilatation with jatyadi ghrita n sitz bath with triphala

Respected vaidyas kindly give me the reference of sataputa Abrakabhasma and indications

Motamarry Harika:
Dr Swathi where it is available?

Dr.kamal:
Dr.srilakshmi madam..

Jatyadhi just external application.  triphala and yastimadhu combination sitz bath continue

Internal... triphala guggulu
Tiktaka kashayam
Arogyavardhini vati
Pushyanuga night

Stop bhallataka lehyam

Sataputa abhraka bhasma...

Ref..rasatarangini

Ind...prameha and its complications
Excess urination
Burning sensation etc

Dr.suresh Jakotia:
Kutaj than vati.

Gayathri:
Madam in this case immediately stop bhallatakavalehya and for oral administration
Vasaghanavati
Bolabaddharas
Nagakesar capsules
Kushmanda avalehya
Along with external medicines mentioned above by senior vaidyas

Dr.srilakshmi:
Yes Dr Gayatri Here bhallataka is contraindicated .Bolabaddharada

Is best choice. Is there any side effects of prolong use of bolabaddharasa???? Apart from diet ,In this case how to prevent  reoccurance ?

Thank you Dr. Gayatri for helping me.

.s.s Sir:
Give Agni Kumar Ras  2-2 tid
kutajghan vati 2-2 "tid
Before meals.
Morning Narsimha Potli Ras with ghee.
dhanyapanchakam kashayam twice daily.
Sitz bath with Yesti+triphala..
🙏🍀🌷

Dr.pradp Noori:
Use kutajavaleham gms
Praval panchamrut parpati. 250mg
Chandrakalaras 500 mg before food

Gayathri:
Thank you Mam and guduchi satva is main ingredient in bolabaddharas so up to my knowledge there won't be side effects
Need gurujis guidance😊🙏

Dr.pradp Noori:
Bhallataki preparations should be avoided. Adho gata raktapitta+ grahani(agni correction )

Vd. Uday Patil:
Shat-tal-muli yog (Shatavari + Safed musali + Suvarna gairik) gives good results in Bleeding per anum (Piles / Fissure)

Doctors Discussions

MAY 29TH

Geetha Rani:
Namaste Vaidyas. I need a help from you. I'm doing dissertation about Autism and Ayurveda. Most of the references I got correlated Autism with Unmada (Insanity). Autism is not insanity. Is there any more relevant term which I can give other than insanity? Can unmada be given any other term other than insanity?
Also please give me reference of ghruta crossing blood brain barrier. Can Sneha pana cause Sneha to cross blood brain barrier? According to few doctors, nasya can cause medicine to cross blood brain barrier but Sneha pana or any medicine consumed orally cannot cross blood brain barrier. Please give your valuable suggestions. Also I wanted to know if medicine administered through basti can cause blood brain barrier?  Awaiting your replies. Thank you

Can balagraha lead to unmada?

Dr.sunita:
Chatushkuvalaya gritha... can be given ?... SS Sir Ji pls give reference and comments needed here

Dr.ravndr:
AUTISM also known as Autism Spectrum Disorder (ASD) Neuro-psycho-socio-behavioral life long complex disorder with multigonal clinical aspects.

@Geetha Vd. 
Satva prakriti and Deha prakriti are the suitable places to verify.  Think that of life long disorder. 😔

vijayalakshmi:
Dr.ganesh - Autisum is not unmada. Unmada is not insanity

Geetha Rani:
My understanding of autism is 
"आत्मा मनसा संयुज्यते मनं इंद्रियन इंद्रियं अर्थेन ज्ञानोत्पत्तिहि"
This entire process of jnanotpatti is hampered/altered in autism. There is no buddhi bhramsha, no Smriti bhramsha  which is evident from the savant skills found in autism.  Can this be correlated to balagraha which persists throughout life of the autistic child or should this condition be considered as rajas and tamas Guna vruddhi of Manas or vata vyadhi?

Avinash Jadhav:
About Blood Brain Barrier
Ghrita helps the drugs to cross the BBB.
Of course Nasya is better than Snehapana for crossing / bypassing BBB. 

There are other practical challenges with Autistic Child. 
They should acclimatized to the smell of medicines for few days. Then medicines should be started. Methods like applying kashayas to their toys, clothes help a lot.

Payal K:
I have a new case of endometriosis. 33,yr old female with 3 unsuccessful IVF, also her both fallopian tube have now been ligated due to hydrosalpinx.
   Blastocyst preserved for future ivf. Approached for Ayurvedic treatment.
I have started oral medication. 
  Wanted to hear expert opinions from you all

Dr.sunita:
Pls discusss these areas ... Hydrosalpinx and endometriosis ...both and separately too ... bcos I too treating a hydrosalpinx case ... for understanding better  and for effective treatment lines  I want to learn more to the core ... need all the experts opinions ... pls help us to learn n establish ... Thank you

Discussions on 18th May 2017

Dr.aparna:
Good morning vaidyas.
A female aged 35yrs,complained of lump in rt.breast ,since past few days.had a history about 10years back and operated.sent her for scan,followed by FNAC,which suggested fibroadenoma,measuring 14×8mm.impression given as,BENIGN PROLIFERATIVE BREAST DISEASE.
kindly suggest our line of treatment.Does she need surgery or can be managed with our medicines.please give your valuable suggestions.
Vd.Aparna

gopi krishna:
Chandraprabha vati
Aarogyavardhini ras.
Ashokarista
For 1 st fifteen days of cycle

Kanchanara guggulu Punarnavadi mandoora
Kumaryasava
For 2 nd fifteen days

If it's chronic/ severe pain related/ progressive then
Tamragarbha pottali with varunadi kwatha anupanam

Dr Kaveti Rajyalakshmi:
If the pt is sthoulya, vata/kapha prakriti the best drug of choice is                        1.Medoharavidangadi loha 500mg after breakfast , 2.Triphala churnam 2 - 3 g bedtime with hot water.                     Pathya: Jasmine flower, takra, dalchini, methi seeds, chana         Apathya: dairy farm milk, curd

Dr.Vishwanath Dixit:
Namaste Vaidyas patient aged 32years female had hypothyroidism during 1st trimester of pregnancy was on eltroxin50mcg & after delivery was advised to stop eltroxin

However TSH range-7.7 IU/ml  as on 11th Feb-2017.

Recent TSH  range is-6.33 IU /ml.as on 27/04/17.(post virechana)have advised to stop iodised salt & to substitute with saindhava Lavana. Complains of Sookshma pidaka over hand after exposure to sunlight associated  with skit kandu .Nidra-normal kshuda-normal, M.C-regular. Kindly suggest.further medication not required for TSH levels?

gopi krishna:
Cp , avr required

Skin complaint , any local application of yasti,sariva,manjista......etc drugs can be given

Dr.Vishwanath Dixit:
AVR Arogyavardhini rasa?sir how it differs from Arogyavardhini vati. Clinical indications?

vijayalakshmi:
Dr. ganesh
For any thyroid patient stop iodised salt and check
But thyroid is not only one organ that gets affected.
earlier in december also I posted how to get iodine free salt. Just roast it. iodine is volatile and evopatates so iodine fre salt. use it. then check the symptoms.
check use of scent, deo, dove soap, johans soap, body lotion. if so advice green gram powder for wash. also use of vaseline on body

Dr.suresh Jakotia:
The chemicals get absorbed by skin and cause Harmonal imbalances. Like Ticlosan a clensér in soaps.

Swathi Tumma:
Dear vaidhyas patient aged 38 complaits of keloid
Kapha pitta prakruthi
Know diabetic patient

Dr.Vishwanath Dixit:
Madam how can deos be replaced for persons with sweat of profuse odour.through our Shastra. Because it is one of the most common problem we come across in lifestyle.

Dr.suresh Jakotia:
BILVA patra bath will reduce odour.

Putting lemon juice in bath water also helps.

Dr.nageswr Gokul:
👆Goat blood useful for thalassemia patients.

It  is big boost for RAKTA VASTHI.

Discussions on 15th May 2017

Motamarry Harika:
Good morning vds
48yrs female c/o sweating right side of the body since 5yrs, no htn, diabetis,thyroid,  menopause from 1yr,
No other specific health issues
Kapha pitta prakruthi
Appetite , sleep normal
MRI ,ctscan of brain normal, ECG normal
Vds pls give me ur valuable suggestions

Suresh Kumar:
Kushmanda avalehya 10gms bd,giloy satwa 30gms+ pravala  pisti10gms : daily 500mg bd with honey.

Bindu Vedantam Bindu Vedantam:
What could be the reason for only half side sweating doctors?   Recently i also got such ptnt but no htn n dm

vijayalakshmi:
From Dr.Ganesh
enquire about 3 things
1. H/o gastritis
2. Meditaion / yoga / rekhi/ pranic healing  related prctice - yes or no if yes variety
3. get a LFT done / usg of ab.
90% it is related to liver.
If possitive give pitta samakas like sariva, manjista, pravala, swarnamakshika, amrutha satwa etc., which are more of pitta shamakas avoid pitta stimulants or pitta rechakas like katuki etc.,. if lft is is proper then any kapha vata shamakas and agni vardhaka treatment can be given.

Avinash Jadhav:
Asymmetrical Sweating is seen in Horner's Syndrome or Harlequin syndrome.
It is related to pathalogy of Sympathetic nerves.

Sweda is sthana of pitta hence as suggested by Vijayalakshmi madam treatment should be followed.
I have personally not seen such patient but profuse sweating can be treated with Bilva patra churna 2 gm (11am, 5 pm and 10 pm) with Koshna Jala + Anulomana Dravya.

Dr.nageswr Gokul:
Lagu sootisekara ras useful in this case.

Dr,Dilkhush (DK) Tamboli:
Pls.confirms hypertrophied turbinates or H/O जीर्ण प्रतिश्याय

Give
      मंड
        In the morNing empty stomach.....
        Take lunch after Kshudhavriddhi  ....

        30 days

If hypertrophied turbinates present then add it's treatment with मंड.....

Dr.nageswr Gokul:
Salt.... regular salt that we use in cooking.

Chemically it is called as sodium chloride or NaCl2..

When we were young, this salt was produced by evaporating sea water. That was the only source of getting salt and it was abundantly available. It was so cheap that even the grocery traders in Mumbai used to keep it unlocked outside their shop during night time. 

But in 1986 things changed.

Tata's approached Rajiv Gandhi government with a request to sell "Iodized Salt". They gave a reason that people in North Eastern state suffer from iodine deficiency and their salt with iodine will prevent all deceases arising from iodine deficiency.

The corporate lobbying worked. Rajiv Gandhi government BANNED human consumption of natural sea salt and made it mandatory to use iodized salt all throughout india.

Since Tata's were the only iodized salt producers, they instantly created monopoly in this business. I hope you remember the commercial "नमक टाटा का.... टाटा नमक".

The ladies liked this salt because it was not getting sticky during monsoon like sea salt. A small quantity was sufficient to create taste etc. But price of Tata salt was almost 5 times the sea salt.   

Nobody knows the real story why Tata's lobbied to ban natural sea salt.

Tata chemicals had a huge chemical plant in Mithapur, Gujarat state. They used to produce tons of chemically induced salt as a byproduct in the chemical process.

This salt cannot be dumped in the landfill otherwise it would destroy farming land. Hence Tata chemicals had created railroad tracks to take this salt to the sea and dump it in the sea.

Naturally, they were spending huge money in disposing this salt. Hence they followed the western ideology of creating iodized salt.

When indian government changed the rules, Tata chemicals started making huge profit instead of spending money in disposing the salt. 

Basically Tata chemicals followed the same suit from western countries.

Over a period of time people started understanding bad effects of using chemically manufactured salt.

1) The sodium content in chemically induced salt is very high. That is why even a small quantity was sufficient to create taste. Prolonged consumption of This salt created high blood pressure, stroke and heart attack problems. 

2) To control this problem, people started taking medicines. As a result, business of pharmaceutical companies increased! Doctor' business improved. Hospitals earned more money.

3) Iodine level in the human body is a very delicate balance. If it is not within the limits then it creates thyroid problem. Generally speaking, Indians have a balanced iodine level and don't need extra dose of iodine. 
But with Tata salt, everyone was getting unnecessary extra dose of iodine. Result, people started getting thyroid problem, obesity problem and other issues.

4) again, pharmaceutical companies made huge profits by selling thyroid medicine. The blood testing laboratories got good business, the doctors got good business and fitness centers got huge business (to control obesity).

All this because of pinch of salt that was controlled by the government regulation.

In US, people realized heath issues due to this salt and asked to lift ban in the sea salt.

Government partially removed the restriction on sea salt.

But now the sea salt is available in US as a novelty with a premium price. It is dlmost 5 times costlier than the chemically manufactured iodized sea salt.

The point is, the sea salt which was cheap and abundantly available through natural sources, was banned by the government and after couple of decades, same sea salt is now available 5 times costlier!!!!

This is called corporate strategy and good governance.

discussions on 14th May 2017

+919841582688:
Pt aged 60/f, suffering with parkinson - 4th stage nd multiple myeloma first stage. c/o sever pain in hip region, constipation, unable to stand up from bed herself. Pl guide me for this case.

Taking chemo for multiple myeloma.

.s.s Sir:
Dr. Surendra Sharma:
Give Mrigank Ras in the morning.
Vishamushti  tid.
Krounch powder Bid with Milk.
🙏🍀🌷

Suresh Kumar:
Madam first rule out avascular  necrosis in hip region,her hb,BMD test ,x ray of hip bones .

+919841582688:
There s no necrosis sir..

Dr Manik Dixit:
Urgent :
Antidote for nux vomica

.s.s Sir:
Dr. Surendra Sharma:
Give milk+ghee every half an hour till Symptoms subsides

Motamarry Harika:
Good morning vds
48yrs female c/o sweating right side of the body since 5yrs, no htn, diabetis,thyroid,  menopause from 1yr,
No other specific health issues
Kapha pitta prakruthi
Appetite , sleep normal
MRI ,ctscan of brain normal, ECG normal
Vds pls give me ur valuable suggestions

Suresh Kumar:
Kushmanda avalehya 10gms bd,giloy satwa 30gms+ pravala  pisti10gms : daily 500mg bd with honey.

Bindu Vedantam Bindu Vedantam:
What could be the reason for only half side sweating doctors?   Recently i also got such ptnt but no htn n dm

vijayalakshmi:
From Dr.Ganesh
enquire about 3 things
1. H/o gastritis
2. Meditaion / yoga / rekhi/ pranic healing  related prctice - yes or no if yes variety
3. get a LFT done / usg of ab.
90% it is related to liver.
If possitive give pitta samakas like sariva, manjista, pravala, swarnamakshika, amrutha satwa etc., which are more of pitta shamakas avoid pitta stimulants or pitta rechakas like katuki etc.,. if lft is is proper then any kapha vata shamakas and agni vardhaka treatment can be given.

Avinash Jadhav:
Asymmetrical Sweating is seen in Horner's Syndrome or Harlequin syndrome.
It is related to pathalogy of Sympathetic nerves.

Sweda is sthana of pitta hence as suggested by Vijayalakshmi madam treatment should be followed.
I have personally not seen such patient but profuse sweating can be treated with Bilva patra churna 2 gm (11am, 5 pm and 10 pm) with Koshna Jala + Anulomana Dravya.

Motamarry Harika:
There is no gastritis,
She is doing yoga

Dr.nageswr Gokul:
Lagu sootisekara ras useful in this case.

Dr,Dilkhush (DK) Tamboli:
Pls.confirms hypertrophied turbinates or H/O जीर्ण प्रतिश्याय

Give
      मंड
        In the morNing empty stomach.....
        Take lunch after Kshudhavriddhi  ....

        30 days

If hypertrophied turbinates present then add it's treatment with मंड.....

Discussions on 11th May 2017

Shirin Mukadam:
Good afternoon to all
Anyone of us traeted Myopia?
Howz Akshitarpan out put
Plz share if in experience in myopia case

DrSavita Wali:
Good evening vaidyas
Plz explain line of treatment for vericose veins

Dr.nageswr Gokul:
Gaja charma kashta reference plz.

Dr.Rekha Hegde:
अस्वेदनं महावास्तु यन्मत्स्यशकलोपमम्। तदेककुष्ठं, चर्माख्यम् बहलं हस्तिचर्मवत्।।

Vinaya Ballakur:
Varicose veins may be correlated with raktavrut vata. Its treatment is said to be similar to vatarakta chikitsa in texts.
Indeed we get good relief with sahacharadi yoga, guduchyadi thailam and pinda thailam mentioned in vata rakta chikitsa  in Charaka.

Also check for siragat vata and raktagata vata for more insights.

Dr.suresh Jakotia:
Give saindav lavan with Tamalpatra.

Cardorium syrup

Dr.nageswr Gokul:
Arjun artista.
Saptavimshati muggulu.

Dr.kamal:
In my experience...I observed sahacharadhi 21..and manjistadhi kashayam very helpful..

External sahacharadhi with pinda taila mix opposite way..down to up...

Foot elevation

Varicose Sox

Siravyadhana also very effective...

Gaja charma...also called as charmakusta charmakya...ch.ni 5...ch.chi 7

ACC to susruta...sthularuksha

Vinaya Ballakur:
The principle of treatment therefore is to reduce avarana of vata ( vyana vata here) by rakta , improve rakta sanchar ( restoring vyana vata duty) by general Shodhana, raktamokshana, srotoshodhana, rakta prasadana and vata shamana.

The medicines suggested by Dr. Kamal  fulfil all of these.

I have observed Arogyavardhani and Chandraprabha vati also having a role in some patients. These two medicines restore dosha balance , improve metabolism ,clear srotasas and relieve the body of toxins in most chronic conditions

Dr.kamal:
Arogyavardhini chandhraprabhavati also very helpful..but condition is different...in varicose patients we can see ulcers...varicose dermatitis or ulcer...siragranthi yuktha vicharchika or vrana...in that condition arogyavardhini with manjistadhi combination very effective... another condition ...in varicose patients rarely complaints pain and ankle joint swelling..in dis condition cp vati with sahacharadhi or rasnadi very effective...

So siragranthi treatment depends on condition...🙏🙏🙏🙏

Vinaya Ballakur:
Yes exactly. Depends on condition. Also need to take into account the saamavastha or niraamavastha status.
Vrana or vrana shotha or plain shotha status. Shothahar chikitsa gives symptomatic relief.

Going to saindhava + nagavalli
, great for removing srotorodha amapachan and improving micro channel circulation ,I think.

discussions on May 10th 2017


Pt aged 37yrs/f, got married on 2012, c/o primary infertility, retroverted uterus, fundal fibroid, no tubal block, tried 2times for iui procedures on 2015,laproscopy doneon 2016,adviced for ivf treatment - suggested that 5%success rate due to age , hormone factors, anti mullarian hormone - 1.16, fsh on 2nd day - 7.7. TSH - 4.348, PROLACTIN - 9.9 BLOOD BONE VIRUS SCREEN -HIV, HBSAG, HCV, - NEGATIVE. HBA1C-5.1% RUBELLA IGG-NEGATIVE, TITRE- less than 3 IU/ML VDRL-NONREACTIVE. 

Pl guide me for this case.. 🙏

Vinaya Ballakur:
Factors to be noted here. Age, rv uterus,fundal fibroid.

For rv uterus placing of a pillow below hips can be suggested. It is not an issue actually.

What is the measurement of the fibroid? If small less than 1cm or so give CP vati , kanchanar guggulu and Arogyavardhini for at least 6 months and observe

If fibroid is large, surgery may be suggested for its selective removal by preserving uterus

Pre conception preparation or surgery cannot go on for a long time considering the age

2 nd day FSH is normal, neither high nor low implying timely ovulation.
If husband's report is good then a garbhaprada aushadhas can be started after the lekhana or shastra karma for fibroid is achieved.

You can choose from the usual medicines that we discuss here like shatavaryadi churna, phala ghritham, mahadrakshadi churnam etc.

Dr.suresh Jakotia:
Add Nastapuspantak ras for Fibroid also Hormonal imbalance.

Vinaya Ballakur:
Yes there is every chance to conceive in spite of the fibroid. But it is better the fibroid is dealt with first. That's my reading of this case

You may also go for phala ghritham pichu in rithukala as suggested by our Sharmaji and Ravinder sir in a previous case

It will improve the local receptivity of sperms by preparing the canal

+919841582688:
Whether uttara vasti ll improve the uterus?

discussions on 7th May 2017

Kashaiah Vasam:
Good evening vaidhyas please conform if pregnancy women gestation period  sudden on set raising of TSH level 5.35. Before  no thyroid. Age 24 years. Can use our kanchanaraguggulu. Or any contraindication in pregnancy.

Vinaya Ballakur:
Guggulu preparations are best avoided during pregnancy.
There is no need for medicine. Let the lady keep herself active as well as sleep well at night. Neck exercises, brahmamudra and anuloma viloma pranayama and regular walks will suffice for her. Saindhava lavana substitution may be made.

Kotla sunitha:
One doubt for me gugulu preparations will alter the blood pressure levels, ? Mainly when I use kanchanar guggulu there is raise in blood pressure for me,. Vaidyas please clarify when we should use guggulu preparations. What are the precautions we should advice during intake of any guggulu preparations

Dr.kamal:
14ys male boy...
Thickness of skin, hardness, blakish discoloration...

No other complaints...
Please suggest ur valuable opinions...

No pain no inflammation..

Dr Manik Dixit:
Check thyroid status.
H/o genetic diseses like....
Downs syndrome.....

Vinaya Ballakur:
Also get a blood sugar test done.

His habits , lifestyle need to be enquired too.

Dr.Vishwanath Dixit:
Patient aged 35yrs c /o severe pain in  Ischial region cannot move lower limb due to pain.Had given dhanwantaram taila abhyanga & jadamayadi lepa had given punarnavadi Guggulu internally pain not decreased .kindly suggest how to releive pain(acute management of pain )with our medicines.

Dr.kamal:
Murivenna taila, visagarbha tail and sahacharadhi tail mix abhyanga

Guggulu tiktaka ghrita capsules
Sahacharadhi kashayam
Dr.Vishwanath sir

.s.s Sir:
Give Kuchla Tid.
Rasnadi Guggulu 2-2 tid.
Bala+ Nirgundi +Shunti kashaya..
Abhyanga as advised by Dr. Kamal....
🙏🍀🌷

gopi krishna:
Cp ,Avr ,dashamoola kwatha.

For 3 months , if not responding then Tamragarbha pottali with varunadi kwatha anupanam

Hemagarbha pottali with panchavalkala anupanam.

Discussions on 4th May 2017

Motamarry Harika:
Namaste vaidyas.
47yrs female c/o heel pain,vatakapha prakruthi, no h/o htn, diabetic,under gone for hysterectomy, no other specific health issues, vds pls give your valuable suggestions

gopi krishna:
Plz check for s.uric acid.

Tt_
Dhanyamla seka externally.

Orally
Lakshadi guggulu
Punarnavadi mandoora/ Gokshuraadi guggulu.

Abhyangam with kottamchukkadi tailam / tee tailam and bandhana with eranda patra/ dattura patra .

Rishi Vashishth:
An Xray and/or local examination to rule out calcaneal spur too should be done

Dr.kamal:
Harika madam...

Weight???
Occupation???

Motamarry Harika:
Wt 60kgs, occupation Ann

Raghunath:
Vd chk for uric acid levels .Give Kaishora gugulu .
Pinda taila abhyanga . Take mustard seed fry it with gritha powder it add saindhava lavana mix it with tandoolodaka .heat the paste and apply as upanaha tie with eranda or arka patra .

Dr.kamal:
Harika madam...

Amrutha guggulu
Rasna erandadhi kashayam

Murivenna dhara or bandhana

Advise MCR chappals

Kottamchukkadhi upanaha also helpful

Dr Rudreswara M.D:
Any emergency medicine is there on contentious bleeding in a young woman of age 24yrs suffering since 2yrs, today is 9 th day bleeding,pls suggest

Dr.kamal:
Amystop

Or

Bolabadras

Or

Pushyanuga churna

Dr.nageswr Gokul:
Rakta bandhini churan.
Or
Styplon tab.
Or
Pradarantaka vati.
Or
bolabhadraras

Later
Find out the cause and treat.

Lodharasav

Dr.kamal:
Bolabadraras ....very effective

Vinaya Ballakur:
In such emergency conditions I give Rajat bhasma from patanjali. 100 mg twice daily for five days. Usually stops bleeding in 2-3 doses

Dr.nageswr Gokul:
For rakta pradaram:
Shatavari Swarasa mix with  Yashtimadhu
churna and  mishri. Mix well 
the contents then shade dried under dry air.
5 grams BD Dose with tandulodaka.

Discussions on 3rd May 2017

HYPOTHYROIDISM
Trikatu-50gms ,   vibheethaki-50gms, godanti bhasma - 20gms.

Payal K:
Thanks and what is the dosage to be given and for how long it needs to be given

Dr.suresh Jakotia:
1/2to 1gm after food continue till you stop Allopathy medicine.

Geetha Rani:
Namaste Vaidyas. Female 28 yrs, married, no health issues, husband 34 years, obese, bilateral varicocele, oligospermia - what are the probabilities for conception? Is this condition treatable? Testis small. Married life - 1 and half year

Dr.kamal:
First...refer to surgery...after surgery advise Ayurveda treatment...

gopi krishna:
Regular line of management can be tried initially for 3_6 months with Chandraprabha ,Aarogyavardhini ras, Gokshuraadi modaka.

Found good response with amalaki rasayana in such cases with makaradwaj.

Dr.nageswr Gokul:
Haematology Basics - What is Immature Platelet Fraction (IPF) counting? A new CBC parameter

The immature platelet fraction (%IPF) is a modern parameter that measures young and thereby reticulated platelets in peripheral blood. The reference range is approximately 1 to 5% of the total platelet count.

IPF levels rise as bone marrow production of platelets increases. Therefore its measurement provides an assessment of bone marrow platelet production from a peripheral blood sample, in a similar way to how a reticulocyte count could provide a measure of red cell production.

The causes of thrombocytopenia can be broadly categorized into 2 causes:

• Increased peripheral destruction/consumption of platelets

• Impaired Bone Marrow Production

1. Increased Peripheral Destruction/consumption

• Immune mechanism such as AITP, etc.

• Increased Consumption such as DIC, TTP etc.

2. Decreased BM Production

• BM failure (i.e. aplastic anemia, MDS)

• BM infiltration (i.e. tumor, fibrosis, leukaemia)

• BM toxins (i.e. chemotherapy, infections as HIV, CMV)

There is a high clinical utility of the %IPF in the laboratory diagnosis and treatment of thrombocytopenia due to the ability to relate raised %IPF levels with increased peripheral platelet destruction. It is particularly useful for supporting the diagnosis of autoimmune thrombocytopenic purpura (ITP), thrombotic thrombocytopenic purpura (TTP) and for distinguishing these from bone marrow suppression or failure. In the case of the latter, the %IPF value would be low.

The %IPF can also be a sensitive measure for evaluating thrombopoietic recovery during aplastic chemotherapy. In some specialist haematology and cancer centres, for instance, %IPF is taken into consideration in platelet transfusions.  Transfusions may only be considered when the %IPF values are not rising as this would indicate poor intrinsic thrombopoietic activity.

The IPF count supports clinicians in differentiating between consumptive versus productive reasons for thrombocytopenia and helps avoid a bone marrow biopsy with obvious benefits for the patient. This clinical utility in cases of thrombocytopenia is proven. Its usefulness in monitoring after chemotherapy and haematopoietic stem cell / bone marrow transplantation has been suggested.

In Dengue fever

It was found that when the IPF starts going up (rising trend) and if the IPF is more than 10%, 93.75% of the patients showed recovery within 24–48 h of the rise. After a certain point when the IPF has peaked, then the platelets start coming up and IPF starts falling. • This fall in the IPF is a strong predictor of an impending rise in platelet count. • It was observed that 100% patients show a recovery within 24 h of the fall.

Dr Niranjan N Rathod DM, MD, FACP
Fellowship in Bone Marrow Transplant, FHCRC, Seattle, USA

Dept of Haematology-Oncology & Bone Marrow Transplat

Nanavati Super Speciality Hospital

Discussions on 29th April 2017

Vinaya Ballakur:
Treating hyperthyroidism is far more challenging I feel. Has anyone successfully treated hyperthyroidism with Ayurveda?
In a case gave Narasimha rasayana but the patient moved to another place and there was no follow up.
What are our options in hyperthyroidism?

Dr.nageswr Gokul:
Moringa olifera (
Munaga patra)leaf extract  be used for the regulation of hyperthyriodism.

Nasyakarma also usefull in  regulating thyroid functions.

@
Dr.vinaya

Dr.Nageswara Rao.V:
Depends on dosha we have to select nasya medicine.
Eg. ksheerabala 101 for  vata Predominant, Dhanvantri 101 for vata kpha predominant , Brahmi Ghrita In pitta predominant , vacha oil for kapha or vata, etc.

Vinaya Ballakur:
This is very appealing. Nasya perhaps stimulates hypothalamus and pituitary gland.  As pituitary is the master gland, for hormonal disorders  nasya should be explored fully.🙏

In auto immune thyroid disorders instead of trying to stimulate thyroid , stimulating pituitary maybe more fetching.

Any suggestions on this line of thought please?

Dr.suresh Jakotia:
Go grita  Nasyam will regulate the whole Endocrine system.

Dr Kaveti Rajyalakshmi:
🙏Bhasmakagni chikitsa helps a lot in hyperthyroidism.

Dr.pradp Noori:
Hyperthyroidism :-agni correction with vatashamaka rasayanas

(Santarpana chikitsa)
where as
Hypothyroidism - is kaphahara agnivardhaka treatment (apatarpana chikitsa)

Vinaya Ballakur:
Santarpana and apatarpa with agni correction in hyper and hypo thyroidism respectively.  👍👏👏 Nori garu

Dr.nageswr Gokul:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3976240/#!po=22.8723

Payal K:
I am getting results with these medicines for hypothyroidism and am also able to reduce the eltroxin doses successfully but I wanted to hear from you all about complete success rates.
  So I usually use kanchanar guggulu, tapyadi loha , ashwagandha and vakeri ( wagatea spicata )

Also depending upon condition and Patient arogyavardhini, triphala guggulu, laghusootshekhar, Brahmi, chitrakadi , guduchi, suvarnasootshekhar can be added to get results

+919841582688:
Free t4 s normal. I ve to chk   others ..  I gave  our ss ji's formula for thyroid, mundi Kashayam along with Annabhedhi sindhuram....

V. Gd results in ss ji's formula for thyroid, within 10days especially weight gain nd fatigue etc symptoms has stopped..

Dr.ravndr:
Vaata disorder and pitta Vriddhi........ needs clarity please. Disorder is an outcome of vriddhi  or kshaya.

Here in above case,  definitely,  it's Vriddhi of vaayu  as we discussed earlier on Vriddhi kshaya.

At an outset,  hyperthyroidism could be vata - pitta Vriddhi janya vyaadhi.

Discussion may be reviewed.

Vinaya Ballakur:
Maybe because signal about deficient thyroid hormone induces increased TSH secretion as a balancing mechanism. So it is basically about thyroid gland. The increased TSH is an effort to increase production and many times only that is seen in hypothyroidism. T3and T4 are unaffected .

Dr Jaya Sambhus:
Only 10 days tt. I used S S ji s formula along with kanchnar g , ampachak , tapyadi loh bd ,
bhrihat vat chintamani od ,  gandharv haritaki hs
Panchendriy vardhan tail nasya

Dr.ravndr:
TSH- Thyroid Stimulating Hormone,  secreted by Hypothalamus to secret T3 n T4 from thyroid gland.

Low TSH will yield less T3n4,  resulting into Hypothyroidism. If more it is.. will result into Hyperthyroidism.

Sometimes, because of path- thyroid,  may release more T and also lead to hyperthyroidism.

Most of above treatments are useful thyroid path conditions I feel.  The common thyroid problem is thyroiditis.

Discussions on 28th April 2017

Vinaya Ballakur:
Vriddhi is an increase in the svasthana of dosha. In prakopa doshas are inclined to go beyond their sthanas  if not pacified

तेषां प्रकोपात् कोष्ठ तोद संचरणं अम्लिका पिपासा परिदाह अन्न विद्वेषो हृदय उत्क्लेदः च जायन्ते।
तत्र द्वितीयः क्रियाकालः। (सु.सू.२१/२७)

स्तब्ध कोष्ठता ---> कोष्ठ तोद

पूर्ण कोष्ठता ---> कोष्ठ संचरण

and so on. Both chaya and prakopa are characterised by their  symptoms.

Dr.ravndr:
Sanchaya Prakopa Prashama are 3 states of dosha sthiti.

Vriddhi or kshaya are 2 opposite phases of dosha or VYAADHI roopa.

These are observations of Aatreya sampradaaya.

Prakopa avastha is further elaborated by Susrita in terms of "shat kriya kaala". This need was raised because of various phases of preventive medicine and or Swasta Vritta.

Payal K:
Can anyone guide me...I have to send sukumara ghruta and powder to one patient in London...The post is not taking it due to Medicine...How can I send...Please guide

Dr.ravndr:
@Vinaya vd.
Every context of kriyakaala is a part of VRIDDHI among which Prakopa is a part.

@Chaya is swastaana dosha Vriddhi.
@Prakopa is reaching its threshold.
@Prasara is a momentum of dosha from its swastaana .
@Sthaana samshraya is a stage of dosha where it is occluded (dosha sangam at Kha vaigunya)and dosha-dooshya sammoorchana.
@Vyakti is a stage of dosha-dooshya sammoorchana and vyakteekarana of different lakshana.
@Bedha is a stage of vyakta avastha of not only the initial srotas vaigunya but also the adjacent one and above to result upadrava.

All these are only a part of VRIDDHI.

VRIDDHI is a term used for "sampraapti" of any of the disease.

Can any one project the concept  of kshaya avastha of a disease in terms of shat kriya kaala?

Sanchaya & Prakopa - hetu with vyaadhi poorva roopa,
Prasarana, sthaana samshraya & vyakti- amshaamsha kalpana with roopa/lakshana
Bedha- upadrava, arishta

Vinaya Ballakur:
Regarding kshaya avastha that you mentioned is not our system based on equilibrium. Kshaya of one leads to vriddhi of another. So maybe acharyas mentioned only vriddhi stayes

Dr.varalaxmi:
Doshas may be increased or decreased when they became pathological. Anyhow , decrease of doshas is not much clinical importance unless it loose their physiological function.Hence increased doshas are described more elaborately than the decreased one.

Vinaya Ballakur:
When doshas  enter kshaya avastha they will do so in their own sthana and vikruti may be observed but spilling over like vriddha doshas will not be seen

vijayalakshmi:
Anyone has the copy of Delhi high court ruling which says practicing in home is not a commercial activity. If so please share.

Dr.varalaxmi:
http://medicaldialogues.in/private-clinics-are-not-commercial-activity-bombay-high-court/

http://taxguru.in/corporate-law/part-residential-premises-doctors-lawyers-sc.html

+919841582688:
Thank u vinaya mam nd varam mam for your guidance...  Her t4 levels r normal...

Dr.varalaxmi:
Not T4 levels, FREE T4 LEVELS

Varalakshmi Sriramdas:
U go for Free T4 levels,

if FreeT4 levels are low, have to increase the dose of tab,

If Free T4 levels are normal, the you go for Autoantibodies( Serum thyroid peroxidase anribodies and anti-thyroglobulin antibodies )  as said by Dr Vinaya mam.

Payal K:
Dear all...has anybody successfully treated a case if hypo/ hyperthyroidism who is on Allopathic medicines . I mean to say we have slowly tapered doses of 100 mcg eltroxin / thyronorm and they are now without any Allopathic medicines just on our Medicine and then gradually weaned off our Medicine as well

Vinaya Ballakur:
After a patient has been on hormone replacement for long it is definitely difficult but not impossible to wean away from medicine. I have not been able to stop medicine completely in such cases.
But in a few patients who turned up for Ayurveda treatment at the first instance, have been able to give our medicine and also slowly wean them from it. For such cases a regular life long exercise program is a must.
Sarvangasana, brahmamudra, suryanamaskars and regular walks if taken up, there is no need for medicine in mild cases.

The medicines that I trust in hypothyroidism are Kanchanar guggulu, Varadi , Varanadi kashayam, Ayaskriti etc

Treating hyperthyroidism is far more challenging I feel. Has anyone successfully treated hyperthyroidism with Ayurveda?
In a case gave Narasimha rasayana but the patient moved to another place and there was no follow up.
What are our options in hyperthyroidism?

Discussions on 25th April 2017

Dr.suresh Jakotia:
Tambul & marich are added when preparing ghee is to remove ama & add aroma.Marich braust ghee is Medya .

Take betel stalk leaf side should be dipped in diluted Chunna & rubbed on warts till it falls.Manage the vrana with ro pan Dravya.

Dr.sunita:
Sir ... if betel stalk is used to dip in sudha( type of calcium ) n apply on warts ... there must be a significance ... if we apply this ... will betel leaf chewing after intake of food ... will it help enhance the bioavailability of calcium internally ???  Any choice of elaborated discussion ???

Dr.suresh Jakotia:
It's like Paniyaksar karma/agni karma .

Dr.varalaxmi:
U r right Dr Sunitha,
One study on

Hypercalcaemia and metabolic alkalosis with betel nut chewing:
emphasis on its integrative pathophysiology  Shih-Hua Lin1 Yuh-Feng Lin1 , Surinder Cheema-Dhadli2 ,Mogamat Razeen Davids3  and Mitchell L. Halperin2

@A patient who chewed and swallowed around 40 betel nuts daily developed hypercalcaemia, metabolic alkalosis, hypokalaemia with renal potassium wasting, and renal insufficiency. The quantities of calcium and alkali per betel nut preparation were measured. Factors that might increase intestinal
absorption of calcium were evaluated.

speculate that a relatively greater availability of ionized calcium than inorganic phosphate in the lumen of the intestinal tract could have enhanced dietary calcium absorption.

Vinaya Ballakur:
We must also remember that betel leaf is from piperaceae family, the same family as pippali and maricha which are known to enhance bioavailability.

Does it only help absorb calcium or in general all nutrients.

Dr.ravndr:
Bio-availability of iron is increased by chlorophyll in the beetle leaf. 😍

Motamarry Harika:
Vyoshadi vati with tamboola Patra good in severe cough

Dr.ravndr:
Laghu  sootasekhara ras is used in rakta pitta where as it's bhaavana dravya Tamaala patra is raktapittakara.

Raghunath:
Beetle nut lime(chuna) are adjuvantw added with beetle leaf for tambula charvana

Dr.varalaxmi:
Sir, sara, laghu, tikshna guna, ushna virya of TAMBULA patra facilitate and quick action of the Drug.

Here TAMBULA patra juice used for bhavanartham that to be sufficient quantity.

These points also consider.

Vinaya Ballakur:
Results of the present study clearly show that tulsi treatment (2 g/day) brings about a reduction in sperm count, which is in agreement with the earlier reports. Khanna et al, have reported significant decrease in sperm count and motility as well as decrease in the weight of testes, epididymis, seminal vesicle, and ventral prostate after long-term feeding of OS leaves.[14] The long-term feeding of fresh tulsi leaves (465 mg/kg/day) have shown to increase the body weight, while decrease the weights of testes, prostate, and adrenal gland in rats. The results suggested that infertility in male rats seems to be due to impairment of spermatogenesis as well as changes like decrease in pH, hypotonic environment, and chemical substances like mucoproteins, alkaline phosphatase and acid phosphatase in spermatogenic cells leading to formation of non-viable spermatozoa.

Dr.suresh Jakotia:
A 70 yrs old man suffering  with chronic Constipation said he got Completely cured by taking Atibala leafs 4-5 in quantity before Dinner.

Payal K:
Is rasamanikya useful in shvitra

Dr.suresh Jakotia:
Yes

Dr.pradp Noori:
Yes

I think there is no diffrence between vriddhi and prakopa.
It can be a condition diffrence in litrature

Vinaya Ballakur:
Prakopa is due to vriddhi , dependant on it not vice versa.

Discussions on 23rd April 2017

Vinaya Ballakur:
Piper betle spray 
dried powder.
Antidiabetic activity/diabetes mellitus 
patients.
Piper betle as a nutraceutical
resulted as a potential treatment for 
type 2 diabetes patients.
HewageeganaSujatha; 
et al, (2011)

Dr.sunita:
In calcium deficiency n diabetic patients too some physicians prescribes ... someone said chewing beetle leaf after food will enhance the calcium intake ... this much I know regarding beetle juice

Vinaya Ballakur:
I generally advice betel leaf juice with honey in asthma, laryngitis and kaphaja kasa

Dr S Mahesh Kumar:
In Avascular necrosis of femur loknath rasa with betal leaf juice has good results

Vinaya Ballakur:
Really good information. Lokanatha rasa and betel leaf , both are srotoshodhaks. Learnt from Sharmaji.

Improve micro channel circulation

Dr.suresh Jakotia:
Betel leaf + Saindav lavan in Sleepad as per Sharmaji giving good results along with Weight reduction.

Dr.varalaxmi:
In Sheetatva-  Nagavalli + Maricha is anupana

a/c lolanbharajeeyam

Dr.Vishwanath Dixit:
During pregnancy is if patient is on eltroxin how it has be handled with our medicines.recently I got a patient wherein she was on eltroxin(50mcg)& after child birth eltroxin was stopped due to Normal levels in her recent report dated on11/02/17 TSH-7.7

.s.s Sir:
🙏🍀🌷
In jeerna Kaas and Shwasa give Lakshmi vilasa ras with Tambool Swaras

Dr.varalaxmi:
Piteole of the betel is very good for hypopigmented patches in face , which is caused by fungal

Mamata Bhagwat:
Tambula Patra is used while preparing ghee from butter to remove aama and abhishyandi guna. And also it gives murchhana guna to ghrita. Respected vaidya gana can you please elaborate on this matter little more?

Dr.sunita:
Sir ... if betel stalk is used to dip in sudha( type of calcium ) n apply on warts ... there must be a significance ... if we apply this ... will betel leaf chewing after intake of food ... will it help enhance the bioavailability of calcium internally ???  Any choice of elaborated discussion ???

In calcium deficiency n diabetic patients too some physicians prescribes ... someone said chewing beetle leaf after food will enhance the calcium intake ... this much I know regarding beetle juice

Dr.varalaxmi:
Adding TAMBULA patra and curry leaves improves the colour, flavour and shelf life of the Ghee.

To prevent  oxidation in Ghee, the Food Adulteration Rules as amended in  1976, allow the addition of 0.02% by weight of butylated  hydroxy anisole (BHA) and butylated hydroxytoluene  (BHT).

In ancient method Prepared ghee with betel leaves  and curry leaves at 1% concentration can easily act as  replacers for BHA and BHT for extending the shelf life of  ghee.

Swathi Tumma:
Respected vaidhyas a couple of days one of my relative was diagnosed as rectal carcinoma
Here by iam attaching the reports

gopi krishna:
Sarveshwara parpati with varunadi kwatha anupanam.

Vishagarbha pottali with indukantha kashaya anupanam

Hemagarbha pottali with panchavalkala anupanam.

Kanchanara guggulu

Dr.nageswr Gokul:
Administration of betel leaf extract exhibited a dual role, depending on the different doses. While the lowest dose decreased thyroxine (T4) and increased serum triiodothyronine (T3) concentrations, reverse effects were observed at two higher doses. Higher doses also increased LPO with a concomitant decrease in SOD and CAT activities. However, with the lowest dose most of these effects were reversed. These findings suggest that betel leaf can be both stimulatory and inhibitory to thyroid function, particularly for T3generation and lipid peroxidation in male mice, depending on the amount consumed.

Raghunath:
Sitopaladi +Lv ras with honey  spread on beetle leaf taken in empty stomach in pratishyaya kasa n sinusitis

Vd.Saraswathi Sharma. K:
Ghee is said to become more gunavanta as it becomes purana. Mention of 10yr old 100 yr old and even 1000yr old ghruta finds mention in the classics. From this can't we take it to mean there's no special precautions needed to increase shelf life

.s.s Sir:
🙏🍀🌷
Mrigank Ras +Vaikrant bhasma +Pippali +Marich with Panchagavya Ghritam in d morning..
Loknath ras +vijaya with honey and ghee at night..
Bilwa majja twice daily before meals with water..
🙏🍀🌷

Dr.varalaxmi:
Purana, prapurana ghritas are for the medication purpose, for routine as a part of diet, we frequently open and close the container, which is may contaminate and may chance moisture contents, more chance to spoil.so adding TAMBULA can consider to increase the shelf life, flavour and for desired colour.

Discussions on 22nd April 2017

Dr.suresh Jakotia:
Case of obstructed urine flow managed successful by application of Panchgavya grita at urethral opening of Govignan Kendra Nagpur along with Gokshuradi guggulu & Varuna kasaya.

+919841582688:
नमस्ते vaidhyas, a female  Pt, aged 16yrs, s taking thyronorm 150mcg, tsh level s 150, t3 , t4 r n normal range..  Y this Tsh s increased this much, by taking this tab it s not under control ,  pl explain..

Vinaya Ballakur:
It could be Hashimoto's ( auto immune). Stop iodised salt for her and give saindhava only.
Kanchanara guggulu, varadi kashayam, guduchi might be of help.

How much is t4

Dr.varalaxmi:
U go for Free T4 levels,

if FreeT4 levels are low, have to increase the dose of tab,

If Free T4 levels are normal, the you go for Autoantibodies( Serum thyroid peroxidase anribodies and anti-thyroglobulin antibodies )  as said by Dr Vinaya mam.

Dr.suresh Jakotia:
A Diabetic suffering with burning feet said she got relief by eating Betel leaf 2-3 after food.Is its reliable result.?? We can try in more patients.

Raghunath:
👍🙏 i have been using goksh.gugulu given by u  n kasni  churna in a elderly male with narrowed urethral meatus. Has responded well .in fact since last two years had not gone to see urologist for dilatation .which he would under go once in 6 months before.

Vinaya Ballakur:
The katu, thitkta kashaya ras  of tambool might be reducing sugar levels if eaten after food.
That might be the reason for relief from burning feet. Did you ask her for sugar levels before and after she started this practice? @ Vd. Suresh

VENKATA NARENDRA:
My morher useing lokanath ras along with beetal leaf swarasa

Vinaya Ballakur:
I generally advice betel leaf juice with honey in asthma, laryngitis and kaphaja kasa

VENKATA NARENDRA:
Acute mi IVF  with dm

Dr S Mahesh Kumar:
In Avascular necrosis of femur loknath rasa with betal leaf juice has good results

Dr.suresh Jakotia:
Betel leaf + Saindav lavan in Sleepad as per Sharmaji giving good results along with Weight reduction.

Dr.varalaxmi:
In Sheetatva-  Nagavalli + Maricha is anupana

a/c lolanbharajeeyam

Dr.Vishwanath Dixit:
During pregnancy is if patient is on eltroxin how it has be handled with our medicines.recently I got a patient wherein she was on eltroxin(50mcg)& after child birth eltroxin was stopped due to Normal levels in her recent report dated on11/02/17 TSH-7.7

Case discussions on 20th april 2017

Vinaya Ballakur:
Diagnosis case :

One of the best case of my life 😃
Started with शय्यामूत्र  end with something else.😄

Child Age 7yr female having

C/O -
-  bed wetting since 2 yr

     Her mother took her to Pediatrician for her treatment. After 5 months of Treatment no improvement were seen . She changed Doctor but same result.
    
     Somebody advice her to take child to expert Ayurvedic Doctor for bed wetting . she took treatment and In a period of 7 month She change 3  Doctors.
     
     One of my junior Doctor send this pt to my opd last week on Date : 6-4-17
      
C/O mother (As always😄)

'Doctor, my child is eating a lot. all day she need something to eat'

'she is eating too much but still she is week n not gaining weight '

' all day drinking a juices which she is very fond of '

' her behaviour is very irritating '

' she pass urine 2-3 time in night '

  I look towards child, she was listening to her mom.
I took history & done examination.

What I had query & Noticed

In History taking

-Bed wetting since 2 yr why not before 🤔?

-She loosed 5 kg wt in span of 2 yr..

- why she started taking juices which she use to hates a lot 2 yr back

- she is eating a lot in this 2 yr

In examination I noticed that her skin is very dry

  In end it's not only bedwetting, it's generalised complaint.

  I advise her mother to do child's  urine test..
 
It came
Urine sugar - ++++ (4+)

  I understood what I have caught

  Since pt was convinced with my view
   I advice her to go for all below test

- IgA Total

- Tissue transgutaminase(IgA)

- Islet cell Antibodies

-Insulin Antibody test

-C peptide

-GAD 65 Antibody

  All above test was normal except
C peptide - 0.44 😄

  That's it
Diagnosis - Insulin Dependent DM (Type - 1)

  I referred pt to her pedestrian as she need insulin for her current complaint
  
  Her parents were happy at list they now know what they are dealing with

Something to learn :

At list do Routine Urine in all  bedwetting child, how can we r sure it's not DM or something related to urine ?

Payal K:
One interruption...Does anyone know whether asava arishta or what Ayurveda medicines are available in London or best prescribed Medicine for constipation in 6 yr old male Patient with ADHD

Geetha Rani:
I think Triphala tablets are easily available.  If the child is on GFCF diet, chances of constipation are more. Please enquire about aahara,vihara and nidra of the child.  Giving raisins with hot water or advise them to prepare kharjuradi mantha and give to the child. The child should be given ripe bananas to eat. This helps the child especially when on GFCF diet.

Payal K:
Whats GFCF

Ohh gluten free casein free diet

Dr.ravndr:
Modified  Arogyavardhini with little kutki added.

Triphala syp of Himalayas

Alopalax syp of Alopa ayurveda pharmacy

Guda Varti is an ideal mode of approach independently or as a prerequisite to other above oral drugs.

Discussions on 15th April 2017

Dr.ravndr:
Patrangasavam uses: It is used in conditions like Pain menstruation, heavy periods, leucorrhea (white discharge),  fever, anemia, inflammatory conditions, low digestion power and anorexia.

Patrangasavam ingredients:
48 grams of coarse powder of each of –
Patranga – caesalpinia sappan
Khadira – Acacia catechu
Vasa – Adhatoda vasica
Shalmalikusuma – Bombax malabaricum
Bala – Sida cordifolia
Bhallataka – Semecarpus anacardium
Sariva – Hemidesmus indicus
Japakusuma – Hibiscus rosa sinensis
Amrasthi – Mango seed kernel – Mangifera indica
Darvi – Berberis aristata
Bhunimba – Andrographis paniculata
Aphuka – Opium sativum (Many companies skip this ingredient due to legal complications)
Jeeraka – Cuminum cyminum
Loha – Iron Bhasma
Rasanjana – Aqueous extract of Berberis aristata
Bilva – Aegle marmelos
Kesharaja – Eclipta alba
Twak – Cinnamon – Cinnamomum zeylanicum
Kumkuma – Saffron – Crocus sativus
Devakushuma – Clove – Syzigium aromaticum
Draksha – 960 g
Dhataki – 768 g
Water – 24.576 liter
Sharkara – Sugar – 4.8 kg
Madhu – Honey – 2.4 kg

Reference: Bhaishajya Ratnavali Pradara Roga 122-126

Payal K:
What is the best OTC Medicine for 4 yr old for indigestion, flatulence etc..I give traditional ones but want to know best OTC without preservatives

Dr,Dilkhush (DK) Tamboli:
Mishreya Ark

Vd.Rajesh Nikam:
Can someone diagnose it pls. 1.5 month old baby. Allopathic Dr stated it may b coz of summer season as hypopigmented patch gave betn ovate n locally bt no result in 15 days. Now given flucanozol once  week fr 2 weeks.....

Dr.suresh Jakotia:
Apply tankan bhasma with chand paste

Dr.kamal:
Good afternoon gurus

6 yrs male child
Premature delivery

C/O
Left foot drop
Slight moment of head while talking
Very intelligent..

No other symptoms..

Please advise valuable suggestions

Geetha Rani:
What about child's developmental milestones, any head injury, any h/o febrile convulsions or seizures, time of onset on present symptoms?

Dr.kamal:
Delay milestones..
No/h/O convulsions

Geetha Rani:
Reason of foot drop - any acute or chronic injury to leg

Dr.kamal:
Foot drop since childhood

No injury

Just parents telling.. Premature delivery...And hypoglycemic condition of mother..

Geetha Rani:
GB syndrome and mucopolysaccharides and other metabolic disorders to be ruled out.
Is the child going to school?
1. Kumara Kalyana rasa or
Khanjanikari rasa or ekanga Veera ras
2. Balarishta+Amruta arishta + vidangarishta
3. Balashwagandha lakshadi kuzambu - ext application
4. Continue physiotherapy
5. Shiro pichu with brahmi and ksheera Bala taila
6. Guduchyadi rasayana (S.S. Sir's preparation)
7. Child should be motivated to walk with support or without support depending on child's capacity.
8. Counsel the parents
9. Ask the parents if there was any regression in child's milestones

Dr.suresh Jakotia:
Probiotics reduces Gestational Diabetes

Could taking probiotics during pregnancy reduce your risk of gestational diabetes? Researchers in New Zealand say yes. A study published in the British Journal of Nutrition reports that researchers from the University of Otago in Wellington conducted a double-blind, randomized, placebo-controlled parallel trial which studied the impact of lactobacillus rhamnosus HN001 on gestational diabetes. Gestational diabetes is similar to type-2 diabetes Mellitus in that it is characterized by an intolerance of carbohydrates, resulting in an excess of blood sugar. It typically affects 1-4% of pregnancies globally and is dangerous to both mother and infant, causing excessive growth and weight gain, which further the risk for delivery via c-section. While gestational diabetes typically resolves after the birth of the baby, woman who develop gestational diabetes are 60% more likely to develop Type 2 Diabetes Mellitus in later years (Noctor & Dunne, 2015). Probiotics are dietary supplements composed of micro-organisms. Often referred to as "good bacteria", they are naturally present in yogurt, fermented milks like kefir or filmjölk, sauerkraut and olives. For the New Zealand study, pregnant women, with a personal or partner history of atopic disease, were randomized at 14–16 weeks’ gestation to receive either HN001 (n=194) or placebo (n=211) daily.

Researchers evaluated for gestational diabetes between the 24th and 30th week of pregnancy. The study found that 6.5 percent of women who were administered placebo contracted gestational diabetes compared to 2.1 percent of expectant mothers who were taking the probiotic. The difference amounts to a 68 percent reduction in risk. “We found that the protective effects were stronger amongst older women and amongst women who previously had gestational diabetes,” explains study leader Dr. Julian Crane. The researchers discovered that the probiotic interacted with microbiota and significantly lowered blood glucose levels among pregnant women. Researchers suggest that HN001 supplementation from 14 to 16 weeks’ gestation may reduce gestational diabetes mellitus prevalence, particularly among older women and those with previous gestational diabetes mellitus. It is notable that in Ayurvedic medicine Yogurt is recommended in pregnancy and is considered especially beneficial in pregnancy.

References: Noctor E, Dunne FP. Type 2 diabetes after gestational diabetes: The influence of changing diagnostic criteria. World Journal of Diabetes. 2015;6(2):234-244. doi:10.4239/wjd.v6.i2.234. Wickens, K., Barthow, C., Murphy, R., Abels, P., Maude, R., Stone, P., . . . Crane, J. (2017). Early pregnancy probiotic supplementation with Lactobacillus rhamnosus HN001 may reduce the prevalence of gestational diabetes mellitus: A randomised controlled trial. British Journal of Nutrition.

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