.

.

Discussions up to18th July 2017

Dr.srilakshmi:
Success story
20yrs female pt wt39kgs.c/o severe white thick discharge since 3yrs , severe back pain with regular m.c and stomach ache during periods.tiredness. becaz of that always sleeping at home.not going to college properly. 3months she took treatment now no white discharge, no tiredness, no back pain. Used dhanwantaram kashayam,gandharwahasta kashayam,lodhrasavam,pushyanuga choorna, kuberaksha vati 1tab per day.Regular to college .to day pt mother saying thanks to me .

Dr.Rekha Hegde:
Regarding  Pittashmari , guruji Venugopal rao posted long before  one Ekamulika prayoga- Kokilaksha kshara. Good results as it does ksharana but pitta rakta shamaka. Ghrita kalpana of specific dravya which acts on pittashaya .liver also beneficial I think

vijayalakshmi:
As Vd Rajyalakshmi, and Vd vinaya has said that should be followed in general. What I do in my practice is ask the parents or elders in their house what they will do as a custom in their family, if there is any viruddahara or virudda kriya then advise not to do that in present situation. I will first advice what not to do i. e., head bath during first three days of Mc, over exhaustion, stale, refrigerated food, untimely food, over eating, traveling, strenuous work etc., advise, fresh food which are mootralas as well as anulomana food what ever available in that season. Advise Suji preparations like ksheera etc., preparations from plantain rinf

Plantain plant rind (baale dindu in kannada) on fourth day and fifth day give haridra kalka in empty stomach so that excess bleeding can be avoided. If low back or abdominal pain is there then jeera and pepper (2gms of jeera and one or two pepper seeds fried, powdered and make kashaya decant it and add ghee to it and drink, from fifth day till next Mc abyanga with til oil or if they are very lean then shatavari Taila. Either ashokarista, lodra kashaya or lodrasava depending on her prakruthi so that vaata pitta anulomana will be proper. If she has any other complaints treat accordingly so that chances of cure are more during that time.

Dr.pradp Noori:
Next Wednesday AAA 
2nd .
Astanga hridayam Sutrasthana 11 chapter continued. Please participate in the discussion.

Dr.nageswr Gokul:
https://www.google.co.in/amp/s/journosdiary.com/2017/07/09/jnu-tb-curcumin/amp/

Vani:
Please share treatment for hairline fracture of coccyx bone

Dr.pradp Noori:
Hadjod  1gm
Vatagajankush ras 750 mg
Lakshadi guggulu 1500mg
Divided in three doses after food with milk or tilapisti. Ext
Muruvenna and chandanbalalakshadi tailam for external application

Dr.kamal:
Murivenna dhara or Pichu..
Balaswagandha taila matra basthi

Lakshadhi guggulu

.s.s Sir:
🙏👍🍀🌷
Rost Wheat, than grind, & make powder. Add Ghee &  Sharkara,  make Halwa,  and give in morning.
lakshadi Guggulu  3-3 tab tid.
🙏🍀🌷🙏🍀🌷🙏🍀🌷🙏🍀🌷

Discussions on 13th July 2017

Vinaya Ballakur:
On gall bladder stones please share your valuable inputs and clinical experiences friends.

We have direct references on pittashmari in texts so theoretical background is not a problem.

What is important is , are we able to apply the same and get successful results in practice?
If so up to what size calculus can we take up?

The other day, I had a patient aged 70 years enquiring about Ayurvedic treatment for her 29mm size single gall stone.
She had two episodes of severe pain in the abdomen but wanted to avoid surgery that was advised.
Her general parameters were OK.
I had absolutely no second thoughts over asking her to go for surgery soon.

Dr.kamal:
9/7/17

Pt age 35yrs..
Gallbladder stone..8mm..

No symptoms..

I given
Punarnavasavam amrutaristam mix
Varunadhi kashayam
Arogyavardhini vati

Review after 15 days..

I will update after 15days..

Vinaya Ballakur:
Discussion on gall stone does not mean a conclusion on hypothyroidism. Please share your experiences as and when you can spare time friends.

Swathi Tumma:
Can i have the vaidhyas suggestions regarding what type of food should be given to a girl at menarche by which we can avoid many problems in her future

Vinaya Ballakur:
Susruta suggests paneeya ksharam in pittashmari. I gave yavakshara with arogyavardhani to a patient once but  stone size did not decrease, although, digestion and general condition improved. pain also decresed. Should I have added Hazrul yahood bhasma also?

Dr.kamal:
Just like mutrashmari chikitsa.. except arogyavardhini

Vinaya Ballakur:
For prevention of mutrashmari I generally suggest regular intake of lemon.
Is it helpful in pittashmari also?
Lemon is amla padartha.
Which will be better ?
Kshara or amla.
Also ksharas cannot be used for long?
How long to use it?

As gall stones are formed due to concentration and stagnation of bile juice which is cholesterol based, can we achieve better results by using medopachan dravyas

Ksharas, Arogyavardhani, varunadi kashayam etc. are helpful for ksharana, lekhana and sarana of bile , no doubt

Will adding guggulu help?

I request subject experts and MD scholars to give their inputs. Many young Vaidyas eager to practice authentic Ayurveda are waiting for a little guidance.

Dr.kamal:
Navakaguggulu
Ayaskriti
Varunadhi
Medho hara vidanga etc

Dr.pradp Noori:
There is diffrence between mootrashamarii is Tha sthana on is vatashana and Pittashmari is pitta sthana .both are kapha dried(kapha vata)

Pittashmari is atisnigdha sthira
Mootrashamari is atirooksha sthira?

Sandeep Kamnor:
These are the reports of a patient suffering from cirrhosis of the liver with carcinoma, ascites and portal hypertension. Doctors please say your suggestions in the form of prescription

Dr.pradp Noori:
Gomutra haritaki 1gm +
Aviltoladi(kshara)/choona 250mg with anupanam
Patolakaturohiyadi kashayam 15 ml before food. For forty days

Vinaya Ballakur:
You can add Abhraka bhasma shataputi 100 mg bd to Vd. Pradeepji' s prescription.

Grade 3 varices in oesophagus.
Give yashti kshir pak for rakta pitta shaman.

Multiple metastases in lungs. Patient age 71. Explain the asadhya nature of illness to family and take it up. Treatment can be palliative type only.

Kashaiah Vasam:
Good evening gurus,seniors and friends please share whate is the line of treatment  of brain strock (pakshaghata/paralysis) difference between bleeding condition/haemorrhage and clots/infarct stage.

Dr.pradp Noori:
Bleeding condition of Pakshaghata is V p condition, paka,Sroto vaigunya 
Lot is vatashamaka and pittashamaka snigdha slight ushna treatment

And dhatukshaya chikitsa needed ie better rasayana also needed. Bvc, manjista  Soothasekhar ras, brahmi rasayan, Mahavatavidhwansa ras VP SHAMANA like raktapitta

2. Type  Clot infarction is an Obstructive disorder. Vata kapha treatment. Lekhana ushna treatment required.
Yogendra ras Rasraj ras punarnava varna di kashayam
Bhallataki Lasuna ect

Both the treatments are vata treatment but the anubhanda doshas are diffrent and doshavikalpa is diffrent so diffrent treatment
My understanding

Vinaya Ballakur:
Vacha can be given in 2. Type for dissolving clots

.s.s Sir:
🙏🍀🌷
1. Loknath ras + Yakrit Pippali in morning with Tambool Swaras..
2. Mrigank Ras +Pippali +Marich  with ChatushKuvalaya Ghritam or Pancha Gavya Ghritam in Evening..
🙏🍀🌷🙏🍀🌷🙏🍀🌷

Vinaya Ballakur:
vacha rubbed over stone 4-5 times with water yields a very small quantity of paste . It is mixed with honey and applied over tongue in clot infarctions repeatedly but dosage should be taken care of as excess vacha can lead to vomiting.
Its our late Guruji Sripathi Rao's prescription in emergencies.

I too suggest it to patients who have developed clots from haemorrhages

Sandeep Kamnor:
In children aged Three years can we prescribe Arogyavardhini vati, Gandhaka Rasayana and kaishora guggulu

Dr.nageswr Gokul:
We can safely use
Arogyavardhani
Kaishora guggulu,
Gandham rasayanam
In children

Sandeep Kamnor:
Sir dosage in 3 years of age

Dr.nageswr Gokul:
1/4 of adult dose

Discussions on 12th July 2017

Vinaya Ballakur:
Not only stress, I feel thyroid problems which are in epidemic proportions are the result of dushi  visha. Chlorinated water, fluorine in water, pesticides, unnecessary iodine in salt, pollution. That is why we find vyadhi Sankara.

Rishi Vashishth:
Excess iron supplementation (in pregnancy) is a cause of hypothyroidism too

Vinaya Ballakur:
Varadi kashayam
Ingredients , Vara or triphala remove toxins,
Chitraka does agni dipti and relieves srotodushti,
loha patra  improves metabolism, is lekhana, medohara and shothahara , so helps in symptomatic relief.

Getting results with this. Adding kanchanar guggulu because of its effectivity in granthi and thyroid gland is granthi too.

Rishi Vashishth:
There is a phenomenon noted ie iodine induced hypothyroidism, we have iodised the salt of the whole nation without considering this particular repercussion. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3976240/

Vinaya Ballakur:
Just an aside
The shape of kanchanar leaf and thyroid gland is butterfly like.

In enlarged thyroid this has a definite role

Ayaskriti contains asanadi gana drugs, loha patra, madhu which are anti diabetic, anti obesity .
Improves metabolism, in hypothyroidism associated with diabetes and anemia its effective. Helps reduce the dosage of hormone if patient is dependant on it.

Dr.pradp Noori:
Dr Nori:
Uncomplicating  ayurveda :
Symptoms

Increased wt ● K vriddhi pittakshaya

Dullness ●k vriddhi vatakshaya

Pcos delayed mc kaphavriddhi obstruction.

Ushna kamitwa  kapha vriddhi pitta kshaya

Pandu kapha vriddhi pitta kshaya

Start believing that hypothyroid is a treatable condition altered agni kaphavriddhi it may be complicated chronic to vatavyadhi .
Drugs that correct agni and kaphahara can be used
Ajmodadi choorna
Shadharana choorna
Narayana choorna
Vaishwanar choorna
Antra kuthar ras
Kuberaksha vati
Medhoharvidangadi loh
Vidangadi loh .

Agnideepana Kapha hara pachana .
Location :whole body
This is my view

Vinaya Ballakur:
Vikruta kapha is similar to ama visha and Prakrit kapha is similar to ojas

Dr.pradp Noori:
When the kapha /agnimandhya of dhatu
In rasa dhatu are increased only symptom is slight wt gain with weakness.
Rakta is effected sheeta asahishnita pandu are symptoms ect
Mamsa is effected pcos cramps
Medho is effected wt increase ati sweda ,alasya.
Asti in very chronic and untreated will effect in early osteopenia .
Majja sukra later toximia and loss of libido ect with ojokshaya

If you see hyper thyroid  condition it is vatavriddhi /pittavriddh/kapha kshya
Shosha hyperactive weight reduction .
I think please correct if wrong

Erase all beliefs if you think hypothyroidism is not treatable with ayurveda .
Gandamalakhandan ras
Kravyadi ras
Arshakuthara ras
Bhallataki vati
Ect are to be clinically studied .
This belief was there with all the great scientists who invented new medicines successful for many condition .
Medicine for malaria,TB,typhoid and may new medicine wouldn't be there.

Geetha Rani:
Dhanyavada to all vaidyas. Of the above medicines which are safe during pregnancy? Can they be a total replacement for allopathic medicines?

Vinaya Ballakur:
If you look at Varadi kashayam  ingredients, it should be safe in pregnancy.

Guggulu preparations not safe.

Geetha Rani:
Thank you very much ma'am. All these days I never treated any hypothyroid case during pregnancy with at med. But definitely  found Nadia shuddhi pranayama, bhramari pranayama and yoga relaxation very beneficial in such cases

Dr Sridevi C:
Dear Vaidyas, I would like you all to help me with my mother's back problems.
Age 74yrs. Known diabetic since 15years. Known hypertensive since 10 years. Doesn't take any medicine for Diabetes. On strict diet control and takes karavellaka kashaya for Diabetes. But on allopathic medication for Hypertension. Sorry can't remember the medicine name for hypertension.
She has been having back ache since 2 years. Aggravates on sleeping. She cannot sleep at night due to pain. So starts walking. Feels better.  I had got her matra basti 2yrs back with Mahanarayana taila from my friends at Mangaluru. She got 95% relief. Stiffness of back reduced. She could easily get up from squatting position. So she went back to Hyderabad. Recently she started getting same complaints. I got her treated at my hospital at Moodbidri. This time she was treated with
1. Sthanika parisheka right knee and below with Pinda taila
2. Upnaha with
       Jadamansyadi choorna.          +     Godhuma+Pinda taila +
        Saindhava +
        Dashamoola quatha
3. Matra basti with Guggulu Tiktaka Kashaya
4. Trayodashanga Guggulu.

She completed 7 days treatment.
But night sleep still disturbed due to pain in lumbosacral region and pain from knee downward in right leg.
Now Trayodashanga Guggulu stopped and Gandha taila started since one week. She has improved a lot after taking Gandha taila. But still complains of stiffness of lumbosacral region.
I would be grateful if you could suggest something which will release stiffness of back. She is returning to Hyderabad on 13th of this month.

vijayalakshmi:
Karavellaka may be causing severe vata prakopa in her. Though blood sugar levels are under control other Vataja problems may aggravate by intake of Karavellaka regularly. First stop that and give any brumhana mehahara compositions like vasantha kusumakara etc so that vata shoola shamana happens simultaneously.

Dr.kamal:
Lumbaton
Sahacharadhi kashayam tablet

External sahacharadhi and murivenna mix
Sahacharadhi matra vasti for 7 days

Hard bed
Soft chappals
Avoid all fry items
Potato
Sea food
Avoid front bending

Discussions on 11th july

Vinaya Ballakur:
In my clinical side...I am facing some problems to treat following disorders in ayurveda....

Gallbladder stones and
Thyroid abnormality

Please discuss above 2 disorders

🙏🙏🙏🙏🙏🙏🙏

For hypothyroidism
Kanchanar guggulu and Varadi , Varunadi kashayas  are helpful if condition is detected early. Along with yoga exercises can be reversed in some cases.

For hyperthyroidism, Narasimha rasayan, ashwagangha lehyam, Brahma rasayan am etc. work

A proper discussion will be very useful to all.

We can consider listing common symptoms of hypothyroidism, like weight gain, fluid retention, cold intolerance, hairfall, shukra and artava vikrutis and maybe analyse the doshas involved, dushyas affected, nidana, samprapti in Ayurvedic lines and analyse how Ayurvedic treatment can be planned.

Kompelli Vasudha:
In hypo thyroidism we can also give Hamsa pada kashayam (kotakkal medicine) and godanti bhasma.

Dr.pradp Noori:
Hypothyroidism is pitta vishiyated and kaphavriddhi

Dr.kamal:
I think Tridoshas are effected...

Thyroid can be taken as vyadhi Sankara...

Agni vaishyamya
Sthoulya..karshya
Khalitya
Vyanga
Sukra dusti..arthava dusti
Ati sweda..

Main ..Agni
As well as... samprapthi starts from rasa dathu..
Vitiation of dosa..first pitta...kapha...vaata..

Kanchanara guggulu ...varunadhi kashayam...yes ..it's useful..

But in anotomical thyroid abnormality only kanchanara varuna very effective...

What about hormonal imbalance(physiological) treatment in ayurveda???

Thyroid gland is normal...no abnormality...

But hormones Wise... abnormality is der...how can we treatment in Ayurveda???

Ayurveda always telling...if u treat root cause.. disease will subside..it means not symptomatic treatment..

But in thyroid problem we know..root cause is hormonal imbalance...

How to treat hormonal imbalance in Ayurveda???

Please discuss and post valuable suggestions...

Geetha Rani:
Most of the hypothyroid cases which I have come across is in females with mc imbalances, diagnosed during pregnancy first trimester blood test and on allopathic treatment. That time they are worried about pregnancy complications and do not want to take any risk and are on allopathic treatment and later cannot withdraw allopathic medicines but still suffer from hypothyroid symptoms esp related to mc and anxiety issues. Please discuss on this topic

Swathi Tumma:
Yes mam almost all the patients come to us only after starting allopathic medicine
So how to deal them and specially in infertility treatment how to maintaine the harmonal balance by ayurveda
Please enlighten us on this 🙏

Kompelli Vasudha:
If thyroid is anatomically normal but when TSH is raised

I mean in most hypothyroid cases the causitive factor is stress ,. Stress harmones constantly hit the thyroid gland and its functioning is slowed down so the kashayams like varadi(trip hala) varanadhi and hamsapadhadhi will remove these toxins or stress harmones from blood so automatically it's functioning will improve.

And also iam using godanti bhasma
Gorochanadhi tablets
Dhan want ram (101) drops( taken in nostrils ,i mean nasya karma ) to treat hypothyroidism. Most of the cases are responding successfully.

Bramari pranayama  is most imp exercise to correct thyroid functioning.

Discussions on 9th July 2017

Rishi Vashishth:
A 44 yr old male, with complaint of vertigo, got an MRi of brain done, report suggests heterogeneously enhancing soft tissue lesion arising in relation to anterior pituitary- likely to be pituitary adenoma. In appearance the hands and face of the patient seem to have broadened. Serum growth hormone level has risen  13.071 H Ng/ml (normal- 0.003-0.971), in thyroid profile FT4 24.53 H pmol/l 12-22 rest is within normal limits. Sleep disturbed. Bowel bladder appetite- normal. Doctors at DMC, Ludhiana have refused to operate. What can be given?

Dr Kaveti Rajyalakshmi:
Dr Kaveti Rajyalakshmi:
Sir Impcops Dhatree loha 2bd 6am&6pm. Anupana dadima twak kashaya+ Sarkar's. Advice her to stop taking papaya, pineapple, dadhi and takra.

vijayalakshmi:
Ask raktapitta nidana. If present treat on the lines of raktapitta

Bharat Divate:
Vasa svarasa.....Can be administered ... Significant improvement can be expected

Motamarry Harika:
Doorvaswarasam,+jerra powder 15ml twice
Kushmanda swaras 10ml twice
Amystop g tid

Vinaya Ballakur:
Gist of discussions on Applied Ayurveda from Ashtanga Hridaya Sutra sthana 11 th chapter, held on 5 th July 2017 at Rasa shala. ( cont'd.)

Shloka 4 on prakrita kapha

Theory.
श्लेष्मा स्धिरत्वं
Shleshma is for stability

Applied aspects - Stability is possible due to healthy growth and regeneration of tissues.
When kapha is vikruta this aspect is affected.
A child is in kapha kala of life.
A seven or eight year old kid who chronically presents with running nose or tonsillitis or similar kapha vikruti also frequently is seen to have a slow or stunted growth.
Unless kapha vikruti  is treated, growth and stability cannot be restored.

Theory - स्निग्धत्वं - lubrication

Applied aspects - The lubrication of the entire body is dependant on kapha.
Look for complaints of rukshatva described by patient especially of the five kapha subtypes. Supporting kapha must always be accompanied with protection of agni.
If we take into consideration , the snehas, ghritham and taila
tila taila  is vatashamak, kapha shamak, and pitta vardhak.
So it can be used by obese people.
Ghee is pitta shamak, vata shamak, and kaphakara. So it has more properties of snigdhatvam.

Theory - संधिबंध - compactness of joints

Applied aspects - Sandhibandha  is the reason for posture, capacity to work.
A good example to understand this aspect of kapha is from the relationship between vertebrae and inter vertebral discs.
Disc degeneration is kapha kshaya and that leads to vata vriddhi.
So while we treat postural and degenerative diseases as vata vikrutis due to the complaints of pain, stiffness etc. we must remember that the nidana is actually kapha kshaya which if treated gives lasting relief.

Theory -
श्लेष्मा - क्षमा
Kshama literally is forgiveness

Applied aspects - In treatment it means capacity to withstand both physically and mentally.
Physical kshama is therefore , resilience, tolerance, resistance . When does a person require these qualities?
Ans. In adversities.
Whatever causes hardship to the body, change of seasons , pollution, germs, stress and strain etc. can make a person vulnerable to diseases. It is prakrita kapha that gives resistance power.
When this power becomes low it is kapha correction that needs to be attempted of, course bearing in mind the agni.

Psychologically also, kshama or forgiveness or mental resilience or letting go of bad experiences can be affected if kapha is under vikruta condition. So in such cases kapha correction and pacification of vata and pitta is helpful.

The summary is Ayurveda is uncomplicated. We only need to have a proper understanding of the prakrita conditions of the doshas to understand their manifestation in pathology or vikruti.

Patients that come to us, rarely come with clear cut symptoms.
Many times we find juxtaposition of two or more diseases in a person. Let us not worry about knowing the name of the disease. Understanding dosha  manifestation, dushyas involved, prakriti, kala desha  etc. we can successfully treat all conditions.
Charaka also said, a physician need not be ashamed about not knowing the name of every disease. It is just not possible. But when doshas are brought into equilibrium the disease is taken care of.

Question time friends.

Why is pippali which is ushna and teekshna useful in amlapitta?

Geetha Rani:
Because pippali is madhura vipaka. In alma pitta drava roopi pitta vruddhi is there. Ushna guna of pippali helps in decreasing dravata. Teekshna???

Rishi Vashishth:
First we need to understand Amla pitta and pippli individually, site of the disease is grahani or adha amashaya, in which the amlatva of pitta is deranged. Pitta has both Amla and katu guna, but in Amla pitta amlatva has increased ,Amla pitta might be urdhvaga or adhoga, or it has been said it may be vatanubandh or kapha anubandha.... When kapha anubandha is there...the amlatva is effecting above the grahani i.e urdhva amashaya (site of kapha) also, and when vata anubandha is there it is effecting below the grahani ie pakvashaya also.... Which is y in urdhva Amla pitta virechana is indicated and in adhoga Amla pitta vamana is indicated..... Pippli is  madhur vipaka( no presence of amlatva) and at karma level pippli is vamanopaga( not vamaka) and mild laxative in nature....(laxatives are indicated in urdhva Amla  pitta as i mentioned before)so it seems it is at the karma level, and not due to its doshic action

Dr.kamal:
In my clinical side...I am facing some problems to treat following disorders in ayurveda....

Gallbladder stones and
Thyroid abnormality

Please discuss above 2 disorders

🙏🙏🙏🙏🙏🙏🙏

.s.s Sir:
Pippali is not Ushna virya Vinaya ji

Vinaya Ballakur:
क्षमा property of shleshma is related with व्याधिक्षमत्व

Mamata Bhagwat:
Very well explained Vd Rishi Vashisht sir,🙏
Just wanted to make a small correction.
Urdhwaga amlapitta- Vamana
Adhoga - virechana

Shodhana through opposite route is principle in Raktapitta, not in amlapitta. 🙏🙏

Vinaya Ballakur:
Pippali has katu rasa but madhura vipaka and also snigdha guna.
So it supports sasneha agni. As Sharmaji pointed out it is anushna.

Discussions on 8th july 2017

Vinaya Ballakur:
Gist of discussions on Applied Ayurveda from Ashtanga Hridaya Sutra sthana 11 th chapter, held on 5 th July 2017 at Rasa shala. ( cont'd.)

Shloka no.3 on prakrita Pitta

Theory  - पित्तं पक्ति , ऊष्मा, दर्शनै:

Applied aspects - Pitta is responsible for pachan ie  any transformation or conversion is the function of pitta.
When agni is sasneha , it is pitta. So cannot equate agni with pitta entirely.
If we keep in mind the Alpa sneha guna  of pitta, it opens up many possibilities in practice.
A little amount of goghritha is deepan. Hingwastaka churnam works best with goghritha for deepan and pachan as it supports prakrita pitta.

Pippali churna  with goghritha is effective in amlapitta as this combination supports prakrita jatharagni . It does not suppress healthy appetite like the antacids.

In agni alpata kapha is increased. So in agnimandya, kaphahara and pitta balakara aushadhis have to be given.
Slightly ushna virya aushadhis will work here.

If we take into account each prakrita property of dosha we shall be able to identify the vikruta behaviour. For instance, in Parkinson's chala guna is aggravated and sthira guna is reduced. That is why atmagupta which has vajikara and sthira guna is effective in such cases.

पक्ति or conversion is linked to enzymes and hormones. Hence even if secretions are the functions of kapha, in hormonal imbalance prakrit pitta functions will have to be evaluated and rectified

Theory - ऊष्मा
Maintenance of body temperature.

Applied aspect - Ashraya of pitta is sveda. Sveda nissarana brings down ushma. So giving drugs with vatsanabha , relieves fever by inducing sweat

Theory - दर्शन - vision

Applied - vision problems are mostly pitta vikrutis. Pitta is best pacified with ghritha  so use ghrita as anupana  for vision related illnesses due to pitta.

Theory - क्षुधा -  appetite

not feeling hungry is a pitta vikruti. It has to be treated with ushna virya deepana drugs but ensure that some snigdhata is maintained to support prakrita kapha .

Theory - तृट् - thirst

Applied - In case of both lack of thirst ( sasneha and slightly ushna drugs should be given)and increased thirst( cooling drugs should be given) it is pitta that has to be corrected.

Theory - रुचि  - taste and healthy appetite.
In arochaka sasneha pitta vardhaka will help.

प्रभा - prakrit pitta is responsible for glowing complexion.
In discolouration pitta shamaka and rakta prasadana are useful.
As doshas are in anubandha, identify main dosha, anubandha dosha and then treat.
Neelika is a prabha vikruti but its a vata vyadhi with pitta anubandha. So treatment will have to planned for vata, rakta and pitta.
If we observe the complexion promoters , manjishtha, yashthimadhu or sariva  all of these correct pitta.

Theory - शौर्य - courage and valour are prakrita pitta gunas

In vikruti if excess of aggression is seen pittashamakas have to be given.
Negative emotions also lead to prakopa of doshas such as
क्रोधात् पित्तं ,भयात् वायु:
So these nidanas also give a clue about affected dosha

Theory - तनु मार्दवम् - softness or suppleness of body

Again sasneha aspect is seen.
In roughness or kathinya always look for pitta shamana  also.
Discussion slightly diverted to warts, a condition where hardness is observed. For that
Tankan + tomato svaras can be applied and vatari guggulu may be given.

Dr.nageswr Gokul:
Press Information Bureau 
Government of India
Ministry of Science & Technology
04-November-2015 18:08 IST

Ayurveda Prakriti - The Three Doshas, have been Correlated with Genomic Structures in a Research Study 

A genome-wide study indicated certain correlation between Ayurvedic prakriti classifications with genomic diversity.  A study on the subject has been done by the Centre for Cellular & Molecular Biology (CCMB), Hyderabad a premier research organization of Council for Scientific and Industrial Research with the collaboration of other national research institutes.

 

A research team at the CCMB under the leadership of Dr. Thangaraj, has taken up the mega program. Well-trained Ayurvedic physicians screened about 3400 people and the same sets of people were also screened by software called AyuSoft developed by C-DAC, Bangalore. 

 

Ayurvedic physicians believe that there are three doshas or biological energies / humors found in the human body.  Ancient Indians believed that everything that we see is made up of five elements – Space, Air, Fire, Water and Earth.  Vata is related to elements of space and air; pittha is related to elements of fire and water and kapha is related to elements of water and earth.  Each individual would have different levels of these three doshas, hence the diversity.  However, each person can be classified, belonging to one or the other type, if one of the doshas predominates.

 

People whose Prakriti was in concurrence between the assessment by the Ayurvedic physician and by AyuSoft were recruited for the study.  Their blood samples were collected by respective participating labs. Isolation of DNA and genomic studies were carried out at CCMB using Affymetrix 6.0 SNP chip. This chip brings out single nucleotide difference in the genome among the tested samples.  When the data is plotted, interestingly they fell into three groups, establishing the molecular basis for ancient classification. 

 

Whether such phenotypic classification has any molecular basis has been a matter of debate for some time.  A few groups attempted to answer this question and found some correlation when they looked at one or two specific genes.  However, the association of genomic variations with prakriti classification was lacking.

 

This is the first genome-wide study to establish such correlation between Ayurvedic prakriti classifications with genomic diversity.  Analysis of these single nucleotide polymorphisms (SNPs) revealed that about 52 genes might be responsible for specifying the individual's doshas or prakritis.  Dr. Thangaraj and his group has taken this study further and attempted to see if the samples collected randomly, without any information on their prakriti, would also fall into three groups after the analysis based on the 52 SNPs, which appear to be important.

 

Director-CCMB Dr. Ch. Mohan Rao said that this study would help to identify the prakriti of a person based on her/his genome. “This is a major breakthrough linking our ancient wisdom with modern science”. He also said that this work will inspire many more such studies. These studies should eventually lead to establishing Ayurveda on sound footing along with modern medicine.

 

These studies were recently published in an Open Access Journal, Science Reports, of Nature group of publications. It can be accessed at
: http://www.nature.com/articles/srep15786

 

***

 

 

 

Dr.pradp Noori:
Chota series.
A pt aged 23 years married 3 yrs back is e to c.pcod present .
Kapha vata prakruti by apperence. Has a problem of over bleeding and for 12 to 14 days.took the conventional allopathic treatment for 6 months but no significant change. Came to chota clinic.
What and how to see this problem?
mundi choorna can be tried for pcos but overbleeding is a problem .no control with Chandrakala ras, Pushyanuga choorna ,Kamadhoodha ras, Bolbaddha ras, nagakeshar choorna , kushmanda Avaleha ashokarista.. tried for two months 1st month 14 days bleeding 2nd month 12 days bleeding and this month 20 days not stopping (flow reduced but not stopped completely) .waiting for a proper advice and treatment from the family members
Thank you
Waiting.....

Vinaya Ballakur:
Can give Rajata bhasma 100 mg twice daily for 3-5 days in such cases after 4 th day.

If bleeding is not severe 100 mg once is also sufficient. Anupama honey or ushirasava

Bindu Vedantam Bindu Vedantam:
1. Dadimadi ghritam for atisarana
2. Satavari choorana for progesterone balancing
3. Asokarista+ dasamoolarista
4. Chandraprabha vati
5. Rajatha bhasma
After m.c stopping fully mean days erandasukumara tailam for  vata

Dr.lokdep:
Godanti, sphatik bhasm,kaharvapisti, yastichurn, swarn manshik

Dr.nageswr Gokul:
Pradaranrak ras
Kanchanara guggulu
Ashokarishta
Chandra prabha vati.

Initially bleeding may aggregated by using kanchanara guggulu
After some time bleeding will be controlled.

Discussions on 7th july

Dr.Jyothi Verma:
Namastee to all
Here is the case
Female patient 19 yrs with this condition
One year back this started from a small closed pimple and one vomiting with blood .
Afterwards redness and swelling increased day by day.
Since one year she was only on some ayurvedic medicines by some sadhu. But what was it not known.
Now she came to us
Her present complaint is headache which is pulsating in nature, lethargic, weakness.
Rest vitals normal with regular m.c.
We started with swarna suthshekar rasa

Vinaya Ballakur:
Is malignancy ruled out?

Dr.Jyothi Verma:
We planned for jaluka

Eyesight normal but if she watch TV for 2 hrs then strainful

She applied sarshap kalka over it two days back on her own told by some relative.
Now give ur valuable suggestions for the case

Vinaya Ballakur:
Multi punch biopsy / his to pathologic study needs to be done in this case

Report attached is of MRI PNS and face which shows the extent of lesion

Going for surgery first is an option. As it is the case seems highly neglected in not taking proper advise by patient and her family

Dr Suchitha Challa:
https://youtu.be/hDJlJzETLTo

vijayalakshmi:
since no other problems related to other systems, and except maxillary sinus other sinuses are clear, and no CA, you can give shaddharana churna with proper ativisha (not subtitute of it) minimum of 3 gms per day, and app.3gms of  amrutha satwa and varunadi paneeya ever half an hour once for two days, swelling may reduce and other symptoms also may reduce. ask her stop usage of fan, or A/c avoid refrigerated food,  (not only chilled food, even those kept outside to become warm) as far as possible bland diet.

Discussions up to 6th july 2017

Dr.nageswr Gokul:
Question on GST : I am a practicing Clinical Doctor. I purchase medicines from suppliers and in the process pay them GST (previously called as VAT) on the bills received from them. I then dispense medicines to my patients and issue them receipts including consultation+dispensing fees. It goes without saying that the cost of medicines so dispensed to medicines includes the GST component too. Am I covered under the GST Act ? To what extent are healthcare services covered under the GST Act ? Are healthcare products covered under the GST Act ? How are products different from services as per the GST Act ? Do I have to register for a GST number under the GST Act, 2016 ? Can I recover 'input tax credit' (as paid to suppliers vis-a-vis when collected from patients while dispensing medicines to them) under the GST Act ?

Answer: 1. Healthcare services are exempt from GST under the GST Act, 2016. Healthcare products are not exempted, however. Healthcare products are chargeable. 2. Healthcare services include services rendered for treatment at a healthcare facility. Healthcare prodcts include medicines, instruments, machines, equipments, infrastructure, etc. 3. When a Doctor dispenses medicines, they form part of healthcare services (as per the GST Act) and for a reasonable period of time (as per IMC Rules, 2002), they are nevertheless 'healthcare services' as a whole and are therefore not chargeable to GST. Please note that 'services' are defined under the GST Act, but 'reasonable period' is not defined by either the GST Act, 2016 or the Indian Medical Council Rules, 2002. 4. Dispensing is not same as selling. Selling is not same as dispensing. When a Doctor charges a fees for services rendered that includes fees+medicines as a whole, it is a service (as per GST Act) and called dispensing (as per IMC Rules). It is not called as selling medicines. This is exempted under the GST Act. 5.. However, if a Doctor charges for medicines/other healthcare products solely, these are chargeable for GST. 5. There is no need for Doctors to register under the GST if they are providing only healthcare services. 6. If they are selling, then only one needs to register. Anyways, a Doctor cannot sell medicines unless he is involved in a trade of medicines/healthcare products. 7. In short, GST does not change anything for practicing Doctors. GST is Goods & Services Tax, and replaces many taxes like VAT, etc as they were in use previously. 8. Input tax credit can be availed by Doctors if they are involved in a trade of medicines/healthcare products, not while dispensing medicines to their patients. -
Sekarana:
Gokul Ayurvedaic Hospitals , Anantapur

Dr Manik Dixit:
Is it true that, need not bother about taxes if annual turn over is less than 20 lakhs ?

Dr.pradp Noori:
Strong ayurvedic foundation for an ayurvedic vision.
Today's subject
1.Panchabhoota and doshas
2.Where does the treatment fail?
3. Normal functions of dosha dhatu and malas it's applied aspect
4.Importance of dosha vikalpa,
Symptoms and  doshas corelation.

Vinaya Ballakur:
Why Ashtanga Hridaya was chosen?
Its the latest from the Brihattrayi and its speciality is नाति संक्षेप नाति विस्तार:

An example of applied Ayurveda in terms of Panchamahabhuta.
We know, शब्द , स्पर्श,रूप, रस, गंध are associated with, Akash, Vaayu, Agni, Ap and Pruthvi.
In badhirya it is aakasha and vayu mahabhuta ie. Vata that is to be treated. Similarly we can treat, loss of sensation, loss of sight, loss of taste and loss of smell by treating the respective mahabhutas or the doshas that make up the mahabhutas.

Vata Pitta Kaphascheti trio doshah samasataah. Tridoshas are nothing but energies. The energies of the physical world manifesting as bioenergies in our body.

Going to the fundamental shlokas from Ashtanga Hridaya sutra 11 th chapter

Dosas , dhatus and malas are the basic components of the body. The functions of doshas differ sharply in states of equilibrium and in equilibrium.
Understanding natural functions of the doshas is therefore important

Prakrita vata

Theory --- तम् चल:----  responsible for movements
Applied aspect --- The चल गुण is affected in vata disorders.
In paralysis this chala guna  is compromised due to some obstruction ( avarana). So that also must be treated.
In Parkinson's there is excess of chala guna due to increase of vata.
Increase of vata is related to dhatukshaya and decrease of vata is related to avarana. So accordingly treatment must be planned.

Theory --- उत्साह --- enthusiasm, motivation

Applied aspect -- patient complains of lack of motivation but has bala, energy, treat for vata,

Similarly prakrit vata is responsible for uchvasa nishvasa, cheshta, vegapravrithi

samyagatya cha dhatunam( maintenance of dhatus) and akshanam patavena( maintenance of sense organs .

In respiratory disorders, locomotory disorders treat vata but take into account the other doshas also that are affected.
Maintenance of dhatus requires proper cell division. Unregulated cell division as in cancers indicates vata vitiation. Vata can be equated with the controlling mechanism of the body. Any sense organ disorder needs vata correction

Eg. Why is oil applied to skin?
Sparshanendriya, the skin is the biggest vata organ in the body. Hence thaila abhyanga is advised as a dinacharya to pacify vata

Coming to formation of dhatus, the first dhatu rasa is nothing but kapha swarupa. When pitta joins it , it results  into rakta.
Kshaya of dhatus is vikruta vata manifestation where as proper formation of dhatus is a prakruta function. Eg.Mamsa kshaya or emaciation is a pure vata disorder.

In sandhivata, there is rukshatvam due to kshaya ( vata vriddhi) so oil appln. helps. In Amavata the situation is different. There is obstruction. So most oils cannot be applied because the obstruction can increase.
( Chickungunya can be treated well by applying amavata and vatarakta treatment aspects)

For instance, I just realised I missed  Vegapravrithi as a prakrit function of Vata. What could be the state of Vegas in vikruta vata and how to deal with it?

Vatanulomana in vegadharana and vatashamana in vegatipravriti.

Discussions up to 4th July 2017

Dr Ravi Kumar Sivva:
शास्त्रं ज्योतिः प्रकाशार्थं दर्शनं बुद्धिरात्मनः।
ताभ्यां भिषक् सुयुक्ताभ्यां चिकित्सान्नापराध्यति॥ (चरक)
Happy Doctors Day😊💐

Dr.Rubina Begum:
Happy doctors day to all..
A case of 25yrs male , salesman by occupation
c /o weight loss  since few months , reduced cheeks .
Wt 55 kgs
Loss of appetite
Sleeplessness
Headache towards frontal side and neck pain , pain radiates to both upper limbs .
Smokes 2 cigarettes per day
No other symptoms
He is more concerned about cheeks
How to treat this case ?
Any investigations necessary ?
Vaidyas please guide me

Dr.kamal:
Symptoms looks like rajayakshma...

Dasamoola haretaki is very effective
Seethophaladhi churnam
Nayopayam kasayam

Avoid smoking
Fry items
Cold items
AC

Advise Mutton kheema

Dr Kaveti Rajyalakshmi:
Better to rule out Tuberculosis.

Rishi Vashishth:
Weight loss should never be taken lightly, cause could range from stress or helminthiasis to TB or Cancer even, search for nidana first. Could be due to uttarayana also.

Dr.kamal:
Madam once check

Complete blood picture
Diabetic profile
Mx
Chest x-ray

Purnendu Mehta:
Sir punch biopsy is normal patient is much better as  Dr.surendra suggested.
Thankyou so much Dr.surendra sharmaji

Deepali Kakde:
Thank block me uttarbasti  kshar tail aur kasisadi tai ki kar sakate hai kay

Tubal block

Vinaya Ballakur:
Want to post a feedback received now. 30 year old patient underwent severe stress and amenorrhea ( complete absence of periods for 8 months) ,facial hair due to it .Periods are regular(28 day cycle) after use of kuberaksha vati from Rasa shala for three months. Some relief also obtained in unwanted hair.
Thanks to team Rasashala and Sharmaji for preparing excellent medicines.

Along with kuberaksha vati also used Sukumara kashayam and kullathadi kashayam.

Dosage of the vati was just one pill a day and the kashayas  10 ml each twice daily. Stress levels due to grief ( death of husband) was handled by the patient with regular walks, meditation and prayers.
This feedback boosted my own morale Vd. Sunita . 😊

Discussions up to 1st July 2017

Payal K:
Any good syrup for severe  constipation in 6 yr old

Dr Kaveti Rajyalakshmi:
Erandataila vicarana works very effectively. Advice pt to prepare dosa with erandataila.If it's not possible can give kumariasava.

Payal K:
Ohh thanks ...will surely try that

Dr.nageswr Gokul:
https://www.google.co.in/url?sa=t&source=web&rct=j&url=https://www.ncbi.nlm.nih.gov/pubmed/26766814&ved=0ahUKEwiH7vTNoeDUAhWItI8KHQiHDLsQFggvMAE&usg=AFQjCNEUiIxn3wUKEvZ6q199XN9sWGPbPA

👆Duality of Iron Oxide Nanoparticles in Cancer Therapy: Amplification of Heating Efficiency by Magnetic Hyperthermia and Photothermal Bimodal Treatment.

Kaseesa raw; Feso4 7h2o
Kaseesa bhasha:ferric oxide (Iron oxide)  Fe2 o3.

Dr.sunita:
Really after a very long time... and real good interaction and real interesting discussions ... brain activating session today after ADMINS Active Participation... thank u Annaaji ... and keep encouraging all by your thought provoking questions and interpretations ... thank u ... always welcome... 🙏🏻👏🏻👌🏼👍🏼☘️🌿🍀

Purnendu Mehta:
Patient suffering from oral ulceration since last 2 year .
Plz suggest ayu treatment. Thx.

Patient is alcoholic and chuing tabaco and bidi.

Dr Rudreswara M.D:
External application of Tankana bhasma heals ulceration

Purnendu Mehta:
With his biopsy report

I will try with tankana bhasma. Thx.

.s.s Sir:
Apply Tankan bhasma with honey
Yesti madhu boiled in milk and do Gandusha three times daily..
Dhatri Lauh 2-2 tabs..
Before food,  after hving half meals and after food...
🙏🍀🌷🙏🍀🌷🙏🍀🌷🙏🍀🌷

Dr Manik Dixit:
He is having sub mucus fibrosis.
Nidaan parivarjan
Surendra sirs suggestion.
Rule out cancer.

Discussions up to June 27th

Dr Ravi Kumar Sivva:
Neem in your knickers
http://toi.in/scm1mY44/a19ai

Dr.lokdep:
HOW AYURVEDA FIGHT INFECTIONS ??

We know that we are surrounded by different kinds of microorganisms and also within our body. In Kerala in monsoon season, no matter how much hygiene measures are adopted in monsoon season, there are so many mosquitoes and flies , rats and other rodents who prefer to stay close to us .But all of us do not stay sick all the time by infections. Also when some people are in a home by infection, in the same home, there can be people who are devoid of infections. Some recover very fast while some others get worse and some even get shifted to ICU . Why it happens ??

There are two factors responsible for onset of infections :
1. Microbial factor - Every one is exposed to microbes every time.
2. Host factors- Host factors include general and specific components to fight against microbes. The main general mechanisms are ;
a. The strength of immune system - two types of immune functions happen,a: Vyadhibala virodhitwa: the immunity which fights after the disease manifests,b:Vyadhyutpadaka prathibandhakatwa: the immunity which prevent the infections .The former kind gets activated as soon a microbe invades and starts defence mechanisms then and there itself till the pathogen is completely destroyed/ inactivated . The second immune function helps not only to prevent an infection , but also to prevent attaining the strength of the infection

b. The digestion and metabolism of host : when a microbe attacks the body, the microbial toxins cause impaired assimilation of nutrients in the body making the patient weak, feeling heavy, impaired hunger, constipated( impaired peristalsis), lethargic, inflammatory reactions all over causing body pain etc. So it denotes that both digestion as wella s cellular metabolism in the host is seriously impaired . the rectification of these mechanisms by improving metabolism and neutralisation of toxins immediately rectify the deranged metabolism and digestion and thereby all the inflammatory mechanisms resulted by infection .

c. Drainage mechanisms - The internal drainage ( from within cells to outside) of metabolic waste and microbial toxins is impaired and so accumulation of this in cells happen .When internal drainage is impaired, taking laxatives will never help . Because improperly metabolised waste and toxins is within the cells and not in the colon. During that time, when laxatives are taken , it will worsen the metabolism and internal drainage mechanisms .
d. The mucous barrier - healthy and intact skin and mucous membrane prevents the entry of external microbes or inactivates them as soon as they enter .

(In Dengue fever, some cases lead to DHF because of sustained inflammation by above mechanisms resulting in increased capillary permeability . Ayurvedic treatment guidelines specific to inflammation will prevent as well as check bleeding as the root cause is attended. There are specific guidelines focussed on host factors to be judiciously adopted in all infective fevers which explained very systematically in accordance to nature of intrinsic cause , state and stage in Ayurvedic fever diagnosis and management .)

Ayurveda treats infection by specialised and specific focus guidelines with respect to the above four hostfactors and not by the very reductionist killing vector /microbe policy. Ayurveda is a shastra which has acquired tremendous development in its inbuil;t scientific infrastructure( by intense basic and applied research explained in shastra) from the pre-vedic belief that krimies , bhootas etc cause infections .

So Ayurveda can prevent, detect and cure any sort of infections rampant today in an unimaginably healthier and faster manner. Soon after the patient recover, the patient will forget that he was sick in the past two days owing to attainment of energy, enthusiasm and improved metabolism.

POSTED FOR PUBLIC AWARENESS
                                           ---SBEBA WISDOM SERIES

#Dr Remyakrishnan HOD DG Govt Ayu Col Mahe . Kerala.

Swati Totla:
Pt age 17/f,having cold sensitivity, symptoms_whenever she holds cold water bottle finger tips became red, burning, itching and sensation less. After 15 - 20 mins normal, after eating ice cream lips get swollen, same with ice pack.

Since 1 yr she is suffering with these symptoms, parents are thinking it's bcz of 12 th std pressure. A/C also not suitable for her, h/o sinusitis

Pls suggest treatment plan

Dr.kamal:
Pt weight??
Agni??
Constipation??

In my practice..I experienced with one formula for dis type of syptoms

Haridhrakhanda 100gm
Laghusoota mishran 40gm
Seethophaladhi churnam 20gm
BD dose

Swati Totla:
Pt Agni visham, wt according to height appropriate (48),mala सम्यक् but I doubt

Dr.kamal:
Before treatment check once AEC...

After 30 days treatment check again

💯 percent AEC will change...

Because of haridhrakhanda..
I was done small pilot study with above formulation..

Very good ayurvedic anti histamine..👍👍

Haridhrakhanda lsm seethophaladhi combination acts like montelukast with levocetrizine combination without any drowsiness...👍👍

DR. P. SRIDHARMURTHY, MYSORE.:
Anupana?

Swati Totla:
AEC?

Bindu Vedantam Bindu Vedantam:
Absolute esonophil count

Dr.kamal:
Honey

Discussions up to 24th June 2017

Dr
27yrs male patient suffering from lipomas since 10yrs
Plz suggest treatment
Already two times surgery done

Plz suggest treatment

Payal K:
Arogyavardhini, kanchanar guggulu / triphala guggulu, rasapachak , raktapachak & medo pachak

Surekha Mitta Dr.:
Hello friends ! A 67 year old male detected as 2nd stage stomach cancer. Not fit for surgery or radiation due to lowered health status. His bystanders want to try Ayurvedic treatment. He stays in Bihar near Patna. Would any of our friends who stay in Patna like to take up the case? Please let me know

Dr.kamal:
Patient weight??? Age???

Dr Kaveti Rajyalakshmi:
IDr Kaveti Rajyalakshmi:
These are lipomas. Requires weekly virechana with aswakanchuki ras. Medohara treatment will benefit. Takes not less than two years to reduce. Diet correction is must and should. I treated two cases.

Dr.nageswr Gokul:
Dr.Nageswara Rao.V:
Bhasma as a medicine and the toxicity aspect

 Minerals are essential for the proper function and structure of a cell. However, the human body cannot absorb most of the minerals in their natural (inorganic) form. The body has to recognize them as food. This food is provided by plants that process inorganic minerals from the soil into organic minerals that can be well absorbed by the human body. Concern has been expressed about the poisonous nature of the deified red sulfide of mercury (cinnabar/makardhwaja) and the red oxide of lead. There is a detailed description of their medicinal virtues in the texts22. Lead and mercury exposures of the human body and their harmful effects have been studied26. The absorption of inorganic compounds of mercury in the human body is poor to moderate when administered orally. Its half-life of stay in the blood is 40-60 days. The absorption of organic compounds of mercury is complete and the half-life in this case is about 70 days. Once absorbed, it is mainly distributed into the central nervous system and the kidneys. Its elimination is through excreta. Lead in both its inorganic and organic form is absorbed through the gastrointestinal tract. Once absorbed, it lands up in soft tissues (brain, liver, kidneys). Its half-life of stay in the blood is about 30 days. It is excreted through the kidneys. Chelation therapies have been used to bring down the levels of the toxic metals in patients. However, these require a careful monitoring. It has been expressed that probably the metals while being made into a bhasma get chelated with organic molecules (ligands) obtained from the herbs for these to be better assimilated27. To improve absorptivity and be less reactive in the digestive tract, a metal ion is bonded or chelated to an organic molecule, an amino acid or a hydrolyzed protein (a kind of a Trojan Horse). However, a bhasma when prepared is not a chelate; it tests to be an inorganic compound only. The bhasmas do show up with traces of certain other elements present in them. These come from the impurities, specific treatments and the crucibles and the vessels used15,18. Any organometallic complex compound has to survive the several incinerations at very high temperatures and if at all can be present in extremely small proportions only. Incidentally, minerals taken with a meal get usually automatically chelated in the stomach during digestion28.

 

 Thus, one has to contend with the simple inorganic compound form of the metal only that’s medicinal value and the attributed pharmacological action is to be scientifically ascertained and its absorption and stay in the body is to be quantitatively determined till it is drained out. Many metal oxides are toxic; in comparison, a sulfide of a metal is generally less toxic compared to its oxide or chloride, being relatively less soluble in the body fluids. As bhasmas are mostly oxides only, the toxicities need to be evaluated. Probably, to check the toxic accumulations, a bhasma is traditionally administered with an anupaana (vehicle) such as honey, milk or butter, etc. This has been empirically known but the knowledge is mostly qualitative. Some of the observations as follows provide more definite indications to the safety factor behind the use of bhasmas compared to the plain salts of the same metals that are toxic in high doses. Recently, some detailed studies have been made of the physicochemical changes in the various stages while preparing tamra (Cu) bhasma by light microscopic, electron scan microscopic, X-ray diffraction and thermal gravimetric techniques using standard protocols29. Initially, copper sulfides and some new metallic complexes are synthesized but eventually it is free of copper. The particle size in the end product reaches colloidal levels. The study also found that the bhasma when given in higher doses to rats does not get absorbed in the gastrointestinal tract but gets excreted. A study on the neurotoxic effect and accumulation of methyl mercury and mercuric sulfide (HgS) in rats indicates that insoluble fo

rm of inorganic HgS

can be absorbed from the G-I tract and that its neurotoxic potency is about one thousand times less than that of soluble MeHg30. In another study, swarna (Au) bhasma was prepared as per the classical texts and was analyzed for its metal contents using atomic absorption spectrometry31. An infrared spectroscopy was performed that revealed it to be free of any organic compounds. Its acute oral administration showed no mortality nor did a chronic administration show any toxicity in experimental animals. Also, the bhasma was found to have antioxidant property.

 Nanosubstances (0.1-100 nm) can have special physical and chemical properties. These are comparable to the size range of biological structures and so are potential substance for manipulation, sensing and detection of biological systems. A single atom is 0.1 to 0.2 nm in size, a strand of DNA is 2 nm wide while a red blood cell is about 7,000 nm. Substances such as metal oxide nanoparticles, nanogold particles and carbon based nanomaterials (fullerenes, nanotubes, nanodiamonds), etc. are being viewed as nanomedicine, with a variety of biological applications, in the diagnosis and treatment of 
a wide variety of diseases. At these scales, many substances can develop toxicity too. Experiments with zinc oxide nanoparticles (nZnO) have shown selective toxicity to different bacterial systems and human 
T lymphocytes32. Gold and its compounds have been known for their therapeutic utility. A standardized colloidal gold preparation (Tyndall's purple, Au°, 
27 nm) has been found to be a far more effective anti-arthritic agent in rats than the sodium aurothiomalate used in the treatment of rheumatoid arthritis33. The administration route was subcutaneous; attempt was to examine if the classic swarna bhasma can also be similarly suitable. Swarna bhasma (42 iterations, 
900 C) was prepared brown red in colour following classic texts (Rasaratnasamuchchya and Sarangdhara-Samhita). An infrared spectrum showed no presence of organic compounds and transmission electron microscope (TEM) measurements revealed average particle size to be 57 nm with globular morphology. An atomic absorption spectroscopy indicated the bhasma to be free of any mercury but having 92% zerovalent gold (Au°) in the bhasma. These nanogold particles should be able to reach the affected site even if administered orally and provide a slow and sustained release of Au (I) ions33. By itself, this is a highly promising area for further studies on treatment of diseases.

 However, an altogether different form of a bhasma, obtained following a classical bhasma process has been used. The swarna bhasmaprocess is a temperature sensitive one  and one must settle it if the swarna bhasma so obtained - predominantly a colloidal metallic gold - is a drug intermediate only since the bhasma process in general is so designed as to produce an oxide, free of organic and metallic particles. The classic texts describe a method involving aqua regia etc. to produce pure and fine yellow coloured gold powder which is used as medicine, in place of gold foils but it does not involve incineration4,24. As an aside, note that colour of a colloid can differ depending on particle size, shape and mutual separation, and refractive index of the medium. Nanogold particles 2-30 nm in size in a colloidal suspension are bright red in colour and their colour changes to purple and blue as the size gets larger as a result of a phenomenon called surface plasmon resonance34. Nanodiamonds are being considered as a potential drug delivery agent that can carry drugs to certain parts of a damaged cell where larger carbon based nanoparticles cannot reach and interestingly the left-over nanodiamonds do not induce inflammation in cells. Their impact on humans and other biological systems is being studied. It has been demonstrated that 2-10 nm nanodiamonds are biocompatible with a variety of cells of different origin and are nontoxic35. Nanodiamonds can for example be produced in a detonation of TNT/RDX 
at 5 Gigapascals and 2,000°C. The nanodia

mond concept differs a

ltogether from that of a vajra bhasma and so a correspondence can not be made. The bhasma process does not create nanodiamonds as an end product since powdered diamond will be only oxidized away in the numerous incinerations. Nanomedicine is regenerative medicine, for the treatment or repair of tissues and organs, within the targeted cells. The classic bhasma could qualify to be in the new age nanomedicines realm but the correspondence should be done within propriety. Cheap surely but whether therapeutically suitable is another matter that requires detailed studies, particularly of the toxicities.

 

 The Indian medicines were subjected to critical examination using the standards applied to western medicine where permissible limits to the presence of a toxic heavy metal in a formulation are established1. The work is about metal-contents and not a study of metal toxicities among populations resulting from use of such medicines. Also, the metals chemical forms, which can impact bioavailability and toxicity could not be ascertained. This important aspect has not received the attention it deserves. As inorganic compounds and in prescribed dosages, they are less likely to accumulate in the body. With particle sizes in the micron to near nanoscale range, the absorptivity of the metal bhasmas is presumably better than an ordinary mineral taken in powdered form. Between them, these factors are contrapositive but can also strike a kind of a balance. If the preparations have been done as expounded in the texts, the toxicity aspect is constrained because the compounds have been traditionally in use. All of the bhasma metals are not toxic. The Ayurvedic Formulary of India as also the National Formulary of Unani Medicine list several formulations that contain malla (arsenic) as an active pharmaceutical ingredient. The upper limit to the per diem dosage is 10 mg, for an adult. The formularies do permit usage of As. In very small doses, it is stomachic, general and nervine tonic, alterative, respiratory and sexual stimulant as per the texts22. There are several metal compounds considered poisonous but are permitted to be used in an ISM formulation. There are numerous vaidyas and ISM drug manufacturers who have developed formulations from less controversial drug material, permitted to be used in ISM, and claim positive results. These need a multifaceted study, like any modern medicine today.

 

 The concerns in the study notwithstanding, use of inorganic chemical substances in medicine has been widespread in the West, well into the 20th century and these have been part of pharmacopoeias1. One can cite here substances such as compounds of mercury, copper sulfate, alum, magnesia, borax and green vitriol, etc. The West has used arsenic trioxide over the past 200 yrs as a part of medicine, including the treatment of cancer. The Food and Drug Administration in 2000 approved arsenic trioxide for the treatment of patients with acute promyelocytic leukemia that is resistant to ATRA. One can see a number of tonics in US, UK, etc. which contain a number of minerals including vanadium, manganese, chromium, selenium, etc.

Ref:
http://www.niscair.res.in/sciencecommunication/researchjournals/rejour/ijtk/Fulltextsearch/2010/July%202010/IJTK-Vol%209(3)-July%202010-pp%20562-575.htm

Dr.suresh Jakotia:
Try Surankanda with tankan bhasma lepa.

Dr.kamal:
http://ayushdhara.in/index.php/ayushdhara/article/view/237/198

Successful case study..today published in ayushdhara journal..

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