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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.

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