tag:blogger.com,1999:blog-8987007441526537752024-02-08T08:12:13.971-08:00Aayur HomeThe Complete Health Care CentreDr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-898700744152653775.post-75846161711958122922015-01-30T03:25:00.003-08:002015-01-30T03:25:49.388-08:00LEUCORRHOEA or SHVETA PRADAR<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<h2 class="MsoNormal" style="text-align: left;">
<span style="color: blue;">LEUCORRHOEA Or SHVETA PRADAR</span></h2>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Leuco or Shveta = White</div>
<div class="MsoNormal">
Orrhoea or Pradar = Discharge</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Normally the vagina is kept moist by
a fluid exuded from the vagina. It is slightly white in colour and is acidic in
nature composed of tissue fluid, cell debris, carbohydrate, lactoblacilli,
lactic acid.</div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>Normal vaginal
discharge is odorless and a clear or pale milky color which plays an important
role in maintaining a healthy vagina by flushing out bacteria and other tiny
organisms to prevent infection. There are cetain microorganisms
in the secretion. These micro organisms produce lactic acid which destroys
disease producing microoranisms. That is why the vagina is very resistant to
infection. Under some diseased conditions, this normal secretion is increased.
Then the disease is called Leucorrhoea.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
This secretion increased
physiologically at puberty, during pregnancy, during premenstrual congestion,
during ovulation and also at the time of sexual excitement.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Pathologically, it is caused due to
many reasons:</div>
<div class="MsoNormal">
Among Pathological Leucorrhoea 90%
of cases are relatively mild and is due to one of three main infective agents
like Candida albicans, Gardnerella vaginalis, Trichomonas vaginalis. Chlamydia
trachomatis is a major cause of vaginal diseases. Worm affection(thread worm
etc..) sometimes crawl into the genital organs and irritate them producing
increased secretion.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: red;"><span style="mso-spacerun: yes;"> </span><span style="color: black;">The remaining 10% are more serious. They may
found associated with mucous polypus of the cervix, or carcinoma of the
reproductive tract with debility and anaemia, and also with cervical erosion.
They may cause painful sores, tumour-like lesions, spread into the pelvis or
causes generalized infections. </span></span></div>
<div class="MsoNormal">
<br /></div>
<h4 class="MsoNormal" style="text-align: left;">
<span style="color: blue;">Clinical features</span></h4>
<div class="MsoNormal">
The patient feels weak and tired with emaciation of the
body.</div>
<div class="MsoNormal">
Back ache, Pain in calves musles etc…</div>
<div class="MsoNormal">
Itching of vulva due to candida or trichomonas</div>
<div class="MsoNormal">
Complains of excessive amount of staining on clothing</div>
<div class="MsoNormal">
Offensive smell</div>
<div class="MsoNormal">
Painful Coition…etc…</div>
<div class="MsoNormal">
<br /></div>
<h4 class="MsoNormal" style="text-align: left;">
<span style="color: blue;">Treatment.</span></h4>
<div class="MsoNormal">
Treatment should be done according to the clinical features
of the patient. Treating the cause only helps in the proper cure of the
condition. Too much vaginal douching is bad as it destroys natural protective
bacilli.</div>
<div class="MsoNormal">
In Ayurveda it is mentioned about Shveta pradara and Soma
roga. Prime importance is given to understand the doshic Vitiation.</div>
<div class="MsoNormal">
If the leucorrhoea is due to Vata Dosha, Its nature shall be
watery or milk like, transparent , excess quantity, flowing down through the
thighs.</div>
<div class="MsoNormal">
If the leucorrhoea is due to Pitta Dosha, its nature will be
excoriating, with burning sensation and with slight yellowish colour.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
If it is due to kapha dosha, the secretion shall be like
solid, white colour, curd like, with severe itching.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
If it is due to Sannipatik that is due to the vitiation of
all the vata, pitta and kapha dosha, it may associate with itching, burning,
excoriating, yellowish or brownish or greenish in color.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The treatment is based on symptom totality in Homoeopathy.</div>
<div class="MsoNormal">
So the proper cure of Leucorrhoea, one should have to
consult an eminent doctor who should give utmost care in understanding the cause,
the doshic vitiation,<span style="mso-spacerun: yes;"> </span>etc…. </div>
<div class="MsoNormal">
For More details Contact @ 9020 78 50 50 </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
</div>
Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-898700744152653775.post-14037023466730626442015-01-30T03:23:00.002-08:002015-02-03T23:29:00.342-08:00Dhatu Rog / Spermatorrhoea<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<h2 class="MsoNormal" style="text-align: left;">
<span style="color: blue;">Spermatorrhoea or Dhatu Rog.</span></h2>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Spermatorrhea is the condition in which there is involuntary
discharge of the vital fluid (semen or prostatic fluid). When it occurs at
night, the condition is called Nocturnal emission and is generally accompanied
by ‘erotic dreams’, but in cases of extreme debility may even occur without
dreams. During waking hours, it may occur from sexual excitement caused by
flirting with girls, reading obscene literature, seeing lewd pictures, gazing
at the love scenes of animals or human beings (pornography) etc.. It may also
occur due to the passage of hard stool through the rectum thereby causing
pressure effect to the Prostatic gland.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>An occasional
emission at night, say once in a fortnight or in some cases even once in a week
is of no serious consequences, if it is not followed by any symptom of weakness
or irritability, but on the other hand leaves only a sense of ease and comfort
for the body and mind. If it occurs too frequently and is followed by weakness,
irritability, mental depression, inability to concentrate, dyspeptic symptoms,
any other mental and physical symptoms, the condition should be viewed with
concern. The patient narrates his condition to his friends from whom he gets an
exaggerated account of the evil consequences of his ailments which constantly
fills his mind with evil forebodings rendering him incapable for any useful
walk of life. He approaches the so-called specialists, many of them are quacks
and imposters, and grabs at the much advertised specifics as a drowning man
would catch at a straw. Experiments with these quack remedies, one after
another in quick succession, results only in depletion of his monetary
resources and finally when he realizes the truth that these so called specifics,
for emissions and sexual weakness are only the sources of income of
unscrupulous and mercenary minded quacks who earn their living by taking
advantage of the fears and anxieties of their weak-minded fellow-creatures, he
finds he is badly debilitated and almost impotent. My advise to these patients
is that they should not be hoodwinked by these advertisements. Homoeopathic or
Ayurvedic treatment or<span style="mso-spacerun: yes;"> </span>both combined, if
properly done, along with the observance of certain rules of health which are
enumerated below, will cure any case of seminal emissions and weakness, leaving
behind no bad effects.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>If the patient
is hypochondriacal and melancholic owing to repeated loss of vital fluid, a
change of environment will facilitate a cure. The bowel should be kept open by
natural means and not by using laxatives. Good abdominal exercises such as the
yoga poses(asanas), swimming, walking, jogging, are very conducive to the
health of the abdominal organs which is quite essential for a normal and
natural bowel movement. The patient should finish his night meals before sunset
or just immediately after sunset, as the cause of the emissions in many case is
an overloaded stomach. A glass of warm water mixed with the juice of half a
lemon without the addition of sugar or salt may be taken on going to bed and on
getting up from the bed in the morning. This will help in effecting a natural
bowel movement. Before going to sleep, clean the prepuce or the skin covering
the glans penis with cold water and also wash the legs with cold water below the
knees. Too much walking or running as involved in football or other games
should not be indulged in after 4. P.M as this causes congestion or rush of
blood to the parts near about the sexual organs and may tend to cause an
emission. The Yoga Asana named Sirsh Asan may be considered almost as specific
in the treatment of this condition, which was performed daily by the late Prime
Minister Mr. Jawahar Lal Nehru, and to which he attributed his never-failing
health.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>The technique in
performing it should be studied under someone who knows how to do it but it is
worth studying it and doing it regularly as it is very efficacious in the
treatment of most cases of seminal weakness. </div>
<div class="MsoNormal">
Tobacco in all forms as chewing, smoking, snuffing etc.. and
all stimulants like strong tea, coffea, alcohol etc …should be absolutely
abandoned by the patients as all the stimulants have some aphrodisiac
properties, i.e,<span style="mso-spacerun: yes;"> </span>a power to excite
sexual passion. Plenty of simple but nourishing food should be taken in order
to give the body the necessary food elements which the body is deprived of. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The mind should be kept constantly engaged in some good work
as the “Idle brain is the devil’s workshop”, Spend a few minutes daily morning
and night in prayer, meditation of the Almighty and let the brain be filled
with good and pious thoughts while lying on bed awaiting sleep. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
For the proper treatment, you can counsult Aayur Home
doctors.</div>
<div class="MsoNormal">
Call us at +91 9496 81 43 81</div>
</div>
Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-898700744152653775.post-3831641389073008962015-01-30T03:21:00.003-08:002015-01-30T03:21:51.085-08:00IMPOTENCE / Sexual Dysfunction<div dir="ltr" style="text-align: left;" trbidi="on">
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<h3 class="MsoNormal">
<span style="color: blue;">Sexual Dysfunction in Males</span></h3>
<div class="MsoNormal" style="text-align: left;">
<span style="color: blue;"> </span>The word “impotence” means want of sexual power, and in the
male it implies that condition in which the man is unable to perform the sexual
act effectively. It may be complete or partial. In Complete Erectile
dysfunction, the man is completely unable to perform the marital act, while in
partial erectile dysfunction, he may succeed in having more or less a complete
erection, but seminal ejaculation occurs prematurely and the erection subsides
long before the female has reached her climax.
</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Erectile dysfunction is not to be confounded with sterility,
Sterility means barrenness or unproductiveness, an inability to impregnate a
uterus. </div>
<div class="MsoNormal">
Sterility is usually seen in persons suffering from
impotency, but it may also exist in persons with full sexual power,</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<u>Impotency may be divided into three divisions:-</u></div>
<ol start="1" style="margin-top: 0in;" type="1">
<li class="MsoNormal" style="mso-list: l2 level1 lfo1; tab-stops: list .5in;">Organic</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo1; tab-stops: list .5in;">Functional</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo1; tab-stops: list .5in;">Psychic</li>
</ol>
<div class="MsoNormal">
<br /></div>
<h4 class="MsoNormal" style="text-align: left;">
<span style="color: blue;">Organic Impotence: </span></h4>
<div class="MsoNormal">
Impotence originating from some organic (structural,
anatomical) defects in the sexual organs or in the sexual nerve centers. This
may be caused by:-</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span>A
severe attack of mumps in children which may involve testicles too and thus
hinder development causing atrophy.</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span>Removal
of the testicles (castration) necessitated by an injury or other conditions is
followed by complete impotence.</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span>The
lower part of the spinal column, near the lumbar region, is connected with a
group of nerves called the sexual plexus, which is concerned with the sexual
organs, and any injury to this part may make one impotent. Injury to the
cerebrum may also result in impotence.</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span>Hydrocele,
Scrotal Hernia (varicocele) and Elephantiasis make the surrounding parts of the
penis hypertrophied, and the penis enveloped by such huge mass of tissues is
rendered unable to penetrate into the vagina.</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span>Unnatural
means of sexual gratification and sodomy, prolonged involuntary seminal
emission and senility cause sometimes such diminution in the size of the penis
and testicles and distorts the shape of the penis in such a way as to make the
man partially impotent.</div>
<div class="MsoNormal" style="margin-left: .25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .25in;">
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>In the man the extremity of the
penis called glans is highly sensitive to sexual feeling while in the female
there are 3 such sensitive zones. They are the Clitoris, the Os Uteri, and the
Vaginal Walls. These erotic zones are so constituted that they can sexually
excited only by the rhythmic resistance and motion of a strong and normally
sized male organ. This is not generally possible by an undersized and curved
penis, which is the cause of impotence in some persons.</div>
<div class="MsoNormal" style="margin-left: .25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .25in;">
Organic impotence resulting from
injuries to the male organs and cerebrum is almost incurable, while that
arising from youthful indiscretions is curable to a great extent. The
deformities of the sex organs and its dysfunction are to be treated by the
rational way of treatment including properly indicated constitutional medicine,
by taking nourishing diet, proper exercises and other adherence to Nature’s
laws and avoid the causative factors.</div>
<div class="MsoNormal" style="margin-left: .25in;">
<br /></div>
<h4 style="text-align: left;">
<span style="color: blue;">Functional Impotence</span></h4>
<div class="MsoNormal" style="margin-left: 0.25in; text-align: left;">
It is a condition in which the man is rendered impotent due to a disturbed
function of the sexual organs or the nervous system that controls sex. If
seminal emission occurs too early before the erection is complete, or if the
whole act is finished very soon, the man may be said to suffering from
functional impotence.</div>
<div class="MsoNormal" style="margin-left: .25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .25in;">
Factors causing Functional
Impotence:</div>
<ol start="1" style="margin-top: 0in;" type="1">
<li class="MsoNormal" style="mso-list: l0 level1 lfo3; tab-stops: list .5in;">Excessive
Masturbation</li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo3; tab-stops: list .5in;">Excessive
Sexual Indulgence</li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo3; tab-stops: list .5in;">Sexually
transmitted disease like Syphilis and Gonorrhoea</li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo3; tab-stops: list .5in;">Spermatorrhoea</li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo3; tab-stops: list .5in;">All
causes which aid to undermine the general health: viz, taking tea, coffea,
tobacco, alcohol, all kinds of drugs and stimulants.</li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo3; tab-stops: list .5in;">Suppression
of sexual instinct; sexual excitements which are not satisfied for
prolonged periods cause functional impotence,</li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo3; tab-stops: list .5in;">Frequent
harbouring of lascivious ideas in the mind causes the cerebrum to send
impulses to the erection centre, and this in turn send impulses to the
penis as a result of which the penis gets engorged with blood. This
chronic congestion and the frequent sending of impulses by the erection
center must needs end in exhaustion of the erection centre causing functional
impotence.</li>
</ol>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<h4 class="MsoNormal" style="text-align: left;">
<span style="color: blue;">Psychic Impotence</span></h4>
<div class="MsoNormal">
Impotence due to mere psychological or mental factors are
envisaged under this group. Any act or factor which can influence the
imagination may lead to this condition. The more common factors are fear of
venereal diseases, person who may addicted to unnatural or excessive
indulgence.</div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>Treatment of this
type of impotence should mainly be psychological. If this is properly done
along with the administration of the indicated homoeopathic and ayurvedic
remedy and adherence to Laws of Nature, a cure is possible.</div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>I would warm my
reader against using any of the advertised patent rejuvenators, as the majority
of these preparations contain some sort of stimulants, as Indian hemp,
strychnine, alcohol, damiana etc..which though may be temporary benefit will in
the long run do much harm. Like that, also the allopathic medicine such as
Sildenafil, Taladafil etc..get some temporary benefit but produces harmful side
effects including sudden loss of vision. As medicines, I would recommend only
the use of homoeopathic or Ayurvedic medicines, selecting according to
symptom-totality and that should be prepared and taken according to the strict
ruled laid down in the literatures of both systems of medicines.</div>
<div class="MsoNormal">
<br /></div>
</div>
Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-898700744152653775.post-34499550124711006392015-01-30T03:18:00.000-08:002015-01-30T03:18:11.092-08:00UTHARAVASTHI/MEDICATION THROUGH VAGINA/URETHRA Or PENIS<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="MsoTitle" style="text-align: center;">
<span style="color: blue; font-size: 18.0pt;">Uttaravasthi</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="color: blue; font-size: 14.0pt;">(Female)</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="text-indent: .5in;">
Usually in females, utharavasthi
done by three ways. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="mso-tab-count: 3;"> </span>1
Vaginal douche by kashaya</div>
<div class="MsoNormal" style="margin-left: 1.5in;">
2.Vaginal utharavasthi using sneha</div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: .5in;">
3. Uterine (Intrauterine)
utharavasthi using sneha</div>
<div class="MsoNormal" style="margin-left: .5in;">
<br /></div>
<h1 style="text-indent: .5in;">
<span style="font-size: 14.0pt;">1. Vaginal douche</span></h1>
<div class="MsoNormal" style="margin-left: .5in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in;">
<span style="mso-tab-count: 1;"> </span>Usually
done in conditions like cervicitis, cervical erosion, HPV-human papilloma
virus, trichomanas vaginalis infection, cervical intraepithelial neoplasia
using decoction.</div>
<h2 style="text-indent: .5in;">
<span style="font-family: "Times New Roman"; font-size: 12.0pt; font-style: normal; mso-bidi-font-style: italic;">Materials required</span></h2>
<div class="MsoNormal" style="margin-left: .5in; text-indent: .5in;">
1 Vaginal douche
can</div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l1 level1 lfo1; tab-stops: list 1.25in; text-indent: -.25in;">
<span style="mso-list: Ignore;">2<span style="font: 7.0pt "Times New Roman";">
</span></span>Cotton gauze</div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l1 level1 lfo1; tab-stops: list 1.25in; text-indent: -.25in;">
<span style="mso-list: Ignore;">3<span style="font: 7.0pt "Times New Roman";">
</span></span>Dettol, savlon</div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l1 level1 lfo1; tab-stops: list 1.25in; text-indent: -.25in;">
<span style="mso-list: Ignore;">4<span style="font: 7.0pt "Times New Roman";">
</span></span>Artery forceps</div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l1 level1 lfo1; tab-stops: list 1.25in; text-indent: -.25in;">
<span style="mso-list: Ignore;">5<span style="font: 7.0pt "Times New Roman";">
</span></span>Sponge holding forceps</div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l1 level1 lfo1; tab-stops: list 1.25in; text-indent: -.25in;">
<span style="mso-list: Ignore;">6<span style="font: 7.0pt "Times New Roman";">
</span></span>Kidney tray</div>
<h2 style="text-indent: .5in;">
<span style="font-family: "Times New Roman"; font-size: 12.0pt; font-style: normal; mso-bidi-font-style: italic;">Drugs required</span></h2>
<div class="MsoNormal" style="margin-left: .5in;">
<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>1
Nalpamaradi kashaya</div>
<div class="MsoNormal" style="margin-left: .5in;">
<span style="mso-tab-count: 1;"> </span>2
Triphala kashaya<span style="mso-tab-count: 1;"> </span></div>
<div class="MsoNormal" style="margin-left: .75in; text-indent: .25in;">
3 Aragwadadhi
kashaya</div>
<div class="MsoNormal" style="margin-left: .75in; text-indent: .25in;">
4
Panchathikthaka kashay<i style="mso-bidi-font-style: normal;">a</i></div>
<div class="MsoNormal" style="margin-left: .75in; text-indent: .25in;">
<br /></div>
<div class="MsoNormal">
<i style="mso-bidi-font-style: normal;"><span style="mso-tab-count: 1;"> </span></i><b><span style="mso-bidi-font-style: italic;">Time of administration</span></b></div>
<div class="MsoNormal">
<span style="mso-tab-count: 2;"> </span>9.30 am - 1 pm<span style="mso-spacerun: yes;"> </span>in OPD base</div>
<h3>
<span style="font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span>Dose<span style="mso-tab-count: 4;"> </span></span></h3>
<div class="MsoNormal" style="margin-left: .5in; text-indent: .5in;">
1500ml of kashaya</div>
<div class="MsoNormal" style="margin-left: .5in; text-indent: .5in;">
<br /></div>
<div class="MsoNormal">
<span style="mso-tab-count: 1;"> </span><b><span style="mso-bidi-font-style: italic;">Procedure</span></b></div>
<div class="MsoNormal" style="margin-left: .5in; text-indent: -.5in;">
<span style="mso-tab-count: 2;"> </span>Ask the patient to void
the urges before the procedure. Give snehana and swedana over pelvic and
lumbosacral region. Patient should lie in lithotomic position.<span style="mso-spacerun: yes;"> </span>Clean the vulva region with the swab dipped
in antiseptic lotion.</div>
<div class="MsoNormal" style="margin-left: .5in; text-indent: -.5in;">
<span style="mso-tab-count: 2;"> </span>Take kashaya in vaginal
douche can; confirm nozzle of the can is closed properly. Insert nozzle through
vaginal orifice allowing flow of kashaya in all fornices and around cervix to
wash out. After complete cleaning, remove nozzle and again swab out vagina with
cotton gauze.</div>
<div class="MsoNormal" style="margin-left: .5in; text-indent: -.5in;">
<span style="mso-tab-count: 2;"> </span>In case of infections,
varthi like Kushtapippalyathi varthi can be used after vaginal douche.</div>
<div class="MsoNormal">
<br /></div>
<h4 style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; tab-stops: list .75in; text-indent: -.25in;">
2 .Vaginal
utharavasthi </h4>
<h4 style="margin-left: .5in;">
<span style="font-weight: normal; mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;"> </span></span><span style="font-size: 12.0pt; font-weight: normal;">Usually used in non infective conditions of vagina
and cervix, 1 & 2 <sup>0</sup> uterine prolapse, female infertility,
cervical erosion, cervicitis, cervical intraepithelial Neoplasia, endometriosis
etc.</span></h4>
<h2 style="text-indent: .5in;">
<span style="font-family: "Times New Roman"; font-size: 12.0pt; font-style: normal; mso-bidi-font-style: italic;">Materials required</span></h2>
<div class="MsoNormal" style="margin-left: .15in; text-indent: .85in;">
<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>1<span style="mso-spacerun: yes;"> </span>Casco’s bivalve speculum</div>
<div class="MsoNormal" style="margin-left: 1.75in; mso-list: l0 level1 lfo2; tab-stops: list 1.75in; text-indent: -.25in;">
<span style="mso-list: Ignore;">2<span style="font: 7.0pt "Times New Roman";">
</span></span>Sponge holding forceps</div>
<div class="MsoNormal" style="margin-left: 1.75in; mso-list: l0 level1 lfo2; tab-stops: list 1.75in; text-indent: -.25in;">
<span style="mso-list: Ignore;">3<span style="font: 7.0pt "Times New Roman";">
</span></span>Artery forceps</div>
<div class="MsoNormal" style="margin-left: 1.75in; mso-list: l0 level1 lfo2; tab-stops: list 1.75in; text-indent: -.25in;">
<span style="mso-list: Ignore;">4<span style="font: 7.0pt "Times New Roman";">
</span></span>Betadine, savlon</div>
<div class="MsoNormal" style="margin-left: 1.75in; mso-list: l0 level1 lfo2; tab-stops: list 1.75in; text-indent: -.25in;">
<span style="mso-list: Ignore;">5<span style="font: 7.0pt "Times New Roman";">
</span></span>Sterilized gauze</div>
<div class="MsoNormal" style="margin-left: 1.75in; mso-list: l0 level1 lfo2; tab-stops: list 1.75in; text-indent: -.25in;">
<span style="mso-list: Ignore;">6<span style="font: 7.0pt "Times New Roman";">
</span></span>Syringe 10-30 ml capacity</div>
<div class="MsoNormal" style="margin-left: 1.75in; mso-list: l0 level1 lfo2; tab-stops: list 1.75in; text-indent: -.25in;">
<span style="mso-list: Ignore;">7<span style="font: 7.0pt "Times New Roman";">
</span></span>Kidney tray</div>
<div class="MsoNormal" style="margin-left: 1.75in; mso-list: l0 level1 lfo2; tab-stops: list 1.75in; text-indent: -.25in;">
<span style="mso-list: Ignore;">8<span style="font: 7.0pt "Times New Roman";">
</span></span>Medicated sneha autoclaved</div>
<h2 style="text-indent: .5in;">
<span style="font-family: "Times New Roman"; font-size: 12.0pt; font-style: normal; mso-bidi-font-style: italic;">Drugs required</span></h2>
<div class="MsoNormal" style="margin-left: 2.0in; mso-list: l2 level1 lfo3; tab-stops: list 2.0in; text-indent: -.5in;">
<span style="mso-list: Ignore;">1<span style="font: 7.0pt "Times New Roman";">
</span></span>Phalasarpis</div>
<div class="MsoNormal" style="margin-left: 2.0in; mso-list: l2 level1 lfo3; tab-stops: list 2.0in; text-indent: -.5in;">
<span style="mso-list: Ignore;">2<span style="font: 7.0pt "Times New Roman";">
</span></span>Dhanwantharam gritham</div>
<div class="MsoNormal" style="margin-left: 2.0in; mso-list: l2 level1 lfo3; tab-stops: list 2.0in; text-indent: -.5in;">
<span style="mso-list: Ignore;">3<span style="font: 7.0pt "Times New Roman";">
</span></span>Shatpala gritham</div>
<div class="MsoNormal" style="margin-left: 2.0in; mso-list: l2 level1 lfo3; tab-stops: list 2.0in; text-indent: -.5in;">
<span style="mso-list: Ignore;">4<span style="font: 7.0pt "Times New Roman";">
</span></span>Shashtika tailam</div>
<div class="MsoNormal" style="margin-left: 1.5in;">
5<span style="mso-tab-count: 1;"> </span>Varanadhi
gritham</div>
<div class="MsoNormal" style="margin-left: 1.5in;">
6<span style="mso-tab-count: 1;"> </span>Jathyadhi
gritham</div>
<div class="MsoNormal" style="margin-left: 1.5in;">
7<span style="mso-tab-count: 1;"> </span>Gugguluthikthaka
gritha</div>
<div class="MsoNormal" style="margin-left: 1.5in;">
8<span style="mso-tab-count: 1;"> </span>Kalyanaka
gritha</div>
<div class="MsoNormal" style="margin-left: 1.75in; mso-list: l0 level1 lfo2; tab-stops: list 1.75in; text-indent: -.25in;">
<span style="mso-list: Ignore;">9<span style="font: 7.0pt "Times New Roman";">
</span></span><span style="mso-spacerun: yes;"> </span>Mahathikthaka gritha</div>
<div class="MsoNormal" style="margin-left: 1.5in;">
<br /></div>
<h6 style="text-indent: .5in;">
<span style="font-size: 12.0pt;">Time of
administration</span></h6>
<div class="MsoNormal" style="margin-left: 1.0in;">
<span style="mso-tab-count: 2;"> </span>According
to the condition, mostly in morning hours</div>
<div class="MsoNormal" style="margin-left: 1.0in;">
<br /></div>
<h6>
<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span><span style="font-size: 12.0pt;">Dose of medicine</span></h6>
<div class="MsoNormal" style="margin-left: 2.0in; text-indent: .5in;">
15-20 ml</div>
<h6 style="text-indent: .5in;">
<span style="font-size: 12.0pt;">Procedure</span></h6>
<div class="MsoNormal" style="margin-left: 1.0in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in;">
<span style="mso-tab-count: 1;"> </span>Autoclave
all required materials. Prepare the patient with local shaving of pubic hair.
Snehana and swedana of katee pradesa should be done. After voiding urine, ask
the patient to lie down on utharavasthi table in lithotomic position. Cover all
other parts except genitalia with surgical towels and fix with towel clips.
Clean the exposed area with cleaning agents using sponge holding forceps and
gauze. Clean vagina using artery forceps and gauze. Fix Casco’s bivalve
speculum for proper visualization of cervix. Take autoclaved medicine in
syringe and slowly injecting vagina till it fully covers the os reaching
external os. Keep plain gauze and remove Casco’s speculum. Ask the patient to
lie down in supine position for 15-20 minutes.</div>
<div class="MsoNormal" style="margin-left: .5in;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0in;">
<br /></div>
<h5 style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; page-break-after: avoid; tab-stops: list .75in; text-indent: -.25in;">
<span style="font-size: 14.0pt; font-style: normal; mso-bidi-font-style: italic;">3
Intrauterine utharavasthi</span></h5>
<div class="MsoNormal" style="margin-left: .5in;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0in;">
It is usually done in infertility,
intrauterine pathologies with sneha</div>
<h6 style="text-indent: .5in;">
Materials required</h6>
<div class="MsoNormal" style="margin-left: 1.0in;">
<br /></div>
<ul style="margin-top: 0in;" type="square"><ul style="margin-top: 0in;" type="circle"><ul style="margin-top: 0in;" type="square">
<li class="MsoNormal" style="mso-list: l3 level3 lfo4; tab-stops: list 1.5in;">Cusco’s bivalve speculum</li>
<li class="MsoNormal" style="mso-list: l3 level3 lfo4; tab-stops: list 1.5in;">Uterine
sound</li>
</ul>
</ul>
</ul>
<h5 style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.5in; margin-right: 0in; margin-top: 0in; mso-list: l3 level3 lfo4; page-break-after: avoid; tab-stops: list 1.5in; text-indent: -.25in;">
<span style="font-family: Wingdings; font-style: normal; font-weight: normal; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-style: normal; font-weight: normal; mso-bidi-font-style: italic;">Ruben’s canula</span></h5>
<h5 style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.5in; margin-right: 0in; margin-top: 0in; mso-list: l3 level3 lfo4; page-break-after: avoid; tab-stops: list 1.5in; text-indent: -.25in;">
<span style="font-family: Wingdings; font-style: normal; font-weight: normal; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-style: normal; font-weight: normal; mso-bidi-font-style: italic;">Sponge holding forceps</span></h5>
<h5 style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.5in; margin-right: 0in; margin-top: 0in; mso-list: l3 level3 lfo4; page-break-after: avoid; tab-stops: list 1.5in; text-indent: -.25in;">
<span style="font-family: Wingdings; font-style: normal; font-weight: normal; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-style: normal; font-weight: normal; mso-bidi-font-style: italic;">Artery forceps</span></h5>
<h5 style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.5in; margin-right: 0in; margin-top: 0in; mso-list: l3 level3 lfo4; page-break-after: avoid; tab-stops: list 1.5in; text-indent: -.25in;">
<span style="font-family: Wingdings; font-style: normal; font-weight: normal; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-style: normal; font-weight: normal; mso-bidi-font-style: italic;">Sterile gauze</span></h5>
<h5 style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.5in; margin-right: 0in; margin-top: 0in; mso-list: l3 level3 lfo4; page-break-after: avoid; tab-stops: list 1.5in; text-indent: -.25in;">
<span style="font-family: Wingdings; font-style: normal; font-weight: normal; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-style: normal; font-weight: normal; mso-bidi-font-style: italic;">Towel with clips</span></h5>
<h5 style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.5in; margin-right: 0in; margin-top: 0in; mso-list: l3 level3 lfo4; page-break-after: avoid; tab-stops: list 1.5in; text-indent: -.25in;">
<span style="font-family: Wingdings; font-style: normal; font-weight: normal; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-style: normal; font-weight: normal; mso-bidi-font-style: italic;">Kidney tray</span></h5>
<h5 style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.5in; margin-right: 0in; margin-top: 0in; mso-list: l3 level3 lfo4; page-break-after: avoid; tab-stops: list 1.5in; text-indent: -.25in;">
<span style="font-family: Wingdings; font-size: 14.0pt; font-style: normal; font-weight: normal; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt; font-style: normal; font-weight: normal; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">Medicated
sneha</span></h5>
<div class="MsoNormal">
<br /></div>
<h5 style="margin-bottom: .0001pt; margin: 0in; page-break-after: avoid; text-indent: .5in;">
<span style="font-size: 12.0pt; font-style: normal; mso-bidi-font-style: italic;">Drugs used</span><span style="font-size: 12.0pt; font-style: normal; font-weight: normal; mso-bidi-font-style: italic;"></span></h5>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; text-indent: .5in;">
1 Phalasarpis</div>
<div class="MsoNormal" style="margin-left: .5in; text-indent: .5in;">
2 Kalyanaka gritha</div>
<div class="MsoNormal" style="margin-left: .5in; text-indent: .5in;">
3 Dhanwanthara
gritha</div>
<div class="MsoNormal" style="margin-left: .5in;">
<br /></div>
<div class="MsoNormal" style="text-indent: .5in;">
<b><span style="mso-bidi-font-style: italic;">Dose</span></b>:<span style="mso-tab-count: 3;"> </span>
2-4 ml.</div>
<div class="MsoNormal" style="text-indent: .5in;">
<br /></div>
<div class="MsoHeading7" style="text-indent: .5in;">
<b style="mso-bidi-font-weight: normal;">Time of administration</b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in;">
<span style="mso-spacerun: yes;"> </span>Done in rithukala after doing
kashayavasthi with proper snehana and sodhana. </div>
<div class="MsoNormal" style="margin-left: .5in; text-indent: .5in;">
<br /></div>
<div class="MsoNormal" style="text-indent: .5in;">
<b><span style="mso-bidi-font-style: italic;">Procedure:</span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; text-indent: .5in;">
Snehana and
swedana of kateeprdesha is done. Sodhana is done as yogavasthi or kala vasthi
or rajayapana vasthi. Patient is prepared with shaving of the pubic hair. The
patient is asked to lie down on the table in lithotomic position after voiding
urine. Cover the part except genitalia with surgical towels and fix with towel
clips. Clean the exposed area with cleaning agents using sponge holding forceps
and gauze. Clean vagina with artery forceps and gauze. Fix the Casco’s bivalve
speculum for proper visualization of cervix. Insert uterine sound to know the
position of uterus. Remove the uterine sound and slowly insert Ruben’s canula
in the same direction. Attach autoclaved medicine filled syringe to external
end of Ruben’s canula. Push the medicine slowly. Remove the syringe, canula and
speculum carefully. After the procedure keep a pichu in the vagina. Ask the
patient to lie down in supine position for 15-20 minutes, remove the pichu when
patient feels next urge of Micturition.</div>
<h3 style="text-indent: .5in;">
<span style="font-family: "Times New Roman"; font-size: 12.0pt;">Complications</span></h3>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="mso-tab-count: 1;"> </span>Bleeding or
spotting</div>
<div class="MsoNormal">
<span style="mso-tab-count: 3;"> </span>Medication
is not required; it will subside on the next day.</div>
<div class="MsoNormal">
<span style="mso-tab-count: 1;"> </span>Abdominal
pain<span style="mso-tab-count: 1;"> </span></div>
<div class="MsoNormal" style="margin-left: .5in; text-indent: .5in;">
Managed with
dhanwantharam gutika, dhanwantharam kashaya and sapthasara kashaya</div>
<h2 style="text-indent: .5in;">
<span style="font-family: "Times New Roman"; font-size: 12.0pt; font-style: normal; mso-bidi-font-style: italic;">Precautions </span></h2>
<div class="MsoNormal" style="margin-left: .5in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in;">
1<span style="mso-spacerun: yes;">
</span>Proper sterilization</div>
<div class="MsoNormal" style="margin-left: .5in;">
2<span style="mso-spacerun: yes;">
</span>TT injections before the procedure</div>
<div class="MsoNormal" style="margin-left: .5in;">
3<span style="mso-spacerun: yes;">
</span>Use of Biogest, Septilin tab during the procedure to avoid infection</div>
<div class="MsoNormal" style="margin-left: .75in; text-indent: -.25in;">
4 Push
medicines very slowly to avoid entry into the peritoneum, which may</div>
<div class="MsoNormal" style="margin-left: .75in; text-indent: -.25in;">
<span style="mso-spacerun: yes;"> </span>cause severe peritonitis, and spilling into
appendages.</div>
<div class="MsoNormal" style="margin-left: .5in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in;">
<br /></div>
<div align="center" class="MsoHeading8" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: blue; font-size: 14.0pt; font-style: normal; mso-bidi-font-style: italic;">Utharavasthi in male</span></b></div>
<div class="MsoNormal" style="margin-left: .5in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in;">
Utharavasthi is used in males,
commonly in sexual dysfunctions like erectile dysfunction, premature
ejaculation, and in certain seminal abnormality like oligosprmia.</div>
<div class="MsoHeading9" style="text-indent: .25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman"; font-size: 12.0pt; mso-bidi-font-size: 11.0pt;">Medicines used</span></b></div>
<div class="MsoNormal" style="margin-left: .25in; text-indent: .25in;">
<span style="mso-bidi-font-weight: bold;">Ksheerabala taila</span></div>
<div class="MsoNormal" style="margin-left: .25in; text-indent: .25in;">
<span style="mso-bidi-font-weight: bold;">Dasamoola taila</span></div>
<div class="MsoNormal" style="margin-left: .25in; text-indent: .25in;">
<span style="mso-bidi-font-weight: bold;">Bala taila</span></div>
<div class="MsoNormal" style="margin-left: .25in; text-indent: .25in;">
<span style="mso-bidi-font-weight: bold;">Brihat chagalyadi gritha</span></div>
<div class="MsoNormal" style="margin-left: .25in; text-indent: .25in;">
<span style="mso-bidi-font-weight: bold;">Mahanararayana taila.<span style="mso-spacerun: yes;"> </span>etc</span></div>
<div class="MsoNormal" style="margin-left: .25in; text-indent: .25in;">
<br /></div>
<div class="MsoNormal" style="text-indent: .25in;">
<b style="mso-bidi-font-weight: normal;"><i>Procedure:-</i></b></div>
<div class="MsoNormal" style="margin-left: .25in;">
<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 2;"> </span>Local
shaving of pubic hair should be done and the patient is asked to void the urine
just before the procedure starts. Patient must lie down on supine position on
the clean table by exposing the part. The hands are flexed and clasped below
head. Wash the genitalia and the surrounding area with the savlon by using
sponge holding forceps & gauze. Retract the prepuce completely and wash
thoroughly the glans penis & then apply Betadine to glans penis. The
physician having gloves after washing hands spread the surgical towel over
patient, exposing the penis. Towel clips may be applied. When once the
assistant transfers the autoclaved medicine into steel bowel, the medicine is
filled into the syringe.<span style="mso-spacerun: yes;"> </span>Fix the
catheter to the nozzle of the syringe, push the oil to the tip of the catheter.
Lubricate the catheter with the xylocaine jelly. Gently introduce the catheter
into the urethra. Slowly introduce the catheter into the bladder. Ensure the
catheter has entered the bladder, and then slowly inject the medicine into the
bladder. If more amount of medicine has to be injected clamp the catheter with
artery forceps, remove the syringe & then inject the medicine with same
syringe or by another. When once the injection of medicine is over remove the
catheter & allow the patient to lie down in the same position for 5 to 10
minutes and then patient may be sent home. Check the tip of the catheter to
ensure that there is no any bleeding.</div>
<div class="MsoNormal" style="text-indent: .25in;">
<b style="mso-bidi-font-weight: normal;">Dose</b><span style="mso-bidi-font-weight: bold;"></span></div>
<div class="MsoNormal" style="margin-left: .25in;">
<span style="mso-spacerun: yes;">
</span><span style="mso-tab-count: 1;"> </span><span style="mso-bidi-font-weight: bold;">25–30ml </span></div>
<div class="MsoNormal" style="text-indent: .25in;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-style: italic;">Retention:-</span></b></div>
<div class="MsoNormal" style="margin-left: .5in;">
<span style="mso-spacerun: yes;">
</span><span style="mso-bidi-font-weight: bold;">Usually 3-6hrs </span></div>
<div class="MsoNormal" style="margin-left: .5in;">
<br /></div>
<div class="MsoNormal">
<br /></div>
</div>
Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-898700744152653775.post-34637667116125408822015-01-30T03:15:00.002-08:002015-01-30T03:15:47.454-08:00Anuvasana (Sneha) Vasthi<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 18.0pt;">Anuvasana (Sneha) vasthi</span></b></div>
<div class="MsoNormal">
<span style="font-size: 18.0pt;"> </span><span style="mso-tab-count: 1;"> </span>It
is used in two ways as a supportive treatment for asthapana(decoction enema) in
different protocols like yoga vasthi, kala vasthi, karmavasthi and as a kevala
snehavasthi in the form of matravasthi. Mainly used in conditions of vatha for
the purpose of snehana but in some cases like arsas, vasthi like Pippalyadi
Anuvasana can be given.
</div>
<div class="MsoNormal" style="margin-left: .5in;">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="color: #339966; font-size: 16.0pt;">Indications of Anuvasana Vasthi</span></b></div>
<div class="MsoNormal">
All the indications of decoction enema is also indicated for
Oil Enema</div>
<div class="MsoNormal">
Persons having Ruksha (dry) body, having a strong agni and
suffering from only Vatik disorders (kevala vata) are also indicated for
Anuvasana vasthi</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: red; font-size: 14.0pt;">Contra-indications
of Anuvasana Vasthi<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
All the contraindications of decoction enema is also
contraindicated for Oil enema</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span>Persons
on empty stomach</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span>Suffering
from fever of recent origin (nava jwara)</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span>Anaemia
(pandu)</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span>Jaundice
(kamala)</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span>Diabetes
(prameha)</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";">
</span></span>Heamorrhoides (Arsha)</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">g)<span style="font: 7.0pt "Times New Roman";"> </span></span>Rhinitis
(peenasa, pratishyaya)</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">h)<span style="font: 7.0pt "Times New Roman";"> </span></span>Splenic
disorders (pliha)</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">i)<span style="font: 7.0pt "Times New Roman";">
</span></span>Kaphaja udara</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">j)<span style="font: 7.0pt "Times New Roman";">
</span></span>Diarrhea (athisara)</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">k)<span style="font: 7.0pt "Times New Roman";"> </span></span>Poisoned
state (Visha)</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">l)<span style="font: 7.0pt "Times New Roman";">
</span></span>Conjuctivitis of Pitta & Kapha (Abhishyanda Of
Pittaja & Kaphaja)</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">m)<span style="font: 7.0pt "Times New Roman";"> </span></span>Filariasis
(Shleepada)</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo4; tab-stops: list .5in; text-indent: -.25in;">
<span style="mso-list: Ignore;">n)<span style="font: 7.0pt "Times New Roman";"> </span></span>Cervical
lympadenitis etc…</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;">Materials required:</b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo1; tab-stops: list .5in; text-indent: 0in;">
<span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span>Plastic polythene cover/ traditional putaka with
vasthinetra </div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo1; tab-stops: list .5in; text-indent: 0in;">
<span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span>Gloves</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo1; tab-stops: list .5in; text-indent: 0in;">
<span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span>Vessels</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo1; tab-stops: list .5in; text-indent: 0in;">
<span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span>Anuvasana taila / ghrita (chikkana paka) - 1/4<sup>th</sup>
of asthapana </div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo1; tab-stops: list .5in; text-indent: 0in;">
<span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span>Hot water for warming the sneha.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;">Preoperative
procedure-</b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>Food is given
just before Anuvasana as prescribed by the physician.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;">Procedure:-</b></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo2; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>After taking food patient should walk little
distance. </div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo2; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Then advice the patient to lie down on the left
lateral position with his <span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal" style="margin-left: .5in;">
<span style="mso-spacerun: yes;"> </span>right leg flexed at knee and hip,
left leg kept straight and left hand below <span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal" style="margin-left: .5in;">
<span style="mso-spacerun: yes;"> </span>the head. </div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo2; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Warmed sneha is taken in polythene cover. </div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo2; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Wearing the hand gloves, per rectal examination
is carried out to rule out <span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal" style="margin-left: .5in;">
<span style="mso-spacerun: yes;"> </span>loaded rectum, or any other
obstruction. </div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo2; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Then the vasthinetra is carefully introduced
into the anal canal in the <span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal" style="margin-left: .5in;">
<span style="mso-spacerun: yes;"> </span>direction of vertebral column.</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo2; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Snehadravya should be pushed with uniform force
not too slow not too </div>
<div class="MsoNormal" style="margin-left: .5in;">
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;">
</span>fast. </div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo2; tab-stops: list .5in; text-indent: 0in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>A little amount of snehadravya should be
retained in the container and </div>
<div class="MsoNormal" style="margin-left: .5in;">
<span style="mso-spacerun: yes;"> </span>vasthinetra is removed slowly.</div>
<div class="MsoNormal" style="margin-left: .5in;">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;">Time of
administration:</b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Usually between 1-2pm.
(Just after lunch)</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-spacerun: yes;"> </span>Post operative:-</b></div>
<div class="MsoNormal" style="margin-left: 45.0pt; mso-list: l0 level1 lfo3; tab-stops: list 45.0pt; text-indent: 0in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Patient should lie supine. </div>
<div class="MsoNormal" style="margin-left: 45.0pt; mso-list: l0 level1 lfo3; tab-stops: list 45.0pt; text-indent: 0in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mild massage over abdomen is given. </div>
<div class="MsoNormal" style="margin-left: 45.0pt; mso-list: l0 level1 lfo3; tab-stops: list 45.0pt; text-indent: 0in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Bend his legs at the knee, and buttocks are hit
by his heels. </div>
<div class="MsoNormal" style="margin-left: 45.0pt; mso-list: l0 level1 lfo3; tab-stops: list 45.0pt; text-indent: 0in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Patient is allowed to lie with pillow under his
thighs.</div>
<div class="MsoNormal" style="margin-left: 45.0pt; mso-list: l0 level1 lfo3; tab-stops: list 45.0pt; text-indent: 0in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Patient is advised to attend his urge. </div>
<div class="MsoNormal" style="margin-left: 45.0pt; mso-list: l0 level1 lfo3; tab-stops: list 45.0pt; text-indent: 0in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>For all purpose warm water should be used.</div>
<div class="MsoNormal" style="margin-left: 45.0pt; mso-list: l0 level1 lfo3; tab-stops: list 45.0pt; text-indent: 0in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Till the sneha comes out, patient is not allowed
to eat anything.</div>
<div class="MsoNormal" style="margin-left: 45.0pt; mso-list: l0 level1 lfo3; tab-stops: list 45.0pt; text-indent: 0in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Usually sneha comes out with faeces within 1-5
hours.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;">Complications:-</b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>Abdominal
pain:<span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>Rx:<span style="mso-spacerun: yes;"> </span>Hinguvachadi / ashta /vaisvanara choorna.</div>
<div class="MsoNormal">
<br /></div>
</div>
Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-898700744152653775.post-23245996298643929272015-01-20T22:52:00.002-08:002015-01-20T22:52:48.568-08:00Nirooha Vasthi Or Decoction Enema<div dir="ltr" style="text-align: left;" trbidi="on">
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<div class="MsoNormal">
<span style="color: purple;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 18.0pt;">Nirooha Vasthi or Decoction Enema</span></b></span><span style="font-size: 18.0pt;"></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"></span>Nirooha is the procedure where, combinations of medicaments are
administered through rectal route, for local as well as systemic effects.
Depending on the dose and nature of ingredients, Nirooha is of several types
like Ksheeravasthi, Yapana, Vaitharanavasthi etc
</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: blue;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 18.0pt;">Indications of Decoction Enema</span></b></span></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt;">Persons suffering from </span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l5 level1 lfo7; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">i)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Vata disorders
(Sarvanga vata/ ekaanga vata)-Rheumatic disorders including Paralysis, hemiplegia,
</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l5 level1 lfo7; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">ii)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Disorders of
abdomen (kukshi roga)</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l5 level1 lfo7; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">iii)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Difficulty in
passing stool, urine or flatus</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l5 level1 lfo7; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">iv)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Loss of strength,
Lusture, Semen etc..</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l5 level1 lfo7; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">v)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Worm infestation</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l5 level1 lfo7; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">vi)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Diarrhoea</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l5 level1 lfo7; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">vii)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Pain and
inflammation in joints (Arthritis)</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l5 level1 lfo7; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">viii)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Splenic Diseases</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l5 level1 lfo7; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">ix)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Fistula-in-ano</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l5 level1 lfo7; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">x)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Fissure-in-ano</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l5 level1 lfo7; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">xi)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Fever</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l5 level1 lfo7; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">xii)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Head ache</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l5 level1 lfo7; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">xiii)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Pain in ears</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l5 level1 lfo7; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">xiv)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Low Back Pain </span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l5 level1 lfo7; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">xv)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Intra abdominal
Swellings (gulma)</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l5 level1 lfo7; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">xvi)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Convulsions</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l5 level1 lfo7; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">xvii)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Wasting
(emaciation)</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l5 level1 lfo7; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">xviii)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Vatic Disorders
(Rheumatic Diseases)</span></div>
<div class="MsoNormal">
<br /></div>
<h4 class="MsoNormal" style="text-align: left;">
<span style="color: red;"><span style="font-size: 14.0pt;">Contra-indications of
Decoction Enema</span></span></h4>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo8; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">i)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Indigestion</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo8; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">ii)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Athi sneha (who
is very unctuous)</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo8; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">iii)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Immediately after
sneha pana </span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo8; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">iv)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Utklesha dosha
condition</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo8; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">v)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Mandaagni</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo8; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">vi)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Exhausted due to
hunger and thirst</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo8; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">vii)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Fatigueness</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo8; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">viii)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Emaciated
conditions</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo8; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">ix)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Immediately after
vamana and virechana</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo8; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">x)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Cough, dyspnoea,
Hiccough (shvasa, kasa, hikka)</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo8; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">xi)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Intestinal
obstruction (Baddha udara)</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo8; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">xii)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Intestinal
perforation (Chidrodara)</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo8; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">xiii)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Disorders due to
ama</span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo8; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-size: 14.0pt;"><span style="mso-list: Ignore;">xiv)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-size: 14.0pt;">Diarrhoea etc…</span></div>
<div class="MsoNormal" style="margin-left: .25in;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;">Materials required</b>:-</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
1. Mortar and pestle</div>
<div class="MsoNormal">
2. Vasthinethra</div>
<div class="MsoNormal">
3. Polythene cover of at least 1&1/2 liter capacity/
Traditional Vasthi putaka</div>
<div class="MsoNormal">
4. Hot water</div>
<div class="MsoNormal">
5. Utensils</div>
<div class="MsoNormal">
6. Good quality fine sieve</div>
<div class="MsoNormal">
7. Cotton towel</div>
<div class="MsoNormal">
8. Measuring apparatus</div>
<div class="MsoNormal">
9. Cotton thread-1/2 meter</div>
<div class="MsoNormal">
10. Cotton</div>
<div class="MsoNormal">
11. Sterile glove.</div>
<div class="MsoNormal">
12. Oil for Abhyanga</div>
<div class="MsoNormal">
13. Medicaments as per prescription in the required quantity</div>
<div class="MsoNormal">
14. Churner</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;">Preparation of
Vasthidravya:</b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l7 level1 lfo1; tab-stops: list .75in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Initially Saindhava is put in the Khalwa yantra
and it is powdered well </div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l7 level1 lfo1; tab-stops: list .75in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Madhu is added in thin stream triturating
properly to ensure a homogenous mixture. </div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l7 level1 lfo1; tab-stops: list .75in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span>It is followed by the mixing of appropriate tailam
in required quantity mentioned in the yoga slowly by the side of the mortar and
it is continuously stirred until it attains a uniform consistency. </div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l7 level1 lfo1; tab-stops: list .75in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span>The kalka, which is the fine paste of drugs
mentioned in the yoga is added little by little along with proper grinding with
pestle.</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l7 level1 lfo1; tab-stops: list .75in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Then appropriate kwatha in required amount as
per yoga is added slowly and properly mixed. </div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l7 level1 lfo1; tab-stops: list .75in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span>The Avapa, if mentioned in the yoga/if needed,
is added at last followed by proper stirring. </div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l7 level1 lfo1; tab-stops: list .75in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span>The mixture is filtered through a fine sieve and
finally made lukewarm by keeping over a hot water bath. </div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l7 level1 lfo1; tab-stops: list .75in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span>This mixture is churned well with the help of a
churner. </div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l7 level1 lfo1; tab-stops: list .75in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span>When it is lukewarm (Sukhoshna), and comfortable
for the patient, it is transferred to a<span style="mso-spacerun: yes;">
</span>plastic cover<span style="mso-spacerun: yes;"> </span>(vasti putaka)
having sufficient thickness and then vasti netra of bronze or plastic is tied
to it very well with plugging the other tip with a cotton varti.</div>
<div class="MsoNormal" style="margin-left: .5in;">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;">Time of
administration</b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l1 level1 lfo2; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Madhyahne kinchidavarthe,<span style="mso-spacerun: yes;"> </span>Nathibubhukshitha</div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l1 level1 lfo2; tab-stops: list .75in; text-indent: -.5in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span>This time varies depending on desha and kala and
is generally in between</div>
<div class="MsoNormal" style="margin-left: .5in;">
<span style="mso-spacerun: yes;"> </span>10
– 11am.</div>
<div class="MsoNormal" style="margin-left: .5in;">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;">Poorvakarma of
Nirooha</b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l4 level1 lfo3; tab-stops: list 1.0in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span>The procedure is usually done in empty stomach</div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l4 level1 lfo3; tab-stops: list 1.0in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Those who are Sukumara and Ksheena are asked to
take very light food in early morning. </div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l4 level1 lfo3; tab-stops: list 1.0in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Sarvanga Abhyanga and sveda should be done
before the procedure. . </div>
<div class="MsoNormal" style="margin-left: .75in;">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;">Pradhanakarma:</b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l0 level1 lfo4; tab-stops: list 1.0in; text-indent: -.5in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Position of the patient</i></b></div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: .25in;">
1. Patient is
asked to lie on a cot of knee-height, in left lateral position.</div>
<div class="MsoNormal" style="margin-left: 1.0in; text-indent: .25in;">
2. His left
lower limb extended and right lower limb flexed at knee and<span style="mso-spacerun: yes;"> </span> <span style="mso-spacerun: yes;"> </span>hip.</div>
<div class="MsoNormal" style="margin-left: .75in;">
<span style="mso-spacerun: yes;">
</span><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>3. His left upper limb is kept folded
under his head. </div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l0 level1 lfo4; tab-stops: list 1.0in; text-indent: -.5in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Procedure</i></b></div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l3 level1 lfo5; tab-stops: list 1.25in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span>A small amount of plain ghee/medicated oil is
smeared over the tip of Vastinetra as well as the anus of the patient for
lubrication.</div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l3 level1 lfo5; tab-stops: list 1.25in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Wearing the hand gloves, per rectal examination
is carried out to rule out loaded rectum, or any other obstruction. </div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l3 level1 lfo5; tab-stops: list 1.25in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Hold the vastinetra in the left hand and putaka
in the right hand.<span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l3 level1 lfo5; tab-stops: list 1.25in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Remove the plug from the tip of vastinetra and
evacuate the air and close the tip with left index finger.</div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l3 level1 lfo5; tab-stops: list 1.25in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Vasthi netra is then gently introduced into the
anus and putaka is pressed slowly and steadily to push the vasthidravya into
the patient’s rectum.</div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l3 level1 lfo5; tab-stops: list 1.25in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Patient is asked to count up to 30 and to
breathe deeply through the mouth during introduction. </div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l3 level1 lfo5; tab-stops: list 1.25in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Vastinetra is withdrawn with a little amount of
medicament remained in the putaka to avoid the entry of air.</div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l3 level1 lfo5; tab-stops: list 1.25in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span>If the patient feels the urge for defecation during
the procedure, he is allowed to pass stools after removing vasthinethra and the
remaining medicine is administered later.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;">Paschathkarma</b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l0 level1 lfo4; tab-stops: list 1.0in; text-indent: -45.0pt;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Patient is asked to lie in supine position till
the urge for defecation occurs. </div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l0 level1 lfo4; tab-stops: list 1.0in; text-indent: -45.0pt;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span>He is asked to clear the bowels as many times he
feels Vega and advised</div>
<div class="MsoNormal" style="margin-left: 45.0pt;">
<span style="mso-spacerun: yes;"> </span>to take bath in luke warm water. </div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l0 level1 lfo4; tab-stops: list 1.0in; text-indent: -45.0pt;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Then diet according to dosha vitiation and satmya
is given (preferably rice</div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<span style="mso-spacerun: yes;"> </span>with mudgayoosha or mamsarasa). </div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l0 level1 lfo4; tab-stops: list 1.0in; text-indent: -45.0pt;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Blood pressure, pulse rate, time of retention,
number of evacuations and if</div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<span style="mso-spacerun: yes;"> </span>discomforts any are observed. </div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l0 level1 lfo4; tab-stops: list 1.0in; text-indent: -45.0pt;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span>He is asked to take rest and light food is given
at night.</div>
<div class="MsoNormal" style="margin-left: 45.0pt;">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;">Complications </b></div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l6 level1 lfo6; tab-stops: list 1.25in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;">Abdominal
discomfort and pain</b> – after careful evaluation about the cause appropriate
management can be adopted. General measures like abyanga, sweda, deepana
anulomana drugs are advised.</div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l6 level1 lfo6; tab-stops: list 1.25in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;">Immediate
evacuation without retention:</b> - Another vasthi with less lavana, ushna and
quantity should be administered immediately after ruling out sphincteral
incontinence.</div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l6 level1 lfo6; tab-stops: list 1.25in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;">Giddiness,
Low pulse, Cold extremities, Delirium</b>: - Console the patient, Foot end
elevation, Hot drinks, Warming extremities. Drugs like Sidhamakaradhwaja,
Drakshadi kashaya, Dhanwantharam gulika etc can be given.</div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l6 level1 lfo6; tab-stops: list 1.25in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;">Vomiting:
-</b> Usually subsides without specific management. Drugs like Chandrakalarasa,
Dhanwantharam gulika, Drakshadi kashaya, Mayoorapichabhasma etc can be given</div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l6 level1 lfo6; tab-stops: list 1.25in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;">Anaphylactic
reaction: -</b> Skin eruptions, Itching, Urticaria, Dyspnoea etc. Careful
history taking to identify known allergens and avoiding them. Haridrakhanda,
Thrikatu with sitha, Chandanasavam, Draksharishtam etc can be given.</div>
<div class="MsoNormal" style="margin-left: 1.25in; mso-list: l6 level1 lfo6; tab-stops: list 1.25in; text-indent: -.25in;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;">Long
retention</b>: - Known causes like obstruction of anal canal by pile mass,
enlarged prostrate, fecal matter etc should be excluded. Rubber tube or
specific gudavarthis can be introduced into anal canal for evacuation.</div>
<div class="MsoNormal">
<br /></div>
</div>
Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-898700744152653775.post-63290074535592317372015-01-20T22:49:00.001-08:002015-01-20T22:49:41.000-08:00VASTHI or Medicated Enema<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div style="text-align: left;">
<span style="mso-bidi-font-weight: normal;">Vasthi Karma is the
most important therapy in PanchaKarma Procedures, with a great scope of
applicability.</span>
</div>
<div style="text-align: left;">
</div>
<div class="MsoNormal">
<span style="mso-bidi-font-weight: normal;">It is meant for the
special treatment for Vata Dosha (also for pitta kapha and rakta dosha).</span></div>
<br />
<div style="text-align: left;">
</div>
<div style="text-align: left;">
</div>
<div class="MsoNormal">
<span style="mso-bidi-font-weight: normal;">It is specific for
treatment of Vatika Vyadhi (Rheumatic Disorders).</span></div>
<br />
<div style="text-align: left;">
</div>
<div style="text-align: left;">
</div>
<div class="MsoNormal">
<span style="mso-bidi-font-weight: normal;">Vasthi have the
effect of Samshodhana, Samshamana, Anabolic, Catabolic, Restoration of Dhatus,
Semen, etc,,, Improves vision, luster, Strength and health…that’s why given
much importance in Pancha Karma therapy and is said that VASTHI is the HALF/Whole
of the CHIKITSA/TREATMENT.</span></div>
<br />
<div style="text-align: left;">
</div>
<br />
<div class="MsoNormal" style="text-align: left;">
<span style="mso-bidi-font-weight: normal;"><span style="mso-spacerun: yes;"> </span>The word vasthi is derived from the Vasthi
( animal urinary bladder) which is used to introduce the medicated materials
through rectum, urethra and vagina etc..</span></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"> </b><span style="color: blue;"><b style="mso-bidi-font-weight: normal;"> </b></span></div>
<div class="MsoNormal">
<span style="color: blue;"><b style="mso-bidi-font-weight: normal;">Classification of
Vasthi Karma</b></span>
</div>
<div class="MsoNormal">
<b><span style="mso-bidi-font-weight: normal;">Anatomical Classification</span><span style="mso-bidi-font-weight: normal;">
</span></b></div>
<b>
</b><div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: normal;">Pakwashaya
gata ( administered through rectum into pakwashaya)</span></b></div>
<b>
</b><div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: normal;">Garbhashaya
gata ( administered through vagina into Uterus)</span></b></div>
<b>
</b><div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: normal;">Mutraashaya
gata ( administered through urethra to bladder)</span></b></div>
<b>
</b><div class="MsoNormal" style="margin-left: .5in; mso-list: l1 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: normal;">Vrana gata (
for wound, fistula or abscess)</span></b></div>
<b>
</b><div class="MsoNormal">
<b><span style="mso-bidi-font-weight: normal;">Pharmaceutical
Classification </span></b></div>
<b>
</b><div class="MsoNormal" style="margin-left: .5in; mso-list: l0 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: normal;">Niruha
Vasthi/ Ashtaapana vasthi/ Kashaya Vasthi</span></b></div>
<b>
</b><div class="MsoNormal" style="margin-left: .5in; mso-list: l0 level1 lfo2; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: normal;">Anuvaasana
Vathi/ Sneha Vasthi</span></b></div>
<b>
</b><div class="MsoNormal">
<br /></div>
<b>
</b><div class="MsoNormal">
<b><span style="mso-bidi-font-weight: normal;">Pharmacological
Classification</span></b></div>
<b>
</b><div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: normal;">Karma Vasthi</span></b></div>
<b>
</b><div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: normal;">Kala Vashti</span></b></div>
<b>
</b><div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: normal;">Yoga Vasthi</span></b></div>
<b>
</b><div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: normal;">Matra vasthi</span></b></div>
<b>
</b><div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: normal;">Madhu
thailika vasthi</span></b></div>
<b>
</b><div class="MsoNormal" style="margin-left: .5in; mso-list: l3 level1 lfo3; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: normal;">Kshara
vasthi, vaitharana vasthi etc…</span></b></div>
<b>
</b><div class="MsoNormal">
<br /></div>
<b>
</b><div class="MsoNormal">
<b><u><span style="mso-bidi-font-weight: normal;">According to
Susruthacharya</span></u></b></div>
<b>
</b><div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo4; tab-stops: list .75in; text-indent: -.5in;">
<b><span style="mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">i)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: normal;">Shodhana
Vashti: It is used to expel the doshas forcibly</span></b></div>
<b>
</b><div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo4; tab-stops: list .75in; text-indent: -.5in;">
<b><span style="mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">ii)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: normal;">Snehana
Vathi: It is used for Oleation purpose</span></b></div>
<b>
</b><div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo4; tab-stops: list .75in; text-indent: -.5in;">
<b><span style="mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">iii)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: normal;">Lekhana
vasthi: Used to scrape out excess deposition of adipose tissue/Medho dhatu or
Kapha dosha</span></b></div>
<b>
</b><div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo4; tab-stops: list .75in; text-indent: -.5in;">
<b><span style="mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">iv)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: normal;">Brumhana
vasthi: Used to nourish all the Saptha Dhathus (Anabolic)</span></b></div>
<b>
</b><div class="MsoNormal">
<br /></div>
<b>
</b><div class="MsoNormal">
<b><u><span style="mso-bidi-font-weight: normal;">According to
Vagbhata.</span></u></b></div>
<b>
</b><div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo5; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: normal;">Utkleshana
vasthi: It increases the quantity of dosha or mala</span></b></div>
<b>
</b><div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo5; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: normal;">Dosha hara
vasthi: It is like shodhana vasthi in which doshas are expelled out.</span></b></div>
<b>
</b><div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo5; tab-stops: list .5in; text-indent: -.25in;">
<b><span style="mso-bidi-font-weight: normal;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-weight: normal;">Shamana
vasthi: It helps in the palliation of vitiated doshas</span></b></div>
<b>
</b><div class="MsoNormal">
<br /></div>
<b>
</b><div class="MsoNormal">
<b><u><span style="mso-bidi-font-weight: normal;">According to
Sharngdhara </span></u></b></div>
<b>
</b><div class="MsoNormal">
<b><span style="mso-bidi-font-weight: normal;">Besides the above, he
explained Pichila Vasthi: Vashti given with sticky or slimy substance(drugs) to
control atisara like (diarrhea) disorders. And also Deepana vasthi: it is used
to regularize the intensity of jataraagni. (Digestive fire)</span></b></div>
</div>
Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-898700744152653775.post-54561703573133474392015-01-09T03:34:00.001-08:002015-01-09T03:34:45.824-08:00Nasya Or Errhines<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 18.0pt;"><br /></span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: left;">
<span style="color: blue;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 18.0pt;">NASYA or Errhines</span></b></span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: left;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 18.0pt;"> </span></b>Nasya is one of the Panchakarma procedure wherein
medicaments are instilled into nasal cavity to Expel the Doshas pertaining to the
Head, Nose, throat, eyes etc..(uttamanga), to achieve desired multidimensional
effects.
</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-size: large;"><span style="color: red;">Nasya is Contraindicated in
persons: </span></span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l1 level1 lfo7; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">i)<span style="font: 7.0pt "Times New Roman";">
</span></span>who are suffering from indigestion</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l1 level1 lfo7; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">ii)<span style="font: 7.0pt "Times New Roman";">
</span></span>just after taking food</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l1 level1 lfo7; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">iii)<span style="font: 7.0pt "Times New Roman";">
</span></span>after taking Oleation(Sneha Pana) therapy</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l1 level1 lfo7; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">iv)<span style="font: 7.0pt "Times New Roman";">
</span></span>who are thirsty</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l1 level1 lfo7; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">v)<span style="font: 7.0pt "Times New Roman";">
</span></span>after taking a bath (shira snana)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l1 level1 lfo7; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">vi)<span style="font: 7.0pt "Times New Roman";">
</span></span>exhausted by walking or hunger</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l1 level1 lfo7; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">vii)<span style="font: 7.0pt "Times New Roman";">
</span></span>unconscious</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l1 level1 lfo7; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">viii)<span style="font: 7.0pt "Times New Roman";">
</span></span>Injured</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l1 level1 lfo7; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">ix)<span style="font: 7.0pt "Times New Roman";">
</span></span>Undergone purgation therapy or Oil enema (anuvasana)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l1 level1 lfo7; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">x)<span style="font: 7.0pt "Times New Roman";">
</span></span>Pregnant women etc..</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-size: large;"><span style="color: lime;">Nasya is to be performed in
persons suffering from</span></span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo8; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span>Diseases of head, tooth, neck</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo8; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span>Locked jaw</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo8; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span>Coryza</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo8; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span>Diseases of throat</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo8; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";">
</span></span>Timira (Cataract)</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo8; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";">
</span></span>Diseases of eyelid</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo8; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">g)<span style="font: 7.0pt "Times New Roman";">
</span></span>Hemicrania (ardhavabhedaka)</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo8; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">h)<span style="font: 7.0pt "Times New Roman";">
</span></span>Facial paralysis (ardhita)</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo8; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">i)<span style="font: 7.0pt "Times New Roman";">
</span></span>Cervical lymphadenitis</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo8; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">j)<span style="font: 7.0pt "Times New Roman";">
</span></span>Cavity of tooth</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo8; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">k)<span style="font: 7.0pt "Times New Roman";">
</span></span>Hoarseness of voice</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l2 level1 lfo8; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">l)<span style="font: 7.0pt "Times New Roman";">
</span></span>Urdhwajatrugata Roga ( Diseases localized in the organs
above clavicle)</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;">Materials required: (for navana) </b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l7 level1 lfo1; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span>Nasya oil– Q.S.</div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l7 level1 lfo1; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span>Oil for abyanga – Q .S.</div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l7 level1 lfo1; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span>Nasyapeeta/nasyasayya, caliberrated dropper/gauze to
instill the nasya drug.</div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l7 level1 lfo1; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span>Pillow, chair for dhoomanasya, table, Cotton pad,
gauze, lotus petals to protect eyes while swedana.</div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l7 level1 lfo1; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span>For swedana – boiling water, towels or arrangement for
nadi swedana (pressure cooker without weight, long heat resistant flexible pipe),
appropriate swedana materials for tapasweda {cloth/towel/hotwaterbag}.</div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l7 level1 lfo1; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span>Gokarna<span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l7 level1 lfo1; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span>Warm water for kavala</div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l7 level1 lfo1; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span>Karpooradi or haridradi dhooma varthi / Other suitable
drugs can also be used according to the type of Nasya with paper cone.</div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l7 level1 lfo1; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span>Disposable sterile plastic container for
spitting(preferably transparent)</div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l7 level1 lfo1; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span>Clean
cotton towels, cotton, tissue paper etc for cleansing</div>
<div class="MsoNormal" style="margin-left: 57.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;">Time of administration </b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l3 level1 lfo2; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>According to dosha predominance</div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-tab-count: 2;"> </span>Kapha
- morning</div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-tab-count: 2;"> </span>Pitta<span style="mso-tab-count: 1;"> </span> - afternoon</div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-tab-count: 2;"> </span>Vata<span style="mso-tab-count: 1;"> </span> - evening</div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l3 level1 lfo2; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>In swasthas</div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-tab-count: 2;"> </span>Sheeta
kala <span style="mso-tab-count: 1;"> </span>- afternoon</div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-tab-count: 2;"> </span>Sharat
and vasantha – morning</div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-tab-count: 2;"> </span>Greeshma
– evening</div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-tab-count: 2;"> </span>Varsha
– cloudless day with sunshine</div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l3 level1 lfo2; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Age group eligible for nasya</div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-tab-count: 2;"> </span>7-80
years</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;">Dose determination of nasya</b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l3 level1 lfo2; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>When index finger is dipped upto two parwas
(joints) in drava dravya and taken out the amount of dravya falling from it is
considered as one bindu. Approximately one bindu is 0.5 ml.( for oil)</div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l3 level1 lfo2; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Sneha nasya 10/8/6 bindu respectively for uttama, madhyama
and avara matra</div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-tab-count: 1;"> </span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;">Poorva karma</b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<ul style="margin-top: 0in;" type="disc">
<li class="MsoNormal" style="mso-list: l0 level1 lfo3; tab-stops: list .5in; text-align: justify;">Patient is advised to wash face and mouth with luke
warm water.<span style="mso-spacerun: yes;"> </span></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo3; tab-stops: list .5in; text-align: justify;">Abyanga is done over shiras, lalata, kapala, greeva &
skanda.</li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo3; tab-stops: list .5in; text-align: justify;">Shiroabhyanga is enough. Nadisweda or tapasweda can
be done.Abhyanga over palm and sole can be done.Dhoomapana can be done for
srotosodha (in case of nasal congestion).</li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo3; tab-stops: list .5in; text-align: justify;">Eyes are bandaged with a clean gauze piece after
placing lotus petals and cotton pad over closed eyelids</li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo3; tab-stops: list .5in; text-align: justify;">Then Nadi sweda is done (urdhwajathru).</li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo3; tab-stops: list .5in; text-align: justify;">Dhoomapana can be done for srotoshodana, if
necessary.</li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo3; tab-stops: list .5in; text-align: justify;">Patient is made to lie in supine position with
slightly elevated legs and head extended backwards. </li>
</ul>
<div class="MsoNormal" style="margin-left: .25in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;">Pradhana karma</b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<ul style="margin-top: 0in;" type="disc">
<li class="MsoNormal" style="mso-list: l6 level1 lfo4; tab-stops: list .5in; text-align: justify;">The medicine mildly warmed over a water bath.</li>
<li class="MsoNormal" style="mso-list: l6 level1 lfo4; tab-stops: list .5in; text-align: justify;">The prescribed dose of medicine is taken in the
gokarna and poured into either nostril closing the other in a continuous
single stream. </li>
<li class="MsoNormal" style="mso-list: l6 level1 lfo4; tab-stops: list .5in; text-align: justify;">Immediately after instillation of medicine mild
massage is done over pani, pada, greeva, skanda.</li>
<li class="MsoNormal" style="mso-list: l6 level1 lfo4; tab-stops: list .5in; text-align: justify;">Mridu swedana can be done in the above mentioned
areas with suitable method (Hasthasweda or vasanasweda).</li>
<li class="MsoNormal" style="mso-list: l6 level1 lfo4; tab-stops: list .5in; text-align: justify;">Patient is asked to inhale the medicine with moderate
force and to spit it through mouth turning head to either side
alternatively without rising from the cot.</li>
<li class="MsoNormal" style="mso-list: l6 level1 lfo4; tab-stops: list .5in; text-align: justify;">Patient is made to lie in the same position for 100
matra kala (3-5 minutes) </li>
</ul>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;">Paschat karma</b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<ul style="margin-top: 0in;" type="disc">
<li class="MsoNormal" style="mso-list: l4 level1 lfo5; tab-stops: list .5in; text-align: justify;">Dhoomapana is done with appropriate drugs according
to the type of Nasya.</li>
<li class="MsoNormal" style="mso-list: l4 level1 lfo5; tab-stops: list .5in; text-align: justify;">Kavala with warm water is done to attain kantha
shudhi.</li>
<li class="MsoNormal" style="mso-list: l4 level1 lfo5; tab-stops: list .5in; text-align: justify;">The talam should be wiped off and dry powder (used
for preparing talam) is gently rubbed over the anterior frontanale<b style="mso-bidi-font-weight: normal;">. </b></li>
<li class="MsoNormal" style="mso-list: l4 level1 lfo5; tab-stops: list .5in; text-align: justify;">It is advisible not to take any type of food 2 hrs
prior to and 1 hour after nasya<b style="mso-bidi-font-weight: normal;">.</b></li>
<li class="MsoNormal" style="mso-list: l4 level1 lfo5; tab-stops: list .5in; text-align: justify;">Na atidrava annapana is indicated in nasya.</li>
</ul>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;">Precautions </b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<ul style="margin-top: 0in;" type="disc">
<li class="MsoNormal" style="mso-list: l5 level1 lfo6; tab-stops: list .5in; text-align: justify;">While positioning the patient for nasya, if the head
is not sufficiently bent the nasya dravya will not enter shiras and if the
head is more bent dravya may enter mastulunga and cause complications like
headache, dizziness etc.</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo6; tab-stops: list .5in; text-align: justify;">If the spitting is not done properly, or medicine is
swallowed, it will cause kaphotklesha, agnimandya and the disease
aggravates.</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo6; tab-stops: list .5in; text-align: justify;">If patient spits on one side only, then proper
spreading of medicine won’t take place.</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo6; tab-stops: list .5in; text-align: justify;">If the patient talk, sneezes, laughs or gets angry or
excessively moves his head while doing nasya, the nasya dravya won’t reach
expected site and instead causes complications like cough, sinusitis
rhinorrhoea, and head ache.</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo6; tab-stops: list .5in; text-align: justify;">Patient must avoid exposure to dust, sun breeze,
drinking excessive water, alcohol, sneha dravya, bathing, excessive
walking etc. Head bathing should be avoided during nasya period (since
nasya arhas are almost snana anarhas), if bath is not contraindicated it
can be given after 3hours.</li>
</ul>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;">Avapeeda nasya</b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-tab-count: 2;"> </span></b>It is usually administered
for 2 purposes- sthambhana and sodhana. It is named so because the medicine has
to be squeezed for obtaining the nasya dravya.</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Materials required</i></b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-tab-count: 1;"> </span>1 Drug in wet
form<span style="mso-spacerun: yes;"> </span>Eg: tulasi pathra, ardraka kanda</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-tab-count: 1;"> </span>2 Mortar &
pestle</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-tab-count: 1;"> </span>3 Clean white
cotton cloth (Coloured cloth should not be used)</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-spacerun: yes;"> </span>4 Honey,
swarasa etc should be added.</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Preparation of medicine</i></b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-tab-count: 1;"> </span>Paste of the
required medicine is prepared and squeezed in a clean cloth to get juice. If
the medicine is theekshna to the patient, then it can be diluted with milk.</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Dose<span style="mso-tab-count: 2;"> </span></i></b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-tab-count: 2;"> </span>4-8
bindu (drops)</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Preparation of the patient</i></b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-tab-count: 2;"> </span>Abhyanga
and sweda depends on doshaavastha and purpose of nasya. In pravruttha/ drava
dosha – without or with minimum sweda. In apravrutta / Sandra dosha , abhyanga
and ooshma sweda can be done. If done for sthambhana purpose swedana should not
be done. </div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
Procedure is similar to marsha nasya</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;">Pradhamana nasya</b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-tab-count: 2;"> </span></b>It produces profuse dosha
sodhana. Drug is used in the form of fine powder. </div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Materials required</i></b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-tab-count: 1;"> </span>1 Six inches
long straw (Preferably tetrapack piercing straw)</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-tab-count: 1;"> </span>2 Fine powders
obtained from micropulveriser or filtered with 200 number mesh or similar
cotton cloth.</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Dose</i></b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-tab-count: 1;"> </span>1-2 pinches</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Procedure</i></b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-spacerun: yes;"> </span>The powder
is filled in the straw and blown into the nostril. </div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<br /></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<a href="https://www.blogger.com/blogger.g?blogID=898700744152653775" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Complication</i></b></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-tab-count: 1;"> </span>Severe burning
sensation<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>Nasya with sugar dissolved cold water,</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-spacerun: yes;">
</span>plain gritha nasya</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-spacerun: yes;">
</span></div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-tab-count: 1;"> </span>Sirodhoomayana<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>: <span style="mso-spacerun: yes;"> </span>Ksheerabala nasya</div>
<div class="MsoNormal" style="tab-stops: list .5in; text-align: justify;">
<span style="mso-tab-count: 1;"> </span>Nasal bleeding <span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>Doorva swrasa + honey nasya, vasa swarasa.</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<span style="mso-tab-count: 1;"> </span>Kshavadhu-
repeated sneezing: Sneha nasya with ksheerabala 101</div>
<div class="MsoNormal" style="margin-left: .5in; tab-stops: list .5in; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Precautions<span style="mso-tab-count: 1;"> </span></i></b></div>
<div class="MsoNormal">
<span style="font-size: 16.0pt;"><span style="mso-spacerun: yes;"> </span></span>Do<span style="mso-bidi-font-weight: bold;"> a very minute test dose before using theekshna nasya. (Both the doctor
and patient-in dose of milligrams).The blowing should not be done by a person
with infections, that could be spread by touch/droplets/breath air.</span></div>
<div class="MsoNormal">
<br /></div>
</div>
Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-898700744152653775.post-36797218370966718052015-01-09T03:27:00.000-08:002015-01-09T03:31:12.727-08:00Virechana or Purgation<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="MsoNormal" style="text-align: left;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 18.0pt;"><br /></span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="color: blue;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 18.0pt;">Virechana or Purgation</span></b></span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 18.0pt;"> </span></b>Virechana or Purgation is a procedure in which the prakupita
doshas are expelled through gudamarga by the administration of medicines
through oral route commonly proceed after Vamana Karma(emesis). It is aimed to
expel out the predominant pitta doshas through anal passage. Medicines are used
in different forms like choorna, kwatha, sneha, lehya etc, depending on the
condition of the patient.
</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="color: lime;"><span style="font-size: large;">To Whom Virehana (purgation) to
be performed:</span></span></div>
<div class="MsoNormal" style="text-align: justify;">
Persons suffering from</div>
<ol start="1" style="margin-top: 0in;" type="1">
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Skin diseases</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Hyperpyrexia( in the last stage of fever)</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Diabetes</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Haemorrhage from the upper passages</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Fistula-in-ano(bhagandhara)</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Ascitis</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Haemorrhoids/Piles</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Splenic Disorders</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Intra-abdominal Swellings</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Tumors</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Worm infestations,</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Erysipelas</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Anaemia</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Head-ache</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Pain in flanks</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Dyspnoea</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Cardiac Diseases</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Cough</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Jaundice</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Mental Disorders</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Disorders of Semen</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Dyspepsia</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Indigestion,</li>
<li class="MsoNormal" style="mso-list: l2 level1 lfo7; tab-stops: list .5in; text-align: justify;">Vomiting …etc…</li>
</ol>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="color: red;"><span style="font-size: large;">Inducing Diarrhoea (Virechana) is
prohibited in persons</span></span></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l6 level1 lfo8; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">i)<span style="font: 7.0pt "Times New Roman";">
</span></span>who are too sensitive</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l6 level1 lfo8; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">ii)<span style="font: 7.0pt "Times New Roman";">
</span></span>with weakened anal sphincters</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l6 level1 lfo8; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">iii)<span style="font: 7.0pt "Times New Roman";">
</span></span>with injury in anal canal</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l6 level1 lfo8; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">iv)<span style="font: 7.0pt "Times New Roman";">
</span></span>having<span style="mso-spacerun: yes;"> </span>anal incontinence</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l6 level1 lfo8; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">v)<span style="font: 7.0pt "Times New Roman";">
</span></span>heamorrhage from lower passages</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l6 level1 lfo8; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">vi)<span style="font: 7.0pt "Times New Roman";">
</span></span>have starved</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l6 level1 lfo8; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">vii)<span style="font: 7.0pt "Times New Roman";">
</span></span>who are weak</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l6 level1 lfo8; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">viii)<span style="font: 7.0pt "Times New Roman";">
</span></span>having weak digestive fire</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l6 level1 lfo8; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">ix)<span style="font: 7.0pt "Times New Roman";">
</span></span>after decoction enema</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l6 level1 lfo8; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">x)<span style="font: 7.0pt "Times New Roman";">
</span></span>indigestion</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l6 level1 lfo8; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xi)<span style="font: 7.0pt "Times New Roman";">
</span></span>fever of recent origin</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l6 level1 lfo8; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xii)<span style="font: 7.0pt "Times New Roman";">
</span></span>intoxication due to excess alcohol</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l6 level1 lfo8; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xiii)<span style="font: 7.0pt "Times New Roman";">
</span></span>having foreign body inside his body</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l6 level1 lfo8; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xiv)<span style="font: 7.0pt "Times New Roman";">
</span></span>who has obstinate constipation</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l6 level1 lfo8; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xv)<span style="font: 7.0pt "Times New Roman";">
</span></span>during pregnancy…etc…</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;">Materials required</b></div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l0 level1 lfo2; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Virechana oushadha</div>
<div class="MsoNormal" style="margin-left: 1.0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-spacerun: yes;"> <u> </u></span><u>Common Drugs and dosage</u></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span>Avipatti Choorna<span style="mso-spacerun: yes;">
</span>with honey – 20-40 gm<span style="mso-list: Ignore;"> </span><br />
<span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span>Bahushala guda 20-40 gm</div>
<div class="MsoNormal" style="margin-left: 1.5in; mso-list: l0 level2 lfo2; tab-stops: list 1.5in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span>Trivrut lehya<span style="mso-spacerun: yes;"> </span>20-40 gm</div>
<div class="MsoNormal" style="margin-left: 1.5in; mso-list: l0 level2 lfo2; tab-stops: list 1.5in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span>Manibadra guda 20-40 gm</div>
<div class="MsoNormal" style="margin-left: 1.5in; mso-list: l0 level2 lfo2; tab-stops: list 1.5in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span>Patolamooladi kwatha – up to 90-180ml</div>
<div class="MsoNormal" style="margin-left: 1.5in; mso-list: l0 level2 lfo2; tab-stops: list 1.5in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span>Eranda taila preparations – 25-50 ml</div>
<div class="MsoNormal" style="margin-left: 1.25in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l0 level1 lfo2; tab-stops: list 1.0in; text-align: justify; text-indent: -.25in;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Luke warm water</div>
<div class="MsoNormal" style="margin-left: .75in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;">Pre operative procedures </b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<ul style="margin-top: 0in;" type="disc">
<li class="MsoNormal" style="mso-list: l4 level1 lfo4; tab-stops: list .5in; text-align: justify;">Samyak bahya & abyantara snehana and swedana
should be ensured. </li>
<li class="MsoNormal" style="mso-list: l4 level1 lfo4; tab-stops: list .5in; text-align: justify;">Swedana is done generally in the form of abhyanga and
ooshma sveda for three days.</li>
<li class="MsoNormal" style="mso-list: l4 level1 lfo4; tab-stops: list .5in; text-align: justify;">Food regimen of drava ushna dhanwokta rasa should be
followed </li>
<li class="MsoNormal" style="mso-list: l4 level1 lfo4; tab-stops: list .5in; text-align: justify;">Asta mahavarjya bhavas should be avoided.</li>
<li class="MsoNormal" style="mso-list: l4 level1 lfo4; tab-stops: list .5in; text-align: justify;">On the day of Virechana, the following things should
be ensured before administering the medicine </li>
</ul>
<div class="MsoNormal" style="margin-left: 1.75in; mso-list: l3 level1 lfo5; tab-stops: list 1.75in; text-align: justify; text-indent: -.25in;">
<span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span>Proper sleep in the previous night</div>
<div class="MsoNormal" style="margin-left: 1.5in; text-align: justify;">
2.<span style="mso-spacerun: yes;"> </span>Proper digestion of previous day’s food</div>
<div class="MsoNormal" style="margin-left: 1.5in; text-align: justify;">
3.<span style="mso-spacerun: yes;"> </span>Proper elimination of natural urges</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;">Time of administration</b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-tab-count: 1;"> </span>After
sleshma kala, i.e. three and half hours after sun rise. </div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;">Procedure</b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<ul style="margin-top: 0in;" type="disc">
<li class="MsoNormal" style="mso-list: l5 level1 lfo6; tab-stops: list .5in; text-align: justify;">Virechana oushadha is administered in empty stomach.
If needed virechana drugs can be given in divided doses which should be
completely administered in 15 mts.</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo6; tab-stops: list .5in; text-align: justify;">Proper anupanas like ushnodaka, madhu, milk, triphala
kashaya, patoladi kashaya, draksha rasa, ikshu rasa etc. are used.</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo6; tab-stops: list .5in; text-align: justify;">Patient is advised to wash face with cold water<span style="mso-spacerun: yes;"> </span>and mouth with luke warm water and is
advised to smell substances like lemon, cardamom etc to prevent vomiting .</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo6; tab-stops: list .5in; text-align: justify;">Patient is advised to take rest in the bed and wait
till the urge for defecation occurs.</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo6; tab-stops: list .5in; text-align: justify;">The patient should not force or hold the urge and
should use warm water for all purposes.</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo6; tab-stops: list .5in; text-align: justify;">Whenever he feels thirsty, he should drink little
quantity of warm water sip by sip till vegas appear.</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo6; tab-stops: list .5in; text-align: justify;">Each vega should be observed keenly and should be
informed to the doctor.</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo6; tab-stops: list .5in; text-align: justify;">He can take rest, but shouldn’t sleep in between the
Vegas.</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo6; tab-stops: list .5in; text-align: justify;">Physician should record the vital data of the patient
at regular intervals.</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo6; tab-stops: list .5in; text-align: justify;">Patient is observed for the samyak Virechana lakshana
like</li>
<ol start="1" style="margin-top: 0in;" type="1">
<li class="MsoNormal" style="mso-list: l5 level2 lfo6; tab-stops: list 1.0in; text-align: justify;">Initial expulsion of stools followed by Pitta
(observed as golden yellow colored viscous fluid with a characteristic
bilious odour)and at last Kapha (mucous)</li>
<li class="MsoNormal" style="mso-list: l5 level2 lfo6; tab-stops: list 1.0in; text-align: justify;">Lightness of the body</li>
<li class="MsoNormal" style="mso-list: l5 level2 lfo6; tab-stops: list 1.0in; text-align: justify;">Subsiding of Vega by itself without causing
excessive weakness( even if kaphanta is not seen)</li>
</ol>
<li class="MsoNormal" style="mso-list: l5 level1 lfo6; tab-stops: list .5in; text-align: justify;"><span style="mso-spacerun: yes;"> </span>If the patient
doesn’t get any urge for defecation, after the previous Vega for a long
time, hot water drink and mild local abdominal fomentation is advised.</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo6; tab-stops: list .5in; text-align: justify;">After ensuring jeernoushadhalakshanas, subsiding of
Vegas, the patient is advised to take bath in lukewarm water followed by
samsarjanakrama.</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo6; tab-stops: list .5in; text-align: justify;">Enough quantity of water is to be administered to
avoid dehydration</li>
</ul>
<div class="MsoNormal" style="text-align: justify;">
<a href="https://www.blogger.com/blogger.g?blogID=898700744152653775" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;">Post- operative procedure</b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-spacerun: yes;"> </span>After getting proper appetite, samsarjana
krama should be done according to satmya & vyadhi ranging from laghu drava
aharas to guru ahara, as per suddhi and digestive power. Kanji with more water
–kanji with less water – rice with mudga yusha –if non veg rice with meat soup
is advised for 3/2/1
annakala depending on shuddhi. Three annakalas are practiced per day if
agnibala is good. </div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;">Complication and management:</b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<ol start="1" style="margin-top: 0in;" type="1">
<li class="MsoNormal" style="mso-list: l1 level1 lfo1; tab-stops: list .5in; text-align: justify;"><b style="mso-bidi-font-weight: normal;">Nausea and
vomiting</b></li>
</ol>
<div class="MsoNormal" style="margin-left: .5in; text-align: justify; text-indent: 3.0pt;">
It
may occur at the time of intake of medicine and during the procedure. To avoid
the feeling of nausea, the patient is advised to smell lemon.</div>
<ol start="2" style="margin-top: 0in;" type="1">
<li class="MsoNormal" style="mso-list: l1 level1 lfo1; tab-stops: list .5in; text-align: justify;"><b style="mso-bidi-font-weight: normal;">Feeble pulse,
Giddiness, Collapse</b>.</li>
</ol>
<div class="MsoNormal" style="margin-left: 45.0pt; text-align: justify;">
Sidhamakaradhwajam
with honey and betel juice, Drakshadi kashaya, Dhanwantharam gulika can be
given in this condition.</div>
<ol start="3" style="margin-top: 0in;" type="1">
<li class="MsoNormal" style="mso-list: l1 level1 lfo1; tab-stops: list .5in; text-align: justify;"><b style="mso-bidi-font-weight: normal;">Adhmanam</b></li>
</ol>
<div class="MsoNormal" style="margin-left: .25in; text-align: justify;">
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Swedana should be done locally
at abdominal region.</div>
<ol start="4" style="margin-top: 0in;" type="1">
<li class="MsoNormal" style="mso-list: l1 level1 lfo1; tab-stops: list .5in; text-align: justify;"><b style="mso-bidi-font-weight: normal;">Apravrithi of
Vega</b></li>
</ol>
<div class="MsoNormal" style="margin-left: .25in; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-spacerun: yes;"> </span></b>Ushnajalapana,
Swedana.</div>
<ol start="5" style="margin-top: 0in;" type="1">
<li class="MsoNormal" style="mso-list: l1 level1 lfo1; tab-stops: list .5in; text-align: justify;"><b style="mso-bidi-font-weight: normal;">Kandu</b></li>
</ol>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-spacerun: yes;"> </span>Thrikatu with sitha
is given</div>
<ol start="6" style="margin-top: 0in;" type="1">
<li class="MsoNormal" style="mso-list: l1 level1 lfo1; tab-stops: list .5in; text-align: justify;"><b style="mso-bidi-font-weight: normal;">Udarasoola</b></li>
</ol>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Ushnajalapana, Swedana. Hinguvachadi
Choorna can be given</div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-spacerun: yes;"> </span>if necessary.</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<ol start="7" style="margin-top: 0in;" type="1">
<li class="MsoNormal" style="mso-list: l1 level1 lfo1; tab-stops: list .5in; text-align: justify;"><b style="mso-bidi-font-weight: normal;">Dehydration: </b><span style="mso-bidi-font-weight: bold;">tender coconut water.</span></li>
<li class="MsoNormal" style="mso-list: l1 level1 lfo1; tab-stops: list .5in; text-align: justify;"><b style="mso-bidi-font-weight: normal;">Electrolyte
imbalance: </b><span style="mso-bidi-font-weight: bold;">tender coconut
water, chincha pani, lime juice with sugar & salt. Avoid coloured ORS
solution since it cause gastritis.</span></li>
</ol>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;">Precautions:</b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<ul style="margin-top: 0in;" type="disc">
<li class="MsoNormal" style="mso-list: l7 level1 lfo3; tab-stops: list .5in; text-align: justify;">The selected medicine should be made palatable by
adding proper adjuvant. </li>
<li class="MsoNormal" style="mso-list: l7 level1 lfo3; tab-stops: list .5in; text-align: justify;">Intake of kaphothklesakara ahara should be avoided on
the previous day</li>
<li class="MsoNormal" style="mso-list: l7 level1 lfo3; tab-stops: list .5in; text-align: justify;">Virechanoushadha can be administered in divided dose
within very short duration to avoid immediate vomiting if necessary.</li>
<li class="MsoNormal" style="mso-list: l7 level1 lfo3; tab-stops: list .5in; text-align: justify;">Time of administration should be immediately after
kaphakala</li>
<li class="MsoNormal" style="mso-list: l7 level1 lfo3; tab-stops: list .5in; text-align: justify;">Indulgence in any other activity should be strictly
avoided like watching TV, excessive talking etc.</li>
<li class="MsoNormal" style="mso-list: l7 level1 lfo3; tab-stops: list .5in; text-align: justify;">Intake of excess water should be avoided</li>
<li class="MsoNormal" style="mso-list: l7 level1 lfo3; tab-stops: list .5in; text-align: justify;">Ensure proper subsidence of vega before administering
paschath karma.<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt;"></span></b></li>
</ul>
<div class="MsoNormal">
<br /></div>
</div>
Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-898700744152653775.post-9761557343718647772015-01-03T01:45:00.000-08:002015-01-08T22:35:58.459-08:00VAMANA or EMESIS<div dir="ltr" style="text-align: left;" trbidi="on">
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<div class="MsoNormal" style="margin-left: 2.0in; text-align: justify; text-indent: .5in;">
<br /></div>
<div class="MsoNormal">
<span style="font-size: large;"><span style="color: blue;"><b> VAMANA or EMESIS</b></span></span><br />
Vamana is the one of the therapeutic procedure among
PANCHAKARMA where forceful expulsion of vitiated doshas especially KAPHA Dosha
through mouth following administration of Vamanoushadhi (Emetics). The expelled
Material consists of Indigested food, Vitiated kapha and pitta. </div>
<div class="MsoNormal">
The purvakarma (pre-procedure) snehana(oleation) and swedana
(sudation) causes softening and liquification of the doshas, that brings the
mobilized dosha to reach the Koshta(Gastro Intestinal Tract), to expelled it out
through Vamana or Virechana(purgation) or by Niruha Vasthi(Decoction-enema)</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<span style="color: lime;">
</span><br />
<div class="MsoNormal" style="text-align: justify;">
<span style="color: lime;"><u><b>To Whom VAMANA to be performed:</b></u></span></div>
<div class="MsoNormal" style="text-align: justify;">
It is indicated to do Emesis for
the elimination of vitiated Doshas not only in diseased condition but also in
healthy condition (after the vasantha ritu-autumn) for the preservation of
health.</div>
<div class="MsoNormal" style="text-align: justify;">
The Diseases that can be cured by
inducing Vomiting Are:</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">i)<span style="font: 7.0pt "Times New Roman";">
</span></span>Peenasa (Allergic Rhinitis, Sinusitis)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">ii)<span style="font: 7.0pt "Times New Roman";">
</span></span>Kushta ( Skin Diseases)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">iii)<span style="font: 7.0pt "Times New Roman";">
</span></span>Navajwara ( In the early period of Pyrexia)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">iv)<span style="font: 7.0pt "Times New Roman";">
</span></span>Rajayakshma (Wasting diseases)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">v)<span style="font: 7.0pt "Times New Roman";">
</span></span>Kasa (Cough)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">vi)<span style="font: 7.0pt "Times New Roman";">
</span></span>Swasa (Dysnoea)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">vii)<span style="font: 7.0pt "Times New Roman";">
</span></span>Gala-Graha (Stiffness of neck)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">viii)<span style="font: 7.0pt "Times New Roman";">
</span></span>Sleepada (Filariasis)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">ix)<span style="font: 7.0pt "Times New Roman";">
</span></span>Galaganda (lymphadenitis)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">x)<span style="font: 7.0pt "Times New Roman";">
</span></span>Prameha (Diabetes)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xi)<span style="font: 7.0pt "Times New Roman";">
</span></span>Mandaagni (loss of appetite)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xii)<span style="font: 7.0pt "Times New Roman";">
</span></span>Vishuchika (Pain in abdomen/ Cholera)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xiii)<span style="font: 7.0pt "Times New Roman";">
</span></span>Alasaka (Distension of abdomen)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xiv)<span style="font: 7.0pt "Times New Roman";">
</span></span>Visha peeta (Poisoned Condition)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xv)<span style="font: 7.0pt "Times New Roman";">
</span></span>Adho Rakthapitta (Bleeding from lower parts)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xvi)<span style="font: 7.0pt "Times New Roman";">
</span></span>Arochaka (loss of taste for food)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xvii)<span style="font: 7.0pt "Times New Roman";">
</span></span>Durnama/Arsha(Heamorrhoides/Piles)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xviii)<span style="font: 7.0pt "Times New Roman";">
</span></span>Hrillasa (Watering from mouth/ Excess salivation)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xix)<span style="font: 7.0pt "Times New Roman";">
</span></span>Grandhi ( Benign Tumours)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xx)<span style="font: 7.0pt "Times New Roman";">
</span></span>Apasmara ( Epilepsy)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xxi)<span style="font: 7.0pt "Times New Roman";">
</span></span>Unmada (Insanity)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xxii)<span style="font: 7.0pt "Times New Roman";">
</span></span>Atisara (Diarrhoea)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xxiii)<span style="font: 7.0pt "Times New Roman";">
</span></span>Shopha ( Dropsy/ Anasarca)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xxiv)<span style="font: 7.0pt "Times New Roman";">
</span></span>Pandu (anaemia)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xxv)<span style="font: 7.0pt "Times New Roman";">
</span></span>Mukah Paka ( Aphthae)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xxvi)<span style="font: 7.0pt "Times New Roman";">
</span></span>Stanya dushti (Vitiation of Breast milk)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xxvii)<span style="font: 7.0pt "Times New Roman";">
</span></span>Arbuda ( Cancer) </div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xxviii)<span style="font: 7.0pt "Times New Roman";">
</span></span>Chitta Vibramsa (Disorders of mind)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xxix)<span style="font: 7.0pt "Times New Roman";">
</span></span>Visarpa (Erysipelas)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xxx)<span style="font: 7.0pt "Times New Roman";">
</span></span>Vidradhi (Abscess)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xxxi)<span style="font: 7.0pt "Times New Roman";">
</span></span>Karna srava (Otorrhoea)</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l2 level1 lfo9; tab-stops: list .75in; text-align: justify; text-indent: -.5in;">
<span style="mso-list: Ignore;">xxxii)<span style="font: 7.0pt "Times New Roman";">
</span></span>All Kapha vikara…e.tc…</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<u><b><span style="color: red;">VAMANA (Emesis) is
prohibited</span></b></u> for the persons who are:</div>
<ol start="1" style="margin-top: 0in;" type="1">
<li class="MsoNormal" style="mso-list: l5 level1 lfo10; tab-stops: list .5in; text-align: justify;">Emaciated due to trauma </li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo10; tab-stops: list .5in; text-align: justify;">Obese.</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo10; tab-stops: list .5in; text-align: justify;">Very lean.</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo10; tab-stops: list .5in; text-align: justify;">Exhausted by any means</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo10; tab-stops: list .5in; text-align: justify;">Thirsty for large quantities of water</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo10; tab-stops: list .5in; text-align: justify;">starved</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo10; tab-stops: list .5in; text-align: justify;">Indulging in excessive sexual intercourse, Excess
Exercise</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo10; tab-stops: list .5in; text-align: justify;">Anxious</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo10; tab-stops: list .5in; text-align: justify;">Pregnant</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo10; tab-stops: list .5in; text-align: justify;">Suffering from Bleeding Disorders from upper tract</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo10; tab-stops: list .5in; text-align: justify;">Pathological vomiting</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo10; tab-stops: list .5in; text-align: justify;">Cardiac Diseases</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo10; tab-stops: list .5in; text-align: justify;">Obstruction of Urine</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo10; tab-stops: list .5in; text-align: justify;">Spleenomegaly</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo10; tab-stops: list .5in; text-align: justify;">Distension of abdomen</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo10; tab-stops: list .5in; text-align: justify;">Ascitis</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo10; tab-stops: list .5in; text-align: justify;">Cataract</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo10; tab-stops: list .5in; text-align: justify;">Pain in eyes</li>
<li class="MsoNormal" style="mso-list: l5 level1 lfo10; tab-stops: list .5in; text-align: justify;">Pain in ears…etc..</li>
</ol>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Even though many
contraindications are described, the physician can administer vamana drugs in
cases of emergency or in cases of complications arising out of Poison,
incompatible foods or ama. In these conditions emesis should be done
immediately because Visha(poison), Ama etc are quite toxic to the body and if
not removed immediately can destroy life.</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-indent: 9.0pt;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;">Materials required:-</b></div>
<div class="MsoNormal" style="text-align: justify; text-indent: 9.0pt;">
<span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo1; tab-stops: list .5in; text-align: justify; text-indent: 9.0pt;">
<span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span>Large Basin <span style="mso-tab-count: 2;"> </span>–1</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo1; tab-stops: list .5in; text-align: justify; text-indent: 9.0pt;">
<span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span>Medium sized vessel<span style="mso-tab-count: 1;"> </span>-
2</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo1; tab-stops: list .5in; text-align: justify; text-indent: 9.0pt;">
<span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span>Steel glass (capacity-250ml)- 2</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo1; tab-stops: list .5in; text-align: justify; text-indent: 9.0pt;">
<span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span>Table spoon<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>- 2</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo1; tab-stops: list .5in; text-align: justify; text-indent: 9.0pt;">
<span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span>Khalwa yanthra<span style="mso-tab-count: 1;"> </span>-
1</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo1; tab-stops: list .5in; text-align: justify; text-indent: 9.0pt;">
<span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span>Stool<span style="mso-spacerun: yes;">
</span><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>-1</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo1; tab-stops: list .5in; text-align: justify; text-indent: 9.0pt;">
<span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span>Chair with arm rest <span style="mso-tab-count: 1;"> </span>–1</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo1; tab-stops: list .5in; text-align: justify; text-indent: 9.0pt;">
<span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span>Cotton cloth-<span style="mso-spacerun: yes;">
</span><span style="mso-tab-count: 1;"> </span>-2</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo1; tab-stops: list .5in; text-align: justify; text-indent: 9.0pt;">
<span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span>Hot water bath vessel<span style="mso-tab-count: 1;"> </span>-1</div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l4 level1 lfo1; tab-stops: list .5in; text-align: justify; text-indent: 9.0pt;">
<span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";">
</span></span>Stove<span style="mso-tab-count: 3;"> </span>-
1</div>
<div class="MsoNormal" style="margin-left: .5in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b style="mso-bidi-font-weight: normal;">Pre-operative procedure:-</b></div>
<div class="MsoNormal" style="margin-left: .25in; text-align: justify; text-indent: 9.0pt;">
<span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal" style="margin-left: .25in; text-align: justify; text-indent: 9.0pt;">
1. <b style="mso-bidi-font-weight: normal;">Preparation of the patient:-</b></div>
<div class="MsoNormal" style="margin-left: .25in; text-align: justify; text-indent: 9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l7 level1 lfo2; tab-stops: list .75in; text-align: justify; text-indent: 9.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>The patient should be made samyakasnigdha by
proper snehapana.</div>
<div class="MsoNormal" style="margin-left: 1.0in; mso-list: l7 level1 lfo2; tab-stops: list 1.0in; text-align: justify; text-indent: -9.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>On attaining samyaksnigdhalakshanas, Abhyanga
and Ooshmasweda are<span style="mso-spacerun: yes;"> </span>done on next
day.</div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l7 level1 lfo2; tab-stops: list .75in; text-align: justify; text-indent: 9.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>On the second day Abhyanga and ushmasweda </div>
<div class="MsoNormal" style="margin-left: .75in; mso-list: l7 level1 lfo2; tab-stops: list .75in; text-align: justify; text-indent: 9.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-spacerun: yes;"> </span>Kaphothkleshakara aharas are given in the
afternoon.<span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal" style="margin-left: .25in; text-align: justify; text-indent: 9.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: .25in; text-align: justify; text-indent: 9.0pt;">
2. <b style="mso-bidi-font-weight: normal;">Preparation of medicine:-</b></div>
<div class="MsoNormal" style="margin-left: .25in; text-align: justify; text-indent: 9.0pt;">
<span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal" style="margin-left: 82.5pt; mso-list: l9 level1 lfo4; tab-stops: list 82.5pt; text-align: justify; text-indent: 9.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Vamanadravya</div>
<div class="MsoNormal" style="margin-left: 1.75in; mso-list: l6 level1 lfo3; tab-stops: list 1.75in left 153.0pt; text-align: justify; text-indent: 9.0pt;">
<span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span>Madanaphalachoorna- <span style="mso-tab-count: 1;"> </span>3 to 5 gms</div>
<div class="MsoNormal" style="margin-left: 1.75in; mso-list: l6 level1 lfo3; tab-stops: list 1.75in left 153.0pt; text-align: justify; text-indent: 9.0pt;">
<span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span>Vachachoorna-<span style="mso-tab-count: 2;"> </span>5
gm</div>
<div class="MsoNormal" style="margin-left: 1.75in; mso-list: l6 level1 lfo3; tab-stops: list 1.75in left 153.0pt; text-align: justify; text-indent: 9.0pt;">
<span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span>Yashtimadhuchoornam- <span style="mso-tab-count: 1;"> </span>7.5
gm</div>
<div class="MsoNormal" style="margin-left: 1.75in; mso-list: l6 level1 lfo3; tab-stops: list 1.75in left 153.0pt; text-align: justify; text-indent: 9.0pt;">
<span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span>Honey<span style="mso-spacerun: yes;"> </span>-<span style="mso-tab-count: 3;"> </span> QS</div>
<div class="MsoNormal" style="margin-left: 1.75in; mso-list: l6 level1 lfo3; tab-stops: list 1.75in left 153.0pt; text-align: justify; text-indent: 9.0pt;">
<span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span>Saindhava- <span style="mso-tab-count: 3;"> </span>15
gm</div>
<div class="MsoNormal" style="margin-left: 82.5pt; mso-list: l9 level1 lfo4; tab-stops: list 82.5pt; text-align: justify; text-indent: 9.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Milk-<span style="mso-spacerun: yes;"> </span>4 to 6 litres</div>
<div class="MsoNormal" style="margin-left: 82.5pt; mso-list: l9 level1 lfo4; tab-stops: list 82.5pt; text-align: justify; text-indent: 9.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Hot water – QS</div>
<div class="MsoNormal" style="margin-left: 82.5pt; mso-list: l9 level1 lfo4; tab-stops: list 82.5pt; text-align: justify; text-indent: 9.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Karpooradi or Haridradi varthi-<span style="mso-spacerun: yes;"> </span>1</div>
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</span></span></span>Oil-<span style="mso-spacerun: yes;"> </span>QS
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<b style="mso-bidi-font-weight: normal;">Procedure</b></div>
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<ul style="margin-top: 0in;" type="disc">
<li class="MsoNormal" style="mso-list: l3 level1 lfo5; tab-stops: list .5in; text-align: justify;">The patient should be anointed with proper oil
followed by proper svedana. </li>
<li class="MsoNormal" style="mso-list: l3 level1 lfo5; tab-stops: list .5in; text-align: justify;">All these process should be completed around 7am. </li>
<li class="MsoNormal" style="mso-list: l3 level1 lfo5; tab-stops: list .5in; text-align: justify;">He should then be seated on a chair facing a basin
kept on a stool.</li>
<li class="MsoNormal" style="mso-list: l3 level1 lfo5; tab-stops: list .5in; text-align: justify;">At first the patient should be given around 6 glasses
of milk to facilitate easy bouts of vomiting as well as to prevent the
complication of forceful vomiting.</li>
<li class="MsoNormal" style="mso-list: l3 level1 lfo5; tab-stops: list .5in; text-align: justify;">After that the medicine for vamana should be administered.</li>
<li class="MsoNormal" style="mso-list: l3 level1 lfo5; tab-stops: list .5in; text-align: justify;">Advice the patient to sit comfortably and concentrate
on the forth coming signs of vomiting.</li>
<li class="MsoNormal" style="mso-list: l3 level1 lfo5; tab-stops: list .5in; text-align: justify;">The maximum time interval for the first bout to occur
should not exceed more than 48minutes after the medicine is given. </li>
<li class="MsoNormal" style="mso-list: l3 level1 lfo5; tab-stops: list .5in; text-align: justify;">The physician should observe for the following signs</li>
<ol start="1" style="margin-top: 0in;" type="1">
<li class="MsoNormal" style="mso-list: l3 level2 lfo5; tab-stops: list 1.0in; text-align: justify;">Sweating </li>
<li class="MsoNormal" style="mso-list: l3 level2 lfo5; tab-stops: list 1.0in; text-align: justify;">Horripilations</li>
<li class="MsoNormal" style="mso-list: l3 level2 lfo5; tab-stops: list 1.0in; text-align: justify;">Distention </li>
<li class="MsoNormal" style="mso-list: l3 level2 lfo5; tab-stops: list 1.0in; text-align: justify;">Salivation </li>
<li class="MsoNormal" style="mso-list: l3 level2 lfo5; tab-stops: list 1.0in; text-align: justify;">Oppression in chest etc</li>
</ol>
<li class="MsoNormal" style="mso-list: l3 level1 lfo5; tab-stops: list .5in; text-align: justify;">Vomiting usually occurs following the appearance of
this/these sign/s.<span style="mso-spacerun: yes;"> </span></li>
<li class="MsoNormal" style="mso-list: l3 level1 lfo5; tab-stops: list .5in; text-align: justify;">The patient is asked to bend forward and vomit<b style="mso-bidi-font-weight: normal;"> </b>into the basin kept in front. </li>
<li class="MsoNormal" style="mso-list: l3 level1 lfo5; tab-stops: list .5in; text-align: justify;">Simultaneously the two flanks and fore head of the
patient should be held by another person</li>
<li class="MsoNormal" style="mso-list: l3 level1 lfo5; tab-stops: list .5in; text-align: justify;">His umbilical region and back should be massaged in
upward direction.</li>
<li class="MsoNormal" style="mso-list: l3 level1 lfo5; tab-stops: list .5in; text-align: justify;">The appropriate dravadravyas are administered in
between if necessary.</li>
<li class="MsoNormal" style="mso-list: l3 level1 lfo5; tab-stops: list .5in; text-align: justify;">If the bouts are not coming up easily, then the
patient is asked to bring the bouts manually by tickling his throat either
with his fingers or a soft tube without injuring the throat.</li>
<li class="MsoNormal" style="mso-list: l3 level1 lfo5; tab-stops: list .5in; text-align: justify;">Vamana is continued till the samyak lakshanas are
seen viz. pittanta (most preferable)/ sufficient kapha chardhana/shareera
laghutha-kosta laghavata/dourbalya.</li>
</ul>
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<b style="mso-bidi-font-weight: normal;">Post operative procedure</b></div>
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</span></span></span>The patient should be asked to wash his face
with luke warm water followed by Dhoomapana with karpooradi or haridradi
varthi. </div>
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<b style="mso-bidi-font-weight: normal;">Complications and management</b></div>
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</span></span></span><b style="mso-bidi-font-weight: normal;">Haemetemesis</b></div>
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<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;">
</span>Lajatharpana with sitha.</div>
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</span></span></span><b style="mso-bidi-font-weight: normal;">Feeble
pulse, Giddiness, Collapse</b>.</div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-spacerun: yes;"> </span>Sidhamakaradhwajam with honey
and betel juice,</div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-spacerun: yes;"> </span>Drakshadi kashaya, Dhanwantharam
gulika.<span style="mso-spacerun: yes;"> </span></div>
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</span></span></span><b style="mso-bidi-font-weight: normal;">Heena
Vega</b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="mso-spacerun: yes;">
</span></b>Pippali Choorna, Amalaki Choorna, Sarshapa Choorna , Lavanodaka </div>
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For more details contact our eminent doctors. </div>
</div>
Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.comtag:blogger.com,1999:blog-898700744152653775.post-74752833450750031002014-09-24T23:07:00.000-07:002014-09-24T23:07:34.273-07:00Ayurveda & Homoeopathy<div dir="ltr" style="text-align: left;" trbidi="on">
Welcome to <b>Aayur Home: </b>The Relief Home for all the Sufferers of Various Chronic and Incurable diseases to regain the Real Health and to Sustain their Life.<br />
<b>Aayur Home </b>is a Comprehensive Integrated Medical Centre Combing Ayurveda (the most ancient medical science of India) & Homoeopathy (the system of treatment based on the principle Similia Similibus Curanter by Dr. Samuel Hahnemann of Germany.<br />
<br />
<b>AayurHome</b> treats almost all the sufferings of the patients, diseases of animals and plants by using the combined treatment methodology using various Alternative Medicines including Ayurveda, Homoeopathy, Traditional Marma Chikitsa, Panchakarma, Yoga, Naturopathy, Biochemic Medicines, Acupressure, Acupuncture, Hijama therapy, Medical Astrology, Spiritual Medicines, Mantra chikitsa (Bhoota Chikitsa Or Graha Chikitsa), Hypnotherapy..etc..by Scientific Clinical evalution of the Conditions of the patients by analysing the vitiated Dosha, Dooshya, Mala..etc...and also the Miasmatic State of the patients, the energy levels, the variation of vital force, the level and flow of energy in the Meridians, the Gati (movement) of the doshas, the order of the Satwa, Rajas and thamo gunas of the mind.</div>
Dr.RIYAS.AKhttp://www.blogger.com/profile/09427440286303164733noreply@blogger.com