Kustha ( Leprosy )

Kustha is the chronic infectious diseases. Which Produces Various
Granulomatous lesions in the skin  the mucous membranes and peripheral nervous system.



Cause - 1 Viruddhara
               
               2 Gramya Anupa

               3 Udaka Mamsani

               4 Dadhi

               5 Matsya Amla Lavanya

               6 Nisevana

              7 Chardi Vega Adharana

               8 Ajirnashana

               9 Gudati Sevana
             
                10 Panchakarma  Vyapada



 Clinical Features

Vata Pradhan

1 Raukshyata

2 Parushya

3 Shosha

4 Shoola

 5 Sankocha

6 Ayama

7 Harsha

8 Toda



Pitta Pradhan


1 Daha

2 Raga

3 Srava

4 Paka

5 Visragandha

6 Kleda

7 Angapatana


Kapha Pradhan


1 Shvetata

2 Saityata

3 Kandu

4 Sthairya

5 Utseda

6 Gourava

7 Sneha

8 Kleda




Investigation


1 CBC

2 AEC


3 ESR

4 Allergen Test


5 Histo - Pathological



Principal of Treatment

1 Punaha - Punaha Shoshana in Bahudosha .

2 Raktmokshana

3 After sodhana and Raktmokshana , Ghritapana is essential to prevent Vata Prakopa

4 Lepa Prayoga - After sodhana and Raktmokshana

5 Tikta , Kashaya , Ushna Veerya , Rakta  Prasadaka Dravya Prayoga


Treatment

Panchakarma


1 Snehana - PTG / MTG / GTG


2 Svedana - Bashpa


3 Vamana - Madanphaladi  Yoga


4 Virechana - Ichhabhedi + Gomutra

Rasa + Triphala - Trivrit - katuki


Raktmokshana -  Leech




Shamana  Chikitsha


Drug of choice - Kadhira ( internal ) / Argvadha ( external )

Main Drug - Khadira , Tuvaraka , Chopachini , Bhallataka , Guduchi .



Naimittika Rasayana - Madhusnuhi Rasayana , Amritabhallataka Leha .



Recommended Clinical Formulation



1 Arogyavardhini Vati 2 BD After Food

2 Talakeshwara Rasa 125 mg TID After Food

3 Rasamanikya 60 mg TID with Guduchi ghrita

4 Gandhaka Rasayana Vati 2 BD After Food

5 Tamra Parpati 125 mg TID After Food

6 Mahamanjisthadi Kasahya 2 tsf with warm water After Food BD


7 Gandhaka Malahara  Locally Apply BD

8 Somraji Tails  Locally Apply BD

9 Mahamarichyadi Tails Locally Apply BD


10 Six C ointment  Locally Apply BD


11 Cutis ointment Locally Apply BD


Diet and lifestyle


Pathya  - Katuka , Alabu , Patola , Methi , Katu , Tikta Rasa

Apathya - Viruddhara , egg , peanuts , milk , wheat , fish , chicken , pork , beef

Avoiding Dry product , White Flour , Fried foods other processed fats and Sugar

Emphysema

Emphysema

Emphysema is a type of chronic obstructive pulmonary diseases ( COPD) in which permanent dilatations of air sacs ( alveoli ) occurs which means air sac lose the capacity of contraction and relaxation .

Causes -

The most common cause is cigarette smoking.

Symptoms

1 Barrel shaped chest

2 Wheezing

3 Cough

4 Heaviness

5 Chest tightness

6 Heaviness of chest.

Diagnosis

X Ray

Principal of Treatment

Panchakarma

1 Vata Predominantly Tamaka Shvasa

2 Ghritapana - Dashamula Ghirtha / KB Taila

3 Svedana - Bashpa Sveda

4 Virechana - Eranda Taila 60 ml with decoction of Trivrit + Aragvadh 50ml .

Recommended Classical Formulation

Shodhana Chikitsa

1 Shvasakasa Chintamani 125 mg BD with Honey after meals.

2 Svarna Sameerapannaga Rasa 125 mg BD with warm water after meals.

3 Vashishta Haritaki 1 tsf BD with warm milk after meals.

4 Kanakaasava 2 tsf BD with warm water after meals.

5 Vasarishta 2 tsf BD with warm water after meals

Diet and lifestyle

Pathya ( indications )

1 low fat , light .hot .diet .not too oily .not too dry.

Apthya ( Contraindications )

1 Cold , irritating ,oily , sour , curd , avoid milk and milk products , non vegetarian food.

2 Gas forming foods

Hiccups

A hiccup is an unintentional contraction of the diaphragm the muscle at the base of the lungs . The spasm is followed by sudden closing of the vocal cords which produces a distinctive sound .

Causes

1 Abdominal surgery

2 Hot and spicy foods or liquid

3 Tumor affecting the brain

4 Pleurisy

5 Harmful fumes

Principal of Treatment

Drug having properties - ushna , Vata Kaphavataghna , Vatanulomana

Vatahara and Brimhana Chikitsa

*Shodhana Chikitsa

Panchakarma

1 Abhyanga - Karpuradi Taila

2 Ksheera Dhoom

3 Nasya - Ghirtha and Saindhava

4 Nasya - Stree Dugha

Shamana Chikitsa

Drug of choice - Pushkaramoola

Main Drug's - Mayarapiccha Bhasma , Pippali , Bharangi , Kanthakari.

Recommended Classical Formulation

1 Sitopaladi Churna 3 gm tsf BD with honey after meals.

2 Karpuradi  churna 3 gm tsf with honey after meals

3 Mayarapiccha Churna 30 mg every hourly with pippali and Madhu .

4 Shavasakasa Chintamani 1 BD with honey

5 Sootashekhara rasa 60mg every 1/2 hours .

6 Dhanvantri Kashaya 20 ml BD with warm water after meals.

7 Vyghryadi Kashaya 5ml every 3 to 6gm hours

8 Pushkaramoolasava 5ml every 1/2 hours

Diet and lifestyle

Pathya ( indications )

Low fat , hot diet

Apathya

 ( Contraindications )

Irritating , oily food , Curd , Sour , Talking during meals , talk food in hurry.

Kshay Roga ( Tuberculosis )

Kshay Roga  ( Tuberculosis )

Tuberculosis is a bacterial infections caused by a germ called mycobacterium tuberculosis

Causes

Sneezing and coughing of patients affecting with tuberculosis release million of bacteria . When the immune compromised person ( decrease immunity ) inhales this he is having great chance of getting TB

Symptoms

1 Severe cough that last 3 week or longer .

2 Weight loss

3 Weakness of fatigue

4 fever and chills

5 Night sweats

6 Cough with blood mixed sputum .

Diagnosis

1 Chest X Ray

2 Sputum for AFB

3 Mauntex Test

Principal of Treatment

Mridu Shodhana if balavana rogi.

Use of srotoshodhana , deepana and brumhana Chikitsa alternative.

Treatment

1 Amrita Mahakalasha 1 tsf with warm milk twice a day day on empty stomach.

Shamana Chikitsa

1 Mahalakhmivilas Rasa 125 mg OD with honey after meals.

2 Pippli Vardhamana Rasayana 125 mg BD with warm water after meals

3 Chyavana prasha Leha 1 tsf BD with warm milk empty stomach after meals.

4 Aja mamsa Rasayana 1 tsf BD with warm milk on empty stomach after meals .

5 Amritaprasha avaleha 1 tsf BD with warm water milk on empty stomach after meals.

 6 Sarpiguda 1 tsf BD with warm water milk on empty stomach after meals.

Yoga Therapy

Pranayama

Rhythmic breathing . Nadi - Shodhana ( alternative breathing )

Asanas

1 Viparitakarni Asana

2 Saravangasan

3 Shavasana

Meditation

Meditation for 15 to 30 minutes .

Diet and lifestyle

Pathya ( indications )

Regular intake of goat meat soup , goat milk , garlic paste .

Apthya ( Contraindicated )

Cold , oily , sour diet , curd , excessive coitus and exercise .

Tropical Eoisinophilia

Tropical Eoisinophilia

Tropical Eoisinophilia is caused by wuchereia Bancroft a filarial infections

Symptoms

A persistent or recurrent cough that gets aggravated at night

1 Dyspnoea

2 Wheezing

3 Weight loss

4 Low fever

5 weakness

Principal of Treatment

1 Shavsa roga needs emergency treatment due to its fatal natural

2 Ekanta Chikitsa such as kaphahara and vatakara or Vatahara and kaphakara should be not done however among these vatanashaka Chikitsa is better

3 in all cases for brumhana Chikitsa there is little and manageable risk for Shamana Chikitsa the risk is not too much and for karshana Chikitsa the risk is high and unmanageable hence the patients of shvasa roga should be managed with brumhana or samna Chikitsa

4 Shvasahara dravya guna - kapha _ vataguna , ushna , Vatanulomana .

5 Ghirtha Pana yogya avastha - dryness of throat , chest , palate , and body .

6 Svedana - In Shvasa associated with raktapitta in grabhini , rukshna dhatu , Kashaya , pitta prakruti Svedana is contraindicated . In such cases mild fomentations with utkarika should be given .

Panchakarma

1 Abhyanga -  Saindhava Taila

2 Svedana - Dashamula Nadi Sveda

3 Sadyo Vamana - Vacha , Saindhava and Madhutailika with honey.

Shamana Chikitsa

1 Mallasindoora 30 - 60 mg TID with honey after meals

2 Talasindoora 60 mg BD with warm water after meals

3 Haridra Khanda 1 tsf BD with warm water after meals.

4 Chyavana prasha Leha 1 tsf BD with warm milk after meals.

5 Sameerapannaga Rasa 125 mg BD with warm water after meals.

6 Svarna Sameerapannaga Rasa 65mg BD with warm water after meals

7 Shvasa kasa chintamani 65 mg BD with honey after meals.

8 Pushkaramoolasava 2 to 3 TID with water after meals.

Pathya ( indications )

Low fat , hot diet

Apathya ( contraindications )

Irritating , oily , curd , sour , talking during meals , taking food in hurry.

Chronic Bronchitis

Chronic Bronchitis

Bronchitis is an inflammation of the bronchial tubes . and causes cough with expectorant .

Causes

1 Cigarette smoking is the most common cause.

Symptoms

1 Difficulty in breathing

2 Productive cough

3 Yellowish or greenish sputum with bad odor .

4 fever

Principal of Treatment

1 Kashyaja kasa Shamana Chikitsa.

2 Use of srotoshodhana . deepan and Brimahana Chikitsa alternative .

 Shoshana Chikitsa

*Panchakarma

1 Abhyanga - Saindhava Taila

2 Svedana - Dashamula Nadi Sveda

3 Sadyo Vamana -Vacha , Saindhava and Madhutailika with honey

Or

Ghirtha Pana - Pippalyadi Ghirtha / PTG / Murchita Taila.

4 Virechana - Icchabhedi Rasa Vati 250mg with Decoction of Trivrit + Triphala 50ml + Gomutra 50 ml

Shamana Chikitsa

Recommended Classical Formulation

1 Shvasakuthara Rasa 125 mg BD with 10 ml Nagavali Savarasa and honey after meals.

2 Chandramrita Rasa 250 mg BD with honey after meals

3 Agastya Haritaki Leha 1 tsf BD with warm milk after meals

4 Vasavaleha 1 tsf BD with warm milk after meals

5 Dashamula Rasayana 1 tsf BD with warm milk after meals

6 Talisadi Churna 1/2 tsf with honey TID after meals

7 Shringyadi Churna 1/2 tsf with honey TID after meals.

8 Vasarishta 2 tsf BD with warm water after meals .

9 Pippalyadi asava 2 tsf TID  with warm water after meals.

Yoga Therapy

1  Bhujangasana

2 Shalabhasana

3 Dahnurasana

4 Ushtrasana

5 Chakraasan

6 Shavasana

*Pranayama ..

1 Anuloma - Viloma Deep Breath ( 15 minutes )

2 Ujjayi Pranayama with out kumbhaka ( 10 minutes)

3 Right Nostrils Purak followed by Bhramari Rechaka ( 21 round )

* Meditation for 15 to 30 minutes.

Diet and lifestyle

Pathya ( indications )

1 low fat , light , hot diet , not too oily , not too dry.

Apathya ( Contraindications )

1 Cold

2 irritating oily

3 sour

4 curd , avoid milk and milk products.

5 Avoid gas forming foods.

Bandhyatva ( Female Infertility )

Bandhyatva ( Female Infertility )

Infertility is the term used for women who are unable to conceive after at least one year of regular unprotected coitus .

Causes

1 Physical problem with the uterine wall

2 Uterine fibroid

3 Poor diet

4 Smoking drug and alcohol

5 Hormonal imbalance

6 Stress

7 Being overweight or underweight

8 Blocked Fallopian tube the endometriosis , PID , Or Surgery

9 Other health problems such as STD..

Treatment

Panchakarma.

1 Snehana - Phala Ghirtha

2 Bashpa Sveda

3 Virechana - Trivirt Leha 30gm Gandharvahastadi Taila 30 ml with warm water.

4 Garbhashyagata Uttra basti with Shatpushpa

Taila 5 ml ( reference Kashyap Samhita )

5 Madhutailika Basti ( Sneh Phala Ghirtha) × 8days

6 Yoni Picchu - Dashamula Taila

Regular oil massage and steam .

Simple Remedies

1 Take 3 tsf powder prepared from Asparagus recemosus , Anethum graveolens and Saraca Ashoka 2 time a day .

2 Take a 20 ml decoction of asparagus recemosus and Saraca Ashoka 2 time day.

Lab Investigation

1 Haemogram

2 Urine routine micro

3 Serum estrogen , progesterone , FSH, LH

4 Serum prolactin

5 Thyroid Profile

6 Semen Analysis ( Husband. )

7 USG for ovulation study .

8 HSG for tubal patency

9 Endometrial biopsy

10 Laproscopy - hysteroscopy Husband -.  Scrotal sonography.

Diagnosis

1 Anovulatory cycle by USG

2 Block tubes by HSG

3 EB for endometrial tuberculosis

4 Laproscopy - Endometriosis

5 Scrotal sonography - Varicocele

6 Serum FSH level for premature ovarian failure .

7 Progesterone - Corpus luteum insufficient

8 Prolactin - Prolactinoma.

Principal of Treatment

Uterine tonic , restoration of normal physiology , Vatanulomana.

Recommended Classical Formulation

Saman Chikitsa
Rx

1 Nashtapushpantaka rasa 125 mg - 250 mg TID with honey after meals

2 Pushpadhanva Rasa 125 mg - 250 mg BD with honey after meals

3 Phalaghrita 10 - 20ml BD before meals.

4 Phala Kalyanka sarpi 10 ml BD after meals

5 Sukumara Kashaya 20 ml BD after meals

6 Shatavari Leha 1 tsf OD after meals

7 Rasa panchkyoga 20 ml BD after meals

8 Shatavari Shatpushpa Churna 3 gm TID after meals.

Yoga and Pranayama

1 Saravangasan

2 Shavasana

3 Padmasana

4 Setubandhasana

5 Viparitakarni Asana

Pranayama

1 Anuloma

Viloma Bhastrika

Meditation

Pathya - Mudga , shali , godhuma , tila , fruits and green vegetables .

Apathya - Abhishyandi , Guru , Viruddha Ahara , Fish , Curd , heavy , fried food , stress .