• Vasu, a male patient complaints of dysnoea, loss of appetite and poor evacuation.
• Rx

1. Chitragrandyadi Kashayam + Abhayaaristam
2. Dashamoala hareetaki lehyam at bed time Reason: Swasam is “aamashaya Samudbhavam”
3. So Rx aimed at Kapha & agni, and also for anulomana of vayu.

•  16 yrs. Old boy with grahani like.  Mother accompanied complaining he could not go school complains of pain abdomen, inadequate bowel clearance, distension abdomen, burning anus loss of appetite. Panchakolam Kashayam + pipalyasavam – 1 ounce with 1 riluadi gulika Very effective in experience either choorna or kashayam
• “Naagaraathivishamustam Paakayamamaharam pibeth ushnaambuna Va tat kalkam naagaram vadava bhayaam”
• Drink water processed with dry ginger & curry leaves.
• Rx.
• Mahavilwadi lehyam – bed time
• For grahani – butter milk is very important.

• Lady Rx
• Diagnosis :    ULCERATIVE COLITIS     as per scan report. Complains of distension obdomen and digestion complains.
• Nayopayam Kashayam
• Chutney of chuvannulli + dry ginger + curry leaves
• Kalyana gulam 10gm at bed time

• Lady with backache, abdomen related problems
• Gandharvahastaadi Kashayam + Abhayaristam
• Majavilwadi lehyam bed time (Srotoshodanam)

A female patient C/o indigestion flatulence etc

Rx.

• Chitrakagrantyadi + Abhayarishtam

 

After 1 month she reported complete relief from the abdominal complaints by this treatment she got result for impotency too

Male C/o pain abdomen, of flatus, indigestion pain of the food, defecation difficult.

Rx.

• Chitrakagrandyadi Kashayam + Abayaristam am & pm
• Dashamoolahareetaki

Even of it is ulcer (small onion processed ghee) may be used 1 teaspoon to 1 combination

Subaida 39 yrs  

Clinical Features

Complaints of abdominal distension and constipation

Treatments

• Gandharvahastadi ks with trvrt sneha at 6am and with dhanwantaram gulika at 6pm
• Hinguvacadi churna  10am 4pm
• Abhayarishtam before food

Clinical Features

• Pain in abdomen in evening with vividha anaha

Treatments

• Lavangapalaadi gulika param pachanadeepani
• Chitrakagradhikairandasunti kwatha param hita
• Soolaanahavibandheshu sahingu bidasaindhava: 15 gm each + 1&1/2  ltr water – reduce to 300ml
• Ponkaari gulika – ½ when pain starts

Clinical Features

last week severe constipation

• Saptasaram, abhayarishtam etc. yielded no result.

Treatments

• Sukumaram ghrtam snehapanam – 60ml am
• Peya over it
• When temperature comes ghrtam at pm

Ammukkutty amma

 

• c/o bhrama, raktarsas, sopham like.
• Rx. :   1. Punarnavadi ks + mandura vataka (1)
•            2. dasamulahareetaki – 1tsp before sleep
• 3. draksharishtam 300ml + annabhedi sindooram – 5gm mix after food.

Surendran

with severe constipation

Treatments

Gandharvahastadi kasaya was given with 1 teaspoon Eranda taila

Ramla 28 yrs 

with complaints like burning sensation over abdomen and umbilicus, nausea, vomiting, pain, which is not related to food. Complaints present all the time. On enquiry she said that her menstrual cycles are delayed, her sleep is disturbed and she has some mental tensions. 

Diagnosis

Paithika shula

Treatments

• mahatiktaka ghrta 60ml at 7 pm
• On feeling hunger, gruel can be given for lunch and dinner.
• 75ml, 30ml, 105ml
• Day sleep and work should be avoided.

This shaman sneha prayoga will heal the any ulcer of GIT if present

Parvathy

Clinical Features

pain in the abdomen

Constipation, crying – vathika nature

Refuse food

Pain on forhead

kid with mother

Rx :

1. Sukumaram ghrita -1tsp
2. Ashtachurna -1tsp

KHRDEYA 55 Yrs  16-3

Constipation

Burning sensation

1.veerataradi kashayam  +chandraprabha gulika [1 no] 6am 6pm

2.chandanasavam +punarnavasavam[10 am 4pm]

3.dashamoola hareetaki bd [2tsp]

4.brhatyadi choornam 15 gm boiled  in 1.5l water.add 1gm of kanmada bhasma

Veerataradi as very chronic mutrakrcha rujaharam

Feverish state present then guduchyadi.pitta decrease .

Rx     of arshas also  cures bronchitis

In sugar patients  don’t  use  vyoshadi vatakam;talisadi choornam.use agastya rasayana ,dasamoolahareetaki.they add very little  jiggery.but use  moose not user friendly

Mr Mohammed Shareef 24 yrs

c/o  constipation

mouth ulcer

muscle cramp

excess thirst

constipation alternates with  diahorea

muscle fatigue

pain in hands nott able to lift weight

it   is paithika grahani not  related  to locomotor system

1.mahatiktakam kashayam+ 1 tsp  honey

2.patoladichoornam 1 tsp   ½ hr before  food

3.water processed  with musta ;ushira;sariba.5 gm each in 1l water

4.gargling with triphala

NO CONSIDERABLE RELIEF

No regurgitate  and heart burn

Cant tolerate heat

 

Vidharyadi kashayam+ksheera bala [10 drop ]

Vidaryasavam 4 pm

Vidaryadi ghritam 2 tsp   bd

Balaashwagandadi

So going  backto grahani rx  as no much relief ,as he in niramavastha

Mahatiktka kashyam+1 tsp  mahatiktka ghritam[1 tsp ]

Pushyanuga coornam 1  tsp  [10 am 4pm]

Parushakadi lehyam 2 tsp bd

Mrs  Jaleel 22 yrs

C/O

Painfull abdomen with  burning  sensation

Diarrhea

She said pain increased  during  fasting   season

Totally paithika setup

Rx

1.mahatiktka kashayam+1 tsp satavari gulam[6 am,6 pm]

2.pushyanuga choornam 1 tsp with  milk[10 am,4 pm]

3.parooshakadi lehyam bd sthambanam

Dr Muthukoya 48yrs

Complaining of blood vomiting & associated liver cirrhosis

On interaction – very strong pickles &pungent food habit

Treatments

1. Vasagulucyadi ks +  1/2 tsp honey
2. Triphala curna 1tsp + 1/2 tsp honey
3. Vasa swarasam  (2tsp) + honey

Adv: avoid pickle,hot, spices,

He is being made readying for special Kanmada -500gm

Vasagulucyadi ks -600ml

 

Report : varicose vein in oesophagus (it is raktarsas in aamasaya just change in location)

14/12/03

Joint pain , Abdominal burning pain-Pravahika

Treatments

1.Rasnasapthakam ks + Vilwadi gulika

2)Kudajarista-before food 3 times

3)dadimathi choornam + takra 10AM, 4PM

4) kottamchukkadi + pinda taila local application

(shift to GIT line, rasna saptakam to have a joint action consideration)

21/12/03

Abdominal pain no more

Motion regularised

Now for sometimes more amavata&nirama avasta

1. Guggulutikthakam ghritam 1tsp bed time
2. Triphala choornam 1tsp
3. Guduch-i 3 kazhanju Nagara- 1 kazhanju
4. Pathya -2 kazhanju           boil with 1 glass milk+4 glass water & reduce to 1 glass

Dr muthukoya last year after the next day of fasting hael heamaturia and after that the intial manifestation was whole body burning sensation. But that day the liver angle did not

Rashida 13 ½ yrs

Lean body disproportionate to age

Burning pain in stomach

Treatments 

• Sukumarakam ks+ danwantaram 101A- 6am &6pm
• Satavarigulam 1tsp with milk(3 times)
• Tailamasham 25gm
• Mamsa soup best for same

Mrs Banu 24yrs

Severe burning pain in stomach

Pain in rt elbow jnt

Pain on rt shoulder jnt

h/o fracture, pain on lifting weight

Treatments 

1. Rasnerandadi ks+ kaisoraguggulu, ksheerabala101A
2. Balarishtam after lunch and dinner
3. Sahacharadi thailam+pindathailam+karpooradi thailam- E.A
4. Satavarigulam 2 tsp 10 am &4 pm ( empty stomach)

Whentikshna drugs ie, guggulutiktaka ks, varanadi,narasimha, etc.. intake; avoid non vegdiet because non veg cannot prepare without katu amla lavana rasa so avoid fish.

In samana treaement in swasa etc milk is avoided, but in pippali rasayanaof ayapaatra variety considering the fire milk is necessary to maintain balance.

Mrs Khadhija

c/o      : pindikodhveshtanam,sakthisaadam,malagraham,moothrakrichram,Bleeding Earlier.

Sir asked to refer purvaroopa and roopa of arsas

 

Treatments

1. Punarnavadi ks
2. Dasamoolahareethaki
3. Chandraprabha gulika
4. Thaleesadhi vadakam
5. Chinchadhi thaila – E/A

Treatments

1. Sahacharadhi kashayam 
2. Sahacharadhi thaila
3. Lasuna ksheeram

Name   :  beena

c/o        :  antar daha, excessive tension-pitha kopa

 

Treatments

1. Guluchyadhi ks –bd
2. Satavari gudam -2 tspn bd
3. Take water boiled with chandana, usiram, sariba(each 5 gm +1 ½ litre water)

Rx-

1. Mahatikthakam ghrtham + sathavari gudam
2. Chandhanasavam
3. For drinking- dhanyakam, ushiram,mustha+ 1 ½ litre water

c/o- heart burn, acid regurgitation, difficulty in micturition and defecation

Rx-

1. Mahathikthakam ks + chandrapraba vati
2. Chandanasavam+ veeratharadhyasavam
3. Brahathyadhi churnam

Hingvachadhi churnam bd

Timber merchant with food habit of 3 times biriyani intake.

Sudden defecation after food intake.

C/o Tiredness, muscle pain

Mrdu koshta- 5-6 times defecation daily

Insomnia, cant tolerate ushna, katu aahara

SK says same as Nizam

NB : In paittika grahani samprataya; absorption less so nutrition less. With mental disturbances. In vatika grahani patient will be lean. In kaphaja grahani there will be sopha.

In avarana; if vatapitta or vatakapha kopa, first pitta dosha should be pacified.

Treatment :

1. Mahatiktakam kashayam
2. Patoladi choornam

SK says it got completely cured.

C/o. Excretion of kapha in bowels.

Treatment :

1. Koova powder + milk
2. Intake curd + sugar

Duodenal ulcer (21/03/1999)

Sunil, 28 yrs,  ( anxious mentality)

C/o : Burning sensation of stomach

Giddiness at the time of pain

Condition with loosemotion alternatively

Amlodgara, pain more in empty stomach

History : food – irregular, less amount, spicy nature

Occasional alcoholism, field work.

On 30/07, treatment :

1. Mahatikthakam kashayam + satavari gulam – 6am, 6pm
2. Chandanasavam with patoladi choornam – 10 am, 4 pm
3. Parooshakadi lehyam – bed time

 

On 23/11, treatment:

1. Vidaryadi kashayam
2.  Kooshmanda rasayanam – 3 tsp bd
3. Vidaryadi ghrtam – 2tsp tds

 

After 4 months of treatment :

Pain, burning sensation, heart burn, amlodgara decreased and appetite increased. Therefore the above medicines continued.

Mariyam,  31yrs

C/o :

1. Burning sensation of stomach
2. Pain, vomiting sensation , weakness
3.  Loss of apetite
4.  Occasional swasa and kasa.

Complaints present since 3 months

Diagnosis – Ulcer

Treatment:

1. Mahatikthakam kashayam + satavarigulam
2. Chandanasavam + patoladi choornam
3. Parooshakadi lehyam

6 months treatment

Result:

Relief of all symptoms. Swasa persists.

 

1 pala medicine (60 gm) + 1200 ml water, reduced to 300 ml, further reduced to 115ml. Sieve and use.

You can prepare kashaya for today and can use for 3 days, heat little.

coolie worker from patna c/o feels like to do vomit and also to feel to do toilet bowel in such cases stool test is very very useful , rule out amoebiasis.

• Madhukasavam +mustharishtam (od) Sir experiences  Amritha+ kokilaksha kashayam  For the frontal lobe atrophy  of patna based man sir recommended the best choice is the  ‘ dvichandanadhi kashaya ‘ of  BR
•   Replaces in gout management.
• If it agrees with the stomach for 2 days then made it bd.

For lady with constipation

Agasthya rasayanam + sukumara ghritham

female c/o burning sensation in abdomen ; loose motion ( like pus ) 4 times .good hunger , Amloprezole latest. Had got better with

• Dadimadhi churnam
• Vilwadhi lehyam
• Madhukasavam  Sir asked how the abdomen behaves with intake of milk/ ghee ??
• Diasin not aseffective as dysnorm.
• Sukumara ghritham
• Thikthaka  ghritham  1tsp+ ½ tsp honey (od)

Stress reflects on abdominal motility

NB: since there is regular acidity maintaining abdomen better to avoid ghritha now. Most of the rheumatoids  show      in monsoon time .

man old case of gas trouble

Burning sensation,and pain present in the stomach.difficult defaecation.

• Now in drakshadhi kashayam + sukumara ghritha 1 tsp
• Needs kalyanaka gula also
• ALSACTG tab
• Sankhabhasma –fine
• Avipathikara churnam

Acidity can cause all these problems.first cure  acidity.

Acidity, regurgitation, gas, diaphragm irritation, breathing difficulty ,caused here due to acidity. Male 42 years has dyspnea breathlessness

DRAKSHADI KASHAYAM, + DHANWANTARAM GULIKA

VAISWANARA CHOOORNAM

NITYAM GHATAYETH HAREETAKI    //

AGASTHYA RASAYANAM

Koshta sodhanam

AVIPATHY CHOORNAM

VIDANGATANDULADI

Acidity patient ; tongue coated; years lady; thickness of mouth ; sourness of mouth

DRAKSHADI KASHAYAM + THIKTHAKA GRITHAM + DURALABHARISHTAM

Many people get gas by antibiotics

CHIRUVILWAADI KASHAYAM + DHANWANTARAM GULIKA

 

# Equally fast effective Ela + coriander water

# Gastritis ( amlapitta ); ALSAL TIL ;

DRAKSHADI KASHAYAM + THIKTHAKAM KASHAYAM 1 TSP BED TIME

DASAMOOLA HAREETAKI

ALOPECIA TOTALIS – SODHANA ( VAMANA AND VIRACHANA )

SIRA VYADHA is indicated

ANJANAM + GAIRIKAM

Rubbing with rough leaves

HASTHI DANTA MASI

KHADIRARISHTAM + ARAGWADHARISHTAM

AFTER SODHANA – NARASIMHA RASAYANAM

If not responding last option is NIMBA THAILAM for atleast 3 months

SUNDI , HARITHAKI, KRISHNA, TRIVRITH virechana

It can be used as a painkiller

DIABETIC GANGRENE- RASAGANDHI MEZHUKU

#Venu; constipation ,unsatisfactory evacuation; incomplete bowel

SUKUMARA GRITHAM + SAIDHAVAM

# Ulcerative colitis

GULUCHYADI KASHAYAM

DADIMADI CHOORNAM

Unnikrishnan-42 years

c/o hyper acidity

Bowel disturbance

drakshadi  kashayam + thikthaka ghrtham

trika trikadi lehyam

• Male,56yrs, Continues abdominal pain in Moring for half an hour , endoscopy done Check ESR,TC, Dc, HB
• Indukantham ks best option
• High esnophil count, Cause Leukemia approach

#There are innocent murmers harmless detective Austin SLINT Murmur* , thought by Dr Varrior to Dr Rajagopalan in one case told that there will be odema in the area of chest, that was aspirated on, some murmers very high sound but harmless.

• Aswin Delhi 23yrs, C/O Tirednes, Thyrotoxicosis Suspecting.

Partharistam –bd, Vilwadi lehyam bd

 

 

Tederness on abdomen,constipation, strined bowel,lose of appetite,excess use of papaver somniferam caused tounge coating

Appeared as poorvarupa of udaram

RX-hinguvachadi choornam 1 tsp

Abayarishtam+duralabarishtam

Agasthya rasyanam+sukumara rasayanam

“Ama athisara vamathu visha pandu bjwarairapi “,swasa found in toxemia

* a girl used to miss the school bus daily due to 4-5 frequent bowels. A detailed history was taken. Enquired about the usage of milk or coffee mixed with jaggery at night.hence found out that this occurs due to this daily habit.(as she was a pitta koshta girl)NB:This girl was treated for ten months at MCH TVM and other gastroenterologists and they all failed in it) 

lady c/o severe lower abdominal pain after micturition,USG-Bladder thickening

Treatment- punarnavadi kashayam

-kaidaryadi kashayam

Chandraprabha

Stress is directly related to liver disease.almost all liver cirrhosis patients has type2 DM.

Stress directly proportional to acid

Ulcerative colitis

Treatment-gudoochyadi kashayam

Ambashtadi gani kashayam

Increased in the first week then gradually subsided.

man  of 38 yearsof age

c/o right upper abdomen pain

painful inspiration after fasting or heavy meals etc

treatment- chiruvilwadi kashayam

RATHNAMMA 36 YEARS C/o constipation

MRI- antelisthesis grade 2 L5-S1

Bilateral spondylosis

Treatment-

Rasnasapthakam kashayam+ avipathi choornam

Gokshura guggulu

Kottamchukkadi thailam+ pinda thailam

Vinod with c/o chronic ulcerative colitis

Bloody stool after food intake incontinence of stool

Hb-6.8

Treatment history

First week- by kashaya-more fresh blood loose stool

7th day-full bloody stool

Second week-got some relief  

Bowel with less amount of blood

(75% Relief)

Third week-only a few drops of blood in stool

Last day of third week-no blood in stool

55 years old Vijayaraghavan pillai says that he have esophagitis diffuse gastritis with multiple erosion and multiple superficial ulceration. He has pricking type of pain

o/E  his tongue shoes coating and two fissures were seen

since 3 weeks he has been suffering from pain below umbilicus

NB:He is heavy alcoholic and daily consumer of fish curry

Diethylcarbameaprine causes irritation

Treatment-

Indukantham kashayam+dhanwantharam gutika

Drakshadi kashayam+thikthakam gritham

>shinton-21 years IBD / Ulcerative colitis

Daily 3 or 4 times bowel passed with frothy discharge and blood.

Diagnosis-paithika grahani

Rx

1 tsp Thikthaka ghritham+1/2 tsp honey+1 tsp Dadimadi choornam hs daily

Diasign tab2-0-2

Duralabharishtam+Kutajarishtam

This patient is not responding to allopathy for 2 days.

>Grahani treatment

Pitha grahanya thath peyam kushtoktham thikthakam  cha yat (AH)

Even in steroid used casesit is effective

Mesocolon in ulcerative colitis and IBS.Here it is not

>Shibin of 18/04/12 Pithadhikya grahani reporting relief in 1 week

By 1 tsp Thikthaka ghritham+honey+Dadimadi choornam 1tsp+Duralabharishtam+Kudajarishtam

Treatment is relative like Thikthaka ghritham here.

It was bleeding almost daily with unknown pathology that resembled ulcerative colitis had been not benefitted even by best possible care at KIMS even

He reported that first 2 days bleeding per rectum happened and then no bleeding for 9 days and then today again slight bleeding

So intensity and frequency much decreased in 1 week itself

 

Here the presence of blood mde diagnosis

Pitha grahanyam thatpeyam kushtoktham thikthakam cha yath

 

Nagara thivishamustha pakyamamaharam pibeth

Ushnambuna va thathkalkam nagaram va athavabhayam

>Pulamanthol(Vaidya of samoothiri)/ Sankaran Moos/Vayaskara moos would use this

This is the 1st line of treatment in all Grahani as 1st line for centuries

>Indu vyakhyana is the best text for learning Ashtanga samgraha

>Thaleesapatradi vataka can be use if you have no idea of any other medicine and it is best in amapachana

Once ama phase gets over by any of the above

Srothorodha balabhramsa gourava anilamoodhatha

Alasya athainam paripakvamamarutha grahani gatham

Deepaneeyuktha sarpi payayeth alpaso bhishak

Initially smear over tongue

Ghritha must give in small doses

Every 3 days in little qualities

Kinchith santhukshithe tu agnou sakthavinmootra marutham

Tryaham tryaham va samsnehya swinnabhyaktham niroohayeth

So that vasthi is not easy at OPD.Do do

Thatha eranda thaila sarpisha thilwakena va

Sasnehena anile santhe srastha dosham virechayeth

These protocol is best implemented in Chron’s disease ..Ulcerative colitis and IBS

Slaishmike grahani doshe savathe thai ghritham payayeth

Dhanwantharam shatpalam cha bhallathaka ghrithabhaya

For diabetes mellitus patients with Grahani Dhanwantaram ghritham is an automatic choice

Shadpala ghritham

TB intestine –The ayurveda here tells

Go for yakshma urdwa

>Rajeema 35 years of 22/4/12 reporting pain much decreased better bowel.by

Pathyashadangam+Avipathy choornam+Yogaraja guggulu

Dasamoola hareethaki+Abhraka bhasmam

Vettumaran+Sudarsanasavam

>Amina  20 years

c/o defecation immediately after intake of food

stool test not done

endoscopy not done

Greenish stools

Defaecation immediately after taking milk

Ksheeranapi virichyathe

Dyacin tab 1-0-1

Kutajarishtam

Abhayarishatam

Dadimadi choornam 1 tsp bd with honey

Feedback of pushpagandha of 22/04/12 chronic pancreatitis pain is also present

Pathya  not followed

So far no palpable change is observed ..so patient is questioning

Hydrocephalus is easily curable.some cases have  failed and have been curedthere has to be regular feedback for next 11/2 years atleast and even a neurosurgeon  will be needed sometimes ..not easy but not impossible.

Abhilash 32 years

2 weeks back.. Upper abdominal pain some vague discomfort just after eating food..foul gas from flatus.no APD but on tongue protruding-coating.He had tendancy to eat food.His dad says  pain comes on different regions

Rx

Guloochyadi kashayam+Vettumaran gulika

Hinguvachadi choorna with thakra-bd

(sootani vayu ama kaphodbhavani)