Cardio Vascular
Disclaimer
These lines/ prescriptions are the FINAL link between the late great clinicians and our generation. The clinical situations described here are my original first hand narration. The choice of medicines are based on the proven experiences my mentors had regularly utilised towards the fag end of their famous bright career. The prescription mentioned is EXACTLY what was written by them in paper. I have found them effective in my practice and also in my friends circles who were verbally communicated the same. How ever, I take no responsibility on the efficacy/ suitability on the same in the similar conditions you face. Readers are requested to exercise their discretion in understanding the condition and also picking up drugs selection.
- CHALAKUDY DAYS -Vaidyabhooshanam Raghavan Tirumalpad Sir
- FAROOK DAYS – Dr Sankaran Sir
- KOLLAM DAYS – Dr Rajagopalan Sir.
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Chalakudy Days
01 HEART WALL CONTRACTION
- Gentleman with spectacles came with 25ons complains of heart valve contraction exertional dysnoea, lethargy, hearing problem (found in heart patient) digestion etc impaired.
Rx
- Established heart patient
- Rasonadi Kashayam + Paartharistam + Dhanwantharam gulika – am/pm
- Balaristam + Paartharistam after lunch 1 ounce
- Dashamoola hareetaki bed time
- A heart patient had hearing problem and was put on these medicines within 2 weeks hearing better without doing anything specific for it.
02 IWMI (INFERIOR WALL MYOCARDIAL INFARCTION)
Male C/o IWMI
Rx
- Rasonadi Kashayam to prepare + Dhanwantharam gulika
- Dashamoolahareetaki Lehyam
Kollam Days
01 ANGIOGRAM BLOCK
Narayanan A.Pcame with an angiogram block. He is diabetic. Was suggested for bypass surgery.It’s a vatika manifestation of kaphaja hrdroga which is the cause of block.
Treatment
- Rasonadi kasaya 6am & 6pm
- Suvarna mukkadi gulika
- Guggulupanchapalam churna 2 teaspoon 10am & 4pm.
- Triphala churna 2 teaspoon bed time.
- Decoction made of lasuna 30gm, karavikrishna and prisniparni 15gm each are boiled in 1 and ¼ litre water and reduced to ¼.
Shilajatu kalpa
- Shilajatu kalpa is the masterpiece of Dr.Shankaran sir.
- Mahatiktaka ghrta 15ml was given thrice a day at first 3 days. 5th day- 50gm patola crushed and boiled with 1 litre of water and reduced to ¼ was given twicw a day with 1 tablespoon shilajatu. Amount of shilajatu- karsha/ardhapala/pala
- Shilajatu should be taken in a mud vessel. Here rasonadi kasaya was used as the bhavana drava. Bhavana should be done for 7 times. This is the case of freshly prepared kasaya. In cases of bottled preserved kasyas, 3 bhavanas willmbe enough as per Sir’s experience.
- From 7th day onwards shilajatu was given with rasonadi kasaya twice a day.
- 6th day- 50gm madhuka crushed and boiled with 1 litre of water and reduced to ¼ was given 250ml twice a day with 1 tablespoon shilajatu.
- 4th day- 25gm triphala churna boiled with 500ml water and reduced to ½ was given twice a day with 1 tablespoon Shilajatu.
02 MI
Rajan, 60 yrs
with complaints chest pain, pain over left arm, exertional dyspnoea. Has history of MI. ECG shows T inversion and ST depression. Constipated and known diabetic so arishta cant be given. Not even sthirasira paya. Nasya and sirovirechana also shouldn’t be done at any cost.
Treatment: maharasnadi+ bala taila 10 drops
Dhanvantaram kuzhampu for external application
Toya made of lasuna, karavi, shunti, sthura 15gm each with 2 litre of water and reduced to ½.
03 CAD
CAD patient with palpitation, pricking pain in chest. Dr. SK sir said, he still survives due to sirs treatment. Angioplasty, bypass etc were advised. But now he is perfectly alright.
Treatment
- Rasonadi kashayam + suvarna muktadi gulika
- Hinguvachadi gulika
- For drinking – sigru twak + shunti + jeeraka + varuna – 5gm each boiled in 1 liter water.
- Vidaryadi kashayam
- Bala tailam
- Hinguvachadi choornam
- Shrnga bhasmam- 1 pinch + honey twice before food
- Lashuna ksheera
04 COPD
Massan : 65yrs 9|9|01
c/o chestpain , drymouth, dysnoea, bipedal oedema,
anuria
History of : recent anterior wall MI with LBBB
Left ventricular dysfunction
COPD
DM
He is treated with leparin, lasix, sorbitrates
1.विदायादि कषायं 6am 6pm
शिवगुलिका contain शिलाजित् 1each 6am 6pm
- क्षीरकषायं (goat`s)
शतावरी अमृता कतक 10gms each
1 glass milk
- glass H2O 2) mutton
- 3.Soup : daily 1) 100gm mudga
05 PERIPHERAL VASCULAR DISEASE
Kunholi 60yrs
IDDM, heart disease, peripheral vascular disease Lt leg
Pain on walking.
1.गुगुलुतिक्तक कषायं + चंद्रप्रभागुलिका
2.त्रिफला चूर्णं
3.कोलकुलत्थादि उद्वर्तनं
for शिलाजतु कल्पं l
Farook Days
01 HTN
Purely diastolic HTN
- Kalyanakam kashayam bd
- Indhukantham kashayam 10 am& 4pm
Sir usesthe above combination for any kind of non responding systolic HTN and the high BP .status come down and maintained in normal.Takes atleast 3 weeks to show results.
02 ASD
- Rajanyadhi churnam + sarpi makshika
- Aswagandharishtam + saraswatharishtam 2 tsp bd
03 BRADYCARDIA
regarding bradycardia the best choice is
- Dasamoolarishtam
- Kasthooryadhi gulika + makaradwaja vati
- Sure result.
04 HYPER TENSION
- Kalyanakam kashayam + indhukantham kashayam for non responding high BP situations.
- Sir experiences ‘ elakanadhi kashayam ‘ in Tachycardia
Sir says ladies we can add nayopayam kashayam / bala jeerakadhi to the above
05 CARDIAC BLOCK
DHANYAMLA DHARA – collateral circulation will develop; 98% block will be cured
UROVASTHI_collateral circulation will be developed
Grahani may cause heart attack in long term
06 MI
“hrudi santhapasoolaischa jwara swasascha vedana
Vanthi moorcha bramaschaiva hridi vata lakshana”
Treatment- sublingual
Brandy or rum + hinguvachadi choornam – for holding long time
L/A ksheerabala(101)+lasuna or palandu made as poultice applied over chest
He is alive now also.
Given alternative for pethidine, oxygen treatment – night attack- mouth to mouth respiration done.
Chitarmani rasa- very useful- realized at the age of 14 years of Dr, Rajagopalan sir told in bhaishajya ratnavali- contains gold- useful in even cardiac failure
This was made for a man of Ceylon, almost 67 years of age
07 BRADYCARDIA
Elakanadi kashayam+dhanwantharam gutika
08 CAD
Treatment-nayopayam kashayam+elakanadi kashayam+dhanwantharam gutika
In swasa- Rx +rocksalt
Rakthasudhi is important in cardiac Rx
-triglycerides, cholesterol—kaidaryadi kashayam
-nicotine –guggulu tikthakam kashayam
–abhraka bhasmam-1 capsule+15ml kashayam plus 60 ml water twice a day
09 AORTIC BLOCK
-guggulu thikthakam kashayam
-chandraprabha gutika
-kaidaryadi kashayam
-aswagandha choornam 5 grams bd to increase blood circulation
10 CONGENITAL HEART VALVE DISEASE
treatment- indukantham grittam
11 ANGINA
*c/o angina with substernal chest heaviness breathlessness and sweating
Treatment
Patient kept in supine position
Abhayarishtam+balarishtam+ dhanwantharam gutika( sublingual)history- sorbitrate 5mg sublingual
12 TRICUSPID VALVE STENOSIS
42 year male c/o chest pain pulse variation
Treatment
-dhanyamladhara
Any valve defect or swelling may cause disparity of blood pressure diastolic BP may become equal to systolic BP
Aortic stenosis may cause sudden cardiac arrest. May lead to death(must avoid weight lifting)
In mitral valve stenosis hemoptysis may occur due to pulmonary edema
Tricuspid valve stenosis…
13 TRIPLE VESSEL DISEASE
on 25/9/2011 aperson named kunjikrishnan 71 years reported that he was suffering from triple vessel disease since 3 years and no relief by treatment at SCT IMST for three years
Treatment
Clear examination of bowel is very important
Bhela choorna 1tsp with hot water
hinguvachadi choornam+kalyanaksharam 5g ½ tsp bd
guluchyadi kashayam+prabhakara vati 1 bd
after 1 month the patient reported that he had no palpitation while walking on plain surface. Exertional dyspnoea persists
14 STROKE
Face deviated-weakness of limbs –numbness-slurred speech and weakness
Rx
Trayanthyadi+Kanchanara guggulu
Guggulu thikthakam ghritam+Kaisora guggulu
Aswagantha choornam
15 HEART BLOCK
CPK-EMK-Muscle biopsy-for Duchenne muscle and other some near specific muscle pathology increases
Metabolic correction is needed
Panchakola kashayam + Panchakola choornam + Aswagandha
This is main treatment. Indukantham kashayam is also good