Vaatarogas with Kaarsyam are less in Kerala condition as there is too much tarpana here and Vaatakopa with dhatukshya is less here and more due to srotoroda, we need Kaphaharatwam.

Though rooksha sheetam for vayu the treatment is snigdha & ushna, but gandharvahastadi Kashayam does not have any thing snigdha, yet it is vaataharam

The swasa treatment should not be aimed at organ (lung) specific rather kostha is to considered and hence sir’s experience hardly has any case with failure from treatment.  So Dashamoola Katutrayam Kashayam (fails to cause much deepana and pachana) is overshadowed by

• Chitragrandyadi kashayam (aamashaya action)
• Indukantam kashayam (uras action)
• Chiruvilavaadi kashayam (pakvashaya action)
• In swasa, Imdukantam is “lung acting” and invariably kapha is the dosha and the aim is deepana paachana & vaatanubmana.

• Many cases of cancer have got profound palliative relief atleast and it is worthwhile to consider hetuvipareeta chikitsa rather than vyadivipareeta only
• Hetuvipareeta chikitsa – Baahyam – 3 dosham
• Abyantharam – Aaharavihara Modification

• If Kostha is more paithika man continuous 3 days dose of avipathi choornam will do me job. Site of action herps.
• Followed by a cooling guloochyadi kashayam
• In today’s life the classical presentation may not be available but invariably the kostha will be in trouble.  Therefore the medicines should be introduced into habits.
• eg: Chutney of curry leaf, ginger & Saindhavam.  Thus Kalka form of drug is introduced.

LBA & Udavartham

Trikaprshta Kati area & Vaata is responsible as Pakvaashaya gata vaayu its for effectice to use gandharvahastaadi Kashayam + Eranda Thailam mixed to it. Thus mrduvirechana attained by this

“ Vaatasya Upakramam Sneha Sweda Samshodanam Mrdu:”

Regarding Grahani, Abhaya is very effectice as “Secondary action” . Though it cause virechana in initial stages in the 2nd stage it heals by causing stambhana after effecting deepan &Paachana 

• For inflammation of liver, Pancreas and spleen karimpirumpadi  ksh or Vyoshadi Kashayam (S.Y) . Very effective in liver disorder such as kamala and prameham. In prameham takram is very important. In prameham according to sir’s experience even the drug dependent. Prameham can be made drug free patient padya is uncompromissable.
• 1 time rice food, others Rava food or wheat preparation
• Nishakatakadi Kashayam + Takram + 10 ml Ayaskruthi if needed. Gives good result.
• Nishakatakadi Choornam (5gm) + Takram at bed time after food

Bhrugaraja has good result in kamala. Case of a doctor in Tanjavore who has made ‘tablets’ of Bhrugaraja perhaps by bhavana in its juice. Bhavana will the potency but donot do bhavana over 6hrs, the heat generated by continuous bhavana alter the drugs properties. 

Old Vaidyam told Sir that the use Gandharvahatadi Kashayam will ensure result for impotency also. 

In 5-6 cancer patients sir could offer painless death and their pain considerable reduced by Gandharvahastadi Kashayam only 

Nimbamrtaadierandam as application to Rasnadi choornam or to out it is very effective in recurrent fever

Very good result in kids at delayed dentition

Unable to walk. MRI report perinatal hypomia request

Rajanyadi Choornam 5 gm at honey. Results seen in 2 weeks

For removing nasal polyp apply Nirgundyadi thailam over the polyp. 

for Apachi thyroid enlargements Nirgundyadhi thailam over head is very effective. 

In all Jwara Amrtadi Kashayam or Pachnamrtham kashayam from the very beginning helps. Rice processed at dry ginger as required can be used. 

For B.P control Balaristam + Paartharistam + Dhawantham gulika has profound effect. 

Experience of Rasayanam administration by Sir a professor of Iduki could not get retired of his chronic headache even after So much of Rx

Remained mostly confined to the dark rooms as broad light aggrevates his headache . He was of lean constitution and sir choice was chyavanaprasha only am- night as breakfast and dinner

The amount to be had was till his hunger got pacified. So the dose often proved to be 6-7 teaspoons. There was no other food and this Rasayanam was the food fro am & night. Milk drank over it. The lunch was simple food. Thus the Rasayanam only was absorbed as nothing else remained in the stomach.

He was cured in 1 month. Incidentally the average time span of Rasayana Prayoga is 1 month as it’s the maximum line for dhathu formation and renewal

2nd case too of headache for the same type of patient

3rd Kooshmanda rasayanam  am and night .Milk over it. In a kid who was hyperactive and at medovrdhi rectification need. Good results. All these at out shodhana process

4th man of 60yrs C/o BP, DM asthama, head disease. He was put on Agastyarasayanam considering the high concerntration of Abhaya in it

Dose as early am and night. Milk over it. The stoppage of rice for two times itself prevents the Nidana of Premeha to “came inside”

The patient had great improvement and this debilitated man could walk at out stick after 1 month.

60 yrs ago when sir was learning vaidyam a 65 yrs old Namboodiri developed love towards a 25yrs old lady and they married. He came at C/o of kids

Rx.

Narasimha rasayanam at milk as food am and night. He not only have 4 kids but also live for another 15yrs

Thus its very much possible to go ahead at a scheme of Rasayanam for the benefit of the common mass who cannot afford the cost and time for an elabonate Rx scheme

Experience of Dr. Mahesh Menon

1. Agstya Rasayanam “as night time food” only gives good results in swasa patients
2. Kooshmanda rasayanam as same milk over it gives excellent significant changes at in 14 days
3. Manibhadra gulam same way in kustham Rx speeds healing manibhadram and other shodhanam causing drugs be better had in night as after that patient does not go out of home.

Agastya Rasayanam if not properly manufactured- urinary retention in the experience of Dr. Mahesh when some ordinary company is manufacturing medicine.

It is a general trend to include diuretics combination at cough syrups

when kaphavarana of vata occurs, kapha should be treated FIRST.

When pittavarana of vata occurs, pitta should be treated FIRST.

When kaphapittavarana of vata occurs, pitta should be treated FIRST then kapha.

If pittakapha kasa- vrshas role very imp ,assessed by blood or pitta by in kapha ; inflammatory- vasaharithaki etc comes into role 

Lehya not in jwara raktapitta but in kasa swasa

In arsha it is khadyam

In shobha – guda hareethaki/ guda ardrakam

Choornam mostly GIT disorders- in arsha, athisara, grahani, gulma( ashtachoornam, vaiswanaram, thaleesam)

Ayaskrithi also theekshna, shoshanam

No lehya in kushta except manibhadra gulam which is theekshna virechanam

Yoga for ababahukam

Dasamoola,devadaru,bala as ksheerapaka(yogamrutam)

Krimi chikitsa is very tough.start with katu rasa then go to tikta rasa

Pathology

Krimi   —àpandu——-.>I t takes food

Sarada        45yrs

c/o         painfull abdomen

frequent defeaction

oedema  on hands and legs .painfull elbow

chikitsa

1.nirgundyadi kashayam  +krimighna vatika 1-0-1    6am 6pm

2.hinguvachadi choornm  2 tsp  11 am  4pm  painful abdomen

3.chinchadi lehyam 2  tsp bd [compensatory Rx]

4.pinda tailam +kottamchukadi tailam

5.lepanam     rasnadi  choornam+ tulasi swarasm  E/Aforehead

Now  abdominal pain .decrease  in abdominal oedema.excess   sleep

Now  katu rasa line Rx  changed to tiktarasa

1.tikthaka kashayam+krimignavatika+1/2 tsp honey    6am  6pm

2.haridrakhandam  1  tsp   10am   4pm

3.chinchadi   lehyam  2 tsp bd

Veerataradi ks + chandraprabha- 1bd   

Veerataraadyasavam  – 30ml bd

For drinking :

Pashanabhedi root + adaykamaniyan root + gokshura + sigru twak ; 10 gm each, grind and boil one and half litre of water.

Intake kulatha soup

Sir opines that gall bladder stone is a main reason in shakhasritha kamala also.

In pandu there is pitta dushti and kapha dushti , leading to dushti of other dooshyas. In kamala there is pitha dosha.

Lasuna Ksheera

Tiktha kashaya, patoladi choornam of AH is very useful in paithika grahani

Parooshakadi lehyam  

By abhighata tridosha kopa occurs, with vatapitta aadhikya

Bhallathaka seeds – 500 gms ; Clean it and keep dipped in gomutra for 3 days and then washed and weighed. 

4 seeds crushed and added with 1 glass of milk and 4 glass of water, boiled and reduced to milk amount, strained and cooled. Intake the milk in the morning 10 am, after applying ghee inside the mouth.

OPD of 16/11/03 attended by Dr. Sreeraj. SK

Treatment for vatakopa should be opposite to its nidana. Ushnatwam should be done in sheetata and snigdhatwam in rookshatha.

In rookshatha, snehapanam with sukumara ghrtam / vidaryadi ghrtam; or after dinner.

For infertility (male):

Snehapana with ksheerabala 101(A), then narasimharasayana 2tsp hs.

Masha 50gm + atmagupta 50gm + 1 glass milk + 1 glass water ; reduce to milk amount and have at bed time.

Infertility (female):

1. Vata praroha (buds of Ficus bengalensis) – 8 daily in the morning with milk.
2. Phala sarpis – 2 tsp after lunch
3. Masha 50 gm, fry in sesame oil and take with food or lunch. Can add salt, tomato etc.

Instead of hitting it has to be done in long strokes 

For children – kizhi is contraindicated below 8yrs. For them it is njavarakuli ie. Prepare njavara payasam & apply all over the body after abhyangam.

Never do njavarakizhi in any initial stage of disease  unless in the absence of amatwam

Vatasonita & vatavyadhi : YM, CM – “ njavara thekkuka “

Njavara cooked in dhanyamla( ushna,snigdha)and lepana done for 45minutes

• Udwartanam – ruksha &  ushna Lots of exp. Of Rahul Bhai Nagarjuna even on 2nd day even using Nagarjuna’s kolakulathaadi powder. So 250gm kolakulathadi =+ 50gm nisa curnam
• In vasudeva vilasa nisa curna mixe with the udwarthana powder which will prevent any kind of eczema in sensitive people.

Prameha rogi is aswedya

Lakeshore MD ( santarpana diseases) wanted pizhichil and Dr.Namboothiri decided so & on 3rd day of kayaseka Pt. complained of severe exhaustion, heaviness & severe thirst.

Blood sugar tested & high value – 230mg%

So do it for seven days . on each day action on each dhatu.

Kayaseka and njavara shoul be done for 7 days. Never take them lightly

Case of Mr Lakeshore MD, a very rich man who carries 3 cell phones with him. A diabetic, a hypertensive and an obese . he wished to have a pizhichil and he convinced the docter at aluva on Mr Krishnan Namoothiri. On the 3rd day of pizhichil he complained of severe exhaustion and said docter ‘ i have thirst!’ Dr Namboodiri thanked his stars after recommending for test and finding sugar level at 230, listen a premeha rogi is a aswedya. So what happens in our resorts is a matter of ‘Gresmeshu Anuguneshu’ as both patient and doctor are favoured by their stars.

Use  muhurmuhur only in swasa(Rajagopalan sir’s direct  experience )

• Gandhaka has action  on halting metastases
• Dosha viparita & vyadhi viparita attack simultaneously (fast result )[refer  fibroid uterus  : leiomyomata]
• Kalyanaka ghrtam   describes  so  many  disease s but it cannot  be applied in all cases but in specific  cases   it  can  be given
• All diseases have features of sopha [TIRUMULPAD SIR]
• Therefore  punarnavasavam is used  in  many  conditions
• RAJAGOPALAN SIR: kushta chik: A.H –PATADI KASHAYAM

SU.SA- CHITHRAKADI

A.S-DARVYADI

• Thus  chitrakadi can be used  in nephroticc syndrome
• Rasna saptakam in chakradutta- amavata
• Gandhatailam + ¼ dhanwantaramtailam –external application used as emergency  management  of severe bone pain  at night
• For Paittika grahani – oil suitable  for head – bhrngamalakadi keram
• Vata vyadhi –nasyakala –vatakala [evening ]
• In  itching – hareetaki [ crushed ]+ saindhava in water  for  dhara
• Kasa,swasa samprapti = apatanaka & apatantraka samprapti so  in severe  asthma  -dasamoola katutrayam+ nimbamruteranda[adha pratihato vayu urdhwapravrtta: snigdha anulomata in kasa]- same  seen in arshas nidana ,also refer  vyanavayu + srotosudhi in A.S 57&58
• Ends capillary   proliferative  nephropathy

Kalidi(one german  surgeon ) with ankylosing spondylitis  was administered  with kashaya vasti(panchatiktaka kashaya+tiktaka ghrtam).She also ha had complaint of constipation  &severe insomnia ,LBA . Even after  1 hr vasti dravya didn’t come out .She developed hyperpyrexia,shivering ,jerky movements .Rx: swedana of abdomen ,dilatation of anal orifice for  20 mints .[nadi sweda is ruksha than swedana by cloth dipped  in hot water type of steam].On enquiry she admitted  to having  an analgesic  overnight  to calm down  nerves  

Shirolepam with amalaka – seedless  amalaka boiled  in milk(1:4) reduced  to milk part (milk may rotten but  don’t  worry).paste  can be made with milk ,kept in an iron  vessel overnight .Apply this  lepa over center  of the head ,inside the lepa ksheerabala is filled. 

• Chandraprabha gulika +camphor + pippalyasavam for  good motion[chi manjari :jwara,UTI]
• Chandraprabha in Bhai .Ra: good for  leucorrhoea
• Vishama jwara- santata is not included
• DNS- cannot  be cured but complications can  be prevented .pratimarsha nasya with  anutailam
• Agastya rasayana+vyoshadi vatakam+indukanta ghrtam- total 50g  one time during  day

• Vilwadi gulika used  in chronic skin diseases(gara visha/dushi visha)  .This is going to  be most crucial  drug as modern life  is getting  more vitiated  by  apathyahara & polluted  environment.Keep my words & comment  after  15yrs
• In OA [Dr Rajagopalan sir]-    rasnasaptakam + gandha tailam

– Tiktaka ghrtam -2tsp with  milk  bedtime[A.H SU]

AMRUT has profound  action over joints so Trimulpadu sir prefer  amrutarishtam +  rasnerandadi

• Any treatment should start with rukshata,& then proceed with  snigdhata  – lepa[ama state ]-chincha swarasa with nagaradi

– dhanyamala dhara

• Kaphaja kasa-2 tamboola with tamboola lehya[instead of chunambu] . Tamboola is tikshna,katurasa,kaphahara. As it is chewing continuously  it has muhurmuhur effect
• Pitta kasa –tanu kapha –trivrt with  drakshavaleha/ punarnavasam
• Ghana kapha –rooksha,tikta-vasarishtam[ but increases dry cough as tikta provokes vata]
• Pregnancy -1st trimester   dadimadi

2nd-mahakalyanakam

3rd –dhanwantaram

•  Narasimha rasayanam –ushna[chitraka,bhallataka ]though  it contain ghee,butter .So helps in male infertility .same principle is used by Tirumulpad sir in male infertility by giving abhyarishta+ chiruvilwadi
• In our LH according  to  Dr Sreela, 3 girls had Narasimha rasayana for  3 months  & their  period s became highly irregular .In fact they  have  rushed  to nourish  their  body ,so no narasimha rasayana for  females .
• Dr Sreela observed  in 4cases that there is connection  b/w meniere’s disease & hypercholesteremia.Allopathic look for  ENT of TIRUMULPAD sir goes for  rasonadi kashayam in ear troubles as he observed heart  complaint patients are found to have hearing  problem .
• Apabahuka we don’t  get always  because ,but viswachi is very  common [amsamoolasthidovayu sirasangochya tatraga.Bahuchestapaharini]
• Dr Rajagopalan sir first drug  & first indication mentioned  gives a fair idea of swabhava of the yoga e.g: guduchi in guduchyadi is very good  for peptic  ulcers as its first  indication  starts with pitta,patoladi is very good for  kandu as its indication starts with  kapha
• In all case of kushta swedana causes raktadushti.
• In  joint problems with  rakta dushti[abhighata]-instead of rasnasaptakam/rasnerandadi manjishtadi would  be apt.
• Dr Rajagopalan sir: Duchnne’s muscular dystrophy  can be confirmed  by –ask to lie down  & turn  to right  side, ask to rise  up with supporting  hands.Rx:indukantham ghrtam,panchakola coornam with  haridra choornam[2 tsp] with  honey  bd
• Patient from  Wayanad c/0 diabetes (sugar level -300mg%)insidious onset . 2 medicines were prescribed :

Thoyam :darvi surahva triphala musta va kwachita jale & added  asana ,khadira & ekanayakam

• Udwartanam for 15 mints after his evening  walk before  bath with  triphala ,asana,masura,mudga.strict pathya.After 3 wks he came  up with [120mg%] sugar level.udwartana is indicated in bahyakriya of prameha chikitsa
• Notes: bhallataka- mass/growth[reduces kapha]
• Mahatiktaka reduces ulcerations [pittahara]
• Vidaryadi reduces constrictive lesions [vata
• Matravasti with kshara tailam- kshara is lekhana& ropana,taila induces mrdu virechana & anulomata

• If RA factor above 200,jaw may be first  affected ,Rx – amrutottaram ks + nimbamruteranda
• A patient  named Mani[kid] presented with vomiting ,dysphagia & constipation . Diagnosed  as bhaktarodha. Rx:gandharvahastadi ks only[total  relief ]
• Dr Rajagopalan sir – nephrotic syndrome with nephrosclerosis,nephropathy
• Rx :shaddharanam gulika as in indication  there is mehi sophi – nephritis- rakta setup, nephrosis- medas setup
• UTI & hypercholesteremia – mahatiktakam ks + chandraprabha gulika(shilajith in chandraprabha is very good for vastiamaya ,it istikta katu that  reduces kapha,pitta & medas
• Aswagandha coornam [1 tsp] processed  with  milk –immunomodulator
• Panchakolasavam has good action when  used along with  kaphahara dravyas as it is srotosodhana.
• Grahani is not merely a GIT pathology  ,it is a multi system disease .

• A patient named Mohammed sheriff,24 yrs with c/o diarrhoea &constipation  alternatively ,stomatitis,muscle cramps ,excess thirst , hunger ,locomotor complaints  like wrist pain,muscle fatigue . Rx – mahatiktakam kashayam,patoladi choornam,mushta ushira sariba [5g each ] kashayam
• Tirumulpad sir mostly does  stick on nidanaparivarchana while Rajagopalan sir stress on doshahara & vyadhihara chikitsa for e.g : Pt with  tenderness in the spine, back pain ,dysuria Rx: chiruvilwadi with  erandasukumara –doshahara ,jeevantyadi with  chandraprabha gulika,sukumara ghrtam with kalyana kshara – vyadhihara chikitsa

for kids its not ‘Njavara kizhi’ but ‘njavara kizhi’ is not indicated in below 8yrs old. So in kids make a ‘njavara payasam’ and apply all over the body after abyanga. A kizhi retains heat strongly and for greater time and kids should not be subjected to over heated

usually its ‘kizhi kuttuka’ so far as cps, pps, are concerned but for sps its njavara theppu and hence in vata chikitsa and vata sonitha chikitsa in manjari and yogamrtam its said as njavara theykuka.

In vasudeva vilasam turmeric powder is mixed 1/4th of that of Udvartana powder. Its an intitutonal secret. There are 2 aspects, Haridra is good for skin and does ropana of the skin which is bruised by rough dry powder massage. Secondly its kaphahara in nature and this serves the basic action of udvartana as kaphamedhohara and removing the amatwa. Its a fact that nagarjuna has the best kolakulathadi powder and hence the reason on namboothiri sir (who is a strong pattern of MOOSE) advices nagarjunas kolakulathadi. Udvartana must be done very carefully as plendy of experiences of skin rashes have happened even on 2nd or 3rd day. One IAF mech engg Mr. Iyer developed skin rashes on rubbing and then the cracks could be healed only after 2 days of massage with nalpamaradi keram. 

• Sthira good where vatika hrdroga . in fact rasonadi is a fantastic yoga as the first blocks. So that the nourishing sthira reach dead tissues. A 40+ yrs patient (kapha kala) needs srotosodhana in CAB where as the same condition in 70+ old man is better be nourished by sthira as vatika is the totally of the lady nature. So its a nature of timing regular use of prsnaparni.
• A hrdrogi should never be done vasti “patient will die” even matravasti should not be done and not even virechana. Go for samana etc and no pizhichil just massage would do and dhanwantaram gulikka and bed time dasamoola is very safe
• Sirodhara and thalapothichil be not done same day as both are seethe veerya. Better to do dhara before 8 am or 9 ampreceeded by patola moolaadi kashaya so that virechana happens. Thalapothichil be done by 10 am
• In pitta conditions no massage be done as it is raktha kshobhakara.
• Kshavathu, svasa and kasa are mechanism of the body to expel the utklishta dosa. Ex: oozing, veeping eczema etc are actually pitta kopa and pachana is first treatement and for that thikta rasa is best. Amrthokthara tiktakam, guloochyaadi , padolaadi gana etc. because they arec deepana and pachana and never use patolamoolaadi in initial stages as it is very much  shodhan pradhana

importance of kashaya formulations is very much needed in vey much conditions

• Jwaram- for kids of 1 month to 6 months Panikkurka heated for take swarasa
• (from 2 months, 6 months – can give 1 full gullika)
• Tulasi swarasam internally+ gopichandanadi(1/2 to 1 gulika)
• For 1yrs – 2 yrs Amrtharistam+ 1 vettumaran
• Dasamoolakadutrayam+ vettumaran(in 1 day only one should be given)

Kids cannot afford big dose in the form of bd kind of timing :- muhurmuhur 1-2 hrs interval

If swasa, kasa too develop then vasa swarasa also to be used.

Swasanandam to be used muhur muhur divided

Dhanwantaram gulika 1) balajeerakadi kashaya

If swasa and kasa occur in the evening and slip into night the saumya nature of night will increase it any how  therefore keep the patient or by attender aware of it to avoid surprise uneaseness

2)vasaristam

Then 1 or 2 grind with

If swasa

(be compulsory to give swasanandam in only divided dose)

For swasa for above 3 yrs old agastya rasayana muhur muhur. In very severe conditions tambula rasayana muhur muhur and if the kid is 4-5 yrs

Very crucial factors of ahara vihara according to the diseases for example here in swasa no bathing no fan air no dust no forcefull feeding. Be stern and strict in giving advices of ahara and vihara.patha vith out treatment is less effective.

(pathyakustumbaradi ksym 1.1.1 with gopi chandanadi gullika)

Ajeerna

Krimi

If 3 yr vilvadi + ardraka swarasa Anemic considerations of krimija chardi is important because then the role of lohasava as fe supplyment and krimi nasana comes up If food is vomited back,give water,if that also vomited give water in tspns over a period of 1-2 hr. The aim is to avoid exhaustion by dehydration simultaneously avoiding vomit by taking large amount of water together.

Here food should be decreased no solid food breast feeding must be decreased.

If krimija chardi kid will have salivation abdominal pain and worms in the stool experience Rx vilwadi gullika + vidanga choorna too much in warm water for 1 month. Good to undergo virechana with avipathi choorna dose 1 tsp+ warm water in empty stomach. according to condition even kids form 3 years to 10 yrs undergo virechana. The pippaliyasava mustaristam asta choornam for 1 month.

Vilvadi gullika if 1 yr vilvadi gullika + honey

Diarrhoea- watery  

Dysentery- blood, mucus

Imp: differentiate them because line of treatement is different . Therefore differentiate clearely if the condition is diarrhoea or dysentery.

Diarrhoea- Rx- vilwadi gulika +honey +laja

Dysentery-Rx- kutajarishtam+ pushyanugam

SKIN DISEASES

Here too ahara and vihara are very relevant. Avoid egg, curd and fish. If itching like , bathing can be done. If burning sensation no bathing to be done. Bathing if at all should be done with the nalpamaradi choornaputting water and boiled and made optimum warm enough for bathing.

Rx-

Thikthakam ks

Nimbadi ks

Mahathikthakam ks

*kushta and visarpa cheenapaavu as anupana if vrana is present.

Courtesy-  sreejan chettan

Rx

Karaskara ghrtam

Copper sulphate mixed well with sigru bark or leaf swarasa.

Mrs misha , sister of asha S of my just senior presenting complaints of soppage of menstrual periods after it was too much of menstruation and no allopathic treatement was abruptly stoped never to resume again.

Its a matter of apana vayu vaigunya., here the factor that governs rajapravartaana is vitiated. Therefore vasthi will play a role but before that she is put on snehapana with dhanwanthara ghrtha. Vomitting did occur &therefore vilwadi kashaya was given for remaining treatement. Also see for vasthi phalasruthi.

The neurofibromatoma ? of hyder is incurable but one case with Dr sreekumar ps had these kind of nodules . main complaint was uterine /ovarian cyst . it was taken as a case of gulma and treated accordingly.

change in bowel or bladder habitA – sore that refuges to healU – unusual bleedingT – thickening or lump in breastI – indigestion , loss of appetiteO – obvious change in size / colour of mole/ wartN – nagging cough, hoarseness of voiceness

Diabetic neuropathy if there is no relief by any thing  pizhichil ( with controlled heat) with pinda tailam . even if done from home with controlled heat  can provide this effect. If nothing respond to diabetic neuropathy  then pizhichil up to 1 hour, by pinda taila is  only sure shot action. pizhichil  has rasayana  property.

Also  Brihat manjishtadhi kashayam of sarangadhara samhitha .

Low cost,Low cost, high impact, best pain killer,“ sunti hareethaki Krishna trivrith souvarchalm thathaSama bhagathi sarvani  sookshma churnani karayethJneyam  pancha sama churnamAdhmana jataraarso vathaharam smritham.”1st chapter of vathavyadhi context susrutha

Kalyana kshara – udavartha ,krimi,swasa,kasa  with little ghee

Neuro humours formed by body itself to make pain relief.

Kaidaryadhi kashayam  Dr. sadasivan pillai – bio chemistry  Here kaidaryadhi kshaya was drunk and then the liquid was aspirated = amoebiasis died.

Amoebic dysentery cured.action came in vipaka . “ kinchith rasena kuruthe pakena cha “

PAANAVALLI – Krishnan vaidyan – first vasthi kalpa MANAKODAN – Krishnan vaidyan – first manual of panchakarma  as a readymade reference.Viveka choodamani – of sankaracharya tells about  sookshma saarira- this mechanism can be felt and not proved by bhoga prathyaksha.In patanjali yogasoothra  – in vibhoothi paada“ nabhichakre sareeramandale”Dr.P.C.Roy –ancient textbook of  Indian chemistryThe cause –

Sthoola- shteevana kshavathoodgara niswasa

Sookshma –vyano snigdha moordhabhudhi indriya chithadrik

So vyana its role starts  with sookshma portion and then to the visible sthula portion.

SU.SU 40th chapter

“ sahasrenapi hethoonam

• Stretching of trigor point is effective in many musculo-skeletol complaints 

# Arterial block/ thrombus condition

PIZHICHIL WITH PINDATHAILAM very effective and then only to do PIPPALI RASAYANAM

#Many case of parkinsonism with tremor responding to

KALYANAAKAM KASHAYAM + KALYANAKAM CHOORNAM

SARASWATHARISHTAM + ARAGWADARISHTAM response within 1 month

Brimhana is contra indicated in myopathyINDUKANTHAM KASHAYAM + PANCHAKOLA CHoornam

# Hypercholestremia is amanifestation of aama

Treat agni; just like asthma ; prameha; neck pain ( ama- infections ,bacteria, toxins etc:-)

# VARA ASANADI IS effective in hypercholestemia

It is excellent for obesity, HTN ,Hypercholestremia

# Head ache is not a symptom of HTN rarely occipital head ache happens; complication of DM prevented by AMALAKI +GOKSHURA +AMRITHA CHOORNAM 1TSP BD

# hetu vipareeta regurtgitation

THIKTHAKAM KSHEERA GRITHAM

Anti cancer specific RASAGANDHI MEZHUKU ; RASASINDOORAM better

But now transplamtation is better option; then medication

# Some people have Vataraktham and Rakthapittam together

SATAVARI  CHINNARUHA AMALAKA TWAK

BALA GOKSHURA +KOKILAKSHA( YASHTIMADU- PRAKSHEPA )

LBA, pain in the thigh region; to reduce edema CPS; PPS reduces pain; man with severe ;LBA;

Extrusion, stenosis, walking with the help of a supporter ; LMN lesion reporting

# PINDATHAILAM dhara local; with dhara stand; most painkiller for psoriatic arthritis 

# Constant shoulder joint pain; snehapana is effective 

# In allergic changes in skin with asthma

KASAMARDA best option

TWAK ROGA SAMHAARI CHOORNAM

# Diabetic Nephrosclerosis- VARANAADI CHOORNAM

# NephripathymSarvato Bhadra vati ( Bhaishajya ratnavali )

# Cancerous growth- CHIRUVILWADI KASHAYAM

DUSPARSAKADI  kashayam

# Diabetic neuropathy

RAKTHA MOKSHA / JALOOKA

#Migraine

SADYO VIRECHANA using GANDHARVA HAREETAKI, AVIPATTI, TRIVRITH

#Parkinsonism- KAPIKACHU ,KSHEERABALA not much…

# Ksheeravasthi is beneficial for infertility 

For fatty liver- RAKTHA PANCHAKA KASHAYAM

Next 21 days-medo/ anyedyuta

Hyperlipidaemia- medo panchaka group

Liver cirrhosis- KAMILARI

Fatty liver – SHARAPUNGADI LEHYAM

# Multiple sclerosis- LAVANGA, CHITRAKA, KATAKA 

#Premature evacuation

KOKILAKSHAM, CHANDANAM,SIGRU NIRYASM, SIGRU BEEJA

JATAMAMSI + POPPY SEEDS is sedative ( reduces vata in manomaya kosha)

Elavaluka choorna ( elavaluka + sundi )- vertigo ,tinnitus,meniers disease

BRAHMI CHOORNAM Urethritis , complicated DM

# Dry eye-stanyam or milk (boiled or cold ) eye drop

Principles- Sadyo virechana / jaluka

3 day- arka ksheera + haridra choonam

4 day – TILA THAILA NASYAM (PRATHIMARSAM)

# Svitra

KADALI KSHARAM internally

# Trigeminal neuralgia- JALUKA

KOKILAKSHA KASHAYA- Gout , RA

NARASOMHA LEHYA – kapha pradhana vataraktha (best)

# for krimidant _ arka ksheera on cotton 

# hypothyroidism

JALOOKAVACHARANAM for vyanga also it is beneficial

# Increased uric acid found in pre diabetic stage ,kidney stones,

GULUCHYADI, SUDARASNAM TAB

# Sariba is useful in acidity

# aama is present in paittika disease

NIMBADI + GULUCHYADI KASHAYAM

# In LBA

Agastya rasayanam + tikthaka gritham

# Lichen planus

GANDHA THAILAM is used

# Psoriasis

Sirogataroga

Treatment of sirogata roga

Related with stress factors and low water intake

Vyana vayu

Hyperacidity,DM,Hypercholestremia present in most patients

General treatment

1. ARAGWDADI KASHAYAM + PADA IN TAKRA
2. Patint with hyperacidity , high stress: YSHTI + SARIBA + DASAMOOLA- Takradhara
3. LEAF OF PADA + SHASHTIKA POWDER- E/A
4. Patient with DM : above mentioned treatment
5. Scalp psoriasis          ARAGWDADI CHOORNAM + TAKRA- PASTE E/A
6. ELADI KERAM+ DURDURA PATRADI + PALAUNDU – DHOOPANAM
7. 2 JAMKEERA + 1 TSP KRISHNA JEERAKA in one liter water mix, keep for 8 hours, heat in iron vessel with 300 ml of kera and make it khara paaka

#GUTTATE PSORIASIS

Pustules ,layer form

ABHAYARISHTAM + DANTYARISHTAM

MANJISTHADI KASHAYAM

PATOLADI GANAM

#MIXED PSORIASIS

Lichen plannus ; MANJISHTADI KASHAYAM

DOOSHIVISHARI GULIKA

PADA LEAF + JAPA KUSUMA E/A

With out DM            Gndharva hasthadi kashayam + saindavam

Very lean                   PARTHARISHTAM + ABHAYARISHTAM

Hypercholetremia    SAPTHASARAM KASHAYAM + SAINDHAVAM

“                               + HINGU

“                               + GRITHAM( INDUKANTHAM, KALYANAKAM, TIKTHAKAM)

“

No AVIPATTI ; MANIBHADRA GULAM

High stress                 BILWA LEAF with TAKRA ( ANAMLA)in amalaka size 1 bd

Agnimantha leaf + takra

MADHUKA PARNI + PALANDU + TAKRA

Hypercholestremia PUNARNAVADI KASHAYAM FO 1 MONTH

SAPTHASARAM KASHAYAM + VAISWANARA CHOORNAM

PSORIATIC ARTHRITIS

OPD level 1 phase AAMAPACHANA

GANDHARVAHASTHADI BEFORE FOOD

VETTUMARAN + COCONUT WATER

PIPPALYASAVM

If more pain : sudarsanam + hinguachadi choornam in hot water

Chukkum tippalyadi in ardraka swarasa

Peyadi must

If pain reduced –IPD treatment needed

Takradhara –yasti, manjista, guduchi, satakuppa, karaskara

Full body dhara – 7days

In phase 2                    manjistadi  kashayam + general treatment

When psoriatic features reduced –treatment arthritis done

SPECIAL KASHAYAM

AMRITA, DASHAMOOLA, YASTI , DARVI, LEPANA (with DM)

Dried leaf of karanja pasted in takra and takradhara done (laghu ushna)

Nirkundyadi kashayam + vyoshadi vataka

Aragwadadi Kashaya dhara first 3 days

Aragwadadi takradhara

Pata leaf, neelini, eranda patra, patoolamoladi sukshmachoornam

diease on abdomen caused by increase of creatinine can be resolved by vilwadi lehyam 

for abhiru and jeevanthi asparagus &bimbi using in double quantity

“Jeevanakhyam chakshushyam pithanilapaham” used commonly in marmabhighatah it makes vatha pitha kopam

25 years old man thre is drooping whitish discharge ,wetting of underwareshe took NSAIDS there is bhrama of scrotum(?) steroids taking

RIBLOFLAVIN tabt

Theory: anterior scrotal dermatitis occur due to vit.B2 deficiency also nuropathy will occur hand & leg movement  difficult

definition of vatharaktha compared to nuero vasculities

Where RA lodges?where nuerovasculites lodges?

In sthayi rogas gulikja is using

Even in modern biochemistry  fatty tissues has affinity towards fatty tissues

Blood stasis-sympathetic&para sympathetic blockage-blood vessels contraction-cannot be corrected

Lepa ,abyanga , parisheka can be done

“vireka asthapana snehapaneir ghamira samachareth”

In parkinsonism –sirodhara with dhanwantharam thailam,sahacharadi thailam,maha mashadi thailam

Pizhichil

Vidaryadi choornam –internally

Kamapa vatha-ganadahaka chhornam -3 karsham+rasa-3 karsham-heated up to it get melted to liquid form add equal quantity of harithaki choornam take 7 gunja pramanam with ginger juice

Pathya- milk+suger

Danadanayanadi nkashayam+athma guptha choornam + aragwadam-gives temporary effect

Dhara &pizhichil long lasting effe3ct

60in CP cases where neck holding not attained we can use –mutta thailam

Sitha mathaka rasam-anti malarial

in vatha roga –sahacharadi kashayam,Kamapa vatha-ganadahaka chhornam -3 karsham+rasa-3 karsham-heated up to it get melted to liquid form add equal quantity of harithaki choornam take 7 gunja pramanam with ginger juice

Pathya- milk+suger

Danadanayanadi nkashayam+athma guptha choornam + aragwadam-gives temporary effect

Dhara &pizhichil long lasting effe3ct

)in CP cases where neck holding not attained we can use –mutta thailam

Sitha mathaka rasam-anti malarial

in vatha roga –sahacharadi kashayam,eranad thailam , nimba thailam, narikela thailam 4 ml = panal kashayam

Panal is good for deep vein thrombosis

multiple myeloma pandu may co exists

Giggulu thikthaka ghrtham in panadu

Taleesadi choornam

Prolonged steroid use will causes bone fractures

)congestive cardiac failure- dadimadi ghrtham regularly

OA- rasathailam

Internal use of vathasini thailam+rasa thailam

urinary incontinence-dhanwatharam kashayam

Dhanwantharam tab

sympathetic over action  -did not get result by drakshadi kashayam ,may get better result by kalyanaka ghratham, thikthaka ghrtham 

most common missed injury on posterior aspect of knee, vulnerable site of injury,peroneal nerve pain associated wi5th an injury to cruciate ligament  

)c/o bleeding per rectem -Hb test, endoscopy was done ,blood transfusion many times, cauterization done on bleeding spot 

Lose of  structure –fibrosis (OPD)

If the dieses not relived y this go for rasayana prayoga sayed by vaghbata

“pibeth nagamoola sa ardhakabhi varditham

Pala kshira yutham mamsam kshira vrithi rannubhuk

Eva prayogena drishtayur balam…..

Manduka parni kalpa ayam yashtya viswa bheshajam

Here only 4items instilled as choornam made instead of making kalka made by pt.

Fibrosis(OPD)

Application of kshrra bala on chest

Advise to do deep breath

Rasna dasamoola ghratham 1 tsp if agni is intact

Dasamoola rasayanam

Feed back of hyper active bronchus

Reporting relief form tonsillitis

Rx-vasarishta+draksharishtam+piipalyasavam+dhanwantharam gulika

Sudarsanasavam15 ml+veyyumaran gulika

Agasthya rasayanam 1 tsp

Sir opinies thatsnoring will occur due to adenoid hypertrophy

When amlodipine (ca channel blockers)cause

-naturopathy treatment is best in nephropathyLosartan

-uric acid is an independent marker. It must be checked in all heart diseases.

-creatinine is a metabolic waste of muscles

Micro albuminurea – upto 30 normal

Kidney ……out-30-300 micro albuminurea

Above 300ml- macro albuminurea

30-300- it is controlled by starting

Symptoms lasting very very crucial

Positive and negative symptoms- both need to be documented, because negative symptoms initiates ear ache. Patient said ear ache in next visit, then we understood that earache evelopes

*c/o violent patient. h/ofever since 1 day, discharged same night.

*before testing creatinine, things to be avoided

-non vegetarian food

-muscular excertion

*appendicitis in kids below 12 years of age is dangerous. Obstructive-more dangerous

Varying symptoms because of its varying positioning

Trap-we misunderstand that it is salpingitis or PID due to pelvic pain. But in appendicitis it may present as back pain.

The patient is asked to cough in 5 positions.

Supine, prone, right lateral, left lateral,

intermittent cough

*a man behaves like an uncontrollable man, he makes loud noise on the road etc.

It was low sodium level.

*young baby shows agitation while travelling in flight, he makes loud noise, it was hypoglycemia.

Shivering of arms, roaring

-Agitated patient- must check DM

*Khayarunneesa,42years, c/o heavy bleeding, bulky uterus, multiple fibroids 6.15X 5,6 cm

By udara/lowe abdomen vasthi/uterus

*SIRS- Systemic inflammatory response syndrome linked with edema

Very relevant in prostratemegaly and bulky uterus

-If patient said valvular disease- treat like hridroga

“Sarvanga sareera vrudhi pramoha(tiredness) thamaka(breathless ness) kaasa(cough) hridayothkadanam(palpitation) yadha”

• Tonsillitis- treat like sopha’ later sopha becomes vidhradhi- area are decided by symptoms
• -kidney-DM,HTN, viscous urine BP(anti) prevent cardiomegaly
• Protect from nephropathy, uric acid level
• Losartan given as renal protective.

In all heart patients, doctor suggests to check uric acid level

Losartan is  recommended during these days

NB: If here happens hyperkalemia, test in every 3 months

*ATENOLOL (beta blockers- vasodialation- adrenal is made functionless)causes decrease in BP

But – DM  increases, triglycerides increases, erectile dysfunction,pedal edema

case of bipedal edema in GAH Kollam,not responding to punarnavadi kashayam

In DVT there is pain in legs and of course pedal edema

If blood supply to spine is obstructed, edema in legs develops

“anye cha mithyopakranthasthe”

Rare- in deficiency of vit B- pedal edema occurs- beri beri

Rare- also if decreased albumin in blood- edema is seen

Egg white or ground nut is enough.

In the above two situations, many doctors mess up by giving diuretics

Vit B complex can be given

Doppler can be done in lower limbs to rule out DVT, but only if there is pain

Nidana- sopha 26,27

“mrudgramya mamsa valloramajeernasramamaidhunam

Padadermaargagamanamyanena kshobhanamadhava

Swasakasaathisaraarso jadarapradara jwara

Vishoochyalasakachardi garbhavisarpa pandutha

Anye cha midhyopakrantha thirdosha vakshasya sthitha

Oordhwa sophamadho vasthau madhye kurvanthi madhyagaa:”

prameha medo vatahatham aadhyavaathe bhishakjitham(vatasonitham 6th sloka)

– DM may increase , cholesterol may increase, and so in such threats in line of urusthambha.

In all MNDs narasimhachoorna is not effective

The following can happen if aamavata manifest in body

-DM,Derangement of fat metabolism and this leads to neurological conditions due to obstruction of blood vessels

“urusthambhe na cha snehanam na cha samsodhanam”

Patient told that muscles are hanging as a mass.

Vatasonitham(A.H)

“chala snigde mrudu seethe sopho gathreshwarochaka

Aadhyavata ithi jhneya sa kruchro medasa avruthe”

*allergic asthma

Dhathuprathikaranam

Something unwanted is being tried to be expelled by the body

Dooshivisha(alpavisha)-less veerya visha

Charaka samhita-6-sareerastana-sloka 17

Explain mala-

“sareeragunaa: punardwividhaa:samgrahena malabhootha prasaadabhoothaascha /thathra malabhoothasthe ye sareerasyabadhakaraa: syu: thadyada- sareera chidreshoopadehaprudhakjanmano bahirmukha paripakwascha/dhathava: pkupithyada vatapittasleshmana: ye cha anyepi kechit sareere thishtanthisareerasyopathapayopapadyanthe sarvasthanmale samchakshmahi itharamsthuprajani gurvaadeemscha dravanthan gunabhedena rasaadeemscha sukranthan dravyabhedena”

Here antioxidants , free radicals come up

Abadhakara- if blood sugar increases or cholesterol increases. Bacteria fungus- “ ye anyapi”

Even some infectious situations- “paripakwa”

Some gets bacterial allery, some gets tumours or even malformed dhathu can make allergic responses.

“Aamasayathe kaphavata rogi’pakwasayasthe anilapittarogi”

In many kinds of allery, sodhana is the treatment and out of this virechana is important

“ maarga sudhi yadha oordhwaadha sodhana”

Swasa- hikka

“ethe hi kapha samrudha gathi pranaprakopaja

Thasmanthanmarga sudhiryadha oordwadhasodhanam hitham”

But avoid sodhana procedure for garbhini and durbala.

Ch.s.17th-“rajasaa dhoomavathabhyam seethasnaanambu sevanath

Vyaayaamath ……

Dourbalya

Rakthapithadudavarthaath….

Nishpava…

In prescription for allergic asthma

-avipathy choornam(for sodhanam)-1st step

Then model for medicine of seethe pitta

-amrutha rajanyadi

-small pippali, triphala choorna,-must

If skin is involved, “pancha poovu”- (good action),”thakara”

In skin allergy and also ,

Jeevanthyadi choornam, panchakola choornam, sure shot

Vyoshadi vataka and special agasthya rasayana of kottakkal-(double pippali)

If no cure, use 60mg-100mg dose of “brahma sivanaramritha”

Brimhana if required, vidaryadi kashaya

In paittika condition- Dasamoola katutraya is wrong

sure shot for myasthenia gravis-

(in presence of sree pulamanthol moos)

gudoochi-25g                                           endocrine action

Satavari-20g

Punarnava-10g

Small pippali-5g combination(GGT gritham-100g

Chyavanaprasam-300g)-1tsp

Narasimha choornam-1tsp morning only

-many cases of myasthenia gravis were cured , the first was in 1992, and even latest is 75 year old man is still alive and without steroids and this is the sure shot

Combination used for many years for many patients

The formula is directly written from the case diary of the famous Dr.Rajagopalan sirs  brief case book

Vasthi- rajayapana is better

Rasasindhoora or rasagandhi mezhuku, can be used  instead of methotrexate

–vathan sleshma jwarapaham- ashtavimsathika kashayam

“Hathimsatham thdha seetham prabalam kapham

Pralaapaapachanidaromaharsha aruchi thadha

Mahavatha athra sarvagathra cha soonyathaath 

Athyasavathi jwaran hanthi sannipaatham cha thrayodasaa”

Very eff ective  in transverse myelitis and spinal cord lesion.

Effective in  hydrocele

“khadira triphala kwathe maahisha gritha samyutham

Vidangachoornayuktham bhagandaravinasanam

Amrutherandavasaanam kwatha eranda thaila samyutham

Peetha sarvanga sanchari vatharakthaja…………..

Rasnamrutha bala yashti gokanterandagam sritham

Eranda  thaila samyuktham vrudhi…. Jayeth”

*juvenile hernia- eranda sukumaram

avarakhantam sneha vidhi

-“sneha karothi sopha arsasthantra nidra visamjitha” 

-“Deya deepthagnayo maathra snehasya chala sammitha 

Madhya mathra trikarsha syath jaghanyathra dwikaarshiki”

-“adhava sneha mathra syusthisro anya ……..

Ahorathrenam mahati jeeryathyardena thu nmadhyamaa

Jeeryathyalpa dinardhena sa vijneya sukhavaha”

• Grahaneedoshajith (sloka-30)
• “Prudhiwyagnyaniladeenam samghatha soshmana krutha
• Treatment- vidaryadi
• Always numbness of body-
• Kharatwam prakarothyasya jayathe asthi thatho nrunaam”

liver disease and DM  has connection

In type 2 DM,- Hepato…

Treatment-

Liv 52

Chandraprabha

Kaidaryadi kashayam

*madathyayam

“thaleesadyam choornameladikam va hrudyam prasyam pragvathasthapannam va”

For strengthening the body against madyapana

*”vidhirvasumathameva bhavishya……..

*prolonged breast feeding lessens the trigger of RA

Milk protein …. the appetite of kids below 5 years easily.

*GB stones can occur in any persons.

-eventhough the amoebic liver disease is less common during these days the case  the case should not be neglected

Drug induced improvement in the scenario of amoebiasis with extra usage of antibiotcs – there is a board in UK to  ……. Antibiotic usage

By the usage of brufen dry cough can occur. Like that of beta blockers

*in sinusitiss, patient will forcefully spit. It is because of post nasal drip. In sinusitis it happens as ethmoidal sinus  clears out. Repeated throat clearing is needed because of scratchy throat.

*uric acid has to be considered in cardiac risk cases.

*HORSTS THE HEART Mannual of cardiology .

Glycerize glabra –tincture causes increase in systemic hypertension . gene changes occur

*in case of stenosis,

– pain increase on standing

-pain shifts from lower region to upper region

-some says about numbness and weakness

*in case of intermittent claudication, suspect CAD

Neurogenic claudication- stenosis of spinal canal and vertebral column can cause LBA.

Door to needle time, door to balloon time

After 5-10 sec, feel cardiac pulse

man of 45 years  highly …. Complains of severe pain ,he lies down ,sits, jumps etc due to pain in right side of epigastrium

Diagnosis-GB stone in bile duct

– in case of normal BMI, no need of fat reduction 30% Of free fatty acid pass through liver.

Carbohydrates are highly dangerous than fats

For increasing calcium deposition in bones ,consume “osteofos 35mg’ tab weekly once in empty stomach , take food after 1 hour. Thus in one month only 4 tablets.

Columax or osteo k2 tab 1 bd

Vit k helps for calcium sticking . this tablent alone contains vit D

-IWMI diaphragmatic irritation is a trap. It will present as loose stools with stomach pain in upper part. In old age if it exaggerates take ECG( And when patient complains of fatigue without any symptom)

How PCOD is caused?

Obesity leads to increased estrogen and decreased progesterone. But equal amount of estrogen and progesterone is needed .By usage of Oral contraceptives, OCD? Makes normal flow of menstruation. PCOD is a metabolic syndrome,where conglomeration of components is seen

When estrogen increases, no ovulation occurs .no progesterone so that follicle is connected to cyst thus, unruptured ovum.

OCD can cause thrombo embolic catatrophe, DVT etc

HOMANS SIGN-

DVT mostly seen in obese ,DM, smoking, plane journey

In situations where leg space is decreased, bed ridden situation, look at pedal edema and pain symptoms.

Where there is saphenouus varicosity there is high flow of blood through venous system that will cause DVT.

In some persons, small veins appear in thigh .beware , it should be making up or combining with perforator vein.

In persons with superficial varicosity there is a chance for DVT.

Dialate vein- diameter increases

Torture vein- zig zag pattern

Lengthen vein,

• By 7 months after shashtika panda sweda muscle bulk develops.
•  In case of dialated torture,  guggulu thikthaka gritha paana without lavana  This need to be repeated by every 3 or 6 months.
• Shashtika pinda sweda below hip for 1 hour

-make sarvangaasana and halaasana a regular habit.

-lie in prone position and fold and unfold each leg and tough each other. It gives very good muscle strength. When dialated veins constrict, valve will function better.

Abdominal obesity causes increased intra abdominal pressure, this causes increased pressure in IVC. T causes stagnation of blood in deep vein and superficial vein. Perforation valves goes away.

*Latest study reveals that liver consumes 30% of fat daily. Fat and carbohydrates reduces-obesity reduces

-lie in prone position, do folding and unfolding of legs.

-in DM, squeeze wet cloth and clenching and unclenching of fist.

Hamsapadyadi kashayam

in case of speaking difficulty – rajanyadi choornam 

*cough may be dry or frothy, throat pathology also causes cough

Persistent cough also by next avert smoking

Sitting in below of fan causes cough.

>Chiruvilwadi  has  very good action on liver( not only in  just piles- arsas)

>Polyps can reccur but chiruviwadi will cure polyp

>Arsas has greater implication than internal piles

>For memory retension

Kalyanaka ghrutham  ½ tsp with honey

Kalyanaka choornam ½ tsp with honey

>Hypoglycemia

Feeling heaviness in epigastrium-Increased acid secretion cause burning like pain in abdomen and  voracious  appetite

Starts to sweat->Increased palpitation->Weakness->Neuroglycopenia

Whatever  we will do to increase insulin-It will increase enzymatic secretion

If tablets for diabetes stops –appetite will decrease

In diabetic patients due to the consumption of tablets lads to acidity.

Loss of consciousness –agitated –uttering greatly-stertorous breath-sometimes behave like a mad-Bp will be normal.It is the speciality.

STATUS ASTHMATICUS

Dysnoea persist for hours

½ cc Adrenalin+ 1cc distilled water in 15 minutes time administer drop by drop and by applying pressure.

O2 Nebulisation steroid IV prednisolone ..hydrocortisone no transquiliser IV fluid  dextrose 5% or 10% deriphilino salbutamol

Vasarishtam+Abhayarishtam+Punarnavasavam and Dhanwantharam gulika

Hinguvachadi choornam

Consideration about stomach is must in status asthmaticus

>in rakthapithaprakopa-tender coconut water is very best.

Thasaiva parinama thoyam rakthasya pithasya prakopa

Mitigate raktha pitha..ref:Yogaratna samuchayam

>In atonic bladder->contraction of bladder is present.

½ tsp ela+nalikera jala

Apply dhanwantharam as pichu in nabhi area.

Pibeth madyena sookshmaila dhatri phala sitha vaa

>Ushnodaka in jwara prakarana is commonly used.

>Dhanyamlam-hridyam-hridayanam avayava hitham 

Externally used not internally

>Old man with muscle cramps

Single drug is given. Pavizha  bhasma once a day

Afterwards sringa bhasmam.but not available.

Neuromuscular irritability+Ca deficiency lead to muscle cramps

Fingers become light with sligt pain

Xray was done to rule out cervical spondylosis in which it will mustly radiating pain.

>In ulcerative colitis Ambashtadi gana is the best option.

>Ashtasthana of vrana with utharotharam difficult

25 chapters vrana vijnana uthara

>twagamisha sira snayusandhyastheeni vranasaya

Koshto marma cha thanyashtou du sadhyan utharotharam

Ulcerations came at blood vessels

Sapthasu kshalanadyeshu surasaragwadhadikou

Bhrisam dushtam vranam yojyou mehakushta vraneshu cha

Athava kshalanam kwatha patoli nimba patraja

Avisudhe visudhe thu nyagrodhaditwagudbhava

>aswagantharuharodrdhra katphala madhuyashtika

Samanga dhathaki pushpam paramam vranaropanam

>sakshoudra nimba patrabhyam yuktha samshodhanam param

>kaleeyaka latha aprasitha hemakalarasothamai

Lepa sagomayarasam savarnakaram param

>jatadi-sarpi adhyamanena sookshma vadana marmasritha

>Thridosha samana can be attained through Virechana

Even for Avarana  Erandathaila

Removal of avarana  and thridosha samana are achieved by virechana mentioned in doshopakramaneeya

Theekshna vamana rechana

Pithasya sarpisha panam swadu seethalam virechanam

Vasanthasyopakarama sneha sweda samsodhanam mridu

Prepare Eranda thaila according to the context.Vasadi eranda thaila(vasa swarasa+ Eranda) is very effective in 1 month itself for the use in asthma of kids 1 tsp hs.

Castor oil emulsion was used in big flow/effect 49 years

>Gambheera vatharaktham

Guggulu thikthakam ghritham

Kokilaksham kashayam

Karutha vattu  e/a

Has made hundred of kids get rid  of  dry severe constipation and helped to prevent formation of anal fissure

With Draksharishta+Duralabharishta

Vid bhramsa smshosha adha-if TB in intestine

Chardischa koshtake-must study

Tiryak parsw

Ruk dhosha

Sandige bhavathi  jwaram

Here prale

Paka jwara of susrutha

Bhallathaka is more relevant in sarcoma ..mamasa meda etc than adenoma CA

Intestine CA-In granulomatous lesion

Gugguluthikathakam ghritham has been used if needed

>Pithaja grahani treatment is not easy

Just not pitha responsible..But Avarana with vatha and sleshma when only Kapha got avarana by vatha

Vatha sleshmavruthe same kaphe va vayunodhride

Vishama…….padarthavijnanam

Eg.line+traumatic+red

Totally new thing is formed

Atane nirvapakam pitham rekena vamanena va

Hatwa thiktha laghu grai deepanairavedahibhi

Here laghu virechana is advisable.

Annai  sandukshayaedagni choornai snehai va thikthakai

Then causes Patoladi choorna

NB:Arsas has the longest samprapthi.

>The first time choice in arsas is Dasamoola panchakoladi kashayam

But beware of intestinal linings that are eroded by allopathic medicines.

Vid dhadu-vaidya-vijnani

Doctor is the man of knowledge.

>charaka samhitha

Vishnum sahasramurdhanam charachara pathim vibhum

Vishno nama sahasra-if fever not subsides.

We need to avoid pyro arthritis by needle aspiration.He is on effusion case.

Virekasthapane snehapanam gambheeramachareth

In certain vatharaktha cases the vrana may not get cured.It get cured by Kokilaksha nirooha  peetharakthasneha bhojana.This is the method of legendary Late Athri vaidya madam

Leucus aspira+ Karutha vatu gulika for Thalam is used in Syncope  and loss of consciousness

Endometriosis even can come for men, point of debate  – Shaw’s textbook for gynecology

Chocloate cysts are tough but curable surgery can be avoided.rithumathi charyas need to be followedto have good gynec health(AH Sa)

In endometriosis sir’s favourite is sukumara rasayana+pushyanuga churnam

“na hi vathath rithe yoni vanithanam pradhushyathi“

In kaphaja yoni rogas – abhayarishta is very relevant.