Notes on kayachikitsa Chapter16- chapter22 Pandu chikitsa Ghrita indicated for snehapana in Pandu- Kalyanaka ghrita,Mahathiktaka ghrita, Aragwadadi

ghrita Dadimadi ghrita explained in the prakarana of pandu roga Indications-Hrdroga, Pandu, Gulma,Arsas,Pleeharoga, Swasa.It is helpful in Dukhaprasavi & Vandhya Vatakaphahara,deepana, Mudhvatanulomana After shodhana Theekshna sodhana has to be done Drugs for virechana- Ksheera/Ksheera+ gomutra Swarnaksheeri,Trivrut,syama,Badradaru, Mahoushadha in gomutra Vasaguloochyadi Ks+ Madhu as prekshepa Indications- Pand,Raktapitha & kamala Navayasa churna- Trikatu,Trimada,Triphala+ Tulya ayo raja In Takra,Madhu,Ghee,Koshnajala Indications- Kamala,Pandu,Hrdroga,Kushta,Arsas ,Premeha. Mandura vataka Also called Pranada Indications-Kushta,Agnimandya,Sopha, Urusthamba, Arochaka, Arsas, Kamala, Premeha,Pleeha roga Koutaja triphala- Also explained as siva Indications- Pandu,Kushta, Jwara, Pleeha roga, Tamaka swasa, Arsas, Bhagandhara, Hrdroga, mutra dosha, putisukra, agnimandya, sosha, garam, udaram, kasa, asrgdhara, raktapitha,Sopha,Gulma,Galamayam,premeha, Vrudhi and it is sarva dosha hara. Drakshadi Leha Draksha-1 Prastha Kana-1 Prastha Sarkara- 50Pala Madhuka,Sunti, Twaksheeri-2pala each Dhatri rasa- 1 Drona Madhu-1 Prastha Indications- Haleemaka,Pandu roga,Kamala Mrdweeka rasa, Amalaka rasa, Kaneeya Panchamulambu can be used for samskara of Pana & Bhojana

Visesha chikitsa Vatika pandu Snehapana Paithika Pandu- Tikta seta Kaphaja Pandu- Katu,Ruksha & Ushna Treatment of Mrtjanya pandu Teekshna sodhana Balya ghrita pana Vyoshadi ghrita Kamala Chikitsa- Pithahara and pandurogaavirodhi Pathyadi ghrita Aragwadha in Ikshu rasa or vidaree swarasa & Amalaka swarasa Single drugs in kamala- Triphala, Guduchi, Darvi,Nimbarasa in honey Anjana using nisa,gairika & Dhatri Kapha hara chikitsa is indicated in Rudhpada kamala or Sakhasrita kamala Uses of Silajathu in Kumba kamala In Gomutra Makshika Dhatu & Roupya mala can also be used Haleemaka chikitsa Guloochi ghrita Prepared of mahisha sarpi Virechana Samana with swadu & Pitha hara Yapana vasthi Ksheeravasthi Anuvasana Mrdweekarishta Pippali,Madhuka & Bala in milk Draksha leha, Abhaya leha (Agastya hareethaki) Sarpi prepared Of Madhura oushadha,yapana vasthi,Ksheera vasthi,Anuvasana

Sopha chikitsa IN sama sopha Langhana , Laghu ahara Navayasa chuurna /Gomutra hareethaki Guggulu & Silajathu In vara Kwatha Guda abhaya and guda nagara is also mentioned Ardraka guda Initial dose-1 pala each Increase by half pala Max dose- 5pala Pathya Yusha, Ksheera, Mamsa rasa Indications- Gulma,Udara, Arsa,Swayathu, Premeha,Swasa,pratsyaya,Alasaka,Avipaka,Kamala,Sopha,Manovikara,kasa,Kaphavikara Ardraka ghrita Ardraka swarasa & Sunti Kalka- Swayathu, Kshavathu,Udara, Agnimandya Takraprayoga In sopha associated with Mandagni,Ama and when the stool in Guru,Bhinna and Vibadha Gomutra Or Mahisha mutra can be given by cosuming ksheera or ksheerabhojana CHitraka ghrita, Dhanwanthara ghrita, Mahatiktaka ghrita, Kalyanaka ghrita and Abhaya ghrita is indicated Dasamula hareethaki- also called Kamsa hareethaki Kamsa means 4prastha Sopha,Jwara,Gulma,Karsya,Amavata,Amlapitha, Raktapitha<vivarnata,Mutra dosha,Vata kopa,Sukla dosha,Swasa,Aruchi,Pleehodara,Garodara Pathya of sopha- Purana yava,Purana Sali Prepared in Dasamulakashaya,Alpa patu,alpa sneha,Kshara,Vyosha, Mudga yusha, Kulathayusha,Jangala mamsa rasa,Takra which is not amla,Madya samkrita with Oushadha Vatika sopha- Trivrut sneha or Eranda thaila for 15 days Sweda,Abhyanga & Lepa Paithika sophaTiktaka ghrita,Nyagrodadi ghrita, If trt ,daha & Moha is thera-use milk and for daha seeta abhyanga is good Kaphaja sopha Aragwadadi sidha thaila Srotorodha, Mandagni and staimitya use Kshara,churna ,Asava & Arishta,Mutra ,Takra Sodhana & Raktavasechana should be done in all sopha depending on dosha kopa

Ajajipatadi churn is indicated in sannipathika sopha Apathya of sopha Gramya mamsa, Anupamamsa, Abala mamsa, Sushka saka, Tila, Gudavikruti,Pishtanna, Dadhi,Lavana,Pichilamadya<amla rasa,Sushka mamsa,Samasna,Guru,Satmya, Vidahi,Divaswapna, Maithuna. Visarpa chikitsa First lineof treatment Langhana & Rukshana,Raktavasechana,vamana, virechana Langhana is contraindicated Vamana- Using Yashti ,Indrayava, Madana phala Madana phala, In patola,Pippali,Nimba pallava Virechana with Truvrut churna along with trayanti swarasa,Draksha swarasa, Triphala swarasa Milk or sarpi In koshta gata dosha Virechana is a must Samana chikitsa- Chandana & Utpala or Musta,Nimba & Patola Or Patoladi gana Rakta dushti Rakta moksha is the prime treatment Nirame,Kapha kshaye,Vatapithotare- Thikta or Mahatikta or trayamana ghrita should be used Bahiparimarjana chikitsa should be done after abhyantara shudhi Agnivisarpa Lepana with satadhouta ghrita,Sechana with ghrita manda or Madhukambu or sitamba or Amboda jala or Ksheera or Ikshurasa Mahatiktaka ghrita can be used Pana,Lepana and seka Granthi visarpa First- Raktapithahara Second- Kaphavata hara- Pinda sweda & Upanahana If Granthi visarpa is associated with sula Sechana with ushna thaila prepared of Dasamula Or Gomutra Or Ushna jala Bhedana Daha using kshara,Pachana Raktamoksha,Vatasleshmahara chikitsa Daha,Paka & Kleda is associated with visarpa Bahya & Abhyanthara vrana chikitsa has to be done

Durva ghrita is indicated in Kardama visarpa Rakta moksha is the best treatment of Visarpa In bahudoshayukta Visarpa ghrita is generally contraindicated but ghrit having virechana property can be definitely given Kushta chikitsa Snehapana is the prime treatment Tiktaka Ghrita & Mahatiktaka ghrita-In Pitha Indications of Tiktaka ghrita- Pitha kushta parisarpa ,Pitaka,Daha,Trut, Bhrama,Kandu, Pandu, Galaganda, Dushta vrana,Nadee vrana,Hrdroga, Timira,Vyanga,Grahani,switra,Kamala,Bhagandhara,Apasmara,Udara,Pradara,Gara,Arsa,Raktapitha Mahatiktaka ghritaMain content is Amalaki swarasa In all types Kushta Arushkara thaila, Tuvaraka thaila, Sarshapa thaila can be given Siravedha In Lalata,Hasta & Pada In alpa Kushta- Prachana & Sringa Snehapana should be done in between each shodhana,otherwise vatakopa may occur Vajraka ghrita- Indicated in jwara,visrapa, kamala Raktadosha & Kushta Mahavajraka ghrita-Contains Katurohini,Trivrut,Nagadanti,Rajavruksha & Snuhiksheera- Snehana & Rechana indicated in Kushta,switra, Pleeha, Vrudhi,Asmari,Gulma Avarthiki ghrita Is advised in alternate days Pathya is Kodrava samskruta kanchika Bhojana Indicated in Kushta, Kilasa, Apachi,Improves Grahana sakti & Smruti Lelithaki vasa prayoga in kushta along with kshoudra, Jatirasa,Gayathri Rasa & Asanoda Pathya Sali,Yava,Godhuma,Koradusha,Priyangu,Mudga,masura,Thuvari,Tikta saka, Jangala mamsa rasa,Vara,Patola,Khadira,Nimba,Arushkara,Madya samskruta with oushadha,jangala mamsa rasa,takra prepared using Karkokilari Apathya- Amla Lavana rasa, Dadhi,Dugdha,Guda ,Anoopa mamsa, Tila,mamsa Patolamooladi KsAdministered for 6 days After Digestion Purana Sali with Jangala mamsa rasa is advised

Indicated in Kushta, Kilasa, Grahani dosha, Arsa, Mutrkrichra,Haleemaka,Hrtsula,Vasthi sula & Vishama jwara Manibhadra gula For 1Month indicated in Kushta, Switra,Swasa,kasa,Udara,arsa,Premeha,Pleeha Krimi,Gulma, Nisothamadi ks- for kaphapitha kushta and Nisothamadi ghrita in Vathika kushta Patadarvyadi churna administered for 1 month indicated in Kushta,sopha,prameha,Pandu,Ajeerna Gudakeela and Krimi Lakshadi churna for 1 month,in gomutra Saptasama gutika- rasayana & Vrushya Sasankalekhadi churna Lehana along with taila Rasayana prayoga Tuvarashti, bhallathaka, Bakuchi,Vahnimula & Silajathu Swedana is indicated in sthira,Katina & Mandala kushta. After swedana Lekhana and Lepana should be advised If Kushta is associated with sparsanendriya nasha Kshara & Rakta moksha is advised In Atikatina, parusha and Purana Kushta associated withSupti- Agada pana & Lepana is advised If Kusta is associated with Asweda, Suptata and Kandu - The kushta should be rubbed with Sushka gomaya, Samudra phena and Sastra Sidharthaka snana For udarshana, Vamana, Virechana Indications- Twakdosha,Kushta,sopha<pandu Nimbadi churna- After thaila abhyanga- Udwarthana can be done using nimbadi churna in takra

Mustaamrutadi churna-for avachurnana in dadru,Kitibha,Pama,Vicharchika, Kandu Guggulumarichadi thaila-Contains rasaoushadhas like harithala,gandhaka & Manas Jeevanthyadi Yamaka-Indicated In vipadika,Charmakushta, Kitibha, Alasaka Vajraka thaila indicated vatakaphaja kushta Mahavajraka thaila- Switra, Arsa, Granthi Shodhana Krama in kushta Vamana- once in 15 days

Virechana- once in a month Nasya- Once in three days Raktamoksha- once in 6 months Switrakrimi chikitsa Sramsana- malayu rasa Avalguja beejadi churna- 4pala- Avalguja beja harithala- 1 Pala In gomutra Krimichikita Snehana & Swedana,Utkleshana ,Kashaya vasthi with Surasadi Ks,Virechana,Vamana, parshechana with Katu thiktaKashaya dravya,Anuvasana with Vidanga thaila In sirogata krimi- Siro rogadhikara , Bhojana with udrikta Tikta kkatu & alpa sneha Pradhamana is also indicated in sirogata krimi Pureeshaja Krimi- Vasthi & Virechana Kaphaja krimi- Sirovireka & Vamana,, samana Raktaja krimi- Kushta chikitsa Romabhiji krimi- Indralupta chikitsa APathya- Ksheera,Mamsa,ghrita,Guda,Dadhi,saka,Amla & Madhura rasa Vatavyadhi chikitsa In Kevala vata snehana & swedana If vata is associated with other dosha- Mrudu virechana Virechana oushadha indicated in vata vyadhi Tilwaka ghrita, Satala sidha ghrita, Erandathaila Niruha is advised in patients who are not fit for virechana Amasaya gata vata- Vamana, Shaddharana churna Nabhigata vata- Matsya Adhonabhigata vata- Vasthi,Avapeedaka Koshta gata vata- kshara & churna Hrdgata vata- sthira sidha paya Sirogata vata- Sirovasthi, Snehana nasya,Dhuma,Tarpana in srotas Twak gata vata- seeta pradeha,Virechana,Raktamokshana

Mamsa,Medo gata vata- Virechana, Niruha & Samana Asthimajjagata vata- Bahya snehana & Abhyanthara snehana Sukragata vata- Praharshana, Balakara & Sukrakara annam,Sukravirechana Garbhagata vata- Ksheerapaka prepared of Sita,Kasmari,Madhuka Snayu sandhi & siragata vata- Snehana, daha & Upanahana In supthi vata-rakta moksha, Lepana with agaradhupa & lavana ,Upanahana Apatanaka chikitsa In vegavastha Teekshna navana Achapana with Vidaryadi ganasidha ghrita Mahasneha- can be used for seka, Abhyanga, Avagaha,Annapana, nasya & Anuvasana In veganthara- Murdharechana is advised,Theekshna Avapeeda & Pradhamana, Tilwaka ghrita Ekanga vata,Sarvanga vata, Yonivyapat, Gulma, Vridhi & Udara Bahya ayama & Antara ayama Ardhita vat Kriya , Thaila droni sayana Asadhya lakshana of Danushkampa- Vivarna dantavadana,Srastanga, Nashtachetna, Swedana- will not live for more than 10 days Hanusramsa Snehana & swedana Jihwa sthamba- vata chikitsavat Ardhita- Navana,Mrdha thaila, Srotrakshitharpana Sopha associated- vamana Daha & Raga- Siravedha Pakshaghata- Snehana, swedana & virechana Urusthamba Snehana & Panchakarma are contraindicated Sleshma ama medo hara chikitsa RUKSHOPACHARA with yava,syamaka & kodrava Vatsakadi ,haridradi and vachadi gana can be used in its management Shaddharana churna

Navaguggulu or vyoshadi guggule-Vyosha,agni,mustha,triphala,vidanga+ equal part guggulu Sahacharadi Ks Prakshepa is thaila- Druta vilambita gati Pinyaka thaila- Indicated in sleshmayuka vatavyadhi Prasaranee thaila- Sarva marutha amaya nasana Sahacharadi thaila Bheda sahacharadi thaila Bala thaila- pana, nasya, anuvasana & abhyanga Vatasonitha chikitsa Rakta moksha- Alpa-alpa,Bahusho Ruk,raga,toda and daha-Jaluka Chimichimayana and Kandu ,ruk,and dhuyana- Sringa Desanthara vyapi rakta- Prachana and siravedha Raktha moksha is contra-indicated in vatarakta associated with Angaglani,Rukshaprakruti,Vataadhika Complications caused by doing raktamoksha in the above are- Gambheera swayathu,sthamba,kampa,snayu & sira gata vyadhi Vasthi is tha agrya chikitsa of vata rakta especially in VR associated withPayu ruk,parswa ruk, Parva ruk & asthi ruk Vathadhika vatarakta- Snehapana with Purasarpi Ksheera guloochi Pithadhika VR- Vareethiktadi or Abheeru thiktadi Kaphadika VR- Mrdu Vamana Uthana vatarakta- Lepana,Abhyanga,Parisheka & avagahana Gambheera VR Virechana ,Asthapana & snehapana In medo avruta,Kapha avrutha- snehana & Brumhana should not be done first.Urushtamba chikitsa has to be advocated and then Vatasonita chikitsa In Pithavrutha vatha- seethe & Ushna should be applied alternately In Kaphavruta vata Raktavruta vata- Vatasonitha chikitsa Medoavrutha vata- Adhyvata chikitsa

Mamsavruta vata- Sweda,abhynga,Mamsa rasa, Ksheera, & snehana