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PHARMACEUTICAL STUDY OF SWARNAMAKSHIKA BHASMA AND ITS CLINICAL EFFICACY IN MADHUMEHA (DM TYPE-II)" View project
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Review Article
Abstract
Lead is a soft ,malleable poor metal, also considered to be one of the heavy metal. Naga is one among metals (puti loha)
present in the earth‘s crust which is .0013% found and used in deregulation of metabolism cures disease and metabolic
disease characterized by of human body. The administration of Naga Bhasma in Ayurvedic classics also quote significant
information. Naga formulation are the unique compound herbo metalic formulations where bhasm is used as a major and
minor ingredient. Some research works has been published on critical review Naga kalpas in different literature but till date
no work has been found published on different percentage of Naga & Naga Bhasm in kalpas of Bhaisajyaratnavali. Its book
is mention D&C act 1940 ,First schedule (serial No-9) containing different composition of Naga and Naga Bhasma .The total
53 kalps contain Naga Bhasm& Naga compound. Most of the latest formulation was compiled in Bhaisajyaratnavali. These
formulation has been taken from original references books. Taking a note of this it has been decided to calculate percentage
of Naga Bhasm, anupan, dose, therapeutic indications in different formulation. Unfortunately most of the Naga formulations
are not found in the market. Hence Pharmaceutical firms may bring these unique dosage forms in to the market to supply the
health care needs of the community. It is interesting that Naga preparations are used in Ayurveda in different medical
conditions a part from madhumeha. This leaves a scope for further researches on different composition of Naga and their
indications in many literature. Because a lot of have query on the uses of Naga (Lead) and their toxicity at different levels.
Calculation is based on the raw ingredients taken study elaborates the classical claim that Naga
prior to the pharmaceutical processes. Bhasma (seven Puti) should not be used for
Rasayana purpose i.e. for long duration.
Method of calculation Experimental study shows that both sample of
Naga Bhasma have no hypoglycemic action but
Percentage of NB =100×weight of NB/weight of
possess moderate anti-hyperglycemic effect after
total solid ingredients (including NB). E.g., in
one hour and significant anti-hyperglycemic effect
Drvadasayas (B.R-Vatraktadhikar: 27/53-57) total
compared to initial BSL. But this difference is
weight of all ingredients mineral and herbal is
statically non –significant when compare in
280gm out of which 10gm is NB..Percentage of NB
between both the groups.xxiii
is 100×10 g/280 g = 3.57, i.e., Ardarak swarasa are
not considered for calculation. Vati Naga Kalp (Tablets)-
RESEARCH WORK ON NĀGA BHASMA: Vati is usually prepared with the combination of
kaustousadhi dravya, Churna, Bhasm, Sudha ,
Nāga bhasma at 160 therapeutic equivalent dose
rasoparasa, sadharanarasa, guda, sarkara,
(TED) level was found to be safe in acute toxicity.
Guggulu , jala, swarasa, mutra etc drug
while nontoxic effect was observed in chronic
combination . Vati is made in the shape of flat
toxicity study at 5 TED level. One of the study
circular mass hence it is similar to tablet.1
Naga bhasm prepared with parad and manahasila
significantly reduces blood sugar level. xx The Churna Naga Kalpa (Powder mixtures)-
reduction of blood sugar showed by 90% patient
and 65% of the patient was reported, who were Churnas (powder mixtures) are prepared by
consuming modern antidiabetic drug along with pounding the dry drugs and then sieving through a
Nāga bhasma; while, 50% of patients who were on fine cloth or sieves. Lauha Kalpa in Churna form
only Ṣaṣtipuṭa Nāga bhasma also showed a are prepared by adding the fine powder of the
reduction in blood sugar levels. This study can herbal drugs to the Lauha Bhasma and triturated
prove to be a lead toward addition of the Bhasma as (dry) until homogenous mixture is obtained: Table-
an adjuvant to the synthetic drugs for the 2.
management of diabetes mellitus.xxiIn a testicular
regenerative potential study of Nāga bhasma, it Sneha form of Naga Kalp-
was observed that the test drug when given
Sneha basically contain fatty material which
simultaneously with CdCl2 (Cadmium chloride)
contain guru, sheet, sar, snigdha, mand sukshma,
showed marked prevention of testicular
mridu, drava having property. Medicated sneha i.e
degenerative effects of CdCl2 and when given alone
ghrita or taila is prepared by mixing one part of
after 36 h of CdCl2administration, showed
kalka (paste of drugs) four part of sneha and
noticeable regenerative potential on partially
sixteen part of liquid media. the dose of sneha is
degenerated testis. Nāga bhasma showed specific
one pala: Table-3.
regenerative effect on germinal epithelium of testis.
CdCl2 is toxic to testicular germinal epithelium and Malhar & Paste Naga Kalp-
its effects can be minimized by Nāga bhasma. At
higher doses, the drug is found very effective, thus (Semisolid preparation)
these findings are well collaborated with the
Ayurvedic concept of Vṛṣya property of Nāga Literally, Lehya refers to that which is consumed
bhasma.xxii Acute toxicity study indicates LD 50 of by licking. It is a semisolid dosage form, prepared
both test drugs is higher than 2000mg/kg. Naga by solidifying the decoctions, etc. primary liquid
Bhasma prepared from Parada media and Vasa dosage forms by boiling along with sugar-, jaggery-
media (in seven Puta) are toxic at TED X 5 and like sweetening agents and after it attains proper
TED X 10 dose level. However, both test drugs consistency fine powders of drugs (Prakshepa
produced mild adverse effect in Kidney and Liver Dravya), ghrita, and honey are added: Table-4.
at TED dose level which indicates that Naga
Dhupan form of Naga Kalp-Micro organism ,pain,
Bhasma prepared in seven Puta should be avoided
found smell etc. produced in Vrana are treated by
in renal and hepatic impairment. Chronic toxicity
Dhupan (medicinal fumigation) called Vrana
Dhupan . Same manner Dhupan is performed in Bhavana. Wet trituration (Toya Sannikarsha)
yoni, guda, nasa, sisna etc.: Table-5. facilitates particle size reduction and
homogenization leading to modification of
Varti form of Naga Kalp properties (Gunantharadhana) of the end
product.In Bhaisajratnavali literature it contain
Varti is a similar form of vati kalpana. Form
about 53 formulation in which Naga bhasm& its
making varti medicine is modified into yavakrita
ore, present various proportion (lower percentage
(long oval shape) solid form, then it called as Varti
of Naga bhasma in yograjguggulu is .4 and
Kalpana: Table-6.
maximum percentage of Naga Bhasma in
Kupipakwa of Naga Kalp Sinduradi lape is 33.3 % used in Rasayana & Pama
disease and 20% of Naga bhasma used in
(Incinerated material prepared in bear bottle)- Suchikabharanrasa. In some the formulation there
is not given the dose just like Sinduradi tail,
This term is composed of four words Vipretamalla tail, Vranarachasa tail
kupi,pakva,rasa and ayana.A rasayana product (1),Vranarachasa tail(2), Karchura tail,
from parad, ganghaka,etc is prepared in a glass Sindooradya tail, Sindooradi tail, Kustharachas
bottle by applying mild, moderate and intense heat. tail, Sathabindu tail, used as external application in
based on preparation method it is classified into skin disease. In some of the formulation where not
antardooma and bahirdhooma: Table-7. used as anupan just like example in all external
application formulation. Total 3 formulation which
DISCUSSION
contain below than one percentage of Naga bhasm,
Rasaushadhis (herbomineral formulations) are 13 formulation contain 1to 5% of Naga Bhasm, 16
being prescribed by Ayurvedic physicians since formulation contain 5to10% Naga Bhasm ,10 to
long with are mention of toxicity. It is observed 15% of Naga Bhasm found in 12 formulation,15 to
that herb—mineral complexes are more stable and 20% of Naga Bhasm found in 8 formulation and
more interactive compared to plain herbs as these last 20 to 40% Naga bhasm was found in two
result in faster therapeutic action and have a longer formulation. Mehakunjarkesari &
shelf life.xxiv Naga Kalpas are formulations which Basantakusumakar rasa having a maximum dose 6
are safe effective, and note worthy compound ratti in compare to other formulation. There are 3
formulations of Naga. Properties of Nāga bhasma formulation of Vati form,3 formulation of churna
includes Uṣṇa Vīrya (hot in action), Tikta rasa form, used as prameha. In jwaradhikar different
(bitter taste), cures Vātaja‑Kaphaja Prameha and tyes of dosage form used 7 vati
formulation,3churna formulation .In same way
Udakameha (polyuria).xxv Most of kupipakwa
3churna kalp used as Rajyakchma diseases. Total
formulation Parad used as yogvahi properties.xxvi
nine Sneha form & one Malher formulation used in
Which makes it ideal to combine with other
skin disease as external application and one
metals/minerals to increase their potency and
formulation in the form of Varti used for Eye
therapeutic efficacy . Rasa sindhūra is a sublimated
disease. Ardarak swarasa used anupan in 9.4%of
product of Pārada and Gandhaka and also
formulation having kaphvata samak properties.
possesses antidiabetic property . xxvii These results
Honey used anupan form 37.73 %in Naga
indicate that Haridrā is a promising vehicle for the
formulation and have antidote of Naga bhasm. It
prevention and amelioration of type 2 diabetesxxviii.
has been found that consumption of natural honey
Vāgbhaṭa says that Haridrā is superior among
reduces cardiovascular risk factors, particularly in
those which cure Prameha. xxix After careful
subjects with elevated risk factors.xxx Ghee is
review of Naga Kalpas, it is found that unlike
resistant to free radical damage and is lactose free.
popular understanding they all are not only
Scientific studies have indicated the ability of ghee
Khalviya preparations but can be classified based
in supporting physical and mental performance.
on the methods of preparation into Vati kalp,
Churna Kalpa, Sneha kalpand . Vati, Bhasm, Ghee also acts as anti‑ageing, nutritive for nerves
Churna Kalpas are prepared by wet trituration and brain cells.xxxi A comparative study of some
(Bhavana, impregnation) with liquid ingredients, representative samples of Nāga Bhasm from
i.e., decoctions and herbal juices. In few chemical and structural point of view showed that
formulations, water is used as a media for the Nāga Bhasm samples were predominantly
Sr. No. Pag Formulation Slok No. Pb % Rogadhikar Anupan Dose References
e a
No.
Nasya
honey
hikar. 8ratti
Trodosghna,ras
ayana
Amavat,
Chino
Gulma,Pliha
13. 671 Sankar Vati 50-54 11.7 Hridrogadhikar, Usna jala 2ratti, Bhaishajya
Amavat, Ratnavali
jirnajwar
Prameha
Sita,
Milk
hi
Andkoshvridhi,
mutrakrichha
Prader
,Rakta pitta
146
1. Suchikabhar 642-643 20.00 Jvaradhikar, Brahmaratha 5 mg , Rasayan
an Rasa use Sar
147
2. Suchikabhar 646-649 16.67 Jvaradhikar Brahmaratha 5 mg , RasayanSar
an Rasa- use Samagrha
Brihat Sannipat
jwar,Atisar,Visu
chika
163
3. Pratap 823-848 06.45 Jvaradhikar, Chitrak kwath 1 ratti Rasa
lankesh Manjari
Rasa Sannipatjwar
395
4. Raktpittakul 68-71 16.67 Raktapittadhika Yastimadhu 2ratti Yogaratnad
kandan Rasa r, kwath &honey hikar
Raktapitta
415
5. Chaykesari 91-100 4.35 Rajyakchma, Honey,Pippalich 2ratti, Rasayansar
Rasa(brihat) urn,Sarkarachun sangraha
Prameha,Medor a,Ardaraka
aga swarasa
422
6. Ratnagarbh 180-185 7.7 Rajyakchma, Pippalichurna& 1 ratti Rasayan sar
pottali sangraha
8tyes Maharoga Honey
425
7. Lakchmivila 215-218 4.54 Rajyakchma, Roganusar 1- Yogaratnad
sh Rasa 2ratti hikar
Pandu,Arsha,Sh
oola,Kustha
536
8. Navratnaraj 207-212 3.84 Vatvyadhirogad Honey,- 1 ratti Yogaratnak
mringak hikar, Pipper,guduchi ar
Rasa satva
20 types
Prameha
709
9. Mehakunjar 130-135 11.11 Prameharogadh Honey 6 ratti Bhaishajya
kesari Rasa ikar Ratnavali
Prameha,
Rasayan
776
10. Shpthsardul 96-98 11.11 Shotharogdhika Usnodaka 3-6 Bhaishajya
a Rasa r, Mutrakrichha, ratti Ratnavali
Udar roga
872
11. Manikya 126-134 3.8 Kustharogadhik Honey, 2ratti Rasendrach
rasa ar intamani
ghrita
Alltypes Kustha
100
12. Nainamritan 204-205 15.38 Netrarogadhika No anupan Extern Rasamanjar
4 jan r,Timir,Netrapat al use i
al,all types of
(Sudha eye diseas Churna
Naga) use by
salaka
113
13. Puspadhanv 70 20.00 Vajikarn Honey, 1- Yogaratnak
1 a Rasa Rogadhikar,Vaji 2ratti ar
karana Ghrita,
Sarkara,
Godugdha
Pama
Eczema
Table-4 Formulation of Naga Bhasm prepared with Malhar & Paste form.(B.R)
Sr. No. Page No. Formulation Slok Pb % Rogadhikar Anupan Dose References
No.
(Nagsindoor) Updansvrana
crystalline, i.e., mixture of PbO Pb3O4.xxxii Other them available. On the basis classical references it
work on synthesis, characterization and is concluded that Nāga Bhasma possesses
histopathological study of Nāga Bhasm showed significant antidiabetic property and is a safe drug.
that Nāga Bhasm is nontoxic (6 mg/100 g/day), Thus, there is an urgent need to conduct research
while crude lead (6 mg/100 g/day) is highly on safety and efficacy of apart from antidiabetic
toxicxxxiii. formulations of Nāga bhasma.
CONCLUSION
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