References:
Ch.Chi.20, Su.U.49, A.H.Chi.6
Pathogenesis of छर्दि
Increased Dosha are expelled out in upward direction through mouth it is called as छर्दि (Vomiting or Sickness). It is an acute condition and if neglected can lead to acute dehydration and further complications.
Types of छर्दि
छर्दि is of five types.
Vaataja
Pittaja
Kaphaja
Tridoshaja
Dvisht`aarthajaa (Bheebhtsajaa)
- Dauhridajaa due to insult of likings of pregnant woman
- Aamajaa in diseases like विसूचिका
- Saatmyaprakopajaa (Saatmya Tyaagaat) suddenly giving up the Saatmya.
- Krimijaa due to worms
Saamanya चिकित्सा
All types of Chaardi have the same cause, the irritation of Aamaas`haya. As it Aas`haya of Aama, its irritation is treated by treating Aama. Langhana (Fasting with light food or without food) is the best remedy for treating Aama. Also regime like Saatmya Annapaana, S`huska Phala Sevana, and Application of aromatic powders, follow by bath should be given. In addition, mouth should be washed with cold water.
Aavasthika चिकित्सा
S`hodhanaarha Rugn`a:
If the person suffering from छर्दि is Balavaan (having capacity / strength to tolerate effects of disease as well as treatment), should be treated by Kapha – Pittaghna S`hodhana i.e. वमन and Virechana. Vaata gets aggravated by वमन or Virechana hence in Vaataja Chhardi both the procedures should be avoided.
S`hamanaarha Rugn`a:
Durbala (weak) patient should be treated by S`hamana and Langhana.
Drugs and diet should have following properties:
Manodnya (liked / favorite)
Laghu (easy to digest)
Saatmya (wholesome / habitual)
Vis`hushka (Dry)
Sugandhi (flavored / aromatic)
After having food sprinkling of cold water on face is also suggested. These all things are advised for pacification of Dosha and छर्दि increasing the strength. Laajaa is the best S`hamana Dravya for छर्दि.
Vaataja Chhardi:
Contraindicated treatment:}
सौषधं is contraindicated in Vaataja छर्दि, if administered likely complications are chest pain or Hridaya Drava etc. Hence, only S`hamana is the choice to treat. Ghrita is the drug of choice in this condition. It is used with Saindhava (rock salt) or medicated Ghrita are used.
Indicated treatment:
Sneha Virechana (Virechana by unctuous medicines or medicines along with ghee or oils like Eran`d`a Taila) is also advised by Sus`hruta Samhitaa. Ghrita added with Kat`u and Lavan`a Dravya is indicated for drink so as to pacify Vaata Dosha.
Kashaaya indicated in Vaataja Jvara should be used to treat Vaataja Chhardi.
Pittaja Chhardi:
Pittaja छर्दि should be treated by Virechana as it is best सौषधं therapy of Pitta. Pratimaarga (in opposite direction) सौषधं helps in Vaataanulomana and ultimately pacification of छर्दि. Mridu Virechaka Dravya like Draakshaa, Ikshurasa, Tilvaka Ghrita should be used.
If Pitta is more aggravated in Kapha Sthaana, it should be alleviated by वमन because it is the nearest way of letting Dosha out from Kaphaas`haya. For this Madhura (sweet) and Tikta (Bitter) medicines are used.
Kaphaja छर्दि:
For Kaphaja Chhardi, वमन is the treatment of choice as it is the best सौषधं therapy for Kapha Dosha. If the person suffering from छर्दि is weak, he is treated by S`hamana Kalpa, which is supported by Kaphaghna and Hridya Aahaara.
Tridoshaja छर्दि:
Tridoshaja छर्दि is treated by combinations of the medicines used in Vaataja, Pittaja and Kaphaja Chhardi respectively after carefully assessing the Dosha dominance, season in which the disease has occurred, Rogabala (intensity / state of disease – Saadhya / Asaadhya) and Agnibala etc.
As other Saannipaatika diseases छर्दि too exhibits bizarre signs and symptoms hence the physician has to be innovative it its management. All possible permutations and combinations of medicines, procedures etc. have to be employed depending upon the apparent Dosha dominance along with due consideration to the season of onset, physical power of the person and his digestive capacity as well as the strength of the diseases with its prognosis.
Dvisht`aarthajaa छर्दि:
This type of छर्दि is also called as Manobhighaataja छर्दि. The first step of treatment is to avoid / refrain from the causative factors. This is supported by indulgence in favourite food, fragrance of flowers, soil (wet soil), sour fruits etc. Aas`hvaasana and Harshan`a (counseling) are also equally important to divert the persons attention from the cause.
Sus`hruta Samhitaa advocates treatment for specific type:
Aamaja Chhardi Langhana, वमन
Asaatmyaja Chhardi Saatmya Aahaara, Vihaara
Bibhatsaja Chhardi Hridya Aahaara, Vihaara
Dauhrid Avamaanaja छर्दि completing the demand
Krimija छर्दि Treat as per Krimija हृद्रोग
Saatmya:
Charaka Samhitaa specifies it as the route of causative factor is the best way of using medicine for the disease e. g. if छर्दि is caused by Asaatmya Gandha it should be treated by Saatmya Gandha.
Saatmya is homologous stimulus response; some substances are homologous from birth due to the Prakriti while others become homologous by repeated consumption / habit forming. Sudden deviation from usual, homologous behaviour is a cause for diseases like छर्दि. Hence the principle of management is to restore the homologation that is disturbed and allay the condition. The various ways it could be done are described above.
Prasakta छर्दि (chronic / persistent vomiting):
Excessive छर्दि causes Dhaatukshaya (dehydration, loss of fluid content first and finally the unctuous content too, resulting in depletion of the volume of Dhaatu), resulting in Vaata Prakopa which creates further complications. Stambhana and Brimhan`a treatment advised in वमन Karma Atiyoga should be given in this condition.
Sarpigud`a, Maamsarasa, Ghrita (Medicated as Kalyaan`aka, Tryooshan`a, Jeevaneeya) as well as Pathya Leha are also used to treat Prasakta छर्दि
Pathya:
Gun`a / Karma – Laghu, S`hushka, Saatmya
Dhaanya – Bharjita Yava, Jeern`a Shasht`ika S`haalee, Godhuma, Bharjita Godhuma, Tand`ula
S`himbee – Sateena, Maasha, Bharjita Mudga, Chan`aka
Maamsa – S`has`ha, Mayoora, Tittira, Laavaa, Jaangala Maamsa, S`hushka Maamsa
Phala – Naarikela, Nimbuka, Aamalakee, Badara, Draakshaa, Kapittha, Haritakee, Daad`ima, Maatulunga, Aamara, Mridvikaa
Kritaanna – Laajaa Mand`a, Yoosha, Raaga, Khaand`ava, Paanaka, Avaleha, Khad`a
अन्य – Madhu (Pushpottha), Gomootra, Kambalika, Madya, Suraa, Jaatiphala, Us`heera, Nimba, Vaasaa, S`harkaraa, Mis`hreyaa, Naagakes`hara, Vetrragra, Dhaanyaka, Virechana, Vamana, Langhana, Hridya Padaartha, Kasturee, Chandana, Priya Peya
Apathya:
Gun`a/ Karma – Snigdha, Ushn`a, Vidaahee, Drava
S`haaka – Alaaboo, Bimbee, Kaaravellaka, Chitraka, Meda, Sarshapa
Other – Atidrava, Asaatmya Anna, Dusht`a Anna, Elaa, Sarshapa, Nasya, Basti, Svedana, Snehapaana, Raktamokshan`a, Dantadhaavana
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Vyaadhi छर्दि
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Karma Chhardinigrahn`a, Vamana, Virechana for S`hodhana, Stambhana, Brimhan`eeya, Hridya.
Effect on Dosha Kaphaghna, Pittaghna, Vaataanulomana
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Last updated on February 16th, 2021 at 09:06 am