References:
C. Chi. 6, Su. Chi.11, A. H. Chi. 12, N.R. प्रमेह
Introduction:
Prameha Chikitsaa generally divided into two categories.
- सौषधं
- S`hamana
Generally, in Prameha Santarpan`a is always indicated.
Initially in the management of प्रमेह, a person has to be given Snehana and then appropriate preparation that is suited for the condition to induce सौषधं. After adequate सौषधं by Oordhva and Adhah Maarga he should be maintained on Santarpan`a.
Saamaanya Chikitsaa:
- Kaphaghna
- Medoghna
- Kledahara
- Hetuvipareeta
- Various types of Apatarpan`a
Indications of सौषधं:
Balavaan Rugn`a
Sthoola Rugn`a
Balavaan Dosha
शोधन द्रव्य:
Generally Pramehee Rugn`a should be advised Teekshn`a S`hodhana.
शोधन द्रव्य should be Snigdha e.g. Sarshapa, Kusumbha, Priyangvaadi Gan`a Siddha Taila or Ghrita etc. should be used for Snehana.
Due to untimely or excess Apatarpan`a following Vyaadhi can occur as complications:
Mootragraha
Rujaa
गुल्म
Ks`haya
Pramehahara Vihaara:
Vihaara of प्रमेह aims at:
Kaphakshaya (eradicating Kapha substantively, qualitatively and / or functionally)
Medakshaya (depleting fat tissue and control adipose metabolism)
Rookshan`a ( creating dryness in the internal environment and controlling unctuousness and excess fluidity)
Following Vihaara are indicated in प्रमेह:
Rooksha Udvartana
S`hatayojana / Dviyojana / Treeyojana Bhraman`a [1 Yojana = 2.5 miles (M.W.)]
Raatri Jaagaran`a
Gos`hakrit-Mootra Vritti: (Pramehee should live with cows, use grains of cow-dung as food.)
Vedaadi Adhyayana (For Paapakrit Prameha, according to D`alhan`a)
Vyaayaama:
Heavy physical exercises are indicated in Prameha, e.g. Koopa khanana, S`hatayojana Chankraman`a; however Rugn`abala and प्रमेह type etc should be considered. Kris`ha Rugn`a should be advised light exercises.
Bhishagvarjita Madhumeha Chikitsaa:
Madhumehee Rugn`a, who is untreatable, should consume following drugs:
- S`hilajaatu
- Tuvaraka
- Maakshika Dhaatu
A person suffering from Prameha on being subjected to the purificatory measures still does not respond to therapeutic management should, as a last resort should consume these drugs according to Sus`hruta.
S`hilaajatu Prayoga:
1 Tulaa (400 Tolaa = 5 Kg) S`hilajaatu (Asanaadi Kvatha Bhaavita)
Maakshikadhaatu Prayoga:
Tuvaraka Prayoga:
In Vaataja Prameha if there is associationof Kapha dosha than Snehakalpana made from Kaphaghna Kashaaya should be used.
In Vaataja Prameha if there is associationof Pitta Dosha than Snehakalpana made from Pittahara Kashaaya should be used.
Pathya-
Rasa- Tikta, Kashaaya
Gun`a- Rooksha, Laghu
Dhaanya- Koradoosha, S`hyaamaaka, Godhuma, S`haalee, Yava, Shasht`ika S`haalee, Uddaalaka, Trin`a Dhaanya
S`haaka- S`higru, Pat`ola, Punarnavaa, Kaarvellaka, Nirmalee Beeja, Kan`t`akaaree, Rasona, Gokshura, Mandaara, Nimba, Karchoora, Kamalakanda, Khaira, Laangalee, S`hun`t`hee, Maricha, Pippalee, Sarshapa, Atasee, Grinjanaka
S`himbee- Bharjita Chan`aka, Mudga, Kulattha, Makusht`a, Tila
Maamsa- Harin`a, Laavaa, Jaangala Maamsa, S`hushka Maamsa
Dugdha- Takra
Drava- Puraan`a Madya, Madya, Mantha, Khara Mootra, Maahisha Mootra, Seedhu, Madhu, Madhooka, Sarshapa Siddha Kaanjika, Vaat`ya Madya,
Phala- Udumbara, Puraan`a Kadalee, Kapittha, Jamboo, Kharjoora, Aamalakee, Tindooka, Amlikaa
Kritaanna- Yava- Godhuma Kritaa Padaartha, Yavaudana, Aapoopa, Kulmaasha, Utkaarikaa, S`hashkulikaa, Madhu+Khadeera+Maricha, Mudga, Kulattha, Aad`hakee, Chan`aka Yoosha, Vanachat`aka Maamsarasa
Other- Laajaa, Langhana, Deepana, S`hamana, Vamana, Virechana
Apathya-
Rasa-Madhura, Amla, Lavan`a
Gun`a- Abhishyandi
S`himbee- Nishpaava
Maamsa- Aanoopa Maamsa
Dugdha- Dadhi, Ghrita, Dugdha
Drava- Ikshu Rasa, Kaanjika, Nava Madya, Taila
Phala- Taad`a, Kushmaan`d`a
Other- Nava Anna, Paisht`ika Padaartha, Ikshu, Gud`a, Mootraavarodha, Dhoomapaana, Sveda, Raktamokshan`a, Divaasvaapa, Maithuna
Search Anveshaka
खोज करेंDravya, Kalpa, Aahaara, Vihaara, Chikitsaa Karma For,
Indicated in Vyaadhi – Prameha, Madhumeha
Effect on Dosha – Kaphaghna
Effect on Dhaatu – Medoghna, Medakshaya
Effect on Mala – Mootrasangrahan`a
Other effects – Kledanaashana
Last updated on February 18th, 2021 at 11:53 am